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906 ABC NIPPLE

$23.00Price

Made of soft silicone with an adhesive back, this nipple prosthesis can be securely attached to a breast form, shaper, or reconstructed breast.

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To file your insurance claim for reimbursement send this prescription form along with a copy of both sides of your insurance card, and your doctor’s prescription to your insurance companies claims department (address located on the back of your insurance card). We cannot guarantee coverage.

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