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1 Each · FSA/HSA
Cardinal Health
Dermacea Woven Gauze Sponge Sterile 2's 4" x 4" 12 Ply 50 Count
SKU: 442212
Dermacea Woven Gauze Sponge Sterile 2's 4" x 4" 12 Ply 50 Count
A Cardinal Health Dermacea woven gauze sponge, 4 x 4 inches, 12-ply, sterile.
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.
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$1.99
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Product Details
Specifications
TypeGauze sponge
Pack Size1 Each, Box of 25, or Case of 600
SterilitySterile
HCPCS CodeA6402
Ply12
Size4 x 4 inches
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6402 | A6216 | A6402 | — |
| Type | Gauze sponge | Woven gauze sponge | Woven gauze sponge | Gauze sponge (X-ray detectable) |
| Pack Size | 1 Each, Box of 25, or Case of 600 | Bag of 200 or Case of 4000 | Box of 100, Case of 2400, or Case of 1200 | 1 Tray |
| Sterility | Sterile | Non-sterile | Sterile | — |
| Ply | 12 | 8-ply | 12-ply | 12-Ply or 16-Ply |
| Size | 4 x 4 inches | 4" x 4" | 2" x 2", 4" x 4" | 4 x 8" |
| Material | — | 100% cotton | 100% cotton | — |