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$5.00
1.6 x 2 in / 1 Each · FSA/HSA
Molnlycke Health Care Us
A Molnlycke Mepilex Border Lite Flex foam dressing, 3 x 3 inch, Thin bordered foam, Safetac.
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
$5.00
Regular price
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$5.00
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FSA / HSA accepted
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Product Details
Specifications
TypeFoam dressing
Dimensions1.6 x 2 in, 2 x 5 in, 3 x 3 in, 4 x 4 in, or 6 x 6 in
Pack Size1 Each, Box of 10, or Box of 5
MaterialFoam
HCPCS CodeA6212
Size3 x 3"
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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, Box of 10, or Box of 5 | 1 Each or Box of 5 | — | 1 Each or Box of 5 |
| Material | Foam | — | Silicone foam | Foam |
| Size | 3 x 3" | 3.5 x 3.5 inches | — | 4 x 12" |