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
11392NMP	DRESSING HYDROPHOBICR dressing hydrophobic 10 cm x 10 cm dressing, 10 (PI, CMI)
	Available brands
	Sorbact Foam Gentle Border 98532	1	1	0	$200.71	$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
11394QMP	DRESSING HYDROPHOBICR dressing hydrophobic 15 cm x 15 cm dressing, 10 (PI, CMI)
	Available brands
	Sorbact Foam Gentle Border 98533	1	1	0	$313.61	$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
11402DMP	DRESSING HYDROPHOBICR dressing hydrophobic 10 cm x 10 cm dressing, 10 (PI, CMI)
	Available brands
	Sorbact Superabsorbent 98501	1	1	0	$91.74	$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
11403EMP	DRESSING HYDROPHOBICR dressing hydrophobic 20 cm x 20 cm dressing, 10 (PI, CMI)
	Available brands
	Sorbact Superabsorbent 98503	1	1	0	$245.87	$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
11404FMP	DRESSING HYDROPHOBICR dressing hydrophobic 15 cm x 15 cm foam dressing, 10 (PI, CMI)
	Available brands
	Sorbact Foam Dressing S98315	1	1	0	$206.36	$7.70	$7.70