BANDAGE COMPRESSION

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
13005LMP BANDAGE COMPRESSIONR
bandage compression 18 cm to 25 cm two layer bandage, 1 (PI, CMI)
Available brands
UrgoK2 100396 1 1 4 $42.17 $7.70 $7.70
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BANDAGE COMPRESSION

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
13006MMP BANDAGE COMPRESSIONR
bandage compression 18 cm to 25 cm two layer bandage, 1 (PI, CMI)
Available brands
UrgoK2 Lite 100400 1 1 4 $42.17 $7.70 $7.70
space

BANDAGE COMPRESSION

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
13010RMP BANDAGE COMPRESSIONR
bandage compression 25 cm to 32 cm two layer bandage, 1 (PI, CMI)
Available brands
UrgoK2 100397 1 1 4 $47.99 $7.70 $7.70
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BANDAGE COMPRESSION

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
13016CMP BANDAGE COMPRESSIONR
bandage compression 25 cm to 32 cm two layer bandage, 1 (PI, CMI)
Available brands
UrgoK2 Lite 100401 1 1 4 $47.99 $7.70 $7.70
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  • Legend
  • RRepatriation Care items
  • MPMedical Practitioner