DRESSING FILM ISLAND

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
4689TMP DRESSING FILM ISLANDR
dressing film island 5 cm x 7 cm dressing, 1 (PI, CMI)
Available brands
Tegaderm Transparent Island 3582 10 10 0 $20.54 $6.60 $6.60
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DRESSING FILM ISLAND

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
4690WMP DRESSING FILM ISLANDR
dressing film island 9 cm x 10 cm dressing, 1 (PI, CMI)
Available brands
Tegaderm Transparent Island 3586 10 10 0 $30.54 $6.60 $6.60
space

DRESSING FILM ISLAND

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
4898TMP DRESSING FILM ISLANDR
dressing film island 5 cm x 7.2 cm dressing, 5 (PI, CMI)
Available brands
Cutifilm Plus 36361370 2 2 0 $33.80 $6.60 $6.60
space

DRESSING FILM ISLAND

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
4899WMP DRESSING FILM ISLANDR
dressing film island 8 cm x 10 cm dressing, 5 (PI, CMI)
Available brands
Cutifilm Plus 36361371 2 2 0 $50.52 $6.60 $6.60
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  • Legend
  • RRepatriation Care items
  • MPMedical Practitioner