May be reimbursable by Medicare Part B The Medicare symbol indicates that this product, or group of products, may be reimbursable under Medicare Part B. Please contact the SADMERC at 877.735.1326 to obtain the specific HCPCS codes and modifiers necessary for billing, as this information changes frequently. Further information regarding Medicare Part B Reimbursement can be found by visiting the Centers for Medicare and Medicaid Services web site at www.cms.hhs.gov.
 
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Incontinence Solutions
Incontinence Care
Disposable Pads

Leader® Brand

  • Super absorbent filter
  • Maximum performance and comfort
  • Individually-wrapped pads
  • Compare to Poise®
CIN Mfr. No. Description Qty.
2312841 LD94320 Pads 20/pk, 6/cs
HCPC Code: T4535

First Quality

Prevail® Bladder
Control Pads

  • Body-shaped pad inserts for light absorbency
  • Cloth-like outer fabric
  • Full-length adhesive strip for secure anchoring
  • AZS® (Advanced Zoning System)
CIN Mfr. No. Description Size Qty.
3596848 PV-926 Panty liners 7.5 in. 26/pk, 12/cs
3012762 BC-012 Moderate 9.25 in. 20/pk, 9/cs
3012697 BC-013 Moderate long 11 in. 16/pk, 9/cs
3551710 PV-916 Max 11 in. 52/pk, 4/cs
3532454 PV-915 Max long 13 in. 42/pk, 4/cs
4166682 PV-923 Ultimate 16 in. 36/pk, 4/cs
HCPC Code: T4535

First Quality

Prevail® Male Guards

  • Body-shaped pad insert for light absorbency
  • Cloth-like outer fabric
  • Full-length adhesive strip for secure anchoring
  • AZS® (Advanced Zoning System)
CIN Mfr. No. Description Size Qty.
3383338 PV-811 Male guards 13 in. 14/pk, 9/cs
HCPC Code: T4535

Kimberly-Clark

DEPEND® Guards for Men

  • Place into your own close-fitting underwear
  • Cup-like shape gives a close fit without extra bulk with a comfortable, soft outer cover
  • Worry-free odor control and individually-wrapped in a cloth-like pouch for discreet carrying
CIN Mfr. No. Description Qty.
4380473 13792 Male guards 52/pk, 2/cs

Kimberly-Clark

POISE® Ultimate
Absorbency Pads

  • Absorb-Loc® core quickly locks away
    wetness and neutralizes odor
  • Comfort-Dry® cover helps keep user
    feeling fresh and clean
  • Contoured BodyFit® pad design
    protects where needed most
CIN Mfr. No. Description Size Qty.
4004982 19295 Pads Long 36/pk, 4/cs
HCPC Code: T4535

Kimberly-Clark

POISE® Maximum
Absorbency Pads

  • Absorb-Loc® core quickly locks
    away wetness and neutralizes odor
  • Comfort-Dry® cover helps keep
    user feeling fresh and clean
  • Contoured BodyFit® pad design
    protects where needed most
CIN Mfr. No. Description Size Qty.
2727600 19063 Pads Regular 52/pk, 4/cs
2955458 19283 Pads Long 42/pk, 4/cs
HCPC Code: T4535
Incontinence Care
Disposable Pads

Kimberly-Clark

POISE® Moderate
Absorbency Pads

  • Absorb-Loc® core quickly locks
    away wetness and neutralizes odor
  • Comfort-Dry® cover helps keep
    wearer feeling fresh and clean
  • Contoured BodyFit® pad design
    protects where needed most
CIN Mfr. No. Description Size Qty.
3570074 19564 Pads Regular 20/pk, 6/cs
4036513 19598 Pads Regular 72/pk, 4/cs
3570082 19566 Pads Long 16/pk, 6/cs
2445088 19600 Pads Long 60/pk, 4/cs
HCPC Code: T4535

Kimberly-Clark

POISE® Ultra Thins
Light Absorbency Pads

  • Locks away wetness and odor
  • Contours to fit your body
  • Helps keep you feeling fresh
CIN Mfr. No. Description Qty.
4287991 11480 Pads 18/pk, 6/cs
3514064 19202 Pads 30/pk, 6/cs
HCPC Code: T4535
Disposable Briefs

Leader® Brand

Fitted Briefs
Super Absorbency

  • Discreet disposable protection
  • Premium plus with soft elasticized waistband
  • Compare to DEPEND®
CIN Mfr. No. Description Size Qty.
4217915 LD92420 Fitted briefs Small/medium (32–44 in.) 20/pk, 4/cs
4217949 LD93416 Fitted briefs Large (42–56 in.) 16/pk, 4/cs
2930527 LD98414 Fitted briefs X-large (56–64 in.) 14/pk, 4/cs
HCPC Code: T4533

Kimberly-Clark

POISE® Very Light
Panty Liners

  • Absorb-Loc® core quickly locks away
    wetness and neutralizes odor
  • Comfort-Dry® cover helps keep user
    feeling fresh and clean
  • Contoured BodyFit® pad design
    protects where needed most
CIN Mfr. No. Description Size Qty.
3710225 019305 Panty liners Regular 26/pk, 8/cs
3710233 019308 Panty liners Long 24/pk, 8/cs
HCPC Code: T4535

SCA Personal Care

Tena® Serenity Pads

  • Advanced odor protection
  • Cotton-like top sheet; soft against the skin
  • Dry-fast core for healthy skin and comfort
CIN Mfr. No. Description Qty.
2322956 41600 Moderate 16/pk, 6/cs
4133609 54700 Overnight 30/pk, 3/cs
3381407 47600 Heavy 42/pk, 3/cs
HCPC Code: T4535

Leader® Brand

Protective Belted
Undergarments

  • Super absorbency for men or women with a waterproof barrier
  • Compare to DEPEND®


CIN Mfr. No. Description Size Qty.
2312874 LD95430 Undergarments Hips up to 54 in. 30/pk, 4/cs
HCPC Code: T4535
Disposable Briefs

Attends Healthcare Products

Attends®
Breathable Briefs

  • Absorbs body fluids while allowing air flow to keep skin dry
  • Cloth-like fabric back sheet reduces heat retention and keeps skin cool, dry and comfortable
  • Improved Comfort Flex-Tabs are soft, flexible and can refasten anywhere on the brief
CIN Mfr. No. Description Size Qty.
4026878 BRB20 Briefs Medium (32–34 in.) 24/pk, 4/cs
4026910 BRB30 Briefs Large (44–58 in.) 24/pk, 3/cs
4026928 BRB40 Briefs X-large (58–63 in.) 20/pk, 3/cs
HCPC Code: Medium T4522, Large T4523, X-large T4524

First Quality

NU-FIT® by First
Quality® Briefs

  • Designed for moderate to heavy incontinence
  • Cloth-like outer fabric
  • Easy-Lock Fastener® tabs grip without being sticky
  • AZS® (Advanced Zoning System)
CIN Mfr. No. Description Size Qty.
3915246 NU-012 Briefs Medium (32–44 in.) 16/pk, 6/cs
3915311 NU-013 Briefs Large (45–58 in.) 18/pk, 4/cs
3172582 NU-014 Briefs X-large (59–64 in.) 15/pk, 4/cs
HCPC Code: Medium T4522, Large T4523, X-large T4524

First Quality

Prevail® Briefs

  • Ideal for moderate to heavy incontinence protection
  • Cloth-like outer fabric
  • Easy-Lock Fastener® tabs grip without being sticky
  • AZS® (Advanced Zoning System)
CIN Mfr. No. Description Size Qty.
3915337 PV-012 Briefs Medium (32–44 in.) 20/pk, 4/cs
3915345 PV-013 Briefs Large (45–58 in.) 16/pk, 4/cs
HCPC Code: Medium T4522, Large T4523

First Quality

Prevail® Bariatric Briefs

  • For moderate to maximum absorbency and designed to fit the largest wearers
  • Cloth-like outer fabric
  • Easy-Lock Fastener® tabs grip without being sticky
  • AZS® (Advanced Zoning System)
CIN Mfr. No. Description Size Qty.
4256400 PV-094 Briefs Up to 94 in. 10/pk, 4/cs
HCPC Code: T4543

First Quality

Prevail® Extra Absorbent
Belted Shields

  • Prevents leakage with light to heavy absorbency
  • Reusable elastic straps and reinforced buttonholes ensure a snug, comfortable fit
  • Cloth-like outer fabric
  • AZS® (Advanced Zoning System)
CIN Mfr. No. Description Size Qty.
3013141 PV-324 Shields Unisize 30/pk, 4/cs
HCPC Code: T4535
Disposable Briefs

Kimberly-Clark

DEPEND® Fitted Briefs
Maximum Protection

  • Ultra ABSORB-LOC® liner quickly absorbs and locks away fluid
  • Wetness indicator line disappears when brief requires removal
  • Comfortable, snug-fitting leg gathers and soft leakage barriers help guard against side leakage
  • Six EasyGrip™ tabs for a great fit
CIN Mfr. No. Description Size Qty.
2155190 19740 Fitted briefs Small/medium (26–41 in.) 20/pk, 4/cs
2562072 19317 Fitted briefs Large (42–54 in.) 16/pk, 4/cs
HCPC Code: Small/Medium T4522, Large T4543
Disposable Underwear

Leader® Brand

Protective Underwear
Super Absorbency

  • For heavy loss of bladder control
  • Odor control
CIN Mfr. No. Description Size Qty.
2930543 LD52192 Underwear Small/medium (28–42 in.) 20/pk, 4/cs
2930535 LD52171 Underwear Large (44–54 in.) 18/pk, 4/cs
3448750 LD52356 Underwear X-large (48–66 in.) 16/pk, 4/cs
HCPC Code: T4525

Attends Healthcare Products

Extra Absorbency
Underwear™

  • Breathable material allows more air flow for drier, healthier skin,while moisture-proof lining prevents leakage
  • Soft elastic waist design provides superior comfort and tear-away sides for easy removal
  • Colored stitching indicates back of product
  • Packaged in discreet cases
CIN Mfr. No. Description Size Qty.
3973575 AP0720 Underwear Medium (34–44 in.) 20/pk, 4/cs
3975075 AP0730 Underwear Large (44–58 in.) 18/pk, 4/cs
3975091 AP0740 Underwear X-large (58–68 in.) 14/pk, 4/cs
HCPC Code: Medium T4526, Large T4527, X-large T4528

SCA Personal Care

Tena® Ultra Disposable Briefs

  • For moderate to heavy bladder and/or bowel control protection
  • Superior protection with OdaSorb Plus™ to minimize growth of odor-causing bacteria
  • Hook tab fasteners for refastening
  • Curved leg elastic for comfort and fit
CIN Mfr. No. Description Size Qty.
3660990 66100 Briefs Small (22–36 in.) 12/pk, 8/cs
2718625 67200 Briefs Medium (34–47 in.) 40/pk, 2/cs
2718633 67300 Briefs Large (48–59 in.) 40/pk, 2/cs
3235264 61375 Briefs X-large (60–64 in.) 12/pk, 6/cs
HCPC Code: Small T4521, Medium T4522, Large/X-large T4543

Attends Healthcare Products

Super Plus Absorbency
Underwear™

  • Breathable material allows more air flow for drier, healthier skin, while moisture-proof lining prevents leakage
  • Soft elastic waist design provides superior comfort and tear-away sides for easy removal
  • Features ultimate defense leak-guard leg cuffs
  • Colored stitching indicates back of product
  • Packaged in discreet cases
CIN Mfr. No. Description Size Qty.
3666351 APP0710 Underwear Youth/small (22–36 in.) 20/pk, 4/cs
3460896 APP0720 Underwear Medium (34–44 in.) 20/pk, 4/cs
3460938 APP0730 Underwear Large (48–58 in.) 18/pk, 4/cs
3460961 APP0740 Underwear X-large (58–68 in.) 14/pk, 4/cs
HCPC Code: Small T4525, Medium T4526, Large T4527, X-large T4528
Disposable Underwear

First Quality

Prevail® Adjustable Underwear

  • Designed for wearers on-the-go—no need to remove clothing or shoes
  • Easy-to-grip stretchable reattaching tabs
  • Easy-open side seams
  • Super plus absorbency
CIN Mfr. No. Description Size Qty.
3965175 PVR-512 Underwear Small/medium (28–46 in.) 18/pk, 4/cs
3965183 PVR-513 Underwear Large (44–58 in.) 16/pk, 4/cs
HCPC Code: Small/Medium T4526, Large T4527

First Quality

Prevail® Extra Underwear

  • Designed to pull on and off like regular underwear
  • Silky-soft outer fabric
  • Target acquisition zone with QUICK WICK™ strip
  • Soft, breathable zones
CIN Mfr. No. Description Size Qty.
3321130 PV-511 Underwear Youth/small (20–34 in.) 22/pk, 4/cs
3012903 PV-512 Underwear Medium (34–46 in.) 20/pk, 4/cs
3012754 PV-513 Underwear Large (44–58 in.) 18/pk, 4/cs
3532439 PV-514 Underwear X-large (58–68 in.) 14/pk, 4/cs
3671542 PV-517 Underwear 2X-large (68–80 in.) 12/pk, 4/cs
HCPC Code: Small T4525, Medium T4526, Large T4527, X-large T4528, 2X-large T4543

First Quality

Prevail® Super
Plus Underwear

  • Pull on and off like regular underwear
  • Target acquisition zone with QUICK WICK™ strip
  • Soft, breathable zones
  • Silky-soft outer fabric
CIN Mfr. No. Description Size Qty.
3383387 PVS-512 Underwear Small/medium (34–46 in.) 18/pk, 4/cs
3383403 PVS-513 Underwear Large (44–58 in.) 16/pk, 4/cs
HCPC Code: Small/Medium T4526, Large T4527

First Quality

Prevail® Underwear for Women

  • Designed for women
  • Form-fitting shape and stretchable, breathable waist panels for containment and protection with a comfortable fit
  • Cloth-like outer fabric
  • AZS® (Advanced Zoning System)
CIN Mfr. No. Description Size Qty.
4227211 PW-512 Underwear Small/medium (34–46 in.) 20/pk, 4/cs
4227237 PW-513 Underwear Large/X-large (44–58 in.) 18/pk, 4/cs
HCPC Code: Small/Medium T4521, Large/X-large T4523

Kimberly-Clark

DEPEND® Adjustable
Underwear Super
Plus Absorbency

  • Adjustable underwear features pre-fastened tabs that allow them to be easily slipped on and off
  • Tabs may be readjusted for a snug, custom fit
  • Perforated side seam underneath tabs allow underwear to be neatly torn open for discreet changing
CIN Mfr. No. Description Size Qty.
3300837 19183 Underwear Small/medium (28–45 in.) 18/pk, 4/cs
3300845 19184 Underwear Large (44–64 in.) 16/pk, 4/cs
HCPC Code: Small/Medium T4522, Large T4523

Kimberly-Clark

DEPEND® Underwear for Women Extra Absorbency

  • Custom-designed to fit the shape of a woman
  • ABSORB-LOC® protects right where women need it most, with worry-free odor control
  • Oval-cut leg openings designed to fit like women’s underwear and help protect against side leakage
  • Gentle, elastic pink trimmed waistband designed to look and feel like regular underwear
CIN Mfr. No. Description Size Qty.
4135216 19558 Underwear Small/medium (28–40 in.) 20/pk, 4/cs
4135273 19561 Underwear Large (38–50 in.) 18/pk, 4/cs
4135356 19579 Underwear X-large (48–64 in.) 16/pk, 4/cs
HCPC Code: Small/Medium T4526, Large T4527, X-large T4528
Disposable Underwear

Kimberly-Clark

DEPEND® Underwear
for Women Super
Plus Absorbency

  • Designed to fit the shape of a woman
  • ABSORB-LOC® protects right where women need it most, with worry-free odor control
  • Oval-cut leg openings designed to fit like women’s underwear and help protect against side leakage
  • Gentle, elastic pink trimmed waistband designed to look and feel like regular underwear
CIN Mfr. No. Description Size Qty.
4135430 19758 Underwear Small/medium (28–40 in.) 18/pk, 4/cs
4135513 19761 Underwear Large (38–50 in.) 16/pk, 4/cs
4135521 19779 Underwear X-large (48–64 in.) 14/pk, 4/cs
HCPC Code: Small/Medium T4526, Large T4527, X-large T4528

Kimberly-Clark

DEPEND® Underwear for
Men Super Plus Absorbency

  • Custom designed to fit a man’s body
  • ABSORB-LOC® brief-like leg openings designed to fit like men’s underwear and help protect against side leakage
  • Protects right where men need it most, with worry-free odor control
  • Snug-fitting, elastic blue trimmed waistband designed to look like regular underwear
CIN Mfr. No. Description Size Qty.
4135539 19840 Underwear Small/medium (28–40 in.) 18/pk, 4/cs
4135562 19842 Underwear Large/X-large (38–64 in.) 16/pk, 4/cs
HCPC Code: Small/Medium T4526, Large/X-large T4527

SCA Personal Care

Tena® Protective Underwear

  • Looks and feels like regular underwear
  • Gender-specific design to protect where it is needed most
  • Body close fit that is discreet and comfortable
  • Advanced odor protection
CIN Mfr. No. Description Size Qty.
4338356 81780 Men’s underwear Medium/large (34–40 in.) 16/pk, 4/cs
4338364 81920 Men’s underwear X-large (42–50 in.) 14/pk, 4/cs
4338380 54800 Women’s underwear Small/medium (29–36 in.) 16/pk, 4/cs
4338398 54900 Women’s underwear Large (36–46 in.) 16/pk, 4/cs

SCA Personal Care

Tena® Extra
Protective Underwear

  • Advanced leakage protection
  • Cloth-like material is skin friendly
  • Tear away sides ease removal
CIN Mfr. No. Description Size Qty.
3645843 72131 Underwear Small (25–35 in.) 16/pk, 4/cs
3645868 72231 Underwear Medium (34–34 in.) 16/pk, 4/cs
3645876 72331 Underwear Large (45–58 in.) 16/pk, 4/cs
3574696 72412 Underwear X-large (55–66 in.) 18/pk, 4/cs
HCPC Code: Small T4525, Medium T4526, Large T4527, X-large T4528
Disposable Underpads

Leader® Brand

Underpads

  • For all levels of incontinence
  • With plastic backing to protect bed linens
  • Soft and absorbent


CIN Mfr. No. Description Size Qty.
2312908 LD98018 Large underpads 22.5 x 35.5 in. 18/pk, 6/cs
2312890 LD3036 X-large underpads 30 x 60 in. 10/pk, 6/cs
HCPC Code: T4542

First Quality

Prevail® Underpads

  • Features bonded construction that reduces top sheet separation and clumping
  • Cloth-like top sheet with a flat seal around the pad so there are no plastic edges exposed to the skin
  • Ideal for protecting beds, chairs and linens
CIN Mfr. No. Description Size Qty.
3031507 UP-150 Regular 23 x 36 in. 15/pk, 10/cs
3012879 PV-418 Large 23 x 36 in. 18/pk, 4/cs
3173549 UP-100 X-large 30 x 30 in. 10/pk, 10/cs
HCPC Code: A4554
Reusable Briefs and Underpads

Salk Company

CareFor™ Deluxe
Reusable Underpads

  • Designed to control and absorb liquids of any kind on beds and chairs
  • Soft, quilted, stay-dry top layer
  • Highly absorbent inner soaker layer
  • Waterproof binding prevents spillage over edge
CIN Mfr. No. Description Size Qty.
3026176 1990 Underpads 23 x 36 in. 1/ea
3170891 1994Q Underpads 32 x 36 in. 1/ea
3173697 1996 Underpads 36 x 54 in. 1/ea
3026184 1997 Underpads 32 x 36 in. flaps 1/ea
3173689 1999 Underpads 36 x 72 in. 1/ea
HCPC Code: T4537

Potty MD

Wet-Stop3 Complete
Bedwetting Alarm System

  • Bedwetting alarm
  • Includes bedwetting book on CD, vibration and alarm
  • Shut-off feature
CIN Mfr. No. Description Qty.
4086997 00024 Bedwetting kit 1/ea

Salk Company

SaniPant™ Cover-Ups

  • 100% waterproof cover-ups offer full protection
  • Designed to hold absorbent pads or diapers
  • Lightweight, yet strong
CIN Mfr. No. Description Size Qty.
3171162 800SM Snap-on cover-ups Small (22–28 in.) 1/ea
3171170 800MED Snap-on cover-ups Medium (30–36 in.) 1/ea
3171188 800LG Snap-on cover-ups Large (38–44 in.) 1/ea
3171196 800XL Snap-on cover-ups X-large (46–52 in.) 1/ea
3169752 850SM Pull-on cover-ups Small (22–28 in.) 1/ea
3169687 850MED Pull-on cover-ups Medium (30–36 in.) 1/ea
2761922 850Large Pull-on cover-ups Large (38–44 in.) 1/ea
3169760 850X-large Pull-on cover-ups X-large (46–52 in.) 1/ea
HCPC Code: Snap-on T4539, Pull-on T4536
Washcloths

Leader® Brand

Personal Cleansing Washcloths

  • Scented with aloe and lanolin
CIN Mfr. No. Description Size Qty.
2719813 10845 Washcloths 9 x 13 in. 50/pk

Attends Healthcare Products

Attends® Washcloths

  • Spun lace washcloth with aloe to moisturize and soothe the skin
  • Gentle, alcohol-free cleansing formula prevents irritation
  • Hypoallergenic for delicate or sensitive skin
  • No rinsing necessary
CIN Mfr. No. Description Qty.
4027090 WCCP1000 Convenience pak 72/pk
3975133 WCPP1000 Pop-up pak 48/pk, 12/cs

First Quality

Prevail® Washcloths

  • Helps caregivers clean properly and also moisturize for better skin health
  • Super-strong spun lace fabric


CIN Mfr. No. Description Qty.
3173515 WW-701 Tub 48/pk, 12/cs
3965167 WW-710 Soft pack 48/pk, 12/cs
HCPC Code: A4335

First Quality

Prevail® Premium
Cotton Washcloths

  • Enhanced with lotion for better skin health
  • Quilted texture creates pockets for more complete cleaning with fewer washcloths for better pericare
  • Made with real cotton—soft, strong and absorbent for effective cleaning
CIN Mfr. No. Description Qty.
3532371 WW-901 Tub 96/pk
3532223 WW-902 Refill 96/pk
HCPC Code: A4335

SCA Personal Care

Tena® Washcloths

  • Pre-moistened disposable washcloths
  • Vitamin E and aloe vera condition skin
  • Easy-to-use unfolded cloth dispensing
  • Alcohol-free and will not dry out the skin
CIN Mfr. No. Description Qty.
3994175 64608 Textured 48/pk
3994191 64610 Classic 48/pk
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