SOLOSITE^◊ is a hydrogel wound dressing with preservatives.  It can donate moisture to rehydrate non-viable tissue.  It absorbs exudate while retaining its structure in the wound.

• SOLOSITE◊ Gel is used to create a moist wound environment for the treatment of minor conditions such as:                   

• Under the direction of a healthcare professional, SOLOSITE◊ Gel is used to create a moist wound environment for the management of:                   

Venous ulcers (leg ulcers)

Surgical incisions

Diabetic foot ulcers

Pressure ulcers (including stage IV)

• Creates a moist wound environment, which assists in autolytic debridement of wounds covered with necrotic tissues.

For external use only.  If condition worsens or does not improve within 7 days, consult a physician.

Usual Allowable Amount: Up to 1 change per day and 3 fluid ounces per 30 days; quantity used with each change should not exceed the amount needed to line the surface of the wound.

Specific Coverage Criteria: Covered when used on full-thickness wounds with minimal or no exudate; not covered if combined with a hydrogel cover or an absorptive secondary dressing.

Product #	Size	Pcs/Pkg	Pkgs/Case	HCPCS Code
449600	3 oz. Tube	1	12	A6248