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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68645035059 CARVEDILOL TAB 6.25MG 12/31/9999 2<strong>01</strong>2300310070530 CASODEX TAB 50MG 12/31/9999 2<strong>01</strong>23008842893<strong>01</strong> CASTELLANI LIQ PAINT 12/31/9999 2<strong>01</strong>23008842993<strong>01</strong> CASTELLANI LIQ PAINT/CL 12/31/9999 2<strong>01</strong>2351552041403 CASTOR OIL 12/31/9999 2<strong>01</strong>2351552041404 CASTOR OIL 12/31/9999 2<strong>01</strong>2351552041406 CASTOR OIL 12/31/9999 2<strong>01</strong>2351552041408 CASTOR OIL 12/31/9999 2<strong>01</strong>2300574331202 CASTOR OIL 95% 07/31/2<strong>01</strong>4 2<strong>01</strong>2300078043605 CATAFLAM TAB 50MG 12/31/9999 2<strong>01</strong>23005970006<strong>01</strong> CATAPRES TAB 0.1MG 12/31/9999 2<strong>01</strong>23005970007<strong>01</strong> CATAPRES TAB 0.2MG 12/31/9999 2<strong>01</strong>23005970<strong>01</strong>1<strong>01</strong> CATAPRES TAB 0.3MG 12/31/9999 2<strong>01</strong>2300597003134 CATAPRES-TTS DIS 0.1/24HR 12/31/9999 2<strong>01</strong>2300597003234 CATAPRES-TTS DIS 0.2/24HR 12/31/9999 2<strong>01</strong>2300597003334 CATAPRES-TTS DIS 0.3/24HR 12/31/9999 2<strong>01</strong>2350242004163 CATHFLO ACTI INJ VASE 12/31/9999 2<strong>01</strong>2350242004164 CATHFLO ACTI INJ VASE 12/31/9999 2<strong>01</strong>2351552099607 CATS CLAW POW 12/31/9999 2<strong>01</strong>2313925<strong>01</strong>2710 CAVAN-ALPHA KIT 12/31/9999 2<strong>01</strong>2313925<strong>01</strong>2260 CAVAN-EC SOD MIS DHA 12/31/9999 2<strong>01</strong>230000937<strong>01</strong>05 CAVERJECT INJ 20MCG 12/31/9999 2<strong>01</strong>23000097686<strong>01</strong> CAVERJECT INJ 40MCG 12/31/9999 2<strong>01</strong>2300009768604 CAVERJECT INJ 40MCG 12/31/9999 2<strong>01</strong>23000095181<strong>01</strong> CAVERJECT KIT 10MCG 12/31/9999 2<strong>01</strong>23000095182<strong>01</strong> CAVERJECT KIT 20MCG 12/31/9999 2<strong>01</strong>236195809<strong>01</strong><strong>01</strong> CAYSTON INH 75MG 12/31/9999 2<strong>01</strong>2352544095931 CAZIANT PAK 12/31/9999 2<strong>01</strong>23003780277<strong>01</strong> CDP/AMITRIP TAB 10-25MG 12/31/9999 2<strong>01</strong>2300378027705 CDP/AMITRIP TAB 10-25MG 12/31/9999 2<strong>01</strong>23003780211<strong>01</strong> CDP/AMITRIP TAB 5-12.5MG 12/31/9999 2<strong>01</strong>2300378021105 CDP/AMITRIP TAB 5-12.5MG 12/31/9999 2<strong>01</strong>234580904<strong>01</strong>20 CEDAX CAP 400MG 12/31/9999 2<strong>01</strong>2365224080022 CEDAX CAP 400MG 12/31/9999 2<strong>01</strong>2365224080402 CEDAX SUS 180/5ML 12/31/9999 2<strong>01</strong>2365224080202 CEDAX SUS 90MG/5ML 12/31/9999 2<strong>01</strong>2365224080203 CEDAX SUS 90MG/5ML 12/31/9999 2<strong>01</strong>2365224080204 CEDAX SUS 90MG/5ML 12/31/9999 2<strong>01</strong>2300<strong>01</strong>5303220 CEENU CAP 100MG 12/31/9999 2<strong>01</strong>2300<strong>01</strong>5303020 CEENU CAP 10MG 12/31/9999 2<strong>01</strong>2300<strong>01</strong>5303120 CEENU CAP 40MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>439985<strong>01</strong> CEFACLOR CAP 250MG 12/31/9999 2<strong>01</strong>2347781026603 CEFACLOR CAP 250MG 12/31/9999 2<strong>01</strong>2361442<strong>01</strong>7130 CEFACLOR CAP 250MG 12/31/9999 2<strong>01</strong>23633040658<strong>01</strong> CEFACLOR CAP 250MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>439986<strong>01</strong> CEFACLOR CAP 500MG 12/31/9999 2<strong>01</strong>2347781026703 CEFACLOR CAP 500MG 12/31/9999 2<strong>01</strong>2361442<strong>01</strong>7230 CEFACLOR CAP 500MG 12/31/9999 2<strong>01</strong>23633040659<strong>01</strong> CEFACLOR CAP 500MG 12/31/9999 2<strong>01</strong>23633040954<strong>01</strong> CEFACLOR SUS 125/5ML 12/31/9999 2<strong>01</strong>2363304095402 CEFACLOR SUS 125/5ML 12/31/9999 2<strong>01</strong>23633040956<strong>01</strong> CEFACLOR SUS 250/5ML 12/31/9999 2<strong>01</strong>2363304095602 CEFACLOR SUS 250/5ML 12/31/9999 2<strong>01</strong>2363304095703 CEFACLOR SUS 375/5ML 12/31/9999 2<strong>01</strong>2363304095704 CEFACLOR SUS 375/5ML 12/31/9999 2<strong>01</strong>23000931087<strong>01</strong> CEFACLOR ER TAB 500MG 12/31/9999 2<strong>01</strong>23000933196<strong>01</strong> CEFADROXIL CAP 500MG 12/31/9999 2<strong>01</strong>2300093319653 CEFADROXIL CAP 500MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>439947<strong>01</strong> CEFADROXIL CAP 500MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>43994750 CEFADROXIL CAP 500MG 12/31/9999 2<strong>01</strong>23

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