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
1905GMP	DRESSING ALGINATE CAVITY WOUNDR dressing alginate cavity wound 2 g rope, 5 x 2 g (PI, CMI)
	Available brands
	Kaltostat 168117	2	10	0	$112.41	$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
4682KMP	DRESSING ALGINATE CAVITY WOUNDR dressing alginate cavity wound 2 g (40 cm) rope, 6 x 2 g (PI, CMI)
	Available brands
	Comfeel SeaSorb Filler 3740	2	2	0	$133.79	$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
4832HMP	DRESSING ALGINATE CAVITY WOUNDR dressing alginate cavity wound 2 g rope, 1 (PI, CMI)
	Available brands
	Sorbsan 1411	10	10	0	$106.87	$7.70	$7.70