$1.99
1 Each · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeBarrier film wipe
Pack Size1 Each, Box of 30, or Case of 120
HCPCS CodeA5120
FormWipe
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A5120 | A5120 | A5120 | A5120 |
| Type | Barrier film wipe | Skin protective wipe | Skin barrier wipes | Skin barrier film |
| Pack Size | 1 Each, Box of 30, or Case of 120 | 1 Each or Pack of 50 | 1 Each, 25 Count, or Box of 100 | 1 Each or Box of 50 |


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