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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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51079045520 SIMVASTATIN TAB 20MG <strong>01</strong>/31/2<strong>01</strong>3 2<strong>01</strong>2354458092804 SIMVASTATIN TAB 20MG 03/<strong>01</strong>/2<strong>01</strong>3 2<strong>01</strong>2354458093310 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>9905 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>9910 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>9930 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>9990 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2363304079110 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2363304079190 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2363739043710 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2365862005226 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2365862005230 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2365862005290 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2365862005299 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2368084<strong>01</strong>63<strong>01</strong> SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>23680840512<strong>01</strong> SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>23681800479<strong>01</strong> SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2368180047902 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2368180047903 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2368382006705 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2368382006706 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2368382006710 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2368382006716 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2368645026154 SIMVASTATIN TAB 20MG 12/31/9999 2<strong>01</strong>2300093715510 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2300093715519 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2300093715556 SIMVASTATIN TAB 40MG 05/31/2<strong>01</strong>3 2<strong>01</strong>2300093715593 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2300093715598 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2300904580261 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2316252050850 SIMVASTATIN TAB 40MG <strong>01</strong>/31/2<strong>01</strong>3 2<strong>01</strong>23167140684<strong>01</strong> SIMVASTATIN TAB 40MG 12/31/2020 2<strong>01</strong>2316714068402 SIMVASTATIN TAB 40MG 12/31/2020 2<strong>01</strong>2316714068403 SIMVASTATIN TAB 40MG 12/31/2020 2<strong>01</strong>2316729000610 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2316729000615 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2316729000617 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2324658021310 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2324658021345 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2324658021390 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2324658030310 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2324658030330 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2324658030345 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2324658030390 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2350742<strong>01</strong>3910 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>23510790398<strong>01</strong> SIMVASTATIN TAB 40MG 02/28/2<strong>01</strong>3 2<strong>01</strong>2351079039820 SIMVASTATIN TAB 40MG 02/28/2<strong>01</strong>3 2<strong>01</strong>23510790456<strong>01</strong> SIMVASTATIN TAB 40MG 11/30/2<strong>01</strong>2 2<strong>01</strong>2351079045620 SIMVASTATIN TAB 40MG 11/30/2<strong>01</strong>2 2<strong>01</strong>2354458093210 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2355111020005 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2355111020<strong>01</strong>0 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2355111020030 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2355111020090 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2363304079210 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2363304079290 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2363739043810 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2365862005322 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2365862005330 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2365862005390 SIMVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>23

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