August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 55390003910 VECURONIUM INJ 20MG 12/31/9999 20121 51552042206 VEEGUM MIS LUMP 12/31/9999 20121 00603099389 VEG FIBER POW 30.9% 09/30/2014 20121 00603099263 VEG FIBER POW 63% 12/31/9999 20121 51552103507 VEGETABLE POW FLAVOR 12/31/9999 20121 63020004901 VELCADE INJ 3.5MG 12/31/9999 20121 66215040101 VELETRI INJ 1.5MG 12/31/9999 20121 00555905167 VELIVET PAK 12/31/9999 20121 00145007130 VELTIN GEL 12/31/9999 20121 00145007160 VELTIN GEL 12/31/9999 20121 00064218014 VELVACHOL CRE 12/31/9999 20121 13811059830 VEMAVITE- CAP PRX 2 12/31/9999 20121 13811061330 VENATAL COMP MIS DHA 12/31/9999 20121 13811002610 VENATAL-FA TAB 12/31/9999 20121 00093738656 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 00093738698 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 00378513305 VENLAFAXINE CAP 150MG ER 03/31/2013 20121 00904624861 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 13668002030 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 13668002074 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 13668002090 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 51079013601 VENLAFAXINE CAP 150MG ER 03/31/2013 20121 51079013604 VENLAFAXINE CAP 150MG ER 03/31/2013 20121 55111045530 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 55111045590 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 59762018201 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 59762018202 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 59762018203 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 59762018204 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 60505378003 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 60505378009 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 64679071801 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 64679071804 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 64679071805 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 65862052930 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 65862052990 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 65862069701 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 65862069705 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 65862069730 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 65862069790 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 68084048601 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 68382003606 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 68382003610 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 68382003616 VENLAFAXINE CAP 150MG ER 12/31/9999 20121 00093738456 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 00093738498 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 00378513105 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 00904624661 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 13668001830 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 13668001874 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 13668001890 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 51079013401 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 51079013420 VENLAFAXINE CAP 37.5MG 02/28/2013 20121 55111045330 VENLAFAXINE CAP 37.5MG 10/31/2012 20121 55111045390 VENLAFAXINE CAP 37.5MG 01/31/2013 20121 59762018001 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 59762018002 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 59762018003 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 59762018004 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 60505377803 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 60505377809 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 64679071601 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 64679071604 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 64679071605 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 65862052701 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 65862052730 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 65862052790 VENLAFAXINE CAP 37.5MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 65862052799 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 68084048401 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 68382003406 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 68382003410 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 68382003416 VENLAFAXINE CAP 37.5MG 12/31/9999 20121 00093738556 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 00093738598 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 00378513205 VENLAFAXINE CAP 75MG ER 04/30/2013 20121 00904624761 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 13668001930 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 13668001974 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 13668001990 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 51079013501 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 51079013520 VENLAFAXINE CAP 75MG ER 03/31/2013 20121 55111045430 VENLAFAXINE CAP 75MG ER 01/31/2013 20121 55111045490 VENLAFAXINE CAP 75MG ER 11/30/2012 20121 59762018101 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 59762018102 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 59762018103 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 59762018104 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 60505377903 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 60505377909 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 64679071701 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 64679071704 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 64679071705 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 65862052801 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 65862052830 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 65862052890 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 65862052899 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 68084048501 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 68382003506 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 68382003510 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 68382003516 VENLAFAXINE CAP 75MG ER 12/31/9999 20121 00093738301 VENLAFAXINE TAB 100MG 12/31/9999 20121 00378488501 VENLAFAXINE TAB 100MG 12/31/9999 20121 00603615121 VENLAFAXINE TAB 100MG 12/31/9999 20121 00603615125 VENLAFAXINE TAB 100MG 12/31/9999 20121 55111054990 VENLAFAXINE TAB 100MG 08/31/2013 20121 59762348402 VENLAFAXINE TAB 100MG 11/30/2012 20121 65162030509 VENLAFAXINE TAB 100MG 12/31/9999 20121 65862040801 VENLAFAXINE TAB 100MG 12/31/9999 20121 68382010101 VENLAFAXINE TAB 100MG 12/31/9999 20121 00131326732 VENLAFAXINE TAB 150MG ER 12/31/9999 20121 00131326746 VENLAFAXINE TAB 150MG ER 12/31/9999 20121 41616075881 VENLAFAXINE TAB 150MG ER 12/31/9999 20121 41616075883 VENLAFAXINE TAB 150MG ER 12/31/9999 20121 65580030303 VENLAFAXINE TAB 150MG ER 12/31/9999 20121 65580030309 VENLAFAXINE TAB 150MG ER 12/31/9999 20121 00131326832 VENLAFAXINE TAB 225MG ER 12/31/9999 20121 00131326846 VENLAFAXINE TAB 225MG ER 12/31/9999 20121 65580030403 VENLAFAXINE TAB 225MG ER 12/31/9999 20121 65580030409 VENLAFAXINE TAB 225MG ER 12/31/9999 20121 00093019901 VENLAFAXINE TAB 25MG 12/31/9999 20121 00378488101 VENLAFAXINE TAB 25MG 12/31/9999 20121 00603615621 VENLAFAXINE TAB 25MG 12/31/9999 20121 55111054590 VENLAFAXINE TAB 25MG 11/30/2012 20121 59762348003 VENLAFAXINE TAB 25MG 11/30/2012 20121 65162030009 VENLAFAXINE TAB 25MG 12/31/9999 20121 65862040401 VENLAFAXINE TAB 25MG 12/31/9999 20121 65862040460 VENLAFAXINE TAB 25MG 12/31/9999 20121 68382001801 VENLAFAXINE TAB 25MG 12/31/9999 20121 00131326532 VENLAFAXINE TAB 37.5 ER 12/31/9999 20121 00131326546 VENLAFAXINE TAB 37.5 ER 12/31/9999 20121 41616076081 VENLAFAXINE TAB 37.5 ER 12/31/9999 20121 41616076083 VENLAFAXINE TAB 37.5 ER 12/31/9999 20121 65580030103 VENLAFAXINE TAB 37.5 ER 12/31/9999 20121 65580030109 VENLAFAXINE TAB 37.5 ER 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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