TAPE PLASTER ADHESIVE ELASTIC

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
4780NMP TAPE PLASTER ADHESIVE ELASTICR
tape plaster adhesive elastic 2.5 cm x 2.5 m tape, 1 roll (PI, CMI)
Available brands
Leukoplast 01071-00 1 1 0 $18.55 $6.60 $6.60
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TAPE PLASTER ADHESIVE ELASTIC

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
4781PMP TAPE PLASTER ADHESIVE ELASTICR
tape plaster adhesive elastic 5 cm x 2.5 m tape, 1 roll (PI, CMI)
Available brands
Leukoplast 01072-00 1 1 0 $24.49 $6.60 $6.60
space

TAPE PLASTER ADHESIVE ELASTIC

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
4782QMP TAPE PLASTER ADHESIVE ELASTICR
tape plaster adhesive elastic 7.5 cm x 2.5 m tape, 1 roll (PI, CMI)
Available brands
Leukoplast 01073-00 1 1 0 $28.17 $6.60 $6.60
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  • Legend
  • RRepatriation Care items
  • MPMedical Practitioner