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
4783RMP	TAPE PLASTER ADHESIVE HYPOALLERGENICR tape plaster adhesive hypoallergenic 1.25 cm x 5 m tape, 1 roll (PI, CMI)
	Available brands
	Leukopor 2471	1	1	0	$17.53	$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
4785WMP	TAPE PLASTER ADHESIVE HYPOALLERGENICR tape plaster adhesive hypoallergenic 1.25 cm x 5 m tape, 1 roll (PI, CMI)
	Available brands
	Leukosilk 1021	1	1	0	$17.80	$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
4787YMP	TAPE PLASTER ADHESIVE HYPOALLERGENICR tape plaster adhesive hypoallergenic 2.5 cm x 5 m tape, 1 roll (PI, CMI)
	Available brands
	Leukosilk 1022	1	1	0	$20.34	$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
4788BMP	TAPE PLASTER ADHESIVE HYPOALLERGENICR tape plaster adhesive hypoallergenic 5 cm x 5 m tape, 1 roll (PI, CMI)
	Available brands
	Leukoflex 1124	1	1	0	$22.84	$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
4789CMP	TAPE PLASTER ADHESIVE HYPOALLERGENICR tape plaster adhesive hypoallergenic 5 cm x 5 m tape, 1 roll (PI, CMI)
	Available brands
	Leukosilk 1024	1	1	0	$24.16	$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
4790DMP	TAPE PLASTER ADHESIVE HYPOALLERGENICR tape plaster adhesive hypoallergenic 5 cm x 5 m tape, 1 roll (PI, CMI)
	Available brands
	Leukopor 2474	1	1	0	$23.33	$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
4794HMP	TAPE PLASTER ADHESIVE HYPOALLERGENICR tape plaster adhesive hypoallergenic 2.5 cm x 5 m tape, 1 roll (PI, CMI)
	Available brands
	Leukopor 2472	1	1	0	$19.81	$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
4848EMP	TAPE PLASTER ADHESIVE HYPOALLERGENICR tape plaster adhesive hypoallergenic 1.9 cm x 5.4 m dispenser tape, 1 roll (PI, CMI)
	Available brands
	Nexcare Durable Cloth First Aid Tape 799	1	1	0	$17.62	$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
4849FMP	TAPE PLASTER ADHESIVE HYPOALLERGENICR tape plaster adhesive hypoallergenic 1.9 cm x 7.3 m dispenser tape, 1 roll (PI, CMI)
	Available brands
	Nexcare Gentle Paper First Aid Tape 789	1	1	0	$17.62	$7.70	$7.70