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  4. 20% CLINOLIPID (Lipid Injectable Emulsion, USP) 100 mL
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20% CLINOLIPID (Lipid Injectable Emulsion, USP) 100 mL
Item Number: EADB9520
GTIN:  00303389540014
GTIN-CS:  50300338954002
20% CLINOLIPID (Lipid Injectable Emulsion, USP) 100 mL, in a CLARITY polyolefin bag. CLINOLIPID is 80% Olive Oil and 20% Soybean oil. Sterile. Single Use Only. NDC:0338-9540-01 bag. Please refer to full Prescribing Information, including Boxed Warning.
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Specifications

Product Characteristics

Volume 100.0 ml
DEHP Free Yes
PVC Free Yes
Latex Free Yes
Container Type CLARITY
Containes Preservative No
Osmolarity Molperl 260
pH 6.0-9.0
Polyethlene Lined No
Rx Only Yes
Storage Recommendations Store at 20 to 25°C (68 to 77°F). Excursion permitted between 15 to 30°C (59 to 86°F). See USP Controlled Room Temperature. Protect from Freezing. Avoid excessive heat. Store in overpouch until ready for use.

Carton

Units per Case 15.0
Carton Weight 4.63 lb.
Carton Length 12.2 in.
Carton Width 8.66 in.
Carton Height 5.71 in.
Carton Volume 0.35 fc

Reimbursement Information

HCPCS Code HCPCS Description
B4185 PARENTERAL NUTRITION SOLUTION, PER 10 GRAMS LIPIDS
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 EADB9520
Sales Unit case
GTIN 00303389540014
GTIN-CS 50300338954002
National Drug Code 0338954005
Documents

Documentation

PDF

Package Insert Link

     203052r1