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CLINIMIX E 5/15 sulfite-free (5% Amino Acid with Electrolytes in 15% Dextrose with Calcium) Injection, 1000 mL in CLARITY Dual Chamber Container

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SKU: 2B7740

CLINIMIX E 5/15 sulfite-free (5% Amino Acid with Electrolytes in 15% Dextrose with Calcium) Injection 1000 mL in CLARITY Dual Chamber Container. NDC 0338-1147-03

Product information last updated May-05-2020

Product Characteristics

Latex: Not Made with Natural Rubber Latex
Container Type: CLARITY
Volume: 1000 ML
Amino Acid Concentration: 5%
Amino Acid: 200 Kcal/L
Protein: 50 g/L
Nitrogen: 8.26 g/L
Dextrose Concentration: 15%
Dextrose: 510 Kcal/L
Total Calories: 710 Kcal/L
Sodium: 35 mEq/L
Potassium: 30 mEq/L
Magnesium: 5 mEq/L
Calcium: 4.5 mEq/L
Acetate: 80 mEq/L
Chloride: 39 mEq/L
Phosphate: 15 mMol/L
Free Water Content (mL): 863
Osmolarity (mOsmol/L): 1395
Specific Gravity: 1.07
pH: 6
Shelf Life from manufacture: 24 months
Contains Preservative: No
Storage Recommendations: Store at room temperature (25°C/77°F) (may briefly store at up to 40°C/104°F). Refrigerated storage is limited to 9 days once the protective foil overwrap has been opened. Protect from freezing.
Rx Only: Yes
Package Insert Link: www.baxterpi.com/pi-pdf/C(..)

Carton

Length: 18.5 IN
Width: 9.5 IN
Height: 13 IN
Volume: 1.32 FC
Weight: 20 LB
Pack Factor: 6

Website Links

www.clinimix.com
www.baxterpi.com/pi-pdf/C(..)
Disclaimer: Baxter Healthcare Corporation does not review or control the content of any non-Baxter site. Baxter Healthcare Corporation does not endorse and is not responsible for the accuracy, content, practices or standards of any non-Baxter sources.

Reimbursement Information

HCPCS Code HCPCS Descriptor
B4189 PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 10 TO 51 GRAMS OF PROTEIN - PREMIX
B4193 PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 52 TO 73 GRAMS OF PROTEIN - PREMIX
B4197 PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 74 TO 100 GRAMS OF PROTEIN - PREMIX
B4199 PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, OVER 100 GRAMS OF PROTEIN - PREMIX
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.