Rebatable Drug List for Iowa Medicaid Effective Date December 01 ...
12.07.2015 • Views
Share Embed Flag

Rebatable Drug List for Iowa Medicaid Effective Date December 01 ...

Rebatable Drug List for Iowa Medicaid Effective Date December 01 ...

Rebatable Drug List for Iowa Medicaid Effective Date December 01 ...

SHOW MORE
SHOW LESS
ePAPER READ
DOWNLOAD ePAPER
  • No tags were found...
dhs.state.ia.us

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

START NOW

15127080313 SB NAT FIBER POW 49% 12/31/9999 2<strong>01</strong>2315127080319 SB NAT FIBER POW 49% 12/31/9999 2<strong>01</strong>2315127083004 SB NON-ASA CHW 80MG FRT 12/31/9999 2<strong>01</strong>2315127083204 SB NON-ASA CHW 80MG GRP 12/31/9999 2<strong>01</strong>2315127050861 SB NON-ASA SUS 160/5ML 12/31/9999 2<strong>01</strong>2315127085708 SB PAIN RELF TAB X-STR 12/31/9999 2<strong>01</strong>2315127097412 SB SEVERE TAB COLD PE 12/31/9999 2<strong>01</strong>2315127070230 SB SORE THRT SPR CHERRY 12/31/9999 2<strong>01</strong>231512707<strong>01</strong>30 SB SORE THRT SPR MENTHOL 12/31/9999 2<strong>01</strong>2300904522599 SCALP AID LIQ 12/31/9999 2<strong>01</strong>2324385067827 SCALP RELIEF LIQ 3% 12/31/9999 2<strong>01</strong>23633230268<strong>01</strong> SCOPOLAMINE INJ 0.4MG/ML 12/31/9999 2<strong>01</strong>236785708<strong>01</strong>26 SCYTERA AER 2% 12/31/9999 2<strong>01</strong>236785708<strong>01</strong>52 SCYTERA AER 2% 12/31/9999 2<strong>01</strong>2313925<strong>01</strong>1404 SE 10-5 SS CRE 10-5% 12/31/9999 2<strong>01</strong>2313925<strong>01</strong>2110 SE BPO 7-5.5 KIT WASH KIT 12/31/9999 2<strong>01</strong>2313925<strong>01</strong>1218 SE BPO WASH LIQ 7% 12/31/9999 2<strong>01</strong>2300603038046 SEA SOFT SPR 0.65% 12/31/9999 2<strong>01</strong>23117<strong>01</strong><strong>01</strong>5935 SEA-CLENS LIQ WOUND 12/31/9999 2<strong>01</strong>23117<strong>01</strong><strong>01</strong>5936 SEA-CLENS LIQ WOUND 12/31/9999 2<strong>01</strong>23005367186<strong>01</strong> SEA-OMEGA 30 CAP 1200MG 12/31/9999 2<strong>01</strong>2300536718706 SEA-OMEGA 50 CAP 1000MG 12/31/9999 2<strong>01</strong>2351285005866 SEASONALE TAB 06/30/2<strong>01</strong>3 2<strong>01</strong>2351285008787 SEASONIQUE TAB 12/31/9999 2<strong>01</strong>2300536196297 SEBEX SHA 12/31/9999 2<strong>01</strong>2345802093902 SEB-PREV LIQ WASH 12/31/9999 2<strong>01</strong>2310631<strong>01</strong>0807 SEBULEX SHA 12/31/9999 2<strong>01</strong>23429980679<strong>01</strong> SECONAL CAP 100MG 12/31/9999 2<strong>01</strong>23633040679<strong>01</strong> SECONAL CAP 100MG 12/31/9999 2<strong>01</strong>23678570700<strong>01</strong> SECTRAL CAP 200MG 12/31/9999 2<strong>01</strong>236785707<strong>01</strong><strong>01</strong> SECTRAL CAP 400MG 12/31/9999 2<strong>01</strong>23002590392<strong>01</strong> SEDAPAP TAB 50-650MG 12/31/9999 2<strong>01</strong>2313925<strong>01</strong>5816 SE-DONNA ELX PB HYOS 04/<strong>01</strong>/2<strong>01</strong>4 2<strong>01</strong>2300642007790 SELECT-OB CHW 12/31/9999 2<strong>01</strong>2300642007530 SELECT-OB+ PAK DHA 12/31/9999 2<strong>01</strong>23605050055<strong>01</strong> SELEGILINE CAP 5MG 12/31/9999 2<strong>01</strong>2360505005502 SELEGILINE CAP 5MG 12/31/9999 2<strong>01</strong>2367253070006 SELEGILINE CAP 5MG 12/31/9999 2<strong>01</strong>2300378929091 SELEGILINE TAB 5MG 12/31/9999 2<strong>01</strong>23605053438<strong>01</strong> SELEGILINE TAB 5MG 12/31/9999 2<strong>01</strong>2360505343803 SELEGILINE TAB 5MG 12/31/9999 2<strong>01</strong>2360505343804 SELEGILINE TAB 5MG 12/31/9999 2<strong>01</strong>2360505343808 SELEGILINE TAB 5MG 12/31/9999 2<strong>01</strong>2300517651025 SELENIUM INJ 40MCG/ML 12/31/9999 2<strong>01</strong>2351552097307 SELENIUM CHE POW 0.2% 12/31/9999 2<strong>01</strong>2345802004064 SELENIUM SUL LOT 2.5% 12/31/9999 2<strong>01</strong>2349908<strong>01</strong>4680 SELENIUM SUL SHA 2.25% 12/31/9999 2<strong>01</strong>2300472153304 SELENIUM SUL SHA 2.5% 12/31/9999 2<strong>01</strong>2360432052804 SELENIUM SUL SHA 2.5% 12/31/9999 2<strong>01</strong>2300069080760 SELZENTRY TAB 150MG 09/30/2<strong>01</strong>4 2<strong>01</strong>2349702021518 SELZENTRY TAB 150MG <strong>01</strong>/31/2<strong>01</strong>5 2<strong>01</strong>2349702022318 SELZENTRY TAB 150MG 12/31/9999 2<strong>01</strong>2300069080860 SELZENTRY TAB 300MG 11/30/2<strong>01</strong>4 2<strong>01</strong>2349702021618 SELZENTRY TAB 300MG 03/15/2<strong>01</strong>5 2<strong>01</strong>2349702022418 SELZENTRY TAB 300MG 12/31/9999 2<strong>01</strong>2352244040410 SEMPREX-D CAP 8-60MG 12/31/9999 2<strong>01</strong>2353<strong>01</strong>4040410 SEMPREX-D CAP 8-60MG 12/31/9999 2<strong>01</strong>2313925<strong>01</strong>17<strong>01</strong> SE-NATAL 19 CHW 12/31/9999 2<strong>01</strong>2313925<strong>01</strong>16<strong>01</strong> SE-NATAL 19 TAB 12/31/9999 2<strong>01</strong>2313925<strong>01</strong>03<strong>01</strong> SE-NATAL ONE TAB 12/09/2<strong>01</strong>2 2<strong>01</strong>23

logo

Prodotti

Risorse

Aziende

Terms of service
Privacy policy
Cookie policy
Cookie settings
Imprint
Change language
Made with love in Switzerland
© 2024 Yumpu.com all rights reserved

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!