Silver
| Strength: | 4"X5"cm (L) |
Medication Description
Acticoat 7 Pad 4″X5″ External
Medication Features
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |
Silver
| Strength: | 4"X5"cm (L) |
Acticoat 7 Pad 4″X5″ External
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |