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DOPamine Hydrochloride in 5% Dextrose Injection, 1600 mcg/mL in 500 mL VIAFLEX Plastic Container. Liquid Premix.
Numéro de pièce : 2B0843
GTIN :
0303381007034
GTIN-CS:
50300338100706
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DOPamine Hydrochloride in 5% Dextrose Injection, USP, 1600 mcg/mL, 500 mL in VIAFLEX Plastic Container. Liquid Premix. NDC 00338-1007-03. Please refer to full Prescribing Information, including Boxed Warning.
Product Characteristics
| Volume | 500.0 ml |
| DEHP | Oui |
| Sans PVC | Oui |
| N'est pas fabriqué avec du latex de caoutchouc naturel | Non |
| durée de conservation selon le fabricant | 0 |
| Concentration | 1600 mcg/mL |
| Type de contenant | VIAFLEX |
| Contient un agent de conservation | Non |
| Diluant | Dextrose |
| Forme pharmaceutique | Liquid |
| Classe du médicament | Cardio- Vascular |
| Sur ordonnance seulement | Oui |
| Conservation | Store at room temperature 25°C (77°F); brief exposure up to 40° C (104° F) does not adversely affect the product. |
| Puissance | 800 mg/500 mL |
Carton
| Capacité par caisse | 12.0 |
| Poids | 20.02 lb. |
| Longueur | 14.5 in. |
| Largeur | 13.39 in. |
| Hauteur | 10.0 in. |
| Volume | 1.12 fc |
Reimbursement Information
| HCPCS Code | HCPCS Description |
| J1265 | "INJECTION, DOPAMINE HCL, 40 MG" |
| A4216 | "STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML" |
| 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 | 2B0843 |
| Unité de vente | case |
| UPN/GTIN de chaque unité | 0303381007034 |
| UPN/GTIN d'une caisse | 50300338100706 |
| Code national du médicament | 00338100703 |
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