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

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

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00536127559 SENEXON LIQ 8.8MG/5 12/31/9999 2<strong>01</strong>23005365904<strong>01</strong> SENEXON TAB 8.6MG 12/31/9999 2<strong>01</strong>2300536590410 SENEXON TAB 8.6MG 12/31/9999 2<strong>01</strong>2300904628909 SENNA SYP 8.8MG/5 12/31/9999 2<strong>01</strong>2337205024178 SENNA TAB 187MG 12/31/9999 2<strong>01</strong>2300904516559 SENNA TAB 8.6MG 12/31/9999 2<strong>01</strong>2300904516561 SENNA TAB 8.6MG 12/31/9999 2<strong>01</strong>2300904516580 SENNA TAB 8.6MG 12/31/9999 2<strong>01</strong>2350844029812 SENNA TAB 8.6MG 12/31/9999 2<strong>01</strong>23516450851<strong>01</strong> SENNA TAB 8.6MG 12/31/9999 2<strong>01</strong>2351645085110 SENNA TAB 8.6MG 12/31/9999 2<strong>01</strong>2300603028221 SENNA LAX TAB 8.6MG 12/31/9999 2<strong>01</strong>2300603028232 SENNA LAX TAB 8.6MG 12/31/9999 2<strong>01</strong>2300904551252 SENNA PLUS TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2300904551261 SENNA PLUS TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2300904551280 SENNA PLUS TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2324385050572 SENNA PLUS TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2337205025172 SENNA PLUS TAB 8.6-50MG 12/31/9999 2<strong>01</strong>23516450850<strong>01</strong> SENNA PLUS TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2351645085006 SENNA PLUS TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2351645085<strong>01</strong>0 SENNA PLUS TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2351645085099 SENNA PLUS TAB 8.6-50MG 12/31/9999 2<strong>01</strong>23680840050<strong>01</strong> SENNA PLUS TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2300224186090 SENNA PROMPT CAP 9-500MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>821113<strong>01</strong> SENNA S TAB 8.6-50MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>82111310 SENNA S TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2300067624024 SENNA SMOOTH TAB 15MG 12/31/9999 2<strong>01</strong>23005360355<strong>01</strong> SENNA/DSS TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2300536035510 SENNA/DSS TAB 8.6-50MG 12/31/9999 2<strong>01</strong>23637390432<strong>01</strong> SENNA/DSS TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2363739043210 SENNA/DSS TAB 8.6-50MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>821093<strong>01</strong> SENNA-GEN TAB 8.6MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>82109310 SENNA-GEN TAB 8.6MG 12/31/9999 2<strong>01</strong>2324385040478 SENNA-LAX TAB 8.6MG 12/31/9999 2<strong>01</strong>2300603028321 SENNALAX-S TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2300603028332 SENNALAX-S TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2362<strong>01</strong>1<strong>01</strong>61<strong>01</strong> SENNA-S TAB 8.6-50MG 12/31/9999 2<strong>01</strong>23638680264<strong>01</strong> SENNA-S TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2316103036308 SENNA-TABS TAB 8.6MG 12/31/9999 2<strong>01</strong>2316103036311 SENNA-TABS TAB 8.6MG 12/31/9999 2<strong>01</strong>23494830080<strong>01</strong> SENNA-TIME TAB 8.6MG 12/31/9999 2<strong>01</strong>2349483008<strong>01</strong>0 SENNA-TIME TAB 8.6MG 12/31/9999 2<strong>01</strong>23494830081<strong>01</strong> SENNA-TIME S TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2349483008110 SENNA-TIME S TAB 8.6-50MG 12/31/9999 2<strong>01</strong>23621070031<strong>01</strong> SENNO TAB 8.6MG 12/31/9999 2<strong>01</strong>2367618030<strong>01</strong>0 SENOKOT TAB 8.6MG 12/31/9999 2<strong>01</strong>2367618030<strong>01</strong>1 SENOKOT TAB 8.6MG 12/31/9999 2<strong>01</strong>2367618030020 SENOKOT TAB 8.6MG 12/31/9999 2<strong>01</strong>2367618030050 SENOKOT TAB 8.6MG 12/31/9999 2<strong>01</strong>2367618030040 SENOKOT 2GO TAB 8.6MG 12/31/9999 2<strong>01</strong>23676180310<strong>01</strong> SENOKOT S TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2367618031<strong>01</strong>1 SENOKOT S TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2367618031030 SENOKOT S TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2367618031060 SENOKOT S TAB 8.6-50MG 12/31/9999 2<strong>01</strong>2367618031512 SENOKOT XTRA TAB 17.2MG 12/31/9999 2<strong>01</strong>2367618031536 SENOKOT XTRA TAB 17.2MG 12/31/9999 2<strong>01</strong>2368405800206 SENOPHYLLINE PAK 12/31/9999 2<strong>01</strong>2300003325614 SENSI-CARE OIN 49-15% 12/02/2<strong>01</strong>2 2<strong>01</strong>2343553325614 SENSI-CARE OIN 49-15% 12/31/9999 2<strong>01</strong>2355513007330 SENSIPAR TAB 30MG 12/31/9999 2<strong>01</strong>23

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