DRESSING NON-ADHERENT ABSORBENT

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
11715NMP DRESSING NON-ADHERENT ABSORBENTR
dressing non-adherent absorbent 22 cm x 22 cm hydroactive dressing, 10 (PI, CMI)
Available brands
Vliwasorb Pro 32643 1 1 0 $38.51 $7.70 $7.70
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DRESSING NON-ADHERENT ABSORBENT

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
11717QMP DRESSING NON-ADHERENT ABSORBENTR
dressing non-adherent absorbent 12.5 cm x 12.5 cm hydroactive dressing, 10 (PI, CMI)
Available brands
Vliwasorb Pro 32641 1 1 0 $27.65 $7.70 $7.70
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DRESSING NON-ADHERENT ABSORBENT

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
11718RMP DRESSING NON-ADHERENT ABSORBENTR
dressing non-adherent absorbent 22 cm x 32 cm hydroactive dressing, 10 (PI, CMI)
Available brands
Vliwasorb Pro 32644 1 1 0 $51.09 $7.70 $7.70
space

DRESSING NON-ADHERENT ABSORBENT

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
12593TMP DRESSING NON-ADHERENT ABSORBENTR
dressing non-adherent absorbent 10 cm x 20 cm hydroactive dressing, 10 (PI, CMI)
Available brands
Zetuvit Plus 413711 1 1 0 $45.78 $7.70 $7.70
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DRESSING NON-ADHERENT ABSORBENT

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
12599DMP DRESSING NON-ADHERENT ABSORBENTR
dressing non-adherent absorbent 20 cm x 40 cm hydroactive dressing, 10 (PI, CMI)
Available brands
Zetuvit Plus 413715 1 1 0 $97.50 $7.70 $7.70
space

DRESSING NON-ADHERENT ABSORBENT

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
12600EMP DRESSING NON-ADHERENT ABSORBENTR
dressing non-adherent absorbent 10 cm x 10 cm hydroactive dressing, 10 (PI, CMI)
Available brands
Zetuvit Plus 413710 1 1 0 $39.32 $7.70 $7.70
space

DRESSING NON-ADHERENT ABSORBENT

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
12824YMP DRESSING NON-ADHERENT ABSORBENTR
dressing non-adherent absorbent 23 cm x 25 cm dressing, 30 (PI, CMI)
Available brands
Mesorb 677701 1 1 0 $101.52 $7.70 $7.70
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DRESSING NON-ADHERENT ABSORBENT

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
12825BMP DRESSING NON-ADHERENT ABSORBENTR
dressing non-adherent absorbent 10 cm x 23 cm dressing, 50 (PI, CMI)
Available brands
Mesorb 677401 1 1 0 $78.51 $7.70 $7.70
space

DRESSING NON-ADHERENT ABSORBENT

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
12832JMP DRESSING NON-ADHERENT ABSORBENTR
dressing non-adherent absorbent 10 cm x 13 cm dressing, 50 (PI, CMI)
Available brands
Mesorb 677001 1 1 0 $58.08 $7.70 $7.70
space

DRESSING NON-ADHERENT ABSORBENT

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
12833KMP DRESSING NON-ADHERENT ABSORBENTR
dressing non-adherent absorbent 22.5 cm x 32.5 cm hydroactive dressing, 10 (PI, CMI)
Available brands
Mextra Superabsorbent 610500 1 1 0 $90.87 $7.70 $7.70
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DRESSING NON-ADHERENT ABSORBENT

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
12834LMP DRESSING NON-ADHERENT ABSORBENTR
dressing non-adherent absorbent 17.5 cm x 22.5 cm hydroactive dressing, 10 (PI, CMI)
Available brands
Mextra Superabsorbent 610300 1 1 0 $53.24 $7.70 $7.70
space

DRESSING NON-ADHERENT ABSORBENT

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
12837PMP DRESSING NON-ADHERENT ABSORBENTR
dressing non-adherent absorbent 12.5 cm x 12.5 cm hydroactive dressing, 10 (PI, CMI)
Available brands
Mextra Superabsorbent 610000 1 1 0 $34.21 $7.70 $7.70
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  • Legend
  • RRepatriation Care items
  • MPMedical Practitioner