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
2512FMP	DRESSING HYDROGEL RIBBONR dressing hydrogel ribbon 1 cm x 50 cm dressing, 20 (PI, CMI)
	Available brands
	Sorbact Ribbon Gauze S98118	1	20	0	$189.09	$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
2529DMP	DRESSING HYDROGEL RIBBONR dressing hydrogel ribbon 5 cm x 200 cm dressing, 10 (PI, CMI)
	Available brands
	Sorbact Ribbon Gauze S98120	1	10	0	$186.83	$7.70	$7.70