DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATE

DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATE (4678F)

dressing hydrocolloid superficial wound moderate exudate 7cm (butterfly shape) dressing, 1
4678F
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: 5 Max qty units: 5 # of repeats: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Comfeel Plus Pressure Relieving 3350 DPMQ: $57.24 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATE (4679G)

dressing hydrocolloid superficial wound moderate exudate 10cm (round) dressing, 1
4679G
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: 5 Max qty units: 5 # of repeats: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Comfeel Plus Pressure Relieving 3353 DPMQ: $61.24 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATE (4897R)

dressing hydrocolloid superficial wound moderate exudate 10 cm x 10 cm dressing, 5
4897R
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: 2 Max qty units: 2 # of repeats: 1 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
DuoDERM CGF 187660 DPMQ: $80.48 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATE (4920Y)

dressing hydrocolloid superficial wound moderate exudate 20 cm x 20 cm dressing, 5
4920Y
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: 2 Max qty units: 2 # of repeats: 1 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
DuoDERM CGF 187662 DPMQ: $210.94 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATE (4921B)

dressing hydrocolloid superficial wound moderate exudate 10 cm x 10 cm dressing, 10
4921B
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: 1 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Replicare Ultra 66000434 DPMQ: $108.32 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATE (4923D)

DRESSING-HYDROCOLLOID (SUPERFICIAL WOUND-MODERATE EXUDATE) Dressings with alginate 10 cm x 10 cm, 10, 1
4923D
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: 1 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Comfeel Plus Ulcer Dressing 3110 DPMQ: $81.01 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATE (4945G)

dressing hydrocolloid superficial wound moderate exudate 10 cm x 10 cm dressing, 10
4945G
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: 1 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Hydrocoll 900744 DPMQ: $50.48 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATE (4946H)

dressing hydrocolloid superficial wound moderate exudate 15 cm x 15 cm dressing, 10
4946H
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: 1 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Hydrocoll 900936 DPMQ: $87.99 Max safety net: $7.70 General Patient Charge: $7.70