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Polymem Shapes Oval Film Adhesive Dressings, 3" x 2", box of 15

Polymem Shapes is a film dressing.

INTENDED USES: PolyMem Silver Shapes dressings assist with healing: Abrasions, Bruises, Chronic wounds, Skin disorders, Venous ulcers, Diabetic ulcers, Donor and graft sites, Full- and partial-thickness wounds, Road rash, First- and second-degree burns, Skin tears, Pediatric injuries, Surgical wounds, Deep tissue injuries, Trauma wounds

CLAIMED BENEFITS: Helps the dressing conform to contoured areas of the body without detaching or restricting movement while also adjusting to the shape of the wound bed. Creates an ideal healing environment by controlling bacteria and inflammation, reducing pain in the process and moving the healing process along. Can be applied to both open and closed injuries. Releases high-purity silver particles over a larger area to control bacteria populations and lessen the wound’s bioburden. Absorbs 10 times its weight in exudate by taking on a gel consistency. Provides autolytic debridement to slough off necrotic tissue. Is easily and painlessly removed during dressing changes, preventing damage to the wound bed and surrounding tissue. Does not need to be damped for application. Has a thin, clear, breathable backing that allows you to observe the wound’s progress.

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 16 sq. in. or less, with any size adhesive border, each dressing $2.02 / $2.38
View medicare suppliers in or near ''
https://www.medicare.gov/medical-equipment-suppliers/results?location=&cba=false&keyword=
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Estimated out-of-pocket cost:

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=3160

Other Stores

* Indicates whether store accepts Medicare or commercial insurance, but may not apply to this specific product. See coding, coverage and reimubursement for more 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.