DRESSING CONTACT LAYER LIPIDOCOLLOID WITH SUCROSE OCTASULFATE
dressing contact layer lipidocolloid with sucrose octasulfate 10 cm x 10 cm dressing,
10
Body System:
Manner of administration:For External Use
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: 3 | DPMQ: - | Max safety net: - | General Patient Charge: - |
| Available brands | |||||
| UrgoStart Contact-Interface-Tul 100380 | DPMQ: $126.20 | Max safety net: $7.70 | General Patient Charge: $7.70 | ||
dressing contact layer lipidocolloid with sucrose octasulfate 15 cm x 20 cm dressing,
10
Body System:
Manner of administration:For External Use
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: 3 | DPMQ: - | Max safety net: - | General Patient Charge: - |
| Available brands | |||||
| UrgoStart Contact-Interface-Tul 100381 | DPMQ: $229.88 | Max safety net: $7.70 | General Patient Charge: $7.70 | ||