August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 00517390025 CALCIUM GLUC INJ 10% 12/31/9999 20121 00517391025 CALCIUM GLUC INJ 10% 12/31/9999 20121 00517395025 CALCIUM GLUC INJ 10% 12/31/9999 20121 63323031110 CALCIUM GLUC INJ 10% 12/31/9999 20121 63323031150 CALCIUM GLUC INJ 10% 12/31/9999 20121 63323031161 CALCIUM GLUC INJ 10% 12/31/9999 20121 51552051506 CALCIUM GLUC POW 12/31/9999 20121 51552051509 CALCIUM GLUC POW 12/31/9999 20121 51552100606 CALCIUM GLUC POW MONOHYDR 12/31/9999 20121 00054026220 CALCIUM GLUC TAB 500MG 12/31/9999 20121 00054026225 CALCIUM GLUC TAB 500MG 12/31/9999 20121 00536341610 CALCIUM GLUC TAB 650MG 12/31/9999 20121 16103036807 CALCIUM HIGH TAB POTENCY 12/31/9999 20121 51552008106 CALCIUM LACT POW MONOHYDR 12/31/9999 20121 00536342201 CALCIUM LACT TAB 650MG 12/31/9999 20121 00536342210 CALCIUM LACT TAB 650MG 12/31/9999 20121 51552047406 CALCIUM PHOS POW DIBASIC 12/31/9999 20121 51552059406 CALCIUM PHOS POW TRIBASIC 12/31/9999 20121 60258012106 CALCIUM/D TAB 600MG 12/31/9999 20121 42192070660 CALCIUM-FA WAF PLUS D 12/31/9999 20121 66220024704 CALDOLOR INJ 400/4ML 12/31/9999 20121 66220028708 CALDOLOR INJ 800/8ML 12/31/9999 20121 24385007282 CALDYPHEN LOT 1-8% 12/31/9999 20121 37205013030 CALDYPHEN LOT 1-8% 12/31/9999 20121 24385043930 CALDYPHEN LOT CLEAR 12/31/9999 20121 37205028130 CALDYPHEN LOT CLEAR 12/31/9999 20121 00536474297 CAL-GEST CHW 500MG 12/31/9999 20121 00904776021 CALLERGY LOT CLEAR 12/31/9999 20121 59528033102 CALPHRON TAB 667MG 12/31/9999 20121 60258012801 CALVITE P&D TAB 12/31/9999 20121 50192011309 CAMBIA POW 50MG 12/31/9999 20121 00555071558 CAMILA TAB 0.35MG 12/31/9999 20121 58468035703 CAMPATH INJ 30MG/ML 12/31/9999 20121 00904785175 CAMPHOR/PHEN LIQ 12/31/9999 20121 00456333001 CAMPRAL TAB 333MG 12/31/9999 20121 00456333060 CAMPRAL TAB 333MG 01/31/2013 20121 00456333063 CAMPRAL TAB 333MG 01/31/2013 20121 00009752901 CAMPTOSAR INJ 100/5ML 09/01/2013 20121 00009752903 CAMPTOSAR INJ 100/5ML 12/31/9999 20121 00009752905 CAMPTOSAR INJ 300/15ML 12/31/9999 20121 00009752902 CAMPTOSAR INJ 40MG/2ML 06/01/2013 20121 00009752904 CAMPTOSAR INJ 40MG/2ML 12/31/9999 20121 00093313482 CAMRESE TAB 12/31/9999 20121 00093313491 CAMRESE TAB 12/31/9999 20121 00093614882 CAMRESE LO TAB 12/31/9999 20121 58914050118 CANASA SUP 1000MG 12/31/9999 20121 58914050142 CANASA SUP 1000MG 12/31/9999 20121 58914050156 CANASA SUP 1000MG 12/31/9999 20121 00006382210 CANCIDAS INJ 50MG 12/31/9999 20121 00006382310 CANCIDAS INJ 70MG 12/31/9999 20121 00068003701 CANTIL TAB 25MG 12/31/9999 20121 58407053401 CAPACET CAP 12/31/9999 20121 17478008050 CAPASTAT SUL INJ 1GM 12/31/9999 20121 29978042016 CAPCOF SYP 12/31/9999 20121 00299550004 CAPEX SHA 0.01% 12/31/9999 20121 00187000301 CAPITAL/COD SUS 120-12/5 12/31/9999 20121 29978060630 CAPMIST DM TAB 12/31/9999 20121 29978060690 CAPMIST DM TAB 12/31/9999 20121 00310782030 CAPRELSA TAB 100MG 12/31/9999 20121 00310784030 CAPRELSA TAB 300MG 12/31/9999 20121 62107000302 CAPREX CRE 0.025% 12/31/9999 20121 62107000402 CAPREX + CRE 0.075% 12/31/9999 20121 00472010242 CAPSAICIN CRE 0.025% 12/31/9999 20121 00536252525 CAPSAICIN CRE 0.025% 12/31/9999 20121 38779083703 CAPSAICIN POW 95% 12/31/9999 20121 38779083706 CAPSAICIN POW 95% 12/31/9999 20121 51552070801 CAPSICUM LIQ OLEORESI 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 51552070804 CAPSICUM LIQ OLEORESI 12/31/9999 20121 51552070805 CAPSICUM LIQ OLEORESI 12/31/9999 20121 00093017601 CAPTOPR/HCTZ TAB 25-15MG 12/31/9999 20121 00378008101 CAPTOPR/HCTZ TAB 25-15MG 12/31/9999 20121 00093017701 CAPTOPR/HCTZ TAB 25-25MG 12/31/9999 20121 00378008301 CAPTOPR/HCTZ TAB 25-25MG 12/31/9999 20121 00093018101 CAPTOPR/HCTZ TAB 50-15MG 12/31/9999 20121 00378008401 CAPTOPR/HCTZ TAB 50-15MG 12/31/9999 20121 00093018201 CAPTOPR/HCTZ TAB 50-25MG 12/31/9999 20121 00378008601 CAPTOPR/HCTZ TAB 50-25MG 12/31/9999 20121 00093813501 CAPTOPRIL TAB 100MG 09/30/2012 20121 00143117401 CAPTOPRIL TAB 100MG 12/31/9999 20121 00378302201 CAPTOPRIL TAB 100MG 12/31/9999 20121 00781183901 CAPTOPRIL TAB 100MG 12/31/9999 20121 60505000606 CAPTOPRIL TAB 100MG 12/31/9999 20121 60505000609 CAPTOPRIL TAB 100MG 12/31/9999 20121 64679090501 CAPTOPRIL TAB 100MG 12/31/9999 20121 68645016359 CAPTOPRIL TAB 100MG 12/31/9999 20121 00143117101 CAPTOPRIL TAB 12.5MG 12/31/9999 20121 00143117110 CAPTOPRIL TAB 12.5MG 12/31/9999 20121 00378300701 CAPTOPRIL TAB 12.5MG 12/31/9999 20121 00378300710 CAPTOPRIL TAB 12.5MG 12/31/9999 20121 00781182801 CAPTOPRIL TAB 12.5MG 12/31/9999 20121 00904504561 CAPTOPRIL TAB 12.5MG 12/31/9999 20121 51079086301 CAPTOPRIL TAB 12.5MG 12/31/9999 20121 51079086320 CAPTOPRIL TAB 12.5MG 12/31/9999 20121 60505000306 CAPTOPRIL TAB 12.5MG 12/31/9999 20121 60505000309 CAPTOPRIL TAB 12.5MG 12/31/9999 20121 64679090201 CAPTOPRIL TAB 12.5MG 12/31/9999 20121 64679090202 CAPTOPRIL TAB 12.5MG 12/31/9999 20121 68645016059 CAPTOPRIL TAB 12.5MG 12/31/9999 20121 00093813301 CAPTOPRIL TAB 25MG 01/31/2013 20121 00143117201 CAPTOPRIL TAB 25MG 12/31/9999 20121 00143117210 CAPTOPRIL TAB 25MG 12/31/9999 20121 00378301201 CAPTOPRIL TAB 25MG 12/31/9999 20121 00378301210 CAPTOPRIL TAB 25MG 12/31/9999 20121 00904504661 CAPTOPRIL TAB 25MG 12/31/9999 20121 51079086401 CAPTOPRIL TAB 25MG 12/31/9999 20121 51079086420 CAPTOPRIL TAB 25MG 12/31/9999 20121 60505000406 CAPTOPRIL TAB 25MG 12/31/9999 20121 60505000409 CAPTOPRIL TAB 25MG 12/31/9999 20121 64679090301 CAPTOPRIL TAB 25MG 12/31/9999 20121 64679090302 CAPTOPRIL TAB 25MG 12/31/9999 20121 68645016159 CAPTOPRIL TAB 25MG 12/31/9999 20121 00093813401 CAPTOPRIL TAB 50MG 05/31/2012 20121 00143117301 CAPTOPRIL TAB 50MG 12/31/9999 20121 00143117310 CAPTOPRIL TAB 50MG 12/31/9999 20121 00378301701 CAPTOPRIL TAB 50MG 12/31/9999 20121 00378301710 CAPTOPRIL TAB 50MG 12/31/9999 20121 00904504761 CAPTOPRIL TAB 50MG 12/31/9999 20121 60505000506 CAPTOPRIL TAB 50MG 12/31/9999 20121 60505000509 CAPTOPRIL TAB 50MG 12/31/9999 20121 64679090401 CAPTOPRIL TAB 50MG 12/31/9999 20121 64679090402 CAPTOPRIL TAB 50MG 12/31/9999 20121 68645016259 CAPTOPRIL TAB 50MG 12/31/9999 20121 00066715030 CARAC CRE 0.5% 12/31/9999 20121 58914017014 CARAFATE SUS 1GM/10ML 12/31/9999 20121 58914017110 CARAFATE TAB 1GM 12/31/9999 20121 00093029201 CARB/LEVO TAB 10-100MG 12/31/9999 20121 00093029205 CARB/LEVO TAB 10-100MG 12/31/9999 20121 00228253810 CARB/LEVO TAB 10-100MG 12/31/9999 20121 00228253850 CARB/LEVO TAB 10-100MG 12/31/9999 20121 00378007801 CARB/LEVO TAB 10-100MG 12/31/9999 20121 00378505101 CARB/LEVO TAB 10-100MG 12/31/9999 20121 00904771861 CARB/LEVO TAB 10-100MG 12/31/9999 20121 60505012801 CARB/LEVO TAB 10-100MG 12/31/9999 20121 60505012802 CARB/LEVO TAB 10-100MG 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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