DRESSING HYDROACTIVE DEBRIDEMENT

dressing hydroactive debridement 5.5 cm dressing, 10

DRESSING HYDROACTIVE DEBRIDEMENT (12629Q)

dressing hydroactive debridement 5.5 cm dressing, 10
12629Q
Body System:
Manner of administration:For External Use
Repatriation Pharmaceutical Benefits
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
HydroClean Plus 609606 DPMQ: $148.92 Max safety net: $7.70 General Patient Charge: $7.70