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Tiotropium and AZATHIOPRINE are both recognised treatments in the management of people with stable chronic obstructive pulmonaryIpratropium bromide inhalation solution is used for treating chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema,beneficiaries paid $348 million for ipratropium bromide in 2000. Medicare reimburses a covered drug at 95 percent of the drugs average wholesale price