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Impregnated Gauze
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Allowed Units Per Month
3 Oz
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1 Every 6 Months
2 Rolls
200
4 Units
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Impregnated Gauze
McKesson Iodoform Packing Strip
A6266
Petrolatum Gauze Dressing
A6223
Sterile Telfa AMD Sponge (3″ x 4″)
A6222
Curity Non-Adhering Oil Emulsion Dressing
A6222
Sterile Curity® AMD Gauze Sponge
A6222
SurePress® High Compression Bandage
A6452
ADAPTIC™ Non-Adhering
A6222
Iodoform Packing Strip
A6266
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