August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 45802095226 IBUPROFEN SUS 100/5ML 12/31/9999 20121 45802095243 IBUPROFEN SUS 100/5ML 12/31/9999 20121 49348022934 IBUPROFEN SUS 100/5ML 12/31/9999 20121 49348022937 IBUPROFEN SUS 100/5ML 12/31/9999 20121 49348049934 IBUPROFEN SUS 100/5ML 12/31/9999 20121 49348050034 IBUPROFEN SUS 100/5ML 12/31/9999 20121 49348087634 IBUPROFEN SUS 100/5ML 12/31/9999 20121 62011000801 IBUPROFEN SUS 100/5ML 12/31/9999 20121 62011001001 IBUPROFEN SUS 100/5ML 12/31/9999 20121 62011001101 IBUPROFEN SUS 100/5ML 12/31/9999 20121 62011003001 IBUPROFEN SUS 100/5ML 12/31/9999 20121 63868075618 IBUPROFEN SUS 100/5ML 12/31/9999 20121 63868075818 IBUPROFEN SUS 100/5ML 12/31/9999 20121 66689000901 IBUPROFEN SUS 100/5ML 12/31/9999 20121 66689000950 IBUPROFEN SUS 100/5ML 12/31/9999 20121 68094049458 IBUPROFEN SUS 100/5ML 12/31/9999 20121 68094049459 IBUPROFEN SUS 100/5ML 12/31/9999 20121 68094049461 IBUPROFEN SUS 100/5ML 12/31/9999 20121 68094049462 IBUPROFEN SUS 100/5ML 12/31/9999 20121 68094050359 IBUPROFEN SUS 100/5ML 12/31/9999 20121 68094050361 IBUPROFEN SUS 100/5ML 12/31/9999 20121 68094050362 IBUPROFEN SUS 100/5ML 12/31/9999 20121 00904546330 IBUPROFEN SUS INFANTS 12/31/9999 20121 00113007471 IBUPROFEN TAB 200MG 12/31/9999 20121 00113007478 IBUPROFEN TAB 200MG 12/31/9999 20121 00113051771 IBUPROFEN TAB 200MG 12/31/9999 20121 00113060452 IBUPROFEN TAB 200MG 12/31/9999 20121 00113060462 IBUPROFEN TAB 200MG 12/31/9999 20121 00113060471 IBUPROFEN TAB 200MG 12/31/9999 20121 00113060478 IBUPROFEN TAB 200MG 12/31/9999 20121 00113060490 IBUPROFEN TAB 200MG 12/31/9999 20121 00113060493 IBUPROFEN TAB 200MG 12/31/9999 20121 00113064762 IBUPROFEN TAB 200MG 12/31/9999 20121 00113064771 IBUPROFEN TAB 200MG 12/31/9999 20121 00113064778 IBUPROFEN TAB 200MG 12/31/9999 20121 00182103901 IBUPROFEN TAB 200MG 07/31/2012 20121 00182103916 IBUPROFEN TAB 200MG 08/31/2012 20121 00536310501 IBUPROFEN TAB 200MG 12/31/9999 20121 00536310502 IBUPROFEN TAB 200MG 05/31/2013 20121 00536310506 IBUPROFEN TAB 200MG 05/31/2013 20121 00536310510 IBUPROFEN TAB 200MG 02/28/2013 20121 00536358702 IBUPROFEN TAB 200MG 12/31/9999 20121 00536358706 IBUPROFEN TAB 200MG 12/31/9999 20121 00536358710 IBUPROFEN TAB 200MG 12/31/9999 20121 00904532324 IBUPROFEN TAB 200MG 12/31/9999 20121 00904791251 IBUPROFEN TAB 200MG 12/31/9999 20121 00904791259 IBUPROFEN TAB 200MG 12/31/9999 20121 00904791402 IBUPROFEN TAB 200MG 12/31/9999 20121 00904791451 IBUPROFEN TAB 200MG 12/31/9999 20121 00904791459 IBUPROFEN TAB 200MG 12/31/9999 20121 00904791461 IBUPROFEN TAB 200MG 12/31/9999 20121 00904791524 IBUPROFEN TAB 200MG 12/31/9999 20121 00904791540 IBUPROFEN TAB 200MG 12/31/9999 20121 00904791551 IBUPROFEN TAB 200MG 12/31/9999 20121 00904791559 IBUPROFEN TAB 200MG 12/31/9999 20121 00904791570 IBUPROFEN TAB 200MG 12/31/9999 20121 00904791580 IBUPROFEN TAB 200MG 12/31/9999 20121 16103037508 IBUPROFEN TAB 200MG 12/31/9999 20121 24385005878 IBUPROFEN TAB 200MG 12/31/9999 20121 24385005882 IBUPROFEN TAB 200MG 12/31/9999 20121 24385005978 IBUPROFEN TAB 200MG 12/31/9999 20121 24385060452 IBUPROFEN TAB 200MG 12/31/9999 20121 24385060471 IBUPROFEN TAB 200MG 12/31/9999 20121 24385060476 IBUPROFEN TAB 200MG 12/31/9999 20121 24385060478 IBUPROFEN TAB 200MG 12/31/9999 20121 24385060485 IBUPROFEN TAB 200MG 12/31/9999 20121 24385060490 IBUPROFEN TAB 200MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 24385064771 IBUPROFEN TAB 200MG 12/31/9999 20121 24385064776 IBUPROFEN TAB 200MG 12/31/9999 20121 24385064778 IBUPROFEN TAB 200MG 12/31/9999 20121 36800007471 IBUPROFEN TAB 200MG 12/31/9999 20121 36800007478 IBUPROFEN TAB 200MG 12/31/9999 20121 36800018383 IBUPROFEN TAB 200MG 12/31/9999 20121 36800051771 IBUPROFEN TAB 200MG 12/31/9999 20121 36800051778 IBUPROFEN TAB 200MG 12/31/9999 20121 36800060462 IBUPROFEN TAB 200MG 12/31/9999 20121 36800060471 IBUPROFEN TAB 200MG 12/31/9999 20121 36800060478 IBUPROFEN TAB 200MG 12/31/9999 20121 36800060485 IBUPROFEN TAB 200MG 12/31/9999 20121 36800060490 IBUPROFEN TAB 200MG 12/31/9999 20121 36800060493 IBUPROFEN TAB 200MG 12/31/9999 20121 36800064762 IBUPROFEN TAB 200MG 12/31/9999 20121 36800064771 IBUPROFEN TAB 200MG 12/31/9999 20121 36800064778 IBUPROFEN TAB 200MG 12/31/9999 20121 36800064790 IBUPROFEN TAB 200MG 12/31/9999 20121 37205034171 IBUPROFEN TAB 200MG 12/31/9999 20121 37205034571 IBUPROFEN TAB 200MG 12/31/9999 20121 37205034578 IBUPROFEN TAB 200MG 12/31/9999 20121 37205035071 IBUPROFEN TAB 200MG 12/31/9999 20121 37205035078 IBUPROFEN TAB 200MG 12/31/9999 20121 37205035085 IBUPROFEN TAB 200MG 12/31/9999 20121 37205035090 IBUPROFEN TAB 200MG 12/31/9999 20121 37205060571 IBUPROFEN TAB 200MG 12/31/9999 20121 49348019609 IBUPROFEN TAB 200MG 12/31/9999 20121 49348019610 IBUPROFEN TAB 200MG 12/31/9999 20121 49348019635 IBUPROFEN TAB 200MG 12/31/9999 20121 49348070604 IBUPROFEN TAB 200MG 12/31/9999 20121 49348070609 IBUPROFEN TAB 200MG 12/31/9999 20121 49348070610 IBUPROFEN TAB 200MG 12/31/9999 20121 49348070614 IBUPROFEN TAB 200MG 12/31/9999 20121 53746014001 IBUPROFEN TAB 200MG 12/31/9999 20121 53746014010 IBUPROFEN TAB 200MG 12/31/9999 20121 63739013401 IBUPROFEN TAB 200MG 12/31/9999 20121 63868034110 IBUPROFEN TAB 200MG 12/31/9999 20121 63868034124 IBUPROFEN TAB 200MG 12/31/9999 20121 63868034150 IBUPROFEN TAB 200MG 12/31/9999 20121 66424099510 IBUPROFEN TAB 200MG 12/31/9999 20121 68016000414 IBUPROFEN TAB 200MG 12/31/9999 20121 68016000420 IBUPROFEN TAB 200MG 12/31/9999 20121 00228212410 IBUPROFEN TAB 400MG 12/31/9999 20121 00904174840 IBUPROFEN TAB 400MG 12/31/9999 20121 00904174860 IBUPROFEN TAB 400MG 12/31/9999 20121 00904585361 IBUPROFEN TAB 400MG 12/31/9999 20121 49884016203 IBUPROFEN TAB 400MG 12/31/9999 20121 49884077701 IBUPROFEN TAB 400MG 02/28/2013 20121 49884077705 IBUPROFEN TAB 400MG 02/28/2014 20121 53746046400 IBUPROFEN TAB 400MG 12/31/9999 20121 53746046401 IBUPROFEN TAB 400MG 12/31/9999 20121 53746046405 IBUPROFEN TAB 400MG 12/31/9999 20121 55111068201 IBUPROFEN TAB 400MG 12/31/9999 20121 55111068205 IBUPROFEN TAB 400MG 12/31/9999 20121 55111068209 IBUPROFEN TAB 400MG 12/31/9999 20121 62584074601 IBUPROFEN TAB 400MG 12/31/9999 20121 63739044201 IBUPROFEN TAB 400MG 12/31/9999 20121 63739044210 IBUPROFEN TAB 400MG 12/31/9999 20121 67877011901 IBUPROFEN TAB 400MG 12/31/9999 20121 67877011905 IBUPROFEN TAB 400MG 12/31/9999 20121 68645022090 IBUPROFEN TAB 400MG 12/31/9999 20121 00904518640 IBUPROFEN TAB 600MG 12/31/9999 20121 00904518660 IBUPROFEN TAB 600MG 12/31/9999 20121 00904585461 IBUPROFEN TAB 600MG 12/31/9999 20121 49884016303 IBUPROFEN TAB 600MG 12/31/9999 20121 49884077801 IBUPROFEN TAB 600MG 12/31/2013 20121 49884077805 IBUPROFEN TAB 600MG 12/31/2013 20121
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Rebatable Drug List for Iowa Medica
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NDC Product Description Termination
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August 31, 2012 - Iowa Medicaid Enterprise

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