August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 65862009901 CEFPROZIL SUS 125/5ML 12/31/9999 20121 65862009975 CEFPROZIL SUS 125/5ML 12/31/9999 20121 68180040101 CEFPROZIL SUS 125/5ML 12/31/9999 20121 68180040102 CEFPROZIL SUS 125/5ML 12/31/9999 20121 68180040103 CEFPROZIL SUS 125/5ML 12/31/9999 20121 68820001815 CEFPROZIL SUS 125/5ML 12/31/2020 20121 68820001816 CEFPROZIL SUS 125/5ML 12/31/2020 20121 68820001817 CEFPROZIL SUS 125/5ML 12/31/2020 20121 00093107676 CEFPROZIL SUS 250/5ML 12/31/9999 20121 00781620346 CEFPROZIL SUS 250/5ML 12/31/9999 20121 00781620357 CEFPROZIL SUS 250/5ML 12/31/9999 20121 00781620391 CEFPROZIL SUS 250/5ML 12/31/9999 20121 16714021601 CEFPROZIL SUS 250/5ML 12/30/2020 20121 16714021602 CEFPROZIL SUS 250/5ML 12/31/2020 20121 16714021603 CEFPROZIL SUS 250/5ML 12/31/2020 20121 65862010001 CEFPROZIL SUS 250/5ML 12/31/9999 20121 65862010075 CEFPROZIL SUS 250/5ML 12/31/9999 20121 68180040201 CEFPROZIL SUS 250/5ML 12/31/9999 20121 68180040202 CEFPROZIL SUS 250/5ML 12/31/9999 20121 68180040203 CEFPROZIL SUS 250/5ML 12/31/9999 20121 68820001915 CEFPROZIL SUS 250/5ML 12/31/2020 20121 68820001916 CEFPROZIL SUS 250/5ML 12/31/2020 20121 68820001917 CEFPROZIL SUS 250/5ML 12/31/2020 20121 00093107701 CEFPROZIL TAB 250MG 12/31/9999 20121 00781504301 CEFPROZIL TAB 250MG 12/31/9999 20121 16714020801 CEFPROZIL TAB 250MG 12/31/2020 20121 59762222002 CEFPROZIL TAB 250MG 06/30/2012 20121 60505253201 CEFPROZIL TAB 250MG 12/31/9999 20121 65862006801 CEFPROZIL TAB 250MG 12/31/9999 20121 68180040301 CEFPROZIL TAB 250MG 12/31/9999 20121 68820001610 CEFPROZIL TAB 250MG 12/31/2020 20121 00093107853 CEFPROZIL TAB 500MG 12/31/9999 20121 00781504401 CEFPROZIL TAB 500MG 12/31/9999 20121 00781504450 CEFPROZIL TAB 500MG 12/31/9999 20121 16714020901 CEFPROZIL TAB 500MG 12/31/2020 20121 59762222101 CEFPROZIL TAB 500MG 06/30/2012 20121 59762222102 CEFPROZIL TAB 500MG 06/30/2012 20121 60505253301 CEFPROZIL TAB 500MG 12/31/9999 20121 60505253305 CEFPROZIL TAB 500MG 12/31/9999 20121 65862006901 CEFPROZIL TAB 500MG 12/31/9999 20121 65862006950 CEFPROZIL TAB 500MG 12/31/9999 20121 68180040401 CEFPROZIL TAB 500MG 12/31/9999 20121 68180040402 CEFPROZIL TAB 500MG 12/31/9999 20121 68820001708 CEFPROZIL TAB 500MG 12/31/2020 20121 00069001101 CEFTAZIDIME INJ 1GM 06/30/2012 20121 00781317780 CEFTAZIDIME INJ 1GM 12/31/9999 20121 00781317796 CEFTAZIDIME INJ 1GM 12/31/9999 20121 10019069127 CEFTAZIDIME INJ 1GM 12/31/9999 20121 25021012720 CEFTAZIDIME INJ 1GM 12/31/9999 20121 00069001201 CEFTAZIDIME INJ 2GM 10/31/2012 20121 00781317891 CEFTAZIDIME INJ 2GM 12/31/9999 20121 00781317895 CEFTAZIDIME INJ 2GM 12/31/9999 20121 10019069250 CEFTAZIDIME INJ 2GM 12/31/9999 20121 25021012850 CEFTAZIDIME INJ 2GM 12/31/9999 20121 00069001301 CEFTAZIDIME INJ 500MG 06/30/2012 20121 00069001401 CEFTAZIDIME INJ 6GM 10/31/2012 20121 00781317946 CEFTAZIDIME INJ 6GM 12/31/9999 20121 00781317986 CEFTAZIDIME INJ 6GM 12/31/9999 20121 10019069311 CEFTAZIDIME INJ 6GM 12/31/9999 20121 25021012999 CEFTAZIDIME INJ 6GM 12/31/9999 20121 00264314311 CEFTAZIDIME/ SOL D5W 1GM 12/31/9999 20121 00264314511 CEFTAZIDIME/ SOL D5W 2GM 12/31/9999 20121 00173074000 CEFTIN SUS 125/5ML 12/31/9999 20121 00173074100 CEFTIN SUS 250/5ML 12/31/9999 20121 00173074110 CEFTIN SUS 250/5ML 12/31/9999 20121 00173038700 CEFTIN TAB 250MG 12/31/9999 20121 00173039400 CEFTIN TAB 500MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 00264315311 CEFTRIAX/DEX INJ 1GM 12/31/9999 20121 00264315511 CEFTRIAX/DEX INJ 2GM 12/31/9999 20121 00069448401 CEFTRIAXONE INJ 10GM 10/31/2012 20121 00143976801 CEFTRIAXONE INJ 10GM 12/31/9999 20121 00409733410 CEFTRIAXONE INJ 10GM 12/31/9999 20121 00703035901 CEFTRIAXONE INJ 10GM 12/31/9999 20121 00781321046 CEFTRIAXONE INJ 10GM 12/31/9999 20121 00781933046 CEFTRIAXONE INJ 10GM 12/31/9999 20121 10019068905 CEFTRIAXONE INJ 10GM 12/31/9999 20121 10019068911 CEFTRIAXONE INJ 10GM 12/31/9999 20121 25021010899 CEFTRIAXONE INJ 10GM 12/31/9999 20121 55390031601 CEFTRIAXONE INJ 10GM 12/31/9999 20121 60505067905 CEFTRIAXONE INJ 10GM 12/31/9999 20121 63323034861 CEFTRIAXONE INJ 10GM 12/31/9999 20121 00069448203 CEFTRIAXONE INJ 1GM 05/31/2012 20121 00069448210 CEFTRIAXONE INJ 1GM 05/31/2012 20121 00143985725 CEFTRIAXONE INJ 1GM 12/31/9999 20121 00409733201 CEFTRIAXONE INJ 1GM 12/31/9999 20121 00409733261 CEFTRIAXONE INJ 1GM 09/01/2012 20121 00409733304 CEFTRIAXONE INJ 1GM 12/31/9999 20121 00409733349 CEFTRIAXONE INJ 1GM 12/31/9999 20121 00517871110 CEFTRIAXONE INJ 1GM 12/31/9999 20121 00703033501 CEFTRIAXONE INJ 1GM 04/30/2013 20121 00703033504 CEFTRIAXONE INJ 1GM 04/30/2013 20121 00781320885 CEFTRIAXONE INJ 1GM 12/31/9999 20121 00781320895 CEFTRIAXONE INJ 1GM 12/31/9999 20121 00781932885 CEFTRIAXONE INJ 1GM 12/31/9999 20121 00781932895 CEFTRIAXONE INJ 1GM 12/31/9999 20121 10019009801 CEFTRIAXONE INJ 1GM 12/31/9999 20121 10019009871 CEFTRIAXONE INJ 1GM 12/31/9999 20121 10019068771 CEFTRIAXONE INJ 1GM 12/31/9999 20121 25021010610 CEFTRIAXONE INJ 1GM 12/31/9999 20121 55390031110 CEFTRIAXONE INJ 1GM 12/31/9999 20121 60505067908 CEFTRIAXONE INJ 1GM 12/31/9999 20121 60505075200 CEFTRIAXONE INJ 1GM 12/31/9999 20121 60505075204 CEFTRIAXONE INJ 1GM 12/31/9999 20121 63323034610 CEFTRIAXONE INJ 1GM 12/31/9999 20121 64679098301 CEFTRIAXONE INJ 1GM 12/31/9999 20121 64679098302 CEFTRIAXONE INJ 1GM 12/31/9999 20121 68180063301 CEFTRIAXONE INJ 1GM 12/31/9999 20121 68180063310 CEFTRIAXONE INJ 1GM 12/31/9999 20121 00069448010 CEFTRIAXONE INJ 250MG 05/31/2012 20121 00143985925 CEFTRIAXONE INJ 250MG 12/31/9999 20121 00409733701 CEFTRIAXONE INJ 250MG 12/31/9999 20121 00517872510 CEFTRIAXONE INJ 250MG 12/31/9999 20121 00703031501 CEFTRIAXONE INJ 250MG 12/31/9999 20121 00703031503 CEFTRIAXONE INJ 250MG 01/31/2013 20121 00781320685 CEFTRIAXONE INJ 250MG 12/31/9999 20121 00781320695 CEFTRIAXONE INJ 250MG 12/31/9999 20121 00781932685 CEFTRIAXONE INJ 250MG 12/31/9999 20121 00781932695 CEFTRIAXONE INJ 250MG 12/31/9999 20121 10019068571 CEFTRIAXONE INJ 250MG 12/31/9999 20121 55390030910 CEFTRIAXONE INJ 250MG 12/31/9999 20121 60505075000 CEFTRIAXONE INJ 250MG 12/31/9999 20121 60505075004 CEFTRIAXONE INJ 250MG 12/31/9999 20121 63323034410 CEFTRIAXONE INJ 250MG 12/31/9999 20121 64679070101 CEFTRIAXONE INJ 250MG 12/31/9999 20121 64679070102 CEFTRIAXONE INJ 250MG 12/31/9999 20121 68180061101 CEFTRIAXONE INJ 250MG 12/31/9999 20121 68180061110 CEFTRIAXONE INJ 250MG 12/31/9999 20121 00143985625 CEFTRIAXONE INJ 2GM 12/31/9999 20121 00409733503 CEFTRIAXONE INJ 2GM 12/31/9999 20121 00409733604 CEFTRIAXONE INJ 2GM 12/31/9999 20121 00409733649 CEFTRIAXONE INJ 2GM 12/31/9999 20121 00517872210 CEFTRIAXONE INJ 2GM 12/31/9999 20121 00703034601 CEFTRIAXONE INJ 2GM 12/31/9999 20121 00703034603 CEFTRIAXONE INJ 2GM 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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