DRESSING NON-ADHERENT ABSORBENT

dressing non-adherent absorbent 12.5 cm x 12.5 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
Vliwasorb Pro 32641 DPMQ: $27.98 Max safety net: $7.70 General Patient Charge: $7.70
dressing non-adherent absorbent 12.5 cm x 12.5 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
Mextra Superabsorbent 610000 DPMQ: $34.54 Max safety net: $7.70 General Patient Charge: $7.70