| Document Date: 2014-01-23 14:20:25
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City ACCUNEB / / Company HP / / Currency MOP / PEN / / MedicalCondition PAIN / / Person ALUM SOL / SOL OP AKWA / ACACIA POW / SOL OTIC ACETAZOLAMID / SOL ALAHIST AC LIQ / / Position 200MG ADVIL MIGRAI CAP 200MG ADVIL MIGRAI CAP 200MG ADVIL PM / 500MG ACETAMIN TAB 500MG ACETAMIN TAB 500MG ACETAMIN PM / RT / MIS AM/PM / / Product ADALAT CC / ADVIL PM / ACTHREL / ACEPHEN / ACCOLATE / AK-PENTOLATE / ALAMAST / ACULAR / ACULAR LS / AGGRASTAT / ADENOSCAN / ACLOVATE / ACTIVELLA / ABELCET / ADDERALL XR / ACETASOL HC / ACCUPRIL / ALAVERT / ACIPHEX / ACTOPLUS MET / ACCURETIC / ACYCLOVIR / ADDERALL / ALBENZA / AKNE-MYCIN / A-HYDROCORT / AGRYLIN / ACTIVASE / ADIPEX-P / ACTIGALL / ACETIC ACID / ADENOCARD / ADVAIR HFA / ACTONEL / ACEON / ABREVA / ABRAXANE / ACTIQ / ABACAVIR / ABILIFY / ALAWAY / ADVICOR / AGGRENOX / ACZONE / ACTOS / ADENOSINE / ACTIMMUNE / ACTHAR / ADVIL / ADAGEN / ADRUCIL / / RadioStation ADVANCED MIS AM / /
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Rebatable Drug List for Maine Medicaid The following is a list of rebatable drugs as reported by CMS. The status of “rebatable” does not guarantee payment of the claim. All products on this list are subject to Mainec