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

Authority Required

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
10097KMP	DRESSING HYDROFIBRE WITH SILVERR dressing hydrofibre with silver 10 cm x 10 cm dressing, 10 (PI, CMI)
	Available brands
	Aquacel Ag 403708	1	10	1	$257.51	$7.70	$7.70

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

Authority Required

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
10098LMP	DRESSING HYDROFIBRE WITH SILVERR dressing hydrofibre with silver 15 cm x 15 cm dressing, 5 (PI, CMI)
	Available brands
	Aquacel Ag 403710	1	5	1	$275.41	$7.70	$7.70

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

Authority Required

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
10105WMP	DRESSING HYDROFIBRE WITH SILVERR dressing hydrofibre with silver 2 cm x 45 cm ribbon, 5 (PI, CMI)
	Available brands
	Aquacel Ag 403771	1	5	1	$218.01	$7.70	$7.70