DRESSING HYDROGEL AMORPHOUS

DRESSING HYDROGEL AMORPHOUS (4599C)

dressing hydrogel amorphous gel, 50 g
4599C
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: 3 Max qty units: 3 # of repeats: 3 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
SoloSite Gel 36361338 DPMQ: $43.80 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING HYDROGEL AMORPHOUS (4914P)

dressing hydrogel amorphous gel, 50 g
4914P
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: 3 Max qty units: 3 # of repeats: 3 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Solugel 10336 DPMQ: $37.02 Max safety net: $7.70 General Patient Charge: $7.70