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  3. 20% PROSOL - sulfite-free (Amino Acid) Injection 2000 mL in VIAFLEX Plastic Container. Pharmacy Bulk Package
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20% PROSOL - sulfite-free (Amino Acid) Injection 2000 mL in VIAFLEX Plastic Container. Pharmacy Bulk Package
Numéro de pièce : 2B6186
GTIN :  0303380499069
GTIN-CS:  50303380499064
20% PROSOL - sulfite-free (Amino Acid) Injection 2000 mL VIAFLEX Plastic Container. Pharmacy Bulk Package. Not for Direct Infusion.
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Spécificités

Product Characteristics

Temp. d'entreposage min. 2.0 °C
Temp. d'entreposage max 25.0 °C
Volume 2000.0 ml
DEHP Non
Sans PVC Non
N'est pas fabriqué avec du latex de caoutchouc naturel Non
durée de conservation selon le fabricant 0
Acétate 140 mg/L
Concentration en acides aminés 20%
Acide aminé 20 g/100 mL
Type de contenant VIAFLEX
Contient un agent de conservation Non
Azote 3.21 g/100 mL
Osmolarité (mOsmol/L) 1835
pH 6
Sur ordonnance seulement Oui
Densité 1.06
Conservation Stored at room temperature (25°C/77°F). Brief exposure up to 40°C/104°F does not adversely affect the product. Protect from freezing.

Carton

Capacité par caisse 6.0
Poids 32.0 lb.
Longueur 14.3 in.
Largeur 13.2 in.
Hauteur 10.0 in.
Volume 1.09 fc

Reimbursement Information

HCPCS Code HCPCS Description
B4193 "PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 52 TO 73 GRAMS OF PROTEIN - PREMIX"
B4189 "PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 10 TO 51 GRAMS OF PROTEIN - PREMIX"
B4199 "PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, OVER 100 GRAMS OF PROTEIN - PREMIX"
B4197 "PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 74 TO 100 GRAMS OF PROTEIN - PREMIX"
Medication Delivery Reimbursement Hotline 888-338-0001

Information Source : CMS

Disclaimer:The coverage, coding, and payment information included in this guide has been compiled from various resources for informational use as a tool to assist providers with reimbursement issues. This information is current as of 3/31/2008; however this information is subject to change and should not be construed as legal advice. Providers should exercise independent clinical judgment when selecting codes and submitting claims to accurately reflect services rendered to individual patients. Baxter Healthcare Corporation does not guarantee success in obtaining insurance payments. Providers are encouraged to contact third-party payors for specific information on their coverage, coding, and payment policies.
Informations de commande
Item Number 2B6186
Unité de vente case
UPN/GTIN de chaque unité 0303380499069
UPN/GTIN d'une caisse 50303380499064
Code national du médicament 00338049906