August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 24385010680 GNP ANTACID CHW 750MG 12/31/9999 20121 46122000741 GNP ANTACID CHW 750MG 12/31/9999 20121 24385035640 GNP ANTACID SUS ANTI-GAS 12/31/9999 20121 24385036240 GNP ANTACID SUS CHERRY 12/31/9999 20121 24385046072 GNP ANTI-GAS CAP 180MG 12/31/9999 20121 24385002868 GNP ASPIRIN CHW 81MG 12/31/9999 20121 24385027868 GNP ASPIRIN CHW 81MG 12/31/9999 20121 24385036468 GNP ASPIRIN CHW 81MG 12/31/9999 20121 24385041678 GNP ASPIRIN TAB 325MG 12/31/9999 20121 24385041687 GNP ASPIRIN TAB 325MG 12/31/9999 20121 24385042902 GNP ASPIRIN TAB 325MG EC 12/31/9999 20121 24385042990 GNP ASPIRIN TAB 325MG EC 12/31/9999 20121 24385020501 GNP ATHLETES CRE 1% 12/31/9999 20121 24385020503 GNP ATHLETES CRE 1% 12/31/9999 20121 24385090378 GNP BISA-LAX TAB 5MG EC 12/31/9999 20121 24385041396 GNP CALAMINE LOT 8-8% 12/31/9999 20121 24385040796 GNP CALAMINE LOT PHENOLAT 12/31/9999 20121 24385026226 GNP CGH RELF LIQ 15MG/5ML 12/31/9999 20121 24385026326 GNP CGH RELF LIQ 15MG/5ML 12/31/9999 20121 24385051726 GNP CLD/ALLE ELX CHILDREN 12/31/9999 20121 24385051734 GNP CLD/ALLE ELX CHILDREN 12/31/9999 20121 46122001431 GNP CLEARLAX POW 12/31/9999 20121 46122001433 GNP CLEARLAX POW 12/31/9999 20121 46122001471 GNP CLEARLAX POW 12/31/9999 20121 24385006662 GNP COLD TAB DAYTIME 12/31/9999 20121 24385019762 GNP COLD TAB HEAD CON 12/31/9999 20121 24385024154 GNP COLD&HOT OIN EXT ST 12/31/9999 20121 24385051926 GNP COLD/CGH ELX CHILD 12/31/9999 20121 46122006765 GNP COUGH LOZ 6.5MG 12/31/9999 20121 46122006665 GNP COUGH LOZ 7MG 12/31/9999 20121 46122000165 GNP COUGH LOZ HON LEMN 12/31/9999 20121 46122000263 GNP COUGH LOZ SF MENTH 12/31/9999 20121 46122000965 GNP DAILY MIS PRENATAL 12/31/9999 20121 24385003653 GNP DAY TIME CAP COLD/FLU 12/31/9999 20121 46122000460 GNP DAY TIME CAP SINUS 12/31/9999 20121 24385000530 GNP DAY TIME LIQ COLD/FLU 12/31/9999 20121 24385000538 GNP DAY TIME LIQ COLD/FLU 12/31/9999 20121 46122003238 GNP DAY TIME LIQ MUCUS DM 12/31/9999 20121 24385018351 GNP DAYHIST TAB 1.34MG 12/31/9999 20121 24385095501 GNP EAR DRO 6.5% OT 12/31/9999 20121 24385050305 GNP EAR SYS SOL 6.5% OT 12/31/9999 20121 24385003928 GNP ENEMA ENE 12/31/9999 20121 24385003936 GNP ENEMA ENE 12/31/9999 20121 24385080701 GNP EPSOM GRA SALT 12/31/9999 20121 24385080704 GNP EPSOM GRA SALT 12/31/9999 20121 24385007705 GNP EYE DRO 12/31/9999 20121 24385007505 GNP EYE DROP SOL 0.05% OP 12/31/9999 20121 46122001533 GNP FLU RELF LIQ DAYTIME 12/31/9999 20121 46122001633 GNP FLU RELF LIQ NIGHTIME 12/31/9999 20121 24385042865 GNP GAS RELF CAP 125MG 12/31/9999 20121 24385012372 GNP GAS RELF CHW 125MG 12/31/9999 20121 24385030789 GNP GAS RELF CHW 125MG 12/31/9999 20121 24385011878 GNP GAS RELF CHW 80MG 12/31/9999 20121 24385003316 GNP GLYCERIN LIQ 12/31/9999 20121 24385003330 GNP GLYCERIN LIQ 12/31/9999 20121 24385031763 GNP GLYCERIN SUP 1.2GM 12/31/9999 20121 24385032063 GNP GLYCERIN SUP 2.1GM 12/31/9999 20121 24385032071 GNP GLYCERIN SUP 2.1GM 12/31/9999 20121 24385043078 GNP HEADACHE TAB ADDED ST 12/31/9999 20121 46122006804 GNP HERBAL LOZ 4.8MG 12/31/9999 20121 24385002103 GNP HYDROCOR CRE 1% PLUS 12/31/9999 20121 24385020033 GNP HYGIENIC PAD CLEANSNG 12/31/9999 20121 46122005478 GNP HYGIENIC PAD CLEANSNG 12/31/9999 20121 24385046560 GNP IBUPROFN TAB COLD/SIN 12/31/9999 20121 46122005046 GNP INFANTS SUS 160/5ML 12/31/9999 20121 46122004203 GNP INFANTS SUS PAIN/FEV 12/31/9999 20121 46122004246 GNP INFANTS SUS PAIN/FEV 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 46122005603 GNP INFANTS SUS PAIN/FEV 12/31/9999 20121 24385020746 GNP IODIDES TIN 12/31/9999 20121 24385021310 GNP IODINE TIN 2% MILD 12/31/9999 20121 46122002364 GNP ITCHY DRO EYE 12/31/9999 20121 24385055940 GNP K-PEC SUS 262/15ML 12/31/9999 20121 24385010753 GNP LAXATIVE SUP 10MG 12/31/9999 20121 24385036962 GNP LAXATIVE TAB 25MG 12/31/9999 20121 24385019365 GNP LAXATIVE TAB 5MG EC 12/31/9999 20121 24385090363 GNP LAXATIVE TAB 5MG EC 12/31/9999 20121 24385063423 GNP LICE KIT 12/31/9999 20121 24385039846 GNP LICE EGG GEL REMOVER 12/31/9999 20121 24385007144 GNP LUBRICAT GEL JELLY 12/31/9999 20121 24385091010 GNP MAG CITR SOL CHERRY 12/31/9999 20121 24385060010 GNP MAG CITR SOL LEMON 12/31/9999 20121 24385067510 GNP MAG CITR SOL LEMON 12/31/9999 20121 24385034040 GNP MASANTI SUS MAX ST 12/31/9999 20121 24385035740 GNP MASANTI SUS REG ST 12/31/9999 20121 24385044567 GNP MEDICATD PAD WIPES 12/31/9999 20121 46122005567 GNP MEDICATD PAD WIPES 12/31/9999 20121 24385060602 GNP MICONAZO KIT COMBO PK 12/31/9999 20121 24385036578 GNP MIGRAINE TAB RELIEF 12/31/9999 20121 24385033240 GNP MILK MAG SUS 12/31/9999 20121 24385039640 GNP MILK MAG SUS 12/31/9999 20121 24385060840 GNP MILK MAG SUS 12/31/9999 20121 24385036028 GNP MINERAL ENE 12/31/9999 20121 24385068516 GNP MINERAL OIL HEAVY 12/31/9999 20121 24385001121 GNP MUSCLE CRE RUB 12/31/9999 20121 24385014126 GNP MUSCLE CRE RUB 12/31/9999 20121 24385006710 GNP NASAL SPR 0.05% 12/31/9999 20121 24385017058 GNP NICOTINE GUM 2MG MINT 12/31/9999 20121 24385059471 GNP NICOTINE GUM 2MG MINT 12/31/9999 20121 24385059771 GNP NICOTINE GUM 2MG ORIG 12/31/9999 20121 24385017158 GNP NICOTINE GUM 4MG MINT 12/31/9999 20121 24385059871 GNP NICOTINE GUM 4MG MINT 12/31/9999 20121 24385059971 GNP NICOTINE GUM 4MG ORIG 12/31/9999 20121 24385097567 GNP NICOTINE LOZ 2MG MINT 12/31/9999 20121 24385097667 GNP NICOTINE LOZ 4MG MINT 12/31/9999 20121 24385035210 GNP NO DRIP SPR 0.05% 12/31/9999 20121 24385039010 GNP NOSE DRO 1% EX ST 12/31/9999 20121 46122003005 GNP ORAL LIQ PAIN REL 12/31/9999 20121 24385009227 GNP PETROLEU GEL JELLY 12/31/9999 20121 46122002162 GNP PMS RELF TAB MAX ST 12/31/9999 20121 24385007878 GNP PRENATAL TAB 28-0.8MG 12/31/9999 20121 24385040840 GNP RI-MAG SUS 540/5ML 12/31/9999 20121 24385095962 GNP SINUS PAK CNG/PAIN 12/31/9999 20121 24385008862 GNP SINUS TAB CNG/PAIN 12/31/9999 20121 24385016962 GNP SINUS TAB CNG/PAIN 12/31/9999 20121 46122007462 GNP SINUS TAB CNG/PAIN 12/31/9999 20121 24385050726 GNP SUPHEDRN LIQ 15MG/5ML 12/31/9999 20121 24385006101 GNP TRIPLE OIN ANTIBIOT 12/31/9999 20121 24385006103 GNP TRIPLE OIN ANTIBIOT 12/31/9999 20121 24385035926 GNP TUSSIN LIQ DM 12/31/9999 20121 24385035934 GNP TUSSIN LIQ DM 12/31/9999 20121 24385057826 GNP TUSSIN LIQ DM COUGH 12/31/9999 20121 46122001726 GNP TUSSIN LIQ DM MAX 12/31/9999 20121 46122001734 GNP TUSSIN LIQ DM MAX 12/31/9999 20121 24385031026 GNP TUSSIN SYP 100/5ML 12/31/9999 20121 24385031034 GNP TUSSIN SYP 100/5ML 12/31/9999 20121 24385090426 GNP TUSSIN SYP CF 12/31/9999 20121 24385090434 GNP TUSSIN SYP CF 12/31/9999 20121 24385007010 GNP VIT A&D OIN 12/31/9999 20121 46122006965 GNP VIT C LOZ 60MG 12/31/9999 20121 50383078608 GOLDEN AGE LIQ VIT/MIN 12/31/9999 20121 52268010001 GOLYTELY SOL 12/31/9999 20121 52268070001 GOLYTELY SOL 12/31/9999 20121 52268010101 GOLYTELY SOL PINEAPPL 12/31/9999 20121 44087907001 GONAL-F INJ 1050UNIT 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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