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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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16571043<strong>01</strong>1 ATENOLOL TAB 25MG 12/31/9999 2<strong>01</strong>2316714003104 ATENOLOL TAB 25MG 12/31/2020 2<strong>01</strong>2316714003106 ATENOLOL TAB 25MG 12/31/2020 2<strong>01</strong>2350742<strong>01</strong><strong>01</strong><strong>01</strong> ATENOLOL TAB 25MG 12/31/9999 2<strong>01</strong>2350742<strong>01</strong><strong>01</strong>10 ATENOLOL TAB 25MG 12/31/9999 2<strong>01</strong>23510790759<strong>01</strong> ATENOLOL TAB 25MG 12/31/9999 2<strong>01</strong>2351079075917 ATENOLOL TAB 25MG 12/31/9999 2<strong>01</strong>2351079075919 ATENOLOL TAB 25MG 12/31/9999 2<strong>01</strong>2351079075920 ATENOLOL TAB 25MG 12/31/9999 2<strong>01</strong>2351079075963 ATENOLOL TAB 25MG 12/31/9999 2<strong>01</strong>23534890536<strong>01</strong> ATENOLOL TAB 25MG 12/31/9999 2<strong>01</strong>23633040621<strong>01</strong> ATENOLOL TAB 25MG 12/31/9999 2<strong>01</strong>2363304062110 ATENOLOL TAB 25MG 12/31/9999 2<strong>01</strong>2365862<strong>01</strong>68<strong>01</strong> ATENOLOL TAB 25MG 12/31/9999 2<strong>01</strong>2365862<strong>01</strong>6899 ATENOLOL TAB 25MG 12/31/9999 2<strong>01</strong>23683820022<strong>01</strong> ATENOLOL TAB 25MG 12/31/9999 2<strong>01</strong>2368382002210 ATENOLOL TAB 25MG 12/31/9999 2<strong>01</strong>23000930752<strong>01</strong> ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2300093075210 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>82823600 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>82823689 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>23003780231<strong>01</strong> ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2300378023110 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>23004062023<strong>01</strong> ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2300406202310 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>23007811506<strong>01</strong> ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2300781150610 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2316571043111 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2316714003204 ATENOLOL TAB 50MG 12/31/2020 2<strong>01</strong>2316714003206 ATENOLOL TAB 50MG 12/31/2020 2<strong>01</strong>2350742<strong>01</strong>02<strong>01</strong> ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2350742<strong>01</strong>0210 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>23510790684<strong>01</strong> ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2351079068417 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2351079068419 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2351079068420 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2351079068463 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>23534890529<strong>01</strong> ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2353489052910 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2354458093105 ATENOLOL TAB 50MG 07/<strong>01</strong>/2<strong>01</strong>3 2<strong>01</strong>23625840467<strong>01</strong> ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>23633040622<strong>01</strong> ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2363304062210 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2365862<strong>01</strong>69<strong>01</strong> ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2365862<strong>01</strong>6999 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>23683820023<strong>01</strong> ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2368382002310 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>2368645031054 ATENOLOL TAB 50MG 12/31/9999 2<strong>01</strong>23000097224<strong>01</strong> ATGAM INJ 250MG 12/31/9999 2<strong>01</strong>2300009722402 ATGAM INJ 250MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>13<strong>01</strong>5473 ATH FOOT SPR AER 1% 12/31/9999 2<strong>01</strong>2349348079072 ATHLETE FOOT CRE 1% 12/31/9999 2<strong>01</strong>2363868036412 ATHLETE FOOT CRE 1% 12/31/9999 2<strong>01</strong>2337205094199 ATHLETE FOOT CRE AF 12/31/9999 2<strong>01</strong>23006416000<strong>01</strong> ATIVAN INJ 2MG/ML 12/31/9999 2<strong>01</strong>2300641600<strong>01</strong>0 ATIVAN INJ 2MG/ML 12/31/9999 2<strong>01</strong>230064160<strong>01</strong><strong>01</strong> ATIVAN INJ 2MG/ML 12/31/9999 2<strong>01</strong>230064160<strong>01</strong>25 ATIVAN INJ 2MG/ML 12/31/9999 2<strong>01</strong>2360977<strong>01</strong>12<strong>01</strong> ATIVAN INJ 2MG/ML 12/31/9999 2<strong>01</strong>2360977<strong>01</strong>1281 ATIVAN INJ 2MG/ML 12/31/9999 2<strong>01</strong>23

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