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  4. Vancomycin Injection, USP in 0.9% Sodium Chloride, 750 mg/150 mL in GALAXY Plastic Container. Frozen Premix.
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Vancomycin Injection, USP in 0.9% Sodium Chloride, 750 mg/150 mL in GALAXY Plastic Container. Frozen Premix.
Item Number: 2G3591
GTIN:  00303383582010
GTIN-CS:  20303383582014
Vancomycin Injection, USP in 0.9% Sodium Chloride, 750 mg/150 mL in GALAXY Plastic Container. Frozen Premix. NDC 0338-3582-01
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Specifications

Product Characteristics

Trademark Baxter and Galaxy are registered trademarks of Baxter International Inc., or its subsidiaries.
Volume 150.0 ml
Shelf Life from Manufacture 12 months
Concentration 5 mg/mL
Container Type GALAXY
Containes Preservative No
Diluent Sodium Chloride
Dosage Form Frozen
Polyethlene Lined No
Rx Only Yes
Storage Recommendations Store at or below -20°C (-4°F). The thawed solution remains chemically stable for 72 hours at room temperature (25°C/77°F) or for 30 days under refrigeration (5°C/41°F). Do not refreeze.
Strength 750 mg/150 mL

Carton

Units per Case 6.0
Carton Weight 3.5 lb.
Carton Length 12.2 in.
Carton Width 6.3 in.
Carton Height 3.0 in.
Carton Volume 0.13 fc

Reimbursement Information

HCPCS Code HCPCS Description
J3373 INJECTION, VANCOMYCIN HCL, 500 MG

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 2G3591
Sales Unit case
GTIN 00303383582010
GTIN-CS 20303383582014
National Drug Code 0338358201
Documents

Documentation

Link

Package Insert Link:

     203052r1