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

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004091623<strong>01</strong> BUTORPHANOL INJ 1MG/ML 12/31/9999 2<strong>01</strong>2355390<strong>01</strong>83<strong>01</strong> BUTORPHANOL INJ 1MG/ML 12/31/9999 2<strong>01</strong>2355390034110 BUTORPHANOL INJ 1MG/ML 12/31/9999 2<strong>01</strong>2360505065800 BUTORPHANOL INJ 1MG/ML 12/31/9999 2<strong>01</strong>230<strong>01</strong>43986710 BUTORPHANOL INJ 2MG/ML 12/31/9999 2<strong>01</strong>23004091626<strong>01</strong> BUTORPHANOL INJ 2MG/ML 12/31/9999 2<strong>01</strong>2300409162602 BUTORPHANOL INJ 2MG/ML 12/31/9999 2<strong>01</strong>2355390<strong>01</strong>84<strong>01</strong> BUTORPHANOL INJ 2MG/ML 12/31/9999 2<strong>01</strong>2355390<strong>01</strong>8402 BUTORPHANOL INJ 2MG/ML 12/31/9999 2<strong>01</strong>2355390<strong>01</strong>8510 BUTORPHANOL INJ 2MG/ML 12/31/9999 2<strong>01</strong>2355390034210 BUTORPHANOL INJ 2MG/ML 12/31/9999 2<strong>01</strong>2360505065900 BUTORPHANOL INJ 2MG/ML 12/31/9999 2<strong>01</strong>2360505066000 BUTORPHANOL INJ 2MG/ML 12/31/9999 2<strong>01</strong>23515521190<strong>01</strong> BUTORPHANOL POW TARTRATE 12/31/9999 2<strong>01</strong>2300054309036 BUTORPHANOL SOL 10MG/ML 12/31/9999 2<strong>01</strong>2300378963943 BUTORPHANOL SOL 10MG/ML 12/31/9999 2<strong>01</strong>23605050813<strong>01</strong> BUTORPHANOL SOL 10MG/ML 12/31/9999 2<strong>01</strong>2359<strong>01</strong>1075104 BUTRANS DIS 10MCG/HR 12/31/9999 2<strong>01</strong>2359<strong>01</strong>1075204 BUTRANS DIS 20MCG/HR 12/31/9999 2<strong>01</strong>2359<strong>01</strong>1075004 BUTRANS DIS 5MCG/HR 12/31/9999 2<strong>01</strong>2351552009805 BUTYLAT HYDR CRY 12/31/9999 2<strong>01</strong>2351552009806 BUTYLAT HYDR CRY 12/31/9999 2<strong>01</strong>2351552<strong>01</strong>6105 BUTYLPARABEN POW 12/31/9999 2<strong>01</strong>2351552<strong>01</strong>6106 BUTYLPARABEN POW 12/31/9999 2<strong>01</strong>2366780021904 BYDUREON INJ 12/31/9999 2<strong>01</strong>23667800226<strong>01</strong> BYDUREON INJ 12/31/9999 2<strong>01</strong>2366780021008 BYETTA INJ 10MCG 12/31/9999 2<strong>01</strong>23667800212<strong>01</strong> BYETTA INJ 10MCG 12/31/9999 2<strong>01</strong>2366780021007 BYETTA INJ 5MCG 12/31/9999 2<strong>01</strong>23004561410<strong>01</strong> BYSTOLIC TAB 10MG 12/31/9999 2<strong>01</strong>2300456141030 BYSTOLIC TAB 10MG 12/31/9999 2<strong>01</strong>2300456141063 BYSTOLIC TAB 10MG 12/31/9999 2<strong>01</strong>23004561402<strong>01</strong> BYSTOLIC TAB 2.5MG 12/31/9999 2<strong>01</strong>2300456140230 BYSTOLIC TAB 2.5MG 12/31/9999 2<strong>01</strong>2300456140263 BYSTOLIC TAB 2.5MG 12/31/9999 2<strong>01</strong>23004561420<strong>01</strong> BYSTOLIC TAB 20MG 12/31/9999 2<strong>01</strong>2300456142030 BYSTOLIC TAB 20MG 12/31/9999 2<strong>01</strong>23004561405<strong>01</strong> BYSTOLIC TAB 5MG 12/31/9999 2<strong>01</strong>2300456140530 BYSTOLIC TAB 5MG 12/31/9999 2<strong>01</strong>2300456140563 BYSTOLIC TAB 5MG 12/31/9999 2<strong>01</strong>2351552032506 CA CHLORIDE POW DIHYDRAT 12/31/9999 2<strong>01</strong>2351552053004 CA PHOS DIHY POW DIBASIC 12/31/9999 2<strong>01</strong>2351552053006 CA PHOS DIHY POW DIBASIC 12/31/9999 2<strong>01</strong>2300093542088 CABERGOLINE TAB 0.5MG 12/31/9999 2<strong>01</strong>2316252053608 CABERGOLINE TAB 0.5MG 12/31/9999 2<strong>01</strong>2349884067314 CABERGOLINE TAB 0.5MG 12/31/9999 2<strong>01</strong>2351552097105 CA-D-PANTOTH POW 12/31/9999 2<strong>01</strong>2351552097107 CA-D-PANTOTH POW 12/31/9999 2<strong>01</strong>2300069216030 CADUET TAB 10-10MG 12/31/9999 2<strong>01</strong>2300069218030 CADUET TAB 10-20MG 12/31/9999 2<strong>01</strong>2300069225030 CADUET TAB 10-40MG 12/31/9999 2<strong>01</strong>2300069227030 CADUET TAB 10-80MG 12/31/9999 2<strong>01</strong>2300069296030 CADUET TAB 2.5-10MG 12/31/9999 2<strong>01</strong>2300069297030 CADUET TAB 2.5-20MG 12/31/9999 2<strong>01</strong>2300069298030 CADUET TAB 2.5-40MG 12/31/9999 2<strong>01</strong>2300069215030 CADUET TAB 5-10MG 12/31/9999 2<strong>01</strong>2300069217030 CADUET TAB 5-20MG 12/31/9999 2<strong>01</strong>2300069219030 CADUET TAB 5-40MG 12/31/9999 2<strong>01</strong>2300069226030 CADUET TAB 5-80MG 12/31/9999 2<strong>01</strong>2355390035703 CAFCIT INJ 60MG/3ML 12/31/9999 2<strong>01</strong>23

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