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  4. DOButamine Hydrochloride in 5% Dextrose Injection, 500 mg/250 mL in VIAFLEX Plastic Container. Liquid Premix.
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DOButamine Hydrochloride in 5% Dextrose Injection, 500 mg/250 mL in VIAFLEX Plastic Container. Liquid Premix.
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Item Number: 2B0792
GTIN:  0303381075026
GTIN-CS:  50303381075021
DOBUTamine Hydrochloride in 5% Dextrose Injection, 500 mg/250 mL (2000 mcg/mL) in VIAFLEX Plastic Container. Liquid Premix. NDC 0338-1075-02
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Specifications

Product Characteristics

Minimum Storage Temperature 0.0 °C
Maximum Storage Temperature 0.0 °C
Volume 250.0 ml
Shelf Life from Manufacture 15 months
Concentration 2000 mcg/mL
Container Type VIAFLEX
Containes Preservative No
Diluent Dextrose
Dosage Form Liquid
Drug Class Cardio- Vascular
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 500 mg/250 mL

Carton

Units per Case 18.0
Carton Weight 14.0 lb.
Carton Length 19.9 in.
Carton Width 13.5 in.
Carton Height 6.7 in.
Carton Volume 1.04 fc

Reimbursement Information

HCPCS Code HCPCS Description
J1250 INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG
A4216 STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML
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 2B0792
Sales Unit case
GTIN 0303381075026
GTIN-CS 50303381075021
National Drug Code 00338107502

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