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  4. Metronidazole Injection, USP, 500 mg/100 mL in VIAFLEX Plastic Container. Liquid Premix.
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Metronidazole Injection, USP, 500 mg/100 mL in VIAFLEX Plastic Container. Liquid Premix.
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Item Number: 2B3421
GTIN:  00303381055486
GTIN-CS:  50303381055481
Metronidazole Injection, USP, 500 mg/100 mL metronidazole in VIAFLEX Plastic Container. Liquid Premix. Please refer to full Prescribing Information, including Boxed Warning. NDC 0338-1055-48.
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Specifications

Product Characteristics

Volume 100.0 ml
Latex Free Yes
Shelf Life from Manufacture 24 Months
Concentration 5 mg/mL
Container Type VIAFLEX
Containes Preservative No
Diluent Sodium Chloride
Dosage Form Liquid
Drug Class Anti-Infective
Polyethlene Lined No
Rx Only Yes
Storage Recommendations Store at controlled room temperature (77°F or 25°C) and protect from light during storage.
Strength 500 mg/100 mL

Carton

Units per Case 24.0
Carton Weight 8.16 lb.
Carton Length 10.04 in.
Carton Width 9.6 in.
Carton Height 10.7 in.
Carton Volume 1031.31 ci

Reimbursement Information

HCPCS Code HCPCS Description
A4126 STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML
J1836 Inj, metronidazole, 10 mg
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 2B3421
Sales Unit case
GTIN 00303381055486
GTIN-CS 50303381055481
National Drug Code 0338105548
Documents

Documentation

Link

Package Insert Link

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