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$11.00
1 Each · FSA/HSA
Smith & Nephew
ALLEVYN Life Foam Sacrum Dressing Sterile 6-3/4" x 6-7/8"
SKU: 66801306
ALLEVYN Life Foam Sacrum Dressing Sterile 6-3/4" x 6-7/8"
ALLEVYN LIFE sacrum silicone gel adhesive hydrocellular foam dressing, 6-3/4 x 6-7/8 inch, with a layered design and lock-away core.
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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Product Details
Specifications
TypeFoam dressing
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 | 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 | 1 Each, Box of 10, or Box of 5 |
| Material | Silicone foam | — | Foam | Foam |
| Size | — | 3.5 x 3.5 inches | 4 x 12" | — |