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August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered<br />

00074227714 VICOPROFEN TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00074227754 VICOPROFEN TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00169406012 VICTOZA INJ 18MG/3ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00169406013 VICTOZA INJ 18MG/3ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

000850<strong>31</strong>402 VICTRELIS CAP 200MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

59572010201 VIDAZA INJ 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

67211010201 VIDAZA INJ 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00087663241 VIDEX SOL 2GM 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00087663341 VIDEX SOL 4GM 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00087667117 VIDEX EC CAP 125MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00087667217 VIDEX EC CAP 200MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00087667<strong>31</strong>7 VIDEX EC CAP 250MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00087667417 VIDEX EC CAP 400MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00065401303 VIGAMOX DRO 0.5% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

12939030410 VIGOMAR FORT TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00456111030 VIIBRYD TAB 10MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00456112030 VIIBRYD TAB 20MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00456114030 VIIBRYD TAB 40MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

12939050408 VIMAR/IRON SYP FORTE 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00186051060 VIMOVO TAB 375-20MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00186052039 VIMOVO TAB 500-20MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00186052060 VIMOVO TAB 500-20MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

001<strong>31</strong>181067 VIMPAT INJ 200MG/20 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

001<strong>31</strong>541070 VIMPAT SOL 10MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

001<strong>31</strong>247835 VIMPAT TAB 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

001<strong>31</strong>247935 VIMPAT TAB 150MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

001<strong>31</strong>248035 VIMPAT TAB 200MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

001<strong>31</strong>247735 VIMPAT TAB 50MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51991061790 VINACAL TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51991046690 VINATE AZ TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51991051490 VINATE AZ EX TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51991058133 VINATE C TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51991046901 VINATE CAL TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51991057633 VINATE CARE CHW 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51991015990 VINATE GT TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51991015991 VINATE GT TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51991053090 VINATE IC CAP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51991017801 VINATE II TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51991015501 VINATE M TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51991056601 VINATE ONE TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51991058433 VINATE PN TAB CARE 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51991015401 VINATE ULTRA TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

55390009110 VINBLASTINE INJ 10MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

63323027810 VINBLASTINE INJ 1MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00703440211 VINCASAR PFS INJ 1MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00703441211 VINCASAR PFS INJ 1MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

61703030906 VINCRISTINE INJ 1MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

61703030916 VINCRISTINE INJ 1MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00703418201 VINORELBINE INJ 10MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00703418291 VINORELBINE INJ 10MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00703418301 VINORELBINE INJ 10MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00703418391 VINORELBINE INJ 10MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

25021020401 VINORELBINE INJ 10MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

55390006901 VINORELBINE INJ 10MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

61703034106 VINORELBINE INJ 10MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

63323014801 VINORELBINE INJ 10MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

64370021001 VINORELBINE INJ 10MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

66758004501 VINORELBINE INJ 10MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

25021020405 VINORELBINE INJ 50MG/5ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

55390007001 VINORELBINE INJ 50MG/5ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

61703034109 VINORELBINE INJ 50MG/5ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

63323014805 VINORELBINE INJ 50MG/5ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

64370025001 VINORELBINE INJ 50MG/5ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

66758004502 VINORELBINE INJ 50MG/5ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

63010001030 VIRACEPT TAB 250MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

63010002770 VIRACEPT TAB 625MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00597004724 VIRAMUNE SUS 50MG/5ML 12/<strong>31</strong>/9999 <strong>2012</strong>1

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