Hillrom and Welch Allyn are a part of Baxter.
BREVIBLOC Injection (Esmolol Hydrochloride) 100 mg/10mL (10mg/mL) Ready-to-use-Vials, 10 mL Vials
Item Number: 1001911501
GTIN:
0310019115016
GTIN-CS:
20310019115010
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BREVIBLOC 100MG 10MLVLX25 INJEBREVIBLOC Injection (Esmolol Hydrochloride) 100 mg/10mL (10mg/mL) Ready-to-use-Vials, 10 mL Vials. Package of 25. NDC 10019-115-01CTION
Product Characteristics
| Minimum Storage Temperature | 2.0 °C |
| Maximum Storage Temperature | 25.0 °C |
| Volume | 10.0 ml |
| DEHP Free | Yes |
| PVC Free | No |
| Latex Free | No |
| Shelf Life from Manufacture | 0 |
| Concentration | 10 mg/mL |
| Containes Preservative | No |
| Dosage Form | Liquid |
| Rx Only | Yes |
| Storage Recommendations | Store at 25°C (77°F). Excursions permitted to 15°-30°C (59°-86°F) [see USP Controlled Room Temperature]. Protect from freezing. Avoid excessive heat. |
| Strength | 100 mg/10 mL |
Carton
| Units per Case | 25.0 |
Reimbursement Information
| HCPCS Code | HCPCS Description |
| J1805 | "Inj, esmolol hcl, 10mg" |
| 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.
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.
| Item Number | 1001911501 |
| Sales Unit | pack |
| GTIN | 0310019115016 |
| GTIN-CS | 20310019115010 |
| National Drug Code | 10019011501 |
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