USVI Medicaid Formulary

ALLEVYN GENTLE BORDER EXTERNAL PAD. ALLEVYN GENTLE BORDER HEEL EXTERNAL PAD. ALLEVYN GENTLE BORDER LITE EXTERNAL PAD. ALLEVYN GENTLE BORDER SACRUM EXTERNAL PAD.







This charge information provides a general idea of the prices for ...
DRSG ALLEVYN 4X4. Supplies. 21.00. $. DRSG ALLEVYN 4X4 THIN. Supplies. 21.00. $. DRSG ALLEVYN 6X6. Supplies. 21.00. $. DRSG ALLEVYN GENTLE 5X5.
PREFERRED DRUG LIST - Buckeye Health Plan
Buckeye Health Plan, Inc. (Buckeye) is committed to providing appropriate, high quality, and cost effective drug therapy to all Buckeye members.
HOSPITAL PRICE LIST
DRESSING PO LY ALLEVYN 4X4. 272. 16.00. 5380125. ENDO BABCOCK 10MM. 272. 452.00 ... OPTIFOAM GENTLE BORDERED 6X6. 272. 35.00. Page 24. Page: 24. Charge Code.



Autres Cours:

Bill Item ID Charge Code Charge Code Description Activity Type ...