BANDAGE COMPRESSION

BANDAGE COMPRESSION (12592R)

bandage compression two layer bandage, 1
12592R
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
Putter Pro 2 931685 DPMQ: $53.48 Max safety net: $7.70 General Patient Charge: $7.70

BANDAGE COMPRESSION (4050E)

bandage compression two layer bandage, 1
4050E
Body System:
Manner of administration:For External Use
Repatriation Pharmaceutical Benefits
Restricted Benefit

Restriction

Indication: Venous ulcer
Treatment phase: Initial treatment

Restriction

Indication: Venous ulcer
Treatment phase: Continuing treatment
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
Coban 2 DPMQ: $45.55 Max safety net: $7.70 General Patient Charge: $7.70