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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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107020<strong>01</strong>4<strong>01</strong> BETAXOLOL TAB 20MG 12/31/9999 2<strong>01</strong>23428060039<strong>01</strong> BETAXOLOL TAB 20MG 12/31/9999 2<strong>01</strong>2352152<strong>01</strong>8002 BETAXOLOL TAB 20MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>159522<strong>01</strong> BETHANECHOL TAB 10MG 12/31/9999 2<strong>01</strong>23005271340<strong>01</strong> BETHANECHOL TAB 10MG 12/31/9999 2<strong>01</strong>2300615255739 BETHANECHOL TAB 10MG 12/31/9999 2<strong>01</strong>2300832051100 BETHANECHOL TAB 10MG 12/31/9999 2<strong>01</strong>23008320511<strong>01</strong> BETHANECHOL TAB 10MG 12/31/9999 2<strong>01</strong>2300904617760 BETHANECHOL TAB 10MG 12/31/9999 2<strong>01</strong>235<strong>01</strong>110324<strong>01</strong> BETHANECHOL TAB 10MG 12/31/9999 2<strong>01</strong>2350268<strong>01</strong>1315 BETHANECHOL TAB 10MG 12/31/9999 2<strong>01</strong>2357664<strong>01</strong>0488 BETHANECHOL TAB 10MG 12/31/9999 2<strong>01</strong>23646790966<strong>01</strong> BETHANECHOL TAB 10MG 12/31/9999 2<strong>01</strong>2364980<strong>01</strong>61<strong>01</strong> BETHANECHOL TAB 10MG 12/31/9999 2<strong>01</strong>2365162057210 BETHANECHOL TAB 10MG 12/31/9999 2<strong>01</strong>2367877<strong>01</strong>38<strong>01</strong> BETHANECHOL TAB 10MG 12/31/9999 2<strong>01</strong>2368084<strong>01</strong>66<strong>01</strong> BETHANECHOL TAB 10MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>159533<strong>01</strong> BETHANECHOL TAB 25MG 12/31/9999 2<strong>01</strong>23005271356<strong>01</strong> BETHANECHOL TAB 25MG 12/31/9999 2<strong>01</strong>2300615255839 BETHANECHOL TAB 25MG 12/31/9999 2<strong>01</strong>2300832051200 BETHANECHOL TAB 25MG 12/31/9999 2<strong>01</strong>23008320512<strong>01</strong> BETHANECHOL TAB 25MG 12/31/9999 2<strong>01</strong>2300904617860 BETHANECHOL TAB 25MG 12/31/9999 2<strong>01</strong>235<strong>01</strong>110325<strong>01</strong> BETHANECHOL TAB 25MG 12/31/9999 2<strong>01</strong>2350268<strong>01</strong>1415 BETHANECHOL TAB 25MG 12/31/9999 2<strong>01</strong>2357664<strong>01</strong>3888 BETHANECHOL TAB 25MG 12/31/9999 2<strong>01</strong>23646790967<strong>01</strong> BETHANECHOL TAB 25MG 12/31/9999 2<strong>01</strong>2364980<strong>01</strong>62<strong>01</strong> BETHANECHOL TAB 25MG 12/31/9999 2<strong>01</strong>2365162057310 BETHANECHOL TAB 25MG 12/31/9999 2<strong>01</strong>2367877<strong>01</strong>39<strong>01</strong> BETHANECHOL TAB 25MG 12/31/9999 2<strong>01</strong>2368084<strong>01</strong>10<strong>01</strong> BETHANECHOL TAB 25MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>159544<strong>01</strong> BETHANECHOL TAB 50MG 12/31/9999 2<strong>01</strong>2300832051300 BETHANECHOL TAB 50MG 12/31/9999 2<strong>01</strong>23008320513<strong>01</strong> BETHANECHOL TAB 50MG 12/31/9999 2<strong>01</strong>2300904617960 BETHANECHOL TAB 50MG <strong>01</strong>/31/2<strong>01</strong>3 2<strong>01</strong>235<strong>01</strong>110326<strong>01</strong> BETHANECHOL TAB 50MG 12/31/9999 2<strong>01</strong>2357664<strong>01</strong>0688 BETHANECHOL TAB 50MG 12/31/9999 2<strong>01</strong>23646790968<strong>01</strong> BETHANECHOL TAB 50MG 12/31/9999 2<strong>01</strong>2364980<strong>01</strong>63<strong>01</strong> BETHANECHOL TAB 50MG 12/31/9999 2<strong>01</strong>2365162057410 BETHANECHOL TAB 50MG 12/31/9999 2<strong>01</strong>2367877<strong>01</strong>40<strong>01</strong> BETHANECHOL TAB 50MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>159511<strong>01</strong> BETHANECHOL TAB 5MG 12/31/9999 2<strong>01</strong>23005271332<strong>01</strong> BETHANECHOL TAB 5MG 12/31/9999 2<strong>01</strong>2300832051000 BETHANECHOL TAB 5MG 12/31/9999 2<strong>01</strong>2300904617660 BETHANECHOL TAB 5MG 12/31/9999 2<strong>01</strong>235<strong>01</strong>110323<strong>01</strong> BETHANECHOL TAB 5MG 12/31/9999 2<strong>01</strong>2357664<strong>01</strong>3788 BETHANECHOL TAB 5MG 12/31/9999 2<strong>01</strong>23646790965<strong>01</strong> BETHANECHOL TAB 5MG 12/31/9999 2<strong>01</strong>2364980<strong>01</strong>60<strong>01</strong> BETHANECHOL TAB 5MG 12/31/9999 2<strong>01</strong>2365162057110 BETHANECHOL TAB 5MG 12/31/9999 2<strong>01</strong>2367877<strong>01</strong>37<strong>01</strong> BETHANECHOL TAB 5MG 12/31/9999 2<strong>01</strong>2368669052205 BETIMOL SOL 0.25% 12/31/9999 2<strong>01</strong>2368669052505 BETIMOL SOL 0.5% 12/31/9999 2<strong>01</strong>2368669052510 BETIMOL SOL 0.5% 12/31/9999 2<strong>01</strong>2368669052515 BETIMOL SOL 0.5% 12/31/9999 2<strong>01</strong>2300065024610 BETOPTIC-S SUS 0.25% OP 12/31/9999 2<strong>01</strong>2300065024615 BETOPTIC-S SUS 0.25% OP 12/31/9999 2<strong>01</strong>2300007326031 BEXXAR CON 14MG/ML 12/31/9999 2<strong>01</strong>2300007326036 BEXXAR CON 14MG/ML 12/31/9999 2<strong>01</strong>23000073261<strong>01</strong> BEXXAR 131 I INJ 0.61/ML 12/31/9999 2<strong>01</strong>23

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