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$9.00
Pack of 2 · FSA/HSA
Medline
Sterile Nonwoven Gauze Drain Sponges 4" x 4" 6ply 2'S
SKU: NON256000HH
Sterile Nonwoven Gauze Drain Sponges 4" x 4" 6ply 2'S
Sterile nonwoven gauze drain sponges, 4 by 4 inches, 6-ply, fenestrated to lie flat around a drainage tube, packed in twos.
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
$9.00
Regular price
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$9.00
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Product Details
Specifications
TypeDrain sponge (nonwoven)
Pack SizePack of 2, Box of 50, or Case of 600
Size4" x 4"
Ply6-ply
SterilitySterile
HCPCS CodeA6402
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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 (nonwoven) | Wound drainage pack | Iodoform packing strips | Gauze dressing |
| Pack Size | Pack of 2, Box of 50, or Case of 600 | — | 1 Each or Case of 12 | 1 Each or Box of 10 |
| Sterility | Sterile | Sterile | Sterile | — |