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
11714MMP	BANDAGE COMPRESSIONR bandage compression 10 cm x 3.5 m soft bandage [1] (&) bandage compression 10 cm x 6 m short stretch bandage [1], 1 pack (PI, CMI)
	Available brands
	Rosidal TCS 26484	1	1	0	$39.58	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

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
12592RMP	BANDAGE COMPRESSIONR bandage compression two layer bandage, 1 (PI, CMI)
	Available brands
	Putter Pro 2 931685	1	1	0	$52.68	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

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
13005LMP	BANDAGE COMPRESSIONR bandage compression 18 cm to 25 cm two layer bandage, 1 (PI, CMI)
	Available brands
	UrgoK2 100396	1	1	4	$42.17	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

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
13006MMP	BANDAGE COMPRESSIONR bandage compression 18 cm to 25 cm two layer bandage, 1 (PI, CMI)
	Available brands
	UrgoK2 Lite 100400	1	1	4	$42.17	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

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
13010RMP	BANDAGE COMPRESSIONR bandage compression 25 cm to 32 cm two layer bandage, 1 (PI, CMI)
	Available brands
	UrgoK2 100397	1	1	4	$47.99	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

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
13016CMP	BANDAGE COMPRESSIONR bandage compression 25 cm to 32 cm two layer bandage, 1 (PI, CMI)
	Available brands
	UrgoK2 Lite 100401	1	1	4	$47.99	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

Restricted Benefit

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
4050EMP	BANDAGE COMPRESSIONR bandage compression two layer bandage, 1 (PI, CMI)
	Available brands
	Coban 2	1	1	0	$44.75	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

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
4598BMP	BANDAGE COMPRESSIONR bandage compression four layer bandage, 1 (PI, CMI)
	Available brands
	Profore Lite 66050415	5	5	0	$204.97	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

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
4654YMP	BANDAGE COMPRESSIONR bandage compression 8 cm x 2.6 m short stretch bandage, 1 (PI, CMI)
	Available brands
	Comprilan 01027-00	5	5	0	$78.77	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

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
4657DMP	BANDAGE COMPRESSIONR bandage compression 10 cm x 3.5 m high stretch bandage, 1 (PI, CMI)
	Available brands
	Setopress 3505	5	5	0	$78.57	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

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
4658EMP	BANDAGE COMPRESSIONR bandage compression four layer bandage, 1 (PI, CMI)
	Available brands
	Profore 66050016	5	5	0	$306.22	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

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
4748XMP	BANDAGE COMPRESSIONR bandage compression 10 cm x 3 m high stretch bandage, 1 (PI, CMI)
	Available brands
	Surepress 650947	5	5	0	$73.42	$7.70	$7.70
	Tensopress 71723-00	5	5	0	$153.67	$7.70	$7.70