August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 16714035301 FLUOXETINE CAP 40MG 12/31/2020 20121 16714035302 FLUOXETINE CAP 40MG 12/31/2020 20121 16714035303 FLUOXETINE CAP 40MG 12/31/2020 20121 16714035304 FLUOXETINE CAP 40MG 12/31/2020 20121 49884087201 FLUOXETINE CAP 40MG 12/31/9999 20121 49884087205 FLUOXETINE CAP 40MG 12/31/9999 20121 49884087211 FLUOXETINE CAP 40MG 12/31/9999 20121 55111014901 FLUOXETINE CAP 40MG 12/31/9999 20121 55111014930 FLUOXETINE CAP 40MG 12/31/9999 20121 63304063201 FLUOXETINE CAP 40MG 12/31/9999 20121 63304063230 FLUOXETINE CAP 40MG 12/31/9999 20121 65862019401 FLUOXETINE CAP 40MG 12/31/9999 20121 65862019430 FLUOXETINE CAP 40MG 12/31/9999 20121 00555087154 FLUOXETINE CAP 90MG DR 12/31/9999 20121 00555087188 FLUOXETINE CAP 90MG DR 12/31/9999 20121 55111028448 FLUOXETINE CAP 90MG DR 12/31/9999 20121 00472002104 FLUOXETINE LIQ 20MG/5ML 12/31/9999 20121 38779001305 FLUOXETINE POW HCL 12/31/9999 20121 38779001308 FLUOXETINE POW HCL 12/31/9999 20121 00093610812 FLUOXETINE SOL 20MG/5ML 12/31/9999 20121 00121072104 FLUOXETINE SOL 20MG/5ML 12/31/9999 20121 00121472105 FLUOXETINE SOL 20MG/5ML 12/31/9999 20121 00406066701 FLUOXETINE SOL 20MG/5ML 12/31/9999 20121 54838052340 FLUOXETINE SOL 20MG/5ML 12/31/9999 20121 60505035201 FLUOXETINE SOL 20MG/5ML 12/31/9999 20121 00093718856 FLUOXETINE TAB 10MG 12/31/9999 20121 49884073401 FLUOXETINE TAB 10MG 12/31/9999 20121 49884073410 FLUOXETINE TAB 10MG 12/31/9999 20121 49884073411 FLUOXETINE TAB 10MG 12/31/9999 20121 49884073501 FLUOXETINE TAB 20MG 12/31/9999 20121 49884073510 FLUOXETINE TAB 20MG 12/31/9999 20121 49884073511 FLUOXETINE TAB 20MG 12/31/9999 20121 49909000530 FLUOXETINE TAB 60MG 12/31/9999 20121 60505066402 FLUPHENAZ DE INJ 25MG/ML 12/31/9999 20121 63323027205 FLUPHENAZ DE INJ 25MG/ML 12/31/9999 20121 00121065304 FLUPHENAZINE CON 5MG/ML 12/31/9999 20121 00121065402 FLUPHENAZINE ELX 2.5/5ML 12/31/9999 20121 00121065416 FLUPHENAZINE ELX 2.5/5ML 12/31/9999 20121 63323028110 FLUPHENAZINE INJ 2.5MG/ML 12/31/9999 20121 00378609701 FLUPHENAZINE TAB 10MG 12/31/9999 20121 00378609705 FLUPHENAZINE TAB 10MG 12/31/9999 20121 00527179101 FLUPHENAZINE TAB 10MG 12/31/9999 20121 00527179105 FLUPHENAZINE TAB 10MG 12/31/9999 20121 00781143901 FLUPHENAZINE TAB 10MG 12/31/9999 20121 51079048801 FLUPHENAZINE TAB 10MG 12/31/9999 20121 51079048820 FLUPHENAZINE TAB 10MG 12/31/9999 20121 00378600401 FLUPHENAZINE TAB 1MG 12/31/9999 20121 00378600405 FLUPHENAZINE TAB 1MG 12/31/9999 20121 00527178801 FLUPHENAZINE TAB 1MG 12/31/9999 20121 00781143601 FLUPHENAZINE TAB 1MG 12/31/9999 20121 00781143613 FLUPHENAZINE TAB 1MG 12/31/9999 20121 51079048501 FLUPHENAZINE TAB 1MG 12/31/9999 20121 51079048520 FLUPHENAZINE TAB 1MG 12/31/9999 20121 00378600901 FLUPHENAZINE TAB 2.5MG 12/31/9999 20121 00378600905 FLUPHENAZINE TAB 2.5MG 12/31/9999 20121 00527178901 FLUPHENAZINE TAB 2.5MG 12/31/9999 20121 00781143701 FLUPHENAZINE TAB 2.5MG 12/31/9999 20121 51079048601 FLUPHENAZINE TAB 2.5MG 12/31/9999 20121 51079048620 FLUPHENAZINE TAB 2.5MG 12/31/9999 20121 00378607401 FLUPHENAZINE TAB 5MG 12/31/9999 20121 00378607405 FLUPHENAZINE TAB 5MG 12/31/9999 20121 00527179001 FLUPHENAZINE TAB 5MG 12/31/9999 20121 00527179005 FLUPHENAZINE TAB 5MG 12/31/9999 20121 00781143801 FLUPHENAZINE TAB 5MG 12/31/9999 20121 51079048701 FLUPHENAZINE TAB 5MG 12/31/9999 20121 51079048720 FLUPHENAZINE TAB 5MG 12/31/9999 20121 58223068424 FLURA-DROPS DRO 0.25MG F 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 00143336701 FLURAZEPAM CAP 15MG 12/31/9999 20121 00143336705 FLURAZEPAM CAP 15MG 12/31/9999 20121 00228202150 FLURAZEPAM CAP 15MG 12/31/9999 20121 00378441501 FLURAZEPAM CAP 15MG 12/31/9999 20121 00378441505 FLURAZEPAM CAP 15MG 12/31/9999 20121 00143337001 FLURAZEPAM CAP 30MG 12/31/9999 20121 00143337005 FLURAZEPAM CAP 30MG 12/31/9999 20121 00228202210 FLURAZEPAM CAP 30MG 12/31/9999 20121 00228202250 FLURAZEPAM CAP 30MG 12/31/9999 20121 00378443001 FLURAZEPAM CAP 30MG 12/31/9999 20121 00378443005 FLURAZEPAM CAP 30MG 05/31/2013 20121 38779036204 FLURBIPROFEN POW 12/31/9999 20121 38779036205 FLURBIPROFEN POW 12/31/9999 20121 24208031425 FLURBIPROFEN SOL 0.03% OP 12/31/9999 20121 60758091003 FLURBIPROFEN SOL 0.03% OP 12/31/9999 20121 00093071101 FLURBIPROFEN TAB 100MG 12/31/9999 20121 00093071105 FLURBIPROFEN TAB 100MG 12/31/9999 20121 00378009301 FLURBIPROFEN TAB 100MG 12/31/9999 20121 00378009305 FLURBIPROFEN TAB 100MG 12/31/2013 20121 57664016508 FLURBIPROFEN TAB 100MG 12/31/9999 20121 57664016513 FLURBIPROFEN TAB 100MG 12/31/9999 20121 00378007601 FLURBIPROFEN TAB 50MG 12/31/9999 20121 57664016408 FLURBIPROFEN TAB 50MG 12/31/9999 20121 00172496058 FLUTAMIDE CAP 125MG 12/31/9999 20121 00172496070 FLUTAMIDE CAP 125MG 12/31/9999 20121 00185112505 FLUTAMIDE CAP 125MG 12/31/9999 20121 00185112518 FLUTAMIDE CAP 125MG 12/31/9999 20121 00185112588 FLUTAMIDE CAP 125MG 12/31/9999 20121 00591222718 FLUTAMIDE CAP 125MG 12/31/2013 20121 00591246618 FLUTAMIDE CAP 125MG 12/31/9999 20121 49884075313 FLUTAMIDE CAP 125MG 12/31/9999 20121 00168033215 FLUTICASONE CRE 0.05% 12/31/9999 20121 00168033230 FLUTICASONE CRE 0.05% 12/31/9999 20121 00168033260 FLUTICASONE CRE 0.05% 12/31/9999 20121 00713063115 FLUTICASONE CRE 0.05% 12/31/9999 20121 00713063131 FLUTICASONE CRE 0.05% 12/31/9999 20121 00713063160 FLUTICASONE CRE 0.05% 12/31/9999 20121 45802022211 FLUTICASONE CRE 0.05% 12/31/9999 20121 45802022235 FLUTICASONE CRE 0.05% 12/31/9999 20121 45802022237 FLUTICASONE CRE 0.05% 12/31/9999 20121 68462042702 FLUTICASONE LOT 0.05% 12/31/9999 20121 00168033360 FLUTICASONE OIN 0.005% 12/31/9999 20121 00713063215 FLUTICASONE OIN 0.005% 12/31/9999 20121 00713063231 FLUTICASONE OIN 0.005% 12/31/9999 20121 00713063260 FLUTICASONE OIN 0.005% 12/31/9999 20121 45802022111 FLUTICASONE OIN 0.005% 12/31/9999 20121 45802022135 FLUTICASONE OIN 0.005% 12/31/9999 20121 45802022137 FLUTICASONE OIN 0.005% 12/31/9999 20121 00054327099 FLUTICASONE SPR 50MCG 12/31/9999 20121 00173300101 FLUTICASONE SPR 50MCG 06/02/2012 20121 50383070016 FLUTICASONE SPR 50MCG 12/31/9999 20121 60432026415 FLUTICASONE SPR 50MCG 12/31/9999 20121 60505082901 FLUTICASONE SPR 50MCG 12/31/9999 20121 60505084703 FLUTICASONE SPR 50MCG 12/31/9999 20121 00185015701 FLUVOXAMINE TAB 100MG 12/31/9999 20121 00185015705 FLUVOXAMINE TAB 100MG 12/31/9999 20121 00228265611 FLUVOXAMINE TAB 100MG 12/31/9999 20121 00378041401 FLUVOXAMINE TAB 100MG 12/31/9999 20121 00555096902 FLUVOXAMINE TAB 100MG 12/31/9999 20121 42769122100 FLUVOXAMINE TAB 100MG 04/30/2014 20121 51079099301 FLUVOXAMINE TAB 100MG 12/31/9999 20121 51079099320 FLUVOXAMINE TAB 100MG 12/31/9999 20121 57664036213 FLUVOXAMINE TAB 100MG 12/31/9999 20121 57664036288 FLUVOXAMINE TAB 100MG 12/31/9999 20121 60505016601 FLUVOXAMINE TAB 100MG 12/31/9999 20121 62559016001 FLUVOXAMINE TAB 100MG 12/31/9999 20121 00185001701 FLUVOXAMINE TAB 25MG 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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