August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 00071374066 DILANTIN CAP 30MG 12/31/9999 20121 00071000724 DILANTIN CHW 50MG 12/31/9999 20121 00071000740 DILANTIN CHW 50MG 12/31/9999 20121 00071221420 DILANTIN-125 SUS 125/5ML 12/31/9999 20121 00091092001 DILATRATE SR CAP 40MG 12/31/9999 20121 52244092010 DILATRATE SR CAP 40MG 12/31/9999 20121 59011044110 DILAUDID INJ 1MG/ML 12/31/9999 20121 59011044210 DILAUDID INJ 2MG/ML 12/31/9999 20121 59011044225 DILAUDID INJ 2MG/ML 12/31/9999 20121 59011044410 DILAUDID INJ 4MG/ML 12/31/9999 20121 59011045201 DILAUDID TAB 2MG 12/31/9999 20121 59011045210 DILAUDID TAB 2MG 12/31/9999 20121 59011045401 DILAUDID TAB 4MG 12/31/9999 20121 59011045405 DILAUDID TAB 4MG 12/31/9999 20121 59011045410 DILAUDID TAB 4MG 12/31/9999 20121 59011045810 DILAUDID TAB 8MG 12/31/9999 20121 59011045101 DILAUDID-5 LIQ 1MG/ML 12/31/9999 20121 59011044501 DILAUDID-HP INJ 10MG/ML 12/31/9999 20121 59011044505 DILAUDID-HP INJ 10MG/ML 12/31/9999 20121 59011044550 DILAUDID-HP INJ 10MG/ML 12/31/9999 20121 59011044625 DILAUDID-HP INJ 250MG 12/31/9999 20121 50991020016 DILEX-G LIQ 100-100 12/31/9999 20121 50991040001 DILEX-G TAB 200-200 12/31/9999 20121 50991021416 DILEX-G 200 SYP 12/31/9999 20121 50991041301 DILEX-G 400 TAB 12/31/9999 20121 60505000704 DILT-CD CAP 120MG 12/31/9999 20121 60505000708 DILT-CD CAP 120MG 12/31/9999 20121 60505000804 DILT-CD CAP 180MG 12/31/9999 20121 60505000808 DILT-CD CAP 180MG 12/31/9999 20121 60505000904 DILT-CD CAP 240MG 12/31/9999 20121 60505000908 DILT-CD CAP 240MG 12/31/9999 20121 60505001004 DILT-CD CAP 300MG 12/31/9999 20121 60505001008 DILT-CD CAP 300MG 12/31/9999 20121 62037054801 DILTIA XT CAP 120MG/24 12/31/9999 20121 62037054810 DILTIA XT CAP 120MG/24 12/31/9999 20121 62037054901 DILTIA XT CAP 180MG/24 12/31/9999 20121 62037054910 DILTIA XT CAP 180MG/24 12/31/9999 20121 62037055001 DILTIA XT CAP 240MG/24 12/31/9999 20121 62037055010 DILTIA XT CAP 240MG/24 12/31/9999 20121 00228258803 DILTIAZEM CAP 120MG CD 12/31/9999 20121 00228258809 DILTIAZEM CAP 120MG CD 12/31/9999 20121 00228258850 DILTIAZEM CAP 120MG CD 12/31/9999 20121 00228258873 DILTIAZEM CAP 120MG CD 12/31/9999 20121 62584097401 DILTIAZEM CAP 120MG CD 12/31/9999 20121 62584097430 DILTIAZEM CAP 120MG CD 12/31/9999 20121 62584097490 DILTIAZEM CAP 120MG CD 12/31/9999 20121 63739028331 DILTIAZEM CAP 120MG CD 12/31/9999 20121 00093511298 DILTIAZEM CAP 120MG ER 12/31/9999 20121 00378522001 DILTIAZEM CAP 120MG ER 12/31/9999 20121 00378522005 DILTIAZEM CAP 120MG ER 12/31/9999 20121 00378612001 DILTIAZEM CAP 120MG ER 12/31/9999 20121 47335067513 DILTIAZEM CAP 120MG ER 12/31/9999 20121 47335067581 DILTIAZEM CAP 120MG ER 12/31/9999 20121 51079092601 DILTIAZEM CAP 120MG ER 12/31/9999 20121 51079092620 DILTIAZEM CAP 120MG ER 12/31/9999 20121 51079094701 DILTIAZEM CAP 120MG ER 12/31/9999 20121 51079094708 DILTIAZEM CAP 120MG ER 12/31/9999 20121 63739028310 DILTIAZEM CAP 120MG ER 12/31/9999 20121 00258368790 DILTIAZEM CAP 120MG/24 12/31/9999 20121 47335066913 DILTIAZEM CAP 120MG/24 12/31/9999 20121 47335066981 DILTIAZEM CAP 120MG/24 12/31/9999 20121 47335066983 DILTIAZEM CAP 120MG/24 12/31/9999 20121 00228257703 DILTIAZEM CAP 180MG CD 12/31/9999 20121 00228257709 DILTIAZEM CAP 180MG CD 12/31/9999 20121 00228257750 DILTIAZEM CAP 180MG CD 12/31/9999 20121 00228257773 DILTIAZEM CAP 180MG CD 12/31/9999 20121 62584097501 DILTIAZEM CAP 180MG CD 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 62584097530 DILTIAZEM CAP 180MG CD 12/31/9999 20121 62584097590 DILTIAZEM CAP 180MG CD 12/31/9999 20121 63739028431 DILTIAZEM CAP 180MG CD 12/31/9999 20121 00093511798 DILTIAZEM CAP 180MG ER 12/31/9999 20121 00378528001 DILTIAZEM CAP 180MG ER 12/31/9999 20121 00378528005 DILTIAZEM CAP 180MG ER 12/31/9999 20121 47335067613 DILTIAZEM CAP 180MG ER 12/31/9999 20121 47335067681 DILTIAZEM CAP 180MG ER 12/31/9999 20121 51079094801 DILTIAZEM CAP 180MG ER 12/31/9999 20121 51079094808 DILTIAZEM CAP 180MG ER 12/31/9999 20121 63739028410 DILTIAZEM CAP 180MG ER 12/31/9999 20121 00258368890 DILTIAZEM CAP 180MG/24 12/31/9999 20121 47335067013 DILTIAZEM CAP 180MG/24 12/31/9999 20121 47335067081 DILTIAZEM CAP 180MG/24 12/31/9999 20121 47335067083 DILTIAZEM CAP 180MG/24 12/31/9999 20121 00228257803 DILTIAZEM CAP 240MG CD 12/31/9999 20121 00228257809 DILTIAZEM CAP 240MG CD 12/31/9999 20121 00228257850 DILTIAZEM CAP 240MG CD 12/31/9999 20121 00228257873 DILTIAZEM CAP 240MG CD 12/31/9999 20121 62584097601 DILTIAZEM CAP 240MG CD 12/31/9999 20121 62584097630 DILTIAZEM CAP 240MG CD 12/31/9999 20121 62584097690 DILTIAZEM CAP 240MG CD 12/31/9999 20121 63739028504 DILTIAZEM CAP 240MG CD 12/31/9999 20121 63739028510 DILTIAZEM CAP 240MG CD 12/31/9999 20121 63739028531 DILTIAZEM CAP 240MG CD 12/31/9999 20121 00093511898 DILTIAZEM CAP 240MG ER 12/31/9999 20121 00378534001 DILTIAZEM CAP 240MG ER 12/31/9999 20121 00378534005 DILTIAZEM CAP 240MG ER 12/31/9999 20121 47335067713 DILTIAZEM CAP 240MG ER 12/31/9999 20121 47335067781 DILTIAZEM CAP 240MG ER 12/31/9999 20121 51079094901 DILTIAZEM CAP 240MG ER 12/31/9999 20121 51079094908 DILTIAZEM CAP 240MG ER 12/31/9999 20121 00258368990 DILTIAZEM CAP 240MG/24 12/31/9999 20121 47335067113 DILTIAZEM CAP 240MG/24 12/31/9999 20121 47335067181 DILTIAZEM CAP 240MG/24 12/31/9999 20121 47335067183 DILTIAZEM CAP 240MG/24 12/31/9999 20121 00228257903 DILTIAZEM CAP 300MG CD 12/31/9999 20121 00228257909 DILTIAZEM CAP 300MG CD 12/31/9999 20121 00228257950 DILTIAZEM CAP 300MG CD 12/31/9999 20121 62584097701 DILTIAZEM CAP 300MG CD 12/31/9999 20121 62584097730 DILTIAZEM CAP 300MG CD 12/31/9999 20121 62584097790 DILTIAZEM CAP 300MG CD 12/31/9999 20121 00093511998 DILTIAZEM CAP 300MG ER 12/31/9999 20121 47335067813 DILTIAZEM CAP 300MG ER 12/31/9999 20121 47335067881 DILTIAZEM CAP 300MG ER 12/31/9999 20121 00258369090 DILTIAZEM CAP 300MG/24 12/31/9999 20121 47335067213 DILTIAZEM CAP 300MG/24 12/31/9999 20121 47335067281 DILTIAZEM CAP 300MG/24 12/31/9999 20121 47335067283 DILTIAZEM CAP 300MG/24 12/31/9999 20121 47335067981 DILTIAZEM CAP 360MG ER 12/31/9999 20121 00258369190 DILTIAZEM CAP 360MG/24 12/31/9999 20121 47335067313 DILTIAZEM CAP 360MG/24 12/31/9999 20121 47335067381 DILTIAZEM CAP 360MG/24 12/31/9999 20121 47335067383 DILTIAZEM CAP 360MG/24 12/31/9999 20121 00258369290 DILTIAZEM CAP 420MG/24 12/31/9999 20121 00378606001 DILTIAZEM CAP 60MG ER 12/31/9999 20121 51079092401 DILTIAZEM CAP 60MG ER 12/31/9999 20121 51079092420 DILTIAZEM CAP 60MG ER 12/31/9999 20121 00378609001 DILTIAZEM CAP 90MG ER 12/31/9999 20121 51079092501 DILTIAZEM CAP 90MG ER 12/31/9999 20121 51079092520 DILTIAZEM CAP 90MG ER 12/31/9999 20121 00409435003 DILTIAZEM INJ 100MG 12/31/9999 20121 00641601510 DILTIAZEM INJ 125/25ML 12/31/9999 20121 55390037430 DILTIAZEM INJ 125/25ML 12/31/9999 20121 55390056530 DILTIAZEM INJ 125/25ML 12/31/9999 20121 55390056630 DILTIAZEM INJ 125/25ML 12/31/9999 20121 00409117101 DILTIAZEM INJ 25MG/5ML 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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