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  3. 5% Dextrose Injection, USP, 100 mL MINI-BAG Plus Container. Quad Pack.
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5% Dextrose Injection, USP, 100 mL MINI-BAG Plus Container. Quad Pack.
Item Number: 2B0041
GTIN:  00303380551187
GTIN-CS:  50300338055112
5% Dextrose Injection, USP, 100 mL MINI-BAG Plus Container. For use with single dose powdered and liquid [up to 10 mL] drug vials with standard 20 mm closures. Quad Pack.
Specifications

Product Characteristics

Volume 100.0 ml
Latex Free Yes
Shelf Life from Manufacture 12 months
Container Type VIAFLEX
Dextrose Concentration 5%
Fill Range Volume 105 - 115
Osmolarity Molperl 252
Ph 4
Rx Only Yes
Specific Gravity 1.02
Storage Recommendations Store at room temperature (25°C/77°F).
Total Calories 170 Kcal/L

Carton

Units per Case 80.0
Carton Weight 27.0 lb.
Carton Length 18.7 in.
Carton Width 13.2 in.
Carton Height 9.8 in.
Carton Volume 1.4 fc
Packaging Quad Pack

Reimbursement Information

HCPCS Code HCPCS Description
J7060 5% DEXTROSE/WATER (500 ML = 1 UNIT)
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.
Ordering Information
Item Number 2B0041
Sales Unit case
GTIN 00303380551187
GTIN-CS 50300338055112
National Drug Code 0338055118