August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 61314014410 BRIMONIDINE SOL 0.15% 12/31/9999 20121 61314014415 BRIMONIDINE SOL 0.15% 12/31/9999 20121 17478071510 BRIMONIDINE SOL 0.2% OP 12/31/9999 20121 17478071511 BRIMONIDINE SOL 0.2% OP 12/31/9999 20121 17478071512 BRIMONIDINE SOL 0.2% OP 12/31/9999 20121 24208041105 BRIMONIDINE SOL 0.2% OP 12/31/9999 20121 24208041110 BRIMONIDINE SOL 0.2% OP 12/31/9999 20121 24208041115 BRIMONIDINE SOL 0.2% OP 12/31/9999 20121 60758086605 BRIMONIDINE SOL 0.2% OP 12/31/9999 20121 60758086610 BRIMONIDINE SOL 0.2% OP 12/31/9999 20121 60758086615 BRIMONIDINE SOL 0.2% OP 12/31/9999 20121 61314014305 BRIMONIDINE SOL 0.2% OP 12/31/9999 20121 61314014310 BRIMONIDINE SOL 0.2% OP 12/31/9999 20121 61314014315 BRIMONIDINE SOL 0.2% OP 12/31/9999 20121 00536088085 BROMALINE SOL 1-15/5ML 03/31/2013 20121 00536088097 BROMALINE SOL 1-15/5ML 07/31/2013 20121 00536136085 BROMALINE DM ELX 15-1-5/5 07/31/2013 20121 00536136097 BROMALINE DM ELX 15-1-5/5 07/31/2012 20121 00472071104 BROMANATE ELX 2-12.5/5 12/31/9999 20121 00472071116 BROMANATE ELX 2-12.5/5 12/31/9999 20121 00472071128 BROMANATE ELX 2-12.5/5 12/31/9999 20121 00472071194 BROMANATE ELX 2-12.5/5 12/31/9999 20121 00472071198 BROMANATE ELX 2-12.5/5 12/31/9999 20121 00472164504 BROMANATE DC SYP 12/31/9999 20121 00472164516 BROMANATE DC SYP 12/31/9999 20121 00472164528 BROMANATE DC SYP 12/31/9999 20121 00472011294 BROMANATE DM ELX 12/31/9999 20121 00472011298 BROMANATE DM ELX 12/31/9999 20121 00472071294 BROMANATE DM ELX 12/31/9999 20121 00472071298 BROMANATE DM ELX 12/31/9999 20121 50991091101 BROMAX TAB 11MG 12/31/9999 20121 23359002210 BROMAX D TAB 03/01/2013 20121 67425099917 BROMDAY SOL 0.09% 12/31/9999 20121 67425099934 BROMDAY SOL 0.09% 12/31/9999 20121 51552105807 BROMELAIN POW 12/31/9999 20121 51552107404 BROMELAIN POW 12/31/9999 20121 50383059316 BROMETANE DX SYP 12/31/9999 20121 60432083704 BROMFED DM SYP 12/31/9999 20121 60432083716 BROMFED DM SYP 12/31/9999 20121 00378711035 BROMFENAC SOL 0.09% 12/31/9999 20121 00378709601 BROMOCRIPTIN CAP 5MG 12/31/9999 20121 00378709693 BROMOCRIPTIN CAP 5MG 12/31/9999 20121 00781211901 BROMOCRIPTIN CAP 5MG 11/30/2013 20121 00781211931 BROMOCRIPTIN CAP 5MG 12/31/9999 20121 68382011001 BROMOCRIPTIN CAP 5MG 12/31/9999 20121 68382011006 BROMOCRIPTIN CAP 5MG 12/31/9999 20121 00378204201 BROMOCRIPTIN TAB 2.5MG 12/31/9999 20121 00378204293 BROMOCRIPTIN TAB 2.5MG 12/31/9999 20121 00574010601 BROMOCRIPTIN TAB 2.5MG 12/31/9999 20121 00574010603 BROMOCRIPTIN TAB 2.5MG 12/31/9999 20121 00781532501 BROMOCRIPTIN TAB 2.5MG 12/31/9999 20121 00781532531 BROMOCRIPTIN TAB 2.5MG 12/31/9999 20121 51991034716 BROMPHENEX SYP DM 12/31/9999 20121 12939013216 BRONCOMAR-1 ELX 12/31/9999 20121 00536344801 BRONTO-VITES CHW 12/31/9999 20121 54838012540 BROTAPP LIQ 12/31/9999 20121 54838012570 BROTAPP LIQ 12/31/9999 20121 54838012580 BROTAPP LIQ 12/31/9999 20121 54838013640 BROTAPP DM LIQ 15-1-5/5 12/31/9999 20121 54838013670 BROTAPP DM LIQ 15-1-5/5 12/31/9999 20121 63402091130 BROVANA NEB 15MCG 12/31/9999 20121 63402091164 BROVANA NEB 15MCG 12/31/9999 20121 58605015201 BROVEX PEB LIQ 12/31/9999 20121 58605015301 BROVEX PEB LIQ DM 12/31/9999 20121 58605015001 BROVEX PSB LIQ 12/31/9999 20121 58605015101 BROVEX PSB LIQ DM 12/31/9999 20121 58605044001 BROVEX PSE TAB 4-40MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 58605044101 BROVEX PSE TAB DM 12/31/9999 20121 51552070503 BUBBLE GUM LIQ CONCENTR 12/31/9999 20121 51552083006 BUBBLE GUM SYP 12/31/9999 20121 00093550101 BUDEPRION TAB 100MG SR 12/31/9999 20121 00093550201 BUDEPRION TAB 150MG SR 12/31/9999 20121 00093535005 BUDEPRION XL TAB 150MG 01/31/2013 20121 00093535056 BUDEPRION XL TAB 150MG 01/31/2013 20121 00093535105 BUDEPRION XL TAB 300MG 12/31/2012 20121 00093535156 BUDEPRION XL TAB 300MG 12/31/9999 20121 00378715501 BUDESONIDE CAP 3MG/24HR 12/31/9999 20121 00378715505 BUDESONIDE CAP 3MG/24HR 12/31/9999 20121 49884050101 BUDESONIDE CAP 3MG/24HR 12/31/9999 20121 51079002001 BUDESONIDE CAP 3MG/24HR 12/31/9999 20121 51079002003 BUDESONIDE CAP 3MG/24HR 12/31/9999 20121 00093681573 BUDESONIDE SUS 0.25MG/2 12/31/9999 20121 00186042504 BUDESONIDE SUS 0.25MG/2 12/31/9999 20121 00093681673 BUDESONIDE SUS 0.5MG/2 12/31/9999 20121 00186042604 BUDESONIDE SUS 0.5MG/2 12/31/9999 20121 00527141701 BUFFERED TAB SALT 12/31/9999 20121 00067206313 BUFFERIN TAB 325MG 12/31/9999 20121 00067206339 BUFFERIN TAB 325MG 12/31/9999 20121 00067206365 BUFFERIN TAB 325MG 12/31/9999 20121 00067206513 BUFFERIN TAB 500MG 12/31/9999 20121 00067206539 BUFFERIN TAB 500MG 12/31/9999 20121 00067206565 BUFFERIN TAB 500MG 12/31/9999 20121 00067642413 BUFFERIN TAB 81MG 12/31/9999 20121 62107002901 BUFPIRIN TAB 325MG 12/31/9999 20121 00409141204 BUMETANIDE INJ 0.25/ML 12/31/9999 20121 00409141210 BUMETANIDE INJ 0.25/ML 12/31/9999 20121 00409141249 BUMETANIDE INJ 0.25/ML 12/31/9999 20121 00409141250 BUMETANIDE INJ 0.25/ML 12/31/9999 20121 10019050610 BUMETANIDE INJ 0.25/ML 12/31/9999 20121 10019050636 BUMETANIDE INJ 0.25/ML 12/31/9999 20121 10019050637 BUMETANIDE INJ 0.25/ML 12/31/9999 20121 10019050645 BUMETANIDE INJ 0.25/ML 12/31/9999 20121 55390050002 BUMETANIDE INJ 0.25/ML 12/31/9999 20121 55390050005 BUMETANIDE INJ 0.25/ML 12/31/9999 20121 55390050010 BUMETANIDE INJ 0.25/ML 12/31/9999 20121 00093423201 BUMETANIDE TAB 0.5MG 12/31/9999 20121 00185012801 BUMETANIDE TAB 0.5MG 12/31/9999 20121 00185012805 BUMETANIDE TAB 0.5MG 12/31/9999 20121 00378024501 BUMETANIDE TAB 0.5MG 12/31/9999 20121 51079089101 BUMETANIDE TAB 0.5MG 12/31/9999 20121 51079089120 BUMETANIDE TAB 0.5MG 12/31/9999 20121 00093423301 BUMETANIDE TAB 1MG 12/31/9999 20121 00093423310 BUMETANIDE TAB 1MG 12/31/9999 20121 00185012901 BUMETANIDE TAB 1MG 12/31/9999 20121 00185012905 BUMETANIDE TAB 1MG 12/31/9999 20121 00378037001 BUMETANIDE TAB 1MG 12/31/9999 20121 51079089201 BUMETANIDE TAB 1MG 12/31/9999 20121 51079089217 BUMETANIDE TAB 1MG 12/31/9999 20121 51079089219 BUMETANIDE TAB 1MG 12/31/9999 20121 51079089220 BUMETANIDE TAB 1MG 12/31/9999 20121 00093423401 BUMETANIDE TAB 2MG 12/31/9999 20121 00093423410 BUMETANIDE TAB 2MG 12/31/9999 20121 00185013001 BUMETANIDE TAB 2MG 12/31/9999 20121 00185013005 BUMETANIDE TAB 2MG 12/31/9999 20121 00378041701 BUMETANIDE TAB 2MG 02/28/2013 20121 51079089301 BUMETANIDE TAB 2MG 12/31/9999 20121 51079089320 BUMETANIDE TAB 2MG 12/31/9999 20121 00944049001 BUMINATE INJ 25% 12/31/9999 20121 00944049101 BUMINATE INJ 5% 12/31/9999 20121 00944049102 BUMINATE INJ 5% 12/31/9999 20121 51552116804 BUMM BALM OIN 9.38% 12/31/9999 20121 51552116806 BUMM BALM OIN 9.38% 12/31/9999 20121 00095024001 BUPAP TAB 50-650MG 12/31/9999 20121 62592018864 BUPHENYL POW 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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