DRESSING HYDROGEL AMORPHOUS

dressing hydrogel amorphous gel, 25 g

DRESSING HYDROGEL AMORPHOUS (4894N)

dressing hydrogel amorphous gel, 25 g
4894N
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: 4 Max qty units: 4 # of repeats: 3 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Intrasite Gel 7313 DPMQ: $90.68 Max safety net: $7.70 General Patient Charge: $7.70