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

00378715501 BUDESONIDE CAP 3MG/24HR 12/31/9999 2012300378715505 BUDESONIDE CAP 3MG/24HR 12/31/9999 2012349884050101 BUDESONIDE CAP 3MG/24HR 12/31/9999 2012351079002001 BUDESONIDE CAP 3MG/24HR 12/31/9999 2012351079002003 BUDESONIDE CAP 3MG/24HR 12/31/9999 2012300093681573 BUDESONIDE SUS 0.25MG/2 12/31/9999 2012300186042504 BUDESONIDE SUS 0.25MG/2 12/31/9999 2012300093681673 BUDESONIDE SUS 0.5MG/2 12/31/9999 2012300186042604 BUDESONIDE SUS 0.5MG/2 12/31/9999 2012300527141701 BUFFERED TAB SALT 12/31/9999 2012300067206313 BUFFERIN TAB 325MG 12/31/9999 2012300067206339 BUFFERIN TAB 325MG 12/31/9999 2012300067206365 BUFFERIN TAB 325MG 12/31/9999 2012300067206513 BUFFERIN TAB 500MG 12/31/9999 2012300067206539 BUFFERIN TAB 500MG 12/31/9999 2012300067206565 BUFFERIN TAB 500MG 12/31/9999 2012300067642413 BUFFERIN TAB 81MG 12/31/9999 2012362107002901 BUFPIRIN TAB 325MG 12/31/9999 2012300409141204 BUMETANIDE INJ 0.25/ML 12/31/9999 2012300409141210 BUMETANIDE INJ 0.25/ML 12/31/9999 2012300409141249 BUMETANIDE INJ 0.25/ML 12/31/9999 2012300409141250 BUMETANIDE INJ 0.25/ML 12/31/9999 2012300641600701 BUMETANIDE INJ 0.25/ML 12/31/9999 2012300641600710 BUMETANIDE INJ 0.25/ML 12/31/9999 2012300641600801 BUMETANIDE INJ 0.25/ML 12/31/9999 2012300641600810 BUMETANIDE INJ 0.25/ML 12/31/9999 2012310019050610 BUMETANIDE INJ 0.25/ML 12/31/9999 2012310019050636 BUMETANIDE INJ 0.25/ML 12/31/9999 2012310019050637 BUMETANIDE INJ 0.25/ML 12/31/9999 2012310019050645 BUMETANIDE INJ 0.25/ML 12/31/9999 2012355390050002 BUMETANIDE INJ 0.25/ML 12/31/9999 2012355390050005 BUMETANIDE INJ 0.25/ML 12/31/9999 2012355390050010 BUMETANIDE INJ 0.25/ML 12/31/9999 2012300093423201 BUMETANIDE TAB 0.5MG 12/31/9999 2012300185012801 BUMETANIDE TAB 0.5MG 12/31/9999 2012300185012805 BUMETANIDE TAB 0.5MG 12/31/9999 2012300378024501 BUMETANIDE TAB 0.5MG 12/31/9999 2012351079089101 BUMETANIDE TAB 0.5MG 12/31/9999 2012351079089120 BUMETANIDE TAB 0.5MG 12/31/9999 2012300093423301 BUMETANIDE TAB 1MG 12/31/9999 2012300093423310 BUMETANIDE TAB 1MG 12/31/9999 2012300185012901 BUMETANIDE TAB 1MG 12/31/9999 2012300185012905 BUMETANIDE TAB 1MG 12/31/9999 2012300378037001 BUMETANIDE TAB 1MG 12/31/9999 2012351079089201 BUMETANIDE TAB 1MG 12/31/9999 2012351079089217 BUMETANIDE TAB 1MG 12/31/9999 2012351079089219 BUMETANIDE TAB 1MG 12/31/9999 2012351079089220 BUMETANIDE TAB 1MG 12/31/9999 2012300093423401 BUMETANIDE TAB 2MG 12/31/9999 2012300093423410 BUMETANIDE TAB 2MG 12/31/9999 2012300185013001 BUMETANIDE TAB 2MG 12/31/9999 2012300185013005 BUMETANIDE TAB 2MG 12/31/9999 2012300378041701 BUMETANIDE TAB 2MG 02/28/2013 2012351079089301 BUMETANIDE TAB 2MG 12/31/9999 2012351079089320 BUMETANIDE TAB 2MG 12/31/9999 2012300944049001 BUMINATE INJ 25% 12/31/9999 2012300944049002 BUMINATE INJ 25% 12/31/9999 2012300944049101 BUMINATE INJ 5% 12/31/9999 2012300944049102 BUMINATE INJ 5% 12/31/9999 2012351552116804 BUMM BALM OIN 9.38% 12/31/9999 20123