$13.41
1 Each · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeBarrier film
Pack Size1 Each or Case of 12
HCPCS CodeA4369, ORA6250
FormSpray
Size28 mL
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| Type | Barrier film | Super-absorbent dressing | Oxidized cellulose dressing | Silver foam dressing |
| Pack Size | 1 Each or Case of 12 | 1 Each or Box of 10 | — | 1 Each, Box of 8, or Case of 16 |
| Size | 28 mL | — | — | 4 x 4" |
| Material | — | Super-absorbent | Oxidized cellulose | Silver polymeric membrane |


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