August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 00093524665 OLANZAPINE TAB 10MG ODT 12/31/9999 20121 13668008830 OLANZAPINE TAB 10MG ODT 12/31/9999 20121 49884032155 OLANZAPINE TAB 10MG ODT 12/31/9999 20121 55111026381 OLANZAPINE TAB 10MG ODT 12/31/9999 20121 60505327600 OLANZAPINE TAB 10MG ODT 12/31/9999 20121 60505327603 OLANZAPINE TAB 10MG ODT 12/31/9999 20121 62756075464 OLANZAPINE TAB 10MG ODT 12/31/9999 20121 66993005430 OLANZAPINE TAB 10MG ODT 12/31/9999 20121 00093577101 OLANZAPINE TAB 15MG 12/31/9999 20121 00093577110 OLANZAPINE TAB 15MG 12/31/9999 20121 00093577156 OLANZAPINE TAB 15MG 12/31/9999 20121 59762010901 OLANZAPINE TAB 15MG 12/31/9999 20121 66993005105 OLANZAPINE TAB 15MG 12/31/9999 20121 66993005130 OLANZAPINE TAB 15MG 12/31/9999 20121 00093524765 OLANZAPINE TAB 15MG ODT 12/31/9999 20121 13668008930 OLANZAPINE TAB 15MG ODT 12/31/9999 20121 49884032255 OLANZAPINE TAB 15MG ODT 12/31/9999 20121 55111026481 OLANZAPINE TAB 15MG ODT 12/31/9999 20121 60505327700 OLANZAPINE TAB 15MG ODT 12/31/9999 20121 60505327703 OLANZAPINE TAB 15MG ODT 12/31/9999 20121 62756075564 OLANZAPINE TAB 15MG ODT 12/31/9999 20121 66993005530 OLANZAPINE TAB 15MG ODT 12/31/9999 20121 00093576701 OLANZAPINE TAB 2.5MG 12/31/9999 20121 00093576710 OLANZAPINE TAB 2.5MG 12/31/9999 20121 00093576756 OLANZAPINE TAB 2.5MG 12/31/9999 20121 59762010501 OLANZAPINE TAB 2.5MG 12/31/9999 20121 66993004705 OLANZAPINE TAB 2.5MG 12/31/9999 20121 66993004730 OLANZAPINE TAB 2.5MG 12/31/9999 20121 00093510501 OLANZAPINE TAB 20MG 12/31/9999 20121 00093510505 OLANZAPINE TAB 20MG 12/31/9999 20121 00093510556 OLANZAPINE TAB 20MG 12/31/9999 20121 59762011001 OLANZAPINE TAB 20MG 12/31/9999 20121 66993005205 OLANZAPINE TAB 20MG 12/31/9999 20121 66993005230 OLANZAPINE TAB 20MG 12/31/9999 20121 00093524865 OLANZAPINE TAB 20MG ODT 12/31/9999 20121 13668009030 OLANZAPINE TAB 20MG ODT 12/31/9999 20121 49884032355 OLANZAPINE TAB 20MG ODT 12/31/9999 20121 55111026581 OLANZAPINE TAB 20MG ODT 12/31/9999 20121 60505327800 OLANZAPINE TAB 20MG ODT 12/31/9999 20121 60505327803 OLANZAPINE TAB 20MG ODT 12/31/9999 20121 62756075764 OLANZAPINE TAB 20MG ODT 12/31/9999 20121 66993005630 OLANZAPINE TAB 20MG ODT 12/31/9999 20121 00093576801 OLANZAPINE TAB 5MG 12/31/9999 20121 00093576810 OLANZAPINE TAB 5MG 12/31/9999 20121 00093576856 OLANZAPINE TAB 5MG 12/31/9999 20121 59762010601 OLANZAPINE TAB 5MG 12/31/9999 20121 66993004805 OLANZAPINE TAB 5MG 12/31/9999 20121 66993004830 OLANZAPINE TAB 5MG 12/31/9999 20121 00093524565 OLANZAPINE TAB 5MG ODT 12/31/9999 20121 13668008630 OLANZAPINE TAB 5MG ODT 12/31/9999 20121 49884032055 OLANZAPINE TAB 5MG ODT 12/31/9999 20121 55111026281 OLANZAPINE TAB 5MG ODT 12/31/9999 20121 60505327500 OLANZAPINE TAB 5MG ODT 12/31/9999 20121 60505327503 OLANZAPINE TAB 5MG ODT 12/31/9999 20121 62756075164 OLANZAPINE TAB 5MG ODT 12/31/9999 20121 66993005330 OLANZAPINE TAB 5MG ODT 12/31/9999 20121 00093576901 OLANZAPINE TAB 7.5MG 12/31/9999 20121 00093576910 OLANZAPINE TAB 7.5MG 12/31/9999 20121 00093576956 OLANZAPINE TAB 7.5MG 12/31/9999 20121 59762010701 OLANZAPINE TAB 7.5MG 12/31/9999 20121 66993004905 OLANZAPINE TAB 7.5MG 12/31/9999 20121 66993004930 OLANZAPINE TAB 7.5MG 12/31/9999 20121 51552025906 OLEIC ACID LIQ 12/31/9999 20121 43595008003 OLEPTRO TAB 24HR150 12/31/9999 20121 43595008103 OLEPTRO TAB 24HR300 12/31/9999 20121 51552025006 OLIVE OIL 12/31/9999 20121 63032003100 OLUX AER 0.05% 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 63032003150 OLUX AER 0.05% 12/31/9999 20121 63032010100 OLUX-E AER 0.05% 12/31/9999 20121 63032010150 OLUX-E AER 0.05% 12/31/9999 20121 49884039711 OMEPRA/BICAR CAP 20-1100 12/31/9999 20121 66993041230 OMEPRA/BICAR CAP 20-1100 12/31/9999 20121 49884045511 OMEPRA/BICAR CAP 40-1100 12/31/9999 20121 66993041330 OMEPRA/BICAR CAP 40-1100 12/31/9999 20121 00378521193 OMEPRAZOLE CAP 10MG 12/31/9999 20121 00781223201 OMEPRAZOLE CAP 10MG 12/31/9999 20121 00781223210 OMEPRAZOLE CAP 10MG 12/31/9999 20121 00781223231 OMEPRAZOLE CAP 10MG 12/31/9999 20121 55111015701 OMEPRAZOLE CAP 10MG 12/31/9999 20121 55111015730 OMEPRAZOLE CAP 10MG 12/31/9999 20121 60505014500 OMEPRAZOLE CAP 10MG 12/31/9999 20121 60505014501 OMEPRAZOLE CAP 10MG 12/31/9999 20121 60505014502 OMEPRAZOLE CAP 10MG 12/31/9999 20121 62175011432 OMEPRAZOLE CAP 10MG 12/31/9999 20121 62175011437 OMEPRAZOLE CAP 10MG 12/31/9999 20121 55111039728 OMEPRAZOLE CAP 20.6MGDR 06/30/2012 20121 55111039742 OMEPRAZOLE CAP 20.6MGDR 07/31/2012 20121 55111039774 OMEPRAZOLE CAP 20.6MGDR 06/30/2012 20121 63868017714 OMEPRAZOLE CAP 20.6MGDR 12/31/9999 20121 63868017728 OMEPRAZOLE CAP 20.6MGDR 12/31/9999 20121 63868017742 OMEPRAZOLE CAP 20.6MGDR 12/31/9999 20121 00378615001 OMEPRAZOLE CAP 20MG 12/31/9999 20121 00378615010 OMEPRAZOLE CAP 20MG 12/31/9999 20121 00378615077 OMEPRAZOLE CAP 20MG 12/31/9999 20121 00378615093 OMEPRAZOLE CAP 20MG 12/31/9999 20121 00781223301 OMEPRAZOLE CAP 20MG 12/31/9999 20121 00781223310 OMEPRAZOLE CAP 20MG 12/31/9999 20121 00781223331 OMEPRAZOLE CAP 20MG 12/31/9999 20121 00781223392 OMEPRAZOLE CAP 20MG 12/31/9999 20121 00904568461 OMEPRAZOLE CAP 20MG 12/31/9999 20121 00904613561 OMEPRAZOLE CAP 20MG 12/31/9999 20121 50268061915 OMEPRAZOLE CAP 20MG 12/31/9999 20121 51079000701 OMEPRAZOLE CAP 20MG 12/31/9999 20121 51079000717 OMEPRAZOLE CAP 20MG 12/31/9999 20121 51079000719 OMEPRAZOLE CAP 20MG 12/31/9999 20121 51079000720 OMEPRAZOLE CAP 20MG 12/31/9999 20121 51079000730 OMEPRAZOLE CAP 20MG 12/31/9999 20121 51079000756 OMEPRAZOLE CAP 20MG 12/31/9999 20121 55111015801 OMEPRAZOLE CAP 20MG 12/31/9999 20121 55111015810 OMEPRAZOLE CAP 20MG 12/31/9999 20121 55111015830 OMEPRAZOLE CAP 20MG 12/31/9999 20121 60505006500 OMEPRAZOLE CAP 20MG 12/31/9999 20121 60505006501 OMEPRAZOLE CAP 20MG 12/31/9999 20121 60505006502 OMEPRAZOLE CAP 20MG 12/31/9999 20121 60505006508 OMEPRAZOLE CAP 20MG 12/31/9999 20121 62175011832 OMEPRAZOLE CAP 20MG 12/31/9999 20121 62175011837 OMEPRAZOLE CAP 20MG 12/31/9999 20121 62175011841 OMEPRAZOLE CAP 20MG 12/31/9999 20121 62175011843 OMEPRAZOLE CAP 20MG 12/31/9999 20121 63739035810 OMEPRAZOLE CAP 20MG 12/31/9999 20121 68084012801 OMEPRAZOLE CAP 20MG 12/31/9999 20121 68645032054 OMEPRAZOLE CAP 20MG 12/31/9999 20121 00378522205 OMEPRAZOLE CAP 40MG 12/31/9999 20121 00378522293 OMEPRAZOLE CAP 40MG 12/31/9999 20121 00781223401 OMEPRAZOLE CAP 40MG 12/31/9999 20121 00781223410 OMEPRAZOLE CAP 40MG 12/31/9999 20121 00781223431 OMEPRAZOLE CAP 40MG 12/31/9999 20121 00904614461 OMEPRAZOLE CAP 40MG 12/31/9999 20121 50268062015 OMEPRAZOLE CAP 40MG 12/31/9999 20121 55111015901 OMEPRAZOLE CAP 40MG 12/31/9999 20121 55111015905 OMEPRAZOLE CAP 40MG 12/31/9999 20121 55111015930 OMEPRAZOLE CAP 40MG 12/31/9999 20121 60505014600 OMEPRAZOLE CAP 40MG 12/31/9999 20121 60505014601 OMEPRAZOLE CAP 40MG 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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