August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 00088110747 ALLEGRA TAB 60MG 08/31/2012 20121 00088110755 ALLEGRA TAB 60MG 08/15/2012 20121 00088111330 ALLEGRA ODT TAB 30MG 07/31/2013 20121 00088109047 ALLEGRA-D TAB 12 HOUR 11/30/2012 20121 00088109055 ALLEGRA-D TAB 12 HOUR 11/30/2012 20121 00088109547 ALLEGRA-D TAB 24 HOUR 07/31/2013 20121 00536037097 ALLER-CHLOR SYP 2MG/5ML 12/31/9999 20121 00536346701 ALLER-CHLOR TAB 4MG 12/31/9999 20121 00536346710 ALLER-CHLOR TAB 4MG 12/31/9999 20121 00536346735 ALLER-CHLOR TAB 4MG 12/31/9999 20121 37205065065 ALLER-EASE TAB 180MG 12/31/9999 20121 37205065088 ALLER-EASE TAB 180MG 12/31/9999 20121 00536051085 ALLERFRIM SYP 1.25-30 06/30/2012 20121 00536051097 ALLERFRIM SYP 1.25-30 06/30/2012 20121 36800046262 ALLERGY CAP 25MG 12/31/9999 20121 36800046267 ALLERGY CAP 25MG 12/31/9999 20121 36800046278 ALLERGY CAP 25MG 12/31/9999 20121 50844029908 ALLERGY CAP 25MG 12/31/9999 20121 00713029531 ALLERGY CRE 2% 12/31/9999 20121 00904572815 ALLERGY TAB 10MG 12/31/9999 20121 00904572887 ALLERGY TAB 10MG 12/31/9999 20121 00904572889 ALLERGY TAB 10MG 12/31/9999 20121 00904580615 ALLERGY TAB 10MG 12/31/9999 20121 00904607440 ALLERGY TAB 10MG 12/31/9999 20121 00904607446 ALLERGY TAB 10MG 12/31/9999 20121 00904607460 ALLERGY TAB 10MG 12/31/9999 20121 00904607489 ALLERGY TAB 10MG 12/31/9999 20121 36800047962 ALLERGY TAB 25MG 12/31/9999 20121 36800047967 ALLERGY TAB 25MG 12/31/9999 20121 36800047978 ALLERGY TAB 25MG 12/31/9999 20121 36800047979 ALLERGY TAB 25MG 12/31/9999 20121 00904001205 ALLERGY TAB 4MG 12/31/9999 20121 00904001224 ALLERGY TAB 4MG 12/31/9999 20121 00904001259 ALLERGY TAB 4MG 12/31/9999 20121 00904001261 ALLERGY TAB 4MG 12/31/9999 20121 36800046362 ALLERGY TAB 4MG 12/31/9999 20121 37205021562 ALLERGY TAB 4MG 12/31/9999 20121 37205021578 ALLERGY TAB 4MG 12/31/9999 20121 00113047662 ALLERGY TAB MULTI-SY 12/31/9999 20121 36800047662 ALLERGY TAB MULTI-SY 12/31/9999 20121 36800047667 ALLERGY TAB MULTI-SY 12/31/9999 20121 37205094062 ALLERGY TAB MULTI-SY 12/31/9999 20121 00113046362 ALLERGY 4 HR TAB 4MG 12/31/9999 20121 00113046378 ALLERGY 4 HR TAB 4MG 12/31/9999 20121 62011005401 ALLERGY COMP SOL 1MG/ML 12/31/9999 20121 36800017653 ALLERGY D TAB 5-120MG 12/31/9999 20121 36800017662 ALLERGY D TAB 5-120MG 12/31/9999 20121 37205082762 ALLERGY D-12 TAB ALL DAY 12/31/9999 20121 37205063817 ALLERGY EYE DRO 0.025%OP 12/31/9999 20121 46122005360 ALLERGY PLUS TAB SEV/SINU 12/31/9999 20121 46122005262 ALLERGY PLUS TAB SINUS 12/31/9999 20121 62011007401 ALLERGY REL TAB 10MG 12/31/9999 20121 62011007402 ALLERGY REL TAB 10MG 12/31/9999 20121 62011007403 ALLERGY REL TAB 10MG 12/31/9999 20121 62011007101 ALLERGY REL/ TAB DECONGES 12/31/9999 20121 00113046262 ALLERGY RELF CAP 25MG 12/31/9999 20121 49348004534 ALLERGY RELF LIQ 12.5/5ML 12/31/9999 20121 49348004537 ALLERGY RELF LIQ 12.5/5ML 12/31/9999 20121 00113037926 ALLERGY RELF LIQ CHILDREN 12/31/9999 20121 63868015604 ALLERGY RELF SYP 5MG/5ML 12/31/9999 20121 37205037826 ALLERGY RELF SYP CHILD 12/31/9999 20121 49348068603 ALLERGY RELF TAB 1.34MG 12/31/9999 20121 00067611710 ALLERGY RELF TAB 10MG 12/31/9999 20121 00067611730 ALLERGY RELF TAB 10MG 12/31/9999 20121 00113061239 ALLERGY RELF TAB 10MG 12/31/9999 20121 00113061246 ALLERGY RELF TAB 10MG 12/31/9999 20121 00113061260 ALLERGY RELF TAB 10MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 00113061265 ALLERGY RELF TAB 10MG 12/31/9999 20121 24385016152 ALLERGY RELF TAB 10MG 12/31/9999 20121 24385051852 ALLERGY RELF TAB 10MG 12/31/9999 20121 24385054053 ALLERGY RELF TAB 10MG 12/31/9999 20121 36800061246 ALLERGY RELF TAB 10MG 12/31/9999 20121 36800061265 ALLERGY RELF TAB 10MG 12/31/9999 20121 36800061272 ALLERGY RELF TAB 10MG 12/31/9999 20121 36800061276 ALLERGY RELF TAB 10MG 12/31/9999 20121 36800061287 ALLERGY RELF TAB 10MG 12/31/9999 20121 37205038765 ALLERGY RELF TAB 10MG 12/31/9999 20121 49348081801 ALLERGY RELF TAB 10MG 12/31/9999 20121 49348081812 ALLERGY RELF TAB 10MG 12/31/9999 20121 49348081813 ALLERGY RELF TAB 10MG 12/31/9999 20121 49348081844 ALLERGY RELF TAB 10MG 12/31/9999 20121 51660052601 ALLERGY RELF TAB 10MG 12/31/9999 20121 51660052605 ALLERGY RELF TAB 10MG 12/31/9999 20121 51660052628 ALLERGY RELF TAB 10MG 12/31/9999 20121 51660052631 ALLERGY RELF TAB 10MG 12/31/9999 20121 51660052660 ALLERGY RELF TAB 10MG 12/31/9999 20121 51660052731 ALLERGY RELF TAB 10MG 12/31/9999 20121 62011007301 ALLERGY RELF TAB 10MG 12/31/9999 20121 63868015710 ALLERGY RELF TAB 10MG 12/31/9999 20121 00113047962 ALLERGY RELF TAB 25MG 12/31/9999 20121 00113047978 ALLERGY RELF TAB 25MG 12/31/9999 20121 37205034852 ALLERGY RELF TAB D-24 12/31/9999 20121 37205034888 ALLERGY RELF TAB D-24 12/31/9999 20121 49614017252 ALLERGY RELF TAB D-24 12/31/9999 20121 51660072411 ALLERGY RELF TAB DECONGES 12/31/9999 20121 51660072415 ALLERGY RELF TAB DECONGES 12/31/9999 20121 51660072469 ALLERGY RELF TAB DECONGES 12/31/9999 20121 24385035122 ALLERGY/CONG TAB 10-240MG 12/31/9999 20121 24385035152 ALLERGY/CONG TAB 10-240MG 12/31/9999 20121 62011012001 ALLERGY/CONG TAB 5-120MG 12/31/9999 20121 00113016522 ALLERGY/CONG TAB RELIEF 12/31/9999 20121 00113016552 ALLERGY/CONG TAB RELIEF 12/31/9999 20121 00113017653 ALLERGY-D TAB 5-120MG 12/31/9999 20121 00904583112 ALLERGY-D TAB 5-120MG 12/31/9999 20121 24385017553 ALLERGY-D TAB 5-120MG 12/31/9999 20121 24385017562 ALLERGY-D TAB 5-120MG 12/31/9999 20121 49348085104 ALLERGY-D TAB 5-120MG 12/31/9999 20121 37205022873 ALLERHIST-1 TAB 1.34MG 12/31/9999 20121 00113017662 ALLER-TEC D TAB 5-120MG 12/31/9999 20121 58605040001 ALLFEN TAB 400MG 12/31/9999 20121 58605040401 ALLFEN CD TAB 400-10MG 12/31/9999 20121 58605020516 ALLFEN CDX LIQ 12/31/9999 20121 58605040501 ALLFEN CDX TAB 400-20MG 12/31/9999 20121 58605040101 ALLFEN DM TAB 400-20MG 12/31/9999 20121 62011005501 ALLGY COMP-D TAB 5-120MG 12/31/9999 20121 62011005601 ALLGY MULTI CAP SYM 25MG 12/31/9999 20121 62011005603 ALLGY MULTI CAP SYM 25MG 12/31/9999 20121 00135046101 ALLI CAP 60MG 12/31/9999 20121 00135046102 ALLI CAP 60MG 12/31/9999 20121 00135046104 ALLI CAP 60MG 12/31/9999 20121 00135046105 ALLI CAP 60MG 12/31/9999 20121 00135046106 ALLI CAP 60MG 12/31/9999 20121 00135046107 ALLI CAP 60MG 12/31/9999 20121 00904577621 ALL-NITE LIQ COLD/FLU 12/31/9999 20121 00904577721 ALL-NITE LIQ COLD/FLU 12/31/9999 20121 55390010601 ALLOPURINOL INJ 500MG 12/31/9999 20121 00378013701 ALLOPURINOL TAB 100MG 12/31/9999 20121 00378013710 ALLOPURINOL TAB 100MG 12/31/9999 20121 00591554301 ALLOPURINOL TAB 100MG 12/31/9999 20121 00591554310 ALLOPURINOL TAB 100MG 12/31/9999 20121 00603211502 ALLOPURINOL TAB 100MG 12/31/9999 20121 00603211504 ALLOPURINOL TAB 100MG 12/31/9999 20121 00603211521 ALLOPURINOL TAB 100MG 12/31/9999 20121 00603211532 ALLOPURINOL TAB 100MG 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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