August 31, 2012 - Iowa Medicaid Enterprise
August 31, 2012 - Iowa Medicaid Enterprise
August 31, 2012 - Iowa Medicaid Enterprise
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NDC Product Description Termination Date Quarter Covered<br />
00228203950 ALPRAZOLAM TAB 2MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378400701 ALPRAZOLAM TAB 2MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00603213021 ALPRAZOLAM TAB 2MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00603213028 ALPRAZOLAM TAB 2MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781108901 ALPRAZOLAM TAB 2MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781108905 ALPRAZOLAM TAB 2MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00904586161 ALPRAZOLAM TAB 2MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
47335060688 ALPRAZOLAM TAB 2MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59762372201 ALPRAZOLAM TAB 2MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59762372203 ALPRAZOLAM TAB 2MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
64376063301 ALPRAZOLAM TAB 2MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
64376063305 ALPRAZOLAM TAB 2MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
67253090<strong>31</strong>0 ALPRAZOLAM TAB 2MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
67253090350 ALPRAZOLAM TAB 2MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00093545206 ALPRAZOLAM TAB 2MG ER 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00228308706 ALPRAZOLAM TAB 2MG ER 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378502391 ALPRAZOLAM TAB 2MG ER 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
64980014206 ALPRAZOLAM TAB 2MG ER 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
65162081206 ALPRAZOLAM TAB 2MG ER 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00228402511 ALPRAZOLAM TAB 2MG ODT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
49884021474 ALPRAZOLAM TAB 2MG ODT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00093545306 ALPRAZOLAM TAB 3MG ER 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00228308606 ALPRAZOLAM TAB 3MG ER 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378502491 ALPRAZOLAM TAB 3MG ER 11/30/<strong>2012</strong> <strong>2012</strong>1<br />
64980014306 ALPRAZOLAM TAB 3MG ER 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
65162081306 ALPRAZOLAM TAB 3MG ER 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59762005701 ALPRAZOLAM TAB XR 0.5MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59762005901 ALPRAZOLAM TAB XR 1MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59762006601 ALPRAZOLAM TAB XR 2MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59762006801 ALPRAZOLAM TAB XR 3MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
0070<strong>31</strong>50101 ALPROSTADIL INJ 500MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
0070<strong>31</strong>50102 ALPROSTADIL INJ 500MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
24208035305 ALREX SUS 0.2% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
24208035<strong>31</strong>0 ALREX SUS 0.2% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00007518022 ALTABAX OIN 1% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00007518025 ALTABAX OIN 1% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
61570011001 ALTACE CAP 1.25MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
61570012001 ALTACE CAP 10MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
61570011101 ALTACE CAP 2.5MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
61570011201 ALTACE CAP 5MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781558307 ALTAVERA TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781558<strong>31</strong>5 ALTAVERA TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781558336 ALTAVERA TAB 06/30/2013 <strong>2012</strong>1<br />
59630062830 ALTOPREV TAB 20MG ER 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59630062930 ALTOPREV TAB 40MG ER 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59630063030 ALTOPREV TAB 60MG ER 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00121073330 ALUM HYDROX SUS 320/5ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00536009185 ALUM HYDROX SUS 320/5ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00121060112 ALUM HYDROX SUS 600/5ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552071406 ALUM POTASS GRA 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552071409 ALUM POTASS POW SULFATE 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51224015324 ALUMINUM ACE POW ASTRINGN 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
38779068505 ALUMINUM CHL POW ANHYDROU 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
38779068508 ALUMINUM CHL POW ANHYDROU 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
38779068509 ALUMINUM CHL POW ANHYDROU 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00259113980 ALUVEA CRE 39% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
63402071201 ALVESCO AER 160MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
63402071101 ALVESCO AER 80MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527170401 AMANTADINE CAP 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527170405 AMANTADINE CAP 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781204801 AMANTADINE CAP 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781204805 AMANTADINE CAP 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00832101500 AMANTADINE CAP 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00832101550 AMANTADINE CAP 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00832<strong>2012</strong>00 AMANTADINE CAP 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00832<strong>2012</strong>50 AMANTADINE CAP 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51079048101 AMANTADINE CAP 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1
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