August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 67253032010 METHOTREXATE TAB 2.5MG 12/31/9999 20121 67253032036 METHOTREXATE TAB 2.5MG 12/31/9999 20121 00168048299 METHSCOPOLAM TAB 2.5MG 12/31/9999 20121 18754006101 METHSCOPOLAM TAB 2.5MG 12/31/9999 20121 64376060301 METHSCOPOLAM TAB 2.5MG 12/31/9999 20121 00168048360 METHSCOPOLAM TAB 5MG 12/31/9999 20121 64376060461 METHSCOPOLAM TAB 5MG 12/31/9999 20121 00378016001 METHYCLOTHIA TAB 5MG 12/31/9999 20121 51552032603 METHYL OIL SALICYLA 12/31/9999 20121 51552032606 METHYL OIL SALICYLA 12/31/9999 20121 51552001706 METHYL ALCOH SOL 12/31/9999 20121 51552001708 METHYL ALCOH SOL 12/31/9999 20121 51552086705 METHYL SULF CRY 12/31/9999 20121 51552086706 METHYL SULF CRY 12/31/9999 20121 51552072105 METHYLCELLUL GEL 2% 12/31/9999 20121 51552072106 METHYLCELLUL GEL 2% 12/31/9999 20121 51552082705 METHYLCELLUL GEL 3% 12/31/9999 20121 51552082706 METHYLCELLUL GEL 3% 12/31/9999 20121 38779008501 METHYLCELLUL POW 1500CPS 12/31/9999 20121 38779008508 METHYLCELLUL POW 1500CPS 12/31/9999 20121 51552046202 METHYLCELLUL POW 1500CPS 12/31/9999 20121 51552046206 METHYLCELLUL POW 1500CPS 12/31/9999 20121 38779008401 METHYLCELLUL POW 4000CPS 12/31/9999 20121 38779008405 METHYLCELLUL POW 4000CPS 12/31/9999 20121 38779008408 METHYLCELLUL POW 4000CPS 12/31/9999 20121 38779008409 METHYLCELLUL POW 4000CPS 12/31/9999 20121 51552021004 METHYLCELLUL POW 4000CPS 12/31/9999 20121 51552021006 METHYLCELLUL POW 4000CPS 12/31/9999 20121 51552021007 METHYLCELLUL POW 4000CPS 12/31/9999 20121 51552021009 METHYLCELLUL POW 4000CPS 12/31/9999 20121 51552021204 METHYLCELLUL POW 400CPS 12/31/9999 20121 51552021206 METHYLCELLUL POW 400CPS 12/31/9999 20121 51552021209 METHYLCELLUL POW 400CPS 12/31/9999 20121 00378050701 METHYLD/HCTZ TAB 250/15 12/31/9999 20121 00378071101 METHYLD/HCTZ TAB 250/25 12/31/9999 20121 00378071110 METHYLD/HCTZ TAB 250/25 12/31/9999 20121 00093293101 METHYLDOPA TAB 250MG 12/31/9999 20121 00093293110 METHYLDOPA TAB 250MG 12/31/9999 20121 00378061101 METHYLDOPA TAB 250MG 12/31/9999 20121 00378061110 METHYLDOPA TAB 250MG 03/31/2014 20121 51079020001 METHYLDOPA TAB 250MG 12/31/9999 20121 51079020020 METHYLDOPA TAB 250MG 12/31/9999 20121 00093293201 METHYLDOPA TAB 500MG 12/31/9999 20121 00093293205 METHYLDOPA TAB 500MG 12/31/9999 20121 00378042101 METHYLDOPA TAB 500MG 12/31/9999 20121 00378042105 METHYLDOPA TAB 500MG 12/31/9999 20121 51079020101 METHYLDOPA TAB 500MG 12/31/9999 20121 51079020120 METHYLDOPA TAB 500MG 12/31/9999 20121 00517890510 METHYLDOPATE INJ 250/5ML 12/31/9999 20121 00517030110 METHYLENE BL INJ 1% 12/31/9999 20121 00517031010 METHYLENE BL INJ 1% 12/31/9999 20121 00517037271 METHYLENE BL INJ 1% 12/31/9999 20121 00517037370 METHYLENE BL INJ 1% 12/31/9999 20121 17478050401 METHYLENE BL INJ 1% 12/31/9999 20121 17478050410 METHYLENE BL INJ 1% 12/31/9999 20121 00517074020 METHYLERGON INJ 0.2MG/ML 12/31/9999 20121 17478050101 METHYLERGON INJ 0.2MG/ML 12/31/9999 20121 43386014001 METHYLERGON TAB 0.2MG 12/31/9999 20121 43386014028 METHYLERGON TAB 0.2MG 12/31/9999 20121 59630076210 METHYLIN CHW 10MG 12/31/9999 20121 59630076010 METHYLIN CHW 2.5MG 12/31/9999 20121 59630076110 METHYLIN CHW 5MG 12/31/9999 20121 59630075550 METHYLIN SOL 10MG/5ML 12/31/9999 20121 59630075050 METHYLIN SOL 5MG/5ML 12/31/9999 20121 00406112201 METHYLIN TAB 10MG 12/31/9999 20121 00406112210 METHYLIN TAB 10MG 12/31/9999 20121 00406112401 METHYLIN TAB 20MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 00406112410 METHYLIN TAB 20MG 12/31/9999 20121 00406112101 METHYLIN TAB 5MG 12/31/9999 20121 00406112110 METHYLIN TAB 5MG 12/31/9999 20121 00406142301 METHYLIN ER TAB 10MG 12/31/9999 20121 00406145101 METHYLIN ER TAB 20MG 12/31/9999 20121 67767020001 METHYLPHENID CAP 20MG ER 12/31/9999 20121 67767020101 METHYLPHENID CAP 30MG ER 12/31/9999 20121 67767020201 METHYLPHENID CAP 40MG ER 12/31/9999 20121 51991071350 METHYLPHENID SOL 10MG/5ML 12/31/9999 20121 51991071250 METHYLPHENID SOL 5MG/5ML 12/31/9999 20121 00406114401 METHYLPHENID TAB 10MG 12/31/9999 20121 00406114410 METHYLPHENID TAB 10MG 12/31/9999 20121 00591588301 METHYLPHENID TAB 10MG 12/31/9999 20121 00781574901 METHYLPHENID TAB 10MG 12/31/9999 20121 53014053007 METHYLPHENID TAB 10MG 12/31/9999 20121 00406144501 METHYLPHENID TAB 10MG ER 12/31/9999 20121 00591271501 METHYLPHENID TAB 18MG ER 12/31/9999 20121 00406114601 METHYLPHENID TAB 20MG 12/31/9999 20121 00406114610 METHYLPHENID TAB 20MG 12/31/9999 20121 00591588401 METHYLPHENID TAB 20MG 12/31/9999 20121 00781575301 METHYLPHENID TAB 20MG 12/31/9999 20121 53014053207 METHYLPHENID TAB 20MG 12/31/9999 20121 00406147301 METHYLPHENID TAB 20MG ER 12/31/9999 20121 00781575401 METHYLPHENID TAB 20MG SR 12/31/9999 20121 00591271601 METHYLPHENID TAB 27MG ER 12/31/9999 20121 00591271701 METHYLPHENID TAB 36MG ER 12/31/9999 20121 00591271801 METHYLPHENID TAB 54MG ER 12/31/9999 20121 00406114201 METHYLPHENID TAB 5MG 12/31/9999 20121 00406114210 METHYLPHENID TAB 5MG 12/31/9999 20121 00591588201 METHYLPHENID TAB 5MG 12/31/9999 20121 00781574801 METHYLPHENID TAB 5MG 12/31/9999 20121 53014053107 METHYLPHENID TAB 5MG 12/31/9999 20121 00703003101 METHYLPR ACE INJ 40MG/ML 12/31/9999 20121 00703003104 METHYLPR ACE INJ 40MG/ML 12/31/9999 20121 00703004301 METHYLPR ACE INJ 40MG/ML 12/31/9999 20121 00703004501 METHYLPR ACE INJ 40MG/ML 12/31/9999 20121 00781313171 METHYLPR ACE INJ 40MG/ML 12/31/9999 20121 00781313195 METHYLPR ACE INJ 40MG/ML 12/31/9999 20121 00781313670 METHYLPR ACE INJ 40MG/ML 12/31/9999 20121 00703005101 METHYLPR ACE INJ 80MG/ML 12/31/9999 20121 00703005104 METHYLPR ACE INJ 80MG/ML 12/31/9999 20121 00703006301 METHYLPR ACE INJ 80MG/ML 12/31/9999 20121 00781313271 METHYLPR ACE INJ 80MG/ML 12/31/9999 20121 00781313295 METHYLPR ACE INJ 80MG/ML 12/31/9999 20121 00781313775 METHYLPR ACE INJ 80MG/ML 12/31/9999 20121 63323026530 METHYLPR SS INJ 1000MG 12/31/9999 20121 63323025803 METHYLPR SS INJ 125MG 12/31/9999 20121 63323025503 METHYLPR SS INJ 40MG 12/31/9999 20121 00555030138 METHYLPRED PAK 4MG 07/31/2012 20121 00603459315 METHYLPRED PAK 4MG 12/31/9999 20121 00781502207 METHYLPRED PAK 4MG 12/31/9999 20121 51991018831 METHYLPRED PAK 4MG 12/31/9999 20121 59746000103 METHYLPRED PAK 4MG 12/31/9999 20121 59746000109 METHYLPRED PAK 4MG 12/31/9999 20121 59762444002 METHYLPRED PAK 4MG 12/31/9999 20121 51552095802 METHYLPRED POW ACETATE 12/31/9999 20121 51552095804 METHYLPRED POW ACETATE 12/31/9999 20121 51552095805 METHYLPRED POW ACETATE 12/31/9999 20121 51552095806 METHYLPRED POW ACETATE 12/31/9999 20121 59746000314 METHYLPRED TAB 16MG 12/31/9999 20121 59746001504 METHYLPRED TAB 32MG 12/31/9999 20121 00603459321 METHYLPRED TAB 4MG 12/31/9999 20121 00781502201 METHYLPRED TAB 4MG 12/31/9999 20121 59746000106 METHYLPRED TAB 4MG 12/31/9999 20121 59762444003 METHYLPRED TAB 4MG 12/31/9999 20121 63739016110 METHYLPRED TAB 4MG 06/30/2012 20121 59746000204 METHYLPRED TAB 8MG 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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