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
4683LMP	DRESSING ALGINATE SUPERFICIAL WOUNDR dressing alginate superficial wound 7.5 cm x 12 cm dressing, 10 (PI, CMI)
	Available brands
	Kaltostat 168212	1	1	1	$90.42	$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
4684MMP	DRESSING ALGINATE SUPERFICIAL WOUNDR dressing alginate superficial wound 5 cm x 5 cm dressing, 1 (PI, CMI)
	Available brands
	Comfeel SeaSorb Dressing 3705	10	10	1	$49.47	$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
4691XMP	DRESSING ALGINATE SUPERFICIAL WOUNDR dressing alginate superficial wound 15 cm x 20 cm dressing, 10 (PI, CMI)
	Available brands
	Algisite M 66000521	1	1	1	$328.97	$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
4699HMP	DRESSING ALGINATE SUPERFICIAL WOUNDR dressing alginate superficial wound 5 cm x 5 cm dressing, 10 (PI, CMI)
	Available brands
	Algisite M 66000519	1	1	1	$71.67	$7.70	$7.70
	Kaltostat 168210	1	1	1	$51.94	$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
4700JMP	DRESSING ALGINATE SUPERFICIAL WOUNDR dressing alginate superficial wound 10 cm x 10 cm dressing, 10 (PI, CMI)
	Available brands
	Algisite M 66000520	1	1	1	$135.11	$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
4831GMP	DRESSING ALGINATE SUPERFICIAL WOUNDR dressing alginate superficial wound 10 cm x 10 cm dressing, 1 (PI, CMI)
	Available brands
	Comfeel SeaSorb Dressing 3710	10	10	1	$89.57	$7.70	$7.70
	Sorbsan 1410	10	10	1	$84.37	$7.70	$7.70