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
12660HMP	DRESSING HYDROACTIVE DEBRIDEMENTR dressing hydroactive debridement 7.5 cm x 7.5 cm dressing, 10 (PI, CMI)
	Available brands
	HydroClean Plus 609608	1	1	0	$197.64	$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
4950MMP	DRESSING HYDROACTIVE DEBRIDEMENTR dressing hydroactive debridement 7.5 cm x 7.5 cm dressing, 10 (PI, CMI)
	Available brands
	TenderWet 24 Active 609213	1	1	0	$112.39	$7.70	$7.70