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  4. 10% PREMASOL - sulfite-free (Amino Acid) Injection 500 mL in VIAFLEX Plastic Container. Pharmacy Bulk Package
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10% PREMASOL - sulfite-free (Amino Acid) Injection 500 mL in VIAFLEX Plastic Container. Pharmacy Bulk Package
Numéro de pièce : 2B0012
GTIN :  0303381130039
GTIN-CS:  50303381130034
10% PREMASOL - sulfite-free (Amino Acid) Injection 500 mL in VIAFLEX Plastic Container. Pharmacy Bulk Package. Not for Direct Infusion. NDC 0338-1130-03
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Spécificités

Product Characteristics

Temp. d'entreposage min. 2.0 °C
Temp. d'entreposage max 25.0 °C
Volume 500.0 ml
DEHP Non
Sans PVC Non
N'est pas fabriqué avec du latex de caoutchouc naturel Non
durée de conservation selon le fabricant 24 months
Acétate 94 mg/L
Concentration en acides aminés 10%
Acide aminé 10 g/100 mL
Chlorure 3 mg/L
Type de contenant VIAFLEX
Contient un agent de conservation Non
Azote 1.55 g/100 mL
Osmolarité (mOsmol/L) 865
pH 5.5
Sur ordonnance seulement Oui
Densité 1.03
Conservation Stored at room temperature (25°C/77°F). Brief exposure up to 40°C/104°F does not adversely affect the product. Avoid excessive heat. Protect from freezing.

Carton

Capacité par caisse 24.0
Poids 33.0 lb.
Longueur 14.2 in.
Largeur 13.1 in.
Hauteur 10.0 in.
Volume 1.08 fc

Reimbursement Information

HCPCS Code HCPCS Description
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
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
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
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
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 2B0012
Unité de vente case
UPN/GTIN de chaque unité 0303381130039
UPN/GTIN d'une caisse 50303381130034
Code national du médicament 00338113003
Documents

Documentation

Manuel

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