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August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered<br />

00517390025 CALCIUM GLUC INJ 10% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00517391025 CALCIUM GLUC INJ 10% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00517395025 CALCIUM GLUC INJ 10% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

633230<strong>31</strong>110 CALCIUM GLUC INJ 10% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

633230<strong>31</strong>150 CALCIUM GLUC INJ 10% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

633230<strong>31</strong>161 CALCIUM GLUC INJ 10% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51552051506 CALCIUM GLUC POW 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51552051509 CALCIUM GLUC POW 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51552100606 CALCIUM GLUC POW MONOHYDR 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00054026220 CALCIUM GLUC TAB 500MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00054026225 CALCIUM GLUC TAB 500MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00536341610 CALCIUM GLUC TAB 650MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

16103036807 CALCIUM HIGH TAB POTENCY 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51552008106 CALCIUM LACT POW MONOHYDR 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00536342201 CALCIUM LACT TAB 650MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00536342210 CALCIUM LACT TAB 650MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51552047406 CALCIUM PHOS POW DIBASIC 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51552059406 CALCIUM PHOS POW TRIBASIC 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

60258012106 CALCIUM/D TAB 600MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

42192070660 CALCIUM-FA WAF PLUS D 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

66220024704 CALDOLOR INJ 400/4ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

66220028708 CALDOLOR INJ 800/8ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

24385007282 CALDYPHEN LOT 1-8% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

37205013030 CALDYPHEN LOT 1-8% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

24385043930 CALDYPHEN LOT CLEAR 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

37205028130 CALDYPHEN LOT CLEAR 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00536474297 CAL-GEST CHW 500MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00904776021 CALLERGY LOT CLEAR 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

5952803<strong>31</strong>02 CALPHRON TAB 667MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

60258012801 CALVITE P&D TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

50192011309 CAMBIA POW 50MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00555071558 CAMILA TAB 0.35MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

58468035703 CAMPATH INJ 30MG/ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00904785175 CAMPHOR/PHEN LIQ 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00456333001 CAMPRAL TAB 333MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00456333060 CAMPRAL TAB 333MG 01/<strong>31</strong>/2013 <strong>2012</strong>1<br />

00456333063 CAMPRAL TAB 333MG 01/<strong>31</strong>/2013 <strong>2012</strong>1<br />

00009752901 CAMPTOSAR INJ 100/5ML 09/01/2013 <strong>2012</strong>1<br />

00009752903 CAMPTOSAR INJ 100/5ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00009752905 CAMPTOSAR INJ 300/15ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00009752902 CAMPTOSAR INJ 40MG/2ML 06/01/2013 <strong>2012</strong>1<br />

00009752904 CAMPTOSAR INJ 40MG/2ML 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00093<strong>31</strong>3482 CAMRESE TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00093<strong>31</strong>3491 CAMRESE TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00093614882 CAMRESE LO TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

58914050118 CANASA SUP 1000MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

58914050142 CANASA SUP 1000MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

58914050156 CANASA SUP 1000MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00006382210 CANCIDAS INJ 50MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00006382<strong>31</strong>0 CANCIDAS INJ 70MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00068003701 CANTIL TAB 25MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

58407053401 CAPACET CAP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

17478008050 CAPASTAT SUL INJ 1GM 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

29978042016 CAPCOF SYP 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00299550004 CAPEX SHA 0.01% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00187000301 CAPITAL/COD SUS 120-12/5 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

29978060630 CAPMIST DM TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

29978060690 CAPMIST DM TAB 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00<strong>31</strong>0782030 CAPRELSA TAB 100MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00<strong>31</strong>0784030 CAPRELSA TAB 300MG 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

62107000302 CAPREX CRE 0.025% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

62107000402 CAPREX + CRE 0.075% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00472010242 CAPSAICIN CRE 0.025% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

00536252525 CAPSAICIN CRE 0.025% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

38779083703 CAPSAICIN POW 95% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

38779083706 CAPSAICIN POW 95% 12/<strong>31</strong>/9999 <strong>2012</strong>1<br />

51552070801 CAPSICUM LIQ OLEORESI 12/<strong>31</strong>/9999 <strong>2012</strong>1

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