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$8.75
Box of 25 · FSA/HSA
Medline
Sterile 100% Cotton Drain Sponge Gauze Trach 16ply 4" x 4"
SKU: NON255000Z
Sterile 100% Cotton Drain Sponge Gauze Trach 16ply 4" x 4"
Sterile 100% cotton tracheostomy drain sponge gauze, 4 by 4 inches, 16-ply, precut for use around a trach or drain site.
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
$8.75
Regular price
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$8.75
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Product Details
Specifications
TypeDrain sponge (trach)
Pack SizeBox of 25 or Case of 300
HCPCS CodeA6402
Material100% cotton
Size4" x 4"
Ply16-ply
SterilitySterile
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6402 | A6253, A6402 | A6266 | A6219 |
| Type | Drain sponge (trach) | Wound drainage pack | Iodoform packing strips | Gauze dressing |
| Pack Size | Box of 25 or Case of 300 | — | 1 Each or Case of 12 | 1 Each or Box of 10 |
| Material | 100% cotton | — | 100% cotton with iodoform | — |
| Sterility | Sterile | Sterile | Sterile | — |