GNP ELECTROLYTE POWDER PACKET

Product Details

Brand name: GNP ELECTROLYTE POWDER PACKET

Generic Name: electrolytes/dextrose

Manufacturer: Manufacturer: AMERISOURCE-GNP

NDC87701043387

Package Size: 6EA

HCPCS Description: Oral Electrolyte

HCPCS Code: B4103

COVID-19 Test Kit: No

COVID-19 Vaccine: No

Diabetic Supply Product: No

Family Planning Product: No

Home Health Supply Product*: Yes

Mosquito Repellent†: No

Prescription/OTC: Over the counter

Vitamin or Mineral‡: No

Price: .00902

Price Effective Date: 05/16/2023

* Refer to the Home Health Supplies section of the Pharmacy Provider Procedure Manual for information.

† Refer to the Mosquito Repellent section of the Pharmacy Provider Procedure Manual for information.

‡ Refer to the Vitamin and Mineral Products section of the Pharmacy Provider Procedure Manual for information.