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70% Dextrose Injection, USP in 2000 mL VIAFLEX Plastic Container. Pharmacy Bulk Package, Not for Direct Infusion

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SKU: 2B0296H

70% Dextrose Injection, USP in 2000 mL VIAFLEX Plastic Container. Pharmacy Bulk Package, Not for Direct Infusion. NDC 0338-0719-06

Product information last updated Jun-27-2020

Product Characteristics

Container Type: VIAFLEX
Volume: 2000 ML
Dextrose Concentration: 70%
Total Calories: 2390 Kcal/L
Osmolarity (mOsmol/L): 3530
Specific Gravity: 1.24
pH: 4
Shelf Life from manufacture: 12 months
Contains Preservative: No
Storage Recommendations: Stored at room temperature (25°C/77°F). Protect from freezing.
Rx Only: Yes

Carton

Length: 15.5 IN
Width: 9.6 IN
Height: 9.9 IN
Volume: 0.85 FC
Weight: 36 LB
Pack Factor: 6

Reimbursement Information

HCPCS Code HCPCS Descriptor
B4180 Parental nutrition solution: carbohydrates (dextrose), greater than 50% (500 ml = 1 unit), home mix
B4189 Parental nutrition solution: compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 g 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 g 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 g 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.