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
4806YMP	DRESSING HYDROGEL SHEETR dressing hydrogel sheet 10 cm x 10 cm dressing, 5 (PI, CMI)
	Available brands
	Hydrosorb 900854	2	2	0	$55.83	$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
4911LMP	DRESSING HYDROGEL SHEETR dressing hydrogel sheet 9.5 cm x 10.2 cm dressing, 5 (PI, CMI)
	Available brands
	Nu-Gel 2497	2	2	0	$83.27	$7.70	$7.70