Source	Repatriation Pharmaceutical Benefits
Body System	ALIMENTARY TRACT AND METABOLISM > STOMATOLOGICAL PREPARATIONS > STOMATOLOGICAL PREPARATIONS

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
4161BMP	CHLORHEXIDINER chlorhexidine gluconate 0.2% mouthwash, 250 mL (PI, CMI)
	Available brands
	Plaqacide	1	1	0	$18.63	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	ALIMENTARY TRACT AND METABOLISM > STOMATOLOGICAL PREPARATIONS > STOMATOLOGICAL PREPARATIONS

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
4204GMP	CHLORHEXIDINER chlorhexidine gluconate 0.2% mouthwash, 300 mL (PI, CMI)
	Available brands
	Savacol Mouth and Throat Rinse	1	1	0	$21.49	$7.70	$7.70