DRESSING FILM

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
4686PMP DRESSING FILMR
dressing film 6 cm x 7 cm dressing, 8 (PI, CMI)
Available brands
Nexcare Tegaderm Transparent H1624 1 1 0 $20.04 $6.60 $6.60
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DRESSING FILM

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
4687QMP DRESSING FILMR
dressing film 10 cm x 12 cm dressing, 4 (PI, CMI)
Available brands
Nexcare Tegaderm Transparent H1626 1 1 0 $23.52 $6.60 $6.60
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DRESSING FILM

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
4688RMP DRESSING FILMR
dressing film 15 cm x 20 cm dressing, 1 (PI, CMI)
Available brands
Tegaderm Transparent 1628 6 6 0 $33.06 $6.60 $6.60
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DRESSING FILM

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
4893MMP DRESSING FILMR
dressing film 10 cm x 12 cm dressing, 10 (PI, CMI)
Available brands
Op-Site Flexigrid 4629 1 1 0 $41.35 $6.60 $6.60
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  • Legend
  • RRepatriation Care items
  • MPMedical Practitioner