DRESSING FOAM WITH SILICONE LIGHT EXUDATE

dressing foam with silicone light exudate 5 cm x 12.5 cm dressing, 5
Manner of administration:For External Use
Repatriation Pharmaceutical Benefits
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Mepilex Border Lite 281100 DPMQ: $33.79 Max safety net: $7.70 General Patient Charge: $7.70
dressing foam with silicone light exudate 4 cm x 5 cm dressing, 10
Manner of administration:For External Use
Repatriation Pharmaceutical Benefits
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Mepilex Border Lite 281000 DPMQ: $31.21 Max safety net: $7.70 General Patient Charge: $7.70
dressing foam with silicone light exudate 10 cm x 10 cm dressing, 5
Manner of administration:For External Use
Repatriation Pharmaceutical Benefits
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Mepilex Border Lite 281300 DPMQ: $40.78 Max safety net: $7.70 General Patient Charge: $7.70
dressing foam with silicone light exudate 6 cm x 8.5 cm dressing, 5
Manner of administration:For External Use
Repatriation Pharmaceutical Benefits
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Mepilex Lite 284000 DPMQ: $32.61 Max safety net: $7.70 General Patient Charge: $7.70
dressing foam with silicone light exudate 10 cm x 10 cm dressing, 5
Manner of administration:For External Use
Repatriation Pharmaceutical Benefits
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Mepilex Lite 284100 DPMQ: $41.43 Max safety net: $7.70 General Patient Charge: $7.70