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Gentamicin Sulfate in 0.9% Sodium Chloride Injection, 80mg/100 mL in VIAFLEX Plastic Container. Liquid Premix.
Item Number: 2B0862
GTIN:  0303380503483
GTIN-CS:  50303380503488
Gentamicin Sulfate in 0.9% Sodium Chloride Injection, 80 mg/100 mL in VIAFLEX Plastic Container. Liquid Premix. Please refer to full Prescribing Information, including Boxed Warning. NDC 0338-0503-48
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Product Characteristics

Minimum Storage Temperature 0.0 °C
Maximum Storage Temperature 0.0 °C
Volume 100.0 ml
Shelf Life from Manufacture 18 months
Concentration 0.8 mg/mL
Container Type VIAFLEX
Containes Preservative No
Diluent Sodium Chloride
Dosage Form Liquid
Drug Class Anti-Infective
Rx Only Yes
Storage Recommendations Store at room temperature 25°C (77°F), brief exposure up to 40° C (104° F) does not adversely affect the product.
Strength 80 mg/100 mL

Carton

Units per Case 24.0
Carton Weight 8.0 lb.
Carton Length 9.7 in.
Carton Width 9.6 in.
Carton Height 10.6 in.
Carton Volume 0.57 fc

Reimbursement Information

HCPCS Code HCPCS Description
A4216 STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML
J1580 INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 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.
Item Number 2B0862
Sales Unit case
GTIN 0303380503483
GTIN-CS 50303380503488
National Drug Code 00338050348

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