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Magnesium Sulfate in Water for Injection, 4g / 100mL (40mg / mL) in VIAFLO Plastic Container. Liquid Premix.
Item Number: UE8003
GTIN:  00303381715403
GTIN-CS:  50303381715408
Magnesium Sulfate in Water for Injection, 4g / 100mL (40mg / mL) in VIAFLO Plastic Container. Liquid Premix. NDC 0338-1715-40
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Product Characteristics

Volume 100.0 ml
DEHP Free Yes
PVC Free Yes
Latex Free Yes
Shelf Life from Manufacture 24 Months
Container Type VIAFLO
Containes Preservative No
Diluent Water for Injection
Dosage Form Liquid
Polyethlene Lined No
Rx Only Yes
Storage Recommendations Store at 20° to 25° C (68° – 77° F) [See USP Controlled Room Temperature.] Protect from freezing.
Strength 4g / 100mL

Carton

Units per Case 40.0
Carton Weight 11.53 Pfund
Carton Length 15.0 Zoll
Carton Width 9.21 Zoll
Carton Height 8.94 Zoll
Carton Volume 0.71 fc

Reimbursement Information

HCPCS Code HCPCS Description
J3475 Inj Magnesium Sulfate
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.
Item Number UE8003
Sales Unit case
GTIN 00303381715403
GTIN-CS 50303381715408
National Drug Code 0338171540

Documentation

     203052r1