DRESSING HYDROPHOBIC

dressing hydrophobic 10 cm x 10 cm dressing, 10
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
Sorbact Foam Gentle Border 98532 DPMQ: $200.71 Max safety net: $7.70 General Patient Charge: $7.70
dressing hydrophobic 15 cm x 15 cm dressing, 10
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
Sorbact Foam Gentle Border 98533 DPMQ: $313.61 Max safety net: $7.70 General Patient Charge: $7.70
dressing hydrophobic 10 cm x 10 cm dressing, 10
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
Sorbact Superabsorbent 98501 DPMQ: $91.74 Max safety net: $7.70 General Patient Charge: $7.70
dressing hydrophobic 20 cm x 20 cm dressing, 10
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
Sorbact Superabsorbent 98503 DPMQ: $245.87 Max safety net: $7.70 General Patient Charge: $7.70
dressing hydrophobic 15 cm x 15 cm foam dressing, 10
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
Sorbact Foam Dressing S98315 DPMQ: $206.36 Max safety net: $7.70 General Patient Charge: $7.70