August 31, 2012 - Iowa Medicaid Enterprise

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NDC Product Description Termination Date Quarter Covered 00054004429 CILOSTAZOL TAB 100MG 12/31/9999 20121 00093723106 CILOSTAZOL TAB 100MG 12/31/9999 20121 00093723150 CILOSTAZOL TAB 100MG 12/31/9999 20121 00172584110 CILOSTAZOL TAB 100MG 12/31/9999 20121 00185022305 CILOSTAZOL TAB 100MG 12/31/9999 20121 00185022360 CILOSTAZOL TAB 100MG 12/31/9999 20121 00378298091 CILOSTAZOL TAB 100MG 06/30/2014 20121 51079021301 CILOSTAZOL TAB 100MG 12/31/9999 20121 51079021320 CILOSTAZOL TAB 100MG 12/31/9999 20121 52152025001 CILOSTAZOL TAB 100MG 12/31/9999 20121 60505252201 CILOSTAZOL TAB 100MG 12/31/9999 20121 64720015906 CILOSTAZOL TAB 100MG 10/31/2012 20121 66993000960 CILOSTAZOL TAB 100MG 03/31/2014 20121 00054002821 CILOSTAZOL TAB 50MG 12/31/9999 20121 00093206506 CILOSTAZOL TAB 50MG 12/31/9999 20121 00093723006 CILOSTAZOL TAB 50MG 08/31/2013 20121 00185012360 CILOSTAZOL TAB 50MG 12/31/9999 20121 00378297991 CILOSTAZOL TAB 50MG 06/30/2014 20121 60505252101 CILOSTAZOL TAB 50MG 12/31/9999 20121 64720015806 CILOSTAZOL TAB 50MG 10/31/2012 20121 66993000860 CILOSTAZOL TAB 50MG 07/31/2013 20121 00065065435 CILOXAN OIN 0.3% OP 12/31/9999 20121 00065065605 CILOXAN SOL 0.3% OP 12/31/9999 20121 00121064908 CIMETIDINE SOL 300/5ML 12/31/9999 20121 00121064916 CIMETIDINE SOL 300/5ML 12/31/9999 20121 00472051408 CIMETIDINE SOL 300/5ML 12/31/9999 20121 00472051416 CIMETIDINE SOL 300/5ML 12/31/9999 20121 50383005008 CIMETIDINE SOL 300/5ML 12/31/9999 20121 60432000708 CIMETIDINE SOL 300/5ML 12/31/9999 20121 00378005301 CIMETIDINE TAB 200MG 12/31/9999 20121 60505001806 CIMETIDINE TAB 200MG 12/31/9999 20121 60505014900 CIMETIDINE TAB 200MG 12/31/9999 20121 00093819201 CIMETIDINE TAB 300MG 12/31/9999 20121 00093819205 CIMETIDINE TAB 300MG 12/31/9999 20121 00378031701 CIMETIDINE TAB 300MG 12/31/9999 20121 00378031705 CIMETIDINE TAB 300MG 09/30/2013 20121 60505001904 CIMETIDINE TAB 300MG 12/31/9999 20121 60505001906 CIMETIDINE TAB 300MG 12/31/9999 20121 00093820401 CIMETIDINE TAB 400MG 12/31/9999 20121 00093820405 CIMETIDINE TAB 400MG 12/31/9999 20121 00172717149 CIMETIDINE TAB 400MG 12/31/9999 20121 00378037201 CIMETIDINE TAB 400MG 12/31/9999 20121 00378037205 CIMETIDINE TAB 400MG 03/31/2014 20121 60505002004 CIMETIDINE TAB 400MG 12/31/9999 20121 60505002006 CIMETIDINE TAB 400MG 12/31/9999 20121 60505002008 CIMETIDINE TAB 400MG 12/31/9999 20121 00093830501 CIMETIDINE TAB 800MG 12/31/9999 20121 00172771146 CIMETIDINE TAB 800MG 12/31/9999 20121 00378054101 CIMETIDINE TAB 800MG 12/31/9999 20121 60505002103 CIMETIDINE TAB 800MG 12/31/9999 20121 60505002107 CIMETIDINE TAB 800MG 12/31/9999 20121 50474070062 CIMZIA KIT 12/31/9999 20121 50474071079 CIMZIA KIT 200MG/ML 12/31/9999 20121 50474071081 CIMZIA KIT STARTER 12/31/9999 20121 51552042504 CINNAMON OIL 12/31/9999 20121 42227008105 CINRYZE SOL 500 UNIT 12/31/9999 20121 00085175801 CIPRO TAB 250MG 12/31/9999 20121 50419075801 CIPRO TAB 250MG 12/31/9999 20121 00085175401 CIPRO TAB 500MG 12/31/9999 20121 00085175402 CIPRO TAB 500MG 12/31/9999 20121 50419075401 CIPRO TAB 500MG 12/31/9999 20121 00085177301 CIPRO (10%) SUS 500MG/5 12/31/9999 20121 50419077301 CIPRO (10%) SUS 500MG/5 12/31/9999 20121 00085177701 CIPRO (5%) SUS 250MG/5 12/31/9999 20121 50419077701 CIPRO (5%) SUS 250MG/5 12/31/9999 20121 00065853110 CIPRO HC SUS OTIC 12/31/9999 20121 00085175502 CIPRO I.V. INJ 200MG 12/31/9999 20121
NDC Product Description Termination Date Quarter Covered 00085174102 CIPRO I.V. INJ 400MG 12/31/9999 20121 00085178201 CIPRO I.V. INJ 400MG 12/31/9999 20121 50419075901 CIPRO I.V. INJ 400MG 12/31/9999 20121 00065853302 CIPRODEX SUS 0.3-0.1% 12/31/9999 20121 00409476586 CIPROFLOXACN INJ 200MG 12/31/9999 20121 00409477723 CIPROFLOXACN INJ 200MG 12/31/9999 20121 00409477749 CIPROFLOXACN INJ 200MG 12/31/9999 20121 00781323909 CIPROFLOXACN INJ 200MG 12/31/9999 20121 00781323946 CIPROFLOXACN INJ 200MG 12/31/9999 20121 25021011482 CIPROFLOXACN INJ 200MG 12/31/9999 20121 00409477702 CIPROFLOXACN INJ 400MG 12/31/9999 20121 00409477750 CIPROFLOXACN INJ 400MG 12/31/9999 20121 00409477886 CIPROFLOXACN INJ 400MG 12/31/9999 20121 00781324009 CIPROFLOXACN INJ 400MG 12/31/9999 20121 25021011487 CIPROFLOXACN INJ 400MG 12/31/9999 20121 51552122905 CIPROFLOXACN POW HCL 12/31/9999 20121 51552122906 CIPROFLOXACN POW HCL 12/31/9999 20121 16571012025 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 16571012050 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 16571013510 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 16571013550 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 17478071410 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 17478071411 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 17478071425 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 40042001505 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 40042001510 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 40042001552 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 50383028202 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 50383028205 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 50383028210 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 60505100001 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 61314065605 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 61314065610 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 61314065625 CIPROFLOXACN SOL 0.3% OP 12/31/9999 20121 00378174589 CIPROFLOXACN TAB 1000MG 12/31/9999 20121 10370010805 CIPROFLOXACN TAB 1000MG 12/31/9999 20121 55111042330 CIPROFLOXACN TAB 1000MG 08/31/2013 20121 55111012506 CIPROFLOXACN TAB 100MG 12/31/9999 20121 00143992701 CIPROFLOXACN TAB 250MG 12/31/9999 20121 00172531100 CIPROFLOXACN TAB 250MG 12/31/9999 20121 00172531110 CIPROFLOXACN TAB 250MG 12/31/9999 20121 00172531160 CIPROFLOXACN TAB 250MG 12/31/9999 20121 00378709701 CIPROFLOXACN TAB 250MG 12/31/9999 20121 16252051401 CIPROFLOXACN TAB 250MG 12/31/9999 20121 16571041110 CIPROFLOXACN TAB 250MG 12/31/9999 20121 16714065102 CIPROFLOXACN TAB 250MG 12/31/2020 20121 51079018101 CIPROFLOXACN TAB 250MG 12/31/9999 20121 51079018120 CIPROFLOXACN TAB 250MG 12/31/9999 20121 51079040201 CIPROFLOXACN TAB 250MG 12/31/9999 20121 51079040220 CIPROFLOXACN TAB 250MG 10/31/2012 20121 55111012601 CIPROFLOXACN TAB 250MG 12/31/9999 20121 55111012605 CIPROFLOXACN TAB 250MG 12/31/9999 20121 60505130801 CIPROFLOXACN TAB 250MG 12/31/9999 20121 61442022201 CIPROFLOXACN TAB 250MG 12/31/9999 20121 63304070901 CIPROFLOXACN TAB 250MG 12/31/9999 20121 65862007601 CIPROFLOXACN TAB 250MG 12/31/9999 20121 67767013701 CIPROFLOXACN TAB 250MG 12/31/9999 20121 68084006901 CIPROFLOXACN TAB 250MG 12/31/9999 20121 00143203701 CIPROFLOXACN TAB 500MG 12/31/9999 20121 00143992801 CIPROFLOXACN TAB 500MG 12/31/9999 20121 00172531200 CIPROFLOXACN TAB 500MG 12/31/9999 20121 00172531210 CIPROFLOXACN TAB 500MG 12/31/9999 20121 00172531260 CIPROFLOXACN TAB 500MG 12/31/9999 20121 00172531270 CIPROFLOXACN TAB 500MG 12/31/9999 20121 00378709801 CIPROFLOXACN TAB 500MG 12/31/9999 20121 13107007701 CIPROFLOXACN TAB 500MG 12/31/9999 20121 16252051501 CIPROFLOXACN TAB 500MG 12/31/9999 20121
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August 31, 2012 - Iowa Medicaid Enterprise

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