August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 00713060435 FORMULATION CRE R 12/31/9999 20121 00713065035 FORMULATION CRE R 12/31/9999 20121 00713029831 FORMULATION OIN R 12/31/9999 20121 00713029832 FORMULATION OIN R 12/31/9999 20121 59630057560 FORTAMET TAB 1000MG 12/31/9999 20121 59630057460 FORTAMET TAB 500MG 12/31/9999 20121 00173037810 FORTAZ INJ 1GM 12/31/9999 20121 00173041200 FORTAZ INJ 1GM 12/31/9999 20121 00173043400 FORTAZ INJ 1GM 12/31/9999 20121 00173037934 FORTAZ INJ 2GM 12/31/9999 20121 00173041300 FORTAZ INJ 2GM 12/31/9999 20121 00173043500 FORTAZ INJ 2GM 12/31/9999 20121 00173037710 FORTAZ INJ 500MG 12/31/9999 20121 00173038237 FORTAZ INJ 6GM 12/31/9999 20121 00002840001 FORTEO SOL 600/2.4 12/31/9999 20121 63481018316 FORTESTA GEL 10MG/ACT 12/31/9999 20121 00245000835 FORTICAL SPR 200/ACT 12/31/9999 20121 00006003144 FOSAMAX TAB 70MG 12/31/9999 20121 00006071044 FOSAMAX + D TAB 70-2800 12/31/9999 20121 00006027044 FOSAMAX + D TAB 70-5600 12/31/9999 20121 00409386302 FOSCARNET INJ 24MG/ML 12/31/9999 20121 00409386305 FOSCARNET INJ 24MG/ML 12/31/9999 20121 00178003112 FOSFREE TAB 12/31/9999 20121 00178003160 FOSFREE TAB 12/31/9999 20121 00185034101 FOSINOP/HCTZ TAB 10/12.5 12/31/9999 20121 23155006001 FOSINOP/HCTZ TAB 10/12.5 12/31/9999 20121 59762525001 FOSINOP/HCTZ TAB 10/12.5 12/31/9999 20121 59762525004 FOSINOP/HCTZ TAB 10/12.5 12/31/9999 20121 63304040301 FOSINOP/HCTZ TAB 10/12.5 12/31/9999 20121 65862030801 FOSINOP/HCTZ TAB 10/12.5 12/31/9999 20121 68462055401 FOSINOP/HCTZ TAB 10/12.5 12/31/9999 20121 00185034201 FOSINOP/HCTZ TAB 20/12.5 12/31/9999 20121 23155006101 FOSINOP/HCTZ TAB 20/12.5 12/31/9999 20121 59762525101 FOSINOP/HCTZ TAB 20/12.5 12/31/9999 20121 59762525104 FOSINOP/HCTZ TAB 20/12.5 12/31/9999 20121 63304040401 FOSINOP/HCTZ TAB 20/12.5 12/31/9999 20121 65862030901 FOSINOP/HCTZ TAB 20/12.5 12/31/9999 20121 68462055501 FOSINOP/HCTZ TAB 20/12.5 12/31/9999 20121 00093722210 FOSINOPRIL TAB 10MG 12/31/9999 20121 00093722298 FOSINOPRIL TAB 10MG 12/31/9999 20121 00185004109 FOSINOPRIL TAB 10MG 12/31/9999 20121 00185004110 FOSINOPRIL TAB 10MG 12/31/9999 20121 31722020090 FOSINOPRIL TAB 10MG 12/31/9999 20121 60505251002 FOSINOPRIL TAB 10MG 12/31/9999 20121 60505251004 FOSINOPRIL TAB 10MG 12/31/9999 20121 63304077510 FOSINOPRIL TAB 10MG 12/31/9999 20121 63304077590 FOSINOPRIL TAB 10MG 12/31/9999 20121 68462036790 FOSINOPRIL TAB 10MG 12/31/9999 20121 00093722310 FOSINOPRIL TAB 20MG 12/31/9999 20121 00093722398 FOSINOPRIL TAB 20MG 12/31/9999 20121 00185004209 FOSINOPRIL TAB 20MG 12/31/9999 20121 00185004210 FOSINOPRIL TAB 20MG 12/31/9999 20121 31722020190 FOSINOPRIL TAB 20MG 12/31/9999 20121 60505251102 FOSINOPRIL TAB 20MG 12/31/9999 20121 60505251104 FOSINOPRIL TAB 20MG 12/31/9999 20121 63304077610 FOSINOPRIL TAB 20MG 12/31/9999 20121 63304077690 FOSINOPRIL TAB 20MG 12/31/9999 20121 68462036890 FOSINOPRIL TAB 20MG 12/31/9999 20121 00093722410 FOSINOPRIL TAB 40MG 12/31/9999 20121 00093722498 FOSINOPRIL TAB 40MG 12/31/9999 20121 00185004709 FOSINOPRIL TAB 40MG 12/31/9999 20121 00185004710 FOSINOPRIL TAB 40MG 12/31/9999 20121 31722020290 FOSINOPRIL TAB 40MG 12/31/9999 20121 60505251202 FOSINOPRIL TAB 40MG 12/31/9999 20121 60505251208 FOSINOPRIL TAB 40MG 12/31/9999 20121 63304077710 FOSINOPRIL TAB 40MG 12/31/9999 20121 63304077790 FOSINOPRIL TAB 40MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 68462036990 FOSINOPRIL TAB 40MG 12/31/9999 20121 00143978825 FOSPHENYTOIN INJ 100/2ML 12/31/9999 20121 00409485702 FOSPHENYTOIN INJ 100/2ML 12/31/9999 20121 00409485749 FOSPHENYTOIN INJ 100/2ML 12/31/9999 20121 00517690225 FOSPHENYTOIN INJ 100/2ML 12/31/9999 20121 63323040302 FOSPHENYTOIN INJ 100/2ML 12/31/9999 20121 00143978210 FOSPHENYTOIN INJ 500/10ML 12/31/9999 20121 00409485710 FOSPHENYTOIN INJ 500/10ML 12/31/9999 20121 00409485750 FOSPHENYTOIN INJ 500/10ML 12/31/9999 20121 60505076504 FOSPHENYTOIN INJ 500/10ML 12/31/9999 20121 63323040310 FOSPHENYTOIN INJ 500/10ML 12/31/9999 20121 54092025410 FOSRENOL CHW 1000MG 12/31/9999 20121 54092025490 FOSRENOL CHW 1000MG 12/31/9999 20121 54092025245 FOSRENOL CHW 500MG 12/31/9999 20121 54092025290 FOSRENOL CHW 500MG 12/31/9999 20121 54092025315 FOSRENOL CHW 750MG 12/31/9999 20121 54092025390 FOSRENOL CHW 750MG 12/31/9999 20121 62856010101 FRAGMIN INJ 10000/ML 12/31/9999 20121 62856010110 FRAGMIN INJ 10000/ML 12/31/9999 20121 62856012501 FRAGMIN INJ 12500UNT 12/31/9999 20121 62856012510 FRAGMIN INJ 12500UNT 12/31/9999 20121 62856015001 FRAGMIN INJ 15000UNT 12/31/9999 20121 62856015010 FRAGMIN INJ 15000UNT 12/31/9999 20121 62856018001 FRAGMIN INJ 18000UNT 12/31/9999 20121 62856018010 FRAGMIN INJ 18000UNT 12/31/9999 20121 62856025001 FRAGMIN INJ 2500/0.2 12/31/9999 20121 62856025010 FRAGMIN INJ 2500/0.2 12/31/9999 20121 62856025101 FRAGMIN INJ 25000/ML 12/31/9999 20121 62856050001 FRAGMIN INJ 5000/0.2 12/31/9999 20121 62856050010 FRAGMIN INJ 5000/0.2 12/31/9999 20121 62856075001 FRAGMIN INJ 7500/0.3 12/31/9999 20121 62856075010 FRAGMIN INJ 7500/0.3 12/31/9999 20121 00264935055 FREAMINE HBC INJ 6.9% 12/31/9999 20121 00264901055 FREAMINE III INJ 10% 12/31/9999 20121 00264904055 FREAMINE III INJ 3% 12/31/9999 20121 00264903055 FREAMINE III INJ 8.5% 12/31/9999 20121 00264903155 FREAMINE III INJ 8.5% 12/31/9999 20121 15821010115 FRESHKOTE DRO 12/31/9999 20121 63481002509 FROVA TAB 2.5MG 12/31/9999 20121 51552124007 FRUIT BLEND POW FLAVOR 12/31/9999 20121 00182431401 FRUITY CHEWS CHW NF 07/31/2012 20121 51552040906 FULLERS POW EARTH 12/31/9999 20121 51552040909 FULLERS POW EARTH 12/31/9999 20121 00884549301 FUNGOID TINC KIT 12/31/9999 20121 00884029301 FUNGOID TINC SOL 2% 12/31/9999 20121 59630045008 FURADANTIN SUS 25MG/5ML 12/31/9999 20121 00409163910 FUROSEMIDE INJ 10MG/ML 12/31/9999 20121 00409610202 FUROSEMIDE INJ 10MG/ML 12/31/9999 20121 00409610204 FUROSEMIDE INJ 10MG/ML 12/31/9999 20121 00409610210 FUROSEMIDE INJ 10MG/ML 12/31/9999 20121 00409963104 FUROSEMIDE INJ 10MG/ML 12/31/9999 20121 00517570225 FUROSEMIDE INJ 10MG/ML 12/31/9999 20121 00517570425 FUROSEMIDE INJ 10MG/ML 12/31/9999 20121 00517571025 FUROSEMIDE INJ 10MG/ML 12/31/9999 20121 63323028002 FUROSEMIDE INJ 10MG/ML 12/31/9999 20121 63323028004 FUROSEMIDE INJ 10MG/ML 12/31/9999 20121 63323028010 FUROSEMIDE INJ 10MG/ML 12/31/9999 20121 51552094002 FUROSEMIDE POW 12/31/9999 20121 00054329446 FUROSEMIDE SOL 10MG/ML 12/31/9999 20121 00054329450 FUROSEMIDE SOL 10MG/ML 12/31/9999 20121 60432061304 FUROSEMIDE SOL 10MG/ML 12/31/9999 20121 60432061360 FUROSEMIDE SOL 10MG/ML 12/31/9999 20121 68094074259 FUROSEMIDE SOL 40MG/4ML 12/31/9999 20121 68094074262 FUROSEMIDE SOL 40MG/4ML 12/31/9999 20121 00054329863 FUROSEMIDE SOL 8MG/ML 12/31/9999 20121 00054829816 FUROSEMIDE SOL 8MG/ML 12/31/9999 20121 00054429725 FUROSEMIDE TAB 20MG 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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