Valley Medical Pharmacy 
630 Main Street 
Brawley, CA 92227 
eRx ID#0585957 
1 (800) 322-0808 | Toll Free Fax: 1 (855) 322-0808 
Email: drugsdepot@yahoo.com 
Web: www.drugsdepot 
Timing: Monday to Friday | 9:00 AM to 5:45 PM 


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Smith & Nephew Hypafix Tape 6 X 10 Yards 24 In Each : Case One: Case

Image 0 of Smith & Nephew Hypafix Tape 6 X 10 Yards 24 In Each : Case One: CaseImage 1 of Smith & Nephew Hypafix Tape 6 X 10 Yards 24 In Each : Case One: CaseImage 2 of Smith & Nephew Hypafix Tape 6 X 10 Yards 24 In Each : Case One: Case

Smith & Nephew Hypafix Tape 6 X 10 Yards 24 In Each : Case One: Case

$616.59

Smith & Nephew Hypafix Tape 6 X 10 Yards 24 In Each : Case One: Case Smith & Nephew Hypafix Tape 6 X 10 Yards 24 In Each : Case One: Case
Item No.: M--Sm4211 Category: Tape-Clo-6
S Mfg: Smith & Nephew

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Benefits
# Combines security with comfort
# Highly conformable
# Provides reliable fixation for catheters and drainage tubes
# Allows joints to be dressed without constraining movement

Indications
# Retention of post-operative wound dressings
# Retaining gauze and absorbent pads
# To secure catheters and drainage tubes

Specific Coverage Criteria: Covered when needed to hold on a wound cover, elastic roll gauze or non-elastic roll gauze is not required when a wound cover with an adhesive border is used. The medical necessity for tape in these situations must be documented.