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$15.00
1 Each · FSA/HSA
Safe N Simple
Simpurity Sacrum Foam with Silicone Adhesive Border 7" x 7"
SKU: SNS77777
Simpurity Sacrum Foam with Silicone Adhesive Border 7" x 7"
A Safe N Simple Simpurity sacral foam dressing with silicone adhesive border, 7 x 7 inch, Sacral shape.
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
$15.00
Regular price
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$15.00
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Product Details
Specifications
TypeSilicone foam dressing
Pack Size1 Each or Box of 12
HCPCS CodeA6213
MaterialSilicone foam
ShapeSacral
Size7 x 7"
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6213 | A6209 | — | — |
| Type | Silicone foam dressing | Silicone foam dressing | Silicone foam dressing | Silicone foam dressing |
| Pack Size | 1 Each or Box of 12 | 1 Each or Box of 5 | — | 1 Each or Box of 5 |
| Material | Silicone foam | — | Silicone foam | Foam |
| Size | 7 x 7" | 3.5 x 3.5 inches | — | 4 x 12" |