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 />
65162066850 PRENATAL TAB PLUS 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00904533960 PRENATAL TAB PLUS/FE 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
49614061378 PRENATAL TAB VITAMINS 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
49884004105 PRENATAL 1+1 TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
60258019701 PRENATAL 19 CHW TAB 07/<strong>31</strong>/<strong>2012</strong> <strong>2012</strong>1<br />
60258019601 PRENATAL 19 TAB 07/<strong>31</strong>/<strong>2012</strong> <strong>2012</strong>1<br />
10267292605 PRENATAL ADV TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
52152024802 PRENATAL FOR TAB 28-1MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
52152024804 PRENATAL FOR TAB 28-1MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
52152017802 PRENATAL PLS TAB /IRON 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
52152017804 PRENATAL PLS TAB /IRON 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
52152017104 PRENATAL RX TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
52152017120 PRENATAL RX TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
64376081601 PRENATAL VIT TAB PLUS 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
64376081605 PRENATAL VIT TAB PLUS 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
52152017711 PRENATAL Z TAB ADV FORM 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59630041930 PRENATE CAP ESSENTIL 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59630041690 PRENATE ELIT TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
64376081801 PRENATE VITA TAB PLUS 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00536408501 PRENAVITE TAB MULT VIT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00536406301 PRENAVITE PR TAB COATED 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00245017830 PRENEXA CAP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00573283010 PREP H HC CRE 1% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00573286908 PREPARATIO H CRE TOTABLE 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00573284010 PREPARATIO H GEL 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00573284020 PREPARATIO H GEL 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00573284108 PREPARATIO H GEL TOTABLE 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00573055807 PREPARATIO H PAD TOTABLE 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00573286810 PREPARATION CRE H 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00573286820 PREPARATION CRE H 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00573287110 PREPARATION OIN H 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00573287120 PREPARATION OIN H 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00573055607 PREPARATION PAD H 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00573055610 PREPARATION PAD H 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00573055620 PREPARATION PAD H 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00573288<strong>31</strong>0 PREPARATION SUP H 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00573288320 PREPARATION SUP H 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00573288330 PREPARATION SUP H 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
45802035410 PREP-HEM OIN 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00009335901 PREPIDIL GEL .5MG/3GM 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00009335902 PREPIDIL GEL 0.5MG/3G 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
52544007960 PREQUE 10 TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59702071060 PREQUE 10 TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
64764054119 PREVACID CAP 15MG DR 07/<strong>31</strong>/<strong>2012</strong> <strong>2012</strong>1<br />
64764054130 PREVACID CAP 15MG DR 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
64764004611 PREVACID CAP 30MG DR 09/30/<strong>2012</strong> <strong>2012</strong>1<br />
64764004613 PREVACID CAP 30MG DR 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
64764004619 PREVACID CAP 30MG DR 10/<strong>31</strong>/2013 <strong>2012</strong>1<br />
64764054<strong>31</strong>1 PREVACID TAB 15MG STB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
64764054411 PREVACID TAB 30MG STB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00067628614 PREVACID 24H CAP 15MG DR 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00067628628 PREVACID 24H CAP 15MG DR 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00067628642 PREVACID 24H CAP 15MG DR 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00245003623 PREVALITE POW 4GM 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00245003642 PREVALITE POW 4GM PK 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00245003660 PREVALITE POW 4GM PK 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00126028666 PREVIDENT CRE 5000 PLS 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00126028733 PREVIDENT CRE 5000 PLS 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00126028766 PREVIDENT CRE 5000 PLS 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00126028866 PREVIDENT CRE 5000 PLS 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00126028802 PREVIDENT GEL 1.1% BER 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00126008802 PREVIDENT GEL 1.1% MIN 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00126001661 PREVIDENT PST 1.1% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00126007592 PREVIDENT PST 5000 BST 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00126007692 PREVIDENT PST 5000 BST 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00126007061 PREVIDENT PST 5000 SEN 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00126017916 PREVIDENT SOL RINSE 12/<strong>31</strong>/9999 <strong>2012</strong>1
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