DRESSING FILM

DRESSING FILM (4686P)

dressing film 6 cm x 7 cm dressing, 8
4686P
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
Nexcare Tegaderm Transparent H1624 DPMQ: $21.81 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING FILM (4687Q)

dressing film 10 cm x 12 cm dressing, 4
4687Q
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
Nexcare Tegaderm Transparent H1626 DPMQ: $25.29 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING FILM (4688R)

dressing film 15 cm x 20 cm dressing, 1
4688R
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: 6 Max qty units: 6 # of repeats: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Tegaderm Transparent 1628 DPMQ: $34.86 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING FILM (4893M)

dressing film 10 cm x 12 cm dressing, 10
4893M
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
Op-Site Flexigrid 4629 DPMQ: $47.70 Max safety net: $7.70 General Patient Charge: $7.70