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-20mL Pk
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02126222
AA-Ipravent
6.3140
6.3140
00731439
Atrovent
(Not a Benefit)
N/A
N/A
02210479
Novo-Ipramide
6.3140
6.3140
02231136
PMS-Ipratropium
6.3140
6.3140
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