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  4. Magnesium Sulfate in 5% Dextrose Injection USP, 1g / 100mL (10mg / mL) in VIAFLO Plastic Container, Liquid Premix.
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Magnesium Sulfate in 5% Dextrose Injection USP, 1g / 100mL (10mg / mL) in VIAFLO Plastic Container, Liquid Premix.
Item Number: EZPE8501
GTIN:  0303381709402
GTIN-CS:  50303381709407
MAGNESIUM SULFATE IN 5% DEXTROSE, 1g / 100 mL (10 mg/ mL) in VIAFLO Plastic Container. Liquid Premix. NDC 0338-1709-40
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Specifications

Product Characteristics

Minimum Storage Temperature 18.0 °C
Maximum Storage Temperature 25.0 °C
Volume 100.0 ml
Shelf Life from Manufacture 24 Months
Container Type VIAFLO
Containes Preservative No
Diluent Dextrose
Dosage Form Liquid
Rx Only Yes
Storage Recommendations Store at 20° to 25° C (68° – 77° F) [See USP Controlled Room Temperature.] Protect from freezing.
Strength 1g / 100 mL

Carton

Units per Case 40.0
Carton Weight 11.4999944 lb.
Carton Length 15.2 in.
Carton Width 10.1 in.
Carton Height 8.9 in.
Carton Volume 1366.33 ci

Reimbursement Information

HCPCS Code HCPCS Description
J3475 Inj Magnesium Sulfate
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 EZPE8501
Sales Unit case
GTIN 0303381709402
GTIN-CS 50303381709407
National Drug Code 00338170940

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