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Formulary
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SMITH & NEPHEW INC.
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Acticoat ™ 7 Antimicrobial Dressing
SMITH & NEPHEW INC.
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$197.69 - UNS20141 (Box)
$1,124.70 - UNS20141 (Case)
$350.52 - UNS20241 (Box)
$1,330.67 - UNS20241 (Case)
Acticoat ™ Absorbent Dressing
SMITH & NEPHEW INC.
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$100.74 - UNS20181 (Box)
$1,144.02 - UNS20181 (Case)
$41.06 - UNS20381 (Each)
$109.37 - UNS20381 (Box)
$1,245.11 - UNS20381 (Case)
Acticoat ™ Burn Dressing
SMITH & NEPHEW INC.
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$17.25 - UNS20101 (Each)
$199.07 - UNS20101 (Box)
$755.55 - UNS20101 (Case)
$305.64 - UNS20201 (Box)
$1,146.16 - UNS20201 (Case)
AlgiSite ® M Calcium Alginate Dressing
SMITH & NEPHEW INC.
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$7.59 - UNS59480200 (Each)
$72.45 - UNS59480200 (Box)
$685.17 - UNS59480200 (Case)
$200.10 - UNS59480300 (Box)
$1,137.81 - UNS59480300 (Case)
$17.60 - UNS59480400 (Each)
$93.50 - UNS59480400 (Box)
$530.96 - UNS59480400 (Case)
Allevyn ™ Adhesive Hydrocellular Dressing
SMITH & NEPHEW INC.
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$7.25 - UNS66020043 (Each)
$69.00 - UNS66020043 (Box)
$268.41 - UNS66020043 (Case)
$11.04 - UNS66020044 (Each)
$106.26 - UNS66020044 (Box)
$412.97 - UNS66020044 (Case)
$20.70 - UNS66020045 (Each)
$198.72 - UNS66020045 (Box)
$754.17 - UNS66020045 (Case)
Allevyn ™ Composite Foam Dressing
SMITH & NEPHEW INC.
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$10.70 - UNS66047583 (Each)
$50.37 - UNS66047583 (Box)
Allevyn ™ Hydrocellular Heel Dressing
SMITH & NEPHEW INC.
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$20.49 - UNS66007630 (Each)
$598.58 - UNS66007630 (Case)
Allevyn ™ Polyurethane Foam Dressing
SMITH & NEPHEW INC.
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$157.67 - UNS66000700 (Box)
$9.32 - UNS66027640 (Each)
$87.63 - UNS66027640 (Box)
$61.07 - UNS66027643 (Box)
$10.01 - UNS66927637 (Each)
$93.50 - UNS66927637 (Box)
$32.55 - UNS66927638 (Each)
$312.32 - UNS66927638 (Box)
Banish ® II Liquid Deodorant
SMITH & NEPHEW INC.
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$11.73 - UNS412000 (Each)
$134.21 - UNS412000 (Case)
$38.30 - UNS412100 (Each)
$223.91 - UNS412100 (Case)
Cica-Care ™ Silicone Gel Sheeting
SMITH & NEPHEW INC.
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$67.62 - UNS66250707 (Each)
$656.88 - UNS66250707 (Box)
CovRSite ™ Adhesive Wound Cover
SMITH & NEPHEW INC.
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$1.73 - UNS5971400 (Each)
$15.18 - UNS5971400 (Box)
COVRSITE DRS 6 X 6 IN -SP
SMITH & NEPHEW INC.
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$235.76 - UNS59714300 (Case)
Cutinova Thn Drs Hydcol 4x4 In
SMITH & NEPHEW INC.
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$6.21 - UNS66047578 (Each)
$28.29 - UNS66047578 (Box)
Dermal Wound Cleanser 8oz
SMITH & NEPHEW INC.
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$13.46 - UNS59449200 (Each)
$149.39 - UNS59449200 (Case)
EXU-Dry ® Dressing with Anti-Shear Layer ™
SMITH & NEPHEW INC.
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$3.80 - UNS5999004120 (Each)
$33.47 - UNS5999004120 (Box)
$389.51 - UNS5999004120 (Case)
$5.52 - UNS5999006 (Each)
$63.48 - UNS5999006 (Box)
$8.97 - UNS5999009 (Each)
$239.09 - UNS5999009 (Case)
$182.16 - UNS5999PTM (Case)
Flexifix Drs Trn 2 In X 11 Yd
SMITH & NEPHEW INC.
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$21.05 - UNS66000040 (Each)
FlexiGel ™ Hydrogel Sheet Dressing
SMITH & NEPHEW INC.
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$36.92 - UNS59500200 (Box)
$178.37 - UNS59500200 (Case)
Hypafix ® Dressing Retention Tape
SMITH & NEPHEW INC.
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$13.80 - UNS4209 (Each)
$324.99 - UNS4209 (Case)
$23.81 - UNS4210 (Each)
$558.21 - UNS4210 (Case)
$30.02 - UNS4211 (Each)
$6.56 - UNS4215 (Each)
$230.46 - UNS4215 (Case)
IntraSite ® Gel Applipak System
SMITH & NEPHEW INC.
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$72.80 - UNS66027308 (Box)
$11.04 - UNS66027311 (Each)
$104.54 - UNS66027311 (Box)
$13.11 - UNS66027313 (Each)
$125.58 - UNS66027313 (Box)
Iodoflex ™ Cadexomer Iodine Gel Pad Dressing
SMITH & NEPHEW INC.
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$57.62 - UNS6602133005 (Box)
$70.73 - UNS6602134010 (Box)
$828.90 - UNS6602134010 (Case)
Iodosorb ® Cadexomer Iodine Gel
SMITH & NEPHEW INC.
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$83.84 - UNS6602125040 (Each)
$982.80 - UNS6602125040 (Case)
IV Prep Antiseptic Wipes
SMITH & NEPHEW INC.
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$14.49 - UNS59421200 (Box)
$280.14 - UNS59421200 (Case)
No-Sting Skin Prep ™
SMITH & NEPHEW INC.
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$31.40 - UNS59420600 (Box)
No-Sting Skin Prep ™
SMITH & NEPHEW INC.
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$67.62 - UNS59420700 (Box)
OpSite ® FLEXGRID ® with One Hand Delivery
SMITH & NEPHEW INC.
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$1.04 - UNS66024628 (Each)
$64.17 - UNS66024628 (Box)
$2.76 - UNS66024629 (Each)
$25.19 - UNS66024629 (Box)
$2.42 - UNS66024630 (Each)
$102.81 - UNS66024630 (Box)
$5.87 - UNS66024631 (Each)
$55.20 - UNS66024631 (Box)
OpSite ® IV 3000 Dressing
SMITH & NEPHEW INC.
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$64.86 - UNS4007 (Pack)
$2.76 - UNS4008 (Each)
$131.79 - UNS4008 (Box)
$499.56 - UNS4008 (Case)
$3.45 - UNS4925 (Each)
$32.09 - UNS4925 (Box)
$3.11 - UNS4973 (Each)
$131.79 - UNS4973 (Box)
OpSite ® Post Operative Dressing
SMITH & NEPHEW INC.
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$53.48 - UNS66000712 (Box)
$505.08 - UNS66000712 (Case)
$84.87 - UNS66000714 (Box)
$802.82 - UNS66000714 (Case)
Opsite Drs Trn 4.75x10 In
SMITH & NEPHEW INC.
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$6.21 - UNS66024632 (Each)
$115.92 - UNS66024632 (Box)
Primapore ® Dressing