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  3. 70% Dextrose Injection, USP 2000 mL. Pharmacy Bulk Package, Not for Direct Infusion
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70% Dextrose Injection, USP 2000 mL. Pharmacy Bulk Package, Not for Direct Infusion
Item Number: 2B0296H
GTIN:  00303380719068
GTIN-CS:  50303380719063
70% Dextrose Injection, USP 2000 mL in VIAFLEX Plastic Container. Pharmacy Bulk Package, Not for Direct Infusion.
Specifications

Product Characteristics

Volume 2000.0 ml
Shelf Life from Manufacture 12 months
Container Type VIAFLEX
Dextrose Concentration 70%
Osmolarity Molperl 3530
Ph 4
Rx Only Yes
Specific Gravity 1.24
Storage Recommendations Stored at room temperature (25°C/77°F). Avoid excessive heat. Protect from freezing.
Total Calories 2380 Kcal/L

Carton

Units per Case 6.0
Carton Weight 35.65 lb.
Carton Length 15.6 in.
Carton Width 9.45 in.
Carton Height 9.6 in.
Carton Volume 0.82 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 g 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 g of protein, premix
B4189 Parental nutrition solution: compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 g of protein, premix
B4180 Parental nutrition solution: carbohydrates (dextrose), greater than 50% (500 ml = 1 unit), home mix
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 2B0296H
Sales Unit case
GTIN 00303380719068
GTIN-CS 50303380719063
National Drug Code 0338071906