FSA and HSA cards work on eligible items
Respiratory
Mobility
Urology
Ostomy
Wound Care
Incontinence
Diabetes
Maternity
Orthopedics
Home Safety
$7.00
3" x 3" / Box of 80 · FSA/HSA
Medline
Sterile 100% cotton woven gauze sponges, 12-ply, packed in twos, in 3 by 3 and 4 by 4 inch sizes.
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
$7.00
Regular price
Sale price
$7.00
Save $10 monthly
Skip, change, or cancel anytime
Email me when it’s back
We’ll email you when is back in stock.
Quantity
Free shipping over $50
Ships in 1 - 2 business days
FSA / HSA accepted
Pay with your benefit card at checkout
Easy returns
View return policy
Talk to a specialist
Contact Us
Product Details
Specifications
TypeWoven gauze sponge
Material100% cotton
Dimensions3" x 3", 4" x 4"
Ply12-ply
SterilitySterile
Pack SizeBoxes of 50-80, Cases of 1200-2400
HCPCS CodeA6402
How it compares
Top sellers in Gauze Dressings
Swipe to compare →
| Product | This item 
Medline
Sterile Woven Gauze Sponges 12-Ply
$2.005 options | 
Medline
7-Piece Sterile Heavy Wound Drainage Pack
$3.70View → | 
Medline
Nonsterile 100% Cotton Woven Gauze Sponges 4" x 4" 8ply 200ct
$8.002 optionsView → | 
Medline
Woven Sterile Gauze Sponges 12-Ply
$8.004 optionsView → |
|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6402 | A6253, A6402 | A6216 | A6402 |
| Type | Woven gauze sponge | Wound drainage pack | Woven gauze sponge | Woven gauze sponge |
| Material | 100% cotton | — | 100% cotton | 100% cotton |
| Ply | 12-ply | — | 8-ply | 12-ply |
| Sterility | Sterile | Sterile | Non-sterile | Sterile |
| Pack Size | Boxes of 50-80, Cases of 1200-2400 | — | Bag of 200, Case of 4000 | Box of 100, Cases of 1200-2400 |
| Size | — | — | 4" x 4" | 2" x 2", 4" x 4" |