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
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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
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
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  • Legend
  • RRepatriation Care items
  • MPMedical Practitioner