DRESSING CONTACT LAYER LIPIDOCOLLOID WITH SUCROSE OCTASULFATE

dressing contact layer lipidocolloid with sucrose octasulfate 10 cm x 10 cm dressing, 10

DRESSING CONTACT LAYER LIPIDOCOLLOID WITH SUCROSE OCTASULFATE (13002H)

dressing contact layer lipidocolloid with sucrose octasulfate 10 cm x 10 cm dressing, 10
13002H
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: 3 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
UrgoStart Contact-Interface-Tul 100380 DPMQ: $126.20 Max safety net: $7.70 General Patient Charge: $7.70