Page 90 - 2017 V1 InsideOut
P. 90
CM Contrast Media
ASD # MFR # DESCRIPTION SIZE NDC # PK/CS
Oral Contrast Agents
22242
0455-40
Gastrogra n 37%
120 mL
00270-0445-40
12/cs
35353
44535
Gastrogra n Lemon
30 mL
00270-0445-35
24/cs
Oral Contrast Agents - CT Barium
35355
7250
Readi-Cat Banana
250 mL
32909-0725-07
24/cs
35357
7450
Readi-Cat Banana
450 mL
32909-0725-03
24/cs
35354
7150
Readi-Cat Berry
450 mL
32909-0715-03
24/cs
35358
7550
Readi-Cat Creamy Vanilla
450 mL
32909-0755-03
24/cs
35360
4503-07
Readi-Cat Mochaccino
450 mL
32909-0775-03
24/cs
35361
723
Readi-Cat2 Barium 2.1%
450 mL
32909-0723-01
24/cs
35371
4501-07
E-Z Cat Barium Dry
23 gm
32909-0727-01
50/cs
35369
4507-01
Volumen 0.1%
450 mL
32909-0945-03
24/cs
35373
4500-02
CT Enema Kit
00270-4500-02
12/cs
Fluoroscopy - Routine Filled Colon Examination
37041
9005-04
Polibar ACB Barium LQ
14 oz
32909-0804-01
24/cs
36701
920
Empty Enema Bag
00270-9003-02
48/cs
36702
935
Empty Enema Exacta Bag
00270-9003-04
48/cs
Double Contrast Colon Examination
36513
9012-03
Super XL Empty Enema Kit
00270-9012-03
24/cs
36375
9001-01
E-Z Dose Polibar Kit
650 mL
32909-0652-02
6/cs
36703
L168
Liquid Polibar PLS 105%
1900 mL
32909-0168-02
4/cs
Routine Upper GI Examination
36061
9019-01
E-Z Paque
6.2 oz
32909-0750-03
24/cs
36062
9028-01
E-Z Paque
12 oz
32909-0186-02
24/cs
36056
9026-01
E-Z Paque
1200 g
32909-0750-01
8/cs
36063
9021-01
E-Z Paste
16 oz
32909-0770-01
12/cs
36915
9031-02
Flexible plastic straws
00270-9031-02
144/cs
Double Contrast Examination of Esophagus, Stomach and Duodenum
35699
9017-02
E-Z HD 98% w/w susp
12 oz
32909-0764-01
24/cs
Fluoroscopy
35997
9020-01
E-Z Gas II Granules
10361-0793-01
50/cs
38938
9021-02
E-Z Disc 10 Grain Tabs
10361-0778-31
100/cs
Modi ed Barium Swallowing Studies
36719
9000-01
Varibar Barium Thin liquid
148 g
32909-0105-10
24/cs
36720
9000-02
Varibar Barium Nectar
240 mL
32909-0115-00
24/cs
36721
9000-04
Varibar Barium Thin Honey
250 mL
32909-0121-07
12/cs
36722
9000-05
Varibar Barium Honey
250 mL
32909-0122-07
12/cs
36723
9000-06
Varibar Barium Pudding
230 mL
32909-0125-22
12/cs
86 | InsideOut
