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  4. DOPamine Hydrochloride in 5% Dextrose Injection, 800 mcg/mL in 500 mL VIAFLEX Plastic Container. Liquid Premix.
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DOPamine Hydrochloride in 5% Dextrose Injection, 800 mcg/mL in 500 mL VIAFLEX Plastic Container. Liquid Premix.
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Item Number: 2B0833
GTIN:  0303381005030
GTIN-CS:  50300338100508
DOPamine Hydrochloride in 5% Dextrose Injection, USP, 800 mcg/mL, 500 mL in VIAFLEX Plastic Container. Liquid Premix. NDC 00338-1005-03. Please refer to full Prescribing Information, including Boxed Warning.
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Specifications

Product Characteristics

Minimum Storage Temperature -99.0 °C
Maximum Storage Temperature 99.0 °C
Volume 500.0 ml
Latex Free Yes
Shelf Life from Manufacture 18 months
Concentration 800 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 400 mg/500 mL

Carton

Units per Case 12.0
Carton Weight 17.5 lb.
Carton Length 15.75 in.
Carton Width 13.25 in.
Carton Height 10.5 in.
Carton Volume 1.27 fc

Reimbursement Information

HCPCS Code HCPCS Description
J1265 INJECTION, DOPAMINE HCL, 40 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 2B0833
Sales Unit case
GTIN 0303381005030
GTIN-CS 50300338100508
National Drug Code 00338100503
Documents

Documentation

PDF

Package Insert Link

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