Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

Restricted Benefit

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	$44.75	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

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	$204.97	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

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	$78.77	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

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	$78.57	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

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	$306.22	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

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	$73.42	$7.70	$7.70
	Tensopress 71723-00	5	5	0	$153.67	$7.70	$7.70