DRESSING NON-ADHERENT ABSORBENT

dressing non-adherent absorbent 10 cm x 20 cm hydroactive 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
Zetuvit Plus 413711 DPMQ: $45.71 Max safety net: $7.70 General Patient Charge: $7.70
dressing non-adherent absorbent 20 cm x 40 cm hydroactive 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
Zetuvit Plus 413715 DPMQ: $95.88 Max safety net: $7.70 General Patient Charge: $7.70
dressing non-adherent absorbent 10 cm x 10 cm hydroactive 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
Zetuvit Plus 413710 DPMQ: $39.44 Max safety net: $7.70 General Patient Charge: $7.70