Valley Medical Pharmacy 
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Brawley, CA 92227 
eRx ID#0585957 
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Automix Empty Viaflex Container 1000ml Bags 48Each By Baxter IV Systems

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Automix Empty Viaflex Container 1000ml Bags 48Each By Baxter IV Systems

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Automix Empty Viaflex Container 1000ml Bags 48Each By Baxter IV Systems Item No.:This Item Requires A Valid Order From A Physician Licensed in USA. RXB10001925/RXD2850345 UPC No.: 854120001269 Mfg.Part No.:2B8084

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Empty VIAFLEX Container. For use with AUTOMIX Compounder, 1000mL


Product Characteristics
Sterilization method: Ethylene Oxide Gas


Reimbursement Information
HCPCS Code HCPCS Descriptor
A4222 INFUSION SUPPLIES FOR EXTERNAL DRUG INFUSION PUMP, PER CASSETTE OR BAG (LIST DRUGS SEPARATELY)
A4223 INFUSION SUPPLIES NOT USED WITH EXTERNAL INFUSION PUMP, PER CASSETTE OR BAG (LIST DRUGS SEPARATELY)
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.