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
4678FMP	DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATER dressing hydrocolloid superficial wound moderate exudate 7cm (butterfly shape) dressing, 1 (PI, CMI)
	Available brands
	Comfeel Plus Pressure Relieving 3350	5	5	0	$57.22	$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
4679GMP	DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATER dressing hydrocolloid superficial wound moderate exudate 10cm (round) dressing, 1 (PI, CMI)
	Available brands
	Comfeel Plus Pressure Relieving 3353	5	5	0	$61.32	$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
4897RMP	DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATER dressing hydrocolloid superficial wound moderate exudate 10 cm x 10 cm dressing, 5 (PI, CMI)
	Available brands
	DuoDERM CGF 187660	2	2	1	$81.15	$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
4920YMP	DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATER dressing hydrocolloid superficial wound moderate exudate 20 cm x 20 cm dressing, 5 (PI, CMI)
	Available brands
	DuoDERM CGF 187662	2	2	1	$215.79	$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
4921BMP	DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATER dressing hydrocolloid superficial wound moderate exudate 10 cm x 10 cm dressing, 10 (PI, CMI)
	Available brands
	Replicare Ultra 66000434	1	1	1	$109.85	$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
4923DMP	DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATER DRESSING-HYDROCOLLOID (SUPERFICIAL WOUND-MODERATE EXUDATE) Dressings with alginate 10 cm x 10 cm, 10, 1 (PI, CMI)
	Available brands
	Comfeel Plus Ulcer Dressing 3110	1	1	1	$81.70	$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
4945GMP	DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATER dressing hydrocolloid superficial wound moderate exudate 10 cm x 10 cm dressing, 10 (PI, CMI)
	Available brands
	Hydrocoll 900744	1	1	1	$50.22	$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
4946HMP	DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATER dressing hydrocolloid superficial wound moderate exudate 15 cm x 15 cm dressing, 10 (PI, CMI)
	Available brands
	Hydrocoll 900936	1	1	1	$88.89	$7.70	$7.70