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
12636CMP	DRESSING HYDROACTIVE DEBRIDEMENTR dressing hydroactive debridement 4 cm dressing, 10 (PI, CMI)
	Available brands
	HydroClean Plus Cavity 609622	1	1	0	$93.38	$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
12637DMP	DRESSING HYDROACTIVE DEBRIDEMENTR dressing hydroactive debridement 4 cm dressing, 10 (PI, CMI)
	Available brands
	HydroClean Plus 609602	1	1	0	$89.55	$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
4949LMP	DRESSING HYDROACTIVE DEBRIDEMENTR dressing hydroactive debridement 4 cm dressing, 10 (PI, CMI)
	Available brands
	TenderWet 24 Active 609210	1	1	0	$84.79	$7.70	$7.70