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
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