DRESSING FOAM WITH SILICONE HEAVY EXUDATE

dressing foam with silicone heavy exudate 10 cm x 10 cm 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
Mepilex Border Flex 595311 DPMQ: $72.82 Max safety net: $7.70 General Patient Charge: $7.70
dressing foam with silicone heavy exudate 10 cm x 10 cm 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
Allevyn Gentle 66800248 DPMQ: $87.93 Max safety net: $7.70 General Patient Charge: $7.70
dressing foam with silicone heavy exudate 10 cm x 10 cm 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
Allevyn Gentle Border 66800270 DPMQ: $96.97 Max safety net: $7.70 General Patient Charge: $7.70