Silver
| Strength: | 2"X2"cm (L) |
Medication Description
Acticoat Moisture Control PAD 2″X2″ EXTERNAL
Medication Features
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |
Silver
| Strength: | 2"X2"cm (L) |
Acticoat Moisture Control PAD 2″X2″ EXTERNAL
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |