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
4660GMP	BANDAGE RETENTION COHESIVE HEAVYR bandage retention cohesive heavy 10 cm x 2 m bandage, 1 (PI, CMI)
	Available brands
	Coban 1584	2	2	0	$24.73	$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
4811FMP	BANDAGE RETENTION COHESIVE HEAVYR bandage retention cohesive heavy 5 cm x 1.3 m bandage, 1 (PI, CMI)
	Available brands
	Peg 7420	2	2	0	$20.07	$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
4812GMP	BANDAGE RETENTION COHESIVE HEAVYR bandage retention cohesive heavy 7.5 cm x 1.3 m bandage, 1 (PI, CMI)
	Available brands
	Peg 7422	2	2	0	$22.93	$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
4813HMP	BANDAGE RETENTION COHESIVE HEAVYR bandage retention cohesive heavy 10 cm x 1.3 m bandage, 1 (PI, CMI)
	Available brands
	Peg 7423	2	2	0	$26.21	$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
4814JMP	BANDAGE RETENTION COHESIVE HEAVYR bandage retention cohesive heavy 15 cm x 1.3 m bandage, 1 (PI, CMI)
	Available brands
	Peg 7425	2	2	0	$32.39	$7.70	$7.70