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  4. Fluconazole in Sodium Chloride Injection, USP, 200 mg/100 mL INTRAVIA Plastic Container. Liquid Premix.
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Fluconazole in Sodium Chloride Injection, USP, 200 mg/100 mL INTRAVIA Plastic Container. Liquid Premix.
Item Number: 2J1446
GTIN:  00303386046489
GTIN-CS:  50303386046484
Fluconazole in Sodium Chloride Injection, USP, 200 mg/100 mL in INTRAVIA Plastic Container. Liquid Premix. NDC 0338-6046-48
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Specifications

Product Characteristics

Trademark Baxter and Intravia are trademarks of Baxter International Inc., its subsidiaries or affiliates.
Volume 100.0 ml
Shelf Life from Manufacture 24 Months
Concentration 2 mg/mL
Container Type INTRAVIA
Containes Preservative No
Diluent Sodium Chloride
Dosage Form Liquid
Polyethlene Lined No
Rx Only Yes
Storage Recommendations Store between 77°F (25°C) and 41°F (5°C). Brief exposure up to 104°F (40°C) does not adversely affect the product. Protect from freezing. Avoid excessive heat.
Strength 200 mg/100 mL

Carton

Units per Case 10.0
Carton Weight 3.9 lb.
Carton Length 12.5 in.
Carton Width 11.81 in.
Carton Height 4.6 in.
Carton Volume 0.39 fc

Reimbursement Information

HCPCS Code HCPCS Description
A4216 STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML
J1450 INJECTION FLUCONAZOLE, 200 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 2J1446
Sales Unit case
GTIN 00303386046489
GTIN-CS 50303386046484
National Drug Code 0338604648

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