Silver
| Strength: | 4"X48"cm (L) |
Medication Description
Acticoat SHEET 4″X48″ EXTERNAL
Medication Features
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |
Silver
| Strength: | 4"X48"cm (L) |
Acticoat SHEET 4″X48″ EXTERNAL
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |