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

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007812938<strong>01</strong> CEFADROXIL CAP 500MG 12/31/9999 2<strong>01</strong>2300781293850 CEFADROXIL CAP 500MG 12/31/9999 2<strong>01</strong>2316714020402 CEFADROXIL CAP 500MG 12/31/2020 2<strong>01</strong>2316714020403 CEFADROXIL CAP 500MG 12/31/2020 2<strong>01</strong>23633040582<strong>01</strong> CEFADROXIL CAP 500MG 12/31/9999 2<strong>01</strong>2363304058250 CEFADROXIL CAP 500MG 12/31/9999 2<strong>01</strong>23658620085<strong>01</strong> CEFADROXIL CAP 500MG 12/31/9999 2<strong>01</strong>2365862008550 CEFADROXIL CAP 500MG 12/31/9999 2<strong>01</strong>2368180<strong>01</strong>80<strong>01</strong> CEFADROXIL CAP 500MG 12/31/9999 2<strong>01</strong>2368180<strong>01</strong>8008 CEFADROXIL CAP 500MG 12/31/9999 2<strong>01</strong>2368820004308 CEFADROXIL CAP 500MG 12/31/2020 2<strong>01</strong>2368820004310 CEFADROXIL CAP 500MG 12/31/2020 2<strong>01</strong>23167140202<strong>01</strong> CEFADROXIL SUS 250/5ML 12/31/2020 2<strong>01</strong>2363304097304 CEFADROXIL SUS 250/5ML 12/31/9999 2<strong>01</strong>2368180<strong>01</strong>81<strong>01</strong> CEFADROXIL SUS 250/5ML 12/31/9999 2<strong>01</strong>2368180<strong>01</strong>8102 CEFADROXIL SUS 250/5ML 12/31/9999 2<strong>01</strong>23167140203<strong>01</strong> CEFADROXIL SUS 500/5ML 12/31/2020 2<strong>01</strong>2316714020302 CEFADROXIL SUS 500/5ML 12/31/2020 2<strong>01</strong>23633040974<strong>01</strong> CEFADROXIL SUS 500/5ML 12/31/9999 2<strong>01</strong>2363304097404 CEFADROXIL SUS 500/5ML 12/31/9999 2<strong>01</strong>2368180<strong>01</strong>8202 CEFADROXIL SUS 500/5ML 12/31/9999 2<strong>01</strong>2368180<strong>01</strong>8203 CEFADROXIL SUS 500/5ML 12/31/9999 2<strong>01</strong>2300093405953 CEFADROXIL TAB 1GM 12/31/9999 2<strong>01</strong>230<strong>01</strong>43994850 CEFADROXIL TAB 1GM 12/31/9999 2<strong>01</strong>2363304051250 CEFADROXIL TAB 1GM 12/31/9999 2<strong>01</strong>2300264310311 CEFAZOL/DEX SOL 1GM 12/31/9999 2<strong>01</strong>2300264310511 CEFAZOL/DEX SOL 2GM 12/31/9999 2<strong>01</strong>230<strong>01</strong>43998303 CEFAZOLIN INJ 10GM 12/31/9999 2<strong>01</strong>230<strong>01</strong>43998391 CEFAZOLIN INJ 10GM 12/31/9999 2<strong>01</strong>23004090806<strong>01</strong> CEFAZOLIN INJ 10GM 12/31/9999 2<strong>01</strong>2300781345246 CEFAZOLIN INJ 10GM 12/31/9999 2<strong>01</strong>2300781345295 CEFAZOLIN INJ 10GM 12/31/9999 2<strong>01</strong>2300781933746 CEFAZOLIN INJ 10GM 12/31/9999 2<strong>01</strong>2300781933795 CEFAZOLIN INJ 10GM 09/30/2<strong>01</strong>4 2<strong>01</strong>2310<strong>01</strong>9061211 CEFAZOLIN INJ 10GM 12/31/9999 2<strong>01</strong>2325021<strong>01</strong>0299 CEFAZOLIN INJ 10GM 12/31/9999 2<strong>01</strong>2360505076900 CEFAZOLIN INJ 10GM 12/31/9999 2<strong>01</strong>2363323023861 CEFAZOLIN INJ 10GM 12/31/9999 2<strong>01</strong>230<strong>01</strong>43992490 CEFAZOLIN INJ 1GM 12/31/9999 2<strong>01</strong>23004090805<strong>01</strong> CEFAZOLIN INJ 1GM 12/31/9999 2<strong>01</strong>23004092585<strong>01</strong> CEFAZOLIN INJ 1GM 12/31/9999 2<strong>01</strong>2300781345170 CEFAZOLIN INJ 1GM 12/31/9999 2<strong>01</strong>2300781345196 CEFAZOLIN INJ 1GM 12/31/9999 2<strong>01</strong>2300781933985 CEFAZOLIN INJ 1GM 12/31/9999 2<strong>01</strong>2300781933996 CEFAZOLIN INJ 1GM 06/30/2<strong>01</strong>4 2<strong>01</strong>2310<strong>01</strong>9061110 CEFAZOLIN INJ 1GM 12/31/9999 2<strong>01</strong>2325021<strong>01</strong><strong>01</strong>10 CEFAZOLIN INJ 1GM 12/31/9999 2<strong>01</strong>2344567070725 CEFAZOLIN INJ 1GM 12/31/9999 2<strong>01</strong>2360505074904 CEFAZOLIN INJ 1GM 12/31/9999 2<strong>01</strong>2360505074905 CEFAZOLIN INJ 1GM 12/31/9999 2<strong>01</strong>2363323023710 CEFAZOLIN INJ 1GM 12/31/9999 2<strong>01</strong>2300338350341 CEFAZOLIN INJ 1GM/50ML 12/31/9999 2<strong>01</strong>2325021<strong>01</strong>0399 CEFAZOLIN INJ 20GM 12/31/9999 2<strong>01</strong>2363323044666 CEFAZOLIN INJ 20GM 12/31/9999 2<strong>01</strong>230<strong>01</strong>43992390 CEFAZOLIN INJ 500MG 12/31/9999 2<strong>01</strong>2300781345070 CEFAZOLIN INJ 500MG 12/31/9999 2<strong>01</strong>2300781345095 CEFAZOLIN INJ 500MG 12/31/9999 2<strong>01</strong>2300781933885 CEFAZOLIN INJ 500MG 12/31/9999 2<strong>01</strong>2300781933895 CEFAZOLIN INJ 500MG 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9061<strong>01</strong>0 CEFAZOLIN INJ 500MG 12/31/9999 2<strong>01</strong>23

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