New Hampshire Healthy Families (Centene)

Covered DFU, VSU, and VLU

Policy No.

CP.MP.185

States
New Hampshire
Grafix Core Q4132

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

Grafix PL/Prime Q4133

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