DRESSING CONTACT LAYER LIPIDOCOLLOID WITH SUCROSE OCTASULFATE
| 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 |
|---|---|---|---|---|---|---|---|
| 13002HMP | DRESSING CONTACT LAYER LIPIDOCOLLOID WITH SUCROSE OCTASULFATER dressing contact layer lipidocolloid with sucrose octasulfate 10 cm x 10 cm dressing, 10 (PI, CMI) |
||||||
| Available brands | |||||||
| UrgoStart Contact-Interface-Tul 100380 | 1 | 1 | 3 | $125.87 | $7.70 | $7.70 | |
DRESSING CONTACT LAYER LIPIDOCOLLOID WITH SUCROSE OCTASULFATE
| 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 |
|---|---|---|---|---|---|---|---|
| 13011TMP | DRESSING CONTACT LAYER LIPIDOCOLLOID WITH SUCROSE OCTASULFATER dressing contact layer lipidocolloid with sucrose octasulfate 15 cm x 20 cm dressing, 10 (PI, CMI) |
||||||
| Available brands | |||||||
| UrgoStart Contact-Interface-Tul 100381 | 1 | 1 | 3 | $229.55 | $7.70 | $7.70 | |
- Legend
- RRepatriation Care items
- MPMedical Practitioner
