DRESSING FOAM WITH SILICONE

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
10029WMP DRESSING FOAM WITH SILICONER
dressing foam with silicone 12.9 cm x 12.9 cm dressing, 10 (PI, CMI)
Available brands
Allevyn Life 66801068 1 1 0 $100.73 $7.70 $7.70
space


  • Legend
  • RRepatriation Care items
  • MPMedical Practitioner