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  4. 20% OSMITROL Injection (20% Mannitol Injection, USP) 500 mL VIAFLEX Plastic Container
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20% OSMITROL Injection (20% Mannitol Injection, USP) 500 mL VIAFLEX Plastic Container
Item Number: 2D5633Q
GTIN:  0303380357031
GTIN-CS:  50303380357036
20% OSMITROL Injection (20% Mannitol Injection, USP) 500 mL VIAFLEX Plastic Container. NDC: 0338-0357-03
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Specifications

Product Characteristics

Minimum Storage Temperature 0.0 °C
Maximum Storage Temperature 0.0 °C
Volume 500.0 ml
Latex Free Yes
Shelf Life from Manufacture 15 months
Container Type VIAFLEX
Containes Preservative No
Fill Range Volume 530 - 565
Osmolarity Molperl 1098
pH 5
Rx Only Yes
Specific Gravity 1.07
Storage Recommendations Store at room temperature (25°C/77°F), brief exposure up to 40°C/104°F does not adversely affect the product.

Carton

Units per Case 24.0
Carton Weight 32.3 lb.
Carton Length 15.5 in.
Carton Width 11.8 in.
Carton Height 9.8 in.
Carton Volume 1.04 fc
Packaging Single Pack

Reimbursement Information

HCPCS Code HCPCS Description
A4216 STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML
J2150 INJECTION, MANNITOL, 25% IN 50 ML
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 2D5633Q
Sales Unit case
GTIN 0303380357031
GTIN-CS 50303380357036
National Drug Code 00338035703

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