August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 00409106720 CARBOCAINE INJ 2% PF 12/31/9999 20121 50383057516 CARBOFED DM SYP 10/03/2012 20121 00703424601 CARBOPLATIN INJ 150/15ML 12/31/9999 20121 10139006015 CARBOPLATIN INJ 150/15ML 12/31/9999 20121 61703033922 CARBOPLATIN INJ 150/15ML 12/31/9999 20121 61703036022 CARBOPLATIN INJ 150/15ML 12/31/9999 20121 63323017215 CARBOPLATIN INJ 150/15ML 12/31/9999 20121 66758004702 CARBOPLATIN INJ 150/15ML 12/31/9999 20121 63323016721 CARBOPLATIN INJ 150MG 12/31/9999 20121 00703424801 CARBOPLATIN INJ 450/45ML 12/31/9999 20121 10139006045 CARBOPLATIN INJ 450/45ML 12/31/9999 20121 61703033950 CARBOPLATIN INJ 450/45ML 12/31/9999 20121 61703036050 CARBOPLATIN INJ 450/45ML 12/31/9999 20121 63323017245 CARBOPLATIN INJ 450/45ML 12/31/9999 20121 66758004703 CARBOPLATIN INJ 450/45ML 12/31/9999 20121 00703424401 CARBOPLATIN INJ 50MG/5ML 12/31/9999 20121 10139006005 CARBOPLATIN INJ 50MG/5ML 12/31/9999 20121 61703033918 CARBOPLATIN INJ 50MG/5ML 12/31/9999 20121 61703036018 CARBOPLATIN INJ 50MG/5ML 12/31/9999 20121 63323017205 CARBOPLATIN INJ 50MG/5ML 12/31/9999 20121 66758004701 CARBOPLATIN INJ 50MG/5ML 12/31/9999 20121 00703324911 CARBOPLATIN INJ 600/60ML 12/31/9999 20121 61703033956 CARBOPLATIN INJ 600/60ML 12/31/9999 20121 63323017260 CARBOPLATIN INJ 600/60ML 12/31/9999 20121 66758004704 CARBOPLATIN INJ 600/60ML 12/31/9999 20121 51552077606 CARBOPOL 934 POW RESIN 12/31/9999 20121 51552010704 CARBOPOL 940 POW RESIN 12/31/9999 20121 51552010706 CARBOPOL 940 POW RESIN 12/31/9999 20121 51552009905 CARBOXYMETHY POW SODIUM 12/31/9999 20121 51552009906 CARBOXYMETHY POW SODIUM 12/31/9999 20121 51552047605 CARBOXYMETHY POW SODIUM 12/31/9999 20121 51552047606 CARBOXYMETHY POW SODIUM 12/31/9999 20121 51552051005 CARBOXYMETHY POW SODIUM 12/31/9999 20121 44183060430 CARDEC DRO 12/31/9999 20121 44183055030 CARDEC DM DRO 12/31/9999 20121 24477003025 CARDENE I.V. INJ 2.5MG/ML 12/31/9999 20121 24477032302 CARDENE IV INJ 40/200ML 12/31/9999 20121 24477032402 CARDENE IV INJ 40/200ML 12/31/9999 20121 24477031102 CARDENE IV SOL 20/200ML 12/31/9999 20121 24477031202 CARDENE IV SOL 20/200ML 12/31/9999 20121 24477051501 CARDENE SR CAP 30MG 12/31/9999 20121 24477051601 CARDENE SR CAP 60MG 12/31/9999 20121 00338034104 CARDIOPLEGIC SOL 12/31/9999 20121 24839033330 CARDIOTEK-RX TAB 12/31/9999 20121 64455079247 CARDIZEM TAB 120MG 12/31/9999 20121 64455077147 CARDIZEM TAB 30MG 12/31/9999 20121 64455077155 CARDIZEM TAB 30MG 12/31/9999 20121 64455077247 CARDIZEM TAB 60MG 12/31/9999 20121 64455079147 CARDIZEM TAB 90MG 12/31/9999 20121 64455079530 CARDIZEM CD CAP 120MG/24 12/31/9999 20121 64455079542 CARDIZEM CD CAP 120MG/24 12/31/9999 20121 64455079549 CARDIZEM CD CAP 120MG/24 12/31/9999 20121 00187079630 CARDIZEM CD CAP 180MG/24 12/31/9999 20121 64455079630 CARDIZEM CD CAP 180MG/24 01/31/2014 20121 64455079642 CARDIZEM CD CAP 180MG/24 12/31/9999 20121 64455079649 CARDIZEM CD CAP 180MG/24 12/31/9999 20121 64455079650 CARDIZEM CD CAP 180MG/24 12/31/9999 20121 64455079730 CARDIZEM CD CAP 240MG/24 12/31/9999 20121 64455079742 CARDIZEM CD CAP 240MG/24 12/31/9999 20121 64455079749 CARDIZEM CD CAP 240MG/24 12/31/9999 20121 64455079830 CARDIZEM CD CAP 300MG/24 12/31/9999 20121 64455079842 CARDIZEM CD CAP 300MG/24 12/31/9999 20121 00187079942 CARDIZEM CD CAP 360MG/24 12/31/9999 20121 64455079942 CARDIZEM CD CAP 360MG/24 05/31/2016 20121 00074304530 CARDIZEM LA TAB 120MG 12/31/9999 20121 00074304590 CARDIZEM LA TAB 120MG 12/31/9999 20121 00074306130 CARDIZEM LA TAB 180MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 00074306190 CARDIZEM LA TAB 180MG 12/31/9999 20121 00074306230 CARDIZEM LA TAB 240MG 12/31/9999 20121 00074306290 CARDIZEM LA TAB 240MG 12/31/9999 20121 00074306330 CARDIZEM LA TAB 300MG/24 12/31/9999 20121 00074306390 CARDIZEM LA TAB 300MG/24 12/31/9999 20121 00074306430 CARDIZEM LA TAB 360MG 12/31/9999 20121 00074306490 CARDIZEM LA TAB 360MG 12/31/9999 20121 00074306930 CARDIZEM LA TAB 420MG/24 12/31/9999 20121 00074306990 CARDIZEM LA TAB 420MG/24 12/31/9999 20121 00049275066 CARDURA TAB 1MG 12/31/9999 20121 00049276066 CARDURA TAB 2MG 12/31/9999 20121 00049277066 CARDURA TAB 4MG 12/31/9999 20121 00049278066 CARDURA TAB 8MG 12/31/9999 20121 00049271030 CARDURA XL TAB 4MG 12/31/9999 20121 00049272030 CARDURA XL TAB 8MG 12/31/9999 20121 44206041812 CARIMUNE NF INJ 12GM 12/31/9999 20121 44206041603 CARIMUNE NF INJ 3GM 12/31/9999 20121 44206041706 CARIMUNE NF INJ 6GM 12/31/9999 20121 00185072401 CARISOPR/ASA TAB 200-325 12/31/9999 20121 00185072405 CARISOPR/ASA TAB 200-325 12/31/9999 20121 23155014501 CARISOPR/ASA TAB 200-325 12/31/9999 20121 52152013702 CARISOPR/ASA TAB 200-325 12/31/9999 20121 52152013704 CARISOPR/ASA TAB 200-325 12/31/9999 20121 51525590101 CARISOPRODOL TAB 250MG 12/31/9999 20121 00143117601 CARISOPRODOL TAB 350MG 12/31/9999 20121 00143117605 CARISOPRODOL TAB 350MG 12/31/9999 20121 00143117610 CARISOPRODOL TAB 350MG 12/31/9999 20121 00143974901 CARISOPRODOL TAB 350MG 12/31/9999 20121 00143974905 CARISOPRODOL TAB 350MG 12/31/9999 20121 00143974910 CARISOPRODOL TAB 350MG 12/31/9999 20121 00591551301 CARISOPRODOL TAB 350MG 12/31/9999 20121 00591551305 CARISOPRODOL TAB 350MG 12/31/9999 20121 00591551310 CARISOPRODOL TAB 350MG 12/31/9999 20121 00603258221 CARISOPRODOL TAB 350MG 12/31/9999 20121 00603258228 CARISOPRODOL TAB 350MG 12/31/9999 20121 00603258232 CARISOPRODOL TAB 350MG 12/31/9999 20121 00781500501 CARISOPRODOL TAB 350MG 12/31/9999 20121 00781500505 CARISOPRODOL TAB 350MG 12/31/9999 20121 00904035560 CARISOPRODOL TAB 350MG 12/31/9999 20121 51079081901 CARISOPRODOL TAB 350MG 12/31/9999 20121 51079081920 CARISOPRODOL TAB 350MG 12/31/9999 20121 52152013602 CARISOPRODOL TAB 350MG 12/31/9999 20121 52152013604 CARISOPRODOL TAB 350MG 12/31/9999 20121 52152013605 CARISOPRODOL TAB 350MG 12/31/9999 20121 53489011001 CARISOPRODOL TAB 350MG 05/31/2013 20121 53489011010 CARISOPRODOL TAB 350MG 05/31/2012 20121 62756044602 CARISOPRODOL TAB 350MG 12/31/9999 20121 62756044604 CARISOPRODOL TAB 350MG 12/31/9999 20121 62756044605 CARISOPRODOL TAB 350MG 12/31/9999 20121 63739004910 CARISOPRODOL TAB 350MG 12/31/9999 20121 64980017401 CARISOPRODOL TAB 350MG 12/31/9999 20121 64980017405 CARISOPRODOL TAB 350MG 12/31/9999 20121 64980017410 CARISOPRODOL TAB 350MG 12/31/9999 20121 65862015801 CARISOPRODOL TAB 350MG 12/31/9999 20121 65862015805 CARISOPRODOL TAB 350MG 12/31/9999 20121 65862015899 CARISOPRODOL TAB 350MG 12/31/9999 20121 68084038001 CARISOPRODOL TAB 350MG 12/31/9999 20121 00185074901 CARISOPRODOL TAB ASA/COD 12/31/9999 20121 00185074905 CARISOPRODOL TAB ASA/COD 12/31/9999 20121 52152013802 CARISOPRODOL TAB ASA/COD 12/31/9999 20121 00713062304 CARLESTA OIN 12/31/9999 20121 00713062332 CARLESTA OIN 12/31/9999 20121 10337065010 CARMOL 10 LOT 10% 12/31/9999 20121 10337065119 CARMOL 20 CRE 20% 12/31/9999 20121 10337065219 CARMOL 40 CRE 40% 12/31/9999 20121 10337065249 CARMOL 40 CRE 40% 12/31/9999 20121 10337065252 CARMOL 40 CRE 40% 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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