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  4. Micafungin in 0.9% Sodium Chloride Injection, 100mg / 100mL (1mg / mL) Single-Dose Infusion Bag in 100mL GALAXY Plastic Container, Liquid Premix
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Micafungin in 0.9% Sodium Chloride Injection, 100mg / 100mL (1mg / mL) Single-Dose Infusion Bag in 100mL GALAXY Plastic Container, Liquid Premix
Item Number: 2G3435
GTIN:  00303389053019
GTIN-CS:  50303389053120
Micafungin in 0.9% Sodium Chloride injection, 100mg / 100mL (1mg / mL) single-dose infusion bag in 100mL GALAXY plastic container (12 bags / carton), Liquid Premix. NDC: 0338-9053-12.
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Specifications

Product Characteristics

Trademark Baxter and GALAXY are trademarks of Baxter International Inc.
Volume 100.0 ml
DEHP Free Yes
PVC Free Yes
Latex Free Yes
Shelf Life from Manufacture 24 Months
Concentration 1 mg/mL
Container Type GALAXY
Containes Preservative No
Diluent Sodium Chloride
Dosage Form Liquid
Polyethlene Lined No
Protect From Light Yes
Rx Only Yes
Storage Recommendations Store in the refrigerator at 2°C to 8°C (36°F to 46°F) in the original carton to protect from light. Product may be stored at room temperature 20°C to 25°C (68°F to 77°F) for up to 30 days in the original carton to protect from light.
Strength 100mg / 100 mL

Carton

Units per Case 12.0

Reimbursement Information

HCPCS Code HCPCS Description
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 2G3435
Sales Unit case
GTIN 00303389053019
GTIN-CS 50303389053120
National Drug Code 0338905301
Documents

Documentation

Link

Package Insert Link

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