August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 68462018905 NAPROXEN TAB 375MG 12/31/9999 20121 68462018960 NAPROXEN TAB 375MG 12/31/9999 20121 00093014901 NAPROXEN TAB 500MG 12/31/9999 20121 00093014905 NAPROXEN TAB 500MG 12/31/9999 20121 00093014910 NAPROXEN TAB 500MG 12/31/9999 20121 00093014919 NAPROXEN TAB 500MG 12/31/9999 20121 00093014993 NAPROXEN TAB 500MG 12/31/9999 20121 00143134801 NAPROXEN TAB 500MG 12/31/9999 20121 00143134805 NAPROXEN TAB 500MG 12/31/9999 20121 00378045101 NAPROXEN TAB 500MG 11/30/2012 20121 00378045105 NAPROXEN TAB 500MG 11/30/2013 20121 00904559140 NAPROXEN TAB 500MG 12/31/9999 20121 00904559160 NAPROXEN TAB 500MG 12/31/9999 20121 00904559161 NAPROXEN TAB 500MG 12/31/9999 20121 42806012601 NAPROXEN TAB 500MG 12/31/9999 20121 42806012605 NAPROXEN TAB 500MG 12/31/9999 20121 42806012610 NAPROXEN TAB 500MG 12/31/9999 20121 51079079501 NAPROXEN TAB 500MG 02/28/2013 20121 51079079520 NAPROXEN TAB 500MG 02/28/2013 20121 53746019001 NAPROXEN TAB 500MG 12/31/9999 20121 53746019005 NAPROXEN TAB 500MG 12/31/9999 20121 53746019010 NAPROXEN TAB 500MG 12/31/9999 20121 55111036801 NAPROXEN TAB 500MG 08/31/2012 20121 68462019001 NAPROXEN TAB 500MG 12/31/9999 20121 68462019005 NAPROXEN TAB 500MG 12/31/9999 20121 68462019030 NAPROXEN TAB 500MG 12/31/9999 20121 68462019050 NAPROXEN TAB 500MG 12/31/9999 20121 68462019060 NAPROXEN TAB 500MG 12/31/9999 20121 00093100501 NAPROXEN DR TAB 375MG 12/31/9999 20121 00093100505 NAPROXEN DR TAB 375MG 12/31/9999 20121 00228261711 NAPROXEN DR TAB 375MG 12/31/9999 20121 00781164601 NAPROXEN DR TAB 375MG 12/31/9999 20121 00093100601 NAPROXEN DR TAB 500MG 12/31/9999 20121 00093100605 NAPROXEN DR TAB 500MG 12/31/9999 20121 00228261811 NAPROXEN DR TAB 500MG 12/31/9999 20121 00781165301 NAPROXEN DR TAB 500MG 12/31/9999 20121 46122003858 NAPROXEN SOD CAP 220MG 12/31/9999 20121 46122003860 NAPROXEN SOD CAP 220MG 12/31/9999 20121 46122003865 NAPROXEN SOD CAP 220MG 12/31/9999 20121 46122003871 NAPROXEN SOD CAP 220MG 12/31/9999 20121 62011000701 NAPROXEN SOD CAP 220MG 12/31/9999 20121 00113049078 NAPROXEN SOD TAB 220MG 12/31/9999 20121 00904522951 NAPROXEN SOD TAB 220MG 12/31/9999 20121 00904522959 NAPROXEN SOD TAB 220MG 12/31/9999 20121 15127046601 NAPROXEN SOD TAB 220MG 12/31/9999 20121 15127046624 NAPROXEN SOD TAB 220MG 12/31/9999 20121 15127046650 NAPROXEN SOD TAB 220MG 12/31/9999 20121 37205026171 NAPROXEN SOD TAB 220MG 12/31/9999 20121 37205026178 NAPROXEN SOD TAB 220MG 12/31/9999 20121 37205026271 NAPROXEN SOD TAB 220MG 12/31/9999 20121 37205026278 NAPROXEN SOD TAB 220MG 12/31/9999 20121 62011001701 NAPROXEN SOD TAB 220MG 12/31/9999 20121 62011001702 NAPROXEN SOD TAB 220MG 12/31/9999 20121 63868046501 NAPROXEN SOD TAB 220MG 12/31/9999 20121 63868046550 NAPROXEN SOD TAB 220MG 12/31/9999 20121 63868046601 NAPROXEN SOD TAB 220MG 12/31/9999 20121 63868046650 NAPROXEN SOD TAB 220MG 12/31/9999 20121 00093053601 NAPROXEN SOD TAB 275MG 12/31/9999 20121 00093053605 NAPROXEN SOD TAB 275MG 12/31/9999 20121 00093053610 NAPROXEN SOD TAB 275MG 12/31/9999 20121 00143991601 NAPROXEN SOD TAB 275MG 12/31/9999 20121 00904618540 NAPROXEN SOD TAB 275MG 09/30/2012 20121 53746019301 NAPROXEN SOD TAB 275MG 12/31/9999 20121 53746019305 NAPROXEN SOD TAB 275MG 12/31/9999 20121 68462017801 NAPROXEN SOD TAB 275MG 12/31/9999 20121 68462017805 NAPROXEN SOD TAB 275MG 12/31/9999 20121 00093053701 NAPROXEN SOD TAB 550MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 00093053705 NAPROXEN SOD TAB 550MG 12/31/9999 20121 00093053710 NAPROXEN SOD TAB 550MG 12/31/9999 20121 00143990801 NAPROXEN SOD TAB 550MG 12/31/9999 20121 00143990805 NAPROXEN SOD TAB 550MG 12/31/9999 20121 00904618640 NAPROXEN SOD TAB 550MG 07/31/2012 20121 53746019401 NAPROXEN SOD TAB 550MG 12/31/9999 20121 53746019405 NAPROXEN SOD TAB 550MG 12/31/9999 20121 68462017901 NAPROXEN SOD TAB 550MG 12/31/9999 20121 68462017905 NAPROXEN SOD TAB 550MG 12/31/9999 20121 00054027803 NARATRIPTAN TAB 1MG 12/31/9999 20121 00574021409 NARATRIPTAN TAB 1MG 12/31/9999 20121 23155005419 NARATRIPTAN TAB 1MG 12/31/9999 20121 00054027903 NARATRIPTAN TAB 2.5MG 12/31/9999 20121 00574021509 NARATRIPTAN TAB 2.5MG 12/31/9999 20121 00781552737 NARATRIPTAN TAB 2.5MG 12/31/9999 20121 23155005519 NARATRIPTAN TAB 2.5MG 12/31/9999 20121 62756043769 NARATRIPTAN TAB 2.5MG 12/31/9999 20121 00071035060 NARDIL TAB 15MG 12/31/9999 20121 00186086844 NAROPIN INJ 10MG/ML 12/31/9999 20121 00186086854 NAROPIN INJ 10MG/ML 12/31/9999 20121 00186086877 NAROPIN INJ 10MG/ML 12/31/9999 20121 63323028810 NAROPIN INJ 10MG/ML 12/31/9999 20121 63323028820 NAROPIN INJ 10MG/ML 12/31/9999 20121 63323028827 NAROPIN INJ 10MG/ML 12/31/9999 20121 00186085944 NAROPIN INJ 2MG/ML 12/31/9999 20121 00186085954 NAROPIN INJ 2MG/ML 12/31/9999 20121 00186085977 NAROPIN INJ 2MG/ML 03/31/2013 20121 00186085981 NAROPIN INJ 2MG/ML 04/30/2013 20121 00186085991 NAROPIN INJ 2MG/ML 06/30/2013 20121 63323028510 NAROPIN INJ 2MG/ML 12/31/9999 20121 63323028520 NAROPIN INJ 2MG/ML 12/31/9999 20121 63323028564 NAROPIN INJ 2MG/ML 12/31/9999 20121 63323028565 NAROPIN INJ 2MG/ML 12/31/9999 20121 63323028567 NAROPIN INJ 2MG/ML 12/31/9999 20121 00186086354 NAROPIN INJ 5MG/ML 12/31/9999 20121 00186086361 NAROPIN INJ 5MG/ML 04/30/2013 20121 00186086377 NAROPIN INJ 5MG/ML 03/31/2013 20121 63323028600 NAROPIN INJ 5MG/ML 12/31/9999 20121 63323028620 NAROPIN INJ 5MG/ML 12/31/9999 20121 63323028630 NAROPIN INJ 5MG/ML 12/31/9999 20121 63323028631 NAROPIN INJ 5MG/ML 12/31/9999 20121 63323028637 NAROPIN INJ 5MG/ML 12/31/9999 20121 63323028663 NAROPIN INJ 5MG/ML 12/31/9999 20121 00186086754 NAROPIN INJ 7.5MG/ML 12/31/9999 20121 63323028720 NAROPIN INJ 7.5MG/ML 12/31/9999 20121 00075150616 NASACORT AQ AER 55MCG/AC 12/31/9999 20121 00113006510 NASAL SPR 0.05% 12/31/9999 20121 37205006710 NASAL SPR 0.05% 12/31/9999 20121 36800006510 NASAL SPR 12 HOUR 12/31/9999 20121 36800081710 NASAL SPR 12 HOUR 12/31/9999 20121 00113030410 NASAL 12 HR SPR 0.05% 12/31/9999 20121 36800030410 NASAL 12 HR SPR 0.05% 12/31/9999 20121 00536185085 NASAL DECON SYP 30MG/5ML 12/31/9999 20121 50844017808 NASAL DECON TAB ANTIHIST 12/31/9999 20121 00536185097 NASAL DECONG LIQ 30MG/5ML 12/31/9999 20121 00904571130 NASAL DECONG SPR 0.05% 12/31/9999 20121 00904571135 NASAL DECONG SPR 0.05% 12/31/9999 20121 51672203003 NASAL DECONG SPR 0.05% 12/31/9999 20121 51672203005 NASAL DECONG SPR 0.05% 12/31/9999 20121 00113009423 NASAL DECONG TAB 10MG 12/31/9999 20121 00113009468 NASAL DECONG TAB 10MG 12/31/9999 20121 00113009489 NASAL DECONG TAB 10MG 12/31/9999 20121 24385060368 NASAL DECONG TAB 10MG 12/31/9999 20121 24385060389 NASAL DECONG TAB 10MG 12/31/9999 20121 36800009423 NASAL DECONG TAB 10MG 12/31/9999 20121 36800009447 NASAL DECONG TAB 10MG 12/31/9999 20121 36800009468 NASAL DECONG TAB 10MG 12/31/9999 20121
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Rebatable Drug List for Iowa Medica
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August 31, 2012 - Iowa Medicaid Enterprise

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