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
4689TMP	DRESSING FILM ISLANDR dressing film island 5 cm x 7 cm dressing, 1 (PI, CMI)
	Available brands
	Tegaderm Transparent Island 3582	10	10	0	$21.47	$7.70	$7.70

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
4690WMP	DRESSING FILM ISLANDR dressing film island 9 cm x 10 cm dressing, 1 (PI, CMI)
	Available brands
	Tegaderm Transparent Island 3586	10	10	0	$31.47	$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
4898TMP	DRESSING FILM ISLANDR dressing film island 5 cm x 7.2 cm dressing, 5 (PI, CMI)
	Available brands
	Cutifilm Plus 36361370	2	2	0	$36.47	$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
4899WMP	DRESSING FILM ISLANDR dressing film island 8 cm x 10 cm dressing, 5 (PI, CMI)
	Available brands
	Cutifilm Plus 36361371	2	2	0	$54.55	$7.70	$7.70