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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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009042<strong>01</strong>159 ASPIRIN TAB 325MG EC 12/31/9999 2<strong>01</strong>23009042<strong>01</strong>360 ASPIRIN TAB 325MG EC 12/31/9999 2<strong>01</strong>23009042<strong>01</strong>372 ASPIRIN TAB 325MG EC 12/31/9999 2<strong>01</strong>23009042<strong>01</strong>380 ASPIRIN TAB 325MG EC 12/31/9999 2<strong>01</strong>2316103035708 ASPIRIN TAB 325MG EC 12/31/9999 2<strong>01</strong>2316103035711 ASPIRIN TAB 325MG EC 12/31/9999 2<strong>01</strong>2336800042902 ASPIRIN TAB 325MG EC 12/31/9999 2<strong>01</strong>2337205042987 ASPIRIN TAB 325MG EC 12/31/9999 2<strong>01</strong>2337205042996 ASPIRIN TAB 325MG EC 12/31/9999 2<strong>01</strong>23516450714<strong>01</strong> ASPIRIN TAB 325MG EC 12/31/9999 2<strong>01</strong>2351645071410 ASPIRIN TAB 325MG EC 12/31/9999 2<strong>01</strong>2362<strong>01</strong>10040<strong>01</strong> ASPIRIN TAB 325MG EC 12/31/9999 2<strong>01</strong>23637390023<strong>01</strong> ASPIRIN TAB 325MG EC 12/31/9999 2<strong>01</strong>2350844023628 ASPIRIN TAB 500MG 12/31/9999 2<strong>01</strong>2364125<strong>01</strong>06<strong>01</strong> ASPIRIN TAB 800MG CR 12/31/9999 2<strong>01</strong>230<strong>01</strong>82106105 ASPIRIN TAB 81MG EC 12/31/9999 2<strong>01</strong>2300536308610 ASPIRIN TAB 81MG EC 12/31/9999 2<strong>01</strong>2300536308641 ASPIRIN TAB 81MG EC 12/31/9999 2<strong>01</strong>2316103035609 ASPIRIN TAB 81MG EC 12/31/9999 2<strong>01</strong>2316103035611 ASPIRIN TAB 81MG EC 12/31/9999 2<strong>01</strong>2350844025532 ASPIRIN TAB 81MG EC 12/31/9999 2<strong>01</strong>2351645071308 ASPIRIN TAB 81MG EC 12/31/9999 2<strong>01</strong>2351645071310 ASPIRIN TAB 81MG EC 12/31/9999 2<strong>01</strong>23637390272<strong>01</strong> ASPIRIN TAB 81MG EC 12/31/9999 2<strong>01</strong>2363739027210 ASPIRIN TAB 81MG EC 12/31/9999 2<strong>01</strong>2300603002436 ASPIRIN CHLD CHW 81MG 12/31/9999 2<strong>01</strong>2311383005026 ASPIRIN EC TAB 325MG 12/31/9999 2<strong>01</strong>2336800027468 ASPIRIN LOW CHW 81MG 12/31/9999 2<strong>01</strong>2336800046768 ASPIRIN LOW CHW 81MG 12/31/9999 2<strong>01</strong>2349483033463 ASPIRIN LOW CHW 81MG 12/31/9999 2<strong>01</strong>2300603002622 ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2300603002632 ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2315127022894 ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2324385053548 ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2324385053576 ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2324385053587 ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2324385054148 ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2324385054187 ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2336800027748 ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2337205051076 ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2337205051087 ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2349614053531 ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2349614053576 ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2362<strong>01</strong>10003<strong>01</strong> ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2362<strong>01</strong>10<strong>01</strong>9<strong>01</strong> ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2363868036103 ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2363868036120 ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2363868036136 ASPIRIN LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2350844<strong>01</strong>5912 ASPIRIN/APAP TAB /CAFF 12/31/9999 2<strong>01</strong>2300904770418 ASPIR-LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2300904770470 ASPIR-LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2300904770480 ASPIR-LOW TAB 81MG EC 12/31/9999 2<strong>01</strong>2300904034740 ASPIR-MOX IB TAB 12/31/9999 2<strong>01</strong>2300904034759 ASPIR-MOX IB TAB 12/31/9999 2<strong>01</strong>2300037024130 ASTELIN NASA SPR 137MCG 12/31/9999 2<strong>01</strong>2300037024330 ASTEPRO SPR 0.15% 12/31/9999 2<strong>01</strong>2363323029210 ASTRAMORPH INJ 10/10ML 12/31/9999 2<strong>01</strong>2363323029297 ASTRAMORPH INJ 10/10ML 03/30/2<strong>01</strong>3 2<strong>01</strong>2363323029110 ASTRAMORPH INJ 1MG/2ML 12/31/9999 2<strong>01</strong>2363323029180 ASTRAMORPH INJ 1MG/2ML 12/31/9999 2<strong>01</strong>23

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