$4.00
1 mL / 1 Each · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeSkin protectant barrier film
Volume1 mL or 3 mL
Pack Size1 Each, Box of 25, Case of 125, or Case of 100
ApplicatorWand
HCPCS CodeA5120, A6250
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| Type | Skin protectant barrier film | Super-absorbent dressing | Oxidized cellulose dressing | Silver foam dressing |
| Pack Size | 1 Each, Box of 25, Case of 125, or Case of 100 | 1 Each or Box of 10 | — | 1 Each, Box of 8, or Case of 16 |
| Material | — | Super-absorbent | Oxidized cellulose | Silver polymeric membrane |


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