Interchangeable Grouping
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52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS
52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS
LU Criteria Text
IPRATROPIUM BROMIDE
0.03% Nasal Spray
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02163705
Atrovent
(Not a Benefit)
N/A
N/A
02239627
PMS-Ipratropium
0.8693
0.8693
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