BANDAGE RETENTION COHESIVE HEAVY

BANDAGE RETENTION COHESIVE HEAVY (4660G)

bandage retention cohesive heavy 10 cm x 2 m bandage, 1
4660G
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
Coban 1584 DPMQ: $25.06 Max safety net: $7.70 General Patient Charge: $7.70

BANDAGE RETENTION COHESIVE HEAVY (4811F)

bandage retention cohesive heavy 5 cm x 1.3 m bandage, 1
4811F
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
Peg 7420 DPMQ: $20.40 Max safety net: $7.70 General Patient Charge: $7.70

BANDAGE RETENTION COHESIVE HEAVY (4812G)

bandage retention cohesive heavy 7.5 cm x 1.3 m bandage, 1
4812G
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
Peg 7422 DPMQ: $23.26 Max safety net: $7.70 General Patient Charge: $7.70

BANDAGE RETENTION COHESIVE HEAVY (4813H)

bandage retention cohesive heavy 10 cm x 1.3 m bandage, 1
4813H
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
Peg 7423 DPMQ: $26.54 Max safety net: $7.70 General Patient Charge: $7.70

BANDAGE RETENTION COHESIVE HEAVY (4814J)

bandage retention cohesive heavy 15 cm x 1.3 m bandage, 1
4814J
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
Peg 7425 DPMQ: $32.72 Max safety net: $7.70 General Patient Charge: $7.70