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
2525XMP	BETAINE + POLYAMINOPROPYL BIGUANIDER betaine 0.1% + polyaminopropyl biguanide 0.1% solution, 6 x 40 mL ampoules (PI, CMI)
	Available brands
	Prontosan Wound Irrigation Solution	1	1	0	$31.07	$7.70	$7.70