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$1.99
1 Each · FSA/HSA
Dermarite
A DermaRite Xeroform petrolatum gauze dressing, 1 x 8 inch, Xeroform petrolatum gauze.
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
$1.99
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$1.99
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Product Details
Specifications
TypePetrolatum gauze dressing
MaterialPetrolatum gauze
Size1 x 8"
HCPCS CodeA6222
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6222 | A6253, A6402 | A6216 | A6402 |
| Type | Petrolatum gauze dressing | Wound drainage pack | Woven gauze sponge | Woven gauze sponge |
| Material | Petrolatum gauze | — | 100% cotton | 100% cotton |
| Size | 1 x 8" | — | 4" x 4" | 2" x 2", 4" x 4" |
| Sterility | — | Sterile | Non-sterile | Sterile |
| Ply | — | — | 8-ply | 12-ply |
| Pack Size | — | — | Bag of 200, Case of 4000 | Box of 100, Cases of 1200-2400 |