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  4. Cyclophosphamide Injection 1000 mg/5 mL (200 mg/mL)
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Cyclophosphamide Injection 1000 mg/5 mL (200 mg/mL)
Item Number: NVCP1000VUS
GTIN:  00303389779018
GTIN-CS:  50303389779013
Cyclophosphamide Injection Solution 1000 mg/5 mL (200 mg/mL) in a multiple-dose vial. 1 vial per carton: NDC: 0338-9779-01
Specifications

Product Characteristics

Trademark Baxter is trademark of Baxter International Inc. or its subsidiaries
Volume 5.0 ml
DEHP Free Yes
PVC Free Yes
Latex Free Yes
Shelf Life from Manufacture 18 months
Backcheck Valve No
Concentration 200 mg/mL
Container Type Glass Vial
Containes Preservative Yes
Dosage Form Liquid
Polyethlene Lined No
Protect From Light No
Storage Recommendations Store vial refrigerated at 2°C to 8°C (36°F to 46°F). After first use; store partially used multiple-dose vial in the original carton at 2°C to 8°C (36ºF to 46°F) for up to 28 days. Discard unused portion after 28 days.
Strength 1000 mg/5 mL

Carton

Units per Case 1.0
Carton Weight 0.06 Pfund
Carton Length 1.78 Zoll
Carton Width 1.53 Zoll
Carton Height 3.56 Zoll
Carton Volume 0.01 fc

Reimbursement Information

HCPCS Code HCPCS Description
J9076 Injection, cyclophosphamide (baxter), 5 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 NVCP1000VUS
Sales Unit box
GTIN 00303389779018
GTIN-CS 50303389779013
National Drug Code 0338977901
Documents

Documentation

Manual

Package Insert Link

     203052r1