DRESSING HYDROGEL SHEET

DRESSING HYDROGEL SHEET (4911L)

dressing hydrogel sheet 9.5 cm x 10.2 cm dressing, 5
4911L
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
Nu-Gel 2497 DPMQ: $83.60 Max safety net: $7.70 General Patient Charge: $7.70