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$9.15
6-5/8 x 6-3/4 in / 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
$9.15
Regular price
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$9.15
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Product Details
Specifications
TypeSilicone foam dressing
Dimensions6-5/8 x 6-3/4 in or 8.5 x 9 in
Pack Size1 Each or Box of 10
HCPCS CodeA6212
MaterialSilicone foam
ShapeSacral
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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 | Silicone foam dressing | Silicone foam dressing | Silicone foam dressing |
| Pack Size | 1 Each or Box of 10 | 1 Each or Box of 5 | — | 1 Each or Box of 5 |
| Material | Silicone foam | — | Silicone foam | Foam |
| Size | — | 3.5 x 3.5 inches | — | 4 x 12" |