August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 00409434835 AMIODARONE INJ 50MG/ML 12/31/9999 20121 00409434849 AMIODARONE INJ 50MG/ML 12/31/9999 20121 63323061603 AMIODARONE INJ 50MG/ML 12/31/9999 20121 63323061609 AMIODARONE INJ 50MG/ML 12/31/9999 20121 67457015303 AMIODARONE INJ 50MG/ML 12/31/9999 20121 67457015309 AMIODARONE INJ 50MG/ML 12/31/9999 20121 67457015318 AMIODARONE INJ 50MG/ML 12/31/9999 20121 00093913306 AMIODARONE TAB 200MG 12/31/9999 20121 00093913352 AMIODARONE TAB 200MG 12/31/9999 20121 00185014405 AMIODARONE TAB 200MG 12/31/9999 20121 00185014409 AMIODARONE TAB 200MG 12/31/9999 20121 00185014460 AMIODARONE TAB 200MG 12/31/9999 20121 13107005605 AMIODARONE TAB 200MG 12/31/9999 20121 13107005660 AMIODARONE TAB 200MG 12/31/9999 20121 51079090601 AMIODARONE TAB 200MG 12/31/9999 20121 51079090617 AMIODARONE TAB 200MG 12/31/9999 20121 51079090619 AMIODARONE TAB 200MG 12/31/9999 20121 51079090620 AMIODARONE TAB 200MG 12/31/9999 20121 51672402504 AMIODARONE TAB 200MG 12/31/9999 20121 63739038710 AMIODARONE TAB 200MG 12/31/9999 20121 68084037101 AMIODARONE TAB 200MG 12/31/9999 20121 68382022705 AMIODARONE TAB 200MG 12/31/9999 20121 68382022714 AMIODARONE TAB 200MG 12/31/9999 20121 51672405700 AMIODARONE TAB 400MG 12/31/9999 20121 51672405706 AMIODARONE TAB 400MG 12/31/9999 20121 52152025302 AMI-TEX LA TAB 30-600MG 12/31/9999 20121 64764024060 AMITIZA CAP 24MCG 12/31/9999 20121 64764008060 AMITIZA CAP 8MCG 12/31/9999 20121 38779018903 AMITRIPTYLIN POW HCL 12/31/9999 20121 38779018904 AMITRIPTYLIN POW HCL 12/31/9999 20121 38779018905 AMITRIPTYLIN POW HCL 12/31/9999 20121 00378268501 AMITRIPTYLIN TAB 100MG 12/31/9999 20121 00378268593 AMITRIPTYLIN TAB 100MG 12/31/9999 20121 00603221621 AMITRIPTYLIN TAB 100MG 12/31/9999 20121 00781149001 AMITRIPTYLIN TAB 100MG 12/31/9999 20121 51079056301 AMITRIPTYLIN TAB 100MG 12/31/9999 20121 51079056320 AMITRIPTYLIN TAB 100MG 12/31/9999 20121 00378261001 AMITRIPTYLIN TAB 10MG 12/31/9999 20121 00378261010 AMITRIPTYLIN TAB 10MG 12/31/9999 20121 00603221202 AMITRIPTYLIN TAB 10MG 12/31/9999 20121 00603221216 AMITRIPTYLIN TAB 10MG 12/31/9999 20121 00603221221 AMITRIPTYLIN TAB 10MG 12/31/9999 20121 00603221232 AMITRIPTYLIN TAB 10MG 12/31/9999 20121 00615082839 AMITRIPTYLIN TAB 10MG 12/31/9999 20121 00781148601 AMITRIPTYLIN TAB 10MG 12/31/9999 20121 00781148610 AMITRIPTYLIN TAB 10MG 12/31/9999 20121 51079013101 AMITRIPTYLIN TAB 10MG 12/31/9999 20121 51079013120 AMITRIPTYLIN TAB 10MG 12/31/9999 20121 51079013163 AMITRIPTYLIN TAB 10MG 12/31/9999 20121 00378269501 AMITRIPTYLIN TAB 150MG 12/31/9999 20121 00378269593 AMITRIPTYLIN TAB 150MG 12/31/9999 20121 00603221721 AMITRIPTYLIN TAB 150MG 12/31/9999 20121 00781149101 AMITRIPTYLIN TAB 150MG 12/31/9999 20121 00378262501 AMITRIPTYLIN TAB 25MG 12/31/9999 20121 00378262510 AMITRIPTYLIN TAB 25MG 12/31/9999 20121 00603221321 AMITRIPTYLIN TAB 25MG 12/31/9999 20121 00603221330 AMITRIPTYLIN TAB 25MG 12/31/9999 20121 00603221332 AMITRIPTYLIN TAB 25MG 12/31/9999 20121 00615082939 AMITRIPTYLIN TAB 25MG 12/31/9999 20121 00781148701 AMITRIPTYLIN TAB 25MG 12/31/9999 20121 00781148710 AMITRIPTYLIN TAB 25MG 12/31/9999 20121 00904020161 AMITRIPTYLIN TAB 25MG 12/31/9999 20121 51079010701 AMITRIPTYLIN TAB 25MG 12/31/9999 20121 51079010717 AMITRIPTYLIN TAB 25MG 12/31/9999 20121 51079010719 AMITRIPTYLIN TAB 25MG 12/31/9999 20121 51079010720 AMITRIPTYLIN TAB 25MG 12/31/9999 20121 51079010763 AMITRIPTYLIN TAB 25MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 00378265001 AMITRIPTYLIN TAB 50MG 12/31/9999 20121 00378265010 AMITRIPTYLIN TAB 50MG 12/31/9999 20121 00603221421 AMITRIPTYLIN TAB 50MG 12/31/9999 20121 00603221432 AMITRIPTYLIN TAB 50MG 12/31/9999 20121 00615083039 AMITRIPTYLIN TAB 50MG 12/31/9999 20121 00781148801 AMITRIPTYLIN TAB 50MG 12/31/9999 20121 00781148810 AMITRIPTYLIN TAB 50MG 12/31/9999 20121 00904020261 AMITRIPTYLIN TAB 50MG 12/31/9999 20121 51079013301 AMITRIPTYLIN TAB 50MG 12/31/9999 20121 51079013320 AMITRIPTYLIN TAB 50MG 12/31/9999 20121 51079013363 AMITRIPTYLIN TAB 50MG 12/31/9999 20121 00378267501 AMITRIPTYLIN TAB 75MG 12/31/9999 20121 00378267593 AMITRIPTYLIN TAB 75MG 12/31/9999 20121 00603221521 AMITRIPTYLIN TAB 75MG 12/31/9999 20121 00781148901 AMITRIPTYLIN TAB 75MG 12/31/9999 20121 51079014701 AMITRIPTYLIN TAB 75MG 12/31/9999 20121 51079014720 AMITRIPTYLIN TAB 75MG 12/31/9999 20121 00378616805 AMLOD/ATORVA TAB 10-10MG 12/31/9999 20121 00378616877 AMLOD/ATORVA TAB 10-10MG 12/31/9999 20121 63304059030 AMLOD/ATORVA TAB 10-10MG 12/31/9999 20121 00378616905 AMLOD/ATORVA TAB 10-20MG 12/31/9999 20121 00378616977 AMLOD/ATORVA TAB 10-20MG 12/31/9999 20121 63304059130 AMLOD/ATORVA TAB 10-20MG 12/31/9999 20121 00378617005 AMLOD/ATORVA TAB 10-40MG 12/31/9999 20121 00378617077 AMLOD/ATORVA TAB 10-40MG 12/31/9999 20121 63304050030 AMLOD/ATORVA TAB 10-40MG 12/31/9999 20121 00378617177 AMLOD/ATORVA TAB 10-80MG 12/31/9999 20121 63304060330 AMLOD/ATORVA TAB 10-80MG 12/31/9999 20121 00378616177 AMLOD/ATORVA TAB 2.5-10MG 12/31/9999 20121 63304050130 AMLOD/ATORVA TAB 2.5-10MG 12/31/9999 20121 00378616277 AMLOD/ATORVA TAB 2.5-20MG 12/31/9999 20121 63304050230 AMLOD/ATORVA TAB 2.5-20MG 12/31/9999 20121 00378616377 AMLOD/ATORVA TAB 2.5-40MG 12/31/9999 20121 63304050330 AMLOD/ATORVA TAB 2.5-40MG 12/31/9999 20121 00378616405 AMLOD/ATORVA TAB 5-10MG 12/31/9999 20121 00378616477 AMLOD/ATORVA TAB 5-10MG 12/31/9999 20121 63304058730 AMLOD/ATORVA TAB 5-10MG 12/31/9999 20121 00378616505 AMLOD/ATORVA TAB 5-20MG 12/31/9999 20121 00378616577 AMLOD/ATORVA TAB 5-20MG 12/31/9999 20121 63304058830 AMLOD/ATORVA TAB 5-20MG 12/31/9999 20121 00378616605 AMLOD/ATORVA TAB 5-40MG 12/31/9999 20121 00378616677 AMLOD/ATORVA TAB 5-40MG 12/31/9999 20121 63304058930 AMLOD/ATORVA TAB 5-40MG 12/31/9999 20121 00378616777 AMLOD/ATORVA TAB 5-80MG 12/31/9999 20121 63304049930 AMLOD/ATORVA TAB 5-80MG 12/31/9999 20121 00093737301 AMLOD/BENAZP CAP 10-20MG 12/31/9999 20121 00093737310 AMLOD/BENAZP CAP 10-20MG 12/31/9999 20121 00378689801 AMLOD/BENAZP CAP 10-20MG 12/31/9999 20121 00378689805 AMLOD/BENAZP CAP 10-20MG 12/31/9999 20121 00591376001 AMLOD/BENAZP CAP 10-20MG 12/31/9999 20121 00591376005 AMLOD/BENAZP CAP 10-20MG 12/31/9999 20121 00781227401 AMLOD/BENAZP CAP 10-20MG 12/31/9999 20121 00781227410 AMLOD/BENAZP CAP 10-20MG 12/31/9999 20121 49884093201 AMLOD/BENAZP CAP 10-20MG 12/31/9999 20121 49884093205 AMLOD/BENAZP CAP 10-20MG 12/31/9999 20121 55111034101 AMLOD/BENAZP CAP 10-20MG 12/31/9999 20121 55111034105 AMLOD/BENAZP CAP 10-20MG 12/31/9999 20121 68084035121 AMLOD/BENAZP CAP 10-20MG 12/31/9999 20121 68180075801 AMLOD/BENAZP CAP 10-20MG 12/31/9999 20121 68180075802 AMLOD/BENAZP CAP 10-20MG 12/31/9999 20121 00093767101 AMLOD/BENAZP CAP 10-40MG 12/31/9999 20121 00378690001 AMLOD/BENAZP CAP 10-40MG 12/31/9999 20121 00591376201 AMLOD/BENAZP CAP 10-40MG 12/31/9999 20121 00781227901 AMLOD/BENAZP CAP 10-40MG 12/31/9999 20121 49884095301 AMLOD/BENAZP CAP 10-40MG 12/31/9999 20121 49884095305 AMLOD/BENAZP CAP 10-40MG 12/31/9999 20121 55111058601 AMLOD/BENAZP CAP 10-40MG 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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