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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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52544098131 ZARAH TAB 12/31/9999 2<strong>01</strong>2300071023724 ZARONTIN CAP 250MG 12/31/9999 2<strong>01</strong>2300071241823 ZARONTIN SOL 250/5ML 12/31/9999 2<strong>01</strong>2353<strong>01</strong>4097571 ZAROXOLYN TAB 2.5MG 12/31/9999 2<strong>01</strong>2353<strong>01</strong>4085071 ZAROXOLYN TAB 5MG 12/31/9999 2<strong>01</strong>2313811058330 ZATEAN-CH CAP 12/31/9999 2<strong>01</strong>2313811058030 ZATEAN-PN CAP DHA 12/31/9999 2<strong>01</strong>2313811058230 ZATEAN-PN CAP PLUS 12/31/9999 2<strong>01</strong>2313811058190 ZATEAN-PN TAB 12/31/9999 2<strong>01</strong>236621502<strong>01</strong>18 ZAVESCA CAP 100MG 12/31/9999 2<strong>01</strong>236621502<strong>01</strong>90 ZAVESCA CAP 100MG 12/31/9999 2<strong>01</strong>2365224061516 Z-COF 12DM SUS 12/31/9999 2<strong>01</strong>230<strong>01</strong>4515<strong>01</strong>03 ZEASORB-AF POW 2% 12/31/9999 2<strong>01</strong>230<strong>01</strong>45150605 ZEASORB-AF POW 2% 12/31/9999 2<strong>01</strong>23512850061<strong>01</strong> ZEBETA TAB 10MG 12/31/9999 2<strong>01</strong>23512850060<strong>01</strong> ZEBETA TAB 5MG 12/31/9999 2<strong>01</strong>2359630<strong>01</strong>7<strong>01</strong>1 ZEBUTAL CAP 12/31/9999 2<strong>01</strong>2368453<strong>01</strong>7<strong>01</strong>0 ZEBUTAL CAP 06/30/2<strong>01</strong>5 2<strong>01</strong>23115237265<strong>01</strong> ZEGERID OTC CAP 20-1100 12/31/9999 2<strong>01</strong>2311523726502 ZEGERID OTC CAP 20-1100 12/31/9999 2<strong>01</strong>2311523726503 ZEGERID OTC CAP 20-1100 12/31/9999 2<strong>01</strong>230<strong>01</strong>87045302 ZELAPAR TAB 1.25MG 12/31/9999 2<strong>01</strong>23502420090<strong>01</strong> ZELBORAF TAB 240MG 12/31/9999 2<strong>01</strong>230005372<strong>01</strong>02 ZEMAIRA INJ 1000MG 12/31/9999 2<strong>01</strong>2344183050735 ZEMA-PAK PAK 10 DAY 07/31/2<strong>01</strong>3 2<strong>01</strong>2344183050851 ZEMA-PAK PAK 13 DAY 07/31/2<strong>01</strong>3 2<strong>01</strong>2344183050921 ZEMA-PAK PAK 6 DAY <strong>01</strong>/31/2<strong>01</strong>4 2<strong>01</strong>2300074431730 ZEMPLAR CAP 1MCG 12/31/9999 2<strong>01</strong>2300074431430 ZEMPLAR CAP 2MCG 12/31/9999 2<strong>01</strong>2300074431530 ZEMPLAR CAP 4MCG 12/31/9999 2<strong>01</strong>23000744637<strong>01</strong> ZEMPLAR INJ 2MCG/ML 12/31/9999 2<strong>01</strong>23000741658<strong>01</strong> ZEMPLAR INJ 5MCG/ML 12/31/9999 2<strong>01</strong>2300074165805 ZEMPLAR INJ 5MCG/ML 12/31/9999 2<strong>01</strong>2300052045<strong>01</strong>5 ZEMURON INJ 10MG/ML 12/31/9999 2<strong>01</strong>2300052045<strong>01</strong>6 ZEMURON INJ 10MG/ML 12/31/9999 2<strong>01</strong>2352544095328 ZENCHENT TAB 12/31/9999 2<strong>01</strong>2352544029231 ZENCHENT FE CHW 0.4MG-35 12/31/9999 2<strong>01</strong>2358980033690 ZENCIA LIQ 9-4% 12/31/9999 2<strong>01</strong>2342865<strong>01</strong><strong>01</strong>02 ZENPEP CAP 10000UNT 12/31/9999 2<strong>01</strong>2342865<strong>01</strong>0202 ZENPEP CAP 15000UNT 12/31/9999 2<strong>01</strong>2342865<strong>01</strong>0302 ZENPEP CAP 20000UNT 12/31/9999 2<strong>01</strong>2342865<strong>01</strong>0502 ZENPEP CAP 25000UNT 12/31/9999 2<strong>01</strong>2342865<strong>01</strong>0402 ZENPEP CAP 3000UNIT 12/31/9999 2<strong>01</strong>2342865<strong>01</strong>0002 ZENPEP CAP 5000UNIT 12/31/9999 2<strong>01</strong>2300093209028 ZEOSA CHW 12/31/9999 2<strong>01</strong>2300093209058 ZEOSA CHW 12/31/9999 2<strong>01</strong>23000031964<strong>01</strong> ZERIT CAP 15MG 12/31/9999 2<strong>01</strong>23000031965<strong>01</strong> ZERIT CAP 20MG 12/31/9999 2<strong>01</strong>23000031966<strong>01</strong> ZERIT CAP 30MG 12/31/9999 2<strong>01</strong>23000031967<strong>01</strong> ZERIT CAP 40MG 12/31/9999 2<strong>01</strong>23000031968<strong>01</strong> ZERIT SOL 1MG/ML 12/31/9999 2<strong>01</strong>2300310<strong>01</strong>4111 ZESTORETIC TAB 10-12.5 12/31/9999 2<strong>01</strong>2300310<strong>01</strong>4210 ZESTORETIC TAB 20-12.5 12/31/9999 2<strong>01</strong>2300310<strong>01</strong>4211 ZESTORETIC TAB 20-12.5 12/31/9999 2<strong>01</strong>2300310<strong>01</strong>4510 ZESTORETIC TAB 20-25MG 12/31/9999 2<strong>01</strong>2300310<strong>01</strong>4511 ZESTORETIC TAB 20-25MG 12/31/9999 2<strong>01</strong>2300310<strong>01</strong>3111 ZESTRIL TAB 10MG 12/31/9999 2<strong>01</strong>2300310<strong>01</strong>3510 ZESTRIL TAB 2.5MG 12/31/9999 2<strong>01</strong>2300310<strong>01</strong>3511 ZESTRIL TAB 2.5MG 12/31/9999 2<strong>01</strong>2300310<strong>01</strong>3211 ZESTRIL TAB 20MG 12/31/9999 2<strong>01</strong>23

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