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  3. DOPamine Hydrochloride in 5% Dextrose Injection, 3200 mcg/mL in 250 mL VIAFLEX Plastic Container. Liquid Premix.
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DOPamine Hydrochloride in 5% Dextrose Injection, 3200 mcg/mL in 250 mL VIAFLEX Plastic Container. Liquid Premix.
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Item Number: 2B0846
GTIN:  0303381009021
GTIN-CS:  50303381009026
DOPamine Hydrochloride in 5% Dextrose Injection, USP, 3200 mcg/mL, 250 mL in VIAFLEX Plastic Container. Liquid Premix. NDC 00338-1009-02. Please refer to full Prescribing Information, including Boxed Warning.
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Specifications

Product Characteristics

Volume 250.0 ml
DEHP Free Yes
PVC Free Yes
Latex Free No
Shelf Life from Manufacture 0
Concentration 3200 mcg/mL
Container Type VIAFLEX
Containes Preservative No
Diluent Dextrose
Dosage Form Liquid
Drug Class Cardio- Vascular
Rx Only Yes
Storage Recommendations Store at room temperature 25°C (77°F); brief exposure up to 40° C (104° F) does not adversely affect the product.
Strength 800 mg/250 mL

Carton

Units per Case 18.0
Carton Weight 14.0 lb.
Carton Length 19.8 in.
Carton Width 13.1 in.
Carton Height 6.2 in.
Carton Volume 0.93 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.
Ordering Information
Item Number 2B0846
Sales Unit case
GTIN 0303381009021
GTIN-CS 50303381009026
National Drug Code 00338100902