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
13022JMP	DRESSING CONTACT LAYER LIPIDOCOLLOIDR dressing contact layer lipidocolloid 10 cm x 10 cm dressing, 10 (PI, CMI)
	Available brands
	UrgoTul Contact 100351	1	1	1	$71.61	$7.70	$7.70