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

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SNAM RETE GAS SUSTAINABILITY REPORT 2006 / RELATIONS WITH THE STAKEHOLDERSTotal Orders1000 € million7505002502002 20032004 2005 2006The use of electronic negotiations tools (EBP) was also extended in percentageterms and for use by decentralised units.For a good sector which is particularly strategic to the business, a collaboration hasbeen activated with some international parties for the joint purchase of pipes,increasing the market presence and improving purchasing opportunities.For the goods categories most important to the company’s business and inconditions of growing competitiveness and the search for high quality standardsby suppliers, the satisfaction of requirements (in terms of timing and quality) isalso enabled by the continuous search for potential new suppliers.Percentage breakdown of total orders96% Italy3,9% Europe0,1% Extra EuropeSnam Rete Gas makes use of a selection and qualification process handled byspecific company units which, when necessary, enlist the support of otherspecialised departments. For Snam Rete Gas, an important criterion in selecting itssuppliers and contractors is their ability to fulfil requirements not only of aneconomic, technical, production and organisational nature, but also theirobservance of requirements concerning health, safety, environmental protectionand quality, as well as their adherence to international labour laws.Right from the start of the supplier selection and qualification process, candidatesinterested in being included in a Vendors List in accordance with corporateprocedures governing the assessment and supervision of suppliers andcontractors are also required to comply with the principles contained in the Codeof Conduct adopted by Snam Rete Gas.Suppliers, awarded of contracts, are also subject to an assessment process thatevaluates the services, goods and work supplied as well as reliability which iscarried out on a systematic and ongoing basis and the inclusion of suppliersand contractors on the approved Vendor Lists depends on the outcome of theassessment.Orders placed by Snam Rete gas in 2006 totalled approximately € 788 million.96 % of total orders were placed in Italy, distributed over nineteen different regions.Induced trade activated by Snam Rete GasIn 2006, Snam Rete Gas purchased goods and services in Italy for approximately € 756 million.The figure, in which the principal expenditure items incurred by Snam Rete Gas are indicated,shows how the sector most affected by Snam Rete Gas’s activities is the purchase ofmachinery and piping, with an expenditure exceeding € 386 million.The other most relevant expenditure items regard construction (20%), computer services(5%), professional services (2%), other services (22%).On the basis of this data, it can be estimated that Snam Rete Gas‘s demand procures inducedgoods and services for a total of approximately € 1,840 million, spread over various fields ofactivity, in addition to the € 756 million attributed to primary purchases. The sectors in whichthe most induced trade activities take place are those regarding metallic products, machineryand mechanical equipment and metals and alloys (about € 675 million) and construction(about € 175 million).These are followed, with about € 188 million, by the sector regarding other services andby professional services, accounting for € 114 million.This evaluation was carried out by using of the Input Output matrix, or the table ofinter-dependencies between sectors drawn up by ISTAT (Central Institute of Statistics,year 2003), by which it is possible to statistically estimate how much each euro generateswhen spent in each of the various sectors affected by Snam Rete Gas’s demand requirements.Principal economic sectors affectedby demand from Snam Rete Gas51% Machinery and piping22% Other services20% Construction5% Computer services2% Professional services78
51079038519 CARBAMAZEPIN TAB 200MG 12/31/9999 2012351079038520 CARBAMAZEPIN TAB 200MG 12/31/9999 2012351672400501 CARBAMAZEPIN TAB 200MG 12/31/9999 2012351672400502 CARBAMAZEPIN TAB 200MG 12/31/9999 2012351672400503 CARBAMAZEPIN TAB 200MG 12/31/9999 2012360505018300 CARBAMAZEPIN TAB 200MG 12/31/9999 2012360505018301 CARBAMAZEPIN TAB 200MG 12/31/9999 2012360505018305 CARBAMAZEPIN TAB 200MG 12/31/9999 2012363739004501 CARBAMAZEPIN TAB 200MG 12/31/9999 2012300781508701 CARBAMAZEPIN TAB 200MG ER 02/28/2014 2012300781598701 CARBAMAZEPIN TAB 200MG ER 12/31/9999 2012351672412401 CARBAMAZEPIN TAB 200MG ER 12/31/9999 2012368084056121 CARBAMAZEPIN TAB 200MG ER 12/31/9999 2012300781508801 CARBAMAZEPIN TAB 400MG ER 08/31/2013 2012300781598801 CARBAMAZEPIN TAB 400MG ER 12/31/9999 2012351672412501 CARBAMAZEPIN TAB 400MG ER 12/31/9999 2012368084056221 CARBAMAZEPIN TAB 400MG ER 12/31/9999 2012354092017112 CARBATROL CAP 100MG 12/31/9999 2012354092017212 CARBATROL CAP 200MG 12/31/9999 2012354092017312 CARBATROL CAP 300MG 12/31/9999 2012364376061216 CARBINOXAMIN LIQ 4MG/5ML 12/31/9999 2012364376061240 CARBINOXAMIN LIQ 4MG/5ML 12/31/9999 2012315310010901 CARBINOXAMIN TAB 4MG 09/30/2013 2012364376060501 CARBINOXAMIN TAB 4MG 12/31/9999 2012300409103850 CARBOCAINE INJ 1% 12/31/9999 2012300409103630 CARBOCAINE INJ 1% PF 12/31/9999 2012300409104130 CARBOCAINE INJ 1.5% PF 12/31/9999 2012300409204750 CARBOCAINE INJ 2% 12/31/9999 2012300409106720 CARBOCAINE INJ 2% PF 12/31/9999 2012351552010704 CARBOMER POW HOMOPOLY 12/31/9999 2012351552010706 CARBOMER POW HOMOPOLY 12/31/9999 2012300703424601 CARBOPLATIN INJ 150/15ML 12/31/9999 2012310139006015 CARBOPLATIN INJ 150/15ML 12/31/9999 2012361703033922 CARBOPLATIN INJ 150/15ML 12/31/9999 2012361703036022 CARBOPLATIN INJ 150/15ML 12/31/9999 2012363323017215 CARBOPLATIN INJ 150/15ML 12/31/9999 2012366758004702 CARBOPLATIN INJ 150/15ML 12/31/9999 2012363323016721 CARBOPLATIN INJ 150MG 12/31/9999 2012300703424801 CARBOPLATIN INJ 450/45ML 12/31/9999 2012310139006045 CARBOPLATIN INJ 450/45ML 12/31/9999 2012361703033950 CARBOPLATIN INJ 450/45ML 12/31/9999 2012361703036050 CARBOPLATIN INJ 450/45ML 12/31/9999 2012363323017245 CARBOPLATIN INJ 450/45ML 12/31/9999 2012366758004703 CARBOPLATIN INJ 450/45ML 12/31/9999 2012300703424401 CARBOPLATIN INJ 50MG/5ML 12/31/9999 2012310139006005 CARBOPLATIN INJ 50MG/5ML 12/31/9999 2012361703033918 CARBOPLATIN INJ 50MG/5ML 12/31/9999 2012361703036018 CARBOPLATIN INJ 50MG/5ML 12/31/9999 2012363323017205 CARBOPLATIN INJ 50MG/5ML 12/31/9999 2012366758004701 CARBOPLATIN INJ 50MG/5ML 12/31/9999 2012300703324911 CARBOPLATIN INJ 600/60ML 12/31/9999 2012361703033956 CARBOPLATIN INJ 600/60ML 12/31/9999 2012363323017260 CARBOPLATIN INJ 600/60ML 12/31/9999 2012366758004704 CARBOPLATIN INJ 600/60ML 12/31/9999 2012351552077606 CARBOPOL 934 POW RESIN 12/31/9999 2012351552009905 CARBOXYMETHY POW SODIUM 12/31/9999 2012351552009906 CARBOXYMETHY POW SODIUM 12/31/9999 2012351552047605 CARBOXYMETHY POW SODIUM 12/31/9999 2012351552047606 CARBOXYMETHY POW SODIUM 12/31/9999 2012351552051005 CARBOXYMETHY POW SODIUM 12/31/9999 20123
Page 1 and 2:
Rebatable Drug List for Iowa Medica
Page 3 and 4:
00713011801 ACEPHEN SUP 120MG 12/31
Page 5 and 6:
37205084462 ACID CONTROL TAB 150MG
Page 7 and 8:
00378220005 ACYCLOVIR CAP 200MG 02/
Page 9 and 10:
00173069604 ADVAIR DISKU AER 250/50
Page 11 and 12:
50991081416 ALAHIST DM LIQ 7.5-4-15
Page 13 and 14:
68462029965 ALCLOMETASON OIN 0.05%
Page 15 and 16:
00904582946 ALL DAY ALLG TAB 10MG 1
Page 17 and 18:
49348081812 ALLERGY RELF TAB 10MG 1
Page 19 and 20:
51552012808 ALMOND OIL SWEET 12/31/
Page 21 and 22:
67253090250 ALPRAZOLAM TAB 1MG 12/3
Page 23 and 24:
00168027860 AMCINONIDE CRE 0.1% 12/
Page 25 and 26:
00603221621 AMITRIPTYLIN TAB 100MG
Page 27 and 28:
00781227210 AMLOD/BENAZP CAP 5-10MG
Page 29 and 30: 67877019710 AMLODIPINE TAB 2.5MG 12
Page 31 and 32: 66685101101 AMOX/K CLAV SUS 200/5ML
Page 33 and 34: 65862001705 AMOXICILLIN CAP 500MG 1
Page 35 and 36: 00228306111 AMPHETAMINE CAP 30MG ER
Page 37 and 38: 10019063733 AMP-SULBACTA INJ 2-1GM
Page 39 and 40: 37205031440 ANTACID SUS REG ST 12/3
Page 41 and 42: 00121050416 APAP/CODEINE SOL 120-12
Page 43 and 44: 55513000204 ARANESP INJ 25MCG 12/31
Page 45 and 46: 00085134104 ASMANEX 14 AER 220MCG 1
Page 47 and 48: 63323029280 ASTRAMORPH INJ 2MG/2ML
Page 49 and 50: 60977011601 ATIVAN INJ 2MG/ML 12/31
Page 51 and 52: 00168026550 AUG BETAMET CRE 0.05% 1
Page 53 and 54: 60505057804 AZELASTINE DRO 0.05% 12
Page 55 and 56: 00472110556 BACITR ZINC OIN 500/GM
Page 57 and 58: 11701004814 BAZA CLEAR OIN 12/31/99
Page 59 and 60: 65597010630 BENICAR HCT TAB 40-12.5
Page 61 and 62: 00904105561 BENZTROPINE TAB 0.5MG 1
Page 63 and 64: 10702001401 BETAXOLOL TAB 20MG 12/3
Page 65 and 66: 00135048702 BIOTENE DRY PST MOUTH 1
Page 67 and 68: 51552028104 BORAX GRA 12/31/9999 20
Page 69 and 70: 00378715501 BUDESONIDE CAP 3MG/24HR
Page 71 and 72: 00591354060 BUPROPION TAB 100MG SR
Page 73 and 74: 51079099420 BUSPIRONE TAB 30MG 12/3
Page 75 and 76: 55390035803 CAFCIT SOL 60MG/3ML 12/
Page 77 and 78: 00517271025 CALCIUM CL INJ 10% 12/3
Page 82: 44183060430 CARDEC DRO 12/31/9999 2
Page 85 and 86: 00093005101 CARVEDILOL TAB 3.125MG
Page 87 and 88: 00781293801 CEFADROXIL CAP 500MG 12
Page 89: 10019068115 CEFOTAXIME INJ 1GM 12/3
Page 92 and 93: 00409733649 CEFTRIAXONE INJ 2GM 12/
Page 94: 51285044202 CENESTIN TAB 0.625MG 12
Page 97 and 98: 51552056909 CHICKEN LIQ FLAVOR 12/3
Page 99 and 100: 00832030010 CHLORPROMAZ TAB 10MG 12
Page 101 and 102: 00185022305 CILOSTAZOL TAB 100MG 12
Page 103 and 104: 16252051501 CIPROFLOXACN TAB 500MG
Page 105 and 106: 57664050813 CITALOPRAM TAB 20MG 12/
Page 107 and 108: 00085132201 CLARINEX-D TAB 2.5-120
Page 109 and 110: 00009312401 CLEOCIN PHOS INJ 600MG
Page 111 and 112: 00338114703 CLINIMIX E INJ 5%/D15W
Page 113 and 114: 51672401201 CLOMIPRAMINE CAP 50MG 1
Page 115 and 116: 00517073001 CLONIDINE INJ 12/31/999
Page 117 and 118: 51672404301 CLORAZ DIPOT TAB 7.5MG
Page 119 and 120: 60575021216 CODAR AR LIQ 12/31/9999
Page 121 and 122: 62107004113 COMPLETE TAB 12/31/9999
Page 123 and 124: 00904572246 COUGH DROPS LOZ CHERRY
Page 125 and 126: 00603752517 CYCLAFEM TAB 7/7/7 12/3
Page 127 and 128: 00002327004 CYMBALTA CAP 60MG 12/31
Page 129 and 130:
51645074010 DAILY VITAMI TAB FORMUL
Page 131 and 132:
00037502001 DEMADEX TAB 20MG 12/31/
Page 133 and 134:
00067096946 DESENEX SPRY AER LIQUID
Page 135 and 136:
00069454101 DEXAMETH PHO INJ 10MG/M
Page 137 and 138:
00338001703 DEXTROSE INJ 5% 12/31/9
Page 139 and 140:
00941041146 DIANEAL PD-2 SOL 1.5% D
Page 141 and 142:
00781178501 DICLOFENAC TAB 25MG DR
Page 143 and 144:
00049350079 DIFLUCAN TAB 150MG 12/3
Page 145 and 146:
00093511798 DILTIAZEM CAP 180MG ER
Page 147 and 148:
60505021309 DILTZAC CAP 300MG/24 12
Page 149 and 150:
49483006101 DIPHENHYDRAM TAB 25MG 1
Page 151 and 152:
62756079613 DIVALPROEX TAB 125MG DR
Page 153 and 154:
00409020120 DOCETAXEL INJ 160/16ML
Page 155 and 156:
68382034706 DONEPEZIL TAB 10MG ODT
Page 157 and 158:
00093812193 DOXAZOSIN TAB 2MG 12/31
Page 159 and 160:
53489011805 DOXYCYCL HYC CAP 50MG 1
Page 161 and 162:
00310108730 DUTOPROL TAB 25-12.5 12
Page 163 and 164:
00008083721 EFFEXOR XR CAP 37.5MG 1
Page 165 and 166:
60505005107 ENALAPRIL TAB 10MG 12/3
Page 167 and 168:
62037086420 ENOXAPARIN INJ 120/0.8
Page 169 and 170:
55513028301 EPOGEN INJ 10000/ML 12/
Page 171 and 172:
00093585005 ESCITALOPRAM TAB 5MG 12
Page 173 and 174:
00185014001 ETODOLAC TAB 400MG 12/3
Page 175 and 176:
10631010030 EXELDERM SOL 1% 12/31/9
Page 177 and 178:
63323073804 FAMOTIDINE INJ 10MG/ML
Page 179 and 180:
65162073409 FELBAMATE TAB 400MG 12/
Page 181 and 182:
10019003725 FENTANYL CIT INJ 1000MC
Page 183 and 184:
66993010904 FEXOFENADINE TAB 180MG
Page 185 and 186:
00054001121 FLECAINIDE TAB 100MG 12
Page 187 and 188:
00703102030 FLUCONAZOLE/ INJ NACL 4
Page 189 and 190:
60258015520 FLUORIDE CHW 0.25MG F 0
Page 191 and 192:
00555087188 FLUOXETINE CAP 90MG DR
Page 193 and 194:
00378040701 FLUVOXAMINE TAB 25MG 12
Page 195 and 196:
51552020504 FORMALDEHYDE SOL 37% 12
Page 197 and 198:
00409163910 FUROSEMIDE INJ 10MG/ML
Page 199 and 200:
00378542605 GABAPENTIN CAP 100MG 12
Page 201 and 202:
00378542401 GABAPENTIN TAB 600MG 12
Page 203 and 204:
64208823403 GAMMAPLEX INJ 10GM 12/3
Page 205 and 206:
00904598861 GEMFIBROZIL TAB 600MG 1
Page 207 and 208:
58063010001 GLIADEL WAF 7.7MG 10/31
Page 209 and 210:
55390000401 GLUCAGEN INJ 1MG 12/31/
Page 211 and 212:
00781119110 GLYBURIDE TAB 5MG 11/30
Page 213 and 214:
24385026226 GNP CGH RELF LIQ 15MG/5
Page 215 and 216:
10158000103 GOODYS POW EX ST 12/31/
Page 217 and 218:
00168035650 HALOBETASOL OIN 0.05% 1
Page 219 and 220:
51672129006 HC VALERATE CRE 0.2% 12
Page 221 and 222:
25021040001 HEPARIN SOD INJ 1000/ML
Page 223 and 224:
00002879759 HUMALOG MIX INJ 75/25KW
Page 225 and 226:
00143312505 HYDROCHLOROT CAP 12.5MG
Page 227 and 228:
53746011005 HYDROCO/APAP TAB 10-325
Page 229 and 230:
51079077801 HYDROCO/APAP TAB 7.5-32
Page 231 and 232:
00603390021 HYDROCORT TAB 10MG 12/3
Page 233 and 234:
00555088202 HYDROXYUREA CAP 500MG 1
Page 235 and 236:
24486060110 HYOMAX-SL SUB 0.125MG 1
Page 237 and 238:
68094049458 IBUPROFEN SUS 100/5ML 1
Page 239 and 240:
53746046505 IBUPROFEN TAB 600MG 12/
Page 241 and 242:
49884005610 IMIPRAM HCL TAB 50MG 12
Page 243 and 244:
52544093102 INFED INJ 50MG/ML 12/31
Page 245 and 246:
00487980130 IPRATROPIUM SOL 0.02%IN
Page 247 and 248:
00998022515 ISO CARBACHO SOL 3% OP
Page 249 and 250:
62175012841 ISOSORB MONO TAB 30MG E
Page 251 and 252:
00597014760 JENTADUETO TAB 2.5-850
Page 253 and 254:
50474059540 KEPPRA TAB 500MG 12/31/
Page 255 and 256:
00245004115 KLOR-CON 10 TAB 10MEQ E
Page 257 and 258:
00904593061 LABETALOL TAB 300MG 12/
Page 259 and 260:
00067617185 LAMISIL AT CRE 1% 12/31
Page 261 and 262:
13668004505 LAMOTRIGINE TAB 25MG 12
Page 263 and 264:
66758000501 L-CYSTEINE INJ 50MG/ML
Page 265 and 266:
54838054880 LEVETIRACETA SOL 100MG/
Page 267 and 268:
68462054608 LEVETIRACETA TAB 500MG
Page 269 and 270:
50383028604 LEVOFLOXACIN SOL 25MG/M
Page 271 and 272:
00781518710 LEVOTHYROXIN TAB 150MCG
Page 273 and 274:
00409317803 LIDO/EPI 1%- INJ 1:1000
Page 275 and 276:
58281056002 LIORESAL INT INJ 10MG/2
Page 277 and 278:
00172375900 LISINOPRIL TAB 10MG 12/
Page 279 and 280:
24658024345 LISINOPRIL TAB 20MG 12/
Page 281 and 282:
00172375810 LISINOPRIL TAB 5MG 12/3
Page 283 and 284:
00056051168 LODOSYN TAB 25MG 10/31/
Page 285 and 286:
46122010952 LORATADINE-D TAB 5-120M
Page 287 and 288:
00785635001 LORCET TAB 10-650MG 12/
Page 289 and 290:
68084034701 LOSARTAN POT TAB 50MG 1
Page 291 and 292:
00093092619 LOVASTATIN TAB 10MG 12/
Page 293 and 294:
52152019302 LOXAPINE CAP 25MG 12/31
Page 295 and 296:
00067032844 MAALOX REG SUS STRENGTH
Page 297 and 298:
00904198359 MAPAP TAB 500MG 12/31/9
Page 299 and 300:
59746012210 MECLIZINE TAB 12.5MG 12
Page 301 and 302:
54458096405 MELOXICAM TAB 15MG 04/0
Page 303 and 304:
00703480503 MESNA INJ 1GM 12/31/999
Page 305 and 306:
00406202805 METFORMIN TAB 500MG 12/
Page 307 and 308:
43547024950 METFORMIN TAB 850MG 12/
Page 309 and 310:
00591538205 METHOCARBAM TAB 750MG 0
Page 311 and 312:
43386014001 METHYLERGON TAB 0.2MG 1
Page 313 and 314:
00591246810 METOCLOPRAM TAB 10MG 12
Page 315 and 316:
51079080117 METOPROL TAR TAB 50MG 1
Page 317 and 318:
00168038360 METRONIDAZOL LOT 0.75%
Page 319 and 320:
00409230662 MIDAZOLAM INJ 2MG/2ML 1
Page 321 and 322:
00641606701 MILRINONE INJ 1MG/ML 12
Page 323 and 324:
68308050260 MI-OMEGA NF CAP 12/31/9
Page 325 and 326:
60505024901 MIRTAZAPINE TAB 45MG 12
Page 327 and 328:
68462022517 MOMETASONE OIN 0.1% 12/
Page 329 and 330:
00641606801 MORPHINE SUL INJ 10MG/M
Page 331 and 332:
37205011153 MOTION SICK TAB 50MG 12
Page 333 and 334:
00603438121 MULTI-VIT/FL CHW 0.25MG
Page 335 and 336:
61748030113 MYORISAN CAP 10MG 12/31
Page 337 and 338:
00409146301 NALBUPHINE INJ 10MG/ML
Page 339 and 340:
68462019005 NAPROXEN TAB 500MG 12/3
Page 341 and 342:
62011008701 NASAL DECONG TAB 120MG
Page 343 and 344:
00517003425 NEOSTIG METH INJ 0.5MG/
Page 345 and 346:
00074308090 NIASPAN TAB 1000 ER 12/
Page 347 and 348:
00067512507 NICOTINE DIS 14MG/24H 1
Page 349 and 350:
59762669108 NIFEDIPINE TAB 60MG ER
Page 351 and 352:
00378165001 NITROFUR MAC CAP 50MG 1
Page 353 and 354:
63868008910 NON-ASPIRIN TAB 650MG 1
Page 355 and 356:
50458084002 NUCYNTA TAB 100MG 12/31
Page 357 and 358:
68025004830 OB COMPLETE CAP 400 12/
Page 359 and 360:
66993046730 OLANZAPINE TAB 10MG ODT
Page 361 and 362:
66993004905 OLANZAPINE TAB 7.5MG 12
Page 363 and 364:
00407141234 OMNIPAQUE INJ 240MG/ML
Page 365 and 366:
00641608001 ONDANSETRON INJ 4MG/2ML
Page 367 and 368:
63481044070 OPANA ER TAB 40MG 12/31
Page 369 and 370:
00781310195 OXACILLIN INJ 2GM 12/31
Page 371 and 372:
10337035960 OXISTAT LOT 1% 12/31/99
Page 373 and 374:
00603499128 OXYCODONE TAB 15MG 12/3
Page 375 and 376:
00536012297 PAIN & FEVER SOL 160/5M
Page 377 and 378:
00904513559 PAIN RELIEVR TAB PLUS 1
Page 379 and 380:
00378200593 PAROXETIN ER TAB 37.5MG
Page 381 and 382:
00029321113 PAXIL TAB 20MG 08/31/20
Page 383 and 384:
65862017699 PENICILLN VK TAB 500MG
Page 385 and 386:
00781104613 PERPHENAZINE TAB 2MG 12
Page 387 and 388:
58605043301 PHENFLU CD TAB 12/31/99
Page 389 and 390:
61314034201 PHENYLEPHRIN SOL 2.5% O
Page 391 and 392:
00378004893 PIOGLITAZONE TAB 15MG 1
Page 393 and 394:
50991021001 POLY HIST TAB FORTE 12/
Page 395 and 396:
00603153658 POT CHLORIDE LIQ 20% 12
Page 397 and 398:
68382019816 PRAMIPEXOLE TAB 0.5MG 1
Page 399 and 400:
68180048802 PRAVASTATIN TAB 80MG 12
Page 401 and 402:
63739052010 PREDNISONE TAB 20MG 12/
Page 403 and 404:
00186074331 PRILOSEC CAP 40MG 12/31
Page 405 and 406:
59676030301 PROCRIT INJ 3000/ML 12/
Page 407 and 408:
60432060804 PROMETHAZINE SYP 6.25/5
Page 409 and 410:
63323029750 PROPOVEN INJ 10MG/ML 12
Page 411 and 412:
38779051008 PROPYLENE LIQ GLYCOL 12
Page 413 and 414:
67253066010 PYRAZINAMIDE TAB 500MG
Page 415 and 416:
31722037590 QNAPRIL/HCTZ TAB 20-12.
Page 417 and 418:
16729014912 QUETIAPINE TAB 300MG 12
Page 419 and 420:
68180059109 RAMIPRIL CAP 10MG 12/31
Page 421 and 422:
64679074202 RANITIDINE TAB 300MG 12
Page 423 and 424:
53329015713 REMEDY NUTRA CRE 1% 12/
Page 425 and 426:
59572040200 REVLIMID CAP 2.5MG 12/3
Page 427 and 428:
00409614009 RINGERS IRR SOL 12/31/9
Page 429 and 430:
13668003701 RISPERIDONE TAB 1MG 12/
Page 431 and 432:
00603568820 RISPERIDONE TAB 4MG 12/
Page 433 and 434:
00031873612 ROBITUSSIN LIQ CGH/CONG
Page 435 and 436:
64679017402 ROPINIROLE TAB 3MG 12/3
Page 437 and 438:
49908013710 SALICYLIC AC LIQ 26% 12
Page 439 and 440:
15127080313 SB NAT FIBER POW 49% 12
Page 441 and 442:
55513007430 SENSIPAR TAB 60MG 12/31
Page 443 and 444:
60505018203 SERTRALINE TAB 100MG 12
Page 445 and 446:
51552012605 SILICA GEL 12/31/9999 2
Page 447 and 448:
51079045520 SIMVASTATIN TAB 20MG 01
Page 449 and 450:
24658021490 SIMVASTATIN TAB 80MG 12
Page 451 and 452:
49348087934 SM CHILDRENS SUS MS COL
Page 453 and 454:
00603578121 SMZ/TMP DS TAB 800-160
Page 455 and 456:
00409798325 SOD CHLORIDE INJ 0.9% 1
Page 457 and 458:
00338004746 SODIUM CHLOR SOL 0.9% I
Page 459 and 460:
00145213007 SORILUX AER 0.005% 12/3
Page 461 and 462:
53489032801 SPIRONOLACT TAB 50MG 12
Page 463 and 464:
00517301025 STERIL WATER INJ 12/31/
Page 465 and 466:
00591078005 SUCRALFATE TAB 1GM 12/3
Page 467 and 468:
49884048299 SUMATRIPTAN INJ 4MG/0.5
Page 469 and 470:
00085131201 SYLATRON KIT 888MCG 12/
Page 471 and 472:
00409194101 TALWIN INJ 30MG/ML 12/3
Page 473 and 474:
00065041625 TEARS NATURA SOL FREE O
Page 475 and 476:
59746038306 TERAZOSIN CAP 1MG 12/31
Page 477 and 478:
57844071319 TEV-TROPIN INJ 5MG 12/3
Page 479 and 480:
51552048105 THIABENDAZOL POW 12/31/
Page 481 and 482:
60505059702 TIMOLOL MAL SOL 0.25% O
Page 483 and 484:
13811006816 TL-HIST DM LIQ 12/31/99
Page 485 and 486:
13668003360 TOPIRAMATE TAB 100MG 12
Page 487 and 488:
65862012601 TORSEMIDE TAB 10MG 12/3
Page 489 and 490:
00378324201 TRANDOLAPRIL TAB 2MG 11
Page 491 and 492:
43478024445 TRETINOIN GEL 0.025% 12
Page 493 and 494:
00781112301 TRIAMT/HCTZ TAB 37.5-25
Page 495 and 496:
00555903270 TRI-LEGEST TAB FE 12/31
Page 497 and 498:
00135022301 TUMS CALCIUM CHW 750MG
Page 499 and 500:
66302020603 TYVASO SOL 0.6MG/ML 12/
Page 501 and 502:
42192010110 UREA EMU 50% 12/31/9999
Page 503 and 504:
00004003822 VALCYTE TAB 450MG 12/31
Page 505 and 506:
51552129409 VANIBASE CRE 12/31/9999
Page 507 and 508:
00378513205 VENLAFAXINE CAP 75MG ER
Page 509 and 510:
66215030300 VENTAVIS SOL 20MCG/ML 1
Page 511 and 512:
00469357550 VIBATIV INJ 750MG 12/31
Page 513 and 514:
00407222255 VISIPAQUE INJ 270MG/ML
Page 515 and 516:
00078034545 VIVELLE-DOT DIS 0.075MG
Page 517 and 518:
00406205510 WARFARIN TAB 4MG 12/31/
Page 519 and 520:
59630091310 XODOL TAB 7.5-300 12/31
Page 521 and 522:
52152003205 YOHIMBINE TAB 5.4MG 12/
Page 523 and 524:
00310013311 ZESTRIL TAB 30MG 12/31/
Page 525 and 526:
00069417034 ZMAX SUS 2GM 12/31/9999
Page 527 and 528:
00095067416 ZOLVIT SOL 10-300MG 12/
Page 529:
00002411230 ZYPREXA TAB 2.5MG 12/31
show all

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

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