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.
 
Consult your pharmacist regarding product availability and delivery time This symbol indicates that this product is either available through Drop Ship Program or might not be available in all locations. Consult your pharmacist regarding product availability and delivery time.
Wheelchairs Solutions
Wheelchairs/Scooters
Wheelchairs/ Wheelchair Accessories

TrustWorth™

Wheelchair

  • Swing-away footrests/leg rests
  • Adjustable leg rests for comfort
  • Solid rubber tires need minimal maintenance
  • 250 lb. weight capacity (18 in.), 300 lb. weight capacity (20 in.)
  • Removable arms (20 in. only)
CIN Mfr. No. Description Size Qty.
4071460 11585 Wheelchair 18 in. 1/ea
4071486 11586 Wheelchair 20 in. 1/ea
HCPC Code: K0001, K0002
May be reimbursable by Medicare Part B

Invacare

Tracer EX2 Wheelchair

  • Dual axle positions allow for adult (19.5 in.) or hemi (17.5 in.) seat to floor
  • 24 in. rear tires and 8 in. casters
  • 16 in. fixed back
  • Weighs 36 lb.
  • 250 lb. weight capacity
CIN Mfr. No. Description Size Qty.
3596202 TREX28R Desk arms 18 x 16 in. 1/ea
HCPC Code: K0003
May be reimbursable by Medicare Part B

Consult your pharmacist regarding product availability and delivery time

Invacare

Tracer SX5 Wheelchair

  • With desk-length flip-back arms
  • Dual axle positions allow for adult (19.5 in.) or hemi (17.5 in.) seat to floor
  • 16 in. sectional back
  • Weighs 34 lb.
  • 250 lb. weight capacity (18 in.), 300 lb. weight capacity (20 in.)
CIN Mfr. No. Description Size Qty.
3596210 TRSX58 Wheelchair 18 x 16 in. 1/ea
HCPC Code: K0001, K0002
May be reimbursable by Medicare Part B

Consult your pharmacist regarding product availability and delivery time

TrustWorth™

Wheelchair Cushion Foam

  • Made of premier-grade foam or latex
  • Covered in a machine-washable, top-quality woven blend fabric with zipper cover
  • Provides superb patient comfort and stability


CIN Mfr. No. Description Size Qty.
4071494 11587 Cushion foam 16 x 18 x 3.25 in. 1/ea

TrustWorth™

Wheelchair Cushion Gel

  • Made of premier-grade foam or latex
  • Covered in a machine-washable, top-quality woven blend fabric with zipper cover
  • Provides superb patient comfort and stability
CIN Mfr. No. Description Size Qty.
4071510 11588 Cushion gel 16 x 18 x 3 in. 1/ea

Carex® Health Brands

Mobility Table with
Cup Holder

  • Carry and keep items within reach
  • Attaches to most wheelchairs, transport chairs or rollators
  • Multi-position clamp fits on any pole or bar
  • Weight capacity 50 lb.



CIN Mfr. No. Description Qty.
4302543 P66800 Table 1/ea
Scooters

Drive Medical

Phoenix 3 Wheel Compact Scooter

  • Three wheels allow for 32.3 in. turning radius
  • Speed ranges from 0.5 mph to 4 mph and a cruising range of 15 miles per hour
  • Stackable battery box will increase range up to 30 miles per hour
  • Comes with headlight, basket and flip-back adjustable arms
  • 300 lb. weight capacity
CIN Mfr. No. Color Size Qty.
4060638 S35010 Red/blue 37.8 x 20 in. 1/ea
HCPC Code: K0800
May be reimbursable by Medicare Part B

Consult your pharmacist regarding product availability and delivery time

Transport Chairs

TrustWorth™

Transport Chair

  • Comes with swing-away removable footrests
  • Lightweight and compact, fold-down back, 8 in. wheels with brakes, swing-away removable footrests
  • 250 lb. weight capacity
CIN Mfr. No. Color Size Qty.
4071320 11576 Chrome 19 in. 1/ea
HCPC Code: E0138
May be reimbursable by Medicare Part B
Wheelchairs/Scooters

Drive Medical

Phoenix 4 Wheel Compact Scooter

  • Four wheels allow for 44 in. turning radius
  • Speed ranges from 0.5 mph to 4 mph and a cruising range of 15 miles per hour
  • Stackable battery box will increase range up to 30 miles per hour
  • Comes with headlight, basket and flip-back adjustable arms
  • 300 lb. weight capacity
CIN Mfr. No. Color Size Qty.
4060646 S35015 Red/blue 37.8 x 20 in. 1/ea
May be reimbursable by Medicare Part B

Consult your pharmacist regarding product availability and delivery time

Carex® Health Brands

Transport Chair

  • Oversized 8 in. wheels for increased maneuverability
  • Swing-away leg rests and compact fold feature allows for easy storage and portability
  • Angled handlebars and 19 in. seating area provide added comfort during transport
  • 300 lb. weight capacity
CIN Mfr. No. Color Size Qty.
3714201 A226-00 Black 8 in. wheels 1/ea
May be reimbursable by Medicare Part B
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