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$11.00
6-5/8" x 6-3/4" / 1 Each · FSA/HSA
Smith & Nephew
ALLEVYN Gentle Gel Adhesive Hydrocellular Foam Dressing with Border Sacrum
SKU: 66800898
ALLEVYN Gentle Gel Adhesive Hydrocellular Foam Dressing with Border Sacrum
A Smith & Nephew Allevyn Gentle bordered foam dressing, sacrum, Hydrocellular foam with border.
FSA/HSA Eligible
This item can typically be purchased with an FSA or HSA card at checkout. Eligibility can vary by plan, so check with your plan administrator if you are unsure.
Regular price
$11.00
Regular price
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$11.00
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FSA / HSA accepted
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Product Details
Specifications
TypeSilicone foam dressing
MaterialSilicone foam
ShapeSacral
HCPCS CodeA6212
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6212 | — | A6209 | — |
| Type | Silicone foam dressing | Foam dressing | Foam dressing | Silicone foam dressing |
| Material | Silicone foam | — | — | Silicone foam |
| Size | — | 3 x 3 inches | 3.5 x 3.5 inches | — |
| Adhesive | — | Silicone | Silicone | — |
| Border | — | Silicone | None | — |