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 />
63323024710 LEVOTHYROXIN INJ 200MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
63323024810 LEVOTHYROXIN INJ 500MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
63323064810 LEVOTHYROXIN INJ 500MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378180901 LEVOTHYROXIN TAB 100MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378180910 LEVOTHYROXIN TAB 100MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527134501 LEVOTHYROXIN TAB 100MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527134510 LEVOTHYROXIN TAB 100MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781518401 LEVOTHYROXIN TAB 100MCG 09/30/<strong>2012</strong> <strong>2012</strong>1<br />
00781518410 LEVOTHYROXIN TAB 100MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781518492 LEVOTHYROXIN TAB 100MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51079044201 LEVOTHYROXIN TAB 100MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51079044220 LEVOTHYROXIN TAB 100MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378181101 LEVOTHYROXIN TAB 112MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378181110 LEVOTHYROXIN TAB 112MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527134601 LEVOTHYROXIN TAB 112MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527134610 LEVOTHYROXIN TAB 112MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781518501 LEVOTHYROXIN TAB 112MCG 08/<strong>31</strong>/<strong>2012</strong> <strong>2012</strong>1<br />
00781518592 LEVOTHYROXIN TAB 112MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378181301 LEVOTHYROXIN TAB 125MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378181<strong>31</strong>0 LEVOTHYROXIN TAB 125MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527134701 LEVOTHYROXIN TAB 125MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527134710 LEVOTHYROXIN TAB 125MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781518601 LEVOTHYROXIN TAB 125MCG 07/<strong>31</strong>/<strong>2012</strong> <strong>2012</strong>1<br />
00781518610 LEVOTHYROXIN TAB 125MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781518692 LEVOTHYROXIN TAB 125MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51079044301 LEVOTHYROXIN TAB 125MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51079044320 LEVOTHYROXIN TAB 125MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378182301 LEVOTHYROXIN TAB 137MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378182<strong>31</strong>0 LEVOTHYROXIN TAB 137MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527163801 LEVOTHYROXIN TAB 137MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527163810 LEVOTHYROXIN TAB 137MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781519101 LEVOTHYROXIN TAB 137MCG 08/<strong>31</strong>/<strong>2012</strong> <strong>2012</strong>1<br />
00781519192 LEVOTHYROXIN TAB 137MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378181501 LEVOTHYROXIN TAB 150MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378181510 LEVOTHYROXIN TAB 150MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527134901 LEVOTHYROXIN TAB 150MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527134910 LEVOTHYROXIN TAB 150MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781518701 LEVOTHYROXIN TAB 150MCG 07/<strong>31</strong>/<strong>2012</strong> <strong>2012</strong>1<br />
00781518710 LEVOTHYROXIN TAB 150MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781518792 LEVOTHYROXIN TAB 150MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51079044501 LEVOTHYROXIN TAB 150MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51079044520 LEVOTHYROXIN TAB 150MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378181701 LEVOTHYROXIN TAB 175MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378181710 LEVOTHYROXIN TAB 175MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527135001 LEVOTHYROXIN TAB 175MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527135010 LEVOTHYROXIN TAB 175MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781518801 LEVOTHYROXIN TAB 175MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781518892 LEVOTHYROXIN TAB 175MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378181901 LEVOTHYROXIN TAB 200MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378181910 LEVOTHYROXIN TAB 200MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527135101 LEVOTHYROXIN TAB 200MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527135110 LEVOTHYROXIN TAB 200MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781518901 LEVOTHYROXIN TAB 200MCG 07/<strong>31</strong>/<strong>2012</strong> <strong>2012</strong>1<br />
00781518992 LEVOTHYROXIN TAB 200MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378180001 LEVOTHYROXIN TAB 25MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378180010 LEVOTHYROXIN TAB 25MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527134101 LEVOTHYROXIN TAB 25MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527134110 LEVOTHYROXIN TAB 25MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781518001 LEVOTHYROXIN TAB 25MCG 06/30/<strong>2012</strong> <strong>2012</strong>1<br />
00781518010 LEVOTHYROXIN TAB 25MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781518092 LEVOTHYROXIN TAB 25MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51079044401 LEVOTHYROXIN TAB 25MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51079044420 LEVOTHYROXIN TAB 25MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378182101 LEVOTHYROXIN TAB 300MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527135201 LEVOTHYROXIN TAB 300MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527135210 LEVOTHYROXIN TAB 300MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781519092 LEVOTHYROXIN TAB 300MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1