DRESSING FOAM LIPIDOCOLLOID WITH SUCROSE OCTASULFATE MODERATE EXUDATE
dressing foam lipidocolloid with sucrose octasulfate moderate exudate 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 Pad 100377 | DPMQ: $302.32 | Max safety net: $7.70 | General Patient Charge: $7.70 | ||
dressing foam lipidocolloid with sucrose octasulfate moderate exudate 12 cm x 19 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 Pad 100378 | DPMQ: $226.52 | Max safety net: $7.70 | General Patient Charge: $7.70 | ||
dressing foam lipidocolloid with sucrose octasulfate moderate exudate 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 Pad 100376 | DPMQ: $139.41 | Max safety net: $7.70 | General Patient Charge: $7.70 | ||