August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 00573240045 AXID AR TAB 75MG 08/31/2012 20121 00002197590 AXIRON SOL 30MG/ACT 12/31/9999 20121 51285042410 AYGESTIN TAB 5MG 12/31/9999 20121 00225038080 AYR SPR 0.65% 12/31/9999 20121 00225038280 AYR NASAL DRO 0.65% 12/31/9999 20121 00225052547 AYR SALINE GEL NASAL 12/31/9999 20121 00003256016 AZACTAM INJ 1GM 12/31/9999 20121 00003257016 AZACTAM INJ 2GM 12/31/9999 20121 00003223011 AZACTAM/DEX INJ 1GM 12/31/9999 20121 00003224011 AZACTAM/DEX INJ 2GM 12/31/9999 20121 65649024141 AZASAN TAB 100MG 12/31/9999 20121 65649023141 AZASAN TAB 75 MG 12/31/9999 20121 31357004025 AZASITE SOL 1% 12/31/9999 20121 55390060020 AZATHIOPRINE INJ 100MG 12/31/9999 20121 00054408425 AZATHIOPRINE TAB 50MG 12/31/9999 20121 00054808425 AZATHIOPRINE TAB 50MG 12/31/9999 20121 00378100501 AZATHIOPRINE TAB 50MG 12/31/9999 20121 00406200301 AZATHIOPRINE TAB 50MG 12/31/9999 20121 51079062001 AZATHIOPRINE TAB 50MG 12/31/9999 20121 51079062006 AZATHIOPRINE TAB 50MG 12/31/9999 20121 68084022901 AZATHIOPRINE TAB 50MG 12/31/9999 20121 68382000301 AZATHIOPRINE TAB 50MG 12/31/9999 20121 68382000305 AZATHIOPRINE TAB 50MG 12/31/9999 20121 68462050201 AZATHIOPRINE TAB 50MG 12/31/9999 20121 51552011205 AZELAIC ACID MIS 12/31/9999 20121 51552011206 AZELAIC ACID MIS 12/31/9999 20121 47335093890 AZELASTINE DRO 0.05% 12/31/9999 20121 51525781506 AZELASTINE DRO 0.05% 12/31/9999 20121 60505057804 AZELASTINE DRO 0.05% 12/31/9999 20121 51525029403 AZELASTINE SPR 0.1% 12/31/9999 20121 60505083305 AZELASTINE SPR 0.1% 12/31/9999 20121 00023869430 AZELEX CRE 20% 12/31/9999 20121 00023869450 AZELEX CRE 20% 12/31/9999 20121 68546014256 AZILECT TAB 0.5MG 12/31/9999 20121 68546022956 AZILECT TAB 1MG 12/31/9999 20121 00409014411 AZITHROMYCIN INJ 500MG 12/31/9999 20121 10019064871 AZITHROMYCIN INJ 500MG 12/31/9999 20121 25021011210 AZITHROMYCIN INJ 500MG 12/31/9999 20121 50111079478 AZITHROMYCIN INJ 500MG 12/31/9999 20121 60505607604 AZITHROMYCIN INJ 500MG 12/31/9999 20121 63323039810 AZITHROMYCIN INJ 500MG 12/31/9999 20121 63323039812 AZITHROMYCIN INJ 500MG 12/31/9999 20121 59762305101 AZITHROMYCIN POW 1GM PAK 12/31/9999 20121 59762305102 AZITHROMYCIN POW 1GM PAK 12/31/9999 20121 51552130404 AZITHROMYCIN POW DIHYDRAT 12/31/9999 20121 51552130405 AZITHROMYCIN POW DIHYDRAT 12/31/9999 20121 51552130406 AZITHROMYCIN POW DIHYDRAT 12/31/9999 20121 00093202723 AZITHROMYCIN SUS 100/5ML 12/31/9999 20121 00093714823 AZITHROMYCIN SUS 100/5ML 12/31/9999 20121 00185720370 AZITHROMYCIN SUS 100/5ML 12/31/9999 20121 59762311001 AZITHROMYCIN SUS 100/5ML 12/31/9999 20121 00093202623 AZITHROMYCIN SUS 200/5ML 12/31/9999 20121 00093202631 AZITHROMYCIN SUS 200/5ML 12/31/9999 20121 00093202694 AZITHROMYCIN SUS 200/5ML 12/31/9999 20121 00093714923 AZITHROMYCIN SUS 200/5ML 12/31/9999 20121 00093714931 AZITHROMYCIN SUS 200/5ML 12/31/9999 20121 00093714994 AZITHROMYCIN SUS 200/5ML 12/31/9999 20121 00185720670 AZITHROMYCIN SUS 200/5ML 12/31/9999 20121 00185720969 AZITHROMYCIN SUS 200/5ML 12/31/9999 20121 00185721268 AZITHROMYCIN SUS 200/5ML 12/31/9999 20121 59762312001 AZITHROMYCIN SUS 200/5ML 12/31/9999 20121 59762313001 AZITHROMYCIN SUS 200/5ML 12/31/9999 20121 59762314001 AZITHROMYCIN SUS 200/5ML 12/31/9999 20121 00093714609 AZITHROMYCIN TAB 250MG 09/30/2013 20121 00093714618 AZITHROMYCIN TAB 250MG 12/31/9999 20121 00093714656 AZITHROMYCIN TAB 250MG 12/31/9999 20121 00378153356 AZITHROMYCIN TAB 250MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 00781149631 AZITHROMYCIN TAB 250MG 12/31/9999 20121 00781149668 AZITHROMYCIN TAB 250MG 12/31/9999 20121 00781149669 AZITHROMYCIN TAB 250MG 12/31/9999 20121 00904601004 AZITHROMYCIN TAB 250MG 12/31/9999 20121 50111078766 AZITHROMYCIN TAB 250MG 12/31/9999 20121 50268009815 AZITHROMYCIN TAB 250MG 12/31/9999 20121 59762306001 AZITHROMYCIN TAB 250MG 12/31/9999 20121 59762306002 AZITHROMYCIN TAB 250MG 12/31/9999 20121 59762306003 AZITHROMYCIN TAB 250MG 12/31/9999 20121 60505258100 AZITHROMYCIN TAB 250MG 12/31/9999 20121 60505258102 AZITHROMYCIN TAB 250MG 12/31/9999 20121 60505258103 AZITHROMYCIN TAB 250MG 12/31/9999 20121 64679096101 AZITHROMYCIN TAB 250MG 12/31/9999 20121 64679096104 AZITHROMYCIN TAB 250MG 12/31/9999 20121 64679096105 AZITHROMYCIN TAB 250MG 12/31/9999 20121 68084027801 AZITHROMYCIN TAB 250MG 12/31/9999 20121 68084044365 AZITHROMYCIN TAB 250MG 12/31/9999 20121 00093716933 AZITHROMYCIN TAB 500MG 12/31/9999 20121 00093716956 AZITHROMYCIN TAB 500MG 12/31/9999 20121 00093716990 AZITHROMYCIN TAB 500MG 12/31/9999 20121 00378153453 AZITHROMYCIN TAB 500MG 12/31/9999 20121 00781194131 AZITHROMYCIN TAB 500MG 12/31/9999 20121 00781194133 AZITHROMYCIN TAB 500MG 12/31/9999 20121 50111078852 AZITHROMYCIN TAB 500MG 12/31/9999 20121 50268009913 AZITHROMYCIN TAB 500MG 12/31/9999 20121 59762307001 AZITHROMYCIN TAB 500MG 12/31/9999 20121 59762307002 AZITHROMYCIN TAB 500MG 12/31/9999 20121 60505258200 AZITHROMYCIN TAB 500MG 12/31/9999 20121 60505258202 AZITHROMYCIN TAB 500MG 12/31/9999 20121 60505258203 AZITHROMYCIN TAB 500MG 12/31/9999 20121 64679096401 AZITHROMYCIN TAB 500MG 12/31/9999 20121 64679096403 AZITHROMYCIN TAB 500MG 12/31/9999 20121 64679096405 AZITHROMYCIN TAB 500MG 12/31/9999 20121 68084027921 AZITHROMYCIN TAB 500MG 12/31/9999 20121 00093714756 AZITHROMYCIN TAB 600MG 12/31/9999 20121 00781149731 AZITHROMYCIN TAB 600MG 12/31/9999 20121 59762308001 AZITHROMYCIN TAB 600MG 12/31/9999 20121 60505258303 AZITHROMYCIN TAB 600MG 12/31/9999 20121 64679096201 AZITHROMYCIN TAB 600MG 12/31/9999 20121 68084046421 AZITHROMYCIN TAB 600MG 12/31/9999 20121 37205030864 AZO TABS TAB 95MG 12/31/9999 20121 00904502546 AZO-GESIC TAB 95MG 12/31/9999 20121 00065027510 AZOPT SUS 1% OP 12/31/9999 20121 00065027515 AZOPT SUS 1% OP 12/31/9999 20121 65597011130 AZOR TAB 10-20MG 12/31/9999 20121 65597011190 AZOR TAB 10-20MG 12/31/9999 20121 65597011330 AZOR TAB 10-40MG 12/31/9999 20121 65597011390 AZOR TAB 10-40MG 12/31/9999 20121 65597011030 AZOR TAB 5-20MG 12/31/9999 20121 65597011090 AZOR TAB 5-20MG 12/31/9999 20121 65597011230 AZOR TAB 5-40MG 12/31/9999 20121 65597011290 AZOR TAB 5-40MG 12/31/9999 20121 63323040120 AZTREONAM INJ 1GM 12/31/9999 20121 63323040220 AZTREONAM INJ 2GM 12/31/9999 20121 00013010101 AZULFIDINE TAB 500MG 12/31/9999 20121 00013010120 AZULFIDINE TAB 500MG 12/31/9999 20121 00013010201 AZULFIDINE TAB 500MG EN 12/31/9999 20121 00013010220 AZULFIDINE TAB 500MG EN 12/31/9999 20121 52544094028 AZURETTE TAB 28 DAY 12/31/9999 20121 00536440801 B-6 TAB 50MG 12/31/9999 20121 00536440810 B-6 TAB 50MG 12/31/9999 20121 00573021625 BABY ANBESOL GEL 7.5% 12/31/9999 20121 00225055050 BABY AYR SPR 0.65% 12/31/9999 20121 00168001209 BAC/NEO/POLY OIN 12/31/9999 20121 00168001231 BAC/NEO/POLY OIN 12/31/9999 20121 00168001235 BAC/NEO/POLY OIN 12/31/9999 20121 00168002738 BAC/NEO/POLY OIN OP 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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