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NDC 24571-0111-06 PRISMASOL 22; 5.4; 3.05; .314; 2.21; 7.07 g/L; g/L; g/L; g/L; g/L; g/L Details
PRISMASOL 22; 5.4; 3.05; .314; 2.21; 7.07 g/L; g/L; g/L; g/L; g/L; g/L
PRISMASOL is a INTRAVENOUS INJECTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Baxter Healthcare Corporation. The primary component is DEXTROSE MONOHYDRATE; LACTIC ACID, UNSPECIFIED FORM; MAGNESIUM CHLORIDE; POTASSIUM CHLORIDE; SODIUM BICARBONATE; SODIUM CHLORIDE.
Product Information
| NDC | 24571-0111 |
|---|---|
| Product ID | 24571-111_51955077-01ba-49f1-97b6-b2189b15e8aa |
| Associated GPIs | 99720020002021 |
| GCN Sequence Number | 066615 |
| GCN Sequence Number Description | bicarb dialysis 16 w-o calcium SOLUTION 4-1.5MEQ/L HEMODIALYS |
| HIC3 | C1Y |
| HIC3 Description | DIALYSIS SOLUTIONS |
| GCN | 28937 |
| HICL Sequence Number | 037126 |
| HICL Sequence Number Description | BICARBONATE DIALYSIS SOLUTION NO.16 WITHOUT CALCIUM |
| Brand/Generic | Brand |
| Proprietary Name | PRISMASOL |
| Proprietary Name Suffix | B22GK4/0 |
| Non-Proprietary Name | magnesium chloride, dextrose monohydrate, lactic acid, sodium chloride, sodium bicarbonate and potassium chloride |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | INJECTION |
| Route | INTRAVENOUS |
| Active Ingredient Strength | 22; 5.4; 3.05; .314; 2.21; 7.07 |
| Active Ingredient Units | g/L; g/L; g/L; g/L; g/L; g/L |
| Substance Name | DEXTROSE MONOHYDRATE; LACTIC ACID, UNSPECIFIED FORM; MAGNESIUM CHLORIDE; POTASSIUM CHLORIDE; SODIUM BICARBONATE; SODIUM CHLORIDE |
| Labeler Name | Baxter Healthcare Corporation |
| Pharmaceutical Class | Acidifying Activity [MoA], Calculi Dissolution Agent [EPC], Increased Large Intestinal Motility [PE], Increased Large Intestinal Motility [PE], Increased Large Intestinal Motility [PE], Increased Large Intestinal Motility [PE], Inhibition Large Intestine |
| DEA Schedule | n/a |
| Marketing Category | NDA |
| Application Number | NDA021703 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 24571-0111-06 (24571011106)
| NDC Package Code | 24571-111-06 |
|---|---|
| Billing NDC | 24571011106 |
| Package | 2 BAG in 1 CASE (24571-111-06) / 5 L in 1 BAG |
| Marketing Start Date | 2008-10-10 |
| NDC Exclude Flag | N |
| Pricing Information | N/A |