CADEXOMER-IODINE

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
4931MMP CADEXOMER-IODINER
cadexomer-iodine 3 g powder, 7 sachets (PI, CMI)
Available brands
Iodosorb Powder 66051070 1 1 2 $83.12 $6.60 $6.60
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CADEXOMER-IODINE

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
4932NMP CADEXOMER-IODINER
cadexomer-iodine 50% ointment, 4 x 10 g (PI, CMI)
Available brands
Iodosorb Ointment 66051240 1 1 2 $132.18 $6.60 $6.60
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CADEXOMER-IODINE

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
4933PMP CADEXOMER-IODINER
cadexomer-iodine 50% ointment, 2 x 20 g (PI, CMI)
Available brands
Iodosorb Ointment 66051230 1 1 2 $130.92 $6.60 $6.60
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CADEXOMER-IODINE

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
4935RMP CADEXOMER-IODINER
cadexomer-iodine 6 cm x 4 cm dressing, 5 x 5 g sheet (PI, CMI)
Available brands
Iodosorb 66051330 1 1 2 $124.85 $6.60 $6.60
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CADEXOMER-IODINE

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
4936TMP CADEXOMER-IODINER
cadexomer-iodine 8 cm x 6 cm dressing, 3 x 10 g sheet (PI, CMI)
Available brands
Iodosorb 66051340 1 1 2 $180.90 $6.60 $6.60
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CADEXOMER-IODINE

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
4937WMP CADEXOMER-IODINER
cadexomer-iodine 10 cm x 8 cm dressing, 2 x 17 g sheet (PI, CMI)
Available brands
Iodosorb 66051360 1 1 0 $190.68 $6.60 $6.60
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  • Legend
  • RRepatriation Care items
  • MPMedical Practitioner