DRESSING HYDROACTIVE DEBRIDEMENT

DRESSING HYDROACTIVE DEBRIDEMENT (12636C)

dressing hydroactive debridement 4 cm dressing, 10
12636C
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 Cavity 609622 DPMQ: $93.71 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING HYDROACTIVE DEBRIDEMENT (12637D)

dressing hydroactive debridement 4 cm dressing, 10
12637D
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 609602 DPMQ: $89.88 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING HYDROACTIVE DEBRIDEMENT (4949L)

dressing hydroactive debridement 4 cm dressing, 10
4949L
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
TenderWet 24 Active 609210 DPMQ: $85.12 Max safety net: $7.70 General Patient Charge: $7.70