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PLASMA-LYTE A Injection pH 7.4 (Multiple Electrolytes Injection, Type 1, USP) 500 mL VIAFLEX Plastic Container

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SKU: 2B2543Q

PLASMA-LYTE A Injection pH 7.4 (Multiple Electrolytes Injection, Type 1, USP) 500 mL VIAFLEX Plastic Container. NDC: 0338-0221-03

Product information last updated Sep-03-2020

Product Characteristics

Latex: Not Made with Natural Rubber Latex
Container Type: VIAFLEX
PVC: Contains PVC
DEHP: Contains DEHP
Volume: 500 ML
Total Calories: 21 Kcal/L
Sodium: 140 mEq/L
Potassium: 5 mEq/L
Magnesium: 3 mEq/L
Acetate: 27 mEq/L
Chloride: 98 mEq/L
Gluconate: 23 mEq/L
Osmolarity (mOsmol/L): 294
Specific Gravity: 1.01
pH: 7.4
Fill Range Volume (mL): 530 - 565
Shelf Life from manufacture: 15 months
Contains Preservative: No
Storage Recommendations: Store at room temperature (25°C/77°F); brief exposure up to 40°C/104°F does not adversely affect the product.
Packaging: Single Pack
Rx Only: Yes


Length: 15.5 IN
Width: 12 IN
Height: 10 IN
Volume: 1.08 FC
Weight: 32.3 LB
Pack Factor: 24

Reimbursement Information

HCPCS Code HCPCS Descriptor
B4216 Parenteral nutrition; additives (vitamins, trace elements, Heparin, electrolytes), home mix, per day
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.