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Fluconazole Injection, USP in Sodium Chloride Injection, 200 mg/100 mL INTRAVIA Plastic Container. Liquid Premix.

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SKU: 2J1446

Fluconazole Injection, USP in Sodium Chloride, 200 mg/100 mL in INTRAVIA Plastic Container. Liquid Premix. NDC 0338-6046-48

Product information last updated Jun-27-2020

Product Characteristics

Trademark: Baxter and Intravia are trademarks of Baxter International Inc., its subsidiaries or affiliates.
Container Type: INTRAVIA
Volume: 100 ML
Drug Class: Anti-Fungal
Dosage Form: Liquid
Diluent: Sodium Chloride
Strength: 200 mg/100 mL
Concentration: 2 mg/mL
Shelf Life from manufacture: 24 months
Contains Preservative: No
Storage Recommendations: Store between 77°F (25°C) and 41°F (5°C). Brief exposure up to 104°F (40°C) does not adversely affect the product. Protect from freezing. Avoid excessive heat.
Rx Only: Yes

Carton

Length: 13 IN
Width: 12.4 IN
Height: 5.2 IN
Volume: 0.49 FC
Weight: 4.5 LB
Pack Factor: 10

Reimbursement Information

HCPCS Code HCPCS Descriptor
J1450 INJECTION FLUCONAZOLE, 200 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.