DRESSING FOAM WITH SILICONE

Source Repatriation Pharmaceutical Benefits
Body System VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11393PMP DRESSING FOAM WITH SILICONER
dressing foam with silicone 16 cm x 16 cm dressing, 10 (PI, CMI)
Available brands
Allevyn Life Non-Bordered 66801749 1 1 0 $117.91 $7.70 $7.70
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  • Legend
  • RRepatriation Care items
  • MPMedical Practitioner