Hillrom and Welch Allyn are a part of Baxter.
Milrinone Lactate in 5% Dextrose Injection, 40 mg/200 mL (200 mcg/mL) INTRAVIA Plastic Container. Liquid Premix.
Item Number: 2J0901
GTIN:
0303386011371
GTIN-CS:
50300338601135
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Milrinone Lactate in 5% in Dextrose Injection, 40 mg/200 mL (200 mcg/mL) in INTRAVIA Plastic Container. Liquid Premix. NDC 0338-6011-37
Product Characteristics
| Minimum Storage Temperature | -99.0 °C |
| Maximum Storage Temperature | 99.0 °C |
| Volume | 200.0 cf |
| DEHP Free | No |
| PVC Free | No |
| Latex Free | No |
| Shelf Life from Manufacture | 0 |
| Concentration | 200 mcg/mL |
| Container Type | INTRAVIA |
| Containes Preservative | No |
| Diluent | Dextrose |
| Dosage Form | Liquid |
| Drug Class | Vasodilator |
| 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 | 40 mg/200 mL |
Carton
| Units per Case | 10.0 |
| Carton Weight | 6.35 lb. |
| Carton Length | 13.6 in. |
| Carton Width | 12.7 in. |
| Carton Height | 5.0 in. |
| Carton Volume | 0.5 fc |
Reimbursement Information
| HCPCS Code | HCPCS Description |
| A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML |
| J2260 | INJECTION, MILRINONE LACTATE, 5 MG |
| 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 | 2J0901 |
| Sales Unit | case |
| GTIN | 0303386011371 |
| GTIN-CS | 50300338601135 |
| National Drug Code | 00338601137 |
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