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
11395RMP	DRESSING HYDROGELR dressing hydrogel 7.5 cm x 15 cm dressing, 10 (PI, CMI)
	Available brands
	Sorbact Gel Dressing S98137	1	1	0	$115.71	$7.70	$7.70

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
11709GMP	DRESSING HYDROGELR dressing hydrogel 10 cm x 10 cm dressing, 5 (PI, CMI)
	Available brands
	Suprasorb G 33631	1	1	0	$32.01	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

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
12659GMP	DRESSING HYDROGELR dressing hydrogel 12.5 cm x 12.5 cm dressing, 5 (PI, CMI)
	Available brands
	Hydrosorb Comfort 900723	1	1	0	$43.67	$7.70	$7.70

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
2471CMP	DRESSING HYDROGELR dressing hydrogel 10 cm x 10 cm dressing, 20 (PI, CMI)
	Available brands
	Sorbact Absorption Dressing S98222	1	20	0	$186.83	$7.70	$7.70