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
12196XMP	DRESSING NON-ADHERENT WITH SILICONER dressing non-adherent with silicone 10 cm x 18 cm dressing, 10 (PI, CMI)
	Available brands
	Mepitel One 289500	1	1	0	$310.44	$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
12208MMP	DRESSING NON-ADHERENT WITH SILICONER dressing non-adherent with silicone 5 cm x 7.5 cm dressing, 10 (PI, CMI)
	Available brands
	Mepitel One 289100	1	1	0	$93.46	$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
12651WMP	DRESSING NON-ADHERENT WITH SILICONER dressing non-adherent with silicone 7.5 cm x 10 cm dressing, 5 (PI, CMI)
	Available brands
	Atrauman Silicone 499561	1	1	0	$66.56	$7.70	$7.70