| No | Primary DI | Version or Model | Catalog Number | Device Description | Product Code | Product Code Name | Device Class | Brand Name |
|---|---|---|---|---|---|---|---|---|
| 1 | 15051978004141 | 500504 | 500504 | Non-Adhering Silicone Dressing | NAD | Dressing, Wound, Occlusive | 1 | ADAPTIC TOUCH™ |
| 2 | 15051978004134 | 500503 | 500503 | Non-Adhering Silicone Dressing | NAD | Dressing, Wound, Occlusive | 1 | ADAPTIC TOUCH™ |
| 3 | 15051978004127 | 500502 | 500502 | Non-Adhering Silicone Dressing | NAD | Dressing, Wound, Occlusive | 1 | ADAPTIC TOUCH™ |
| 4 | 15051978004110 | 500501 | 500501 | Non-Adhering Silicone Dressing | NAD | Dressing, Wound, Occlusive | 1 | ADAPTIC TOUCH™ |
| 5 | 15051978002734 | 650220 | 650220 | Antimicrobial Binding Dressing | FRO | Dressing, Wound, Drug | U | ACTISORB® SILVER 220 |
| 6 | 15051978002727 | 190220 | 190220 | Antimicrobial Binding Dressing | FRO | Dressing, Wound, Drug | U | ACTISORB® SILVER 220 |
| 7 | 15051978002710 | 105220 | 105220 | Antimicrobial Binding Dressing | FRO | Dressing, Wound, Drug | U | ACTISORB® SILVER 220 |
| 8 | 15051978001263 | MTP508 | MTP508 | Hydropolymer Adhesive Dressing | NAD | Dressing, Wound, Occlusive | 1 | TIELLE® PLUS HEEL |
| 9 | 15051978003670 | MTL110 | MTL110 | Hydropolymer Adhesive Dressing | NAD | Dressing, Wound, Occlusive | 1 | TIELLE® |
| 10 | 15051978001164 | MTL101EN | MTL101EN | Hydropolymer Adhesive Dressing | NAD | Dressing, Wound, Occlusive | 1 | TIELLE® |
| 11 | 15051978001133 | MTL100EN | MTL100EN | Hydropolymer Adhesive Dressing | NAD | Dressing, Wound, Occlusive | 1 | TIELLE® |
| 12 | 15051978000648 | MTL105 | MTL105 | Hydropolymer Adhesive Dressing | NAD | Dressing, Wound, Occlusive | 1 | TIELLE® |
| 13 | 15051978000600 | MTL103 | MTL103 | Hydropolymer Adhesive Dressing | NAD | Dressing, Wound, Occlusive | 1 | TIELLE® |
| 14 | 15051978000587 | MTL102 | MTL102 | Hydropolymer Adhesive Dressing | NAD | Dressing, Wound, Occlusive | 1 | TIELLE® |
| 15 | 15051978000228 | 2018 | 2018 | Non-Adhering Dressing | NAD | Dressing, Wound, Occlusive | 1 | ADAPTIC® |
| 16 | 15051978000198 | 2012 | 2012 | Non-Adhering Dressing | NAD | Dressing, Wound, Occlusive | 1 | ADAPTIC® |
| 17 | 15051978000174 | 2019 | 2019 | Non-Adhering Dressing | NAD | Dressing, Wound, Occlusive | 1 | ADAPTIC® |
| 18 | 15051978000167 | 2014 | 2014 | Non-Adhering Dressing | NAD | Dressing, Wound, Occlusive | 1 | ADAPTIC® |
| 19 | 15051978000136 | 2015 | 2015 | Non-Adhering Dressing | NAD | Dressing, Wound, Occlusive | 1 | ADAPTIC® |
| 20 | 15051978008293 | TLN1212EN | TLN1212EN | Non Adhesive Hydropolymer Dressing | NAD | Dressing, Wound, Occlusive | 1 | TIELLE® NON ADHESIVE |
| 21 | 15051978004738 | TLN2122EN | TLN2122EN | Non Adhesive Hydropolymer Dressing | NAD | Dressing, Wound, Occlusive | 1 | TIELLE® NON ADHESIVE |
| 22 | 15051978004707 | TLN1717EN | TLN1717EN | Non Adhesive Hydropolymer Dressing | NAD | Dressing, Wound, Occlusive | 1 | TIELLE® NON ADHESIVE |
| 23 | 15051978004660 | TLN1515EN | TLN1515EN | Non Adhesive Hydropolymer Dressing | NAD | Dressing, Wound, Occlusive | 1 | TIELLE® NON ADHESIVE |
| 24 | 15051978004608 | TLN1010EN | TLN1010EN | Non Adhesive Hydropolymer Dressing | NAD | Dressing, Wound, Occlusive | 1 | TIELLE® NON ADHESIVE |
| 25 | 15051978004578 | TLN0505EN | TLN0505EN | Non Adhesive Hydropolymer Dressing | NAD | Dressing, Wound, Occlusive | 1 | TIELLE® NON ADHESIVE |
| 26 | 15051978002574 | HCT101 | HCT101 | Hydrocolloid Wound Dressing | NAD | Dressing, Wound, Occlusive | 1 | NU-DERM® |
| 27 | 15051978010067 | MAD062U | MAD062U | Non Adhering Digit Dressing | NAC | Dressing, Wound, Hydrophilic | 1 | ADAPTIC® DIGIT |
| 28 | 15051978010050 | MAD042U | MAD042U | Non Adhering Digit Dressing | NAC | Dressing, Wound, Hydrophilic | 1 | ADAPTIC® DIGIT |
| 29 | 15051978010043 | MAD023U | MAD023U | Non Adhering Digit Dressing | NAC | Dressing, Wound, Hydrophilic | 1 | ADAPTIC® DIGIT |
| 30 | 15051978010036 | MAD013U | MAD013U | Non Adhering Digit Dressing | NAC | Dressing, Wound, Hydrophilic | 1 | ADAPTIC® DIGIT |
| 31 | 15051978010029 | MAD003U | MAD003U | Non Adhering Digit Dressing | NAC | Dressing, Wound, Hydrophilic | 1 | ADAPTIC® DIGIT |
| 32 | 15051978009993 | MA032 | MA032 | Matrix | FRO | Dressing, Wound, Drug | U | PROMOGRAN PRISMA® |
| 33 | 15051978006459 | BIP2030 | BIP2030 | Transparent Film Dressing | NAD | Dressing, Wound, Occlusive | 1 | BIOCLUSIVE® PLUS |
| 34 | 15051978006442 | BIP1520 | BIP1520 | Transparent Film Dressing | NAD | Dressing, Wound, Occlusive | 1 | BIOCLUSIVE® PLUS |
| 35 | 15051978006435 | BIP1012 | BIP1012 | Transparent Film Dressing | NAD | Dressing, Wound, Occlusive | 1 | BIOCLUSIVE® PLUS |
| 36 | 15051978006428 | BIP0607 | BIP0607 | Transparent Film Dressing | NAD | Dressing, Wound, Occlusive | 1 | BIOCLUSIVE® PLUS |
| 37 | 15051978003984 | HCF208 | HCF208 | Hydrocolloid Wound Dressing | NAD | Dressing, Wound, Occlusive | 1 | NU-DERM® |
| 38 | 15051978003977 | HCF204 | HCF204 | Hydrocolloid Wound Dressing | NAD | Dressing, Wound, Occlusive | 1 | NU-DERM® |
| 39 | 15051978002888 | MA123 | MA123 | Matrix | FRO | Dressing, Wound, Drug | U | PROMOGRAN PRISMA® |
| 40 | 15051978002833 | MA028 | MA028 | Matrix | FRO | Dressing, Wound, Drug | U | PROMOGRAN PRISMA® |
| 41 | 15051978002611 | HCH207 | HCH207 | Hydrocolloid Wound Dressing | NAD | Dressing, Wound, Occlusive | 1 | NU-DERM® |
| 42 | 15051978002604 | HCB204 | HCB204 | Hydrocolloid Wound Dressing | NAD | Dressing, Wound, Occlusive | 1 | NU-DERM® |
| 43 | 15051978002581 | HCB108 | HCB108 | Hydrocolloid Wound Dressing | NAD | Dressing, Wound, Occlusive | 1 | NU-DERM® |
| 44 | 15051978002567 | HCS100 | HCS100 | Hydrocolloid Wound Dressing | NAD | Dressing, Wound, Occlusive | 1 | NU-DERM® |
| 45 | 15051978002550 | HCB106 | HCB106 | Hydrocolloid Wound Dressing | NAD | Dressing, Wound, Occlusive | 1 | NU-DERM® |
| 46 | 15051978002543 | HCB102 | HCB102 | Hydrocolloid Wound Dressing | NAD | Dressing, Wound, Occlusive | 1 | NU-DERM® |
| 47 | 15051978000884 | MTP506 | MTP506 | Hydropolymer Adhesive Dressing | NAD | Dressing, Wound, Occlusive | 1 | TIELLE® PLUS SACRUM |
| 48 | 15051978003427 | 7025 | Multi-Layer Compression System | MCY | Wound Dressing Kit | DYNA-FLEX™ | ||
| 49 | 15051978008453 | BGF0245U | BGF0245U | Gelling Fiber Dressing | NAC | Dressing, Wound, Hydrophilic | 1 | BIOSORB® |
| 50 | 15051978008446 | BGF1515U | BGF1515U | Gelling Fiber Dressing | NAC | Dressing, Wound, Hydrophilic | 1 | BIOSORB® |
| No | Primary DI | Version or Model | Catalog Number | Device Description | Brand Name | Organization Name |
|---|---|---|---|---|---|---|
| 1 | 00850044458660 | FD021 | FD021 | Super Absorbent Dressing, Carbon Silicone, 4X4 | CALICO | CALICO MEDICAL GROUP LLC |
| 2 | 00850044458653 | FD020 | FD020 | Super Absorbent Dressing, Silicone, Non Border, 4X4 | CALICO | CALICO MEDICAL GROUP LLC |
| 3 | 00850044458646 | FD019 | FD019 | Super Absorbent Dressing 4X4 | CALICO | CALICO MEDICAL GROUP LLC |
| 4 | 00850044458608 | FD012 | FD012 | Foam Dressing, PU Waterproof w/ Border 6" x 6" | CALICO | CALICO MEDICAL GROUP LLC |
| 5 | 00850044458592 | FD011 | FD011 | Foam Dressing, PU Waterproof w/ Border 4" x 4" | CALICO | CALICO MEDICAL GROUP LLC |
| 6 | 00850044458585 | FD010 | FD010 | Foam Dressing, PU Waterproof w/ Border 2" x 2" | CALICO | CALICO MEDICAL GROUP LLC |
| 7 | 00850044458578 | FD003 | FD003 | Non Adhesive Foam Dressing, PU Waterproof 6" x 6" | CALICO | CALICO MEDICAL GROUP LLC |
| 8 | 00850044458561 | FD002 | FD002 | Non Adhesive Foam Dressing, PU Waterproof 4" x 4" | CALICO | CALICO MEDICAL GROUP LLC |
| 9 | 00850044458554 | FD001 | FD001 | Non Adhesive Foam Dressing, PU Waterproof 2" x 2" | CALICO | CALICO MEDICAL GROUP LLC |
| 10 | 00850044458363 | CAD003 | CAD003 | Calcium Alginate Dressing 6" x 6" | CALICO | CALICO MEDICAL GROUP LLC |
| 11 | 00850044458356 | CAD002 | CAD002 | Calcium Alginate Dressing 4" x 4" | CALICO | CALICO MEDICAL GROUP LLC |
| 12 | 00850044458349 | CAD001 | CAD001 | Calcium Alginate Dressing 2" x 2" | CALICO | CALICO MEDICAL GROUP LLC |
| 13 | 00850021481582 | CMC42510 | CMC42510 | Areza Carboxymethyl Cellulose(CMC) Gelling Fiber 4.25” x 4.25” (10.75 x 10.75 cm) 10 pcs | Areza Medical | ADVANCED MEDICAL ASSOCIATES, LLC |
| 14 | 00850014433666 | 1 | DU1250 | consist of a sterile non-woven adhesive backing with an absorbent wound pad whic consist of a sterile non-woven adhesive backing with an absorbent wound pad which provides a waterproof and bacterial barrier. | Island Dressing 6"x6" | DISTRIBUTION UNLIMITED, LLC |
| 15 | 00850005565567 | 20658 | 20658 | Calcium Alginate Dressings, 4" x 8", 5/box, 10 boxes/case | Vitale STRONG | CELLERA LLC |
| 16 | 00850005565543 | 20655 | 20655 | Calcium Alginate Dressings, 4" x 5", 10/box, 10 boxes/case | Vitale STRONG | CELLERA LLC |
| 17 | 00850005565512 | 20654 | 20654 | Calcium Alginate Dressings, 4" x 4", 10/box, 10 boxes/case | Vitale STRONG | CELLERA LLC |
| 18 | 00850005565499 | 20652 | 20652 | Calcium Alginate Dressings, 2" x 2", 10/box, 10 boxes/case | Vitale STRONG | CELLERA LLC |
| 19 | 00850005565468 | 20650 | 20650 | Calcium Alginate Ropes, 5/box, 10 boxes/case | Vitale STRONG | CELLERA LLC |
| 20 | 00850005565024 | 20290 | 20290 | Vitale Sacral Silicone Super-Absorbent Dressings, 5/box, 10 boxes/case | Vitale | CELLERA LLC |
| 21 | 00850004779637 | SNS74502 | SNS74502 | Foam Dressing 2 x 2 inch with Silicone | Simpurity | SAFE N' SIMPLE LLC |
| 22 | 00850004779453 | SNS56745 | SNS56745 | Fibergel Dressing 4 x 5 inch | Simpurity | SAFE N' SIMPLE LLC |
| 23 | 00850004779439 | SNS56704 | SNS56704 | Fibergel Dressing 4 x 4 inch | Simpurity | SAFE N' SIMPLE LLC |
| 24 | 00850004779422 | SNS72302 | SNS72302 | Foam Dressing 2 x 2 inch with Border | Simpurity | SAFE N' SIMPLE LLC |
| 25 | 00850004779408 | SNS77733 | SNS77733 | Foam Dressing 3 x 3 inch with Silicone Adhesive Border | Simpurity | SAFE N' SIMPLE LLC |
| 26 | 00850004779125 | SNS72320 | SNS72320 | Foam Dressing 4 x 5 inch with adhesive border | Simpurity | SAFE N' SIMPLE LLC |
| 27 | 00850004779033 | SNS77777 | SNS77777 | Foam Dressing 5 x 5 inch with Silicone Adhesive Border Sacral Shape | Simpurity | SAFE N' SIMPLE LLC |
| 28 | 00850004779026 | SNS77777 | SNS77777 | Foam Dressing 5 x 5 inch with Silicone Adhesive Border Sacral Shape (Each) | Simpurity | SAFE N' SIMPLE LLC |
| 29 | 00850002835618 | SNS77744 | SNS77744 | Foam Dressing 4 x 4 inch with Silicone Adhesive Border | Simpurity | SAFE N' SIMPLE LLC |
| 30 | 00850002835595 | SNS56702 | SNS56702 | Fibergel Dressing 2 x 2 inch | Simpurity | SAFE N' SIMPLE LLC |
| 31 | 00850002835571 | SNS74520 | SNS74520 | Foam Dressing 4 x 5 inch with silicone | Simpurity | SAFE N' SIMPLE LLC |
| 32 | 00850002835243 | SNS51W04 | SNS51W04 | Foam Dressing 4 x 4 inch | Simpurity | SAFE N' SIMPLE LLC |
| 33 | 00850002835120 | SNS51W02 | SNS51W02 | Foam Dressing 2 x 2 inch | Simpurity | SAFE N' SIMPLE LLC |
| 34 | 00850002835045 | SNS50704 | SNS50704 | Simpurity Calcium Alginate Dressing 4" x 4" | Simpurity | SAFE N' SIMPLE LLC |
| 35 | 00819333029035 | AW003A | AW003 | Silicone Multi Purpose Dressing 4x4in / 10x10cm | Optiheal Silicone Multi Purpose Dressing | NEO G USA INC |
| 36 | 00819333029028 | AW002A | AW002 | Silicone Postsurgical Dressing 8x4in / 20x10cm | Optiheal Silicone Postsurgical Dressing | NEO G USA INC |
| 37 | 00819333029011 | AW001A | AW001 | Silicone Foam Absorbent Dressing 4x4in / 10x10cm | Optiheal Silicone Foam Absorbent Dressing | NEO G USA INC |
| 38 | 00817617023267 | 661469MS | 661469MS | Site-Loc Transparent Dressing, 6x7cm | Curaplex | BOUND TREE MEDICAL, LLC |
| 39 | 00817617023250 | 36002MS | 36002MS | IV Guard Dressing, Medstorm Label | Curaplex | BOUND TREE MEDICAL, LLC |
| 40 | 00817415022868 | 783540 | 783540 | Island Dressing 2" x 3" Ea | Dealmed | DEALMED MEDICAL SUPPLIES LLC |
| 41 | 00817415020529 | 817415020697 | 783740 | Island Dressing 6" x 6" 25/Box | Dealmed | DEALMED MEDICAL SUPPLIES LLC |
| 42 | 00816703024645 | MS-11124-T | Not Applicable | TEGADERM DRESSING 4X4.75 | MedSource Transparent Dressing | MEDSOURCE INTERNATIONAL LLC |
| 43 | 00816703024621 | MS-11124 | Not Applicable | Site-Loc, 4"x4-3/4" | MedSource Transparent Dressing | MEDSOURCE INTERNATIONAL LLC |
| 44 | 00816703024607 | MS-11121-T | Not Applicable | Tegaderm Transparent Dressing | MedSource Transparent Dressing | MEDSOURCE INTERNATIONAL LLC |
| 45 | 00816703024584 | MS-11121-RCS | Not Applicable | Site-Loc Transparent Dressing 6 x 7cm | MedSource Transparent Dressing | MEDSOURCE INTERNATIONAL LLC |
| 46 | 00816703024560 | MS-11121 | Not Applicable | Site-Loc Transparent Dressing, 6 x 7cm. | MedSource Transparent Dressing | MEDSOURCE INTERNATIONAL LLC |
| 47 | 00816703024553 | MS-11108 | Not Applicable | IV guard, Split tail | MedSource I.V. Guard | MEDSOURCE INTERNATIONAL LLC |
| 48 | 00816703024539 | MS-11102 | Not Applicable | Pedi IV Guard Catheter Dressing | MedSource I.V. Guard | MEDSOURCE INTERNATIONAL LLC |
| 49 | 00816703024515 | MS-11101 | Not Applicable | I.V. Guard Catheter Dressing, | MedSource I.V. Guard | MEDSOURCE INTERNATIONAL LLC |
| 50 | 00814639025460 | SAD-AS4 | SAD-AS4 | Wound Free -Adherent Super Absorbent Dressing (10x10cm) / 4"x4". Sterile | Wound Free | APPLIED DENTAL, INC. |