United States
Nitroglycerin in 5% Dextrose Injection 50 mg/250 mL (200 mcg/mL) in Glass Container
Product Characteristics
| Trademark: | Baxter is a trademark of Baxter International Inc., its subsidiaries or affiliates. |
| Container Type: | Glass |
| Volume: | 250 ML |
| Drug Class: | Vasodilator |
| Dosage Form: | Liquid |
| Diluent: | Dextrose |
| Strength: | 50 mg/250 mL |
| Concentration: | 200 mcg/mL |
| Shelf Life from manufacture: | 18 months |
| Contains Preservative: | No |
| Storage Recommendations: | Store the product at room temperature 25°C (77°F). Brief exposure up to 40°C does not adversely affect the product. Protect from light until time of use. |
| Rx Only: | Yes |
Carton
| Length: | 11.3 IN |
| Width: | 8.5 IN |
| Height: | 7.3 IN |
| Volume: | 0.41 FC |
| Weight: | 12 LB |
| Pack Factor: | 12 |
Reimbursement Information
| HCPCS Code | HCPCS Descriptor |
| J3490 | UNCLASSIFIED DRUGS |
| 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. |
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