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
2533HMP	DRESSING HYDROGEL FOAMR dressing hydrogel foam 10 cm x 10 cm dressing, 10 (PI, CMI)
	Available brands
	Sorbact Foam Dressing S98310	1	10	0	$127.34	$7.70	$7.70