August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 13811055830 TRIVEEN-PRX CAP RNF 12/31/9999 20121 13811055860 TRIVEEN-PRX CAP RNF 12/31/9999 20121 13811055960 TRIVEEN-TEN TAB 12/31/9999 20121 13811056301 TRIVEEN-U CAP 12/31/9999 20121 00603178747 TRI-VIT/FE DRO /FL 0.25 12/31/9999 20121 50383062850 TRI-VIT/FE DRO /FL 0.25 12/31/9999 20121 00603178547 TRI-VIT/FL DRO 0.25MG 12/31/9999 20121 00603178647 TRI-VIT/FL DRO 0.5MG 12/31/9999 20121 00472089095 TRI-VIT/FLUO DRO 0.25MG 12/31/9999 20121 50383063750 TRI-VIT/FLUO DRO 0.25MG 12/31/9999 20121 00472089495 TRI-VIT/FLUO DRO 0.5MG 12/31/9999 20121 50383063650 TRI-VIT/FLUO DRO 0.5MG 12/31/9999 20121 52152000202 TRI-VITA BET CHW /FLUORID 12/31/9999 20121 52152000205 TRI-VITA BET CHW /FLUORID 12/31/9999 20121 64376082350 TRI-VITA/FL DRO 0.25MG 12/31/9999 20121 50383063550 TRI-VITAMIN DRO 12/31/9999 20121 00536850180 TRI-VITAMINS DRO 12/31/9999 20121 52544029128 TRIVORA-28 TAB 12/31/9999 20121 00603064888 TRIXAICIN CRE 0.025% 12/31/9999 20121 00603064988 TRIXAICIN HP CRE 0.075% 12/31/9999 20121 00173069100 TRIZIVIR TAB 08/16/2013 20121 49702021718 TRIZIVIR TAB 12/31/9999 20121 51552013203 TROLAMINE LIQ 12/31/9999 20121 51552013206 TROLAMINE LIQ 12/31/9999 20121 51552013208 TROLAMINE LIQ 12/31/9999 20121 00264934155 TROPHAMINE INJ 10% 12/31/9999 20121 00264936155 TROPHAMINE INJ 6% 12/31/9999 20121 17478010112 TROPICAMIDE SOL 0.5% OP 12/31/9999 20121 24208059064 TROPICAMIDE SOL 0.5% OP 12/31/9999 20121 61314035401 TROPICAMIDE SOL 0.5% OP 12/31/9999 20121 17478010212 TROPICAMIDE SOL 1% OP 12/31/9999 20121 24208058559 TROPICAMIDE SOL 1% OP 12/31/9999 20121 24208058564 TROPICAMIDE SOL 1% OP 12/31/9999 20121 61314035501 TROPICAMIDE SOL 1% OP 12/31/9999 20121 61314035502 TROPICAMIDE SOL 1% OP 12/31/9999 20121 00574014560 TROSPIUM CL TAB 20MG 12/31/9999 20121 68462046160 TROSPIUM CL TAB 20MG 12/31/9999 20121 00006351936 TRUSOPT SOL 2% OP 12/31/9999 20121 61958070101 TRUVADA TAB 12/31/9999 20121 00135007003 TUMS CHW 500MG 12/31/9999 20121 00135007027 TUMS CHW 500MG 12/31/9999 20121 00135007048 TUMS CHW 500MG 12/31/9999 20121 00135007127 TUMS CHW 500MG 12/31/9999 20121 00135007148 TUMS CHW 500MG 12/31/9999 20121 00135022301 TUMS CAL/LIF CHW 750MG 12/31/9999 20121 00135048201 TUMS DUAL CHW ACTION 12/31/9999 20121 00135048202 TUMS DUAL CHW ACTION 12/31/9999 20121 00135007407 TUMS E-X CHW 750MG 12/31/9999 20121 00135007422 TUMS E-X CHW 750MG 12/31/9999 20121 00135007424 TUMS E-X CHW 750MG 12/31/9999 20121 00135007425 TUMS E-X CHW 750MG 12/31/9999 20121 00135007446 TUMS E-X CHW 750MG 12/31/9999 20121 00135007625 TUMS E-X CHW 750MG 12/31/9999 20121 00135014001 TUMS E-X CHW 750MG 12/31/9999 20121 00135014002 TUMS E-X CHW 750MG 12/31/9999 20121 00135014003 TUMS E-X CHW 750MG 12/31/9999 20121 00135014004 TUMS E-X CHW 750MG 12/31/9999 20121 00135015405 TUMS E-X CHW 750MG 12/31/9999 20121 00135017802 TUMS E-X CHW 750MG 12/31/9999 20121 00135017803 TUMS E-X CHW 750MG 12/31/9999 20121 00135017808 TUMS E-X CHW 750MG 12/31/9999 20121 00135017809 TUMS E-X CHW 750MG 12/31/9999 20121 00135046901 TUMS KIDS CHW 750MG 12/31/9999 20121 00135024401 TUMS SMOOTHI CHW 750MG 12/31/9999 20121 00135024402 TUMS SMOOTHI CHW 750MG 12/31/9999 20121 00135024501 TUMS SMOOTHI CHW 750MG 12/31/9999 20121 00135024502 TUMS SMOOTHI CHW 750MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 00135024601 TUMS SMOOTHI CHW ASST FRU 12/31/9999 20121 00135024602 TUMS SMOOTHI CHW ASST FRU 12/31/9999 20121 00135045603 TUMS SMOOTHI CHW BERY FUS 12/31/9999 20121 00135024301 TUMS SMOOTHI CHW PEPPRMNT 12/31/9999 20121 00135024302 TUMS SMOOTHI CHW PEPPRMNT 12/31/9999 20121 00135011814 TUMS ULTRA CHW 1000MG 12/31/9999 20121 00135011883 TUMS ULTRA CHW 1000MG 12/31/9999 20121 00135011983 TUMS ULTRA CHW 1000MG 12/31/9999 20121 00135018002 TUMS ULTRA CHW 1000MG 12/31/9999 20121 00135018004 TUMS ULTRA CHW 1000MG 12/31/9999 20121 00135018014 TUMS ULTRA CHW 1000MG 12/31/9999 20121 00135018101 TUMS ULTRA CHW 1000MG 12/31/9999 20121 00135018102 TUMS ULTRA CHW 1000MG 12/31/9999 20121 00135018103 TUMS ULTRA CHW 1000MG 12/31/9999 20121 00135018105 TUMS ULTRA CHW 1000MG 12/31/9999 20121 00135018114 TUMS ULTRA CHW 1000MG 12/31/9999 20121 00135018214 TUMS ULTRA CHW 1000MG 12/31/9999 20121 00135022801 TUMS ULTRA CHW 1000MG 12/31/9999 20121 00228163502 TURPENTINE LIQ SPIRITS 12/31/9999 20121 54859080160 TUSNEL CAP 12/31/9999 20121 54859050206 TUSNEL LIQ 12/31/9999 20121 54859050210 TUSNEL LIQ 12/31/9999 20121 54859050216 TUSNEL LIQ 12/31/9999 20121 54859052016 TUSNEL C SYP 12/31/9999 20121 54859050504 TUSNEL DIABT LIQ 10-100/5 12/31/9999 20121 54859050516 TUSNEL DIABT LIQ 10-100/5 12/31/9999 20121 54859060202 TUSNEL PEDI DRO 5-10MG/M 12/31/9999 20121 54859054404 TUSNEL PEDI LIQ 12/31/9999 20121 54859060302 TUSNEL-DM DRO PEDIATRC 12/31/9999 20121 00472104004 TUSSEX SYP 12/31/9999 20121 00037068110 TUSSI-12 TAB 5-60MG 03/31/2013 20121 00037068204 TUSSI-12 S SUS 4-30MG/5 08/31/2012 20121 23635010801 TUSSICAPS CAP 10-8MG 12/31/9999 20121 23635010820 TUSSICAPS CAP 10-8MG 12/31/9999 20121 23635005401 TUSSICAPS CAP 5-4MG 12/31/9999 20121 23635005420 TUSSICAPS CAP 5-4MG 12/31/9999 20121 61570008101 TUSSIGON TAB 5MG 12/31/9999 20121 37205096026 TUSSIN SYP 100/5ML 12/31/9999 20121 37205096034 TUSSIN SYP 100/5ML 12/31/9999 20121 63868085754 TUSSIN SYP 100/5ML 12/31/9999 20121 63868085756 TUSSIN SYP 100/5ML 12/31/9999 20121 62011008901 TUSSIN ADULT LIQ 100/5ML 12/31/9999 20121 62011009201 TUSSIN ADULT LIQ CGH/CONG 12/31/9999 20121 62011009001 TUSSIN ADULT LIQ COLD 12/31/9999 20121 36800051626 TUSSIN CF LIQ 12/31/9999 20121 36800051634 TUSSIN CF LIQ 12/31/9999 20121 37205070926 TUSSIN CF LIQ 12/31/9999 20121 37205070934 TUSSIN CF LIQ 12/31/9999 20121 63868024404 TUSSIN CF LIQ 12/31/9999 20121 63868024408 TUSSIN CF LIQ 12/31/9999 20121 00113051626 TUSSIN CF LIQ CGH/COLD 12/31/9999 20121 00113051634 TUSSIN CF LIQ CGH/COLD 12/31/9999 20121 00113031026 TUSSIN CHEST SYP 100/5ML 12/31/9999 20121 00113031034 TUSSIN CHEST SYP 100/5ML 12/31/9999 20121 36800031026 TUSSIN CHEST SYP 100/5ML 12/31/9999 20121 24385049326 TUSSIN COUGH SYP 15MG/5ML 12/31/9999 20121 36800030026 TUSSIN COUGH SYP 15MG/5ML 12/31/9999 20121 00113057826 TUSSIN DM LIQ 12/31/9999 20121 00113057834 TUSSIN DM LIQ 12/31/2012 20121 36800035926 TUSSIN DM LIQ 100-10/5 12/31/9999 20121 36800035934 TUSSIN DM LIQ 100-10/5 12/31/9999 20121 36800035940 TUSSIN DM LIQ 100-10/5 12/31/9999 20121 36800057826 TUSSIN DM LIQ 100-10/5 12/31/9999 20121 37205071226 TUSSIN DM LIQ CLEAR 12/31/9999 20121 36800079926 TUSSIN DM LIQ MAX 12/31/9999 20121 36800079934 TUSSIN DM LIQ MAX 12/31/9999 20121 00113035926 TUSSIN DM SYP 100-10/5 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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