Hillrom and Welch Allyn are a part of Baxter.
Foscarnet Sodium Injection, 6,000 mg / 250 mL (24 mg / mL) Single-Dose Infusion Bag, Liquid Premix
Item Number: GLFOS6000BUS
GTIN:
00343066089108
GTIN-CS:
50343066089103
Added to Your Cart
Product Availability by Store Location
Hours
Foscarnet Sodium Injection, 6,000 mg / 250 mL (24 mg / mL) Single-Dose Infusion Bag (10 bags/carton), Liquid Premix. Please refer to full Prescribing Information, including Boxed Warning for renal impairment and seizures. NDC: 43066-089-10.
Product Characteristics
| DEHP Free | Yes |
| PVC Free | Yes |
| Latex Free | Yes |
| Shelf Life from Manufacture | 24 Months |
| Containes Preservative | No |
| Dosage Form | Liquid |
| Polyethlene Lined | No |
| Protect From Light | No |
| Rx Only | Yes |
| Storage Recommendations | Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]. Protect from excessive heat (above 40°C) and from freezing. |
| Strength | 6,000 mg / 250 mL |
Carton
| Units per Case | 10.0 |
| Carton Weight | 6.83 lb. |
| Carton Length | 10.63 in. |
| Carton Width | 8.66 in. |
| Carton Height | 7.28 in. |
| Carton Volume | 0.39 fc |
Reimbursement Information
| HCPCS Code | HCPCS Description |
| J1455 | Foscarnet Sodium Injectiom |
| 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.
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 | GLFOS6000BUS |
| Sales Unit | box |
| GTIN | 00343066089108 |
| GTIN-CS | 50343066089103 |
| National Drug Code | 4306608910 |
Documentation
203052r1
Do you want to save the changes before you leave?
We are processing your request, do not go back, refresh or close the window.
Please wait...
Please wait...



