DRESSING FOAM LIPIDOCOLLOID WITH SUCROSE OCTASULFATE MODERATE EXUDATE
| 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 |
|---|---|---|---|---|---|---|---|
| 13004KMP | DRESSING FOAM LIPIDOCOLLOID WITH SUCROSE OCTASULFATE MODERATE EXUDATER dressing foam lipidocolloid with sucrose octasulfate moderate exudate 12 cm x 19 cm dressing, 10 (PI, CMI) |
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| Available brands | |||||||
| UrgoStart Pad 100378 | 1 | 1 | 3 | $226.19 | $7.70 | $7.70 | |
- Legend
- RRepatriation Care items
- MPMedical Practitioner
