Interchangeable Grouping
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12:00 AUTONOMIC AGENTS
12:08:00 PARASYMPATHOLYTIC (CHOLINERGIC BLOCKING) AGENTS
LU Criteria Text
IPRATROPIUM BROMIDE
250mcg/mL Inh Sol-2mL UDV Pk
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
01950681
Atrovent UDV
(Not a Benefit)
N/A
N/A
02231245
PMS-Ipratropium
1.3180
1.3180
02097168
Ratio-Ipratropium UDV
1.3180
1.3180
02216221
Teva-Ipratropium Sterinebs
1.3180
1.3180
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