$12.00
4 Inch x 5-1/2 Yard / 1 Roll · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeMedical tape
Dimensions1 Inch x 5-1/2 Yard, 2 Inch x 5-1/2 Yard, 3 Inch x 5-1/2 Yard, or 4 Inch x 5-1/2 Yard
Pack SizeBox of 12, 1 Roll, Case of 72, Box of 6, Case of 36, Box of 4, Case of 24, Box of 3, or Case of 18
MaterialElastic foam
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | — | A6413 | A6413 | A6216 |
| Type | Medical tape | Adhesive bandages | Adhesive bandages | Woven gauze sponge |
| Pack Size | Box of 12, 1 Roll, Case of 72, Box of 6, Case of 36, Box of 4, Case of 24, Box of 3, or Case of 18 | Box of 100 or Case of 1200 | Box of 100 or Case of 1200 | Bag of 200 or Case of 4000 |
| Material | Elastic foam | Woven fabric | Woven fabric | 100% cotton |
| Size | — | 1" x 3" | 7/8" | 4" x 4" |
| Sterility | — | Sterile | Sterile | Non-sterile |


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