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
4050EMP BANDAGE COMPRESSIONR
bandage compression two layer bandage, 1 (PI, CMI)
Available brands
Coban 2 1 1 0 $43.78 $6.60 $6.60
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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
4598BMP BANDAGE COMPRESSIONR
bandage compression four layer bandage, 1 (PI, CMI)
Available brands
Profore Lite 66050415 5 5 0 $186.09 $6.60 $6.60
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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
4654YMP BANDAGE COMPRESSIONR
bandage compression 8 cm x 2.6 m short stretch bandage, 1 (PI, CMI)
Available brands
Comprilan 01027-00 5 5 0 $77.84 $6.60 $6.60
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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
4657DMP BANDAGE COMPRESSIONR
bandage compression 10 cm x 3.5 m high stretch bandage, 1 (PI, CMI)
Available brands
Setopress 3505 5 5 0 $77.64 $6.60 $6.60
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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
4658EMP BANDAGE COMPRESSIONR
bandage compression four layer bandage, 1 (PI, CMI)
Available brands
Profore 66050016 5 5 0 $278.14 $6.60 $6.60
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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
4748XMP BANDAGE COMPRESSIONR
bandage compression 10 cm x 3 m high stretch bandage, 1 (PI, CMI)
Available brands
Surepress 650947 5 5 0 $72.49 $6.60 $6.60
Tensopress 71723-00 5 5 0 $152.69 $6.60 $6.60
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  • Legend
  • RRepatriation Care items
  • MPMedical Practitioner