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
13009QMP	DRESSING GELLING FIBRE LIPIDOCOLLOIDR dressing gelling fibre lipidocolloid 15 cm x 20 cm dressing, 10 (PI, CMI)
	Available brands
	UrgoClean Pad 100372	1	1	1	$234.25	$7.70	$7.70

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
13015BMP	DRESSING GELLING FIBRE LIPIDOCOLLOIDR dressing gelling fibre lipidocolloid 10 cm x 10 cm dressing, 10 (PI, CMI)
	Available brands
	UrgoClean Pad 100370	1	1	1	$106.46	$7.70	$7.70