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
4931MMP	CADEXOMER-IODINER cadexomer-iodine 3 g powder, 7 sachets (PI, CMI)
	Available brands
	Iodosorb Powder 66051070	1	1	2	$91.19	$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
4932NMP	CADEXOMER-IODINER cadexomer-iodine 50% ointment, 4 x 10 g (PI, CMI)
	Available brands
	Iodosorb Ointment 66051240	1	1	2	$145.67	$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
4933PMP	CADEXOMER-IODINER cadexomer-iodine 50% ointment, 2 x 20 g (PI, CMI)
	Available brands
	Iodosorb Ointment 66051230	1	1	2	$144.28	$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
4935RMP	CADEXOMER-IODINER cadexomer-iodine 6 cm x 4 cm dressing, 5 x 5 g sheet (PI, CMI)
	Available brands
	Iodosorb 66051330	1	1	2	$137.59	$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
4936TMP	CADEXOMER-IODINER cadexomer-iodine 8 cm x 6 cm dressing, 3 x 10 g sheet (PI, CMI)
	Available brands
	Iodosorb 66051340	1	1	2	$199.26	$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
4937WMP	CADEXOMER-IODINER cadexomer-iodine 10 cm x 8 cm dressing, 2 x 17 g sheet (PI, CMI)
	Available brands
	Iodosorb 66051360	1	1	0	$210.01	$7.70	$7.70