DRESSING HYDROACTIVE DEBRIDEMENT

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
12629QMP DRESSING HYDROACTIVE DEBRIDEMENTR
dressing hydroactive debridement 5.5 cm dressing, 10 (PI, CMI)
Available brands
HydroClean Plus 609606 1 1 0 $147.27 $6.80 $6.80
space

DRESSING HYDROACTIVE DEBRIDEMENT

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
12636CMP DRESSING HYDROACTIVE DEBRIDEMENTR
dressing hydroactive debridement 4 cm dressing, 10 (PI, CMI)
Available brands
HydroClean Plus Cavity 609622 1 1 0 $92.06 $6.80 $6.80
space

DRESSING HYDROACTIVE DEBRIDEMENT

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
12637DMP DRESSING HYDROACTIVE DEBRIDEMENTR
dressing hydroactive debridement 4 cm dressing, 10 (PI, CMI)
Available brands
HydroClean Plus 609602 1 1 0 $88.23 $6.80 $6.80
space

DRESSING HYDROACTIVE DEBRIDEMENT

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
12660HMP DRESSING HYDROACTIVE DEBRIDEMENTR
dressing hydroactive debridement 7.5 cm x 7.5 cm dressing, 10 (PI, CMI)
Available brands
HydroClean Plus 609608 1 1 0 $196.32 $6.80 $6.80
space

DRESSING HYDROACTIVE DEBRIDEMENT

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
4948KMP DRESSING HYDROACTIVE DEBRIDEMENTR
dressing hydroactive debridement 5.5 cm dressing, 10 (PI, CMI)
Available brands
TenderWet Active Cavity 609272 1 1 0 $85.33 $6.80 $6.80
space

DRESSING HYDROACTIVE DEBRIDEMENT

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
4949LMP DRESSING HYDROACTIVE DEBRIDEMENTR
dressing hydroactive debridement 4 cm dressing, 10 (PI, CMI)
Available brands
TenderWet 24 Active 609210 1 1 0 $83.47 $6.80 $6.80
space

DRESSING HYDROACTIVE DEBRIDEMENT

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
4950MMP DRESSING HYDROACTIVE DEBRIDEMENTR
dressing hydroactive debridement 7.5 cm x 7.5 cm dressing, 10 (PI, CMI)
Available brands
TenderWet 24 Active 609213 1 1 0 $111.07 $6.80 $6.80
space


  • Legend
  • RRepatriation Care items
  • MPMedical Practitioner