August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 10019027110 NEOSTIG METH INJ 0.5MG/ML 12/31/9999 20121 10019027137 NEOSTIG METH INJ 0.5MG/ML 12/31/9999 20121 63323038210 NEOSTIG METH INJ 0.5MG/ML 12/31/9999 20121 00517003325 NEOSTIG METH INJ 1MG/ML 12/31/9999 20121 10019027010 NEOSTIG METH INJ 1MG/ML 12/31/9999 20121 10019027039 NEOSTIG METH INJ 1MG/ML 12/31/9999 20121 63323038310 NEOSTIG METH INJ 1MG/ML 12/31/9999 20121 00409180001 NEO-SYNEPHRI INJ 10MG/ML 08/01/2014 20121 24338081020 NEOTIC DRO 12/31/9999 20121 59528031701 NEPHPLEX RX TAB 12/31/9999 20121 00264190955 NEPHRAMINE INJ 5.4% 12/31/9999 20121 00256018504 NEPHROCAPS CAP 12/31/9999 20121 00256018505 NEPHROCAPS CAP 12/31/9999 20121 68084006501 NEPHROCAPS CAP 12/31/9999 20121 00256023301 NEPHROCAPS TAB QT 12/31/9999 20121 00256023302 NEPHROCAPS TAB QT 12/31/9999 20121 59528445601 NEPHRON FA TAB 12/31/9999 20121 54859051608 NEPHRONEX LIQ 12/31/9999 20121 54859071601 NEPHRONEX TAB 1MG 12/31/9999 20121 00536730001 NEPHRO-VITE TAB 12/31/9999 20121 52544097701 NEPHRO-VITE TAB RX 12/31/9999 20121 48102001490 NEPTAZANE TAB 25MG 12/31/9999 20121 48102001590 NEPTAZANE TAB 50MG 12/31/9999 20121 63323047537 NESACAINE INJ 1% 12/31/9999 20121 63323047630 NESACAINE INJ 2% 06/30/2012 20121 63323047637 NESACAINE INJ 2% 12/31/9999 20121 63323047720 NESACAINE INJ -MPF 2% 12/31/9999 20121 63323047727 NESACAINE INJ -MPF 2% 12/31/9999 20121 63323047827 NESACAINE INJ -MPF 3% 12/31/9999 20121 50967021990 NESTABS TAB 12/31/9999 20121 50967031730 NESTABS DHA PAK 12/31/9999 20121 51552113107 NETTLES ROOT POW 12/31/9999 20121 55513019001 NEULASTA INJ 6MG/0.6M 12/31/9999 20121 58394000408 NEUMEGA INJ 5MG 12/31/9999 20121 55513092401 NEUPOGEN INJ 300/0.5 12/31/9999 20121 55513092410 NEUPOGEN INJ 300/0.5 12/31/9999 20121 55513053001 NEUPOGEN INJ 300MCG 12/31/9999 20121 55513053010 NEUPOGEN INJ 300MCG 12/31/9999 20121 55513020901 NEUPOGEN INJ 480/0.8 12/31/9999 20121 55513020910 NEUPOGEN INJ 480/0.8 12/31/9999 20121 55513054601 NEUPOGEN INJ 480MCG 12/31/9999 20121 55513054610 NEUPOGEN INJ 480MCG 12/31/9999 20121 00071080324 NEURONTIN CAP 100MG 12/31/9999 20121 00071080524 NEURONTIN CAP 300MG 12/31/9999 20121 00071080540 NEURONTIN CAP 300MG 12/31/9999 20121 00071080624 NEURONTIN CAP 400MG 12/31/9999 20121 00071080640 NEURONTIN CAP 400MG 12/31/9999 20121 00071201223 NEURONTIN SOL 250/5ML 12/31/9999 20121 00071051324 NEURONTIN TAB 600MG 12/31/9999 20121 00071040124 NEURONTIN TAB 800MG 12/31/9999 20121 00409660902 NEUT INJ 4% 12/31/9999 20121 60258052530 NEUTRAHIST DRO 0.8-9MG 12/31/9999 20121 60258052630 NEUTRAHIST DRO 9-0.8-3 12/31/9999 20121 00065000203 NEVANAC SUS 0.1% 12/31/9999 20121 00245024430 NEXA SELECT CAP 12/31/9999 20121 50419048858 NEXAVAR TAB 200MG 12/31/9999 20121 24478030210 NEXICLON XR SUS 0.09/ML 10/30/2012 20121 24478030120 NEXICLON XR TAB 0.17MG 10/30/2012 20121 00186502031 NEXIUM CAP 20MG 12/31/9999 20121 00186502054 NEXIUM CAP 20MG 12/31/9999 20121 00186502082 NEXIUM CAP 20MG 12/31/9999 20121 00186502228 NEXIUM CAP 20MG 12/31/9999 20121 00186504031 NEXIUM CAP 40MG 12/31/9999 20121 00186504035 NEXIUM CAP 40MG 12/31/9999 20121 00186504054 NEXIUM CAP 40MG 12/31/9999 20121 00186504055 NEXIUM CAP 40MG 12/31/9999 20121 00186504082 NEXIUM CAP 40MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 00186504085 NEXIUM CAP 40MG 12/31/9999 20121 00186504225 NEXIUM CAP 40MG 12/31/9999 20121 00186504228 NEXIUM CAP 40MG 12/31/9999 20121 00186401001 NEXIUM GRA 10MG DR 12/31/9999 20121 00186402001 NEXIUM GRA 20MG DR 12/31/9999 20121 00186404001 NEXIUM GRA 40MG DR 12/31/9999 20121 00186602001 NEXIUM I.V. INJ 20MG 12/31/9999 20121 00186604001 NEXIUM I.V. INJ 40MG 12/31/9999 20121 00052027401 NEXPLANON IMP 68MG 12/31/9999 20121 52544027536 NEXT CHOICE TAB 0.75MG 12/31/9999 20121 43066015010 NEXTERONE INJ 12/31/9999 20121 43066036020 NEXTERONE INJ 12/31/9999 20121 49483001401 NIACIN CAP 250MG SR 12/31/9999 20121 49483001410 NIACIN CAP 250MG SR 12/31/9999 20121 00603473632 NIACIN CAP 250MG TD 06/30/2012 20121 00536407701 NIACIN CAP 500MG SR 12/31/9999 20121 49483001801 NIACIN CAP 500MG SR 12/31/9999 20121 49483001810 NIACIN CAP 500MG SR 12/31/9999 20121 00182441801 NIACIN CAP 500MG TD 12/31/9999 20121 00182441810 NIACIN CAP 500MG TD 12/31/9999 20121 51552055905 NIACIN POW 12/31/9999 20121 51552055906 NIACIN POW 12/31/9999 20121 51552055907 NIACIN POW 12/31/9999 20121 00536407601 NIACIN TAB 100MG 12/31/9999 20121 00536407610 NIACIN TAB 100MG 12/31/9999 20121 10267001201 NIACIN TAB 100MG 12/31/9999 20121 10267001204 NIACIN TAB 100MG 12/31/9999 20121 00182440501 NIACIN TAB 500MG 12/31/9999 20121 00536407810 NIACIN TAB 500MG 12/31/9999 20121 00182441701 NIACIN TAB 500MG TD 12/31/9999 20121 00536703001 NIACIN TAB 500MG TR 12/31/9999 20121 00536407001 NIACIN TAB 50MG 12/31/9999 20121 00536703301 NIACIN TAB 750MG TR 12/31/9999 20121 00536703801 NIACIN TR TAB 1000MG 12/31/9999 20121 00536406801 NIACINAMIDE TAB 100MG 12/31/9999 20121 00536406901 NIACINAMIDE TAB 500MG 12/31/9999 20121 00245006711 NIACOR TAB 500MG 12/31/9999 20121 00074308090 NIASPAN TAB 1000 ER 12/31/9999 20121 00074307490 NIASPAN TAB 500MG ER 12/31/9999 20121 00074307990 NIASPAN TAB 750MG ER 12/31/9999 20121 00378102005 NICARDIPINE CAP 20MG 12/31/9999 20121 00378102077 NICARDIPINE CAP 20MG 12/31/9999 20121 42806050101 NICARDIPINE CAP 20MG 12/31/9999 20121 42806050105 NICARDIPINE CAP 20MG 12/31/9999 20121 42806050109 NICARDIPINE CAP 20MG 12/31/9999 20121 00378143005 NICARDIPINE CAP 30MG 12/31/9999 20121 00378143077 NICARDIPINE CAP 30MG 12/31/9999 20121 42806050201 NICARDIPINE CAP 30MG 12/31/9999 20121 42806050205 NICARDIPINE CAP 30MG 12/31/9999 20121 42806050209 NICARDIPINE CAP 30MG 12/31/9999 20121 00781320470 NICARDIPINE INJ 25/10ML 12/31/9999 20121 00781320495 NICARDIPINE INJ 25/10ML 12/31/9999 20121 00781932470 NICARDIPINE INJ 25/10ML 12/31/9999 20121 00781932495 NICARDIPINE INJ 25/10ML 12/31/9999 20121 10139070010 NICARDIPINE INJ 25/10ML 12/31/9999 20121 10139070011 NICARDIPINE INJ 25/10ML 12/31/9999 20121 40042004710 NICARDIPINE INJ 25/10ML 12/31/9999 20121 41616088244 NICARDIPINE INJ 25/10ML 12/31/9999 20121 64679063101 NICARDIPINE INJ 25/10ML 12/31/9999 20121 64679063102 NICARDIPINE INJ 25/10ML 12/31/9999 20121 00135019502 NICODERM CQ DIS 14MG/24H 12/31/9999 20121 00135019503 NICODERM CQ DIS 14MG/24H 12/31/9999 20121 00135014502 NICODERM CQ DIS 21MG/24H 12/31/9999 20121 00135019401 NICODERM CQ DIS 21MG/24H 12/31/9999 20121 00135019402 NICODERM CQ DIS 21MG/24H 12/31/9999 20121 00135019403 NICODERM CQ DIS 21MG/24H 12/31/9999 20121 00135014701 NICODERM CQ DIS 7MG/24HR 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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