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
4780NMP	TAPE PLASTER ADHESIVE ELASTICR tape plaster adhesive elastic 2.5 cm x 2.5 m tape, 1 roll (PI, CMI)
	Available brands
	Leukoplast 01071-00	1	1	0	$19.99	$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
4781PMP	TAPE PLASTER ADHESIVE ELASTICR tape plaster adhesive elastic 5 cm x 2.5 m tape, 1 roll (PI, CMI)
	Available brands
	Leukoplast 01072-00	1	1	0	$25.93	$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
4782QMP	TAPE PLASTER ADHESIVE ELASTICR tape plaster adhesive elastic 7.5 cm x 2.5 m tape, 1 roll (PI, CMI)
	Available brands
	Leukoplast 01073-00	1	1	0	$29.61	$7.70	$7.70