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A9582

Labs, X-Rays and Other Tests

IODINE I-123 IOBENGUANE

IODINE I-123 IOBENGUANE

A6260

WOUND CLEANSER ANY TYPE/SIZE

WOUND CLEANSER ANY TYPE/SIZE

A6261

Durable Medical Equipment

WOUND FILLER GEL/PASTE /OZ

WOUND FILLER GEL/PASTE /OZ

A6266

Durable Medical Equipment

IMPREG GAUZE NO H20/SAL/YARD

IMPREG GAUZE NO H20/SAL/YARD

A6402

Durable Medical Equipment

STERILE GAUZE <= 16 SQ IN

STERILE GAUZE <= 16 SQ IN

A6404

Durable Medical Equipment

STERILE GAUZE > 48 SQ IN

STERILE GAUZE > 48 SQ IN

A6407

PACKING STRIPS, NON-IMPREG

PACKING STRIPS, NON-IMPREG

A6413

Prescription Drugs

ADHESIVE BANDAGE, FIRST-AID

ADHESIVE BANDAGE, FIRST-AID

A6441

PAD BAND W>=3" <5"/YD

PAD BAND W>=3" <5"/YD

A6442

Durable Medical Equipment

CONFORM BAND N/S W<3"/YD

CONFORM BAND N/S W<3"/YD