CREDIT APPLICATION

Enluxtra Credit Application

The link below is our credit application form, which allows us to set up your account.
Please take a moment to complete it at your convenience.

Credit Application Form

HEALTHCARE PROFESSIONALS ONLY

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ABOUT US

MEDICARE REIMBURSEMENT CODES
HCPCS A6196 for 4”x4”
HCPCS A6197 for 6”x6”
Under the trade name:
Enluxtra Wound Dressing
Covered for exuding wounds, up to 30 dressings per month.

500 Laurelwood Rd., Ste 1
Santa Clara, CA 95054

Phone: 888-519-2297
Business inquiries only

Email: [email protected]

© 2026 OSNovative Systems. All rights reserved. Disclaimer: The contents of this site is for reference purposes only and is not intended to substitute for advice given by a physician, pharmacist, or other licensed healthcare professional. You should not use this information for self-diagnosis or for treating a health problem or disease. Contact your healthcare provider immediately if you suspect that you have a medical problem.