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DOPamine Hydrochloride in 5% Dextrose Injection, 3200 mcg/mL in 250 mL VIAFLEX Plastic Container. Liquid Premix.

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SKU: 2B0846

DOPamine Hydrochloride in 5% Dextrose Injection, USP, 3200 mcg/mL, 250 mL in VIAFLEX Plastic Container. Liquid Premix. NDC 0038-1009-02. Please refer to full Prescribing Information, including Boxed Warning.

Product information last updated Mar-25-2020

Product Characteristics

Latex: Not Made with Natural Rubber Latex
Container Type: VIAFLEX
PVC: Contains PVC
DEHP: Contains DEHP
Volume: 250 ML
Drug Class: Cardio- Vascular
Dosage Form: Liquid
Diluent: Dextrose
Strength: 800 mg/250 mL
Concentration: 3200 mcg/mL
Shelf Life from manufacture: 18 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.
Rx Only: Yes
Package Insert: Package Insert
Package Insert Link: baxterpi.com/pi-pdf/DOPam(..)

Carton

Length: 19.8 IN
Width: 13.1 IN
Height: 6.2 IN
Volume: 0.93 FC
Weight: 14 LB
Pack Factor: 18

Reimbursement Information

HCPCS Code HCPCS Descriptor
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.