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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00095067416 ZOLVIT SOL 10-300MG 12/31/9999 2<strong>01</strong>2300078059061 ZOMETA INJ 4MG/100 12/31/9999 2<strong>01</strong>2300078038725 ZOMETA INJ 4MG/5ML 12/31/9999 2<strong>01</strong>2300310020860 ZOMIG SPR 5MG 10/31/2<strong>01</strong>4 2<strong>01</strong>2364896068151 ZOMIG SPR 5MG 12/31/9999 2<strong>01</strong>2300310021020 ZOMIG TAB 2.5MG 10/31/2<strong>01</strong>4 2<strong>01</strong>2364896067151 ZOMIG TAB 2.5MG 12/31/9999 2<strong>01</strong>2300310021125 ZOMIG TAB 5MG 11/30/2<strong>01</strong>4 2<strong>01</strong>2364896067250 ZOMIG TAB 5MG 12/31/9999 2<strong>01</strong>2300310020920 ZOMIG ZMT TAB 2.5 MG <strong>01</strong>/31/2<strong>01</strong>4 2<strong>01</strong>2364896069151 ZOMIG ZMT TAB 2.5 MG 12/31/9999 2<strong>01</strong>2300310021321 ZOMIG ZMT TAB 5MG 05/31/2<strong>01</strong>4 2<strong>01</strong>2364896069250 ZOMIG ZMT TAB 5MG 12/31/9999 2<strong>01</strong>2310337080403 ZONALON CRE 5% 12/31/9999 2<strong>01</strong>2310337080445 ZONALON CRE 5% 12/31/9999 2<strong>01</strong>2359702<strong>01</strong>50<strong>01</strong> ZONATUSS CAP 150MG 12/31/9999 2<strong>01</strong>2368025005810 ZONATUSS CAP 150MG 12/31/9999 2<strong>01</strong>2362856068<strong>01</strong>0 ZONEGRAN CAP 100MG 12/31/9999 2<strong>01</strong>2362856068110 ZONEGRAN CAP 25MG 12/31/9999 2<strong>01</strong>23003786727<strong>01</strong> ZONISAMIDE CAP 100MG 12/31/9999 2<strong>01</strong>2300378672705 ZONISAMIDE CAP 100MG 12/31/9999 2<strong>01</strong>23317220228<strong>01</strong> ZONISAMIDE CAP 100MG 12/31/9999 2<strong>01</strong>2350268081515 ZONISAMIDE CAP 100MG 12/31/9999 2<strong>01</strong>23510790768<strong>01</strong> ZONISAMIDE CAP 100MG 12/31/9999 2<strong>01</strong>2351079076820 ZONISAMIDE CAP 100MG 12/31/9999 2<strong>01</strong>23605052547<strong>01</strong> ZONISAMIDE CAP 100MG 12/31/9999 2<strong>01</strong>2362756026002 ZONISAMIDE CAP 100MG 12/31/9999 2<strong>01</strong>23646790990<strong>01</strong> ZONISAMIDE CAP 100MG 12/31/9999 2<strong>01</strong>2368084<strong>01</strong>83<strong>01</strong> ZONISAMIDE CAP 100MG 12/31/9999 2<strong>01</strong>2368462<strong>01</strong>30<strong>01</strong> ZONISAMIDE CAP 100MG 12/31/9999 2<strong>01</strong>2368462<strong>01</strong>3005 ZONISAMIDE CAP 100MG 12/31/9999 2<strong>01</strong>23762820228<strong>01</strong> ZONISAMIDE CAP 100MG 12/31/9999 2<strong>01</strong>23003786725<strong>01</strong> ZONISAMIDE CAP 25MG 12/31/9999 2<strong>01</strong>23605052545<strong>01</strong> ZONISAMIDE CAP 25MG 12/31/9999 2<strong>01</strong>2362756025802 ZONISAMIDE CAP 25MG 12/31/9999 2<strong>01</strong>23646790945<strong>01</strong> ZONISAMIDE CAP 25MG 12/31/9999 2<strong>01</strong>2368084<strong>01</strong>90<strong>01</strong> ZONISAMIDE CAP 25MG 12/31/9999 2<strong>01</strong>2368462<strong>01</strong>28<strong>01</strong> ZONISAMIDE CAP 25MG 12/31/9999 2<strong>01</strong>2368462<strong>01</strong>2805 ZONISAMIDE CAP 25MG 12/31/9999 2<strong>01</strong>23003786726<strong>01</strong> ZONISAMIDE CAP 50MG 12/31/9999 2<strong>01</strong>23605052546<strong>01</strong> ZONISAMIDE CAP 50MG 12/31/9999 2<strong>01</strong>2362756025902 ZONISAMIDE CAP 50MG 12/31/9999 2<strong>01</strong>23646790946<strong>01</strong> ZONISAMIDE CAP 50MG 12/31/9999 2<strong>01</strong>2368462<strong>01</strong>29<strong>01</strong> ZONISAMIDE CAP 50MG 12/31/9999 2<strong>01</strong>2368462<strong>01</strong>2905 ZONISAMIDE CAP 50MG 12/31/9999 2<strong>01</strong>2344087338807 ZORBTIVE INJ 8.8MG 12/31/9999 2<strong>01</strong>2300078041720 ZORTRESS TAB 0.25MG 12/31/9999 2<strong>01</strong>2300078041761 ZORTRESS TAB 0.25MG 12/31/9999 2<strong>01</strong>2300078041420 ZORTRESS TAB 0.5MG 12/31/9999 2<strong>01</strong>2300078041461 ZORTRESS TAB 0.5MG 12/31/9999 2<strong>01</strong>2300078041520 ZORTRESS TAB 0.75MG 12/31/9999 2<strong>01</strong>2300078041561 ZORTRESS TAB 0.75MG 12/31/9999 2<strong>01</strong>2361787<strong>01</strong>8802 ZOSTRIX CRE 0.075% 12/31/9999 2<strong>01</strong>2361787044202 ZOSTRIX ARTH CRE PAIN REL 12/31/9999 2<strong>01</strong>2300206240402 ZOSYN INJ 2-0.25GM 12/31/9999 2<strong>01</strong>2300206885208 ZOSYN INJ 2-0.25GM 12/31/9999 2<strong>01</strong>2300206885216 ZOSYN INJ 2-0.25GM 12/31/9999 2<strong>01</strong>2300206240502 ZOSYN INJ 3-0.375G 12/31/9999 2<strong>01</strong>2300206885408 ZOSYN INJ 3-0.375G 12/31/9999 2<strong>01</strong>2300206885416 ZOSYN INJ 3-0.375G 12/31/9999 2<strong>01</strong>23

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