DRESSING HYDROGEL

DRESSING HYDROGEL (11395R)

dressing hydrogel 7.5 cm x 15 cm dressing, 10
11395R
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
Sorbact Gel Dressing S98137 DPMQ: $116.04 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING HYDROGEL (11709G)

dressing hydrogel 10 cm x 10 cm dressing, 5
11709G
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
Suprasorb G 33631 DPMQ: $32.34 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING HYDROGEL (12659G)

dressing hydrogel 12.5 cm x 12.5 cm dressing, 5
12659G
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
Hydrosorb Comfort 900723 DPMQ: $44.00 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING HYDROGEL (2471C)

dressing hydrogel 10 cm x 10 cm dressing, 20
2471C
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: 20 # of repeats: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Sorbact Absorption Dressing S98222 DPMQ: $187.16 Max safety net: $7.70 General Patient Charge: $7.70