DRESSING ALGINATE SUPERFICIAL WOUND

dressing alginate superficial wound 7.5 cm x 12 cm dressing, 10
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
Kaltostat 168212 DPMQ: $90.75 Max safety net: $7.70 General Patient Charge: $7.70
dressing alginate superficial wound 5 cm x 5 cm dressing, 1
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: 10 Max qty units: 10 # of repeats: 1 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Comfeel SeaSorb Dressing 3705 DPMQ: $49.78 Max safety net: $7.70 General Patient Charge: $7.70
dressing alginate superficial wound 15 cm x 20 cm dressing, 10
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
Algisite M 66000521 DPMQ: $335.72 Max safety net: $7.70 General Patient Charge: $7.70
dressing alginate superficial wound 5 cm x 5 cm dressing, 10
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
Algisite M 66000519 DPMQ: $73.16 Max safety net: $7.70 General Patient Charge: $7.70
Kaltostat 168210 DPMQ: $52.27 Max safety net: $7.70 General Patient Charge: $7.70
dressing alginate superficial wound 10 cm x 10 cm dressing, 10
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
Algisite M 66000520 DPMQ: $137.98 Max safety net: $7.70 General Patient Charge: $7.70
dressing alginate superficial wound 10 cm x 10 cm dressing, 1
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: 10 Max qty units: 10 # of repeats: 1 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Comfeel SeaSorb Dressing 3710 DPMQ: $89.88 Max safety net: $7.70 General Patient Charge: $7.70
Sorbsan 1410 DPMQ: $84.68 Max safety net: $7.70 General Patient Charge: $7.70