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  4. Daptomycin in 0.9% Sodium Chloride Injection, 1,000mg / 100 mL (10mg / mL), Single-Dose Infusion Bag in 100mL GALAXY Plastic Container. Frozen Premix.
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Daptomycin in 0.9% Sodium Chloride Injection, 1,000mg / 100 mL (10mg / mL), Single-Dose Infusion Bag in 100mL GALAXY Plastic Container. Frozen Premix.
Item Number: 2G3596
GTIN:  00303380718122
GTIN-CS:  20303380718126
Daptomycin in 0.9% Sodium Chloride Injection, 1,000mg / 100 mL (10mg / mL), Single-Dose Infusion Bag in 100mL GALAXY plastic container (12 bags / carton). Frozen Premix. NDC: 0338-0718-12.
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Specifications

Product Characteristics

Trademark Baxter and GALAXY are trademarks of Baxter International Inc.
DEHP Free Yes
PVC Free Yes
Latex Free Yes
Shelf Life from Manufacture 24 Months
Container Type GALAXY
Containes Preservative No
Dosage Form Frozen
Polyethlene Lined No
Protect From Light No
Rx Only Yes
Storage Recommendations Store in a freezer capable of maintaining a temperature of -20°C (-4°F) or below. The thawed solution is stable for 30 days under refrigeration (5°C/41°F) or 48 hours at 25°C/77°F. Do not refreeze.
Strength 1,000mg / 100 mL

Carton

Units per Case 12.0
Carton Weight 3.26 lb.
Carton Length 12.0 in.
Carton Width 5.91 in.
Carton Height 2.5 in.
Carton Volume 177.3 ci

Reimbursement Information

HCPCS Code HCPCS Description
J0874 Inj, daptomycin (baxter)
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 2G3596
Sales Unit case
GTIN 00303380718122
GTIN-CS 20303380718126
National Drug Code 0338071812
Documents

Documentation

PDF

Package Insert Link

     203052r1