DRESSING NON ADHERENT

DRESSING NON ADHERENT (4243H)

DRESSING SELF ADHESIVE NON-ADHERENT DRY ABSORBENT Dressings, non-woven, with silicone 5 cm x 7.5 cm, 10, 1
4243H
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
Mepitel 290510 DPMQ: $65.79 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING NON ADHERENT (4244J)

DRESSING SELF ADHESIVE NON-ADHERENT DRY ABSORBENT Dressings, non-woven, with silicone 7.5 cm x 10 cm, 10, 1
4244J
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
Mepitel 290710 DPMQ: $105.79 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING NON ADHERENT (4819P)

dressing non adherent 5 cm x 5 cm dressing, 5
4819P
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
Cutilin Non-Stick Wound Pad 36361374 DPMQ: $23.70 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING NON ADHERENT (4860T)

dressing non adherent 5 cm x 5 cm dressing, 5
4860T
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
Melolin 36361357 DPMQ: $25.42 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING NON ADHERENT (4861W)

dressing non adherent 10 cm x 10 cm dressing, 10
4861W
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
Melolin 66974933 DPMQ: $46.62 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING NON ADHERENT (4862X)

dressing non adherent 10 cm x 10 cm dressing, 5
4862X
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
Cutilin Non-Stick Wound Pad 36361375 DPMQ: $33.86 Max safety net: $7.70 General Patient Charge: $7.70

DRESSING NON ADHERENT (4944F)

dressing non adherent 7.5 cm x 10 cm dressing, 10
4944F
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
Atrauman 499513 DPMQ: $21.46 Max safety net: $7.70 General Patient Charge: $7.70