Iowa Total Care - Centene

Covered DFU, VSU, and VLU

Policy No.

CP.MP.185

States
Grafix Core Q4132

Covered – DFU/VLU/VSU, Full Thickness Skin-Loss Ulcers

Grafix PL/Prime Q4133

Covered – DFU/VLU/VSU, Full Thickness Skin-Loss Ulcers