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  4. Epinephrine in 0.9% Sodium Chloride Injection, 16 mg/250 mL (64 mcg/mL) in VIAFLO Plastic Container. Liquid Premix
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Epinephrine in 0.9% Sodium Chloride Injection, 16 mg/250 mL (64 mcg/mL) in VIAFLO Plastic Container. Liquid Premix
Item Number: EZPE8835
GTIN:  0303380024209
GTIN-CS:  50303380024204
Epinephrine in 0.9% Sodium Chloride Injection, 16 mg/250 mL (64 mcg/mL), Single-Dose VIAFLO Plastic Container (20 bags/carton), Liquid Premix. NDC 0338-0024-20.
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Specifications

Product Characteristics

Minimum Storage Temperature 15.0 °C
Maximum Storage Temperature 25.0 °C
Volume 250.0 ml
Shelf Life from Manufacture 12 months
Concentration 64 mcg/mL
Container Type VIAFLO
Containes Preservative No
Dosage Form Liquid
Protect From Light Yes
Rx Only Yes
Storage Recommendations Store at 20°C to 25°C (68°F to 77°F), excursions permitted to 15°C to 30°C (59°F to 86°F) [See USP Controlled Room Temperature], Epinephrine is light sensitive. Protect from light until ready to use. Store in overpouch until time of use.
Strength 16 mg/250 mL

Carton

Units per Case 20.0
Carton Weight 11.0231125 lb.
Carton Length 15.35 in.
Carton Width 9.45 in.
Carton Height 9.06 in.
Carton Volume 1314.22 ci

Reimbursement Information

HCPCS Code HCPCS Description
J0164 Injection, epinephrine in sodium chloride (baxter) 0.1 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.
Ordering Information
Item Number EZPE8835
Sales Unit case
GTIN 0303380024209
GTIN-CS 50303380024204
National Drug Code 00338002420
Documents

Documentation

PDF

Package Insert Link

     203052r1