August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 49884032901 PROPRANOLOL CAP 120MG ER 03/31/2013 20121 00228278111 PROPRANOLOL CAP 160MG ER 12/31/9999 20121 00228278150 PROPRANOLOL CAP 160MG ER 12/31/9999 20121 00245008710 PROPRANOLOL CAP 160MG ER 12/31/9999 20121 00245008711 PROPRANOLOL CAP 160MG ER 12/31/9999 20121 00378626001 PROPRANOLOL CAP 160MG ER 12/31/9999 20121 00378626005 PROPRANOLOL CAP 160MG ER 12/31/9999 20121 43478090388 PROPRANOLOL CAP 160MG ER 12/31/9999 20121 49884033001 PROPRANOLOL CAP 160MG ER 03/31/2013 20121 49884033010 PROPRANOLOL CAP 160MG ER 10/31/2012 20121 00228277811 PROPRANOLOL CAP 60MG ER 12/31/9999 20121 00228277850 PROPRANOLOL CAP 60MG ER 12/31/9999 20121 00245008410 PROPRANOLOL CAP 60MG ER 12/31/9999 20121 00245008411 PROPRANOLOL CAP 60MG ER 12/31/9999 20121 00378616001 PROPRANOLOL CAP 60MG ER 12/31/9999 20121 00378616005 PROPRANOLOL CAP 60MG ER 12/31/9999 20121 43478090088 PROPRANOLOL CAP 60MG ER 12/31/9999 20121 49884028201 PROPRANOLOL CAP 60MG ER 03/31/2013 20121 49884028210 PROPRANOLOL CAP 60MG ER 01/31/2013 20121 68084020901 PROPRANOLOL CAP 60MG ER 12/31/9999 20121 68084050301 PROPRANOLOL CAP 60MG ER 12/31/9999 20121 00228277911 PROPRANOLOL CAP 80MG ER 12/31/9999 20121 00228277950 PROPRANOLOL CAP 80MG ER 12/31/9999 20121 00245008510 PROPRANOLOL CAP 80MG ER 12/31/9999 20121 00245008511 PROPRANOLOL CAP 80MG ER 12/31/9999 20121 00378618001 PROPRANOLOL CAP 80MG ER 12/31/9999 20121 00378618005 PROPRANOLOL CAP 80MG ER 12/31/9999 20121 43478090188 PROPRANOLOL CAP 80MG ER 12/31/9999 20121 49884032801 PROPRANOLOL CAP 80MG ER 01/31/2013 20121 49884032810 PROPRANOLOL CAP 80MG ER 01/31/2013 20121 68084021001 PROPRANOLOL CAP 80MG ER 12/31/9999 20121 68084050401 PROPRANOLOL CAP 80MG ER 12/31/9999 20121 00143987201 PROPRANOLOL INJ 1MG/ML 12/31/9999 20121 00781377795 PROPRANOLOL INJ 1MG/ML 12/31/9999 20121 55390000310 PROPRANOLOL INJ 1MG/ML 12/31/9999 20121 63323060401 PROPRANOLOL INJ 1MG/ML 12/31/9999 20121 00054372763 PROPRANOLOL SOL 20MG/5ML 12/31/9999 20121 00054373063 PROPRANOLOL SOL 40MG/5ML 12/31/9999 20121 00228232710 PROPRANOLOL TAB 10MG 12/31/9999 20121 00228232750 PROPRANOLOL TAB 10MG 12/31/9999 20121 00378018201 PROPRANOLOL TAB 10MG 12/31/9999 20121 00378018210 PROPRANOLOL TAB 10MG 12/31/9999 20121 00591555401 PROPRANOLOL TAB 10MG 12/31/9999 20121 00591555410 PROPRANOLOL TAB 10MG 12/31/9999 20121 00603548221 PROPRANOLOL TAB 10MG 12/31/9999 20121 00603548232 PROPRANOLOL TAB 10MG 12/31/9999 20121 00615256139 PROPRANOLOL TAB 10MG 12/31/9999 20121 00904041161 PROPRANOLOL TAB 10MG 12/31/9999 20121 16714002104 PROPRANOLOL TAB 10MG 12/31/2020 20121 16714002106 PROPRANOLOL TAB 10MG 12/31/2020 20121 23155011001 PROPRANOLOL TAB 10MG 12/31/9999 20121 23155011010 PROPRANOLOL TAB 10MG 12/31/9999 20121 50111046701 PROPRANOLOL TAB 10MG 12/31/9999 20121 50111046703 PROPRANOLOL TAB 10MG 12/31/9999 20121 51079027701 PROPRANOLOL TAB 10MG 12/31/9999 20121 51079027720 PROPRANOLOL TAB 10MG 12/31/9999 20121 00228232910 PROPRANOLOL TAB 20MG 12/31/9999 20121 00228232996 PROPRANOLOL TAB 20MG 12/31/9999 20121 00378018301 PROPRANOLOL TAB 20MG 12/31/9999 20121 00378018310 PROPRANOLOL TAB 20MG 12/31/9999 20121 00591555501 PROPRANOLOL TAB 20MG 12/31/9999 20121 00591555510 PROPRANOLOL TAB 20MG 12/31/9999 20121 00603548302 PROPRANOLOL TAB 20MG 12/31/9999 20121 00603548321 PROPRANOLOL TAB 20MG 12/31/9999 20121 00603548332 PROPRANOLOL TAB 20MG 12/31/9999 20121 00615256239 PROPRANOLOL TAB 20MG 12/31/9999 20121 16714002204 PROPRANOLOL TAB 20MG 12/31/2020 20121
NDC Product Description Termination Date Quarter Covered 16714002206 PROPRANOLOL TAB 20MG 12/31/2020 20121 23155011101 PROPRANOLOL TAB 20MG 12/31/9999 20121 23155011110 PROPRANOLOL TAB 20MG 12/31/9999 20121 50111046801 PROPRANOLOL TAB 20MG 12/31/9999 20121 50111046803 PROPRANOLOL TAB 20MG 12/31/9999 20121 51079027801 PROPRANOLOL TAB 20MG 12/31/9999 20121 51079027820 PROPRANOLOL TAB 20MG 12/31/9999 20121 00228233110 PROPRANOLOL TAB 40MG 12/31/9999 20121 00228233150 PROPRANOLOL TAB 40MG 12/31/9999 20121 00378018401 PROPRANOLOL TAB 40MG 12/31/9999 20121 00378018410 PROPRANOLOL TAB 40MG 12/31/9999 20121 00591555601 PROPRANOLOL TAB 40MG 12/31/9999 20121 00591555610 PROPRANOLOL TAB 40MG 12/31/9999 20121 00603548421 PROPRANOLOL TAB 40MG 12/31/9999 20121 00603548432 PROPRANOLOL TAB 40MG 12/31/9999 20121 00615256339 PROPRANOLOL TAB 40MG 12/31/9999 20121 16714002304 PROPRANOLOL TAB 40MG 12/31/2020 20121 16714002306 PROPRANOLOL TAB 40MG 12/31/2020 20121 23155011201 PROPRANOLOL TAB 40MG 12/31/9999 20121 23155011210 PROPRANOLOL TAB 40MG 12/31/9999 20121 50111046901 PROPRANOLOL TAB 40MG 12/31/9999 20121 50111046903 PROPRANOLOL TAB 40MG 12/31/9999 20121 51079027901 PROPRANOLOL TAB 40MG 12/31/9999 20121 51079027920 PROPRANOLOL TAB 40MG 12/31/9999 20121 00378018701 PROPRANOLOL TAB 60MG 12/31/9999 20121 00603548521 PROPRANOLOL TAB 60MG 12/31/9999 20121 16714002404 PROPRANOLOL TAB 60MG 12/31/2020 20121 23155011301 PROPRANOLOL TAB 60MG 12/31/9999 20121 50111047001 PROPRANOLOL TAB 60MG 12/31/9999 20121 00378018501 PROPRANOLOL TAB 80MG 12/31/9999 20121 00378018505 PROPRANOLOL TAB 80MG 12/31/9999 20121 00591555701 PROPRANOLOL TAB 80MG 12/31/9999 20121 00591555705 PROPRANOLOL TAB 80MG 12/31/9999 20121 00603548621 PROPRANOLOL TAB 80MG 12/31/9999 20121 00603548628 PROPRANOLOL TAB 80MG 12/31/9999 20121 16714002504 PROPRANOLOL TAB 80MG 12/31/2020 20121 16714002505 PROPRANOLOL TAB 80MG 12/31/2020 20121 23155011401 PROPRANOLOL TAB 80MG 12/31/9999 20121 23155011405 PROPRANOLOL TAB 80MG 12/31/9999 20121 50111047101 PROPRANOLOL TAB 80MG 12/31/9999 20121 50111047102 PROPRANOLOL TAB 80MG 12/31/9999 20121 38779051001 PROPYLENE LIQ GLYCOL 12/31/9999 20121 38779051008 PROPYLENE LIQ GLYCOL 12/31/9999 20121 38779051009 PROPYLENE LIQ GLYCOL 12/31/9999 20121 00574007216 PROPYLENE GL SOL 12/31/9999 20121 51552010306 PROPYLENE GL SOL 12/31/9999 20121 51552010308 PROPYLENE GL SOL 12/31/9999 20121 00143148001 PROPYLTHIOUR TAB 50MG 12/31/9999 20121 00143148010 PROPYLTHIOUR TAB 50MG 12/31/9999 20121 00228234810 PROPYLTHIOUR TAB 50MG 12/31/9999 20121 66594044416 PRO-RED AC SYP 12/31/9999 20121 00006007231 PROSCAR TAB 5MG 12/31/9999 20121 00006007258 PROSCAR TAB 5MG 12/31/9999 20121 55566810101 PROSED/DS TAB 12/31/9999 20121 00064015008 PROSHIELD AER FOAM/SPR 12/31/9999 20121 00064030004 PROSHIELD CRE PLUS 12/31/9999 20121 00064085006 PROSHIELD CRE PROTECT 12/31/9999 20121 00064030025 PROSHIELD KIT SKN CARE 12/31/9999 20121 00064070004 PROSHIELD SPR CLEANSER 12/31/9999 20121 00338049906 PROSOL INJ 20% 12/31/9999 20121 00187310010 PROSTIGMIN TAB 15MG 12/31/9999 20121 00009082703 PROSTIN E2 SUP 20MG 12/31/9999 20121 00009316901 PROSTIN VR INJ 500MCG 12/31/9999 20121 00009316906 PROSTIN VR INJ 500MCG 12/31/9999 20121 51552096002 PROTAMINE POW SULFATE 12/31/9999 20121 63323022905 PROTAMINE SU SOL 10MG/ML 12/31/9999 20121 63323022915 PROTAMINE SU SOL 10MG/ML 12/31/9999 20121
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Rebatable Drug List for Iowa Medica
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NDC Product Description Termination
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August 31, 2012 - Iowa Medicaid Enterprise

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