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Dexmedetomidine Hydrochloride 4 mcg/mL in 0.9% Sodium Chloride injection (400 mcg/100 mL). Liquid Premix.

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SKU: 2G3497

Dexmedetomidine Hydrochloride in 0.9% Sodium Chloride injection, 400 mcg/100 mL (4 mcg/mL) in GALAXY Plastic Container. Liquid Premix. NDC 0338-9557-12. Please refer to full Prescribing Information

Product information last updated Apr-22-2021

Product Characteristics

Trademark: Galaxy is a trademark of Baxter International Inc., or its subsidiaries.
Container Type: GALAXY
Volume: 100 ML
Dosage Form: Liquid
Diluent: Sodium Chloride
Strength: 400 mcg/100 mL
Concentration: 4 mcg/mL
Shelf Life from manufacture: 21 months
Contains Preservative: No
Storage Recommendations: Store at 20° to 25°C (68° to 77°F)[See USP Controlled Room Temperature]. Discard unused portion.
Rx Only: Yes
Package Insert Link: baxterpi.com/pi-pdf/Dexme(..)

Carton

Length: 11.94 IN
Width: 5.88 IN
Height: 2.5 IN
Volume: 0.1 FC
Weight: 3.33 LB
Pack Factor: 12

Reimbursement Information

HCPCS Code HCPCS Descriptor
J3490 Unclassified Drugs
A4216 Sterile Water, 0.9% Sodium Chloride and/or Dextrose Diluent/Flush, 10mL
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.