Product Details
Jamp Ipratropium HFA
Ipratropium Bromide20 mcg/Metered-Dose
Inhalation Aerosol
200-Dose Pack
DIN/PIN/NPN
02542587
Manufacturer
Jamp Pharma Corporation
Formulary Listing Date
2024-09-27
Unit Price
11.2530
Amount MOH Pays
11.2530
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
- 12:08:00 Parasympatholytic (Cholinergic Blocking) Agents
- 52:36:00 Other Eye, Ear, Nose and Throat Agents
Therapeutic Note
NO
ATC Code
R03BB01
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02247686 | Atrovent HFA | 20.4600 | 11.2530 |
| 02542587 | Jamp Ipratropium HFA | 11.2530 | 11.2530 |
LU Clinical Criteria
NORequirements
NA