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5% Dextrose Injection, USP, 1000 mL VIAFLEX Plastic Container
Item Number: 2B0064X
GTIN:  00303380017041
GTIN-CS:  50303380017046
5% Dextrose Injection, USP, 1000 mL VIAFLEX Plastic Container. NDC: 0338-0017-04

Product Characteristics

Volume 1000.0 ml
Dehp Free No
Pvc Free No
Latex Free Yes
Backcheck Valve No
Container Type VIAFLEX
Containes Preservative No
Dextrose Concentration 5%
Osmolarity Molperl 252
Rx Only Yes
Specific Gravity 1.02
Storage Recommendations Store at room temperature (25°C/77°F)
Total Calories 170 Kcal/L

Carton

Units per Case 14.0
Carton Weight 35.5 lb.
Carton Length 16.0 in.
Carton Width 10.0 in.
Carton Height 10.0 in.
Carton Volume 0.93 fc
Packaging Single Pack

Reimbursement Information

HCPCS Code HCPCS Description
J7070 INFUSION, D5W, 1000 CC
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.
Item Number 2B0064X
Sales Unit case
GTIN 00303380017041
GTIN-CS 50303380017046
National Drug Code 0338001704

     203052r1