August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 59987010125 ACANYA GEL 1.2-2.5% 05/30/2012 20121 00054014225 ACARBOSE TAB 100MG 12/31/9999 20121 00115115201 ACARBOSE TAB 100MG 12/31/9999 20121 00115115202 ACARBOSE TAB 100MG 12/31/9999 20121 00378282210 ACARBOSE TAB 100MG 12/31/9999 20121 00378282277 ACARBOSE TAB 100MG 12/31/9999 20121 16252052501 ACARBOSE TAB 100MG 12/31/9999 20121 00054014025 ACARBOSE TAB 25MG 12/31/9999 20121 00115115001 ACARBOSE TAB 25MG 12/31/9999 20121 00115115002 ACARBOSE TAB 25MG 12/31/9999 20121 00378282010 ACARBOSE TAB 25MG 12/31/9999 20121 00378282077 ACARBOSE TAB 25MG 12/31/9999 20121 16252052301 ACARBOSE TAB 25MG 12/31/9999 20121 00054014120 ACARBOSE TAB 50MG 12/31/9999 20121 00054014125 ACARBOSE TAB 50MG 12/31/9999 20121 00115115101 ACARBOSE TAB 50MG 12/31/9999 20121 00115115102 ACARBOSE TAB 50MG 12/31/9999 20121 00378282110 ACARBOSE TAB 50MG 12/31/9999 20121 00378282177 ACARBOSE TAB 50MG 12/31/9999 20121 16252052401 ACARBOSE TAB 50MG 12/31/9999 20121 00310040160 ACCOLATE TAB 10MG 12/31/9999 20121 00310040260 ACCOLATE TAB 20MG 12/31/9999 20121 49502069203 ACCUNEB NEB 0.63MG/3 12/31/9999 20121 49502069303 ACCUNEB NEB 1.25MG/3 12/31/9999 20121 00071053023 ACCUPRIL TAB 10MG 12/31/9999 20121 00071053040 ACCUPRIL TAB 10MG 12/31/9999 20121 00071053223 ACCUPRIL TAB 20MG 12/31/9999 20121 00071053240 ACCUPRIL TAB 20MG 12/31/9999 20121 00071053523 ACCUPRIL TAB 40MG 12/31/9999 20121 00071052723 ACCUPRIL TAB 5MG 12/31/9999 20121 00071052740 ACCUPRIL TAB 5MG 12/31/9999 20121 00071022223 ACCURETIC TAB 10-12.5 12/31/9999 20121 00071022023 ACCURETIC TAB 20-12.5 12/31/9999 20121 00071022323 ACCURETIC TAB 20-25MG 12/31/9999 20121 51862016450 ACD/FLUORIDE DRO 0.25MG 12/31/9999 20121 24208061577 ACE ACD/ALUM SOL 2% OTIC 12/31/9999 20121 00378120001 ACEBUTOLOL CAP 200MG 12/31/9999 20121 00904617360 ACEBUTOLOL CAP 200MG 12/31/9999 20121 50268005015 ACEBUTOLOL CAP 200MG 12/31/9999 20121 65162066910 ACEBUTOLOL CAP 200MG 12/31/9999 20121 00378140001 ACEBUTOLOL CAP 400MG 12/31/9999 20121 50268005115 ACEBUTOLOL CAP 400MG 12/31/9999 20121 65162067010 ACEBUTOLOL CAP 400MG 12/31/9999 20121 00032110101 ACEON TAB 2MG 10/31/2012 20121 00032110201 ACEON TAB 4MG 07/01/2013 20121 00032110301 ACEON TAB 8MG 06/01/2013 20121 00713011801 ACEPHEN SUP 120MG 12/31/9999 20121 00713011811 ACEPHEN SUP 120MG 12/31/9999 20121 00713011812 ACEPHEN SUP 120MG 12/31/9999 20121 00713011850 ACEPHEN SUP 120MG 12/31/9999 20121 00713011866 ACEPHEN SUP 120MG 12/31/9999 20121 00713016401 ACEPHEN SUP 325MG 12/31/9999 20121 00713016411 ACEPHEN SUP 325MG 12/31/9999 20121 00713016412 ACEPHEN SUP 325MG 12/31/9999 20121 00713016450 ACEPHEN SUP 325MG 12/31/9999 20121 00713016466 ACEPHEN SUP 325MG 12/31/9999 20121 00713016501 ACEPHEN SUP 650MG 12/31/9999 20121 00713016505 ACEPHEN SUP 650MG 12/31/9999 20121 00713016510 ACEPHEN SUP 650MG 12/31/9999 20121 00713016512 ACEPHEN SUP 650MG 12/31/9999 20121 00713016550 ACEPHEN SUP 650MG 12/31/9999 20121 51552127704 ACESULFAME POW POTASSIU 12/31/9999 20121 51552127705 ACESULFAME POW POTASSIU 12/31/9999 20121 00536301401 ACETA-GESIC TAB 30-325MG 12/31/9999 20121 00536323307 ACETAMIN CHW 80MG 12/31/9999 20121 50383010004 ACETAMIN ELX 160/5ML 12/31/9999 20121 50383010016 ACETAMIN ELX 160/5ML 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 50383010028 ACETAMIN ELX 160/5ML 12/31/9999 20121 00121065705 ACETAMIN SOL 160/5ML 12/31/9999 20121 00121065711 ACETAMIN SOL 160/5ML 12/31/9999 20121 00121065721 ACETAMIN SOL 160/5ML 12/31/9999 20121 00536125512 ACETAMIN SUP 120MG 01/31/2013 20121 45802073230 ACETAMIN SUP 120MG 12/31/9999 20121 45802073233 ACETAMIN SUP 120MG 12/31/9999 20121 00536132012 ACETAMIN SUP 325MG 03/31/2015 20121 00536126012 ACETAMIN SUP 650MG 12/31/9999 20121 45802073030 ACETAMIN SUP 650MG 12/31/9999 20121 45802073032 ACETAMIN SUP 650MG 12/31/9999 20121 45802073033 ACETAMIN SUP 650MG 12/31/9999 20121 00536322201 ACETAMIN TAB 325MG 12/31/9999 20121 00536322210 ACETAMIN TAB 325MG 12/31/9999 20121 00615059163 ACETAMIN TAB 325MG 12/31/9999 20121 50844010412 ACETAMIN TAB 325MG 12/31/9999 20121 51645070301 ACETAMIN TAB 325MG 12/31/9999 20121 51645070310 ACETAMIN TAB 325MG 12/31/9999 20121 51645070399 ACETAMIN TAB 325MG 12/31/9999 20121 63739044001 ACETAMIN TAB 325MG 12/31/9999 20121 65162035005 ACETAMIN TAB 325MG 11/30/2012 20121 65162035010 ACETAMIN TAB 325MG 11/30/2012 20121 00113018762 ACETAMIN TAB 500MG 12/31/9999 20121 00113018771 ACETAMIN TAB 500MG 12/31/9999 20121 00113018778 ACETAMIN TAB 500MG 12/31/9999 20121 00536321801 ACETAMIN TAB 500MG 12/31/9999 20121 00536321810 ACETAMIN TAB 500MG 12/31/9999 20121 00536323101 ACETAMIN TAB 500MG 12/31/9999 20121 00536323110 ACETAMIN TAB 500MG 12/31/9999 20121 50844014811 ACETAMIN TAB 500MG 12/31/9999 20121 50844014812 ACETAMIN TAB 500MG 12/31/9999 20121 50844017506 ACETAMIN TAB 500MG 12/31/9999 20121 50844017508 ACETAMIN TAB 500MG 12/31/9999 20121 50844017512 ACETAMIN TAB 500MG 12/31/9999 20121 50844017514 ACETAMIN TAB 500MG 12/31/9999 20121 50844017515 ACETAMIN TAB 500MG 12/31/9999 20121 50844017516 ACETAMIN TAB 500MG 12/31/9999 20121 51645070501 ACETAMIN TAB 500MG 12/31/9999 20121 51645070510 ACETAMIN TAB 500MG 12/31/9999 20121 51645070601 ACETAMIN TAB 500MG 12/31/9999 20121 51645070610 ACETAMIN TAB 500MG 12/31/9999 20121 63739043901 ACETAMIN TAB 500MG 12/31/9999 20121 65162060210 ACETAMIN TAB 500MG 10/31/2012 20121 65162060710 ACETAMIN TAB 500MG 11/30/2012 20121 62011002401 ACETAMIN PM TAB 25-500MG 12/31/9999 20121 00121478105 ACETAMINOPHN SUS 160/5ML 12/31/9999 20121 00121478111 ACETAMINOPHN SUS 325MG 12/31/9999 20121 00121478121 ACETAMINOPHN SUS 650MG 12/31/9999 20121 00472088099 ACETASOL SOL 2% OTIC 12/31/9999 20121 00472088282 ACETASOL HC SOL OTIC 12/31/9999 20121 00555051302 ACETAZOLAMID CAP 500MG ER 12/31/9999 20121 23155012001 ACETAZOLAMID CAP 500MG ER 12/31/9999 20121 68084040121 ACETAZOLAMID CAP 500MG ER 12/31/9999 20121 68382026101 ACETAZOLAMID CAP 500MG ER 12/31/9999 20121 39822019001 ACETAZOLAMID INJ 500MG 12/31/9999 20121 39822019007 ACETAZOLAMID INJ 500MG 12/31/9999 20121 55390046001 ACETAZOLAMID INJ 500MG 12/31/9999 20121 51672402201 ACETAZOLAMID TAB 125MG 12/31/9999 20121 00527105001 ACETAZOLAMID TAB 250MG 12/31/9999 20121 00527105010 ACETAZOLAMID TAB 250MG 12/31/9999 20121 51672402301 ACETAZOLAMID TAB 250MG 12/31/9999 20121 68084054101 ACETAZOLAMID TAB 250MG 12/31/9999 20121 00264230400 ACETIC ACID SOL 0.25%IRR 12/31/9999 20121 00264230410 ACETIC ACID SOL 0.25%IRR 12/31/9999 20121 00338065604 ACETIC ACID SOL 0.25%IRR 12/31/9999 20121 00409614309 ACETIC ACID SOL 0.25%IRR 12/31/9999 20121 00409614322 ACETIC ACID SOL 0.25%IRR 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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