WoundReference

Allevyn* Adhesive Dressing

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ALLEVYN Adhesive, Sacrum 6 ¾’’ x 6 ¾’’/17cm x 17cm, 10/carton

ALLEVYN Adhesive is a foam wound dressing. INTENDED USES: indicated for exudate absorption and the management of partial- to full-thickness wounds. Some typical wounds are: ulcers (venous, arterial, diabetic, pressure), donor sites, surgical incisions, surgical excisions and burns (first- and second-degree). CLAIMED FEATURES: With its triple layer formation, this product was designed with this combination to ensure optimal fluid handling to support moist wound healing. ALLEVYN Adhesive is a dressing specifically designed to manage chronic or acute exuding wounds. The triple action technology helps to maintain an optimal balance in fluid creating a moist wound environment for healing. The low allergy adhesive helps to keep the dressing securely in place without adhering to the wound. The breathable top film helps to minimize the risk of maceration to the wound and peri-wound. Provides an effective barrier function to exogenous bacteria as well as helping to prevent fluid and bacterial strikethrough. Easy to apply and remove. Conforms to body contours. Available in a wide range of sizes which can be cut to fit areas such as elbows and heels. Sacral sizes available OPTIONS: Sacrum 6 ¾’’ x 6 ¾’’/17cm x 17cm, 10/carton

Product Information

Pricing and Suppliers

Is it covered by Medicare Part B?

How can I purchase this product?

If you have Medicare Part B coverage, you can purchase this product at a store that accepts Medicare. You need a written order prescribed by a physician enrolled in Medicare. You will need to pay deductibles and/or co-payment. The actual copayment amount can vary by your state. The table below illustrates the highest (ceiling) and lowest (floor) expected co-payment across the country.

The table below shows highest and lowest Medicare pricing across the country
DescriptionMedicare DME co-payment Min / Max
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing $0.00 / $0.00
View medicare suppliers in or near ''
https://www.medicare.gov/medical-equipment-suppliers/results?location=&cba=false&keyword=
Recommended Suppliers
Estimated out-of-pocket cost: $51.24

If your insurance does not cover this product, you can purchase it directly from any store. A list of online stores and prices is provided below for your convenience. For updated prices, find it on the internet at https://woundreference.com/app/product?id=1971

Other Stores

StorePriceAccepts
Medicare*		Accepts
Insurance*		ShippingWebsitePhone
Amazon$51.24 Inquire vendor Inquire vendor Free with Prime www.amazon.com  
* Indicates whether store accepts Medicare or commercial insurance, but may not apply to this specific product. See coding, coverage and reimubursement for more information.

Additional Information

The information on this handout is for your convenience and educational purposes only. All product claims and specifications are those of the product suppliers. It does not constitute medical advice or a guarantee for reimbursement. Prices may have changed and suppliers may not have product in stock. Please confirm accuracy and appropriateness of information with insurance carrier and product supplier. Clinician and WoundReference assume no liability for inaccuracies or misstatements about products and insurance coverage.