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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66215030300 VENTAVIS SOL 20MCG/ML 12/31/9999 2<strong>01</strong>2366215030330 VENTAVIS SOL 20MCG/ML 12/31/9999 2<strong>01</strong>230<strong>01</strong>73068220 VENTOLIN HFA AER 12/31/9999 2<strong>01</strong>230<strong>01</strong>73068221 VENTOLIN HFA AER 12/31/9999 2<strong>01</strong>230<strong>01</strong>73068224 VENTOLIN HFA AER 12/31/9999 2<strong>01</strong>230<strong>01</strong>73068254 VENTOLIN HFA AER 12/31/9999 2<strong>01</strong>230<strong>01</strong>73068281 VENTOLIN HFA AER 12/31/9999 2<strong>01</strong>230<strong>01</strong>73075300 VERAMYST SPR 27.5MCG 12/31/9999 2<strong>01</strong>230037862<strong>01</strong><strong>01</strong> VERAPAMIL CAP 100MG ER 12/31/9999 2<strong>01</strong>2362175048537 VERAPAMIL CAP 100MG ER 12/31/9999 2<strong>01</strong>23003786320<strong>01</strong> VERAPAMIL CAP 120MG ER 12/31/9999 2<strong>01</strong>2300378632093 VERAPAMIL CAP 120MG ER 12/31/9999 2<strong>01</strong>23510790917<strong>01</strong> VERAPAMIL CAP 120MG ER 12/31/9999 2<strong>01</strong>2351079091720 VERAPAMIL CAP 120MG ER 12/31/9999 2<strong>01</strong>23005912880<strong>01</strong> VERAPAMIL CAP 120MG SR 12/31/9999 2<strong>01</strong>23003786380<strong>01</strong> VERAPAMIL CAP 180MG ER 12/31/9999 2<strong>01</strong>2300378638093 VERAPAMIL CAP 180MG ER 12/31/9999 2<strong>01</strong>23005912882<strong>01</strong> VERAPAMIL CAP 180MG SR 12/31/9999 2<strong>01</strong>23003786202<strong>01</strong> VERAPAMIL CAP 200MG ER 12/31/9999 2<strong>01</strong>2300378620205 VERAPAMIL CAP 200MG ER 12/31/9999 2<strong>01</strong>2362175048637 VERAPAMIL CAP 200MG ER 12/31/9999 2<strong>01</strong>23003786440<strong>01</strong> VERAPAMIL CAP 240MG ER 12/31/9999 2<strong>01</strong>2300378644093 VERAPAMIL CAP 240MG ER 12/31/9999 2<strong>01</strong>23005912884<strong>01</strong> VERAPAMIL CAP 240MG SR 12/31/9999 2<strong>01</strong>23003786203<strong>01</strong> VERAPAMIL CAP 300MG ER 12/31/9999 2<strong>01</strong>2300378620305 VERAPAMIL CAP 300MG ER 12/31/9999 2<strong>01</strong>2362175048737 VERAPAMIL CAP 300MG ER 12/31/9999 2<strong>01</strong>23005912886<strong>01</strong> VERAPAMIL CAP 360MG SR 12/31/9999 2<strong>01</strong>2300409114402 VERAPAMIL INJ 2.5MG/ML 12/31/9999 2<strong>01</strong>2300409114405 VERAPAMIL INJ 2.5MG/ML 12/31/9999 2<strong>01</strong>23004094<strong>01</strong>1<strong>01</strong> VERAPAMIL INJ 2.5MG/ML 12/31/9999 2<strong>01</strong>2300409963305 VERAPAMIL INJ 2.5MG/ML 12/31/9999 2<strong>01</strong>23003780772<strong>01</strong> VERAPAMIL TAB 120MG 12/31/9999 2<strong>01</strong>2300378077205 VERAPAMIL TAB 120MG 12/31/9999 2<strong>01</strong>23005910345<strong>01</strong> VERAPAMIL TAB 120MG 12/31/9999 2<strong>01</strong>2300591034505 VERAPAMIL TAB 120MG 12/31/9999 2<strong>01</strong>2300591034510 VERAPAMIL TAB 120MG 12/31/9999 2<strong>01</strong>2300904292461 VERAPAMIL TAB 120MG 12/31/9999 2<strong>01</strong>23231550027<strong>01</strong> VERAPAMIL TAB 120MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72428500 VERAPAMIL TAB 120MG ER 12/31/9999 2<strong>01</strong>230<strong>01</strong>72428510 VERAPAMIL TAB 120MG ER 12/31/9999 2<strong>01</strong>230<strong>01</strong>72428560 VERAPAMIL TAB 120MG ER 12/31/9999 2<strong>01</strong>23003782120<strong>01</strong> VERAPAMIL TAB 120MG ER 12/31/9999 2<strong>01</strong>2300378212093 VERAPAMIL TAB 120MG ER 12/31/9999 2<strong>01</strong>23510790894<strong>01</strong> VERAPAMIL TAB 120MG ER 12/31/9999 2<strong>01</strong>2351079089420 VERAPAMIL TAB 120MG ER 12/31/9999 2<strong>01</strong>2357664<strong>01</strong>1688 VERAPAMIL TAB 120MG ER 12/31/9999 2<strong>01</strong>23684620292<strong>01</strong> VERAPAMIL TAB 120MG ER 12/31/9999 2<strong>01</strong>23633040488<strong>01</strong> VERAPAMIL TAB 120MG SR 12/31/9999 2<strong>01</strong>230<strong>01</strong>72428600 VERAPAMIL TAB 180MG ER 12/31/9999 2<strong>01</strong>230<strong>01</strong>72428610 VERAPAMIL TAB 180MG ER 12/31/9999 2<strong>01</strong>230<strong>01</strong>72428660 VERAPAMIL TAB 180MG ER 12/31/9999 2<strong>01</strong>230<strong>01</strong>72428670 VERAPAMIL TAB 180MG ER 12/31/9999 2<strong>01</strong>23003782180<strong>01</strong> VERAPAMIL TAB 180MG ER 12/31/9999 2<strong>01</strong>2300378218005 VERAPAMIL TAB 180MG ER 12/31/9999 2<strong>01</strong>23510790899<strong>01</strong> VERAPAMIL TAB 180MG ER 12/31/9999 2<strong>01</strong>2351079089920 VERAPAMIL TAB 180MG ER 12/31/9999 2<strong>01</strong>2351079089930 VERAPAMIL TAB 180MG ER 12/31/9999 2<strong>01</strong>2351079089956 VERAPAMIL TAB 180MG ER 12/31/9999 2<strong>01</strong>2357664<strong>01</strong>1788 VERAPAMIL TAB 180MG ER 12/31/9999 2<strong>01</strong>23

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