August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 60432006575 AMOX/K CLAV SUS 250/5ML 12/31/9999 20121 00093227973 AMOX/K CLAV SUS 400/5ML 12/31/9999 20121 00143998201 AMOX/K CLAV SUS 400/5ML 12/31/9999 20121 00143998250 AMOX/K CLAV SUS 400/5ML 12/31/9999 20121 00143998275 AMOX/K CLAV SUS 400/5ML 12/31/9999 20121 00781610446 AMOX/K CLAV SUS 400/5ML 07/31/2013 20121 43598020850 AMOX/K CLAV SUS 400/5ML 12/31/9999 20121 43598020851 AMOX/K CLAV SUS 400/5ML 12/31/9999 20121 43598020852 AMOX/K CLAV SUS 400/5ML 12/31/9999 20121 63304097901 AMOX/K CLAV SUS 400/5ML 12/31/9999 20121 63304097903 AMOX/K CLAV SUS 400/5ML 12/31/9999 20121 63304097904 AMOX/K CLAV SUS 400/5ML 12/31/9999 20121 66685101200 AMOX/K CLAV SUS 400/5ML 12/31/9999 20121 66685101201 AMOX/K CLAV SUS 400/5ML 12/31/9999 20121 66685101202 AMOX/K CLAV SUS 400/5ML 12/31/9999 20121 00093867574 AMOX/K CLAV SUS 600/5ML 12/31/9999 20121 00093867575 AMOX/K CLAV SUS 600/5ML 12/31/9999 20121 00093867578 AMOX/K CLAV SUS 600/5ML 12/31/9999 20121 00143985316 AMOX/K CLAV SUS 600/5ML 12/31/9999 20121 00143985324 AMOX/K CLAV SUS 600/5ML 12/31/9999 20121 00143985375 AMOX/K CLAV SUS 600/5ML 12/31/9999 20121 00781613948 AMOX/K CLAV SUS 600/5ML 12/31/9999 20121 00781613954 AMOX/K CLAV SUS 600/5ML 12/31/9999 20121 00781613957 AMOX/K CLAV SUS 600/5ML 12/31/9999 20121 43598020351 AMOX/K CLAV SUS 600/5ML 12/31/9999 20121 43598020354 AMOX/K CLAV SUS 600/5ML 12/31/9999 20121 43598020369 AMOX/K CLAV SUS 600/5ML 12/31/9999 20121 63304076801 AMOX/K CLAV SUS 600/5ML 12/31/9999 20121 63304076802 AMOX/K CLAV SUS 600/5ML 12/31/9999 20121 63304076807 AMOX/K CLAV SUS 600/5ML 12/31/9999 20121 00781187431 AMOX/K CLAV TAB 250MG 12/31/9999 20121 43598021830 AMOX/K CLAV TAB 250MG 12/31/9999 20121 60505253903 AMOX/K CLAV TAB 250MG 12/31/9999 20121 65862050130 AMOX/K CLAV TAB 250MG 12/31/9999 20121 00093227434 AMOX/K CLAV TAB 500MG 12/31/9999 20121 00781183120 AMOX/K CLAV TAB 500MG 08/31/2013 20121 43598020614 AMOX/K CLAV TAB 500MG 12/31/9999 20121 60505254002 AMOX/K CLAV TAB 500MG 12/31/9999 20121 63304071320 AMOX/K CLAV TAB 500MG 12/31/9999 20121 65862050220 AMOX/K CLAV TAB 500MG 12/31/9999 20121 66685100200 AMOX/K CLAV TAB 500MG 12/31/9999 20121 66685100202 AMOX/K CLAV TAB 500MG 12/31/9999 20121 00093227534 AMOX/K CLAV TAB 875MG 12/31/9999 20121 00781185220 AMOX/K CLAV TAB 875MG 12/31/9999 20121 43598022114 AMOX/K CLAV TAB 875MG 12/31/9999 20121 60505254102 AMOX/K CLAV TAB 875MG 12/31/9999 20121 63304050901 AMOX/K CLAV TAB 875MG 12/31/9999 20121 63304050920 AMOX/K CLAV TAB 875MG 12/31/9999 20121 65862050301 AMOX/K CLAV TAB 875MG 12/31/9999 20121 65862050320 AMOX/K CLAV TAB 875MG 12/31/9999 20121 66685100100 AMOX/K CLAV TAB 875MG 12/31/9999 20121 66685100101 AMOX/K CLAV TAB 875MG 12/31/9999 20121 00591571501 AMOXAPINE TAB 100MG 12/31/9999 20121 00591571630 AMOXAPINE TAB 150MG 12/31/9999 20121 00591571301 AMOXAPINE TAB 25MG 12/31/9999 20121 00591571401 AMOXAPINE TAB 50MG 12/31/9999 20121 00093310701 AMOXICILLIN CAP 250MG 12/31/9999 20121 00093310705 AMOXICILLIN CAP 250MG 12/31/9999 20121 00093310719 AMOXICILLIN CAP 250MG 12/31/9999 20121 00093310793 AMOXICILLIN CAP 250MG 12/31/9999 20121 00143993801 AMOXICILLIN CAP 250MG 12/31/9999 20121 00143993805 AMOXICILLIN CAP 250MG 12/31/9999 20121 00228268811 AMOXICILLIN CAP 250MG 12/31/9999 20121 00228268851 AMOXICILLIN CAP 250MG 12/31/9999 20121 00781202001 AMOXICILLIN CAP 250MG 12/31/9999 20121 00781202005 AMOXICILLIN CAP 250MG 12/31/9999 20121 00781202031 AMOXICILLIN CAP 250MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 00781202076 AMOXICILLIN CAP 250MG 12/31/9999 20121 16714029801 AMOXICILLIN CAP 250MG 12/31/2020 20121 16714029802 AMOXICILLIN CAP 250MG 12/31/2020 20121 49884062301 AMOXICILLIN CAP 250MG 12/31/9999 20121 59762102001 AMOXICILLIN CAP 250MG 12/31/9999 20121 59762102003 AMOXICILLIN CAP 250MG 12/31/9999 20121 63304065401 AMOXICILLIN CAP 250MG 12/31/9999 20121 63304065405 AMOXICILLIN CAP 250MG 12/31/9999 20121 65862001601 AMOXICILLIN CAP 250MG 12/31/9999 20121 65862001605 AMOXICILLIN CAP 250MG 12/31/9999 20121 67253014010 AMOXICILLIN CAP 250MG 12/31/9999 20121 67253014050 AMOXICILLIN CAP 250MG 12/31/9999 20121 76439010310 AMOXICILLIN CAP 250MG 12/31/9999 20121 76439010350 AMOXICILLIN CAP 250MG 12/31/9999 20121 00093310905 AMOXICILLIN CAP 500MG 12/31/9999 20121 00093310919 AMOXICILLIN CAP 500MG 12/31/9999 20121 00093310953 AMOXICILLIN CAP 500MG 12/31/9999 20121 00093310993 AMOXICILLIN CAP 500MG 12/31/9999 20121 00143993901 AMOXICILLIN CAP 500MG 12/31/9999 20121 00143993905 AMOXICILLIN CAP 500MG 12/31/9999 20121 00228268911 AMOXICILLIN CAP 500MG 12/31/9999 20121 00228268951 AMOXICILLIN CAP 500MG 12/31/9999 20121 00781261301 AMOXICILLIN CAP 500MG 12/31/9999 20121 00781261305 AMOXICILLIN CAP 500MG 12/31/9999 20121 00781261331 AMOXICILLIN CAP 500MG 12/31/9999 20121 00781261376 AMOXICILLIN CAP 500MG 12/31/9999 20121 15749082510 AMOXICILLIN CAP 500MG 12/31/9999 20121 16714029902 AMOXICILLIN CAP 500MG 12/31/2020 20121 16714029903 AMOXICILLIN CAP 500MG 12/31/2020 20121 16714029904 AMOXICILLIN CAP 500MG 12/31/2020 20121 49884062401 AMOXICILLIN CAP 500MG 12/31/9999 20121 59762102101 AMOXICILLIN CAP 500MG 12/31/9999 20121 59762102107 AMOXICILLIN CAP 500MG 12/31/9999 20121 63304065501 AMOXICILLIN CAP 500MG 12/31/9999 20121 63304065505 AMOXICILLIN CAP 500MG 12/31/9999 20121 65862001701 AMOXICILLIN CAP 500MG 12/31/9999 20121 65862001705 AMOXICILLIN CAP 500MG 12/31/9999 20121 67253014110 AMOXICILLIN CAP 500MG 12/31/9999 20121 67253014150 AMOXICILLIN CAP 500MG 12/31/9999 20121 76439010410 AMOXICILLIN CAP 500MG 12/31/9999 20121 76439010450 AMOXICILLIN CAP 500MG 12/31/9999 20121 00093226701 AMOXICILLIN CHW 125MG 12/31/9999 20121 00228263911 AMOXICILLIN CHW 125MG 12/31/9999 20121 63304076020 AMOXICILLIN CHW 200MG 12/31/9999 20121 00093226801 AMOXICILLIN CHW 250MG 12/31/9999 20121 00093226805 AMOXICILLIN CHW 250MG 12/31/9999 20121 00228264011 AMOXICILLIN CHW 250MG 12/31/9999 20121 00228264025 AMOXICILLIN CHW 250MG 12/31/9999 20121 63304051501 AMOXICILLIN CHW 250MG 12/31/9999 20121 63304051504 AMOXICILLIN CHW 250MG 12/31/9999 20121 63304076101 AMOXICILLIN CHW 400MG 12/31/9999 20121 63304076120 AMOXICILLIN CHW 400MG 12/31/9999 20121 00093415073 AMOXICILLIN SUS 125/5ML 12/31/9999 20121 00093415079 AMOXICILLIN SUS 125/5ML 12/31/9999 20121 00093415080 AMOXICILLIN SUS 125/5ML 12/31/9999 20121 00143988801 AMOXICILLIN SUS 125/5ML 12/31/9999 20121 00143988815 AMOXICILLIN SUS 125/5ML 12/31/9999 20121 00143988880 AMOXICILLIN SUS 125/5ML 12/31/9999 20121 00781603946 AMOXICILLIN SUS 125/5ML 12/31/9999 20121 00781603955 AMOXICILLIN SUS 125/5ML 12/31/9999 20121 00781603958 AMOXICILLIN SUS 125/5ML 12/31/9999 20121 00093416073 AMOXICILLIN SUS 200/5ML 12/31/9999 20121 00093416076 AMOXICILLIN SUS 200/5ML 12/31/9999 20121 00093416078 AMOXICILLIN SUS 200/5ML 12/31/9999 20121 00143988601 AMOXICILLIN SUS 200/5ML 12/31/9999 20121 00143988650 AMOXICILLIN SUS 200/5ML 12/31/9999 20121 00143988675 AMOXICILLIN SUS 200/5ML 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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