DRESSING FOAM MODERATE EXUDATE

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
4590NMP DRESSING FOAM MODERATE EXUDATER
dressing foam moderate exudate 12.5 cm x 12.5 cm dressing, 10 (PI, CMI)
Available brands
Allevyn Adhesive 66000044 1 1 0 $149.00 $6.60 $6.60
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DRESSING FOAM MODERATE EXUDATE

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
4694CMP DRESSING FOAM MODERATE EXUDATER
dressing foam moderate exudate cavity conforming foam, 20 g sachet (PI, CMI)
Available brands
Cavicare 4563 1 1 1 $99.85 $6.60 $6.60
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  • Legend
  • RRepatriation Care items
  • MPMedical Practitioner