August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 00603497502 OXYBUTYNIN TAB 5MG 12/31/9999 20121 00603497504 OXYBUTYNIN TAB 5MG 12/31/9999 20121 00603497520 OXYBUTYNIN TAB 5MG 12/31/9999 20121 00603497521 OXYBUTYNIN TAB 5MG 12/31/9999 20121 00603497528 OXYBUTYNIN TAB 5MG 12/31/9999 20121 00603497532 OXYBUTYNIN TAB 5MG 12/31/9999 20121 00832003800 OXYBUTYNIN TAB 5MG 12/31/9999 20121 00832003810 OXYBUTYNIN TAB 5MG 12/31/9999 20121 00832003850 OXYBUTYNIN TAB 5MG 12/31/9999 20121 00904282161 OXYBUTYNIN TAB 5MG 12/31/9999 20121 50111045601 OXYBUTYNIN TAB 5MG 12/31/9999 20121 50111045602 OXYBUTYNIN TAB 5MG 12/31/9999 20121 50111045603 OXYBUTYNIN TAB 5MG 12/31/9999 20121 51079062801 OXYBUTYNIN TAB 5MG 12/31/9999 20121 51079062817 OXYBUTYNIN TAB 5MG 12/31/9999 20121 51079062819 OXYBUTYNIN TAB 5MG 12/31/9999 20121 51079062820 OXYBUTYNIN TAB 5MG 12/31/9999 20121 68084040001 OXYBUTYNIN TAB 5MG 12/31/9999 20121 00093520601 OXYBUTYNIN TAB 5MG ER 12/31/9999 20121 00378660501 OXYBUTYNIN TAB 5MG ER 12/31/9999 20121 00378660505 OXYBUTYNIN TAB 5MG ER 12/31/9999 20121 51079072201 OXYBUTYNIN TAB 5MG ER 12/31/9999 20121 51079072220 OXYBUTYNIN TAB 5MG ER 12/31/9999 20121 51079072263 OXYBUTYNIN TAB 5MG ER 12/31/9999 20121 62175027037 OXYBUTYNIN TAB 5MG ER 12/31/9999 20121 62175027041 OXYBUTYNIN TAB 5MG ER 12/31/9999 20121 68084048001 OXYBUTYNIN TAB 5MG ER 12/31/9999 20121 00054279525 OXYCOD/APAP CAP 5-500MG 12/31/9999 20121 00406053201 OXYCOD/APAP CAP 5-500MG 12/31/9999 20121 00406053205 OXYCOD/APAP CAP 5-500MG 12/31/9999 20121 00555065802 OXYCOD/APAP CAP 5-500MG 12/31/9999 20121 00591073701 OXYCOD/APAP CAP 5-500MG 12/31/9999 20121 00591073705 OXYCOD/APAP CAP 5-500MG 12/31/9999 20121 00603499721 OXYCOD/APAP CAP 5-500MG 12/31/9999 20121 52152004102 OXYCOD/APAP CAP 5-500MG 12/31/9999 20121 00378710601 OXYCOD/APAP TAB 10-325MG 12/31/9999 20121 00406052301 OXYCOD/APAP TAB 10-325MG 12/31/9999 20121 00406052362 OXYCOD/APAP TAB 10-325MG 12/31/9999 20121 00591093201 OXYCOD/APAP TAB 10-325MG 12/31/9999 20121 53746020401 OXYCOD/APAP TAB 10-325MG 12/31/9999 20121 68084037801 OXYCOD/APAP TAB 10-325MG 12/31/9999 20121 00378710801 OXYCOD/APAP TAB 10-650MG 12/31/9999 20121 00406056201 OXYCOD/APAP TAB 10-650MG 12/31/9999 20121 00591082501 OXYCOD/APAP TAB 10-650MG 12/31/9999 20121 53746020601 OXYCOD/APAP TAB 10-650MG 12/31/9999 20121 00378710301 OXYCOD/APAP TAB 2.5-325 12/31/9999 20121 00378710401 OXYCOD/APAP TAB 5-325MG 12/31/9999 20121 00406051201 OXYCOD/APAP TAB 5-325MG 12/31/9999 20121 00406051205 OXYCOD/APAP TAB 5-325MG 12/31/9999 20121 00406051262 OXYCOD/APAP TAB 5-325MG 12/31/9999 20121 00406051291 OXYCOD/APAP TAB 5-325MG 12/31/9999 20121 00591074901 OXYCOD/APAP TAB 5-325MG 12/31/9999 20121 00591074905 OXYCOD/APAP TAB 5-325MG 12/31/9999 20121 00603499821 OXYCOD/APAP TAB 5-325MG 12/31/9999 20121 00603499828 OXYCOD/APAP TAB 5-325MG 12/31/9999 20121 53746020301 OXYCOD/APAP TAB 5-325MG 12/31/9999 20121 53746020305 OXYCOD/APAP TAB 5-325MG 12/31/9999 20121 68084035501 OXYCOD/APAP TAB 5-325MG 12/31/9999 20121 00378710501 OXYCOD/APAP TAB 7.5-325 12/31/9999 20121 00406052201 OXYCOD/APAP TAB 7.5-325 12/31/9999 20121 00406052262 OXYCOD/APAP TAB 7.5-325 12/31/9999 20121 00591093301 OXYCOD/APAP TAB 7.5-325 12/31/9999 20121 68084037901 OXYCOD/APAP TAB 7.5-325 12/31/9999 20121 00378710701 OXYCOD/APAP TAB 7.5-500 12/31/9999 20121 00406058201 OXYCOD/APAP TAB 7.5-500 12/31/9999 20121 00591082401 OXYCOD/APAP TAB 7.5-500 12/31/9999 20121 53746020501 OXYCOD/APAP TAB 7.5-500 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 00378611701 OXYCOD/ASA TAB 12/31/9999 20121 00591082001 OXYCOD/ASA TAB 01/31/2013 20121 00591355101 OXYCOD/ASA TAB 12/31/9999 20121 00228402911 OXYCOD/IBU TAB 5-400MG 12/31/9999 20121 00555077802 OXYCOD/IBU TAB 5-400MG 12/31/9999 20121 00591349401 OXYCOD/IBU TAB 5-400MG 12/31/9999 20121 00406055401 OXYCODONE CAP 5MG 12/31/9999 20121 52152018702 OXYCODONE CAP 5MG 12/31/9999 20121 64950090110 OXYCODONE CAP 5MG 12/31/9999 20121 68308014510 OXYCODONE CAP 5MG 12/31/9999 20121 68462020401 OXYCODONE CAP 5MG 12/31/9999 20121 00406855830 OXYCODONE CON 20MG/ML 12/31/9999 20121 00406866830 OXYCODONE CON 20MG/ML 12/31/9999 20121 00527142636 OXYCODONE CON 20MG/ML 12/31/9999 20121 64950035303 OXYCODONE CON 20MG/ML 12/31/9999 20121 68462034737 OXYCODONE CON 20MG/ML 12/31/9999 20121 00406855550 OXYCODONE SOL 5MG/5ML 12/31/9999 20121 66689002401 OXYCODONE SOL 5MG/5ML 12/31/9999 20121 66689002416 OXYCODONE SOL 5MG/5ML 12/31/9999 20121 66689002450 OXYCODONE SOL 5MG/5ML 12/31/9999 20121 68462034819 OXYCODONE SOL 5MG/5ML 12/31/9999 20121 68462034857 OXYCODONE SOL 5MG/5ML 12/31/9999 20121 10702005601 OXYCODONE TAB 10MG 12/31/9999 20121 52152040802 OXYCODONE TAB 10MG CR 12/31/9999 20121 58177067704 OXYCODONE TAB 10MG CR 08/31/2012 20121 60505353701 OXYCODONE TAB 10MG CR 10/31/2012 20121 63304040001 OXYCODONE TAB 10MG CR 12/31/9999 20121 00406059301 OXYCODONE TAB 10MG ER 12/31/9999 20121 00228287811 OXYCODONE TAB 15MG 12/31/9999 20121 00378611301 OXYCODONE TAB 15MG 12/31/9999 20121 00406851501 OXYCODONE TAB 15MG 12/31/9999 20121 00603499121 OXYCODONE TAB 15MG 12/31/9999 20121 00603499128 OXYCODONE TAB 15MG 12/31/9999 20121 10702000801 OXYCODONE TAB 15MG 12/31/9999 20121 52152021402 OXYCODONE TAB 15MG 03/31/2013 20121 57664018788 OXYCODONE TAB 15MG 12/31/9999 20121 64720022510 OXYCODONE TAB 15MG 08/31/2012 20121 68084018401 OXYCODONE TAB 15MG 12/31/9999 20121 10702005701 OXYCODONE TAB 20MG 12/31/9999 20121 52152040902 OXYCODONE TAB 20MG CR 12/31/9999 20121 58177067904 OXYCODONE TAB 20MG CR 08/31/2012 20121 60505353801 OXYCODONE TAB 20MG CR 10/31/2012 20121 63304040101 OXYCODONE TAB 20MG CR 12/31/9999 20121 00406059401 OXYCODONE TAB 20MG ER 12/31/9999 20121 00228287911 OXYCODONE TAB 30MG 12/31/9999 20121 00378611401 OXYCODONE TAB 30MG 12/31/9999 20121 00406853001 OXYCODONE TAB 30MG 12/31/9999 20121 00603499221 OXYCODONE TAB 30MG 12/31/9999 20121 00603499228 OXYCODONE TAB 30MG 12/31/9999 20121 10702000901 OXYCODONE TAB 30MG 12/31/9999 20121 52152021502 OXYCODONE TAB 30MG 03/31/2013 20121 57664022488 OXYCODONE TAB 30MG 12/31/9999 20121 68084018501 OXYCODONE TAB 30MG 12/31/9999 20121 52152041002 OXYCODONE TAB 40MG CR 12/31/9999 20121 58177068104 OXYCODONE TAB 40MG CR 08/31/2012 20121 60505353901 OXYCODONE TAB 40MG CR 10/31/2012 20121 00406059501 OXYCODONE TAB 40MG ER 12/31/9999 20121 00378611201 OXYCODONE TAB 5MG 12/31/9999 20121 00406055201 OXYCODONE TAB 5MG 12/31/9999 20121 00406055262 OXYCODONE TAB 5MG 12/31/9999 20121 00603499021 OXYCODONE TAB 5MG 12/31/9999 20121 00603499028 OXYCODONE TAB 5MG 12/31/9999 20121 10702001801 OXYCODONE TAB 5MG 12/31/9999 20121 52152016502 OXYCODONE TAB 5MG 12/31/9999 20121 52152016511 OXYCODONE TAB 5MG 12/31/9999 20121 57664022388 OXYCODONE TAB 5MG 12/31/9999 20121 64720022410 OXYCODONE TAB 5MG 08/31/2012 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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