August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 51672404201 CLORAZ DIPOT TAB 3.75MG 12/31/9999 20121 51672404202 CLORAZ DIPOT TAB 3.75MG 12/31/9999 20121 63304055201 CLORAZ DIPOT TAB 3.75MG 12/31/9999 20121 63304055205 CLORAZ DIPOT TAB 3.75MG 12/31/9999 20121 00228208110 CLORAZ DIPOT TAB 7.5MG 12/31/9999 20121 00228208150 CLORAZ DIPOT TAB 7.5MG 12/31/9999 20121 00378004001 CLORAZ DIPOT TAB 7.5MG 12/31/9999 20121 00378004005 CLORAZ DIPOT TAB 7.5MG 12/31/9999 20121 51672404301 CLORAZ DIPOT TAB 7.5MG 12/31/9999 20121 51672404302 CLORAZ DIPOT TAB 7.5MG 12/31/9999 20121 63304055301 CLORAZ DIPOT TAB 7.5MG 12/31/9999 20121 63304055305 CLORAZ DIPOT TAB 7.5MG 12/31/9999 20121 00378000101 CLORPRES TAB 0.1-15MG 12/31/9999 20121 00378002701 CLORPRES TAB 0.2-15MG 12/31/9999 20121 00378007201 CLORPRES TAB 0.3-15MG 12/31/9999 20121 00168025815 CLOTRIM/BETA CRE DIPROP 12/31/9999 20121 00168025846 CLOTRIM/BETA CRE DIPROP 12/31/9999 20121 00472037915 CLOTRIM/BETA CRE DIPROP 12/31/9999 20121 00472037945 CLOTRIM/BETA CRE DIPROP 12/31/9999 20121 51672404801 CLOTRIM/BETA CRE DIPROP 12/31/9999 20121 51672404806 CLOTRIM/BETA CRE DIPROP 12/31/9999 20121 00168037030 CLOTRIM/BETA LOT DIPROP 12/31/9999 20121 51672130803 CLOTRIM/BETA LOT DIPROP 12/31/9999 20121 00168013315 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 00168013330 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 00168013346 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 00472022041 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 00472022063 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 37205016010 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 45802043401 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 45802043411 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 51672127501 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 51672127502 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 51672127506 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 51672127507 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 51672200201 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 51672200202 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 63868200202 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 68462018117 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 68462018135 CLOTRIMAZOLE CRE 1% 12/31/9999 20121 00904782231 CLOTRIMAZOLE CRE 1% A/F 12/31/9999 20121 00904782236 CLOTRIMAZOLE CRE 1% A/F 12/31/9999 20121 00472000741 CLOTRIMAZOLE CRE 1% VAG 12/31/9999 20121 00472000763 CLOTRIMAZOLE CRE 1% VAG 12/31/9999 20121 49348079376 CLOTRIMAZOLE CRE 1% VAG 12/31/9999 20121 51672200306 CLOTRIMAZOLE CRE 1% VAG 12/31/9999 20121 24385011009 CLOTRIMAZOLE CRE 3 DAY 12/31/9999 20121 51672670800 CLOTRIMAZOLE CRE 3 DAY 12/31/9999 20121 00574010714 CLOTRIMAZOLE LOZ 10MG 12/31/9999 20121 00574010770 CLOTRIMAZOLE LOZ 10MG 12/31/9999 20121 00574010777 CLOTRIMAZOLE LOZ 10MG 12/31/9999 20121 51552131802 CLOTRIMAZOLE POW 12/31/9999 20121 51552131804 CLOTRIMAZOLE POW 12/31/9999 20121 51552131805 CLOTRIMAZOLE POW 12/31/9999 20121 00093024831 CLOTRIMAZOLE SOL 1% 12/31/9999 20121 00093024843 CLOTRIMAZOLE SOL 1% 12/31/9999 20121 51672126003 CLOTRIMAZOLE SOL 1% 12/31/9999 20121 51672203701 CLOTRIMAZOLE SOL 1% 12/31/9999 20121 00054414622 CLOTRIMAZOLE TRO 10MG 12/31/9999 20121 00054414623 CLOTRIMAZOLE TRO 10MG 12/31/9999 20121 00054814622 CLOTRIMAZOLE TRO 10MG 12/31/9999 20121 00093777201 CLOZAPINE TAB 100MG 12/31/9999 20121 00093777205 CLOZAPINE TAB 100MG 12/31/9999 20121 00093777219 CLOZAPINE TAB 100MG 12/31/9999 20121 00093777293 CLOZAPINE TAB 100MG 12/31/9999 20121 00378086001 CLOZAPINE TAB 100MG 12/31/9999 20121 00378086005 CLOZAPINE TAB 100MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 51079092201 CLOZAPINE TAB 100MG 12/31/9999 20121 51079092220 CLOZAPINE TAB 100MG 12/31/9999 20121 57664034713 CLOZAPINE TAB 100MG 12/31/9999 20121 57664034788 CLOZAPINE TAB 100MG 12/31/9999 20121 00093440501 CLOZAPINE TAB 200MG 12/31/9999 20121 00093440505 CLOZAPINE TAB 200MG 12/31/9999 20121 00093440519 CLOZAPINE TAB 200MG 12/31/9999 20121 00093440593 CLOZAPINE TAB 200MG 12/31/9999 20121 00378097301 CLOZAPINE TAB 200MG 12/31/9999 20121 00378097305 CLOZAPINE TAB 200MG 09/30/2012 20121 51079074901 CLOZAPINE TAB 200MG 12/31/9999 20121 51079074920 CLOZAPINE TAB 200MG 12/31/9999 20121 00093435901 CLOZAPINE TAB 25MG 12/31/9999 20121 00093435905 CLOZAPINE TAB 25MG 12/31/9999 20121 00093435919 CLOZAPINE TAB 25MG 12/31/9999 20121 00093435993 CLOZAPINE TAB 25MG 12/31/9999 20121 00378082501 CLOZAPINE TAB 25MG 12/31/9999 20121 51079092101 CLOZAPINE TAB 25MG 12/31/9999 20121 51079092120 CLOZAPINE TAB 25MG 12/31/9999 20121 57664034513 CLOZAPINE TAB 25MG 12/31/9999 20121 57664034588 CLOZAPINE TAB 25MG 12/31/9999 20121 00093440401 CLOZAPINE TAB 50MG 12/31/9999 20121 00093440405 CLOZAPINE TAB 50MG 12/31/9999 20121 00093440419 CLOZAPINE TAB 50MG 12/31/9999 20121 00093440493 CLOZAPINE TAB 50MG 12/31/9999 20121 00378097201 CLOZAPINE TAB 50MG 12/31/9999 20121 57664024188 CLOZAPINE TAB 50MG 12/31/9999 20121 00078012705 CLOZARIL TAB 100MG 12/31/9999 20121 00078012706 CLOZARIL TAB 100MG 12/31/9999 20121 00078012761 CLOZARIL TAB 100MG 12/31/9999 20121 00078012605 CLOZARIL TAB 25MG 12/31/9999 20121 00078012606 CLOZARIL TAB 25MG 12/31/9999 20121 00078012661 CLOZARIL TAB 25MG 12/31/9999 20121 12939016008 CLUSIMAR SYP 12/31/9999 20121 68712002701 CNL8 NAIL KIT 12/31/9999 20121 00135045401 CNTC CLD/FLU PAK DAY/NGHT 12/31/9999 20121 00135045501 CNTC CLD/FLU TAB MAX ST 12/31/9999 20121 00135045502 CNTC CLD/FLU TAB MAX ST 12/31/9999 20121 00078056845 COARTEM TAB 20-120MG 12/31/9999 20121 50991031601 COCET TAB 650-30MG 12/31/9999 20121 50991031201 COCET PLUS TAB 650-60MG 12/31/9999 20121 51552009303 COCONUT OIL 12/31/9999 20121 51552009304 COCONUT OIL 12/31/9999 20121 51552009306 COCONUT OIL 12/31/9999 20121 00536638401 COD LIVER CAP 12/31/9999 20121 51552071006 COD LIVER OIL 12/31/9999 20121 51552071008 COD LIVER OIL 12/31/9999 20121 60258077116 CODAL-DM SYP 12/31/9999 20121 00472074916 CODAMINE SYP 25-5/5ML 12/31/9999 20121 00472074816 CODAMINE PED SYP 12.5-2.5 12/31/9999 20121 00054024324 CODEINE SULF TAB 15MG 12/31/9999 20121 00054024424 CODEINE SULF TAB 30MG 12/31/9999 20121 00054024425 CODEINE SULF TAB 30MG 12/31/9999 20121 00054415625 CODEINE SULF TAB 30MG 05/31/2012 20121 00054815624 CODEINE SULF TAB 30MG 05/31/2012 20121 68462019301 CODEINE SULF TAB 30MG 12/31/9999 20121 00054024525 CODEINE SULF TAB 60MG 12/31/9999 20121 00054415725 CODEINE SULF TAB 60MG 05/31/2012 20121 68462019401 CODEINE SULF TAB 60MG 12/31/9999 20121 52152017202 CODEINE/GG TAB 10-300 12/31/9999 20121 00131503864 CODIMAL PH SYP 12/31/9999 20121 00131503870 CODIMAL PH SYP 12/31/9999 20121 00603072854 CODITUSS DM SYP 12/31/9999 20121 00536193807 COENZYME Q10 CAP 100MG 12/31/9999 20121 67386061152 COGENTIN INJ 1MG/ML 12/31/9999 20121 00131210437 CO-GESIC TAB 500-5MG 12/31/9999 20121 67618010110 COLACE CAP 100MG 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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