August 31, 2012 - Iowa Medicaid Enterprise
August 31, 2012 - Iowa Medicaid Enterprise
August 31, 2012 - Iowa Medicaid Enterprise
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NDC Product Description Termination Date Quarter Covered<br />
44183051516 PE/CPM SUS 06/01/<strong>2012</strong> <strong>2012</strong>1<br />
42192051030 PE/GUAIFENES DRO 1.5-20MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552025706 PEANUT OIL 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552025708 PEANUT OIL 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552019605 PECTIN POW 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552019606 PECTIN POW 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00904505020 PEDIA RELIEF LIQ CGH/COLD 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
24338032001 PEDIADERM AF KIT COMPLETE 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
24338042001 PEDIADERM HC KIT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
24338052001 PEDIADERM TA KIT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
64376072230 PEDIAHIST DM DRO 15-1-4MG 08/<strong>31</strong>/<strong>2012</strong> <strong>2012</strong>1<br />
64376072238 PEDIAHIST DM DRO 15-1-4MG 08/<strong>31</strong>/<strong>2012</strong> <strong>2012</strong>1<br />
00132065501 PEDIA-LAX CHW 400MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00132019012 PEDIA-LAX ENE 2.3GM 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00132010624 PEDIA-LAX LIQ 50MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00132010424 PEDIA-LAX MIS 8.6MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00132008112 PEDIA-LAX SUP 1GM 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00132011460 PEDIALAX FBR CHW GUMMIES 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
53014025001 PEDIAPRED SOL 6.7/5ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
65224053930 PEDIATEX TD LIQ 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
54838011540 PEDIATRIC LIQ CGH/COLD 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00884170610 PEDI-BORO POW SOAK PAK 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00884170627 PEDI-BORO POW SOAK PAK 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00884039602 PEDI-DRI POW 100000 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00884841101 PEDIPIROX-4 KIT NAIL 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552029306 PEG 300 LIQ 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552029308 PEG 300 LIQ 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00904602561 PEG 3350 POW 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00904602576 PEG 3350 POW 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00904602577 PEG 3350 POW 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00904602584 PEG 3350 POW 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
38779028901 PEG 3350 POW 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
38779028908 PEG 3350 POW 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
62175044601 PEG 3350 SOL ELECTROL 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
38779025101 PEG 400 LIQ 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
38779025108 PEG 400 LIQ 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
38779025109 PEG 400 LIQ 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552126108 PEG 400 POW MONOSTEA 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552052706 PEG BASE OIN 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552000805 PEG BLEND OIN 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552000806 PEG BLEND OIN 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552000809 PEG BLEND OIN 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378666940 PEG-3350 SOL ELECTROL 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
10572010001 PEG-3350 SOL ELECTROL 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
10572010101 PEG-3350 SOL ELECTROL 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378666440 PEG-3350/KCL SOL /SODIUM 06/30/2013 <strong>2012</strong>1<br />
10572040001 PEG-3350/KCL SOL /SODIUM 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
67386060101 PEGANONE TAB 250MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00004035730 PEGASYS INJ 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00004035009 PEGASYS INJ 180MCG/M 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00004036030 PEGASYS INJ PROCLICK 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00004036530 PEGASYS INJ PROCLICK 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00004035239 PEGASYS KIT 07/13/2014 <strong>2012</strong>1<br />
00085129701 PEG-INTRON KIT 120 RP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00085129702 PEG-INTRON KIT 120 RP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00085130401 PEG-INTRON KIT 120MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00085137001 PEG-INTRON KIT 150 RP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00085137002 PEG-INTRON KIT 150 RP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00085127901 PEG-INTRON KIT 150MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00085136801 PEG-INTRON KIT 50MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00085132301 PEG-INTRON KIT 50MCG RP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00085132302 PEG-INTRON KIT 50MCG RP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00085129101 PEG-INTRON KIT 80MCG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
000851<strong>31</strong>601 PEG-INTRON KIT 80MCG RP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
000851<strong>31</strong>602 PEG-INTRON KIT 80MCG RP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
68047032116 PE-HIST DM SYP 5-2-15MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
60793013010 PEN G PROC INJ 600000 12/<strong>31</strong>/9999 <strong>2012</strong>1
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