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