Silver
| Strength: | 4"X8"cm (L) |
Medication Description
Acticoat Moisture Control PAD 4″X8″ EXTERNAL
Medication Features
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |
Silver
| Strength: | 4"X8"cm (L) |
Acticoat Moisture Control PAD 4″X8″ EXTERNAL
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |