DRESSING FOAM MODERATE EXUDATE

dressing foam moderate exudate 12.5 cm x 12.5 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
Allevyn Adhesive 66000044 DPMQ: $177.87 Max safety net: $7.70 General Patient Charge: $7.70
dressing foam moderate exudate cavity conforming foam, 20 g sachet
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: 1 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Cavicare 4563 DPMQ: $101.62 Max safety net: $7.70 General Patient Charge: $7.70