POVIDONE-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
10847XMP POVIDONE-IODINER
povidone-iodine 9.5 cm x 9.5 cm dressing, 25 (PI, CMI)
Available brands
Inadine 1 25 2 $80.01 $7.70 $7.70
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POVIDONE-IODINE

Source Repatriation Pharmaceutical Benefits
Body System DERMATOLOGICALS > ANTISEPTICS AND DISINFECTANTS > ANTISEPTICS AND DISINFECTANTS
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
4411EMP POVIDONE-IODINER
povidone-iodine 10% solution, 100 mL (PI, CMI)
Available brands
Betadine Antiseptic Liquid 1 1 0 $27.10 $7.70 $7.70
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