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

25021010010 CEFAZOLIN INJ 500MG 12/31/9999 2012363323023610 CEFAZOLIN INJ 500MG 12/31/9999 2012300093316006 CEFDINIR CAP 300MG 12/31/9999 2012300781217660 CEFDINIR CAP 300MG 12/31/9999 2012316714020501 CEFDINIR CAP 300MG 12/31/2020 2012316714020502 CEFDINIR CAP 300MG 12/31/2020 2012316714020504 CEFDINIR CAP 300MG 12/31/2020 2012365862017760 CEFDINIR CAP 300MG 12/31/9999 2012368180071160 CEFDINIR CAP 300MG 12/31/9999 2012368820006309 CEFDINIR CAP 300MG 12/31/2020 2012368820006319 CEFDINIR CAP 300MG 12/31/2020 2012300093413664 CEFDINIR SUS 125/5ML 12/31/9999 2012300093413673 CEFDINIR SUS 125/5ML 12/31/9999 2012300781607746 CEFDINIR SUS 125/5ML 12/31/9999 2012300781607761 CEFDINIR SUS 125/5ML 12/31/9999 2012316714020601 CEFDINIR SUS 125/5ML 12/31/2020 2012316714020602 CEFDINIR SUS 125/5ML 12/31/2020 2012365862021801 CEFDINIR SUS 125/5ML 12/31/9999 2012365862021860 CEFDINIR SUS 125/5ML 12/31/9999 2012368180072210 CEFDINIR SUS 125/5ML 12/31/9999 2012368180072220 CEFDINIR SUS 125/5ML 12/31/9999 2012368820006417 CEFDINIR SUS 125/5ML 12/31/2020 2012368820006437 CEFDINIR SUS 125/5ML 12/31/2020 2012300093413764 CEFDINIR SUS 250/5ML 12/31/9999 2012300093413773 CEFDINIR SUS 250/5ML 12/31/9999 2012300781607846 CEFDINIR SUS 250/5ML 12/31/9999 2012300781607861 CEFDINIR SUS 250/5ML 12/31/9999 2012316714020701 CEFDINIR SUS 250/5ML 12/31/2020 2012316714020702 CEFDINIR SUS 250/5ML 12/31/2020 2012365862021901 CEFDINIR SUS 250/5ML 12/31/9999 2012365862021960 CEFDINIR SUS 250/5ML 12/31/9999 2012368180072310 CEFDINIR SUS 250/5ML 12/31/9999 2012368180072320 CEFDINIR SUS 250/5ML 12/31/9999 2012368820006517 CEFDINIR SUS 250/5ML 12/31/2020 2012368820006537 CEFDINIR SUS 250/5ML 12/31/2020 2012324486080120 CEFDITOREN TAB 200MG 03/31/2014 2012324486080220 CEFDITOREN TAB 400MG 11/30/2013 2012300264319311 CEFEPIME INJ 1GM 12/31/9999 2012300338130141 CEFEPIME INJ 1GM 12/31/9999 2012300781322280 CEFEPIME INJ 1GM 12/31/9999 2012300781322295 CEFEPIME INJ 1GM 12/31/9999 2012325021012120 CEFEPIME INJ 1GM 12/31/9999 2012360505083400 CEFEPIME INJ 1GM 12/31/9999 2012360505083404 CEFEPIME INJ 1GM 12/31/9999 2012360505603004 CEFEPIME INJ 1GM 12/31/9999 2012363323032620 CEFEPIME INJ 1GM 12/31/9999 2012300264319511 CEFEPIME INJ 2GM 12/31/9999 2012300338130148 CEFEPIME INJ 2GM 12/31/9999 2012300781322391 CEFEPIME INJ 2GM 12/31/9999 2012300781322395 CEFEPIME INJ 2GM 12/31/9999 2012325021012250 CEFEPIME INJ 2GM 12/31/9999 2012360505068100 CEFEPIME INJ 2GM 12/31/9999 2012360505068104 CEFEPIME INJ 2GM 12/31/9999 2012360505603104 CEFEPIME INJ 2GM 12/31/9999 2012363323034020 CEFEPIME INJ 2GM 12/31/9999 2012300069002812 CEFOTAXIME INJ 10GM 12/31/9999 2012300143993591 CEFOTAXIME INJ 10GM 12/31/9999 2012363323033361 CEFOTAXIME INJ 10GM 12/31/9999 2012300069004415 CEFOTAXIME INJ 1GM 12/31/9999 2012300143993122 CEFOTAXIME INJ 1GM 12/31/9999 20123