DRESSING FOAM WITH SILICONE LIGHT 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
4644KMP DRESSING FOAM WITH SILICONE LIGHT EXUDATER
dressing foam with silicone light exudate 6 cm x 8.5 cm dressing, 5 (PI, CMI)
Available brands
Mepilex Lite 284000 1 1 0 $30.84 $6.60 $6.60
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DRESSING FOAM WITH SILICONE LIGHT 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
4645LMP DRESSING FOAM WITH SILICONE LIGHT EXUDATER
dressing foam with silicone light exudate 10 cm x 10 cm dressing, 5 (PI, CMI)
Available brands
Mepilex Lite 284100 1 1 0 $39.66 $6.60 $6.60
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  • Legend
  • RRepatriation Care items
  • MPMedical Practitioner