If not, I would remove them since they have strong in-state biases. OSU will be okay because they show a slight regional preference (same for Cincinnati and Case).
I would not bother applying to schools where you are way above the 90th percentile in terms of GPA/MCAT or to schools that have a strong service focus (such as Rush, Tulane) since your app is more research focused. I think your state schools + the 3 Ohio schools + ~5-6 mid-tiers will be a solid list for you. Then add whatever Top 20s you're interested in.
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