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  3. 10% TRAVASOL (Amino Acid) Injection 500 mL in VIAFLEX Plastic Container. Pharmacy Bulk Package
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10% TRAVASOL (Amino Acid) Injection 500 mL in VIAFLEX Plastic Container. Pharmacy Bulk Package
Numéro de pièce : 1B6623
GTIN :  0303380644032
GTIN-CS:  50303380644037
10% TRAVASOL (Amino Acid) Injection 500 mL in VIAFLEX Plastic Container. Pharmacy Bulk Package. Not for Direct Infusion.
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Spécificités

Product Characteristics

Temp. d'entreposage min. 15.0 °C
Temp. d'entreposage max 25.0 °C
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
Acétate 88 mg/L
Concentration en acides aminés 10%
Acide aminé 10 g/100 mL
Chlorure 40 mg/L
Type de contenant VIAFLEX
Contient un agent de conservation Non
Azote 1.65 g/100 mL
Osmolarité (mOsmol/L) 998
pH 6
Sur ordonnance seulement Oui
Densité 1.03
Conservation Stored at room temperature (25°C/77°F). Avoid excessive heat. Protect from freezing.

Carton

Capacité par caisse 24.0
Poids 30.2 lb.
Longueur 15.16 in.
Largeur 11.22 in.
Hauteur 12.2 in.
Volume 1.2 fc

Reimbursement Information

HCPCS Code HCPCS Description
B4189 "PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 10 TO 51 GRAMS 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 GRAMS OF PROTEIN - PREMIX"
B4193 "PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 52 TO 73 GRAMS OF PROTEIN - PREMIX"
B4199 "PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, OVER 100 GRAMS OF PROTEIN - PREMIX"
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.
Informations de commande
Item Number 1B6623
Unité de vente case
UPN/GTIN de chaque unité 0303380644032
UPN/GTIN d'une caisse 50303380644037
Code national du médicament 00338064403