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
4921BMP	DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATER dressing hydrocolloid superficial wound moderate exudate 10 cm x 10 cm dressing, 10 (PI, CMI)
	Available brands
	Replicare Ultra 66000434	1	1	1	$110.32	$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
4945GMP	DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATER dressing hydrocolloid superficial wound moderate exudate 10 cm x 10 cm dressing, 10 (PI, CMI)
	Available brands
	Hydrocoll 900744	1	1	1	$50.69	$7.70	$7.70