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
4681JMP	DRESSING ACTIVATED CHARCOAL MALODOROUS WOUNDR dressing activated charcoal malodorous wound 10.5 cm x 10.5 cm dressing, 1 (PI, CMI)
	Available brands
	Actisorb Plus MAP105	10	10	0	$99.37	$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
4742NMP	DRESSING ACTIVATED CHARCOAL MALODOROUS WOUNDR dressing activated charcoal malodorous wound 10 cm x 10 cm dressing, 10 (PI, CMI)
	Available brands
	CarboFLEX 403202	1	1	0	$79.42	$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
4743PMP	DRESSING ACTIVATED CHARCOAL MALODOROUS WOUNDR dressing activated charcoal malodorous wound 15 cm x 20 cm dressing, 5 (PI, CMI)
	Available brands
	CarboFLEX 403204	1	1	0	$89.32	$7.70	$7.70