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

Note

Authority Required

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
12591QMP	DRESSING WITH SILVERR dressing with silver 10 cm x 10 cm tulle dressing, 10 (PI, CMI)
	Available brands
	Atrauman Ag 499573	1	1	0	$117.06	$7.70	$7.70

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

Note

Authority Required

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
4646MMP	DRESSING WITH SILVERR dressing with silver 10 cm x 10 cm hydroactive dressing, 5 (PI, CMI)
	Available brands
	Biatain Ag 9622	1	1	0	$170.21	$7.70	$7.70

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

Note

Authority Required

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
4647NMP	DRESSING WITH SILVERR dressing with silver 12.5 cm x 12.5 cm hydroactive dressing, 5 (PI, CMI)
	Available brands
	Biatain Ag 9632	1	1	0	$184.92	$7.70	$7.70

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

Note

Authority Required

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
4648PMP	DRESSING WITH SILVERR dressing with silver 10 cm x 10 cm tulle dressing, 3 (PI, CMI)
	Available brands
	Atrauman Ag 499572	1	1	0	$46.32	$7.70	$7.70