DRESSING CONTACT LAYER LIPIDOCOLLOID WITH SUCROSE OCTASULFATE

Source Repatriation Pharmaceutical Benefits
Body System VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
13002HMP DRESSING CONTACT LAYER LIPIDOCOLLOID WITH SUCROSE OCTASULFATER
dressing contact layer lipidocolloid with sucrose octasulfate 10 cm x 10 cm dressing, 10 (PI, CMI)
Available brands
UrgoStart Contact-Interface-Tul 100380 1 1 3 $125.87 $7.70 $7.70
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