DRESSING FOAM WITH SILICONE AND SILVER

dressing foam with silicone and silver 10 cm x 10 cm dressing, 5
Manner of administration:For External Use
Repatriation Pharmaceutical Benefits
Authority Required

Restriction

Indication: Wounds
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 Ag DPMQ: $107.32 Max safety net: $7.70 General Patient Charge: $7.70
dressing foam with silicone and silver 10 cm x 10 cm dressing, 5
Manner of administration:For External Use
Repatriation Pharmaceutical Benefits
Authority Required

Restriction

Indication: Wounds
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 Ag DPMQ: $114.40 Max safety net: $7.70 General Patient Charge: $7.70