August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 00409617914 MORPHINE SUL INJ 25MG/ML 12/31/9999 20121 00409176230 MORPHINE SUL INJ 2MG/ML 12/31/9999 20121 00409125830 MORPHINE SUL INJ 4MG/ML 12/31/9999 20121 00409113403 MORPHINE SUL INJ 50MG/ML 12/31/9999 20121 00409113405 MORPHINE SUL INJ 50MG/ML 12/31/9999 20121 00641607325 MORPHINE SUL INJ 5MG/ML 12/31/9999 20121 10019017639 MORPHINE SUL INJ 5MG/ML 12/31/9999 20121 10019017644 MORPHINE SUL INJ 5MG/ML 12/31/9999 20121 00409126069 MORPHINE SUL INJ 8MG/ML 12/31/9999 20121 00641607525 MORPHINE SUL INJ 8MG/ML 12/31/9999 20121 10019017737 MORPHINE SUL INJ 8MG/ML 12/31/9999 20121 10019017739 MORPHINE SUL INJ 8MG/ML 12/31/9999 20121 10019017744 MORPHINE SUL INJ 8MG/ML 12/31/9999 20121 00054023749 MORPHINE SUL SOL 10MG/5ML 12/31/9999 20121 00054023755 MORPHINE SUL SOL 10MG/5ML 12/31/9999 20121 00054023763 MORPHINE SUL SOL 10MG/5ML 12/31/9999 20121 00054023849 MORPHINE SUL SOL 20MG/5ML 12/31/9999 20121 00054023863 MORPHINE SUL SOL 20MG/5ML 12/31/9999 20121 00054040441 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 00054040444 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 00054040450 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 00406083012 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 00406083015 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 00406083024 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 00406083030 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 00406800312 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 00406800315 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 00406800324 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 00406800330 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 00527142536 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 00527142562 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 00527142563 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 68462034921 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 68462034924 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 68462034937 MORPHINE SUL SOL 20MG/ML 12/31/9999 20121 00574711212 MORPHINE SUL SUP 10MG 12/31/9999 20121 00574711412 MORPHINE SUL SUP 20MG 12/31/9999 20121 00574711612 MORPHINE SUL SUP 30MG 12/31/9999 20121 00574711012 MORPHINE SUL SUP 5MG 12/31/9999 20121 00591351401 MORPHINE SUL TAB 100MG CR 04/30/2013 20121 00378266101 MORPHINE SUL TAB 100MG ER 12/31/9999 20121 00406839001 MORPHINE SUL TAB 100MG ER 12/31/9999 20121 00406839062 MORPHINE SUL TAB 100MG ER 12/31/9999 20121 00591374301 MORPHINE SUL TAB 100MG ER 09/30/2012 20121 42858080401 MORPHINE SUL TAB 100MG ER 12/31/9999 20121 60951065870 MORPHINE SUL TAB 100MG ER 12/31/9999 20121 68084040601 MORPHINE SUL TAB 100MG ER 12/31/9999 20121 00054023524 MORPHINE SUL TAB 15MG 12/31/9999 20121 00054023525 MORPHINE SUL TAB 15MG 12/31/9999 20121 68462020201 MORPHINE SUL TAB 15MG 12/31/9999 20121 68462020205 MORPHINE SUL TAB 15MG 12/31/9999 20121 00378265801 MORPHINE SUL TAB 15MG ER 12/31/9999 20121 00406831501 MORPHINE SUL TAB 15MG ER 12/31/9999 20121 00406831562 MORPHINE SUL TAB 15MG ER 12/31/9999 20121 00591374001 MORPHINE SUL TAB 15MG ER 07/31/2012 20121 42858080101 MORPHINE SUL TAB 15MG ER 12/31/9999 20121 60951065270 MORPHINE SUL TAB 15MG ER 12/31/9999 20121 68084040301 MORPHINE SUL TAB 15MG ER 12/31/9999 20121 00591351501 MORPHINE SUL TAB 200MG CR 02/28/2013 20121 00378266201 MORPHINE SUL TAB 200MG ER 12/31/9999 20121 00406832001 MORPHINE SUL TAB 200MG ER 12/31/9999 20121 00591374401 MORPHINE SUL TAB 200MG ER 07/31/2012 20121 42858080501 MORPHINE SUL TAB 200MG ER 12/31/9999 20121 60951065970 MORPHINE SUL TAB 200MG ER 12/31/9999 20121 00054023624 MORPHINE SUL TAB 30MG 12/31/9999 20121 00054023625 MORPHINE SUL TAB 30MG 12/31/9999 20121 00378265901 MORPHINE SUL TAB 30MG ER 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 00406833001 MORPHINE SUL TAB 30MG ER 12/31/9999 20121 00406833062 MORPHINE SUL TAB 30MG ER 12/31/9999 20121 00591374101 MORPHINE SUL TAB 30MG ER 08/31/2012 20121 42858080201 MORPHINE SUL TAB 30MG ER 12/31/9999 20121 60951065370 MORPHINE SUL TAB 30MG ER 12/31/9999 20121 68084040401 MORPHINE SUL TAB 30MG ER 12/31/9999 20121 00591351301 MORPHINE SUL TAB 60MG CR 04/30/2013 20121 00378266001 MORPHINE SUL TAB 60MG ER 12/31/9999 20121 00406838001 MORPHINE SUL TAB 60MG ER 12/31/9999 20121 00406838062 MORPHINE SUL TAB 60MG ER 12/31/9999 20121 00591374201 MORPHINE SUL TAB 60MG ER 10/31/2012 20121 42858080301 MORPHINE SUL TAB 60MG ER 12/31/9999 20121 60951065570 MORPHINE SUL TAB 60MG ER 12/31/9999 20121 68084040501 MORPHINE SUL TAB 60MG ER 12/31/9999 20121 00517306501 MORRHUAT SOD INJ 5% 12/31/9999 20121 62011003501 MOTION RELF TAB 25MG 12/31/9999 20121 24385038851 MOTION SICK TAB 25MG 12/31/9999 20121 49348036367 MOTION SICK TAB 25MG 12/31/9999 20121 15127026212 MOTION SICK TAB 50MG 12/31/9999 20121 24385000412 MOTION SICK TAB 50MG 12/31/9999 20121 37205011153 MOTION SICK TAB 50MG 12/31/9999 20121 49348007002 MOTION SICK TAB 50MG 12/31/9999 20121 50844019802 MOTION SICK TAB 50MG 12/31/9999 20121 50844019812 MOTION SICK TAB 50MG 12/31/9999 20121 62011003601 MOTION SICK TAB 50MG 12/31/9999 20121 00187050002 MOTOFEN TAB 12/31/9999 20121 65649020175 MOVIPREP SOL 12/31/9999 20121 11042014203 MOXATAG TAB 775MG 12/31/9999 20121 68453014203 MOXATAG TAB 775MG 12/31/9999 20121 00065000603 MOXEZA SOL 0.5% 12/31/9999 20121 58468014001 MOZOBIL INJ 12/31/9999 20121 59011026305 MS CONTIN TAB 100MG CR 12/31/9999 20121 59011026310 MS CONTIN TAB 100MG CR 12/31/9999 20121 59011026010 MS CONTIN TAB 15MG CR 12/31/9999 20121 59011026410 MS CONTIN TAB 200MG CR 12/31/9999 20121 59011026105 MS CONTIN TAB 30MG CR 12/31/9999 20121 59011026125 MS CONTIN TAB 30MG CR 12/31/9999 20121 59011026205 MS CONTIN TAB 60MG CR 12/31/9999 20121 59011026210 MS CONTIN TAB 60MG CR 12/31/9999 20121 60258010601 MST 600 TAB 08/31/2012 20121 00527141001 MTEST HS/EST TAB ESTROGEN 12/31/9999 20121 00527140901 MTEST/EST TAB ESTROGEN 12/31/9999 20121 00485025001 MUCAPHED TAB 10-400MG 12/31/9999 20121 63824002314 MUCINEX TAB 1200MG 12/31/9999 20121 63824002328 MUCINEX TAB 1200MG 12/31/9999 20121 63824000810 MUCINEX TAB 600MG ER 12/31/9999 20121 63824000820 MUCINEX TAB 600MG ER 12/31/9999 20121 63824000832 MUCINEX TAB 600MG ER 12/31/9999 20121 63824000834 MUCINEX TAB 600MG ER 12/31/9999 20121 63824000840 MUCINEX TAB 600MG ER 12/31/9999 20121 63824000850 MUCINEX TAB 600MG ER 12/31/9999 20121 63824000861 MUCINEX TAB 600MG ER 12/31/9999 20121 63824025612 MUCINEX CGH GRA 5-100MG 12/31/9999 20121 63824027464 MUCINEX CGH LIQ 5-100MG 12/31/9999 20121 63824001764 MUCINEX CHLD LIQ MULTISYM 12/31/9999 20121 63824027764 MUCINEX COLD LIQ /KIDS 12/31/9999 20121 63824001064 MUCINEX COLD LIQ CHILD 12/31/9999 20121 63824001566 MUCINEX COLD LIQ FLU&SORE 12/31/9999 20121 63824001666 MUCINEX COLD LIQ SINUS 12/31/9999 20121 63824001466 MUCINEX CONG LIQ COUGH 12/31/9999 20121 63824004124 MUCINEX D TAB 120-1200 12/31/9999 20121 63824005718 MUCINEX D TAB 60-600MG 12/31/9999 20121 63824005736 MUCINEX D TAB 60-600MG 12/31/9999 20121 63824001866 MUCINEX DM LIQ 20-400 12/31/9999 20121 63824005620 MUCINEX DM TAB 30-600ER 12/31/9999 20121 63824005632 MUCINEX DM TAB 30-600ER 12/31/9999 20121 63824005634 MUCINEX DM TAB 30-600ER 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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