You are on page 1of 207

Baxter HealthCare

Product Description National Pack Container Latex DEHP PVC


Code Drug Code Factor Type Free Free Free
Ampules, Vials and Tablets >> Verapamil Hydrochloride Injection, USP
4306603125 Verapamil 4306603101 25 Yes Yes Yes
Hydrochloride
Injection, USP, 5
mg/2 mL (2.5
mg/mL) single-dose
vial (25 x 2mL)
4306603505 Verapamil 4306609001 5 Yes Yes Yes
Hydrochloride
Injection, USP, 10
mg/4 mL (2.5
mg/mL) single-dose
vials (5 x 4 mL)
BioSurgery >> PREVELEAK Surgical Sealant
ADS201808 PREVELEAK Surgical 1 Yes Yes Yes
Sealant 4 mL
ADS201807 PREVELEAK Surgical 10 Yes Yes Yes
Sealant Delivery
tips, 10 PK
PD Sets and Disposables >> PD Sets and Disposables >> APD Drain
Supplies
5C4512 APD Drain Manifold 30 Yes No Yes
5C4145NS 15L Cycler 30 Yes No No
Drainage Bag
Liquid Premix >> Liquid Premix >> Ciprofloxacin Injection
AIN00190 Ciprofloxacin 3600000824 24
Injection, USP, in
5% Dextrose, 200
mg/100 mL PVC
Flexible Container
Liquid Premix >> Liquid Premix >> Cardioplegic Solution for Cardiac
Perfusion
2B1462X Cardioplegic 0338034104 14
Solution for
Cardiac Perfusion
1000 mL in VIAFLEX
Plastic Container
BioSurgery >> ALTAPORE Bioactive Bone
1504319 ALTAPORE Bioactive 1 Yes
Bone Graft 1.5 ml
1504320 ALTAPORE Bioactive 1 Yes
Bone Graft 2.5 ml
1504321 ALTAPORE Bioactive 1 Yes
Bone Graft 5 ml
1504322 ALTAPORE Bioactive 1 Yes
Bone Graft 10 ml
1504323 ALTAPORE Bioactive 1 Yes
Bone Graft 20 ml
1508043 ALTAPORE SHAPE CYL 1 Yes Yes
1.6ML S
1508044 ALTAPORE SHAPE CYL 1 Yes Yes
2.6ML M
1508045 ALTAPORE SHAPE CYL 1 Yes Yes
8ML L
1508046 ALTAPORE SHAPE 1 Yes Yes
15.8ML STRIP
Peri-Strips Dry® with Veritas >> Peri-Strips Dry® with Veritas >>
Peri-Strips Dry Gel
PSD6006ECHVB VPSD 6 Fire 6 Yes
IO ClearView-Ultra
Thin

Oct.02.2023 at 07:08:05 UTC Page # 1


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
PSDGEL3PKWTI PERI-STRIPS DRY 3 Yes
PS Gel
PD Sets and Disposables >> PD Sets and Disposables >> APD Extension
Lines
5C4464P Sterile Drain 30 Yes No No
Extension Line, 12
feet
5C4480C 12 Foot Patient 30 Yes No No
Extension Line
with EASY-LOCK
Connector
Pharmacy Admixture Tools >> RAPIDFILL Connectors
H93813901 RAPIDFILL 50 Yes Yes Yes
Connectors, Luer
Lock-to-Luer Lock,
Red
H93813915 RAPIDFILL 50 Yes Yes Yes
Connectors, Luer
Lock-to-Luer Lock,
Red, with Cap
H93842701 RAPIDFILL 50 Yes Yes Yes
Connector, Luer
Lock-to-Oral Slip,
Clear. Connect
EXACTAMED Oral
Dispensers to luer
fitting devices.
H93842703 RAPIDFILL 50 Yes Yes Yes
Connector, Luer
Lock-to-Oral Slip,
Clear. Connect
EXACTAMED Oral
Dispensers to luer
fitting devices.
Sterile
H93813701 RAPIDFILL 50 Yes Yes Yes
Connectors, Luer
Lock-to-Luer Slip,
Blue
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >>
Norepinephrine Bitartrate lnjection
AIN00610 Norepinephrine 3600016210 10 Yes
Bitartrate
lnjection, USP, 1
mg/ml 4 mL Single
Dose Ampule (10 x
4 mL)
4306699710 Norepinephrine 4306699710 10 Yes Yes Yes
Bitartrate
Injection USP, 4
mg/4 mL (1 mg/mL)
Single-Dose Vial
(10 x 4 mL)
Liquid Premix >> Liquid Premix >> Potassium Chloride Highly
Concentrated Injections
2B0821 Highly 0338070541 24 Yes No
Concentrated
Potassium Chloride
Injection, 10
mEq/50 mL in
VIAFLEX Plastic
Container

Oct.02.2023 at 07:08:05 UTC Page # 2


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B0822 Highly 0338070341 24
Concentrated
Potassium Chloride
Injection, 20
mEq/50 mL in
VIAFLEX Plastic
Container
2B0824 Highly 0338070348 24
Concentrated
Potassium Chloride
Injection, 40
mEq/100 mL in
VIAFLEX Plastic
Container
2B0826 Highly 0338070948 24
Concentrated
Potassium Chloride
Injection, 10
mEq/100 mL in
VIAFLEX Plastic
Container
2B0827 Highly 0338070548 24
Concentrated
Potassium Chloride
Injection, 20
mEq/100 mL in
VIAFLEX Plastic
Container
Surgical Tools >> Vascular Probe Extra Supple
7081520ES VASCULAR PROBE, 5 Yes
Extra Supple, 8cm,
1.5-2.0mm
7082025ES VASCULAR PROBE, 5 Yes
Extra Supple, 8cm,
2.0-2.5mm
7151015ES VASCULAR PROBE, 5 Yes Yes Yes
Extra Supple,
15cm, 1.0-1.5mm
7151520ES VASCULAR PROBE, 5 Yes
Extra Supple,
15cm, 1.5-2.0mm
7152025ES VASCULAR PROBE, 5 Yes Yes Yes
Extra Supple,
15cm, 2.0-2.5mm
7451015ES VASCULAR PROBE, 5 Yes
Extra Supple,
45cm, 1.0-1.5mm
7451520ES VASCULAR PROBE, 5 Yes
Extra Supple,
45cm, 1.5-2.0mm
7452025ES VASCULAR PROBE, 5 Yes
Extra Supple,
45cm, 2.0-2.5mm
PD Sets and Disposables >> CAPD Drain Supplies
L5C4366 ULTRASET 30 Yes
Disposable
Disconnect Y-Set
5C4527 Outlet Port Clamp 12 Yes Yes Yes
with Short Nose
5C4957 ULTRACLAMP Clamp 12 Yes No Yes
Liquid Premix >> CLEOCIN PHOSPHATE Injections
NA NA
Pharmacy Admixture Tools >> Pharmacy Admixture Tools >> Pharmacy
Accessories

Oct.02.2023 at 07:08:05 UTC Page # 3


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H93864010 Tamper-Evident 100 Yes No
Luer Lock Tip Cap,
Red. 100/Case
H93864110 Tamper-Evident 1000 Yes No
Luer Lock Tip Cap,
Red. 1000/Case
2B8066 Additive Cap for 900 Yes Yes Yes
VIAFLEX Plastic
Containers
H93813501 Luer-to-Urethral 50 Yes No
Catheter Tip
Adapter
H93813601 Luer-to-Catheter 50 Yes No
Tip Adapter
H93867031 Catheter Syringe 25 Yes No
Tip Cap, Self-
Threading
1C8189 Transfer Set. Two 48 Yes
Male Luer Lock
Adapters. 37" (94
cm)
2N8395 Universal Vial 200 Yes Yes Yes
Adapter, CLEARLINK
Luer Activated
1C8624 Transfer Set. Two 48 Yes No No
Male Luer Lock
Adapters. 41" (104
cm)
2C6250 Dual Luer Lock Cap 504 Yes Yes Yes
Male/Female Port
Protector
2C0415 Solution Transfer 48 Yes No
Set. Non-Vented
Spike Connector
and Needle
Adaptor.
H93842000 Universal Bottle 100 Yes Yes Yes
Adapter. Fits
bottles with neck
openings of 13 m
to 22 mm. For use
with EXACTAMED
Oral Dispensers.
H93850300 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Tip Cap,
Blue
H93852300 Tamper Evident 100 Yes Yes Yes
Oral Dispenser
Cap, Three-Part
Plastic Cap for
ExactaMed Oral
Dispenser. Red
2C0426 Solution Transfer 48 Yes
Set. One Vented
Spike and One Non-
Vented Spike
Connectors.
H93847 EXACTAMED 50 Yes No
Dispensing Pin,
Sheathed Plastic
with 3 Micron
Filtered Vent
H93849 Admix Dispensing 50 Yes No
Pin with 0.2
Micron Filtered
Vent (hydrophobic)
and Tethered Cap
Oct.02.2023 at 07:08:05 UTC Page # 4
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H93830020 Tamper-Indicating 1000 Yes Yes
Foil Seal
H93842900 MARK-A-DOSE Label, 1000 Yes Yes
Clear Pressure
Sensitive Adhesive
Label
H93843050 Oral Label 2.25" x 1000 Yes Yes
0.875" (60 x 20
mm). Pre-printed
Pin-feed Labels
for Identification
of Oral
Medications
H93843055 Oral Label 2" x 1000
0.5" (50 x 15 mm).
Pre-printed Pin-
feed Labels for
Identification of
Oral Medications
H93865001 Luer Lock Tip Cap, 100 Yes No
Red, Packaged
Individually.
Sterile
H93867 EXACTAMIX Needle 50 Yes Yes
Port Adapter
CRRT Solutions >> CRRT Solutions >> PHOXILLUM Replacement Solution
114905 114905 - PHOXILLUM 2
BK4/2.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy
114906 114906 - PHOXILLUM 2
B22K4/0
Replacement
Solution for
Continuous Renal
Replacement
Therapy
BioSurgery >> Surgical Tools
NA NA
Tissue-Guard Family of Surgical Patches >> Vascu-Guard Vascular Repair
Patch
VG0110 VASCU-GUARD 1 Yes Yes Yes
Vascular Repair
Patch 1x10 cm
VG0106 VASCU-GUARD 1 Yes Yes Yes
Vascular Repair
Patch 1x6 cm
VG0108 VASCU-GUARD 1 Yes Yes Yes
Vascular Repair
Patch 0.8x8 cm
VG0209 VASCU-GUARD 1 Yes Yes Yes
Vascular Repair
Patch 2x9 cm
BioSurgery >> Hemostasis CELSTAT
NA NA
Patient Connectology >> Patient Connectology >> Transfer Set Adapters
NA NA
Pharmacy Admixture Tools >> SUPOR Syringe Filters

Oct.02.2023 at 07:08:05 UTC Page # 5


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H93821050 SUPOR Syringe 50 Yes No
Filter, 5 Micron,
25 mm, Female Luer
Lock Connector,
Male Luer Lock
Connector,
Green/Green
H93824640 SUPOR Syringe 50 Yes No
Filter, 5 Micron,
32 mm, Female Luer
Lock Connector,
Male Luer Lock
Connector,
Green/Green
H93824642 SUPOR Syringe 50 Yes No
Filter, 0.2
Micron, 32 mm,
Female Luer Lock
Connector, Male
Luer Lock
Connector,
Blue/Blue
H93824648 SUPOR Syringe 50 Yes
Filter, 1.2
Micron, 32mm,
Female Luer Lock
Connector, Male
Luer Lock
Connector,
Clear/Blue
H93821002 SUPOR Syringe 50 Yes No
Filter, 0.2
Micron, 25 mm,
Female Luer Lock
Connector, Male
Luer Lock
Connector,
Blue/Blue
H93821012 SUPOR Syringe 50 Yes No
Filter, 1.2
Micron, 25 mm,
Female Luer Lock
Connector, Male
Luer Lock
Connector,
Clear/Blue
BioSurgery >> Actifuse Bone Graft Substitute >> ACTIFUSE Bone Graft
Substitute ABX
506005078051 ACTIFUSE Bone 1 Yes
Graft Substitute
ABX 5 mL
506005078052 ACTIFUSE Bone 1 Yes
Graft Substitute
ABX 10 mL
506005078058 ACTIFUSE Bone 1 Yes
Graft Substitute
ABX 20 mL
506005078060 ACTIFUSE Bone 1 Yes
Graft Substitute
ABX 1.5 mL
PD Sets and Disposables >> PD Catheter Supplies
5C4319 IMMOBILE catheter 30 Yes Yes Yes
and transfer set
stabilizing device
Patient Connectology >> Transfer Sets For Straight Line CAPD
NA NA

Oct.02.2023 at 07:08:05 UTC Page # 6


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
CRRT Solutions >> CRRT Solutions >> PRISMASOL Replacement Solution,
PVC
115647 PrismaSoL 1
Replacement
Solutions for
Continuous Renal
Replacement
Therapy, PVC
PRISMASOL
BGK4/3.52X5L
Liquid Premix >> Liquid Premix >> Metronidazole Injection
2B3421 Metronidazole 0338105548 24 Yes
Injection, USP,
500 mg/100 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
CRRT Solutions >> CRRT Solutions >> PRISMASOL Replacement Solution,
Non-PVC
110239S PrismaSol 2
BK0/0/1.2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON-PVC
110240S PrismaSol BGK0/2.5 2457110806 2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
110241S PrismaSol 2
BGK4/0/1.2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
110242S PrismaSol BGK4/2.5 2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
110243S PrismaSol BGK2/3.5 2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
110244S PrismaSol BGK2/0 2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
115001S PrismaSol B22GK4/0 2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
Parenteral Nutrition Solutions & Additives >> Gravity Compounding
Containers, Sets & Accessories >> Empty Containers
NA NA

Oct.02.2023 at 07:08:05 UTC Page # 7


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
Infusion Systems >> NOVUM IQ Infusion Systems >> NOVUM IQ Infusion
Pumps
40800BAXUS Novum IQ Syringe 1 Yes No No
Pump
Patient Connectology >> Clamps
NA NA
Hemophilia >> ADVATE Antihemophilic Factor (Recombinant)
Plasma/Albumin-Free Method
NA NA
Frozen Premix >> Frozen Premix >> Oxacillin Injections
2G3538 Oxacillin 0338101341 24
Injection, USP, 1
gram/50 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3539 Oxacillin 0338101541 24
Injection, USP, 2
gram/50 mL in
GALAXY Plastic
Container. Frozen
Premix.
Needle Free Connectors & Catheter Extensions >> Needle Free Connectors
& Catheter Extensions >> Catheter Extension Sets without Connector
NA NA
Surgical Tools >> Flo-Thru® Intraluminal Shunt
FT12225 FLO-THRU 5 Yes Yes Yes
Intraluminal
Shunt, 2.25mm
FT12100 FLO-THRU 5 Yes Yes Yes
Intraluminal
Shunt, 1.00mm
FT12125 FLO-THRU 5 Yes Yes Yes
Intraluminal
Shunt, 1.25mm
FT12150 FLO-THRU 5 Yes Yes Yes
Intraluminal
Shunt, 1.50mm
FT12175 FLO-THRU 5 Yes Yes Yes
Intraluminal
Shunt, 1.75mm
FT12200 FLO-THRU 5 Yes Yes Yes
Intraluminal
Shunt, 2.00mm
FT12250 FLO-THRU 5 Yes
Intraluminal
Shunt, 2.50mm
FT12275 FLO-THRU 5 Yes
Intraluminal
Shunt, 2.75mm
FT12300 FLO-THRU 5 Yes
Intraluminal
Shunt, 3.00mm
Liquid Premix >> Acetaminophen Injection
EZPE8821 Acetaminophen 3600030660 40
Injection 1000
mg/100 mL (10
mg/mL) in VIAFLO
Plastic Container.
Liquid Premix
IV Solutions >> IV Solutions >> Sterile Water for Injection

Oct.02.2023 at 07:08:05 UTC Page # 8


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B0307 Sterile Water for 0338001308 4
Injection, USP,
3000 mL VIAFLEX
Plastic Container.
Pharmacy Bulk
Package
2B0309 Sterile Water for 0338001329 2
Injection, USP,
5000 mL VIAFLEX
Plastic Container.
Pharmacy Bulk
Package
2B0304X Sterile Water for 0338001304 14 Yes
Injection, USP,
1000 mL VIAFLEX
Plastic Container.
For Drug Diluent
Use Only
2B0306 Sterile Water for 0338001306 6 Yes
Injection, USP,
2000 mL VIAFLEX
Plastic Container.
Pharmacy Bulk
Package
CRRT Solutions >> CRRT Solutions >> PrismaSate Dialysate Solution,
Non-PVC
105351 PrismaSATE BGK2/0 2 Yes
Dialysis Solution
for Continuous
Renal Replacement
Therapy. Non-PVC
105353 PrismaSATE BKO/3.5 2 Yes
Dialysis Solution
for Continuous
Renal Replacement
Therapy. Non PVC
106957 PrismaSATE 2 Yes
BGK4/2.5 Dialysis
Solution for
Continuous Renal
Replacement
Therapy. NON - PVC
107501S PrismaSATE 2 Yes
B22GK4/0 Dialysis
Solution for
Continuous Renal
Replacement
Therapy
107580S PrismaSATE BK2/0 2 Yes
Dialysis Solution
for Continuous
Renal Replacement
Therapy
110411S PRISMASATE 2 Yes
Dialysis Solution
for Continuous
Renal Replacement
Therapy, NON PVC
PRISMASATE
BGK4/0/1.2
106957C NON PVC PRISMASATE 2 Yes
BGK4/2,5
Patient Connectology >> Patient Connectology >> Disconnect Caps
NA NA
Access >> Administration Sets >> Blood Sets
NA NA

Oct.02.2023 at 07:08:05 UTC Page # 9


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
4H8723 Y-Type 48 Yes
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron and
Pressure Pump, 2
CLEARLINK Luer
Activated Valves,
98" (2.5 m)
4C8723 Y-Type 48
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron and
Pressure Pump, 2
CLEARLINK Luer
Activated Valves,
15 drops/mL, 98"
(2.5 m)
2C8750 Y-Type 48 Yes
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron,
CLEARLINK Valve,
Retractable
Collar, 10
drops/mL, 112"
(2.8 m)
1C8333 Blood Bag Spike, 48 Yes No
INTERLINK
Injection Site,
3.4" (8.7 cm)
1C8372 Y-Type 48 Yes
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron, 2
Injection Site
INTERLINK System,
10 drops/mL, 112"
(2.9 m)
4C7750 Add-On Large 48 Yes No No
Standard Blood
Filter 170 to 260
Micron Filter,
Approximately 15
drops per mL,
Approximate Length
10" (26 cm)
2C6700 Straight-Type 48 Yes No
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron,
INTERLINK
Injection Site, 10
drops/mL, 79"
(2.0 m)
2C7627 Y-Type 48 Yes
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron, 10
drops/mL, 83” (2.1
m)

Oct.02.2023 at 07:08:05 UTC Page # 10


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C6714 Y-Type 48 Yes
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron, 2
INTERLINK
Injection Sites,
10 Drops/ mL, 100"
(2.5 m)
1C8687 Blood Bag Spike 48 Yes No No
Adapter, CLEARLINK
Luer Activated
Valve for IV
Access, 4.0" (10
cm)
2C8751 Straight-Type 48 Yes No
Blood/ Solution
Set with Standard
Blood Filter 170
to 260 Micron,
CLEARLINK Luer
Activated Valve,
10 drops/mL, 103"
(2.6 m)
2C8720 Y-Type 48 Yes No
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron,
CLEARLINK Luer
Activated Valve,
10 drops/mL, 103"
(2.6 m)
4C8714 Y-Type 48 Yes No No
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron, 2
CLEARLINK Luer
Activated Valves,
15 drops/mL, 100"
(2.5 m)
2C6750H Y-Type 48 Yes No No
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron,
INTERLINK
Injection Site, 10
drops/mL, 114"
(2.9 m)
1C8732 Y-Type 48 Yes
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron, 10
drops/mL, 90" (2.3
m)
2C6720 Y-Type 48 Yes
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron,
INTERLINK
Injection Site, 10
drops/mL, 97" (2.5
m)

Oct.02.2023 at 07:08:05 UTC Page # 11


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C6723 Y-Type 48 Yes No No
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron and
Pressure Pump, 2
INTERLINK
Injection Sites,
10 drops/mL, 99"
(2.5 m)
Liquid Premix >> Nitroglycerin Injections
1A0696 Nitroglycerin in 0338105102 12
5% Dextrose
Injection 100
mg/250 mL (400
mcg/mL) in Glass
Container
1A0692 Nitroglycerin in 0338104702 12
5% Dextrose
Injection 25
mg/250 mL (100
mcg/mL) in Glass
Container
1A0694 Nitroglycerin in 0338104902 12
5% Dextrose
Injection 50
mg/250 mL (200
mcg/mL) in Glass
Container
Hemophilia >> RECOMBINATE [Antihemophilic Factor (Recombinant)]
NA NA
Sigma Spectrum V8 >> Sigma Spectrum V8 >> Preventative
Maintenance/Tubing Kits
NA NA
NA NA
EXACTAMED Oral Systems >> Orderable Only - EXACTAMED
NA NA
Hemodialysis >> AK98
955607 AK 98 v3.1 115V 1 Yes Yes
Liquid Premix >> Eptifibatide Injection
2G3476 Eptifibatide 0338955810 12
Injection, 75
mg/100 mL, in
GALAXY Container,
Liquid Premix.
IV Prep & Compounding >> EXACTAMIX Compounder & ABACUS Software
NA NA
Irrigation Solutions >> Sorbitol Irrigation
2B7357 3% Sorbitol 0338029547 4
Urologic
Irrigating
Solution, 3000 mL
UROMATIC Plastic
Container
Liquid Premix >> Liquid Premix >> Levofloxacin Injection
AIN00233 Levofloxacin 3600004624 24
lnjection in 5%
Dextrose, 250
mg/50 mL Non-PVC
Flexible Container

Oct.02.2023 at 07:08:05 UTC Page # 12


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
AIN00232 Levofloxacin 3600004724 24
lnjection in 5%
Dextrose, 500
mg/100 mL (5
mg/mL) Non-PVC
Flexible Container
AIN00231 Levofloxacin 3600004824 24
lnjection in 5%
Dextrose, 750
mg/150 mL Non-PVC
Flexible Container
PD Sets and Disposables >> PD Sets and Disposables >> PD Catheter
Supplies
5C4319 IMMOBILE catheter 30 Yes Yes Yes
and transfer set
stabilizing device
Administration Sets >> Administration Sets >> Orderable Only
NA NA
NA NA
Infusion Accessories >> Manifolds
2C9282 Manifold, 3-Port 48 Yes Yes Yes
Check Valves, Male
Luer Lock Adapter
2C6204 Stopcock, 4-Way 50 Yes Yes Yes
Large Bore (lipid
resistant),
Rotating Male Luer
Lock Adapter
2C6217 Stopcock Manifold, 50 Yes Yes Yes
Two Gang 4-way
Large Bore (lipid
resistant),
Rotating Male Luer
Lock Adapter
2C6218 Stopcock Manifold, 50 Yes Yes Yes
Three Gang 4-way
Large Bore (lipid
resistant) with
Rotating Male Luer
Lock Adapter
Infusion Accessories & Chemo-Aide >> Infusion Accessories & Chemo-Aide
>> Chemo-Aide & Vial Adapters
NA NA
Needle Free Connectors & Catheter Extension Sets >> Needle Free
Connectors & Catheter Extension Sets >> Catheter Extension Sets
without Connector
2N1333 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Standard
Bore, Power
Injectable (325
psi/2241 kPa),
6.5" (16 cm)
2N1206 Straight-Type 50 Yes
Catheter Extension
Set, Standard
Bore, 5.7" (14 cm)
2N3342 Three-Lead 50 Yes Yes No
Catheter Extension
Set, Microbore,
0.22 Micron
Filter, 8.0" (20
cm)

Oct.02.2023 at 07:08:05 UTC Page # 13


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C5647 Y-Type Catheter 48 Yes No No
Extension Set, 2
Check Valves,
Standard Bore,
Retractable
Collar, 6.9" (18
cm)
2N1191 Y-Type Catheter 50 Yes Yes No
Extension Set,
Microbore, 4.7"
(12 cm)
2N1194 Straight-Type 50 Yes Yes No
Catheter Extension
Set, Microbore, ,
6.8" (17 cm)
2N1196 Y-Type Catheter 50 Yes Yes No
Extension Set,
Standard Bore,
5.3" (14 cm)
2N3386 Straight-Type 50
Catheter Extension
Set, 0.2 Micron
Filter, Micro-
volume, 10" (25
cm)
Tissue-Guard Family of Surgical Patches >> Supple Peri-Guard
Pericardium Patch
PC0404SNBIO SUPPLE PERI-GUARD 1 Yes
Pericardium Patch
4x4cm
PC0608SNBIO SUPPLE PERI-GUARD 1 Yes
Pericardium Patch
6x8cm
PC0814SNBIO SUPPLE PERI-GUARD 1 Yes
Pericardium Patch
8x14cm
PC1016SNBIO SUPPLE PERI-GUARD 1 Yes
Pericardium Patch
10x16cm
Peritoneal Dialysis >> PD Ancillaries >> Dressings
5K7589M AVANT GAUZE Non- 50
Woven Sponges, 4"
X 4", Sterile
5K7619M CURAD Transparent 1
Tape 1" X 10 yds
5K7617M CURAD Paper Tape 1
2" X 10 yds
5K7615M CURAD Paper Tape 1
1" X 10 yds
5K7533M CURAD Non-Adherent 100
Pads, 2" X 3",
Sterile
5K7579M MEDLINE Suresite 50
Window,
Transparent Film
Dressing, 4" X
4.5", Sterile
5K7426M MEDLINE Gauze 200
Sponge 2" x 2",
Woven, Non-Sterile
5K7525M MEDLINE Post-Op 100
Gauze Sponges, 4"
X 3", Non-Sterile
5K7624M CURAD Cloth Tape 1
1" X 10 yds
Oct.02.2023 at 07:08:05 UTC Page # 14
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
5K7458MM AVANT GAUZE Drain 35
Sponges, 2" X 2",
Non-Woven, Sterile
EXACTAMED Oral Systems >> Orderable Only - Bedside Pack
NA NA
Frozen Premix >> Frozen Premix >> ZINACEF Injections
NA NA
IV Solutions >> PLASMALYTE (Multiple Electrolyte) Injections
2B2543Q PLASMA-LYTE A 0338022103 24
Injection pH 7.4
(Multiple
Electrolytes
Injection, Type 1,
USP) 500 mL
VIAFLEX Plastic
Container
2B2544X PLASMA-LYTE A 0338022104 14 Yes
Injection pH 7.4
(Multiple
Electrolytes
Injection, Type 1,
USP) 1000 mL
VIAFLEX Plastic
Container
Surgical Tools >> Flo-Rester® Internal Vessel Occluder-Vascular
60350 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 3.50mm
bulb diameter
60400BIOS FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 4.00mm
bulb diameter
60450BIOS FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 4.50mm
bulb diameter
60150BIOS FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 1.50mm
bulb diameter
60200BIOS FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 2.00mm
bulb diameter
60175 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 1.75mm
bulb diameter
Oct.02.2023 at 07:08:05 UTC Page # 15
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
60225BIOS FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 2.25mm
bulb diameter
60100 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 1.00mm
bulb diameter
60125BIOS FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 1.25mm
bulb diameter
60250BIOS FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 2.50mm
bulb diameter
60275 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 2.75mm
bulb diameter
60300 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 3.00mm
bulb diameter
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> Mesna and
Mesnex
0338130501 MESNEX (mesna) 0338130501 1
Injection 1gm/10
mL (100mg/mL)
Multi-Dose Vial.
Box of 1 vial
0338130503 MESNEX (mesna) 0338130503 10
Injection 1 gm/10
mL (100 mg/mL)
Multi-Dose Vial.
Box of 10 vials
1001995301 Mesna Injection 1 1001995301 1 Yes
gm/10 mL Multi-
Dose Vial (100
mg/mL). Box of 1
vial.
1001995302 Mesna Injection 1 1001995302 10 Yes
gm/10mL Multi-Dose
Vial (100 mg/mL).
Box of 10 vials
6710835659 Mesnex (mesna) 6710835659 10
Tablets, 400 mg
Tablets, 10
Blisters per Card
Liquid Premix >> Milrinone Lactate Injections
Oct.02.2023 at 07:08:05 UTC Page # 16
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2J0901 Milrinone Lactate 0338601137 10
in 5% Dextrose
Injection, 40
mg/200 mL (200
mcg/mL) INTRAVIA
Plastic Container.
Liquid Premix.
2J0900 Milrinone Lactate 0338601048 10
in 5% Dextrose
Injection, 20
mg/100 mL (200
mcg/mL) INTRAVIA
Plastic Container.
Liquid Premix.
Ampules, Vials and Tablets >> Cyclophosphamide Injection
1001995501 Cyclophosphamide 1001995501 1 Yes
for Injection,
USP, 500 mg
Single-Dose Vial.
Carton of 1 Vial
1001995601 Cyclophosphamide 1001995601 1 Yes
for Injection,
USP, 1 gram
Single-Dose Vial.
Carton of 1 Vial
1001995701 Cyclophosphamide 1001995701 1 Yes
for Injection,
USP, 2 gram
Single-Dose Vial.
Carton of 1 Vial
PD Solutions >> EXTRANEAL (Icodextrin) Solutions for APD
L5B4974 EXTRANEAL 0941067906 6 Yes No No
(icodextrin)
Peritoneal
Dialysis Solution,
AMBU-FLEX ll
Container with
purple pull ring,
2000 mL
L5B4976 EXTRANEAL 0941067905 5
(icodextrin)
Peritoneal
Dialysis Solution,
AMBU-FLEX ll
Container with
purple pull ring,
2500 mL
Liquid Premix >> Ciprofloxacin Injection
AIN00190 Ciprofloxacin 3600000824 24
Injection, USP, in
5% Dextrose, 200
mg/100 mL PVC
Flexible Container
Access >> Needle Free Connectors & Catheter Extensions >> ONE-LINK
NA NA
Infusion Systems >> Spectrum IQ Infusion System
NA NA
Parenteral Nutrition Solutions & Additives >> EXACATMIX Automated
Compounder
NA NA
BioSurgery >> GELFOAM® Hemostasis
NA NA
PD Cyclers & Software >> Claria >> Claria

Oct.02.2023 at 07:08:05 UTC Page # 17


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
NA NA
NA NA
Hemodialysis >> Blood Lines
NA NA
Liquid Premix >> Lidocaine Injections
2B0973 Lidocaine 0338040903 18
Hydrochloride in
5% Dextrose
Injection, USP, 2
grams/500 mL (4
mg/mL) in VIAFLEX
Plastic Container.
Liquid Premix.
2B0962 Lidocaine 0338041102 24
Hydrochloride in
5% Dextrose
Injection, USP, 2
gram/250 mL (8
mg/mL) in VIAFLEX
Plastic Container.
Liquid Premix.
Frozen Premix >> Oxacillin Injections
2G3538 Oxacillin 0338101341 24
Injection, USP, 1
gram/50 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3539 Oxacillin 0338101541 24
Injection, USP, 2
gram/50 mL in
GALAXY Plastic
Container. Frozen
Premix.
Frozen Premix >> Frozen Premix >> FORTAZ Injections
NA NA
Irrigation Solutions >> Lactated Ringer's & Ringer's Irrigation
2F7154 Lactated Ringer's 0338011404 12
Irrigation, 1000
mL Plastic Pour
Bottle Container
2B7489 Lactated Ringer's 0338013729 2 Yes
Irrigation, 5000
mL ARTHROMATIC
Plastic Container
2B7487 Lactated Ringer's 0338013727 4 Yes
Irrigation, 3000
mL ARTHROMATIC
Plastic Container
Peri-Strips Dry® with Veritas >> Ultra-Thin Linear Staple Line
Buttress
NA NA
Gravity Compounding Containers, Sets & Accessories >> Handsealer &
Clips
NA NA
NA NA
Ampules, Vials and Tablets >> Naloxone Hydrochloride Injection USP

Oct.02.2023 at 07:08:05 UTC Page # 18


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
AIN03007 Naloxone 3600030801 10 Yes Yes Yes
Hydrochloride
Injection, USP
0.4 mg/mL 1mL
Single Dose Vial,
10 vials/box
AIN03008 Naloxone 3600031001 1 Yes Yes Yes
Hydrochloride
Injection USP,
Multiple-Dose Vial
4 mg/10mL
(0.4mg/mL), 10 mL
Surgical Tools >> Surgical Tools >> Flo-Thru® Intraluminal Shunt
FT12225 FLO-THRU 5 Yes Yes Yes
Intraluminal
Shunt, 2.25mm
FT12100 FLO-THRU 5 Yes Yes Yes
Intraluminal
Shunt, 1.00mm
FT12125 FLO-THRU 5 Yes Yes Yes
Intraluminal
Shunt, 1.25mm
FT12150 FLO-THRU 5 Yes Yes Yes
Intraluminal
Shunt, 1.50mm
FT12175 FLO-THRU 5 Yes Yes Yes
Intraluminal
Shunt, 1.75mm
FT12200 FLO-THRU 5 Yes Yes Yes
Intraluminal
Shunt, 2.00mm
FT12250 FLO-THRU 5 Yes
Intraluminal
Shunt, 2.50mm
FT12275 FLO-THRU 5 Yes
Intraluminal
Shunt, 2.75mm
FT12300 FLO-THRU 5 Yes
Intraluminal
Shunt, 3.00mm
Liquid Premix >> Metronidazole Injection
2B3421 Metronidazole 0338105548 24 Yes
Injection, USP,
500 mg/100 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
Peritoneal Dialysis >> APD Miscellaneous Supplies
NA NA
Frozen Premix >> Cefepime Injections
2G3578 Cefepime Injection 0338130141 24
1 gram/50 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3579 Cefepime Injection 0338130148 12
2 gram/100 mL in
GALAXY Plastic
Container. Frozen
Premix.
Irrigation Solutions >> Irrigation Solutions >> Lactated Ringer's &
Ringer's Irrigation

Oct.02.2023 at 07:08:05 UTC Page # 19


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2F7154 Lactated Ringer's 0338011404 12
Irrigation, 1000
mL Plastic Pour
Bottle Container
2B7489 Lactated Ringer's 0338013729 2 Yes
Irrigation, 5000
mL ARTHROMATIC
Plastic Container
2B7487 Lactated Ringer's 0338013727 4 Yes
Irrigation, 3000
mL ARTHROMATIC
Plastic Container
Needle Free Connectors & Catheter Extension Sets >> Catheter Extension
Sets without Connector
2N1333 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Standard
Bore, Power
Injectable (325
psi/2241 kPa),
6.5" (16 cm)
2N1206 Straight-Type 50 Yes
Catheter Extension
Set, Standard
Bore, 5.7" (14 cm)
2N3342 Three-Lead 50 Yes Yes No
Catheter Extension
Set, Microbore,
0.22 Micron
Filter, 8.0" (20
cm)
2C5647 Y-Type Catheter 48 Yes No No
Extension Set, 2
Check Valves,
Standard Bore,
Retractable
Collar, 6.9" (18
cm)
2N1191 Y-Type Catheter 50 Yes Yes No
Extension Set,
Microbore, 4.7"
(12 cm)
2N1194 Straight-Type 50 Yes Yes No
Catheter Extension
Set, Microbore, ,
6.8" (17 cm)
2N1196 Y-Type Catheter 50 Yes Yes No
Extension Set,
Standard Bore,
5.3" (14 cm)
2N3386 Straight-Type 50
Catheter Extension
Set, 0.2 Micron
Filter, Micro-
volume, 10" (25
cm)
BioSurgery >> TISSEEL [FIBRIN SEALANT] Accessories
0600065PR 0600065PR - 1 Yes
EASYSPRAY Set with
EASYSPRAY Pressure
Regulator
0600029MR DUPLOSPRAY MIS 1 Yes
Applicator, 30 cm
with DUPLOSPRAY
Regulator and
DUPLOSPRAY MIS
Rollstand
Oct.02.2023 at 07:08:05 UTC Page # 20
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
1501250 DUPLOJECT EASY 6 Yes
PREP 2 mL Fibrin
Sealant
Preparation and
Application System
1501251 DUPLOJECT EASY 6 Yes
PREP 4 mL Fibrin
Sealant
Preparation and
Application System
1501252 DUPLOJECT EASY 6 Yes
PREP 10 mL Fibrin
Sealant
Preparation and
Application System
0600065 0600065 - 10 Yes
EASYSPRAY SET
0601129 <b>DUPLOSPRAY</b> 5
MIS applicator
with snap lock
30cm
0601133 Std. DUPLOSPRAY 5
MIS 20cm
Applicator with
DuploSpray
Regulator,
Rollstand and Yoke
SA3768111 360 FlexTip 40cm 5
Applicator with
DuploSpray
Regulator,
Rollstand and Yoke
0601130 Std. DUPLOSPRAY 5
MIS 40cm
Applicator with
DuploSpray
Regulator,
Rollstand and Yoke
1506165 DUPLOCATH 1 Yes Yes
APPLICATION
CATHETER - 25 cm
1506166 DUPLOCATH 1 Yes Yes
APPLICATION
CATHETER - 35 cm
1506167 DUPLOCATH 1 Yes Yes
APPLICATION
CATHETER - 180 cm
0601139 DUPLOTIP 3 Yes
Applicator with
Snap Lock, Rigid,
5mm x 40cm
601151 Gasless Tip 5 Yes
Applicator, Open
601153 Gasless Tip 5
Applicator, MIS
25cm
601155 Gasless Tip 5 Yes
Applicator, MIS
40cm
600112P Gas Connector Kit 1 Yes Yes
(1 EA CO2, N2, and
Hospital Air
Connector)
611134P Yoke 1 Yes Yes
Liquid Premix >> CARDENE Injections

Oct.02.2023 at 07:08:05 UTC Page # 21


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2G3443 CARDENE IV 4306600910 10 Yes Yes Yes
(nicardipine
hydrochloride)
premixed injection
in 0.86% Sodium
Chloride 20 mg in
200 mL (0.1 mg/mL)
in GALAXY Plastic
Container
2G3444 CARDENE IV 4306601610 10 Yes Yes Yes
(nicardipine
hydrochloride)
premixed injection
in 0.83% Sodium
Chloride 40 mg in
200 mL (0.2 mg/mL)
in GALAXY Plastic
Container
Peritoneal Dialysis >> PD Solutions
NA NA
IV Solutions >> IV Solutions >> OSMITROL Injection (Mannitol
Injection, USP)
2D5613Q 10% OSMITROL 0338035303 24 Yes
Injection (10%
Mannitol
Injection, USP)
500 mL VIAFLEX
Plastic Container
2D5632Q 20% OSMITROL 0338035702 36 Yes No
Injection (20%
Mannitol
Injection, USP)
250 mL VIAFLEX
Plastic Container
2D5633Q 20% OSMITROL 0338035703 24 Yes
Injection (20%
Mannitol
Injection, USP)
500 mL VIAFLEX
Plastic Container
Dialyzers >> Dialyzers >> REVACLEAR Dialyzers
114745L REVACLEAR 300 24 Yes
Dialyzer
114746L REVACLEAR 400 24 Yes
Dialyzer
955543A REVACLEAR 500 24
Dialyzer
IV Prep & Compounding >> REPEATER Pump & Accessories
H93811 REPEATER Pump Tube 10 Yes No
Set. Universal
Spike-Luer Lock.
Vented Spike and
Male Luer Lock
Outlet
H93821 REPEATER Pump Tube 10 Yes No
Set. Luer Lock-
Luer Lock, Male
Luer Lock
Connections allow
needle, Luer Lock
Spike or
Dispensing Pin to
be used at the
inlet and outlet

Oct.02.2023 at 07:08:05 UTC Page # 22


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H938331 REPEATER Pump Tube 10 Yes No
Set. Luer Lock-
Luer Lock, Low
Volume Priming,
External Thread
H93813 REPEATER Pump Oral 10 Yes No
Liquid Tube Set
with Male Luer
Lock Outlet
H93829 Luer Lock 20 Yes No
Universal Spike
with Female Luer
Lock Connector.
Use for additions
and withdrawals
from IV bags or
bottles
H93824 Syringe Fill 1 Yes Yes
Fixture. Holds
pump tube set for
filling syringes
or other luer
devices.
H93832 REPEATER Pump Bag 1 No No
Pole. Stainless
steel pole
connects to the
REPEATER Pump to
hold a bag and
tube set.
H93830 REPEATER Pharmacy 1 No No
Pump Stand. Base
frame with 5
wheels and plastic
casters with
position locks.
H93863 REPEATER Pump Tube 10 Yes No
Set with Three
Universal Spikes,
Luer Lock,
External Thread
H93862 REPEATER Pump Tube 10 Yes No
Set with Two
Universal Spikes,
Luer Lock,
External Thread
H93812 REPEATER Pump Tube 10 Yes
Set. Non-vented
Spike-Luer Lock
and Male Luer Lock
Outlet. For
transfer of
sterile fluids
from one container
to another using
the REPEATER Pump.
H93887 REPEATER Pump 50 Yes No
Fluid Transfer
Extension Set.
Male Luer Lock-
Male Luer Lock.
Flexible tubing
with male luer
lock connection on
both ends
H93813MPI Oral Standard 10 Yes
Volume MPI

Oct.02.2023 at 07:08:05 UTC Page # 23


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H93824650 USP 797 Compliant 3
Capsule Filter
1000, 0.8m/0.2m
Supor® membrane
H93824649 USP 797 Compliant 3
Capsule Filter
500, 0.8m/0.2m
Supor® membrane
H938099G REPEATER Pump. 1
Includes power
cord, foot pedal
and Technical
Manual.
Frozen Premix >> Frozen Premix >> Cefazolin Injection
2G3503 Cefazolin 0338350341 24 Yes Yes Yes
Injection, USP, 1
gram/50 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3508 Cefazolin 0338350841 12 Yes Yes Yes
Injection, USP, 2
gram/100 mL in
GALAXY Plastic
Container. Frozen
Premix.
Access >> Infusion Accessories & Chemo-Aide
NA NA
EXACATMIX Automated Compounder >> EXACATMIX Automated Compounder >>
EXACTAMIX Inlets & Valvesets
H938724 Sterile EXACTAMIX 10 Yes Yes Yes
2400 Valve Set.
For use with
EXACTMIX 2400
Compounder only.
H938792 Sterile EXACTAMIX 10 Yes Yes Yes
1200 Valve Set.
For use with
EXACTAMIX 1200
Compounder only.
H938174 Automated 25 Yes Yes No
Compounding Device
Inlet. Vented,
High-Volume Inlet
for Non-Vented
Bottles.
H938176 Automated 25 Yes Yes No
Compounding Device
Inlet. Micro-
Volume Inlet with
Luer Lock End. For
use with Syringes.
H938175 Automated 25 Yes Yes No
Compounding Device
Inlet. Vented,
Micro-Volume inlet
for use with Small
Vials.
H938173 Automated 25 Yes Yes No
Compounding Device
Inlet. Non-Vented
High Volume Inlet
for Bags or Vented
Bottles.

Oct.02.2023 at 07:08:05 UTC Page # 24


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H938751 Automated 25 Yes Yes No
Compounding Device
Inlet. Micro-
Volume Inlet with
Large Bore Spike.
Infusion Accessories & Chemo-Aide >> Chemo-Aide & Vial Adapters
NA NA
Blood Lines >> Blood Lines >> CARTRIDGE Blood Sets for Phoenix
machines
106289 Gambro Cartridge 10 Yes Yes No
Blood Transport
System for
Hemodialysis Blood
Set - Single
Needle
109536 Gambro Cartridge 15 Yes
Blood Transport
System for
Hemodialysis Blood
Set - Double
Needle
114434 Gambro Cartridge 15 Yes Yes No
Low Volume Blood
Transport System
for Hemodialysis
Blood Set
101025 GAMBRO CARTRIDGE 15 Yes Yes No
BLOOD SET PRIME
LINE
101290 Gambro Cartridge 5 Yes Yes No
Single Needle
Conversion Kit
114435 Gambro Cartridge 15 Yes
Low Weight-Low
Volume Blood
Transport System
for Hemodialysis
Blood Set
IV Solutions >> IV Solutions >> PLASMALYTE (Multiple Electrolyte)
Injections
2B2543Q PLASMA-LYTE A 0338022103 24
Injection pH 7.4
(Multiple
Electrolytes
Injection, Type 1,
USP) 500 mL
VIAFLEX Plastic
Container
2B2544X PLASMA-LYTE A 0338022104 14 Yes
Injection pH 7.4
(Multiple
Electrolytes
Injection, Type 1,
USP) 1000 mL
VIAFLEX Plastic
Container
Actifuse Bone Graft Substitute >> Actifuse Bone Graft Substitute >>
ACTIFUSE Bone Graft Substitute MICROGRANULES
506005078045 ACTIFUSE Bone 1 Yes
Graft Substitute
MICROGRANULES 5 mL
506005078046 ACTIFUSE Bone 1 Yes
Graft Substitute
MICROGRANULES 10
mL

Oct.02.2023 at 07:08:05 UTC Page # 25


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
Ampules, Vials and Tablets >> Cyclophosphamide Tablets
2638B6200 Cyclophosphamide 1001998201 100
Tablets, USP 25 mg
tablets x 100
tablets/bottle,
NDC 10019-982-01
2638B6201 Cyclophosphamide 1001998401 100
Tablets, USP 50 mg
tablets x 100
tablets/bottle,
NDC 10019-984-01
Parenteral Nutrition Solutions & Additives >> Amino Acids
2B0012 10% PREMASOL - 0338113003 24 Yes
sulfite-free
(Amino Acid)
Injection 500 mL
in VIAFLEX Plastic
Container.
Pharmacy Bulk
Package
1B6624 10% TRAVASOL 0338064404 12 Yes
(Amino Acid)
Injection 1000 mL
in VIAFLEX Plastic
Container.
Pharmacy Bulk
Package
2B6186 20% PROSOL - 0338049906 6 Yes
sulfite-free
(Amino Acid)
Injection 2000 mL
in VIAFLEX Plastic
Container.
Pharmacy Bulk
Package
2B6189 15% CLINISOL - 0338050206 6 Yes
sulfite-free
(Amino Acid)
Injection 2000 mL
in VIAFLEX Plastic
Container.
Pharmacy Bulk
Package
1B6623 10% TRAVASOL 0338064403 24 Yes No No
(Amino Acid)
Injection 500 mL
in VIAFLEX Plastic
Container.
Pharmacy Bulk
Package
2B6187 15% CLINISOL - 0338050203 24 Yes
sulfite-free
(Amino Acid)
Injection 500 mL
in VIAFLEX Plastic
Container.
Pharmacy Bulk
Package
2B0009 10% PREMASOL - 0338113004 12
sulfite-free
(Amino Acid)
Injection 1000 mL
in VIAFLEX Plastic
Container.
Pharmacy Bulk
Package

Oct.02.2023 at 07:08:05 UTC Page # 26


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B0010 10% PREMASOL - 0338113006 6
sulfite-free
(Amino Acid)
Injection 2000 mL
in VIAFLEX Plastic
Container.
Pharmacy Bulk
Package
FKB6642 SYNTHAMIN 17 3
without
Electrolytes, 10%
Amino Acid
Intravenous
Infusion, 3000mL.
NDC 0338-9575-03
IV Prep & Compounding >> Gravity Compounding Containers, Sets &
Accessories >> Empty Containers
2J8003 Empty INTRAVIA 48 Yes Yes No
Container 500 mL.
Non-DEHP Fluid
Path
2B8011 Empty INTRAVIA 48 Yes No No
Container 150 mL
2B8014 Empty INTRAVIA 48 Yes No
Container 1000 mL
2B8019 Empty INTRAVIA 48 Yes No
Container 50 mL
2J8002 Empty INTRAVIA 48 Yes Yes No
Container 250 mL.
Non-DEHP Fluid
Path
2B8012 Empty INTRAVIA 48 Yes
Container 250 mL
2B8013 Empty INTRAVIA 48 Yes
Container 500 mL
Pharmaceutical Injectables >> Drug Reconstitution Systems
2C4950 MINI-Bag Plus 1
Docking Assist
Tool
2B8071 VIAL-MATE Adaptor. 200 Yes Yes Yes
Only for powdered
single dose vials
with 20 mm closure
and VIAFLEX
containers.
2B0040 5% Dextrose 0338055111 80 Yes
Injection, USP, 50
mL MINI-BAG Plus
Container. Quad
Pack.
2B0041 5% Dextrose 0338055118 80 Yes
Injection, USP,
100 mL MINI-BAG
Plus Container.
Quad Pack.
2B0042 0.9% Sodium 0338055311 80 Yes
Chloride
Injection, USP, 50
mL MINI-BAG Plus
Container. Quad
Pack.

Oct.02.2023 at 07:08:05 UTC Page # 27


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B0043 0.9% Sodium 0338055318 80 Yes
Chloride
Injection, USP,
100 mL MINI-BAG
Plus Container.
Quad Pack.
EZPB0043 0.9% Sodium 0338915930 30 Yes
Chloride
Injection, USP,
100 mL MINI-BAG
Plus Container.
Single Pack.
EZPB0042 0.9% Sodium 0338915130 30
Chloride
Injection, USP, 50
mL MINI-BAG Plus
Container. Single
Pack.
EZPB0041 5% Dextrose 0338914730 30 Yes
Injection, USP,
100 mL MINI-BAG
Plus Container.
Single Pack.
EZPB0040 5% Dextrose 0338914330 30
Injection, USP, 50
mL MINI-BAG Plus
Container. Single
Pack.
PD Sets and Disposables >> Titanium Adapter
5C4129 Locking Titanium 5 Yes
Adapter (2 piece)
Peri-Strips Dry® with Veritas >> Peri-Strips Dry with VERITAS
(Ethicon)
PSD10006EV PERI-STRIPS DRY 6 Yes
with VERITAS -
Ethicon PROXIMATE
100/USSC GIA 100
DST (unit of 6)
PSD4506EV PERI-STRIPS DRY 6 Yes Yes Yes
with VERITAS -
Ethicon EZ 45
(unit of 6)
PSD4506ETSV PERI-STRIPS DRY 6 Yes
with VERITAS -
Ethicon ETS 45
(unit of 6)
PSD4506ECHV PERI-STRIPS DRY 6 Yes Yes Yes
with VERITAS -
Ethicon ECHELON 45
(unit of 6)
PSD5506EV PERI-STRIPS DRY 6 Yes
with VERITAS -
Ethicon PROXIMATE
55/USSC ILA 52
(unit of 6)
PSD7506EV PERI-STRIPS DRY 6 Yes Yes Yes
with VERITAS -
Ethicon PROXIMATE
75/USSC ILA 75
(unit of 6)

Oct.02.2023 at 07:08:05 UTC Page # 28


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
PSD25V PERI-STRIPS DRY 1 Yes
with VERITAS -
Ethicon PROXIMATE
ILS, 25 mm and
ENDOPATH ILS, 25
mm; Covidien, DST
EEA or ORVIL
Device, 25 mm
(unit of 1)
PSD6006ETSV PERI-STRIPS DRY 6 Yes
with VERITAS -
Ethicon ETS 60
(unit of 6)
PSD6006ECHV PERI-STRIPS DRY 6 Yes Yes Yes
with VERITAS -
Ethicon ECHELON 60
(unit of 6)
Peri-Strips Dry® with Veritas >> Peri-Strips Dry with VERITAS with
SECURE GRIP
PSDA60ECHTHN Peri-Strips Dry 6 Yes Yes Yes
with Veritas
Collagen Matrix
with Secure Grip
Technology THIN
(Ethicon Echelon
60 mm) (unit of 6)
PSDA60ECH Peri-Strips Dry 6 Yes Yes Yes
with Veritas
Collagen Matrix
with Secure Grip
Technology
(Ethicon Echelon
60 mm) (unit of 6)
Liquid Premix >> Liquid Premix >> Norepinephrine Bitartrate in
Dextrose Injection
EZPE7748 Norepinephrine 0338011220 20
Bitartrate in 5%
Dextrose
Injection. 4 mg /
250 mL (16 mcg/mL)
in VIAFLO Plastic
Container. Liquid
Premix
EZPE7788 Norepinephrine 0338010820 20
Bitartrate in 5%
Dextrose
Injection. 8 mg
/250 mL (32 mcg /
mL), in VIAFLO
Plastic Container.
Liquid Premix
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >>
Prochlorperazine Edisylate Injection USP
4306609025 Prochlorperazine 4306609001 25 Yes Yes
Edisylate
Injection, USP, 10
mg/2 mL (5 mg/ mL)
Multi-dose vial.
(25 x 2 mL)
PD Cyclers & Software >> Homechoice APD Systems & Software
5C4406 HOMECHOICE 1 Yes Yes Yes
Automated PD
System Carrying
Case-Soft
5C4471 HOMECHOICE 1 Yes
Automated PD
System
Oct.02.2023 at 07:08:05 UTC Page # 29
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
5C8310 HOMECHOICE PRO 1 Yes
Automated PD
System
5C8346 HOMECHOICE 1 Yes Yes Yes
Automated PD
System Carrying
Case-Hard with
Wheels
R5C4522 HOMECHOICE PRO 6 Yes Yes Yes
SmartMedia Card
5M5730 Renal Software 1
Suite, Single
License User
5M5730U Renal Software 1
Suite, User
License Upgrade
4994000449 HOMECHOICE PRO USB 1
SmartMedia Card
Reader
5M5720 RenalSoft Software 1
Interface CD
5C6M40 Homechoice Claria 1 Yes Yes
AV Fistula Needles >> NIPRO AV Fistula Needles
FT153230BC FT153230BC - Nipro 300
Tulip Safety
Fistula Needle,
15G x 1 1/4" Fixed
Hub w/Backeye,
Single Needle Set
FD152530BCCA FD152530BCCAP - 50
P NIPRO Biohole Dull
Fistula Needle,
15Gx1" Fixed Hub,
Single with CAPICK
Scab Remover
FT172530BC FT172530BC - NIPRO 300
SafeTouch Tulip
Safety Fistula
Needle, 17Gx1"
Fixed Hub, Single
Pack
FS1625BC FS1625BC - Nipro 500 Yes No
SAFETOUCH II
Safety Fistula
Needle, Single
Needle Set, 16G x
1", fixed hub
FS1725BC FS1725BC - Nipro 500 Yes No
SAFETOUCH II
Safety Fistula
Needle, Single
Needle Set, 17G x
1", fixed hub
FT162530BC FT162530BC - Nipro 300
Tulip Safety
Fistula Needle,
16G x 1" Fixed Hub
w/Backeye
FT152530BC FT152530BC - NIPRO 300
SafeTouch Tulip
Safety Fistula
Needle, 15Gx1"
Fixed Hub
w/Backeye

Oct.02.2023 at 07:08:05 UTC Page # 30


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
FT152530BCR FT152530BCR - 300 Yes No
NIPRO Tulip Safety
Fistula Needle,
15G x 1" Rotating
Hub w/Backeye
FT162530BCR FT162530BCR - 300 Yes No
Nipro Tulip Safety
Fistula Needle,
16G x 1" Rotating
Hub w/Backeye
FS1525BC FS1525BC - Nipro 500 Yes No
SAFETOUCH II
Safety Fistula
Needle, Single
Needle Set, 15G x
1", fixed hub
FS1625BCR FS162530BCR - SFTY 500 Yes No
NDL 16G SNG16G X
1IN. HUB, ROTATING
FT152530TP FT152530TP - NIPRO 125
SAFE TOUCH TULIP
SAFETY AV Fistula
Needle Set 15G X
1". Fixed Hub.
Twin Pack.
FT172530TP FT172530TP - NIPRO 125
SAFE TOUCH TULIP
SAFETY AV Fistula
Needle Set 17G X
1". Fixed Hub.
Twin Pack.
FT142530TP FT142530TP - NIPRO 125
SAFE TOUCH TULIP
SAFETY AV Fistula
Needle Set 14G X
1". Fixed Hub.
Twin Pack.
FT162530TP FT162530TP - NIPRO 125
SAFE TOUCH TULIP
SAFETY AV Fistula
Needle Set 16G X
1". Fixed Hub.
Twin Pack.
Infusion Systems >> SIGMA Spectrum Large Volume Infusion Pumps
35700BAX SIGMA SPECTRUM 1 Yes
Infusion System
Irrigation Solutions >> Irrigation Solutions >> Glycine Irrigation
2B7317 1.5% Glycine 0338028947 4
Irrigation, USP,
3000 mL UROMATIC
Container
Hemophilia >> HEMOFIL M Antihemophilic Factor (Human), Method M,
Monoclonal Purified
NA NA
BioSurgery >> Peri-Strips Dry® with Veritas >> Ultra-Thin Linear
Staple Line Buttress
NA NA
Blood Lines >> Blood Lines >> NOVALINE Tubing Sets for Hemodialysis
955554 NOVALINE BL 11 for 24
AK 98
955555 NOVALINE BL 12 for 24
AK 98

Oct.02.2023 at 07:08:05 UTC Page # 31


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
955854 NOVALINE BL 42 for 0457101650 24
FMC 2008 series
machines
955855 NOVALINE BL 43 for 0457101649 24
FMC 2008 series
machines
IV Prep & Compounding >> Pharmacy Admixture Tools
H9384858 Tamper-Resistent 100 Yes No
Add-Port Cap, Red
plastic hinged
cap, sealed on one
end
H93865001 Luer Lock Tip Cap, 100 Yes No
Red, Packaged
Individually.
Sterile
Administration Sets >> Administration Sets >> Extension Sets
NA NA
2C9201 Straight-Type 60 Yes
Extension Set,
Microbore,
Microvolume, 61"
(155 cm)
2C6631 Straight-Type 48 Yes No
Extension Set,
Standard Bore, 2
INTERLINK
Injection Sites,
Retractable
Collar, 44” (112
cm)
2N3348 Straight-Type 50 Yes Yes No
Extension Set,
Microvolume, 60"
(152 cm)
2N3343 T-Connector 200 Yes Yes No
Straight-Type
Extension Set,
Microbore, 2
INTERLINK Injecion
Sites, Retractable
Collar, 7.7" (20
cm)
2C6606 Straight-Type 48 Yes
Extension Set,
Standard Bore, 2
INTERLINK
Injection Sites,
Retractable
Collar, 21" (53.7
cm)
2H8631 Straight-Type 48 Yes
Extension Set,
Standard Bore, 2
CLEARLINK Luer
Activated Valves,
Retractable
Collar, 43" (107
cm)
2C9216 Anesthesia Set, 60 Yes No No
Microbore, 73"
(185 cm), Green
stripe for easy
identification

Oct.02.2023 at 07:08:05 UTC Page # 32


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C9218 Anesthesia 60 Yes No No
Microbore Set, 73"
(1.9 m). Yellow
stripe for easy
identification
2C9219 Straight-Type 60 Yes No No
Extension Set,
Minivolume Bore,
60" (155 cm)
2C9221 Straight-Type 60 Yes No No
Extension Set,
High Flow Rate
Bore, Microbore
61" (155 cm)
2H5660 Straight-Type 48 Yes Yes No
Extension Set,
Standard Bore, 0.2
Micron Filter,
Retractable
Collar, 9.5" (24
cm)
1C8693 Straight-Type 48
Extension Set,
Standard Bore,
Backcheck Valve,
CLEARLINK Luer
Activated Valve,
Retractable
Collar, 12" (31
cm)
2C6251 Stopcock Extension 50 Yes No No
Set, 4-Way Large
Bore, 22" (56 cm)
2C8606 Straight-Type 48 Yes No
Extension Set,
Standard Bore, 2
CLEARLINK Luer
Activated Valves,
Retractable
Collar, 20" (51
cm)
2C8632 Straight-Type 48 Yes No No
Extension Set,
Standard Bore,
CLEARLINK Luer
Activated Valve,
Retractable
Collar, 14" (35
cm)
2C8671 Straight-Type 48 Yes No
Extension Set,
Standard Bore, 0.2
Micron Filter,
CLEARLINK Luer
Activated Valve,
Retractable
Collar, 16" (40
cm)
1C8657 Straight-Type 48 Yes No No
Extension Set,
Standard Bore,
Fixed Collar, 105"
(266 cm)
1C8273 Straight-Type 48 Yes
Extension Set,
Standard Bore,
Retractable
Collar, 22" (57
cm)

Oct.02.2023 at 07:08:05 UTC Page # 33


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2N3326 T-Connector 200 Yes Yes No
Straight -Type
Extension Set,
Microbore,
INTERLINK
Injection Site
Male, Luer Slip T-
Connector, 5.8"
(15 cm), For use
in neonatal
population only
2N3327 T-Connector 200 Yes Yes
Straight-Type
Extension Set,
Standard Bore,
INTERLINK
Injection Site,
Rotating Collar,
5.2" (13 cm)
2N3328 T-Connector 200 Yes Yes No
Straight-Type
Extension Set,
Microbore,
INTERLINK
Injection Site,
Rotating Collar,
6.2" (16 cm)
2N3333 T-Connector 200 Yes Yes No
Catheter Extension
Set, Microbore,
0.22 Micron
Filter, INTERLINK
T-Connector
Injection Site,
Rotating Collar,
6.5" (17 cm)
2N3339 T-Connector 200 Yes Yes No
Straight-Type
Extension Set,
Microbore,
INTERLINK
Injection Site,
Retractable
Collar, 6.5" (16
cm)
2N3340 T-Connector 200 Yes
Straight-Type
Extension Set,
Standard Bore,
INTERLINK
Injection Site,
Retractable
Collar, 5.5" (14
cm)
2N3346 Straight-Type 50 Yes Yes
Extension Set,
High Flow Rate
Microbore, 36" (91
cm)
2N3347 Straight-Type 50 Yes
Extension Set,
Microvolume, 0.22
Micron Dowstream
Filter, 36" (90
cm)
2C9203 Straight-Type 60 Yes
Extension Set,
Microbore,
Minivolume, 61"
(155 cm)
Oct.02.2023 at 07:08:05 UTC Page # 34
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C6612 Straight-Type 48 Yes
Extension Set,
Standard Bore , 2
INTERLINK
Injection Sites,
Retractable
Collar, 43" (110
cm)
2C6671 Straight-Type 48 Yes No No
Extension Set,
Standard Bore, 0.2
Micron Filter,
INTERLINK
injection,
Retractable
Collar, 16" (42
cm)
2C6891 Straight-Type 48 Yes No No
Extension Set,
Standard Bore,
CONTROL-A-FLO
Regulator,
INTERLINK
Injection Site,
Retractable
Collar, 19" (48
cm)
2C5641 Straight-Type 48 Yes No
Extension Set,
Standard Bore,
Retractable
Collar, 6.5"
(16cm)
2C5685 Straight-Type 48 Yes No
Extension Set,
Minivolume, Fixed
Collar, 35" (88
cm)
2C5687 Straight-Type 48 Yes No No
Extension Set,
Minivolume, Fixed
Collar, 71" (180
cm)
2C6227 Straight-Type 50 Yes No
Extension Set,
Standard Bore,
Fixed Collar, 34"
(86 cm)
2C6607 Stopcock Extension 48 Yes No
Set, 4-Way Large
Bore, INTERLINK
Injection Sites,
41" (103 cm)
2C1103 Straight-Type 50 Yes Yes No
Extension Set,
INTERLINK
Injection Site,
1.2 Micron Filter,
Standard Bore,
Fixed Collar, 21"
(53 cm)
2C5645 Straight-Type 48 Yes No No
Extension Set ,
Standard Bore,
Retractable
Collar, 29" (75
cm)

Oct.02.2023 at 07:08:05 UTC Page # 35


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C6226 Straight-Type 50 Yes No No
Extension Set,
Standard Bore,
Fixed Collar, 21"
(53 cm)
2C9215 Anesthesia Set, 60 Yes No No
Microbore, Anti-
Siphon and Luer
Lock Adapters,
74" (1.9 m), Blue
stripe for easy
identification
2N3350 Straight-Type 50 Yes Yes
Extension Set,
Microvolume, 0.22
Micron Filter, 60"
(152 cm)
2C8607 Stopcock Extension 48 Yes No No
Set, 4-Way Large
Bore, 2 CLEARLINK
Luer Activated
Valves, 40" (101
cm)
2H8603 Straight-Type 48 Yes Yes No
Extension Set,
Standard Bore, 1.2
Micron Filter,
CLEARLINK Luer
Activated Valve,
19" (47 cm)
2C8891 Straight-Type 48 Yes No No
Extension Set,
Standard Bore,
CONTROL-A-FLO
Regulator,
CLEARLINK Luer
Activated Valve,
Retractable
Collar, 19" (47
cm)
2C8634 Straight-Type 48 Yes No No
Extension Set,
Standard Bore,
CLEARLINK Luer
Activated Valve,
Retractable
Collar, 7.9" (20
cm)
2C8612 Straight-Type 48 Yes No
Extension Set,
Standard Bore, 2
CLEARLINK Luer
Activated Valves,
Retractable
Collar, 42" (107
cm)
1C8740 Straight-Type 48 Yes
Extension Set
Minivolume,
INTERLINK System,
0.22 Micron
Filter, 16" (41
cm)
1C8363 Straight-Type 48 Yes No No
Extension Set, 0.2
Micron Filter,
Polyethylene Lined
Tubing . 6.2"
(15.8 cm)

Oct.02.2023 at 07:08:05 UTC Page # 36


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C6921 3-Port Manifold 48 Yes No
with Check Valves,
4-Way Stopcock
Extension Set, 2
INTERLINK
Injection Sites,
41" (103 cm)
2N3345 Straight-Type 50 Yes Yes No
Extension Set,
Microvolume, 36"
(91 cm)
2N3349 Straight-Type 50 Yes Yes No
Extension Set,
High Flow Rate
Microbore, 60"
(1.5 m)
2C8610 Straight-Type 48 Yes No No
Extension Set,
Standard Bore,
CLEARLINK Luer
Activated Valve,
Retractable
Collar, 44" (111
cm)
2C8921 3-Port Manifold 48 Yes No
with Check Valves,
4-Way Stopcock
Extension Set, 2
CLEARLINK Luer
Activated Valves,
40" (101 cm)
2H8671 Straight-Type 48 Yes
Extension Set,
Standard Bore, 0.2
Micron Filter,
CLEARLINK Luer
Activated Valve,
Retractable
Collar, 16" (40
cm)
STP8325 Stopcock Extension 48 Yes
Set, Large Bore,
Minivolume,
63"(1.6 m)
STP5604 Stopcock Extension 48 Yes
Set, Large Bore,
Retractable
Collar, 35" (88
cm)
1C8454 Straight-Type 48 Yes No No
Extension Set,
INTERLINK
Injection Site,
Minivolume, Fixed
Collar, 14" (35
cm)
2N3354 Straight-Type 50 Yes
Extension Set,
Micro-volume, 79"
(200 cm)
2N3356 Straight-Type 50
Extension Set,
Mini-volume, 79"
(200 cm)
2N3357 Straight-Type 50
Extension Set,
Micro-volume, 0.2
Micron Filter, 79"
(200 cm)
Oct.02.2023 at 07:08:05 UTC Page # 37
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2N3358 Straight-Type 50
Extension Set,
Micro-volume, 59"
(150 cm)
2N3359 Straight-Type 50
Extension Set,
Mini-volume, 118"
(300 cm)
2N3360 Straight-Type 50
Extension Set,
Micro-volume, 59"
(150 cm),
Polyethylene (PE)
Lined
2N3361 Straight-Type 50
Extension Set,
Micro-volume, 79"
(200 cm),
Polyethylene (PE)
Lined
2N3362 Straight-Type 50
Extension Set,
Mini-volume, 118"
(300 cm),
Polyethylene (PE)
Lined
2N3355 Straight-Type 50
Extension Set,
Mini-volume, 59"
(150 cm)
2N3380 Straight-Type 50
Extension Set,
Micro-volume, 59"
(150 cm)
2N3382 Straight-Type 50 Yes
Extension Set,
Micro-volume, 0.2
Micron Filter, 59"
(150 cm)
Ampules, Vials and Tablets >> Prochlorperazine Edisylate Injection USP
4306609025 Prochlorperazine 4306609001 25 Yes Yes
Edisylate
Injection, USP, 10
mg/2 mL (5 mg/ mL)
Multi-dose vial.
(25 x 2 mL)
Claria >> Claria
NA NA
Blood Lines >> CARTRIDGE Blood Sets for Phoenix machines
106289 Gambro Cartridge 10 Yes Yes No
Blood Transport
System for
Hemodialysis Blood
Set - Single
Needle
109536 Gambro Cartridge 15 Yes
Blood Transport
System for
Hemodialysis Blood
Set - Double
Needle
114434 Gambro Cartridge 15 Yes Yes No
Low Volume Blood
Transport System
for Hemodialysis
Blood Set

Oct.02.2023 at 07:08:05 UTC Page # 38


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
101025 GAMBRO CARTRIDGE 15 Yes Yes No
BLOOD SET PRIME
LINE
101290 Gambro Cartridge 5 Yes Yes No
Single Needle
Conversion Kit
114435 Gambro Cartridge 15 Yes
Low Weight-Low
Volume Blood
Transport System
for Hemodialysis
Blood Set
Needle Free Connectors & Catheter Extension Sets >> Needle Free
Connectors & Catheter Extension Sets >> CLEARLINK
2N8220 Straight-Type 50 Yes Yes
Catheter Extension
Set Kit, Standard
Bore, CLEARLINK
Luer Activated
Valve, Catheter
Stabilization,
7.6" (19 cm)
2N8334 3-Port Adapter, 2 200 Yes Yes
CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter, non-DEHP,
Approximate Volume
1.2 mL, non-DEHP
2N8371 Y-Type Catheter 200 Yes Yes No
Extension Set,
Microbore, 2
CLEARLINK Luer
Activated Valves,
5.7" (15 cm)
2N8377 Y-Type Catheter 50 Yes Yes No
Extension Set,
Standard Bore,
CLEARLINK Luer
Activated Valve,
6.5" (17 cm)
2N8378 Straight-Type 50 Yes Yes No
Catheter Extension
Set, Standard
Bore, CLEARLINK
Luer Activated
Valve, 7.6" (19
cm)
2N8399 CLEARLINK Luer 200 Yes Yes Yes
Activated Valve
2N8374 Straight-Type 50 Yes Yes No
Catheter Extension
Set, Microbore,
CLEARLINK Luer
Activated Valve,
7.9" (20 cm)
2N8341 Three-Lead 200 Yes Yes No
Catheter Extension
Set, Microbore,
CLEARLINK Luer
Activated Valve,
5.5" (14 cm)
Liquid Premix >> Liquid Premix >> Eptifibatide Injection

Oct.02.2023 at 07:08:05 UTC Page # 39


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2G3476 Eptifibatide 0338955810 12
Injection, 75
mg/100 mL, in
GALAXY Container,
Liquid Premix.
Ampules, Vials and Tablets >> Bupivacaine Injection
NA NA
Liquid Premix >> Liquid Premix >> Clindamycin
2G3452 Clindamycin 0338341050 24
Injection USP in
5% Dextrose, 300
mg /50 mL in
GALAXY Plastic
Container. Liquid
Premix.
2G3454 Clindamycin 0338381450 24 Yes Yes Yes
Injection USP in
5% Dextrose, 900
mg/50 mL in GALAXY
Plastic Container.
Liquid Premix.
2G3453 Clindamycin 0338361250 24 Yes Yes Yes
Injection USP in
5% Dextrose, 600
mg/50 mL in GALAXY
Plastic Container.
Liquid Premix
2G3455 Clindamycin 0338954550 24 Yes Yes Yes
Phosphate in 0.9%
Sodium Chloride
Injection, 300
mg/50 mL in GALAXY
Plastic Container.
Liquid Premix.
2G3456 Clindamycin 0338954950 24 Yes Yes Yes
Phosphate in 0.9%
Sodium Chloride
Injection, 600
mg/50 mL in GALAXY
Plastic Container.
Liquid Premix.
2G3457 Clindamycin 0338955350 24 Yes Yes Yes
Phosphate in 0.9%
Sodium Chloride
Injection, 900
mg/50 mL in GALAXY
Plastic Container.
Liquid Premix.
Peri-Strips Dry® with Veritas >> Peri-Strips Dry Gel
PSD6006ECHVB VPSD 6 Fire 6 Yes
IO ClearView-Ultra
Thin
PSDGEL3PKWTI PERI-STRIPS DRY 3 Yes
PS Gel
Liquid Premix >> Levofloxacin Injection
AIN00233 Levofloxacin 3600004624 24
lnjection in 5%
Dextrose, 250
mg/50 mL Non-PVC
Flexible Container
AIN00232 Levofloxacin 3600004724 24
lnjection in 5%
Dextrose, 500
mg/100 mL (5
mg/mL) Non-PVC
Flexible Container

Oct.02.2023 at 07:08:05 UTC Page # 40


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
AIN00231 Levofloxacin 3600004824 24
lnjection in 5%
Dextrose, 750
mg/150 mL Non-PVC
Flexible Container
SIGMA Spectrum V6 >> SIGMA Spectrum V6 >> IV Poles
8HOOK247 8 Hook Rake Top 1 Yes Yes
replacement
options for
existing 4 Hook
Pigtail Top
2M3006 IV POLE CLAMP, 1
SPEED KNOBFAST - 5
THREADS PER INCH
2M0815 4 Pump Horizontal 1
Carrier w/handle
2M0814 3 Pump Horizontal 1
Carrier w/handle
2M0809 Triple IV Pole, 6 1
Legs
2M0807 Single IV Pole 1
(lightweight) w/4
Hook Rake Top
2M0808 Single IV Pole 1
(heavyweight) w/8
Hook Rake Top
8HOOK247 8 Hook Rake Top 1 Yes Yes
replacement
options for
existing 4 Hook
Pigtail Top
2M3006 IV POLE CLAMP, 1
SPEED KNOBFAST - 5
THREADS PER INCH
2M0815 4 Pump Horizontal 1
Carrier w/handle
2M0814 3 Pump Horizontal 1
Carrier w/handle
2M0809 Triple IV Pole, 6 1
Legs
2M0807 Single IV Pole 1
(lightweight) w/4
Hook Rake Top
2M0808 Single IV Pole 1
(heavyweight) w/8
Hook Rake Top
Pharmaceutical Injectables >> Liquid Premix >> DOBUTamine Injections
2B0791 DOBUTamine 0338107302 18
Hydrochloride in
5% Dextrose
Injection, 250
mg/250 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
2B0792 DOButamine 0338107502 18
Hydrochloride in
5% Dextrose
Injection, 500
mg/250 mL in
VIAFLEX Plastic
Container. Liquid
Premix.

Oct.02.2023 at 07:08:05 UTC Page # 41


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B0793 DOBUTamine 0338107702 18
Hydrochloride in
5% Dextrose
Injection,
1000mg/250 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
Liquid Premix >> Potassium Chloride Highly Concentrated Injections
2B0821 Highly 0338070541 24 Yes No
Concentrated
Potassium Chloride
Injection, 10
mEq/50 mL in
VIAFLEX Plastic
Container
2B0822 Highly 0338070341 24
Concentrated
Potassium Chloride
Injection, 20
mEq/50 mL in
VIAFLEX Plastic
Container
2B0824 Highly 0338070348 24
Concentrated
Potassium Chloride
Injection, 40
mEq/100 mL in
VIAFLEX Plastic
Container
2B0826 Highly 0338070948 24
Concentrated
Potassium Chloride
Injection, 10
mEq/100 mL in
VIAFLEX Plastic
Container
2B0827 Highly 0338070548 24
Concentrated
Potassium Chloride
Injection, 20
mEq/100 mL in
VIAFLEX Plastic
Container
Peri-Strips Dry® with Veritas >> Peri-Strips Dry® with Veritas >>
Peri-Strips Dry with VERITAS with SECURE GRIP
PSDA60ECHTHN Peri-Strips Dry 6 Yes Yes Yes
with Veritas
Collagen Matrix
with Secure Grip
Technology THIN
(Ethicon Echelon
60 mm) (unit of 6)
PSDA60ECH Peri-Strips Dry 6 Yes Yes Yes
with Veritas
Collagen Matrix
with Secure Grip
Technology
(Ethicon Echelon
60 mm) (unit of 6)
IV Solutions >> Sterile Water for Injection
2B0307 Sterile Water for 0338001308 4
Injection, USP,
3000 mL VIAFLEX
Plastic Container.
Pharmacy Bulk
Package

Oct.02.2023 at 07:08:05 UTC Page # 42


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B0309 Sterile Water for 0338001329 2
Injection, USP,
5000 mL VIAFLEX
Plastic Container.
Pharmacy Bulk
Package
2B0304X Sterile Water for 0338001304 14 Yes
Injection, USP,
1000 mL VIAFLEX
Plastic Container.
For Drug Diluent
Use Only
2B0306 Sterile Water for 0338001306 6 Yes
Injection, USP,
2000 mL VIAFLEX
Plastic Container.
Pharmacy Bulk
Package
Needle Free Connectors & Catheter Extension Sets >> Needle Free
Connectors & Catheter Extension Sets >> Interlink
2N3341 Three-Lead 200 Yes Yes No
Catheter Extension
Set, Microbore,
INTERLINK
Injection Site,
5.8" (15 cm)
2N3371 Y-Type Catheter 200 Yes Yes No
Extension Set,
Microbore, 2
INTERLINK
Injection Site,
5.6" (14 cm)
2N3373 Connector Loop, 200 Yes Yes
INTERLINK
Injection Site,
6.0" (15 cm)
2N3374 Straight -Type 200 Yes Yes No
Catheter Extension
Set, Microbore,
INTERLINK
Injection Site,
7.6" (19 cm)
2N3375 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Standard
Bore, INTERLINK
Injection Site,
6.6" (17 cm)
2N3378 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Standard
Bore, INTERLINK
Injection Site,
7.3" (18 cm)
2N3379 INTERLINK 800 Yes Yes Yes
Injection Site,
Male Luer Lock
Adapter. 800
units/ carton
2N3376 Y-Type Catheter 200 Yes Yes No
Extension Set,
Standard Bore, 2
INTERLINK
Injection Sites,
5.6" (14 cm)

Oct.02.2023 at 07:08:05 UTC Page # 43


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2N3399 INTERLINK 200 Yes Yes
Injection Site,
Male Luer Lock
Adapter. 200
units/ carton
Ampules, Vials and Tablets >> OXALIPLATIN injection
1001992701 OXALIPLATIN 4306601401 1
injection, USP 50
mg/ 10 mL Single-
use Vial
1001992702 OXALIPLATIN 4306601801 1
injection, USP 100
mg/ 20 mL Single-
use Vial
Anesthesia & Critical Care >> Inhaled Anesthetics
1001936060 FORANE 1001936060 6 Yes
(isoflurane, USP)
Liquid For
Inhalation 250 mL.
Amber Colored
Glass Bottles
1001964134 SUPRANE 1001964134 6
(desflurane, USP)
Volatile Liquid
for Inhalation,
240 mL Aluminum
Bottle.
1001965164 Sevoflurane, USP, 1001965164 6
Volatile Liquid
for Inhalation,
250 mL Aluminum
Bottle
1001936040 FORANE 1001936040 6 Yes
(isoflurane, USP)
Liquid For
Inhalation, 100 mL
Amber Colored
Glass Bottles.
EXACTAMED Oral Systems >> EXACTAMED Oral Systems >> Orderable Only -
Bedside Pack
NA NA
Ampules, Vials and Tablets >> Flumazenil Injection
AIN00213 Flumazenil 3600014810 10 Yes Yes
Injection, USP,
0.5 mg/5 mL (0.1
mg/mL), 5 mL
Multi-Dose Glass
Vial
AIN00212 Flumazenil 3600014910 10 Yes Yes
Injection, USP, 1
mg/10 mL (0.1
mg/mL) 10mL Multi-
Dose Glass Vial
BioSurgery >> PERCLOT Absorbable Hemostatic Powder
PCET020 PERCLOT 20CM 5 Yes Yes Yes
EXTENDER TIP
PCUS003 PERCLOT 3G – 9CM 5 Yes Yes Yes
STANDARD TIP, 5PK
PCET038 PERCLOT 38CM 10 Yes Yes Yes
LAPAROSCOPIC TIP
CRRT Solutions >> PrismaSate Dialysate Solution, Non-PVC

Oct.02.2023 at 07:08:05 UTC Page # 44


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
105351 PrismaSATE BGK2/0 2 Yes
Dialysis Solution
for Continuous
Renal Replacement
Therapy. Non-PVC
105353 PrismaSATE BKO/3.5 2 Yes
Dialysis Solution
for Continuous
Renal Replacement
Therapy. Non PVC
106957 PrismaSATE 2 Yes
BGK4/2.5 Dialysis
Solution for
Continuous Renal
Replacement
Therapy. NON - PVC
107501S PrismaSATE 2 Yes
B22GK4/0 Dialysis
Solution for
Continuous Renal
Replacement
Therapy
107580S PrismaSATE BK2/0 2 Yes
Dialysis Solution
for Continuous
Renal Replacement
Therapy
110411S PRISMASATE 2 Yes
Dialysis Solution
for Continuous
Renal Replacement
Therapy, NON PVC
PRISMASATE
BGK4/0/1.2
106957C NON PVC PRISMASATE 2 Yes
BGK4/2,5
Ampules, Vials and Tablets >> Ondansetron Injection
AIN00237 Ondansetron 3600001225 25 Yes Yes
Injection, USP, 2
mg/mL 2 mL Sterile
Single Use Glass
Vial (25 x 2 mL)
IV Solutions >> IV Solutions >> Lactated Ringer's & Ringer's for
Injection
2B2323Q Lactated Ringer's 0338011703 24 Yes
Injection, USP,
500 mL VIAFLEX
Plastic Container
2B2324X Lactated Ringer's 0338011704 14 Yes
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B2074X Lactated Ringer's 0338012504 14 Yes
and 5% Dextrose
Injection, USP,
1000 mL VIAFLEX
Plastic Container
PD Sets and Disposables >> PD Sets and Disposables >> APD Cassettes
5C4136 EASY-LOCK-to-Spike 12 Yes Yes Yes
Adapter Set
5C4462 Empty Sterile Bag, 48 Yes No No
3L
5C4476 Effluent Sample 6 Yes No No
Bag, 100 mL
L5C4446 5-Prong Manifold 15 Yes

Oct.02.2023 at 07:08:05 UTC Page # 45


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
N5C8305C Low Recirculation 30 Yes No No
Volume APD Set
with Cassette
R5C4479C Automated PD Set 30 Yes No No
with Cassette-4
Prong
L5C4531 Integrated APD 30 Yes No No
Cassette
5C5479 AMIA Automated 30 Yes No No
Peritoneal
Dialysis Set with
Cassette
Administration Sets >> Secondary Sets
NA NA
2C7451 Secondary 48 Yes
Medication Set,
Non-Vented,
INTERLINK Lever
Lock Cannula
(detached). 10
drops/mL. 37" (95
cm)
2H7451 Secondary 48 Yes Yes No
Medication Set,
Hanger, Lever Lock
Cannula
(detached), Male
Luer Lock Adapter,
non-DEHP. 10
drops/mL. 37" (93
cm)
2H7463 Secondary 48 Yes Yes No
Medication Set,
DUO-VENT, For use
with CLEARLINK
System. 60
drops/mL. 37" (93
cm). Non-DEHP
2C7462 Secondary 48 Yes No No
Medication Set,
DUO-VENT, For use
with CLEARLINK
System. 10
drops/mL. 37" (93
cm)
2H7462 Secondary 48 Yes Yes No
Medication Set,
DUO-VENT, For use
with CLEARLINK
System. 10
drops/mL. 37" (93
cm). Non-DEHP
2C7452 Secondary 48 Yes No
Medication Set,
DUO-VENT,
INTERLINK Luer
Lock Cannula
(detached). 10
drops/mL. 37" (95
cm)
2H7452 Secondary 48 Yes Yes
Medication Set,
DUO-VENT,
INTERLINK Lever
Lock Cannula
(detached). 10
drops/mL. 37" (93
cm), Non-DEHP

Oct.02.2023 at 07:08:05 UTC Page # 46


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C7461 Secondary 48 Yes No No
Medication Set,
Non-Vented, For
use with CLEARLINK
System. 10
drops/mL. 37" (93
cm)
Needle Free Connectors & Catheter Extensions >> CLEARLINK
NA NA
Liquid Premix >> Magnesium Sulfate
EZPE8501 Magnesium Sulfate 0338170940 40
in 5% Dextrose
Injection USP, 1
g/100 mL (10
mg/mL) in VIAFLO
Plastic Container,
Liquid Premix.
EZPE8001 Magnesium Sulfate 0338170840 40
in Water for
Injection, 2 g/50
mL (40 mg/mL) in
VIAFLO Plastic
Container. Liquid
Premix.
EZPE8002 Magnesium Sulfate 0338171940 40
in Water for
Injection, 4 g/50
mL (80 mg/mL) in
VIAFLO Plastic
Container. Liquid
Premix
EZPE8003 Magnesium Sulfate 0338171540 40
in Water for
Injection, 4 g/100
mL (40 mg/mL)
in VIAFLO Plastic
Container. Liquid
Premix.
Administration Sets >> Primary Sets
NA NA
2C8931 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 2
CLEARLINK Luer
Activated Valves.
Plus 3 Port
Manifold with
Check Valves and
4-Way Stopcock
Extension Set, 2
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
10 drops/mL. 40"
(101 cm)
2C6424 Solution Set, Non- 48 Yes No No
Vented, 2
INTERLINK
Injection Sites.
60 drops/mL. 93"
(2.4 m)
1C8109 Solution Set, Non- 48 Yes No No
Vented with Male
Luer Lock Adpater.
10 drops/mL. 101"
(2.6 m)

Oct.02.2023 at 07:08:05 UTC Page # 47


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
1C8160 Solution Set, Non- 48 Yes No No
Vented with Male
Luer Lock Adapter.
10 drops/mL. 69"
(1.7 m). Sterile
package
1C8722 CONTINU-FLO 48 Yes No
Solution Set, Non-
Vented, 5
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
10 drops/mL.
133.5". Sterile
Package
2H6401 Solution Set, Non- 48 Yes Yes No
Vented, INTERLINK
Injection Site. 10
drops/mL. 76" (1.9
m). Non-DEHP
3C0062 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 2
INTERLINK
Injection Sites,
Backcheck Valve.
Plus Stopcock
Extension Set with
2 INTERLINK
Injection Sites.
10 drops/mL
3C0105 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 2
Injection Site
INTERLINK System,
Backcheck Valve.
Plus Large Bore
Stopcock with
Rorating Collar
with Male Luer
Lock. 10 drops/mL.
Approximatelly
Total Lenght
131.5"
3C0134 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 2
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
Plus Stopcock
Manifold. Plus
Extension Set with
1 CLEARLINK Luer
Activated Valve.
Approximate Total
Lenght 124"
2H6519 CONTINU-FLO 48 Yes Yes No
Solution Set, Non-
Vented, 2
INTERLINK
Injection Sites,
Backcheck Valve.
10 drops/mL. 105"
(2.7 m). Non-DEHP

Oct.02.2023 at 07:08:05 UTC Page # 48


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C6254 CONTINU-FLO 48 Yes No
Solution Set, Non-
Vented, 2
CLEARLINK Luer
Activated Valves,
Backcheck Valve
plus Stopcock
Manifold and 1
CLEARLINK Luer
Activated Valves
Extension Set.
Approx. 10
drops/mL
2C6255 CONTINU-FLO 48 Yes No
Solution Set, Non-
Vented, 2
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
Plus 4-Way
Stopcock Extension
Set with 2
CLEARLINK Luer
Activated Valve
2C8401 Solution Set, Non- 48 Yes No No
Vented, CLEARLINK
Luer Activated
Valve. 10
drops/mL. 76" (1.9
m)
2C8419 Solution Set, DUO- 48 Yes
VENT, CLEARLINK
Luer Activated
Valve. 10
drops/mL. 92" (2.3
m)
2C8515 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, CLEARLINK
Luer Activated
Valve, Backcheck
Valve. 10
drops/mL. 106"
(2.7 m)
2C8519 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 2
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
10 drops/mL. 112"
(2.8 m)
2C8537 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 3
CLEARLINK Luer
Activated Valves,
Backcheck Valve,
Retractable
Collar., 10
drops/mL, 120"
(3.0 m)
1C8507 Solution Set, DUO- 48 Yes
VENT and Male Luer
Lock Adapter. 10
drops/ mL.109"
(2.8 m). Sterile
Package

Oct.02.2023 at 07:08:05 UTC Page # 49


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
1C8581 Y-Type Solution 48 Yes
Set, Non-Vented, 2
Injection Site
INTERLINK System.
10 drops/mL. 79"
(2.0 m). Sterile
Package
1C8614 Solution Set, Non- 48 Yes
Vented and Male
Luer Lock Adapter.
60 drops/mL. 37"
(94 cm). Sterile
Package
1C8627 Solution Set, Non- 48 Yes
Vented and Male
Luer Lock Adapter.
10 drops/mL. 17"
(43 cm). Sterile
Package
1C8296 Solution Set, Non- 48 Yes No No
Vented and Male
Luer Lock Adapter.
10 drops/mL. 125"
(3.2 m). Sterile
Package
2C6895 CONTINU-FLO 48 Yes No
Solution Set with
CONTROL-A-FLO
Regulator and 2
INTERLINK
injection sites 6"
and 76" from male
Luer lock adapter.
10 drops/mL. 96"
(2.4 m)
2C6931 CONTINU-FLO 48 Yes No
Solution Set, Non-
Vented, 2
INTERLINK
Injection Sites.
Plus Manifold and
4-Way Stopcock
Extension Set with
2 INTERLINK
Injection Sites
2C6401 Solution Set, Non- 48 Yes No No
Vented, INTERLINK
Injection Site. 10
drops/mL. 76" (1.9
m)
2C6402 Solution Set, Non- 48 Yes No No
Vented, INTERLINK
Injection Site. 60
drops/mL. 76" (1.9
m)
2C6419 Solution Set, DUO- 48 Yes No No
VENT, INTERLINK
Injection Site. 10
drops/mL. 92" (2.3
m)
2C6425 Solution Set, Non- 48 Yes No No
Vented, 2
INTERLINK
Injection Sites.
10 drops/mL. 101"
(2.6 m)

Oct.02.2023 at 07:08:05 UTC Page # 50


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C6511 CONTINU-FLO 48 Yes No
Solution Set, Non-
Vented, 2
INTERLINK
Injection Sites.
Plus 4-Way
Stopcock Manifold
Extension Set
with INTERLINK
Injection Site
2C6537 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 3
INTERLINK
Injection Sites,
Backcheck Valve.
10 drops/mL. 110"
(2.8 m)
2C6541 CONTINU-FLO 48 Yes No No
Solution Set, DUO-
VENT, 3 INTERLINK
Injection Sites,
Backcheck Valve.
10 drops/mL. 106"
(2.7 m)
2C6546 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 3
INTERLINK
Injection Sites,
Backcheck Valve.
60 drops/mL. 106"
(2.7 m)
2C6571 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 0.2 Micron
Filter, 2
INTERLINK
Injection Sites,
Backcheck Valve.
10 drops/mL. 105"
(2.7 m)
1M8463 SUB-Q-SET 30 Yes No No
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
2C1146 IV Fat Emulsion 48 Yes
Administration
Set, Non-Vented.
60 drops/mL. 86"
(2.2 m). Non-DEHP
2C8895 CONTINU-FLO 48 Yes
Solution Set with
CONTROL-A-FLO
Regulator and 2
CLEARLINK Luer
Activated Valves,
Backcheck Valve,
Male Luer Lock
Adapter. 10
drops/mL. 96" (2.4
m)

Oct.02.2023 at 07:08:05 UTC Page # 51


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C8541 CONTINU-FLO 48 Yes No No
Solution Set, DUO-
VENT, 3 CLEARLINK
Luer Activated
Valves, Backcheck
Valve. 10
drops/mL. 120"
(3.0 m)
2C8593 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 0.2 Micron
Filter, 3
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
10 drops/mL. 102"
(2.6 m)
1W5000 Solution Set, 75 Yes No No
vented / non-
vented dual spike,
INTERLINK
Injection Site. 15
Micron Disc
Filter. 20
drops/mL. 100"
(2.5 m)
2C1145 IV Fat Emulsion 48 Yes Yes
Administration
Set, Non-Vented.
10 drops/mL. 86"
(2.2 m). Non-DEHP
ACT8419 Solution Set, DUO- 48 Yes
VENT, CLEARLINK
Luer Activated
Valve, 10
drops/mL, 104"
(2.6m)
3C0162 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 2
CLEARLINK Luer
Activated Valves.
Plus Stopcock
Manifold. Plus
Extension Set with
1 CLEARLINK Luer
Activated Valve.
Plus Extension Set
Male Luer Lock .
10 drops/mL. 129"
1C8727 CONTINU-FLO 48 Yes No
Solution Set, Non-
Vented, 3
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
10 drops/mL. 114"
(2.9 m). Sterile
Package
2H6480 Solution Set, DUO- 48 Yes Yes No
VENT, 0.2 Micron
Filter, INTERLINK
Injection Site. 10
drops/mL. 102"
(2.6 m). Non-DEHP

Oct.02.2023 at 07:08:05 UTC Page # 52


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C8402 Solution Set, Non- 48 Yes No No
Vented, CLEARLINK
Luer Activated
Valve. 60
drops/mL. 76" (1.9
m)
2C8546 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 3
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
60 drops/mL. 105"
(2.7 m)
2C6256 CONTINU-FLO 48 Yes No
Solution Set ,
Non-Vented, 2
CLEARLINK Luer
Activated Valves.
Plus 4-Way
Stopcock Manifold
Extension Set with
CLEARLINK Luer
Activated Valve
2C6519 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 2
INTERLINK
Injection Sites,
Backcheck Valve.
10 drops/mL. 89"
(2.2 m)
2C6572 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 0.2
Micron Filter, 2
INTERLINK
Injection Sites,
Backcheck Valve.
60 drops/mL. 105"
(2.7 m)
2C8425 Solution Set, Non- 48 Yes No No
Vented, 2
CLEARLINK Luer
Activated Valves.
10 drops/mL. 100"
(2.5 m)
2C8571 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 0.2 Micron
Filter, 2
CLEARLINK Luer
Activated Valve,
Backcheck Valve.
10 drops/mL. 104"
(2.6 m)
2C8548 CONTINU-FLO 48 Yes No No
Solution Set,
Vented, 2
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
60 drops/mL. 104"
(2.6m)
STP0073 Solution Set, Non- 48 Yes
Vented, INTERLINK
Injection Site.
Plus Stopcock with
INTERLINK
Injection Site
Oct.02.2023 at 07:08:05 UTC Page # 53
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2R8454 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 2
CLEARLINK Luer
Activated Valves,
Backcheck Valve,
Plus 4-Way
Stopcock Manifold
Extension Set. 10
drops/mL. 68" (1.7
m). Non-DEHP
2R1145 IV Fat Emulsion 48
Administration
Set, Non-Vented.
10 drops/mL. 86"
(2.2 m). Non-DEHP
2R8875 Solution Set, Duo- 48 Yes Yes
Vent, CLEARLINK
Luer Activated
Valve. 10
drops/mL. 117"
(2.9 m). Non-DEHP
Pump Segment,
Polyethylene Lined
Tubing
2R8480 Solution Set, DUO- 48 Yes
VENT, 0.2 Micron
Filter, CLEARLINK
Luer Activated
Valve. 10
drops/mL. 103"
(2.6 m). Non-DEHP
2R8486 Solution Set, Non- 48 Yes
Vented, 1.2 Micron
Filter, CLEARLINK
Luer Activated
Valve. 10
drops/mL. 107"
(2.7 m). Non-DEHP
2R8519 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 2
CLEARLINK Luer
Activated Valves.
10 drops/mL. 96"
(2.4 m). Non-DEHP
2R8537 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 3
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
10 drops/mL. 120"
(3.0 m). Non-DEHP
2R8546 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 3
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
60 drops/mL. 117"
(2.9 m). Non-DEHP
2R8401 Solution Set, Non- 48 Yes
Vented, CLEARLINK
Luer Activated
Valve. 10
drops/mL. 76" (1.9
m). Non-DEHP

Oct.02.2023 at 07:08:05 UTC Page # 54


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2R1146 IV Fat Emulsion 48
Administration
Set, Non-Vented.
60 drops/mL. 86"
(2.2 m). Non-DEHP
1W5014 Solution Set, 6 Yes
vented / non-
vented dual spike,
with 15 Micron
Disc Filter. 20
drops/mL. 93"
(2.4m)
UC8519 CONTINU-FLO 48 Yes
Solution Set, DUO-
VENT, 2 CLEARLINK
Luer Activated
Valves, Backcheck
Valve. 10
drops/mL. 111"
(2.8 m)
2C8554 Solution Set, Non- 48 Yes
Vented, 60
drops/mL, 109"
(2.8 m). Sterile
Package
2R8403 Solution Set, DUO- 48 Yes
VENT, CLEARLINK
Luer Activated
Valve. 10
drops/mL. 42" (1.1
m). Non-DEHP
2R8538 Solution Set, DUO- 48 Yes Yes No
VENT, 3 CLEARLINK
Luer Activated
Valves, 119" (3.0
m), Non-DEHP Pump
Segment,
Polyethylene (PE)
Lined Tubing
Parenteral Nutrition Solutions & Additives >> Multivitamins
2A9018 INFUVITE Adult, 5464356491 100 Yes
Multiple Vitamins
for infusion.
Single dose
package
2A9061 INFUVITE Pediatric 5464356470 10 Yes
Multiple Vitamins
for Infusion.
Pharmacy Bulk
Package
2A9008 INFUVITE 5464356461 100 Yes
Pediatric,
Multiple Vitamins
for infusion.
Single dose
package
2A9019 INFUVITE Adult, 5464356502 10 Yes
Multiple Vitamins
for infusion.
Pharmacy Bulk
Package
Accessories >> Accessories >> IV Poles & Pump Carriers
35743 Double Rotating IV 1 Yes No
Pole Clamp for
SIGMA Spectrum
Infusion System

Oct.02.2023 at 07:08:05 UTC Page # 55


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
8HOOK247 8 Hook Rake Top 1 Yes Yes
replacement
options for
existing 4 Hook
Pigtail Top
2M3006 IV POLE CLAMP, 1
SPEED KNOBFAST - 5
THREADS PER INCH
2M0812 6 Pump Vertical 1
Carrier
2M0816 Tiered 8 Hook Rake 1
Top
2M0815 4 Pump Horizontal 1
Carrier w/handle
2M0811 4 Pump Vertical 1
Carrier
2M0814 3 Pump Horizontal 1
Carrier w/handle
2M0809 Triple IV Pole, 6 1
Legs
2M0807 Single IV Pole 1
(lightweight) w/4
Hook Rake Top
2M0808 Single IV Pole 1
(heavyweight) w/8
Hook Rake Top
2M0217 Patient Pal Wheel 1
35743 Double Rotating IV 1 Yes No
Pole Clamp for
SIGMA Spectrum
Infusion System
8HOOK247 8 Hook Rake Top 1 Yes Yes
replacement
options for
existing 4 Hook
Pigtail Top
2M3006 IV POLE CLAMP, 1
SPEED KNOBFAST - 5
THREADS PER INCH
2M0812 6 Pump Vertical 1
Carrier
2M0816 Tiered 8 Hook Rake 1
Top
2M0815 4 Pump Horizontal 1
Carrier w/handle
2M0811 4 Pump Vertical 1
Carrier
2M0814 3 Pump Horizontal 1
Carrier w/handle
2M0809 Triple IV Pole, 6 1
Legs
2M0807 Single IV Pole 1
(lightweight) w/4
Hook Rake Top
2M0808 Single IV Pole 1
(heavyweight) w/8
Hook Rake Top
2M0217 Patient Pal Wheel 1
Acute Therapies >> Charcoal Hemoperfusion Cartridge
101097 Adsorba 1 Yes Yes
Hemoperfusion
Cartridge 150 C

Oct.02.2023 at 07:08:05 UTC Page # 56


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
101223 Adsorba 1 Yes
Hemoperfusion
Cartridge 300 C
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> Tranexamic
Acid Injection, USP
4306600810 Tranexamic Acid 4306600801 10 Yes Yes Yes
Injection, USP,
1000 mg / 10 mL
(100 mg/ mL) .
Single-Dose Vial.
(10 x 10 mL)
PrisMax and Accesory Devices >> PrisMax and Accesory Devices >>
TherMax Blood Warmer Pouch Accesory
955516 TherMax blood 24 Yes
warmer pouch
accesory
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> Propofol
Injectable Emulsion USP
NA NA
PD Ancillaries >> PD Ancillaries >> PREPS/Cleansers
5K4066 EXSEPT PLUS Skin 6404415017 1
Antiseptic, 500 mL
5K4005 ALCAVIS 50, High 1
Level
Disinfectant, 500
mL.
5K4070M Liquid Soap 1
Antimicrobial, 16
oz with pump
5K7444M MEDLINE Disposable 25
Underpad
5K8070M MEDLINE Isolation 50
Face Masks with
Earloops
5K7779M CURAD Nitrile Exam 150
Gloves, Large
5K7778M CURAD Nitrile Exam 150
Gloves, Medium
5K4076M Hand Sanitizer 1
Gel, 4 ounces (118
mL)
PD Sets and Disposables >> Transfer Sets
5C4449 MiniCap Extended 6 Yes No Yes
Life PD Transfer
Set (6") with
Roller Clamp
5C4482 MiniCap Extended 6 Yes No Yes
Life PD Transfer
Set (6") with
Twist Clamp
5C4483 MiniCap Extended 6 Yes No Yes
Life PD Transfer
Set (4") with
Twist Clamp-Extra
Short
5K4500 BETA-CAP Clamp 1
5C4169 Locking Cap for 25 Yes Yes Yes
Baxter PD Catheter
Adapter
5C4150C Transfer Set 20
Change Kit
Access >> Infusion Accessories
Oct.02.2023 at 07:08:05 UTC Page # 57
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
NA NA
EXACTAMIX Compounder & ABACUS Software >> EXACTAMIX Compounder &
ABACUS Software >> EXACTAMIX Accessories
H938711006 EXACTAMIX Large 50 Yes No
Bore Cap, External
Thread
H93884 Sterile Tube Set- 50 Yes Yes Yes
to-Bag Adapter,
Internal Thread
H938711008 EXACTAMIX Large 50 Yes
Bore Cap, Internal
Thread
H938735 EXACTAMIX Empty 50 Yes Yes Yes
Calibration Bag,
1000 mL
H93867 EXACTAMIX Needle 50 Yes Yes
Port Adapter
Peri-Strips Dry® with Veritas >> Peri-Strips Dry® with Veritas >>
Peri-Strips Dry with VERITAS (Covidien)
PSD3006UV PERI-STRIPS DRY 6 Yes
with VERITAS -
Covidien ENDO
GIA/UNIVERSAL 30
(unit of 6)
PSD4506UV PERI-STRIPS DRY 6 Yes Yes Yes
with VERITAS -
Covidien ENDO
GIA/UNIVERSAL 45
(unit of 6)
PSD6006UV PERI-STRIPS DRY 6 Yes Yes Yes
with VERITAS -
Covidien ENDO
GIA/UNIVERSAL 60
(unit of 6)
PSD8006UV PERI-STRIPS DRY 6 Yes Yes Yes
with VERITAS -
Covidien GIA 80
(unit of 6)
PSD9006UV PERI-STRIPS DRY 6 Yes
with VERITAS -
Covidien GIA 90
(unit of 6)
PSD9006PIV PERI-STRIPS DRY 6 Yes
with VERITAS -
Covidien PI 90
(unit of 6)
PSD6006UDSTV PERI-STRIPS DRY 6 Yes
with VERITAS -
Covidien GIA DST
60 (unit of 6)
PSD8006UDSTV PERI-STRIPS DRY 6 Yes
with VERITAS -
Covidien GIA 80
DST Series (unit
of 6)
Actifuse Bone Graft Substitute >> ACTIFUSE Bone Graft Substitute ABX
506005078051 ACTIFUSE Bone 1 Yes
Graft Substitute
ABX 5 mL
506005078052 ACTIFUSE Bone 1 Yes
Graft Substitute
ABX 10 mL
506005078058 ACTIFUSE Bone 1 Yes
Graft Substitute
ABX 20 mL
Oct.02.2023 at 07:08:05 UTC Page # 58
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
506005078060 ACTIFUSE Bone 1 Yes
Graft Substitute
ABX 1.5 mL
BioSurgery >> ARTISS [FIBRIN SEALANT HUMAN] Accessories
0600065PR 0600065PR - 1 Yes
EASYSPRAY Set with
EASYSPRAY Pressure
Regulator
0600012 EASYSPRAY PRESSURE 1 Yes
REGULATOR
0600065 0600065 - 10 Yes
EASYSPRAY SET
Extra Therapy Area >> Theranova
NA NA
PD Ancillaries >> PD Ancillaries >> Scales
5C4505 EZ-AIDE Assist 1 No Yes No
Device
5K8100 PD Simulator 1
(Dummy Tummy) and
Case
5K3971Z DIGITAL BP UNIT W 0457101779 1
MED/LRG CUFF
5K3967Z DIGITAL BP UNIT W 1
SM CUFF
5K3572Z THERMOMETER 1
DIGITAL
5K3961Z Heating Pad-King 1
Size, 3 Heat
Setting
5K3582Z Spring Scale (5000 1
gm x 100 gm)
5K3575Z Scale-Adult with 1 1
1/2" Digital
Display
5K3517Z Scale-Pediatric 1
with Digital
Display for
Recumbent.
5Q3810P I/V Pole Double 1
Hook
Liquid Premix >> Liquid Premix >> Myxredlin Human Insulin
2G3322 MYXREDLIN (Insulin 0338012612 12 Yes Yes Yes
Human in 0.9%
Sodium Chloride),
100 units/ 100 mL
(1 unit/mL)
Injection
Actifuse Bone Graft Substitute >> Actifuse Bone Graft Substitute >>
ACTIFUSE Bone Graft Substitute SHAPE
506005078062 ACTIFUSE Bone 1 Yes
Graft Substitute
SHAPE 1.6 mL
506005078064 ACTIFUSE Bone 1 Yes
Graft Substitute
SHAPE 2.6 mL
506005078066 ACTIFUSE Bone 1 Yes
Graft Substitute
SHAPE 8 mL
506005078068 506005078068 - 1 Yes
ACTIFUSE Bone
Graft Substitute
SHAPE 15.8 mL

Oct.02.2023 at 07:08:05 UTC Page # 59


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
Irrigation Solutions >> Irrigation Solutions >> Sorbitol Irrigation
2B7357 3% Sorbitol 0338029547 4
Urologic
Irrigating
Solution, 3000 mL
UROMATIC Plastic
Container
Irrigation Solutions >> Sterile Water Irrigation
2B7117 Sterile Water for 0338000347 4 Yes
Irrigation, USP,
3000 mL UROMATIC
Plastic Container
2F7112 Sterile Water for 0338000402 24 Yes
Irrigation, USP,
250 mL Plastic
Pour Bottle
2F7113 Sterile Water for 0338000403 18 Yes
Irrigation, USP,
500 mL Plastic
Pour Bottle
2F7114 Sterile Water for 0338000404 12 Yes
Irrigation, USP,
1000 mL, Plastic
Pour Bottle
2B7116 Sterile Water for 0338000346 6 Yes
Irrigation, USP,
2000 mL UROMATIC
Plastic Container
2B7114X Sterile Water for 0338000344 14 Yes
Irrigation, USP,
1000 mL UROMATIC
Plastic Container
Administration Sets >> Administration Sets >> Specialty Sets
NA NA
1C8043 Nitroglycerin Set, 48 Yes
Duo-Vented, 10
drops/mL, 132"
(3.4 m)
2C8851 Nitroglycerin Set, 48 Yes No No
DUO-VENT,
CLEARLINK Luer
Activated Valve,
60 drops/mL, 103"
(2.6 m)
2C8857 Paclitaxel Set, 48 Yes Yes
Vented, 0.2 Micron
Filter, CLEARLINK
Luer Activated
Valve, 10
drops/mL, 107"
(2.7 m)
2C7551 Nitroglycerin Set, 48 Yes
DUO-VENT,
INTERLINK
Injection Site, 60
drops/mL, 103"
(2.6 m)
2C7557 Paclitaxel Set, 48 Yes Yes
Vented, INTERLINK
Injection Site,
0.2 Micron Filter,
10 drops/mL, 107"
(2.7 m)

Oct.02.2023 at 07:08:05 UTC Page # 60


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
1C8363 Straight-Type 48 Yes No No
Extension Set, 0.2
Micron Filter,
Polyethylene Lined
Tubing . 6.2"
(15.8 cm)
2C7558 Paclitaxel Set, 48 Yes Yes No
Non-Vented,
INTERLINK
Injection Site,
0.2 Micron Filter,
10 drops/mL, 108"
(2.7 m)
2E7554 Epidural Solution 48 Yes
Set, Non-Vented,
60 drops/mL,108"
(2.8 m)
2R8875 Solution Set, Duo- 48 Yes Yes
Vent, CLEARLINK
Luer Activated
Valve. 10
drops/mL. 117"
(2.9 m). Non-DEHP
Pump Segment,
Polyethylene Lined
Tubing
2R8858 Paclitaxel Set, 48 Yes
Non-Vented with
Polyethlyene Lined
Tubing and
CLEARLINK Luer
Activated ValVe,
0.2 Micron Filter,
CLEARLINK Luer
Activated Valve.
10 drops/mL. 107"
(2.7 m)
2N3360 Straight-Type 50
Extension Set,
Micro-volume, 59"
(150 cm),
Polyethylene (PE)
Lined
2N3361 Straight-Type 50
Extension Set,
Micro-volume, 79"
(200 cm),
Polyethylene (PE)
Lined
2N3362 Straight-Type 50
Extension Set,
Mini-volume, 118"
(300 cm),
Polyethylene (PE)
Lined
Liquid Premix >> Liquid Premix >> DOPamine Hydrochloride and 5%
Dextrose Injections
2B0832 DOPamine 0338100502 18 Yes No No
Hydrochloride in
5% Dextrose
Injection, 800
mcg/mL in 250 mL
VIAFLEX Plastic
Container. Liquid
Premix.

Oct.02.2023 at 07:08:05 UTC Page # 61


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B0843 DOPamine 0338100703 12 Yes No No
Hydrochloride in
5% Dextrose
Injection, 1600
mcg/mL in 500 mL
VIAFLEX Plastic
Container. Liquid
Premix.
2B0846 DOPamine 0338100902 18 Yes No No
Hydrochloride in
5% Dextrose
Injection, 3200
mcg/mL in 250 mL
VIAFLEX Plastic
Container. Liquid
Premix.
2B0833 DOPamine 0338100503 12 Yes
Hydrochloride in
5% Dextrose
Injection, 800
mcg/mL in 500 mL
VIAFLEX Plastic
Container. Liquid
Premix.
2B0842 DOPamine 0338100702 18 Yes No No
Hydrochloride in
5% Dextrose
Injection, 1600
mcg/mL in 250 mL
VIAFLEX Plastic
Container. Liquid
Premix.
BioSurgery >> Tissue-Guard Family of Surgical Patches
NA NA
Frozen Premix >> Vancomycin Injections
2G3580 Vancomycin 0338358048 6 Yes
Injection, USP in
5% Dextrose, 750
mg/150 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3551 Vancomycin 0338355148 12
Injection, USP in
5% Dextrose,
500mg/100 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3552 Vancomycin 0338355248 6
Injection, USP in
5% Dextrose, 1
gram/200 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3590 Vancomycin 0338358101 12
Injection, USP in
0.9% Sodium
Chloride, 500
mg/100 mL, GALAXY
Plastic Container

Oct.02.2023 at 07:08:05 UTC Page # 62


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2G3591 Vancomycin 0338358201 6
Injection, USP in
0.9% Sodium
Chloride, 750
mg/150 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3592 Vancomycin 0338358301 6
Injection, USP in
0.9% Sodium
Chloride, 1g/200
mL in GALAXY
Plastic Container.
Frozen Premix.
Needle Free Connectors & Catheter Extensions >> Needle Free Connectors
& Catheter Extensions >> CLEARLINK
NA NA
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >>
Phenylephrine Hydrochloride Injection USP
NA NA
Frozen Premix >> Frozen Premix >> Bivalirudin Injections
NA NA
Irrigation Solutions >> Irrigation Solutions >> Orderable - Irrigation
Solution
NA NA
Peri-Strips Dry® with Veritas >> Peri-Strips Dry with VERITAS
(Covidien)
PSD3006UV PERI-STRIPS DRY 6 Yes
with VERITAS -
Covidien ENDO
GIA/UNIVERSAL 30
(unit of 6)
PSD4506UV PERI-STRIPS DRY 6 Yes Yes Yes
with VERITAS -
Covidien ENDO
GIA/UNIVERSAL 45
(unit of 6)
PSD6006UV PERI-STRIPS DRY 6 Yes Yes Yes
with VERITAS -
Covidien ENDO
GIA/UNIVERSAL 60
(unit of 6)
PSD8006UV PERI-STRIPS DRY 6 Yes Yes Yes
with VERITAS -
Covidien GIA 80
(unit of 6)
PSD9006UV PERI-STRIPS DRY 6 Yes
with VERITAS -
Covidien GIA 90
(unit of 6)
PSD9006PIV PERI-STRIPS DRY 6 Yes
with VERITAS -
Covidien PI 90
(unit of 6)
PSD6006UDSTV PERI-STRIPS DRY 6 Yes
with VERITAS -
Covidien GIA DST
60 (unit of 6)
PSD8006UDSTV PERI-STRIPS DRY 6 Yes
with VERITAS -
Covidien GIA 80
DST Series (unit
of 6)

Oct.02.2023 at 07:08:05 UTC Page # 63


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
Hemophilia >> OBIZUR [Antihemophilic Factor (Recombinant), Porcine
Sequence]
NA NA
Parenteral Nutrition Solutions & Additives >> CLINIMIX & CLINIMIX E
Injections
2B7727 CLINIMIX 4.25/10 0338113403 6 Yes
sulfite-free
(4.25% Amino Acid
in 10% Dextrose)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
2B7731 CLINIMIX 5/20 0338113803 6 Yes
sulfite-free (5%
Amino Acid in 20%
Dextrose)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
2B7726 CLINIMIX 4.25/5 0338113303 6 Yes
sulfite-free
(4.25% Amino Acid
in 5% Dextrose)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
2B7709 CLINIMIX 5/15 0338109904 4 Yes
sulfite-free (5%
Amino Acid in 15%
Dextrose)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
2B7705 CLINIMIX 4.25/10 0338109104 4 Yes
sulfite-free
(4.25% Amino Acid
in 10% Dextrose)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
2B7717 CLINIMIX E 4.25/10 0338111504 4 Yes
sulfite-free
(4.25% Amino Acid
with Electrolytes
in 10% Dextrose
with Calcium)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
2B7735 CLINIMIX E 2.75/5 0338114203 6 Yes
sulfite-free
(2.75% Amino Acid
with Electrolytes
in 5% Dextrose
with Calcium)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
2B7737 CLINIMIX E 4.25/5 0338114403 6 Yes
sulfite-free
(4.25% Amino Acid
with Electrolytes
in 5% Dextrose
with Calcium)
Injection, 1000 mL
in CLARITY Dual
Chamber Container

Oct.02.2023 at 07:08:05 UTC Page # 64


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B7741 CLINIMIX E 5/20 0338114803 6 Yes
sulfite-free (5%
Amino Acid with
Electrolytes in
20% Dextrose with
Calcium)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
2B7738 CLINIMIX E 4.25/10 0338114503 6 Yes
sulfite-free
(4.25% Amino Acid
with Electrolytes
in 10% Dextrose
with Calcium)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
2B7704 CLINIMIX 4.25/5 0338108904 4 Yes
sulfite-free
(4.25% Amino Acid
in 5% Dextrose)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
2B7716 CLINIMIX E 4.25/5 0338111304 4 Yes
sulfite-free
(4.25% Amino Acid
with Electrolytes
in 5% Dextrose
with Calcium)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
2B7721 CLINIMIX E 5/15 0338112304 4 Yes
sulfite-free (5%
Amino Acid with
Electrolytes in
15% Dextrose with
Calcium)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
2B7722 CLINIMIX E 5/20 0338112504 4 Yes
sulfite-free (5%
Amino Acid with
Electrolytes in
20% Dextrose with
Calcium)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
2B7730 CLINIMIX 5/15 0338113703 6 Yes
sulfite-free (5%
Amino Acid in 15%
Dextrose)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
2B7740 CLINIMIX E 5/15 0338114703 6 Yes
sulfite-free (5%
Amino Acid with
Electrolytes in
15% Dextrose with
Calcium)
Injection, 1000 mL
in CLARITY Dual
Chamber Container

Oct.02.2023 at 07:08:05 UTC Page # 65


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B7710 CLINIMIX 5/20 0338110104 4 Yes
sulfite-free (5%
Amino Acid in 20%
Dextrose)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
EADB9945 CLINIMIX E 8/10 0338021401 4 Yes Yes Yes
sulfite-free (8%
Amino Acid with
Electrolytes in
10% Dextrose with
Calcium)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
EADB9913 CLINIMIX 6/5 0338019801 6 Yes Yes Yes
sulfite-free (6%
Amino Acid in 5%
Dextrose)
Injection, 1000 mL
in CLARITY Dual
Chamber Container.
EADB9933 CLINIMIX 8/10 0338018801 6 Yes Yes Yes
sulfite-free (8%
Amino Acids in 10%
Dextrose)
Injection, 1000 mL
in CLARITY Dual
Chamber Container.
EADB9953 CLINIMIX 8/14 0338018001 6 Yes Yes Yes
sulfite-free (8%
Amino Acid in 14%
Dextrose)
Injection, 1000 mL
in CLARITY Dual
Chamber Container.
EADB9943 CLINIMIX E 8/10 0338021001 6 Yes Yes Yes
sulfite-free (8%
Amino Acid with
Electrolytes in
10% Dextrose with
Calcium)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
EADB9963 CLINIMIX E 8/14 0338020201 6 Yes Yes Yes
sulfite-free (8%
Amino Acid with
Electrolytes in
14% Dextrose with
Calcium)
Injection, 1000 mL
in CLARITY Dual
Chamber Container
EADB9935 CLINIMIX 8/10 0338019401 4 Yes Yes Yes
sulfite-free (8%
Amino Acids in 10%
Dextrose)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
2C0427 Solution Transfer 48
Set with Duovent

Oct.02.2023 at 07:08:05 UTC Page # 66


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
EADB9965 CLINIMIX E 8/14 0338020601 4 Yes Yes Yes
sulfite-free (8%
Amino Acids with
Electrolytes in
14% Dextrose with
Calcium)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
EADB9955 CLINIMIX 8/14 0338018401 4 Yes Yes
sulfite-free (8%
Amino Acids in 14%
Dextrose)
Injection, 2000 mL
in CLARITY Dual
Chamber Container
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >>
Fosaprepitant Powder for Injection
SP0150 Fosaprepitant 0338000801 1 Yes Yes Yes
Powder for
Injection,
lyophilized powder
for
reconstitution,
150 mg single-dose
vial
Parenteral Nutrition Solutions & Additives >> IV Fat Emulsions >>
CLINOLIPID IV Fat Emulsions
EADB9524 20% CLINOLIPID 0338954008 6 Yes Yes Yes
(Lipid Injectable
Emulsion, USP)
1000 mL
EADB9520 20% CLINOLIPID 0338954005 15 Yes Yes Yes
(Lipid Injectable
Emulsion, USP) 100
mL
EADB9523 20% CLINOLIPID 0338954007 12 Yes Yes Yes
(Lipid Injectable
Emulsion, USP) 500
mL
EADB9521 20% CLINOLIPID 0338954006 10 Yes Yes Yes
(Lipid Injectable
Emulsion, USP) 250
mL
Critical Care >> BUMINATE Albumin, 5%
NA NA
Liquid Premix >> DOPamine Hydrochloride and 5% Dextrose Injections
2B0832 DOPamine 0338100502 18 Yes No No
Hydrochloride in
5% Dextrose
Injection, 800
mcg/mL in 250 mL
VIAFLEX Plastic
Container. Liquid
Premix.
2B0843 DOPamine 0338100703 12 Yes No No
Hydrochloride in
5% Dextrose
Injection, 1600
mcg/mL in 500 mL
VIAFLEX Plastic
Container. Liquid
Premix.

Oct.02.2023 at 07:08:05 UTC Page # 67


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B0846 DOPamine 0338100902 18 Yes No No
Hydrochloride in
5% Dextrose
Injection, 3200
mcg/mL in 250 mL
VIAFLEX Plastic
Container. Liquid
Premix.
2B0833 DOPamine 0338100503 12 Yes
Hydrochloride in
5% Dextrose
Injection, 800
mcg/mL in 500 mL
VIAFLEX Plastic
Container. Liquid
Premix.
2B0842 DOPamine 0338100702 18 Yes No No
Hydrochloride in
5% Dextrose
Injection, 1600
mcg/mL in 250 mL
VIAFLEX Plastic
Container. Liquid
Premix.
Frozen Premix >> Frozen Premix >> ZOSYN Injections
2G3582 ZOSYN 0338963201 24 Yes Yes Yes
(Piperacillin and
Tazobactam
Injection) in
GALAXY Container,
2.25g in 50mL,
Single-Dose
Plastic Container,
Frozen Premix
2G3583 ZOSYN 0338963601 24 Yes Yes Yes
(Piperacillin and
Tazobactam
Injection) in
GALAXY Container,
3.375g in 50mL,
Single-Dose
Plastic Container,
Frozen Premix
2G3584 ZOSYN 0338963801 12 Yes Yes Yes
(Piperacillin and
Tazobactam
Injection) in
GALAXY Container,
4.5g in 100mL,
Single-Dose
Plastic Container,
Frozen Premix
Actifuse Bone Graft Substitute >> ACTIFUSE Bone Graft Substitute
GRANULES
506005078028 ACTIFUSE Bone 1 Yes
Graft Substitute
GRANULES 5 mL
506005078029 ACTIFUSE Bone 1 Yes
Graft Substitute
GRANULES 10 mL
506005078030 ACTIFUSE Bone 1 Yes
Graft Substitute
GRANULES 20 mL
506005078056 ACTIFUSE Bone 1 Yes
Graft Substitute
GRANULES 30 mL

Oct.02.2023 at 07:08:05 UTC Page # 68


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
Actifuse Bone Graft Substitute >> Actifuse Bone Graft Substitute >>
ACTIFUSE Bone Graft Substitute MIS
506005078070 ACTIFUSE Bone 1 Yes
Graft Substitute
MIS, KIT 7.5 mL
506005078072 ACTIFUSE Bone 1 Yes
Graft Substitute
MIS, REFILL
CARTRIDGE 7.5 mL
Liquid Premix >> NEXTERONE (amiodarone HCl)
2G3451 NEXTERONE 4306615010 12 Yes
(amiodarone HCl)
Premixed Injection
150 mg/100 ml in
GALAXY Plastic
Container. Liquid
Premix.
2G3450 NEXTERONE 4306636020 10 Yes
(amiodarone HCI)
Premixed Injection
360 mg/200 mL in
GALAXY Plastic
Container. Liquid
Premix.
Peritoneal Dialysis >> Peritoneal Dialysis Hardware
5C4471 HOMECHOICE 1 Yes
Automated PD
System
5C8310 HOMECHOICE PRO 1 Yes
Automated PD
System
R5C4522 HOMECHOICE PRO 6 Yes Yes Yes
SmartMedia Card
4994000449 HOMECHOICE PRO USB 1
SmartMedia Card
Reader
5C9320 Amia Automated PD 1 Yes
System with
Sharesource
Connectivity
PrisMax and Accesory Devices >> PrisMax System
955626 PrisMax System 1 Yes
Liquid Premix >> Liquid Premix >> Heparin Sodium and 0.9% Sodium
Chloride Injections
2B0944 Heparin Sodium in 0338043304 12
0.9% Sodium
Chloride
Injection, 2,000
USP units/1000 mL
in VIAFLEX Plastic
Container. Liquid
Premix.
AHB0953U Heparin Sodium and 0338042418 18 Yes No No
0.9% Sodium
Chloride
Injection, 1,000
units/ 500 mL(2
units / mL) in
VIAFLEX Plastic
Container
Administration Sets >> Specialty Sets
NA NA

Oct.02.2023 at 07:08:05 UTC Page # 69


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
1C8043 Nitroglycerin Set, 48 Yes
Duo-Vented, 10
drops/mL, 132"
(3.4 m)
2C8851 Nitroglycerin Set, 48 Yes No No
DUO-VENT,
CLEARLINK Luer
Activated Valve,
60 drops/mL, 103"
(2.6 m)
2C8857 Paclitaxel Set, 48 Yes Yes
Vented, 0.2 Micron
Filter, CLEARLINK
Luer Activated
Valve, 10
drops/mL, 107"
(2.7 m)
2C7551 Nitroglycerin Set, 48 Yes
DUO-VENT,
INTERLINK
Injection Site, 60
drops/mL, 103"
(2.6 m)
2C7557 Paclitaxel Set, 48 Yes Yes
Vented, INTERLINK
Injection Site,
0.2 Micron Filter,
10 drops/mL, 107"
(2.7 m)
1C8363 Straight-Type 48 Yes No No
Extension Set, 0.2
Micron Filter,
Polyethylene Lined
Tubing . 6.2"
(15.8 cm)
2C7558 Paclitaxel Set, 48 Yes Yes No
Non-Vented,
INTERLINK
Injection Site,
0.2 Micron Filter,
10 drops/mL, 108"
(2.7 m)
2E7554 Epidural Solution 48 Yes
Set, Non-Vented,
60 drops/mL,108"
(2.8 m)
2R8875 Solution Set, Duo- 48 Yes Yes
Vent, CLEARLINK
Luer Activated
Valve. 10
drops/mL. 117"
(2.9 m). Non-DEHP
Pump Segment,
Polyethylene Lined
Tubing
2R8858 Paclitaxel Set, 48 Yes
Non-Vented with
Polyethlyene Lined
Tubing and
CLEARLINK Luer
Activated ValVe,
0.2 Micron Filter,
CLEARLINK Luer
Activated Valve.
10 drops/mL. 107"
(2.7 m)

Oct.02.2023 at 07:08:05 UTC Page # 70


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2N3360 Straight-Type 50
Extension Set,
Micro-volume, 59"
(150 cm),
Polyethylene (PE)
Lined
2N3361 Straight-Type 50
Extension Set,
Micro-volume, 79"
(200 cm),
Polyethylene (PE)
Lined
2N3362 Straight-Type 50
Extension Set,
Mini-volume, 118"
(300 cm),
Polyethylene (PE)
Lined
Liquid Premix >> DOBUTamine Injections
2B0791 DOBUTamine 0338107302 18
Hydrochloride in
5% Dextrose
Injection, 250
mg/250 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
2B0792 DOButamine 0338107502 18
Hydrochloride in
5% Dextrose
Injection, 500
mg/250 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
2B0793 DOBUTamine 0338107702 18
Hydrochloride in
5% Dextrose
Injection,
1000mg/250 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
Liquid Premix >> Clindamycin
2G3452 Clindamycin 0338341050 24
Injection USP in
5% Dextrose, 300
mg /50 mL in
GALAXY Plastic
Container. Liquid
Premix.
2G3454 Clindamycin 0338381450 24 Yes Yes Yes
Injection USP in
5% Dextrose, 900
mg/50 mL in GALAXY
Plastic Container.
Liquid Premix.
2G3453 Clindamycin 0338361250 24 Yes Yes Yes
Injection USP in
5% Dextrose, 600
mg/50 mL in GALAXY
Plastic Container.
Liquid Premix

Oct.02.2023 at 07:08:05 UTC Page # 71


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2G3455 Clindamycin 0338954550 24 Yes Yes Yes
Phosphate in 0.9%
Sodium Chloride
Injection, 300
mg/50 mL in GALAXY
Plastic Container.
Liquid Premix.
2G3456 Clindamycin 0338954950 24 Yes Yes Yes
Phosphate in 0.9%
Sodium Chloride
Injection, 600
mg/50 mL in GALAXY
Plastic Container.
Liquid Premix.
2G3457 Clindamycin 0338955350 24 Yes Yes Yes
Phosphate in 0.9%
Sodium Chloride
Injection, 900
mg/50 mL in GALAXY
Plastic Container.
Liquid Premix.
Frozen Premix >> FORTAZ Injections
NA NA
Needle Free Connectors & Catheter Extensions >> Needle Free Connectors
& Catheter Extensions >> V-LINK
NA NA
PD Ancillaries >> Dressings
5K7589M AVANT GAUZE Non- 50
Woven Sponges, 4"
X 4", Sterile
5K7619M CURAD Transparent 1
Tape 1" X 10 yds
5K7617M CURAD Paper Tape 1
2" X 10 yds
5K7615M CURAD Paper Tape 1
1" X 10 yds
5K7533M CURAD Non-Adherent 100
Pads, 2" X 3",
Sterile
5K7579M MEDLINE Suresite 50
Window,
Transparent Film
Dressing, 4" X
4.5", Sterile
5K7426M MEDLINE Gauze 200
Sponge 2" x 2",
Woven, Non-Sterile
5K7525M MEDLINE Post-Op 100
Gauze Sponges, 4"
X 3", Non-Sterile
5K7624M CURAD Cloth Tape 1
1" X 10 yds
5K7458MM AVANT GAUZE Drain 35
Sponges, 2" X 2",
Non-Woven, Sterile
BioSurgery >> Peri-Strips Dry® with Veritas
PSDA60GIATHN PERI-STRIPS DRY 6 Yes Yes Yes
with VERITAS
Collagen Matrix
with SECURE GRIP
Technology THIN
(Intuitive
SureForm 60mm for
da Vinci X and da
Vinci Xi)
Oct.02.2023 at 07:08:05 UTC Page # 72
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
PSDA60GIA PERI-STRIPS DRY 6 Yes Yes Yes
Staple Line
Reinforcement with
VERITAS Collagen
Matrix with SECURE
GRIP Technology
(Intuitive
SureForm 60mm for
da Vinci X and da
Vinci Xi)
Actifuse Bone Graft Substitute >> Actifuse Bone Graft Substitute >>
ACTIFUSE Bone Graft Substitute E-Z-PREP
506005078054 ACTIFUSE Bone 1 Yes
Graft Substitute
E-Z-PREP 10 mL
IV & Irrigation Solutions & Drug Reconstitution >> Irrigation
Solutions
2B7357 3% Sorbitol 0338029547 4
Urologic
Irrigating
Solution, 3000 mL
UROMATIC Plastic
Container
Frozen Premix >> Frozen Premix >> Nafcillin Injections
2G3540 Nafcillin 0338101741 24
Injection, USP, 1
gram/50 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3556 Nafcillin 0338101948 12
Injection, USP, 2
gram/100 mL in
GALAXY Plastic
Container. Frozen
Premix.
Peritoneal Dialysis >> PD Ancillaries
NA NA
Infusion Accessories & Chemo-Aide >> Infusion Accessories & Chemo-Aide
>> Securement
NA NA
Liquid Premix >> Liquid Premix >> Fluconazole Injections
2J1445 Fluconazole 0338604537 10
Injection, USP in
Sodium Chloride
Injection, 400
mg/200 mL INTRAVIA
Plastic Container.
Liquid Premix.
2J1446 Fluconazole 0338604648 10
Injection, USP in
Sodium Chloride
Injection, 200
mg/100 mL INTRAVIA
Plastic Container.
Liquid Premix.
Administration Sets >> Administration Sets >> BURETROL Sets
NA NA

Oct.02.2023 at 07:08:05 UTC Page # 73


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
1C8712 BURETROL Solution 12 Yes
Set, 150 mL
Burette Drip
Chamber Filter
Valve, 2 CLEARLINK
Luer Activated
Valves, 60
drops/mL, 84" (2.1
m)
3C0157 BURETROL Solution 12 Yes
Set, 150 mL
Burette Drip
Chamber Filter
Valve, 2 CLEARLINK
Luer Activated
Valve, Backcheck
Valve, 60
drops/mL, Plus
Stopcock,
Extension Set with
1 CLEARLINK Luer
Activated Valve.
Approximate Total
Length 119"
2C8862 BURETROL Solution 48 Yes No No
Set, 150 mL
Valveless Burette,
4 CLEARLINK Luer
Activated Valves,
60 drops/mL, 115"
(2.9 m)
2C8864 BURETROL Solution 48 Yes No No
Set, 150 mL
Burette Drip
Chamber Filter
Valve, 3 CLEARLINK
Luer Activated
Valves,
Retractable
Collar, 60
drops/mL, 104"
(2.7 m)
3C0166 BURETROL Solution 12 Yes
Set, 150 mL
Burette Drip
Chamber Filter
Valve, 2 Injection
Site INTERLINK
System, Backcheck
Valve, 60
drops/mL, Plus
Stopcock,
Extension Set with
1 Injection Site.
Approximate Total
Length 123"
2H7565 BURETROL Add-On 48 Yes No No
Set, 150 mL
Valveless Burette,
INTERLINK
Injection Site and
slide clamp, 17"
(43 cm)
2H8865 BURETROL Add-On 48 Yes No No
Set, 150 mL
Valveless Burette,
CLEARLINK Luer
Activated Valve,
17" (43 cm)

Oct.02.2023 at 07:08:05 UTC Page # 74


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C7564 BURETROL Solution 48 Yes No No
Set, 150 mL
Burette Drip
Chamber Filter
Valve, 3 INTERLINK
Injection Sites,
60 drops/ mL, 105"
(2.7 m)
2R8864 BURETROL Solution 48
Set, 150 mL
Burette Drip
Chamber Filter
Valve, 3 CLEARLINK
Luer Activated
Valves, 60
drops/mL, 105"
(2.7 m), Non-DEHP
IV Solutions >> Sodium Chloride Injections
2B1302 0.9% Sodium 0338004918 96 Yes No No
Chloride
Injection, USP,
100 mL VIAFLEX
Plastic Container,
Quad Pack (4
bags/overwrap)
2B1306 0.9% Sodium 0338004941 96
Chloride
Injection, USP, 50
mL VIAFLEX Plastic
Container
2B1307 0.9% Sodium 0338004948 96
Chloride
Injection, USP,
100 mL VIAFLEX
Plastic Container.
2B1308 0.9% Sodium 0338004931 96
Chloride
Injection, USP, 50
mL VIAFLEX Plastic
Container, Multi
Pack (16
bags/overwrap)
2B1322Q 0.9% Sodium 0338004902 36 Yes No No
Chloride
Injection, USP,
250 mL VIAFLEX
Plastic Container
2B1323Q 0.9% Sodium 0338004903 24 Yes No No
Chloride
Injection, USP,
500 mL VIAFLEX
Plastic Container
2B1353Q 3% Sodium Chloride 0338005403 24
Injection, USP,
500 mL VIAFLEX
Plastic Container
2B1373Q 5% Sodium Chloride 0338005603 24
Injection, USP,
500 mL VIAFLEX
Plastic Container
2B1314X 0.45% Sodium 0338004304 14 Yes
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container

Oct.02.2023 at 07:08:05 UTC Page # 75


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B1324X 0.9% Sodium 0338004904 14 Yes No No
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1300 0.9% Sodium 0338004910 48
Chloride
Injection, USP, 25
mL VIAFLEX Plastic
Container, Quad
Pack (4
bags/overwrap)
2B1301 0.9% Sodium 0338004911 96
Chloride
Injection, USP, 50
mL VIAFLEX Plastic
Container, Quad
Pack (4
bags/overwrap)
2B1309 0.9% Sodium 0338004938 96
Chloride
Injection, USP,
100 mL VIAFLEX
Plastic Container,
Multi Pack (16
bags/overwrap)
UE1322D 0.9% Sodium 0338954302 30
Chloride
Injection, USP,
250 mL VIAFLO
Plastic Container
UE1324D 0.9% Sodium 0338954306 10 Yes Yes Yes
Chloride
Injection, USP,
1000 mL VIAFLO
Plastic Container
UE1323D 0.9% Sodium 0338954304 20 Yes Yes Yes
Chloride
Injection, USP,
500 mL VIAFLO
Plastic Container
SIGMA Spectrum V6 >> Preventative Maintenance/Tubing Kits
NA NA
EXACTAMED Oral Systems >> Orderable - Ward Pack, Clear
NA NA
Frozen Premix >> Penicillin G Potassium Injections
2G3542 Penicillin G 0338102141 24 Yes
Potassium
Injection, USP, 1
million units/50
mL in GALAXY
Plastic Container.
Frozen Premix.
2G3543 Penicillin G 0338102341 24
Potassium
Injection, USP, 2
million units/50
mL in GALAXY
Plastic Container.
Frozen Premix.
2G3544 Penicillin G 0338102541 24
Potassium
Injection, USP, 3
million units/50
mL in GALAXY
Plastic Container.
Frozen Premix.
Oct.02.2023 at 07:08:05 UTC Page # 76
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
Peritoneal Dialysis >> Peritoneal Dialysis Solutions
5B9775P DIANEAL Low 0941043051 8 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 1500 mL
L5B5187 DIANEAL PD-2 0941041506 6 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 2000 mL
5B9766 DIANEAL Low 0941042452 6 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 2000 mL
5B9795P DIANEAL Low 0941043351 8 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 1500 mL
5B9796 DIANEAL Low 0941043352 6 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 2000 mL
L5B4825 DIANEAL Low 0941040906 6 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX II
Container with
yellow pull ring,
2000 mL
L5B9727 DIANEAL Low 0941045708 6 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
2000 mL
L5B9747 DIANEAL Low 0941045908 6 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 2000 mL
L5B4826 DIANEAL Low 0941040907 2 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
5000 mL

Oct.02.2023 at 07:08:05 UTC Page # 77


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
L5B5202 DIANEAL Low 0941045705 2 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
5000 mL
L5B5203 DIANEAL Low 0941045905 2 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 5000 mL
5B9858 DIANEAL PD-2 0941042755 4 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 3000 mL
5B9859 DIANEAL PD-2 0941042955 4 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 3000 mL
5B9868P DIANEAL PD-2 0941042653 5 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 2500 mL
5B9878P DIANEAL PD-2 0941042753 5 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 2500 mL
5B9896 DIANEAL PD-2 0941042952 6 Yes
Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 2000 mL
5B9757 DIANEAL Low 0941042455 4 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 3000 mL
5B9758 DIANEAL Low 0941043055 4 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 3000 mL

Oct.02.2023 at 07:08:05 UTC Page # 78


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
5B9768P DIANEAL Low 0941042453 5 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 2500 mL
5B9778P DIANEAL Low 0941043053 5 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 2500 mL
5B9798P DIANEAL Low 0941043353 5 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 2500 mL
5B9857 DIANEAL PD-2 0941042655 4 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 3000 mL
5B9866 DIANEAL PD-2 0941042652 6 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 2000 mL
5B9876 DIANEAL PD-2 0941042752 6 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 2000 mL
5B4984 EXTRANEAL 0941067952 6 Yes No
(icodextrin)
Peritoneal
Dialysis Solution,
ULTRABAG Container
with purple pull
ring, 2000 mL
5B4986 EXTRANEAL 0941067953 5 Yes No No
(icodextrin)
Peritoneal
Dialysis Solution,
ULTRABAG Container
with purple pull
ring, 2500 mL
5B9759 DIANEAL Low 0941043355 4 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 3000 mL
5B9765P DIANEAL Low 0941042451 8 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 1500 mL
Oct.02.2023 at 07:08:05 UTC Page # 79
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
5B9898P DIANEAL PD-2 0941042953 5 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 2500 mL
5B9776 DIANEAL Low 0941043052 6 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 2000 mL
5M5730 Renal Software 1
Suite, Single
License User
5M5730U Renal Software 1
Suite, User
License Upgrade
L5B5166 DIANEAL PD-2 0941041106 6 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
2000 mL
L5B5177 DIANEAL PD-2 0941041306 6 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
2000 mL
L5B5163 DIANEAL PD-2 0941041105 12 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
1000 mL
L5B5173 DIANEAL PD-2 0941041305 12 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
1000 mL
L5B5183 DIANEAL PD-2 0941041505 12 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 1000 mL
L5B5193 DIANEAL PD-2 0941041107 2 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
5000 mL

Oct.02.2023 at 07:08:05 UTC Page # 80


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
L5B5194 DIANEAL PD-2 0941041307 2 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
5000 mL
L5B5195 DIANEAL PD-2 0941041507 2 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 5000 mL
L5B4974 EXTRANEAL 0941067906 6 Yes No No
(icodextrin)
Peritoneal
Dialysis Solution,
AMBU-FLEX ll
Container with
purple pull ring,
2000 mL
L5B4976 EXTRANEAL 0941067905 5
(icodextrin)
Peritoneal
Dialysis Solution,
AMBU-FLEX ll
Container with
purple pull ring,
2500 mL
L5B9710 DIANEAL PD-2 0941041111 2 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
6000 mL
L5B9711 DIANEAL PD-2 0941041301 2 Yes Yes No
Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
6000 mL
L5B9712 DIANEAL PD-2 0941041501 2 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 6000 mL
L5B5169 DIANEAL PD-2 0941041104 4 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
3000 mL
L5B5179 DIANEAL PD-2 0941041304 4 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
3000 mL
Oct.02.2023 at 07:08:05 UTC Page # 81
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
L5B5189 DIANEAL PD-2 0941041504 4 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 3000 mL
L5B9902 DIANEAL Low 0941045702 4 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
3000 mL
L5B9903 DIANEAL Low 0941045902 4 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 3000 mL
L5B9772 DIANEAL Low 0941045901 2 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 6000 mL
L5B9771 DIANEAL Low 0941045701 2
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
6000 mL
L5B9901 DIANEAL Low 0941040905 4 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX II
Container with
yellow pull ring,
3000 mL
L5B9770 DIANEAL Low 0941040901 2 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
6000 mL
SIGMA Spectrum Infusion System Accessories >> SIGMA Spectrum V6
NA NA
PD Sets and Disposables >> APD Drain Supplies
5C4512 APD Drain Manifold 30 Yes No Yes
5C4145NS 15L Cycler 30 Yes No No
Drainage Bag
Pharmacy Admixture Tools >> Pharmacy Admixture Tools >> Self Righting
Luer Slip Tip Caps
H938674100 Self-Righting Luer 1000 No No
Slip Tip Cap
(DISCPAC), Green
H938676100 Self-Righting Luer 1000 No No
Slip Tip Cap
(DISCPAC), Pink
Oct.02.2023 at 07:08:05 UTC Page # 82
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H938677100 Self-Righting Luer 1000 Yes No
Slip Tip Cap
(DISCPAC), Purple
H93866025 Self-Righting Luer 500 No No
Slip Tip Cap
(DISCPAC), Yellow
H93866100 Self-Righting Luer 1000 No No
Slip Tip Cap
(DISCPAC), Yellow
H93867025 Self-Righting Luer 500 No No
Slip Tip Cap
(DISCPAC), Orange
H93867100 Self-Righting Luer 1000 No No
Slip Tip Cap
(DISCPAC), Orange
H938671100 Self-Righting Luer 1000 No No
Slip Tip Cap
(DISCPAC), White
H938673100 Self-Righting Luer 1000 Yes No
Slip Tip Cap
(DISCPAC), Dark
Blue
Peri-Strips Dry® with Veritas >> Peri-Strips Dry® with Veritas >>
Peri-Strips Dry with VERITAS (Ethicon)
PSD10006EV PERI-STRIPS DRY 6 Yes
with VERITAS -
Ethicon PROXIMATE
100/USSC GIA 100
DST (unit of 6)
PSD4506EV PERI-STRIPS DRY 6 Yes Yes Yes
with VERITAS -
Ethicon EZ 45
(unit of 6)
PSD4506ETSV PERI-STRIPS DRY 6 Yes
with VERITAS -
Ethicon ETS 45
(unit of 6)
PSD4506ECHV PERI-STRIPS DRY 6 Yes Yes Yes
with VERITAS -
Ethicon ECHELON 45
(unit of 6)
PSD5506EV PERI-STRIPS DRY 6 Yes
with VERITAS -
Ethicon PROXIMATE
55/USSC ILA 52
(unit of 6)
PSD7506EV PERI-STRIPS DRY 6 Yes Yes Yes
with VERITAS -
Ethicon PROXIMATE
75/USSC ILA 75
(unit of 6)
PSD25V PERI-STRIPS DRY 1 Yes
with VERITAS -
Ethicon PROXIMATE
ILS, 25 mm and
ENDOPATH ILS, 25
mm; Covidien, DST
EEA or ORVIL
Device, 25 mm
(unit of 1)
PSD6006ETSV PERI-STRIPS DRY 6 Yes
with VERITAS -
Ethicon ETS 60
(unit of 6)

Oct.02.2023 at 07:08:05 UTC Page # 83


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
PSD6006ECHV PERI-STRIPS DRY 6 Yes Yes Yes
with VERITAS -
Ethicon ECHELON 60
(unit of 6)
Liquid Premix >> Cardioplegic Solution for Cardiac Perfusion
2B1462X Cardioplegic 0338034104 14
Solution for
Cardiac Perfusion
1000 mL in VIAFLEX
Plastic Container
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> DOCETAXEL
Injection
1001992803 DOCETAXEL 4306601001 1
Injection, 160 mg
/ 16 mL Multiple
Dose Vial
1001992801 DOCETAXEL 4306600101 1
Injection, 20 mg/
2 mL Multiple Dose
Vial
1001992802 DOCETAXEL 4306600601 1
injection, 80 mg/
8 mL Multiple Dose
Vial
Surgical Tools >> Surgical Tools >> Flo-Rester® Internal Vessel
Occluder-Vascular
60350 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 3.50mm
bulb diameter
60400BIOS FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 4.00mm
bulb diameter
60450BIOS FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 4.50mm
bulb diameter
60150BIOS FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 1.50mm
bulb diameter
60200BIOS FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 2.00mm
bulb diameter

Oct.02.2023 at 07:08:05 UTC Page # 84


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
60175 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 1.75mm
bulb diameter
60225BIOS FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 2.25mm
bulb diameter
60100 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 1.00mm
bulb diameter
60125BIOS FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 1.25mm
bulb diameter
60250BIOS FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 2.50mm
bulb diameter
60275 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 2.75mm
bulb diameter
60300 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Vascular, 30mm
length, 3.00mm
bulb diameter
Pharmacy Admixture Tools >> Self Righting Luer Lock Caps
H938693025 Self-Righting Luer 500 No No
Lock Tip Cap
(DISCPAC), Dark
Blue
H93869001 Self-Righting Luer 50 Yes No
Lock Tip Cap,
Green. Sterile
Package
H938690025 Self-Righting Luer 500 No No
Lock Tip Cap
(DISCPAC), Yellow
H93869025 Self-Righting Luer 500 No No
Lock Tip Cap
(DISCPAC), Green
H93869100 Self-Righting Luer 1000 Yes No
Lock Tip Cap
(DISCPAC), Green
Peritoneal Dialysis >> PD Sets and Disposables
Oct.02.2023 at 07:08:05 UTC Page # 85
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
NA NA
IV Fat Emulsions >> CLINOLIPID IV Fat Emulsions
EADB9524 20% CLINOLIPID 0338954008 6 Yes Yes Yes
(Lipid Injectable
Emulsion, USP)
1000 mL
EADB9520 20% CLINOLIPID 0338954005 15 Yes Yes Yes
(Lipid Injectable
Emulsion, USP) 100
mL
EADB9523 20% CLINOLIPID 0338954007 12 Yes Yes Yes
(Lipid Injectable
Emulsion, USP) 500
mL
EADB9521 20% CLINOLIPID 0338954006 10 Yes Yes Yes
(Lipid Injectable
Emulsion, USP) 250
mL
PD Solutions >> DIANEAL PD Solutions for APD
L5B5187 DIANEAL PD-2 0941041506 6 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 2000 mL
L5B4825 DIANEAL Low 0941040906 6 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX II
Container with
yellow pull ring,
2000 mL
L5B9727 DIANEAL Low 0941045708 6 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
2000 mL
L5B9747 DIANEAL Low 0941045908 6 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 2000 mL
L5B4826 DIANEAL Low 0941040907 2 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
5000 mL
L5B5202 DIANEAL Low 0941045705 2 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
5000 mL

Oct.02.2023 at 07:08:05 UTC Page # 86


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
L5B5203 DIANEAL Low 0941045905 2 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 5000 mL
L5B5166 DIANEAL PD-2 0941041106 6 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
2000 mL
L5B5177 DIANEAL PD-2 0941041306 6 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
2000 mL
L5B5163 DIANEAL PD-2 0941041105 12 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
1000 mL
L5B5173 DIANEAL PD-2 0941041305 12 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
1000 mL
L5B5183 DIANEAL PD-2 0941041505 12 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 1000 mL
L5B5193 DIANEAL PD-2 0941041107 2 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
5000 mL
L5B5194 DIANEAL PD-2 0941041307 2 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
5000 mL
L5B5195 DIANEAL PD-2 0941041507 2 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 5000 mL

Oct.02.2023 at 07:08:05 UTC Page # 87


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
L5B9710 DIANEAL PD-2 0941041111 2 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
6000 mL
L5B9711 DIANEAL PD-2 0941041301 2 Yes Yes No
Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
6000 mL
L5B9712 DIANEAL PD-2 0941041501 2 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 6000 mL
L5B5169 DIANEAL PD-2 0941041104 4 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
3000 mL
L5B5179 DIANEAL PD-2 0941041304 4 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
3000 mL
L5B5189 DIANEAL PD-2 0941041504 4 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 3000 mL
L5B9902 DIANEAL Low 0941045702 4 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
3000 mL
L5B9903 DIANEAL Low 0941045902 4 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 3000 mL
L5B9772 DIANEAL Low 0941045901 2 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 6000 mL

Oct.02.2023 at 07:08:05 UTC Page # 88


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
L5B9771 DIANEAL Low 0941045701 2
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
6000 mL
L5B9901 DIANEAL Low 0941040905 4 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX II
Container with
yellow pull ring,
3000 mL
L5B9770 DIANEAL Low 0941040901 2 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
6000 mL
Liquid Premix >> Liquid Premix >> Gentamicin Injections
2B0851 Gentamicin Sulfate 0338050741 24
in 0.9% Sodium
Chloride
Injection, 60
mg/50 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
2B0852 Gentamicin Sulfate 0338050941 24
in 0.9% Sodium
Chloride
Injection, 80
mg/50 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
2B0853 Gentamicin Sulfate 0338051141 24
in 0.9% Sodium
Chloride
Injection, 100
mg/50 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
2B0862 Gentamicin Sulfate 0338050348 24
in 0.9% Sodium
Chloride
Injection,
80mg/100 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
2B0863 Gentamicin Sulfate 0338050548 24
in 0.9% Sodium
Chloride
Injection, 100
mg/100 mL in
VIAFLEX Plastic
Container. Liquid
Premix.

Oct.02.2023 at 07:08:05 UTC Page # 89


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B0864 Gentamicin Sulfate 0338050748 24
in 0.9% Sodium
Chloride
Injection, 120
mg/100 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> Cysteine
Hydrochloride Injection, USP
NA NA
Acute Therapies >> CRRT Solutions
955791 REGIOCIT Renal 2
Replacement
Solution for
Continuous Renal
Replacement
Therapy
Frozen Premix >> Nafcillin Injections
2G3540 Nafcillin 0338101741 24
Injection, USP, 1
gram/50 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3556 Nafcillin 0338101948 12
Injection, USP, 2
gram/100 mL in
GALAXY Plastic
Container. Frozen
Premix.
Surgical Tools >> LapAssist® DCS Dilating and Closure System
NA NA
Irrigation Solutions >> TIS-U-SOL (Pentaluyte Irrigation)
2F7144 TIS-U-SOL Solution 0338019004 12 Yes No No
(Pentalyte
Irrigation), 1000
mL Plastic Pour
Bottle
Infusion Systems >> Starling Fluid Management Monitoring System
CMMST5 Starling Monitor 1
CMS10 Starling Sensors - 10 Yes Yes Yes
Box of 10
CMS25 Starling Sensors - 25 Yes Yes Yes
Box of 25
CCA3601GE GE Connectivity 1
Cables and
Connector Set
CCA3601PH Philips 1
Connectivity
Cables and
Connector Set
CMABATT Starling Battery 1
Pack
CMALIFT Passive Leg Raise 1
(PLR) Lift
CMANELLEP SpO2 Cable and 1
Reusable Finger
Probe Set
CMARRTBAG Starling Rapid 1
Response Team Bag
CMASC10 Starling Patient 1
Cable
Oct.02.2023 at 07:08:05 UTC Page # 90
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
CMASPM30 Starling Pole 1
Mount
CMASPO2 Starling SpO2 1
Module
CMASRS20S1 Starling Roll 1
Stand
CMASSIM Starling Simulator 1
CPA1705 Starling Power 1
Cable
CMACU23 Standard Adult 1
NIBP Cuff
CMACU31 Large Adult NIBP 1
Cuff
CMAHOSE NIBP Hose 1
CMANIBP Starling Non-
Invasive Blood
Pressure [NIBP]
Module included
with Starling
Monitor (CMMST5)
Gravity Compounding Containers, Sets & Accessories >> Gravity
Compounding Containers, Sets & Accessories >> Solution Transfer Sets
1C8189 Transfer Set. Two 48 Yes
Male Luer Lock
Adapters. 37" (94
cm)
1C8624 Transfer Set. Two 48 Yes No No
Male Luer Lock
Adapters. 41" (104
cm)
2C0415 Solution Transfer 48 Yes No
Set. Non-Vented
Spike Connector
and Needle
Adaptor.
2C0426 Solution Transfer 48 Yes
Set. One Vented
Spike and One Non-
Vented Spike
Connectors.
2C0427 Solution Transfer 48
Set with Duovent
2C0430 Three Lead 48 Yes Yes No
Parenteral
Nutrition Transfer
Set
1C8189 Transfer Set. Two 48 Yes
Male Luer Lock
Adapters. 37" (94
cm)
1C8624 Transfer Set. Two 48 Yes No No
Male Luer Lock
Adapters. 41" (104
cm)
2C0430 Three Lead 48 Yes Yes No
Parenteral
Nutrition Transfer
Set
SIGMA Spectrum V6 >> Batteries and Battery Parts
35727 Power Adaptor 1
Assembly
Sigma Spectrum V8 >> Sigma Spectrum V8 >> Packaging Material
NA NA

Oct.02.2023 at 07:08:05 UTC Page # 91


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
NA NA
Liquid Premix >> Norepinephrine Bitartrate in Dextrose Injection
EZPE7748 Norepinephrine 0338011220 20
Bitartrate in 5%
Dextrose
Injection. 4 mg /
250 mL (16 mcg/mL)
in VIAFLO Plastic
Container. Liquid
Premix
EZPE7788 Norepinephrine 0338010820 20
Bitartrate in 5%
Dextrose
Injection. 8 mg
/250 mL (32 mcg /
mL), in VIAFLO
Plastic Container.
Liquid Premix
BioSurgery >> Floseal Hemostasis Matrix and Accessories
0600125 Endoscopic 6 Yes Yes
Applicator
ADS201815 Disposable Curved 10 Yes
Applicator
ADS201844 FLOSEAL Fast Prep 6 Yes Yes
Hemostatic Matrix,
5 mL
ADS201845 FLOSEAL Fast Prep 6 Yes Yes
Hemostatic Matrix,
10 mL
ADS201816 13 cm Malleable 6 Yes
Applicator Tip
ADS201883 Floseal NT 6 Yes Yes
Hemostatic Matrix,
5mL
ADS201897 EASYGRIP FLO-41 6 Yes Yes
Precision MIS
Delivery System
ADS202105 FLOSEAL with 6 Yes Yes Yes
RECOTHROM 5 mL
ADS202110 FLOSEAL with 6 Yes Yes Yes
RECOTHROM 10 mL
Hemodialysis >> Conentrates and Bicarbonate
NA NA
EXACTAMED Oral Systems >> EXACTAMED Oral Systems >> ADAPTACAP Bottle
Adapter
H9385113 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, Threaded,
24 mm Standard
H9385100 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter.
Assortment
H9385102 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 20 mm
Standard
H9385103 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 22 mm
Standard
H9385104 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 24 mm
Standard
H9385105 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 28 mm
Short Neck

Oct.02.2023 at 07:08:05 UTC Page # 92


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H9385106 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 28 mm
Long Neck
H9385107 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 33 mm
Short Neck
H9385108 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 33 mm
Long Neck
H9385109 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 38 mm
Standard
H9385111 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, Threaded,
28 mm Standard
H9385101 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 18 mm
Standard
IV Fat Emulsions >> INTRALIPID IV Fat Emulsions
2B6061 INTRALIPID 20% IV 0338051958 10 Yes Yes Yes
Fat Emulsion, 100
mL
2B6062 INTRALIPID 20% IV 0338051909 10 Yes Yes Yes
Fat Emulsion, 250
mL
2B6063 INTRALIPID 20% IV 0338051913 12 Yes Yes Yes
Fat Emulsion, 500
mL
2B6064 INTRALIPID 20% IV 0338051914 6 Yes Yes Yes
Fat Emulsion, 1000
mL, Pharmacy Bulk
Package
2B6065 INTRALIPID 30% IV 0338052013 12 Yes Yes Yes
Fat Emulsion, 500
mL, Pharmacy Bulk
Package
Sigma Spectrum V8 >> Sigma Spectrum V8 >> IV Poles
8HOOK247 8 Hook Rake Top 1 Yes Yes
replacement
options for
existing 4 Hook
Pigtail Top
2M3006 IV POLE CLAMP, 1
SPEED KNOBFAST - 5
THREADS PER INCH
2M0815 4 Pump Horizontal 1
Carrier w/handle
2M0814 3 Pump Horizontal 1
Carrier w/handle
2M0809 Triple IV Pole, 6 1
Legs
2M0807 Single IV Pole 1
(lightweight) w/4
Hook Rake Top
2M0808 Single IV Pole 1
(heavyweight) w/8
Hook Rake Top
8HOOK247 8 Hook Rake Top 1 Yes Yes
replacement
options for
existing 4 Hook
Pigtail Top

Oct.02.2023 at 07:08:05 UTC Page # 93


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2M3006 IV POLE CLAMP, 1
SPEED KNOBFAST - 5
THREADS PER INCH
2M0815 4 Pump Horizontal 1
Carrier w/handle
2M0814 3 Pump Horizontal 1
Carrier w/handle
2M0809 Triple IV Pole, 6 1
Legs
2M0807 Single IV Pole 1
(lightweight) w/4
Hook Rake Top
2M0808 Single IV Pole 1
(heavyweight) w/8
Hook Rake Top
SIGMA Spectrum V6 >> SIGMA Spectrum V6 >> Packaging Material
NA NA
NA NA
PD Solutions >> EXTRANEAL Peritoneal Dialysis Solution for CAPD
5B4984 EXTRANEAL 0941067952 6 Yes No
(icodextrin)
Peritoneal
Dialysis Solution,
ULTRABAG Container
with purple pull
ring, 2000 mL
5B4986 EXTRANEAL 0941067953 5 Yes No No
(icodextrin)
Peritoneal
Dialysis Solution,
ULTRABAG Container
with purple pull
ring, 2500 mL
Access >> Irrigation Sets
NA NA
2C4005 Irrigation Set, 12 Yes
TUR Series, Y-
Type, 78" (2.0 m)
2C4006 Irrigation Set, 12 Yes
TUR Series,
Straight-Type, 22"
(55 cm)
2C4014 Decanting Set with 48 Yes No
Clamp
2C4031 Irrigation Set, 12 No
Four Lead, 100"
(2.5 m)
2C4040 Irrigation Set, 48 Yes
Cysto/Bladder,
Straight-Type, 81"
(2.1 m)
2C4041 Irrigation Set, 12 Yes
TUR/Bladder Y-
Type, 82" (2.1 m)
Patient Connectology >> Disconnect Caps
NA NA
Frozen Premix >> Cefazolin Injection
2G3503 Cefazolin 0338350341 24 Yes Yes Yes
Injection, USP, 1
gram/50 mL in
GALAXY Plastic
Container. Frozen
Premix.
Oct.02.2023 at 07:08:05 UTC Page # 94
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2G3508 Cefazolin 0338350841 12 Yes Yes Yes
Injection, USP, 2
gram/100 mL in
GALAXY Plastic
Container. Frozen
Premix.
Ampules, Vials and Tablets >> Mesna and Mesnex
0338130501 MESNEX (mesna) 0338130501 1
Injection 1gm/10
mL (100mg/mL)
Multi-Dose Vial.
Box of 1 vial
0338130503 MESNEX (mesna) 0338130503 10
Injection 1 gm/10
mL (100 mg/mL)
Multi-Dose Vial.
Box of 10 vials
1001995301 Mesna Injection 1 1001995301 1 Yes
gm/10 mL Multi-
Dose Vial (100
mg/mL). Box of 1
vial.
1001995302 Mesna Injection 1 1001995302 10 Yes
gm/10mL Multi-Dose
Vial (100 mg/mL).
Box of 10 vials
6710835659 Mesnex (mesna) 6710835659 10
Tablets, 400 mg
Tablets, 10
Blisters per Card
Needle Free Connectors & Catheter Extension Sets >> ONE-LINK
7N8390 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Microbore,
ONE-LINK, Bonded
Needle-free IV
Connector, Neutral
Fluid
Displacement,
Power Injectable
(325 psi/2241
kPa), 8.5 " (21.6
cm)
7N8300 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Microbore,
ONE-LINK, Needle-
free IV Connector,
Neutral Fluid
Displacement,
Power Injectable
(325 psi/2241
kPa), 8.5" (21.6
cm)
7N8371 Y-Type Catheter 200 Yes Yes No
Extension Set,
Microbore, ONE-
LINK, Needle-free
IV Connector,
Neutral Fluid
Displacement, 5.7
" (14 cm)

Oct.02.2023 at 07:08:05 UTC Page # 95


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
7N8377 Y-Type Catheter 200 Yes Yes No
Extension Set,
Standard Bore,
ONE-LINK, Needle-
free IV Connector,
Neutral Fluid
Displacement, 6.5
" (16.4 cm)
7N8378 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Standard
Bore, ONE-LINK,
Needle-free IV
Connector, Neutral
Fluid Displacement
, 7.6 " (19.3 cm)
7N8399 ONE-LINK Needle- 200 Yes Yes Yes
free IV Connector,
Neutral Fluid
Displacement,
Power Injectable
(325 psi / 2241
kPa)
7N8301 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Standard
Bore, ONE-LINK,
Needle-free IV
Connector, Neutral
Fluid
Displacement,
Power Injectable
(325 psi/2241
kPa), 7.6" (19.3
cm)
7N8310 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Microbore,
ONE-LINK, Needle-
Free IV Connector,
Neutral Fluid
Displacement,
Power Injectable
(325 psi/2241
kPa), 7.7" (19.5
cm)
7N8391 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Standard
Bore, ONE-LINK,
Bonded Needle-free
IV Connector,
Neutral Fluid
Displacement,
Power Injectable
(325 psi/2241
kPa), 7.6 " (19.3
cm)
7N8332K 3 Lead Catheter 200 Yes Yes
Extension Set,
Microbore, ONE-
LINK Needle-free
IV Connector,
Neutral Fluid
Displacement, 8.0"
(20.4 cm)

Oct.02.2023 at 07:08:05 UTC Page # 96


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
7N8379K Straight Type 200 Yes Yes
Catheter Extension
Set, Standard
Bore, ONE-LINK
Bonded Needle-free
IV Connector,
Neutral Fluid
Displacement, 17"
(42 cm)
7N8333K 3 Lead Catheter 200 Yes Yes
Extension Set,
Standard Bore,
ONE-LINK Needle-
free IV Connector,
Neutral Fluid
Displacement, 8.8"
(22.3 cm)
7N8376K Y-Type Catheter 200 Yes Yes
Extension Set,
Standard Bore,
ONE-LINK Needle-
free IV Connector,
Neutral Fluid
Displacement, 8.8"
(22.3 cm)
7N8370K Y-Type Catheter 200 Yes Yes
Extension Set,
Microbore, ONE-
LINK Bonded
Needle-free IV
Connector, Neutral
Fluid
Displacement, 5.7
" (14 cm)
7N8330K 3 Lead Catheter 200 Yes Yes
Extension Set,
Microbore, ONE-
LINK Bonded
Needle-free IV
Connector, Neutral
Fluid
Displacement, 8.0"
(20.4 cm)
7N8375K Y-Type Catheter 200 Yes Yes
Extension Set,
Standard Bore,
ONE-LINK Bonded
Needle-free IV
Connector, Neutral
Fluid
Displacement, 8.8"
(22.3 cm)
7N8334K 3 Lead Catheter 200 Yes Yes
Extension Set,
Standard Bore,
ONE-LINK Bonded
Needle-free IV
Connector, Neutral
Fluid
Displacement, 8.8"
(22.3 cm)
Critical Care >> FLEXBUMIN 5%, Albumin (Human), USP, 5% Solution
NA NA
Irrigation Solutions >> Irrigation Solutions >> Sterile Water
Irrigation
2B7117 Sterile Water for 0338000347 4 Yes
Irrigation, USP,
3000 mL UROMATIC
Plastic Container
Oct.02.2023 at 07:08:05 UTC Page # 97
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2F7112 Sterile Water for 0338000402 24 Yes
Irrigation, USP,
250 mL Plastic
Pour Bottle
2F7113 Sterile Water for 0338000403 18 Yes
Irrigation, USP,
500 mL Plastic
Pour Bottle
2F7114 Sterile Water for 0338000404 12 Yes
Irrigation, USP,
1000 mL, Plastic
Pour Bottle
2B7116 Sterile Water for 0338000346 6 Yes
Irrigation, USP,
2000 mL UROMATIC
Plastic Container
2B7114X Sterile Water for 0338000344 14 Yes
Irrigation, USP,
1000 mL UROMATIC
Plastic Container
PD Sets and Disposables >> PD Sets and Disposables >> Caps
5C4456 FLEXICAP 30
Disconnect Cap
with Povidone-
Iodine Solution
5C4466P MiniCap Disconnect 60 Yes Yes Yes
Cap with Povidone-
Iodine
Frozen Premix >> ZINACEF Injections
NA NA
PD Cyclers & Software >> PD Cyclers & Software >> Homechoice APD
Systems & Software
5C4406 HOMECHOICE 1 Yes Yes Yes
Automated PD
System Carrying
Case-Soft
5C4471 HOMECHOICE 1 Yes
Automated PD
System
5C8310 HOMECHOICE PRO 1 Yes
Automated PD
System
5C8346 HOMECHOICE 1 Yes Yes Yes
Automated PD
System Carrying
Case-Hard with
Wheels
R5C4522 HOMECHOICE PRO 6 Yes Yes Yes
SmartMedia Card
5M5730 Renal Software 1
Suite, Single
License User
5M5730U Renal Software 1
Suite, User
License Upgrade
4994000449 HOMECHOICE PRO USB 1
SmartMedia Card
Reader
5M5720 RenalSoft Software 1
Interface CD
5C6M40 Homechoice Claria 1 Yes Yes
Hemophilia >> RIXUBIS [COAGULATION FACTOR IX (RECOMBINANT)]
NA NA

Oct.02.2023 at 07:08:05 UTC Page # 98


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
NOVUM IQ Infusion Systems >> NOVUM IQ Infusion Pumps
40800BAXUS Novum IQ Syringe 1 Yes No No
Pump
SIGMA Spectrum V6 >> Packaging Material
NA NA
Hemodialysis >> AV Fistula Needles
NA NA
Immunoglobulin >> FlowEase [Subcutaneous] Infusion Set
NA NA
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> Tobramycin
Injection
AIN00239 Tobramycin 3600024201 1
Injection, USP, 40
mg/mL 30 mL
Multiple Dose
Glass Vial (1 x 30
mL)
AIN00238 Tobramycin 3600024425 25
Injection, USP, 40
mg/mL 2 mL
Multiple Dose
Glass Vial (25 x 2
mL)
Sigma Spectrum V8 >> Preventative Maintenance/Tubing Kits
NA NA
Hemodialysis >> Dialyzers >> POLYFLUX Dialyzers
103403 Polyflux 6H 16
Capillary Dialyzer
Filter
Pharmaceutical Injectables >> Ampules, Vials and Tablets
NA NA
Irrigation Solutions >> Orderable - Irrigation Solution
NA NA
IV & Irrigation Solutions & Drug Reconstitution >> IV Solutions
NA NA
Ampules, Vials and Tablets >> Tranexamic Acid Injection, USP
4306600810 Tranexamic Acid 4306600801 10 Yes Yes Yes
Injection, USP,
1000 mg / 10 mL
(100 mg/ mL) .
Single-Dose Vial.
(10 x 10 mL)
PD Cyclers & Software >> PD Cyclers & Software >> Claria
NA NA
Tissue-Guard Family of Surgical Patches >> Tissue-Guard Family of
Surgical Patches >> Dura-Guard Dural Repair Patch
DG0209SN DURA-GUARD Dural 1 Yes Yes Yes
Repair Patch 2x9cm
DG0404SN DURA-GUARD Dural 1 Yes Yes Yes
Repair Patch 4x4cm
DG0608SN DURA-GUARD Dural 1 Yes Yes Yes
Repair Patch 6x8cm
DG0814SN DURA-GUARD Dural 1 Yes Yes Yes
Repair Patch
8x14cm
DG1016SN DURA-GUARD Dural 1 Yes Yes Yes
Repair Patch
10x16cm

Oct.02.2023 at 07:08:05 UTC Page # 99


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
Blood Lines >> NOVALINE Tubing Sets for Hemodialysis
955554 NOVALINE BL 11 for 24
AK 98
955555 NOVALINE BL 12 for 24
AK 98
955854 NOVALINE BL 42 for 0457101650 24
FMC 2008 series
machines
955855 NOVALINE BL 43 for 0457101649 24
FMC 2008 series
machines
Pharmaceutical Injectables >> Temporary Set up Codes
NA NA
Ampules, Vials and Tablets >> Tobramycin Injection
AIN00239 Tobramycin 3600024201 1
Injection, USP, 40
mg/mL 30 mL
Multiple Dose
Glass Vial (1 x 30
mL)
AIN00238 Tobramycin 3600024425 25
Injection, USP, 40
mg/mL 2 mL
Multiple Dose
Glass Vial (25 x 2
mL)
Blood Lines >> NIPROSET Blood Tubing Sets
A209YV803 A209YV803 - 24
NIPROSET Blood
Tubing Set for FMC
2008 series
machines with pre-
pump arterial
chamber
A217YV806 A217YV806 - 24
NIPROSET Blood
Tubing Set for B.
Braun Dialog
machines with
post-pump arterial
chamber
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> Labetalol
3600032010 Labetalol 3600032001 10
Hydrochloride
Injection USP, 20
mg/4 mL (5 mg/mL)
Single-Dose Vial.
(10 x 4 mL)
3600032202 Labetalol 3600032201 1
Hydrochloride
Injection USP, 100
mg/20 mL (5 mg/mL)
Multi-Dose Vial (1
x 20 mL)
3600032402 Labetalol 3600032401 1
Hydrochloride
Injection USP, 200
mg/40 mL (5 mg/mL)
Multi-Dose Vial (1
x 40 mL)
Accessories >> IV Poles & Pump Carriers
35743 Double Rotating IV 1 Yes No
Pole Clamp for
SIGMA Spectrum
Infusion System
Oct.02.2023 at 07:08:05 UTC Page # 100
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
8HOOK247 8 Hook Rake Top 1 Yes Yes
replacement
options for
existing 4 Hook
Pigtail Top
2M3006 IV POLE CLAMP, 1
SPEED KNOBFAST - 5
THREADS PER INCH
2M0812 6 Pump Vertical 1
Carrier
2M0816 Tiered 8 Hook Rake 1
Top
2M0815 4 Pump Horizontal 1
Carrier w/handle
2M0811 4 Pump Vertical 1
Carrier
2M0814 3 Pump Horizontal 1
Carrier w/handle
2M0809 Triple IV Pole, 6 1
Legs
2M0807 Single IV Pole 1
(lightweight) w/4
Hook Rake Top
2M0808 Single IV Pole 1
(heavyweight) w/8
Hook Rake Top
2M0217 Patient Pal Wheel 1
PD Cyclers & Software >> Amia APD System with Sharesource Connectivity
5C9320 Amia Automated PD 1 Yes
System with
Sharesource
Connectivity
5C9346 AMIA Automated PD 1
System Carrying
Case-Hard
Acute Therapies >> Ancillary Products
105762 GMB-SP127 - Y 25 Yes
CONNECTOR
107650 9-LITER 30 Yes
Replacement
Effluent Bag
SIGMA Spectrum V6 >> SIGMA Spectrum V6 >> Batteries and Battery Parts
35727 Power Adaptor 1
Assembly
35727 Power Adaptor 1
Assembly
EXACTAMIX Compounder & ABACUS Software >> EXACTAMIX Inlets &
Valvesets
H938724 Sterile EXACTAMIX 10 Yes Yes Yes
2400 Valve Set.
For use with
EXACTMIX 2400
Compounder only.
H938792 Sterile EXACTAMIX 10 Yes Yes Yes
1200 Valve Set.
For use with
EXACTAMIX 1200
Compounder only.

Oct.02.2023 at 07:08:05 UTC Page # 101


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H938174 Automated 25 Yes Yes No
Compounding Device
Inlet. Vented,
High-Volume Inlet
for Non-Vented
Bottles.
H938176 Automated 25 Yes Yes No
Compounding Device
Inlet. Micro-
Volume Inlet with
Luer Lock End. For
use with Syringes.
H938175 Automated 25 Yes Yes No
Compounding Device
Inlet. Vented,
Micro-Volume inlet
for use with Small
Vials.
H938173 Automated 25 Yes Yes No
Compounding Device
Inlet. Non-Vented
High Volume Inlet
for Bags or Vented
Bottles.
H938751 Automated 25 Yes Yes No
Compounding Device
Inlet. Micro-
Volume Inlet with
Large Bore Spike.
PD Sets and Disposables >> PD Sets and Disposables >> Titanium Adapter
5C4129 Locking Titanium 5 Yes
Adapter (2 piece)
Sigma Spectrum V8 >> Batteries and Battery Parts
35727 Power Adaptor 1
Assembly
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> PROTOPAM
Injection
6097714101 PROTOPAM Chloride 6097714127 6 Yes
(pralidoxime
chloride) for
Injection 1
gm/20mL Single-
Dose Vial
Frozen Premix >> DAPTOMYCIN Frozen Premix Injection
2G3593 Daptomycin in 0.9% 0338071224 24 Yes Yes Yes
Sodium Chloride
Injection, 350mg /
50 mL (7mg / mL),
Single-Dose
Infusion Bag in
50mL GALAXY
Plastic Container.
Frozen Premix.
2G3594 Daptomycin in 0.9% 0338071424 24 Yes Yes Yes
Sodium Chloride
Injection, 500mg /
50 mL (10mg / mL),
Single-Dose
Infusion Bag in
50mL GALAXY
Plastic Container.
Frozen Premix.

Oct.02.2023 at 07:08:05 UTC Page # 102


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2G3595 Daptomycin in 0.9% 0338071612 12 Yes Yes Yes
Sodium Chloride
Injection, 700mg /
100 mL (7mg / mL),
Single-Dose
Infusion Bag in
100mL GALAXY
Plastic Container.
Frozen Premix.
2G3596 Daptomycin in 0.9% 0338071812 12 Yes Yes Yes
Sodium Chloride
Injection, 1,000mg
/ 100 mL (10mg /
mL), Single-Dose
Infusion Bag in
100mL GALAXY
Plastic Container.
Frozen Premix.
Ampules, Vials and Tablets >> ROCURONIUM BROMIDE Injection
RCM0050 ROCURONIUM BROMIDE 4306600710 10 Yes Yes Yes
Injection, 50 mg /
5 mL (10 mg / mL),
Multiple Dose Vial
RCM0100 ROCURONIUM BROMIDE 4306601310 10 Yes Yes Yes
injection, 100 mg
/10 mL (10 mg /
mL), Mulitple Dose
Vial
Access >> Needle Free Connectors & Catheter Extension Sets
NA NA
Pharmaceutical Injectables >> Frozen Premix >> AZACTAM Injections
NA NA
Pharmaceutical Injectables >> Frozen Premix
NA NA
PrisMax and Accesory Devices >> PrisMax Auto -Effluent Set
115370 PrisMax Auto 8
Effluent Sets
EXACTAMED Oral Systems >> EXACTAMED Oral Systems >> Orderable Only -
EXACTAMED
NA NA
Patient Connectology >> Catheter Supplies
NA NA
EXACATMIX Automated Compounder >> EXACTAMIX Accessories
H938711006 EXACTAMIX Large 50 Yes No
Bore Cap, External
Thread
H93884 Sterile Tube Set- 50 Yes Yes Yes
to-Bag Adapter,
Internal Thread
H938711008 EXACTAMIX Large 50 Yes
Bore Cap, Internal
Thread
H938735 EXACTAMIX Empty 50 Yes Yes Yes
Calibration Bag,
1000 mL
H9384858 Tamper-Resistent 100 Yes No
Add-Port Cap, Red
plastic hinged
cap, sealed on one
end
H93867 EXACTAMIX Needle 50 Yes Yes
Port Adapter

Oct.02.2023 at 07:08:05 UTC Page # 103


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
Ampules, Vials and Tablets >> Ketorolac Tromethamine Injection, USP
KTR00003 Ketorolac 0338007610 10 Yes Yes Yes
Tromethamine
Injection, USP, 60
mg/ mL, 2 mL vial
KTR00002 Ketorolac 0338007225 25 Yes Yes Yes
Tromethamine
Injection, USP, 30
mg/ mL, 1 mL vial
KTR00001 Ketorolac 0338006910 10 Yes Yes Yes
Tromethamine
Injection, USP, 15
mg/ mL, 1 mL vial
Peritoneal Dialysis >> Peritoneal Dialysis Sets & Disposables
L5C4366 ULTRASET 30 Yes
Disposable
Disconnect Y-Set
5C4505 EZ-AIDE Assist 1 No Yes No
Device
5C4366P UltraSet 60 Yes No
Disposable
Disconnect Y-Set
(Spike)
5C4406 HOMECHOICE 1 Yes Yes Yes
Automated PD
System Carrying
Case-Soft
5C4449 MiniCap Extended 6 Yes No Yes
Life PD Transfer
Set (6") with
Roller Clamp
5C4456 FLEXICAP 30
Disconnect Cap
with Povidone-
Iodine Solution
5C4466P MiniCap Disconnect 60 Yes Yes Yes
Cap with Povidone-
Iodine
5C4482 MiniCap Extended 6 Yes No Yes
Life PD Transfer
Set (6") with
Twist Clamp
5C4483 MiniCap Extended 6 Yes No Yes
Life PD Transfer
Set (4") with
Twist Clamp-Extra
Short
5C4527 Outlet Port Clamp 12 Yes Yes Yes
with Short Nose
5C4957 ULTRACLAMP Clamp 12 Yes No Yes
5C8346 HOMECHOICE 1 Yes Yes Yes
Automated PD
System Carrying
Case-Hard with
Wheels
5C4136 EASY-LOCK-to-Spike 12 Yes Yes Yes
Adapter Set
5C4169 Locking Cap for 25 Yes Yes Yes
Baxter PD Catheter
Adapter
5C4319 IMMOBILE catheter 30 Yes Yes Yes
and transfer set
stabilizing device
5C4462 Empty Sterile Bag, 48 Yes No No
3L
Oct.02.2023 at 07:08:05 UTC Page # 104
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
5C4464P Sterile Drain 30 Yes No No
Extension Line, 12
feet
5C4476 Effluent Sample 6 Yes No No
Bag, 100 mL
L5C4446 5-Prong Manifold 15 Yes
5C4512 APD Drain Manifold 30 Yes No Yes
5C4480C 12 Foot Patient 30 Yes No No
Extension Line
with EASY-LOCK
Connector
N5C8305C Low Recirculation 30 Yes No No
Volume APD Set
with Cassette
R5C4479C Automated PD Set 30 Yes No No
with Cassette-4
Prong
L5C4531 Integrated APD 30 Yes No No
Cassette
5C5479 AMIA Automated 30 Yes No No
Peritoneal
Dialysis Set with
Cassette
PD Sets and Disposables >> APD Cassettes
5C4136 EASY-LOCK-to-Spike 12 Yes Yes Yes
Adapter Set
5C4462 Empty Sterile Bag, 48 Yes No No
3L
5C4476 Effluent Sample 6 Yes No No
Bag, 100 mL
L5C4446 5-Prong Manifold 15 Yes
N5C8305C Low Recirculation 30 Yes No No
Volume APD Set
with Cassette
R5C4479C Automated PD Set 30 Yes No No
with Cassette-4
Prong
L5C4531 Integrated APD 30 Yes No No
Cassette
5C5479 AMIA Automated 30 Yes No No
Peritoneal
Dialysis Set with
Cassette
PrisMax and Accesory Devices >> PrisMax and Accesory Devices >>
PrisMax Auto -Effluent Set
115370 PrisMax Auto 8
Effluent Sets
Frozen Premix >> AZACTAM Injections
NA NA
Needle Free Connectors & Catheter Extensions >> ONE-LINK
NA NA
PD Sets and Disposables >> APD Extension Lines
5C4464P Sterile Drain 30 Yes No No
Extension Line, 12
feet
5C4480C 12 Foot Patient 30 Yes No No
Extension Line
with EASY-LOCK
Connector
Ampules, Vials and Tablets >> DOXIL (doxorubicin HCl liposome
injection)
Oct.02.2023 at 07:08:05 UTC Page # 105
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
LD0020B DOXIL (doxorubicin 0338006301 1 Yes Yes Yes
hydrochloride
liposome
injection) 20 mg /
10 mL (2 mg / mL)
single-dose vial
LD0050B DOXIL (doxorubicin 0338006701 1 Yes Yes Yes
hydrochloride
liposome
injection) 50 mg /
25 mL (2 mg / mL)
single-dose vial
Anesthesia & Critical Care >> Postoperative Nausea and Vomiting
1001955304 TRANSDERM SCP® 1001955304 24
(scopolamine)
Transdermal System
1 mg/ 3 days
Patch. 24 Patches
1001955303 TRANSDERM SCP® 1001955303 10
(scopolamine)
Transdermal System
1 mg/ 3 days
Patch. 10 Patches
1001955305 TRANSDERM SCP® 0067434604 4
(scopolamine)
Transdermal
System, 1 mg/ 3
days
Irrigation Solutions >> Irrigation Solutions >> Processing & Device
Care Solutions
2B7207 0.9% Sodium 0338005047 4 Yes
Chloride
Processing
Solution, 3000 mL
VIAFLEX Plastic
Container
Acute Therapies >> Orderable Only
NA NA
Ampules, Vials and Tablets >> Cysteine Hydrochloride Injection, USP
NA NA
Administration Sets >> Orderable Only
NA NA
NA NA
Peritoneal Dialysis >> PD Cyclers & Software
NA NA
Sigma Spectrum V8 >> Packaging Material
NA NA
EXACTAMIX Compounder & ABACUS Software >> EXACTAMIX Compounder &
ABACUS Software >> EXACTAMIX Inlets & Valvesets
H938724 Sterile EXACTAMIX 10 Yes Yes Yes
2400 Valve Set.
For use with
EXACTMIX 2400
Compounder only.
H938792 Sterile EXACTAMIX 10 Yes Yes Yes
1200 Valve Set.
For use with
EXACTAMIX 1200
Compounder only.

Oct.02.2023 at 07:08:05 UTC Page # 106


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H938174 Automated 25 Yes Yes No
Compounding Device
Inlet. Vented,
High-Volume Inlet
for Non-Vented
Bottles.
H938176 Automated 25 Yes Yes No
Compounding Device
Inlet. Micro-
Volume Inlet with
Luer Lock End. For
use with Syringes.
H938175 Automated 25 Yes Yes No
Compounding Device
Inlet. Vented,
Micro-Volume inlet
for use with Small
Vials.
H938173 Automated 25 Yes Yes No
Compounding Device
Inlet. Non-Vented
High Volume Inlet
for Bags or Vented
Bottles.
H938751 Automated 25 Yes Yes No
Compounding Device
Inlet. Micro-
Volume Inlet with
Large Bore Spike.
Peritoneal Dialysis >> PD Solutions >> DIANEAL PD Solutions for APD
L5B5187 DIANEAL PD-2 0941041506 6 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 2000 mL
L5B4825 DIANEAL Low 0941040906 6 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX II
Container with
yellow pull ring,
2000 mL
L5B9727 DIANEAL Low 0941045708 6 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
2000 mL
L5B9747 DIANEAL Low 0941045908 6 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 2000 mL
L5B4826 DIANEAL Low 0941040907 2 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
5000 mL

Oct.02.2023 at 07:08:05 UTC Page # 107


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
L5B5202 DIANEAL Low 0941045705 2 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
5000 mL
L5B5203 DIANEAL Low 0941045905 2 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 5000 mL
L5B5166 DIANEAL PD-2 0941041106 6 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
2000 mL
L5B5177 DIANEAL PD-2 0941041306 6 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
2000 mL
L5B5163 DIANEAL PD-2 0941041105 12 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
1000 mL
L5B5173 DIANEAL PD-2 0941041305 12 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
1000 mL
L5B5183 DIANEAL PD-2 0941041505 12 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 1000 mL
L5B5193 DIANEAL PD-2 0941041107 2 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
5000 mL
L5B5194 DIANEAL PD-2 0941041307 2 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
5000 mL
Oct.02.2023 at 07:08:05 UTC Page # 108
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
L5B5195 DIANEAL PD-2 0941041507 2 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 5000 mL
L5B9710 DIANEAL PD-2 0941041111 2 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
6000 mL
L5B9711 DIANEAL PD-2 0941041301 2 Yes Yes No
Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
6000 mL
L5B9712 DIANEAL PD-2 0941041501 2 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 6000 mL
L5B5169 DIANEAL PD-2 0941041104 4 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
3000 mL
L5B5179 DIANEAL PD-2 0941041304 4 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
3000 mL
L5B5189 DIANEAL PD-2 0941041504 4 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 3000 mL
L5B9902 DIANEAL Low 0941045702 4 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
3000 mL
L5B9903 DIANEAL Low 0941045902 4 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 3000 mL

Oct.02.2023 at 07:08:05 UTC Page # 109


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
L5B9772 DIANEAL Low 0941045901 2 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
AMBU-FLEX ll
Container with red
pull ring, 6000 mL
L5B9771 DIANEAL Low 0941045701 2
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
AMBU-FLEX ll
Container with
green pull ring,
6000 mL
L5B9901 DIANEAL Low 0941040905 4 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX II
Container with
yellow pull ring,
3000 mL
L5B9770 DIANEAL Low 0941040901 2 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
AMBU-FLEX ll
Container with
yellow pull ring,
6000 mL
Enteral & Oral Syringes >> EXACTAMED Oral Systems
NA NA
BioSurgery >> Tissue-Guard Family of Surgical Patches >> Supple Peri-
Guard Pericardium Patch
PC0404SNBIO SUPPLE PERI-GUARD 1 Yes
Pericardium Patch
4x4cm
PC0608SNBIO SUPPLE PERI-GUARD 1 Yes
Pericardium Patch
6x8cm
PC0814SNBIO SUPPLE PERI-GUARD 1 Yes
Pericardium Patch
8x14cm
PC1016SNBIO SUPPLE PERI-GUARD 1 Yes
Pericardium Patch
10x16cm
PD Sets and Disposables >> PD Sets and Disposables >> CAPD Drain
Supplies
L5C4366 ULTRASET 30 Yes
Disposable
Disconnect Y-Set
5C4527 Outlet Port Clamp 12 Yes Yes Yes
with Short Nose
5C4957 ULTRACLAMP Clamp 12 Yes No Yes
PrisMax and Accesory Devices >> PrisMax and Accesory Devices >>
PrisMax Auto -Effluent Set Extension Line
115485 PrisMax Auto 10
Effluent Set
Extension line
Liquid Premix >> Liquid Premix >> Nitroglycerin Injections

Oct.02.2023 at 07:08:05 UTC Page # 110


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
1A0696 Nitroglycerin in 0338105102 12
5% Dextrose
Injection 100
mg/250 mL (400
mcg/mL) in Glass
Container
1A0692 Nitroglycerin in 0338104702 12
5% Dextrose
Injection 25
mg/250 mL (100
mcg/mL) in Glass
Container
1A0694 Nitroglycerin in 0338104902 12
5% Dextrose
Injection 50
mg/250 mL (200
mcg/mL) in Glass
Container
PD Solutions >> PD Solutions >> EXTRANEAL Peritoneal Dialysis Solution
for CAPD
5B4984 EXTRANEAL 0941067952 6 Yes No
(icodextrin)
Peritoneal
Dialysis Solution,
ULTRABAG Container
with purple pull
ring, 2000 mL
5B4986 EXTRANEAL 0941067953 5 Yes No No
(icodextrin)
Peritoneal
Dialysis Solution,
ULTRABAG Container
with purple pull
ring, 2500 mL
EXACTAMED Oral Systems >> EXACTAMED Oral Systems >> Orderable Only -
Adaptacap Bottle
NA NA
BioSurgery >> Actifuse Bone Graft Substitute
NA NA
Tissue-Guard Family of Surgical Patches >> Peri-Guard Pericardium
Patch
PC0404NBIO PERI-GUARD 1 Yes
Pericardium Patch
4x4cm
PC0608NBIO PERI-GUARD 1 Yes
Pericardium Patch
6x8cm
PC0814NBIO PERI-GUARD 1 Yes
Pericardium Patch
8x14cm
PC1016NBIO PERI-GUARD 1 Yes Yes Yes
Pericardium Patch
10x16cm
PC1225NBIO PERI-GUARD 1 Yes
Pericardium Patch
12x25cm
IV Solutions >> Potassium Chloride in Dextrose & NaCL
2B2434X 20 mEq/L Potassium 0338080304 14 Yes
Chloride in 5%
Dextrose and 0.9%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container

Oct.02.2023 at 07:08:05 UTC Page # 111


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B1764X 20 mEq/L Potassium 0338069104 14 Yes
Chloride in 0.9%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1614X 20 mEq/L Potassium 0338066304 14 Yes
Chloride in 5%
Dextrose and 0.2%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1654X 20 mEq/L Potassium 0338067104 14 Yes
Chloride in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B2454X 40 mEq/L Potassium 0338080704 14 Yes No No
Chloride in 5%
Dextrose and 0.9%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1357X 20 mEq/L Potassium 0338070434 14 Yes
Chloride in 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B2224X 20 mEq/L Potassium 0338081104 14 Yes
Chloride in
Lactated Ringer's
and 5% Dextrose
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1134X 20 mEq/L Potassium 0338068304 14 Yes
Chloride in 5%
Dextrose
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1644X 10 mEq/L Potassium 0338066904 14 Yes
Chloride in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1664X 30 mEq/L Potassium 0338067304 14 Yes
Chloride in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1674X 40 mEq/L Potassium 0338067504 14 Yes
Chloride in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container

Oct.02.2023 at 07:08:05 UTC Page # 112


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B1984X 40 mEq/L Potassium 0338069504 14 Yes
Chloride in 0.9%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1124 10 mEq/L Potassium 0338068104 12
Chloride in 5%
Dextrose
Injection, USP,
1000 mL VIAFLEX
Plastic Container
BioSurgery >> Intuitive Surgical<sup>®</sup></b>
NA NA
Dialyzers >> Dialyzers >> THERANOVA Dialyzers
955691 THERANOVA 400 24
Dialyzer
955692 THERANOVA 500 24
Dialyzer
Liquid Premix >> Liquid Premix >> Magnesium Sulfate
EZPE8501 Magnesium Sulfate 0338170940 40
in 5% Dextrose
Injection USP, 1
g/100 mL (10
mg/mL) in VIAFLO
Plastic Container,
Liquid Premix.
EZPE8001 Magnesium Sulfate 0338170840 40
in Water for
Injection, 2 g/50
mL (40 mg/mL) in
VIAFLO Plastic
Container. Liquid
Premix.
EZPE8002 Magnesium Sulfate 0338171940 40
in Water for
Injection, 4 g/50
mL (80 mg/mL) in
VIAFLO Plastic
Container. Liquid
Premix
EZPE8003 Magnesium Sulfate 0338171540 40
in Water for
Injection, 4 g/100
mL (40 mg/mL)
in VIAFLO Plastic
Container. Liquid
Premix.
Administration Sets >> Extension Sets
NA NA
2C9201 Straight-Type 60 Yes
Extension Set,
Microbore,
Microvolume, 61"
(155 cm)
2C6631 Straight-Type 48 Yes No
Extension Set,
Standard Bore, 2
INTERLINK
Injection Sites,
Retractable
Collar, 44” (112
cm)

Oct.02.2023 at 07:08:05 UTC Page # 113


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2N3348 Straight-Type 50 Yes Yes No
Extension Set,
Microvolume, 60"
(152 cm)
2N3343 T-Connector 200 Yes Yes No
Straight-Type
Extension Set,
Microbore, 2
INTERLINK Injecion
Sites, Retractable
Collar, 7.7" (20
cm)
2C6606 Straight-Type 48 Yes
Extension Set,
Standard Bore, 2
INTERLINK
Injection Sites,
Retractable
Collar, 21" (53.7
cm)
2H8631 Straight-Type 48 Yes
Extension Set,
Standard Bore, 2
CLEARLINK Luer
Activated Valves,
Retractable
Collar, 43" (107
cm)
2C9216 Anesthesia Set, 60 Yes No No
Microbore, 73"
(185 cm), Green
stripe for easy
identification
2C9218 Anesthesia 60 Yes No No
Microbore Set, 73"
(1.9 m). Yellow
stripe for easy
identification
2C9219 Straight-Type 60 Yes No No
Extension Set,
Minivolume Bore,
60" (155 cm)
2C9221 Straight-Type 60 Yes No No
Extension Set,
High Flow Rate
Bore, Microbore
61" (155 cm)
2H5660 Straight-Type 48 Yes Yes No
Extension Set,
Standard Bore, 0.2
Micron Filter,
Retractable
Collar, 9.5" (24
cm)
1C8693 Straight-Type 48
Extension Set,
Standard Bore,
Backcheck Valve,
CLEARLINK Luer
Activated Valve,
Retractable
Collar, 12" (31
cm)
2C6251 Stopcock Extension 50 Yes No No
Set, 4-Way Large
Bore, 22" (56 cm)

Oct.02.2023 at 07:08:05 UTC Page # 114


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C8606 Straight-Type 48 Yes No
Extension Set,
Standard Bore, 2
CLEARLINK Luer
Activated Valves,
Retractable
Collar, 20" (51
cm)
2C8632 Straight-Type 48 Yes No No
Extension Set,
Standard Bore,
CLEARLINK Luer
Activated Valve,
Retractable
Collar, 14" (35
cm)
2C8671 Straight-Type 48 Yes No
Extension Set,
Standard Bore, 0.2
Micron Filter,
CLEARLINK Luer
Activated Valve,
Retractable
Collar, 16" (40
cm)
1C8657 Straight-Type 48 Yes No No
Extension Set,
Standard Bore,
Fixed Collar, 105"
(266 cm)
1C8273 Straight-Type 48 Yes
Extension Set,
Standard Bore,
Retractable
Collar, 22" (57
cm)
2N3326 T-Connector 200 Yes Yes No
Straight -Type
Extension Set,
Microbore,
INTERLINK
Injection Site
Male, Luer Slip T-
Connector, 5.8"
(15 cm), For use
in neonatal
population only
2N3327 T-Connector 200 Yes Yes
Straight-Type
Extension Set,
Standard Bore,
INTERLINK
Injection Site,
Rotating Collar,
5.2" (13 cm)
2N3328 T-Connector 200 Yes Yes No
Straight-Type
Extension Set,
Microbore,
INTERLINK
Injection Site,
Rotating Collar,
6.2" (16 cm)

Oct.02.2023 at 07:08:05 UTC Page # 115


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2N3333 T-Connector 200 Yes Yes No
Catheter Extension
Set, Microbore,
0.22 Micron
Filter, INTERLINK
T-Connector
Injection Site,
Rotating Collar,
6.5" (17 cm)
2N3339 T-Connector 200 Yes Yes No
Straight-Type
Extension Set,
Microbore,
INTERLINK
Injection Site,
Retractable
Collar, 6.5" (16
cm)
2N3340 T-Connector 200 Yes
Straight-Type
Extension Set,
Standard Bore,
INTERLINK
Injection Site,
Retractable
Collar, 5.5" (14
cm)
2N3346 Straight-Type 50 Yes Yes
Extension Set,
High Flow Rate
Microbore, 36" (91
cm)
2N3347 Straight-Type 50 Yes
Extension Set,
Microvolume, 0.22
Micron Dowstream
Filter, 36" (90
cm)
2C9203 Straight-Type 60 Yes
Extension Set,
Microbore,
Minivolume, 61"
(155 cm)
2C6612 Straight-Type 48 Yes
Extension Set,
Standard Bore , 2
INTERLINK
Injection Sites,
Retractable
Collar, 43" (110
cm)
2C6671 Straight-Type 48 Yes No No
Extension Set,
Standard Bore, 0.2
Micron Filter,
INTERLINK
injection,
Retractable
Collar, 16" (42
cm)
2C6891 Straight-Type 48 Yes No No
Extension Set,
Standard Bore,
CONTROL-A-FLO
Regulator,
INTERLINK
Injection Site,
Retractable
Collar, 19" (48
cm)
Oct.02.2023 at 07:08:05 UTC Page # 116
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C5641 Straight-Type 48 Yes No
Extension Set,
Standard Bore,
Retractable
Collar, 6.5"
(16cm)
2C5685 Straight-Type 48 Yes No
Extension Set,
Minivolume, Fixed
Collar, 35" (88
cm)
2C5687 Straight-Type 48 Yes No No
Extension Set,
Minivolume, Fixed
Collar, 71" (180
cm)
2C6227 Straight-Type 50 Yes No
Extension Set,
Standard Bore,
Fixed Collar, 34"
(86 cm)
2C6607 Stopcock Extension 48 Yes No
Set, 4-Way Large
Bore, INTERLINK
Injection Sites,
41" (103 cm)
2C1103 Straight-Type 50 Yes Yes No
Extension Set,
INTERLINK
Injection Site,
1.2 Micron Filter,
Standard Bore,
Fixed Collar, 21"
(53 cm)
2C5645 Straight-Type 48 Yes No No
Extension Set ,
Standard Bore,
Retractable
Collar, 29" (75
cm)
2C6226 Straight-Type 50 Yes No No
Extension Set,
Standard Bore,
Fixed Collar, 21"
(53 cm)
2C9215 Anesthesia Set, 60 Yes No No
Microbore, Anti-
Siphon and Luer
Lock Adapters,
74" (1.9 m), Blue
stripe for easy
identification
2N3350 Straight-Type 50 Yes Yes
Extension Set,
Microvolume, 0.22
Micron Filter, 60"
(152 cm)
2C8607 Stopcock Extension 48 Yes No No
Set, 4-Way Large
Bore, 2 CLEARLINK
Luer Activated
Valves, 40" (101
cm)

Oct.02.2023 at 07:08:05 UTC Page # 117


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2H8603 Straight-Type 48 Yes Yes No
Extension Set,
Standard Bore, 1.2
Micron Filter,
CLEARLINK Luer
Activated Valve,
19" (47 cm)
2C8891 Straight-Type 48 Yes No No
Extension Set,
Standard Bore,
CONTROL-A-FLO
Regulator,
CLEARLINK Luer
Activated Valve,
Retractable
Collar, 19" (47
cm)
2C8634 Straight-Type 48 Yes No No
Extension Set,
Standard Bore,
CLEARLINK Luer
Activated Valve,
Retractable
Collar, 7.9" (20
cm)
2C8612 Straight-Type 48 Yes No
Extension Set,
Standard Bore, 2
CLEARLINK Luer
Activated Valves,
Retractable
Collar, 42" (107
cm)
1C8740 Straight-Type 48 Yes
Extension Set
Minivolume,
INTERLINK System,
0.22 Micron
Filter, 16" (41
cm)
1C8363 Straight-Type 48 Yes No No
Extension Set, 0.2
Micron Filter,
Polyethylene Lined
Tubing . 6.2"
(15.8 cm)
2C6921 3-Port Manifold 48 Yes No
with Check Valves,
4-Way Stopcock
Extension Set, 2
INTERLINK
Injection Sites,
41" (103 cm)
2N3345 Straight-Type 50 Yes Yes No
Extension Set,
Microvolume, 36"
(91 cm)
2N3349 Straight-Type 50 Yes Yes No
Extension Set,
High Flow Rate
Microbore, 60"
(1.5 m)
2C8610 Straight-Type 48 Yes No No
Extension Set,
Standard Bore,
CLEARLINK Luer
Activated Valve,
Retractable
Collar, 44" (111
cm)
Oct.02.2023 at 07:08:05 UTC Page # 118
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C8921 3-Port Manifold 48 Yes No
with Check Valves,
4-Way Stopcock
Extension Set, 2
CLEARLINK Luer
Activated Valves,
40" (101 cm)
2H8671 Straight-Type 48 Yes
Extension Set,
Standard Bore, 0.2
Micron Filter,
CLEARLINK Luer
Activated Valve,
Retractable
Collar, 16" (40
cm)
STP8325 Stopcock Extension 48 Yes
Set, Large Bore,
Minivolume,
63"(1.6 m)
STP5604 Stopcock Extension 48 Yes
Set, Large Bore,
Retractable
Collar, 35" (88
cm)
1C8454 Straight-Type 48 Yes No No
Extension Set,
INTERLINK
Injection Site,
Minivolume, Fixed
Collar, 14" (35
cm)
2N3354 Straight-Type 50 Yes
Extension Set,
Micro-volume, 79"
(200 cm)
2N3356 Straight-Type 50
Extension Set,
Mini-volume, 79"
(200 cm)
2N3357 Straight-Type 50
Extension Set,
Micro-volume, 0.2
Micron Filter, 79"
(200 cm)
2N3358 Straight-Type 50
Extension Set,
Micro-volume, 59"
(150 cm)
2N3359 Straight-Type 50
Extension Set,
Mini-volume, 118"
(300 cm)
2N3360 Straight-Type 50
Extension Set,
Micro-volume, 59"
(150 cm),
Polyethylene (PE)
Lined
2N3361 Straight-Type 50
Extension Set,
Micro-volume, 79"
(200 cm),
Polyethylene (PE)
Lined

Oct.02.2023 at 07:08:05 UTC Page # 119


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2N3362 Straight-Type 50
Extension Set,
Mini-volume, 118"
(300 cm),
Polyethylene (PE)
Lined
2N3355 Straight-Type 50
Extension Set,
Mini-volume, 59"
(150 cm)
2N3380 Straight-Type 50
Extension Set,
Micro-volume, 59"
(150 cm)
2N3382 Straight-Type 50 Yes
Extension Set,
Micro-volume, 0.2
Micron Filter, 59"
(150 cm)
Hemodialysis >> AV Fistula Needles >> NIPRO AV Fistula Needles
FT153230BC FT153230BC - Nipro 300
Tulip Safety
Fistula Needle,
15G x 1 1/4" Fixed
Hub w/Backeye,
Single Needle Set
FD152530BCCA FD152530BCCAP - 50
P NIPRO Biohole Dull
Fistula Needle,
15Gx1" Fixed Hub,
Single with CAPICK
Scab Remover
FT172530BC FT172530BC - NIPRO 300
SafeTouch Tulip
Safety Fistula
Needle, 17Gx1"
Fixed Hub, Single
Pack
FS1625BC FS1625BC - Nipro 500 Yes No
SAFETOUCH II
Safety Fistula
Needle, Single
Needle Set, 16G x
1", fixed hub
FS1725BC FS1725BC - Nipro 500 Yes No
SAFETOUCH II
Safety Fistula
Needle, Single
Needle Set, 17G x
1", fixed hub
FT162530BC FT162530BC - Nipro 300
Tulip Safety
Fistula Needle,
16G x 1" Fixed Hub
w/Backeye
FT152530BC FT152530BC - NIPRO 300
SafeTouch Tulip
Safety Fistula
Needle, 15Gx1"
Fixed Hub
w/Backeye
FT152530BCR FT152530BCR - 300 Yes No
NIPRO Tulip Safety
Fistula Needle,
15G x 1" Rotating
Hub w/Backeye

Oct.02.2023 at 07:08:05 UTC Page # 120


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
FT162530BCR FT162530BCR - 300 Yes No
Nipro Tulip Safety
Fistula Needle,
16G x 1" Rotating
Hub w/Backeye
FS1525BC FS1525BC - Nipro 500 Yes No
SAFETOUCH II
Safety Fistula
Needle, Single
Needle Set, 15G x
1", fixed hub
FS1625BCR FS162530BCR - SFTY 500 Yes No
NDL 16G SNG16G X
1IN. HUB, ROTATING
FT152530TP FT152530TP - NIPRO 125
SAFE TOUCH TULIP
SAFETY AV Fistula
Needle Set 15G X
1". Fixed Hub.
Twin Pack.
FT172530TP FT172530TP - NIPRO 125
SAFE TOUCH TULIP
SAFETY AV Fistula
Needle Set 17G X
1". Fixed Hub.
Twin Pack.
FT142530TP FT142530TP - NIPRO 125
SAFE TOUCH TULIP
SAFETY AV Fistula
Needle Set 14G X
1". Fixed Hub.
Twin Pack.
FT162530TP FT162530TP - NIPRO 125
SAFE TOUCH TULIP
SAFETY AV Fistula
Needle Set 16G X
1". Fixed Hub.
Twin Pack.
Ampules, Vials and Tablets >> DOCETAXEL Injection
1001992803 DOCETAXEL 4306601001 1
Injection, 160 mg
/ 16 mL Multiple
Dose Vial
1001992801 DOCETAXEL 4306600101 1
Injection, 20 mg/
2 mL Multiple Dose
Vial
1001992802 DOCETAXEL 4306600601 1
injection, 80 mg/
8 mL Multiple Dose
Vial
EXACATMIX Automated Compounder >> EXACATMIX Automated Compounder >>
EXACTAMIX Empty EVA Containers
H938737 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 250 mL. For
use with EXACTAMIX
Compounder.
H938738 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 500 mL. For
use with EXACTAMIX
Compounder.

Oct.02.2023 at 07:08:05 UTC Page # 121


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H938739 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 1000 mL. For
use with EXACTAMIX
Compounder.
H938740 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 2000 mL. For
use with EXACTAMIX
Compounder.
H938741 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 3000 mL. For
use with EXACTAMIX
Compounder.
H938901 EVA Dual Chamber 42 Yes Yes No
Empty Container,
1500 mL Total
Capacity
H938905 EVA Dual Chamber 42 Yes Yes No
Empty Container,
3000 mL Total
Capacity
H938743 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 5000 mL. For
use with EXACTAMIX
Compounder.
H938742 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 4000 mL. For
use with EXACTAMIX
Compounder.
E3002OD EVA BAG, 50
EXACTAMIX, 250ML
E3005OD EVA BAG, EXACTMIX, 50
500ML
E3010OD EVA BAG, 50
EXACTAMIX, 1000ML
E3020OD EVA BAG, 30
EXACTAMIX, 2000ML
E3030OD EVA BAG, 30
EXACTAMIX, 3000ML
Administration Sets >> Blood Sets
NA NA
4H8723 Y-Type 48 Yes
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron and
Pressure Pump, 2
CLEARLINK Luer
Activated Valves,
98" (2.5 m)

Oct.02.2023 at 07:08:05 UTC Page # 122


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
4C8723 Y-Type 48
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron and
Pressure Pump, 2
CLEARLINK Luer
Activated Valves,
15 drops/mL, 98"
(2.5 m)
2C8750 Y-Type 48 Yes
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron,
CLEARLINK Valve,
Retractable
Collar, 10
drops/mL, 112"
(2.8 m)
1C8333 Blood Bag Spike, 48 Yes No
INTERLINK
Injection Site,
3.4" (8.7 cm)
1C8372 Y-Type 48 Yes
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron, 2
Injection Site
INTERLINK System,
10 drops/mL, 112"
(2.9 m)
4C7750 Add-On Large 48 Yes No No
Standard Blood
Filter 170 to 260
Micron Filter,
Approximately 15
drops per mL,
Approximate Length
10" (26 cm)
2C6700 Straight-Type 48 Yes No
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron,
INTERLINK
Injection Site, 10
drops/mL, 79"
(2.0 m)
2C7627 Y-Type 48 Yes
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron, 10
drops/mL, 83” (2.1
m)
2C6714 Y-Type 48 Yes
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron, 2
INTERLINK
Injection Sites,
10 Drops/ mL, 100"
(2.5 m)

Oct.02.2023 at 07:08:05 UTC Page # 123


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
1C8687 Blood Bag Spike 48 Yes No No
Adapter, CLEARLINK
Luer Activated
Valve for IV
Access, 4.0" (10
cm)
2C8751 Straight-Type 48 Yes No
Blood/ Solution
Set with Standard
Blood Filter 170
to 260 Micron,
CLEARLINK Luer
Activated Valve,
10 drops/mL, 103"
(2.6 m)
2C8720 Y-Type 48 Yes No
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron,
CLEARLINK Luer
Activated Valve,
10 drops/mL, 103"
(2.6 m)
4C8714 Y-Type 48 Yes No No
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron, 2
CLEARLINK Luer
Activated Valves,
15 drops/mL, 100"
(2.5 m)
2C6750H Y-Type 48 Yes No No
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron,
INTERLINK
Injection Site, 10
drops/mL, 114"
(2.9 m)
1C8732 Y-Type 48 Yes
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron, 10
drops/mL, 90" (2.3
m)
2C6720 Y-Type 48 Yes
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron,
INTERLINK
Injection Site, 10
drops/mL, 97" (2.5
m)
2C6723 Y-Type 48 Yes No No
Blood/Solution Set
with Standard
Blood Filter 170
to 260 Micron and
Pressure Pump, 2
INTERLINK
Injection Sites,
10 drops/mL, 99"
(2.5 m)
SIGMA Spectrum V6 >> Pole Clamp Parts

Oct.02.2023 at 07:08:05 UTC Page # 124


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
35743 Double Rotating IV 1 Yes No
Pole Clamp for
SIGMA Spectrum
Infusion System
Actifuse Bone Graft Substitute >> Actifuse Bone Graft Substitute >>
ACTIFUSE Bone Graft Substitute GRANULES
506005078028 ACTIFUSE Bone 1 Yes
Graft Substitute
GRANULES 5 mL
506005078029 ACTIFUSE Bone 1 Yes
Graft Substitute
GRANULES 10 mL
506005078030 ACTIFUSE Bone 1 Yes
Graft Substitute
GRANULES 20 mL
506005078056 ACTIFUSE Bone 1 Yes
Graft Substitute
GRANULES 30 mL
Ampules, Vials and Tablets >> Norepinephrine Bitartrate lnjection
AIN00610 Norepinephrine 3600016210 10 Yes
Bitartrate
lnjection, USP, 1
mg/ml 4 mL Single
Dose Ampule (10 x
4 mL)
4306699710 Norepinephrine 4306699710 10 Yes Yes Yes
Bitartrate
Injection USP, 4
mg/4 mL (1 mg/mL)
Single-Dose Vial
(10 x 4 mL)
EXACTAMED Oral Systems >> EXACTAMED Oral Systems >> Out Patient Pack
H93873020 EXACTAMED Oral 50 Yes Yes
Dispensers Clear
20 mL. Out-Patient
Pack
Pharmaceutical Injectables >> Liquid Premix
NA NA
Actifuse Bone Graft Substitute >> ACTIFUSE Bone Graft Substitute
MICROGRANULES
506005078045 ACTIFUSE Bone 1 Yes
Graft Substitute
MICROGRANULES 5 mL
506005078046 ACTIFUSE Bone 1 Yes
Graft Substitute
MICROGRANULES 10
mL
Spectrum IQ Infusion System >> Spectrum IQ Infusion Pump
3570009 Spectrum IQ 1 Yes
Infusion System
with Dose IQ
Safety Software
35723V090 Dose IQ Safety
Software
3570009D Spectrum IQ Demo
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> Metoprolol
Injection

Oct.02.2023 at 07:08:05 UTC Page # 125


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
AIN00234 Metoprolol 3600003310 10
Tartrate
Injection, USP, 5
mg/5mL (1 mg/mL)
Sterile Single
Dose Glass Vial
(10 x 5 mL)
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >>
Cyclophosphamide Injection
1001995501 Cyclophosphamide 1001995501 1 Yes
for Injection,
USP, 500 mg
Single-Dose Vial.
Carton of 1 Vial
1001995601 Cyclophosphamide 1001995601 1 Yes
for Injection,
USP, 1 gram
Single-Dose Vial.
Carton of 1 Vial
1001995701 Cyclophosphamide 1001995701 1 Yes
for Injection,
USP, 2 gram
Single-Dose Vial.
Carton of 1 Vial
Hemophilia >> BEBULIN (Factor IX Complex), Nanofiltered and Vapor
Heated
NA NA
BioSurgery >> TISSEEL [FIBRIN SEALANT]
1504516 TISSEEL [Fibrin 0338430310 1 Yes
Sealant] Kit
(Freeze Dried)
with DUPLOJECT
System - 10 mL
1504515 TISSEEL [Fibrin 0338430204 1 Yes
Sealant] Kit
(Freeze Dried)
with DUPLOJECT
System - 4 mL
1504514 TISSEEL [Fibrin 0338430102 1 Yes
Sealant] Kit
(Freeze Dried)
with DUPLOJECT
System - 2 mL
0601136 DuploTip 10
Applicator with
Snap Lock, 10cm
0601137 DuploTip 10
Applicator with
Snap Lock, 26cm
0601138 DuploTip 10
Applicator with
Snap Lock, 32cm
1506078 TISSEEL [Fibrin 0338956001 1
Sealant] Pre-
filled PRIMA
Syringe (Frozen),
2 mL
1506079 TISSEEL [Fibrin 0338956401 1
Sealant] Pre-
filled PRIMA
Syringe (Frozen),
4 mL

Oct.02.2023 at 07:08:05 UTC Page # 126


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
1506080 TISSEEL [Fibrin 0338956801 1
Sealant] Pre-
filled PRIMA
Syringe (Frozen),
10 mL
Acute Therapies >> CRRT Solutions >> PrismaSate Dialysate Solution,
PVC
NA NA
Sigma Spectrum V8 >> Pole Clamp Parts
35743 Double Rotating IV 1 Yes No
Pole Clamp for
SIGMA Spectrum
Infusion System
Ampules, Vials and Tablets >> PROTOPAM Injection
6097714101 PROTOPAM Chloride 6097714127 6 Yes
(pralidoxime
chloride) for
Injection 1
gm/20mL Single-
Dose Vial
Patient Connectology >> Patient Connectology >> Transfer Sets
NA NA
IV Solutions >> IV Solutions >> Potassium Chloride in Dextrose & NaCL
2B2434X 20 mEq/L Potassium 0338080304 14 Yes
Chloride in 5%
Dextrose and 0.9%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1764X 20 mEq/L Potassium 0338069104 14 Yes
Chloride in 0.9%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1614X 20 mEq/L Potassium 0338066304 14 Yes
Chloride in 5%
Dextrose and 0.2%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1654X 20 mEq/L Potassium 0338067104 14 Yes
Chloride in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B2454X 40 mEq/L Potassium 0338080704 14 Yes No No
Chloride in 5%
Dextrose and 0.9%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1357X 20 mEq/L Potassium 0338070434 14 Yes
Chloride in 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container

Oct.02.2023 at 07:08:05 UTC Page # 127


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B2224X 20 mEq/L Potassium 0338081104 14 Yes
Chloride in
Lactated Ringer's
and 5% Dextrose
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1134X 20 mEq/L Potassium 0338068304 14 Yes
Chloride in 5%
Dextrose
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1644X 10 mEq/L Potassium 0338066904 14 Yes
Chloride in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1664X 30 mEq/L Potassium 0338067304 14 Yes
Chloride in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1674X 40 mEq/L Potassium 0338067504 14 Yes
Chloride in 5%
Dextrose and 0.45%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1984X 40 mEq/L Potassium 0338069504 14 Yes
Chloride in 0.9%
Sodium Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1124 10 mEq/L Potassium 0338068104 12
Chloride in 5%
Dextrose
Injection, USP,
1000 mL VIAFLEX
Plastic Container
CRRT Solutions >> PRISMASOL Replacement Solution, Non-PVC
110239S PrismaSol 2
BK0/0/1.2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON-PVC
110240S PrismaSol BGK0/2.5 2457110806 2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
110241S PrismaSol 2
BGK4/0/1.2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC

Oct.02.2023 at 07:08:05 UTC Page # 128


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
110242S PrismaSol BGK4/2.5 2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
110243S PrismaSol BGK2/3.5 2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
110244S PrismaSol BGK2/0 2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
115001S PrismaSol B22GK4/0 2
Replacement
Solution for
Continuous Renal
Replacement
Therapy, NON PVC
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >>
Bupivacaine Injection
NA NA
EXACTAMED Oral Systems >> Orderable Only - KWIKVIAL
NA NA
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> Furosemide
Injection
AIN00221 Furosemide 3600028325 25
Injection, USP, 10
mg/mL 4 mL Single
Dose Glass Vial
(25 x 4 mL)
AIN00218 Furosemide 3600028225 25
Injection, USP, 10
mg/mL 2 mL Single
Dose Glass Vial
(25 x 2 mL)
AIN00214 Furosemide 3600028425 25
Injection, USP, 10
mg/mL 10 mL Single
Dose Glass Vial
(25 x 10 mL)
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> Bortezomib
for Injection
2347B0016 Bortezomib for 1001999101 1 Yes Yes
Injection,
lyophilized powder
for
reconstitution,
3.5mg single-dose
vial
PD Cyclers & Software >> Claria
NA NA
Actifuse Bone Graft Substitute >> ACTIFUSE Bone Graft Substitute E-Z-
PREP
506005078054 ACTIFUSE Bone 1 Yes
Graft Substitute
E-Z-PREP 10 mL
Needle Free Connectors & Catheter Extensions >> INTERLINK

Oct.02.2023 at 07:08:05 UTC Page # 129


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
NA NA
IV & Irrigation Solutions & Drug Reconstitution >> Evacuated Glass
Container
1A8504 Evacuated Glass 6 Yes Yes Yes
Container 1000 mL
Acute Therapies >> PrisMax and Accesory Devices
NA NA
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> Pemetrexed
Injection
2335B0115 Pemetrexed for 0338072001 1
Injection USP,
Lyophilized Powder
for
Reconstitution,
100mg Single-Dose
Vial
2335B0515 Pemetrexed for 0338072201 1
Injection USP,
Lyophilized Powder
for
Reconstitution,
500mg Single-Dose
Vial
Irrigation Solutions >> Glycine Irrigation
2B7317 1.5% Glycine 0338028947 4
Irrigation, USP,
3000 mL UROMATIC
Container
Actifuse Bone Graft Substitute >> ACTIFUSE Bone Graft Substitute SHAPE
506005078062 ACTIFUSE Bone 1 Yes
Graft Substitute
SHAPE 1.6 mL
506005078064 ACTIFUSE Bone 1 Yes
Graft Substitute
SHAPE 2.6 mL
506005078066 ACTIFUSE Bone 1 Yes
Graft Substitute
SHAPE 8 mL
506005078068 506005078068 - 1 Yes
ACTIFUSE Bone
Graft Substitute
SHAPE 15.8 mL
Acute Therapies >> Molecular Adsorbent Recirculating System (MARS)
800480 Molecular 1 No
Adsorbent
Recirculating
System (MARS)
Treatment Kit
1115/1-PrisMARS US
800541 Molecular 1 Yes
Adsorbent
Recirculating
System Treatment
Kit 1116/1-X-MARS
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >>
Ondansetron Injection
AIN00237 Ondansetron 3600001225 25 Yes Yes
Injection, USP, 2
mg/mL 2 mL Sterile
Single Use Glass
Vial (25 x 2 mL)
Sigma Spectrum V8 >> Sigma Spectrum V8 >> Pole Clamp Parts

Oct.02.2023 at 07:08:05 UTC Page # 130


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
35743 Double Rotating IV 1 Yes No
Pole Clamp for
SIGMA Spectrum
Infusion System
35743 Double Rotating IV 1 Yes No
Pole Clamp for
SIGMA Spectrum
Infusion System
Infusion Systems >> SIGMA Spectrum Infusion System Accessories >>
SIGMA Spectrum V6
NA NA
EXACTAMED Oral Systems >> EXACTAMED Oral Systems >> Cost Containment
Pack
H93884201 EXACTAMED Oral 3000 Yes Yes Yes
Dispenser Amber 1
mL. Tip Cap
Included. Cost-
Containment Pack
H93884203 EXACTAMED Oral 2500 Yes Yes Yes
Dispenser Amber 3
mL. Tip Cap
Included. Cost-
Containment Pack
H93884205 EXACTAMED Oral 1500 Yes Yes
Dispenser Amber 5
mL. Tip Cap
Included. Cost-
Containment Pack
H93884210 EXACTAMED Oral 1800 Yes Yes Yes
Dispenser Amber 10
mL. Tip Cap
Included. Cost-
Containment Pack
H93874201 EXACTAMED Oral 3000 Yes Yes Yes
Dispenser Clear 1
mL. Tip Cap
Included. Cost-
Containment Pack
H93874203 EXACTAMED Oral 2500 Yes Yes Yes
Dispenser Clear 3
mL. Tip Cap
Included. Cost-
Containment Pack
H93874205 EXACTAMED Oral 1500 Yes Yes Yes
Dispenser Clear 5
mL. Tip Cap
Included. Cost-
Containment Pack
H93874210 EXACTAMED Oral 1800 Yes Yes Yes
Dispenser Clear 10
mL. Tip Cap
Included. Cost-
Containment Pack
Infusion Accessories & Chemo-Aide >> Manifolds & Stopcocks
NA NA
Access >> Administration Sets
NA NA
NA NA
EXACTAMED Oral Systems >> Cost Containment Pack
H93884201 EXACTAMED Oral 3000 Yes Yes Yes
Dispenser Amber 1
mL. Tip Cap
Included. Cost-
Containment Pack

Oct.02.2023 at 07:08:05 UTC Page # 131


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H93884203 EXACTAMED Oral 2500 Yes Yes Yes
Dispenser Amber 3
mL. Tip Cap
Included. Cost-
Containment Pack
H93884205 EXACTAMED Oral 1500 Yes Yes
Dispenser Amber 5
mL. Tip Cap
Included. Cost-
Containment Pack
H93884210 EXACTAMED Oral 1800 Yes Yes Yes
Dispenser Amber 10
mL. Tip Cap
Included. Cost-
Containment Pack
H93874201 EXACTAMED Oral 3000 Yes Yes Yes
Dispenser Clear 1
mL. Tip Cap
Included. Cost-
Containment Pack
H93874203 EXACTAMED Oral 2500 Yes Yes Yes
Dispenser Clear 3
mL. Tip Cap
Included. Cost-
Containment Pack
H93874205 EXACTAMED Oral 1500 Yes Yes Yes
Dispenser Clear 5
mL. Tip Cap
Included. Cost-
Containment Pack
H93874210 EXACTAMED Oral 1800 Yes Yes Yes
Dispenser Clear 10
mL. Tip Cap
Included. Cost-
Containment Pack
Tissue-Guard Family of Surgical Patches >> Dura-Guard Dural Repair
Patch
DG0209SN DURA-GUARD Dural 1 Yes Yes Yes
Repair Patch 2x9cm
DG0404SN DURA-GUARD Dural 1 Yes Yes Yes
Repair Patch 4x4cm
DG0608SN DURA-GUARD Dural 1 Yes Yes Yes
Repair Patch 6x8cm
DG0814SN DURA-GUARD Dural 1 Yes Yes Yes
Repair Patch
8x14cm
DG1016SN DURA-GUARD Dural 1 Yes Yes Yes
Repair Patch
10x16cm
EXACTAMED Oral Systems >> Out Patient Pack
H93873020 EXACTAMED Oral 50 Yes Yes
Dispensers Clear
20 mL. Out-Patient
Pack
Access >> Infusion Accessories & Chemo-Aide >> Manifolds & Stopcocks
NA NA
PD Solutions >> PD Solutions >> EXTRANEAL (Icodextrin) Solutions for
APD

Oct.02.2023 at 07:08:05 UTC Page # 132


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
L5B4974 EXTRANEAL 0941067906 6 Yes No No
(icodextrin)
Peritoneal
Dialysis Solution,
AMBU-FLEX ll
Container with
purple pull ring,
2000 mL
L5B4976 EXTRANEAL 0941067905 5
(icodextrin)
Peritoneal
Dialysis Solution,
AMBU-FLEX ll
Container with
purple pull ring,
2500 mL
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> Naloxone
Hydrochloride Injection USP
AIN03007 Naloxone 3600030801 10 Yes Yes Yes
Hydrochloride
Injection, USP
0.4 mg/mL 1mL
Single Dose Vial,
10 vials/box
AIN03008 Naloxone 3600031001 1 Yes Yes Yes
Hydrochloride
Injection USP,
Multiple-Dose Vial
4 mg/10mL
(0.4mg/mL), 10 mL
Hemodialysis >> PHOENIX Hemodialysis Device & Software
113296 Exalis Management 1
Tool. Used with
the Phoenix
Hemodialysis
System
106887 DIACLEAR® 12 Yes
Ultrafilter
6997266 PHOENIX 1
Hemodialysis
Device Maintenance
Kit PH1
6996292 PHOENIX 1
Hemodialysis
Device Software
3.40.0 COMPACT
FLASH IND. 3.40.0
EXACATMIX Automated Compounder >> EXACTAMIX Compounder & ABACUS
Software
NA NA
EXACTAMED Oral Systems >> EXACTAMED Oral Systems >> EXACTAMED
Accessories
H93813901 RAPIDFILL 50 Yes Yes Yes
Connectors, Luer
Lock-to-Luer Lock,
Red
H93813915 RAPIDFILL 50 Yes Yes Yes
Connectors, Luer
Lock-to-Luer Lock,
Red, with Cap

Oct.02.2023 at 07:08:05 UTC Page # 133


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H93842000 Universal Bottle 100 Yes Yes Yes
Adapter. Fits
bottles with neck
openings of 13 m
to 22 mm. For use
with EXACTAMED
Oral Dispensers.
H93850300 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Tip Cap,
Blue
H93852300 Tamper Evident 100 Yes Yes Yes
Oral Dispenser
Cap, Three-Part
Plastic Cap for
ExactaMed Oral
Dispenser. Red
H93842701 RAPIDFILL 50 Yes Yes Yes
Connector, Luer
Lock-to-Oral Slip,
Clear. Connect
EXACTAMED Oral
Dispensers to luer
fitting devices.
H93830020 Tamper-Indicating 1000 Yes Yes
Foil Seal
H93842900 MARK-A-DOSE Label, 1000 Yes Yes
Clear Pressure
Sensitive Adhesive
Label
H93843050 Oral Label 2.25" x 1000 Yes Yes
0.875" (60 x 20
mm). Pre-printed
Pin-feed Labels
for Identification
of Oral
Medications
H93843055 Oral Label 2" x 1000
0.5" (50 x 15 mm).
Pre-printed Pin-
feed Labels for
Identification of
Oral Medications
H93842703 RAPIDFILL 50 Yes Yes Yes
Connector, Luer
Lock-to-Oral Slip,
Clear. Connect
EXACTAMED Oral
Dispensers to luer
fitting devices.
Sterile
H9382006 Tip Extender 100 Yes
Sigma Spectrum V8 >> Accessories & Miscellaneous
NA NA
Infusion Accessories >> Securement Devices
3200S GRIP-LOK Small 100 Yes
Universal
Securement Device
3300MWA GRIP-LOK Medium 100 Yes
Universal
Securement Device
with Wide Silicone
Adhesive Area
2N8200 Catheter 50 Yes
Stabilization
Device Kit,
Medium, with 2
Foam Tape Strips
Oct.02.2023 at 07:08:05 UTC Page # 134
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2N8220 Straight-Type 50 Yes Yes
Catheter Extension
Set Kit, Standard
Bore, CLEARLINK
Luer Activated
Valve, Catheter
Stabilization,
7.6" (19 cm)
3300M GRIP-LOK Medium 1000 Yes
Universal
Securement Device
IV Solutions >> IV Solutions >> Orderable - Injectable Solutions
NA NA
Parenteral Nutrition Solutions & Additives >> EXACATMIX Automated
Compounder >> EXACTAMIX Compounder & ABACUS Software
NA NA
EXACATMIX Automated Compounder >> EXACTAMIX Inlets & Valvesets
H938724 Sterile EXACTAMIX 10 Yes Yes Yes
2400 Valve Set.
For use with
EXACTMIX 2400
Compounder only.
H938792 Sterile EXACTAMIX 10 Yes Yes Yes
1200 Valve Set.
For use with
EXACTAMIX 1200
Compounder only.
H938174 Automated 25 Yes Yes No
Compounding Device
Inlet. Vented,
High-Volume Inlet
for Non-Vented
Bottles.
H938176 Automated 25 Yes Yes No
Compounding Device
Inlet. Micro-
Volume Inlet with
Luer Lock End. For
use with Syringes.
H938175 Automated 25 Yes Yes No
Compounding Device
Inlet. Vented,
Micro-Volume inlet
for use with Small
Vials.
H938173 Automated 25 Yes Yes No
Compounding Device
Inlet. Non-Vented
High Volume Inlet
for Bags or Vented
Bottles.
H938751 Automated 25 Yes Yes No
Compounding Device
Inlet. Micro-
Volume Inlet with
Large Bore Spike.
Tissue-Guard Family of Surgical Patches >> Tissue-Guard Family of
Surgical Patches >> Vascu-Guard Vascular Repair Patch
VG0110 VASCU-GUARD 1 Yes Yes Yes
Vascular Repair
Patch 1x10 cm
VG0106 VASCU-GUARD 1 Yes Yes Yes
Vascular Repair
Patch 1x6 cm

Oct.02.2023 at 07:08:05 UTC Page # 135


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
VG0108 VASCU-GUARD 1 Yes Yes Yes
Vascular Repair
Patch 0.8x8 cm
VG0209 VASCU-GUARD 1 Yes Yes Yes
Vascular Repair
Patch 2x9 cm
Immunoglobulin >> GAMMAGARD S/D [Immune Globulin Intravenous (Human)],
IgA less than 1 g/mL in a 5% solution
NA NA
Hemodialysis >> Conentrates and Bicarbonate >> BiCart Dry Bicarbonate
Cartridge
114014 BiCart 1250G 6 Yes
109733 BiCart 720G 10 Yes
Irrigation Solutions >> Processing & Device Care Solutions
2B7207 0.9% Sodium 0338005047 4 Yes
Chloride
Processing
Solution, 3000 mL
VIAFLEX Plastic
Container
Liquid Premix >> Liquid Premix >> Milrinone Lactate Injections
2J0901 Milrinone Lactate 0338601137 10
in 5% Dextrose
Injection, 40
mg/200 mL (200
mcg/mL) INTRAVIA
Plastic Container.
Liquid Premix.
2J0900 Milrinone Lactate 0338601048 10
in 5% Dextrose
Injection, 20
mg/100 mL (200
mcg/mL) INTRAVIA
Plastic Container.
Liquid Premix.
CRRT Solutions >> PHOXILLUM Replacement Solution
114905 114905 - PHOXILLUM 2
BK4/2.5
Replacement
Solution for
Continuous Renal
Replacement
Therapy
114906 114906 - PHOXILLUM 2
B22K4/0
Replacement
Solution for
Continuous Renal
Replacement
Therapy
Needle Free Connectors & Catheter Extensions >> V-LINK
NA NA
Needle Free Connectors & Catheter Extensions >> Catheter Extension
Sets without Connector
NA NA
Sigma Spectrum V8 >> Sigma Spectrum V8 >> Batteries and Battery Parts
35727 Power Adaptor 1
Assembly
35727 Power Adaptor 1
Assembly
SIGMA Spectrum V6 >> SIGMA Spectrum V6 >> Preventative
Maintenance/Tubing Kits
Oct.02.2023 at 07:08:05 UTC Page # 136
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
NA NA
NA NA
Needle Free Connectors & Catheter Extension Sets >> Interlink
2N3341 Three-Lead 200 Yes Yes No
Catheter Extension
Set, Microbore,
INTERLINK
Injection Site,
5.8" (15 cm)
2N3371 Y-Type Catheter 200 Yes Yes No
Extension Set,
Microbore, 2
INTERLINK
Injection Site,
5.6" (14 cm)
2N3373 Connector Loop, 200 Yes Yes
INTERLINK
Injection Site,
6.0" (15 cm)
2N3374 Straight -Type 200 Yes Yes No
Catheter Extension
Set, Microbore,
INTERLINK
Injection Site,
7.6" (19 cm)
2N3375 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Standard
Bore, INTERLINK
Injection Site,
6.6" (17 cm)
2N3378 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Standard
Bore, INTERLINK
Injection Site,
7.3" (18 cm)
2N3379 INTERLINK 800 Yes Yes Yes
Injection Site,
Male Luer Lock
Adapter. 800
units/ carton
2N3376 Y-Type Catheter 200 Yes Yes No
Extension Set,
Standard Bore, 2
INTERLINK
Injection Sites,
5.6" (14 cm)
2N3399 INTERLINK 200 Yes Yes
Injection Site,
Male Luer Lock
Adapter. 200
units/ carton
Frozen Premix >> ZOSYN Injections
2G3582 ZOSYN 0338963201 24 Yes Yes Yes
(Piperacillin and
Tazobactam
Injection) in
GALAXY Container,
2.25g in 50mL,
Single-Dose
Plastic Container,
Frozen Premix

Oct.02.2023 at 07:08:05 UTC Page # 137


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2G3583 ZOSYN 0338963601 24 Yes Yes Yes
(Piperacillin and
Tazobactam
Injection) in
GALAXY Container,
3.375g in 50mL,
Single-Dose
Plastic Container,
Frozen Premix
2G3584 ZOSYN 0338963801 12 Yes Yes Yes
(Piperacillin and
Tazobactam
Injection) in
GALAXY Container,
4.5g in 100mL,
Single-Dose
Plastic Container,
Frozen Premix
Access >> Infusion Accessories >> Securement Devices
3200S GRIP-LOK Small 100 Yes
Universal
Securement Device
3300MWA GRIP-LOK Medium 100 Yes
Universal
Securement Device
with Wide Silicone
Adhesive Area
2N8200 Catheter 50 Yes
Stabilization
Device Kit,
Medium, with 2
Foam Tape Strips
2N8220 Straight-Type 50 Yes Yes
Catheter Extension
Set Kit, Standard
Bore, CLEARLINK
Luer Activated
Valve, Catheter
Stabilization,
7.6" (19 cm)
3300M GRIP-LOK Medium 1000 Yes
Universal
Securement Device
Parenteral Nutrition Solutions & Additives >> Dextrose & Sterile Water
for Injections
2B0307 Sterile Water for 0338001308 4
Injection, USP,
3000 mL VIAFLEX
Plastic Container.
Pharmacy Bulk
Package
2B0309 Sterile Water for 0338001329 2
Injection, USP,
5000 mL VIAFLEX
Plastic Container.
Pharmacy Bulk
Package
2B0296H 70% Dextrose 0338071906 6
Injection, USP in
2000 mL VIAFLEX
Plastic Container.
Pharmacy Bulk
Package, Not for
Direct Infusion

Oct.02.2023 at 07:08:05 UTC Page # 138


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B0306 Sterile Water for 0338001306 6 Yes
Injection, USP,
2000 mL VIAFLEX
Plastic Container.
Pharmacy Bulk
Package
EXACTAMED Oral Systems >> Sterile Pack Oral Dispensers
H93876101 Sterile EXACTAMED 100 Yes Yes Yes
Oral Dispenser
Clear 1 mL. Tip
Caps Not Included.
Sterile Pack.
Individually
Packaged
H93876105 Sterile EXACTAMED 100 Yes Yes Yes
Oral Dispenser
Clear 5 mL. Tip
Caps Not Included.
Sterile Pack.
Individually
Packaged
H93887103 Sterile EXACTAMED 100 Yes Yes Yes
Oral Dispenser
Amber 3 mL. Tip
Caps Not Included.
Sterile Pack
PD Sets and Disposables >> Caps
5C4456 FLEXICAP 30
Disconnect Cap
with Povidone-
Iodine Solution
5C4466P MiniCap Disconnect 60 Yes Yes Yes
Cap with Povidone-
Iodine
Infusion Accessories >> Chemo-Aide & Vial Adapters
2N9106 CHEMO-AIDE 50 Yes Yes Yes
Dispensing Pin
1C8433 Y-Type Spike 48 Yes
Adapter, Non-
Vented. 7.6" (19
cm)
2C6250 Dual Luer Lock Cap 504 Yes Yes Yes
Male/Female Port
Protector
2N3395 Universal Vial 240 Yes Yes Yes
Adapter, INTERLINK
System
CRRT Solutions >> PRISMASOL Replacement Solution, PVC
115647 PrismaSoL 1
Replacement
Solutions for
Continuous Renal
Replacement
Therapy, PVC
PRISMASOL
BGK4/3.52X5L
Dialyzers >> REVACLEAR Dialyzers
114745L REVACLEAR 300 24 Yes
Dialyzer
114746L REVACLEAR 400 24 Yes
Dialyzer
955543A REVACLEAR 500 24
Dialyzer
Surgical Tools >> Surgical Tools >> Vascular Probe Standard
Oct.02.2023 at 07:08:05 UTC Page # 139
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
7081015 VASCULAR PROBE, 5 Yes Yes
Standard, 8cm,
1.0-1.5mm
7081520 VASCULAR PROBE, 5 Yes
Standard, 8cm,
1.5-2.0mm
7082025 VASCULAR PROBE, 5 Yes
Standard, 8cm,
2.0-2.5mm
7151015 VASCULAR PROBE, 5 Yes
Standard, 15cm,
1.0-1.5mm
7151520 VASCULAR PROBE, 5 Yes
Standard, 15cm,
1.5-2.0mm
7152025 VASCULAR PROBE, 5 Yes
Standard, 15cm,
2.0-2.5mm
7451015 VASCULAR PROBE, 5 Yes Yes Yes
Standard, 45cm,
1.0-1.5mm
7451520 VASCULAR PROBE, 5 Yes Yes Yes
Standard, 45cm,
1.5-2.0mm
7452025 VASCULAR PROBE, 5 Yes
Standard, 45cm,
2.0-2.5mm
BioSurgery >> Veritas Collagen Matrix
RM0208BIO VERITAS Collagen 1 Yes
Matrix 2x8 cm
RM0304BIO VERITAS Collagen 1 Yes
Matrix 3x4 cm
RM0407BIO VERITAS Collagen 1 Yes
Matrix 4x7 cm
RM0416BIO VERITAS Collagen 1 Yes
Matrix 4x16 cm
RM0608BIO VERITAS Collagen 1 Yes
Matrix 6x8 cm
RM0618BIO VERITAS Collagen 1 Yes
Matrix 6x18 cm
RM0816BIO VERITAS Collagen 1 Yes
Matrix 8x16 cm
RM0818BIO VERITAS Collagen 1 Yes
Matrix 8x18 cm
RM1016BIO VERITAS Collagen 1 Yes
Matrix 10x16 cm
RM1212BIO VERITAS Collagen 1 Yes
Matrix 12x12 cm
RM1225BIO VERITAS Collagen 1 Yes
Matrix 12x25 cm
SIGMA Spectrum Infusion System Accessories >> Sigma Spectrum V8
NA NA
BioSurgery >> ADEPT Adhesion Reduction Solution
0600041 ADEPT® ADHESION 5 Yes
REDUCTION SOLUTION
[4% Icodextrin]
Frozen Premix >> Frozen Premix >> Ceftriaxone Injections

Oct.02.2023 at 07:08:05 UTC Page # 140


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2G3505 Ceftriaxone 0338500341 24
Injection, USP, 2
gram/50 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3504 Ceftriaxone 0338500241 24
Injection, USP, 1
gram/50 mL in
GALAXY Plastic
Container. Frozen
Premix.
IV Solutions >> Dextrose for Injection
2B0081 5% Dextrose 0338001711 96
Injection, USP, 50
mL VIAFLEX Plastic
Container, Quad
Pack (4
bags/overwrap)
2B0082 5% Dextrose 0338001718 96
Injection, USP,
100 mL VIAFLEX
Plastic Container,
Quad Pack (4
bags/overwrap)
2B0088 5% Dextrose 0338001731 96
Injection, USP, 50
mL VIAFLEX Plastic
Container, Multi
Pack (16
bags/overwrap)
2B0089 5% Dextrose 0338001738 96
Injection, USP,
100 mL VIAFLEX
Plastic Container,
Multi Pack (16
bags/overwrap)
2B0162Q 10% Dextrose 0338002302 36 Yes
Injection, USP,
250 mL VIAFLEX
Plastic Container
2B0163Q 10% Dextrose 0338002303 24 Yes No No
Injection, USP,
500 mL VIAFLEX
Plastic Container
2B0080 5% Dextrose 0338001710 48 No
Injection, USP, 25
mL VIAFLEX Plastic
Container Quad
Pack (4
bags/overwrap)
2B2103Q 5% Dextrose and 0338014303 24 Yes
Electrolyte No. 48
Injection
(Multiple
Electrolytes and
Dextrose
Injection, Type 1,
USP), 500 mL
VIAFLEX Plastic
Container
2B0164X 10% Dextrose 0338002304 14 Yes
Injection, USP,
1000 mL VIAFLEX
Plastic Container

Oct.02.2023 at 07:08:05 UTC Page # 141


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B0064X 5% Dextrose 0338001704 14 Yes No No
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B0062Q 5% Dextrose 0338001702 36 Yes
Injection, USP,
250 mL VIAFLEX
Plastic Container
2B0063Q 5% Dextrose 0338001703 24 Yes No No
Injection, USP,
500 mL VIAFLEX
Plastic Container
2B0086 5% Dextrose 0338001741 96
Injection, USP, 50
mL VIAFLEX Plastic
Container
2B0087 5% Dextrose 0338001748 96
Injection, USP,
100 mL VIAFLEX
Plastic Container
AHB0086A 5% Glucose 60 Yes No No
Intravenous
Infusion*, 50 mL
VIAFLEX Plastic
Container. Product
Imported from
Australia.
AHB0087 5% Glucose 48
Intravenous
Infusion*, 100 mL
VIAFLEX Plastic
Container. Product
Imported from
Australia.
ABB0086U 5% Dextrose in 0338952111 116
Water for
Injection, 50 mL
VIAFLEX Plastic
Container. Product
Imported from
Mexico.
ABB0087U 5% Dextrose in 0338952772 72
Water for
Injection, 100 mL
VIAFLEX Plastic
Container. Product
Imported from
Mexico.
FZB0087 5% Dextrose 0338952372 72
Injection, 100 mL
VIAFLEX Plastic
Container. Product
Imported from
Brazil.
UE0063D 5% Dextrose 0338006620 20 Yes Yes Yes
Injection, USP,
500 mL VIAFLO
Plastic Container
UE0064D 5% Dextrose 0338007010 10 Yes Yes Yes
Injection, USP,
1000 mL VIAFLO
Plastic Container
UE0062D 5% Dextrose 0338006230 30 Yes Yes Yes
Injection, USP,
250 mL VIAFLO
Plastic Container
Pulmonology >> ARALAST [Alpha<sub>1-Proteinase Inhibitor (Human)]

Oct.02.2023 at 07:08:05 UTC Page # 142


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
NA NA
Pharmacy Admixture Tools >> Pharmacy Accessories
H93864010 Tamper-Evident 100 Yes No
Luer Lock Tip Cap,
Red. 100/Case
H93864110 Tamper-Evident 1000 Yes No
Luer Lock Tip Cap,
Red. 1000/Case
2B8066 Additive Cap for 900 Yes Yes Yes
VIAFLEX Plastic
Containers
H93813501 Luer-to-Urethral 50 Yes No
Catheter Tip
Adapter
H93813601 Luer-to-Catheter 50 Yes No
Tip Adapter
H93867031 Catheter Syringe 25 Yes No
Tip Cap, Self-
Threading
1C8189 Transfer Set. Two 48 Yes
Male Luer Lock
Adapters. 37" (94
cm)
2N8395 Universal Vial 200 Yes Yes Yes
Adapter, CLEARLINK
Luer Activated
1C8624 Transfer Set. Two 48 Yes No No
Male Luer Lock
Adapters. 41" (104
cm)
2C6250 Dual Luer Lock Cap 504 Yes Yes Yes
Male/Female Port
Protector
2C0415 Solution Transfer 48 Yes No
Set. Non-Vented
Spike Connector
and Needle
Adaptor.
H93842000 Universal Bottle 100 Yes Yes Yes
Adapter. Fits
bottles with neck
openings of 13 m
to 22 mm. For use
with EXACTAMED
Oral Dispensers.
H93850300 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Tip Cap,
Blue
H93852300 Tamper Evident 100 Yes Yes Yes
Oral Dispenser
Cap, Three-Part
Plastic Cap for
ExactaMed Oral
Dispenser. Red
2C0426 Solution Transfer 48 Yes
Set. One Vented
Spike and One Non-
Vented Spike
Connectors.
H93847 EXACTAMED 50 Yes No
Dispensing Pin,
Sheathed Plastic
with 3 Micron
Filtered Vent

Oct.02.2023 at 07:08:05 UTC Page # 143


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H93849 Admix Dispensing 50 Yes No
Pin with 0.2
Micron Filtered
Vent (hydrophobic)
and Tethered Cap
H93830020 Tamper-Indicating 1000 Yes Yes
Foil Seal
H93842900 MARK-A-DOSE Label, 1000 Yes Yes
Clear Pressure
Sensitive Adhesive
Label
H93843050 Oral Label 2.25" x 1000 Yes Yes
0.875" (60 x 20
mm). Pre-printed
Pin-feed Labels
for Identification
of Oral
Medications
H93843055 Oral Label 2" x 1000
0.5" (50 x 15 mm).
Pre-printed Pin-
feed Labels for
Identification of
Oral Medications
H93865001 Luer Lock Tip Cap, 100 Yes No
Red, Packaged
Individually.
Sterile
H93867 EXACTAMIX Needle 50 Yes Yes
Port Adapter
Conentrates and Bicarbonate >> BiCart Dry Bicarbonate Cartridge
114014 BiCart 1250G 6 Yes
109733 BiCart 720G 10 Yes
PD Solutions >> DIANEAL Peritoneal Dialysis Solutions for CAPD
5B9775P DIANEAL Low 0941043051 8 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 1500 mL
5B9766 DIANEAL Low 0941042452 6 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 2000 mL
5B9795P DIANEAL Low 0941043351 8 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 1500 mL
5B9796 DIANEAL Low 0941043352 6 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 2000 mL

Oct.02.2023 at 07:08:05 UTC Page # 144


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
5B9858 DIANEAL PD-2 0941042755 4 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 3000 mL
5B9859 DIANEAL PD-2 0941042955 4 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 3000 mL
5B9868P DIANEAL PD-2 0941042653 5 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 2500 mL
5B9878P DIANEAL PD-2 0941042753 5 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 2500 mL
5B9896 DIANEAL PD-2 0941042952 6 Yes
Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 2000 mL
5B9757 DIANEAL Low 0941042455 4 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 3000 mL
5B9758 DIANEAL Low 0941043055 4 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 3000 mL
5B9768P DIANEAL Low 0941042453 5 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 2500 mL
5B9778P DIANEAL Low 0941043053 5 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 2500 mL
5B9798P DIANEAL Low 0941043353 5 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 2500 mL
Oct.02.2023 at 07:08:05 UTC Page # 145
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
5B9857 DIANEAL PD-2 0941042655 4 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 3000 mL
5B9866 DIANEAL PD-2 0941042652 6 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 2000 mL
5B9876 DIANEAL PD-2 0941042752 6 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 2000 mL
5B9759 DIANEAL Low 0941043355 4 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 3000 mL
5B9765P DIANEAL Low 0941042451 8 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 1500 mL
5B9898P DIANEAL PD-2 0941042953 5 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 2500 mL
5B9776 DIANEAL Low 0941043052 6 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 2000 mL
EXACTAMED Oral Systems >> EXACTAMED Pharmacy Pack, Amber
H9388503 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Amber 3
mL. Tip Cap
Included. Pharmacy
Pack
H9388501 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Amber 1
mL. Tip Cap
Included. Pharmacy
Pack
H9388510 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Amber 10
mL. Tip Cap
Included. Pharmacy
Pack

Oct.02.2023 at 07:08:05 UTC Page # 146


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H9388100 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Amber
0.5 mL. Tip Cap
Included. Pharmacy
Pack
H9388101 EXACTAMED Oral 100 Yes Yes
Dispenser Amber 1
mL. Tip Cap
Included. Pharmacy
Pack
H9388103 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Amber 3
mL. Tip Cap
Included. Pharmacy
Pack
H9388105 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Amber 5
mL. Tip Cap
Included. Pharmacy
Pack
H9388110 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Amber 10
mL. Tip Cap
Included. Pharmacy
Pack
H9388120 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Amber 20
mL. Tip Cap
Included. Pharmacy
Pack
H9388160 EXACTAMED Oral 25 Yes Yes Yes
Dispenser Amber 60
mL. Tip Cap
Included. Pharmacy
Pack
H9388500 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Amber
0.5 mL. Tip Cap
Included. Pharmacy
Pack
H9388505 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Amber 5
mL. Tip Cap
Included. Pharmacy
Pack
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> ROCURONIUM
BROMIDE Injection
RCM0050 ROCURONIUM BROMIDE 4306600710 10 Yes Yes Yes
Injection, 50 mg /
5 mL (10 mg / mL),
Multiple Dose Vial
RCM0100 ROCURONIUM BROMIDE 4306601310 10 Yes Yes Yes
injection, 100 mg
/10 mL (10 mg /
mL), Mulitple Dose
Vial
Pulmonology >> GLASSIA (Alpha1-Proteinase Inhibitor (Human)
NA NA
BioSurgery >> Coseal Surgical Sealant Accessories
934033 COSEAL Surgical 5 Yes No Yes
Sealant
Replacement
Applicator - 7 cm
934034 COSEAL Surgical 10 Yes No Yes
Sealant Extended
Applicator - 22 cm
Oct.02.2023 at 07:08:05 UTC Page # 147
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
0600021 COSEAL Surgical 10 Yes Yes No
Sealant Spray Set
for EASYSPRAY
IV Prep & Compounding >> Arisure Closed System Transfer Devices
NA NA
Immunoglobulin >> GAMMAGARD LIQUID [Immune Globulin Infusion (Human)]
10%
NA NA
Gravity Compounding Containers, Sets & Accessories >> Gravity
Compounding Containers, Sets & Accessories >> Handsealer & Clips
NA NA
NA NA
EXACTAMED Oral Systems >> EXACTAMED Oral Systems >> Sterile Pack Oral
Dispensers
H93876101 Sterile EXACTAMED 100 Yes Yes Yes
Oral Dispenser
Clear 1 mL. Tip
Caps Not Included.
Sterile Pack.
Individually
Packaged
H93876105 Sterile EXACTAMED 100 Yes Yes Yes
Oral Dispenser
Clear 5 mL. Tip
Caps Not Included.
Sterile Pack.
Individually
Packaged
H93887103 Sterile EXACTAMED 100 Yes Yes Yes
Oral Dispenser
Amber 3 mL. Tip
Caps Not Included.
Sterile Pack
Dialyzers >> POLYFLUX Dialyzers
103403 Polyflux 6H 16
Capillary Dialyzer
Filter
Infusion Accessories >> Infusion Accessories >> Chemo-Aide & Vial
Adapters
2N9106 CHEMO-AIDE 50 Yes Yes Yes
Dispensing Pin
1C8433 Y-Type Spike 48 Yes
Adapter, Non-
Vented. 7.6" (19
cm)
2C6250 Dual Luer Lock Cap 504 Yes Yes Yes
Male/Female Port
Protector
2N3395 Universal Vial 240 Yes Yes Yes
Adapter, INTERLINK
System
SIGMA Spectrum Infusion System Accessories >> SIGMA Spectrum V6 >>
Service Kits
42058 42058 - Power
Adaptor Kit
42058 42058 - Power
Adaptor Kit
Gravity Compounding Containers, Sets & Accessories >> Solution
Transfer Sets

Oct.02.2023 at 07:08:05 UTC Page # 148


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
1C8189 Transfer Set. Two 48 Yes
Male Luer Lock
Adapters. 37" (94
cm)
1C8624 Transfer Set. Two 48 Yes No No
Male Luer Lock
Adapters. 41" (104
cm)
2C0415 Solution Transfer 48 Yes No
Set. Non-Vented
Spike Connector
and Needle
Adaptor.
2C0426 Solution Transfer 48 Yes
Set. One Vented
Spike and One Non-
Vented Spike
Connectors.
2C0427 Solution Transfer 48
Set with Duovent
2C0430 Three Lead 48 Yes Yes No
Parenteral
Nutrition Transfer
Set
1C8189 Transfer Set. Two 48 Yes
Male Luer Lock
Adapters. 37" (94
cm)
1C8624 Transfer Set. Two 48 Yes No No
Male Luer Lock
Adapters. 41" (104
cm)
2C0430 Three Lead 48 Yes Yes No
Parenteral
Nutrition Transfer
Set
Liquid Premix >> Liquid Premix >> Famotidine Injection
2G3424 Famotidine 0338519741 48
Injection in
Sodium Chloride
Injection, 20mg/50
mL in GALAXY
Plastic Container.
Liquid Premix.
SIGMA Spectrum V6 >> SIGMA Spectrum V6 >> Accessories & Miscellaneous
NA NA
NA NA
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >>
Bendamustine Hydrochloride Injection
2395B0105 Bendamustine 1001907901 1 Yes Yes Yes
Hydrochloride
Injection, for
Intravenous Use,
100mg / 4mL (25mg
/ mL) Multiple-
Dose Vial
EXACTAMED Oral Systems >> Pharmacy Pack, Clear
H9387110 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Clear 10
mL. Tip Cap
Included. Pharmacy
Pack

Oct.02.2023 at 07:08:05 UTC Page # 149


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H9387120 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Clear 20
mL. Tip Cap
Included. Pharmacy
Pack
H9387160 EXACTAMED Oral 25 Yes Yes Yes
Dispenser Clear 60
mL. Tip Cap
Included. Pharmacy
Pack
H9387100 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Clear
0.5 mL. Tip Cap
Included. Pharmcy
Pack
H9387101 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Clear 1
mL. Tip Cap
Included. Pharmcy
Pack
H9387103 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Clear 3
mL. Tip Cap
Included. Pharmacy
Pack
H9387105 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Clear 5
mL. Tip Cap
Included. Pharmcy
Pack
H9387500 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Clear
0.5 mL. Tip Cap
Included. Pharmacy
Pack
H9387501 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Clear 1
mL. Tip Cap
Included. Pharmacy
Pack
H9387503 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Clear 3
mL. Tip Cap
Included. Pharmacy
Pack
H9387505 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Clear 5
mL. Tip Cap
Included. Pharmacy
Pack
H9387510 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Clear 10
mL. Tip Cap
Included. Pharmacy
Pack
BioSurgery >> Coseal Surgical Sealant
934070 COSEAL Surgical 1 Yes No
Sealant Kit - 2 mL
934071 COSEAL Surgical 1 Yes No
Sealant Kit - 4 mL
934072 COSEAL Surgical 1 Yes No
Sealant Kit - 8 mL
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> Flumazenil
Injection

Oct.02.2023 at 07:08:05 UTC Page # 150


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
AIN00213 Flumazenil 3600014810 10 Yes Yes
Injection, USP,
0.5 mg/5 mL (0.1
mg/mL), 5 mL
Multi-Dose Glass
Vial
AIN00212 Flumazenil 3600014910 10 Yes Yes
Injection, USP, 1
mg/10 mL (0.1
mg/mL) 10mL Multi-
Dose Glass Vial
EXACTAMED Oral Systems >> EXACTAMED Oral Systems >> Orderable - Ward
Pack, Clear
NA NA
IV Solutions >> IV Solutions >> Dextrose & Sodium Chloride for
Injection
2B1073Q 5% Dextrose and 0338008503 24
0.45% Sodium
Chloride
Injection, USP,
500 mL VIAFLEX
Plastic Container
2B1064X 5% Dextrose and 0338008904 14 Yes
0.9% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1074X 5% Dextrose and 0338008504 14 Yes
0.45% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1094X 5% Dextrose and 0338007704 14 Yes
0.2% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1024X 2.5% Dextrose and 0338007304 14 Yes
0.45% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
Liquid Premix >> Liquid Premix >> NEXTERONE (amiodarone HCl)
2G3451 NEXTERONE 4306615010 12 Yes
(amiodarone HCl)
Premixed Injection
150 mg/100 ml in
GALAXY Plastic
Container. Liquid
Premix.
2G3450 NEXTERONE 4306636020 10 Yes
(amiodarone HCI)
Premixed Injection
360 mg/200 mL in
GALAXY Plastic
Container. Liquid
Premix.
Infusion Accessories >> Infusion Accessories >> Manifolds
2C9282 Manifold, 3-Port 48 Yes Yes Yes
Check Valves, Male
Luer Lock Adapter

Oct.02.2023 at 07:08:05 UTC Page # 151


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C6204 Stopcock, 4-Way 50 Yes Yes Yes
Large Bore (lipid
resistant),
Rotating Male Luer
Lock Adapter
2C6217 Stopcock Manifold, 50 Yes Yes Yes
Two Gang 4-way
Large Bore (lipid
resistant),
Rotating Male Luer
Lock Adapter
2C6218 Stopcock Manifold, 50 Yes Yes Yes
Three Gang 4-way
Large Bore (lipid
resistant) with
Rotating Male Luer
Lock Adapter
PrisMax and Accesory Devices >> PrisMax Auto -Effluent Set Extension
Line
115485 PrisMax Auto 10
Effluent Set
Extension line
Parenteral Nutrition Solutions & Additives >> Gravity Compounding
Containers, Sets & Accessories
NA NA
Irrigation Solutions >> Irrigation Solutions >> TIS-U-SOL (Pentaluyte
Irrigation)
2F7144 TIS-U-SOL Solution 0338019004 12 Yes No No
(Pentalyte
Irrigation), 1000
mL Plastic Pour
Bottle
Tissue-Guard Family of Surgical Patches >> Tissue-Guard Family of
Surgical Patches >> Peri-Guard Pericardium Patch
PC0404NBIO PERI-GUARD 1 Yes
Pericardium Patch
4x4cm
PC0608NBIO PERI-GUARD 1 Yes
Pericardium Patch
6x8cm
PC0814NBIO PERI-GUARD 1 Yes
Pericardium Patch
8x14cm
PC1016NBIO PERI-GUARD 1 Yes Yes Yes
Pericardium Patch
10x16cm
PC1225NBIO PERI-GUARD 1 Yes
Pericardium Patch
12x25cm
IV Solutions >> Orderable - Injectable Solutions
NA NA
Pharmaceutical Injectables >> Orderable - Novaplus, Amerinet and
Premier
NA NA
Patient Connectology >> Patient Connectology >> Clamps
NA NA
Ampules, Vials and Tablets >> Palonosetron Hydrochloride Injection

Oct.02.2023 at 07:08:05 UTC Page # 152


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2319B0050 Palonosetron 3600032601 1 Yes Yes Yes
Hydrochloride
Injection, 0.25
mg/5 mL (0.05
mg/mL). Single-
dose Vial. (1 x 5
mL)
IV Solutions >> Dextrose & Sodium Chloride for Injection
2B1073Q 5% Dextrose and 0338008503 24
0.45% Sodium
Chloride
Injection, USP,
500 mL VIAFLEX
Plastic Container
2B1064X 5% Dextrose and 0338008904 14 Yes
0.9% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1074X 5% Dextrose and 0338008504 14 Yes
0.45% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1094X 5% Dextrose and 0338007704 14 Yes
0.2% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1024X 2.5% Dextrose and 0338007304 14 Yes
0.45% Sodium
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
SIGMA Spectrum V6 >> SIGMA Spectrum Infusion System Accessories >>
Sigma Spectrum V8
NA NA
Pharmacy Admixture Tools >> Pharmacy Admixture Tools >> Self Righting
Luer Lock Caps
H938693025 Self-Righting Luer 500 No No
Lock Tip Cap
(DISCPAC), Dark
Blue
H93869001 Self-Righting Luer 50 Yes No
Lock Tip Cap,
Green. Sterile
Package
H938690025 Self-Righting Luer 500 No No
Lock Tip Cap
(DISCPAC), Yellow
H93869025 Self-Righting Luer 500 No No
Lock Tip Cap
(DISCPAC), Green
H93869100 Self-Righting Luer 1000 Yes No
Lock Tip Cap
(DISCPAC), Green
EXACTAMED Oral Systems >> EXACTAMED Oral Systems >> Orderable Only -
KWIKVIAL
NA NA
Patient Connectology >> Transfer Set Adapters

Oct.02.2023 at 07:08:05 UTC Page # 153


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
NA NA
Liquid Premix >> Liquid Premix >> Dexmedetomidine Injections
2G3497 Dexmedetomidine 0338955712 12 Yes Yes Yes
Hydrochloride in
0.9% Sodium
Chloride injection
400 mcg/100 mL (4
mcg/mL) in Galaxy
Container. Liquid
Premix.
2G3496 Dexmedetomidine 0338955524 24 Yes Yes Yes
Hydrochloride in
0.9% Sodium
Chloride injection
200 mcg/50 mL (4
mcg/mL) in Galaxy
Container. Liquid
Premix.
Ampules, Vials and Tablets >> ROPIVACAINE HYDROCHLORIDE
4306601510 Ropivacaine 4306601501 10 Yes Yes Yes
Hydrochloride
Injection, USP,
(0.2%), 40 mg/20
mL (2 mg/mL)
single dose vial x
10
4306601910 Ropivacaine 4306601901 10 Yes Yes Yes
Hydrochloride
Injection, USP,
(0.5%), 100 mg/20
mL (5 mg/mL)
single dose vial x
10
4306602310 Ropivacaine 4306602301 10 Yes Yes Yes
Hydrochloride
Injection, USP,
(0.5%), 150 mg/30
mL (5 mg/mL)
single dose vial x
10
4306602710 Ropivacaine 4306602701 10 Yes Yes Yes
Hydrochloride
Injection, USP,
(1%), 200 mg/20 mL
(10 mg/mL) single
dose vial x 10
Surgical Tools >> Vascular Probe Standard
7081015 VASCULAR PROBE, 5 Yes Yes
Standard, 8cm,
1.0-1.5mm
7081520 VASCULAR PROBE, 5 Yes
Standard, 8cm,
1.5-2.0mm
7082025 VASCULAR PROBE, 5 Yes
Standard, 8cm,
2.0-2.5mm
7151015 VASCULAR PROBE, 5 Yes
Standard, 15cm,
1.0-1.5mm
7151520 VASCULAR PROBE, 5 Yes
Standard, 15cm,
1.5-2.0mm
7152025 VASCULAR PROBE, 5 Yes
Standard, 15cm,
2.0-2.5mm

Oct.02.2023 at 07:08:05 UTC Page # 154


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
7451015 VASCULAR PROBE, 5 Yes Yes Yes
Standard, 45cm,
1.0-1.5mm
7451520 VASCULAR PROBE, 5 Yes Yes Yes
Standard, 45cm,
1.5-2.0mm
7452025 VASCULAR PROBE, 5 Yes
Standard, 45cm,
2.0-2.5mm
IV & Irrigation Solutions & Drug Reconstitution >> Irrigation
Solutions >> Acetic Acid Irrigation
2F7184 0.25% Acetic Acid 0338065604 12 Yes
Irrigation, USP,
1000 mL Plastic
Pour Bottle
Frozen Premix >> Bivalirudin Injections
NA NA
Frozen Premix >> Ceftriaxone Injections
2G3505 Ceftriaxone 0338500341 24
Injection, USP, 2
gram/50 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3504 Ceftriaxone 0338500241 24
Injection, USP, 1
gram/50 mL in
GALAXY Plastic
Container. Frozen
Premix.
PrisMax and Accesory Devices >> TherMax Blood Warmer
955630 TherMax blood 1 Yes
warmer
Peritoneal Dialysis >> PD Sets and Disposables >> Transfer Sets
5C4449 MiniCap Extended 6 Yes No Yes
Life PD Transfer
Set (6") with
Roller Clamp
5C4482 MiniCap Extended 6 Yes No Yes
Life PD Transfer
Set (6") with
Twist Clamp
5C4483 MiniCap Extended 6 Yes No Yes
Life PD Transfer
Set (4") with
Twist Clamp-Extra
Short
5K4500 BETA-CAP Clamp 1
5C4169 Locking Cap for 25 Yes Yes Yes
Baxter PD Catheter
Adapter
5C4150C Transfer Set 20
Change Kit
Surgical Tools >> Flo-Rester® Internal Vessel Occluder-Coronary
50100 FLO-RESTER 5 Yes Yes Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 1.00mm
bulb diameter

Oct.02.2023 at 07:08:05 UTC Page # 155


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
50350 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 3.50mm
bulb diameter
50400 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 4.00mm
bulb diameter
50450BIOS FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 4.50mm
bulb diameter
50125 FLO-RESTER 5 Yes Yes Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 1.25mm
bulb diameter
50150 FLO-RESTER 5 Yes Yes Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 1.50mm
bulb diameter
50175 FLO-RESTER 5 Yes Yes Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 1.75mm
bulb diameter
50200 FLO-RESTER 5 Yes Yes Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 2.00mm
bulb diameter
50225 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 2.25mm
bulb diameter
50250 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 2.50mm
bulb diameter
50275 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 2.75mm
bulb diameter
Oct.02.2023 at 07:08:05 UTC Page # 156
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
50300 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 3.00mm
bulb diameter
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >>
ROPIVACAINE HYDROCHLORIDE
4306601510 Ropivacaine 4306601501 10 Yes Yes Yes
Hydrochloride
Injection, USP,
(0.2%), 40 mg/20
mL (2 mg/mL)
single dose vial x
10
4306601910 Ropivacaine 4306601901 10 Yes Yes Yes
Hydrochloride
Injection, USP,
(0.5%), 100 mg/20
mL (5 mg/mL)
single dose vial x
10
4306602310 Ropivacaine 4306602301 10 Yes Yes Yes
Hydrochloride
Injection, USP,
(0.5%), 150 mg/30
mL (5 mg/mL)
single dose vial x
10
4306602710 Ropivacaine 4306602701 10 Yes Yes Yes
Hydrochloride
Injection, USP,
(1%), 200 mg/20 mL
(10 mg/mL) single
dose vial x 10
EXACTAMIX Compounder & ABACUS Software >> EXACTAMIX Empty EVA
Containers
H938735 EXACTAMIX Empty 50 Yes Yes Yes
Calibration Bag,
1000 mL
H938737 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 250 mL. For
use with EXACTAMIX
Compounder.
H938738 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 500 mL. For
use with EXACTAMIX
Compounder.
H938739 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 1000 mL. For
use with EXACTAMIX
Compounder.
H938740 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 2000 mL. For
use with EXACTAMIX
Compounder.

Oct.02.2023 at 07:08:05 UTC Page # 157


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H938741 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 3000 mL. For
use with EXACTAMIX
Compounder.
H938901 EVA Dual Chamber 42 Yes Yes No
Empty Container,
1500 mL Total
Capacity
H938905 EVA Dual Chamber 42 Yes Yes No
Empty Container,
3000 mL Total
Capacity
H938743 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 5000 mL. For
use with EXACTAMIX
Compounder.
H938742 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 4000 mL. For
use with EXACTAMIX
Compounder.
E3002OD EVA BAG, 50
EXACTAMIX, 250ML
E3005OD EVA BAG, EXACTMIX, 50
500ML
E3010OD EVA BAG, 50
EXACTAMIX, 1000ML
E3020OD EVA BAG, 30
EXACTAMIX, 2000ML
E3030OD EVA BAG, 30
EXACTAMIX, 3000ML
E3040OD EVA BAG, 30
EXACTAMIX, 4000 ML
SIGMA Spectrum V6 >> Accessories & Miscellaneous
NA NA
Pharmaceutical Injectables >> Ampules, Vials and Tablets >> IFEX and
Ifosfamide Injection
0338399101 IFEX (Ifosfamide 0338399101 1 Yes
for Injection,
USP) 1 gm Single
Dose Vial
0338399301 IFEX (Ifosfamide 0338399301 1 Yes
for Injection,
USP) 3 gm Single
Dose Vial
1001992501 Ifosfamide for 1001992501 1 Yes
Injection 1 gram
Single-Dose Vial
PrisMax and Accesory Devices >> TherMax Blood Warmer Pouch Accesory
955516 TherMax blood 24 Yes
warmer pouch
accesory
Accessories >> Battery
36010 A/B/G/N Battery
Tissue-Guard Family of Surgical Patches >> Tissue-Guard Family of
Surgical Patches >> Vascu-Guard Peripheral Vascular Patch

Oct.02.2023 at 07:08:05 UTC Page # 158


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
VG0209N VASCU-GUARD 1 Yes Yes Yes
Peripheral
Vascular Patch
2x9cm
VG0106N VASCU-GUARD 1 Yes Yes Yes
Peripheral
Vascular Patch
1x6cm
VG0108N VASCU-GUARD 1 Yes Yes Yes
Peripheral
Vascular Patch
0.8x8cm
VG0110N VASCU-GUARD 1 Yes Yes Yes
Peripheral
Vascular Patch
1x10cm
Infusion Systems >> Spectrum IQ Infusion System >> Spectrum IQ
Infusion Pump
3570009 Spectrum IQ 1 Yes
Infusion System
with Dose IQ
Safety Software
35723V090 Dose IQ Safety
Software
3570009D Spectrum IQ Demo
Enteral & Oral Syringes >> EXACTAMED Oral Systems >> Pharmacy Pack,
Clear
H9387110 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Clear 10
mL. Tip Cap
Included. Pharmacy
Pack
H9387120 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Clear 20
mL. Tip Cap
Included. Pharmacy
Pack
H9387160 EXACTAMED Oral 25 Yes Yes Yes
Dispenser Clear 60
mL. Tip Cap
Included. Pharmacy
Pack
H9387100 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Clear
0.5 mL. Tip Cap
Included. Pharmcy
Pack
H9387101 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Clear 1
mL. Tip Cap
Included. Pharmcy
Pack
H9387103 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Clear 3
mL. Tip Cap
Included. Pharmacy
Pack
H9387105 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Clear 5
mL. Tip Cap
Included. Pharmcy
Pack

Oct.02.2023 at 07:08:05 UTC Page # 159


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H9387500 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Clear
0.5 mL. Tip Cap
Included. Pharmacy
Pack
H9387501 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Clear 1
mL. Tip Cap
Included. Pharmacy
Pack
H9387503 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Clear 3
mL. Tip Cap
Included. Pharmacy
Pack
H9387505 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Clear 5
mL. Tip Cap
Included. Pharmacy
Pack
H9387510 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Clear 10
mL. Tip Cap
Included. Pharmacy
Pack
BioSurgery >> Seprafilm Adhesion Barrier
430102 Seprafilm Adhesion 5846843012 10 Yes Yes
Barrier
664201 Seprafilm Small 5846866421 10 Yes Yes
Incision
664101 Seprafilm Single 5846866411 5 Yes Yes
Site
638001 Seprafilm 4- 10 Yes Yes
Section
508602 Seprafilm 5846850862 5 Yes Yes
Procedure Pack
Ampules, Vials and Tablets >> Fosaprepitant Powder for Injection
SP0150 Fosaprepitant 0338000801 1 Yes Yes Yes
Powder for
Injection,
lyophilized powder
for
reconstitution,
150 mg single-dose
vial
Liquid Premix >> Gentamicin Injections
2B0851 Gentamicin Sulfate 0338050741 24
in 0.9% Sodium
Chloride
Injection, 60
mg/50 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
2B0852 Gentamicin Sulfate 0338050941 24
in 0.9% Sodium
Chloride
Injection, 80
mg/50 mL in
VIAFLEX Plastic
Container. Liquid
Premix.

Oct.02.2023 at 07:08:05 UTC Page # 160


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B0853 Gentamicin Sulfate 0338051141 24
in 0.9% Sodium
Chloride
Injection, 100
mg/50 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
2B0862 Gentamicin Sulfate 0338050348 24
in 0.9% Sodium
Chloride
Injection,
80mg/100 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
2B0863 Gentamicin Sulfate 0338050548 24
in 0.9% Sodium
Chloride
Injection, 100
mg/100 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
2B0864 Gentamicin Sulfate 0338050748 24
in 0.9% Sodium
Chloride
Injection, 120
mg/100 mL in
VIAFLEX Plastic
Container. Liquid
Premix.
BioSurgery >> RECOTHROM Topical Thrombin
ADS201801 RECOTHROM 5,000 IU 0338032401 1 Yes Yes
VIAL
ADS201804 RECOTHROM 20,000 0338033001 1 Yes Yes
IU and Spray Kit
ADS201802 RECOTHROM SPRAY 1 Yes Yes
APPLICATOR KIT
ADS201803 RECOTHROM 20,000 0338032801 1 Yes Yes
IU Vial
Sigma Spectrum V8 >> Service Kits
42058 42058 - Power
Adaptor Kit
Surgical Tools >> Surgical Tools >> LapAssist® DCS Dilating and
Closure System
NA NA
IV Solutions >> Lactated Ringer's & Ringer's for Injection
2B2323Q Lactated Ringer's 0338011703 24 Yes
Injection, USP,
500 mL VIAFLEX
Plastic Container
2B2324X Lactated Ringer's 0338011704 14 Yes
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B2074X Lactated Ringer's 0338012504 14 Yes
and 5% Dextrose
Injection, USP,
1000 mL VIAFLEX
Plastic Container
SIGMA Spectrum V6 >> Service Kits
42058 42058 - Power
Adaptor Kit

Oct.02.2023 at 07:08:05 UTC Page # 161


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
SIGMA Spectrum V6 >> IV Poles
8HOOK247 8 Hook Rake Top 1 Yes Yes
replacement
options for
existing 4 Hook
Pigtail Top
2M3006 IV POLE CLAMP, 1
SPEED KNOBFAST - 5
THREADS PER INCH
2M0815 4 Pump Horizontal 1
Carrier w/handle
2M0814 3 Pump Horizontal 1
Carrier w/handle
2M0809 Triple IV Pole, 6 1
Legs
2M0807 Single IV Pole 1
(lightweight) w/4
Hook Rake Top
2M0808 Single IV Pole 1
(heavyweight) w/8
Hook Rake Top
Ampules, Vials and Tablets >> Bortezomib for Injection
2347B0016 Bortezomib for 1001999101 1 Yes Yes
Injection,
lyophilized powder
for
reconstitution,
3.5mg single-dose
vial
Infusion Accessories >> Add-on Filters and Valves
2N3364 Anti-Siphon Valve 50
2N3365 Back Check Valve 50
2N3368 Air-Eliminating 50
1.2 Micron
Solution Filter
Actifuse Bone Graft Substitute >> ACTIFUSE Bone Graft Substitute MIS
506005078070 ACTIFUSE Bone 1 Yes
Graft Substitute
MIS, KIT 7.5 mL
506005078072 ACTIFUSE Bone 1 Yes
Graft Substitute
MIS, REFILL
CARTRIDGE 7.5 mL
Liquid Premix >> Heparin Sodium and 0.9% Sodium Chloride Injections
2B0944 Heparin Sodium in 0338043304 12
0.9% Sodium
Chloride
Injection, 2,000
USP units/1000 mL
in VIAFLEX Plastic
Container. Liquid
Premix.
AHB0953U Heparin Sodium and 0338042418 18 Yes No No
0.9% Sodium
Chloride
Injection, 1,000
units/ 500 mL(2
units / mL) in
VIAFLEX Plastic
Container
Enteral & Oral Syringes >> ENFIT Enteral Syringes & Accessories

Oct.02.2023 at 07:08:05 UTC Page # 162


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H93899112 Enteral Syringe 500 Yes
with ENFit
Connector 12 mL,
Clear with orange
plunger
H93899106 Enteral Syringe 500 Yes
with ENFit
Connector 6 mL,
Clear with orange
plunger
H9386109EN Pharmacy Bottle 25 Yes Yes Yes
Cap, Size I, 38
mm. Purple. ENFit
Syringe Compatible
H9386105EN Pharmacy Bottle 25 Yes Yes Yes
Cap, Size E, 28
mm. Purple. ENFit
Syringe Compatible
H9386104EN Pharmacy Bottle 25 Yes Yes Yes
Cap, Size D, 24
mm. Purple. ENFit
Syringe Compatible
H93899101 Enteral Syringe 500 Yes Yes Yes
with ENFit
Connector 1 mL,
Clear with orange
plunger
H93899005 Enteral Syringe 500 Yes Yes Yes
with ENFit
Connector 0.5 mL,
Clear with orange
plunger
H9386103EN Pharmacy Bottle 25 Yes Yes Yes
Cap, Size C, 22
mm. Purple. ENFit
Syringe Compatible
H9386102EN Pharmacy Bottle 25 Yes Yes Yes
Cap, Size B, 20
mm. Purple. ENFit
Syringe Compatible
H93853305 Tip Cap. ENFit 600 Yes Yes Yes
Syringe Compatible
H93899160 Enteral Syringe 200 Yes
with ENFit
Connector 60 mL,
Clear with orange
plunger
H93899120 Enteral Syringe 200 Yes
with ENFit
Connector 20 mL,
Clear with orange
plunger
H93899103 Enteral Syringe 500 Yes Yes Yes
with ENFit
Connector 3 mL,
Clear with orange
plunger
H93842907EN Enteral ENFit 30 Yes Yes Yes
Transition
Connector with cap
for medication
port. Non-Sterile
Package.
H93853310 EnFit Tamper 100 Yes
Evident Cap for
use with ENFit®
Syringes

Oct.02.2023 at 07:08:05 UTC Page # 163


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
Infusion Accessories & Chemo-Aide >> Securement
NA NA
Ampules, Vials and Tablets >> Pemetrexed Injection
2335B0115 Pemetrexed for 0338072001 1
Injection USP,
Lyophilized Powder
for
Reconstitution,
100mg Single-Dose
Vial
2335B0515 Pemetrexed for 0338072201 1
Injection USP,
Lyophilized Powder
for
Reconstitution,
500mg Single-Dose
Vial
IV Prep & Compounding >> Pharmacy Workflow Management Software
H938DELICENS DoseEdge Pharmacy
E1 Workflow Manager
Liquid Premix >> Famotidine Injection
2G3424 Famotidine 0338519741 48
Injection in
Sodium Chloride
Injection, 20mg/50
mL in GALAXY
Plastic Container.
Liquid Premix.
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >>
Cyclophosphamide Tablets
2638B6200 Cyclophosphamide 1001998201 100
Tablets, USP 25 mg
tablets x 100
tablets/bottle,
NDC 10019-982-01
2638B6201 Cyclophosphamide 1001998401 100
Tablets, USP 50 mg
tablets x 100
tablets/bottle,
NDC 10019-984-01
Ampules, Vials and Tablets >> Furosemide Injection
AIN00221 Furosemide 3600028325 25
Injection, USP, 10
mg/mL 4 mL Single
Dose Glass Vial
(25 x 4 mL)
AIN00218 Furosemide 3600028225 25
Injection, USP, 10
mg/mL 2 mL Single
Dose Glass Vial
(25 x 2 mL)
AIN00214 Furosemide 3600028425 25
Injection, USP, 10
mg/mL 10 mL Single
Dose Glass Vial
(25 x 10 mL)
Liquid Premix >> Liquid Premix >> CLEOCIN PHOSPHATE Injections
NA NA
Patient Connectology >> Transfer Sets
NA NA
Needle Free Connectors & Catheter Extension Sets >> V-LINK
NA NA

Oct.02.2023 at 07:08:05 UTC Page # 164


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
EXACATMIX Automated Compounder >> EXACATMIX Automated Compounder >>
EXACTAMIX Accessories
H938711006 EXACTAMIX Large 50 Yes No
Bore Cap, External
Thread
H93884 Sterile Tube Set- 50 Yes Yes Yes
to-Bag Adapter,
Internal Thread
H938711008 EXACTAMIX Large 50 Yes
Bore Cap, Internal
Thread
H938735 EXACTAMIX Empty 50 Yes Yes Yes
Calibration Bag,
1000 mL
H9384858 Tamper-Resistent 100 Yes No
Add-Port Cap, Red
plastic hinged
cap, sealed on one
end
H93867 EXACTAMIX Needle 50 Yes Yes
Port Adapter
Liquid Premix >> Liquid Premix >> Lidocaine Injections
2B0973 Lidocaine 0338040903 18
Hydrochloride in
5% Dextrose
Injection, USP, 2
grams/500 mL (4
mg/mL) in VIAFLEX
Plastic Container.
Liquid Premix.
2B0962 Lidocaine 0338041102 24
Hydrochloride in
5% Dextrose
Injection, USP, 2
gram/250 mL (8
mg/mL) in VIAFLEX
Plastic Container.
Liquid Premix.
Spectrum IQ Infusion System >> Accessories >> Battery
36010 A/B/G/N Battery
36010 A/B/G/N Battery
IV & Irrigation Solutions & Drug Reconstitution >> IV Solutions >>
Dextrose for Injection
2B0081 5% Dextrose 0338001711 96
Injection, USP, 50
mL VIAFLEX Plastic
Container, Quad
Pack (4
bags/overwrap)
2B0082 5% Dextrose 0338001718 96
Injection, USP,
100 mL VIAFLEX
Plastic Container,
Quad Pack (4
bags/overwrap)
2B0088 5% Dextrose 0338001731 96
Injection, USP, 50
mL VIAFLEX Plastic
Container, Multi
Pack (16
bags/overwrap)

Oct.02.2023 at 07:08:05 UTC Page # 165


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B0089 5% Dextrose 0338001738 96
Injection, USP,
100 mL VIAFLEX
Plastic Container,
Multi Pack (16
bags/overwrap)
2B0162Q 10% Dextrose 0338002302 36 Yes
Injection, USP,
250 mL VIAFLEX
Plastic Container
2B0163Q 10% Dextrose 0338002303 24 Yes No No
Injection, USP,
500 mL VIAFLEX
Plastic Container
2B0080 5% Dextrose 0338001710 48 No
Injection, USP, 25
mL VIAFLEX Plastic
Container Quad
Pack (4
bags/overwrap)
2B2103Q 5% Dextrose and 0338014303 24 Yes
Electrolyte No. 48
Injection
(Multiple
Electrolytes and
Dextrose
Injection, Type 1,
USP), 500 mL
VIAFLEX Plastic
Container
2B0164X 10% Dextrose 0338002304 14 Yes
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B0064X 5% Dextrose 0338001704 14 Yes No No
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B0062Q 5% Dextrose 0338001702 36 Yes
Injection, USP,
250 mL VIAFLEX
Plastic Container
2B0063Q 5% Dextrose 0338001703 24 Yes No No
Injection, USP,
500 mL VIAFLEX
Plastic Container
2B0086 5% Dextrose 0338001741 96
Injection, USP, 50
mL VIAFLEX Plastic
Container
2B0087 5% Dextrose 0338001748 96
Injection, USP,
100 mL VIAFLEX
Plastic Container
AHB0086A 5% Glucose 60 Yes No No
Intravenous
Infusion*, 50 mL
VIAFLEX Plastic
Container. Product
Imported from
Australia.
AHB0087 5% Glucose 48
Intravenous
Infusion*, 100 mL
VIAFLEX Plastic
Container. Product
Imported from
Australia.

Oct.02.2023 at 07:08:05 UTC Page # 166


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
ABB0086U 5% Dextrose in 0338952111 116
Water for
Injection, 50 mL
VIAFLEX Plastic
Container. Product
Imported from
Mexico.
ABB0087U 5% Dextrose in 0338952772 72
Water for
Injection, 100 mL
VIAFLEX Plastic
Container. Product
Imported from
Mexico.
FZB0087 5% Dextrose 0338952372 72
Injection, 100 mL
VIAFLEX Plastic
Container. Product
Imported from
Brazil.
UE0063D 5% Dextrose 0338006620 20 Yes Yes Yes
Injection, USP,
500 mL VIAFLO
Plastic Container
UE0064D 5% Dextrose 0338007010 10 Yes Yes Yes
Injection, USP,
1000 mL VIAFLO
Plastic Container
UE0062D 5% Dextrose 0338006230 30 Yes Yes Yes
Injection, USP,
250 mL VIAFLO
Plastic Container
Pharmacy Admixture Tools >> Pharmacy Admixture Tools >> RAPIDFILL
Connectors
H93813901 RAPIDFILL 50 Yes Yes Yes
Connectors, Luer
Lock-to-Luer Lock,
Red
H93813915 RAPIDFILL 50 Yes Yes Yes
Connectors, Luer
Lock-to-Luer Lock,
Red, with Cap
H93842701 RAPIDFILL 50 Yes Yes Yes
Connector, Luer
Lock-to-Oral Slip,
Clear. Connect
EXACTAMED Oral
Dispensers to luer
fitting devices.
H93842703 RAPIDFILL 50 Yes Yes Yes
Connector, Luer
Lock-to-Oral Slip,
Clear. Connect
EXACTAMED Oral
Dispensers to luer
fitting devices.
Sterile
H93813701 RAPIDFILL 50 Yes Yes Yes
Connectors, Luer
Lock-to-Luer Slip,
Blue
IV Prep & Compounding >> EXACTAMIX Compounder & ABACUS Software >>
EXACTAMIX Empty EVA Containers
H938735 EXACTAMIX Empty 50 Yes Yes Yes
Calibration Bag,
1000 mL

Oct.02.2023 at 07:08:05 UTC Page # 167


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H938737 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 250 mL. For
use with EXACTAMIX
Compounder.
H938738 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 500 mL. For
use with EXACTAMIX
Compounder.
H938739 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 1000 mL. For
use with EXACTAMIX
Compounder.
H938740 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 2000 mL. For
use with EXACTAMIX
Compounder.
H938741 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 3000 mL. For
use with EXACTAMIX
Compounder.
H938901 EVA Dual Chamber 42 Yes Yes No
Empty Container,
1500 mL Total
Capacity
H938905 EVA Dual Chamber 42 Yes Yes No
Empty Container,
3000 mL Total
Capacity
H938743 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 5000 mL. For
use with EXACTAMIX
Compounder.
H938742 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 4000 mL. For
use with EXACTAMIX
Compounder.
E3002OD EVA BAG, 50
EXACTAMIX, 250ML
E3005OD EVA BAG, EXACTMIX, 50
500ML
E3010OD EVA BAG, 50
EXACTAMIX, 1000ML
E3020OD EVA BAG, 30
EXACTAMIX, 2000ML
E3030OD EVA BAG, 30
EXACTAMIX, 3000ML
E3040OD EVA BAG, 30
EXACTAMIX, 4000 ML
Sigma Spectrum V8 >> Sigma Spectrum V8 >> Service Kits
42058 42058 - Power
Adaptor Kit

Oct.02.2023 at 07:08:05 UTC Page # 168


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
42058 42058 - Power
Adaptor Kit
PD Ancillaries >> PREPS/Cleansers
5K4066 EXSEPT PLUS Skin 6404415017 1
Antiseptic, 500 mL
5K4005 ALCAVIS 50, High 1
Level
Disinfectant, 500
mL.
5K4070M Liquid Soap 1
Antimicrobial, 16
oz with pump
5K7444M MEDLINE Disposable 25
Underpad
5K8070M MEDLINE Isolation 50
Face Masks with
Earloops
5K7779M CURAD Nitrile Exam 150
Gloves, Large
5K7778M CURAD Nitrile Exam 150
Gloves, Medium
5K4076M Hand Sanitizer 1
Gel, 4 ounces (118
mL)
Liquid Premix >> Dexmedetomidine Injections
2G3497 Dexmedetomidine 0338955712 12 Yes Yes Yes
Hydrochloride in
0.9% Sodium
Chloride injection
400 mcg/100 mL (4
mcg/mL) in Galaxy
Container. Liquid
Premix.
2G3496 Dexmedetomidine 0338955524 24 Yes Yes Yes
Hydrochloride in
0.9% Sodium
Chloride injection
200 mcg/50 mL (4
mcg/mL) in Galaxy
Container. Liquid
Premix.
Frozen Premix >> Frozen Premix >> Cefepime Injections
2G3578 Cefepime Injection 0338130141 24
1 gram/50 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3579 Cefepime Injection 0338130148 12
2 gram/100 mL in
GALAXY Plastic
Container. Frozen
Premix.
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >>
OXALIPLATIN injection
1001992701 OXALIPLATIN 4306601401 1
injection, USP 50
mg/ 10 mL Single-
use Vial
1001992702 OXALIPLATIN 4306601801 1
injection, USP 100
mg/ 20 mL Single-
use Vial
Acute Therapies >> PRISMAFLEX & Accessory Devices

Oct.02.2023 at 07:08:05 UTC Page # 169


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
PF2300NA Prismaflow IIS 1
Blood Warmer -
115VAC with High
Flow Heating
Sleeve
PF2WP31 PRISMAFLO IIS Low 1
Flow Heating
Sleeve Replacement
PF2WP33 PRISMAFLO IIS HIGH 1
Flow Heating
Sleeve Replacement
0590825200 PRISMAFLO II(S) 2
HOOKS Blood Warmer
Heating Sleeve
109822 PRISMATHERM II 1 No
Coil-Design Blood
Warmer - 110VAC
107620 PRISMATHERM II 36 Yes No
Extension Line.
For use with the
PRISMATHERM II
Blood Warmer
955792 Prismaflex 7.21 1
Control Unit
Liquid Premix >> Liquid Premix >> Foscarnet Sodium Injection
GLFOS6000BUS Foscarnet Sodium 4306608910 10 Yes Yes Yes
Injection, 6,000
mg / 250 mL (24 mg
/ mL) Single-Dose
Infusion Bag,
Liquid Premix
Administration Sets >> Administration Sets >> Primary Sets
NA NA
2C8931 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 2
CLEARLINK Luer
Activated Valves.
Plus 3 Port
Manifold with
Check Valves and
4-Way Stopcock
Extension Set, 2
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
10 drops/mL. 40"
(101 cm)
2C6424 Solution Set, Non- 48 Yes No No
Vented, 2
INTERLINK
Injection Sites.
60 drops/mL. 93"
(2.4 m)
1C8109 Solution Set, Non- 48 Yes No No
Vented with Male
Luer Lock Adpater.
10 drops/mL. 101"
(2.6 m)
1C8160 Solution Set, Non- 48 Yes No No
Vented with Male
Luer Lock Adapter.
10 drops/mL. 69"
(1.7 m). Sterile
package

Oct.02.2023 at 07:08:05 UTC Page # 170


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
1C8722 CONTINU-FLO 48 Yes No
Solution Set, Non-
Vented, 5
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
10 drops/mL.
133.5". Sterile
Package
2H6401 Solution Set, Non- 48 Yes Yes No
Vented, INTERLINK
Injection Site. 10
drops/mL. 76" (1.9
m). Non-DEHP
3C0062 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 2
INTERLINK
Injection Sites,
Backcheck Valve.
Plus Stopcock
Extension Set with
2 INTERLINK
Injection Sites.
10 drops/mL
3C0105 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 2
Injection Site
INTERLINK System,
Backcheck Valve.
Plus Large Bore
Stopcock with
Rorating Collar
with Male Luer
Lock. 10 drops/mL.
Approximatelly
Total Lenght
131.5"
3C0134 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 2
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
Plus Stopcock
Manifold. Plus
Extension Set with
1 CLEARLINK Luer
Activated Valve.
Approximate Total
Lenght 124"
2H6519 CONTINU-FLO 48 Yes Yes No
Solution Set, Non-
Vented, 2
INTERLINK
Injection Sites,
Backcheck Valve.
10 drops/mL. 105"
(2.7 m). Non-DEHP

Oct.02.2023 at 07:08:05 UTC Page # 171


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C6254 CONTINU-FLO 48 Yes No
Solution Set, Non-
Vented, 2
CLEARLINK Luer
Activated Valves,
Backcheck Valve
plus Stopcock
Manifold and 1
CLEARLINK Luer
Activated Valves
Extension Set.
Approx. 10
drops/mL
2C6255 CONTINU-FLO 48 Yes No
Solution Set, Non-
Vented, 2
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
Plus 4-Way
Stopcock Extension
Set with 2
CLEARLINK Luer
Activated Valve
2C8401 Solution Set, Non- 48 Yes No No
Vented, CLEARLINK
Luer Activated
Valve. 10
drops/mL. 76" (1.9
m)
2C8419 Solution Set, DUO- 48 Yes
VENT, CLEARLINK
Luer Activated
Valve. 10
drops/mL. 92" (2.3
m)
2C8515 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, CLEARLINK
Luer Activated
Valve, Backcheck
Valve. 10
drops/mL. 106"
(2.7 m)
2C8519 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 2
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
10 drops/mL. 112"
(2.8 m)
2C8537 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 3
CLEARLINK Luer
Activated Valves,
Backcheck Valve,
Retractable
Collar., 10
drops/mL, 120"
(3.0 m)
1C8507 Solution Set, DUO- 48 Yes
VENT and Male Luer
Lock Adapter. 10
drops/ mL.109"
(2.8 m). Sterile
Package

Oct.02.2023 at 07:08:05 UTC Page # 172


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
1C8581 Y-Type Solution 48 Yes
Set, Non-Vented, 2
Injection Site
INTERLINK System.
10 drops/mL. 79"
(2.0 m). Sterile
Package
1C8614 Solution Set, Non- 48 Yes
Vented and Male
Luer Lock Adapter.
60 drops/mL. 37"
(94 cm). Sterile
Package
1C8627 Solution Set, Non- 48 Yes
Vented and Male
Luer Lock Adapter.
10 drops/mL. 17"
(43 cm). Sterile
Package
1C8296 Solution Set, Non- 48 Yes No No
Vented and Male
Luer Lock Adapter.
10 drops/mL. 125"
(3.2 m). Sterile
Package
2C6895 CONTINU-FLO 48 Yes No
Solution Set with
CONTROL-A-FLO
Regulator and 2
INTERLINK
injection sites 6"
and 76" from male
Luer lock adapter.
10 drops/mL. 96"
(2.4 m)
2C6931 CONTINU-FLO 48 Yes No
Solution Set, Non-
Vented, 2
INTERLINK
Injection Sites.
Plus Manifold and
4-Way Stopcock
Extension Set with
2 INTERLINK
Injection Sites
2C6401 Solution Set, Non- 48 Yes No No
Vented, INTERLINK
Injection Site. 10
drops/mL. 76" (1.9
m)
2C6402 Solution Set, Non- 48 Yes No No
Vented, INTERLINK
Injection Site. 60
drops/mL. 76" (1.9
m)
2C6419 Solution Set, DUO- 48 Yes No No
VENT, INTERLINK
Injection Site. 10
drops/mL. 92" (2.3
m)
2C6425 Solution Set, Non- 48 Yes No No
Vented, 2
INTERLINK
Injection Sites.
10 drops/mL. 101"
(2.6 m)

Oct.02.2023 at 07:08:05 UTC Page # 173


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C6511 CONTINU-FLO 48 Yes No
Solution Set, Non-
Vented, 2
INTERLINK
Injection Sites.
Plus 4-Way
Stopcock Manifold
Extension Set
with INTERLINK
Injection Site
2C6537 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 3
INTERLINK
Injection Sites,
Backcheck Valve.
10 drops/mL. 110"
(2.8 m)
2C6541 CONTINU-FLO 48 Yes No No
Solution Set, DUO-
VENT, 3 INTERLINK
Injection Sites,
Backcheck Valve.
10 drops/mL. 106"
(2.7 m)
2C6546 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 3
INTERLINK
Injection Sites,
Backcheck Valve.
60 drops/mL. 106"
(2.7 m)
2C6571 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 0.2 Micron
Filter, 2
INTERLINK
Injection Sites,
Backcheck Valve.
10 drops/mL. 105"
(2.7 m)
1M8463 SUB-Q-SET 30 Yes No No
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
2C1146 IV Fat Emulsion 48 Yes
Administration
Set, Non-Vented.
60 drops/mL. 86"
(2.2 m). Non-DEHP
2C8895 CONTINU-FLO 48 Yes
Solution Set with
CONTROL-A-FLO
Regulator and 2
CLEARLINK Luer
Activated Valves,
Backcheck Valve,
Male Luer Lock
Adapter. 10
drops/mL. 96" (2.4
m)

Oct.02.2023 at 07:08:05 UTC Page # 174


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C8541 CONTINU-FLO 48 Yes No No
Solution Set, DUO-
VENT, 3 CLEARLINK
Luer Activated
Valves, Backcheck
Valve. 10
drops/mL. 120"
(3.0 m)
2C8593 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 0.2 Micron
Filter, 3
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
10 drops/mL. 102"
(2.6 m)
1W5000 Solution Set, 75 Yes No No
vented / non-
vented dual spike,
INTERLINK
Injection Site. 15
Micron Disc
Filter. 20
drops/mL. 100"
(2.5 m)
2C1145 IV Fat Emulsion 48 Yes Yes
Administration
Set, Non-Vented.
10 drops/mL. 86"
(2.2 m). Non-DEHP
ACT8419 Solution Set, DUO- 48 Yes
VENT, CLEARLINK
Luer Activated
Valve, 10
drops/mL, 104"
(2.6m)
3C0162 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 2
CLEARLINK Luer
Activated Valves.
Plus Stopcock
Manifold. Plus
Extension Set with
1 CLEARLINK Luer
Activated Valve.
Plus Extension Set
Male Luer Lock .
10 drops/mL. 129"
1C8727 CONTINU-FLO 48 Yes No
Solution Set, Non-
Vented, 3
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
10 drops/mL. 114"
(2.9 m). Sterile
Package
2H6480 Solution Set, DUO- 48 Yes Yes No
VENT, 0.2 Micron
Filter, INTERLINK
Injection Site. 10
drops/mL. 102"
(2.6 m). Non-DEHP

Oct.02.2023 at 07:08:05 UTC Page # 175


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C8402 Solution Set, Non- 48 Yes No No
Vented, CLEARLINK
Luer Activated
Valve. 60
drops/mL. 76" (1.9
m)
2C8546 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 3
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
60 drops/mL. 105"
(2.7 m)
2C6256 CONTINU-FLO 48 Yes No
Solution Set ,
Non-Vented, 2
CLEARLINK Luer
Activated Valves.
Plus 4-Way
Stopcock Manifold
Extension Set with
CLEARLINK Luer
Activated Valve
2C6519 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 2
INTERLINK
Injection Sites,
Backcheck Valve.
10 drops/mL. 89"
(2.2 m)
2C6572 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 0.2
Micron Filter, 2
INTERLINK
Injection Sites,
Backcheck Valve.
60 drops/mL. 105"
(2.7 m)
2C8425 Solution Set, Non- 48 Yes No No
Vented, 2
CLEARLINK Luer
Activated Valves.
10 drops/mL. 100"
(2.5 m)
2C8571 CONTINU-FLO 48 Yes No No
Solution Set, Non-
Vented, 0.2 Micron
Filter, 2
CLEARLINK Luer
Activated Valve,
Backcheck Valve.
10 drops/mL. 104"
(2.6 m)
2C8548 CONTINU-FLO 48 Yes No No
Solution Set,
Vented, 2
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
60 drops/mL. 104"
(2.6m)
STP0073 Solution Set, Non- 48 Yes
Vented, INTERLINK
Injection Site.
Plus Stopcock with
INTERLINK
Injection Site
Oct.02.2023 at 07:08:05 UTC Page # 176
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2R8454 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 2
CLEARLINK Luer
Activated Valves,
Backcheck Valve,
Plus 4-Way
Stopcock Manifold
Extension Set. 10
drops/mL. 68" (1.7
m). Non-DEHP
2R1145 IV Fat Emulsion 48
Administration
Set, Non-Vented.
10 drops/mL. 86"
(2.2 m). Non-DEHP
2R8875 Solution Set, Duo- 48 Yes Yes
Vent, CLEARLINK
Luer Activated
Valve. 10
drops/mL. 117"
(2.9 m). Non-DEHP
Pump Segment,
Polyethylene Lined
Tubing
2R8480 Solution Set, DUO- 48 Yes
VENT, 0.2 Micron
Filter, CLEARLINK
Luer Activated
Valve. 10
drops/mL. 103"
(2.6 m). Non-DEHP
2R8486 Solution Set, Non- 48 Yes
Vented, 1.2 Micron
Filter, CLEARLINK
Luer Activated
Valve. 10
drops/mL. 107"
(2.7 m). Non-DEHP
2R8519 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 2
CLEARLINK Luer
Activated Valves.
10 drops/mL. 96"
(2.4 m). Non-DEHP
2R8537 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 3
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
10 drops/mL. 120"
(3.0 m). Non-DEHP
2R8546 CONTINU-FLO 48 Yes
Solution Set, Non-
Vented, 3
CLEARLINK Luer
Activated Valves,
Backcheck Valve.
60 drops/mL. 117"
(2.9 m). Non-DEHP
2R8401 Solution Set, Non- 48 Yes
Vented, CLEARLINK
Luer Activated
Valve. 10
drops/mL. 76" (1.9
m). Non-DEHP

Oct.02.2023 at 07:08:05 UTC Page # 177


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2R1146 IV Fat Emulsion 48
Administration
Set, Non-Vented.
60 drops/mL. 86"
(2.2 m). Non-DEHP
1W5014 Solution Set, 6 Yes
vented / non-
vented dual spike,
with 15 Micron
Disc Filter. 20
drops/mL. 93"
(2.4m)
UC8519 CONTINU-FLO 48 Yes
Solution Set, DUO-
VENT, 2 CLEARLINK
Luer Activated
Valves, Backcheck
Valve. 10
drops/mL. 111"
(2.8 m)
2C8554 Solution Set, Non- 48 Yes
Vented, 60
drops/mL, 109"
(2.8 m). Sterile
Package
2R8403 Solution Set, DUO- 48 Yes
VENT, CLEARLINK
Luer Activated
Valve. 10
drops/mL. 42" (1.1
m). Non-DEHP
2R8538 Solution Set, DUO- 48 Yes Yes No
VENT, 3 CLEARLINK
Luer Activated
Valves, 119" (3.0
m), Non-DEHP Pump
Segment,
Polyethylene (PE)
Lined Tubing
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> Verapamil
Hydrochloride Injection, USP
4306603125 Verapamil 4306603101 25 Yes Yes Yes
Hydrochloride
Injection, USP, 5
mg/2 mL (2.5
mg/mL) single-dose
vial (25 x 2mL)
4306603505 Verapamil 4306609001 5 Yes Yes Yes
Hydrochloride
Injection, USP, 10
mg/4 mL (2.5
mg/mL) single-dose
vials (5 x 4 mL)
EXACTAMED Oral Systems >> EXACTAMED Oral Systems >> EXACTAMED Pharmacy
Pack, Amber
H9388503 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Amber 3
mL. Tip Cap
Included. Pharmacy
Pack
H9388501 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Amber 1
mL. Tip Cap
Included. Pharmacy
Pack

Oct.02.2023 at 07:08:05 UTC Page # 178


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H9388510 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Amber 10
mL. Tip Cap
Included. Pharmacy
Pack
H9388100 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Amber
0.5 mL. Tip Cap
Included. Pharmacy
Pack
H9388101 EXACTAMED Oral 100 Yes Yes
Dispenser Amber 1
mL. Tip Cap
Included. Pharmacy
Pack
H9388103 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Amber 3
mL. Tip Cap
Included. Pharmacy
Pack
H9388105 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Amber 5
mL. Tip Cap
Included. Pharmacy
Pack
H9388110 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Amber 10
mL. Tip Cap
Included. Pharmacy
Pack
H9388120 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Amber 20
mL. Tip Cap
Included. Pharmacy
Pack
H9388160 EXACTAMED Oral 25 Yes Yes Yes
Dispenser Amber 60
mL. Tip Cap
Included. Pharmacy
Pack
H9388500 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Amber
0.5 mL. Tip Cap
Included. Pharmacy
Pack
H9388505 EXACTAMED Oral 500 Yes Yes Yes
Dispenser Amber 5
mL. Tip Cap
Included. Pharmacy
Pack
Needle Free Connectors & Catheter Extension Sets >> CLEARLINK
2N8220 Straight-Type 50 Yes Yes
Catheter Extension
Set Kit, Standard
Bore, CLEARLINK
Luer Activated
Valve, Catheter
Stabilization,
7.6" (19 cm)
2N8334 3-Port Adapter, 2 200 Yes Yes
CLEARLINK Luer
Activated Valves,
Male Luer Lock
Adapter, non-DEHP,
Approximate Volume
1.2 mL, non-DEHP

Oct.02.2023 at 07:08:05 UTC Page # 179


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2N8371 Y-Type Catheter 200 Yes Yes No
Extension Set,
Microbore, 2
CLEARLINK Luer
Activated Valves,
5.7" (15 cm)
2N8377 Y-Type Catheter 50 Yes Yes No
Extension Set,
Standard Bore,
CLEARLINK Luer
Activated Valve,
6.5" (17 cm)
2N8378 Straight-Type 50 Yes Yes No
Catheter Extension
Set, Standard
Bore, CLEARLINK
Luer Activated
Valve, 7.6" (19
cm)
2N8399 CLEARLINK Luer 200 Yes Yes Yes
Activated Valve
2N8374 Straight-Type 50 Yes Yes No
Catheter Extension
Set, Microbore,
CLEARLINK Luer
Activated Valve,
7.9" (20 cm)
2N8341 Three-Lead 200 Yes Yes No
Catheter Extension
Set, Microbore,
CLEARLINK Luer
Activated Valve,
5.5" (14 cm)
Hemodialysis >> Blood Lines >> NIPROSET Blood Tubing Sets
A209YV803 A209YV803 - 24
NIPROSET Blood
Tubing Set for FMC
2008 series
machines with pre-
pump arterial
chamber
A217YV806 A217YV806 - 24
NIPROSET Blood
Tubing Set for B.
Braun Dialog
machines with
post-pump arterial
chamber
IV Fat Emulsions >> IV Fat Emulsions >> INTRALIPID IV Fat Emulsions
2B6061 INTRALIPID 20% IV 0338051958 10 Yes Yes Yes
Fat Emulsion, 100
mL
2B6062 INTRALIPID 20% IV 0338051909 10 Yes Yes Yes
Fat Emulsion, 250
mL
2B6063 INTRALIPID 20% IV 0338051913 12 Yes Yes Yes
Fat Emulsion, 500
mL
2B6064 INTRALIPID 20% IV 0338051914 6 Yes Yes Yes
Fat Emulsion, 1000
mL, Pharmacy Bulk
Package
2B6065 INTRALIPID 30% IV 0338052013 12 Yes Yes Yes
Fat Emulsion, 500
mL, Pharmacy Bulk
Package

Oct.02.2023 at 07:08:05 UTC Page # 180


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
Needle Free Connectors & Catheter Extension Sets >> Needle Free
Connectors & Catheter Extension Sets >> V-LINK
NA NA
Acute Therapies >> PRISMAFLEX Hemofilters
114093 Prismaflex TPE2000 4 Yes
Set is a
disposable,
extracoporeal
circuit for use
only with the
PRISMAFLEX System
109990 PRISMAFLEX M150 4 Yes
Set
106696 PRISMAFLEX M60 Set 4 Yes
106697 PRISMAFLEX M100 4 Yes
Set
107140 PRISMAFLEX HF1000 4 Yes
Set
107142 PRISMAFLEX HF1400 4 Yes
Set
107640US PRISMAFLEX ST150 4 Yes Yes No
SET US
107643US PRISMAFLEX ST60 4 Yes Yes No
SET US
107636US PRISMAFLEX ST100 Yes Yes No
SET US
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> DOXIL
(doxorubicin HCl liposome injection)
LD0020B DOXIL (doxorubicin 0338006301 1 Yes Yes Yes
hydrochloride
liposome
injection) 20 mg /
10 mL (2 mg / mL)
single-dose vial
LD0050B DOXIL (doxorubicin 0338006701 1 Yes Yes Yes
hydrochloride
liposome
injection) 50 mg /
25 mL (2 mg / mL)
single-dose vial
IV Solutions >> OSMITROL Injection (Mannitol Injection, USP)
2D5613Q 10% OSMITROL 0338035303 24 Yes
Injection (10%
Mannitol
Injection, USP)
500 mL VIAFLEX
Plastic Container
2D5632Q 20% OSMITROL 0338035702 36 Yes No
Injection (20%
Mannitol
Injection, USP)
250 mL VIAFLEX
Plastic Container
2D5633Q 20% OSMITROL 0338035703 24 Yes
Injection (20%
Mannitol
Injection, USP)
500 mL VIAFLEX
Plastic Container
Infusion Systems >> SIGMA Spectrum Infusion System Accessories
NA NA
Needle Free Connectors & Catheter Extensions >> Needle Free Connectors
& Catheter Extensions >> INTERLINK
Oct.02.2023 at 07:08:05 UTC Page # 181
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
NA NA
Parenteral Nutrition Solutions & Additives >> IV Fat Emulsions
NA NA
Peritoneal Dialysis >> Patient Connectology
NA NA
Infusion Systems >> NOVUM IQ Infusion Systems
NA NA
Access >> Needle Free Connectors & Catheter Extensions
NA NA
Liquid Premix >> Myxredlin Human Insulin
2G3322 MYXREDLIN (Insulin 0338012612 12 Yes Yes Yes
Human in 0.9%
Sodium Chloride),
100 units/ 100 mL
(1 unit/mL)
Injection
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >>
Palonosetron Hydrochloride Injection
2319B0050 Palonosetron 3600032601 1 Yes Yes Yes
Hydrochloride
Injection, 0.25
mg/5 mL (0.05
mg/mL). Single-
dose Vial. (1 x 5
mL)
Ampules, Vials and Tablets >> Bendamustine Hydrochloride Injection
2395B0105 Bendamustine 1001907901 1 Yes Yes Yes
Hydrochloride
Injection, for
Intravenous Use,
100mg / 4mL (25mg
/ mL) Multiple-
Dose Vial
IV Prep & Compounding >> Pharmacy Admixture Tools >> SUPOR Syringe
Filters
H93821050 SUPOR Syringe 50 Yes No
Filter, 5 Micron,
25 mm, Female Luer
Lock Connector,
Male Luer Lock
Connector,
Green/Green
H93824640 SUPOR Syringe 50 Yes No
Filter, 5 Micron,
32 mm, Female Luer
Lock Connector,
Male Luer Lock
Connector,
Green/Green
H93824642 SUPOR Syringe 50 Yes No
Filter, 0.2
Micron, 32 mm,
Female Luer Lock
Connector, Male
Luer Lock
Connector,
Blue/Blue

Oct.02.2023 at 07:08:05 UTC Page # 182


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H93824648 SUPOR Syringe 50 Yes
Filter, 1.2
Micron, 32mm,
Female Luer Lock
Connector, Male
Luer Lock
Connector,
Clear/Blue
H93821002 SUPOR Syringe 50 Yes No
Filter, 0.2
Micron, 25 mm,
Female Luer Lock
Connector, Male
Luer Lock
Connector,
Blue/Blue
H93821012 SUPOR Syringe 50 Yes No
Filter, 1.2
Micron, 25 mm,
Female Luer Lock
Connector, Male
Luer Lock
Connector,
Clear/Blue
Anesthesia & Critical Care >> Cardiovascular Products
1001912001 Esmolol 1001912001 25
Hydrochloride
Injection 100
mg/10 mL (10
mg/mL), Ready-to-
use-Vials, 10 mL
Vials
1001905561 BREVIBLOC 1001905561 10 Yes
Injection (Esmolol
Hydrochloride)
2,500 mg/250 mL in
INTRAVIA Plastic
Container
1001907587 BREVIBLOC Double 1001907587 10 Yes
Strength Injection
(Esmolol
Hydrochloride)
2,000 mg/100mL in
INTRAVIA Plastic
Container
1001911501 BREVIBLOC 1001911501 25 Yes No
Injection (Esmolol
Hydrochloride) 100
mg/10mL (10mg/mL)
Ready-to-use-
Vials, 10 mL Vials
IV Solutions >> IV Solutions >> Sodium Chloride Injections
2B1302 0.9% Sodium 0338004918 96 Yes No No
Chloride
Injection, USP,
100 mL VIAFLEX
Plastic Container,
Quad Pack (4
bags/overwrap)
2B1306 0.9% Sodium 0338004941 96
Chloride
Injection, USP, 50
mL VIAFLEX Plastic
Container

Oct.02.2023 at 07:08:05 UTC Page # 183


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B1307 0.9% Sodium 0338004948 96
Chloride
Injection, USP,
100 mL VIAFLEX
Plastic Container.
2B1308 0.9% Sodium 0338004931 96
Chloride
Injection, USP, 50
mL VIAFLEX Plastic
Container, Multi
Pack (16
bags/overwrap)
2B1322Q 0.9% Sodium 0338004902 36 Yes No No
Chloride
Injection, USP,
250 mL VIAFLEX
Plastic Container
2B1323Q 0.9% Sodium 0338004903 24 Yes No No
Chloride
Injection, USP,
500 mL VIAFLEX
Plastic Container
2B1353Q 3% Sodium Chloride 0338005403 24
Injection, USP,
500 mL VIAFLEX
Plastic Container
2B1373Q 5% Sodium Chloride 0338005603 24
Injection, USP,
500 mL VIAFLEX
Plastic Container
2B1314X 0.45% Sodium 0338004304 14 Yes
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1324X 0.9% Sodium 0338004904 14 Yes No No
Chloride
Injection, USP,
1000 mL VIAFLEX
Plastic Container
2B1300 0.9% Sodium 0338004910 48
Chloride
Injection, USP, 25
mL VIAFLEX Plastic
Container, Quad
Pack (4
bags/overwrap)
2B1301 0.9% Sodium 0338004911 96
Chloride
Injection, USP, 50
mL VIAFLEX Plastic
Container, Quad
Pack (4
bags/overwrap)
2B1309 0.9% Sodium 0338004938 96
Chloride
Injection, USP,
100 mL VIAFLEX
Plastic Container,
Multi Pack (16
bags/overwrap)
UE1322D 0.9% Sodium 0338954302 30
Chloride
Injection, USP,
250 mL VIAFLO
Plastic Container

Oct.02.2023 at 07:08:05 UTC Page # 184


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
UE1324D 0.9% Sodium 0338954306 10 Yes Yes Yes
Chloride
Injection, USP,
1000 mL VIAFLO
Plastic Container
UE1323D 0.9% Sodium 0338954304 20 Yes Yes Yes
Chloride
Injection, USP,
500 mL VIAFLO
Plastic Container
Irrigation Solutions >> Acetic Acid Irrigation
2F7184 0.25% Acetic Acid 0338065604 12 Yes
Irrigation, USP,
1000 mL Plastic
Pour Bottle
Ampules, Vials and Tablets >> IFEX and Ifosfamide Injection
0338399101 IFEX (Ifosfamide 0338399101 1 Yes
for Injection,
USP) 1 gm Single
Dose Vial
0338399301 IFEX (Ifosfamide 0338399301 1 Yes
for Injection,
USP) 3 gm Single
Dose Vial
1001992501 Ifosfamide for 1001992501 1 Yes
Injection 1 gram
Single-Dose Vial
BioSurgery >> OSTENE Hemostasis
1503832 OSTENE Hemostasis 12 Yes
Material 2.5 grams
1503831 OSTENE Bone 10 Yes
Hemostasis
Material 3.5 grams
1503833 OSTENE Bone 12 Yes
Hemostasis
Material 1 gram
Ampules, Vials and Tablets >> Phenylephrine Hydrochloride Injection
USP
NA NA
Patient Connectology >> Patient Connectology >> Transfer Sets For
Straight Line CAPD
NA NA
Acute Therapies >> PrisMax and Accesory Devices >> PrisMax System
955626 PrisMax System 1 Yes
Spectrum IQ Infusion System >> Spectrum IQ Infusion System >>
Accessories
NA NA
Liquid Premix >> Fluconazole Injections
2J1445 Fluconazole 0338604537 10
Injection, USP in
Sodium Chloride
Injection, 400
mg/200 mL INTRAVIA
Plastic Container.
Liquid Premix.
2J1446 Fluconazole 0338604648 10
Injection, USP in
Sodium Chloride
Injection, 200
mg/100 mL INTRAVIA
Plastic Container.
Liquid Premix.

Oct.02.2023 at 07:08:05 UTC Page # 185


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
NOVUM IQ Infusion Systems >> NOVUM IQ Accessories
NV1003 Novum IQ Vertical 1 Yes Yes Yes
Carrier
Peritoneal Dialysis >> PD Cyclers & Software >> Amia APD System with
Sharesource Connectivity
5C9320 Amia Automated PD 1 Yes
System with
Sharesource
Connectivity
5C9346 AMIA Automated PD 1
System Carrying
Case-Hard
Ampules, Vials and Tablets >> Propofol Injectable Emulsion USP
NA NA
PD Solutions >> PD Solutions >> DIANEAL Peritoneal Dialysis Solutions
for CAPD
5B9775P DIANEAL Low 0941043051 8 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 1500 mL
5B9766 DIANEAL Low 0941042452 6 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 2000 mL
5B9795P DIANEAL Low 0941043351 8 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 1500 mL
5B9796 DIANEAL Low 0941043352 6 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 2000 mL
5B9858 DIANEAL PD-2 0941042755 4 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 3000 mL
5B9859 DIANEAL PD-2 0941042955 4 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 3000 mL
5B9868P DIANEAL PD-2 0941042653 5 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 2500 mL

Oct.02.2023 at 07:08:05 UTC Page # 186


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
5B9878P DIANEAL PD-2 0941042753 5 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 2500 mL
5B9896 DIANEAL PD-2 0941042952 6 Yes
Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 2000 mL
5B9757 DIANEAL Low 0941042455 4 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 3000 mL
5B9758 DIANEAL Low 0941043055 4 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 3000 mL
5B9768P DIANEAL Low 0941042453 5 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 2500 mL
5B9778P DIANEAL Low 0941043053 5 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 2500 mL
5B9798P DIANEAL Low 0941043353 5 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 2500 mL
5B9857 DIANEAL PD-2 0941042655 4 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 3000 mL
5B9866 DIANEAL PD-2 0941042652 6 Yes No No
Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 2000 mL
5B9876 DIANEAL PD-2 0941042752 6 Yes No No
Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 2000 mL
Oct.02.2023 at 07:08:05 UTC Page # 187
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
5B9759 DIANEAL Low 0941043355 4 Yes No No
Calcium Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 3000 mL
5B9765P DIANEAL Low 0941042451 8 Yes No No
Calcium Peritoneal
Dialysis Solution
1.5% Dextrose,
ULTRABAG Container
with yellow pull
ring, 1500 mL
5B9898P DIANEAL PD-2 0941042953 5 Yes No No
Peritoneal
Dialysis Solution
4.25% Dextrose,
ULTRABAG Container
with red pull
ring, 2500 mL
5B9776 DIANEAL Low 0941043052 6 Yes No No
Calcium Peritoneal
Dialysis Solution
2.5% Dextrose,
ULTRABAG Container
with green pull
ring, 2000 mL
Hemodialysis >> Ancillary Items
105753 DRAIN BAG SP-375 40 Yes
5LT
106283 Recirculation 100 Yes
Adapter
106051 RE-INFUSION LINE 20 Yes
SP-401
101354 Y CONNECTOR S-660- 50 Yes
C
114555 TipStop 200
Compressive
Dressing
TPSURE1 Nipro TP-Sure 100 Yes Yes Yes
Transducer
Protector
101739 C705 Expansion 32 Yes Yes
Chamber, Single
Needle Kit
955825 U9000 PLUS 16 Yes
Ultrafilter for AK
98
Critical Care >> BUMINATE Albumin, 25%
NA NA
Hemophilia >> FEIBA NF [Anti-Inhibitor Coagulant Complex],
Nanofiltered and Vapor Heated
NA NA
Irrigation Solutions >> Sodium Chloride Irrigation
2F7124 0.9% Sodium 0338004804 12 Yes
Chloride
Irrigation, USP,
1000 mL Plastic
Pour Bottle
2B7126 0.9% Sodium 0338004746 6 Yes
Chloride
Irrigation, USP,
2000 mL UROMATIC
Plastic Container
Oct.02.2023 at 07:08:05 UTC Page # 188
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2B7127 0.9% Sodium 0338004747 4 Yes
Chloride
Irrigation, USP,
3000 mL UROMATIC
Plastic Container
2B7231 0.9% Sodium 0338005144 6 Yes No No
Chloride
Irrigation, USP,
1000 mL. Sterile
Container.
2B7477 0.9% Sodium 0338004727 4 Yes
Chloride
Irrigation, USP,
3000 mL
ARTHROMATIC
Plastic Container
2B7479 0.9% Sodium 0338004729 2
Chloride
Irrigation, USP,
5000 mL
ARTHROMATIC
Plastic Container
2F7123 0.9% Sodium 0338004803 18 Yes
Chloride
Irrigation, USP,
500 mL Plastic
Pour Bottle
2B7124X 0.9% Sodium 0338004744 14 Yes
Chloride
Irrigation, USP,
1000 mL UROMATIC
Plastic Container
2F7122 0.9% Sodium 0338004802 24 Yes
Chloride
Irrigation, USP,
250 mL Plastic
Pour Bottle
Peritoneal Dialysis >> Peritoneal Dialysis Ancillaries
5K7402P Sterile Field 18" 50
x 26"
5K3572 Thermometer, 1
Digital
5C4129 Locking Titanium 5 Yes
Adapter (2 piece)
5K8100 PD Simulator 1
(Dummy Tummy) and
Case
5K4066 EXSEPT PLUS Skin 6404415017 1
Antiseptic, 500 mL
5K4500 BETA-CAP Clamp 1
5C4413 Spike/Syringe 10 Yes
Adapter
5K4005 ALCAVIS 50, High 1
Level
Disinfectant, 500
mL.
5K4076 Aniosgel 85 NPC 1
5K4070M Liquid Soap 1
Antimicrobial, 16
oz with pump
5K7619M CURAD Transparent 1
Tape 1" X 10 yds
5K7617M CURAD Paper Tape 1
2" X 10 yds

Oct.02.2023 at 07:08:05 UTC Page # 189


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
5K7615M CURAD Paper Tape 1
1" X 10 yds
5K7444M MEDLINE Disposable 25
Underpad
5K8070M MEDLINE Isolation 50
Face Masks with
Earloops
5K7533M CURAD Non-Adherent 100
Pads, 2" X 3",
Sterile
5K7779M CURAD Nitrile Exam 150
Gloves, Large
5K7579M MEDLINE Suresite 50
Window,
Transparent Film
Dressing, 4" X
4.5", Sterile
5K7426M MEDLINE Gauze 200
Sponge 2" x 2",
Woven, Non-Sterile
5K7525M MEDLINE Post-Op 100
Gauze Sponges, 4"
X 3", Non-Sterile
5K7624M CURAD Cloth Tape 1
1" X 10 yds
5K7778M CURAD Nitrile Exam 150
Gloves, Medium
5K7458MM AVANT GAUZE Drain 35
Sponges, 2" X 2",
Non-Woven, Sterile
5K7589MM Avant Gauze Non- 50
Woven Sponges, 4"
X 4", 4-ply,
Sterile
EXACTAMED Oral Systems >> EXACTAMED Accessories
H93813901 RAPIDFILL 50 Yes Yes Yes
Connectors, Luer
Lock-to-Luer Lock,
Red
H93813915 RAPIDFILL 50 Yes Yes Yes
Connectors, Luer
Lock-to-Luer Lock,
Red, with Cap
H93842000 Universal Bottle 100 Yes Yes Yes
Adapter. Fits
bottles with neck
openings of 13 m
to 22 mm. For use
with EXACTAMED
Oral Dispensers.
H93850300 EXACTAMED Oral 100 Yes Yes Yes
Dispenser Tip Cap,
Blue
H93852300 Tamper Evident 100 Yes Yes Yes
Oral Dispenser
Cap, Three-Part
Plastic Cap for
ExactaMed Oral
Dispenser. Red
H93842701 RAPIDFILL 50 Yes Yes Yes
Connector, Luer
Lock-to-Oral Slip,
Clear. Connect
EXACTAMED Oral
Dispensers to luer
fitting devices.
Oct.02.2023 at 07:08:05 UTC Page # 190
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
H93830020 Tamper-Indicating 1000 Yes Yes
Foil Seal
H93842900 MARK-A-DOSE Label, 1000 Yes Yes
Clear Pressure
Sensitive Adhesive
Label
H93843050 Oral Label 2.25" x 1000 Yes Yes
0.875" (60 x 20
mm). Pre-printed
Pin-feed Labels
for Identification
of Oral
Medications
H93843055 Oral Label 2" x 1000
0.5" (50 x 15 mm).
Pre-printed Pin-
feed Labels for
Identification of
Oral Medications
H93842703 RAPIDFILL 50 Yes Yes Yes
Connector, Luer
Lock-to-Oral Slip,
Clear. Connect
EXACTAMED Oral
Dispensers to luer
fitting devices.
Sterile
H9382006 Tip Extender 100 Yes
EXACTAMIX Compounder & ABACUS Software >> EXACTAMIX Accessories
H938711006 EXACTAMIX Large 50 Yes No
Bore Cap, External
Thread
H93884 Sterile Tube Set- 50 Yes Yes Yes
to-Bag Adapter,
Internal Thread
H938711008 EXACTAMIX Large 50 Yes
Bore Cap, Internal
Thread
H938735 EXACTAMIX Empty 50 Yes Yes Yes
Calibration Bag,
1000 mL
H93867 EXACTAMIX Needle 50 Yes Yes
Port Adapter
Ampules, Vials and Tablets >> Metoprolol Injection
AIN00234 Metoprolol 3600003310 10
Tartrate
Injection, USP, 5
mg/5mL (1 mg/mL)
Sterile Single
Dose Glass Vial
(10 x 5 mL)
Liquid Premix >> Liquid Premix >> CARDENE Injections
2G3443 CARDENE IV 4306600910 10 Yes Yes Yes
(nicardipine
hydrochloride)
premixed injection
in 0.86% Sodium
Chloride 20 mg in
200 mL (0.1 mg/mL)
in GALAXY Plastic
Container

Oct.02.2023 at 07:08:05 UTC Page # 191


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2G3444 CARDENE IV 4306601610 10 Yes Yes Yes
(nicardipine
hydrochloride)
premixed injection
in 0.83% Sodium
Chloride 40 mg in
200 mL (0.2 mg/mL)
in GALAXY Plastic
Container
BioSurgery >> TachoSil® [Absorbable FIBRIN SEALANT Patch]
NA NA
EXACATMIX Automated Compounder >> EXACTAMIX Empty EVA Containers
H938737 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 250 mL. For
use with EXACTAMIX
Compounder.
H938738 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 500 mL. For
use with EXACTAMIX
Compounder.
H938739 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 1000 mL. For
use with EXACTAMIX
Compounder.
H938740 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 2000 mL. For
use with EXACTAMIX
Compounder.
H938741 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 3000 mL. For
use with EXACTAMIX
Compounder.
H938901 EVA Dual Chamber 42 Yes Yes No
Empty Container,
1500 mL Total
Capacity
H938905 EVA Dual Chamber 42 Yes Yes No
Empty Container,
3000 mL Total
Capacity
H938743 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 5000 mL. For
use with EXACTAMIX
Compounder.
H938742 EXACTAMIX Empty 50 Yes Yes No
EVA (ethylene
vinyl acetate)
Bag, 4000 mL. For
use with EXACTAMIX
Compounder.
E3002OD EVA BAG, 50
EXACTAMIX, 250ML
E3005OD EVA BAG, EXACTMIX, 50
500ML

Oct.02.2023 at 07:08:05 UTC Page # 192


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
E3010OD EVA BAG, 50
EXACTAMIX, 1000ML
E3020OD EVA BAG, 30
EXACTAMIX, 2000ML
E3030OD EVA BAG, 30
EXACTAMIX, 3000ML
BioSurgery >> ARTISS [FIBRIN SEALANT (HUMAN)]
5500694 ARTISS [FIBRIN 0338963701 1
SEALANT (HUMAN)],
PRE-FILLED 2mL
5500695 ARTISS [FIBRIN 0338963901 1
SEALANT (HUMAN)],
PRE-FILLED 4mL
5500696 ARTISS [FIBRIN 0338964101 1
SEALANT (HUMAN)],
PRE-FILLED 10mL
5500694SP ARTISS [Fibrin 1
Sealant (Human)]
(Frozen) Pre-
Filled 2 mL
Syringe with Spray
Set
5500695SP ARTISS [Fibrin 1
Sealant (Human)]
(Frozen) Pre-
Filled 4 mL
Syringe with Spray
Set
5500696SP ARTISS [Fibrin 1
Sealant (Human)]
(Frozen) Pre-
Filled 10 mL
Syringe with Spray
Set.
Frozen Premix >> Frozen Premix >> Vancomycin Injections
2G3580 Vancomycin 0338358048 6 Yes
Injection, USP in
5% Dextrose, 750
mg/150 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3551 Vancomycin 0338355148 12
Injection, USP in
5% Dextrose,
500mg/100 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3552 Vancomycin 0338355248 6
Injection, USP in
5% Dextrose, 1
gram/200 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3590 Vancomycin 0338358101 12
Injection, USP in
0.9% Sodium
Chloride, 500
mg/100 mL, GALAXY
Plastic Container

Oct.02.2023 at 07:08:05 UTC Page # 193


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2G3591 Vancomycin 0338358201 6
Injection, USP in
0.9% Sodium
Chloride, 750
mg/150 mL in
GALAXY Plastic
Container. Frozen
Premix.
2G3592 Vancomycin 0338358301 6
Injection, USP in
0.9% Sodium
Chloride, 1g/200
mL in GALAXY
Plastic Container.
Frozen Premix.
Critical Care >> FLEXBUMIN 25%, Albumin (Human), USP, 25% Solution
NA NA
Gravity Compounding Containers, Sets & Accessories >> Empty Containers
2J8003 Empty INTRAVIA 48 Yes Yes No
Container 500 mL.
Non-DEHP Fluid
Path
2B8011 Empty INTRAVIA 48 Yes No No
Container 150 mL
2B8014 Empty INTRAVIA 48 Yes No
Container 1000 mL
2B8019 Empty INTRAVIA 48 Yes No
Container 50 mL
2J8002 Empty INTRAVIA 48 Yes Yes No
Container 250 mL.
Non-DEHP Fluid
Path
2B8012 Empty INTRAVIA 48 Yes
Container 250 mL
2B8013 Empty INTRAVIA 48 Yes
Container 500 mL
NA NA
Sigma Spectrum V8 >> IV Poles
8HOOK247 8 Hook Rake Top 1 Yes Yes
replacement
options for
existing 4 Hook
Pigtail Top
2M3006 IV POLE CLAMP, 1
SPEED KNOBFAST - 5
THREADS PER INCH
2M0815 4 Pump Horizontal 1
Carrier w/handle
2M0814 3 Pump Horizontal 1
Carrier w/handle
2M0809 Triple IV Pole, 6 1
Legs
2M0807 Single IV Pole 1
(lightweight) w/4
Hook Rake Top
2M0808 Single IV Pole 1
(heavyweight) w/8
Hook Rake Top
NOVUM IQ Infusion Systems >> NOVUM IQ Infusion Systems >> NOVUM IQ
Accessories
NV1003 Novum IQ Vertical 1 Yes Yes Yes
Carrier

Oct.02.2023 at 07:08:05 UTC Page # 194


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
IV Prep & Compounding >> Gravity Compounding Containers, Sets &
Accessories
NA NA
PrisMax and Accesory Devices >> PrisMax and Accesory Devices >>
TherMax Blood Warmer
955630 TherMax blood 1 Yes
warmer
IV & Irrigation Solutions & Drug Reconstitution >> Drug Reconstitution
System
2C4950 MINI-Bag Plus 1
Docking Assist
Tool
2B8071 VIAL-MATE Adaptor. 200 Yes Yes Yes
Only for powdered
single dose vials
with 20 mm closure
and VIAFLEX
containers.
2B0040 5% Dextrose 0338055111 80 Yes
Injection, USP, 50
mL MINI-BAG Plus
Container. Quad
Pack.
2B0041 5% Dextrose 0338055118 80 Yes
Injection, USP,
100 mL MINI-BAG
Plus Container.
Quad Pack.
2B0042 0.9% Sodium 0338055311 80 Yes
Chloride
Injection, USP, 50
mL MINI-BAG Plus
Container. Quad
Pack.
2B0043 0.9% Sodium 0338055318 80 Yes
Chloride
Injection, USP,
100 mL MINI-BAG
Plus Container.
Quad Pack.
EZPB0043 0.9% Sodium 0338915930 30 Yes
Chloride
Injection, USP,
100 mL MINI-BAG
Plus Container.
Single Pack.
EZPB0042 0.9% Sodium 0338915130 30
Chloride
Injection, USP, 50
mL MINI-BAG Plus
Container. Single
Pack.
EZPB0041 5% Dextrose 0338914730 30 Yes
Injection, USP,
100 mL MINI-BAG
Plus Container.
Single Pack.
EZPB0040 5% Dextrose 0338914330 30
Injection, USP, 50
mL MINI-BAG Plus
Container. Single
Pack.
CRRT Solutions >> PrismaSate Dialysate Solution, PVC
NA NA

Oct.02.2023 at 07:08:05 UTC Page # 195


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
Immunoglobulin >> HyQvia [Immune Globulin Infusion 10% (Human) with
Recombinant Human Hyaluronidase]
NA NA
BioSurgery >> TISSEEL [FIBRIN SEALANT] VALUPAK
0600029MR DUPLOSPRAY MIS 1 Yes
Applicator, 30 cm
with DUPLOSPRAY
Regulator and
DUPLOSPRAY MIS
Rollstand
1504519VP TISSEEL [Fibrin 1 Yes
Sealant] VALUPAK,
10 mL
1504517VP TISSEEL [Fibrin 1 Yes
Sealant] VALUPAK,
2 mL
1504518VP TISSEEL [Fibrin 1 Yes
Sealant] VALUPAK,
4 mL
Frozen Premix >> Frozen Premix >> Penicillin G Potassium Injections
2G3542 Penicillin G 0338102141 24 Yes
Potassium
Injection, USP, 1
million units/50
mL in GALAXY
Plastic Container.
Frozen Premix.
2G3543 Penicillin G 0338102341 24
Potassium
Injection, USP, 2
million units/50
mL in GALAXY
Plastic Container.
Frozen Premix.
2G3544 Penicillin G 0338102541 24
Potassium
Injection, USP, 3
million units/50
mL in GALAXY
Plastic Container.
Frozen Premix.
Spectrum IQ Infusion System >> Accessories
NA NA
Tissue-Guard Family of Surgical Patches >> Vascu-Guard Peripheral
Vascular Patch
VG0209N VASCU-GUARD 1 Yes Yes Yes
Peripheral
Vascular Patch
2x9cm
VG0106N VASCU-GUARD 1 Yes Yes Yes
Peripheral
Vascular Patch
1x6cm
VG0108N VASCU-GUARD 1 Yes Yes Yes
Peripheral
Vascular Patch
0.8x8cm
VG0110N VASCU-GUARD 1 Yes Yes Yes
Peripheral
Vascular Patch
1x10cm
Dialyzers >> THERANOVA Dialyzers
955691 THERANOVA 400 24
Dialyzer
Oct.02.2023 at 07:08:05 UTC Page # 196
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
955692 THERANOVA 500 24
Dialyzer
EXACTAMED Oral Systems >> Orderable Only - Adaptacap Bottle
NA NA
EXACTAMED Oral Systems >> ADAPTACAP Bottle Adapter
H9385113 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, Threaded,
24 mm Standard
H9385100 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter.
Assortment
H9385102 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 20 mm
Standard
H9385103 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 22 mm
Standard
H9385104 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 24 mm
Standard
H9385105 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 28 mm
Short Neck
H9385106 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 28 mm
Long Neck
H9385107 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 33 mm
Short Neck
H9385108 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 33 mm
Long Neck
H9385109 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 38 mm
Standard
H9385111 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, Threaded,
28 mm Standard
H9385101 ADAPTACAP Bottle 100 Yes Yes Yes
Adapter, 18 mm
Standard
SIGMA Spectrum Infusion System Accessories >> Sigma Spectrum V8 >>
Accessories & Miscellaneous
NA NA
NA NA
Ampules, Vials and Tablets >> Labetalol
3600032010 Labetalol 3600032001 10
Hydrochloride
Injection USP, 20
mg/4 mL (5 mg/mL)
Single-Dose Vial.
(10 x 4 mL)
3600032202 Labetalol 3600032201 1
Hydrochloride
Injection USP, 100
mg/20 mL (5 mg/mL)
Multi-Dose Vial (1
x 20 mL)

Oct.02.2023 at 07:08:05 UTC Page # 197


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
3600032402 Labetalol 3600032401 1
Hydrochloride
Injection USP, 200
mg/40 mL (5 mg/mL)
Multi-Dose Vial (1
x 40 mL)
Ampules, Vials and Tablets >> Ampules, Vials and Tablets >> Ketorolac
Tromethamine Injection, USP
KTR00003 Ketorolac 0338007610 10 Yes Yes Yes
Tromethamine
Injection, USP, 60
mg/ mL, 2 mL vial
KTR00002 Ketorolac 0338007225 25 Yes Yes Yes
Tromethamine
Injection, USP, 30
mg/ mL, 1 mL vial
KTR00001 Ketorolac 0338006910 10 Yes Yes Yes
Tromethamine
Injection, USP, 15
mg/ mL, 1 mL vial
Hemodialysis >> Dialyzers
NA NA
Peritoneal Dialysis >> Patient Connectology >> Catheter Supplies
NA NA
PD Ancillaries >> Scales
5C4505 EZ-AIDE Assist 1 No Yes No
Device
5K8100 PD Simulator 1
(Dummy Tummy) and
Case
5K3971Z DIGITAL BP UNIT W 0457101779 1
MED/LRG CUFF
5K3967Z DIGITAL BP UNIT W 1
SM CUFF
5K3572Z THERMOMETER 1
DIGITAL
5K3961Z Heating Pad-King 1
Size, 3 Heat
Setting
5K3582Z Spring Scale (5000 1
gm x 100 gm)
5K3575Z Scale-Adult with 1 1
1/2" Digital
Display
5K3517Z Scale-Pediatric 1
with Digital
Display for
Recumbent.
5Q3810P I/V Pole Double 1
Hook
Administration Sets >> Administration Sets >> Secondary Sets
NA NA
2C7451 Secondary 48 Yes
Medication Set,
Non-Vented,
INTERLINK Lever
Lock Cannula
(detached). 10
drops/mL. 37" (95
cm)

Oct.02.2023 at 07:08:05 UTC Page # 198


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2H7451 Secondary 48 Yes Yes No
Medication Set,
Hanger, Lever Lock
Cannula
(detached), Male
Luer Lock Adapter,
non-DEHP. 10
drops/mL. 37" (93
cm)
2H7463 Secondary 48 Yes Yes No
Medication Set,
DUO-VENT, For use
with CLEARLINK
System. 60
drops/mL. 37" (93
cm). Non-DEHP
2C7462 Secondary 48 Yes No No
Medication Set,
DUO-VENT, For use
with CLEARLINK
System. 10
drops/mL. 37" (93
cm)
2H7462 Secondary 48 Yes Yes No
Medication Set,
DUO-VENT, For use
with CLEARLINK
System. 10
drops/mL. 37" (93
cm). Non-DEHP
2C7452 Secondary 48 Yes No
Medication Set,
DUO-VENT,
INTERLINK Luer
Lock Cannula
(detached). 10
drops/mL. 37" (95
cm)
2H7452 Secondary 48 Yes Yes
Medication Set,
DUO-VENT,
INTERLINK Lever
Lock Cannula
(detached). 10
drops/mL. 37" (93
cm), Non-DEHP
2C7461 Secondary 48 Yes No No
Medication Set,
Non-Vented, For
use with CLEARLINK
System. 10
drops/mL. 37" (93
cm)
Liquid Premix >> Liquid Premix >> Acetaminophen Injection
EZPE8821 Acetaminophen 3600030660 40
Injection 1000
mg/100 mL (10
mg/mL) in VIAFLO
Plastic Container.
Liquid Premix
BioSurgery >> Surgical Tools >> Vascular Probe Extra Supple
7081520ES VASCULAR PROBE, 5 Yes
Extra Supple, 8cm,
1.5-2.0mm
7082025ES VASCULAR PROBE, 5 Yes
Extra Supple, 8cm,
2.0-2.5mm

Oct.02.2023 at 07:08:05 UTC Page # 199


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
7151015ES VASCULAR PROBE, 5 Yes Yes Yes
Extra Supple,
15cm, 1.0-1.5mm
7151520ES VASCULAR PROBE, 5 Yes
Extra Supple,
15cm, 1.5-2.0mm
7152025ES VASCULAR PROBE, 5 Yes Yes Yes
Extra Supple,
15cm, 2.0-2.5mm
7451015ES VASCULAR PROBE, 5 Yes
Extra Supple,
45cm, 1.0-1.5mm
7451520ES VASCULAR PROBE, 5 Yes
Extra Supple,
45cm, 1.5-2.0mm
7452025ES VASCULAR PROBE, 5 Yes
Extra Supple,
45cm, 2.0-2.5mm
Surgical Tools >> Surgical Tools >> Flo-Rester® Internal Vessel
Occluder-Coronary
50100 FLO-RESTER 5 Yes Yes Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 1.00mm
bulb diameter
50350 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 3.50mm
bulb diameter
50400 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 4.00mm
bulb diameter
50450BIOS FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 4.50mm
bulb diameter
50125 FLO-RESTER 5 Yes Yes Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 1.25mm
bulb diameter
50150 FLO-RESTER 5 Yes Yes Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 1.50mm
bulb diameter

Oct.02.2023 at 07:08:05 UTC Page # 200


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
50175 FLO-RESTER 5 Yes Yes Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 1.75mm
bulb diameter
50200 FLO-RESTER 5 Yes Yes Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 2.00mm
bulb diameter
50225 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 2.25mm
bulb diameter
50250 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 2.50mm
bulb diameter
50275 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 2.75mm
bulb diameter
50300 FLO-RESTER 5 Yes
Internal Vessel
Occluder;
Disposable
Coronary, 12mm
length, 3.00mm
bulb diameter
Administration Sets >> BURETROL Sets
NA NA
1C8712 BURETROL Solution 12 Yes
Set, 150 mL
Burette Drip
Chamber Filter
Valve, 2 CLEARLINK
Luer Activated
Valves, 60
drops/mL, 84" (2.1
m)
3C0157 BURETROL Solution 12 Yes
Set, 150 mL
Burette Drip
Chamber Filter
Valve, 2 CLEARLINK
Luer Activated
Valve, Backcheck
Valve, 60
drops/mL, Plus
Stopcock,
Extension Set with
1 CLEARLINK Luer
Activated Valve.
Approximate Total
Length 119"

Oct.02.2023 at 07:08:05 UTC Page # 201


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2C8862 BURETROL Solution 48 Yes No No
Set, 150 mL
Valveless Burette,
4 CLEARLINK Luer
Activated Valves,
60 drops/mL, 115"
(2.9 m)
2C8864 BURETROL Solution 48 Yes No No
Set, 150 mL
Burette Drip
Chamber Filter
Valve, 3 CLEARLINK
Luer Activated
Valves,
Retractable
Collar, 60
drops/mL, 104"
(2.7 m)
3C0166 BURETROL Solution 12 Yes
Set, 150 mL
Burette Drip
Chamber Filter
Valve, 2 Injection
Site INTERLINK
System, Backcheck
Valve, 60
drops/mL, Plus
Stopcock,
Extension Set with
1 Injection Site.
Approximate Total
Length 123"
2H7565 BURETROL Add-On 48 Yes No No
Set, 150 mL
Valveless Burette,
INTERLINK
Injection Site and
slide clamp, 17"
(43 cm)
2H8865 BURETROL Add-On 48 Yes No No
Set, 150 mL
Valveless Burette,
CLEARLINK Luer
Activated Valve,
17" (43 cm)
2C7564 BURETROL Solution 48 Yes No No
Set, 150 mL
Burette Drip
Chamber Filter
Valve, 3 INTERLINK
Injection Sites,
60 drops/ mL, 105"
(2.7 m)
2R8864 BURETROL Solution 48
Set, 150 mL
Burette Drip
Chamber Filter
Valve, 3 CLEARLINK
Luer Activated
Valves, 60
drops/mL, 105"
(2.7 m), Non-DEHP
Infusion Accessories >> Infusion Accessories >> Add-on Filters and
Valves
2N3364 Anti-Siphon Valve 50
2N3365 Back Check Valve 50
2N3368 Air-Eliminating 50
1.2 Micron
Solution Filter
Oct.02.2023 at 07:08:05 UTC Page # 202
Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
Access >> Needle Free Connectors & Catheter Extension Sets >> ONE-LINK
7N8390 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Microbore,
ONE-LINK, Bonded
Needle-free IV
Connector, Neutral
Fluid
Displacement,
Power Injectable
(325 psi/2241
kPa), 8.5 " (21.6
cm)
7N8300 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Microbore,
ONE-LINK, Needle-
free IV Connector,
Neutral Fluid
Displacement,
Power Injectable
(325 psi/2241
kPa), 8.5" (21.6
cm)
7N8371 Y-Type Catheter 200 Yes Yes No
Extension Set,
Microbore, ONE-
LINK, Needle-free
IV Connector,
Neutral Fluid
Displacement, 5.7
" (14 cm)
7N8377 Y-Type Catheter 200 Yes Yes No
Extension Set,
Standard Bore,
ONE-LINK, Needle-
free IV Connector,
Neutral Fluid
Displacement, 6.5
" (16.4 cm)
7N8378 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Standard
Bore, ONE-LINK,
Needle-free IV
Connector, Neutral
Fluid Displacement
, 7.6 " (19.3 cm)
7N8399 ONE-LINK Needle- 200 Yes Yes Yes
free IV Connector,
Neutral Fluid
Displacement,
Power Injectable
(325 psi / 2241
kPa)
7N8301 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Standard
Bore, ONE-LINK,
Needle-free IV
Connector, Neutral
Fluid
Displacement,
Power Injectable
(325 psi/2241
kPa), 7.6" (19.3
cm)

Oct.02.2023 at 07:08:05 UTC Page # 203


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
7N8310 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Microbore,
ONE-LINK, Needle-
Free IV Connector,
Neutral Fluid
Displacement,
Power Injectable
(325 psi/2241
kPa), 7.7" (19.5
cm)
7N8391 Straight-Type 200 Yes Yes No
Catheter Extension
Set, Standard
Bore, ONE-LINK,
Bonded Needle-free
IV Connector,
Neutral Fluid
Displacement,
Power Injectable
(325 psi/2241
kPa), 7.6 " (19.3
cm)
7N8332K 3 Lead Catheter 200 Yes Yes
Extension Set,
Microbore, ONE-
LINK Needle-free
IV Connector,
Neutral Fluid
Displacement, 8.0"
(20.4 cm)
7N8379K Straight Type 200 Yes Yes
Catheter Extension
Set, Standard
Bore, ONE-LINK
Bonded Needle-free
IV Connector,
Neutral Fluid
Displacement, 17"
(42 cm)
7N8333K 3 Lead Catheter 200 Yes Yes
Extension Set,
Standard Bore,
ONE-LINK Needle-
free IV Connector,
Neutral Fluid
Displacement, 8.8"
(22.3 cm)
7N8376K Y-Type Catheter 200 Yes Yes
Extension Set,
Standard Bore,
ONE-LINK Needle-
free IV Connector,
Neutral Fluid
Displacement, 8.8"
(22.3 cm)
7N8370K Y-Type Catheter 200 Yes Yes
Extension Set,
Microbore, ONE-
LINK Bonded
Needle-free IV
Connector, Neutral
Fluid
Displacement, 5.7
" (14 cm)

Oct.02.2023 at 07:08:05 UTC Page # 204


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
7N8330K 3 Lead Catheter 200 Yes Yes
Extension Set,
Microbore, ONE-
LINK Bonded
Needle-free IV
Connector, Neutral
Fluid
Displacement, 8.0"
(20.4 cm)
7N8375K Y-Type Catheter 200 Yes Yes
Extension Set,
Standard Bore,
ONE-LINK Bonded
Needle-free IV
Connector, Neutral
Fluid
Displacement, 8.8"
(22.3 cm)
7N8334K 3 Lead Catheter 200 Yes Yes
Extension Set,
Standard Bore,
ONE-LINK Bonded
Needle-free IV
Connector, Neutral
Fluid
Displacement, 8.8"
(22.3 cm)
Pharmacy Admixture Tools >> Self Righting Luer Slip Tip Caps
H938674100 Self-Righting Luer 1000 No No
Slip Tip Cap
(DISCPAC), Green
H938676100 Self-Righting Luer 1000 No No
Slip Tip Cap
(DISCPAC), Pink
H938677100 Self-Righting Luer 1000 Yes No
Slip Tip Cap
(DISCPAC), Purple
H93866025 Self-Righting Luer 500 No No
Slip Tip Cap
(DISCPAC), Yellow
H93866100 Self-Righting Luer 1000 No No
Slip Tip Cap
(DISCPAC), Yellow
H93867025 Self-Righting Luer 500 No No
Slip Tip Cap
(DISCPAC), Orange
H93867100 Self-Righting Luer 1000 No No
Slip Tip Cap
(DISCPAC), Orange
H938671100 Self-Righting Luer 1000 No No
Slip Tip Cap
(DISCPAC), White
H938673100 Self-Righting Luer 1000 Yes No
Slip Tip Cap
(DISCPAC), Dark
Blue
Infusion Systems >> Orderable Only
NA NA
SIGMA Spectrum V6 >> SIGMA Spectrum V6 >> Pole Clamp Parts
35743 Double Rotating IV 1 Yes No
Pole Clamp for
SIGMA Spectrum
Infusion System

Oct.02.2023 at 07:08:05 UTC Page # 205


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
35743 Double Rotating IV 1 Yes No
Pole Clamp for
SIGMA Spectrum
Infusion System
Irrigation Solutions >> Irrigation Solutions >> Sodium Chloride
Irrigation
2F7124 0.9% Sodium 0338004804 12 Yes
Chloride
Irrigation, USP,
1000 mL Plastic
Pour Bottle
2B7126 0.9% Sodium 0338004746 6 Yes
Chloride
Irrigation, USP,
2000 mL UROMATIC
Plastic Container
2B7127 0.9% Sodium 0338004747 4 Yes
Chloride
Irrigation, USP,
3000 mL UROMATIC
Plastic Container
2B7231 0.9% Sodium 0338005144 6 Yes No No
Chloride
Irrigation, USP,
1000 mL. Sterile
Container.
2B7477 0.9% Sodium 0338004727 4 Yes
Chloride
Irrigation, USP,
3000 mL
ARTHROMATIC
Plastic Container
2B7479 0.9% Sodium 0338004729 2
Chloride
Irrigation, USP,
5000 mL
ARTHROMATIC
Plastic Container
2F7123 0.9% Sodium 0338004803 18 Yes
Chloride
Irrigation, USP,
500 mL Plastic
Pour Bottle
2B7124X 0.9% Sodium 0338004744 14 Yes
Chloride
Irrigation, USP,
1000 mL UROMATIC
Plastic Container
2F7122 0.9% Sodium 0338004802 24 Yes
Chloride
Irrigation, USP,
250 mL Plastic
Pour Bottle
Frozen Premix >> Frozen Premix >> DAPTOMYCIN Frozen Premix Injection
2G3593 Daptomycin in 0.9% 0338071224 24 Yes Yes Yes
Sodium Chloride
Injection, 350mg /
50 mL (7mg / mL),
Single-Dose
Infusion Bag in
50mL GALAXY
Plastic Container.
Frozen Premix.

Oct.02.2023 at 07:08:05 UTC Page # 206


Baxter HealthCare
Product Description National Pack Container Latex DEHP PVC
Code Drug Code Factor Type Free Free Free
2G3594 Daptomycin in 0.9% 0338071424 24 Yes Yes Yes
Sodium Chloride
Injection, 500mg /
50 mL (10mg / mL),
Single-Dose
Infusion Bag in
50mL GALAXY
Plastic Container.
Frozen Premix.
2G3595 Daptomycin in 0.9% 0338071612 12 Yes Yes Yes
Sodium Chloride
Injection, 700mg /
100 mL (7mg / mL),
Single-Dose
Infusion Bag in
100mL GALAXY
Plastic Container.
Frozen Premix.
2G3596 Daptomycin in 0.9% 0338071812 12 Yes Yes Yes
Sodium Chloride
Injection, 1,000mg
/ 100 mL (10mg /
mL), Single-Dose
Infusion Bag in
100mL GALAXY
Plastic Container.
Frozen Premix.
Liquid Premix >> Foscarnet Sodium Injection
GLFOS6000BUS Foscarnet Sodium 4306608910 10 Yes Yes Yes
Injection, 6,000
mg / 250 mL (24 mg
/ mL) Single-Dose
Infusion Bag,
Liquid Premix

Oct.02.2023 at 07:08:05 UTC Page # 207

You might also like