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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51285044202 CENESTIN TAB 0.625MG 12/31/9999 2<strong>01</strong>2351285044302 CENESTIN TAB 0.9MG 12/31/9999 2<strong>01</strong>2351285044402 CENESTIN TAB 1.25MG 12/31/9999 2<strong>01</strong>23548380<strong>01</strong>070 CENTAMIN LIQ 12/31/9999 2<strong>01</strong>2343538030030 CENTANY OIN 2% 12/31/9999 2<strong>01</strong>2343538031030 CENTANY AT KIT 2% 12/31/9999 2<strong>01</strong>2323359<strong>01</strong>0<strong>01</strong>0 CENTRATEX CAP 12/31/9999 2<strong>01</strong>2323359<strong>01</strong>0030 CENTRATEX CAP 12/31/9999 2<strong>01</strong>23597020650<strong>01</strong> CEPHADYN TAB 50-650MG 05/05/2<strong>01</strong>4 2<strong>01</strong>23000933145<strong>01</strong> CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>2300093314505 CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>439898<strong>01</strong> CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>43989805 CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>2316714064102 CEPHALEXIN CAP 250MG 12/31/2020 2<strong>01</strong>2316714064103 CEPHALEXIN CAP 250MG 12/31/2020 2<strong>01</strong>2342043<strong>01</strong>40<strong>01</strong> CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>2342043<strong>01</strong>4005 CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>2361442<strong>01</strong>61<strong>01</strong> CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>2361442<strong>01</strong>6105 CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>2362756029313 CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>2362756029388 CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>23633040656<strong>01</strong> CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>2363304065605 CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>23658620<strong>01</strong>8<strong>01</strong> CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>23658620<strong>01</strong>805 CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>23658620<strong>01</strong>840 CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>23678770220<strong>01</strong> CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>2367877022005 CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>2368180<strong>01</strong>21<strong>01</strong> CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>2368180<strong>01</strong>2102 CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>2376439<strong>01</strong><strong>01</strong>10 CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>2376439<strong>01</strong><strong>01</strong>50 CEPHALEXIN CAP 250MG 12/31/9999 2<strong>01</strong>23000933147<strong>01</strong> CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>2300093314705 CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>439897<strong>01</strong> CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>43989705 CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>2316714064202 CEPHALEXIN CAP 500MG 12/31/2020 2<strong>01</strong>2316714064203 CEPHALEXIN CAP 500MG 12/31/2020 2<strong>01</strong>2342043<strong>01</strong>41<strong>01</strong> CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>2342043<strong>01</strong>4105 CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>2361442<strong>01</strong>62<strong>01</strong> CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>2361442<strong>01</strong>6205 CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>2362250080208 CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>2362756029413 CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>2362756029488 CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>23633040657<strong>01</strong> CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>2363304065705 CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>23658620<strong>01</strong>9<strong>01</strong> CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>23658620<strong>01</strong>905 CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>23658620<strong>01</strong>940 CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>23678770219<strong>01</strong> CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>2367877021905 CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>2367877021910 CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>2368180<strong>01</strong>22<strong>01</strong> CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>2368180<strong>01</strong>2202 CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>2376439<strong>01</strong>0210 CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>2376439<strong>01</strong>0250 CEPHALEXIN CAP 500MG 12/31/9999 2<strong>01</strong>2300093417573 CEPHALEXIN SUS 125/5ML 12/31/9999 2<strong>01</strong>2300093417574 CEPHALEXIN SUS 125/5ML 12/31/9999 2<strong>01</strong>2342043<strong>01</strong>4238 CEPHALEXIN SUS 125/5ML 12/31/9999 2<strong>01</strong>23

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