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Product availability subject to change.<strong>ASD</strong> # mFR # description size NDC # PK/CS36617 1111-01 Prohance 279.3 mg/ml vl 5 x 10 ml 10 ml 00270-1111-01 5/cs36616 1111-04 Prohance 279.3 mg/ml vl 5 x 5 ml 5 ml 00270-1111-04 5/cs36276 1111-03 Prohance 279.3 mg/ml 5 x 20 ml 20 ml 00270-1111-03 5/cs22820 1111-02 Prohance 279.3 mg/ml vl 5 x 15 ml 15 ml 00270-1111-02 5/cs36620 1111-70 Prohance MP 279.3 mg/ml btl 5 x 50 ml 50 ml 00270-1111-70 5/csOral Contrast Agents22242 0455-40 Gastrografin 37% sol 120 ml 12/cs 120 ml 00270-0445-40 12/cs35353 44535 Gastrografin Lemon sol 24 x 30 ml 30 ml 00270-0445-35 24/csOral Contrast Agents - CT Barium35356 7350 Readi-Cat Apple 24 x 450 ml 450 ml 32909-0735-03 24/cs35355 7250 Readi-Cat Banana 24 x 250 ml 250 ml 32909-0725-07 24/cs35357 7450 Readi-Cat Banana 24 x 450 ml 450 ml 32909-0725-03 24/cs35366 721 Readi-Cat Barium 1.3% 12 x 900 ml 900 ml 32909-4501-03 12/cs35364 728 Readi-Cat Barium 1.3% 24 x 450 ml 450 ml 32909-0728-01 24/cs35365 724 Readi-Cat Barium 1.3% 4 x 1900 ml 1900 ml 32909-4501-05 4/cs35354 7150 Readi-Cat Berry 24 x 450 ml 450 ml 32909-0715-03 24/cs35359 7650 Readi-Cat Creamy Van 24 x 250 ml 250 ml 32909-0755-07 24/cs35358 7550 Readi-Cat Creamy Van 24 x 450 ml 450 ml 32909-0755-03 24/cs35360 4503-07 Readi-Cat Mochaccino 24 x 450 ml 450 ml 32909-0775-03 24/cs35363 729 Readi-Cat2 Barium 2.1% 12 x 900 ml 900 ml 32909-0723-03 12/cs35361 723 Readi-Cat2 Barium 2.1% 24 x 450 ml 450 ml 32909-0723-01 24/cs35362 726 Readi-Cat2 Barium 2.1% 4 x 1900 ml 1900 ml 32909-0723-02 4/cs35370 4501-01 E-Z Cat Barium Conc 24 x 225 ml 225 ml 32909-0720-01 24/cs35371 4501-07 E-Z Cat Barium Dry 50 x 23 gm 23 gm 32909-0727-01 50/cs35372 4501-11 Esopho-Cat Barium 24 x 30 gm 30 gm 32909-0738-01 24/cs35369 4507-01 Volumen 0.1% 24 x 450 ml 450 ml 32909-0945-03 24/cs35373 4500-02 CT Enema Kit 00270-4500-02 12/csFluoroscopy - Routine Filled Colon Examination36270 AP14 Polibar ACB Barium lq 14 oz 14 oz 00270-9005-04 24/cs36271 AP16 Polibar ACB Barium lq 16 oz 16 oz 00270-9005-06 24/cs36701 920 Empty Enema Bag 00270-9003-02 48/cs36702 935 Empty Enema Exacta Bag 00270-9003-04 4/cscontrast <strong>media</strong>Double Contrast Colon Examination36513 9012-03 Super XL Empty Enema Kit 00270-9012-03 24/cs36375 9001-01 E-Z Dose Polibar Kit 650 ml 650 ml 32909-0652-02 6/cs36269 L164 Polibar Liq 100% w/v 1900 ml 1900 ml 32909-0164-01 4/cs36703 L168 Polibar Liq 105% w/v 1900 ml 1900 ml 32909-0168-02 4/cs<strong>ASD</strong> # mFR # description size NDC # PK/CSRoutine Upper GI Examination36061 9019-01 E-Z paque 6.2 oz 6.2 oz 32909-0750-03 24/cs36062 9028-01 E-Z Paque 12 oz 12 oz 32909-0186-02 24/cs36716 9030-01 E-Z Paque 10 kg 10 kg 32909-0750-05 1/cs58 InsideOut

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