Polyurethane foam film dressing sterile without adhesive border 5cm x 5cm square

SNOMED code: 3134111000001104
Preferred name basis: Other
Prescribable: Never Valid To Prescribe As A VMP
Dose form: Not applicable
Ingredients
Form & Route
Controlled drug: No Controlled Drug Status

Products

GBUK Foam dressing 5cm x 5cm square (GBUK Healthcare)

GBUK Foam dressing 5cm x 5cm square

SNOMED code: 45700911000001101
Supplier: GBUK Healthcare
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
GBUK Foam dressing 5cm x 5cm square (GBUK Healthcare) 1 dressing `45701011000001109` ref. pack	💯 Available	`06938056216165` 1 Mar 2026	NHS Indicative Price £0.42	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
GBUK Foam dressing 5cm x 5cm square (GBUK Healthcare) 10 dressing `45722011000001105` ref. pack	💯 Available	`16938056216162` 1 Mar 2026	No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff)

Allevyn dressing (non-adhesive) 5cm x 5cm square (Smith & Nephew Healthcare Ltd)

previously Allevyn dressing (non adhesive) 5cm x 5cm square

Allevyn dressing (non-adhesive) 5cm x 5cm square

SNOMED code: 467211000001104
Named: 19 Mar 2004
Supplier: Smith & Nephew Healthcare Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Allevyn dressing (non-adhesive) 5cm x 5cm square (Smith & Nephew Healthcare Ltd) 1 dressing `1715911000001107` ref. pack	💯 Available		NHS Indicative Price 1 Oct 2025 £1.40 previously: £1.38	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
Allevyn dressing (non-adhesive) 5cm x 5cm square (Smith & Nephew Healthcare Ltd) 10 dressing `7704411000001101` ref. pack	💯 Available	`5000223411428` 19 Jan 2010	No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff) effective: 20 Sep 2004 previously: Not allowed (not in Drug Tariff)

Kendall AMD Antimicrobial foam dressing 5cm x 5cm square (Mediq Healthcare UK Ltd)

Kendall AMD Antimicrobial foam dressing 5cm x 5cm square

SNOMED code: 15565611000001102
Supplier: Mediq Healthcare UK Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Kendall AMD Antimicrobial foam dressing 5cm x 5cm square (Mediq Healthcare UK Ltd) 1 dressing `15565711000001106` ref. pack	💯 Available		NHS Indicative Price 1 Jul 2025 £2.60 previously: £2.57	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
Kendall AMD Antimicrobial foam dressing 5cm x 5cm square (Mediq Healthcare UK Ltd) 25 dressing `15565811000001103` ref. pack	💯 Available		No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff)

Xtrasorb Foam dressing (non-adhesive) 5cm x 5cm square (Gentell UK Ltd)

Xtrasorb Foam dressing (non-adhesive) 5cm x 5cm square

SNOMED code: 20950311000001107
Supplier: Gentell UK Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Xtrasorb Foam dressing (non-adhesive) 5cm x 5cm square (Gentell UK Ltd) 1 dressing `20950411000001100` ref. pack	💯 Available	`00809958183229` 1 Aug 2024	NHS Indicative Price 1 Apr 2020 £1.13 previously: £1.12	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
Xtrasorb Foam dressing (non-adhesive) 5cm x 5cm square (Gentell UK Ltd) 10 dressing `20950511000001101` ref. pack	💯 Available	`00809958183212` 1 Aug 2024	No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff)

Advazorb dressing 5cm x 5cm square (Advancis Medical)

Advazorb dressing 5cm x 5cm square

SNOMED code: 21326811000001102
Supplier: Advancis Medical
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Advazorb dressing 5cm x 5cm square (Advancis Medical) 1 dressing `21326911000001107` ref. pack	💯 Available	`5060031476385` 9 Dec 2015	NHS Indicative Price 1 Dec 2024 £0.72 previously: £0.72	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
Advazorb dressing 5cm x 5cm square (Advancis Medical) 10 dressing `21327011000001106` ref. pack	💯 Available	`5060031476392` 9 Dec 2015	No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff)

ActivHeal PHMB Foam Non-Adhesive dressing 5cm x 5cm square (Advanced Medical Solutions Ltd)

ActivHeal PHMB Foam Non-Adhesive dressing 5cm x 5cm square

SNOMED code: 33777411000001109
Supplier: Advanced Medical Solutions Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
ActivHeal PHMB Foam Non-Adhesive dressing 5cm x 5cm square (Advanced Medical Solutions Ltd) 1 dressing `33777711000001103` ref. pack	💯 Available	`15032749027514` 14 Dec 2022	NHS Indicative Price 1 Feb 2026 £2.2 previously: £1.99	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
ActivHeal PHMB Foam Non-Adhesive dressing 5cm x 5cm square (Advanced Medical Solutions Ltd) 10 dressing `33777911000001101` ref. pack	💯 Available	`25032749001634` 1 Feb 2017 End: 13 Dec 2022`5032749027517` 14 Dec 2022	No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff)

CovaWound Non-Adherent Foam dressing 5cm x 5cm square (Covalon Technologies (Europe) Ltd)

CovaWound Non-Adherent Foam dressing 5cm x 5cm square

SNOMED code: 35063611000001102
Supplier: Covalon Technologies (Europe) Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
CovaWound Non-Adherent Foam dressing 5cm x 5cm square (Covalon Technologies (Europe) Ltd) 1 dressing `35063711000001106` ref. pack	💯 Available	`0825439012123` 1 Feb 2018	NHS Indicative Price 1 Jan 2022 £0.48 previously: £0.47	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
CovaWound Non-Adherent Foam dressing 5cm x 5cm square (Covalon Technologies (Europe) Ltd) 10 dressing `35063811000001103` ref. pack	💯 Available	`0825439012130` 1 Feb 2018	No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff)

kliniderm Foam dressing 5cm x 5cm square (Mediq Healthcare UK Ltd)

kliniderm Foam dressing 5cm x 5cm square

SNOMED code: 39426311000001108
Supplier: Mediq Healthcare UK Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
kliniderm Foam dressing 5cm x 5cm square (Mediq Healthcare UK Ltd) 1 dressing `39426411000001101` ref. pack	💯 Available	`8715343065730` 17 May 2021	NHS Indicative Price 1 Jul 2025 £0.46 previously: £0.45	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
kliniderm Foam dressing 5cm x 5cm square (Mediq Healthcare UK Ltd) 10 dressing `39426511000001102` ref. pack	💯 Available		No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff)

Moderex Non-Adhesive dressing 5cm x 5cm square (Zelador Ltd)

Moderex Non-Adhesive dressing 5cm x 5cm square

SNOMED code: 40497211000001106
Supplier: Zelador Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Moderex Non-Adhesive dressing 5cm x 5cm square (Zelador Ltd) 1 dressing `40497311000001103` ref. pack	💯 Available	`5060502999931` 1 Mar 2022	NHS Indicative Price £0.45	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
Moderex Non-Adhesive dressing 5cm x 5cm square (Zelador Ltd) 10 dressing `40497411000001105` ref. pack	💯 Available	`5060502999924` 1 Mar 2022	No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff)

#AOne Foam dressing (non-adhesive) 5cm x 5cm square (Regen Medical Ltd)

#AOne Foam dressing (non-adhesive) 5cm x 5cm square

SNOMED code: 41117311000001106
Supplier: Regen Medical Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
#AOne Foam dressing (non-adhesive) 5cm x 5cm square (Regen Medical Ltd) 1 dressing `41117411000001104` ref. pack	💯 Available	`16940610102002` 1 Nov 2022	NHS Indicative Price £0.26	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
#AOne Foam dressing (non-adhesive) 5cm x 5cm square (Regen Medical Ltd) 10 dressing `41117511000001100` ref. pack	💯 Available	`26940610102009` 1 Nov 2022	No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff)

ActivHeal Non-Adhesive Foam polyurethane dressing 5cm x 5cm square (Advanced Medical Solutions Ltd)

previously ActivHeal Non-Adherent Foam polyurethane dressing 5cm x 5cm square

ActivHeal Non-Adhesive Foam polyurethane dressing 5cm x 5cm square

SNOMED code: 9078911000001103
Named: 1 Jul 2007
Supplier: Advanced Medical Solutions Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
ActivHeal Non-Adhesive Foam polyurethane dressing 5cm x 5cm square (Advanced Medical Solutions Ltd) 1 dressing `9079011000001107` ref. pack	💯 Available		NHS Indicative Price 1 Feb 2026 £0.79 previously: £0.77	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
ActivHeal Non-Adhesive Foam polyurethane dressing 5cm x 5cm square (Advanced Medical Solutions Ltd) 10 dressing `9079111000001108` ref. pack	💯 Available	`5032749000275` 10 Mar 2015	No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff)

Trufoam Non Adhesive dressing 5cm x 5cm square (Aspen Medical Europe Ltd)

previously Trufoam NA dressing 5cm x 5cm square

Trufoam Non Adhesive dressing 5cm x 5cm square

SNOMED code: 228911000001103
Named: 1 May 2012
Supplier: Aspen Medical Europe Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	Price	Prescribing	Reimbursement	Pack
Trufoam Non Adhesive dressing 5cm x 5cm square (Aspen Medical Europe Ltd) 1 dressing `2349211000001107` ref. pack	Discontinued 1 Jan 2017	No Price Available 1 Apr 2017 previously: £0.71	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Apr 2017 previously: Allowed (in Drug Tariff)
Trufoam Non Adhesive dressing 5cm x 5cm square (Aspen Medical Europe Ltd) 10 dressing `7823811000001108` ref. pack	Discontinued 1 Jan 2017	No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Apr 2017 previously: Allowed (in Drug Tariff)
Trufoam Non Adhesive dressing 5cm x 5cm square (Aspen Medical Europe Ltd) 100 dressing `7803111000001107` ref. pack	❌ Invalid Discontinued 9 Jul 2021	No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff)

Allevyn Lite dressing 5cm x 5cm square (Smith & Nephew Healthcare Ltd)

previously Allevyn LM dressing (non adhesive) 5cm x 5cm square

Allevyn Lite dressing 5cm x 5cm square

SNOMED code: 876811000001102
Named: 1 Feb 2003
Supplier: Smith & Nephew Healthcare Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Allevyn Lite dressing 5cm x 5cm square (Smith & Nephew Healthcare Ltd) 1 dressing `1715711000001105` ref. pack	Discontinued 1 Aug 2016		No Price Available 1 Nov 2016 previously: £1.13	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Nov 2016 previously: Allowed (in Drug Tariff)
Allevyn Lite dressing 5cm x 5cm square (Smith & Nephew Healthcare Ltd) 20 dressing `7700811000001109` ref. pack	Discontinued 1 Aug 2016	`5000223439354` 19 Jan 2010	No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Nov 2016 previously: Allowed (in Drug Tariff)

Suprasorb P dressing (non-adhesive) 5cm x 5cm square (L&R Medical UK Ltd)

Suprasorb P dressing (non-adhesive) 5cm x 5cm square

SNOMED code: 9135111000001102
Supplier: L&R Medical UK Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Suprasorb P dressing (non-adhesive) 5cm x 5cm square (L&R Medical UK Ltd) 1 dressing `9135311000001100` ref. pack	Discontinued 21 Oct 2010	`4021447013121` 30 Mar 2010	No Price Available 1 Feb 2011 previously: £0.93	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Feb 2011 previously: Allowed (in Drug Tariff)
Suprasorb P dressing (non-adhesive) 5cm x 5cm square (L&R Medical UK Ltd) 10 dressing `9135411000001107` ref. pack	Discontinued 21 Oct 2010	`4021447204055` 30 Mar 2010	No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Feb 2011 previously: Allowed (in Drug Tariff)

Comfifoam dressing (non-adhesive) 5cm x 5cm square (Synergy Health (UK) Ltd)

Comfifoam dressing (non-adhesive) 5cm x 5cm square

SNOMED code: 9429811000001108
Supplier: Synergy Health (UK) Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Comfifoam dressing (non-adhesive) 5cm x 5cm square (Synergy Health (UK) Ltd) 1 dressing `9429911000001103` ref. pack	Discontinued 30 Jun 2008		No Price Available 1 Oct 2008 previously: £0.96	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Oct 2008 previously: Allowed (in Drug Tariff)
Comfifoam dressing (non-adhesive) 5cm x 5cm square (Synergy Health (UK) Ltd) 10 dressing `9430111000001109` ref. pack	Discontinued 30 Jun 2008		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Oct 2008 previously: Allowed (in Drug Tariff)

Kendall Foam dressing 5cm x 5cm square (H & R Healthcare Ltd)

previously Kendall dressing 5cm x 5cm square

Kendall Foam dressing 5cm x 5cm square

SNOMED code: 12833311000001104
Named: 1 Dec 2012
Supplier: H & R Healthcare Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Kendall Foam dressing 5cm x 5cm square (H & R Healthcare Ltd) 1 dressing `12833411000001106` ref. pack	Discontinued 1 Sep 2022		No Price Available 1 Dec 2022 previously: £0.73	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Dec 2022 previously: Allowed (in Drug Tariff)
Kendall Foam dressing 5cm x 5cm square (H & R Healthcare Ltd) 25 dressing `12852011000001107` ref. pack	Discontinued 1 Sep 2022		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Dec 2022 previously: Allowed (in Drug Tariff)

Kendall Foam Plus dressing 5cm x 5cm square (H & R Healthcare Ltd)

previously Kendall Plus dressing 5cm x 5cm square

Kendall Foam Plus dressing 5cm x 5cm square

SNOMED code: 12836711000001107
Named: 1 Dec 2012
Supplier: H & R Healthcare Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Kendall Foam Plus dressing 5cm x 5cm square (H & R Healthcare Ltd) 1 dressing `12836811000001104` ref. pack	Discontinued 1 Sep 2022		No Price Available 1 Dec 2022 previously: £0.83	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Dec 2022 previously: Allowed (in Drug Tariff)
Kendall Foam Plus dressing 5cm x 5cm square (H & R Healthcare Ltd) 25 dressing `12853011000001103` ref. pack	Discontinued 1 Sep 2022		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Dec 2022 previously: Allowed (in Drug Tariff)

Tielle Non Adhesive dressing 5cm x 5cm square (Systagenix Wound Management Ltd)

previously Tielle dressing (non-adhesive) 5cm x 5cm square

Tielle Non Adhesive dressing 5cm x 5cm square

SNOMED code: 30906811000001106
Named: 1 Dec 2015
Supplier: Systagenix Wound Management Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Tielle Non Adhesive dressing 5cm x 5cm square (Systagenix Wound Management Ltd) 1 dressing `30901511000001104` ref. pack	Discontinued 1 Jul 2021		No Price Available 1 Oct 2021 previously: £1.22	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Oct 2021 previously: Allowed (in Drug Tariff)
Tielle Non Adhesive dressing 5cm x 5cm square (Systagenix Wound Management Ltd) 10 dressing `30901611000001100` ref. pack	Discontinued 1 Jul 2021		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Oct 2021 previously: Allowed (in Drug Tariff)

GenaFoam dressing 5cm x 5cm square (Aspen Medical Europe Ltd)

GenaFoam dressing 5cm x 5cm square

SNOMED code: 31330911000001106
Supplier: Aspen Medical Europe Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
GenaFoam dressing 5cm x 5cm square (Aspen Medical Europe Ltd) 1 dressing `31331011000001103` ref. pack	Discontinued 1 Mar 2020		No Price Available 1 Jun 2020 previously: £0.71	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Jun 2020 previously: Allowed (in Drug Tariff)
GenaFoam dressing 5cm x 5cm square (Aspen Medical Europe Ltd) 10 dressing `31331111000001102` ref. pack	Discontinued 1 Mar 2020		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Jun 2020 previously: Allowed (in Drug Tariff)

Reference packs

Polyurethane foam film dressing sterile without adhesive border 5cm x 5cm square 1 dressing

SNOMED code

1083711000001108

Quantity and unit

1 dressing

Drug Tariff

payment category: Part IXa

Packs

Allevyn Lite dressing 5cm x 5cm square (Smith & Nephew Healthcare Ltd) 1 dressing
Allevyn dressing (non-adhesive) 5cm x 5cm square (Smith & Nephew Healthcare Ltd) 1 dressing
Trufoam Non Adhesive dressing 5cm x 5cm square (Aspen Medical Europe Ltd) 1 dressing
ActivHeal Non-Adhesive Foam polyurethane dressing 5cm x 5cm square (Advanced Medical Solutions Ltd) 1 dressing
Suprasorb P dressing (non-adhesive) 5cm x 5cm square (L&R Medical UK Ltd) 1 dressing
Comfifoam dressing (non-adhesive) 5cm x 5cm square (Synergy Health (UK) Ltd) 1 dressing
Kendall Foam dressing 5cm x 5cm square (H & R Healthcare Ltd) 1 dressing
Kendall Foam Plus dressing 5cm x 5cm square (H & R Healthcare Ltd) 1 dressing
Kendall AMD Antimicrobial foam dressing 5cm x 5cm square (Mediq Healthcare UK Ltd) 1 dressing
Xtrasorb Foam dressing (non-adhesive) 5cm x 5cm square (Gentell UK Ltd) 1 dressing
Advazorb dressing 5cm x 5cm square (Advancis Medical) 1 dressing
Tielle Non Adhesive dressing 5cm x 5cm square (Systagenix Wound Management Ltd) 1 dressing
GenaFoam dressing 5cm x 5cm square (Aspen Medical Europe Ltd) 1 dressing
ActivHeal PHMB Foam Non-Adhesive dressing 5cm x 5cm square (Advanced Medical Solutions Ltd) 1 dressing
CovaWound Non-Adherent Foam dressing 5cm x 5cm square (Covalon Technologies (Europe) Ltd) 1 dressing
kliniderm Foam dressing 5cm x 5cm square (Mediq Healthcare UK Ltd) 1 dressing
Moderex Non-Adhesive dressing 5cm x 5cm square (Zelador Ltd) 1 dressing
#AOne Foam dressing (non-adhesive) 5cm x 5cm square (Regen Medical Ltd) 1 dressing
GBUK Foam dressing 5cm x 5cm square (GBUK Healthcare) 1 dressing

Polyurethane foam film dressing sterile without adhesive border 5cm x 5cm square 10 dressing

SNOMED code

7704311000001108

Quantity and unit

10 dressing

Drug Tariff

payment category: Part IXa

Packs

Allevyn dressing (non-adhesive) 5cm x 5cm square (Smith & Nephew Healthcare Ltd) 10 dressing
Trufoam Non Adhesive dressing 5cm x 5cm square (Aspen Medical Europe Ltd) 10 dressing
ActivHeal Non-Adhesive Foam polyurethane dressing 5cm x 5cm square (Advanced Medical Solutions Ltd) 10 dressing
Suprasorb P dressing (non-adhesive) 5cm x 5cm square (L&R Medical UK Ltd) 10 dressing
Comfifoam dressing (non-adhesive) 5cm x 5cm square (Synergy Health (UK) Ltd) 10 dressing
Xtrasorb Foam dressing (non-adhesive) 5cm x 5cm square (Gentell UK Ltd) 10 dressing
Advazorb dressing 5cm x 5cm square (Advancis Medical) 10 dressing
Tielle Non Adhesive dressing 5cm x 5cm square (Systagenix Wound Management Ltd) 10 dressing
GenaFoam dressing 5cm x 5cm square (Aspen Medical Europe Ltd) 10 dressing
ActivHeal PHMB Foam Non-Adhesive dressing 5cm x 5cm square (Advanced Medical Solutions Ltd) 10 dressing
CovaWound Non-Adherent Foam dressing 5cm x 5cm square (Covalon Technologies (Europe) Ltd) 10 dressing
kliniderm Foam dressing 5cm x 5cm square (Mediq Healthcare UK Ltd) 10 dressing
Moderex Non-Adhesive dressing 5cm x 5cm square (Zelador Ltd) 10 dressing
#AOne Foam dressing (non-adhesive) 5cm x 5cm square (Regen Medical Ltd) 10 dressing
GBUK Foam dressing 5cm x 5cm square (GBUK Healthcare) 10 dressing

Polyurethane foam film dressing sterile without adhesive border 5cm x 5cm square 20 dressing

SNOMED code

7700711000001101

Quantity and unit

20 dressing

Packs

Allevyn Lite dressing 5cm x 5cm square (Smith & Nephew Healthcare Ltd) 20 dressing

Polyurethane foam film dressing sterile without adhesive border 5cm x 5cm square 25 dressing

SNOMED code

12851911000001100

Quantity and unit

25 dressing

Drug Tariff

payment category: Part IXa

Packs

Kendall Foam dressing 5cm x 5cm square (H & R Healthcare Ltd) 25 dressing
Kendall Foam Plus dressing 5cm x 5cm square (H & R Healthcare Ltd) 25 dressing
Kendall AMD Antimicrobial foam dressing 5cm x 5cm square (Mediq Healthcare UK Ltd) 25 dressing

Polyurethane foam film dressing sterile without adhesive border 5cm x 5cm square 100 dressing

SNOMED code

7803011000001106

Status

❌ Invalid

Quantity and unit

100 dressing

Packs

Trufoam Non Adhesive dressing 5cm x 5cm square (Aspen Medical Europe Ltd) 100 dressing