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 />
00006020754 PRINIVIL TAB 20MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00006001954 PRINIVIL TAB 5MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00006014558 PRINZIDE TAB 10-12.5 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00006014058 PRINZIDE TAB 20-12.5 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00008122201 PRISTIQ TAB 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00008122214 PRISTIQ TAB 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00008122230 PRISTIQ TAB 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00008122250 PRISTIQ TAB 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00008121101 PRISTIQ TAB 50MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00008121114 PRISTIQ TAB 50MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00008121130 PRISTIQ TAB 50MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00008121150 PRISTIQ TAB 50MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
44206043710 PRIVIGEN INJ 10GRAMS 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
44206043820 PRIVIGEN INJ 20GRAMS 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
44206043605 PRIVIGEN INJ 5 GRAMS 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59<strong>31</strong>0057920 PROAIR HFA AER 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00256021801 PROBARIMIN CHW QT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00591532501 PROBEN/COLCH TAB 500-0.5 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
64980014901 PROBEN/COLCH TAB 500-0.5 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378015601 PROBENECID TAB 500MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527136701 PROBENECID TAB 500MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00527136710 PROBENECID TAB 500MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00591534701 PROBENECID TAB 500MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00591534710 PROBENECID TAB 500MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00409190201 PROCAINAMIDE INJ 100MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00409190301 PROCAINAMIDE INJ 500MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00264191507 PROCALAMINE INJ 3% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00069260066 PROCARDIA CAP 10MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00069265041 PROCARDIA XL TAB 30MG CR 05/<strong>31</strong>/2013 <strong>2012</strong>1<br />
00069265066 PROCARDIA XL TAB 30MG CR 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00069265072 PROCARDIA XL TAB 30MG CR 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00069266066 PROCARDIA XL TAB 60MG CR 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00069266072 PROCARDIA XL TAB 60MG CR 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00069267066 PROCARDIA XL TAB 90MG CR 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
13551070105 PROCENTRA SOL 5MG/5ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
66594032116 PRO-CHLO LIQ 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
55390007701 PROCHLORPER INJ 5MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
55390007710 PROCHLORPER INJ 5MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00713013512 PROCHLORPER SUP 25MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00093965201 PROCHLORPER TAB 10MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378511001 PROCHLORPER TAB 10MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781502101 PROCHLORPER TAB 10MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
49884055010 PROCHLORPER TAB 10MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51079054201 PROCHLORPER TAB 10MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51079054220 PROCHLORPER TAB 10MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59746011506 PROCHLORPER TAB 10MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59746011510 PROCHLORPER TAB 10MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00093964301 PROCHLORPER TAB 5MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00378510501 PROCHLORPER TAB 5MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00781502001 PROCHLORPER TAB 5MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51079054101 PROCHLORPER TAB 5MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51079054120 PROCHLORPER TAB 5MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59746011306 PROCHLORPER TAB 5MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59746011<strong>31</strong>0 PROCHLORPER TAB 5MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
66594012201 PRO-CLEAR CAP 200-9MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
66594033<strong>31</strong>6 PRO-CLEAR AC SYP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
50967035760 PROCORT CRE 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
596760<strong>31</strong>001 PROCRIT INJ 10000/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
596760<strong>31</strong>002 PROCRIT INJ 10000/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
596760<strong>31</strong>204 PROCRIT INJ 10000/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59676030201 PROCRIT INJ 2000/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59676030202 PROCRIT INJ 2000/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59676032004 PROCRIT INJ 20000/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59676030301 PROCRIT INJ 3000/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59676030302 PROCRIT INJ 3000/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59676030401 PROCRIT INJ 4000/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
59676030402 PROCRIT INJ 4000/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1
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