Drugs for the Skin

BRAND NAME: Kendall Hydrogel Wound Dress

GENERIC NAME: 
gel dressing No Generic Available
  Status Notes or Restrictions
Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO) nonform.gif (625 bytes) NOTES_restrict.gif (377 bytes)
HealthNet - All plan years notlisted.gif (324 bytes)  
Kaiser Foundation Health Plan Northern California - All plan years notlisted.gif (324 bytes)  
Kaiser Foundation Health Plan Southern California - All plan years notlisted.gif (324 bytes)  
Oscar Health - 2018 to Present notlisted.gif (324 bytes)  
Sharp Health Plan - All plan years notlisted.gif (324 bytes)  
Sutter Health Plus notlisted.gif (324 bytes)  
UnitedHealthcare - 2014 to Present notlisted.gif (324 bytes)  
Western Health Advantage - All plan years notlisted.gif (324 bytes)  


preferred.gif (540 bytes)  Preferred

approved.gif (510 bytes)   Approved

priorauth.gif (816 bytes)  Prior Auth.
nonform.gif (625 bytes)    Non-Formulary notreimb.gif (645 bytes)   Not Reimbursed notlisted.gif (324 bytes)   Not Listed
nonform.gif (625 bytes)    Benefits/Policies generic.gif (400 bytes) Generic Available, Brand Listed for reference only. Brand may not be covered.

NOTES.gif (377 bytes)NOTES_restrict.gif (372 bytes)

 Notes or
Restrictions

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