Product Details

Jamp Ipratropium HFA

Ipratropium Bromide
20 mcg/Metered-Dose
Inhalation Aerosol
200-Dose Pack

DIN/PIN/NPN

02542587

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2024-09-27  

Unit Price

15.3450

Amount MOH Pays

15.3450

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

R03BB01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02247686 Atrovent HFA 20.4600 15.3450
02542587 Jamp Ipratropium HFA 15.3450 15.3450
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph