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Baxter HealthCare
Product
Description
National
Pack Container Non- Non- NonCode
Drug Code Factor
Type
Latex DEHP PVC
Tissue-Guard Family of Surgical Patches >> Supple Peri-Guard
Pericardium Patch
PC1016SNBIO
PC0814SNBIO
PC0608SNBIO
PC0404SNBIO
SUPPLE PERI-GUARD
Pericardium Patch
10x16cm
SUPPLE PERI-GUARD
Pericardium Patch
8x14cm
SUPPLE PERI-GUARD
Pericardium Patch
6x8cm
SUPPLE PERI-GUARD
Pericardium Patch
4x4cm
1
Yes
1
Yes
1
Yes
1
Yes
IV Solutions >> IV Solutions >> OSMITROL Injection (Mannitol
Injection, USP)
2D5604X
2D5632Q
2D5613Q
2D5623Q
5% OSMITROL
Injection (5%
Mannitol
Injection, USP)
20% OSMITROL
Injection (20%
Mannitol
Injection, USP)
250 mL VIAFLEX
Plastic Container
10% OSMITROL
Injection (10%
Mannitol
Injection, USP)
500 mL VIAFLEX
Plastic Container
15% OSMITROL
Injection (15%
Mannitol
Injection, USP),
500 mL VIAFLEX
Plastic Container
Hemodialysis
FS1525BC
FT162530BCR
FT152530BCR
FT152530BC
FT162530BC
FS1725BC
14
0338035702
36
Yes
0338035303
24
Yes
0338035503
24
Yes
>> Hemodialysis >> NIPRO TULIP Safety Fistula Needle,
Single Needle
Nipro SAFETOUCH II
Safety Fistula
Needle, Single
Needle Set, 15G x
1", fixed hub
Nipro Tulip Safety
Fistula Needle,
16G x 1" Rotating
Hub w/Backeye
Nipro Tulip Safety
Fistula Needle,
15G x 1" Rotating
Hub w/Backeye
Nipro Tulip Safety
Fistula Needle,
15G x 1" Fixed Hub
w/Backeye
Nipro Tulip Safety
Fistula Needle,
16G x 1" Fixed Hub
w/Backeye
Nipro SAFETOUCH II
Safety Fistula
Needle, Single
Needle Set, 17G x
1", fixed hub
500
Yes
300
Yes
300
Yes
300
300
500
Oct.28.2016 at 18:52:25 MDT Page # 1
Yes
Baxter HealthCare
Product
Code
Description
FT173230BC
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
NIPRO SafeTouch
Tulip Safety
17Gx1.25" Fistula
Needle, Fixed Hub,
Single Pack
FT172530BCR NIPRO SafeTouch
Tulip Safety
17Gx1" Fistula
Needle, Rotating
Hub
FT172530BC
NIPRO SafeTouch
Tulip Safety
Fistula Needle,
17Gx1" Fixed Hub,
Single Pack
FD152530BCCA NIPRO Biohole Dull
P
Fistula Needle,
15Gx1" Fixed Hub,
Single with CAPICK
Scab Remover
FT153230BC
Nipro Tulip Safety
Fistula Needle,
15G x 1 1/4" Fixed
Hub w/Backeye,
Single Needle Set
NonPVC
300
300
300
50
300
Peritoneal Dialysis >> APD Miscellaneous Supplies
NA
NA
Surgical Tools >> Surgical Tools >> Flo-Rester® Internal Vessel
Occluder-Coronary
50300
50275
50250
50225
50200
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 3.00mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 2.75mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 2.50mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 2.25mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 2.00mm
bulb diameter
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
Oct.28.2016 at 18:52:25 MDT Page # 2
Baxter HealthCare
Product
Code
50175
50150
50125
50450BIOS
50400
50350
50100
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 1.75mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 1.50mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 1.25mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 4.50mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 4.00mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 3.50mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 1.00mm
bulb diameter
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
NonPVC
Peritoneal Dialysis >> Patient Connectology >> Catheter Supplies
NA
NA
Frozen Premix >> Frozen Premix >> Vancomycin Injections
2G3592
2G3591
Vancomycin
0338358301
Injection, USP in
0.9% Sodium
Chloride, 1g/200
mL, GALAXY Plastic
Container
Vancomycin
0338358201
Injection, USP in
0.9% Sodium
Chloride, 750
mg/150 mL, GALAXY
Plastic Container
6
6
Oct.28.2016 at 18:52:25 MDT Page # 3
Baxter HealthCare
Product
Code
2G3590
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Vancomycin
Injection, USP in
0.9% Sodium
Chloride, 500
mg/100 mL, GALAXY
Plastic Container
Vancomycin
Injection, USP, 1
gram/200 mL,
GALAXY Plastic
Container
Vancomycin
Injection, USP,
500mg/100 mL,
GALAXY Plastic
Container
Vancomycin
Injection, USP,
750 mg/150 mL,
GALAXY Plastic
Container
2G3552
2G3551
2G3580
0338358101
12
0338355248
6
0338355148
12
0338358048
6
NonPVC
Yes
IV Solutions >> IV Solutions >> Sterile Water for Injection
2B0304X
Sterile Water for 0338001304
Injection, USP
(For Drug Diluent
Use Only), 1000 mL
VIAFLEX Plastic
Container
NA
NA
14
Yes
Acute Therapy Systems >> Solutions
Frozen Premix >> Cefepime Injections
2G3579
2G3578
Cefepime
0338130148
Injection, 2
gram/100 mL,
GALAXY Container
Cefepime
0338130141
Injection, 1
gram/50 mL, GALAXY
Container
12
24
IV Access >> 3-Port Adapter
2N8224
2N8334
VITALHOLD STND YEXT SET
W/CLCATHETER
SECUREMENT
3-Port Adapter, 2
CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter, non-DEHP,
Approximate Volume
1.2 mL, non-DEHP
50
200
Yes
Yes
Peri-Strips Dry® with Veritas >> Ultra-Thin Linear Staple Line
Buttress
NA
NA
Pharmacy Workflow >> Automated Compounding Devices >> Automated
Compounding - EXACTAMIX EVA Containers
H938743
EXACTAMIX Empty
EVA (ethylene
vinyl acetate),
non-DEHP. Used for
Large Volume
Sterile Solutions,
non-reopening
clamp, 5000 mL
50
Oct.28.2016 at 18:52:25 MDT Page # 4
Yes
Yes
Baxter HealthCare
Product
Code
H938741
H938740
H938739
H938738
H938737
H938735
H93852
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
EXACTAMIX Empty
EVA (ethylene
vinyl acetate)
Bag, 3000 mL. For
use with EXACTAMIX
Compounder.
Sterile Fluid
Path. Non-DEHP.
EXACTAMIX Empty
EVA (ethylene
vinyl acetate)
Bag, 2000 mL. For
use with EXACTAMIX
Compounder.
EXACTAMIX Empty
EVA (ethylene
vinyl acetate)
Bag, 1000 mL. For
use with EXACTAMIX
Compounder.
EXACTAMIX Empty
EVA (ethylene
vinyl acetate)
Bag, 500 mL. For
use with EXACTAMIX
Compounder.
EXACTAMIX Empty
EVA (ethylene
vinyl acetate)
Bag, 250 mL. For
use with EXACTAMIX
Compounder.
EXACTAMIX Empty
Calibration Bag,
1000 mL
EXACTAMIX
Collection Bag,
2000 mL.
50
Yes
Yes
50
Yes
Yes
50
Yes
Yes
50
Yes
Yes
50
Yes
Yes
50
Yes
50
Yes
NonPVC
Frozen Premix >> Oxacillin Injections
2G3539
2G3538
Oxacillin
0338101541
Injection, USP, 2
gram/50 mL, GALAXY
Plastic Container
Oxacillin
0338101341
Injection, USP, 1
gram/50 mL, GALAXY
Plastic Container
24
24
Hemodialysis >> Hemodialysis
NA
NA
Liquid Premix >> Potassium Chloride Highly Concentrated Injections
2B0823
2B0827
Highly
0338070748
Concentrated
Potassium Chloride
Injection, 30
mEq/100 mL,
VIAFLEX Plus
Container
Highly
0338070548
Concentrated
Potassium Chloride
Injection, 20
mEq/100 mL VIAFLEX
Plus Container
24
24
Oct.28.2016 at 18:52:25 MDT Page # 5
Yes
Baxter HealthCare
Product
Code
2B0826
2B0824
2B0822
2B0821
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Highly
Concentrated
Potassium Chloride
Injection, 10
mEq/100 mL,
VIAFLEX Plus
Container
Highly
Concentrated
Potassium Chloride
Injection, 40
mEq/100 mL,
VIAFLEX Plus
Container
Highly
Concentrated
Potassium Chloride
Injection, 20
mEq/50 mL, VIAFLEX
Plus Container
Highly
Concentrated
Potassium Chloride
Injection, 10
mEq/50 mL, VIAFLEX
Plus Container
0338070948
24
0338070348
24
0338070341
24
0338070541
24
Yes
BioSurgery >> TISSEEL [FIBRIN SEALANT] Accessories
0600123
SA3768
0600037
0600038
0600040
0600033
0600031
0600029
0600030
0600012
921020
921021
0600036
0600047
DUPLOSPRAY
REGULATOR
Spray Set,
Endoscopic 360º
Gas Assisted
Flexible
Applicator 40 cm
DUPLOTIP
APPLICATOR 20
gauge x 26.4 cm x
260 mm length
DUPLOTIP
APPLICATOR 5mm
gauge x 31.cm x
320 mm length
DUPLOSPRAY MIS
ROLL STAND
DUPLOSPRAY MIS
APPLICATOR, 20 cm
DUPLOSPRAY MIS
REPLACEMENT TIPS
DUPLOSPRAY MIS
APPLICATOR, 30 cm
DUPLOSPRAY MIS
APPLICATOR, 40 cm
EASYSPRAY PRESSURE
REGULATOR
DUPLOCATH MIS
APPLICATION
CATHETER - 35 cm
DUPLOCATH
APPLICATION
CATHETER - 180 cm
DUPLOTIP
APPLICATOR 20
gauge x 10.4 cm x
100 mm length
FIBRINOTHERM
DEVICE
1
Yes
5
Yes
10
Yes
10
Yes
1
Yes
Yes
5
Yes
Yes
20
Yes
Yes
5
Yes
Yes
5
Yes
Yes
1
Yes
1
Yes
1
Yes
10
Yes
1
Yes
Oct.28.2016 at 18:52:25 MDT Page # 6
Yes
Yes
NonPVC
Baxter HealthCare
Product
Code
921022
SA3768MR
1501252
1501251
1501250
0600030MR
0600029MR
0600033MR
0600065PR
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
DUPLOCATH
APPLICATION
CATHETER - 25 cm
Spray Set,
Endoscopic 360º
Gas Assisted
Flexible
Applicator, 40 cm
with DUPLOSPRAY
Regulator and
DUPLOSPRAY MIS
Rollstand
DUPLOJECT EASY
PREP 10 mL Fibrin
Sealant
Preparation and
Application System
DUPLOJECT EASY
PREP 4 mL Fibrin
Sealant
Preparation and
Application System
DUPLOJECT EASY
PREP 2 mL Fibrin
Sealant
Preparation and
Application System
DUPLOSPRAY MIS
Applicator, 40 cm
with DUPLOSPRAY
Regulator and
DUPLOSPRAY MIS
Rollstand
DUPLOSPRAY MIS
Applicator, 30 cm
with DUPLOSPRAY
Regulator and
DUPLOSPRAY MIS
Rollstand
DUPLOSPRAY MIS
Applicator, 20 cm
with DUPLOSPRAY
Regulator and
DUPLOSPRAY MIS
Rollstand
EASYSPRAY Set with
EASYSPRAY Pressure
Regulator
1
Yes
1
Yes
6
Yes
6
Yes
6
Yes
1
Yes
1
Yes
1
Yes
1
Yes
Pulmonology >> GLASSIA (Alpha1-Proteinase Inhibitor (Human)
NA
NA
2C7564
BURETROL Solution
Set with 150 mL
INTERLINK Burette
(Drip Chamber
Filter Valve) and
3 INTERLINK
Injection Sites,
Male Luer Lock
Adapter with
Retractable
Collar.
Approximate Length
105" (2.7 m),
Approximately 60
drops/mL
IV Access >> Buretrol Solution Sets
48
Oct.28.2016 at 18:52:25 MDT Page # 7
Yes
NonPVC
Baxter HealthCare
Product
Code
2H8865
2H7565
2C7562
2C8864
2C8862
2H8864
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
BURETROL Add-On
Set, 150 mL
CLEARLINK Burette
(Valveless) with
Slide Clamp, 1
CLEARLINK Y-Site.
Approximate Length
17" (43 cm)
BURETROL Add-On
Set with 150 mL
INTERLINK Burette
(Valveless) with
Slide Clamp.
Approximate Length
17" (44 cm)
BURETROL Solution
Set with 150 mL
Valveless Burette,
4 INTERLINK
injection sites,
Male Luer lock
adapter.
Approximately 60
drops per mL,
Approximate Length
115" (2.9 m)
BURETROL Solution
Set with 150 mL
CLEARLINK Burette
(Drip Chamber
Filter Valve), 3
CLEARLINK Y-Sites,
Male Luer Lock
Adapter with
Retractable
Collar.
Approximate Length
105" (2.7 m),
Approximately 60
drops/mL
BURETROL Solution
Set with 150 mL
CLEARLINK Burette
(Valveless), 3
CLEARLINK Y-Sites,
Male Luer Lock
Adapter with
Retractable
Collar.
Approximate Length
115" (2.9 m),
Approximately 60
drops/mL
Non-DEHP BURETROL
Solution Set, 150
mL CLEARLINK
Burette (Drip
Chamber Filter
Valve), 3 Luer
Activated Valves,
Male Luer Lock
Adapter with
Retractable
Collar.
Approximately 60
drops/mL,
Approximate Length
105" (2.7 m)
48
Yes
48
Yes
12
Yes
48
Yes
48
Yes
48
Yes
Oct.28.2016 at 18:52:25 MDT Page # 8
Yes
NonPVC
Baxter HealthCare
Product
Code
2H7562
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
BURETROL Solution
Set with 150 mL
INTERLINK Burette
(Valveless), 3
INTERLINK
Injection Y-Sites,
Male Luer Lock
Adapter,
Approximately 60
drops per mL,
Approximate Length
115" (2.9 m)
48
Yes
NonPVC
Yes
IV Access >> CONTROL-A-FLO Regulator Sets
2C8891
2C8895
2C6895
2C6891
Extension Set with
CONTROL-A-FLO
Regulator and a
CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter with
Retractable
Collar, Aproximate
Volume 3.3 mL,
Approximate Length
19" (47 cm)
CONTINU-FLO
Solution Set with
CONTROL-A-FLO
Regulator and 2
CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximately 10
drops per mL,
Approximate Length
96" (2.4 m)
CONTINU-FLO
Solution Set with
CONTROL-A-FLO
Regulator and 2
INTERLINK
injection sites 6"
and 76" from male
Luer lock adapter.
Extension Set with
CONTROL-A-FLO
Regulator and an
INTERLINK
Injection Site,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximate Volume
3.2 mL,
Approximate Length
19" (48 cm)
48
Yes
48
Yes
48
Yes
48
Yes
Critical Care >> BUMINATE Albumin, 25%
NA
NA
IV Solutions >> Potassium Chloride in 0.9% Sodium Chloride Inj
Oct.28.2016 at 18:52:25 MDT Page # 9
Baxter HealthCare
Product
Code
2B1984X
2B1764X
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
40 mEq/L Potassium 0338069504
Chloride in 0.9%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
20 mEq/L Potassium 0338069104
Chloride in 0.9%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
14
Yes
14
Yes
NonPVC
Liquid Premix >> Lidocaine Injections
2B0962
2B0973
Lidocaine
Hydrochloride and
5% Dextrose
Injection, USP, 2
gram/250 mL (8
mg/mL), VIAFLEX
Plus Plastic
Container
Lidocaine
Hydrochloride and
5% Dextrose
Injection, USP, 2
grams/500 mL (4
mg/mL), VIAFLEX
Plus Plastic
Container
0338041102
24
0338040903
18
Liquid Premix >> Liquid Premix >> Heparin Sodium and 0.9% Sodium
Chloride Injections
2B0953
2B0944
Heparin Sodium and 0338043103
0.9% Sodium
Chloride
Injection, 1000
USP Heparin Units,
500 mL in a
VIAFLEX Plus
Container
Heparin Sodium and 0338043304
0.9% Sodium
Chloride
Injection, 2,000
USP units, VIAFLEX
Plus Plastic
Container, 1000 mL
18
12
IV Solutions >> IV Solutions >> Potassium Chloride in
0.45% NACL Inj.
2B1674X
2B1664X
40 mEq/L Potassium 0338067504
Chloride in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
30 mEq/L Potassium 0338067304
Chloride in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
14
Yes
14
Yes
Oct.28.2016 at 18:52:25 MDT Page # 10
5% Dextrose
Baxter HealthCare
Product
Code
2B1644X
2B1654X
2B1653Q
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
10 mEq/L Potassium 0338066904
Chloride in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
20 mEq/L Potassium 0338067104
Chloride in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
Potassium Chloride 0338067103
(20 mEq/L) in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP
14
Yes
14
Yes
24
Yes
NonPVC
Actifuse Bone Graft Substitute >> ACTIFUSE Bone Graft Substitute ABX
506005078060 ACTIFUSE Bone
Graft Substitute
ABX 1.5 mL
506005078058 ACTIFUSE Bone
Graft Substitute
ABX 20 mL
506005078052 ACTIFUSE Bone
Graft Substitute
ABX 10 mL
506005078051 ACTIFUSE Bone
Graft Substitute
ABX 5 mL
1
Yes
1
Yes
1
Yes
1
Yes
Peritoneal Dialysis Solutions >> /CAPD Miscelleanous Supplies
L5C4366
UltraSet CAPD
Disposable
Disconnect Y-Set
30
Yes
IV Access >> Stopcocks and Sets
2C6256
2C8607
CONTINU-FLO
Solution Set with
2 CLEARLINK Luer
Activated Valves
and Male Luer Lock
Adapter with
Retractable Collar
Extension Set with
4-Way Large Bore
Stopcock with
Rotating Male Luer
Lock, 2 CLEARLINK
Luer Activated
Valves, Male Luer
Lock Adapter with
Retractable
Collar,
Approximate Volume
6.3 mL,
Approximate Length
40" (102 cm)
48
Yes
48
Yes
Oct.28.2016 at 18:52:25 MDT Page # 11
Baxter HealthCare
Product
Code
2C5604
2C6607
2C6218
2C6217
2C6204
2C6255
2C6254
2C6251
3C0062
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
4-Way Standard
Bore Stopcock with
Extension Tubing
and Male Luer Lock
Adapter,
Approximate Volume
4.8 mL,
Approximate Length
35" (89 cm)
Extension Set with
4-way Large Bore
Stopcock and 2
INTERLINK
Injection Sites,
Rotating Male Luer
Lock Adapter,
Approximate Volume
6.2 mL,
Approximate Length
41" (103 cm)
Three Gang 4-way
Large Bore (lipid
resistant)
Stopcock Manifold
with Rotating Male
Luer Lock Adapter
Two Gang 4-way
Large Bore (lipid
resistant)
Stopcock Manifold
with Rotating Male
Luer Lock Adapter
4-Way Large Bore
(lipid resistant)
Stopcock with
Rotating Male Luer
Lock Adapter
CONTINU-FLO
Solution Set with
2 CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter
CONTINU-FLO
Solution Set with
2 CLEARLINK Luer
Activated Valves
and Male Luer Lock
Adapter
4-Way Large Bore
Stopcock with
Extension Tubing,
Male Luer Lock
Adapter,
Approximate Volume
4.1 mL,
Approximate Length
22" (56 cm),
CONTINU-FLO
Solution Set, 2
INTERLINK
Injection Sites,
Male Luer Lock
Adapter AND Large
Bore 4-Way
Stopcock Extension
Set
NonPVC
48
Yes
48
Yes
50
Yes
Yes
Yes
50
Yes
Yes
Yes
50
Yes
Yes
Yes
48
Yes
48
Yes
50
Yes
48
Yes
Oct.28.2016 at 18:52:25 MDT Page # 12
Baxter HealthCare
Product
Code
2H8454
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Non-DEHP CONTINUFLO Solution Set,
2 CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter, Approx.
Length 68" (1.7
m), Approx.10
drops/mL and
Large Bore
Stopcock Manifold
Extension Set,
Approx. Length
59" (1.5 m)
48
Yes
NonPVC
Yes
Nutrition >> Multivitamins
2A9019
2A9008
2A9061
2A9018
INFUVITE Adult,
Multiple Vitamins
for infusion.
Pharmacy Bulk
Package
INFUVITE
Pediatric,
Multiple Vitamins
for infusion.
Single dose
package
INFUVITE Pediatric
Multiple Vitamins
for Infusion.
Pharmacy Bulk
Package
INFUVITE Adult,
Multiple Vitamins
for infusion.
Single dose
package
5464356502
10
Yes
5464356461
100
Yes
5464356470
10
Yes
5464356491
100
Yes
Peri-Strips Dry® with Veritas >> Peri-Strips Dry® with Veritas >>
Peri-Strips Dry with VERITAS - Ethicon
PSD6006ECHV
PSD6006ETSV
PSD25V
PSD7506EV
PSD5506EV
PERI-STRIPS DRY
with VERITAS Ethicon ECHELON 60
(unit of 6)
PERI-STRIPS DRY
with VERITAS Ethicon ETS 60
(unit of 6)
PERI-STRIPS DRY
with VERITAS Ethicon PROXIMATE
ILS, 25 mm and
ENDOPATH ILS, 25
mm; Covidien, DST
EEA or ORVIL
Device, 25 mm
(unit of 1)
PERI-STRIPS DRY
with VERITAS Ethicon PROXIMATE
75/USSC ILA 75
(unit of 6)
PERI-STRIPS DRY
with VERITAS Ethicon PROXIMATE
55/USSC ILA 52
(unit of 6)
6
Yes
6
Yes
1
Yes
6
Yes
6
Yes
Oct.28.2016 at 18:52:25 MDT Page # 13
Baxter HealthCare
Product
Code
PSD4506ECHV
PSD4506ETSV
PSD4506EV
PSD10006EV
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
PERI-STRIPS DRY
with VERITAS Ethicon ECHELON 45
(unit of 6)
PERI-STRIPS DRY
with VERITAS Ethicon ETS 45
(unit of 6)
PERI-STRIPS DRY
with VERITAS Ethicon EZ 45
(unit of 6)
PERI-STRIPS DRY
with VERITAS Ethicon PROXIMATE
100/USSC GIA 100
DST (unit of 6)
6
Yes
6
Yes
6
Yes
6
Yes
NonPVC
Surgical Tools >> Flo-Rester® Internal Vessel Occluder-Vascular
60300
60275
60250BIOS
60125BIOS
60100
60225BIOS
60175
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 3.00mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 2.75mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 2.50mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 1.25mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 1.00mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 2.25mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 1.75mm
bulb diameter
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
Oct.28.2016 at 18:52:25 MDT Page # 14
Baxter HealthCare
Product
Code
60200BIOS
60150BIOS
60450BIOS
60400BIOS
60350
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 2.00mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 1.50mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 4.50mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 4.00mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 3.50mm
bulb diameter
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
Acute Renal Dialysis >> PRISMAFLO II(S)
0590825200
PRISMAFLO II(S)
HOOKS Blood Warmer
Heating Sleeve
2
Rockwell >> CitraPure® 45X Liquid Acid Concentrate - Cases
L41164
L41084
L41064
L41144
CitraPure® Liquid
Concentrate Citrate 45X 2K
2.5Ca., 1 Gallon
(3.78 liters),
Case Packaging; 4
each
CitraPure® Liquid
Concentrate Citrate 45X 2K
2Ca. 1 Gallon
(3.78 liters),
Case Packaging; 4
each
CitraPure® Liquid
Concentrate Citrate 45X 1K
2Ca. 1 Gallon
(3.78 liters),
Case Packaging; 4
each
CitraPure® Liquid
Concentrate Citrate 45X 1K
2.5Ca., 1 Gallon
(3.78 liters),
Case Packaging; 4
each
4
4
4
4
Oct.28.2016 at 18:52:25 MDT Page # 15
NonPVC
Baxter HealthCare
Product
Code
L41174
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CitraPure® Liquid
Concentrate Citrate 45X 3K
2.5Ca., 1 Gallon
(3.78 liters),
Case Packaging; 4
each
CitraPure® Liquid
Concentrate Citrate 45X 3K
3Ca., 1 Gallon
(3.78 liters),
Case Packaging; 4
each
CitraPure® Liquid
Concentrate Citrate 45X 2K
1.5Ca. 1 Gallon
(3.78 liters),
Case Packaging; 4
each
CitraPure® Liquid
Concentrate Citrate 45X 3K 2
Ca. 1 Gallon
(3.78 liters),
Case Packaging; 4
each
CitraPure® Liquid
Concentrate Citrate 45X 2K
3Ca., 1 Gallon
(3.78 liters),
Case Packaging; 4
each
L41264
L41074
L41104
L41244
NonPVC
4
4
4
4
4
Surgical Tools >> Surgical Tools >> Vascular Probe Standard
7452025
7451520
7451015
7152025
7151520
7151015
7082025
7081520
7081015
VASCULAR PROBE,
Standard, 45cm,
2.0-2.5mm
VASCULAR PROBE,
Standard, 45cm,
1.5-2.0mm
VASCULAR PROBE,
Standard, 45cm,
1.0-1.5mm
VASCULAR PROBE,
Standard, 15cm,
2.0-2.5mm
VASCULAR PROBE,
Standard, 15cm,
1.5-2.0mm
VASCULAR PROBE,
Standard, 15cm,
1.0-1.5mm
VASCULAR PROBE,
Standard, 8cm,
2.0-2.5mm
VASCULAR PROBE,
Standard, 8cm,
1.5-2.0mm
VASCULAR PROBE,
Standard, 8cm,
1.0-1.5mm
Hemodialysis
>> Hemodialysis
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
>> NIPRO Disposable DOSE-SAVER Syringes
Oct.28.2016 at 18:52:25 MDT Page # 16
Baxter HealthCare
Product
Code
JD01D2238
JD01D2516
Description
Nipro Disposable
DOSE-SAVER
Syringe, 1cc 22G x
1 1/2"
Nipro Disposable
DOSE-SAVER
Syringe, 1cc 25G x
5/8"
Hemodialysis
NA
NA
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
NonPVC
1000
1000
>> Concentrates and Bicarbonate >> Acid Concentrate (ASide) by Minntech Renal System
NA
NA
HOMECHOICE PRO
4994000449
4994000449
and HOMECHOICE System >> HOMECHOICE PRO
HOMECHOICE System >> Data Cards
SmartMedia Card
Reader USB Reader
- SmartMedia Card
(SM)
SmartMedia Card
Reader USB Reader
- SmartMedia Card
(SM)
and
1
1
BioSurgery >> TISSEEL [FIBRIN SEALANT]
1504514
1501262
1501263
1501261
1504515
1504516
TISSEEL [Fibrin
Sealant] Kit
(Freeze Dried)
with DUPLOJECT
System - 2 mL
TISSEEL [Fibrin
Sealant] Prefilled Syringe
(Frozen) with the
DUO Set - 4 mL
TISSEEL [Fibrin
Sealant] Prefilled Syringe
(Frozen) with the
DUO Set - 10 mL
TISSEEL [Fibrin
Sealant] Prefilled Syringe
(Frozen) with the
DUO Set - 2 mL
TISSEEL [Fibrin
Sealant] Kit
(Freeze Dried)
with DUPLOJECT
System - 4 mL
TISSEEL [Fibrin
Sealant] Kit
(Freeze Dried)
with DUPLOJECT
System - 10 mL
0944430102
1
Yes
0944840204
1
Yes
0944840210
1
Yes
0944840202
1
Yes
0944430204
1
Yes
0944430310
1
Yes
Pharmacy Workflow >> Pharmacy Workflow Management Software
H938DELICENS DoseEdge Pharmacy
E1
Workflow Manager
Acute Therapy Systems >> Solutions >> PrismaSATE Dialysis Solutions
113919
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE
BGK4/0/1.2
2
Oct.28.2016 at 18:52:25 MDT Page # 17
Yes
Baxter HealthCare
Product
Code
113918
113917
113916
113915
113914
113919
113918
113917
113916
113915
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE BK2/0
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE
B22GK4/0
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE
BGK4/2.5
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE BK0/3.5
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE BGK2/0
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE
BGK4/0/1.2
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE BK2/0
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE
B22GK4/0
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE
BGK4/2.5
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE BK0/3.5
2
Yes
2
Yes
2
Yes
2
Yes
2
2
Yes
2
Yes
2
Yes
2
Yes
2
Yes
Oct.28.2016 at 18:52:25 MDT Page # 18
NonPVC
Baxter HealthCare
Product
Code
113914
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE BGK2/0
NonPVC
2
Tissue-Guard Family of Surgical Patches >> Dura-Guard Dural Repair
Patch
DG1016SN
DG0814SN
DG0608SN
DG0404SN
DG0209SN
DURA-GUARD Dural
Repair Patch
10x16cm
DURA-GUARD Dural
Repair Patch
8x14cm
DURA-GUARD Dural
Repair Patch 6x8cm
DURA-GUARD Dural
Repair Patch 4x4cm
DURA-GUARD Dural
Repair Patch 2x9cm
1
Yes
1
Yes
1
Yes
1
Yes
1
Yes
Rockwell >> RenalPure® 45X Liquid Acid Concentrate - Cases
C1264
C1064
C1074
C1244
C1174
C1164
C1144
RenalPure® Liquid
Acid Concentrate 45X 3K 3Ca., 1
Gallon. Case
Packaging: 4 each.
RenalPure® Liquid
Acid Concentrate 45X 1K 2Ca., 1
Gallon (3.78
liters), Case
Packaging: 4 each
RenalPure® Liquid
Acid Concentrate 45X 2K 1.5Ca., 1
Gallon (3.78
liters), Case
Packaging: 4 each
RenalPure® Liquid
Acid Concentrate 45X 2K 3Ca.,
1Gallon (3.78
liters), Case
Packaging: 4 each
RenalPure® Liquid
Acid Concentrate 45X 3K 2.5Ca., 1
Gallon (3.78
liters), Case
Packaging: 4 each
RenalPure® Liquid
Acid Concentrate 45X 2K 2.5Ca., 1
Gallon (3.78
liters), Case
Packaging: 4 each
RenalPure® Liquid
Acid Concentrate 45X 1K 2.5Ca., 1
Gallon (3.78
liters), Case
Packaging; 4 each
4
4
4
4
4
4
4
Oct.28.2016 at 18:52:25 MDT Page # 19
Baxter HealthCare
Product
Code
C1084
C1124
C1104
C1024
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
RenalPure® Liquid
Acid Concentrate 45X 2K 2Ca., 1
Gallon (3.78
liters), Case
Packaging: 4 each
RenalPure® Liquid
Acid Concentrate 45X K-FREE 2.5Ca.,
1 Gallon. Case
Packaging: 4 each.
RenalPure® Liquid
Acid Concentrate 45X 3K 2Ca.,
1Gallon (3.78
liters), Case
Packaging: 4 each
RenalPure® Liquid
Acid Concentrate 45X K-FREE CaFREE, 1 Gallon
(3.78 liters),
Case Packaging: 4
each
NonPVC
4
4
4
4
PRISMAFLEX System >> PRISMAFLEX System >> PRIMAFLEX TPE2000 Hemofilter
Sets
114093
114093
Prismaflex TPE2000
Set is a
disposable,
extracoporeal
circuit for use
only with the
PRISMAFLEX System
Prismaflex TPE2000
Set is a
disposable,
extracoporeal
circuit for use
only with the
PRISMAFLEX System
4
Yes
4
Yes
Liquid Premix >> Liquid Premix >> DOPamine Hydrochloride and 5%
Dextrose Injections
2B0842
2B0833
2B0846
DOPamine
Hydrochloride and
5% Dextrose
Injection, USP,
1600 mcg/mL, 250
mL VIAFLEX Plus
Plastic Container
DOPamine
Hydrochloride and
5% Dextrose
Injection, USP,
800 mcg/mL, 500
mL, VIAFLEX Plus
Plastic Container
DOPamine
Hydrochloride and
5% Dextrose
Injection, USP,
3200 mcg/mL, 250
mL VIAFLEX Plus
Plastic Container
0338100702
18
Yes
0338100503
12
Yes
0338100902
18
Yes
Oct.28.2016 at 18:52:25 MDT Page # 20
Baxter HealthCare
Product
Code
2B0843
2B0832
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
DOPamine
Hydrochloride and
5% Dextrose
Injection, USP,
1600 mcg/mL, 500
mL VIAFLEX Plus
Plastic Container
DOPamine
Hydrochloride and
5% Dextrose
Injection, USP,
800 mcg/mL, 250
mL, VIAFLEX Plus
Plastic Container
0338100703
12
Yes
0338100502
18
Yes
NonPVC
IV Solutions >> IV Solutions >> Dextrose Injections 5%
6E0063
6E0062
2B0063Q
2B0062Q
2B0064X
5% Dextrose
Injection, USP,
500 mL AVIVA
Container
5% Dextrose
Injection, USP,
250 mL AVIVA
Container
5% Dextrose
Injection, USP,
500 mL VIAFLEX
Plastic Container
5% Dextrose
Injection, USP,
250 mL VIAFLEX
Plastic Container
5% Dextrose
Injection, USP,
1000 mL VIAFLEX
Plastic Container
0338634603
24
Yes
0338634602
40
Yes
0338001703
24
Yes
0338001702
36
Yes
0338001704
14
Yes
PRISMAFLEX System >> PRISMAFLEX HF1000/HF1400 Hemofilter Sets
107142
107140
PRISMAFLEX HF1400
Set
PRISMAFLEX HF1000
Set
4
Yes
4
Yes
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> Bedside Pack, Amber
NA
NA
Solutions >> Solutions >> PrismaSATE Dialysis Solutions
106957
105351
106957
105351
PrismaSATE BGK4/25
Dialysis Solution
for Continuous
Renal Replacement
Therapy. NON - PVC
PrismaSATE BGK2/0
Dialysis Solution
for Continuous
Renal Replacement
Therapy. Non-PVC
PrismaSATE BGK4/25
Dialysis Solution
for Continuous
Renal Replacement
Therapy. NON - PVC
PrismaSATE BGK2/0
Dialysis Solution
for Continuous
Renal Replacement
Therapy. Non-PVC
2
2
Yes
2
2
Yes
IV Access >> Catheter Extension Sets - Microbore
Oct.28.2016 at 18:52:25 MDT Page # 21
Baxter HealthCare
Product
Code
2N8341
2N8374
2N1191
2N3374
2N3373
2N3371
2N3342
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Three-Lead
Extension Set with
a CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter, non-DEHP,
Approximate Volume
1.0 mL,
Approximate Length
6.0" (15 cm)
I.V. Catheter
Extension Set with
a CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter, non-DEHP,
Approximate Volume
0.5 mL,
Approximate Length
8.2" (21 cm)
Y-Type Catheter
Extension Set,
Male Luer Lock
Adapter, non-DEHP,
Approximate Volume
0.41 mL,
Approximate Length
4.7" (12 cm)
I.V. Catheter
Extension Set with
an INTERLINK
Injection Site,
Male Luer Lock
Adapter, non-DEHP,
Approximate Volume
0.41 mL,
Approximate Length
7.6" (19 cm)
I.V. Connector
Loop with an
INTERLINK
Injection Site,
Male Luer Lock
Adapter with
Rotating Collar,
non-DEHP,
Approximate Volume
0.4 mL,
Approximate Length
6" (15.1 cm)
Y-Type Catheter
Extension Set, 2
INTERLINK
Injection Sites,
Male Luer Lock
Adapter, non-DEHP,
Approximate Volume
0.8 mL,
Approximate Length
5.7" (14.5 cm)
3-Lead Catheter
Extension Set with
0.22 Micron
Filter, Male Luer
Lock Adapter, nonDEHP, Approximate
Volume 1.04 mL,
Approximate Length
8.0" (22 cm)
200
Yes
Yes
50
Yes
Yes
50
Yes
Yes
200
Yes
Yes
200
Yes
Yes
200
Yes
Yes
50
Yes
Yes
Oct.28.2016 at 18:52:25 MDT Page # 22
NonPVC
Baxter HealthCare
Product
Code
2N3341
2N8371
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Non-DEHP Microbore
Three Lead
Extension Set,
INTERLINK
Injection Site,
Male Luer Lock
Adapter,
Approximate Length
5.9" (15 cm),
Approximate Volume
0.95 mL
Y-Type Catheter
Extension Set with
2 CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter, NonDEHP, Approximate
Volume 0.81 mL,
Approximate Length
5.7" (15 cm)
200
Yes
Yes
200
Yes
Yes
NonPVC
Peritoneal Dialysis >> Peritoneal Dialysis Sets & Disposables
5C5479
R5C4479C
5C4480C
5C4512
5C4476
5C4464P
5C4462
5C4319
5C4169
5C4145P
5C4136
5C8346
5C4957
5C4530
5C4527
AMIA Automated
Peritoneal
Dialysis Set with
Cassette
Automated PD Set
with Cassette 4Prong
12 Foot Extension
Set with Easy-Lock
Connector
APD Drain Manifold
Effluent Sample
Bag
12 Foot Extension
Set
Empty Sterile
Container, 3 Liter
Immobile Extension
Set and Connector
Control Catheter
Securement
Locking Cap for
Peritoneal
Dialysis Catheter
Adapter
15 Liter Cycler
Drainage Bag.
Sterile,
nonpyrogenic fluid
path.
Easy-Lock
Connector to Spike
Adapter Set
Hard Carrying Case
with Wheels
ULTRACLAMP Clamp
(not for use as
outlet port clamp)
Spike Protector ll
Outlet Port Clamp
with Short Nose
30
Yes
30
Yes
30
Yes
Yes
30
6
Yes
Yes
Yes
Yes
30
Yes
Yes
48
Yes
Yes
30
Yes
Yes
Yes
25
Yes
Yes
Yes
30
Yes
Yes
Yes
12
Yes
Yes
Yes
1
Yes
Yes
Yes
12
Yes
48
12
Yes
Yes
Oct.28.2016 at 18:52:25 MDT Page # 23
Yes
Yes
Yes
Baxter HealthCare
Product
Code
5C4483
5C4482
5C4466P
5C4456
5C4449
5C4406
5C4366P
5C4505
5C8302C
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
MiniCap Extended
Life PD Transfer
Set with Twist
Clamp
MiniCap Extended
Life PD Transfer
Set with Twist
Clamp
MiniCap with
Povidone-Iodine
Solution
FLEXICAP
Disconnect Cap for
High Dose Therapy
MiniCap Extended
Life PD Transfer
Set (Easy-Lock)
Connector
Carrying Case
UltraSet
Disposable
Disconnect Y-Set
(Spike)
EZ-AIDE Assist
Device
Low Recirculation
Volume APD Set
with Cassette
NonPVC
6
Yes
Yes
6
Yes
Yes
60
Yes
30
Yes
6
Yes
1
60
Yes
Yes
1
30
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Nutrition >> Accessories
2H8603
2B8043
2B8044
2C1103
2B8045
2B8066
Air-Eliminating IV
Extension Set with
1.2 Micron Filter,
a CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter, nonDEHP, Approximate
Volume 6.0 mL,
Approximate Length
19" (49 cm)
Hand Sealer for
use with VIAFLEX
and ALL-IN-ONE
Empty Containers.
Large Hand Sealer
Clips for use with
Baxter Hand Sealer
(Cat. No. 2B8043)
Non-DEHP Extension
Set with 1.2
Micron Downstream
Air Eliminating
Filter, INTERLINK
Y-Site
Small Hand Sealer
Clips for use with
Baxter Hand Sealer
(Cat. No. 2B8043)
Additive Cap for
VIAFLEX Plastic
Containers
(nonsterile).
48
Yes
1
Yes
1000
Yes
50
Yes
1000
Yes
900
Yes
Yes
Yes
Yes
Yes
Pharmacy Workflow >> Pharmacy Admixture Tools >> SUPOR Syringe Filters
Oct.28.2016 at 18:52:25 MDT Page # 24
Baxter HealthCare
Product
Code
H93821012
H93821002
H93824648
H93824642
H93824640
H93821050
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
SUPOR Syringe
Filter, 1.2
Micron, 25 mm,
Female Luer Lock
Connector, Male
Luer Lock
Connector,
Clear/Blue
SUPOR Syringe
Filter, 0.2
Micron, 25 mm,
Female Luer Lock
Connector, Male
Luer Lock
Connector,
Blue/Blue
SUPOR Syringe
Filter, 1.2
Micron, 32mm,
Female Luer Lock
Connector, Male
Luer Lock
Connector,
Clear/Blue
SUPOR Syringe
Filter, 0.2
Micron, 32 mm,
Female Luer Lock
Connector, Male
Luer Lock
Connector,
Blue/Blue
SUPOR Syringe
Filter, 5 Micron,
32 mm, Female Luer
Lock Connector,
Male Luer Lock
Connector,
Green/Green
SUPOR Syringe
Filter, 5 Micron,
25 mm, Female Luer
Lock Connector,
Male Luer Lock
Connector,
Green/Green
50
Yes
50
Yes
50
Yes
50
Yes
50
Yes
50
Yes
NonPVC
Frozen Premix >> AZACTAM Injections
2G3527
2G3528
AZACTAM (aztreonam 0003223011
injection), 1
gram/50 mL, GALAXY
Plastic Container
AZACTAM (aztreonam 0003224011
injection), 2
gram/50 mL, GALAXY
Plastic Container
24
24
Peri-Strips Dry® with Veritas >> Peri-Strips Dry Gel
PSDGEL3PKWTI PERI-STRIPS DRY
PS
Gel
3
Yes
EXACTAMED Oral and Enteral Systems >> Cost Containment Pack, Amber
H93884210
EXACTAMED Oral
Dispenser, CostContainment Pack,
Amber, Bulk, Tip
Caps Included, 10
mL
1800
Oct.28.2016 at 18:52:25 MDT Page # 25
Yes
Baxter HealthCare
Product
Code
H93884205
H93884203
H93884201
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
EXACTAMED Oral
Dispenser, CostContainment Pack,
Amber, Bulk, Tip
Caps Included, 5
mL
EXACTAMED Oral
Dispenser, CostContainment Pack,
Amber, Bulk, Tip
Caps Included, 3
mL
EXACTAMED Oral
Dispenser, CostContainment Pack,
Amber, Bulk, Tip
Caps Included, 1
mL
1500
Yes
2500
Yes
3000
Yes
NonPVC
IV Access >> Minidrip Solution Set
2C8402
2C6402
2C6424
Solution Set with
a CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter,
Approximately 60
drops per mL,
Approximate Length
76" (1.9 m)
Solution Set with
an INTERLINK
Injection Site,
Lever Lock Cannula
(detached), Male
Luer Lock Adapter,
Approximately 60
drops per mL,
Approximate Length
76" (1.9 m)
Solution Set with
2 INTERLINK
Injection Sites,
Male Luer Lock
Adapter,
Approximately 60
drops per mL,
Approximate Length
92" (2.3 m)
48
Yes
48
Yes
48
Yes
Pharmacy Admixture Tools >> Pharmacy Admixture Tools >> TWOFER HuberTipped Vented Needles
H93819035
H93819003
H93816004
TWOFER HuberTipped Needle,
Vented, 1.5" 16
Gauge, Green
TWOFER HuberTipped Needle,
Vented, 1.5" 16
Gauge, Green
TWOFER HuberTipped Needle,
Vented, 1" 16
Gauge Short
Needle, Purple
500
Yes
100
Yes
100
Yes
BioSurgery >> Tissue-Guard Family of Surgical Patches >> Supple PeriGuard Pericardium Patch
PC1016SNBIO
SUPPLE PERI-GUARD
Pericardium Patch
10x16cm
1
Oct.28.2016 at 18:52:25 MDT Page # 26
Yes
Baxter HealthCare
Product
Code
PC0814SNBIO
PC0608SNBIO
PC0404SNBIO
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
SUPPLE PERI-GUARD
Pericardium Patch
8x14cm
SUPPLE PERI-GUARD
Pericardium Patch
6x8cm
SUPPLE PERI-GUARD
Pericardium Patch
4x4cm
1
Yes
1
Yes
1
Yes
NonPVC
Continuous Renal Replacement Therapy (CRRT) >> CRRT Ancillary Items
106957S
110411
107501
107580
5C4413
PrismaSATE BGK4/25
Dialysis Solution
for Continuous
Renal Replacement
Therapy, NON-PVC
PRISMASATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, NON PVC
PRISMASATE
BGK4/0/1.2
PrismaSATE
B22GK4/0 Dialysis
Solution for
Continuous Renal
Replacement
Therapy
PrismaSATE BK2/0
Dialysis Solution
for Continuous
Renal Replacement
Therapy
Spike/Syringe
Adapter
2
2
2
Yes
2
Yes
10
Yes
Critical Care >> FLEXBUMIN 5%, Albumin (Human), USP, 5% Solution
NA
NA
RD0596
Three Pump Carrier
with Speed Clamp,
UL listed 4 Outlet
Electrical Strip
with clear
protective cover.
Six-legged,
heavyweight base,
25” dia., 6 ball
bearing casters.
Three telescoping
stainless steel IV
Poles with 12
stainless steel
hooks. 2 each UL
listed hospital
grade 6 outlet
electrical strips
with protective
covers
IV Pole, Single, 5
Leg heavyweight
base 22” dia., 8
stainless steel
hooks, telescoping
pole reaches 99”
fully extended,
68” compressed.
Accessories >> IV Poles
RD0610
2M8065EH
1
1
1
Oct.28.2016 at 18:52:25 MDT Page # 27
Baxter HealthCare
Product
Code
2M3005
RD0566
2M8065
550881
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
IV Pole, Single, 5
Legged Stainless
Steel Base, 25"
dia., 4 stainless
steel hooks,
telescoping IV
pole 94" fully
extended, 67"
compressed.
Shipping box 34 X
24 X 6. Shipping
weight 13.0 lbs.
IV Pole, Triple, 6
Leg Heavy base 25"
dia., 2 each UL
listed 6 outlet
power strips with
protective covers
IV Pole, Single, 5
Leg, Heavy base
22” dia., 4
stainless steel
hooks, telescoping
stainless steel IV
pole 99” fully
extended 68”
compressed
IV Pole, Single, 6
Legged, Heavy base
25" dia., Five
Pump Carrier, 7
stainless steel
hooks, telescoping
stainless steel IV
pole 95” fully
extended 68”
compressed
NonPVC
1
1
Yes
1
1
Yes
Yes
Frozen Premix >> Frozen Premix >> ZOSYN Injections
2G3577
2G3576
2G3575
ZOSYN
0206886201
(Piperacillin and
Tazobactam
Injection), 4 gram
Piperacillin, 0.5
gram
Tazobactam/100 mL,
GALAXY Plastic
Container
ZOSYN
0206886101
(Piperacillin and
Tazobactam
Injection), 3
gram Piperacillin,
0.375 gram
Tazobactam/50 mL,
GALAXY Plastic
Container
ZOSYN
0206886001
(Piperacillin and
Tazobactam
Injection), 2 gram
Piperacillin, 0.25
gram Tazobactam/50
mL, GALAXY Plastic
Container
12
24
24
Automated Compounding Devices >> Automated Compounding - Inlets
Oct.28.2016 at 18:52:25 MDT Page # 28
Baxter HealthCare
Product
Code
H938751
H938173
H938175
H938176
H938174
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Automated
Compounding Device
Inlet. MicroVolume Inlet with
Large Bore Spike.
Automated
Compounding Device
Inlet. Non-Vented
High Volume Inlet
for Bags or Vented
Bottles.
Automated
Compounding Device
Inlet. Vented,
Micro-Volume inlet
for use with Small
Vials.
Automated
Compounding Device
Inlet. MicroVolume Inlet with
Luer Lock End.
Automated
Compounding Device
Inlet. Vented,
High-Volume Inlet
for Non-Vented
Bottles.
25
Yes
Yes
25
Yes
Yes
25
Yes
Yes
25
Yes
Yes
25
Yes
Yes
NonPVC
Rockwell >> Rockwell >> Dri-Sate® 45X Dry Acid Concentrate
DC110
DC108
DC103
DC109
DC114
DC124
DC116
DC117
Dri-Sate® Dry Acid
Concentrate - 45X,
3K 2Ca., 25
Gallons.
Dri-Sate® Dry Acid
Concentrate - 45X,
2K 2Ca., 25
Gallons.
Dri-Sate® Dry Acid
Concentrate - 45X,
2K 2.25Ca., 25
Gallons.
Dri-Sate® Dry Acid
Concentrate - 45X,
3K 2.25Ca., 25
Gallons.
Dri-Sate® Dry Acid
Concentrate 45X, 1K 2.5Ca., 25
Gallon Mix.
Dri-Sate® Dry Acid
Concentrate - 45X,
2K 3Ca., 25
Gallons
Dri-Sate® Dry Acid
Concentrate - 45X,
2K 2.5Ca., 25
Gallons
Dri-Sate® Dry Acid
Concentrate - 45X,
3K 2.5Ca., 25
Gallons.
Concentrates and Bicarbonate >> Concentrates and Bicarbonate >>
Bicarbonate Concentrate (B-Side) by Minntech
Oct.28.2016 at 18:52:25 MDT Page # 29
Baxter HealthCare
Product
Code
5M7829
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Liquid Bicarbonate
Concentrate for
use with
Conventional
Proportioning
Systems (1 gal;
3.78 liters)
Bicarbonate
Concentrate Powder
for Conventional
Proportioning
Systems - 2.5 gal
Liquid Bicarbonate
Concentrate for
use with
Conventional
Proportioning
Systems (1 gal;
3.78 liters)
Bicarbonate
Concentrate Powder
for Conventional
Proportioning
Systems - 2.5 gal
5M7828
5M7829
5M7828
4
20
4
20
IV Solutions >> IV Solutions >> Dextrose and Sodium Chloride
Injections
2B1083Q
2B1024X
2B1094X
2B1074X
2B1064X
2B1092Q
5% Dextrose and
0.33% Sodium
Chloride
Injection, USP,
500 mL VIAFLEX
Plastic Container
2.5% Dextrose and
0.45% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
5% Dextrose and
0.2% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
5% Dextrose and
0.45% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
5% Dextrose and
0.9% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
5% Dextrose and
0.2% Sodium
Chloride
Injection, USP,
250 mL, VIAFLEX
Plastic Container
0338008103
24
Yes
0338007304
14
Yes
0338007704
14
Yes
0338008504
14
Yes
0338008904
14
Yes
0338007702
36
Yes
Pharmacy Workflow >> Pharmacy Admixture Tools
NA
NA
IV Access >> Extension Sets
Oct.28.2016 at 18:52:25 MDT Page # 30
NonPVC
Baxter HealthCare
Product
Code
2C8610
1C8363
2C8612
2C8634
2C6226
2C5647
2C5645
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Extension Set with
a CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximate Volume
6.2 mL,
Approximate Length
44" (111 cm)
Extension Set,
Approximate Volume
3.3 mL,
Approximate Length
6.0" (15 cm) with
0.22 Micron
Downstream High
Pressure Extended
Life Filter,
Polyethylene Lined
Tubing and Male
Luer lock Adapter
Extension Set with
2 CLEARLINK YSites, Male Luer
Lock Adapter with
Retractable
Collar.
Approximate Length
42" (107 cm),
Approximate Volume
6.2 mL.
Extension Set with
a CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximate Volume
1.4 mL,
Approximate Length
7.9" (20 cm)
Extension Set with
Male Luer Lock
Adapter.
Approximate Volume
2.3 mL,
Approximate Length
21" (53 cm)
Y-Type Extension
Set with 2 Check
Valves and Male
Luer Lock Adapter.
Approximate Volume
1.9 mL,
Approximate Length
7" (18 cm)
Extension Set with
Male Luer Lock
Adapter.
Approximate Volume
4.0 mL,
Approximate Length
30" (76 cm)
48
Yes
48
Yes
48
Yes
48
Yes
50
Yes
48
Yes
48
Yes
Oct.28.2016 at 18:52:25 MDT Page # 31
NonPVC
Baxter HealthCare
Product
Code
2C6605
2C6227
2C5641
2C6612
2C9203
2C8632
2C8606
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Extension Set with
Check Valve above
the INTERLINK
Injection Site,
Male Luer Lock
Adapter,
Approximate Length
13" (32 cm),
Approximate Volume
2.1 mL
Extension Set with
Male Luer Lock
Adapter.
Approximate Volume
3.9 mL,
Approximate Length
34" (86 cm)
Extension Set with
Male Luer Lock
Adapter with
Retractable
Collar.
Approximate Length
6.5" (16 cm),
Approximate Volume
0.87 mL
Extension Set with
2 INTERLINK
Injection Sites,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximate Volume
6.1 mL,
Approximate Length
43" (110 cm)
MINI-INFUSER
Microbore
Extension Set with
Male Luer Lock
Adapter,
Approximate Length
61" (155 cm),
Approximate Volume
0.83 mL
Extension Set, a
CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter with
Rectractable
Collar,
Approximate Volume
2.2 mL,
Approximate Length
14" (35 cm)
Extension Set with
2 CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximate Volume
3.3 mL,
Approximate Length
20" (51 cm)
48
Yes
50
Yes
48
48
60
Yes
48
Yes
48
Yes
Oct.28.2016 at 18:52:25 MDT Page # 32
NonPVC
Baxter HealthCare
Product
Code
2C9219
2H8631
2C6606
2C6631
2C9201
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Extension Set with
Luer Lock
Adapters,
Approximate Length
61"(155 cm),
Approximate Volume
1.4 mL
Non-DEHP Extension
Set with 2
CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximate Length
42" (107 cm),
Approximate Volume
6.2 mL
Extension Set with
2 INTERLINK
Injection Sites,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximate Volume
3.2 mL,
Approximate Length
21" (53.7 cm)
Extension Set with
2 INTERLINK
Injection Sites,
Male Luer Lock
Adapter with
Retractable
Collar.
Approximate Length
43" (110 cm),
Approximate Volume
6.1 mL
MINI-INFUSER
Extension Set,
Male Luer Lock
Adapter,
Approximate Volume
0.45 mL,
Approximate Length
61" (155 cm)
60
Yes
48
Yes
48
Yes
48
Yes
60
Yes
NonPVC
Patient Connectology >> Patient Connectology >> Transfer Sets For
Straight Line CAPD
NA
NA
Hemodialysis
5M2132
5M2121
5M2120
5M2119
>> EXELTRA High Flux Dialyzers, Cellulose Triacetate
EXELTRA 210
Dialyzer (for
single-use only)
EXELTRA 190
Dialyzer (for
single-use only)
EXELTRA 170
Dialyzer (for
single-use only)
EXELTRA 150
Dialyzer (for
single-use only)
24
Yes
24
Yes
24
Yes
24
Yes
BioSurgery >> Coseal Surgical Sealant Accessories
Oct.28.2016 at 18:52:25 MDT Page # 33
Baxter HealthCare
Product
Code
0600021
934034
934033
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
COSEAL Surgical
Sealant Spray Set
for EASYSPRAY
COSEAL Surgical
Sealant Extended
Applicator - 22 cm
COSEAL Surgical
Sealant
Replacement
Applicator - 7 cm
NonPVC
10
Yes
Yes
10
Yes
Yes
5
Yes
Yes
Pulmonology >> ARALAST [Alpha<sub>1-Proteinase Inhibitor (Human)]
NA
NA
NA
NA
Acute Renal Dialysis >> Acute Therapy Systems
IV Solutions >> IV Solutions >> Potassium Chloride in 0.9% Sodium
Chloride Inj
2B1984X
2B1764X
40 mEq/L Potassium 0338069504
Chloride in 0.9%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
20 mEq/L Potassium 0338069104
Chloride in 0.9%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
14
Yes
14
Yes
IV Access >> Clearlink
NA
NA
Hemodialysis >> Rockwell >> RenalPure® 36.83X Liquid Acid Concentrate
- Cases
R1504
R1344
R1164
R1404
RenalPure® 36.83X
Liquid Acid
Concentrate - 2K
3Ca., 1 Gallon
(3.78 liters),
Case Packaging: 4
each
RenalPure® 36.83X
Liquid Acid
Concentrate - 3K
2.5Ca., 1 Gallon
(3.78 liters),
Case Packaging: 4
each
RenalPure® 36.83X
Liquid Acid
Concentrate - 3K
3Ca., 1 Gallon
(3.78 liters),
Case Packaging: 4
each
RenalPure® 36.83X
Liquid Acid
Concentrate - 1K
2.5Ca., 1 Gallon
(3.78 liters),
Case Packaging: 4
each
4
4
4
4
Oct.28.2016 at 18:52:25 MDT Page # 34
Baxter HealthCare
Product
Code
R1354
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
RenalPure® 36.83X
Liquid Acid
Concentrate - KFREE 2.5Ca., 1
Gallon (3.78
liters), Case
Packaging: 4 each
RenalPure® 36.83X
Liquid Acid
Concentrate - 2K
2.5Ca., 1 Gallon
(3.78 liters),
Case Packaging: 4
each
RenalPure® 36.83X
Liquid Acid
Concentrate - 3K
2Ca., 1 Gallon
(3.78 liters),
Case Packaging: 4
each
RenalPure® 36.83X
Liquid Acid
Concentrate - 2K
2Ca., 1 Gallon
(3.78 liters),
Case Packaging: 4
each
R1454
R1154
R1104
4
4
4
4
Liquid Premix >> Cardioplegic Solution for Cardiac Perfusion
2B1462X
Cardioplegic
0338034104
Solution for
Cardiac Perfusion.
Not for
Intravenous
Injection, 1000 mL
VIAFLEX Plastic
Container
14
IV Access >> Manifolds - Multiport and Sets
2C8921
2C6921
3-Port Manifold
with Inline Check
and Port Check
Valves,
Approximate Volume
1.4 mL, AND Large
Bore 4-way
Stopcock Extension
Set, 2 CLEARLINK
Luer Activated
Valves, Male Luer
Lock Adapter.
Approximate Volume
6.2 mL,
Approximate Length
40" (101 cm)
3-Port Manifold
with Inline Check
Valve and Port
Check Valves*
48
48
Oct.28.2016 at 18:52:25 MDT Page # 35
Yes
NonPVC
Baxter HealthCare
Product
Code
2C6931
2C9282
2C8931
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CONTINU-FLO
Solution Set with
2 INTERLINK
Injection Sites
AND 3 Port
Manifold with
Check Valves,
Large Bore 4-Way
Stopcock Extension
Set with 2
INTERLINK
Injection Sites
3-Port Manifold,
Port Check Valves,
Male Luer Lock
Adapter,
Approximate Volume
1.0 mL
CONTINU-FLO
Solution Set, 2
CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter AND 3-Port
Manifold with
Inline Check Valve
and Port Check
Valves AND Large
Bore 4-Way
Stopcock Extension
Set
48
Yes
48
Yes
48
Yes
Yes
Drug Delivery >> Frozen Premix
NA
NA
Liquid Premix >> Liquid Premix >> NEXTERONE (amiodarone HCl)
2G3450
2G3451
NEXTERONE
(amiodarone HCI)
Premixed
Injection, 360
mg/200 mL, Single
Dose GALAXY
Container
NEXTERONE
(amiodarone HCl)
Premixed
Injection, 150
mg/100 mL, Single
Dose GALAXY
Container
4306636020
10
Yes
4306615010
12
Yes
Hemodialysis >> Rockwell
NA
NA
PRISMAFLEX System >> PRIMAFLEX TPE2000 Hemofilter Sets
114093
Prismaflex TPE2000
Set is a
disposable,
extracoporeal
circuit for use
only with the
PRISMAFLEX System
4
Yes
HOMECHOICE PRO and HOMECHOICE System >> HOMECHOICE PRO
HOMECHOICE System >> Carrying Case
NA
NA
and
NA
NA
Pharmacy Workflow >> RAPIDFILL Automated Syringe Filler
NA
NA
Frozen Premix >> Frozen Premix >> Oxacillin Injections
Oct.28.2016 at 18:52:25 MDT Page # 36
NonPVC
Yes
Baxter HealthCare
Product
Code
2G3539
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Oxacillin
0338101541
Injection, USP, 2
gram/50 mL, GALAXY
Plastic Container
Oxacillin
0338101341
Injection, USP, 1
gram/50 mL, GALAXY
Plastic Container
2G3538
NonPVC
24
24
EXACTAMED Oral and Enteral Systems >> Bedside Pack, Amber
NA
NA
101223
Adsorba
Hemoperfusion
Cartridge 300 C
Adsorba
Hemoperfusion
Cartridge 150 C
PRISMAFLEX System >> Hemofilter Sets
101097
1
1
Yes
Rockwell >> Rockwell >> Dri-Sate® 36.83X Dry Acid Concentrate
DR145
Dri-Sate® Dry Acid
Concentrate,
36.83X, 2K 2.5
Ca., 25 Gallon
Mix. For use with
the Dri-Sate® Dry
Acid Mixing System
Only.
EXACTAMED Oral and Enteral Systems >> Topical Dispenser, Amber
NA
NA
Surgical Tools >> Surgical Tools >> Flo-Rester® Internal Vessel
Occluder-Vascular
60300
60275
60250BIOS
60125BIOS
60100
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 3.00mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 2.75mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 2.50mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 1.25mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 1.00mm
bulb diameter
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
Oct.28.2016 at 18:52:25 MDT Page # 37
Baxter HealthCare
Product
Code
60225BIOS
60175
60200BIOS
60150BIOS
60450BIOS
60400BIOS
60350
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 2.25mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 1.75mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 2.00mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 1.50mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 4.50mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 4.00mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 3.50mm
bulb diameter
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
NonPVC
Patient Connectology >> Disconnect Caps
NA
NA
IV Solutions >> IV Solutions >> Sodium Chloride Injections
UE1323D
UE1324D
0.9% Sodium
Chloride
Injection, USP in
500 mL Dripless
Access Container
(DAC) VIAFLO
Plastic Container
0.9% Sodium
Chloride
Injection, USP in
1000 mL Dripless
Access Container
(DAC) VIAFLO
Plastic Container
0338954304
20
Yes
Yes
Yes
0338954306
10
Yes
Yes
Yes
Oct.28.2016 at 18:52:25 MDT Page # 38
Baxter HealthCare
Product
Code
UE1322D
2B1324X
2B1314X
2B7207
2B1373Q
2B1323Q
2B1322Q
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
0.9% Sodium
Chloride
Injection, USP in
250 mL, Dripless
Access Container
(DAC) VIAFLO
Plastic Container
0.9% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
0.45% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
0.9% Sodium
Chloride
Processing
Solution, 3000 mL
VIAFLEX Plastic
Container
5% Sodium Chloride
Injection, USP in
VIAFLEX Plastic
Container
0.9% Sodium
Chloride
Injection, USP,
500 mL VIAFLEX
Plastic Container
0.9% Sodium
Chloride
Injection, USP,
250 mL VIAFLEX
Plastic Container
0338954302
30
0338004904
14
Yes
0338004304
14
Yes
0338005047
4
Yes
0338005603
24
0338004903
24
Yes
0338004902
36
Yes
Hemodialysis >> Baxter A.V. Fistula Set with Back-Eye
NA
NA
Liquid Premix >> Liquid Premix >> Gentamicin Injections
2B0864
2B0863
2B0862
2B0853
Gentamicin Sulfate
in 0.9% Sodium
Chloride
Injection, 120 mg
in 100 mL VIAFLEX
Plus Container
Gentamicin Sulfate
in 0.9%Sodium
Chloride
Injection, 100 mg
in 100 mL in
VIAFLEX Plus
Container
Gentamicin Sulfate
in 0.9% Sodium
Chloride
Injection, 80 mg
in 100 mL in
VIAFLEX Plus
Container
Gentamicin Sulfate
in 0.9% Sodium
Chloride
Injection, 100 mg
in 50 mL VIAFLEX
Plus Container
0338050748
24
0338050548
24
0338050348
24
0338051141
24
Oct.28.2016 at 18:52:25 MDT Page # 39
NonPVC
Baxter HealthCare
Product
Code
2B0852
2B0851
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Gentamicin Sulfate 0338050941
in 0.9% Sodium
Chloride
Injection, 80 mg
in 50 mL VIAFLEX
Plus Container
Gentamicin Sulfate 0338050741
in 0.9% Sodium
Chloride
Injection, 60 mg
in 50 mL VIAFLEX
Plus Container
24
24
Drug Delivery >> Vials, Syringes and Ampules
1001995701
1001995601
1001992602
1001992501
6097714101
6710835659
1001995302
1001995301
1001995501
0338130503
0338130501
0338399301
Cyclophosphamide
for Injection,
USP, 2 gram,
Single-Dose Vial;
Carton of 1 Vial
Cyclophosphamide
for Injection,
USP, 1 gram,
Single-Dose Vial;
Carton of 1 Vial
Ifosfamide for
Injection, 3 gram,
Single-Dose Vial
Ifosfamide for
Injection, 1 gram,
Single-Dose Vial
PROTOPAM Chloride
(pralidoxime
chloride) for
Injection 1 gm,
20mL Single-Dose
Vial
Mesnex (mesna)
Tablets, 400 mg
Tablets, 10
Blisters per Card
Mesna Injection,
100 mg/mL, 10mL
Multi-Dose Vial;
Box of 10 vials
Mesna Injection,
100 mg/mL, 10mL
Multi-Dose Vial
Cyclophosphamide
for Injection,
USP, 500 mg,
Single-Dose Vial;
Carton of 1 Vial
MESNEX (mesna)
Injection, 100
mg/mL, 1 gm MultiDose Vial; Box of
10 vials
MESNEX(mesna)
Injection,
100mg/mL; 1gm, 10
mL Multi-Dose Vial
IFEX (Ifosfamide
for Injection,
USP) 3 gm Single
Dose Vial
1001995701
1
Yes
1001995601
1
Yes
1
Yes
1001992501
1
Yes
6097714101
6
Yes
10
10
Yes
1
Yes
1001995501
1
Yes
0338130503
10
0338130501
1
1
Oct.28.2016 at 18:52:25 MDT Page # 40
Yes
NonPVC
Baxter HealthCare
Product
Code
Description
0338399101
IFEX (Ifosfamide
for Injection,
USP) 1 gm Single
Dose Vial
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
1
NonPVC
Yes
Rockwell >> Rockwell >> Mixer
NA
NA
1A0694
Nitroglycerin in
0338104902
5% Dextrose
Injection, 50 mg
(200 mcg/mL).
Premix Medication,
Glass Container,
250 mL
Nitroglycerin in
0338104702
5% Dextrose
Injection, 25 mg
(100 mcg/mL).
Premix Medication,
Glass Container,
250 mL
Nitroglycerin in
0338105102
5% Dextrose
Injection, 100 mg
(400 mcg/mL).
Premix Medication,
Glass Container,
250 mL
Liquid Premix >> Nitroglycerin Injections
1A0692
1A0696
12
12
12
Peri-Strips Dry® with Veritas >> Covidien Peri-Strips Dry with VERITAS
PSD8006UDSTV PERI-STRIPS DRY
with VERITAS Covidien GIA 80
DST Series (unit
of 6)
PSD6006UDSTV PERI-STRIPS DRY
with VERITAS Covidien GIA DST
60 (unit of 6)
PSD9006PIV
PERI-STRIPS DRY
with VERITAS Covidien PI 90
(unit of 6)
PSD9006UV
PERI-STRIPS DRY
with VERITAS Covidien GIA 90
(unit of 6)
PSD8006UV
PERI-STRIPS DRY
with VERITAS Covidien GIA 80
(unit of 6)
PSD6006UV
PERI-STRIPS DRY
with VERITAS Covidien ENDO
GIA/UNIVERSAL 60
(unit of 6)
PSD4506UV
PERI-STRIPS DRY
with VERITAS Covidien ENDO
GIA/UNIVERSAL 45
(unit of 6)
PSD3006UV
PERI-STRIPS DRY
with VERITAS Covidien ENDO
GIA/UNIVERSAL 30
(unit of 6)
6
Yes
6
Yes
6
Yes
6
Yes
6
Yes
6
Yes
6
Yes
6
Yes
IV Solutions >> OSMITROL Injection (Mannitol Injection, USP)
Oct.28.2016 at 18:52:25 MDT Page # 41
Baxter HealthCare
Product
Code
2D5604X
2D5632Q
2D5613Q
2D5623Q
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
5% OSMITROL
Injection (5%
Mannitol
Injection, USP)
20% OSMITROL
Injection (20%
Mannitol
Injection, USP)
250 mL VIAFLEX
Plastic Container
10% OSMITROL
Injection (10%
Mannitol
Injection, USP)
500 mL VIAFLEX
Plastic Container
15% OSMITROL
Injection (15%
Mannitol
Injection, USP),
500 mL VIAFLEX
Plastic Container
14
0338035702
36
Yes
0338035303
24
Yes
0338035503
24
Yes
BioSurgery >> Floseal Hemostasis Matrix and Accessories
1503352
1503350
0600125
0600127
FLOSEAL Hemostatic
Matrix with
Needle-free
adapter 10 mL
FLOSEAL Hemostatic
Matrix with
Needle-free
adapter 5 mL
Endoscopic
Applicator
Malleable Tip
Endoscopic
Applicator
6
Yes
6
Yes
6
Yes
Yes
6
Yes
Yes
IV Access >> Blood Sets with Filter - non-DEHP
2H6720
4H8723
Y-Type
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron
Filter, an
INTERLINK
Injection Site,
Male Luer Lock
Adapter, non-DEHP,
Approximately 10
drops per mL,
Approximate Length
104" (2.6 m)
Y-Type
Blood/Solution Set
with Large
Standard Blood
Filter and
Pressure Pump
48
Yes
48
IV Solutions >> Dextrose and Sodium Chloride Injections
2B1083Q
5% Dextrose and
0.33% Sodium
Chloride
Injection, USP,
500 mL VIAFLEX
Plastic Container
0338008103
24
Oct.28.2016 at 18:52:25 MDT Page # 42
Yes
NonPVC
Baxter HealthCare
Product
Code
2B1024X
2B1094X
2B1074X
2B1064X
2B1092Q
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
2.5% Dextrose and
0.45% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
5% Dextrose and
0.2% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
5% Dextrose and
0.45% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
5% Dextrose and
0.9% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
5% Dextrose and
0.2% Sodium
Chloride
Injection, USP,
250 mL, VIAFLEX
Plastic Container
0338007304
14
Yes
0338007704
14
Yes
0338008504
14
Yes
0338008904
14
Yes
0338007702
36
Yes
IV Solutions >> Potassium Chloride in
2B1674X
2B1664X
2B1644X
2B1654X
2B1653Q
40 mEq/L Potassium
Chloride in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
30 mEq/L Potassium
Chloride in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
10 mEq/L Potassium
Chloride in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
20 mEq/L Potassium
Chloride in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
Potassium Chloride
(20 mEq/L) in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP
NonPVC
5% Dextrose 0.45% NACL Inj.
0338067504
14
Yes
0338067304
14
Yes
0338066904
14
Yes
0338067104
14
Yes
0338067103
24
Yes
Oct.28.2016 at 18:52:25 MDT Page # 43
Baxter HealthCare
Product
Description
National
Pack Container Non- Non- NonCode
Drug Code Factor
Type
Latex DEHP PVC
Rockwell >> CitraPure® 36.83X Liquid Acid Concentrate - Cases
L31404
L31344
L31454
L31104
CitraPure® Liquid
Concentrate Citrate, 36.83X,
1K 2.5 Ca., 1
Gallon (3.78
liters), Case
Packaging; 4 each
CitraPure® Liquid
Concentrate Citrate, 36.83X,
3K 2.5 Ca.,1
Gallon (3.78
liters), Case
Packaging; 4 each
CitraPure® Liquid
Concentrate Citrate, 36.83X,
2K 2.5 Ca., 1
Gallon (3.78
liters), Case
Packaging; 4 each
CitraPure® Liquid
Concentrate Citrate 36.83X, 2K
2 Ca.,1 Gallon
(3.78 liters),
Case Packaging; 4
each
HOMECHOICE PRO
NA
4
4
4
4
and HOMECHOICE System >> Extension Lines
NA
Rockwell >> Rockwell >> RenalPure® 45X Liquid Acid Concentrate - Cases
C1264
C1064
C1074
C1244
C1174
C1164
RenalPure® Liquid
Acid Concentrate 45X 3K 3Ca., 1
Gallon. Case
Packaging: 4 each.
RenalPure® Liquid
Acid Concentrate 45X 1K 2Ca., 1
Gallon (3.78
liters), Case
Packaging: 4 each
RenalPure® Liquid
Acid Concentrate 45X 2K 1.5Ca., 1
Gallon (3.78
liters), Case
Packaging: 4 each
RenalPure® Liquid
Acid Concentrate 45X 2K 3Ca.,
1Gallon (3.78
liters), Case
Packaging: 4 each
RenalPure® Liquid
Acid Concentrate 45X 3K 2.5Ca., 1
Gallon (3.78
liters), Case
Packaging: 4 each
RenalPure® Liquid
Acid Concentrate 45X 2K 2.5Ca., 1
Gallon (3.78
liters), Case
Packaging: 4 each
4
4
4
4
4
4
Oct.28.2016 at 18:52:25 MDT Page # 44
Baxter HealthCare
Product
Code
C1144
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
RenalPure® Liquid
Acid Concentrate 45X 1K 2.5Ca., 1
Gallon (3.78
liters), Case
Packaging; 4 each
RenalPure® Liquid
Acid Concentrate 45X 2K 2Ca., 1
Gallon (3.78
liters), Case
Packaging: 4 each
RenalPure® Liquid
Acid Concentrate 45X K-FREE 2.5Ca.,
1 Gallon. Case
Packaging: 4 each.
RenalPure® Liquid
Acid Concentrate 45X 3K 2Ca.,
1Gallon (3.78
liters), Case
Packaging: 4 each
RenalPure® Liquid
Acid Concentrate 45X K-FREE CaFREE, 1 Gallon
(3.78 liters),
Case Packaging: 4
each
C1084
C1124
C1104
C1024
NonPVC
4
4
4
4
4
Pharmacy Workflow >> EXACTAMED Oral and Enteral Systems
NA
NA
BioSurgery >> Actifuse Bone Graft Substitute >> ACTIFUSE Bone Graft
Substitute ABX
506005078060 ACTIFUSE Bone
Graft Substitute
ABX 1.5 mL
506005078058 ACTIFUSE Bone
Graft Substitute
ABX 20 mL
506005078052 ACTIFUSE Bone
Graft Substitute
ABX 10 mL
506005078051 ACTIFUSE Bone
Graft Substitute
ABX 5 mL
1
Yes
1
Yes
1
Yes
1
Yes
Pharmacy Workflow >> Automated Compounding Devices
NA
NA
Hemodialysis
>> Hemodialysis
103453
PHOENIX 115V US
109733
114014
BiCart 720G
BiCart 1250G is a
polypropylene (PP)
cartridge for
preparation of
hemodialysis
solutions.
>> PHOENIX Hemodialysis Machine
1
Hemodialysis
Yes
>> Concentrates and Bicarbonate
10
6
Yes
Yes
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> Ward Pack, Amber
Oct.28.2016 at 18:52:25 MDT Page # 45
Baxter HealthCare
Product
Code
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
H93882520
EXACTAMED Oral
Dispenser, Ward
Pack, Amber and
Clear, Tip Cap
Attached, 20 mL
100
2B1309
0.9% Sodium
Chloride
Injection, USP,
100 mL VIAFLEX
Plastic Container
Multi Pack
0.9% Sodium
Chloride
Injection, USP, 50
mL VIAFLEX Plastic
Container Quad
Pack
0.9% Sodium
Chloride
Injection, USP, 25
mL VIAFLEX Plastic
Container Quad
Pack
0.9% Sodium
Chloride
Injection, USP,
100 mL MINI-BAG
Plus Container,
VIAFLEX Plastic
Container
0.9% Sodium
Chloride
Injection, USP, 50
mL MINI-BAG Plus
Container,
VIALFLEX Plastic
Container
5% Dextrose
Injection, USP,
100 mL MINI-BAG
Plus Container,
VIAFLEX Plastic
Container
5% Dextrose
Injection, USP, 50
mL MINI-BAG Plus
Container, VIAFLEX
Plastic Container
0.9% Sodium
Chloride
Injection, USP, 50
mL VIAFLEX Plastic
Container Multi
Pack
0.9% Sodium
Chloride
Injection, USP,
100 mL VIAFLEX
Plastic Container
Single Pack
0.9% Sodium
Chloride
Injection, USP, 50
mL VIAFLEX Plastic
Container Single
Pack
Yes
Drug Delivery >> Reconstitution Solutions
2B1301
2B1300
2B0043
2B0042
2B0041
2B0040
2B1308
2B1307
2B1306
0338004938
96
0338004911
96
0338004910
48
0338055318
80
Yes
0338055311
80
Yes
0338055118
80
0338055111
80
0338004931
96
0338004948
96
0338004941
96
Oct.28.2016 at 18:52:25 MDT Page # 46
Yes
NonPVC
Baxter HealthCare
Product
Code
2B1302
2C4950
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
0.9% Sodium
Chloride
Injection, USP,
100 mL VIAFLEX
Plastic Container
Quad Pack
MINI-Bag Plus
Docking Assist
Tool
0338004918
NonPVC
96
1
BioSurgery >> TachoSil® [Absorbable FIBRIN SEALANT Patch]
1144923
1144922
<b>TachoSil<sup>®< 0944870202
/sup></b> Fibrin
Sealant Patch 4.8
cm x 4.8 cm
<b>TachoSil<sup>®< 0944870101
/sup></b> Fibrin
Sealant Patch 9.5
cm x 4.8 cm
2
Yes
1
Yes
Rockwell >> Rockwell >> RenalPure® 36.83X Liquid Acid Concentrate Drums
R15055
R14555
R14055
R11655
R11555
R11055
R13455
RenalPure® 36.83X
Liquid Acid
Concentrate - 2K
3Ca., 55 Gallons
RenalPure® 36.83X
Liquid Acid
Concentrate - 2K
2.5Ca., 55 Gallons
RenalPure® 36.83X
Liquid Acid
Concentrate - 1K
2.5Ca., 55 Gallons
RenalPure® 36.83X
Liquid Acid
Concentrate - 3K
3Ca., 55 Gallons
RenalPure® 36.83X
Liquid Acid
Concentrate - 3K
2Ca., 55 Gallons
RenalPure® 36.83X
Liquid Acid
Concentrate - 2K
2Ca., 55 Gallons
RenalPure® 36.83X
Liquid Acid
Concentrate - 3K
2.5Ca., 55 Gallons
Liquid Premix >> Liquid Premix >> CLEOCIN PHOSPHATE Injections
2G3415
2G3414
CLEOCIN PHOSPHATE
IV Solution
(clindamycin
injection) in 5%
Dextrose
CLEOCIN PHOSPHATE
IV Solution
(clindamycin
injection) in 5%
Dextrose, 300 mg
clindamycin,
GALAXY Plastic
Container, 50 mL
0009337501
24
0009338101
24
IV Access >> CONTINU-FLO Solution Sets - non-DEHP
Oct.28.2016 at 18:52:25 MDT Page # 47
Baxter HealthCare
Product
Code
2H8537
2H8519
2H6519
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CONTINU-FLO
Solution Set, 3
CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter with
Retractable
Collar, non-DEHP,
Approximately 10
drops per mL,
Approximate Length
109" (2.8 m)
CONTINU-FLO
Solution Set with
2 CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter with
Retractable
Collar, non- DEHP,
Approximately 10
drops per mL,
Approximate Length
96" (2.4 m)
Non-DEHP CONTINUFLO Solution Set
with 2 INTERLINK
Injection Sites,
Male Luer Lock
Adapter,
Approximate Length
105" (2.7 m),
Approximately 10
drops/mL
48
Yes
Yes
48
Yes
Yes
48
Yes
Yes
NonPVC
BioSurgery >> Tissue-Guard Family of Surgical Patches
NA
NA
Automated Compounding Devices >> Automated Compounding - EXACTAMIX EVA
Containers
H938743
H938741
H938740
H938739
EXACTAMIX Empty
EVA (ethylene
vinyl acetate),
non-DEHP. Used for
Large Volume
Sterile Solutions,
non-reopening
clamp, 5000 mL
EXACTAMIX Empty
EVA (ethylene
vinyl acetate)
Bag, 3000 mL. For
use with EXACTAMIX
Compounder.
Sterile Fluid
Path. Non-DEHP.
EXACTAMIX Empty
EVA (ethylene
vinyl acetate)
Bag, 2000 mL. For
use with EXACTAMIX
Compounder.
EXACTAMIX Empty
EVA (ethylene
vinyl acetate)
Bag, 1000 mL. For
use with EXACTAMIX
Compounder.
50
Yes
Yes
50
Yes
Yes
50
Yes
Yes
50
Yes
Yes
Oct.28.2016 at 18:52:25 MDT Page # 48
Baxter HealthCare
Product
Code
H938738
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
EXACTAMIX Empty
EVA (ethylene
vinyl acetate)
Bag, 500 mL. For
use with EXACTAMIX
Compounder.
EXACTAMIX Empty
EVA (ethylene
vinyl acetate)
Bag, 250 mL. For
use with EXACTAMIX
Compounder.
EXACTAMIX Empty
Calibration Bag,
1000 mL
EXACTAMIX
Collection Bag,
2000 mL.
H938737
H938735
H93852
50
Yes
Yes
50
Yes
Yes
50
Yes
50
Yes
NonPVC
Pharmacy Admixture Tools >> Self Righting Luer Lock Tip Caps
H93869100
H93869025
H938690025
H93869001
H938693025
Self-Righting Luer
Lock Cap, Green
Self-Righting Luer
Lock Tip Cap,
Green
Self-Righting Luer
Lock Tip Cap,
Yellow
Self-Righting Luer
Lock Tip Cap,
Green
Self-Righting Luer
Lock Tip Cap, Dark
Blue
1000
500
500
50
Yes
500
Liquid Premix >> NEXTERONE (amiodarone HCl)
2G3450
2G3451
NEXTERONE
(amiodarone HCI)
Premixed
Injection, 360
mg/200 mL, Single
Dose GALAXY
Container
NEXTERONE
(amiodarone HCl)
Premixed
Injection, 150
mg/100 mL, Single
Dose GALAXY
Container
4306636020
10
Yes
4306615010
12
Yes
Patient Connectology >> Patient Connectology >> Transfer Set Adapters
NA
NA
2G3504
Ceftriaxone
0338500241
Injection, USP, 1
gram/50 mL, GALAXY
Plastic Container
Ceftriaxone
0338500341
Injection, USP, 2
gram/50 mL, GALAXY
Plastic Container
Frozen Premix >> Ceftriaxone Injections
2G3505
24
24
Concentrates and Bicarbonate >> COBE Proportioning Systems
Oct.28.2016 at 18:52:25 MDT Page # 49
Baxter HealthCare
Product
Code
5M7905
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Bicarbonate
Concentrate Powder
for COBE
Proportioning
Systems (2.1 gal:
8 liters)
NonPVC
20
PRISMAFLEX System >> PRISMAFLEX System >> PRISMAFLEX HF1000/HF1400
Hemofilter Sets
107142
107140
107142
107140
PRISMAFLEX
Set
PRISMAFLEX
Set
PRISMAFLEX
Set
PRISMAFLEX
Set
HF1400
4
Yes
HF1000
4
Yes
HF1400
4
Yes
HF1000
4
Yes
Hemodialysis >> Hemodialysis
115463
Dual Lumen
Extended Length
Catheter (dELC),
with coil
reinforcement
114646
Dual Lumen
Extended Length
Catheter and
Insertion Kit
MSGDHC1115JA GamCath HighFlow
Dolphin
Catheters,11.5 Fr
double lumen
short-term
dialysis catheter.
MSGDHC1115A GamCath
HighFlowDolphin
Catheters, 11.5 Fr
double lumen
short-term
dialysis catheter
114027
GamCath HighFlow
Dolphin 13 Fr
double lumen
short-term
dialysis catheter
tray.
MSGDHC1325A GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1320JA GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1320A GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1315JA GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
>> Dual Lumen Catheters
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
5
Yes
5
5
Oct.28.2016 at 18:52:25 MDT Page # 50
Yes
Baxter HealthCare
Product
Code
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
MSGDHC1315A
GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1125A GamCath HighFlow
Dolphin Catheters,
11.5 Fr double
lumen short-term
dialysis catheter.
MSGDHC1120JA GamCath HighFlow
Dolphin Catheters,
11.5 Fr double
lumen short-term
dialysis catheter.
MSGDHC1120A GamCath HighFlow
Dolphin Catheters,
11.5 Fr double
lumen short-term
dialysis catheter.
5
Yes
5
Yes
5
Yes
5
Yes
NonPVC
Peritoneal Dialysis >> Peritoneal Dialysis Solutions >> /CAPD
Miscelleanous Supplies
L5C4366
UltraSet CAPD
Disposable
Disconnect Y-Set
30
Yes
Frozen Premix >> Frozen Premix >> Cefazolin Injection
2G3508
2G3503
Cefazolin
0338350841
Injection, USP, 2
gram/100 mL,
GALAXY Plastic
Container
Cefazolin
0338350341
Injection, USP, 1
gram/50 mL, IsoOsmotic in GALAXY
Plastic Container
12
Yes
Yes
Yes
24
Yes
Yes
Yes
Rockwell >> Rockwell >> Dri-Sate® 35X Dry Acid Concentrate
DF115
DF120
DF125
Dri-Sate® Dry Acid
Concentrate - 35X,
1K 2.5 Ca., 25
Gallon Mix. For
use with the DriSate® Dry Acid
Mixing System
only.
Dri-Sate® Dry Acid
Concentrate - 35X,
2K 2.5 Ca., 25
Gallon Mix. For
use with the DriSate® Dry Acid
Mixing System
only.
Dri-Sate® Dry Acid
Concentrate - 35X,
3K 2.5 Ca., 25
Gallon Mix. For
use with the DriSate® Dry Acid
Mixing System
only.
Hemodialysis
114610
Hospal Cartridge
Lines for
Hemodialysis
Treatment
>> Hemodialysis
>> Blood Lines
20
Oct.28.2016 at 18:52:25 MDT Page # 51
Yes
Baxter HealthCare
Product
Code
114435
101290
101025
A209YV803
114434
109536
106289
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Gambro Cartridge
Low Weight-Low
Volume Blood
Transport System
for Hemodialysis
Blood Set
Gambro Cartridge
Single Needle
Conversion Kit
GAMBRO CARTRIDGE
BLOOD SET PRIME
LINE
NIPROSET Blood
Tubing Set, 8 mm
pump segment, prepump arterial
chamber, Y-Port
Saline Set
Gambro Cartridge
Low Volume Blood
Transport System
for Hemodialysis
Blood Set
Gambro Cartridge
Blood Transport
System for
Hemodialysis Blood
Set
Gambro Cartridge
Blood Transport
System for
Hemodialysis Blood
Set
15
Yes
5
Yes
Yes
15
Yes
Yes
15
Yes
Yes
15
Yes
10
Yes
24
Rockwell >> CitraPure® 36.83X Dry Acid Concentrate
D3145
D3140
D3134
CitraPure® Dry
Concentrate Citrate 36.83X, 2K
2.5Ca., 25 Gallons
CitraPure® Dry
Concentrate 36.83X, 1K 2.5Ca.,
25 Gallons
CitraPure® Dry
Concentrate Citrate 36.83X, 3K
2.5Ca., 25 Gallons
Hemodialysis
114746
114745
100691
110634
110633
104324
103403
REVACLEAR 400
Dialyzer
REVACLEAR 300
Dialyzer
Polyflux 21R are
intended for use
in hemodialysis.
Polyflux REVACLEAR
MAX Dialyzer
Polyflux REVACLEAR
Dialyzer
Polyflux 24 R
Capillary Dialyzer
Polyflux 6H
Capillary Dialyzer
Filter
>> POLYFLUX Dialyzers
24
Yes
24
Yes
16
Yes
24
Yes
24
Yes
16
Yes
16
Yes
Oct.28.2016 at 18:52:25 MDT Page # 52
Yes
NonPVC
Baxter HealthCare
Product
Code
101785
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Polyflux 17R are
intended for use
in hemodialysis
16
NonPVC
Yes
Automated Compounding Devices >> Automated Compounding - All in One
EVA Containers
2B8124
2B8134
2B8114
Empty ALL-IN-ONE
E.V.A Container
for Gravity
Transfer
Empty ALL-IN-ONE
E.V.A Container
for Gravity
Transfer
Empty ALL-IN-ONE
E.V.A Container
for Gravity
Transfer
15
15
Yes
Yes
20
BioSurgery >> GELFOAM® Hemostasis
1501341
1503188
1503187
GELFOAM® PLUS
(absorbable
gelatin sponge,
USP) Hemostasis
Kit
GELFOAM® PLUS
(absorbable
gelatin powder
from absorbable
gelatin sponge,
USP) Hemostasis
Kit
GELFOAM® PLUS
(compressed
absorbable gelatin
sponge, USP)
Hemostasis Kit
6
Yes
6
Yes
6
Yes
Pharmacy Admixture Tools >> Pharmacy Admixture Tools >> Self Righting
Luer Lock Tip Caps
H93869100
H93869025
H938690025
H93869001
H938693025
Self-Righting Luer
Lock Cap, Green
Self-Righting Luer
Lock Tip Cap,
Green
Self-Righting Luer
Lock Tip Cap,
Yellow
Self-Righting Luer
Lock Tip Cap,
Green
Self-Righting Luer
Lock Tip Cap, Dark
Blue
1000
500
500
50
Yes
500
Pharmacy Workflow >> EXACTAMED Oral and Enteral Systems >> Pharmacy
Pack, Clear
H9387510
H9387505
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 10 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 5 mL
500
Yes
500
Yes
Oct.28.2016 at 18:52:25 MDT Page # 53
Baxter HealthCare
Product
Code
H9387503
H9387501
H9387500
H9387105
H9387103
H9387101
H9387160
H9387135
H9387120
H9387110
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 3 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 1 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 0.5 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 5 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 3 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 1 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 60 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 35 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 20 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 10 mL
500
Yes
500
Yes
500
Yes
100
Yes
100
Yes
100
Yes
25
Yes
100
Yes
100
Yes
100
Yes
Frozen Premix >> Penicillin G Potassium Injections
2G3544
Penicillin G
0338102541
Potassium
Injection, USP, 3
million units/50
mL, GALAXY Plastic
Container
24
Oct.28.2016 at 18:52:25 MDT Page # 54
NonPVC
Baxter HealthCare
Product
Code
2G3543
2G3542
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Penicillin G
0338102341
Potassium
Injection, USP, 2
million units/50
mL, GALAXY Plastic
Container
Penicillin G
0338102141
Potassium
Injection, USP, 1
million units/50
mL, GALAXY Plastic
Container
NonPVC
24
24
Yes
IV Solutions >> Ringer Injection
2B2304X
2F7164
Ringer's
Injection, USP,
1000 mL VIAFLEX
Plastic Container
Ringer's
Irrigation, USP,
1000 mL Plastic
Pour Bottle
0338010504
14
Yes
0338010404
12
Yes
Frozen Premix >> Vancomycin Injections
2G3592
2G3591
2G3590
2G3552
2G3551
2G3580
Vancomycin
Injection, USP in
0.9% Sodium
Chloride, 1g/200
mL, GALAXY Plastic
Container
Vancomycin
Injection, USP in
0.9% Sodium
Chloride, 750
mg/150 mL, GALAXY
Plastic Container
Vancomycin
Injection, USP in
0.9% Sodium
Chloride, 500
mg/100 mL, GALAXY
Plastic Container
Vancomycin
Injection, USP, 1
gram/200 mL,
GALAXY Plastic
Container
Vancomycin
Injection, USP,
500mg/100 mL,
GALAXY Plastic
Container
Vancomycin
Injection, USP,
750 mg/150 mL,
GALAXY Plastic
Container
0338358301
6
0338358201
6
0338358101
12
0338355248
6
0338355148
12
0338358048
6
Yes
IV Solutions >> IV Solutions >> Potassium Chloride in 5% Dextrose and
0.2% NACL
2B1614X
20 mEq/L Potassium 0338066304
Chloride in 5%
Dextrose and 0.2%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
14
Drug Delivery >> Liquid Premix
Oct.28.2016 at 18:52:25 MDT Page # 55
Yes
Baxter HealthCare
Product
Code
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
NA
NA
107620
PRISMATHERM II
Extension Line.
For use with the
PRISMATHERM II
Blood Warmer
PRISMATHERM II
Coil-Design Blood
Warmer - 110VAC
PRISMAFLO IIS HIGH
Flow Heating
Sleeve Replacement
PRISMAFLO IIS Low
Flow Heating
Sleeve Replacement
NonPVC
Accessories >> Blood Warmers
109822
PF2WP33
PF2WP31
HOMECHOICE PRO
NA
36
1
1
1
and HOMECHOICE System >> Disposable Sets
NA
Concentrates and Bicarbonate >> Bicarbonate Concentrate (B-Side)
Minntech
5M7829
5M7828
Liquid Bicarbonate
Concentrate for
use with
Conventional
Proportioning
Systems (1 gal;
3.78 liters)
Bicarbonate
Concentrate Powder
for Conventional
Proportioning
Systems - 2.5 gal
by
4
20
Hemophilia >> OBIZUR [Antihemophilic Factor (Recombinant), Porcine
Sequence]
NA
NA
114610
Hospal Cartridge
Lines for
Hemodialysis
Treatment
Gambro Cartridge
Low Weight-Low
Volume Blood
Transport System
for Hemodialysis
Blood Set
Gambro Cartridge
Single Needle
Conversion Kit
GAMBRO CARTRIDGE
BLOOD SET PRIME
LINE
NIPROSET Blood
Tubing Set, 8 mm
pump segment, prepump arterial
chamber, Y-Port
Saline Set
Gambro Cartridge
Low Volume Blood
Transport System
for Hemodialysis
Blood Set
Hemodialysis
114435
101290
101025
A209YV803
114434
>> Blood Lines
20
Yes
15
Yes
5
Yes
Yes
15
Yes
Yes
Yes
Yes
24
15
Oct.28.2016 at 18:52:25 MDT Page # 56
Baxter HealthCare
Product
Code
109536
106289
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Gambro Cartridge
Blood Transport
System for
Hemodialysis Blood
Set
Gambro Cartridge
Blood Transport
System for
Hemodialysis Blood
Set
15
Yes
10
Yes
Pharmacy Admixture Tools >> Pharmacy Accessories
H93865001
H93849
H93847
H93867031
H93813601
H93813501
H93864110
H93864010
Luer Lock Tip Cap,
Red, Packaged
Individually.
Admix Dispensing
Pin with 0.2
Micron Filtered
Vent (hydrophobic)
and Tethered Cap
EXACTAMED
Dispensing Pin,
Sheathed Plastic
with 3 Micron
Filtered Vent
(hydrophobic,
olephobic)
Catheter Syringe
Tip Cap, SelfThreading
Luer-to-Catheter
Tip Adapter,
Female Luer Lock
Connector, Male
Catheter or
Urethra Tip
Luer-to-Urethral
Catheter Tip
Adapter, Female
Luer Lock
Connector, Male
Catheter or
Urethra Tip
Tamper-Evident
Luer Lock Tip Cap,
Red
Tamper-Evident
Luer Lock Tip Cap,
Red
100
Yes
50
Yes
50
Yes
25
Yes
50
Yes
50
Yes
1000
Yes
100
Yes
Frozen Premix >> ZOSYN Injections
2G3577
2G3576
ZOSYN
0206886201
(Piperacillin and
Tazobactam
Injection), 4 gram
Piperacillin, 0.5
gram
Tazobactam/100 mL,
GALAXY Plastic
Container
ZOSYN
0206886101
(Piperacillin and
Tazobactam
Injection), 3
gram Piperacillin,
0.375 gram
Tazobactam/50 mL,
GALAXY Plastic
Container
12
24
Oct.28.2016 at 18:52:25 MDT Page # 57
Yes
NonPVC
Baxter HealthCare
Product
Code
2G3575
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
ZOSYN
0206886001
(Piperacillin and
Tazobactam
Injection), 2 gram
Piperacillin, 0.25
gram Tazobactam/50
mL, GALAXY Plastic
Container
NonPVC
24
IV Solutions >> PLASMA-LYTE (Multiple Electroytes) Injections
2B2544X
2B2534X
2B2543Q
2B2533Q
PLASMA-LYTE A
Injection pH 7.4
(Multiple
Electrolytes
Injection, Type 1,
USP), 1000 mL
VIAFLEX Plastic
Container
PLASMA-LYTE 148
Injection
(Multiple
Electrolytes
Injection, Type 1,
USP), 1000 mL
VIAFLEX Plastic
Container
PLASMA-LYTE A
Injection pH 7.4
(Multiple
Electrolytes
Injection, Type 1,
USP), 500 mL
VIAFLEX Plastic
Container
PLASMA-LYTE 148
Injection
(Multiple
Electrolytes
Injection, Type 1,
USP), 500 mL
VIAFLEX Plastic
Container
0338022104
14
Yes
0338017904
14
Yes
0338022103
24
Yes
0338017903
24
Yes
Frozen Premix >> Cefazolin Injection
2G3508
2G3503
Cefazolin
0338350841
Injection, USP, 2
gram/100 mL,
GALAXY Plastic
Container
Cefazolin
0338350341
Injection, USP, 1
gram/50 mL, IsoOsmotic in GALAXY
Plastic Container
12
Yes
Yes
Yes
24
Yes
Yes
Yes
Acute Renal Dialysis >> Accessories
NA
NA
2G3437
CARDENE
1012231401
(nicardipine
hydrochloride) 0.1
mg/mL premixed
injection in 4.8%
Dextrose (20 mg in
200 mL)
Liquid Premix >> CARDENE Injections
40
Oct.28.2016 at 18:52:25 MDT Page # 58
Baxter HealthCare
Product
Code
2G3442
2G3441
2G3439
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CARDENE
1012231301
(nicardipine
hydrochloride) 0.1
mg/mL premixed
injection in 0.86%
Sodium Chloride
(20 mg in 200 mL)
CARDENE
1012232501
(nicardipine
hydrochloride) 0.2
mg/mL premixed
injection in 0.83%
Sodium Chloride
(40 mg in 200 mL)
CARDENE
1012232601
(nicardipine
hydrochloride) 0.2
mg/mL premixed
injection in 5%
Dextrose (40 mg in
200 mL)
NonPVC
40
40
40
IV Solutions >> IV Solutions >> Potassium Chloride in 0.45% Sodium
Chloride
2B1357X
20 mEq/L Potassium 0338070434
Chloride in 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
14
Yes
Automated Compounding Devices >> Automated Compounding - Valve Sets
H938792
H938724
Sterile EXACTAMIX
1200 Valve Set.
For use with
EXACTAMIX 1200
Compounder only.
Used to connect up
to 12 Source
Ingredients.
Sterile EXACTAMIX
2400 Valve Set.
For use with
EXACTMIX 2400
Compounder only.
Used to connect up
to 24 Source
Ingredients.
10
Yes
Yes
10
Yes
Yes
BioSurgery >> TISSEEL [FIBRIN SEALANT] VALUPAK
1504518VP
1504517VP
1504519VP
TISSEEL [Fibrin
Sealant] VALUPAK,
4 mL
TISSEEL [Fibrin
Sealant] VALUPAK,
2 mL
TISSEEL [Fibrin
Sealant] VALUPAK,
10 mL
1
Yes
1
Yes
1
Yes
Surgical Tools >> Surgical Tools >> Flo-Thru® Intraluminal Shunt
FT12300
FT12275
FLO-THRU
Intraluminal
Shunt, 3.00mm
FLO-THRU
Intraluminal
Shunt, 2.75mm
5
Yes
5
Yes
Oct.28.2016 at 18:52:25 MDT Page # 59
Baxter HealthCare
Product
Code
FT12250
FT12200
FT12175
FT12150
FT12125
FT12100
FT12225
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
FLO-THRU
Intraluminal
Shunt, 2.50mm
FLO-THRU
Intraluminal
Shunt, 2.00mm
FLO-THRU
Intraluminal
Shunt, 1.75mm
FLO-THRU
Intraluminal
Shunt, 1.50mm
FLO-THRU
Intraluminal
Shunt, 1.25mm
FLO-THRU
Intraluminal
Shunt, 1.00mm
FLO-THRU
Intraluminal
Shunt, 2.25mm
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
NonPVC
Rockwell >> Rockwell >> SteriLyte® Bicarbonate - Cases
RL014
CL024
SteriLyte® Liquid
Bicarbonate 36.83X, 1 Gallon
(3.78 liters),
Case Packaging: 4
each
SteriLyte® Liquid
Bircarbonate 45X, 1 Gallon
(3.78 liters),
Case Packaging: 4
each
4
4
Rockwell >> Dri-Sate® 35X Dry Acid Concentrate
DF115
DF120
DF125
Dri-Sate® Dry Acid
Concentrate - 35X,
1K 2.5 Ca., 25
Gallon Mix. For
use with the DriSate® Dry Acid
Mixing System
only.
Dri-Sate® Dry Acid
Concentrate - 35X,
2K 2.5 Ca., 25
Gallon Mix. For
use with the DriSate® Dry Acid
Mixing System
only.
Dri-Sate® Dry Acid
Concentrate - 35X,
3K 2.5 Ca., 25
Gallon Mix. For
use with the DriSate® Dry Acid
Mixing System
only.
Hemophilia >> BEBULIN (Factor IX Complex), Nanofiltered and Vapor
Heated
NA
NA
Immunoglobulin >> FlowEase [Subcutaneous] Infusion Set
NA
NA
Peritoneal Dialysis Solutions >> HOMECHOICE PRO
Oct.28.2016 at 18:52:25 MDT Page # 60
and HOMECHOICE System
Baxter HealthCare
Product
Code
NA
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
NA
Pharmacy Workflow >> INTELLIFILL I.V.
FHT101751
YELLOW 102
LABELS2630 PER
ROLL 4 ROLLS PER
CASE
FHT1001
5 TO 1 DILUENT SET
FHT1023
Reservoir Sets
Pumpless
FHT1024
Extension Sets
Pumpless
FHT100513
5x9 Bags
FHC100113A43 HEPA FILTER
FHT102752
Printed Heparin
Labels
FHT100727
Banded Syringes
FHT101544
Printed Labels
"Rocuronium"
FHT101602
5x9 Bags Light
Resistent
FHT101687
Printed Labels
"Fentanyl"
FHT101750
RED 185 BORDER
LABELS
FHT101752
BLUE 291 LABELS
FHT102069
White Labels
FHT102222
Green 367 Labels
FHT102223
Violet 256 Labels
FHT102225
Red 185 Labels
FHT102227
GREY 401 LABELS
FHT102550
Printed Labels
"Succinylcholine"
10520
50
50
50
14000
5
21040
1000
21040
12000
21040
21040
10520
21040
10520
10520
10520
10520
21040
Acute Therapy Systems >> PRISMAFLEX System >> Hemofilter Sets
101223
101097
101223
101097
Adsorba
Hemoperfusion
Cartridge 300
Adsorba
Hemoperfusion
Cartridge 150
Adsorba
Hemoperfusion
Cartridge 300
Adsorba
Hemoperfusion
Cartridge 150
1
C
1
C
1
C
1
Yes
C
Drug Delivery >> Liquid Premix >> DOBUTamine
2B0793
Yes
DOBUTamine
0338107702
Hydrochloride in
5% Dextrose
Injection, 1000 mg
DOBUTamine,
VIAFLEX Plus
Plastic Container,
250 mL
18
Oct.28.2016 at 18:52:25 MDT Page # 61
Injections
NonPVC
Baxter HealthCare
Product
Code
2B0792
2B0791
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
DOBUTamine
0338107502
Hydrochloride in
5% Dextrose
Injection.
DOButamine 500
mg/250 mL, VIAFLEX
Plus Plastic
Container
DOBUTamine
0338107302
Hydrochloride in
5% Dextrose
Injection,
DOBUTamine 250
mg/250 mL,VIAFLEX
PLUS Plastic
Container
18
18
Rockwell >> CitraPure® 45X Dry Acid Concentrate
D4117
D4114
D4116
D4124
D4110
D4126
D4108
D4103
CitraPure® Dry
Concentrate Citrate 45X, 3K
2.5Ca., 25 Gallons
CitraPure® Dry
Concentrate Citrate 45X, 1K
2.5Ca., 25 Gallons
CitraPure® Dry
Concentrate Citrate 45X, 2K
2.5Ca. 25 Gallons.
CitraPure® Dry
Concentrate Citrate 45X,
2K
3Ca., 25 Gallons
CitraPure® Dry
Concentrate Citrate 45X, 3K
2Ca., 25 Gallons
CitraPure® Dry
Concentrate Citrate 45X, 3K
3Ca., 25 Gallons
CitraPure® Dry
Concentrate Citrate 45X, 2K
2Ca., 25 Gallons
CitraPure® Dry
Concentrate Citrate 45X, 2K
2.25Ca., 25
Gallons
Solutions >> Solutions >> PHOXILLUM Replacement Solutions
114484
114483
PHOXILLUM B22K4/0
Replacement
Solution for
Continuous Renal
Replacement
Therapy
PHOXILLUM BK4/2.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy
2
2
Oct.28.2016 at 18:52:25 MDT Page # 62
NonPVC
Baxter HealthCare
Product
Code
114484
114483
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
PHOXILLUM B22K4/0
Replacement
Solution for
Continuous Renal
Replacement
Therapy
PHOXILLUM BK4/2.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy
NonPVC
2
2
Acute Renal Dialysis >> Continuous Renal Replacement Therapy (CRRT) >>
CRRT Ancillary Items
106957S
110411
107501
107580
5C4413
PrismaSATE BGK4/25
Dialysis Solution
for Continuous
Renal Replacement
Therapy, NON-PVC
PRISMASATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, NON PVC
PRISMASATE
BGK4/0/1.2
PrismaSATE
B22GK4/0 Dialysis
Solution for
Continuous Renal
Replacement
Therapy
PrismaSATE BK2/0
Dialysis Solution
for Continuous
Renal Replacement
Therapy
Spike/Syringe
Adapter
2
2
2
Yes
2
Yes
10
Yes
IV Access >> Minidrip CONTINU-FLO Solution sets
2H8546
2C8548
CONTINU-FLO
Solution Set, 3
CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter with
Retractable
Collar, non-DEHP,
Approximately 60
drops per mL,
Approximate Length
105" (2.7 m)
Vented CONTINU-FLO
Solution Set with
2 CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximately 60
drops per mL,
Approximate Length
104" (2.6 m)
48
Yes
48
Yes
Oct.28.2016 at 18:52:25 MDT Page # 63
Yes
Baxter HealthCare
Product
Code
2C6546
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CONTINU-FLO
Solution Set with
3 INTERLINK
Injection Sites,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximately 60
drops per mL,
Approximate Length
105" (2.7 m)
48
NonPVC
Yes
Actifuse Bone Graft Substitute >> Actifuse Bone Graft Substitute >>
ACTIFUSE Bone Graft Substitute MICROGRANULES
506005078046 ACTIFUSE Bone
Graft Substitute
MICROGRANULES 10
mL
506005078045 ACTIFUSE Bone
Graft Substitute
MICROGRANULES 5 mL
1
Yes
1
Yes
IV Access >> T-Connector Extension Sets - Microbore
2N3339
2N3333
2N3328
2N3326
T-Connector
Extension Set with
a Retractable TConnector, an
INTERLINK
Injection Site,
Female Luer Lock
Adapter, non-DEHP,
Approximate Volume
0.51 mL,
Approximate Length
6.6" (16 cm).
T-Connector
Extension Set with
0.22 Micron
Filter, an
INTERLINK TConnector
Injection Site,
Rotating Male Luer
Lock Adapter, nonDEHP, Approximate
Volume 0.8 mL,
Approximate Length
6.3" (16 cm),
T-Connector
Extension Set with
an INTERLINK
Injection Site,
Rotating TConnector, Female
Adapter, non-DEHP,
Approximate Volume
0.46 mL,
Approximate Length
6.2" (16 cm)
T-Connector
Extension Set with
an INTERLINK TConnector
Injection Site,
Male Luer Slip TConnector*, nonDEHP, Approximate
Volume 0.36 mL,
Approximate Length
5.8" (15 cm)
200
Yes
Yes
200
Yes
Yes
200
Yes
Yes
200
Yes
Yes
Oct.28.2016 at 18:52:25 MDT Page # 64
Baxter HealthCare
Product
Code
2N3343
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
T-Connector
Extension Set, an
INTERLINK
Retractable TConnector
Injection Site,
Male Luer Lock
Adapter with
Retractable
Collar, an
INTERLINK
Injection Site,
non-DEHP,
Approximate Volume
0.77 mL,
Approximate Length
7.7" (20 cm)
200
Yes
NonPVC
Yes
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> Topical Dispenser, Clear
NA
NA
Hemodialysis
115463
Dual Lumen
Extended Length
Catheter (dELC),
with coil
reinforcement
114646
Dual Lumen
Extended Length
Catheter and
Insertion Kit
MSGDHC1115JA GamCath HighFlow
Dolphin
Catheters,11.5 Fr
double lumen
short-term
dialysis catheter.
MSGDHC1115A GamCath
HighFlowDolphin
Catheters, 11.5 Fr
double lumen
short-term
dialysis catheter
114027
GamCath HighFlow
Dolphin 13 Fr
double lumen
short-term
dialysis catheter
tray.
MSGDHC1325A GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1320JA GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1320A GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1315JA GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
>> Dual Lumen Catheters
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
5
Yes
5
5
Oct.28.2016 at 18:52:25 MDT Page # 65
Yes
Baxter HealthCare
Product
Code
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
MSGDHC1315A
GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1125A GamCath HighFlow
Dolphin Catheters,
11.5 Fr double
lumen short-term
dialysis catheter.
MSGDHC1120JA GamCath HighFlow
Dolphin Catheters,
11.5 Fr double
lumen short-term
dialysis catheter.
MSGDHC1120A GamCath HighFlow
Dolphin Catheters,
11.5 Fr double
lumen short-term
dialysis catheter.
5
Yes
5
Yes
5
Yes
5
Yes
NonPVC
Acute Therapy Systems >> PRISMAFLEX System
NA
NA
Automated Compounding Devices >> Automated Compounding - Dual Chamber
EVA Container
H938905
H938901
EVA Dual Chamber
Empty Container,
3000 mL Total
Capacity
EVA Dual Chamber
Empty Container,
1500 mL Total
Capacity
42
Yes
Yes
42
Yes
Yes
Patient Connectology >> Transfer Sets
NA
NA
BioSurgery >> Surgical Tools
NA
NA
Immunoglobulin >> GAMMAGARD LIQUID [Immune Globulin Infusion (Human)]
10%
NA
NA
Rockwell >> RenalPure® Bicarbonate Formulations - Cases
RB252C
FB252C
CB0220C
CB252C
RB154C
RenalPure® Powder
Bicarbonate
36.83X, 8465 Gram
Bag, Case
Packaging: 2 Each
RenalPure® Powder
Bicarbonate 35X,
7947 Grams/ Bag.
Case packaging: 2
each
RenalPure® Powder
Bicarbonate, 650
Gram/Bag. Case
Packaging: 20 each
RenalPure® Powder
Bicarbonate 7692
Gram/Bag. Case
Packaging: 2 each
RenalPure® Powder
Bicarbonate
36.83X, 5083 Grams
/ Bag, Case
Packaging: 4 Each
2
2
20
2
4
Oct.28.2016 at 18:52:25 MDT Page # 66
Baxter HealthCare
Product
Code
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
RB0220C
RenalPure® Powder
Bicarbonate
36.83X, 851 Grams
/Bag, Case
Packaging: 20 Each
2B6065
INTRALIPID 30% IV
Fat Emulsion, 500
mL in a BIOFINE
Container,
Pharmacy Bulk
Package.
INTRALIPID 20% IV
Fat Emulsion, 1000
mL in a BIOFINE
Container,
Pharmacy Bulk
Package.
INTRALIPID 20% IV
Fat Emulsion, 500
mL in a BIOFINE
Container
INTRALIPID 20% IV
Fat Emulsion, 250
mL in a BIOFINE
Container
INTRALIPID 20% IV
Fat Emulsion, 100
mL in a BIOFINE
Container
INTRALIPID 30% IV
Fat Emulsion 500
mL EXCEL Container
INTRALIPID 20% IV
Fat Emulsion, 100
mL EXCEL Container
INTRALIPID 20% IV
Fat Emulsion, 500
mL EXCEL Container
INTRALIPID 20% IV
Fat Emulsion, 1000
mL EXCEL Container
INTRALIPID 20% IV
Fat Emulsion, 250
mL EXCEL Container
NonPVC
20
Nutrition >> IV Fat Emulsions
2B6064
2B6063
2B6062
2B6061
2B6053
2B6030
2B6023
2B6024
2B6022
0338052013
12
Yes
Yes
Yes
0338051914
6
Yes
Yes
Yes
0338051913
12
Yes
Yes
Yes
0338051909
10
Yes
Yes
Yes
0338051958
10
Yes
Yes
Yes
12
10
12
Yes
6
Yes
10
Yes
Rockwell >> RenalPure® 45X Liquid Acid Concentrate - Drums
C12455
C11055
C13055
C13155
C12655
RenalPure® Liquid
Acid Concentrate 45X 2K 3Ca., 55
Gallons
RenalPure® Liquid
Acid Concentrate 45X 3K 2Ca., 55
Gallons
RenalPure® Liquid
Acid Concentrate 45X 2K 2.25Ca.,
55 Gallons
RenalPure® Liquid
Acid Concentrate 45X 3K 2.25Ca.,
55 Gallons
RenalPure® Liquid
Acid Concentrate 45X 3K 3Ca., 55
Gallons
Oct.28.2016 at 18:52:25 MDT Page # 67
Baxter HealthCare
Product
Code
C10855
C11655
C11755
C11455
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
NonPVC
RenalPure® Liquid
Acid Concentrate 45X 2K 2Ca., 55
Gallons
RenalPure® Liquid
Acid Concentrate 45X 2K 2.5Ca., 55
Gallons
RenalPure® Liquid
Acid Concentrate 45X 3K 2.5Ca., 55
Gallons
RenalPure® Liquid
Acid Concentrate 45X 1K 2.5Ca., 55
Gallons
Liquid Premix >> Liquid Premix >> Cardioplegic Solution for Cardiac
Perfusion
2B1462X
Cardioplegic
0338034104
Solution for
Cardiac Perfusion.
Not for
Intravenous
Injection, 1000 mL
VIAFLEX Plastic
Container
14
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> EXACTAMED Accessories
H9382006
H93830010
H93850301
H93850
H93842703
H93843055
H93843050
Tip Extender
KWIK-VIAL START-UP
KIT
EXACTAMED
Dispenser Tip Cap,
Blue. Packaged
Individually.
Sterile.
Sterile Top Fill
Bag for Filling
EXACTAMED Oral and
Topical Syringes,
1800 mL.
RAPIDFILL
Connector, Luer
Lock-to-Oral Slip,
Clear,
Individually
packaged, Sterile
Pre-printed Pinfeed Labels for
Identification of
Oral Medications.
Faded pink color
2" x 0.5". (50 x
15 mm)
Pre-printed Pinfeed Labels for
Identification of
Oral Medications.
Faded pink color
2.25" x 0.875".
(60 x 20 mm)
100
1
Yes
100
Yes
25
Yes
50
Yes
1000
Yes
1000
Yes
Oct.28.2016 at 18:52:25 MDT Page # 68
Baxter HealthCare
Product
Code
H93842900
H93830020
H93830005
H93830000
H93842705
H93830009
H93830008
H93842701
H93842601
H93852300
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
MARK-A-DOSE Label,
Clear Pressure
Sensitive Adhesive
Label, 2 "x 0.5",
For Use with
EXACTAMED Oral
Dispenser
Tamper-Indicating
Foil Seal, Seal
Syringes,
Dispensers, Vials,
Bottles and other
Non-Sterile
closures to
indicate tampering
KWIKVIAL Laser
Printer Labels, 5
Across, 1.5" x
1.5"
KWIKVIAL Labels,
Blank, Across,
1.25 x 1.50"
RAPIDFILL
Connector, Oral
Slip-to-Oral Slip
to transfer fluids
from one EXACTAMED
Oral Dispenser to
another. Clear
with red cap
Replacement
KWIKVIAL Plug
Dispenser, Smoke
Color
KWIKVIAL Filling
Extension
Containers.
Attaches to any
Male Luer Fitting.
Tip extends into
filling hole of
KWIKVIAL
Container. Clear
Luer Lock-to-Oral
Slip RAPIDFILL
Connector. Connect
EXACTAMED Oral
Dispensers to luer
fitting devices.
Clear.
3-Way Oral Port
Stopcock. Connect
enteral feeding
tubes and
nasogastric tubes
to EXACTAMED Oral
Dispenser. For
administration of
oral medications.
Allows flow shut
off without
disconnection of
the lines.
Tamper Evident
Oral Dispenser
Cap, Three-Part
Plastic Cap for
ExactaMed Oral
Dispenser.
1000
Yes
1000
Yes
3500
Yes
3500
Yes
50
Yes
1
Yes
50
Yes
50
Yes
50
Yes
100
Yes
Oct.28.2016 at 18:52:25 MDT Page # 69
NonPVC
Baxter HealthCare
Product
Code
H93850300
H93842000
H93851
H93854
H9382000
Description
EXACTAMED Oral
Dispenser Tip Cap,
Blue
Universal Bottle
Adapter, Graduated
Plug with Orifice
and Tethered
Closure. Fits
bottles with neck
openings of 13 m
to 22 mm. For use
with EXACTAMED
Oral Dispensers.
EXACTAMIX
Collection Bag,
1000 mL.
EXACTAMIX
Collection Bag,
4000 mL.
EXACTAMED
Dispenser Tip
Extender,
Approximate Length
1.6" (40 mm)
HOMECHOICE PRO
L5C4531
N5C8305C
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
100
Yes
100
Yes
50
Yes
50
Yes
100
Yes
NonPVC
and HOMECHOICE System >> Luer Disposable Sets
Automated PD Set
with Cassette
Automated PD Set
with Cassette
30
Yes
30
Yes
Peritoneal Dialysis Solutions >> Peritoneal Dialysis Solutions >>
HOMECHOICE PRO and HOMECHOICE System
NA
NA
Liquid Premix >> Liquid Premix >> Famotidine Injection
2G3424
Famotidine
Injection Isoosmotic Sodium
Chloride Premix
0338519741
48
BioSurgery >> ARTISS [FIBRIN SEALANT HUMAN] Accessories
0600065
0600012
EASYSPRAY SET
EASYSPRAY PRESSURE
REGULATOR
10
1
Yes
Yes
Liquid Premix >> Liquid Premix >> Lidocaine Injections
2B0962
2B0973
Lidocaine
Hydrochloride and
5% Dextrose
Injection, USP, 2
gram/250 mL (8
mg/mL), VIAFLEX
Plus Plastic
Container
Lidocaine
Hydrochloride and
5% Dextrose
Injection, USP, 2
grams/500 mL (4
mg/mL), VIAFLEX
Plus Plastic
Container
0338041102
24
0338040903
18
Patient Connectology >> Patient Connectology >> Disconnect Caps
NA
NA
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> NeoThrive Enteral Feeding Syringe - Sterile
Oct.28.2016 at 18:52:25 MDT Page # 70
Baxter HealthCare
Product
Code
H93879160
H93879135
H93879120
H93879110
H93879105
H93879103
H93879101
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
NEOTHRIVE Syringe
for Enteral
Feeding, Labeled
for non-IV Use.
Non-Luer Tip,
Single Selfrighting Tip Cap,
Orange Printing,
60 mL
NEOTHRIVE Syringe
for Enteral
Feeding, Labeled
for non-IV Use.
Non-Luer Tip,
Single Selfrighting Tip Cap,
Orange Printing,
35 mL
NEOTHRIVE Syringe
for Enteral
Feeding, Labeled
for non-IV Use.
Non-Luer Tip,
Single Selfrighting Tip Cap,
Orange Printing,
20 mL
NEOTHRIVE Syringe
for Enteral
Feeding, Labeled
for non-IV Use.
Non-Luer Tip,
Single Selfrighting Tip Cap,
Orange Printing,
10 mL
NEOTHRIVE Syringe
for Enteral
Feeding, Labeled
for non-IV Use.
Non-Luer Tip,
Single Selfrighting Tip Cap,
Orange Printing, 5
mL
NEOTHRIVE Syringe
for Enteral
Feeding, Labeled
for non-IV Use.
Non-Luer Tip,
Single Selfrighting Tip Cap,
Orange Printing, 3
mL
NEOTHRIVE Syringe
for Enteral
Feeding, Labeled
for non-IV Use.
Non-Luer Tip,
Single Selfrighting Tip Cap,
Orange Printing, 1
mL
25
Yes
Yes
35
50
Yes
100
Yes
Yes
100
Yes
Yes
100
Yes
Yes
100
Yes
Yes
BioSurgery >> Surgical Tools >> Vascular Probe Extra Supple
7452025ES
VASCULAR PROBE,
Extra Supple,
45cm, 2.0-2.5mm
5
Oct.28.2016 at 18:52:25 MDT Page # 71
Yes
NonPVC
Baxter HealthCare
Product
Code
7451520ES
7451015ES
7152025ES
7151520ES
7151015ES
7082025ES
7081520ES
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
VASCULAR PROBE,
Extra Supple,
45cm, 1.5-2.0mm
VASCULAR PROBE,
Extra Supple,
45cm, 1.0-1.5mm
VASCULAR PROBE,
Extra Supple,
15cm, 2.0-2.5mm
VASCULAR PROBE,
Extra Supple,
15cm, 1.5-2.0mm
VASCULAR PROBE,
Extra Supple,
15cm, 1.0-1.5mm
VASCULAR PROBE,
Extra Supple, 8cm,
2.0-2.5mm
VASCULAR PROBE,
Extra Supple, 8cm,
1.5-2.0mm
Hemodialysis
113296
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
NonPVC
>> Hemodialysis Software
Exalis Management
Tool. Used with
the Phoenix
Hemodialysis
System
1
Automated Compounding Devices >> Automated Compounding Devices >>
Automated Compounding - Valve Sets
H938792
H938724
Sterile EXACTAMIX
1200 Valve Set.
For use with
EXACTAMIX 1200
Compounder only.
Used to connect up
to 12 Source
Ingredients.
Sterile EXACTAMIX
2400 Valve Set.
For use with
EXACTMIX 2400
Compounder only.
Used to connect up
to 24 Source
Ingredients.
10
Yes
Yes
10
Yes
Yes
IV Solutions >> Dextrose Injections in MINI-BAG Plastic Containers
2B0087
2B0086
2B0080
2B0089
5% Dextrose
Injection, USP,
100 mL VIAFLEX
Plastic Container,
Single Pack
5% Dextrose
Injection, USP, 50
mL VIAFLEX Plastic
Container, Single
Pack
5% Dextrose
Injection, USP, 25
mL VIAFLEX Plastic
Container Quad
Pack
5% Dextrose
Injection, USP,
100 mL VIAFLEX
Plastic Container
Multi Pack
0338001748
96
0338001741
96
0338001710
48
0338001738
96
Oct.28.2016 at 18:52:25 MDT Page # 72
Baxter HealthCare
Product
Code
2B0088
2B0082
2B0081
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
5% Dextrose
0338001731
Injection, USP, 50
mL VIAFLEX Plastic
Container Multi
Pack
5% Dextrose
0338001718
Injection, USP,
100 mL VIAFLEX
Plastic Container
Quad Pack
5% Dextrose
0338001711
Injection, USP, 50
mL VIAFLEX Plastic
Container Quad
Pack
NonPVC
96
96
96
Actifuse Bone Graft Substitute >> Actifuse Bone Graft Substitute >>
ACTIFUSE Bone Graft Substitute GRANULES
506005078056 ACTIFUSE Bone
Graft Substitute
GRANULES 30 mL
506005078030 ACTIFUSE Bone
Graft Substitute
GRANULES 20 mL
506005078029 ACTIFUSE Bone
Graft Substitute
GRANULES 10 mL
506005078028 ACTIFUSE Bone
Graft Substitute
GRANULES 5 mL
1
Yes
1
Yes
1
Yes
1
Yes
EXACTAMED Oral and Enteral Systems >> NeoThrive Enteral Feeding
Syringe - Non-Sterile
H93879020
IND. PACK ENTRL
CLEAR 20 ML
50
2C0426
Vented Solution
Transfer Set,
Large Bore Tubing
and 2 Spike
Connectors,
Approximate Length
26". For use with
CLINIMIX and
CLINIMIX E
Injections in
CLARITY Dual
Chamber
Containers. NOT
for Intravenous
Infusion.
IV Fat Emulsion
Administration
Set, Non-DEHP,
Non-Vented Spike,
Approximately 10
drops per mL,
Approximate Length
86" (2.2 m)
IV Fat Emulsion
Administration
Set, Non-DEHP,
non-Vented Spike,
Approximately 60
drops per mL,
Approximate Length
86" (2.2 m)
Yes
Yes
Nutrition >> Automated Compounding - Sets
2C1145
2C1146
48
48
Yes
48
Yes
Oct.28.2016 at 18:52:25 MDT Page # 73
Yes
Baxter HealthCare
Product
Code
2C0463
2C0415
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Solution Transfer
Set for use with
VIAFLEX Plastic
Container, Large
Bore Tubing, 2
Spike Connectors,
Approximate Length
24" (61 cm)
Solution Transfer
Set, Needle
Adapter for use
with VIAFLEX
Plastic Container,
Approximate Length
27" (69 cm)
NonPVC
48
48
Yes
Liquid Premix >> Famotidine Injection
2G3424
Famotidine
Injection Isoosmotic Sodium
Chloride Premix
0338519741
48
Liquid Premix >> DOPamine Hydrochloride and 5% Dextrose Injections
2B0842
2B0833
2B0846
2B0843
2B0832
DOPamine
Hydrochloride and
5% Dextrose
Injection, USP,
1600 mcg/mL, 250
mL VIAFLEX Plus
Plastic Container
DOPamine
Hydrochloride and
5% Dextrose
Injection, USP,
800 mcg/mL, 500
mL, VIAFLEX Plus
Plastic Container
DOPamine
Hydrochloride and
5% Dextrose
Injection, USP,
3200 mcg/mL, 250
mL VIAFLEX Plus
Plastic Container
DOPamine
Hydrochloride and
5% Dextrose
Injection, USP,
1600 mcg/mL, 500
mL VIAFLEX Plus
Plastic Container
DOPamine
Hydrochloride and
5% Dextrose
Injection, USP,
800 mcg/mL, 250
mL, VIAFLEX Plus
Plastic Container
0338100702
18
Yes
0338100503
12
Yes
0338100902
18
Yes
0338100703
12
Yes
0338100502
18
Yes
IV Access >> Accessories
2C6250
Dual Luer Lock Cap
Male/Female Port
Protector
504
Oct.28.2016 at 18:52:25 MDT Page # 74
Yes
Baxter HealthCare
Product
Code
2N9106
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CHEMO-AIDE
Dispensing Pin
Reconstitution/Dis
pensing Device
with 0.2 Micron
Shielded
Hydrophobic and
Oleophobic Airventing Filter,
Female Luer
Adapter. non-DEHP,
non-PVC
50
Yes
Yes
NonPVC
Yes
Pharmacy Workflow >> Admixture Accessories
NA
NA
Nutrition >> Automated Compounding - All in One EVA Containers
2B8124
2B8134
2B8114
Empty ALL-IN-ONE
E.V.A Container
for Gravity
Transfer
Empty ALL-IN-ONE
E.V.A Container
for Gravity
Transfer
Empty ALL-IN-ONE
E.V.A Container
for Gravity
Transfer
15
15
Yes
Yes
20
Drug Delivery >> IV Solutions >> Ringer Injection
2B2304X
2F7164
Ringer's
Injection, USP,
1000 mL VIAFLEX
Plastic Container
Ringer's
Irrigation, USP,
1000 mL Plastic
Pour Bottle
0338010504
14
Yes
0338010404
12
Yes
Nutrition >> Automated Compounding - Inlets
H938751
H938173
H938175
H938176
H938174
Automated
Compounding Device
Inlet. MicroVolume Inlet with
Large Bore Spike.
Automated
Compounding Device
Inlet. Non-Vented
High Volume Inlet
for Bags or Vented
Bottles.
Automated
Compounding Device
Inlet. Vented,
Micro-Volume inlet
for use with Small
Vials.
Automated
Compounding Device
Inlet. MicroVolume Inlet with
Luer Lock End.
Automated
Compounding Device
Inlet. Vented,
High-Volume Inlet
for Non-Vented
Bottles.
25
Yes
Yes
25
Yes
Yes
25
Yes
Yes
25
Yes
Yes
25
Yes
Yes
IV Solutions >> Sodium Chloride Injections in MINI-BAG Containers
Oct.28.2016 at 18:52:25 MDT Page # 75
Baxter HealthCare
Product
Code
2B1309
2B1301
2B1300
2B1308
2B1307
2B1306
2B1302
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
0.9% Sodium
Chloride
Injection, USP,
100 mL VIAFLEX
Plastic Container
Multi Pack
0.9% Sodium
Chloride
Injection, USP, 50
mL VIAFLEX Plastic
Container Quad
Pack
0.9% Sodium
Chloride
Injection, USP, 25
mL VIAFLEX Plastic
Container Quad
Pack
0.9% Sodium
Chloride
Injection, USP, 50
mL VIAFLEX Plastic
Container Multi
Pack
0.9% Sodium
Chloride
Injection, USP,
100 mL VIAFLEX
Plastic Container
Single Pack
0.9% Sodium
Chloride
Injection, USP, 50
mL VIAFLEX Plastic
Container Single
Pack
0.9% Sodium
Chloride
Injection, USP,
100 mL VIAFLEX
Plastic Container
Quad Pack
0338004938
96
0338004911
96
0338004910
48
0338004931
96
0338004948
96
0338004941
96
0338004918
96
NonPVC
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> Bedside Pack, Clear
NA
NA
Liquid Premix >> Liquid Premix >> Nitroglycerin Injections
1A0694
1A0692
1A0696
Nitroglycerin in
0338104902
5% Dextrose
Injection, 50 mg
(200 mcg/mL).
Premix Medication,
Glass Container,
250 mL
Nitroglycerin in
0338104702
5% Dextrose
Injection, 25 mg
(100 mcg/mL).
Premix Medication,
Glass Container,
250 mL
Nitroglycerin in
0338105102
5% Dextrose
Injection, 100 mg
(400 mcg/mL).
Premix Medication,
Glass Container,
250 mL
12
12
12
Oct.28.2016 at 18:52:25 MDT Page # 76
Baxter HealthCare
Product
Code
NA
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Hemodialysis >> Needles
NonPVC
NA
Frozen Premix >> Frozen Premix >> ZINACEF Injections
2G3547
ZINACEF
2498742500
(cefuroxime
injection), 1.5
gram/50 mL, GALAXY
Plastic Container
24
PRISMAFLEX System >> Acute Therapy Systems >> Hemoperfusion Products
101223
101097
Adsorba
Hemoperfusion
Cartridge 300 C
Adsorba
Hemoperfusion
Cartridge 150 C
1
1
Yes
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> ADAPTACAP Short Neck
H9385107
H9385105
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
33 mm short neck
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
28 mm, short neck
100
Yes
100
Yes
Rockwell >> RenalPure® 36.83X Liquid Acid Concentrate - Drums
R15055
R14555
R14055
R11655
R11555
R11055
R13455
RenalPure® 36.83X
Liquid Acid
Concentrate - 2K
3Ca., 55 Gallons
RenalPure® 36.83X
Liquid Acid
Concentrate - 2K
2.5Ca., 55 Gallons
RenalPure® 36.83X
Liquid Acid
Concentrate - 1K
2.5Ca., 55 Gallons
RenalPure® 36.83X
Liquid Acid
Concentrate - 3K
3Ca., 55 Gallons
RenalPure® 36.83X
Liquid Acid
Concentrate - 3K
2Ca., 55 Gallons
RenalPure® 36.83X
Liquid Acid
Concentrate - 2K
2Ca., 55 Gallons
RenalPure® 36.83X
Liquid Acid
Concentrate - 3K
2.5Ca., 55 Gallons
Liquid Premix >> Gentamicin Injections
Oct.28.2016 at 18:52:25 MDT Page # 77
Baxter HealthCare
Product
Code
2B0864
2B0863
2B0862
2B0853
2B0852
2B0851
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Gentamicin Sulfate
in 0.9% Sodium
Chloride
Injection, 120 mg
in 100 mL VIAFLEX
Plus Container
Gentamicin Sulfate
in 0.9%Sodium
Chloride
Injection, 100 mg
in 100 mL in
VIAFLEX Plus
Container
Gentamicin Sulfate
in 0.9% Sodium
Chloride
Injection, 80 mg
in 100 mL in
VIAFLEX Plus
Container
Gentamicin Sulfate
in 0.9% Sodium
Chloride
Injection, 100 mg
in 50 mL VIAFLEX
Plus Container
Gentamicin Sulfate
in 0.9% Sodium
Chloride
Injection, 80 mg
in 50 mL VIAFLEX
Plus Container
Gentamicin Sulfate
in 0.9% Sodium
Chloride
Injection, 60 mg
in 50 mL VIAFLEX
Plus Container
0338050748
24
0338050548
24
0338050348
24
0338051141
24
0338050941
24
0338050741
24
NonPVC
BioSurgery >> ARTISS [FIBRIN SEALANT (HUMAN)]
1501653SP
1501652SP
1501651SP
ARTISS [Fibrin
Sealant (Human)]
(Frozen) PreFilled 10 mL
Syringe with Spray
Set.
ARTISS [Fibrin
Sealant (Human)]
(Frozen) PreFilled 4 mL
Syringe with Spray
Set
ARTISS [Fibrin
Sealant (Human)]
(Frozen) PreFilled 2 mL
Syringe with Spray
Set
1
Yes
1
Yes
1
Yes
Automated Compounding Devices >> Automated Compounding Devices >>
Automated Compounding - Sets
Oct.28.2016 at 18:52:25 MDT Page # 78
Baxter HealthCare
Product
Code
2C0426
2C1145
2C1146
2C0463
2C0415
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Vented Solution
Transfer Set,
Large Bore Tubing
and 2 Spike
Connectors,
Approximate Length
26". For use with
CLINIMIX and
CLINIMIX E
Injections in
CLARITY Dual
Chamber
Containers. NOT
for Intravenous
Infusion.
IV Fat Emulsion
Administration
Set, Non-DEHP,
Non-Vented Spike,
Approximately 10
drops per mL,
Approximate Length
86" (2.2 m)
IV Fat Emulsion
Administration
Set, Non-DEHP,
non-Vented Spike,
Approximately 60
drops per mL,
Approximate Length
86" (2.2 m)
Solution Transfer
Set for use with
VIAFLEX Plastic
Container, Large
Bore Tubing, 2
Spike Connectors,
Approximate Length
24" (61 cm)
Solution Transfer
Set, Needle
Adapter for use
with VIAFLEX
Plastic Container,
Approximate Length
27" (69 cm)
NonPVC
48
48
Yes
48
Yes
Yes
48
48
Yes
Actifuse Bone Graft Substitute >> Actifuse Bone Graft Substitute >>
ACTIFUSE Bone Graft Substitute SHAPE
506005078068 ACTIFUSE Bone
Graft Substitute
SHAPE 15.8 mL
506005078066 ACTIFUSE Bone
Graft Substitute
SHAPE 8 mL
506005078064 ACTIFUSE Bone
Graft Substitute
SHAPE 2.6 mL
506005078062 ACTIFUSE Bone
Graft Substitute
SHAPE 1.6 mL
1
Yes
1
Yes
1
Yes
1
Yes
Frozen Premix >> FORTAZ Injections
2G3536
FORTAZ
(ceftazidime
injection), 2
gram/50 mL, GALAXY
Plastic Container
24
Oct.28.2016 at 18:52:25 MDT Page # 79
Baxter HealthCare
Product
Code
2G3535
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
FORTAZ
(ceftazidime
injection), 1
gram/50 mL, GALAXY
Plastic Container
NonPVC
24
EXACTAMED Oral and Enteral Systems >> Out Patient Pack
H93873020
EXACTAMED Oral
Dispensers, OutPatient Pack,
Clear, 20 mL and
Universal Bottle
Adapter
50
Yes
Automated Compounding Devices >> Automated Compounding Devices >>
Automated Compounding - All in One EVA Containers
2B8124
2B8134
2B8114
Empty ALL-IN-ONE
E.V.A Container
for Gravity
Transfer
Empty ALL-IN-ONE
E.V.A Container
for Gravity
Transfer
Empty ALL-IN-ONE
E.V.A Container
for Gravity
Transfer
15
15
Yes
Yes
20
Peritoneal Dialysis >> Peritoneal Dialysis Solutions
L5B9770
L5B9901
L5B9771
DIANEAL Low
0941040901
Calcium PD
Solution, Luer,
Single Bag (AMBUFLEX II
Container);
Dextrose 1.5%;
Fill Volume 6000
mL; Container Size
6000 mL
DIANEAL Low
0941040905
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 1.5%
Dextrose, Luer,
Single Bag (AMBUFLEX II
Container); Fill
Volume 3000 mL;
Container Size
3000 mL
DIANEAL Low
0941045701
Calcium PD
Solution, Luer,
Single Bag (AMBUFLEX II
Container);
Dextrose 2.5%;
Fill Volume 6000
mL; Container Size
6000 mL
2
4
2
Oct.28.2016 at 18:52:25 MDT Page # 80
Yes
Baxter HealthCare
Product
Code
L5B9772
L5B9903
L5B9902
L5B5189
L5B5179
L5B5169
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
DIANEAL Low
Calcium PD
Solution, Luer,
Single Bag (AMBUFLEX II
Container);
Dextrose 4.25%;
Fill Volume 6000
mL; Container Size
6000 mL
DIANEAL Low
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 4.25%
Dextrose, Luer,
Single Bag (AMBUFLEX II
Container); Fill
Volume 3000 mL;
Container Size
3000 mL
DIANEAL Low
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 2.5%
Dextrose, Luer,
Single Bag (AMBUFLEX II
Container); Fill
Volume 3000 mL;
Container Size
3000 mL
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 4.25%
Dextrose, Luer,
Single Bag (AMBUFLEX II
Container); Fill
Volume 3000 mL;
Container Size
3000 mL
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 2.5%
Dextrose, Luer,
Single Bag (AMBUFLEX II
Container); Fill
Volume 3000 mL;
Container Size
3000 mL
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 1.5%
Dextrose, Luer,
Single Bag (AMBUFLEX II
Container); Fill
Volume 3000 mL;
Container Size
3000 mL
0941045901
2
0941045902
4
Yes
0941045702
4
Yes
0941041504
4
Yes
0941041304
4
Yes
0941041104
4
Yes
Oct.28.2016 at 18:52:25 MDT Page # 81
NonPVC
Baxter HealthCare
Product
Code
L5B9712
L5B9711
L5B9710
L5B4976
L5B4974
L5B5195
L5B5194
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
DIANEAL PD-2 PD
Solution, Single
Bag (AMBU-FLEX II
Container);
Dextrose 4.25%;
Fill Volume 6000
mL; Container Size
6000 mL
DIANEAL PD-2 PD
Solution, Single
Bag (AMBU-FLEX II
Container);
Dextrose 2.5%;
Fill Volume 6000
mL; Container Size
6000 mL
DIANEAL PD-2 PD
Solution, Single
Bag (AMBU-FLEX II
Container);
Dextrose 1.5%;
Fill Volume 6000
mL; Container Size
6000 mL
EXTRANEAL
(icodextrin)
Peritoneal
Dialysis Solution,
Luer, Single Bag
(AMBU-FLEX II
Container); 7.5%
Icodextrin in an
electrolyte
solution with 40
mEq/L lactate;
Fill Volume 2500
mL; Container Size
3000 mL
EXTRANEAL
(icodextrin)
Peritoneal
Dialysis Solution,
Single Bag (AMBUFLEX II
Container); 7.5%
Icodextrin in an
electrolyte
solution with 40
mEq/L lactate;
Fill Volume 2000
mL; Container Size
3000 mL
DIANEAL PD-2 PD
Solution, Single
Bag (AMBU-FLEX II
Container);
Dextrose 4.25%;
Fill Volume 5000
mL; Container Size
6000 mL
DIANEAL PD-2 PD
Solution, Single
Bag (AMBU-FLEX II
Container);
Dextrose 2.5%;
Fill Volume 5000
mL; Container Size
6000 mL
0941041501
2
Yes
0941041301
2
Yes
0941041111
2
Yes
0941067905
5
Yes
0941067906
6
Yes
0941041507
2
Yes
0941041307
2
Yes
Oct.28.2016 at 18:52:25 MDT Page # 82
NonPVC
Baxter HealthCare
Product
Code
L5B5193
L5B5183
L5B5173
L5B5163
L5B5177
L5B5166
5M5730U
5M5730
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
DIANEAL PD-2 PD
Solution, Single
Bag (AMBU-FLEX II
Container);
Dextrose 1.5%;
Fill Volume 5000
mL; Container Size
6000 mL
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 4.25%
Dextrose, Luer,
Single Bag (AMBUFLEX II
Container); Fill
Volume 1000 mL;
Container Size
1000 mL
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 2.5%
Dextrose, Luer,
Single Bag (AMBUFLEX II
Container); Fill
Volume 1000 mL;
Container Size
1000 mL
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 1.5%
Dextrose, Luer,
Single Bag (AMBUFLEX II
Container); Fill
Volume 1000 mL;
Container Size
1000 mL
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 2.5%
Dextrose, Luer,
Single Bag (AMBUFLEX II
Container); Fill
Volume 2000 mL;
Container Size
3000 mL
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 1.5%
Dextrose, Luer,
Single Bag (AMBUFLEX II
Container); Fill
Volume 2000 mL;
Container Size
3000 mL
Renal Software
Suite, User
License Upgrade
Renal Software
Suite, Single User
License
0941041107
2
Yes
0941041505
12
Yes
0941041305
12
Yes
0941041105
12
Yes
0941041306
6
Yes
0941041106
6
Yes
1
1
Oct.28.2016 at 18:52:25 MDT Page # 83
NonPVC
Baxter HealthCare
Product
Code
5B9776
5B9898P
5B9765P
5B9759
5B4986
5B4984
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
DIANEAL Low
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 2.5%
Dextrose, UltraBag
System; Fill
Volume 2000 mL;
Container Size
2000 mL
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 4.25%
Dextrose, UltraBag
System; Fill
Volume 2500 mL;
Container Size
3000 mL
DIANEAL Low
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 1.5%
Dextrose, UltraBag
System; Fill
Volume 1500 mL;
Container Size
2000 mL
DIANEAL Low
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 4.25%
Dextrose, UltraBag
System; Fill
Volume 3000 mL;
Container Size
5000 mL
EXTRANEAL
(icodextrin)
Peritoneal
Dialysis Solution,
UltraBag System;
7.5% Icodextrin in
an electrolyte
solution with 40
mEq/L lactate;
Fill Volume 2500
mL; Container Size
3000 mL
EXTRANEAL
(icodextrin)
Peritoneal
Dialysis Solution,
UltraBag System;
7.5% Icodextrin in
an electrolyte
solution with 40
mEq/L of lactate;
Fill Volume 2000
mL; Container Size
2000 mL
0941043052
6
Yes
0941042953
5
Yes
0941042451
8
Yes
0941043355
4
Yes
0941067953
5
Yes
0941067952
6
Yes
Oct.28.2016 at 18:52:25 MDT Page # 84
NonPVC
Baxter HealthCare
Product
Code
5B9876
5B9866
5B9857
5B9798P
5B9778P
5B9768P
5B9758
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 2.5%
Dextrose, UltraBag
System; Fill
Volume 2000 mL;
Container Size
2000 mL
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 1.5%
Dextrose, UltraBag
System; Fill
Volume 2000 mL;
Container Size
2000 mL
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 1.5%
Dextrose, UltraBag
System; Fill
Volume 3000 mL;
Container Size
5000 mL
DIANEAL Low
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 4.25%
Dextrose, UltraBag
System; Fill
Volume 2500 mL;
Container Size
3000 mL
DIANEAL Low
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 2.5%
Dextrose, UltraBag
System; Fill
Volume 2500 mL;
Container Size
3000 mL
DIANEAL Low
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 1.5%
Dextrose, UltraBag
System; Fill
Volume 2500 mL;
Container Size
3000 mL
DIANEAL Low
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 2.5%
Dextrose, UltraBag
System; Fill
Volume 3000 mL;
Container Size
5000 mL
0941042752
6
Yes
0941042652
6
Yes
0941042655
4
Yes
0941043353
5
Yes
0941043053
5
Yes
0941042453
5
Yes
0941043055
4
Yes
Oct.28.2016 at 18:52:25 MDT Page # 85
NonPVC
Baxter HealthCare
Product
Code
5B9757
5B9896
5B9878P
5B9868P
5B9859
5B9858
L5B5203
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
DIANEAL Low
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 1.5%
Dextrose, UltraBag
System; Fill
Volume 3000 mL;
Container Size
5000 mL
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 4.25%
Dextrose, UltraBag
System; Fill
Volume 2000 mL;
Container Size
2000 mL
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 2.5%
Dextrose; UltraBag
System; Fill
Volume 2500 mL;
Container Size
3000 mL
DIANEAL PD-2 PD
Solution, UltraBag
System; Dextrose
1.5%; Fill Volume
2500 mL; Container
Size 3000 mL
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 4.25%
Dextrose, UltraBag
System; Fill
Volume 3000 mL;
Container Size
5000 mL
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 2.5%
Dextrose, UltraBag
System; Fill
Volume 3000 mL;
Container Size
5000 mL
DIANEAL Low
Calcium PD
Solution, Luer,
Single Bag (AMBUFLEX II
Container);
Dextrose 4.25%;
Fill Volume 5000
mL; Container Size
6000 mL
0941042455
4
Yes
0941042952
6
Yes
0941042753
5
Yes
0941042653
5
Yes
0941042955
4
Yes
0941042755
4
Yes
0941045905
2
Oct.28.2016 at 18:52:25 MDT Page # 86
NonPVC
Baxter HealthCare
Product
Code
L5B5202
L5B4826
L5B9747
L5B9727
L5B4825
5B9796
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
DIANEAL Low
Calcium (2.5
mEq/L) PD
Solution, Single
Bag (AMBU-FLEX II
Container);
Dextrose 2.5%;
Fill Volume 5000
mL; Container Size
6000 mL
DIANEAL Low
Calcium PD
Solution, Luer,
Single Bag (AMBUFLEX II
Container);
Dextrose 1.5%;
Fill Volume 5000
mL; Container Size
6000 mL
DIANEAL Low
Calcium PD
Solution, Luer,
Single Bag (AMBUFLEX II
Container);
Dextrose 4.25%;
Fill Volume 2000
mL;Container Size
3000 mL
DIANEAL Low
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 2.5%
Dextrose, Luer,
Single Bag (AMBUFLEX II
Container); Fill
Volume 2000 mL;
Container Size
3000 mL
DIANEAL Low
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 1.5%
Dextrose, Luer,
Single Bag (AMBUFLEX II
Container); Fill
Volume 2000 mL;
Container Size
3000 mL
DIANEAL Low
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 4.25%
Dextrose, UltraBag
System; Fill
Volume 2000 mL;
Container Size
2000 mL
0941045705
2
0941040907
2
0941045908
6
0941045708
6
Yes
0941040906
6
Yes
0941043352
6
Yes
Oct.28.2016 at 18:52:25 MDT Page # 87
Yes
NonPVC
Baxter HealthCare
Product
Code
5B9795P
5B9766
L5B5187
5B9775P
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
DIANEAL Low
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 4.25%
Dextrose, UltraBag
System; Fill
Volume 1500 mL;
Container Size
2000 mL
DIANEAL Low
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 1.5%
Dextrose, UltraBag
System; Fill
Volume 2000 mL;
Container Size
2000 mL
DIANEAL PD-2
Peritoneal
Dialysis Solution
with 4.25%
Dextrose, Luer,
Single Bag (AMBUFLEX II
Container); Fill
Volume 2000 mL;
Container Size
3000 mL
DIANEAL Low
Calcium (2.5
mEq/L) Peritoneal
Dialysis Solution
with 2.5%
Dextrose, UltraBag
System; Fill
Volume 1500 mL;
Container Size
2000 mL
0941043351
8
Yes
0941042452
6
Yes
0941041506
6
Yes
0941043051
8
Yes
IV Access >> Nitroglycerin Sets
2C7554
2C7551
Solution Set, Male
Luer Lock Adapter,
for Epidural Use,
Approximately 60
drops/mL,
Approximate Length
110" (2.8 m)
Nitroglycerin Set
with PVC Pump
Segment, DUO-VENT
Spike and an
INTERLINK
Injection Site,
Male Luer Lock
Adapter,
Approximately 60
drops per mL,
Approximate Length
103" (2.6 m)
48
Yes
48
Yes
Oct.28.2016 at 18:52:25 MDT Page # 88
NonPVC
Baxter HealthCare
Product
Code
2C8851
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Nitroglycerin Set
with DUO-VENT
Spike, PVC Tubing
Segment, CLEARLINK
Luer Activated
Valve, Male Luer
Lock Adapter,
Approximately 60
drops per mL,
Approximate Length
103" (2.6 m)
48
NonPVC
Yes
Patient Connectology >> Patient Connectology >> Clamps
NA
NA
Pharmacy Admixture Tools >> Pharmacy Admixture Tools >> DISCPAC Self
Righting Luer Tip Caps
H938673100
H938671100
H93867100
H93867025
H93866100
H93866025
H938677100
H938676100
H938674100
Self-Righting
Slip Tip Cap,
Blue
Self-Righting
Slip Tip Cap,
White
Self-Righting
Slip Tip Cap,
Orange
Self-Righting
Slip Tip Cap,
Orange
Self-Righting
Slip Tip Cap,
Yellow
Self-Righting
Slip Tip Cap,
Yellow
Self-Righting
Slip Tip Cap,
Purple
Self-Righting
Slip Tip Cap,
Self-Righting
Slip Tip Cap,
Green
Hemodialysis
Luer
Dark
1000
Luer
1000
Luer
1000
Luer
500
Luer
1000
Luer
500
Luer
1000
Luer
Pink
Luer
1000
>> Hemodialysis
109733
114014
BiCart 720G
BiCart 1250G is a
polypropylene (PP)
cartridge for
preparation of
hemodialysis
solutions.
2C4020
Irrigation Cap
with Syringe Tip
Y-Type TUR/Bladder
Irrigation Set,
Approximate Length
81" (2.1 m)
Cysto/Bladder
Irrigation Set,
Approximate Length
81" (2.1 m). For
use with UROMATIC
plastic container.
Decanting Set with
Clamp
Yes
Yes
1000
>> Concentrates and Bicarbonate
10
6
Yes
Yes
IV Access >> Irrigation Sets
2C4041
2C4040
2C4014
120
12
48
48
Oct.28.2016 at 18:52:25 MDT Page # 89
Yes
Baxter HealthCare
Product
Code
2C4013
2C4006
2C4005
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Four Lead TUR
Irrigation Set,
for use with
UROMATIC Plastic
Containers,
Approximate Length
85" (2.2 m)
UROMATIC TUR
Series Set,
Approximate Length
22" (56 cm). For
use with plastic
irrigating
solution
container.
Y-Type TUR
Irrigation Set,
Approximate Length
81" (2.1 m). For
use with UROMATIC
plastic container.
12
12
Yes
12
Solutions >> PrismaSATE Dialysis Solutions
113919
113918
113917
113916
113915
113914
106957
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE
BGK4/0/1.2
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE BK2/0
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE
B22GK4/0
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE
BGK4/2.5
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE BK0/3.5
PrismaSATE
Dialysis Solution
for Continuous
Renal Replacement
Therapy, PVC
PRISMASATE BGK2/0
PrismaSATE BGK4/25
Dialysis Solution
for Continuous
Renal Replacement
Therapy. NON - PVC
2
Yes
2
Yes
2
Yes
2
Yes
2
Yes
2
2
Oct.28.2016 at 18:52:26 MDT Page # 90
NonPVC
Baxter HealthCare
Product
Code
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
105351
PrismaSATE BGK2/0
Dialysis Solution
for Continuous
Renal Replacement
Therapy. Non-PVC
2
2C6723
Y-Type
Blood/Solution Set
with Large
Standard Bore
Blood Filter 170
to 260 Micron and
Pressure Pump, 2
INTERLINK
Injection Sites,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
99" (2.5 m)
Y-Type
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron, an
INTERLINK
Injection Site,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
98" (2.5 m)
Y-Type
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron
Filter, an
INTERLINK
Injection Site,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
115" (2.9 m)
Y-Type
Blood/Solution Set
with Large
Standard Blood
Filter 170 to 260
Micron Filter, 2
CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter,
Approximately 15
drops per mL,
Approximate
Length: 100"
(2.5m)
Yes
IV Access >> Blood Sets with Filter
2C6720
2C6750H
4C8714
48
Yes
48
48
Yes
48
Yes
Oct.28.2016 at 18:52:26 MDT Page # 91
NonPVC
Baxter HealthCare
Product
Code
2C8720
2C8751
4C6839
4C6838
2C6714
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Y-Type
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron and
a CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
103" (2.6 m)
Straight Type
Blood Set with
Standard Blood
Filter 170 to 260
Micron,
Approximate length
103" (2.6 m),
Approximate volume
10 drops/mL, a
CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter
Y-Type
Blood/Solution Set
with 40 and 150
Micron Dual Screen
Filter and
Pressure Pump, an
INTERLINK
Injection Site,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
92" (2.3 m)
Y-Type
Blood/Solution Set
with 40 and 150
Micron Dual Screen
Filter, an
INTERLINK
Injection Site,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
95" (2.4 m)
Y-Type
Blood/Solution Set
with Large
Standard Blood
Filter 170 to 260
Micron and 2
INTERLINK
Injection Sites,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
100" (2.5 m)
48
Yes
48
Yes
48
Yes
48
Yes
48
Yes
Oct.28.2016 at 18:52:26 MDT Page # 92
NonPVC
Baxter HealthCare
Product
Code
2C7627
2C6700
4C7750
1C8333
2C8750
4C8723
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Y-Type
Blood/Solution Set
with Standard
Blood Filter, 170
to 260 Micron
Filter, Male Luer
Lock Adapter,
Approximately 10
drops per mL,
Approximate Length
84" (2.1 m)
Straight Type
Blood Set with
Standard Blood
Filter 170 to 260
Micron and an
INTERLINK
Injection Site,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
77" (2.0 m)
Add-On Large
Standard Blood
Filter 170 to 260
Micron Filter,
Approximately 15
drops per mL,
Approximate Length
9" (23 cm).
Blood Bag Spike
Y-Type
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron and
a CLEARLINK Valve,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
112" (2.8 m)
Y-Type
Blood/Solution Set
with Large
Standard Blood
Filter 170 to 260
Micron Filter and
Pressure Pump, 2
CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter,
Approximately 15
drops per mL,
Approximate
length 99" (2.5 m)
48
Yes
48
Yes
48
Yes
48
48
Yes
Yes
48
Yes
NonPVC
IV Access >> Injection Site Products
2N8399
2N3399
CLEARLINK Luer
Activated Valve,
Approximate Volume
0.25 mL
INTERLINK
Injection Site,
Male Luer Lock
Adapter
200
Yes
Yes
200
Yes
Yes
Oct.28.2016 at 18:52:26 MDT Page # 93
Yes
Baxter HealthCare
Product
Code
2N3379
7N8399
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
INTERLINK
Injection Site,
Male Luer Lock
Adapter.
ONE-LINK Needlefree IV Connector
with Neutral Fluid
Displacement,
Power Injectable
(325 psi / 2241
kPa)
NonPVC
800
Yes
Yes
Yes
200
Yes
Yes
Yes
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> Cost Containment Pack, Clear
H93874210
H93874205
H93874203
H93874201
EXACTAMED Oral
Dispenser, CostContainment Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 10 mL
EXACTAMED Oral
Dispenser, CostContainment Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 5 mL
EXACTAMED Oral
Dispenser, CostContainment Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 3 mL
EXACTAMED Oral
Dispenser, CostContainment Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 1 mL
1800
Yes
1500
Yes
2500
Yes
3000
Yes
Rockwell >> Rockwell >> CitraPure® 45X Liquid Acid Concentrate - Cases
L41164
L41084
L41064
L41144
CitraPure® Liquid
Concentrate Citrate 45X 2K
2.5Ca., 1 Gallon
(3.78 liters),
Case Packaging; 4
each
CitraPure® Liquid
Concentrate Citrate 45X 2K
2Ca. 1 Gallon
(3.78 liters),
Case Packaging; 4
each
CitraPure® Liquid
Concentrate Citrate 45X 1K
2Ca. 1 Gallon
(3.78 liters),
Case Packaging; 4
each
CitraPure® Liquid
Concentrate Citrate 45X 1K
2.5Ca., 1 Gallon
(3.78 liters),
Case Packaging; 4
each
4
4
4
4
Oct.28.2016 at 18:52:26 MDT Page # 94
Baxter HealthCare
Product
Code
L41174
L41264
L41074
L41104
L41244
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CitraPure® Liquid
Concentrate Citrate 45X 3K
2.5Ca., 1 Gallon
(3.78 liters),
Case Packaging; 4
each
CitraPure® Liquid
Concentrate Citrate 45X 3K
3Ca., 1 Gallon
(3.78 liters),
Case Packaging; 4
each
CitraPure® Liquid
Concentrate Citrate 45X 2K
1.5Ca. 1 Gallon
(3.78 liters),
Case Packaging; 4
each
CitraPure® Liquid
Concentrate Citrate 45X 3K 2
Ca. 1 Gallon
(3.78 liters),
Case Packaging; 4
each
CitraPure® Liquid
Concentrate Citrate 45X 2K
3Ca., 1 Gallon
(3.78 liters),
Case Packaging; 4
each
4
4
4
4
4
Solutions >> PrismaSol Solutions, NON-PVC
115001
115633
110244
110242
110243
PrismaSol B22GK4/0
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
PrismaSol BGK4/3.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy
PrismaSol BGK2/0
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
PrismaSol BGK4/2.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
PrismaSol BGK2/3.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
2
Yes
2
Yes
2
Yes
2
Yes
2
Yes
Oct.28.2016 at 18:52:26 MDT Page # 95
NonPVC
Baxter HealthCare
Product
Code
110241
110240
110239
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
PrismaSol
BGK4/0/1.2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
PrismaSol BGK0/2.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
PrismaSol
BK0/0/1.2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON-PVC
2
Yes
2
Yes
2
Yes
NonPVC
Pharmacy Admixture Tools >> Pharmacy Admixture Tools >> Pharmacy
Accessories
H93865001
H93849
H93847
H93867031
H93813601
H93813501
H93864110
H93864010
Luer Lock Tip Cap,
Red, Packaged
Individually.
Admix Dispensing
Pin with 0.2
Micron Filtered
Vent (hydrophobic)
and Tethered Cap
EXACTAMED
Dispensing Pin,
Sheathed Plastic
with 3 Micron
Filtered Vent
(hydrophobic,
olephobic)
Catheter Syringe
Tip Cap, SelfThreading
Luer-to-Catheter
Tip Adapter,
Female Luer Lock
Connector, Male
Catheter or
Urethra Tip
Luer-to-Urethral
Catheter Tip
Adapter, Female
Luer Lock
Connector, Male
Catheter or
Urethra Tip
Tamper-Evident
Luer Lock Tip Cap,
Red
Tamper-Evident
Luer Lock Tip Cap,
Red
100
Yes
50
Yes
50
Yes
25
Yes
50
Yes
50
Yes
1000
Yes
100
Yes
Frozen Premix >> ZINACEF Injections
2G3547
ZINACEF
2498742500
(cefuroxime
injection), 1.5
gram/50 mL, GALAXY
Plastic Container
24
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> Ward Pack, Clear
Oct.28.2016 at 18:52:26 MDT Page # 96
Baxter HealthCare
Product
Code
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
NA
NA
2B0304X
Sterile Water for 0338001304
Injection, USP
(For Drug Diluent
Use Only), 1000 mL
VIAFLEX Plastic
Container
NonPVC
IV Solutions >> Sterile Water for Injection
14
Yes
Immunoglobulin >> HyQvia [Immune Globulin Infusion 10% (Human) with
Recombinant Human Hyaluronidase]
NA
NA
Peritoneal Dialysis Solutions >> HOMECHOICE PRO
>> Disposable Sets
NA
NA
and HOMECHOICE System
NA
NA
EXACTAMED Oral and Enteral Systems >> Cost Containment Pack, Clear
H93874210
H93874205
H93874203
H93874201
EXACTAMED Oral
Dispenser, CostContainment Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 10 mL
EXACTAMED Oral
Dispenser, CostContainment Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 5 mL
EXACTAMED Oral
Dispenser, CostContainment Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 3 mL
EXACTAMED Oral
Dispenser, CostContainment Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 1 mL
1800
Yes
1500
Yes
2500
Yes
3000
Yes
IV Access >> Secondary Medication Sets
2C7461
2H7452
Secondary
Medication Set,
Male Luer Lock
Adapter.
Approximate Length
37" (93 cm),
Approximately 10
drops/mL
Secondary
Medication Set
with DUO-VENT
Spike, Hanger, an
INTERLINK Lever
Lock Cannula
(detached), Male
Luer Lock Adapter,
non-DEHP,
Approximately 10
drops per mL,
Approximate Length
37" (94 cm)
48
Yes
48
Yes
Oct.28.2016 at 18:52:26 MDT Page # 97
Yes
Baxter HealthCare
Product
Code
2C7452
2H7462
2C7462
2H7463
2H7451
2C7451
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Secondary
Medication Set
with DUO-VENT
Spike, INTERLINK
Luer Lock Cannula,
Male Luer Lock
Adapter.
Approximate Length
37" (93 cm),
Approximate 10
Drops/mL.
Non-DEHP Secondary
Medication Set
with DUO-VENT
Spike, Hanger,
Male Luer Lock
Adapter,
Approximate Length
37" (93 cm),
Approximately 10
drops/mL
Secondary
Medication Set
with DUO-VENT
Spike, Male Luer
Lock Adapter,
Approximate Length
37" (93 cm),
Approximately 10
drops/mL.
Secondary
Medication Set
with DUO-VENT
Spike, Hanger, a
CLEARLINK, Male
Luer Lock Adapter,
non-DEHP,
Approximately 60
drops per mL,
Approximate Length
37" (93 cm)
Secondary
Medication Set,
Hanger, Lever Lock
Cannula
(detached), Male
Luer Lock Adapter,
non-DEHP,
Approximately 10
drops per mL,
Approximate Length
37" (93 cm)
Secondary
Medication Set
with INTERLINK
Lever Lock
Cannula, Male Luer
Lock Adapter,
Approximate Length
37" (93 cm),
Approximately 10
drops/mL
48
Yes
48
Yes
48
Yes
48
Yes
Yes
48
Yes
Yes
48
Yes
IV Access >> Extension Sets - High Flow Rate
Oct.28.2016 at 18:52:26 MDT Page # 98
Yes
NonPVC
Baxter HealthCare
Product
Code
2N3349
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
High Flow Rate
Extension Set,
Male Luer Lock
Adapter, non-DEHP,
Approximate Volume
2.1 mL,
Approximate Length
60" (1.5 m)
High Flow Rate
Extension Set,
Male Luer Lock
Adapter, non-DEHP,
Approximate Volume
1.3 mL,
Approximate Length
36" (91 cm)
High Flow
Extension Set with
Luer Lock
Adapters,
Approximate Length
61"(155 cm),
Approximate Volume
2.5 mL
2N3346
2C9221
50
Yes
Yes
50
Yes
Yes
60
Yes
NonPVC
Frozen Premix >> Frozen Premix >> Penicillin G Potassium Injections
2G3544
Penicillin G
0338102541
Potassium
Injection, USP, 3
million units/50
mL, GALAXY Plastic
Container
Penicillin G
0338102341
Potassium
Injection, USP, 2
million units/50
mL, GALAXY Plastic
Container
Penicillin G
0338102141
Potassium
Injection, USP, 1
million units/50
mL, GALAXY Plastic
Container
2G3543
2G3542
24
24
24
Yes
HOMECHOICE PRO and HOMECHOICE System >> HOMECHOICE PRO
HOMECHOICE System >> APD Drain Supplies
NA
NA
and
NA
NA
Tissue-Guard Family of Surgical Patches >> Tissue-Guard Family of
Surgical Patches >> Vascu-Guard Peripheral Vascular Patch
VG0110N
VG0108N
VG0106N
VG0209N
VASCU-GUARD
Peripheral
Vascular Patch
1x10cm
VASCU-GUARD
Peripheral
Vascular Patch
0.8x8cm
VASCU-GUARD
Peripheral
Vascular Patch
1x6cm
VASCU-GUARD
Peripheral
Vascular Patch
2x9cm
1
Yes
1
Yes
1
Yes
1
Yes
Hemophilia >> RIXUBIS [COAGULATION FACTOR IX (RECOMBINANT)]
Oct.28.2016 at 18:52:26 MDT Page # 99
Baxter HealthCare
Product
Code
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
NA
NA
934072
COSEAL Surgical
Sealant Kit - 8 mL
COSEAL Surgical
Sealant Kit - 4 mL
COSEAL Surgical
Sealant Kit - 2 mL
NonPVC
BioSurgery >> Coseal Surgical Sealant
934071
934070
1
Yes
1
Yes
1
Yes
Acute Renal Dialysis >> Ancillaries
114423
107650
107620
106051
105762
5 LITER EFFLUENT
BAG
9-LITER
Replacement
Effluent Bag
PRISMATHERM II
Extension Line.
For use with the
PRISMATHERM II
Blood Warmer
RE-INFUSION LINE
SP-401
GMB-SP127 - Y
CONNECTOR
50
30
Yes
Yes
36
20
Yes
25
Yes
IV Solutions >> Lactated Ringer's Injections
2B7487
2B2322Q
2B2074X
2B2324X
2B7489
2F7154
2B2323Q
6E2323
Lactated Ringer's
Irrigation, 3000
mL ARTHROMATIC
Plastic Container
Lactated Ringer's
Injection, USP,
250 mL VIAFLEX
Plastic Container
Lactated Ringer's
and 5% Dextrose
Injection, USP
Lactated Ringer's
Injection, USP,
1000 mL VIAFLEX
Plastic Container
Lactated Ringer's
Irrigation, 5000
mL, ARTHROMATIC
Plastic Container
Lactated Ringer's
Irrigation, 1000
mL, Plastic Pour
Bottle Container
Lactated Ringer's
Injection, USP,
500 mL VIAFLEX
Plastic Container
Lactated Ringer's
Injection, USP,
500 mL AVIVA
Plastic Container
0338013727
4
Yes
0338011702
36
Yes
0338012504
14
Yes
0338011704
14
Yes
0338013729
2
Yes
12
0338011703
24
Yes
0338630703
24
Yes
IV Solutions >> IV Solutions >> Potassium Chloride in 5% Dextrose
Injections
2B1134X
20 mEq/L Potassium 0338068304
Chloride in 5%
Dextrose
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
14
Oct.28.2016 at 18:52:26 MDT Page # 100
Yes
Baxter HealthCare
Product
Description
National
Pack Container Non- Non- NonCode
Drug Code Factor
Type
Latex DEHP PVC
IV Solutions >> IV Solutions >> PLASMA-LYTE (Multiple Electroytes)
Injections
2B2544X
2B2534X
2B2543Q
2B2533Q
PLASMA-LYTE A
Injection pH 7.4
(Multiple
Electrolytes
Injection, Type 1,
USP), 1000 mL
VIAFLEX Plastic
Container
PLASMA-LYTE 148
Injection
(Multiple
Electrolytes
Injection, Type 1,
USP), 1000 mL
VIAFLEX Plastic
Container
PLASMA-LYTE A
Injection pH 7.4
(Multiple
Electrolytes
Injection, Type 1,
USP), 500 mL
VIAFLEX Plastic
Container
PLASMA-LYTE 148
Injection
(Multiple
Electrolytes
Injection, Type 1,
USP), 500 mL
VIAFLEX Plastic
Container
0338022104
14
Yes
0338017904
14
Yes
0338022103
24
Yes
0338017903
24
Yes
Liquid Premix >> Liquid Premix >> Metronidazole Injection
2B3421
Metronidazole
Injection, USP,
500 mg/100 mL
metronidazole in
VIAFLEX Plus
Container
0338105548
24
Yes
Frozen Premix >> Frozen Premix >> Nafcillin Injections
2G3556
2G3540
Nafcillin
0338101948
Injection, USP, 2
gram/100 mL,
GALAXY Plastic
Container
Nafcillin
0338101741
Injection, USP, 1
gram/50 mL, GALAXY
Plastic Container
12
24
IV Access >> Solution Set
2C8425
Solution Set with
2 CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximately 10
drops per mL,
Approximate Length
100" (2.5 m)
48
Oct.28.2016 at 18:52:26 MDT Page # 101
Yes
Baxter HealthCare
Product
Code
2C6425
2C6419
2C6401
2C8419
2C8401
1C8109
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Solution Set with
2 INTERLINK
Injection Sites,
Male Luer Lock
Adapter with
Retractable
Collar.
Approximately 10
drops per mL,
Approximate Length
101" (2.6 m)
Solution Set with
DUO-VENT Spike and
an INTERLINK
Injection Site,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
92" (2.3 m)
Solution Set with
an INTERLINK
Injection Site,
Lever Lock Cannula
(detached), Luer
Lock Adapter,
Approximately 10
drops per mL,
Approximate Length
76" (1.9 m)
Solution Set with
DUO-VENT Spike,
CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter,
Approximately 10
drops/mL,
Approximate Length
92" (2.3 m),
Solution Set with
a CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
76" (1.9 m)
Solution Set with
Male Luer lock
Adapter,
Approximately 10
drops per mL,
Approximate length
101" (2.6 m)
NonPVC
48
48
Yes
48
Yes
48
Yes
48
Yes
48
Yes
IV Access >> Sub-Q-Set Subcutaneous Infusion Sets
1M8463
SUB-Q-SET
Subcutaneous
Infusion Set with
27 gauge x 1.2 cm
(.475") Needle,
Approximate Volume
0.24 mL,
Approximate Length
42" (107 cm). For
Abdominal
Insertion Only
30
Yes
IV Solutions >> Potassium Chloride in 5% Dextrose and 0.2% NACL
Oct.28.2016 at 18:52:26 MDT Page # 102
Baxter HealthCare
Product
Code
2B1614X
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
20 mEq/L Potassium 0338066304
Chloride in 5%
Dextrose and 0.2%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
14
NonPVC
Yes
Liquid Premix >> CLEOCIN PHOSPHATE Injections
2G3415
CLEOCIN PHOSPHATE
IV Solution
(clindamycin
injection) in 5%
Dextrose
CLEOCIN PHOSPHATE
IV Solution
(clindamycin
injection) in 5%
Dextrose, 300 mg
clindamycin,
GALAXY Plastic
Container, 50 mL
2G3414
0009337501
24
0009338101
24
EXACTAMED Oral and Enteral Systems >> ADAPTACAP Long Neck
H9385108
H9385106
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
33 mm long neck
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
28 mm long neck
100
Yes
100
Yes
Pharmacy Admixture Tools >> DISCPAC Self Righting Luer Tip Caps
H938673100
H938671100
H93867100
H93867025
H93866100
H93866025
H938677100
H938676100
H938674100
Self-Righting
Slip Tip Cap,
Blue
Self-Righting
Slip Tip Cap,
White
Self-Righting
Slip Tip Cap,
Orange
Self-Righting
Slip Tip Cap,
Orange
Self-Righting
Slip Tip Cap,
Yellow
Self-Righting
Slip Tip Cap,
Yellow
Self-Righting
Slip Tip Cap,
Purple
Self-Righting
Slip Tip Cap,
Self-Righting
Slip Tip Cap,
Green
Luer
Dark
1000
Luer
1000
Luer
1000
Luer
500
Luer
1000
Luer
500
Luer
1000
Luer
Pink
Luer
1000
Yes
Yes
1000
Rockwell >> Rockwell >> RenalPure® 45X Liquid Acid Concentrate - Drums
Oct.28.2016 at 18:52:26 MDT Page # 103
Baxter HealthCare
Product
Code
C12455
C11055
C13055
C13155
C12655
C10855
C11655
C11755
C11455
Description
NonPVC
RenalPure® Liquid
Acid Concentrate 45X 2K 3Ca., 55
Gallons
RenalPure® Liquid
Acid Concentrate 45X 3K 2Ca., 55
Gallons
RenalPure® Liquid
Acid Concentrate 45X 2K 2.25Ca.,
55 Gallons
RenalPure® Liquid
Acid Concentrate 45X 3K 2.25Ca.,
55 Gallons
RenalPure® Liquid
Acid Concentrate 45X 3K 3Ca., 55
Gallons
RenalPure® Liquid
Acid Concentrate 45X 2K 2Ca., 55
Gallons
RenalPure® Liquid
Acid Concentrate 45X 2K 2.5Ca., 55
Gallons
RenalPure® Liquid
Acid Concentrate 45X 3K 2.5Ca., 55
Gallons
RenalPure® Liquid
Acid Concentrate 45X 1K 2.5Ca., 55
Gallons
Hemodialysis
113296
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
>> Hemodialysis
Exalis Management
Tool. Used with
the Phoenix
Hemodialysis
System
>> Hemodialysis Software
1
IV Solutions >> IV Solutions >> Dextrose Injections in MINI-BAG
Plastic Containers
2B0087
2B0086
2B0080
2B0089
5% Dextrose
Injection, USP,
100 mL VIAFLEX
Plastic Container,
Single Pack
5% Dextrose
Injection, USP, 50
mL VIAFLEX Plastic
Container, Single
Pack
5% Dextrose
Injection, USP, 25
mL VIAFLEX Plastic
Container Quad
Pack
5% Dextrose
Injection, USP,
100 mL VIAFLEX
Plastic Container
Multi Pack
0338001748
96
0338001741
96
0338001710
48
0338001738
96
Oct.28.2016 at 18:52:26 MDT Page # 104
Baxter HealthCare
Product
Code
2B0088
2B0082
2B0081
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
5% Dextrose
0338001731
Injection, USP, 50
mL VIAFLEX Plastic
Container Multi
Pack
5% Dextrose
0338001718
Injection, USP,
100 mL VIAFLEX
Plastic Container
Quad Pack
5% Dextrose
0338001711
Injection, USP, 50
mL VIAFLEX Plastic
Container Quad
Pack
96
96
96
Infusion Systems >> Accessories >> IV Poles
RD0596
RD0610
2M8065EH
2M3005
RD0566
Three Pump Carrier
with Speed Clamp,
UL listed 4 Outlet
Electrical Strip
with clear
protective cover.
Six-legged,
heavyweight base,
25” dia., 6 ball
bearing casters.
Three telescoping
stainless steel IV
Poles with 12
stainless steel
hooks. 2 each UL
listed hospital
grade 6 outlet
electrical strips
with protective
covers
IV Pole, Single, 5
Leg heavyweight
base 22” dia., 8
stainless steel
hooks, telescoping
pole reaches 99”
fully extended,
68” compressed.
IV Pole, Single, 5
Legged Stainless
Steel Base, 25"
dia., 4 stainless
steel hooks,
telescoping IV
pole 94" fully
extended, 67"
compressed.
Shipping box 34 X
24 X 6. Shipping
weight 13.0 lbs.
IV Pole, Triple, 6
Leg Heavy base 25"
dia., 2 each UL
listed 6 outlet
power strips with
protective covers
1
1
1
1
1
Oct.28.2016 at 18:52:26 MDT Page # 105
Yes
NonPVC
Baxter HealthCare
Product
Code
2M8065
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
IV Pole, Single, 5
Leg, Heavy base
22” dia., 4
stainless steel
hooks, telescoping
stainless steel IV
pole 99” fully
extended 68”
compressed
IV Pole, Single, 6
Legged, Heavy base
25" dia., Five
Pump Carrier, 7
stainless steel
hooks, telescoping
stainless steel IV
pole 95” fully
extended 68”
compressed
550881
NonPVC
1
1
Yes
Yes
EXACTAMED Oral and Enteral Systems >> ADAPTACAP Short Neck
H9385107
H9385105
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
33 mm short neck
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
28 mm, short neck
100
Yes
100
Yes
IV Access >> Solution Sets - non-DEHP
2H6490
2H8401
2H6401
Solution Set with
Hanger, Lever Lock
Cannula, Male Luer
Lock Adapter, nonDEHP,
Approximately 10
drop/mL,
Approximate Length
37" (93 cm)
Solution Set with
1 CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter.
Solution Set with
1 INTERLINK
injection site 6"
from male Luer
lock adapter.
48
48
Yes
Yes
48
Yes
Yes
Tissue-Guard Family of Surgical Patches >> Peri-Guard Pericardium
Patch
PC1225NBIO
PC1016NBIO
PC0814NBIO
PERI-GUARD
Pericardium Patch
12x25cm
PERI-GUARD
Pericardium Patch
10x16cm
PERI-GUARD
Pericardium Patch
8x14cm
1
Yes
1
Yes
1
Yes
Oct.28.2016 at 18:52:26 MDT Page # 106
Baxter HealthCare
Product
Code
PC0608NBIO
PC0404NBIO
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
PERI-GUARD
Pericardium Patch
6x8cm
PERI-GUARD
Pericardium Patch
4x4cm
1
Yes
1
Yes
NonPVC
Tissue-Guard Family of Surgical Patches >> Tissue-Guard Family of
Surgical Patches >> Dura-Guard Dural Repair Patch
DG1016SN
DG0814SN
DG0608SN
DG0404SN
DG0209SN
DURA-GUARD Dural
Repair Patch
10x16cm
DURA-GUARD Dural
Repair Patch
8x14cm
DURA-GUARD Dural
Repair Patch 6x8cm
DURA-GUARD Dural
Repair Patch 4x4cm
DURA-GUARD Dural
Repair Patch 2x9cm
1
Yes
1
Yes
1
Yes
1
Yes
1
Yes
Acute Therapy Systems >> Acute Therapy Systems >> PRISMAFLEX System
NA
NA
Anesthesia & Critical Care >> Cardiovascular Products
1001911501
1001907587
1001905561
1001912001
BREVIBLOC
Injection (Esmolol
Hydrochloride) 100
mg/10mL (10mg/mL)
Ready-to-useVials, 10 mL Vials
BREVIBLOC Double
Strength Premixed
Injection (Esmolol
Hydrochloride)
2,000 mg/100mL
(20 mg/mL) Readyto-use-Bags, 100
mL Bags
BREVIBLOC Premixed
Injection (Esmolol
Hydrochloride)
2,500 mg/250 mL
(10 mg/mL) Readyto-use-Bags, 250
mL Bags
Esmolol
Hydrochloride
Injection 100
mg/10 mL (10
mg/mL) 10 mL
Ready-to-use Vial
1001911501
25
1001907587
10
1001905561
10
1001912001
25
Acute Therapy Systems >> Acute Dialysis - RENALFLO II Hemofilters
NA
NA
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> Sterile Pack Oral Dispensers, Clear and Amber
H93887103
Sterile EXACTAMED
Oral Dispenser,
Amber, 3 mL,
Packed in bags of
10, Tip Caps Not
Included.
100
Oct.28.2016 at 18:52:26 MDT Page # 107
Yes
Baxter HealthCare
Product
Code
H93876105
H93876101
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Sterile EXACTAMED
Oral Dispenser,
Clear,
Individually
Packaged, 5 mL,
Tip Caps Not
Included.
Sterile EXACTAMED
Oral Dispenser,
Clear,
Individually
Packaged, 1 mL,
Tip Caps Not
Included.
100
Yes
Yes
100
Yes
Yes
NonPVC
BioSurgery >> Peri-Strips Dry® with Veritas
NA
NA
Hemophilia >> RECOMBINATE [Antihemophilic Factor (Recombinant)]
NA
NA
Concentrates and Bicarbonate >> Concentrates and Bicarbonate >> COBE
Proportioning Systems
5M7905
5M7905
Bicarbonate
Concentrate Powder
for COBE
Proportioning
Systems (2.1 gal:
8 liters)
Bicarbonate
Concentrate Powder
for COBE
Proportioning
Systems (2.1 gal:
8 liters)
20
20
Admixture Products and Accessories >> Empty EVA Containers
2B8013
2B8012
2J8002
2B8019
2B8014
2B8011
2J8003
Empty INTRAVIA
Container with PVC
Ports (Sterile,
nonpyrogenic fluid
path), 500 mL
Empty INTRAVIA
Container with PVC
Ports (Sterile,
nonpyrogenic fluid
path), 250 mL
Empty INTRAVIA
Container with
Non-DEHP Fluid
Path, 250 mL
Empty INTRAVIA
Container with PVC
Ports, Sterile
fluid path, 50 mL
Empty INTRAVIA
Container
(Sterile,
nonpyrogenic fluid
path), 1000 mL
Empty INTRAVIA
Container with PVC
Ports, Sterile
fluid path, 150 mL
Empty INTRAVIA
Container with
Non-DEHP Fluid
Path, 500 mL
48
48
48
Yes
48
Yes
48
Yes
48
Yes
48
Yes
Yes
IV Solutions >> Potassium Chloride in 5% Dextrose Injections
Oct.28.2016 at 18:52:26 MDT Page # 108
Baxter HealthCare
Product
Code
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
2B1134X
20 mEq/L Potassium 0338068304
Chloride in 5%
Dextrose
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
NA
NA
14
NonPVC
Yes
Patient Connectology >> Clamps
Drug Delivery >> Frozen Premix >> AZACTAM Injections
2G3527
2G3528
AZACTAM (aztreonam 0003223011
injection), 1
gram/50 mL, GALAXY
Plastic Container
AZACTAM (aztreonam 0003224011
injection), 2
gram/50 mL, GALAXY
Plastic Container
24
24
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> Pharmacy Pack, Amber
H9388505
H9388500
H9388160
H9388135
H9388120
H9388110
H9388105
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 5 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 0.5 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 60 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 35 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip ,Tip Cap
Included, 20 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 10 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 5 mL
500
Yes
500
Yes
25
Yes
100
Yes
100
Yes
100
Yes
100
Yes
Oct.28.2016 at 18:52:26 MDT Page # 109
Baxter HealthCare
Product
Code
H9388103
H9388101
H9388100
H9388510
H9388501
H9388503
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 3 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 1 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 0.5 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 10 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 1 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 3 mL
100
Yes
100
Yes
100
Yes
500
Yes
500
Yes
500
Yes
NonPVC
Automated Compounding Devices >> Automated Compounding - Components
H938711018
H93865
H9384858
EXACTAMIX Tube Set
Extension Piece
for Calibration,
External Thread.
Extension set
allows for
compounder
calibration
without
manipulating
sterile container
components
EXACTAMIX Tube Set
Extension,
Internal-toExternal Thread.
Extension set
allows for
compounder
calibration
without
manipulating
sterile container
components
Tamper-Resistent
Add-Port Cap, Red
plastic hinged
cap, sealed on one
end.
50
Yes
50
Yes
100
Yes
Oct.28.2016 at 18:52:26 MDT Page # 110
Baxter HealthCare
Product
Code
H93884E
H93884
H93879
H93878
H938711006
H9384213
H9384202
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Sterile Tube Setto-Bag Adapter,
External Thread.
Adapter with one
female luer lock
and one external
threaded
connector.
Sterile Tube Setto-Bag Adapter,
Internal Thread.
Adapter with one
female luer lock
and one internal
threaded
connector.
EXACTAMIX Gravity
Mixing Set with 3
Leads. Allows for
transferring and
mixing of
different
hyperalimentation
solutions into
EXACTAMIX Empty
Containers
EXACTAMIX Gravity
Mixing Set with 2
Leads. Allows for
transferring and
mixing of
different
hyperalimentation
solutions into
EXACTAMIX Empty
Containers
EXACTAMIX Large
Bore Cap, External
Thread. Threaded
cap for closing
container-filling
tubes and bag
ports.
EXACTAMIX Bag
Adapter, External
to External
Thread. Threaded
adapter for
accommodating
internal
connections to
containers.
EXACTAMIX Bag
Adapter, Internal
to Internal
Thread. Threaded
adapter for
accommodating
external
connections to
containers.
HOMECHOICE PRO
4994000449
50
Yes
50
Yes
50
Yes
50
Yes
50
Yes
50
Yes
50
Yes
and HOMECHOICE System >> Data Cards
SmartMedia Card
Reader USB Reader
- SmartMedia Card
(SM)
1
BioSurgery >> Actifuse Bone Graft Substitute
Oct.28.2016 at 18:52:26 MDT Page # 111
NonPVC
Baxter HealthCare
Product
Code
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
506005078054 ACTIFUSE Bone
Graft Substitute
E-Z-PREP 10 mL
506005078072 ACTIFUSE Bone
Graft Substitute
MIS, REFILL
CARTRIDGE 7.5 mL
506005078070 ACTIFUSE Bone
Graft Substitute
MIS, KIT 7.5 mL
Hemodialysis
5M2132
5M2121
5M2120
5M2119
1
Yes
1
Yes
1
Yes
>> Hemodialysis >> EXELTRA High Flux Dialyzers,
Cellulose Triacetate
EXELTRA 210
Dialyzer (for
single-use only)
EXELTRA 190
Dialyzer (for
single-use only)
EXELTRA 170
Dialyzer (for
single-use only)
EXELTRA 150
Dialyzer (for
single-use only)
24
Yes
24
Yes
24
Yes
24
Yes
Nutrition >> Automated Compounding - EXACTAMIX EVA Containers
H938742
H938743
H938741
H938740
H938739
H938738
H938737
NonPVC
EXACTAMIX Empty
EVA BAG 4000 mL
EXACTAMIX Empty
EVA (ethylene
vinyl acetate),
non-DEHP. Used for
Large Volume
Sterile Solutions,
non-reopening
clamp, 5000 mL
EXACTAMIX Empty
EVA (ethylene
vinyl acetate)
Bag, 3000 mL. For
use with EXACTAMIX
Compounder.
Sterile Fluid
Path. Non-DEHP.
EXACTAMIX Empty
EVA (ethylene
vinyl acetate)
Bag, 2000 mL. For
use with EXACTAMIX
Compounder.
EXACTAMIX Empty
EVA (ethylene
vinyl acetate)
Bag, 1000 mL. For
use with EXACTAMIX
Compounder.
EXACTAMIX Empty
EVA (ethylene
vinyl acetate)
Bag, 500 mL. For
use with EXACTAMIX
Compounder.
EXACTAMIX Empty
EVA (ethylene
vinyl acetate)
Bag, 250 mL. For
use with EXACTAMIX
Compounder.
Yes
Yes
50
Yes
Yes
50
Yes
Yes
50
Yes
Yes
50
Yes
Yes
50
Yes
Yes
50
Yes
Yes
Oct.28.2016 at 18:52:26 MDT Page # 112
Baxter HealthCare
Product
Code
H938735
H93852
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
EXACTAMIX Empty
Calibration Bag,
1000 mL
EXACTAMIX
Collection Bag,
2000 mL.
50
Yes
50
Yes
NonPVC
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> Out Patient Pack
H93873020
EXACTAMED Oral
Dispensers, OutPatient Pack,
Clear, 20 mL and
Universal Bottle
Adapter
50
Yes
Acute Renal Dialysis >> Acute Therapy Systems >> Acute Dialysis RENALFLO II Hemofilters
NA
NA
Tissue-Guard Family of Surgical Patches >> Tissue-Guard Family of
Surgical Patches >> Peri-Guard Pericardium Patch
PC1225NBIO
PC1016NBIO
PC0814NBIO
PC0608NBIO
PC0404NBIO
PERI-GUARD
Pericardium
12x25cm
PERI-GUARD
Pericardium
10x16cm
PERI-GUARD
Pericardium
8x14cm
PERI-GUARD
Pericardium
6x8cm
PERI-GUARD
Pericardium
4x4cm
JD01D2516
Yes
1
Yes
1
Yes
1
Yes
1
Yes
Patch
Patch
Patch
Patch
Hemodialysis
JD01D2238
1
Patch
>> NIPRO Disposable DOSE-SAVER Syringes
Nipro Disposable
DOSE-SAVER
Syringe, 1cc 22G x
1 1/2"
Nipro Disposable
DOSE-SAVER
Syringe, 1cc 25G x
5/8"
1000
1000
Surgical Tools >> Flo-Thru® Intraluminal Shunt
FT12300
FT12275
FT12250
FT12200
FT12175
FT12150
FLO-THRU
Intraluminal
Shunt, 3.00mm
FLO-THRU
Intraluminal
Shunt, 2.75mm
FLO-THRU
Intraluminal
Shunt, 2.50mm
FLO-THRU
Intraluminal
Shunt, 2.00mm
FLO-THRU
Intraluminal
Shunt, 1.75mm
FLO-THRU
Intraluminal
Shunt, 1.50mm
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
Oct.28.2016 at 18:52:26 MDT Page # 113
Baxter HealthCare
Product
Code
FT12125
FT12100
FT12225
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
FLO-THRU
Intraluminal
Shunt, 1.25mm
FLO-THRU
Intraluminal
Shunt, 1.00mm
FLO-THRU
Intraluminal
Shunt, 2.25mm
5
Yes
5
Yes
5
Yes
NonPVC
PRISMAFLEX System >> PRISMAFLEX System >> PRISMAFLEX M60/M100/150
Hemofilter Sets
106697
106696
109990
106697
106696
109990
PRISMAFLEX
Set
PRISMAFLEX
PRISMAFLEX
Set
PRISMAFLEX
Set
PRISMAFLEX
PRISMAFLEX
Set
M100
4
Yes
M60 Set
M150
4
4
Yes
Yes
M100
4
Yes
M60 Set
M150
4
4
Yes
Yes
Solutions >> PHOXILLUM Replacement Solutions
114484
114483
PHOXILLUM B22K4/0
Replacement
Solution for
Continuous Renal
Replacement
Therapy
PHOXILLUM BK4/2.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy
2
2
BioSurgery >> ADEPT Adhesion Reduction Solution
0600041
ADEPT® ADHESION
REDUCTION SOLUTION
[4% Icodextrin]
Hemodialysis
114555
114423
106051
106283
105753
>> Hemodialysis
TipStop
Compressive
Dressing
5 LITER EFFLUENT
BAG
RE-INFUSION LINE
SP-401
Recirculation
Adapter
DRAIN BAG SP-375
5LT
5
>> Hemodialysis Ancillary Items
200
50
Yes
20
Yes
100
Yes
40
Yes
Nutrition >> Other Nutrition Solutions
2B0306
Sterile Water for 0338001306
Injection, USP in
2000 mL VIAFLEX
Plastic Container.
Pharmacy Bulk
Package
6
Oct.28.2016 at 18:52:26 MDT Page # 114
Yes
Baxter HealthCare
Product
Code
2B0296H
2B0309
2B0307
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
70% Dextrose
0338071906
Injection, USP in
2000 mL VIAFLEX
Plastic Container.
Pharmacy Bulk
Package, Not for
Direct Infusion
Sterile Water for 0338001329
Injection, USP in
VIAFLEX Plastic
Container,
Pharmacy Bulk
Package
Sterile Water for 0338001308
Injection, USP in
VIAFLEX Plastic
Container.
Pharmacy Bulk
Package
6
2
4
Surgical Tools >> LapAssist® DCS Dilating and Closure System
NA
NA
Nutrition >> Ready To Use Multi Chamber Bags
2B7728
2B7710
2B7736
2B7740
2B7730
2B7732
CLINIMIX 4.25/20
sulfite-free
(4.25% Amino Acid
in 20% Dextrose)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
CLINIMIX 5/20
sulfite-free (5%
Amino Acid in 20%
Dextrose)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
CLINIMIX E 2.75/10
sulfite-free
(2.75% Amino Acid
with Electrolytes
in 10% Dextrose
with Calcium)
Injection in
CLARITY Dual
Chamber Container
CLINIMIX E 5/15
sulfite-free (5%
Amino Acid with
Electrolytes in
15% Dextrose with
Calcium)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
CLINIMIX 5/15
sulfite-free (5%
Amino Acid in 15%
Dextrose)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
CLINIMIX 5/25
sulfite-free (5%
Amino Acid in 25%
Dextrose)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
0338113503
6
Yes
0338110104
4
Yes
0338114303
6
Yes
0338114703
6
Yes
0338113703
6
Yes
0338113903
6
Yes
Oct.28.2016 at 18:52:26 MDT Page # 115
NonPVC
Baxter HealthCare
Product
Code
2B7722
2B7721
2B7719
2B7716
2B7711
2B7707
2B7706
2B7704
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CLINIMIX E 5/20
sulfite-free (5%
Amino Acid with
Electrolytes in
20% Dextrose with
Calcium)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
CLINIMIX E 5/15
sulfite-free (5%
Amino Acid with
Electrolytes in
15% Dextrose with
Calcium)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
CLINIMIX E 4.25/25
sulfite-free
(4.25% Amino Acid
with Electrolytes
in 25% Dextrose
with Calcium)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
CLINIMIX E 4.25/5
sulfite-free
(4.25% Amino Acid
with Electrolytes
in 5% Dextrose
with Calcium)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
CLINIMIX 5/25
sulfite-free (5%
Amino Acid in 25%
Dextrose)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
CLINIMIX 4.25/25
sulfite-free
(4.25% Amino Acid
in 25% Dextrose)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
CLINIMIX 4.25/20
sulfite-free
(4.25% Amino Acid
in 20% Dextrose)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
CLINIMIX 4.25/5
sulfite-free
(4.25% Amino Acid
in 5% Dextrose)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
0338112504
4
Yes
0338112304
4
Yes
0338111904
4
Yes
0338111304
4
Yes
0338110304
4
Yes
0338109504
4
Yes
0338109304
4
Yes
0338108904
4
Yes
Oct.28.2016 at 18:52:26 MDT Page # 116
NonPVC
Baxter HealthCare
Product
Code
2B7725
2B7738
2B7739
2B7729
2B7741
2B7737
2B7735
2B7742
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CLINIMIX 2.75/5
sulfite-free
(2.75% Amino Acid
in 5% Dextrose)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
CLINIMIX E 4.25/10
sulfite-free
(4.25% Amino Acid
with Electrolytes
in 10% Dextrose
with Calcium)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
CLINIMIX E 4.25/25
sulfite-free
(4.25% Amino Acid
with Electrolytes
in 25% Dextrose
with Calcium)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
CLINIMIX 4.25/25
sulfite-free
(4.25% Amino Acid
in 25% Dextrose)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
CLINIMIX E 5/20
sulfite-free (5%
Amino Acid with
Electrolytes in
20% Dextrose with
Calcium)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
CLINIMIX E 4.25/5
sulfite-free
(4.25% Amino Acid
with Electrolytes
in 5% Dextrose
with Calcium)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
CLINIMIX E 2.75/5
sulfite-free
(2.75% Amino Acid
with Electrolytes
in 5% Dextrose
with Calcium)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
CLINIMIX E 5/25
sulfite-free (5%
Amino Acid with
Electrolytes in
25% Dextrose with
Calcium)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
0338113203
6
Yes
0338114503
6
Yes
0338114603
6
Yes
0338113603
6
Yes
0338114803
6
Yes
0338114403
6
Yes
0338114203
6
Yes
0338114903
6
Yes
Oct.28.2016 at 18:52:26 MDT Page # 117
NonPVC
Baxter HealthCare
Product
Code
2B7717
2B7705
2B7713
2B7709
2B7714
2B7726
2B7723
2B7731
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CLINIMIX E 4.25/10
sulfite-free
(4.25% Amino Acid
with Electrolytes
in 10% Dextrose
with Calcium)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
CLINIMIX 4.25/10
sulfite-free
(4.25% Amino Acid
in 10% Dextrose)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
CLINIMIX E 2.75/5
sulfite-free
(2.75% Amino Acid
with Electrolytes
in 5% Dextrose
with Calcium)
Injection, 2000 mL
in CLARITY Dual
Chamber Container.
CLINIMIX 5/15
sulfite-free (5%
Amino Acid in 15%
Dextrose)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
CLINIMIX E 2.75/10
sulfite-free
(2.75% Amino Acid
with Electrolytes
in 10% Dextrose
with Calcium)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
CLINIMIX 4.25/5
sulfite-free
(4.25% Amino Acid
in 5% Dextrose)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
CLINIMIX E 5/25
sulfite-free (5%
Amino Acid with
Electrolytes in
25% Dextrose with
Calcium)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
CLINIMIX 5/20
sulfite-free (5%
Amino Acid in 20%
Dextrose)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
0338111504
4
Yes
0338109104
4
Yes
0338110704
4
Yes
0338109904
4
Yes
0338110904
4
Yes
0338113303
6
Yes
0338112704
4
Yes
0338113803
6
Yes
Oct.28.2016 at 18:52:26 MDT Page # 118
NonPVC
Baxter HealthCare
Product
Code
2B7727
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CLINIMIX 4.25/10
0338113403
sulfite-free
(4.25% Amino Acid
in 10% Dextrose)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
6
Yes
Rockwell >> CitraPure® 45X Liquid Acid Concentrate - Drums
L412655
L411655
L411055
L411755
L410755
L412455
L411455
L410855
CitraPure® Liquid
Concentrate Citrate 45X 3K
3Ca., 55 Gallons
CitraPure® Liquid
Concentrate Citrate 45X 2K
2.5Ca., 55 Gallons
CitraPure® Liquid
Concentrate Citrate 45X 3K 2
Ca., 55 Gallons
CitraPure® Liquid
Concentrate Citrate 45X 3K
2.5Ca. 55 Gallons
CitraPure® Liquid
Concentrate Citrate 45X 2K
1.5Ca. 55 Gallons
CitraPure® Liquid
Concentrate Citrate 45X 2K
3Ca., 55 Gallons
CitraPure® Liquid
Concentrate Citrate 45X 1K 2.5
Ca., 55 Gallons
CitraPure® Liquid
Concentrate Citrate 45X 2K 2
Ca. 55 Gallons
IV Access >> T-Connector Extension Sets - Standard Bore
2N3340
2N3327
T-Connector
Extension Set with
an INTERLINK
Injection Site,
Retractable TConnector, nonDEHP, Approximate
Volume 1.0 mL,
Approximate Length
5.5" (13.8 cm)
T-Connector
Extension Set, an
INTERLINK
Injection Site,
Rotating TConnector, NonDEHP, Approximate
Volume 1.0 mL,
Approximate Length
5.2" (13.2 cm)
200
200
Rockwell >> SteriLyte® Bicarbonate - Cases
Oct.28.2016 at 18:52:26 MDT Page # 119
Yes
NonPVC
Baxter HealthCare
Product
Code
RL014
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
SteriLyte® Liquid
Bicarbonate 36.83X, 1 Gallon
(3.78 liters),
Case Packaging: 4
each
SteriLyte® Liquid
Bircarbonate 45X, 1 Gallon
(3.78 liters),
Case Packaging: 4
each
CL024
4
4
HOMECHOICE PRO and HOMECHOICE System >> HOMECHOICE PRO
HOMECHOICE System >> Luer Disposable Sets
L5C4531
N5C8305C
L5C4531
N5C8305C
Automated PD Set
with Cassette
Automated PD Set
with Cassette
Automated PD Set
with Cassette
Automated PD Set
with Cassette
NonPVC
30
Yes
30
Yes
30
Yes
30
Yes
and
Frozen Premix >> Frozen Premix >> FORTAZ Injections
2G3536
2G3535
FORTAZ
(ceftazidime
injection), 2
gram/50 mL, GALAXY
Plastic Container
FORTAZ
(ceftazidime
injection), 1
gram/50 mL, GALAXY
Plastic Container
24
24
Rockwell >> Rockwell >> CitraPure® 36.83X Dry Acid Concentrate
D3145
D3140
D3134
CitraPure® Dry
Concentrate Citrate 36.83X, 2K
2.5Ca., 25 Gallons
CitraPure® Dry
Concentrate 36.83X, 1K 2.5Ca.,
25 Gallons
CitraPure® Dry
Concentrate Citrate 36.83X, 3K
2.5Ca., 25 Gallons
Frozen Premix >> Frozen Premix >> Cefepime Injections
2G3579
2G3578
Cefepime
0338130148
Injection, 2
gram/100 mL,
GALAXY Container
Cefepime
0338130141
Injection, 1
gram/50 mL, GALAXY
Container
12
24
Rockwell >> Rockwell >> CitraPure® 45X Dry Acid Concentrate
D4117
D4114
CitraPure® Dry
Concentrate Citrate 45X, 3K
2.5Ca., 25 Gallons
CitraPure® Dry
Concentrate Citrate 45X, 1K
2.5Ca., 25 Gallons
Oct.28.2016 at 18:52:26 MDT Page # 120
Baxter HealthCare
Product
Code
D4116
D4124
D4110
D4126
D4108
D4103
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CitraPure® Dry
Concentrate Citrate 45X, 2K
2.5Ca. 25 Gallons.
CitraPure® Dry
Concentrate Citrate 45X,
2K
3Ca., 25 Gallons
CitraPure® Dry
Concentrate Citrate 45X, 3K
2Ca., 25 Gallons
CitraPure® Dry
Concentrate Citrate 45X, 3K
3Ca., 25 Gallons
CitraPure® Dry
Concentrate Citrate 45X, 2K
2Ca., 25 Gallons
CitraPure® Dry
Concentrate Citrate 45X, 2K
2.25Ca., 25
Gallons
Surgical Tools >> Vascular Probe Standard
7452025
7451520
7451015
7152025
7151520
7151015
7082025
7081520
7081015
VASCULAR PROBE,
Standard, 45cm,
2.0-2.5mm
VASCULAR PROBE,
Standard, 45cm,
1.5-2.0mm
VASCULAR PROBE,
Standard, 45cm,
1.0-1.5mm
VASCULAR PROBE,
Standard, 15cm,
2.0-2.5mm
VASCULAR PROBE,
Standard, 15cm,
1.5-2.0mm
VASCULAR PROBE,
Standard, 15cm,
1.0-1.5mm
VASCULAR PROBE,
Standard, 8cm,
2.0-2.5mm
VASCULAR PROBE,
Standard, 8cm,
1.5-2.0mm
VASCULAR PROBE,
Standard, 8cm,
1.0-1.5mm
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
Infusion Systems >> SIGMA Spectrum Infusion System
35162
35700BAX
35724
SIGMA SPECTRUM
Wireless Battery
Module
SIGMA SPECTRUM
Infusion System
SIGMA SPECTRUM
Standard Battery #
35724
1
1
Yes
1
Yes
IV Access >> Catheter Extension Sets - Standard Bore
Oct.28.2016 at 18:52:26 MDT Page # 121
NonPVC
Baxter HealthCare
Product
Code
2N1196
2N1194
2N3376
2N3378
2N3375
2N8378
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Y-Type Catheter
Extension Set,
Male Luer Lock
Adapter with
Retractable
Collar, non- DEHP,
Approximate Volume
1.0 mL,
Approximate Length
5.3" (13.5 cm)
I.V. Catheter
Extension Set with
Male Luer Lock
Adapter, non-DEHP,
Approximate Volume
0.3 mL,
Approximate Length
7.0" (17.8 cm)
Y-Type Catheter
Extension Set, 2
INTERLINK
Injection Sites,
Male Luer Lock
Adapter, non-DEHP,
Approximate Volume
1.1 mL,
Approximate Length
5.5" (14 cm)
I.V. Catheter
Extension Set, an
INTERLINK
Injection Site,
Male Luer Lock
Adapter with
Retractable
Collar, non-DEHP,
Approximate Volume
0.9 mL,
Approximate Length
7.3" (18.5 cm)
Catheter Extension
Set, an INTERLINK
Injection Site,
Make Luer Lock
Adapter, non-DEHP,
Approximate Volume
0.83 mL,
Approximate Length
6.6" (17 cm)
Catheter Extension
Set, a CLEARLINK
Luer Activated
Valve, Male Luer
Lock Adapter with
Retractable
Collar, non-DEHP,
Approximate Volume
0.9 mL,
Approximate Length
7.6" (19.3 cm)
50
Yes
Yes
50
Yes
Yes
200
Yes
Yes
200
Yes
Yes
200
Yes
Yes
50
Yes
Yes
Oct.28.2016 at 18:52:26 MDT Page # 122
NonPVC
Baxter HealthCare
Product
Code
2N8377
2N1206
2N1333
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Non-DEHP Y-Type
Catheter Extension
Set, CLEARLINK
Luer Activated
Valve, Male Luer
Lock Adapter with
Retractable
Collar,
Approximate Length
6.5" (16.5 cm),
Approximate Volume
1.2 mL
I.V. Catheter
Extension Set,
Male Luer Lock
Adapter with
Retractable
Collar, non-DEHP,
Approximate Volume
0.67 mL,
Approximate Length
5.7" (14 cm)
Non-DEHP Standard
Bore Catheter
Extension Set,
Power Injectable
(325 psi/2241
kPa), Male Luer
Lock Adapter with
Retractable
Collar,
Approximate Length
6.5" (16 cm),
Approximate Volume
0.55 mL
50
Yes
50
Yes
200
Yes
Yes
Yes
Frozen Premix >> Nafcillin Injections
2G3556
2G3540
Nafcillin
0338101948
Injection, USP, 2
gram/100 mL,
GALAXY Plastic
Container
Nafcillin
0338101741
Injection, USP, 1
gram/50 mL, GALAXY
Plastic Container
12
24
Peritoneal Dialysis >> Patient Connectology
NA
NA
EXACTAMED Oral and Enteral Systems >> Ward Pack, Amber
H93882520
EXACTAMED Oral
Dispenser, Ward
Pack, Amber and
Clear, Tip Cap
Attached, 20 mL
100
Yes
Liquid Premix >> Liquid Premix >> CARDENE Injections
2G3437
2G3442
CARDENE
1012231401
(nicardipine
hydrochloride) 0.1
mg/mL premixed
injection in 4.8%
Dextrose (20 mg in
200 mL)
CARDENE
1012231301
(nicardipine
hydrochloride) 0.1
mg/mL premixed
injection in 0.86%
Sodium Chloride
(20 mg in 200 mL)
40
40
Oct.28.2016 at 18:52:26 MDT Page # 123
NonPVC
Baxter HealthCare
Product
Code
2G3441
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CARDENE
1012232501
(nicardipine
hydrochloride) 0.2
mg/mL premixed
injection in 0.83%
Sodium Chloride
(40 mg in 200 mL)
CARDENE
1012232601
(nicardipine
hydrochloride) 0.2
mg/mL premixed
injection in 5%
Dextrose (40 mg in
200 mL)
2G3439
HOMECHOICE PRO
NonPVC
40
40
and HOMECHOICE System >> APD Drain Supplies
NA
NA
2J0900
Milrinone Lactate 0338601048
in 5% Dextrose
Injection, 20
mg/100 mL (200
mcg/mL), 100 mL
INTRAVIA Container
Milrinone Lactate 0338601137
5% in Dextrose
Injection, 40
mg/200 mL (200
mcg/mL), 200 mL
INTRAVIA Plastic
Container
Liquid Premix >> Milrinone Lactate Injections
2J0901
10
10
IV Access >> Extension Sets - Minivolume
2C5687
2C5685
Minivolume
Extension Set with
Male Luer Lock
Adapter,
Approximate Volume
1.6 mL,
Approximate Length
72" (1.83 cm)
Minivolume
Extension Set with
Male Luer Lock
Adapter.
Approximate Volume
0.8 mL,
Approximate Length
35" (88 cm)
48
Yes
48
Frozen Premix >> CLAFORAN Injections
NA
NA
Pharmacy Admixture Tools >> Pharmacy Admixture Tools >> RAPIDFILL
Connectors
H93813701
H93842703
RAPIDFILL
Connectors, Luer
Lock-to-Luer Slip.
Blue
RAPIDFILL
Connector, Luer
Lock-to-Oral Slip,
Clear,
Individually
packaged, Sterile
50
Yes
50
Yes
Oct.28.2016 at 18:52:26 MDT Page # 124
Baxter HealthCare
Product
Code
H93842705
H93842701
H93813915
H93813901
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
RAPIDFILL
Connector, Oral
Slip-to-Oral Slip
to transfer fluids
from one EXACTAMED
Oral Dispenser to
another. Clear
with red cap
Luer Lock-to-Oral
Slip RAPIDFILL
Connector. Connect
EXACTAMED Oral
Dispensers to luer
fitting devices.
Clear.
RAPIDFILL
Connectors, Luer
Lock-to-Luer Lock
with Cap, Red
RAPIDFILL
Connectors, Luer
Lock-to-Luer Lock,
Red
50
Yes
50
Yes
50
Yes
50
Yes
Solutions >> Solutions >> PrismaSol Solutions, PVC
115647
115647
PrismaSoL
Replacement
Solutions for
Continuous Renal
Replacement
Therapy, PVC
PRISMASOL
BGK4/3.52X5L
PrismaSoL
Replacement
Solutions for
Continuous Renal
Replacement
Therapy, PVC
PRISMASOL
BGK4/3.52X5L
1
1
IV Access >> Paclitaxel Sets
2C8875
2C7558
Solution Set with
DUO-VENT Spike
with Polyethylene
Lined Tubing, nonDEHP Pump Segment,
CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter
Non-Vented
Paclitaxel Set,
Polyethylene Lined
Tubing, INTERLINK
Injection Site,
non-DEHP, 12" Pump
Segment, 0.22
Micron Downstream
High Pressure
Filter.
Approximate Length
107" (2.7 m),
Approximately 10
drops/mL
48
Yes
48
Yes
Oct.28.2016 at 18:52:26 MDT Page # 125
Yes
NonPVC
Baxter HealthCare
Product
Code
2C8858
2C7557
2C8857
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Paclitaxel Set
with Polyethlyene
Lined Tubing, nonDEHP Pump Segment,
0.22 Micron
Downstream High
Pressure Extended
Life Filter, a
CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
107" (2.7 m)
Vented Paclitaxel
Set with
Polyethylene Lined
Tubing, INTERLINK
Injection Site,
0.22 Micron
Downstream High
Pressure Filter,
non-DEHP 12" Pump
Segment.
Approximate Length
108" (2.7 m),
Approximately 10
drops/mL
Vented Paclitaxel
Set with
Polyethlyene Lined
Tubing, non-DEHP
Pump Segment, 0.22
Micron Downstream
High Pressure
Extended Life
Filter, a
CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
107" (2.7 m)
48
Yes
Yes
48
Yes
Yes
48
Yes
Yes
NonPVC
Acute Renal Dialysis >> Continuous Renal Replacement Therapy (CRRT)
113081
Prismaflex 7.1
Control Unit
1
H93813701
RAPIDFILL
Connectors, Luer
Lock-to-Luer Slip.
Blue
RAPIDFILL
Connector, Luer
Lock-to-Oral Slip,
Clear,
Individually
packaged, Sterile
RAPIDFILL
Connector, Oral
Slip-to-Oral Slip
to transfer fluids
from one EXACTAMED
Oral Dispenser to
another. Clear
with red cap
Yes
Pharmacy Admixture Tools >> RAPIDFILL Connectors
H93842703
H93842705
50
Yes
50
Yes
50
Yes
Oct.28.2016 at 18:52:26 MDT Page # 126
Baxter HealthCare
Product
Code
H93842701
H93813915
H93813901
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Luer Lock-to-Oral
Slip RAPIDFILL
Connector. Connect
EXACTAMED Oral
Dispensers to luer
fitting devices.
Clear.
RAPIDFILL
Connectors, Luer
Lock-to-Luer Lock
with Cap, Red
RAPIDFILL
Connectors, Luer
Lock-to-Luer Lock,
Red
50
Yes
50
Yes
50
Yes
NonPVC
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> Cost Containment Pack, Amber
H93884210
H93884205
H93884203
H93884201
EXACTAMED Oral
Dispenser, CostContainment Pack,
Amber, Bulk, Tip
Caps Included, 10
mL
EXACTAMED Oral
Dispenser, CostContainment Pack,
Amber, Bulk, Tip
Caps Included, 5
mL
EXACTAMED Oral
Dispenser, CostContainment Pack,
Amber, Bulk, Tip
Caps Included, 3
mL
EXACTAMED Oral
Dispenser, CostContainment Pack,
Amber, Bulk, Tip
Caps Included, 1
mL
1800
Yes
1500
Yes
2500
Yes
3000
Yes
Patient Connectology >> Catheter Supplies
NA
NA
Surgical Tools >> Vascular Probe Extra Supple
7452025ES
7451520ES
7451015ES
7152025ES
7151520ES
7151015ES
7082025ES
VASCULAR PROBE,
Extra Supple,
45cm, 2.0-2.5mm
VASCULAR PROBE,
Extra Supple,
45cm, 1.5-2.0mm
VASCULAR PROBE,
Extra Supple,
45cm, 1.0-1.5mm
VASCULAR PROBE,
Extra Supple,
15cm, 2.0-2.5mm
VASCULAR PROBE,
Extra Supple,
15cm, 1.5-2.0mm
VASCULAR PROBE,
Extra Supple,
15cm, 1.0-1.5mm
VASCULAR PROBE,
Extra Supple, 8cm,
2.0-2.5mm
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
Oct.28.2016 at 18:52:26 MDT Page # 127
Baxter HealthCare
Product
Code
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
7081520ES
VASCULAR PROBE,
Extra Supple, 8cm,
1.5-2.0mm
2F7122
0.9% Sodium
Chloride
Irrigation, USP,
250 mL Plastic
Pour Bottle
Sterile Water for
Irrigation, USP,
1500 mL Plastic
Pour Bottle
3% Sorbitol
Urologic
Irrigating
Solution
0.9% Sodium
Chloride
Irrigation, USP,
1000 mL UROMATIC
Plastic Container
Sterile Saline for
Device Care 250
mL (0.9% Sodium
Chloride
Solution). Plastic
Pour Bottle
Container
Sterile Water for
Irrigation, USP,
1000 mL UROMATIC
Plastic Container
0.9% Sodium
Chloride
Irrigation, USP,
500 mL Plastic
Pour Bottle
0.9% Sodium
Chloride
Irrigation, USP,
ARTHROMATIC
Plastic Container,
5000 mL
0.9% Sodium
Chloride
Irrigation, USP,
3000 mL
ARTHROMATIC
Plastic Container
0.9% Sodium
Chloride
Irrigation, USP.
Baxter Sterile
Container System.
0.9% Sodium
Chloride
Irrigation, USP,
3000 mL UROMATIC
Plastic Container
0.9% Sodium
Chloride
Irrigation, USP,
2000 mL UROMATIC
Plastic Container
5
Yes
Drug Delivery >> Irrigation Solutions
2F7115
2B7357
2B7124X
2F7121
2B7114X
2F7123
2B7479
2B7477
2B7231
2B7127
2B7126
0338004802
24
Yes
0338000405
9
Yes
0338029547
4
0338004744
14
Yes
24
0338000344
14
Yes
0338004803
18
Yes
0338004729
2
0338004727
4
Yes
0338005144
6
Yes
0338004747
4
Yes
0338004746
6
Yes
Oct.28.2016 at 18:52:26 MDT Page # 128
NonPVC
Baxter HealthCare
Product
Code
2B7116
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Sterile Water for
Irrigation, USP,
2000 mL UROMATIC
Plastic Container
0.25% Acetic Acid
Irrigation, USP,
1000 mL Plastic
Pour Bottle
TIS-U-SOL Solution
(Pentalyte
Irrigation), 1000
mL Plastic Pour
Bottle
0.9% Sodium
Chloride
Irrigation, USP,
1500 mL Plastic
Pour Bottle
0.9% Sodium
Chloride
Irrigation, USP,
1000 mL Plastic
Pour Bottle
Sterile Water for
Irrigation, USP,
1000 mL, Plastic
Pour Bottle
Sterile Water for
Irrigation, USP,
500 mL Plastic
Pour Bottle
Sterile Water For
Irrigation, USP,
250 mL Plastic
Pour Bottle
Sterile Water for
Irrigation, USP,
3000 mL UROMATIC
Plastic Container
2F7184
2F7144
2F7125
2F7124
2F7114
2F7113
2F7112
2B7117
0338000346
6
Yes
0338065604
12
Yes
0338019004
12
Yes
0338004805
9
Yes
0338004804
12
Yes
0338000404
12
Yes
0338000403
18
Yes
0338000402
24
Yes
0338000347
4
Yes
IV Solutions >> Potassium Chloride in 5% Dex. & 0.9% NACL
2B2454X
2B2434X
40 mEq/L Potassium 0338080704
Chloride in 5%
Dextrose and 0.9%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
20 mEq/L Potassium 0338080304
Chloride in 5%
Dextrose and 0.9%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
14
Yes
14
Yes
Liquid Premix >> Liquid Premix >> Potassium Chloride Highly
Concentrated Injections
2B0823
Highly
0338070748
Concentrated
Potassium Chloride
Injection, 30
mEq/100 mL,
VIAFLEX Plus
Container
24
Oct.28.2016 at 18:52:26 MDT Page # 129
Yes
NonPVC
Baxter HealthCare
Product
Code
2B0827
2B0826
2B0824
2B0822
2B0821
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Highly
Concentrated
Potassium Chloride
Injection, 20
mEq/100 mL VIAFLEX
Plus Container
Highly
Concentrated
Potassium Chloride
Injection, 10
mEq/100 mL,
VIAFLEX Plus
Container
Highly
Concentrated
Potassium Chloride
Injection, 40
mEq/100 mL,
VIAFLEX Plus
Container
Highly
Concentrated
Potassium Chloride
Injection, 20
mEq/50 mL, VIAFLEX
Plus Container
Highly
Concentrated
Potassium Chloride
Injection, 10
mEq/50 mL, VIAFLEX
Plus Container
0338070548
24
0338070948
24
0338070348
24
0338070341
24
0338070541
24
NonPVC
Yes
Liquid Premix >> Liquid Premix >> Milrinone Lactate Injections
2J0900
2J0901
Milrinone Lactate 0338601048
in 5% Dextrose
Injection, 20
mg/100 mL (200
mcg/mL), 100 mL
INTRAVIA Container
Milrinone Lactate 0338601137
5% in Dextrose
Injection, 40
mg/200 mL (200
mcg/mL), 200 mL
INTRAVIA Plastic
Container
10
10
Accessories >> Accessories >> GAMCATH HighFlow Dolphin Catheters
MSGDHC1115JA GamCath HighFlow
Dolphin
Catheters,11.5 Fr
double lumen
short-term
dialysis catheter.
MSGDHC1115A GamCath
HighFlowDolphin
Catheters, 11.5 Fr
double lumen
short-term
dialysis catheter
MSGDHC1325A GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
5
Yes
5
Yes
5
Oct.28.2016 at 18:52:26 MDT Page # 130
Baxter HealthCare
Product
Code
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
MSGDHC1320JA GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1320A GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1315JA GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1315A GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1125A GamCath HighFlow
Dolphin Catheters,
11.5 Fr double
lumen short-term
dialysis catheter.
MSGDHC1120JA GamCath HighFlow
Dolphin Catheters,
11.5 Fr double
lumen short-term
dialysis catheter.
MSGDHC1120A GamCath HighFlow
Dolphin Catheters,
11.5 Fr double
lumen short-term
dialysis catheter.
5
NonPVC
Yes
5
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
Immunoglobulin >> GAMMAGARD S/D [Immune Globulin Intravenous (Human)],
IgA less than 1 g/mL in a 5% solution
NA
NA
Automated Compounding Devices >> Automated Compounding Devices >>
Automated Compounding - Components
H938711018
H93865
EXACTAMIX Tube Set
Extension Piece
for Calibration,
External Thread.
Extension set
allows for
compounder
calibration
without
manipulating
sterile container
components
EXACTAMIX Tube Set
Extension,
Internal-toExternal Thread.
Extension set
allows for
compounder
calibration
without
manipulating
sterile container
components
50
Yes
50
Yes
Oct.28.2016 at 18:52:26 MDT Page # 131
Baxter HealthCare
Product
Code
H9384858
H93884E
H93884
H93879
H93878
H938711006
H9384213
H9384202
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Tamper-Resistent
Add-Port Cap, Red
plastic hinged
cap, sealed on one
end.
Sterile Tube Setto-Bag Adapter,
External Thread.
Adapter with one
female luer lock
and one external
threaded
connector.
Sterile Tube Setto-Bag Adapter,
Internal Thread.
Adapter with one
female luer lock
and one internal
threaded
connector.
EXACTAMIX Gravity
Mixing Set with 3
Leads. Allows for
transferring and
mixing of
different
hyperalimentation
solutions into
EXACTAMIX Empty
Containers
EXACTAMIX Gravity
Mixing Set with 2
Leads. Allows for
transferring and
mixing of
different
hyperalimentation
solutions into
EXACTAMIX Empty
Containers
EXACTAMIX Large
Bore Cap, External
Thread. Threaded
cap for closing
container-filling
tubes and bag
ports.
EXACTAMIX Bag
Adapter, External
to External
Thread. Threaded
adapter for
accommodating
internal
connections to
containers.
EXACTAMIX Bag
Adapter, Internal
to Internal
Thread. Threaded
adapter for
accommodating
external
connections to
containers.
100
Yes
50
Yes
50
Yes
50
Yes
50
Yes
50
Yes
50
Yes
50
Yes
Peritoneal Dialysis >> Peritoneal Dialysis Hardware
Oct.28.2016 at 18:52:26 MDT Page # 132
NonPVC
Baxter HealthCare
Product
Code
5C9320
R5C4522
5C8310
5C4471
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
AMIA Automated
Peritoneal
Dialysis System
with Sharesource
Connectivity
Platform
SmartMedia Data
Card for
HomeChoice PRO
HOMECHOICE PRO
Automated PD
System
HOMECHOICE
Automated PD
System
1
Yes
6
Yes
1
Yes
1
Yes
HOMECHOICE PRO and HOMECHOICE System >> HOMECHOICE PRO
HOMECHOICE System >> Extension Lines
NA
NA
NA
NA
7N8391
ONE-LINK non-DEHP
Standard Bore
Catheter Extension
Set, Bonded
Needle-free IV
Connector with
Neutral Fluid
Displacment, Power
Injectable (325
psi/2241 kPa),
Male Luer Lock
Adapter with
Retractable
Collar.
ONE-LINK non-DEHP
Microbore Catheter
Extension Set,
Needle-Free IV
Connector with
Neutral Fluid
Displacement,
Power Injectable
(325 psi/2241
kPa), Male Luer
Lock Adapter.
ONE-LINK non-DEHP
Standard Bore
Catheter Extension
Set, Needle-free
IV Connector with
Neutral Fluid
Displacment, Power
Injectable (325
psi/2241 kPa),
Male Luer Lock
Adapter with
Retractable
Collar.
ONE-LINK Needlefree IV Connector
with Neutral Fluid
Displacement,
Power Injectable
(325 psi / 2241
kPa)
Yes
NonPVC
Yes
and
IV Access >> One-Link
7N8310
7N8301
7N8399
200
Yes
Yes
200
Yes
Yes
200
Yes
Yes
200
Yes
Yes
Oct.28.2016 at 18:52:26 MDT Page # 133
Yes
Baxter HealthCare
Product
Code
7N8378
7N8377
7N8371
7N8300
7N8390
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
ONE-LINK Non-DEHP
Standard Bore
Catheter Extension
Set. Needle-free
IV Connector with
Neutral Fluid
Displacement
ONE-LINK Non-DEHP
Y-Type Standard
Bore Catheter
Extension Set.
Needle-free IV
Connector with
Neutral Fluid
Displacement
ONE-LINK Non-DEHP
Y-Type Microbore
Catheter Extension
Set. Needle-free
IV Connector with
Neutral Fluid
Displacement
ONE-LINK Non-DEHP
Microbore Catheter
Extension Set.
Needle-free IV
Connector with
Neutral Fluid
Displacement,
Power Injectable
(325 psi/2241 kPa)
ONE-LINK non-DEHP
Microbore Catheter
Extension Set,
Bonded Needle-free
IV Connector with
Neutral Fluid
Displacment, Power
Injectable (325
psi/2241 kPa),
Male Luer Lock
Adapter with
Retractable
Collar.
200
Yes
Yes
200
Yes
Yes
200
Yes
Yes
200
Yes
Yes
200
Yes
Yes
NonPVC
BioSurgery >> Peri-Strips Dry® with Veritas >> Ultra-Thin Linear
Staple Line Buttress
NA
NA
HOMECHOICE PRO
NA
and HOMECHOICE System >> Carrying Case
NA
Concentrates and Bicarbonate >> Hemodialysis
114746
114745
100691
110634
110633
104324
103403
REVACLEAR 400
Dialyzer
REVACLEAR 300
Dialyzer
Polyflux 21R are
intended for use
in hemodialysis.
Polyflux REVACLEAR
MAX Dialyzer
Polyflux REVACLEAR
Dialyzer
Polyflux 24 R
Capillary Dialyzer
Polyflux 6H
Capillary Dialyzer
Filter
>> POLYFLUX Dialyzers
24
Yes
24
Yes
16
Yes
24
Yes
24
Yes
16
Yes
16
Yes
Oct.28.2016 at 18:52:26 MDT Page # 134
Baxter HealthCare
Product
Code
101785
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Polyflux 17R are
intended for use
in hemodialysis
Hemodialysis
H25605A
H25604A
H25603A
H25602A
H25601A
H25606A
16
NonPVC
Yes
>> XENIUM XPH Dialyzers, High Flux, Synthetic
Xenium XPH 190
Dialyzer (for
single use only)
Xenium XPH 170
Dialyzer (for
single use only)
Xenium XPH 150
Dialyzer (for
single use only)
Xenium XPH 130
Dialyzer (for
single use only)
Xenium XPH 110
Dialyzer (for
single use only)
Xenium XPH 210
Dialyzer (for
single use only)
24
Yes
24
Yes
24
Yes
24
Yes
24
Yes
24
Yes
Acute Renal Dialysis >> Molecular Adsorbent Recirculating System
(MARS)
800541
800480
Molecular
Adsorbent
Recirculating
System Treatment
Kit 1116/1-X-MARS
Molecular
Adsorbent
Recirculating
System (MARS)
Treatment Kit
1115/1-PrisMARS US
1
1
Infusion Systems >> Accessories
2M3008
RD0612
55092NS
8HOOK247
35743
Four Pump Carrier
for IV Pole, UL
listed hospital
grade 6 outlet
electrical strip.
Three Pump Carrier
for IV Pole, UL
listed 4 outlet
power strip
Tandem Carrier for
IV Pole for SIGMA
Spectrum Infusion
System
8 Hook Rake Top
replacement
options for
existing 4 Hook
Pigtail Top
Double Rotating IV
Pole Clamp for
SIGMA Spectrum
Infusion System
1
1
Yes
1
Yes
1
Yes
1
Yes
Yes
Anesthesia & Critical Care >> Postoperative Nausea and Vomiting
1001955302
TRANSDERM SCP®
(scopolamine)
Transdermal System
1.5 mg Patch - 24
Pack
24
Oct.28.2016 at 18:52:26 MDT Page # 135
Baxter HealthCare
Product
Code
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
1001955301
TRANSDERM SCP®
1001955301
(scopolamine)
Transdermal System
1.5 mg Patch - 10
pack
2B8071
VIAL-MATE Adaptor.
Only for single
dose vials with 20
mm closure and
VIAFLEX
containers.
2B0010
10% PREMASOL sulfite-free
(Amino Acid)
Injection, 2000 mL
in VIAFLEX Plastic
Container.
Pharmacy Bulk
Package. Not for
Direct Infusion.
10% PREMASOL sulfite-free
(Amino Acid)
Injection, 1000 mL
in VIAFLEX Plastic
Container.
Pharmacy Bulk
Package. Not for
Direct Infusion.
15% CLINISOL sulfite-free
(Amino Acid)
Injection, 500 mL
in VIAFLEX Plastic
Container.
Pharmacy Bulk
Package. Not for
Direct Infusion.
10% TRAVASOL
(Amino Acid)
Injection, 500 mL
in VIAFLEX Plastic
Container.
Pharmacy Bulk
Package. Not for
Direct Infusion.
15% CLINISOL sulfite-free
(Amino Acid)
Injection, 2000 mL
in VIAFLEX Plastic
Container.
Pharmacy Bulk
Package. Not for
Direct Infusion.
20% PROSOL sulfite-free
(Amino Acid)
Injection, 2000 mL
VIAFLEX Plastic
Container.
Pharmacy Bulk
Package. Not for
Direct Infusion.
NonPVC
10
Drug Delivery >> Reconstitution Systems
200
Yes
Nutrition >> Amino Acids
2B0009
2B6187
1B6623
2B6189
2B6186
0338113006
6
0338113004
12
Yes
0338050203
24
Yes
0338064403
24
Yes
0338050206
6
Yes
0338049906
6
Yes
Oct.28.2016 at 18:52:26 MDT Page # 136
Yes
Yes
Baxter HealthCare
Product
Code
2B0011
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
6% PREMASOL 0338113103
sulfite-free
(Amino Acid)
Injection, 500 mL
in VIAFLEX Plastic
Container.
Pharmacy Bulk
Package. Not for
Direct Infusion.
10% TRAVASOL
0338064404
(Amino Acid)
Injection, 1000 mL
in VIAFLEX Plastic
Container.
Pharmacy Bulk
Package. Not for
Direct Infusion.
10% PREMASOL 0338113003
sulfite-free
(Amino Acid)
Injection, 500 mL
in VIAFLEX Plastic
Container.
Pharmacy Bulk
Package. Not for
Direct Infusion.
1B6624
2B0012
24
12
Yes
24
Rockwell >> Mixer
NA
NA
EXACTAMED Oral and Enteral Systems >> Pharmacy Pack, Amber
H9388505
H9388500
H9388160
H9388135
H9388120
H9388110
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 5 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 0.5 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 60 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 35 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip ,Tip Cap
Included, 20 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 10 mL
500
Yes
500
Yes
25
Yes
100
Yes
100
Yes
100
Yes
Oct.28.2016 at 18:52:26 MDT Page # 137
NonPVC
Baxter HealthCare
Product
Code
H9388105
H9388103
H9388101
H9388100
H9388510
H9388501
H9388503
Description
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 5 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 3 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 1 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 0.5 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 10 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 1 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Amber, Non-Luer
Slip, Tip Cap
Included, 3 mL
Hemodialysis
FS1525BC
FT162530BCR
FT152530BCR
FT152530BC
FT162530BC
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
100
Yes
100
Yes
100
Yes
100
Yes
500
Yes
500
Yes
500
Yes
NonPVC
>> NIPRO TULIP Safety Fistula Needle, Single Needle
Nipro SAFETOUCH II
Safety Fistula
Needle, Single
Needle Set, 15G x
1", fixed hub
Nipro Tulip Safety
Fistula Needle,
16G x 1" Rotating
Hub w/Backeye
Nipro Tulip Safety
Fistula Needle,
15G x 1" Rotating
Hub w/Backeye
Nipro Tulip Safety
Fistula Needle,
15G x 1" Fixed Hub
w/Backeye
Nipro Tulip Safety
Fistula Needle,
16G x 1" Fixed Hub
w/Backeye
500
Yes
300
Yes
300
Yes
300
300
Oct.28.2016 at 18:52:26 MDT Page # 138
Baxter HealthCare
Product
Code
Description
FS1725BC
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Nipro SAFETOUCH II
Safety Fistula
Needle, Single
Needle Set, 17G x
1", fixed hub
FT173230BC
NIPRO SafeTouch
Tulip Safety
17Gx1.25" Fistula
Needle, Fixed Hub,
Single Pack
FT172530BCR NIPRO SafeTouch
Tulip Safety
17Gx1" Fistula
Needle, Rotating
Hub
FT172530BC
NIPRO SafeTouch
Tulip Safety
Fistula Needle,
17Gx1" Fixed Hub,
Single Pack
FD152530BCCA NIPRO Biohole Dull
P
Fistula Needle,
15Gx1" Fixed Hub,
Single with CAPICK
Scab Remover
FT153230BC
Nipro Tulip Safety
Fistula Needle,
15G x 1 1/4" Fixed
Hub w/Backeye,
Single Needle Set
500
NonPVC
Yes
300
300
300
50
300
Actifuse Bone Graft Substitute >> ACTIFUSE Bone Graft Substitute SHAPE
506005078068 ACTIFUSE Bone
Graft Substitute
SHAPE 15.8 mL
506005078066 ACTIFUSE Bone
Graft Substitute
SHAPE 8 mL
506005078064 ACTIFUSE Bone
Graft Substitute
SHAPE 2.6 mL
506005078062 ACTIFUSE Bone
Graft Substitute
SHAPE 1.6 mL
1
Yes
1
Yes
1
Yes
1
Yes
Surgical Tools >> Flo-Rester® Internal Vessel Occluder-Coronary
50300
50275
50250
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 3.00mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 2.75mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 2.50mm
bulb diameter
5
Yes
5
Yes
5
Yes
Oct.28.2016 at 18:52:26 MDT Page # 139
Baxter HealthCare
Product
Code
50225
50200
50175
50150
50125
50450BIOS
50400
50350
50100
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 2.25mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 2.00mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 1.75mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 1.50mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 1.25mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 4.50mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 4.00mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 3.50mm
bulb diameter
FLO-RESTER
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 1.00mm
bulb diameter
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
5
Yes
IV Solutions >> IV Solutions >> Lactated Ringer's Injections
2B7487
Lactated Ringer's
Irrigation, 3000
mL ARTHROMATIC
Plastic Container
0338013727
4
Oct.28.2016 at 18:52:26 MDT Page # 140
Yes
NonPVC
Baxter HealthCare
Product
Code
2B2322Q
2B2074X
2B2324X
2B7489
2F7154
2B2323Q
6E2323
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Lactated Ringer's
Injection, USP,
250 mL VIAFLEX
Plastic Container
Lactated Ringer's
and 5% Dextrose
Injection, USP
Lactated Ringer's
Injection, USP,
1000 mL VIAFLEX
Plastic Container
Lactated Ringer's
Irrigation, 5000
mL, ARTHROMATIC
Plastic Container
Lactated Ringer's
Irrigation, 1000
mL, Plastic Pour
Bottle Container
Lactated Ringer's
Injection, USP,
500 mL VIAFLEX
Plastic Container
Lactated Ringer's
Injection, USP,
500 mL AVIVA
Plastic Container
0338011702
36
Yes
0338012504
14
Yes
0338011704
14
Yes
0338013729
2
Yes
12
0338011703
24
Yes
0338630703
24
Yes
IV Access >> CONTINU-FLO Solution Sets
2C6519
2C8546
2C8541
CONTINU-FLO
Solution Set with
2 INTERLINK
Injection Sites,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximately 10
drops per mL,
Approximate Length
89" (2.2 m)
CONTINU-FLO
Solution Set with
3 CLEARLINK
Injection Sites,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximately 60
drops per mL,
Approximate Length
105" (2.7 m)
CONTINU-FLO
Solution set with
DUO-VENT Spike and
3 CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximately 10
drops per mL,
Approximate Length
105" (2.7 m)
48
48
Yes
48
Yes
Oct.28.2016 at 18:52:26 MDT Page # 141
NonPVC
Baxter HealthCare
Product
Code
2C8895
2C6541
2C6537
2C6511
2C6895
2C8537
2C8519
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CONTINU-FLO
Solution Set with
CONTROL-A-FLO
Regulator and 2
CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximately 10
drops per mL,
Approximate Length
96" (2.4 m)
CONTINU-FLO
Solution Set with
DUO-VENT Spike and
3 INTERLINK
Injection Sites,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
106" (2.7 m)
CONTINU-FLO
Solution Set with
3 INTERLINK
Injection Sites,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
110" (2.8 m)
CONTINU-FLO
Solution Set with
2 INTERLINK
Injection Sites,
Male Luer Lock
Adapter
CONTINU-FLO
Solution Set with
CONTROL-A-FLO
Regulator and 2
INTERLINK
injection sites 6"
and 76" from male
Luer lock adapter.
CONTINU-FLO
Solution Set, 3
CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximately 10
drops per mL,
Approximate Length
109" (2.8 m)
CONTINU-FLO
Solution Set, 2
CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter,
Approximate Volume
10 drops per mL
Approximate Length
112" (2.8 m)
48
Yes
48
Yes
48
Yes
48
Yes
48
Yes
48
Yes
48
Yes
Oct.28.2016 at 18:52:26 MDT Page # 142
NonPVC
Baxter HealthCare
Product
Code
2C8515
2C6254
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CONTINU-FLO
Solution Set with
a CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
106" (2.7 m)
CONTINU-FLO
Solution Set with
2 CLEARLINK Luer
Activated Valves
and Male Luer Lock
Adapter
48
Yes
48
Yes
NonPVC
Drug Delivery >> Admixture Products and Accessories >> Empty EVA
Containers
2B8013
2B8012
2J8002
2B8019
2B8014
2B8011
2J8003
Empty INTRAVIA
Container with PVC
Ports (Sterile,
nonpyrogenic fluid
path), 500 mL
Empty INTRAVIA
Container with PVC
Ports (Sterile,
nonpyrogenic fluid
path), 250 mL
Empty INTRAVIA
Container with
Non-DEHP Fluid
Path, 250 mL
Empty INTRAVIA
Container with PVC
Ports, Sterile
fluid path, 50 mL
Empty INTRAVIA
Container
(Sterile,
nonpyrogenic fluid
path), 1000 mL
Empty INTRAVIA
Container with PVC
Ports, Sterile
fluid path, 150 mL
Empty INTRAVIA
Container with
Non-DEHP Fluid
Path, 500 mL
48
48
48
Yes
48
Yes
48
Yes
48
Yes
48
Yes
Yes
Liquid Premix >> Heparin Sodium and 0.9% Sodium Chloride Injections
2B0953
2B0944
Heparin Sodium and 0338043103
0.9% Sodium
Chloride
Injection, 1000
USP Heparin Units,
500 mL in a
VIAFLEX Plus
Container
Heparin Sodium and 0338043304
0.9% Sodium
Chloride
Injection, 2,000
USP units, VIAFLEX
Plus Plastic
Container, 1000 mL
18
12
Peri-Strips Dry® with Veritas >> Peri-Strips Dry® with Veritas >>
Peri-Strips Dry Gel
Oct.28.2016 at 18:52:26 MDT Page # 143
Baxter HealthCare
Product
Code
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
PSDGEL3PKWTI PERI-STRIPS DRY
PS
Gel
3
NonPVC
Yes
EXACTAMED Oral and Enteral Systems >> Sterile Pack Oral Dispensers,
Clear and Amber
H93887103
H93876105
H93876101
Sterile EXACTAMED
Oral Dispenser,
Amber, 3 mL,
Packed in bags of
10, Tip Caps Not
Included.
Sterile EXACTAMED
Oral Dispenser,
Clear,
Individually
Packaged, 5 mL,
Tip Caps Not
Included.
Sterile EXACTAMED
Oral Dispenser,
Clear,
Individually
Packaged, 1 mL,
Tip Caps Not
Included.
100
Yes
100
Yes
Yes
100
Yes
Yes
Accessories >> GAMCATH HighFlow Dolphin Catheters
MSGDHC1115JA GamCath HighFlow
Dolphin
Catheters,11.5 Fr
double lumen
short-term
dialysis catheter.
MSGDHC1115A GamCath
HighFlowDolphin
Catheters, 11.5 Fr
double lumen
short-term
dialysis catheter
MSGDHC1325A GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1320JA GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1320A GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1315JA GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1315A GamCath HighFlow
Dolphin Catheters,
13 Fr double lumen
short-term
dialysis catheter.
MSGDHC1125A GamCath HighFlow
Dolphin Catheters,
11.5 Fr double
lumen short-term
dialysis catheter.
5
Yes
5
Yes
5
5
Yes
5
5
Yes
5
Yes
5
Yes
Oct.28.2016 at 18:52:26 MDT Page # 144
Baxter HealthCare
Product
Code
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
MSGDHC1120JA GamCath HighFlow
Dolphin Catheters,
11.5 Fr double
lumen short-term
dialysis catheter.
MSGDHC1120A GamCath HighFlow
Dolphin Catheters,
11.5 Fr double
lumen short-term
dialysis catheter.
5
Yes
5
Yes
NonPVC
IV Access >> Vial Adapters
2N3395
2N9106
2N8395
INTERLINK
Universal Vial
Adapter
CHEMO-AIDE
Dispensing Pin
Reconstitution/Dis
pensing Device
with 0.2 Micron
Shielded
Hydrophobic and
Oleophobic Airventing Filter,
Female Luer
Adapter. non-DEHP,
non-PVC
CLEARLINK Luer
Activated
Universal Vial
Adapter, non-DEHP,
non-PVC
Hemodialysis
H25605A
H25604A
H25603A
H25602A
H25601A
H25606A
240
Yes
Yes
Yes
50
Yes
Yes
Yes
200
Yes
Yes
Yes
>> Hemodialysis >> XENIUM XPH Dialyzers, High Flux,
Synthetic
Xenium XPH 190
Dialyzer (for
single use only)
Xenium XPH 170
Dialyzer (for
single use only)
Xenium XPH 150
Dialyzer (for
single use only)
Xenium XPH 130
Dialyzer (for
single use only)
Xenium XPH 110
Dialyzer (for
single use only)
Xenium XPH 210
Dialyzer (for
single use only)
24
Yes
24
Yes
24
Yes
24
Yes
24
Yes
24
Yes
Solutions >> PrismaSol Solutions, PVC
115647
PrismaSoL
Replacement
Solutions for
Continuous Renal
Replacement
Therapy, PVC
PRISMASOL
BGK4/3.52X5L
1
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> NeoThrive Enteral Feeding Syringe - Non-Sterile
H93879020
IND. PACK ENTRL
CLEAR 20 ML
50
Liquid Premix >> DOBUTamine
Yes
Injections
Oct.28.2016 at 18:52:26 MDT Page # 145
Yes
Baxter HealthCare
Product
Code
2B0793
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
DOBUTamine
0338107702
Hydrochloride in
5% Dextrose
Injection, 1000 mg
DOBUTamine,
VIAFLEX Plus
Plastic Container,
250 mL
DOBUTamine
0338107502
Hydrochloride in
5% Dextrose
Injection.
DOButamine 500
mg/250 mL, VIAFLEX
Plus Plastic
Container
DOBUTamine
0338107302
Hydrochloride in
5% Dextrose
Injection,
DOBUTamine 250
mg/250 mL,VIAFLEX
PLUS Plastic
Container
2B0792
2B0791
NonPVC
18
18
18
Automated Compounding Devices >> Automated Compounding Devices >>
Automated Compounding - Inlets
H938751
H938173
H938175
H938176
H938174
Automated
Compounding Device
Inlet. MicroVolume Inlet with
Large Bore Spike.
Automated
Compounding Device
Inlet. Non-Vented
High Volume Inlet
for Bags or Vented
Bottles.
Automated
Compounding Device
Inlet. Vented,
Micro-Volume inlet
for use with Small
Vials.
Automated
Compounding Device
Inlet. MicroVolume Inlet with
Luer Lock End.
Automated
Compounding Device
Inlet. Vented,
High-Volume Inlet
for Non-Vented
Bottles.
25
Yes
Yes
25
Yes
Yes
25
Yes
Yes
25
Yes
Yes
25
Yes
Yes
Patient Connectology >> Transfer Sets For Straight Line CAPD
NA
NA
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> ADAPTACAP Long Neck
H9385108
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
33 mm long neck
100
Oct.28.2016 at 18:52:26 MDT Page # 146
Yes
Baxter HealthCare
Product
Code
H9385106
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
28 mm long neck
100
NonPVC
Yes
Hemophilia >> FEIBA NF [Anti-Inhibitor Coagulant Complex],
Nanofiltered and Vapor Heated
NA
NA
Pharmacy Admixture Tools >> SUPOR Syringe Filters
H93821012
H93821002
H93824648
H93824642
H93824640
H93821050
SUPOR Syringe
Filter, 1.2
Micron, 25 mm,
Female Luer Lock
Connector, Male
Luer Lock
Connector,
Clear/Blue
SUPOR Syringe
Filter, 0.2
Micron, 25 mm,
Female Luer Lock
Connector, Male
Luer Lock
Connector,
Blue/Blue
SUPOR Syringe
Filter, 1.2
Micron, 32mm,
Female Luer Lock
Connector, Male
Luer Lock
Connector,
Clear/Blue
SUPOR Syringe
Filter, 0.2
Micron, 32 mm,
Female Luer Lock
Connector, Male
Luer Lock
Connector,
Blue/Blue
SUPOR Syringe
Filter, 5 Micron,
32 mm, Female Luer
Lock Connector,
Male Luer Lock
Connector,
Green/Green
SUPOR Syringe
Filter, 5 Micron,
25 mm, Female Luer
Lock Connector,
Male Luer Lock
Connector,
Green/Green
50
Yes
50
Yes
50
Yes
50
Yes
50
Yes
50
Yes
Surgical Tools >> Surgical Tools >> LapAssist® DCS Dilating and
Closure System
NA
NA
Rockwell >> RenalPure® 36.83X Liquid Acid Concentrate - Cases
Oct.28.2016 at 18:52:26 MDT Page # 147
Baxter HealthCare
Product
Code
R1504
R1344
R1164
R1404
R1354
R1454
R1154
R1104
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
RenalPure® 36.83X
Liquid Acid
Concentrate - 2K
3Ca., 1 Gallon
(3.78 liters),
Case Packaging: 4
each
RenalPure® 36.83X
Liquid Acid
Concentrate - 3K
2.5Ca., 1 Gallon
(3.78 liters),
Case Packaging: 4
each
RenalPure® 36.83X
Liquid Acid
Concentrate - 3K
3Ca., 1 Gallon
(3.78 liters),
Case Packaging: 4
each
RenalPure® 36.83X
Liquid Acid
Concentrate - 1K
2.5Ca., 1 Gallon
(3.78 liters),
Case Packaging: 4
each
RenalPure® 36.83X
Liquid Acid
Concentrate - KFREE 2.5Ca., 1
Gallon (3.78
liters), Case
Packaging: 4 each
RenalPure® 36.83X
Liquid Acid
Concentrate - 2K
2.5Ca., 1 Gallon
(3.78 liters),
Case Packaging: 4
each
RenalPure® 36.83X
Liquid Acid
Concentrate - 3K
2Ca., 1 Gallon
(3.78 liters),
Case Packaging: 4
each
RenalPure® 36.83X
Liquid Acid
Concentrate - 2K
2Ca., 1 Gallon
(3.78 liters),
Case Packaging: 4
each
4
4
4
4
4
4
4
4
Rockwell >> Dri-Sate® 45X Dry Acid Concentrate
DC110
DC108
DC103
Dri-Sate® Dry Acid
Concentrate - 45X,
3K 2Ca., 25
Gallons.
Dri-Sate® Dry Acid
Concentrate - 45X,
2K 2Ca., 25
Gallons.
Dri-Sate® Dry Acid
Concentrate - 45X,
2K 2.25Ca., 25
Gallons.
Oct.28.2016 at 18:52:26 MDT Page # 148
NonPVC
Baxter HealthCare
Product
Code
DC109
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
NonPVC
Dri-Sate® Dry Acid
Concentrate - 45X,
3K 2.25Ca., 25
Gallons.
Dri-Sate® Dry Acid
Concentrate 45X, 1K 2.5Ca., 25
Gallon Mix.
Dri-Sate® Dry Acid
Concentrate - 45X,
2K 3Ca., 25
Gallons
Dri-Sate® Dry Acid
Concentrate - 45X,
2K 2.5Ca., 25
Gallons
Dri-Sate® Dry Acid
Concentrate - 45X,
3K 2.5Ca., 25
Gallons.
DC114
DC124
DC116
DC117
IV Solutions >> Potassium Chloride in 0.45% Sodium Chloride
2B1357X
20 mEq/L Potassium 0338070434
Chloride in 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
HOMECHOICE PRO
5-Prong Manifold
Set
114555
TipStop
Compressive
Dressing
5 LITER EFFLUENT
BAG
RE-INFUSION LINE
SP-401
Recirculation
Adapter
DRAIN BAG SP-375
5LT
Hemodialysis
106051
106283
105753
Yes
and HOMECHOICE System >> APD Miscellaneous Supplies
L5C4446
114423
14
15
Yes
>> Hemodialysis Ancillary Items
200
50
Yes
20
Yes
100
Yes
40
Yes
BioSurgery >> Veritas Collagen Matrix
RM1225BIO
RM1212BIO
RM1016BIO
RM0818BIO
RM0816BIO
RM0618BIO
RM0608BIO
RM0416BIO
RM0407BIO
VERITAS Collagen
Matrix 12x25 cm
VERITAS Collagen
Matrix 12x12 cm
VERITAS Collagen
Matrix 10x16 cm
VERITAS Collagen
Matrix 8x18 cm
VERITAS Collagen
Matrix 8x16 cm
VERITAS Collagen
Matrix 6x18 cm
VERITAS Collagen
Matrix 6x8 cm
VERITAS Collagen
Matrix 4x16 cm
VERITAS Collagen
Matrix 4x7 cm
1
Yes
1
Yes
1
Yes
1
Yes
1
Yes
1
Yes
1
Yes
1
Yes
1
Yes
Oct.28.2016 at 18:52:26 MDT Page # 149
Baxter HealthCare
Product
Code
RM0304BIO
RM0208BIO
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
VERITAS Collagen
Matrix 3x4 cm
VERITAS Collagen
Matrix 2x8 cm
1
Yes
1
Yes
NonPVC
BioSurgery >> Hemostasis CELSTAT
NA
NA
Concentrates and Bicarbonate >> Acid Concentrate (A-Side) by Minntech
Renal System
NA
NA
Liquid Premix >> Liquid Premix >> Fluconazole Injections
2J1446
2J1445
Fluconazole
Injection, USP in
INTRAVIA Plastic
Container, 200
mg/100 mL
Fluconazole
Injection, USP in
INTRAVIA Plastic
Container, 400
mg/200 mL
0338604648
10
0338604537
10
Peri-Strips Dry® with Veritas >> Peri-Strips Dry® with Veritas >>
Covidien Peri-Strips Dry with VERITAS
PSD8006UDSTV PERI-STRIPS DRY
with VERITAS Covidien GIA 80
DST Series (unit
of 6)
PSD6006UDSTV PERI-STRIPS DRY
with VERITAS Covidien GIA DST
60 (unit of 6)
PSD9006PIV
PERI-STRIPS DRY
with VERITAS Covidien PI 90
(unit of 6)
PSD9006UV
PERI-STRIPS DRY
with VERITAS Covidien GIA 90
(unit of 6)
PSD8006UV
PERI-STRIPS DRY
with VERITAS Covidien GIA 80
(unit of 6)
PSD6006UV
PERI-STRIPS DRY
with VERITAS Covidien ENDO
GIA/UNIVERSAL 60
(unit of 6)
PSD4506UV
PERI-STRIPS DRY
with VERITAS Covidien ENDO
GIA/UNIVERSAL 45
(unit of 6)
PSD3006UV
PERI-STRIPS DRY
with VERITAS Covidien ENDO
GIA/UNIVERSAL 30
(unit of 6)
6
Yes
6
Yes
6
Yes
6
Yes
6
Yes
6
Yes
6
Yes
6
Yes
Nutrition >> Automated Compounding - Dual Chamber EVA Container
H938905
EVA Dual Chamber
Empty Container,
3000 mL Total
Capacity
42
Oct.28.2016 at 18:52:26 MDT Page # 150
Yes
Yes
Baxter HealthCare
Product
Code
H938901
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
EVA Dual Chamber
Empty Container,
1500 mL Total
Capacity
42
Yes
Yes
Automated Compounding Devices >> Automated Compounding - Sets
2C0426
2C1145
2C1146
2C0463
2C0415
Vented Solution
Transfer Set,
Large Bore Tubing
and 2 Spike
Connectors,
Approximate Length
26". For use with
CLINIMIX and
CLINIMIX E
Injections in
CLARITY Dual
Chamber
Containers. NOT
for Intravenous
Infusion.
IV Fat Emulsion
Administration
Set, Non-DEHP,
Non-Vented Spike,
Approximately 10
drops per mL,
Approximate Length
86" (2.2 m)
IV Fat Emulsion
Administration
Set, Non-DEHP,
non-Vented Spike,
Approximately 60
drops per mL,
Approximate Length
86" (2.2 m)
Solution Transfer
Set for use with
VIAFLEX Plastic
Container, Large
Bore Tubing, 2
Spike Connectors,
Approximate Length
24" (61 cm)
Solution Transfer
Set, Needle
Adapter for use
with VIAFLEX
Plastic Container,
Approximate Length
27" (69 cm)
48
48
Yes
48
Yes
Yes
48
48
Yes
Acute Renal Dialysis >> Accessories >> Blood Warmers
107620
109822
PF2WP33
PF2WP31
PRISMATHERM II
Extension Line.
For use with the
PRISMATHERM II
Blood Warmer
PRISMATHERM II
Coil-Design Blood
Warmer - 110VAC
PRISMAFLO IIS HIGH
Flow Heating
Sleeve Replacement
PRISMAFLO IIS Low
Flow Heating
Sleeve Replacement
36
1
1
1
Anesthesia & Critical Care >> Inhaled Anesthetics
Oct.28.2016 at 18:52:26 MDT Page # 151
NonPVC
Baxter HealthCare
Product
Code
1001936040
1001965164
1001964134
1001936060
1001964434
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
FORANE
(isoflurane, USP)
Liquid For
Inhalation 100 mL
Sevoflurane, USP,
Volatile Liquid
for Inhalation,
250 mL
SUPRANE
(desflurane, USP)
Volatile Liquid
for Inhalation
<BR> ALUMINUM
FORANE
(isoflurane, USP)
Liquid For
Inhalation 250 mL
SUPRANE
(desflurane, USP)
Volatile Liquid
for Inhalation
<BR> NOVAPLUSALUMINUM
6
1001965164
6
1001964134
6
6
1001964434
NonPVC
Yes
Yes
6
Anesthesia & Critical Care >> Custom Code
NA
NA
Frozen Premix >> Frozen Premix >> Ceftriaxone Injections
2G3504
2G3505
Ceftriaxone
0338500241
Injection, USP, 1
gram/50 mL, GALAXY
Plastic Container
Ceftriaxone
0338500341
Injection, USP, 2
gram/50 mL, GALAXY
Plastic Container
24
24
Frozen Premix >> Frozen Premix >> CLAFORAN Injections
NA
NA
Rockwell >> Rockwell >> CitraPure® 45X Liquid Acid Concentrate - Drums
L412655
L411655
L411055
L411755
L410755
L412455
L411455
CitraPure® Liquid
Concentrate Citrate 45X 3K
3Ca., 55 Gallons
CitraPure® Liquid
Concentrate Citrate 45X 2K
2.5Ca., 55 Gallons
CitraPure® Liquid
Concentrate Citrate 45X 3K 2
Ca., 55 Gallons
CitraPure® Liquid
Concentrate Citrate 45X 3K
2.5Ca. 55 Gallons
CitraPure® Liquid
Concentrate Citrate 45X 2K
1.5Ca. 55 Gallons
CitraPure® Liquid
Concentrate Citrate 45X 2K
3Ca., 55 Gallons
CitraPure® Liquid
Concentrate Citrate 45X 1K 2.5
Ca., 55 Gallons
Oct.28.2016 at 18:52:26 MDT Page # 152
Baxter HealthCare
Product
Code
L410855
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CitraPure® Liquid
Concentrate Citrate 45X 2K 2
Ca. 55 Gallons
Acute Renal Dialysis >> Ultrafiltration
114172
114158
105551
114157
114156
Aquadex Flexflow
cart is
specifically
designed to hold
the Aquadex
console.
Aquadex FlexFlow
system uses a
simplified
approach to
ultrafiltration
for the removal of
salt and water in
patients with
fluid overload.
Requires a UF-500
Circuit for use.
ADAPTOR SP-390 DOUBLE
FILTERCONNECTOR
A1650 UF-500 Blood
Circuit Set is the
filter set used
with the Aquadex
console to deliver
Aquapheresis
therapy
A2000 UF-500 Blood
Circuit set with
Hematocrit is the
filter set used to
deliver
Aquapheresis
therapy
1
1
Yes
50
Yes
5
Yes
5
Yes
BioSurgery >> OSTENE Hemostasis
1503833
1503831
1503832
OSTENE Bone
Hemostasis
Material 1 gram
OSTENE Bone
Hemostasis
Material 3.5 grams
OSTENE Hemostasis
Material 2.5 grams
12
Yes
10
Yes
12
Yes
Nutrition >> Automated Compounding - Valve Sets
H938792
H938724
Sterile EXACTAMIX
1200 Valve Set.
For use with
EXACTAMIX 1200
Compounder only.
Used to connect up
to 12 Source
Ingredients.
Sterile EXACTAMIX
2400 Valve Set.
For use with
EXACTMIX 2400
Compounder only.
Used to connect up
to 24 Source
Ingredients.
10
Yes
Yes
10
Yes
Yes
Nutrition >> Automated Compounding - Components
Oct.28.2016 at 18:52:26 MDT Page # 153
NonPVC
Baxter HealthCare
Product
Code
H938711018
H93865
H9384858
H938711008
H93884E
H93884
H93879
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
EXACTAMIX Tube Set
Extension Piece
for Calibration,
External Thread.
Extension set
allows for
compounder
calibration
without
manipulating
sterile container
components
EXACTAMIX Tube Set
Extension,
Internal-toExternal Thread.
Extension set
allows for
compounder
calibration
without
manipulating
sterile container
components
Tamper-Resistent
Add-Port Cap, Red
plastic hinged
cap, sealed on one
end.
EXACTAMIX Large
Bore Cap, Internal
Thread. Threaded
cap for closing
container-filling
tubes and bag
ports.
Sterile Tube Setto-Bag Adapter,
External Thread.
Adapter with one
female luer lock
and one external
threaded
connector.
Sterile Tube Setto-Bag Adapter,
Internal Thread.
Adapter with one
female luer lock
and one internal
threaded
connector.
EXACTAMIX Gravity
Mixing Set with 3
Leads. Allows for
transferring and
mixing of
different
hyperalimentation
solutions into
EXACTAMIX Empty
Containers
50
Yes
50
Yes
100
Yes
50
Yes
50
Yes
50
Yes
50
Yes
Oct.28.2016 at 18:52:26 MDT Page # 154
NonPVC
Baxter HealthCare
Product
Code
H93878
H938711006
H9384213
H9384202
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
EXACTAMIX Gravity
Mixing Set with 2
Leads. Allows for
transferring and
mixing of
different
hyperalimentation
solutions into
EXACTAMIX Empty
Containers
EXACTAMIX Large
Bore Cap, External
Thread. Threaded
cap for closing
container-filling
tubes and bag
ports.
EXACTAMIX Bag
Adapter, External
to External
Thread. Threaded
adapter for
accommodating
internal
connections to
containers.
EXACTAMIX Bag
Adapter, Internal
to Internal
Thread. Threaded
adapter for
accommodating
external
connections to
containers.
50
Yes
50
Yes
50
Yes
50
Yes
NonPVC
IV Access >> Anesthesia Sets
2C9215
2C9218
2C9216
Anti-Siphon
Anesthesia Set
with Luer Lock
Adapters,
Approximate Length
72"(1.8 m),
Approximate Volume
1.8 mL
Universal
Anesthesia Set
with Male Luer
Lock Adapter.
Approximate Length
72" (1.8 m),
Approximate Volume
3.0 mL
Anesthesia Set
with Luer Lock
Adapters,
Approximate Length
73" (1.7 m),
Approximate Volume
1.8 mL
60
Yes
60
Yes
60
Yes
Automated Compounding Devices >> Automated Compounding Devices >>
Automated Compounding - Dual Chamber EVA Container
H938905
H938901
EVA Dual Chamber
Empty Container,
3000 mL Total
Capacity
EVA Dual Chamber
Empty Container,
1500 mL Total
Capacity
42
Yes
Yes
42
Yes
Yes
Oct.28.2016 at 18:52:26 MDT Page # 155
Baxter HealthCare
Product
Description
National
Pack Container Non- Non- NonCode
Drug Code Factor
Type
Latex DEHP PVC
PRISMAFLEX System >> PRISMAFLEX M60/M100/150 Hemofilter Sets
106697
106696
109990
PRISMAFLEX M100
Set
PRISMAFLEX M60 Set
PRISMAFLEX M150
Set
4
Yes
4
4
Yes
Yes
Critical Care >> FLEXBUMIN 25%, Albumin (Human), USP, 25% Solution
NA
NA
Drug Delivery >> Other
NA
NA
Drug Delivery >> Admixture Products and Accessories
2B0304X
1A8504
1A8503
1A8502
1A8501
2C0410
Sterile Water for 0338001304
Injection, USP
(For Drug Diluent
Use Only), 1000 mL
VIAFLEX Plastic
Container
Evacuated Glass
Container, 1000 mL
Evacuated Glass
Container, 500 mL
Evacuated Glass
Container, 250 mL
Evacuated Glass
Container, 150 mL
ADD-A-CAP Closure
(I.V. Additive Cap
for Glass
Containers)
14
Yes
6
Yes
Yes
Yes
12
Yes
Yes
Yes
12
Yes
Yes
Yes
12
Yes
400
Yes
IV Access >> Catheter Securement Device
3300M
2N8222
2N8220
GRIP-LOK Universal
Securement Device
Catheter Extension
Set Kit, a
Catheter Extension
Set, a CLEARLINK
Luer Activated
Valve, Male Luer
Lock Adapter, nonDEHP, Approximate
Volume 0.41 mL,
Approximate Length
7.9" (20 cm),
Medium Catheter
Stabilization
Device, 2 Foam
Tape Strips
Catheter Extension
Set Kit, a
Catheter Extension
Set, a CLEARLINK
Luer Activated
Valve, Male Luer
Lock Adapter, nonDEHP, Approximate
Volume 1.10 mL,
Approximate Length
7.7" (20 cm),
Medium Catheter
Stabilization
Device, 2 Foam
Tape Strips
100
Yes
50
Yes
50
Yes
Oct.28.2016 at 18:52:26 MDT Page # 156
Yes
Baxter HealthCare
Product
Code
2N8200
3300MWA
3200S
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
VITAL-HOLD Medium
Catheter
Stabilization
Device Kit with 2
Foam Tape Strips
GRIP-LOK Universal
Securement Device
GRIP-LOK Universal
Securement Device
50
Yes
100
Yes
100
Yes
NonPVC
EXACTAMED Oral and Enteral Systems >> Bedside Pack, Clear
NA
NA
Drug Delivery >> IV Solutions
2B1124
2B2224X
2B2103Q
2B7317
10 mEq/L Potassium
Chloride in 5%
Dextrose
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
20 mEq/L Potassium
Chloride in
Lactated Ringer's
and 5% Dextrose
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
5% Dextrose and
Electrolyte No. 48
Injection
(Multiple
Electrolytes and
Dextrose
Injection, Type 1,
USP), 500 mL
VIAFLEX Plastic
Container
1.5% Glycine
Irrigation, USP;
3000 mL UROMATIC
Container
0338068104
12
0338081104
14
Yes
0338014303
24
Yes
0338028947
4
IV Solutions >> IV Solutions >> Potassium Chloride in 5% Dex. & 0.9%
NACL
2B2454X
2B2434X
40 mEq/L Potassium 0338080704
Chloride in 5%
Dextrose and 0.9%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
20 mEq/L Potassium 0338080304
Chloride in 5%
Dextrose and 0.9%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plus Plastic
Container
Hemodialysis
103453
14
Yes
14
Yes
>> PHOENIX Hemodialysis Machine
PHOENIX 115V US
1
IV Access >>
Filter Sets
Oct.28.2016 at 18:52:26 MDT Page # 157
Yes
Baxter HealthCare
Product
Code
2C8571
2H8671
2C6572
2H6480
2H8486
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CONTINU-FLO
Solution Set with
0.2 Micron
Filter** and 2
CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter with
Rectractable
Collar,
Approximately 10
drops per mL,
Approximate Length
104" (2.6 m)
Extension Set with
0.2 Micron
Downstream
Filter**, a
CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter with
Retractable
Collar, non- DEHP,
Approximate Volume
5.1 mL,
Approximate Length
16" (40 cm)
CONTINU-FLO
Solution Set with
0.22 Micron
Upstream High
Pressure Extended
Life Filter** and
2 INTERLINK
Injection Sites,
Male Luer Lock
Adapter,
Approximately 60
drops per mL,
Approximate Length
105" (2.7 m)
Solution Set with
DUO-VENT Spike,
0.22 Micron High
Pressure Extended
Life Filter, an
INTERLINK
Injection Site,
Male Luer Lock
Adapter, nonDEHP,
Approximately 10
drops per mL,
Approximate Length
102"( 2.6 m)
Non-DEHP Solution
Set with 1.2
Micron Downstream
Filter with 1
CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximate Length
108" (2.7 m),
Approximately 10
drops per mL.
48
Yes
48
Yes
48
Yes
48
Yes
Yes
48
Yes
Yes
Oct.28.2016 at 18:52:26 MDT Page # 158
NonPVC
Baxter HealthCare
Product
Code
1W5000
2C8593
2C6571
2C6671
2C8671
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Solution Set with
an INTERLINK
Injection Site, 15
Micron Disc
Filter, Male Luer
Lock Adapter,
Approx. 20 drops
per mL, Approx.
Length 100" (2.5
cm)
CONTINU-FLO
Solution Set with
0.2 Micron
Downstream
Filter**, 3
CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
102" (2.6 m)
CONTINU-FLO
Solution Set with
0.22 Micron
Upstream High
Pressure Extended
Life Filter** and
2 INTERLINK
Injection Sites,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximately 10
drops per mL,
Approximate Length
105 " (2.7 m)
Extension Set with
0.22 micron high
pressure extended
life filter and 1
INTERLINK
injection site 6"
from male Luer
lock adapter.
CLEARLINK System
Extension Set with
0.2 Micron High
Pressure Extended
Life Filter** and
a CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximate Volume
5.1 mL,
Approximate Length
16" (40 cm)
75
Yes
48
48
Yes
48
Yes
48
Yes
Oct.28.2016 at 18:52:26 MDT Page # 159
NonPVC
Baxter HealthCare
Product
Code
2H5660
2H8480
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Extension Set with
0.22 Micron High
Pressure Extended
Life Filter**,
Male Luer Lock
Adapter with
Retractable
Collar, non-DEHP,
Approximate Volume
3.9 mL,
Approximate Length
9" (23 cm)
Solution Set with
DUO-VENT Spike,
0.22 Micron High
Pressure Extended
Life Filter, a
CLEARLINK Luer
Activated Valve,
Male Luer Lock
Adapter,
Approximately 10
drops per mL,
Approximate Length
102" (2.6 m)
48
Yes
Yes
48
Yes
Yes
NonPVC
Liquid Premix >> Metronidazole Injection
2B3421
Metronidazole
Injection, USP,
500 mg/100 mL
metronidazole in
VIAFLEX Plus
Container
101223
Adsorba
Hemoperfusion
Cartridge 300 C
Adsorba
Hemoperfusion
Cartridge 150 C
0338105548
24
Yes
Acute Therapy Systems >> Hemoperfusion Products
101097
1
1
Yes
Rockwell >> Rockwell >> CitraPure® 36.83X Liquid Acid Concentrate Cases
L31404
L31344
L31454
CitraPure® Liquid
Concentrate Citrate, 36.83X,
1K 2.5 Ca., 1
Gallon (3.78
liters), Case
Packaging; 4 each
CitraPure® Liquid
Concentrate Citrate, 36.83X,
3K 2.5 Ca.,1
Gallon (3.78
liters), Case
Packaging; 4 each
CitraPure® Liquid
Concentrate Citrate, 36.83X,
2K 2.5 Ca., 1
Gallon (3.78
liters), Case
Packaging; 4 each
4
4
4
Oct.28.2016 at 18:52:26 MDT Page # 160
Baxter HealthCare
Product
Code
L31104
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
CitraPure® Liquid
Concentrate Citrate 36.83X, 2K
2 Ca.,1 Gallon
(3.78 liters),
Case Packaging; 4
each
4
Solutions >> Solutions >> PrismaSol Solutions, NON-PVC
115001
115633
110244
110242
110243
110241
110240
110239
115001
PrismaSol B22GK4/0
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
PrismaSol BGK4/3.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy
PrismaSol BGK2/0
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
PrismaSol BGK4/2.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
PrismaSol BGK2/3.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
PrismaSol
BGK4/0/1.2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
PrismaSol BGK0/2.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
PrismaSol
BK0/0/1.2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON-PVC
PrismaSol B22GK4/0
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
2
Yes
2
Yes
2
Yes
2
Yes
2
Yes
2
Yes
2
Yes
2
Yes
2
Yes
Oct.28.2016 at 18:52:26 MDT Page # 161
NonPVC
Baxter HealthCare
Product
Code
115633
110244
110242
110243
110241
110240
110239
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
PrismaSol BGK4/3.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy
PrismaSol BGK2/0
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
PrismaSol BGK4/2.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
PrismaSol BGK2/3.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
PrismaSol
BGK4/0/1.2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
PrismaSol BGK0/2.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
PrismaSol
BK0/0/1.2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON-PVC
2
Yes
2
Yes
2
Yes
2
Yes
2
Yes
2
Yes
2
Yes
Pharmacy Workflow >> REPEATER Pump
H93813MPI
H93824102
H93824502
H93887
Oral Standard
Volume MPI
Supor® 100 Capsule
Filter, 0.2 Micron
Supor® 50 Capsule
Filter, 0.2 Micron
REPEATER Pump
Fluid Transfer
Extension Set.
Male Luer LockMale Luer Lock.
Flexible tubing
with male luer
lock connection on
both ends
10
1
Yes
1
Yes
50
Yes
Oct.28.2016 at 18:52:26 MDT Page # 162
NonPVC
Baxter HealthCare
Product
Code
H93812
H93862
H93863
H93830
H938099
H93832
H93824
H93829
H93813
H938331
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
REPEATER Pump Tube
Set. Non-vented
Spike-Luer Lock.
Inlet Spike and
Male Luer Lock
Outlet for
transfer of
sterile fluids
from one container
to another using
the REPEATER Pump.
REPEATER Pump Tube
Set with Two
Universal Spikes,
Luer Lock,
External Thread
REPEATER Pump Tube
Set with Three
Universal Spikes,
Luer Lock,
External Thread
REPEATER Pharmacy
Pump Stand. Base
frame with 5
wheels and plastic
casters with
position locks.
REPEATER Pump.
Includes power
cord, foot pedal
and Technical
Manual.
Bag Pole.
Stainless steel
pole connects to
the REPEATER Pump
to hold a bag and
tube set.
Syringe Fill
Fixture. Holds
pump tube set for
filling syringes
or other luer
devices.
Luer Lock
Universal Spike
with Female Luer
Lock Connector.
Use for additions
and withdrawals
from IV bags or
bottles
REPEATER Pump Oral
Liquid Tube Set
with Male Luer
Lock Outlet.
REPEATER Pump Tube
Set. Luer LockLuer Lock, Low
Volume Priming,
External Thread
10
Yes
10
Yes
10
Yes
1
1
1
1
20
Yes
10
Yes
10
Yes
Oct.28.2016 at 18:52:26 MDT Page # 163
NonPVC
Baxter HealthCare
Product
Code
H93821
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
REPEATER Pump Tube
Set. Luer LockLuer Lock, Male
Luer Lock
Connections allow
needle, Luer Lock
Spike or
Dispensing Pin to
be used at the
inlet and outlet
REPEATER Pump Tube
Set, Universal
Spike-Luer Lock.
Vented Inlet Spike
and Male Luer Lock
Outlet for
transfer of
sterile fluids
from one container
to another using
the REPEATER Pump.
H93811
10
Yes
10
Yes
Rockwell >> Dri-Sate® 36.83X Dry Acid Concentrate
DR145
Dri-Sate® Dry Acid
Concentrate,
36.83X, 2K 2.5
Ca., 25 Gallon
Mix. For use with
the Dri-Sate® Dry
Acid Mixing System
Only.
EXACTAMED Oral and Enteral Systems >> EXACTAMED Accessories
H9382006
H93830010
H93850301
H93850
H93842703
H93843055
H93843050
Tip Extender
KWIK-VIAL START-UP
KIT
EXACTAMED
Dispenser Tip Cap,
Blue. Packaged
Individually.
Sterile.
Sterile Top Fill
Bag for Filling
EXACTAMED Oral and
Topical Syringes,
1800 mL.
RAPIDFILL
Connector, Luer
Lock-to-Oral Slip,
Clear,
Individually
packaged, Sterile
Pre-printed Pinfeed Labels for
Identification of
Oral Medications.
Faded pink color
2" x 0.5". (50 x
15 mm)
Pre-printed Pinfeed Labels for
Identification of
Oral Medications.
Faded pink color
2.25" x 0.875".
(60 x 20 mm)
100
1
Yes
100
Yes
25
Yes
50
Yes
1000
Yes
1000
Yes
Oct.28.2016 at 18:52:26 MDT Page # 164
NonPVC
Baxter HealthCare
Product
Code
H93842900
H93830020
H93830005
H93830000
H93842705
H93830009
H93830008
H93842701
H93842601
H93852300
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
MARK-A-DOSE Label,
Clear Pressure
Sensitive Adhesive
Label, 2 "x 0.5",
For Use with
EXACTAMED Oral
Dispenser
Tamper-Indicating
Foil Seal, Seal
Syringes,
Dispensers, Vials,
Bottles and other
Non-Sterile
closures to
indicate tampering
KWIKVIAL Laser
Printer Labels, 5
Across, 1.5" x
1.5"
KWIKVIAL Labels,
Blank, Across,
1.25 x 1.50"
RAPIDFILL
Connector, Oral
Slip-to-Oral Slip
to transfer fluids
from one EXACTAMED
Oral Dispenser to
another. Clear
with red cap
Replacement
KWIKVIAL Plug
Dispenser, Smoke
Color
KWIKVIAL Filling
Extension
Containers.
Attaches to any
Male Luer Fitting.
Tip extends into
filling hole of
KWIKVIAL
Container. Clear
Luer Lock-to-Oral
Slip RAPIDFILL
Connector. Connect
EXACTAMED Oral
Dispensers to luer
fitting devices.
Clear.
3-Way Oral Port
Stopcock. Connect
enteral feeding
tubes and
nasogastric tubes
to EXACTAMED Oral
Dispenser. For
administration of
oral medications.
Allows flow shut
off without
disconnection of
the lines.
Tamper Evident
Oral Dispenser
Cap, Three-Part
Plastic Cap for
ExactaMed Oral
Dispenser.
1000
Yes
1000
Yes
3500
Yes
3500
Yes
50
Yes
1
Yes
50
Yes
50
Yes
50
Yes
100
Yes
Oct.28.2016 at 18:52:26 MDT Page # 165
NonPVC
Baxter HealthCare
Product
Code
H93850300
H93842000
H93851
H93854
H9382000
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
EXACTAMED Oral
Dispenser Tip Cap,
Blue
Universal Bottle
Adapter, Graduated
Plug with Orifice
and Tethered
Closure. Fits
bottles with neck
openings of 13 m
to 22 mm. For use
with EXACTAMED
Oral Dispensers.
EXACTAMIX
Collection Bag,
1000 mL.
EXACTAMIX
Collection Bag,
4000 mL.
EXACTAMED
Dispenser Tip
Extender,
Approximate Length
1.6" (40 mm)
100
Yes
100
Yes
50
Yes
50
Yes
100
Yes
NonPVC
Acute Therapy Systems >> Acute Therapy Systems >> Solutions
NA
NA
Hemophilia >> HEMOFIL M Antihemophilic Factor (Human), Method M,
Monoclonal Purified
NA
NA
Actifuse Bone Graft Substitute >> ACTIFUSE Bone Graft Substitute
GRANULES
506005078056 ACTIFUSE Bone
Graft Substitute
GRANULES 30 mL
506005078030 ACTIFUSE Bone
Graft Substitute
GRANULES 20 mL
506005078029 ACTIFUSE Bone
Graft Substitute
GRANULES 10 mL
506005078028 ACTIFUSE Bone
Graft Substitute
GRANULES 5 mL
1
Yes
1
Yes
1
Yes
1
Yes
IV Solutions >> Sodium Chloride Injections
UE1323D
UE1324D
UE1322D
0.9% Sodium
Chloride
Injection, USP in
500 mL Dripless
Access Container
(DAC) VIAFLO
Plastic Container
0.9% Sodium
Chloride
Injection, USP in
1000 mL Dripless
Access Container
(DAC) VIAFLO
Plastic Container
0.9% Sodium
Chloride
Injection, USP in
250 mL, Dripless
Access Container
(DAC) VIAFLO
Plastic Container
0338954304
20
Yes
Yes
Yes
0338954306
10
Yes
Yes
Yes
0338954302
30
Oct.28.2016 at 18:52:26 MDT Page # 166
Baxter HealthCare
Product
Code
2B1324X
2B1314X
2B7207
2B1373Q
2B1323Q
2B1322Q
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
0.9% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
0.45% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
0.9% Sodium
Chloride
Processing
Solution, 3000 mL
VIAFLEX Plastic
Container
5% Sodium Chloride
Injection, USP in
VIAFLEX Plastic
Container
0.9% Sodium
Chloride
Injection, USP,
500 mL VIAFLEX
Plastic Container
0.9% Sodium
Chloride
Injection, USP,
250 mL VIAFLEX
Plastic Container
0338004904
14
Yes
0338004304
14
Yes
0338005047
4
Yes
0338005603
24
0338004903
24
Yes
0338004902
36
Yes
NonPVC
Critical Care >> BUMINATE Albumin, 5%
NA
NA
Pharmacy Admixture Tools >> TWOFER Huber-Tipped Vented Needles
H93819035
H93819003
H93816004
TWOFER HuberTipped Needle,
Vented, 1.5" 16
Gauge, Green
TWOFER HuberTipped Needle,
Vented, 1.5" 16
Gauge, Green
TWOFER HuberTipped Needle,
Vented, 1" 16
Gauge Short
Needle, Purple
500
Yes
100
Yes
100
Yes
Peri-Strips Dry® with Veritas >> Peri-Strips Dry with VERITAS Ethicon
PSD6006ECHV
PSD6006ETSV
PSD25V
PERI-STRIPS DRY
with VERITAS Ethicon ECHELON 60
(unit of 6)
PERI-STRIPS DRY
with VERITAS Ethicon ETS 60
(unit of 6)
PERI-STRIPS DRY
with VERITAS Ethicon PROXIMATE
ILS, 25 mm and
ENDOPATH ILS, 25
mm; Covidien, DST
EEA or ORVIL
Device, 25 mm
(unit of 1)
6
Yes
6
Yes
1
Yes
Oct.28.2016 at 18:52:26 MDT Page # 167
Baxter HealthCare
Product
Code
PSD7506EV
PSD5506EV
PSD4506ECHV
PSD4506ETSV
PSD4506EV
PSD10006EV
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
PERI-STRIPS DRY
with VERITAS Ethicon PROXIMATE
75/USSC ILA 75
(unit of 6)
PERI-STRIPS DRY
with VERITAS Ethicon PROXIMATE
55/USSC ILA 52
(unit of 6)
PERI-STRIPS DRY
with VERITAS Ethicon ECHELON 45
(unit of 6)
PERI-STRIPS DRY
with VERITAS Ethicon ETS 45
(unit of 6)
PERI-STRIPS DRY
with VERITAS Ethicon EZ 45
(unit of 6)
PERI-STRIPS DRY
with VERITAS Ethicon PROXIMATE
100/USSC GIA 100
DST (unit of 6)
6
Yes
6
Yes
6
Yes
6
Yes
6
Yes
6
Yes
Peritoneal Dialysis >> Peritoneal Dialysis Ancillaries
5K7779P
5K7778P
5K7777P
5K7401P
5K4075
5K7667
5K7660
5K7624
5K7619
5K4027
5K4005
5K3961
Esteem® Tru Blu™
Stretchy Nitrile
Examination Gloves
- Large
Esteem® Tru Blu™
Stretchy Nitrile
Examination Gloves
- Medium
Esteem® Tru Blu™
Stretchy Nitrile
Examination Gloves
- Small
COVERLET Adhesive
Bandage, Flexible
1" x 3"
MANUGEL Antiseptic
Gel, 500mL w/pump
Micropore Paper
Tape 2" x 10 yds
Micropore Paper
Tape 1" x 10 yds
Durapore Cloth
Tape 1" x 10 yds
Transpore Plastic
Tape 1" x 10 yds
BETASEPT Surgical
Scrub 4% - 32 oz.
with Pump
ALCAVIS 50, High
Level
Disinfectant, 500
mL
Heating Pad-King
Size 3 Heat
Setting
100
100
100
100
1
1
1
1
1
1
1
1
Oct.28.2016 at 18:52:26 MDT Page # 168
NonPVC
Baxter HealthCare
Product
Code
5K3545
5K3517
5K4054P
5K7406P
5K4070
5K7538P
5K7567P
5K4013P
5K8123P
5K7459P
5K3585
5K4500
5K4172P
5K4066
5K4033P
5K8148P
5K8100
5K8070P
5K8065P
5K8058P
5Q3810
5K7430P
5K7425P
5K7559P
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Scale Digital with
remote display
(Capacity: 400
lbs/180 kg)
Scale Pediatric
Digital (Capacity:
44lbs/20kg)
SHUR-CLENS Skin20 mL
Cotton-Tipped
Applicator Sterile
6" Long 2/pkg
Dial Antimicrobial
Liquid Soap with
Pump-16 oz
PRIMAPORE Adhesive
Dressing 4" x 3
1/8" Sterile
VERSALON All
Purpose Sponge 2"
x 2" 4-ply Sterile
Povidone-Iodine
Swabstick 3/pk
Face Mask - White
Paper Pleated
OPSITE Post Op
Dressing 6 1/8" x
3 3/8" Sterile
Spring Scale
Pediatric (250 gm
X 10 gm)
BETA-CAP Clamp
Alcohol Prep
Medium 2 1/4" x 1
1/4" 2-ply
EXSEPT PLUS Skin
6404415017
Antiseptic 500 ml
HEMASTIX Reagent
Strips
SKIN-PREP
Protective
Dressing
PD Simulator
(Dummy Tummy) and
Case
Face Mask - Yellow
Pleated
Can Liner, 33 Gal,
Brown
PDI Adhesive
Remover Pad
I.V. Pole DoubleHook Free Standing
47" x 84"
CURITY Cover
Sponge 4" x 4"
Non-Sterile
CURITY Gauze Pad
2" x 2" 12-ply
Sterile
VERSALON All
Purpose Sponge 3"
x 3" 4-ply Sterile
1
1
25
100
1
20
25
25
50
20
1
1
200
1
50
50
1
50
250
100
1
100
100
25
Oct.28.2016 at 18:52:26 MDT Page # 169
NonPVC
Baxter HealthCare
Product
Code
5K7580P
5K7548P
5K7444P
5K4012P
5C4129
5K3968
5K3582
5K3575
5K3572
5K7639
5K7630
5K7627
5K7617
5K7615
5K7589P
5K7588P
5K7579P
5K7543P
5K7525P
5K7505P
5K7458P
5K7428P
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
TEGADERM
Transparent
Dressing 2 3/8" x
2 3/4" Sterile
PRIMAPORE Adhesive
Dressing 6" x 3
1/8" Sterile
Underpad Blue
Plastic Lined 17"
x 24"
Povidone-Iodine
Swab-Aid 1 3/4" x
1 1/4"
Locking Titanium
AdLocking Titanium
Adapter (2 piece)
Digital Blood
Pressure Unit
w/large cuff
Scale Spring (5000
gm x 100 gm)
Scale Digital, 1
1/2" Display
(Capacity: 400 lbs
x 0.1 lb/180 x
0.05 kg)
Thermometer,
Digital
Medipore Soft
Cloth Tape 2" x 10
yds
Durapore Cloth
Tape 2" x 10 yds
Transpore Plastic
Tape 2" x 10 yds
Surgical Paper
Tape 2" x 10 yds
Surgical Paper
Tape 1" x 10 yds
VERSALON All
Purpose Sponge 4"
x 4" 4-ply Sterile
TELFA Adhesive
Island Dressing 4"
x 5" Sterile
TEGADERM
Transparent
Dressing 4" x 4
3/4" Sterile
CURITY Cover
Sponge 4" x 4"
Sterile
CURITY Cover
Sponge 4" x 3"
Non-Sterile
CURITY Gauze
Sponge 4" x 4" 8ply Sterile
SORB-IT IV Sponge
(split) 2" x 2"
6-ply Sterile
CURITY Cover
Sponge 4" x 3"
Sterile
NonPVC
100
20
100
100
5
1
1
1
1
1
1
1
1
1
25
25
50
25
100
25
35
25
Oct.28.2016 at 18:52:26 MDT Page # 170
Yes
Yes
Yes
Baxter HealthCare
Product
Code
5K7427P
5K7426P
5K7424P
5K7407P
5K7402P
5K7479P
5K3967
5K4227
5K4291P
5K7533
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Curity Cover
Sponge 3" x 3"
Non-Sterile
CURITY Gauze
Sponge 2" x 2" 12
ply Non-Sterile
CURITY Gauze
Sponge 2" x 2" 8ply Sterile
EXCILON Drain
Sponge (split) 4"
x 4" 6-ply Sterile
Sterile Field 18"
x 26"
BIOPATCH
Antimicrobial
Dressing - 1" disk
w/ 7.0 mm center
hole
Digital Blood
Pressure Unit
w/small cuff
CAL STAT PLUS - 4
oz.
Bleach Wipes
TELFA AMD
Antimicrobial
Adhesive Bandage
2” x3 3/4”.
Sterile
NonPVC
100
200
50
25
50
10
1
1
50
10
Hemophilia >> ADVATE Antihemophilic Factor (Recombinant)
Plasma/Albumin-Free Method
NA
NA
IV Solutions >> IV Solutions >> Sodium Chloride Injections in MINI-BAG
Containers
2B1309
2B1301
2B1300
2B1308
2B1307
0.9% Sodium
Chloride
Injection, USP,
100 mL VIAFLEX
Plastic Container
Multi Pack
0.9% Sodium
Chloride
Injection, USP, 50
mL VIAFLEX Plastic
Container Quad
Pack
0.9% Sodium
Chloride
Injection, USP, 25
mL VIAFLEX Plastic
Container Quad
Pack
0.9% Sodium
Chloride
Injection, USP, 50
mL VIAFLEX Plastic
Container Multi
Pack
0.9% Sodium
Chloride
Injection, USP,
100 mL VIAFLEX
Plastic Container
Single Pack
0338004938
96
0338004911
96
0338004910
48
0338004931
96
0338004948
96
Oct.28.2016 at 18:52:26 MDT Page # 171
Baxter HealthCare
Product
Code
2B1306
2B1302
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
0.9% Sodium
0338004941
Chloride
Injection, USP, 50
mL VIAFLEX Plastic
Container Single
Pack
0.9% Sodium
0338004918
Chloride
Injection, USP,
100 mL VIAFLEX
Plastic Container
Quad Pack
NonPVC
96
96
EXACTAMED Oral and Enteral Systems >> ADAPTACAP Bottle Adapter
H9385101
H9385111
H9385109
H9385104
H9385103
H9385102
H9385100
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable, 18 mm
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
28 mm
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
38 mm
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
24 mm
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
22 mm
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap, 20
mm
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap.
Assortment
contains: 10 (20
mm), 20 (22 mm),
40 (24 mm), 20 (28
mm) short neck, 10
(28 mm) long neck.
For use with
EXACTAMED Oral
Dispensers.
100
Yes
100
Yes
100
Yes
100
Yes
100
Yes
100
Yes
100
Yes
Oct.28.2016 at 18:52:26 MDT Page # 172
Baxter HealthCare
Product
Code
H9385113
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
24 mm
100
NonPVC
Yes
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> ADAPTACAP Bottle Adapter
H9385101
H9385111
H9385109
H9385104
H9385103
H9385102
H9385100
H9385113
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable, 18 mm
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
28 mm
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
38 mm
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
24 mm
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
22 mm
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap, 20
mm
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap.
Assortment
contains: 10 (20
mm), 20 (22 mm),
40 (24 mm), 20 (28
mm) short neck, 10
(28 mm) long neck.
For use with
EXACTAMED Oral
Dispensers.
ADAPTACAP Bottle
Adapter, Threaded,
Tethered and Reclosable Cap. For
use with EXACTAMED
Oral Dispensers,
24 mm
100
Yes
100
Yes
100
Yes
100
Yes
100
Yes
100
Yes
100
Yes
100
Yes
EXACTAMED Oral and Enteral Systems >> Pharmacy Pack, Clear
Oct.28.2016 at 18:52:26 MDT Page # 173
Baxter HealthCare
Product
Code
H9387510
H9387505
H9387503
H9387501
H9387500
H9387105
H9387103
H9387101
H9387160
H9387135
H9387120
Description
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 10 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 5 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 3 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 1 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 0.5 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 5 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 3 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 1 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 60 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 35 mL
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 20 mL
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
500
Yes
500
Yes
500
Yes
500
Yes
500
Yes
100
Yes
100
Yes
100
Yes
25
Yes
100
Yes
100
Yes
Oct.28.2016 at 18:52:26 MDT Page # 174
NonPVC
Baxter HealthCare
Product
Code
H9387110
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
EXACTAMED Oral
Dispenser,
Pharmacy Pack,
Clear, Non-Luer
Slip, Tip Cap
Included, 10 mL
100
NonPVC
Yes
IV Solutions >> Dextrose Injections 5%
6E0063
6E0062
2B0063Q
2B0062Q
2B0064X
5% Dextrose
Injection, USP,
500 mL AVIVA
Container
5% Dextrose
Injection, USP,
250 mL AVIVA
Container
5% Dextrose
Injection, USP,
500 mL VIAFLEX
Plastic Container
5% Dextrose
Injection, USP,
250 mL VIAFLEX
Plastic Container
5% Dextrose
Injection, USP,
1000 mL VIAFLEX
Plastic Container
0338634603
24
Yes
0338634602
40
Yes
0338001703
24
Yes
0338001702
36
Yes
0338001704
14
Yes
Actifuse Bone Graft Substitute >> ACTIFUSE Bone Graft Substitute
MICROGRANULES
506005078046 ACTIFUSE Bone
Graft Substitute
MICROGRANULES 10
mL
506005078045 ACTIFUSE Bone
Graft Substitute
MICROGRANULES 5 mL
1
Yes
1
Yes
Patient Connectology >> Patient Connectology >> Transfer Sets
NA
NA
IV Access >> Extension Sets - MICRO-VOLUME
2N3345
2N3350
2N3347
Non-DEHP MICROVOLUME Extension
Set, Male Luer
Lock Adapter,
Approximate Length
36" (91 cm),
Approximate Volume
0.32 mL
MICRO-VOLUME
Extension Set with
0.22 Micron
Filter, Male Luer
Lock Adapter, nonDEHP, Approximate
Volume 0.84 mL,
Approximate Length
60" (151 cm)
MICRO-VOLUME
Extension Set with
0.22 Micron
Filter, Male Luer
Lock Adapter, nonDEHP, Approximate
Volume 0.72 mL,
Approximate Length
36" (90 cm)
50
Yes
50
50
Oct.28.2016 at 18:52:26 MDT Page # 175
Yes
Yes
Yes
Baxter HealthCare
Product
Code
2N3348
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
MICRO-VOLUME
Extension Set,
Male Luer Lock
Adapter, non-DEHP,
Approximate Volume
0.44 mL,
Approximate Length
60" (152 cm)
50
Yes
NonPVC
Yes
Liquid Premix >> Fluconazole Injections
2J1446
2J1445
Fluconazole
Injection, USP in
INTRAVIA Plastic
Container, 200
mg/100 mL
Fluconazole
Injection, USP in
INTRAVIA Plastic
Container, 400
mg/200 mL
0338604648
10
0338604537
10
Tissue-Guard Family of Surgical Patches >> Vascu-Guard Peripheral
Vascular Patch
VG0110N
VG0108N
VG0106N
VG0209N
VASCU-GUARD
Peripheral
Vascular Patch
1x10cm
VASCU-GUARD
Peripheral
Vascular Patch
0.8x8cm
VASCU-GUARD
Peripheral
Vascular Patch
1x6cm
VASCU-GUARD
Peripheral
Vascular Patch
2x9cm
1
Yes
1
Yes
1
Yes
1
Yes
IV Solutions >> Dextrose Injections 10%
2B0164X
10% Dextrose
Injection, USP,
1000 mL VIAFLEX
Plastic Container
0338002304
14
Yes
IV Access >> V-Link
6N8377
Y-Type Catheter
Extension Set with
V-LINK Luer
Activated Device
with VITALSHIELD
Protective
Coating, Non-DEHP,
Male Luer Lock
Adapter with
Retractable
Collar,
Approximate Volume
1.2 mL,
Approximate Length
5" (13.7 cm)
50
Oct.28.2016 at 18:52:26 MDT Page # 176
Yes
Yes
Baxter HealthCare
Product
Code
6N8374
6N8371
6N8399
6N8222
6N8220
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
V-LINK Non-DEHP
Catheter Extension
Set with V-LINK
Luer Activated
Device with
VITALSHIELD
Protective
Coating, Male Luer
Lock Adapter,
Approximate Volume
0.5 mL,
Approximate Length
7.9" (20.2 cm)
V-LINK Y-Type
Catheter Extension
Set with 2 V-LINK
Luer Activated
Devices with
VITALSHIELD
Protective
Coating, Non-DEHP,
Approximate Volume
0.8 mL,
Approximate Length
5.8" (14.6 cm)
V-LINK Luer
Activated Device
with VITALSHIELD
Protective
Coating, Male Luer
Lock Adapter, NonDEHP, non-PVC,
Approximate Volume
0.25 mL
V-LINK Non-DEHP
Catheter Extension
Set Kit with VLINK Luer
Activated Device
with VITALSHIELD
Protective Coating
and Catheter
Stabilization
Device,
Approximate Volume
0.5 mL,
Approximate Length
8.2" (21 cm)
V-LINK Non-DEHP
Catheter Extension
Set Kit with VLINK Luer
Activated Device
with VITALSHIELD
Protective Coating
and Catheter
Stabilization
Device,
Approximate Volume
1.0 mL,
Approximate Length
7.6" (19.3 cm)
50
Yes
Yes
200
Yes
Yes
200
Yes
Yes
50
Yes
Yes
50
Yes
Yes
Oct.28.2016 at 18:52:26 MDT Page # 177
NonPVC
Yes
Baxter HealthCare
Product
Code
6N8378
Description
National
Pack Container Non- NonDrug Code Factor
Type
Latex DEHP
Catheter Extension
Set with V-LINK
Luer Activated
Device with
VITALSHIELD
Protective
Coating, Male Luer
Lock Adapter with
Retractable
Collar, Non-DEHP,
Approximate Volume
0.8 mL,
Approximate Length
6.5 " (16.6 cm)
50
Yes
NonPVC
Yes
IV Solutions >> IV Solutions >> Dextrose Injections 10%
2B0164X
10% Dextrose
Injection, USP,
1000 mL VIAFLEX
Plastic Container
0338002304
14
Yes
HOMECHOICE PRO and HOMECHOICE System >> HOMECHOICE PRO
HOMECHOICE System >> APD Miscellaneous Supplies
L5C4446
L5C4446
5-Prong Manifold
Set
5-Prong Manifold
Set
15
Yes
15
Yes
and
Patient Connectology >> Transfer Set Adapters
NA
NA
Rockwell >> Rockwell >> RenalPure® Bicarbonate Formulations - Cases
RB252C
FB252C
CB0220C
CB252C
RB154C
RB0220C
RenalPure® Powder
Bicarbonate
36.83X, 8465 Gram
Bag, Case
Packaging: 2 Each
RenalPure® Powder
Bicarbonate 35X,
7947 Grams/ Bag.
Case packaging: 2
each
RenalPure® Powder
Bicarbonate, 650
Gram/Bag. Case
Packaging: 20 each
RenalPure® Powder
Bicarbonate 7692
Gram/Bag. Case
Packaging: 2 each
RenalPure® Powder
Bicarbonate
36.83X, 5083 Grams
/ Bag, Case
Packaging: 4 Each
RenalPure® Powder
Bicarbonate
36.83X, 851 Grams
/Bag, Case
Packaging: 20 Each
2
2
20
2
4
20
BioSurgery >> Intuitive Surgical<sup>®</sup></b>
NA
NA
EXACTAMED Oral and Enteral Systems >> Ward Pack, Clear
NA
NA
EXACTAMED Oral and Enteral Systems >> EXACTAMED Oral and Enteral
Systems >> Topical Dispenser, Amber
NA
NA
Oct.28.2016 at 18:52:26 MDT Page # 178
Baxter HealthCare
Product
Description
National
Pack Container Non- Non- NonCode
Drug Code Factor
Type
Latex DEHP PVC
EXACTAMED Oral and Enteral Systems >> Topical Dispenser, Clear
NA
NA
EXACTAMED Oral and Enteral Systems >> NeoThrive Enteral Feeding
Syringe - Sterile
H93879160
H93879135
H93879120
H93879110
H93879105
H93879103
H93879101
NEOTHRIVE Syringe
for Enteral
Feeding, Labeled
for non-IV Use.
Non-Luer Tip,
Single Selfrighting Tip Cap,
Orange Printing,
60 mL
NEOTHRIVE Syringe
for Enteral
Feeding, Labeled
for non-IV Use.
Non-Luer Tip,
Single Selfrighting Tip Cap,
Orange Printing,
35 mL
NEOTHRIVE Syringe
for Enteral
Feeding, Labeled
for non-IV Use.
Non-Luer Tip,
Single Selfrighting Tip Cap,
Orange Printing,
20 mL
NEOTHRIVE Syringe
for Enteral
Feeding, Labeled
for non-IV Use.
Non-Luer Tip,
Single Selfrighting Tip Cap,
Orange Printing,
10 mL
NEOTHRIVE Syringe
for Enteral
Feeding, Labeled
for non-IV Use.
Non-Luer Tip,
Single Selfrighting Tip Cap,
Orange Printing, 5
mL
NEOTHRIVE Syringe
for Enteral
Feeding, Labeled
for non-IV Use.
Non-Luer Tip,
Single Selfrighting Tip Cap,
Orange Printing, 3
mL
NEOTHRIVE Syringe
for Enteral
Feeding, Labeled
for non-IV Use.
Non-Luer Tip,
Single Selfrighting Tip Cap,
Orange Printing, 1
mL
25
Yes
Yes
35
50
Yes
100
Yes
Yes
100
Yes
Yes
100
Yes
Yes
100
Yes
Yes
Oct.28.2016 at 18:52:26 MDT Page # 179
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