Page 80 - InsideOut Magazine

CM Contrast Media
ASD #
36276
22820
36620
MFR #
1111-03 1111-02 1111-70
DESCRIPTION
Prohance 279.3 mg/ml 5 x 20 ml Prohance 279.3 mg/ml vl 5 x 15 ml Prohance MP 279.3 mg/ml btl 5 x 50 ml
Gastrografin 37% sol 120 ml 12/cs Gastrografin Lemon sol 24 x 30 ml
SIZE
20 ml 15 ml 50 ml
120 ml 30 ml
250 ml 450 ml 450 ml 450 ml 450 ml 450 ml 23 gm 450 ml
14 oz
650 ml 1900 ml
6.2 oz 12 oz 1200 g
1 lb
NDC # PK/CS
00270-1111-03 5/cs 00270-1111-02 5/cs 00270-1111-70 5/cs
00270-0445-40 12/cs 00270-0445-35 24/cs
32909-0725-07 24/cs 32909-0725-03 24/cs 32909-0715-03 24/cs 32909-0755-03 24/cs 32909-0775-03 24/cs 32909-0723-01 24/cs 32909-0727-01 50/cs 32909-0945-03 24/cs 00270-4500-02 12/cs
32909-0804-01 24/cs 00270-9003-02 48/cs 00270-9003-04 48/cs
00270-9012-03 24/cs 32909-0652-02 6/cs 32909-0168-02 4/cs
32909-0750-03 24/cs 32909-0186-02 24/cs 32909-0750-01 8/cs 00270-9031-02 144/cs 32909-0770-01 12/cs
Oral Contrast Agents
22242 0455-40 35353 44535
Oral Contrast Agents - CT Barium
35355 7250 35357 7450 35354 7150 35358 7550
35360 4503-07
35361 723
35371 4501-07 35369 4507-01 35373 4500-02
Readi-Cat Banana 24 x 250 ml Readi-Cat Banana 24 x 450 ml Readi-Cat Berry 24 x 450 ml Readi-Cat Creamy Van 24 x 450 ml Readi-Cat Mochaccino 24 x 450 ml Readi-Cat2 Barium 2.1% 24 x 450 ml E-Z Cat Barium Dry 50 x 23 gm Volumen 0.1% 24 x 450 ml
CT Enema Kit
Fluoroscopy - Routine Filled Colon Examination
37041 9005-04
36701 920
36702 935
Polibar ACB Barium Liq 14 oz Empty Enema Bag
Empty Enema Exacta Bag
Double Contrast Colon Examination
36513 9012-03 36375 9001-01 36703 L168
Super XL Empty Enema Kit E-Z Dose Polibar Kit 650 ml Polibar Liq 105% w/v 1900 ml
Routine Upper GI Examination
36061 9019-01
36062 9028-01
36056 9026-01 36915 9031-02 36063 9021-01
E-Z paque 6.2 oz
E-Z Paque 12 oz
E-Z Paque 1200 g Flexible plastic straws E-Z Paste 16 oz
Double Contrast Examination of Esophagus, Stomach and Duodenum
35699 9017-02 E-ZHD250%w/vsusp24x12oz 12 oz 32909-0764-01 24/cs
Fluoroscopy
35997 9020-01 38938 9021-02
E-Z Gas II Granules E-Z Disc 10 Grain Tabs
10361-0793-01 10361-0778-31 100/cs
32909-0105-10 24/cs 32909-0115-00 24/cs 32909-0121-07 12/cs 32909-0122-07 12/cs 32909-0125-22 12/cs
Modified Barium Swallowing Studies
36719 9000-01
36720 9000-02
36721 9000-04
36722 9000-05
36723 9000-06
Varibar Barium Varibar Barium Varibar Barium Varibar Barium Varibar Barium
Thin liquid Nectar Thin Honey Honey Pudding
148 g 240 ml 250 ml 250 ml 230 ml
Small Bowel/Enteroclysis Studies
36734 9014-07 Entero Vu 24%
600 ml
32909-0145-06 12/cs
78 | InsideOut