BANDAGE RETENTION COTTON CREPE

BANDAGE RETENTION COTTON CREPE (4727T)

bandage retention cotton crepe 5 cm x 2.3 m bandage, 1
4727T
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: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Telfa 8252F DPMQ: $23.74 Max safety net: $7.70 General Patient Charge: $7.70
Tensocrepe 36300501 DPMQ: $26.20 Max safety net: $7.70 General Patient Charge: $7.70

BANDAGE RETENTION COTTON CREPE (4728W)

bandage retention cotton crepe 7.5 cm x 2.3 m bandage, 1
4728W
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: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Telfa 8253F DPMQ: $27.68 Max safety net: $7.70 General Patient Charge: $7.70
Tensocrepe 36307501 DPMQ: $30.64 Max safety net: $7.70 General Patient Charge: $7.70

BANDAGE RETENTION COTTON CREPE (4729X)

bandage retention cotton crepe 10 cm x 2.3 m bandage, 1
4729X
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: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Telfa 8254F DPMQ: $30.34 Max safety net: $7.70 General Patient Charge: $7.70
Tensocrepe 36301001 DPMQ: $35.62 Max safety net: $7.70 General Patient Charge: $7.70