DRESSING FOAM WITH SILICONE AND SILVER

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
2439JMP DRESSING FOAM WITH SILICONE AND SILVERR
dressing foam with silicone and silver 10 cm x 10 cm dressing, 5 (PI, CMI)
Available brands
Mepilex Ag 1 1 0 $105.55 $6.60 $6.60
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DRESSING FOAM WITH SILICONE AND SILVER

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
2470BMP DRESSING FOAM WITH SILICONE AND SILVERR
dressing foam with silicone and silver 10 cm x 10 cm dressing, 5 (PI, CMI)
Available brands
Mepilex Border Ag 1 1 0 $112.63 $6.60 $6.60
space


  • Legend
  • RRepatriation Care items
  • MPMedical Practitioner