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10% Dextrose Injection, USP, 250 mL VIAFLEX Plastic Container
Item Number: 2B0162Q
GTIN:  0303380023028
GTIN-CS:  50303380023023
10% Dextrose Injection, USP, 250 mL VIAFLEX Plastic Container. NDC 0338-0023-02
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Product Characteristics

Minimum Storage Temperature 0.0 °C
Maximum Storage Temperature 0.0 °C
Volume 250.0 ml
Latex Free Yes
Shelf Life from Manufacture 18 months
Container Type VIAFLEX
Containes Preservative No
Dextrose Concentration 10%
Fill Range Volume 265 - 285
Osmolarity Molperl 505
pH 4
Rx Only Yes
Specific Gravity 1.03
Storage Recommendations Store at room temperature (25°C/77°F), brief exposure up to 40°C/104°F does not adversely affect the product.
Total Calories 340 Kcal/L

Carton

Units per Case 36.0
Carton Weight 25.9 lb.
Carton Length 15.5 in.
Carton Width 12.0 in.
Carton Height 10.0 in.
Carton Volume 1.08 fc
Packaging Single Pack

Reimbursement Information

HCPCS Code HCPCS Description
J3490 UNCLASSIFIED DRUGS
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 2B0162Q
Sales Unit case
GTIN 0303380023028
GTIN-CS 50303380023023
National Drug Code 00338002302

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