August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 00781300995 ANECTINE INJ 20MG/ML 12/31/9999 20121 50419048303 ANGELIQ TAB 0.5-1MG 12/31/9999 20121 65293000101 ANGIOMAX INJ 250MG 12/31/9999 20121 51552115206 ANHYDROUS GEL BASE 12/31/9999 20121 51552069506 ANHYDROUS OIN BASE 12/31/9999 20121 51645070801 ANIMAL CHEWS CHW 12/31/9999 20121 66213054160 ANIMI-3 CAP 12/31/9999 20121 66213054260 ANIMI-3 CAP VIT D 12/31/9999 20121 51285052302 ANTABUSE TAB 250MG 12/31/9999 20121 51285052402 ANTABUSE TAB 500MG 12/31/9999 20121 00113048547 ANTACID CHW 500MG 12/31/9999 20121 37205020047 ANTACID CHW 500MG 12/31/9999 20121 37205021047 ANTACID CHW 500MG 12/31/9999 20121 00113085140 ANTACID SUS 12/31/9999 20121 00113058840 ANTACID SUS ANTI-GAS 12/31/9999 20121 37205053540 ANTACID SUS ANTI-GAS 12/31/9999 20121 36800058840 ANTACID SUS MAX ST 12/31/9999 20121 37205053640 ANTACID SUS MAX ST 12/31/9999 20121 37205031440 ANTACID SUS REG 12/31/9999 20121 36800017980 ANTACID CAL CHW 750MG XS 12/31/9999 20121 37205053040 ANTACID FAST SUS ACTING 12/31/9999 20121 36800085140 ANTACID FAST SUS RELIEF 12/31/9999 20121 46122006468 ANTACID PAIN TAB RELIEF 12/31/9999 20121 63868022936 ANTACID PAIN TAB RELIEF 12/31/9999 20121 36800034040 ANTACID PLUS SUS ANTI-GAS 12/31/9999 20121 00113034040 ANTACID PLUS SUS GAS REL 12/31/9999 20121 00113035740 ANTACID PLUS SUS GAS REL 12/31/9999 20121 36800035740 ANTACID PLUS SUS GAS REL 12/31/9999 20121 00113046880 ANTACID X-ST CHW 750MG 12/31/9999 20121 00113048980 ANTACID X-ST CHW 750MG 12/31/9999 20121 37205020580 ANTACID X-ST CHW 750MG 12/31/9999 20121 37205070680 ANTACID X-ST CHW 750MG 12/31/9999 20121 15127074552 ANTACID/ANTI SUS -GAS DS 12/31/9999 20121 27437011001 ANTARA CAP 130MG 12/31/9999 20121 27437011006 ANTARA CAP 130MG 12/31/9999 20121 27437010906 ANTARA CAP 43MG 12/31/9999 20121 24385014403 ANTIBIOTIC CRE PLUS 12/31/9999 20121 51672207601 ANTIBIOTIC CRE PLUS 12/31/9999 20121 49348060247 ANTI-DANDRUF SHA COAL TAR 12/31/9999 20121 49348075204 ANTI-DIARRHE CAP 2MG 12/31/9999 20121 00113037726 ANTI-DIARRHE LIQ 1MG/5ML 12/05/2014 20121 00904003620 ANTI-DIARRHE LIQ 1MG/5ML 12/31/9999 20121 24385037726 ANTI-DIARRHE LIQ 1MG/5ML 12/31/9999 20121 00113022453 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 00113022489 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 00113022491 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 00713041812 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 00713041821 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 00713041824 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 00713041848 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 00713041866 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 00713041879 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 00904772512 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 00904772524 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 15127033812 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 15127033866 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 24385038689 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 24385055453 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 24385055462 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 24385055467 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 36800022453 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 36800022462 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 36800022480 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 36800022491 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 37205037053 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 37205037067 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 37205037089 ANTI-DIARRHE TAB 2MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 63868033812 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 63868033824 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 63868033860 ANTI-DIARRHE TAB 2MG 12/31/9999 20121 37205034466 ANTIFUNGAL AER 1% 12/31/9999 20121 00904072236 ANTIFUNGAL CRE 1% 12/31/9999 20121 37205019710 ANTIFUNGAL CRE 1% 12/31/9999 20121 53329007964 ANTIFUNGAL CRE 2% 12/31/9999 20121 66977002304 ANTI-FUNGAL CRE 1% 12/31/9999 20121 24385067630 ANTI-FUNGAL LIQ 25% 12/31/9999 20121 68016069257 ANTI-GAS CAP 180MG 12/31/9999 20121 45802035803 ANTI-ITCH CRE 12/31/9999 20121 00113054164 ANTI-ITCH CRE 1% 12/31/9999 20121 00113097364 ANTI-ITCH CRE 1% 12/31/9999 20121 24385021003 ANTI-ITCH CRE 2-0.1% 12/31/9999 20121 37205027810 ANTI-ITCH CRE 2-0.1% 12/31/9999 20121 51672206602 ANTI-ITCH CRE 2-0.1% 12/31/9999 20121 37205033816 ANTI-ITCH SPR 2% 12/31/9999 20121 00113029126 ANTI-NAUSEA SOL 12/31/9999 20121 24385029126 ANTI-NAUSEA SOL 12/31/9999 20121 37205029126 ANTI-NAUSEA SOL 12/31/9999 20121 49348057627 ANTI-NAUSEA SOL 12/31/9999 20121 00536558806 ANTIOXIDANT CAP 12/31/9999 20121 00536558908 ANTIOXIDANT CAP ULTRA 12/31/9999 20121 24208056162 ANTIPY/BENZO DRO OTIC 12/31/9999 20121 43199001615 ANTIPY/BENZO DRO OTIC 12/31/9999 20121 64376043815 ANTIPY/BENZO DRO OTIC 12/31/9999 20121 66424052035 ANTIPY/BENZO DRO OTIC 12/31/9999 20121 42192070810 ANTIPY/BENZO SOL OTIC 12/31/9999 20121 42192071015 ANTIPY/BENZO SOL OTIC 12/31/9999 20121 51672300605 ANTIPY/BENZO SOL OTIC 12/31/9999 20121 63868006045 ANTISEPTIC LIQ PAIN REL 12/31/9999 20121 66977003208 ANTISEPTIC SPR CLEANSER 12/31/9999 20121 00006408400 ANTIVENIN KIT LAT MACT 12/31/9999 20121 00008040703 ANTIVENIN MI KIT 12/31/9999 20121 00049210066 ANTIVERT TAB 12.5MG 12/31/9999 20121 00049211066 ANTIVERT TAB 25MG 12/31/9999 20121 00049214066 ANTIVERT TAB 50MG 12/31/9999 20121 68727020002 ANTIZOL INJ 1GM/ML 06/30/2012 20121 00713050301 ANUCORT-HC SUP 25MG 12/31/9999 20121 00713050312 ANUCORT-HC SUP 25MG 12/31/9999 20121 00713050324 ANUCORT-HC SUP 25MG 12/31/9999 20121 00904768822 ANU-MED SUP 12/31/9999 20121 00904016012 ANUMED-HC SUP 25MG 07/31/2012 20121 65649040130 ANUSOL-HC CRE 2.5% 12/31/9999 20121 65649041112 ANUSOL-HC SUP 25MG 12/31/9999 20121 65649041124 ANUSOL-HC SUP 25MG 12/31/9999 20121 00088120632 ANZEMET INJ 20MG/ML 12/31/9999 20121 00088120806 ANZEMET INJ 20MG/ML 12/31/9999 20121 00088120869 ANZEMET INJ 20MG/ML 12/31/9999 20121 00088120926 ANZEMET INJ 20MG/ML 12/31/9999 20121 00088120305 ANZEMET TAB 100MG 12/31/9999 20121 00088120343 ANZEMET TAB 100MG 10/31/2012 20121 00088120205 ANZEMET TAB 50MG 12/31/9999 20121 00472141799 APAP DRO 80/0.8ML 12/31/9999 20121 00472064794 APAP ELX 160/5ML 12/31/9999 20121 00472141004 APAP ELX 160/5ML 12/31/9999 20121 00472141016 APAP ELX 160/5ML 12/31/9999 20121 00472141028 APAP ELX 160/5ML 12/31/9999 20121 00472141094 APAP ELX 160/5ML 12/31/9999 20121 60258005008 APAP 500 LIQ 500/5ML 12/31/9999 20121 64376061101 APAP/CAFF/DI TAB HYDROCOD 12/31/9999 20121 64376061131 APAP/CAFF/DI TAB HYDROCOD 12/31/9999 20121 00472141928 APAP/CODEINE ELX 120-12/5 12/31/9999 20121 46672056116 APAP/CODEINE ELX 120-12/5 12/31/9999 20121 00121050404 APAP/CODEINE SOL 120-12/5 12/31/9999 20121 00121050405 APAP/CODEINE SOL 120-12/5 12/31/9999 20121 00121050410 APAP/CODEINE SOL 120-12/5 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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