August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 65862003701 LISINOPRIL TAB 2.5MG 12/31/9999 20121 65862003705 LISINOPRIL TAB 2.5MG 12/31/9999 20121 68084005801 LISINOPRIL TAB 2.5MG 12/31/9999 20121 68180051201 LISINOPRIL TAB 2.5MG 12/31/9999 20121 68180051202 LISINOPRIL TAB 2.5MG 12/31/9999 20121 68180051209 LISINOPRIL TAB 2.5MG 12/31/9999 20121 00143126801 LISINOPRIL TAB 20MG 12/31/9999 20121 00143126809 LISINOPRIL TAB 20MG 12/31/9999 20121 00143126810 LISINOPRIL TAB 20MG 12/31/9999 20121 00172376000 LISINOPRIL TAB 20MG 12/31/9999 20121 00172376010 LISINOPRIL TAB 20MG 12/31/9999 20121 00172376060 LISINOPRIL TAB 20MG 12/31/9999 20121 00172376070 LISINOPRIL TAB 20MG 12/31/9999 20121 00172376080 LISINOPRIL TAB 20MG 12/31/9999 20121 00185010201 LISINOPRIL TAB 20MG 12/31/9999 20121 00185010210 LISINOPRIL TAB 20MG 12/31/9999 20121 00378207501 LISINOPRIL TAB 20MG 12/31/9999 20121 00378207510 LISINOPRIL TAB 20MG 12/31/9999 20121 00591040801 LISINOPRIL TAB 20MG 12/31/9999 20121 00591040810 LISINOPRIL TAB 20MG 12/31/9999 20121 00603421202 LISINOPRIL TAB 20MG 12/31/9999 20121 00603421221 LISINOPRIL TAB 20MG 12/31/9999 20121 00603421228 LISINOPRIL TAB 20MG 12/31/9999 20121 00603421232 LISINOPRIL TAB 20MG 12/31/9999 20121 00603421234 LISINOPRIL TAB 20MG 12/31/9999 20121 00603421260 LISINOPRIL TAB 20MG 12/31/9999 20121 00781166792 LISINOPRIL TAB 20MG 12/31/9999 20121 00904580943 LISINOPRIL TAB 20MG 12/31/9999 20121 00904580946 LISINOPRIL TAB 20MG 12/31/9999 20121 00904580948 LISINOPRIL TAB 20MG 12/31/9999 20121 00904580961 LISINOPRIL TAB 20MG 12/31/9999 20121 00904580980 LISINOPRIL TAB 20MG 12/31/9999 20121 00904580989 LISINOPRIL TAB 20MG 12/31/9999 20121 00904580993 LISINOPRIL TAB 20MG 12/31/9999 20121 24658024310 LISINOPRIL TAB 20MG 12/31/9999 20121 24658024315 LISINOPRIL TAB 20MG 12/31/9999 20121 24658024318 LISINOPRIL TAB 20MG 12/31/9999 20121 24658024330 LISINOPRIL TAB 20MG 12/31/9999 20121 24658024345 LISINOPRIL TAB 20MG 12/31/9999 20121 24658024390 LISINOPRIL TAB 20MG 12/31/9999 20121 51079098301 LISINOPRIL TAB 20MG 12/31/9999 20121 51079098317 LISINOPRIL TAB 20MG 12/31/9999 20121 51079098319 LISINOPRIL TAB 20MG 12/31/9999 20121 51079098320 LISINOPRIL TAB 20MG 12/31/9999 20121 51079098330 LISINOPRIL TAB 20MG 12/31/9999 20121 51079098356 LISINOPRIL TAB 20MG 12/31/9999 20121 54458099610 LISINOPRIL TAB 20MG 12/31/9999 20121 59762227301 LISINOPRIL TAB 20MG 11/30/2012 20121 59762227303 LISINOPRIL TAB 20MG 11/30/2012 20121 59762227307 LISINOPRIL TAB 20MG 11/30/2012 20121 60505018700 LISINOPRIL TAB 20MG 12/31/9999 20121 60505018701 LISINOPRIL TAB 20MG 12/31/9999 20121 60505018707 LISINOPRIL TAB 20MG 12/31/9999 20121 60505018709 LISINOPRIL TAB 20MG 12/31/9999 20121 60505268601 LISINOPRIL TAB 20MG 12/31/9999 20121 60505268608 LISINOPRIL TAB 20MG 12/31/9999 20121 60505268609 LISINOPRIL TAB 20MG 12/31/9999 20121 63304053401 LISINOPRIL TAB 20MG 12/31/9999 20121 63739035010 LISINOPRIL TAB 20MG 12/31/9999 20121 64679094101 LISINOPRIL TAB 20MG 12/31/9999 20121 64679094106 LISINOPRIL TAB 20MG 12/31/9999 20121 65862004001 LISINOPRIL TAB 20MG 12/31/9999 20121 65862004005 LISINOPRIL TAB 20MG 12/31/9999 20121 68084006201 LISINOPRIL TAB 20MG 12/31/9999 20121 68180051501 LISINOPRIL TAB 20MG 12/31/9999 20121 68180051503 LISINOPRIL TAB 20MG 12/31/9999 20121 68180051509 LISINOPRIL TAB 20MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 68645027254 LISINOPRIL TAB 20MG 12/31/9999 20121 00143128001 LISINOPRIL TAB 30MG 12/31/9999 20121 00143128010 LISINOPRIL TAB 30MG 12/31/9999 20121 00172376200 LISINOPRIL TAB 30MG 12/31/9999 20121 00172376210 LISINOPRIL TAB 30MG 12/31/9999 20121 00172376260 LISINOPRIL TAB 30MG 12/31/9999 20121 00172376270 LISINOPRIL TAB 30MG 12/31/9999 20121 00185010301 LISINOPRIL TAB 30MG 12/31/9999 20121 00185010310 LISINOPRIL TAB 30MG 12/31/9999 20121 00378207701 LISINOPRIL TAB 30MG 12/31/9999 20121 00591088501 LISINOPRIL TAB 30MG 12/31/9999 20121 00603421321 LISINOPRIL TAB 30MG 12/31/9999 20121 00603421328 LISINOPRIL TAB 30MG 12/31/9999 20121 24658024401 LISINOPRIL TAB 30MG 12/31/9999 20121 24658024410 LISINOPRIL TAB 30MG 12/31/9999 20121 54458099510 LISINOPRIL TAB 30MG 12/31/9999 20121 59762227401 LISINOPRIL TAB 30MG 11/30/2012 20121 59762227403 LISINOPRIL TAB 30MG 11/30/2012 20121 59762227407 LISINOPRIL TAB 30MG 11/30/2012 20121 60505018800 LISINOPRIL TAB 30MG 12/31/9999 20121 60505018801 LISINOPRIL TAB 30MG 12/31/9999 20121 63304059901 LISINOPRIL TAB 30MG 12/31/9999 20121 64679095301 LISINOPRIL TAB 30MG 12/31/9999 20121 64679095305 LISINOPRIL TAB 30MG 12/31/9999 20121 65862004101 LISINOPRIL TAB 30MG 12/31/9999 20121 68180051601 LISINOPRIL TAB 30MG 12/31/9999 20121 68180051602 LISINOPRIL TAB 30MG 12/31/9999 20121 68180051609 LISINOPRIL TAB 30MG 12/31/9999 20121 00143127001 LISINOPRIL TAB 40MG 12/31/9999 20121 00143127009 LISINOPRIL TAB 40MG 07/16/2012 20121 00143127010 LISINOPRIL TAB 40MG 12/31/9999 20121 00143127018 LISINOPRIL TAB 40MG 07/16/2012 20121 00143127045 LISINOPRIL TAB 40MG 07/16/2012 20121 00172376100 LISINOPRIL TAB 40MG 12/31/9999 20121 00172376110 LISINOPRIL TAB 40MG 12/31/9999 20121 00172376160 LISINOPRIL TAB 40MG 12/31/9999 20121 00172376170 LISINOPRIL TAB 40MG 12/31/9999 20121 00185010401 LISINOPRIL TAB 40MG 12/31/9999 20121 00185010410 LISINOPRIL TAB 40MG 12/31/9999 20121 00378207601 LISINOPRIL TAB 40MG 12/31/9999 20121 00378207605 LISINOPRIL TAB 40MG 12/31/9999 20121 00591040901 LISINOPRIL TAB 40MG 12/31/9999 20121 00591040905 LISINOPRIL TAB 40MG 12/31/9999 20121 00591040975 LISINOPRIL TAB 40MG 12/31/9999 20121 00603421402 LISINOPRIL TAB 40MG 12/31/9999 20121 00603421404 LISINOPRIL TAB 40MG 12/31/9999 20121 00603421421 LISINOPRIL TAB 40MG 12/31/9999 20121 00603421428 LISINOPRIL TAB 40MG 12/31/9999 20121 00603421430 LISINOPRIL TAB 40MG 12/31/9999 20121 00603421432 LISINOPRIL TAB 40MG 12/31/9999 20121 00603421460 LISINOPRIL TAB 40MG 12/31/9999 20121 00781166801 LISINOPRIL TAB 40MG 12/31/9999 20121 00781166892 LISINOPRIL TAB 40MG 12/31/9999 20121 00904581043 LISINOPRIL TAB 40MG 12/31/9999 20121 00904581046 LISINOPRIL TAB 40MG 12/31/9999 20121 00904581048 LISINOPRIL TAB 40MG 12/31/9999 20121 00904581052 LISINOPRIL TAB 40MG 12/31/9999 20121 00904581061 LISINOPRIL TAB 40MG 12/31/9999 20121 00904581080 LISINOPRIL TAB 40MG 12/31/9999 20121 00904581089 LISINOPRIL TAB 40MG 12/31/9999 20121 00904581093 LISINOPRIL TAB 40MG 12/31/9999 20121 24658024510 LISINOPRIL TAB 40MG 12/31/9999 20121 24658024515 LISINOPRIL TAB 40MG 12/31/9999 20121 24658024518 LISINOPRIL TAB 40MG 12/31/9999 20121 24658024530 LISINOPRIL TAB 40MG 12/31/9999 20121 24658024545 LISINOPRIL TAB 40MG 12/31/9999 20121 24658024560 LISINOPRIL TAB 40MG 12/31/9999 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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