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

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51552129409 VANIBASE CRE 12/31/9999 2<strong>01</strong>2351552069004 VANILLIN LIQ 12/31/9999 2<strong>01</strong>2399207052510 VANOS CRE 0.1% 12/31/9999 2<strong>01</strong>2399207052530 VANOS CRE 0.1% 12/31/9999 2<strong>01</strong>2399207052560 VANOS CRE 0.1% 12/31/9999 2<strong>01</strong>23679790500<strong>01</strong> VANTAS KIT 50MG 12/31/9999 2<strong>01</strong>2350383067103 VAPORIZING CRE 12/31/9999 2<strong>01</strong>2300469160210 VAPRISOL INJ 12/31/9999 2<strong>01</strong>230<strong>01</strong>87<strong>01</strong>46<strong>01</strong> VASERETIC TAB 10-25MG 12/31/9999 2<strong>01</strong>2364455<strong>01</strong>46<strong>01</strong> VASERETIC TAB 10-25MG 03/30/2<strong>01</strong>4 2<strong>01</strong>2300517051025 VASOPRESSIN INJ 10/0.5ML 12/31/9999 2<strong>01</strong>2300517041<strong>01</strong>0 VASOPRESSIN INJ 20UNT/ML 12/31/9999 2<strong>01</strong>2300517102025 VASOPRESSIN INJ 20UNT/ML 12/31/9999 2<strong>01</strong>23633230302<strong>01</strong> VASOPRESSIN INJ 20UNT/ML 12/31/9999 2<strong>01</strong>2364455<strong>01</strong>4210 VASOTEC TAB 10MG 12/31/9999 2<strong>01</strong>2364455<strong>01</strong>4230 VASOTEC TAB 10MG 12/31/9999 2<strong>01</strong>2364455<strong>01</strong>4290 VASOTEC TAB 10MG 12/31/9999 2<strong>01</strong>2364455<strong>01</strong>4030 VASOTEC TAB 2.5MG 12/31/9999 2<strong>01</strong>2364455<strong>01</strong>4090 VASOTEC TAB 2.5MG 12/31/9999 2<strong>01</strong>2364455<strong>01</strong>4310 VASOTEC TAB 20MG 12/31/9999 2<strong>01</strong>2364455<strong>01</strong>4330 VASOTEC TAB 20MG 12/31/9999 2<strong>01</strong>2364455<strong>01</strong>4390 VASOTEC TAB 20MG 12/31/9999 2<strong>01</strong>2364455<strong>01</strong>4110 VASOTEC TAB 5MG 12/31/9999 2<strong>01</strong>2364455<strong>01</strong>4130 VASOTEC TAB 5MG 12/31/9999 2<strong>01</strong>2364455<strong>01</strong>4190 VASOTEC TAB 5MG 12/31/9999 2<strong>01</strong>2366992049004 VAZOBID-PD SUS 6-10MG/5 12/15/2020 2<strong>01</strong>23519910645<strong>01</strong> V-C FORTE CAP 12/31/9999 2<strong>01</strong>23555130954<strong>01</strong> VECTIBIX INJ 100MG 12/31/9999 2<strong>01</strong>23555130956<strong>01</strong> VECTIBIX INJ 400MG 12/31/9999 2<strong>01</strong>23002992<strong>01</strong>210 VECTICAL OIN 3MCG/GM 12/31/9999 2<strong>01</strong>23004091632<strong>01</strong> VECURONIUM INJ 10MG 12/31/9999 2<strong>01</strong>2300409163249 VECURONIUM INJ 10MG 12/31/9999 2<strong>01</strong>23007032914<strong>01</strong> VECURONIUM INJ 10MG 12/31/9999 2<strong>01</strong>2300703291403 VECURONIUM INJ 10MG 12/31/9999 2<strong>01</strong>2325021065710 VECURONIUM INJ 10MG 12/31/9999 2<strong>01</strong>2341616093140 VECURONIUM INJ 10MG 12/31/9999 2<strong>01</strong>2341616093144 VECURONIUM INJ 10MG 12/31/9999 2<strong>01</strong>2355390003710 VECURONIUM INJ 10MG 12/31/9999 2<strong>01</strong>23004091634<strong>01</strong> VECURONIUM INJ 20MG 12/31/9999 2<strong>01</strong>2300409163449 VECURONIUM INJ 20MG 12/31/9999 2<strong>01</strong>2300703292503 VECURONIUM INJ 20MG 12/31/9999 2<strong>01</strong>2325021065820 VECURONIUM INJ 20MG 12/31/9999 2<strong>01</strong>2341616093244 VECURONIUM INJ 20MG 12/31/9999 2<strong>01</strong>2355390003910 VECURONIUM INJ 20MG 12/31/9999 2<strong>01</strong>2351552042206 VEEGUM MIS LUMP 12/31/9999 2<strong>01</strong>2300603099389 VEG FIBER POW 30.9% 09/30/2<strong>01</strong>4 2<strong>01</strong>2300603099263 VEG FIBER POW 63% 09/30/2<strong>01</strong>4 2<strong>01</strong>2351552103507 VEGETABLE POW FLAVOR 12/31/9999 2<strong>01</strong>23630200049<strong>01</strong> VELCADE INJ 3.5MG 12/31/9999 2<strong>01</strong>23662150403<strong>01</strong> VELETRI INJ 0.5MG 12/31/9999 2<strong>01</strong>236621504<strong>01</strong><strong>01</strong> VELETRI INJ 1.5MG 12/31/9999 2<strong>01</strong>23662150402<strong>01</strong> VELETRI INJ 1.5MG 12/31/9999 2<strong>01</strong>2300555905167 VELIVET PAK 12/31/9999 2<strong>01</strong>230<strong>01</strong>45007130 VELTIN GEL 12/31/9999 2<strong>01</strong>230<strong>01</strong>45007160 VELTIN GEL 12/31/9999 2<strong>01</strong>2300064218<strong>01</strong>4 VELVACHOL CRE 12/31/9999 2<strong>01</strong>2313811059830 VEMAVITE- CAP PRX 2 12/31/9999 2<strong>01</strong>231381106<strong>01</strong>30 VENA-BAL MIS DHA 12/31/9999 2<strong>01</strong>2300093738605 VENLAFAXINE CAP 150MG ER 12/31/9999 2<strong>01</strong>2300093738656 VENLAFAXINE CAP 150MG ER 12/31/9999 2<strong>01</strong>23

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