August 31, 2012 - Iowa Medicaid Enterprise
August 31, 2012 - Iowa Medicaid Enterprise
August 31, 2012 - Iowa Medicaid Enterprise
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NDC Product Description Termination Date Quarter Covered<br />
65862008601 BISOPROL FUM TAB 5MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
65862008630 BISOPROL FUM TAB 5MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
68084048721 BISOPROL FUM TAB 5MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552103304 BITTERNESS POW NATURAL 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552103306 BITTERNESS POW NATURAL 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00703<strong>31</strong>5401 BLEOMYCIN INJ 15UNIT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
61703033218 BLEOMYCIN INJ 15UNIT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
63323013610 BLEOMYCIN INJ 15UNIT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00703<strong>31</strong>5501 BLEOMYCIN INJ 30UNIT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
61703032322 BLEOMYCIN INJ 30UNIT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
63323013720 BLEOMYCIN INJ 30UNIT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
11980001105 BLEPH-10 SOL 10% OP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
000230<strong>31</strong>304 BLEPHAMIDE OIN S.O.P. 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
11980002205 BLEPHAMIDE SUS OP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
11980002210 BLEPHAMIDE SUS OP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00536230259 BLUE GEL 2% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00245021460 B-NEXA TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00004018809 BONIVA INJ 3MG/3ML 09/30/<strong>2012</strong> <strong>2012</strong>1<br />
00004019109 BONIVA INJ 3MG/3ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00004018682 BONIVA TAB 150MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00187049701 BONTRIL PDM TAB 35MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00187049702 BONTRIL PDM TAB 35MG 07/<strong>31</strong>/2016 <strong>2012</strong>1<br />
00187049801 BONTRIL SR CAP 105MG 08/<strong>31</strong>/2013 <strong>2012</strong>1<br />
00187049802 BONTRIL SR CAP 105MG 07/<strong>31</strong>/2013 <strong>2012</strong>1<br />
51552028104 BORAX GRA 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552028106 BORAX GRA 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552028108 BORAX GRA 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
49348071236 BORIC ACID POW 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
63868020506 BORIC ACID POW 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552123007 BOSWELLIA POW SERRATA 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
0002<strong>31</strong>14501 BOTOX INJ 100UNIT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00023392102 BOTOX INJ 200UNIT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00023923201 BOTOX COSMET INJ 100UNIT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00023391950 BOTOX COSMET INJ 50UNIT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
42192010406 BP 10-1 EMU 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
42192010<strong>31</strong>6 BP CLEANSING EMU 10-4% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
42192032430 BP FOLINATAL TAB PLUS B 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
421920<strong>31</strong>830 BP MULTINATL CHW PLUS 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
421920<strong>31</strong>930 BP MULTINATL TAB PLUS 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
42192030401 BP POLY-650 TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
42192030160 BP VIT 3 CAP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
10267102501 B-PLEX TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
10267102505 B-PLEX TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
10267102701 B-PLEX PLUS TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
10267102705 B-PLEX PLUS TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
441830<strong>31</strong><strong>31</strong>6 BPM-PE-DM LIQ 4-10-20 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
441830<strong>31</strong>116 BPM-PSE-DM LIQ 4-20-20 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
42192010515 BPO GEL 4% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
42192010615 BPO GEL 8% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
42192011003 BPO CREAMY KIT 4% WASH 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
42192011103 BPO CREAMY KIT 8% WASH 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
55566850502 BRAVELLE INJ 75UNIT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
55566850506 BRAVELLE INJ 75UNIT 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
10019011501 BREVIBLOC INJ 10MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
10019011539 BREVIBLOC INJ 10MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
10019007587 BREVIBLOC SOL 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
10019005561 BREVIBLOC SOL 10MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
52544025428 BREVICON TAB 0.5/35 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
42023010601 BREVITAL SOD INJ 2.5GM 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
42023010501 BREVITAL SOD INJ 500MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
684620<strong>31</strong>629 BRIELLYN TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552061406 BRIJ 35 LIQ 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552061506 BRIJ 700 LIQ 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
51552100706 BRIJ 93 LIQ 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00186077739 BRILINTA TAB 90MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
00186077760 BRILINTA TAB 90MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />
61<strong>31</strong>4014405 BRIMONIDINE SOL 0.15% 12/<strong>31</strong>/9999 <strong>2012</strong>1
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