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  4. Foscarnet Sodium Injection, 6,000 mg / 250 mL (24 mg / mL) Single-Dose Infusion Bag, Liquid Premix
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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
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.
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Specifications

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.
Ordering Information
Item Number GLFOS6000BUS
Sales Unit box
GTIN 00343066089108
GTIN-CS 50343066089103
National Drug Code 4306608910
Documents

Documentation

PDF

Package Insert Link

     203052r1