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  4. Prochlorperazine Edisylate Injection, USP, 10 mg/2 mL (5 mg/ mL) Multi-dose vial. (25 x 2 mL)
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Prochlorperazine Edisylate Injection, USP, 10 mg/2 mL (5 mg/ mL) Multi-dose vial. (25 x 2 mL)
Item Number: 4306609025
GTIN:  00343066090012
GTIN-CS:  50343066090253
Prochlorperazine Edisylate Injection, USP, 10 mg/2 mL (5 mg/ mL) Multi-dose vial. (25 x 2 mL). For Intravenous or Intramuscular Use. NDC 43066-090-25. Please refer to full Prescribing Information, including Boxed Warning for increased mortality in elderly patients with dementia-related psychosis.
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Specifications

Product Characteristics

Volume 2.0 ml
DEHP Free Yes
PVC Free Yes
Shelf Life from Manufacture 24 Months
Concentration 5 mg/mL
Container Type Glass Vial
Containes Preservative Yes
Dosage Form Liquid
Polyethlene Lined No
Protect From Light Yes
Rx Only Yes
Storage Recommendations Store at 20° to 25°C (68° to 77°F)
Strength 10 mg / 2 mL

Carton

Units per Case 25.0
Carton Weight 0.55 Pfund
Carton Length 3.54 Zoll
Carton Width 3.54 Zoll
Carton Height 1.73 Zoll
Carton Volume 0.01 fc

Reimbursement Information

HCPCS Code HCPCS Description
J0780 Prochlorperazine Injection
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 4306609025
Sales Unit carton
GTIN 00343066090012
GTIN-CS 50343066090253
National Drug Code 4306609001

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