Im17 fullline 062217 by matspharm

Welcome to the 2017 / 2018

Independence Medical Catalog For more than 20 years, Independence Medical has helped thousands of DMEs, pharmacies and home health businesses improve their operational efficiencies, increase profitability and overcome reimbursement challenges. We are excited to share with you a few of our key focus areas this year as we continue to build upon our partnership. More Customer Focused Than Ever We realize that our growth is generated from the continued support and partnership of businesses like yours. We have pulled together a group of customers to create the Customer Advisory Council. This vital organization will help us to hear what is working well, identify areas for improvement and discover new ideas that are important to our customers now and in the future. If there are any ideas and/or suggestions that you would like to offer, please email them to advisorycouncil@indemed.com.

Key Strategic Priorities As we continue to look at ways to provide valuable insights around your business, we have enhanced our suite of analytic dashboards, Growth Essentials. Through these resources, you can identify margin opportunities, reduce patient attrition and improve operational efficiencies.

Enhanced Shipping Capabilities

To help minimize shipping costs, reduce waste and improve the durability of our shipments, weâ&#x20AC;&#x2122;ve invested in technology in our distribution centers. Recent innovations allow us to generate customized packaging that meets the exact dimensions of the items you are shipping. The days of oversized boxes filled with peanuts and air pillows are a thing of the past.

Increased Product Offering As you use the 2017 / 2018 Independence Medical Catalog, we hope that you find the expanded product offering benefits your business by offering greater patient choice and satisfaction. With nearly 40,000 items, we are unable to list them all so we encourage you to visit www.Indemed.com for a comprehensive selection of items in all product categories. We look forward to our continued partnership and success!

Ordering Information Order by Web

Our Shipping Policy

Orders may be placed online, 24 hours a day, 7 days a week, by visiting www.Indemed.com. Search our entire inventory, track orders and manage Home Delivery accounts, all from your Web browser. Setting up an online account is easy, and we offer personalized Web training. Dedicated Web support is available from 8:30 a.m. — 5:30 p.m. EST, Monday — Friday.

Orders placed Monday — Friday before 5:15 p.m. EST (4:15 p.m. in all other time zones) will ship the same day pending credit approval.

Order by EDI Integrated with Ariba, Bonafide, Brightree, DirectHME, FasTrack, Homecare Homebase, Pacware, Universal Software and others. We also offer custom electronic connectivity.

Order by Phone Orders may be placed by calling 1-800-860-8027 from 8:30 a.m. — 7:30 p.m. EST., Monday — Friday. Orders placed before 5:15 p.m. EST (4:15 p.m. in all other time zones) will ship same day pending credit approval.

Order by Fax Orders may be placed via fax by dialing 330-963-6516. Call your Independence Medical Representative to have a custom fax order form sent to your company.

In-Stock Guarantee Our fill rates are among the highest in the industry. However, we occasionally are out of stock on some merchandise. It is our policy to pay freight on back orders (excluding enteral products and formulas, cleaning solutions, gloves, DME products and bulk incontinence items).

Commercial Pricing Commercial catalog price list available upon request.

• Independence Medical will pay for Ground Services shipped directly to customer facilities for orders that exceed $250 –T his excludes enteral products and formulas, cleaning solutions, gloves, DME products, bulk incontinence items and all Home Delivery shipments • Independence Medical can provide premium shipping services, including Next Day and Second Day –C harges for services other than Ground will be added to the invoice

Our Return Policy Independence Medical will only accept product returned within 90 days from the date of purchase. Products must be returned six months prior to date of expiration. All returns will be charged a restocking fee. Returns will not be accepted on special-order items, insulin pumps or vendor drop ships. All returns must include Return Authorization Number, be in original packaging and in the same unit of measure as originally purchased. Returns are subject to inspection by Independence Medical. No credit will be issued for product that is determined to be unsalable. Product returned for credit should be sent prepaid to: Independence Medical Attn: Returns 1810 Summit Commerce Park Twinsburg, Ohio 44087 Return policy is subject to change. For our most updated version, please visit www.Indemed.com.

Table of

Contents This catalog features just a sample of our full product range, which includes nearly 40,000 items. In addition to what is listed in this catalog, we also carry complete lines of bath safety, blood pressure, braces and supports, diabetes, diagnostics, DME, enteral, foot care, home infusion, incontinence, mobility, ostomy, OTC, pain relief, personal care, pillows and supports, respiratory care, skin care, socks and stockings, urological, wound care and related medical supplies from more than 700 manufacturers.

If you don’t see what you’re looking for, let us know – chances are we have it!

Breast Pumps

Diabetes

Continuous Glucose Monitoring

Insulin Delivery Systems

Testing Supplies

Diagnostics / Impotence

DME

Enteral

Gloves / Gowns

Incontinence

Infusion

116

Orthopedics

122

Ostomy

126

OTC

189

Personal Therapy

192

Respiratory

200

Skin Care

211

Sleep Apnea / CPAP

221

Stockings / Compression Therapy

226

TENS

236

Tracheostomy

242

Urological

252

Wound Care

279

BREAST PUMPS

MEDELA (ML)

FREEMIE® (JR)

Medela Pump in Style® Advanced Breast Pump Starter Set 2-Phase Expression® technology and fully adjustable. Includes motor bag only, two breast milk containers. Removable cooler, ice pack and battery pack not included.

Freemie® Freedom Deluxe Set with Hands Free and Concealable Freemie® Collection Cups Cups are supported by regular or nursing bras underneath ordinary clothing, and are connected to the Freemie® Freedom 120-volt AC pump. Includes standard 25-mm funnels and 28-mm funnels, extra pump protection filter and tubing connection kit. Pump vacuum is adjustable and cups are made without latex rubber, BPA or DEHP. Each cup with integrated breast funnel holds 8 oz. of milk.

ITEM #

HCPCS

57081

E0603

SOLD BY

Medela Freestyle® Solution Set Compact, lightweight, double electric breast pump with a rechargeable battery for mobile pumping. Two-phase expression technology is proven to produce more milk in less time. Daily use; designed for moms who pump several times a day.

ITEM #

HCPCS

SOLD BY

67060BN E0603 ea

Medela Pump In Style® Advanced Backpack Solution Set Designed for moms who pump several times a day. Holds everything needed to pump. Offers portability for discreet pumping anywhere. The backpack features a convenient built-in pump. Black. 120 volts. Integrated motor unit.

ITEM #

HCPCS

SOLD BY

57062BN E0603 EA

Medela Pump In Style® Advanced On-the-Go Tote Solution Set Produces more milk in less time when pumping at maximum comfort vacuum in the expression phase. All parts that touch breast milk are made without BPA. Designed for moms who pump several times a day. Black. Built-in motor unit

ITEM #

57063BN E0603 ea

HCPCS

ITEM #

68052 A9270 ea

HCPCS

SOLD BY

AMEDA (EW) NEW Purely Yours Double Electric Breast Pump Ideal for mothers returning to work full time or for those who want a fast and easy pumping experience. The portable and lightweight breast pump (motor weighs just 1 lb.) is easy to transport. Proven Airlock Protection™ barrier helps protect milk while keeping pump tubing dry and clean. CustomControl™ allows moms to adjust the speed and suction independently, and the smooth, rhythmic waveform creates a gentle sensation that allows mom to relax and make more milk for her baby. ®

ITEM #

17070PMW E0603

HCPCS

SOLD BY

TOMY (TF) The First Years™ Quiet Expressions Double Electric Breast Pump Quick, efficient and capable of multitasking. Extra quiet, compact and less than 2 lbs., allows easy double-pumping with just one hand. With electric plug-in operation and soft Flexi-fit™ breast shields, it features eight adjustable suction level settings to double pump at the perfect speed. Electric or battery-operated (uses 4 “AA” batteries, not included). Includes a tote bag to hold pumping or personal essentials for on-the-go appeal and two 4-oz. GumDrop bottles with slow-flow nipples and storage lids.

ITEM #

HCPCS

Y6228

E0603

SOLD BY

ITEM #

FG031 E0603 ea

HCPCS

SOLD BY

Freemie® Hands Free Collection Cups For use with the Medela Pump In Style® Advanced Breast Pump, Personal, and the Hygeia Q and Enjoy Breast Pumps. Allow the user to pump hands-free under the shirt and are concealable. Include standard 25-mm funnels and 28-mm funnels, and standard connection kit. Cups are made without latex rubber, BPA or DEHP. Each cup with integrated breast funnel holds 8 oz. of milk.

ITEM #

FG041W3 A4649 pr

HCPCS

SOLD BY

SPECTRA BABY USA (JH) Spectra S2 Hospital Strength Breast Pump Includes Spectra S2 hospital-strength motor unit. Double Milk Collection System includes two 24-mm breast flanges, two wide-neck milk collection bottles, locking rings and discs, two valves, two sets of tubing, two backflow protectors and an AC power adapter. Vacuum range: 0 ~ 250 mmHg; expression mode cycles/minute: 38 – 54; RPM/let-down mode: 70 RPM; weighs less than 4 lbs.

SOLD BY

Medela Portable Carry Includes exclusive microfiber material made without PVC, breast milk cooler and ice pack, and extra double pump kit. Breast pump not included.

ITEM #

SP06L1 E0603 ea

HCPCS

SOLD BY

Mothers Milk Spectra® S1 Double Electric Breast Pump Kit 71⁄4˝ H x 61⁄2˝ W x 8˝ D, Blue, Hospital Grade, Two Phase System, Rechargeable Battery, BPA-Free. Mothers Milk Spectra® 1 double electric breast pump kit includes 24mm- and 28mm-size flanges, two tubing, two backflow protectors, two hygienic silicone duck bill valves, two collection bottles, two collection bottles caps, two bottle stands, night light, timer, powered by electricity/or internal battery, motor life 1500 hours. 0~320 mmHg Vaccum range. 30 rpm – 54 rpm Cycle length. 4.1 lb weight. Two-Year warranty.

ITEM #

JHSP08L1 E0603 ea

HCPCS

SOLD BY

DIABETES CONTINUOUS GLUCOSE MONITORING

MEDTRONIC MINIMED® (MN)

DEXCOM®, INC. (ED)

CONTINUOUS GLUCOSE MONITORING SYSTEMS

Dexcom® G4® PLATINUM Continuous Glucose Monitoring System The first CGM with vivid trend colors for easy viewing of glucose highs and lows. At 2.4 oz., is the lightest CGM and slips easily into a coin pocket. Transmitter on user’s body can send glucose signals up to 20´ to the receiver. Customizable tones and melodies for high and low alerts, and has the only sensor on the market approved for up to seven days of use for added value and convenience.

NEW MiniMed® 630G Insulin Pump Built-in CGM capability. Smartguard technology makes it easier to manage glucose levels, taking action if blood glucose levels fall below a preset range. Features Bolus Wizard calculator and predictive alerts. User-friendly, waterproof design with color display and polished black exterior.

ITEM #

MMT1755KI E0784

HCPCS

SOLD BY

NEW MiniMed® Enlite Sensors For use with MiniMed® 630G Insulin Pump as integrated pump/CGM system.

ITEM #

MMT7008AI A9276 5/pk

HCPCS

SOLD BY

NEW MiniMed® Guardian Link Transmitter Kit Contains one transmitter for use with MiniMed® 630G Insulin Pump, charger, water-tight tester and one inserter.

ITEM #

MMT7777NAI A9277

HCPCS

SOLD BY

MiniMed® 530G with Enlite® The first system that takes action when needed and can automatically stop insulin delivery when sensor glucose values reach a preset level and the user doesn’t respond to the Threshold Suspend alarm. Incorporates the new Enlite® sensor, Medtronic’s most accurate and comfortable continuous glucose sensor. Other pump displays include alerts for predicting highs and lows, rapidly changing glucose levels, glucose trends, current glucose levels, and insulin therapy and safety information. Available in two different sizes to fit user’s insulin needs, a 180-unit (1.8-mL) reservoir and a 300-unit (3-mL) reservoir. The pump is compatible with CareLink® Personal Therapy Management Software that allows user to download important diabetes management data wirelessly from the pump. MiniMed Insulin Pumps are sold with a compatible linking meter. MINIMED® 530G WITH ENLITE® 551

ITEM#

HCPCS

SOLD BY

Blue Pink Clear Purple Smoke

MMG5NABI E0784 MMG5NAHI E0784 MMG5NALI E0784 MMG5NAPI E0784 MMG5NASI E0784

ea ea ea ea ea

MMG7NABI E0784 MMG7NAHI E0784 MMG7NALI E0784 MMG7NAPI E0784 MMG7NASI E0784

ea ea ea ea ea

ITEM #

HCPCS

SOLD BY

SHARE DIRECT PEDIATRIC RECEIVER KIT G4 PLATINUM

Pink Black Blue

STKPRPNKIM A9278 ea STKPR001IM A9278 ea STKPRBLUIM A9278 ea

SHARE DIRECT ADULT RECEIVER KIT G4 PLATINUM

Pink Black Blue Dexcom G4 Transmitter Kit Dexcom G5 Mobile/G4 Platinum Sensor Kit

STKDRPNKIM A9278 ea STKDR001IM A9278 ea STKDRBLUIM A9278 ea STTGL003IM A9277 ea STSGL041IM A9276 ea

Dexcom G5® Mobile CGM The Dexcom G5® mobile app gives the information needed quickly at a glance. With Bluetooth® technology that is now built into the transmitter, glucose data is sent wirelessly from the Dexcom G5® mobile transmitter to a compatible smart device. Gives glucose information with readings every five minutes. Consists of three parts: a small sensor that measures glucose levels just underneath the skin; a transmitter that is fastened on top of the sensor and sends data wirelessly to the compatible smart device or the receiver; and a display device that can be a compatible smart device with the Dexcom G5® mobile app or the Dexcom G5® Mobile Receiver. Either choice of display will show glucose trends in vivid colors so users can easily see when it’s high, low or within range.

ITEM #

HCPCS

Dexcom G5 Receiver Kit – Black Dexcom G5 Receiver Kit – Pink Dexcom G5 Receiver Kit – Blue Dexcom G5 Transmitter Kit Dexcom G4/G5 Platinum Sensor Kit

STKGF001IM STKGFPNKIM STKGFBLUIM BUNGF003IM STSGL041IM

A9278 A9278 A9278 A9277 A9276

SOLD BY

ea ea ea ea ea

MINIMED® 530G WITH ENLITE® 751

Blue Pink Clear Purple Smoke

DIABETES INSULIN DELIVERY SYSTEMS TANDEM DIABETES CARE (TN) t:slim X2™ Insulin Pump Next-generation color touchscreen pump. Based on the #1 user-preferred1 t:slim Insulin Pump, the t:slim X2 Pump boasts a durable watertight housing, an advanced Bluetooth radio capable of communicating with compatible devices, and is optimized for use with Tandem Device Updater, designed for remote software updates and the addition of new features2. The t:slim X2 Pump is up to 38% smaller than other pumps3 and capable of holding up to 300 units of insulin. Software updates and new features are not currently available for the t:slim X2 Pump and are subject to future FDA approvals. Charges may apply. 2

3 38% smaller than MiniMed 630G abd 670G and 25% smaller than MiniMed 530G, Animas Vibe and OmniPod Systems. Data on File, Tandem Diabetes Care, Inc.

t:slim X2 Insulin Pump t:slim® 3-mL Insulin Cartridge ™

ITEM #

HCPCS

SOLD BY

005908 005909 005912 005914

A4230 A4230 A4230 A4230

10/bx 10/bx 10/bx 10/bx

005910 005911 005913 005915

A4230 A4230 A4230 A4230

10/bx 10/bx 10/bx 10/bx

6-MM CANNULA

Gray, 23˝ tubing Gray, 43˝ tubing Pink, 23˝ tubing Blue, 23˝ tubing 9-MM CANNULA

dQ&A USA Diabetes Connection Surveys, 2013-2016.

t:90™ Infusion Set The 90° soft cannula is pre-loaded in an automatic spring inserter to make one-handed insertions quick and easy, even in hard-to-reach areas. Available in Blue, Pink and Gray. Luer-lock connection.

ITEM #

HCPCS

10000103 003380

E0784 A4225

SOLD BY

ea 10/bx

t:slim G4™ Insulin Pump with Dexcom G4® PLATINUM Continuous Glucose Monitoring The t:slim® Insulin Pump is now integrated with the Dexcom® G4® PLATINUM Continuous Glucose Monitor that set the standard for accuracy and performance in sensor-augmented pumps.1,2 Conveniently combines CGM graphs and trend information with current insulin delivery on a single color touchscreen to help the user make more informed decisions3,4. dQ&A USA Diabetes Connections Surveys. t:slim Pump: 2013-2014. Dexcom G4 PLATINUM CGM: 2009-2014. 2 Dexcom G4 PLATINUM User Guide, 2012. 3 A minimum of 2 fingersticks per day is required for calibration. System may require more. 4 The Dexcom G4 PLATINUM System does not replace a blood glucose meter. Always use the values from a blood glucose meter for treatment decisions. 1

ITEM #

HCPCS

t:slim G4™ Insulin Pump t:slim G4™ 3-mL Insulin Cartridge

006194 007526

E0784 A4225

ITEM #

HCPCS

t:flex™ insulin pump t:flex™ insulin pump 4.8mL insulin cartridge

005365 004695

E0784 A4225

SOLD BY

ea 10/bx

LATEX FREE t:30 Infusion Set All-in-one, angled soft cannula infusion set with a disposable, integrated insertion device. Inserter ensures a 30° angle with each insertion. The reversible connector makes disconnection fast and easy. 13-mm cannula. ITEM #

HCPCS

23˝ tubing 43˝ tubing

007287 007288

A4230 A4230

SOLD BY

10/bx 10/bx

ITEM #

HCPCS

SOLD BY

COMFORT™ SHORT INFUSION SET, 13-MM CANNULA

23˝ tubing 32˝ tubing

004172 004173

A4230 A4230

10/bx 10/bx

004177 004179

A4230 A4230

10/bx 10/bx

COMFORT™ INFUSION SET, 17-MM CANNULA

23˝ tubing 43˝ tubing

LATEX FREE contact™ Detach infusion set Features a very fine 29-gauge, 90° steel needle for those who prefer the reliability of steel sets but don’t want to compromise on comfort. Luer-lock connection.

ea 10/bx

™

LATEX FREE comfort™/comfort™ Short Infusion Set Soft cannula infusion set that allows users to choose their most comfortable insertion angle. The preferred set of those who are lean and live an active lifestyle. Luer-lock connection.

SOLD BY

t:flex™ Insulin Pump Designed to help make day-to-day insulin management as simple as possible, by giving more freedom and flexibility than injections. The t:flex™ pump has the largest insulin capacity of any available pump – up to 480 units for people who need more than 80 units of insulin per day. It looks more like a smart phone than a medical device, so it’s easy to use it in public without drawing attention. Comes with the t:connect® Diabetes Management Application – a state-of-the-art Mac® and PC-compatible data management software that provides t:flex Pump users and healthcare providers a fast, easy and visual way to display data from the pump and supported blood glucose meters.

Gray, 23˝ tubing Gray, 43˝ tubing Pink, 23˝ tubing Blue, 23˝ tubing

ITEM #

HCPCS

6-mm needle, 23˝ tubing 6-mm needle, 32˝ tubing 8-mm needle, 32˝ tubing

004182 004183 004188

A4231 A4231 A4231

SOLD BY

10/bx 10/bx 10/bx

ANIMAS® CORPORATION

A JOHNSON & JOHNSON COMPANY (AN)

INSULIN PUMPS & ACCESSORIES Animas Vibe System Continuous glucose monitoring-enabled insulin pump. Offers basal rate increments of 0.025 U/hr – 25 U/hr and a low bolus increment of 0.05 U across all available bolus ranges (0.05 U – 35.00 U) to adjust and deliver precise increments of insulin to help the body’s changing needs. First pump to be integrated with Dexcom G4 Platinum CGM. The Dexcom G4® PLATINUM sensor introducer needle is tiny, round and flexible, and small. Dexcom sensors are approved for up to seven days of wear. Customizable alarms to indicate high and low glucose levels. There is also a built-in, non-adjustable hypoglycemia safety alert set at 55 mg/dL. ®

ITEM #

HCPCS

SOLD BY

ADULT, AGE 18 AND UP

Black Pink

11551100 E0784 ea 11551400 E0784 ea

PEDIATRIC, AGE 8 TO 17

Blue Black Silver Pink Green

11651000 E0784 11651100 E0784 11651200 E0784 11651400 E0784 11651500 E0784

ea ea ea ea ea

11851000 E0784 11851100 E0784 11851200 E0784 11851400 E0784 11851500 E0784

ea ea ea ea ea

PEDIATRIC, AGE 2 TO 7

Blue Black Silver Pink Green

DIABETES INSULIN DELIVERY SYSTEMS ANIMAS® CORPORATION

A JOHNSON & JOHNSON COMPANY (AN)

OneTouch® Ping® Glucose Management System Full-featured insulin pump that wirelessly communicates with blood glucose meter-remote. Allows user to calculate insulin doses and opt to wirelessly instruct the pump to deliver insulin without touching the pump. Can be clipped to a belt, tucked in a pocket or secured under clothing. Waterproof up to 12´ for 24 hours.1 The pump screen is self-illuminating and high contrast for readability and viewable from a wide angle. Delivers low basal increments (0.025 U/hr) and low bolus increments (0.05 U) to precisely match insulin needs. Compatible with ezManager® MAX Diabetes Management or Diasend® Software to allow users to download important diabetes management data from the pump and meter-remote. Utilizes OneTouch® Ultra® Test Strips (Item # (70)020244). Replacement battery available (Item # (CB)SPAAKAM). 1

Meter-remote cannot be exposed to water.

ITEM #

Black Blue Green Pink Silver

10142100 E0784 10142000 E0784 10142500 E0784 10142400 E0784 10142200 E0784

HCPCS

SOLD BY

ea ea ea ea ea

OneTouch® Ping® Insulin Pump Cartridges For 1200, 1250, 2020 and OneTouch® Ping® pumps, 2 mL.

ITEM #

10012401 A4225 10/bx

HCPCS

SOLD BY

inset® All-In-One Infusion Sets Infusion set and insertion device are supplied as a single, sterile unit. Insertion device is convenient with quick, automatic insertion of the infusion set. Available with a 6-mm or 9-mm Teflon® cannula with 90° insertion angle. Luer-lock connection.

Blue, 23˝ tubing Gray, 23˝ tubing Gray, 43˝ tubing Green, 23˝ tubing Pink, 23˝ tubing

Comfort® Infusion Sets Introducer needle is encased in a soft and flexible Teflon® cannula. Quick and easy push/pull disconnection at the point of insertion. Audible click indicates whether the set has been connected. Transparent window allows user to visibly inspect insertion site for irritation or inflammation. Sets contain tubing and catheter. 17-mm cannula.

ITEM #

HCPCS

23˝, 10 sets 31˝, 10 sets 43˝, 5 sets and 5 cannulas 43˝, 10 sets

10000601 10000611 10000602 10000600

A4230 A4230 A4230 A4230

SOLD BY

10/bx 10/bx 10/bx 10/bx

Comfort® Short Infusion Sets Angled insert adjusts from 20° – 45°. The introducer needle is removed so only the flexible cannula stays in place. Includes a disconnect feature at site and clear window to view site. No option for insertion device. Complete set includes tubing and cannula. Luer-lock connection. 13-mm cannula.

ITEM #

HCPCS

23˝ tubing, 10 sets 31˝ tubing, 10 sets 43˝ tubing, 10 cannulas/5 tubes 43˝ tubing, 10 sets

10024001 10024002 10024005 10024003

A4230 A4230 A4230 A4230

SOLD BY

10/bx 10/bx 10/bx 10/bx

Contact Detach Infusion Sets Straight insertion 90° set with tubing and infusor needle as one piece. Stainless steel needle for those with Teflon® allergies. Self-adhesive tape and a disconnect feature inches away from site. Luer-lock connection. 27-gauge. ™

ITEM #

HCPCS

23˝ tubing with 6-mm cannula 23˝ tubing with 8-mm cannula 43˝ tubing with 6-mm cannula 43˝ tubing with 8-mm cannula

10090500 10090501 10090502 10090503

A4231 A4231 A4231 A4231

SOLD BY

10/bx 10/bx 10/bx 10/bx

HCPCS

SOLD BY

10018201 10018200 10018400 10018203 10018202

A4230 A4230 A4230 A4230 A4230

10/bx 10/bx 10/bx 10/bx 10/bx

10018101 10018100 10018300 10018103 10018102

A4230 A4230 A4230 A4230 A4230

10/bx 10/bx 10/bx 10/bx 10/bx

9-MM CANNULA

Blue, 23˝ tubing Gray, 23˝ tubing Gray, 43˝ tubing Green, 23˝ tubing Pink, 23˝ tubing

inset® 30 All-In-One Infusion Sets Angled insertion (30°), all-in-one infusion set and insertion device in one single, sterile unit. Provide user convenience with quick, automatic insertion, and discreet release of insertion device. Include needle protection after use for safe disposal. Cannula is soft and flexible. Luer-lock connection. 27-gauge introducer needle.

PUMP INFUSION SETS

ITEM #

6-MM CANNULA

Blue, 23˝ (60-cm) tubing Gray, 23˝ (60-cm) tubing Gray, 43˝ (110-cm) tubing Pink, 23˝ (60-cm) tubing

ITEM #

HCPCS

10039601 10039600 10039603 10039602

A4230 A4230 A4230 A4230

SOLD BY

10/bx 10/bx 10/bx 10/bx

MEDTRONIC MINIMED (MN) INSULIN PUMP WITH INTEGRATED CONTINUOUS GLUCOSE MONITORING SYSTEMS MiniMed® 530G with Enlite® The first system that takes action when needed and can automatically stop insulin delivery when sensor glucose values reach a preset level and the user doesn’t respond to the Threshold Suspend alarm. Incorporates the new Enlite® sensor, Medtronic’s most accurate and comfortable continuous glucose sensor. Other pump displays include alerts for predicting highs and lows, rapidly changing glucose levels, glucose trends, current glucose levels, and insulin therapy and safety information. Available in two different sizes to fit user’s insulin needs, a 180-unit (1.8-mL) reservoir and a 300-unit (3-mL) reservoir. The pump is compatible with CareLink® Personal Therapy Management Software that allows user to download important diabetes management data wirelessly from the pump. MiniMed Insulin Pumps are sold with a compatible linking meter.

ITEM #

HCPCS

SOLD BY

MINIMED® 530G WITH ENLITE® 551

Blue Pink Clear Purple Smoke

MMG5NABI E0784 MMG5NAHI E0784 MMG5NALI E0784 MMG5NAPI E0784 MMG5NASI E0784

ea ea ea ea ea

MMG7NABI E0784 MMG7NAHI E0784 MMG7NALI E0784 MMG7NAPI E0784 MMG7NASI E0784

ea ea ea ea ea

MINIMED® 530G WITH ENLITE® 751

Blue Pink Clear Purple Smoke

DIABETES INSULIN DELIVERY SYSTEMS

NEW MiniMed 630G Insulin Pump Built-in CGM capability. Smartguard technology makes it easier to manage glucose levels, taking action if blood glucose levels fall below a preset range. Features Bolus Wizard calculator and predictive alerts. User-friendly, waterproof design with color display and polished black exterior.

MiniMed Mio® Infusion Sets “All-in-one” design that combines the infusion set and insertion device into one unit. Straight angle (90°), soft cannula set is available in a variety of configurations and colors to match personal body type, preferences and lifestyle. Rigid box allows for easy transportation. At-site tubing disconnection. For use with Paradigm® pumps.

ITEM #

MMT1755KI E0784

ITEM #

HCPCS

Blue, 18˝ (46-cm) tubing with 6-mm needle Blue, 23˝ (60-cm) tubing with 6-mm needle Blue, 32˝ (81-cm) tubing with 6-mm needle Clear, 32˝ (81-cm) tubing with 6-mm needle Clear, 32˝ (81-cm) tubing with 9-mm needle Pink, 18˝ (46-cm) tubing with 6-mm needle Pink, 23˝ (60-cm) tubing with 6-mm needle Pink, 32˝ (81-cm) tubing with 6-mm needle

MMT941I MMT943I MMT945I MMT965I MMT975I MMT921I MMT923I MMT925I

A4230 A4230 A4230 A4230 A4230 A4230 A4230 A4230

MEDTRONIC MINIMED (MN)

HCPCS

SOLD BY

MiniMed Enlite Sensors For use with MiniMed 630G Insulin Pump as integrated pump/CGM system.

NEW

ITEM #

SOLD BY

MMT7008AI A9276 5/pk

HCPCS

NEW MiniMed Guardian Link Transmitter Kit Contains one transmitter for use with MiniMed 630G Insulin Pump, charger, water-tight tester and one inserter.

ITEM #

MMT7777NAI A9277

HCPCS

SOLD BY

Features a 20° – 45° angled insertion, at-site disconnect and a soft, tapered cannula. Offers the convenience of a preattached adhesive (no overtaping) and the ability to choose insertion depth. Optional Sil-serter® insertion device. Item contains full set unless otherwise noted.

MiniMed Paradigm® User-Filled Reservoirs ITEM #

HCPCS

SOLD BY

180-unit reservoir (For use with Paradigm® 5xx or 7xx pumps) MMT326AI A4225 10/bx 300-unit reservoir (For use with Paradigm® 7xx pumps only) MMT332AI A4225 10/bx

ITEM #

18˝ (46-cm) tubing with 13-mm cannula MMT368I 23˝ (60-cm) tubing with 13-mm cannula MMT381I 23˝ (60-cm) tubing with 17-mm cannula MMT378I 32˝ (81-cm) tubing with 13-mm cannula MMT383I 32˝ (81-cm) tubing with 17-mm cannula MMT384I 43˝ (110-cm) tubing with 13-mm cannula MMT382I 43˝ (110-cm) tubing with 17-mm cannula MMT377I No tubing, 13-mm cannula only MMT369I

MiniMed Quick-set® Features a 90° insertion; at-site disconnect; a soft, tapered cannula; and optional Quick-serter® insertion device. Offers the convenience of a preattached adhesive (no overtaping) and a self-capturing introducer needle for safe disposal after every insertion. Available in four tubing lengths and two cannula lengths. The 6-mm cannula is most suitable for lean individuals, such as most kids and athletes. The 9-mm cannula is recommended for everyone else. ITEM #

HCPCS

SOLD BY

MMT394I MMT399I MMT397I MMT387I MMT386I MMT398I MMT396I

A4280 A4280 A4280 A4280 A4280 A4280 A4280

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

MMT393I MMT392I MMT391I MMT390I

A4280 A4280 A4280 A4280

10/bx 10/bx 10/bx 10/bx

FOR USE WITH PARADIGM® PUMPS

18˝ (46-cm) tubing with 6-mm cannula 23˝ (60-cm) tubing with 6-mm cannula 23˝ (60-cm) tubing with 9-mm cannula 32˝ (81-cm) tubing with 6-mm cannula 32˝ (81-cm) tubing with 9-mm cannula 43˝ (110-cm) tubing with 6-mm cannula 43˝ (110-cm) tubing with 9-mm cannula FOR USE WITH NON-PARADIGM® PUMPS

23˝ (60-cm) tubing with 6-mm cannula 23˝ (60-cm) tubing with 9-mm cannula 43˝ (110-cm) tubing with 6-mm cannula 43˝ (110-cm) tubing with 9-mm cannula

MiniMed Sure-T® Infusion Sets Steel needle infusion set with an additional adhesive pad to provide extra security against needle dislodging. Intended for insulin pump users who prefer using a very fine 29-gauge needle to infuse their insulin rather than a cannula. Simplicity and enhanced security make it a good choice for infants, young children, adults and women during pregnancy. For use with Paradigm® pumps.

ITEM #

HCPCS

18˝ (46-cm) tubing with 6-mm needle 23˝ (58-cm) tubing with 6-mm needle 32˝ (81-cm) tubing with 6-mm needle 23˝ (58-cm) tubing with 8-mm needle 32˝ (81-cm) tubing with 8-mm needle 32˝ (81-cm) tubing with 10-mm needle

MMT862I MMT864I MMT866I MMT874I MMT876I MMT886I

A4231 A4231 A4231 A4231 A4231 A4231

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

HCPCS

SOLD BY

FOR USE WITH PARADIGM® PUMPS

INSULIN PUMP INFUSION SETS

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

MiniMed Silhouette®

ACCESSORIES

SOLD BY

A4230 10/bx A4230 10/bx A4230 10/bx A4230 10/bx A4230 10/bx A4230 10/bx A4230 10/bx A4230 10/bx

FOR USE WITH NON-PARADIGM® PUMPS

23˝ (60-cm) tubing with 17-mm cannula 43˝ (110-cm) tubing with 17-mm cannula

MMT373I MMT371I

A4230 A4230

10/bx 10/bx

ACCESSORIES & SUPPLIES Quick-serter

Auto insertion device for use with all Quick-set® infusion sets. Makes insertions quick, easy and virtually painless.

ITEM #

MMT395I E1399 ea

HCPCS

SOLD BY

ROCHE DIABETES CARE (DI) INSULIN PUMP & ACCESSORIES ACCU-CHEK® Spirit 3.15-mL Cartridge System Built-in filling aid snaps easily and securely into most standard 10-mL insulin vials, facilitating virtually bubble-free and rapid filling. Ergonomic plunger rod provides good control of the filling process, and the hidden needle helps protect from accidental needle sticks. For use with ACCU-CHEK Spirit Combo and ACCU-CHEK Spirit insulin pumps.

ITEM #

04949935001 A4225

HCPCS

SOLD BY

5/bx

DIABETES INSULIN DELIVERY SYSTEMS ROCHE DIABETES CARE (DI) ACCU-CHEK® Combo Service Pack, Small Includes one adapter, one battery cover and one battery key for use with the ACCU-CHEK Combo insulin pump system. Battery cover and adapter must be replaced at least every two months.

ITEM #

05337330001 E1399

HCPCS

SOLD BY

ACCU-CHEK® Spirit Battery Cover Kit Battery cover features an integrated O-ring to help protect the pump from dirt and moisture. Battery cover must be replaced with every fourth battery change. For use with the ACCU-CHEK Spirit insulin pump system.

ITEM #

04569709001 E1399

HCPCS

SOLD BY

2/pk

ACCU-CHEK Spirit Adapter Kit Adapter is the link between the pump, insulin cartridge and infusion set. Features an integrated O-ring and must be replaced with every 10th cartridge change. For use with the ACCU-CHEK Spirit insulin pump system. ®

ITEM #

04569652001 E1399

HCPCS

SOLD BY

2/pk

INSULIN PUMP INFUSION SETS ACCU-CHEK Ultraflex Infusion Sets Silicone-coated, tapered cannula ensures smooth, comfortable insertion. Multiple cannula lengths for optimal fit with body type and infusion site. Flexible cannula for round-the-clock comfort and a reversible, at-site connector for simple connect/ disconnect. 90° insertion angle. Include Soft Teflon® cannula; 27-gauge insertion needle; 25-gauge cannula; at-site connector; 6-mm, 8-mm or 10-mm cannulas and 12˝, 24˝, 31˝ or 43˝ tubing. Hypoallergenic, skin friendly and self-adhesive. Includes 10 complete sets. Option to use ACCU-CHEK® LinkAssist insertion device. Change infusion set every 2 – 3 days. ®

SOLD BY

ACCU-CHEK® Tender Infusion Sets Provide maximum insertion control and wearing comfort. Variable insertion angle (20° – 45°) for optimal, site-specific placement depth. Multiple cannula lengths for optimal fit with body type and infusion site. Flexible cannula for round-the-clock comfort. Feature a window in base unit for viewing infusion site. Angled insertion ensures controlled, two-handed, manual insertion. Include Soft Teflon® cannula; 27-gauge insertion needle; 25-gauge cannula; at-site connector; 13-mm or 17-mm cannulas; and 24˝, 31˝ or 43˝ tubing. Hypoallergenic, skin friendly and self-adhesive. ACCU-CHEK® Tender I packaging includes 10 complete sets. ACCU-CHEK® Tender II packaging includes 10 complete sets with 10 additional cannula “heads” to allow use of two cannulas for each tube set, saving money on primed insulin and the time it takes to prime the tubing. Change infusion set every 2 – 3 days.

24˝ (60-cm) tubing 31˝ (80-cm) tubing 43˝ (110-cm) tubing 24˝ (60-cm) tubing 31˝ (80-cm) tubing 43˝ (110-cm) tubing 24˝ (60-cm) tubing 31˝ (80-cm) tubing 43˝ (110-cm) tubing 24˝ (60-cm) tubing 31˝ (80-cm) tubing 43˝ (110-cm) tubing

10/bx 10/bx 10/bx

4626583001 4626591001 4626605001

A4230 A4230 A4230

10/bx 10/bx 10/bx

4626613001 4626621001 4626648001

A4230 A4230 A4230

10/bx 10/bx 10/bx

24˝ (60-cm) tubing 31˝ (80-cm) tubing 43˝ (110-cm) tubing

ACCU-CHEK® LinkAssist Insertion Device For virtually painless insertion and consistent placement of the ACCU-CHEK® Ultraflex infusion set. Features an open base with viewing window that allows user to see the insertion site. Automatic safety lock and single-release button allow easy and safe activation with only one finger. Ideal option for those with vision or dexterity issues, caregivers or those who prefer assistance inserting their infusion set.

24˝ (60-cm) tubing 31˝ (80-cm) tubing 43˝ (110-cm) tubing

10-MM CANNULA ULTRAFLEX I SET

24˝ (60-cm) tubing 31˝ (80-cm) tubing 43˝ (110-cm) tubing

ITEM #

04530039001 E1399

HCPCS

A4230 A4230 A4230

10/bx 10/bx 10/bx

4541464001 4541472001 4541456001

A4230 A4230 A4230

10/bx 10/bx 10/bx

4541430001 4541448001 4541421001

A4230 A4230 A4230

10/bx 10/bx 10/bx

4541502001 4541529001 4541499001

A4230 A4230 A4230

10/bx 10/bx 10/bx

ACCU-CHEK® Rapid-D Infusion Sets Provide straightforward insertion and ease of use. Multiple cannula lengths for optimal fit with body type and infusion site. Ultralow profile for close-to-body fit under clothing. Ultrathin cannula ensures quick and comfortable, one-handed insertion. 90° insertion angle. Include surgical stainless-steel cannula; ultrathin, 28-gauge cannula; one-step priming; offsite connector; 6-mm, 8-mm or 10-mm cannulas; and 24˝, 31˝ or 43˝ tubing. Hypoallergenic, skin friendly and self-adhesive. Each box contains 15 needles, five transfer sets and five protective caps. Tubing is labeled for six-day use, meaning one box contains a 30-day supply of needles and tubing.

A4230 A4230 A4230

24˝ (60-cm) tubing 31˝ (80-cm) tubing 43˝ (110-cm) tubing

4541405001 4541413001 4541391001

17-MM CANNULA TENDER II SET

06593968001 06593976001 06593984001

8-MM CANNULA ULTRAFLEX I SET

SOLD BY

17-MM CANNULA TENDER I SET

HCPCS

12˝ (30-cm) tubing 24˝ (60-cm) tubing 31˝ (80-cm) tubing

HCPCS

13-MM CANNULA TENDER II MINI SET

ITEM #

6-MM CANNULA ULTRAFLEX I SET

ITEM #

13-MM CANNULA TENDER I MINI SET

ITEM #

HCPCS

SOLD BY

4541090001 4541103001 4541111001

A4231 A4231 A4231

15/bx 15/bx 15/bx

4541120001 4541138001 4541146001

A4231 A4231 A4231

15/bx 15/bx 15/bx

4541154001 4541162001 4541189001

A4231 A4231 A4231

15/bx 15/bx 15/bx

6-MM CANNULA

8-MM CANNULA

10-MM CANNULA

24˝ (60-cm) tubing 31˝ (80-cm) tubing 43˝ (110-cm) tubing

SOLD BY

INSULET (OM)

OmniPod Personal Diabetes Manager Starter Kit Tubing-free OmniPod® System simplifies pump therapy with only two parts that integrate the reservoir, infusion set and inserter. Designed to be worn almost anywhere on the body, the small, waterproof Pod delivers up to 200 units of U-100 rapid acting insulin. Hands-free, automated insertion is virtually pain-free; and because the Pod is tubing-free, there is nothing to snag, tangle or disconnect, making insulin therapy truly continuous. User-friendly, handheld PDM (Personal Diabetes Manager) wirelessly programs insulin delivery and has a convenient, built-in blood glucose meter. Additional features include a suggested bolus calculator, food library and customized alerts. PDM also stores and summarizes insulin delivery, blood glucose and carbohydrate records. OmniPod® Starter Kit contains one PDM, one soft carrying case and one user guide. ®

ITEM #

14603 E0784 ea

HCPCS

SOLD BY

DIABETES INSULIN DELIVERY SYSTEMS INSULET (OM)

SYRINGES

OmniPod Pods for Personal Diabetes Manager Each small, waterproof Pod holds up to 200 units of insulin and can be worn almost anywhere on the body. Hands-free, automated insertion is virtually pain-free; and because the Pod is tubing-free, there is nothing to snag, tangle or disconnect, making insulin delivery truly continuous. Insulin delivery is programmed through the PDM (Personal Diabetes Manager), which is included in the OmniPod® Starter Kit.

BD Insulin Syringes with BD Ultra-Fine™ Needle Electropolished needle for smoothness and comfort; microbonded needle lubrication for less friction; and fine-point needle tip for easier insertion. Note: Manufacturer restrictions apply to 90 count.

ITEM #

HCPCS

14000

A9274 10/bx

ITEM #

HCPCS

SOLD BY

31 GAUGE (6 MM)

0.3 mL/cc (1⁄2 unit markings) 324910 0.3 mL/cc 324906 0.5 mL/cc 324907 1.0 mL/cc 324908

SOLD BY

BECTON DICKINSON (58) PEN NEEDLES

A4206 100/bx A4206 90/bx A4206 90/bx A4206 90/bx

31 GAUGE (8 MM)

BD Ultra-Fine Nano Pen Needles The shortest and thinnest pen needle available. Clinically proven as effective as longer pen needles for people of all sizes* with no “pinch-up” of skin required. Fits all insulin pens and dosers sold in the U.S. Paper tab and inner shield are color-coded green for easy size/gauge recognition. 4 mm (5⁄32˝ ) x 32 gauge. Note: Restrictions apply to Item # 320883.

0.3 mL/cc (1⁄2 unit markings) 328440 0.3 mL/cc 328291 0.5 mL/cc 328290 1.0 mL/cc 328289

™

A4206 100/bx A4206 90/bx A4206 90/bx A4206 90/bx

*Tested in adults, BMI 20 – 49.

ITEM #

HCPCS

320122 320883

A4215 100/bx A4215 90/bx

SOLD BY

30 GAUGE (12.7 MM)

0.3 mL/cc 0.5 mL/cc 1.0 mL/cc

BD Ultra-Fine™ Mini Pen Needles Provide reliable injections for patients of all sizes, with no “pinch-up” of skin required. Fit all insulin pens and dosers sold in the U.S. Paper tab and inner shield are color-coded purple for easy size/gauge recognition. 5 mm (3⁄16˝ ) x 31 gauge. Note: Restrictions apply to Item # 320882.

ITEM #

HCPCS

320119 320882

A4215 100/bx A4215 90/bx

A4206 A4206 A4206

90/bx 90/bx 90/bx

SOLD BY

BD Ultra-Fine™ Short Pen Needles Fit all insulin pens and dosers sold in the U.S. Paper tab and inner shield are color-coded blue for easy size/gauge recognition. 8 mm (5⁄16˝ ) x 31 gauge. Note: Restrictions apply to Item # 320881.

ITEM #

HCPCS

320109 320881

A4215 100/bx A4215 90/bx

BD Ultra-Fine™ Insulin Syringes 30-gauge, 12.7-mm (1⁄2˝ ) regular-length needle syringes provide comfort and ease of use.

SOLD BY

BD Ultra-Fine™ Original Pen Needles Ideal choice for those with dexterity problems or who take larger doses. The wider inner diameter makes it easier to press the push button and expel the insulin. Fit all insulin pens and dosers sold in the U.S. Paper tab and inner shield are color-coded pink for easy size/ gauge recognition. 12.7 mm (1⁄2˝ ) x 29 gauge. Note: Restrictions apply to Item # 320880.

328280 328279 328278

ITEM #

HCPCS

SOLD BY

328203 320880

A4215 100/bx A4215 90/bx

ITEM #

HCPCS

SOLD BY

0.3 cc 0.5 cc 1.0 cc

328431 328466 328411

A4206 A4206 A4206

100/bx 100/bx 100/bx

BD Lo-Dose™ Insulin Syringe 1 ⁄2-cc, U-100 insulin syringe with 29 gauge x 1⁄2˝ Ultra-Fine™ needle. Regular bevel, regular wall. Self-contained; hospital pack.

ITEM #

HCPCS

309306

A4206 200/bx

SOLD BY

ACCESSORIES BD Safe Clip Clipper Device Clips off the needle to ensure that used syringes don’t injure anyone. After being clipped by the device, the needle is automatically and safely retained within the clipper. Can hold up to 1,000 clipped needles.

ITEM #

328235 A4649 ea

HCPCS

SOLD BY

DIABETES INSULIN DELIVERY SYSTEMS ULTIMED, INC. (UT)

OWEN MUMFORD (OW)

UltiCare Pen Needles with UltiGuard Safe Pack Precision engineered to provide superior comfort. Triple-beveled tip for easier insertion, electromagnetic polish for a smooth finish, silicone coat for added glide, and anti-coring treatment for clean piercing. Combines 100 pen needles and a sharps container in one. Compatible with all diabetes pens sold in the USA.

Unifine Pentips Pen Needles The only pen needles featuring DiamondPoint™ and OptiFlow™ technologies, designed to deliver exceptional comfort and performance. European manufactured to exacting standards. Universal fit with most injection pens1.

ITEM #

HCPCS

SOLD BY

4 mm (5⁄32˝ ) x 32 gauge, in sharps container 6 mm (1⁄4˝ ) x 31 gauge, in sharps container 8 mm (5⁄16˝ ) x 31 gauge, in sharps container

09543 09563 09583

A4215 A4215 A4215

100/bx 100/bx 100/bx

LATEX FREE UltiCare® Insulin Syringes Triple-beveled tip for easier insertion, electromagnetic polish for a smoother finish, and silicone coat for added glide. Latex-free.

ITEM #

HCPCS

SOLD BY

09335 09355 09315

A4206 A4206 A4206

100/bx 100/bx 100/bx

09439 09459 09419

A4206 A4206 A4206

100/bx 100/bx 100/bx

30 GAUGE (12.7 MM)

0.3 mL/cc 0.5 mL/cc 1.0 mL/cc 31 GAUGE (8 MM)

0.3 mL/cc 0.5 mL/cc 1.0 mL/cc

4 mm (5⁄32˝ ) x 32 gauge 6 mm (1⁄4˝ ) x 31 gauge 8 mm (5⁄16˝ ) x 31 gauge

ITEM #

HCPCS

71002 71000 71001

A4215 A4215 A4215

SOLD BY

90/bx 90/bx 90/bx

LATEX FREE UltiCare® Insulin Syringes Precision engineered to provide superior comfort. Triple-beveled tip for easier insertion, electromagnetic polish for a smoother finish, and silicone coat for added glide. Latex-free.

ITEM #

HCPCS

91000 91001 91002

A4206 A4206 A4206

SOLD BY

Data on file.

ITEM #

HCPCS

SOLD BY

32 gauge x 4 mm 32 gauge x 4 mm 31 gauge x 5 mm 31 gauge x 5 mm 31 gauge x 6 mm 31 gauge x 6 mm 31 gauge x 8 mm 31 gauge x 8 mm 29 gauge x 12.7mm

AN3540 AN1140 AN3550 AN1150 AN3590 AN1190 AN3530 AN1130 AN3529

A4215 A4215 A4215 A4215 A4215 A4215 A4215 A4215 A4215

100/bx 30/bx 100/bx 30/bx 100/bx 30/bx 100/bx 30/bx 100/bx

Unifine® Pentips® Plus Pen Needles Unifine® Pentips® Plus offers the same features as Unifine Pentips®, plus the added convenience of a built-in pen needle remover. When sharps containers are not convenient, the device’s built-in removal chamber holds the used pen needle until it can be disposed of safely. This innovative pen needle was designed with the patient in mind, engineered to deliver an easier, safer and more convenient user experience1. European manufactured to exacting standards. Universal fit with most injection pens.2 1 HRW (2014) Impact of Unifine Pentips Plus on pen needle changing behaviour amongst people with diabetes medicating with injectable formats.

UltiCare® Pen Needles Precision engineered to provide superior comfort. Triple-beveled tip for easier insertion, electromagnetic polish for a smooth finish, silicone coat for added glide, and anti-coring treatment for clean piercing. Compatible with all diabetes pens sold in the USA.

Data on file.

ITEM #

HCPCS

SOLD BY

31 gauge x 5 mm 31 gauge x 6 mm 31 gauge x 8 mm 32 gauge x 4 mm

AN3850 AN3890 AN3830 AN3840

A4215 A4215 A4215 A4215

100/bx 100/bx 100/bx 100/bx

TRIVIDIA HEALTH, INC. (67) TRUEplus® Single-Use Insulin Syringes An easy and comfortable way to deliver insulin. Sterile, UNIBODY one-piece needle and syringe with large, clear unit markings. Available in a variety of sizes and gauges. According to a recent quality study, TRUEplus® Syringes deliver comparable quality, comfort and ease-of-use to the leading national brands.* * Technically Advanced Quality Assurance Evaluation Report, conducted by UL-STR, 2013. TRUEplus™ Single-Use Insulin Syringes (28- and 31-gauge) received a top score of 10 out of 10 and were rated comparable to same gauge syringes from BD, Monoject and Ulticare.

31 GAUGE (8 MM)

0.3 mL/cc 0.5 mL/cc 1.0 mL/cc

90/bx 90/bx 90/bx

30 GAUGE (12.7 MM)

0.3 mL/cc 0.5 mL/cc 1.0 mL/cc

91003 91004 91005

A4206 A4206 A4206

90/bx 90/bx 90/bx

ITEM #

HCPCS

SOLD BY

S4H01A31100 S4H01B31100 S4H01C31100

A4206 A4206 A4206

100/bx 100/bx 100/bx

S4H01A30100 S4H01B30100 S4H01C30100

A4206 A4206 A4206

100/bx 100/bx 100/bx

S4H01B29100 S4H01C29100

A4206 A4206

100/bx 100/bx

S4H01B28100 S4H01C28100

A4206 A4206

100/bx 100/bx

31 GAUGE, 8 MM

⁄16˝, .3 mL ⁄16˝, .5 mL 5 ⁄16˝, 1 mL 5 5

30 GAUGE, 8 MM

⁄16˝, .3 mL ⁄16˝, .5 mL 5 ⁄16˝, 1 mL 5 5

29 GAUGE, 12.7 MM

⁄2˝, .5 mL ⁄2˝, 1 mL

1 1

28 GAUGE, 12.7 MM

⁄2˝, .5 mL ⁄2˝, 1 mL

1 1

DIABETES INSULIN DELIVERY SYSTEMS

CARDINAL HEALTH™ ESSENTIALS

MEDICOOL (MD)

* Not made with natural rubber latex.

DIABETES CARE ACCESSORIES Cardinal Health™ Essentials Antiseptic Wipes* Helps protect skin prior to injection and helps protect skin from adhesives.

ITEM #

HCPCS

11⁄4˝ x 3˝

ZA50075

A5120

SOLD BY

75/bx

Cardinal Health Essentials Adhesive Remover Wipes* Helps remove adhesives from skin. Dries with a fresh scent. Available in a 4˝ x 4˝ wipe to help remove buildup over a larger surface area. ™

ITEM #

HCPCS

11⁄4˝ x 3˝ 4˝ x 4˝

ZA30075 ZA30050XL

A4456 A4456

SOLD BY

RELIAMED® * Not made with natural rubber latex.

ReliaMed® Transparent Thin Film Dressings* Helps provide an occlusive barrier to moisture and bacteria. Allows for easy, one-handed application. Features a MVTR (moisture vapor transmission rate) and a smooth finish to reduce friction to surrounding skin. 23⁄8˝ x 23⁄4˝ size is suited for insulin cannula fixation. Sterile. ITEM #

2 ⁄8˝ x 2 ⁄4˝ 23⁄8˝ x 23⁄4˝ 4˝ x 43⁄4˝ 4˝ x 43⁄4˝, oval 4˝ x 10˝ 6˝ x 8˝ 6˝ x 8˝ 3

HCPCS

SOLD BY

ZDTF238234D A6257 10/env ZDTF238234 A6257 100/bx ZDTF4434 A6258 50/bx ZDTFOV4434 A6258 50/bx ZDTF410 A6258 30/bx ZDTF68EA A6258 ea ZDTF68 A6258 10/bx

ReliaMed® Clear Surgical Tape* Transparent and water resistant. Permits straight and bidirectional tearing.

ITEM #

HCPCS

⁄2˝ x 10-yd. roll 1˝ x 10-yd. roll 2˝ x 10-yd. roll 3˝ x 10-yd. roll

ZTPL05A ZTPL01A ZTPL02A ZTPL03A

A4452 A4452 A4452 A4452

SOLD BY

ea ea ea ea

HTL-STREFA, INC. (HT) Droplet® Pen Needles Designed for the safety and convenience of people with diabetes. Sterile, single-use pen needles are intended for use with a pen injector device for the subcutaneous injection of insulin. Used by consumers, caregivers and healthcare professionals. A unique and proprietary lubrication method helps ensure gentle penetration and smooth injection. Extra-thin wall needle construction ensures precise insulin flow. Smart thread design fits most available pen injectors to prevent insulin leakage.

ITEM #

HCPCS

SOLD BY

29 gauge (0.33 mm) x 12 mm 31 gauge (0.25 mm) x 5 mm 31 gauge (0.25 mm) x 6 mm 31 gauge (0.25 mm) x 8 mm 32 gauge (0.23 mm) x 4 mm 32 gauge (0.23 mm) x 5 mm 32 gauge (0.23 mm) x 6 mm 32 gauge (0.23 mm) x 8 mm

8308 8310 8311 8309 8315 8314 8313 8312

A4215 A4215 A4215 A4215 A4215 A4215 A4215 A4215

100/bx 100/bx 100/bx 100/bx 100/bx 100/bx 100/bx 100/bx

ITEM #

DAILYDO E1399 ea

HCPCS

SOLD BY

Dia-Pak® DayMate with Gel Pack The most compact case of the Dia-Pak® family. Designed to hold any insulin pen systems or traditional bottles and syringes. Easily clips onto belt or can be discreetly carried in a pocket or purse. Made of water resistant and durable nylon. Includes a Cold Gel Pack for use when temperature extremes are a concern. Size 3½˝ W x 8˝ L x 1˝ H.

75/bx 50/bx

These products will transition to the Cardinal Health™ brand in the coming months.

NEW Daily Diabetic Organizer Case Organizes diabetic supplies in one place and also keeps insulin cool with a re-freezable Gel Pack. Holds up to a one-week supply. Water resistant. Durable, nylon construction. Full one-year warranty. 5˝ x 61⁄2˝ x 21⁄2˝.

ITEM #

Dia-Pack DayMate®, Black DPDM Dia-Pack Deluxe®, Black DPDELXBK Dia-Pack Classic®, Black DPCBK

HCPCS

E1399 E1399 E1399

SOLD BY

ea ea ea

POUCHO™ – Cooling Pouch for Insulin Easily activated with just water. These handy, cooling wallets are helpful accessories for those with diabetes and other temperaturesensitive medications. Keeps insulin safe without refrigeration. Activates with tap water. Great for active travelers. Can be used and re-activated. Stays cool up to four days.

ITEM #

HCPCS

Single Pen, 21⁄4˝ x 61⁄2˝, Black Small, 51⁄2˝ x 61⁄2˝ , Black Large, 51⁄2˝ x 71⁄2˝, Black X-Large, 9˝ x 61⁄2˝, Black

PPENBLK PINDBLK 036765244274 PXLARGEBLK

E1399 E1399 E1399 E1399

SOLD BY

ea ea ea ea

DIABETES TESTING SUPPLIES

LIFESCAN (70)

COMPETITIVE BID PRICING AVAILABLE

Item numbers may vary. Manufacturer approval may be required. Call for details.

DME MEDICAL BENEFIT PRICING AVAILABLE

Item numbers may vary. Manufacturer approval may be required. Call for details.

OneTouch® UltraMini® Blood Glucose Monitoring Systems Small, fast and simple way to test blood sugar. Easy to learn and easy to use. Comes in five great colors – Limelight®, Pink Glow®, Silver Moon®, Purple Twilight® and Blue Comet®. Two-way scrolling buttons make it simple to review past results. Small enough for a purse or pocket. Simple three-step testing. Get accurate readings in five seconds.

ONETOUCH VERIO FLEX SYSTEM ®

™

OneTouch Verio® Flex™ System Intended to be used for the quantitative measurement of glucose (sugar) in fresh capillary whole blood samples drawn from the fingertip. Intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes at home and with their healthcare professionals in a clinical setting, as an aid to monitor the effectiveness of diabetes control. ColourSure™ technology instantly shows when blood glucose results are in or out of range. Compact, slim design that’s easy to take with user. Compatible with OneTouch Verio® test strips, OneTouch Verio® Control Solution and OneTouch Reveal® mobile app. Kit includes OneTouch Verio Flex™ Blood Glucose Meter, OneTouch® Delica® Lancing Device, OneTouch® Delica® Lancets, carrying case, Owner’s booklet and get started guide. ®

ITEM #

02319402I E0607

HCPCS

SOLD BY

ITEM #

HCPCS

IQ Meter

022267IM

E0607

SOLD BY

OneTouch® Verio® Test Strips Utilizes SmartScan™ Technology to actively scan each sample 500 times and correct for common interferences to provide precise, accurate and reliable results. Requires a 0.4-μL sample size. Apply blood to either side of the strip. The only strip that works with OneTouch® Verio®IQ Meter.

ITEM #

022272IM A4253 100/bx

HCPCS

SOLD BY

OneTouch® Verio® Control Solution for use with OneTouch® Verio® Test Strips

ITEM #

Mid High

022273IM A4256 022274IM A4256

HCPCS

ITEM #

02109801 E0607

HCPCS

ea ea ea

ITEM #

020244 A4253 50/btl 020245 A4253 100/btl

HCPCS

SOLD BY

ITEM #

010458 A4256

HCPCS

SOLD BY

* Response from study subjects when asked to compare OneTouch® Delica® to their current lancing device.

ITEM #

022137 A4258

HCPCS

SOLD BY

OneTouch Delica Lancets Designed for more comfortable testing.* Works only with the OneTouch® Delica® lancing device with Advanced Glide™ Control System. ®

* Response from study subjects when asked to compare OneTouch® Delica® to their current lancing device.

SOLD BY

ea ea

OneTouch Ultra 2 Blood Glucose Monitoring System Fast and simple way to see the effects of food on blood sugar levels. Allows user to view before- and after-meal averages. Provides results in only five seconds. Requires only a tiny speck of blood. For use with OneTouch® Ultra® Test Strips with DoubleSure® Technology, which automatically checks each blood sample twice. Features two-way scrolling buttons and a backlight for easy reading and operation. Stores up to 500 results. Includes OneTouch® Ultra®2 Meter (includes batteries), OneTouch® Delica™ Lancing Device, OneTouch® Delica™ Lancets and carrying case.

SOLD BY

OneTouch® Delica® Lancing Device Advanced Glide™ Control System features the thinnest gauge OneTouch® needle for more comfortable testing.* With less motion, more control and reduced vibration, for smoother, more precise lancing. Easy-to-use, ergonomic design and seven depth settings allow for personal comfort. Compatible with OneTouch® Delica® Lancets.

ITEM #

HCPCS

SOLD BY

33 gauge

022136I

A4259

100/bx

OneTouch® UltraSoft® Lancets 28-gauge lancing device allows for smaller sample collections. Support alternate site claims for testing on arm. Ideal for use with the OneTouch® Ultra® systems.

HCPCS

ONETOUCH® ACCESSORIES

ONETOUCH® ULTRA® ®

021911 E0607 02141901 E0607 021208 E0607

OneTouch® Ultra® Normal Control Solution For use only with OneTouch® Ultra® Test Strips. The vial contains sufficient volume for 75 tests.

OneTouch® Verio®IQ Meter Offers a simple way to check blood sugar. Big, bold numbers on a color LCD screen make results easy to read. And when it’s lights out, it lights up the top and screen for simple testing in the dark. Plus, it uses LifeScan’s smallest blood sample ever, does not require any coding and comes with an eco-friendly, rechargeable battery. Records 750 blood-glucose test results and 50 pattern messages.

ITEM #

Blue Comet® Pink Glow® Silver Moon®

OneTouch® Ultra® Test Strips DoubleSure® Technology automatically checks each sample twice to confirm the result. Eleven years of proven accuracy and work with all OneTouch® Ultra® Meters. Easy to apply blood: DoubleSure® Technology capillary action draws sample in less than one second. Blue box available for commercial use only.

ONETOUCH VERIO ®

ITEM #

020393 A4259 100/bx

HCPCS

SOLD BY

Logbook Writing test results in a logbook and comparing them over time can show the user and their healthcare professional if their diabetes management program is working for them or if they need to make adjustments. Checkbook size.

ITEM #

63999 A4649 ea

HCPCS

SOLD BY

DIABETES TESTING SUPPLIES

BREEZE®2

ASCENSIA DIABETES CARE (56)

COMPETITIVE BID PRICING AVAILABLE

Item numbers may vary. Manufacturer approval may be required. Call for details.

BREEZE®2 Blood Glucose Test Strips Come in a 10-test disc. Individually sealed for extended life and no individual strip handling. For use in the BREEZE®2 Blood Glucose Meter.

DME MEDICAL BENEFIT PRICING AVAILABLE

Item numbers may vary. Manufacturer approval may be required. Call for details.

CONTOUR® NEXT NEW CONTOUR® Next ONE Smart Meter and App System New, easy-to-use blood glucose meter with Bluetooth® connectivity wirelessly transfers results to app on compatible smartphones. SmartLIGHT technology provides color-coded feedback for easy recognition as to whether results are within acceptable range. Uses Contour® Next Test Strips.

ITEM #

Meter DME Retail DCBA

7818 E0607 ea 7309 A4253 50/bx 7311 A4253 50/bx 7308 A4253 50/bx

HCPCS

ITEM #

Meter No-Charge Meter

7252 E0607 ea 9628NC E0607 ea

SOLD BY

CONTOUR® NEXT Test Strips and Control Solution ITEM #

HCPCS

SOLD BY

7308 7309 7311 7312

A4253 50/bx A4253 50/bx A4253 50/bx A4253 100/bx

7314 7315

A4256 A4256

CONTOUR® Meter Combines ease and accuracy with No Coding™ technology. Has trusted accuracy with features that reduce many common sources of error, including automatic hematocrit correction, Sip-in Sampling® and underfill detection. Ready to use right out of the box with an easy-to-read display and a fast, five-second test time.

ITEM #

HCPCS

Blood Glucose Monitoring System No-charge Blood Glucose Meter

7151 9556

E0607 E0607

SOLD BY

ea ea

CONTOUR® Test Strips Flip-top bottle opens, closes and handles easily. Bottle design keeps strips fresh up to six months after opening. Easy viewing of sample fills. Window makes it easy to see when the strip fills with blood using Sip-in Sampling® technology. Monitor automatically turns on when test strip is inserted, and No Coding™ technology eliminates the need to code.

ITEM #

HCPCS

Retail, 50-count Retail, 100-count Medicare DME/Medical Benefit Point of Care

7080 7090 7097 7098 7099IM

A4253 50/bx A4253 100/bx A4253 50/bx A4253 50/bx A4253 50/bx

TEST STRIPS

ITEM #

Normal Low High

1489 A4256 ea 1490 A4256 ea 1491 A4256 ea

7109 A4256 ea 7110 A4256 ea 7111 A4256 ea

HCPCS

SOLD BY

ITEM #

HCPCS

SOLD BY

50 count 100 count

2880 2881

A4250 A4250

50/bx 100/bx

MICROLET®2 Lancing Device Ergonomic and compact design for simple, smooth testing. Five depth settings to choose from. Can be adjusted to ensure the right amount of blood the first time. Easy-to-grip design with large buttons. Adjustable lancing depths. Narrow gauge size lancet for smoother testing.

ITEM #

HCPCS

SOLD BY

Lancing device Lancets

6606 6546R

A4258 A4259

ea 100/bx

TRIVIDIA HEALTH, INC. (67)

NONRETAIL PRICING AVAILABLE Call for details.

TRUE METRIX® TRUE METRIX® Self-Monitoring Blood Glucose System Easy-to-use self-monitoring blood glucose meter with advanced event tags empowers users to make the connection between personal lifestyle and results. Providing this information helps users make informed choices to actively manage diabetes. TRIPLE SENSE TECHNOLOGY® automatically detects, analyzes and corrects variables in each blood sample to ensure proven accuracy and confidence in results.

ITEM #

HCPCS

SOLD BY

Meter Kit Test Strip, 100 count Test Strip, 50 count Level 1 (Low) Control Solution Level 2 (Medium) Control Solution Level 3 (High) Control Solution

RE4H0101 R3H010100 R3H01450 R5H011 R5H012 R5H013

E0607 A4253 A4253 A4256 A4256 A4256

ea 100/bx 50/bx ea ea ea

SOLD BY

CONTROL SOLUTION

Normal Low High

Ketostix Reagent Strips Dip-and-read test for glucose and ketone in urine.

ea ea

CONTOUR®

SOLD BY

ACCESSORIES

CONTROL SOLUTION

Level 2 (Normal) Level 1 (Low)

A4253 50/bx A4253 100/bx A4253 50/bx A4253 50/bx

TEST STRIPS

Medicare DME/Medical Benefit Retail, 50-count Retail, 100-count

HCPCS

1465 1466 1467 1468

SOLD BY

CONTOUR NEXT EZ Meter With proven accuracy and innovative technology. Uses the CONTOUR® NEXT Test Strips that feature No Coding™ technology. Offers SecondChance sampling, allowing application of more blood to help prevent wasting test strips.

ITEM #

Retail, 50-count Retail, 100-count DME/Medical Benefit Medicare

BREEZE®2 Normal Control Solution For use with the BREEZE®2 Blood Glucose Meter.

HCPCS

TRUEBALANCE® TRUEbalance® Test Strips Feature patented TRUEfill® design that promotes first-test success and accurate results. Beveled-tip design allows for precise entry of blood sample. Patented, four-electrode technology helps ensure adequate blood sample, preventing false starts and inaccurate results. Coating at tip of strip promotes faster blood absorption. Test Strips are made in the USA.

ITEM #

H3H0181 A4253 50/bx

HCPCS

SOLD BY

DIABETES TESTING SUPPLIES

ACCU-CHEK® Aviva Plus Control Solution For use with ACCU-CHEK® Aviva Plus system. Includes two 2.5-mL bottles of control solution, one for high-level test and one for low-level test, and instructions.

TRIVIDIA HEALTH, INC. (67)

NONRETAIL PRICING AVAILABLE Call for details.

TRUETRACK® TRUEtrack® Test Strips Features TRUEfill® design, which promotes first-test success and accurate results. Easy-to-handle test strips that require only a 1-μL blood sample to provide fast, accurate results. Capillary action quickly and easily draws the blood sample onto the blood glucose test strip, and the monitor’s audible fill detection signals that enough blood has been drawn. Test Strips are made in the USA.

ITEM #

A3H0187 A4253 50/bx

ROCHE DIABETES CARE

HCPCS

SOLD BY

ITEM #

04528638001 A4256

Item numbers may vary. Manufacturer approval may be required. Call for details.

DME MEDICAL BENEFIT PRICING AVAILABLE

Item numbers may vary. Manufacturer approval may be required. Call for details.

SOLD BY

2 btls/bx

ACCU-CHEK® FASTCLIX LANCING DEVICE & LANCETS ACCU-CHEK® FastClix Lancing Device The only one-click lancing device with a drum. Proven least painful and overall easiest to use1. Drum with six preloaded lancets – no individual lancets to see or touch. Lancet lever makes it easy to advance to new lancet. Lancet counter shows number of remaining lancets. 1

(59)

COMPETITIVE BID PRICING AVAILABLE

HCPCS

Ranked first most often versus leading competitors. Data on file.

ITEM #

05864666160 A4258

HCPCS

SOLD BY

ACCU-CHEK® FastClix Lancets Drum with six preloaded lancets – no individual lancets to see or touch. Beveled 30-gauge lancets ensure smoother entry. Just load and go with preloaded drum. Includes 17 drums of lancets.

ITEM #

05360145001 A4259

HCPCS

SOLD BY

102/bx

ACCU-CHEK® NANO SMARTVIEW ACCU-CHEK® Nano SmartView System Offers advanced accuracy with ACCU-CHEK® SmartView test strips – important for insulin users. With its small, sleek design, brilliant backlit display, no coding, before- and after-meal markers and test reminders, the meter is ideal for insulin users. Features the ACCU-CHEK® FastClix lancing device – proven least painful and overall easiest to use1. Includes meter, carrying case, batteries and self-test diary.

ACCU-CHEK® MULTICLIX LANCETS ACCU-CHEK® Multiclix Lancets No individual lancets to see or handle. Beveled 30-gauge lancets ensure smoother entry. Just load and go with preloaded drum. Includes 17 drums of six preloaded lancets.

Ranked first most often versus leading competitors. Data on file.

ITEM #

06333885001IM E0607

HCPCS

ITEM #

04509781001 A4259

HCPCS

SOLD BY

102/bx

SOLD BY

ACCU-CHEK® SmartView Test Strips Easy-to-handle, easy-to-hold test strip needs only a small, 0.6-uL drop of blood. Bright yellow window makes dosing easy. Provides advanced accuracy – important for insulin users. HCPCS

ITEM #

06337538001 A4253 50/bx

SOLD BY

ACCU-CHEK® SOFTCLIX LANCING DEVICE & LANCETS ACCU-CHEK® Softclix Lancing Device Simple, one-handed operation with precision-guided technology. Minimizes painful side-to-side movement and maximizes comfort. Helps reduce the pain associated with testing.

ITEM #

05509661001 A4258

HCPCS

SOLD BY

ACCU-CHEK SmartView Control Solution For use with the ACCU-CHEK® Nano SmartView system. Includes one 2.5-mL bottle of control solution and instructions. ®

ITEM #

06334032001 A4256

HCPCS

SOLD BY

ACCU-CHEK® AVIVA PLUS ACCU-CHEK Aviva Plus System Trusted performance now comes with a sleek new look. The meter is easy to use, has a modern new face, offers no coding, and uses ACCU-CHEK Aviva Plus test strips to deliver advanced accuracy. Includes meter, carrying case, batteries and self-test diary. ®

ITEM #

06988580001I E0607

HCPCS

ACCU-CHEK® Softclix Lancets 28-gauge lancets are carefully designed and manufactured to minimize painful testing.

ITEM #

HCPCS

971 988

A4259 100/bx A4259 200/bx

SOLD BY

ACCU-CHEK® Aviva Plus Test Strips Easy-to-handle, easy-to-hold test strip needs only a small, 0.6-uL drop of blood. Provide advanced accuracy – important for insulin users. Include one or two vials of 50 strips and instructions.

ITEM #

06908217001 A4253 50/bx 06908268001 A4253 100/bx

HCPCS

SOLD BY

DIABETES TESTING SUPPLIES

ARKRAY (CJ)

ABBOTT DIABETES CARE, INC. (ME/TW)

DME MEDICAL BENEFIT PRICING AVAILABLE

GLUCOCARD® EXPRESSION™ GLUCOCARD Expression Talking Blood Glucose Monitoring System Audio-enabled, auto-code blood glucose monitoring system includes bilingual voice features for hearing a test result. Oversized picture icons and large tactile buttons make this meter easy to use. Testing is more comfortable with small sample size and alternate site testing. Accurate and reliable test results are displayed in six seconds. Powered by two “AAA” batteries, the meter will perform over 1,000 tests. The memory holds 300 blood tests, and the user can determine 7-, 14- and 30-day averaging. Results can be downloaded. ®

ITEM #

571100 E0607

HCPCS

SOLD BY

GLUCOCARD® Expression™ Blood Glucose Test Strips For use with the GLUCOCARD® Expression™ Blood Glucose Monitoring System. Equipped with under-fill protection, the meter will alert user when there is not enough blood to perform a test. Test strips are good for up to six months after opening.

ITEM #

570050 A4253 50/bx

HCPCS

SOLD BY

GLUCOCARD® Expression™ Control Solution For use with the GLUCOCARD® Expression™ Blood Glucose Monitoring System.

ITEM #

HCPCS

SOLD BY

570005 A4256

GLUCOCARD® VITAL™

FREESTYLE® PRODUCTS FreeStyle InsuLinx® Blood Glucose Monitoring System Easy input. Easy insight. The first and only touchscreen meter that lets user log insulin doses and blood glucose results with just a few simple taps. The large touchscreen is easy to read. User can view three logged entries at a time. Mark pre- and post-meal blood glucose results. Instantly generate easy-to-read, informative trend reports. No special software download needed. Small sample size, only 0.3 µL.

ITEM #

(TW)7114370 E0607

HCPCS

SOLD BY

FreeStyle InsuLinx Blood Glucose Test Strips Powerful testing. Proven accuracy. Specially designed for use with the FreeStyle InsuLinx Blood Glucose Monitoring System. Patented ZipWik tabs target the blood sample for easy application and fast uptake. No coding required means one less step. Minimizes interference from 22 common substances1. Minimizes wasted test strips: up to 60 seconds to reapply blood; small sample size, only 0.3 μL. ®

1 Not affected by maltose, galactose or lactose. Do not use FreeStyle InsuLinx systems during xylose absorption testing. Data on file, Abbott Diabetes Care Inc. Study conducted in 2011.

ITEM #

(TW)7123170 A4253

HCPCS

SOLD BY

50/bx

FreeStyle Freedom Lite Blood Glucose Monitoring System Features a large numeric display, so it’s easy to read test results. Ergonomically designed to feel comfortable in the hand. There’s no coding needed. Easy-to-read, large numeric display. Easy-to-hold, large comfortable design. Small sample size, only 0.3 µL. Fast, five-second average test time. ®

GLUCOCARD® Vital™ Blood Glucose Monitoring System Fast, accurate and easy to use. A small, 0.5-µL sample size on the glucose oxidase-based test strip gives accurate results in as little as seven seconds. Auto-code, downloadable monitor. Calculates 14and 30-day averages. 250-test memory with time and date stamp. Alternate site testing. Includes a CR2032 battery. 3˝ L x 2˝ W x 1⁄2˝ H.

ITEM #

HCPCS

SOLD BY

761100 E0607

LANCETS Assure® Lance Safety Lancets Used by healthcare professionals to obtain capillary blood samples. Designed to help facilities meet OSHA requirements for needlestick safety, the needle is shielded before and after use. Also feature an automatic lockout after use, which helps protect healthcare professionals and users from accidental needlestick injuries and cross-contamination.

ITEM #

HCPCS

SOLD BY

25 gauge 28 gauge

980125 980128

A4259 A4259

100/bx 100/bx

TechLite® Lancets Contoured depth penetration; easy to grip. Smooth, tribevel point makes sampling comfortable. Compatible with most finger lancing devices.

Item numbers may vary. Manufacturer approval may be required. Call for details.

™

ITEM #

HCPCS

SOLD BY

25 gauge 28 gauge 30 gauge

880225 880128 880130

A4259 A4259 A4259

200/bx 100/bx 100/bx

ITEM #

(TW)70914 E0607

HCPCS

SOLD BY

FreeStyle Lite Blood Glucose Monitoring System Small and discreet. Now it’s easy to manage diabetes on-the-go. Convenient backlight and test strip port light, to test anytime. Small and portable design. No coding, means one less step. Small sample size, only 0.3 µL. Fast, five-second average test time ®

ITEM #

(TW)70805 E0607

HCPCS

SOLD BY

FreeStyle Lite® Test Strips Specially designed for fast, easy testing and are intended to be used with FreeStyle Lite and FreeStyle Freedom Lite Blood Glucose Monitoring Systems only. The patented ZipWik tabs break the surface of the blood sample for instant wicking action. Small sample size – only 0.3 µL. No coding required – one less step.

ITEM #

(TW)70822 A4253 50/bx (TW)70827 A4253 100/bx

HCPCS

SOLD BY

FreeStyle® Blood Glucose Test Strips For use with the FreeStyle Freedom® Blood Glucose Monitoring Systems only. Features the world’s smallest sample size (0.3 μL). Fast, five-to-seven-second average test time. Up to 60-second blood reapplication time.

ITEM #

(TW)12050 A4253 50/bx (TW)12101 A4253 100/bx

HCPCS

SOLD BY

DIABETES TESTING SUPPLIES

ABBOTT DIABETES CARE, INC. (ME/TW)

DME MEDICAL BENEFIT PRICING AVAILABLE

Item numbers may vary. Manufacturer approval may be required. Call for details.

OPTIUMEZ OptiumEZ Blood Glucose Test Strips No coding required. Unique chemistry minimizes the potential interfering effects of many common medications.* Fast, five-second test time and small, 0.6-μL sample size. True Measure Technology helps prevent short-sampling. Individually foil-wrapped test strips protect against air and moisture.

Nova Max® Plus™ Ketone Test Strips Box contains 10 individually foil-wrapped packages designed to be carried in the Nova Max® Plus™ Glucose Monitor case. The ADA recommends that blood ketone testing should be performed on sick days and whenever glucose values are greater than 250 mg/dL. Blood ketone measurements can often be done on the same fingerstick as glucose testing.

ITEM #

(ME)71041 A4253 50/bx (ME)71042 A4253 100/bx

HCPCS

ITEM #

(ME)80312 A4256

HCPCS

SOLD BY

PRECISION XTRA® Precision Xtra® Blood Glucose and Ketone Monitoring System Designed for easy testing. Intuitive setup and simple icon-driven menus help simplify blood glucose monitoring. Tests both blood glucose and blood ketone all with the same meter – using the Precision Xtra® blood glucose test strips and Precision Xtra® blood-ketone test strips. Simple two-step testing. Simple-to-use buttons. Not for retail sale.

ITEM #

HCPCS

(ME)99837 E0607

SOLD BY

Precision Xtra® Blood B-Ketone Test Strips Simple blood ketone testing: 10-second test time and 1.5-mL blood sample size. Easy blood sample application: end-fill or top-fill with visual confirmation. Foil-wrapped test strips: designed to prevent errors due to exposure to air, moisture or contamination.

ITEM #

(ME)7074535 A4252

HCPCS

53493 A4252 10/bx

HCPCS

SOLD BY

ITEM #

49640 A4256 ea

HCPCS

SOLD BY

MediSense Glucose and Ketone Control Solution (Mid only) For use with the OptiumEZ, Precision Xtra® and FreeStyle Precision Neo Blood Glucose Monitoring Systems.

ITEM #

Nova Max® Normal Control Solution For use with Nova Max® Test Strips, and Nova Max® Plus™ and Nova Max Link® monitors. 0.1 oz.

*Data on file, Abbott Diabetes Care, Inc.

SOLD BY

Nova Max Link® Blood Glucose Monitoring System The only no-coding monitor that communicates wirelessly to the Medtronic Paradigm® family of insulin pumps Models 512, 712 and higher, including Revel™. Uses the same blood glucose test strips as the Paradigm® Link (Nova Max®). Requires a small amount of blood (only 0.3 µL), which means minimal pain. Delivers virtually pain-free testing with results in five seconds. Ergonomic design makes monitor easy to hold. Large, numeric display makes it easy to read. Stores up to 400 blood glucose and control solution tests with date and time. Includes 7-, 14- and 30-day averages. Approved for multiple site testing. Automatic underfill detection eliminates false readings. System kit includes monitor, lancing device, vial of control solution, 10 lancets, day case, battery, owner’s guide, quick reference guide, getting started poster, warranty card, clear cap and instructions for forearm and palm testing.

ITEM #

44585 E0607

HCPCS

SOLD BY

Nova Max Plus Blood Glucose Monitoring System Incorporates advanced technology for accurate and precise self-monitoring of both blood glucose and blood ketones levels. Has the most comprehensive features for fast and easy blood glucose and ketone monitoring, including absolutely no coding; a tiny, 0.3-µL sample size that allows use of a virtually pain-free, 33-gauge lancet; five-second glucose results; no maltose error; and glucose alternate site testing. Includes two Nova Max® Plus Ketone Test Strips, case, lancing device, 10 lancets, 10 test strips and control solution.

10/bx

ITEM #

43435F E0607

HCPCS

SOLD BY

BECTON DICKINSON (58) LANCETS

NOVA DIABETES CARE (NU)

COMPETITIVE BID PRICING AVAILABLE

Item numbers may vary. Manufacturer approval may be required. Call for details.

DME MEDICAL BENEFIT PRICING AVAILABLE

Item numbers may vary. Manufacturer approval may be required. Call for details.

Nova Max® Glucose Test Strips For use with Nova Max®, Nova Max® Plus™ and Nova Max Link® Blood Glucose monitors, BD Logic Monitors and Paradigm® Link Monitors. Do not require coding and use 0.3-µL blood sample. Capillary action quickly and easily draws the blood sample onto the blood glucose test strip, and the monitor’s audible fill detection signals that enough blood has been drawn. Supplied in a large, easy-to-open vial. HCPCS

BD Microtainer Contact-Activated Lancets At 30 gauge, it’s the thinnest safety lancet and demonstrates significantly less pain. Ergonomic design for a secure, comfortable grip. Perfect for children, seniors and those with dexterity challenges. Self-contained, activate on contact, no button to push. Automatic retraction of needle prevents reuse. Protects against accidental needlestick injuries and cross-contamination. Meets OSHA requirements for needlestick safety. ®

ITEM #

Retail DME/Medical benefit

43437 A4253 50/bx 43523I A4253 50/bx

Purple, 30 gauge, 1.5-mm depth (low flow) Pink, 21 gauge, 1.8-mm depth (medium flow) Blue, 2.0-mm depth x 1.5-mm width (high flow)

ITEM #

HCPCS

SOLD BY

366592 366593 366594

A4259 A4259 A4259

200/bx 200/bx 200/bx

SOLD BY

DIABETES TESTING SUPPLIES

CARDINAL HEALTH™ ESSENTIALS * Not made with natural rubber latex.

Cardinal Health™ Essentials Twist & Cap Lancets* Needles have tribevel tips that are electropolished. Compatible with most universal lancing devices. Purple. Single use; sterile.

ITEM #

HCPCS

SOLD BY

28 gauge

ZPL20028A

A4259

100/bx

LATEX FREE NEW SurgiLance™ Lite Safety Lancets With all of the comfort, simplicity and safety of the classic SurgiLance™ safety lancet, and is smaller and lighter. More efficient to ship, reducing the device’s carbon footprint.

28 gauge (1.4mm depth), yellow 28 gauge (1.8mm depth), grey 28 gauge (2.2mm depth), orange 21 gauge (1.8mm depth), purple 21 gauge (2.2mm depth), lime 21 gauge (2.8mm depth), pink

Cardinal Health™ Essentials Universal Lancets* Ultra-thin, tri-beveled needle. Compatible with most universal lancing devices. Blue. Single use; sterile.

ITEM #

HCPCS

SOLD BY

28 gauge 30 gauge

ZPL10028A ZPL10030A

A4259 A4259

100/bx 100/bx

RELIAMED® This product will transition to the Cardinal Health™ brand in the coming months.

ITEM #

ZPL12000 A4258

MEDIPURPOSE

HCPCS

ITEM #

HCPCS

SOLD BY

SLN100 SLN200 SLN240 SLN300

A4259 A4259 A4259 A4259

100/bx 100/bx 100/bx 100/bx

SLB200 SLB250

A4259 A4259

100/bx 100/bx

NEEDLE

21 gauge (1.0-mm depth), yellow 21 gauge (1.8-mm depth), gray 21 gauge (2.2-mm depth), orange 21 gauge (2.8-mm depth), pink BLADE

18 gauge (1.8-mm depth), green 18 gauge (2.3-mm depth), blue

A4259 A4259 A4259 A4259 A4259 A4259

100/bx 100/bx 100/bx 100/bx 100/bx 100/bx

ITEM #

HCPCS

SOLD BY

30 gauge 28 gauge

AT0465 AT0925

A4259 A4259

100/bx 100/bx

ITEM #

AT0270 A4258 ea

HCPCS

SOLD BY

SONOMA PHARMACEUTICALS, INC. (OI) Microcyn Solution with Preservatives Intended for the irrigation and management via debridement of post-surgical wounds. For external use only. Not for injection. There may be a temporary burning or stinging sensation when first applied to broken skin. Do not store in flexible tubing for more than two hours. Keep out of reach of children. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner. ®

LATEX FREE SurgiLance™ Safety Lancets With virtually painless 21-gauge needles and high-flow blade devices, these lancets provide high-speed delivery to minimize pain, no matter how much blood is needed. Pre-armed and color-coded for easy recognition. Simple to use. Single-use and auto-retraction design practically eliminates cross-contamination and accidental needlestick injuries – before or after use.

SLL140 SLL180 SLL220 SLL21G180 SLL21G220 SLG28G280

Autolet® Impression Advanced Lancing Device Designed to provide maximum comfort and control when obtaining a blood sample. Features Comfort Zone Technology®, a series of eight raised pressure points, which work to send a signal of comfort to the brain, helping to eliminate the pain associated with the fingerstick.

SOLD BY

(SE)

SOLD BY

OWEN MUMFORD (OW)

LANCING DEVICES & LANCETS

HCPCS

Unilet® Lancets Triple sharpened needle tips designed for maximum comfort and optimum blood flow. Universal design to fit most lancing devices (not compatible with ACCU-CHEK® Softclix or OneTouch® Delica™). Recappable for added safety.

* Not made with natural rubber latex.

ReliaMed® Mini Lancing Device for Fingertip and Alternate Site Testing* Compact and portable, 33⁄4˝ long. Includes fingertip and clear alternate test site covers. Fingertip test site cover is adjustable to six depth settings for comfort. Universal, fits most lancets. For single patient use only.

ITEM #

NEEDLE

ITEM #

HCPCS

990 mL

847816

A6260

SOLD BY

Microcyn® Skin & Wound Solution with Preservatives Intended for the management via debridement of wounds, including stage I – IV ulcers, partial- and full-thickness wounds, diabetic foot ulcers, post-surgical wounds, first- and second-degree burns, grafted and donor sites. For external use only. Not for injection. There may be a temporary burning or stinging sensation when first applied to broken skin. Keep out of reach of children. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

2-oz. spray bottle 8-oz. spray bottle 250-mL squeeze bottle

84871 84507 84491

A6260 A6260 A6260

SOLD BY

ea ea ea

Microcyn® Skin & Wound HydroGel™ Intended for the management of exudating wounds, including leg ulcers, pressure ulcers, diabetic ulcers, first- and second-degree burns, and mechanically or surgically debrided wounds. For external use only. Not for injection. Keep out of reach of children. Now available in a sprayable formulation – provides a hands-free application and total wound coverage in just seconds. Less waste and faster dressing changes. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

1.5-oz. squeeze bottle 3-oz. spray bottle 3-oz. squeeze bottle

84750 84872 84804

A6248 A6248 A6248

SOLD BY

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DIABETES TESTING SUPPLIES

GENUINE VIRGIN ALOE CORPORATION (GVA) TriDerma® Diabetic Ulcer Defense™ Healing Cream Fast healing for minor to severely damaged skin from diabetic ulcers, skin breakdown or other hard-to-heal skin irritations. Contains more than 200 natural healing properties plus advanced healing ingredients to help promote fast tissue repair, safely and effectively. Fragrance- and cortisone-free.

ITEM #

HCPCS

4.2 oz.

57425

A6250

SOLD BY

TriDerma® Diabetic Foot Defense™ Healing Cream Faster healing for dry, damaged feet, cracks and fissures due to diabetes or poor circulation. Daily use provides protection against skin breakdown. Contains medical-strength ingredients that help heal and maintain healthy feet. Non-greasy, fragrance-free.

ITEM #

HCPCS

4.2 oz.

64425

A6250

SOLD BY

TriDerma® Diabetic Bruise Defense™ Healing Cream Provides fast healing for those who bruise easily, have thin skin or heal slowly from medication, surgical procedures, diabetic conditions or simple skin trauma. Contains more than 200 natural healing properties to soothe itching, calm redness and tightness and help ease minor pain. Non-greasy, fragrance-free.

ITEM #

HCPCS

2.2 oz.

65025

A6250

SOLD BY

TriDerma® Diabetic Dry Skin Defense™ Healing Cream Delivers long-lasting intense moisture to help heal minor to extremely dry, damaged skin due to diabetes. Contains medical-strength ingredients to lock in vital moisture and help reinforce skin’s natural protective barrier. Non-greasy, fragrance-free.

ITEM #

HCPCS

4.2 oz.

66425

A6250

SOLD BY

EMERSON HEALTHCARE (EMH) Kerasal One Step Exfoliating Foot Moisturizer Therapy Ointment For moderate to severely rough and cracked heels. Rehydrates, exfoliates and helps maintain moisture balance. Softens calluses and controls callus buildup. Benefits seen in as few as two to three days. ®

ITEM #

EMH802601 A6250

HCPCS

SOLD BY

MMJ LABS (MMJ) LATEX FREE Buzzy® Mini Personal Combines vibration and ice to block pain on contact using Gate Control physiology. Ergonomically contoured, compact design tucks under a standard tourniquet, or fits easily in the hand to block pain from needles. Buzzy pain relief is equivalent to topical anesthetic. Intended for self-administered injections, finger sticks, cosmetic injections or to bring for phlebotomy. Includes one Buzzy Mini, two reusable Universal Personal Ice Wings, one Comfort Strap, two AAA batteries and instructions. Made in USA.

Bee Striped LadyBuzz

ITEM #

HCPCS

SOLD BY

BKM1 A9270 ea BKM3 A9270 ea

DIAGNOSTICS / IMPOTENCE

CARDINAL HEALTH™ ESSENTIALS

AMERICAN DIAGNOSTIC CORPORATION (ADC)

* Not made with natural rubber latex.

HOME BLOOD PRESSURE KITS

BLOOD PRESSURE UNIT Cardinal Health Essentials Automatic Digital Blood Pressure Monitor with XL Cuff* Automatic operation. X-large, 17˝ – 22˝ cuff for larger arms. 100-memory total storage (four sets of 25 recordings each). 20 – 280 mmHg range of measurement. AC compatible (does not include adapter, Item # ZBP1000XLAC). Includes monitor, arm cuff with tubing, four “AA” batteries, storage bag or case and easy-to-read instruction manual in English and Spanish. ™

ITEM #

HCPCS

Extra Large Cuff (17˝ – 22˝ ) AC adapter Replacement cuff

ZBP1000XL A4670 ZBP1000XLAC E1399 ZBP1000XLRC A4663

SOLD BY

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RELIAMED® * Not made with natural rubber latex.

STETHOSCOPES ReliaMed Nurse-Type Stethoscope* Lightweight aluminum chestpiece construction. Non-chill rim for comfort. Adjustable, chrome-plated brass binaural with pure white ABS eartip. One-piece molded PVC Y-tubing. Length: 22˝. ®

ITEM #

Black Green Grey Lite Blue Royal Blue

ZR0110BLK E1399 ZR0110GRN E1399 ZR0110GRY E1399 ZR0110LBL E1399 ZR0110ROY E1399

HCPCS

SOLD BY

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ReliaMed Dual-Head Stethoscope* High-density, zinc alloy diaphragm and bell chestpiece with a nonchill ring for comfort. Chrome-plated, brass binaural is adjustable with pure white ABS eartips. One-piece molded, thick-wall Y-tubing. Length: 22˝. ®

ITEM #

Black Green Lite Blue Pink Red Royal Blue

ZR0120BLK E1399 ZR0120GRN E1399 ZR0120LBL E1399 ZR0120PNK E1399 ZR0120RED E1399 ZR0120ROY E1399

HCPCS

SOLD BY

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ReliaMed® Sprague-Rappaport Type Stethoscope with Accessory Pack* Patented chestpiece design that prevents acoustic leakage. Five-in-one, zinc alloy-treated, chrome-plated chestpiece with five different-sized chestpiece bells. Accessory pack contains adult and pediatric size, chrome-plated, zinc alloy bells; three plastic, black, nonchill bells; two different-sized spare diaphragms; one pair mushroom eartips; and one pair clear PVC eartips. Tubing is thick wall for less interference and latex-free to avoid latex sensitivity. Length: 22˝.

ITEM #

Black Boysenberry Green Grey Lavender Lite Blue Pink Royal Blue

ZR0130BLK E1399 ZR0130BOY E1399 ZR0130GRN E1399 ZR0130GRY E1399 ZR0130LAV E1399 ZR0130LBL E1399 ZR0130PNK E1399 ZR0130ROY E1399

HCPCS

SOLD BY

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Prosphyg™ 780 Home Blood Pressure Kit – Unattached Stethoscope Easy-to-use kit features everything needed for home blood pressure measurement. Includes black enamel, 300-mmHg, no-pin stop manometer; navy blue, nylon D-ring, self-adjusting cuff for one-handed application; latex-free inflation bladder and bulb; chrome-plated deflation valve; diaphragm-only blood pressure scope with black PVC tubing; and leatherette zippered carrying case and operating instructions. Assembled, inspected and packaged in the USA from foreign components. 10-year calibration warranty.

ITEM #

HCPCS

Small Adult (6.5˝ – 10˝ ) Adult (10˝ – 13.5˝ ) Large Adult (12˝ – 16˝ )

78010SAN 78011AN 79012XN

A4670 A4670 A4670

SOLD BY

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Prosphyg™ 790 Home Blood Pressure Kit – Attached Stethoscope Quality construction and easy to use. Includes black enamel, 300-mmHg, no-pin stop manometer; navy blue nylon D-ring self-adjusting cuff with attached diaphragm-only scope for one-handed use; latex-free inflation bladder and bulb; chrome-plated deflation valve; attached scope with adjustable chrome binaurals and black 22˝ PVC tubing; zippered carrying case; and operating instructions. Assembled, inspected and packaged in the USA from foreign components. 10-year calibration warranty.

ITEM #

HCPCS

Small Adult (6.5˝ – 10˝ ) Adult (10˝ – 13.5˝ ) Large Adult (12˝ – 16˝ )

79010SAN 79011AN 79012XN

A4670 A4670 A4670

SOLD BY

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SPHYGMOMANOMETERS Prosphyg 775 Aneroid Sphygmomanometer An economical aneroid sphygmomanometer. Includes black enamel, 300-mmHg, no-pin stop manometer; navy blue nylon cuff with range markings to facilitate selection of correct cuff size; artery label; gauge holder; latex-free inflation bladder and bulb; chrome-plated deflation valve; leatherette zippered carrying case; and operating instructions. Assembled, inspected and packaged in the USA from foreign components. 10-year calibration warranty. ™

ITEM #

HCPCS

Child (5.1˝ – 7.6˝ ) Small Adult (7.4˝ – 10.6˝ ) Adult (9˝ – 15.7˝ ) Large Adult (13.3˝ – 19.6˝ )

7759CN 77510SAN 77511AN 77512XN

E1399 E1399 E1399 E1399

SOLD BY

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*Sphygmomanometer Replacement Parts

ITEM #

HCPCS

Gauge Bulb and valve Air release valve

809N 875N 874

A9270 ea E1399 ea E1399 ea

SOLD BY

Replacement Cuffs & Bladder For use with most pocket and clock aneroids and many NIBP monitors. Black nylon, two-tube, latex-free bladder.

ITEM #

HCPCS

Small Adult (10.6˝ – 14˝ arm) Adult (9˝ – 15.7˝ arm) Large Adult (13.3˝ – 19.6˝ arm) Thigh (15.7˝ – 26˝ )

84510SABK2 84511ABK2 84512XBK2 84513TBK2

A4663 A4663 A4663 E1399

SOLD BY

ea ea ea ea

DIAGNOSTICS / IMPOTENCE

AMERICAN DIAGNOSTIC CORPORATION (ADC)

HEALTHSMART® (66)

THERMOMETERS

BLOOD PRESSURE KITS

ADTEMP™ II Digital Thermometer Digital stick thermometer.

NEW

ITEM #

413B A4931 ea

HCPCS

SOLD BY

NEW ADTEMP™ Ultra Fast-Read Flex-Tip Digital Thermometer Ultra-fast stick-type digital thermometer uses predictive technology for a two-second oral reading.

ITEM #

417 A4931 ea

HCPCS

SOLD BY

NEW ADTEMP™ V Fast-Read Flex-Tip Digital Thermometer Feature-rich digital stick thermometer with ultra-fast response time.

ITEM #

418 A4931 ea

HCPCS

SOLD BY

MatchMates® Sprague Rappaport-Type Combination Kit Blood pressure kit features both the MatchMates® Aneroid Sphygmomanometer and Sprague Rappaport-Type Stethoscope. Stethoscope includes five interchangeable chestpieces: three bells (adult, medium and infant) and two diaphragms (small and large) for custom user design, plus three different types of eartips for maximum comfort. Includes oversized, matching carrying case to store stethoscope with accessories and sphygmomanometer. Includes lifetime replacement warranty on gauge. Contains latex.

ITEM #

Black Burgundy Navy Teal

01360021 A4660 01360071 A4660 01360241 A4660 01360161 A4660

ITEM #

HCPCS

SOLD BY

427 A4931 ea

NEW ADTEMP™ Non-Contact Thermometer Features an infrared sensor that reads temperature from the middle of the forehead with no skin contact required for a safe and comfortable experience that minimizes the risk of crosscontamination.

ITEM #

HCPCS

429 A4931 ea

Diagnostix Pocket Otoscope/Ophthalmoscope Diagnostic Set Full-featured 2.5-volt pocket diagnostic set. HCPCS

LATEX FREE Measurement Print-Out Blood Pressure Monitor Automatic inflation monitor stores up to 14 measurements with date and time. Prints stored measurements in both digital and bar graph form with time and date. Contoured D-ring cuff. Requires two “AA” batteries (not included) or optional AC adapter (not included). Includes zippered carrying case and two rolls of printing paper.

ITEM #

5110N E1399

ITEM #

HEM705CPN A4670

HCPCS

SOLD BY

Printer Paper Packaged in rolls. For use with Item # HEM705CPN.

NEW

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AUTOMATIC BLOOD PRESSURE MONITORS WITH PRINTER

SOLD BY

OTOSCOPES ™

SOLD BY

OMRON HEALTHCARE, INC. (73)

NEW ADTEMP™ Temple Touch Thermometer Non-invasive temporal temperature measurement. Reads in as few as six seconds. Replaceable batteries.

HCPCS

ITEM #

90TRP A9270 5/pk

HCPCS

SOLD BY

AUTOMATIC BLOOD PRESSURE MONITORS NEW Proscope™ 2.5-Volt Portable Diagnostic Set Standard otoscope/opthalmoscope set includes zippered case with fitted foam insert that is scuff- and scratch-resistant, and cleans easily.

ITEM #

5210 E1399 ea

HCPCS

Proscope™ 2.5-Volt Portable Otoscope Offers high quality optics and workmanship. HCPCS

SOLD BY

NEW

ITEM #

5211 A9270 ea

SOLD BY

LATEX FREE 10 Series and 10 Series™ Connected Upper Arm Blood Pressure Monitors Dual sensors automatically double check each reading. Indicator confirms the cuff has been wrapped correctly on the arm. Easy Wrap arm cuff expands to fit regular and large arms. Allows two users to monitor and track readings separately. Automatically takes three consecutive readings, one minute apart, and displays the average. Review an eight-week history of weekly morning and evening blood pressure averages. Alerts user if irregular heartbeat is detected or blood pressure exceeds internationally recognized guidelines. Includes AC wall adapter. 200-memory storage. Four “AA” batteries (not included). ™

ITEM #

10 Series™ 10 Connected Series™

BP785N A4670 ea BP786 A4670 ea

HCPCS

SOLD BY

DIAGNOSTICS / IMPOTENCE

OMRON HEALTHCARE, INC. (73) LATEX FREE 7 Series™ and 7 Series™ Connected Upper Arm Blood Pressure Monitor Easy Wrap arm cuff expands to fit regular and large arms. Indicator confirms cuff has been wrapped correctly on arm. Automatically displays the average of up to the last three readings taken within the last 10 minutes. Alerts user if irregular heartbeat is detected or blood pressure exceeds internationally recognized guidelines. 120-memory storage with date and time stamp. Fits arms 9˝ – 17˝ in circumference. Includes four “AA” batteries.

ITEM #

7 Series™ 7 Series™

BP760N A4670 ea BP761 A4670 ea

HCPCS

SOLD BY

LATEX FREE 5 Series™ Upper Arm Blood Pressure Monitor Allows two users to monitor and track 100 readings each separately in the stored memory. Automatically displays the average of up to the last three readings taken within the last 10 minutes. Alerts user if irregular heartbeat is detected or blood pressure exceeds internationally recognized guidelines. 100-memory storage with date and time stamp. Fits arms 9˝ – 17˝ in circumference. Includes four “AA” batteries.

ITEM #

BP742N A4670

HCPCS

SOLD BY

LATEX FREE 3 Series™ Wrist Blood Pressure Monitor Automatically displays the average of up to the last three readings taken within the last 10 minutes. 60-memory storage with date and time stamp.

HCPCS

SOLD BY

BP710N A4670

MANUAL BLOOD PRESSURE MONITORS LATEX FREE Manual Inflation Blood Pressure Monitor Features clinically proven accuracy and easy-to-squeeze bulb. Automatically stores up to 30 readings. Adult cuff fits arms 9˝ – 13˝ in circumference. Operates on four “AAA” batteries. 41⁄8˝ L x 31⁄8˝ W x 53⁄8˝ H. 73⁄8 oz., excluding batteries. One-year warranty.

ITEM #

HEM432C A4670

HCPCS

SOLD BY

ITEM #

HCPCS

H003DS HCR24 H003D

A4663 A4663 A4663

ITEM #

BP652N A4670

HCPCS

SOLD BY

HCPCS

11200

E1399

SOLD BY

ITEM #

HCPCS SOLD BY

A4660 A4660

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STETHOSCOPES Dual-Head Stethoscope Lightweight, adjustable binaural, one-piece, molded, PVC tubing and built-in rubber, nonchill rings. Includes an extra pair of eartips and diaphragm. Black.

ITEM #

412BLK E1399

HCPCS

SOLD BY

Sprague Rappaport-Type Stethoscopes Five-in-one, multipurpose quintscope has approximately 22˝ long, latex-free tubing and silver chestpiece. Include three different-sized open bells, two different-sized diaphragms and two pairs of eartips.

ITEM #

Black Dark blue

41622BLK E1399 41622DB E1399

HCPCS

SOLD BY

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BODY FAT ANALYZERS/SCALES Fat Loss Monitor Accurately tracks body fat for a leaner, healthier patient. Tracks measurements in the convenience of the user’s home. Measures two fitness indicators – body fat percentage and BMI (body mass index). Accurate readings in just seconds. Nine-person profile and guest mode.

™

ITEM #

Adult cuff

Adult cuff (fits 9˝ – 13˝ biceps) 104 Large adult cuff (fits 13˝ – 17˝ biceps) 104MAJ

WRIST BLOOD PRESSURE MONITORS LATEX FREE 7 Series Wrist Blood Pressure Monitor Automatically activates when wrist is at heart level for consistently accurate readings. Flashing orange and blue indicator lights help guide wrist to heart level. Allows two users to monitor and track readings. Alerts user if irregular heartbeat is detected or blood pressure exceeds internationally recognized guidelines. New slimmer, more discreet design. Automatically displays the average of up to the last three readings taken within the last 10 minutes. 100-memory storage.

SOLD BY

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SOLD BY

Self-Taking Home Blood Pressure Kit Easy to use with complete, illustrated instructions for “self-taking” method. Includes gauge, D-ring cuff with attached chest piece, bladder, binaural with eartips, “Y” tubing, vinyl storage case, instruction manual and record kit.

LATEX FREE Adult Replacement Cuff Adult cuff for digital blood pressure unit. For use with most Omron home blood pressure monitors.

Small (7˝ – 9˝ ) Standard (9˝ – 13˝ ) Large (13˝ – 17˝ )

HCPCS

BLOOD PRESSURE KITS

ACCESSORIES

BP629N A4670

Omron Standard Value Sphygmomanometers Feature blue enamel, no-stop pin, 300-mmHg gauge and bold gradation on white faceplate. Calibrated nylon cuff with artery label and manometer tab. Standard air release valve. Include zippered carrying case. Blue, nylon cuff. Contains latex.

LATEX FREE 3 Series Upper Arm Blood Pressure Monitor One-touch operation. 14-memory storage. Fits arms 9˝ – 17˝ in circumference. ITEM #

ITEM #

VALUE SPHYGMOMANOMETERS

™

ITEM #

HBF306CN A9270

HCPCS

SOLD BY

Fat Loss Monitor with Scale Easy-to-read digital display. Provides weight, body fat percentage and BMI (Body Mass Index) in seconds. Displays weight from 0 lbs. – 330 lbs. in 0.2-lb. increments; body fat percentage from 5% – 60% with 0.1% increments; and BMI from 7.0 – 90.0 in 0.1 increments. Set ranges include heights 3´4˝ to 6´63⁄4˝; ages 10 – 80 years old; and male or female. Four personal profiles with previous measurements results. 330-lb. weight capacity. 121⁄4˝ W x 21⁄4˝ H x 117⁄8˝ D; approximately 4.6 lbs. (including batteries). Includes four “AA” batteries and instruction manual.

ITEM #

HBF400 A9270

HCPCS

SOLD BY

DIAGNOSTICS / IMPOTENCE

OMRON HEALTHCARE, INC. (73)

BLUETOOTH WELLNESS CONNECTED™ PRODUCTS

Full Body Sensor Body Composition Monitor and Scale Full-body sensing provides a comprehensive understanding of body composition to help users reach their fitness goals. Features hand-to-foot technology, which is more accurate than foot-to-foot monitors. Measures five fitness indicators: body fat percentage (5.0% – 60.0% with 0.1% increments), body mass index (7.0 – 90.0 with 0.1 increments), skeletal muscle percentage (5.0% – 50.0% with 0.1% increments), visceral fat (30 levels with 1-level increments) and body weight (0 lbs. – 330 lbs. with 0.2-lb. increments). Features four personal profiles and a large LCD screen. Includes four “AA” batteries. Can be used for ages 10 – 80 years old, with heights of 3´4˝ to 6´63⁄4˝.

Reliably and securely connects to iPhone or Android supported mobile devices with the A&D Connect app via Bluetooth® Smart™ technology. Simple, easy-to-use, mobile application that allows user to view wellness metrics with trends and graphs. Allows users to engage physicians and caregivers in their health and wellness monitoring.

Wireless Blood Pressure Monitor Designed for ease of use and accuracy with a simple, compact and modern design. Advanced features include Pressure Rating Indicator™, irregular heartbeat detection, low battery indicator, measurement time and date stamp, and up to 30 readings in internal memory storage.

ITEM #

HCPCS

HBF510W A9270

Wireless Blood Pressure Monitor

UA651BLE

A4670

HCPCS

SOLD BY

Digital Scale Stable, non-slip glass design and four-sensor scale technology provide accurate measurements of current body weight on an easy-to-read LCD display. Automatic on/off function saves energy. Measures up to 400 lbs. and to the nearest 0.2 lbs. Lithium battery included. One-year warranty.

ITEM #

SC100 E1639

HCPCS

NORTH AMERICAN HEALTH AND WELLNESS (JII)

Wireless Weight Scale

ITEM #

JB5824 E1639

HCPCS

E1639

Talking scale has a 550-lb. weight capacity with an extra wide, stable weighing platform. Tempered glass top. Two-person memory feature, pleasant and easy-to hear-voice, tap on/off auto functions, large LCD display and a low-battery indicator. Great for visually impaired. 12˝ L x 15˝ W x 1˝ H platform.

ITEM #

UC352BLE

SOLD BY

Activity Trackers

Talking Scale

Wireless Weight Scale Combines ease of use, modern design and the latest technology. Features step-on-start, making it simple to use with no buttons to press. Up to 90 measurements with time and date stamp can be stored in the scale's memory. Capacity of up to 450 pounds.

SOLD BY

ITEM #

HCPCS

SOLD BY

Activity Tracker C300 A9300 Activity Tracker, with sleep tracking C410 A9300

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SOLD BY

A & D MEDICAL (AE)

SPECIALTY BLOOD PRESSURE MONITOR LATEX FREE LifeSource Extra Large Arm Blood Pressure Monitor Accommodates users with larger arms. Coupled with a high-speed motor for a fast, comfortable reading. Irregular Heartbeat Detection will alert the user of the presence of an irregular heartbeat while still providing an accurate reading. Heart Wise™ Technology measures blood pressure on inflation while filtering out ambient noise on deflation. Features 60-reading memory, date/ time stamp, three programmable alarms, an extra-large display and large buttons. Displays average readings. 4.4˝ L x 6.4˝ W x 2.4˝ H. 12.3 oz. without batteries. Uses an AC adapter (included) or four “AA” batteries (not included). Includes trilingual (English, French and Spanish) instructions, quick start guide, four-week logbook and warranty card. AccuFit™ Extra Large Cuff fits arms 16.5˝ – 23.6˝. 5-year warranty. ™

BLOOD PRESSURE MONITORS Upper Arm Blood Pressure Monitor All the essential functions for blood pressure monitoring in a smart compact unit. Designed for easy and accurate monitoring, with a 3-line display and one-touch operation. Equipped with world leading technologies: Irregular HeartBeat (IHB) and WHO Blood pressure classification indicators. In addition, the latex-free and metal-free SlimFit cuff will provide more comfortable measurement for sensitive skin.

ITEM #

UA651 A4670

HCPCS

SOLD BY

Basic Blood Pressure Monitor Easy to use and comes standard with just the right number of features. 15-memory recall provides ample storage for home use or while traveling. Systolic, diastolic and pulse rate are all shown simultaneously for easy review. All the benefits of speed and accuracy are at the touch of a single button. Features the Pressure Rating Indicator™, Irregular Hearbeat Detection, Battery life indicator and the SlimFit™ Cuff, which is a latex- and metal-free cuff design. 9˝ – 14.6˝ arm circumference.

ITEM #

UA611 A4670

HCPCS

SOLD BY

ITEM #

UA789AC A4670

HCPCS

SOLD BY

UA-1030T Premier Talking Blood Pressure Monitor Features Tri-Check, which allows user the option of taking three consecutive readings and receiving the average measurement, complying with the American Heart Association’s recommendation. Unit “talks” in English, French or Spanish, walking user through any troubleshooting. New cuff design enhances accuracy and comfort. 90-memory recall with clock, time and date stamp. Pressure Rating Indicator™ provides a snapshot of the user’s blood pressure classification according to US JNC7 and World Health Organization guidelines. Also features irregular heartbeat detection, adjustable pressure setting and advanced warning system, which alerts user to the most common problems while monitoring. Includes carrying case and AC adapter. Five-year warranty.

ITEM #

UA1030T A4670

HCPCS

SOLD BY

DIAGNOSTICS / IMPOTENCE

Dial Floor Scale

A & D MEDICAL (AE)

270-lb. capacity and 1-lb. gradation. Platform size is 101⁄4˝ W x 17⁄8˝ H x 97⁄8˝ D. Features a solidly constructed steel base with a non-slip platform and an easy-to-read dial at the top of the scale. Mechanically measures weight in pounds.

PREMIER BLOOD PRESSURE MONITORS Advanced Manual Inflate Blood Pressure Monitors Store the last 30 readings in memory and also display average readings. Average reading feature automatically calculates the average of the total readings stored in memory. Features include: the Pressure Rating Indicator™ and Irregular Heartbeat feature. Require only one “AA” battery (included). Include large-print instruction guide and four-week blood pressure logbook. LIFETIME WARRANTY.

ITEM #

HCPCS

Medium cuff (9.4˝ – 14.2˝ ) Large cuff (14.2˝ – 17.7˝ )

UA705V UA705VL

A4670 A4670

SOLD BY

AUTOMATIC BLOOD PRESSURE MONITORS

ITEM #

HCPCS

Includes batteries Includes AC power adapter

UA767F UA767FAC

A4670 A4670

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ITEM #

UB543 A4670

SOLD BY

Quick Response Blood Pressure Monitor with Easy-Fit Cuff Clinically validated for accuracy. Offers memory, time and date feature, and more with the simple push of a button. Stores the last 280 readings in memory and also displays average readings. Time and date function indicates when a measurement was taken. Users also can program three alarms per day to remind them when to take a reading. Easy-Fit™ Cuff instantly fits the user’s arm. Specifically designed to fit most arms (9˝ – 17˝ ) and provides the highest level of comfort and accurate readings. Features include the Pressure Rating Indicator™ and Irregular Heartbeat feature. Includes carrying pouch, AC adapter, large-print instruction guide and four-week blood pressure logbook. 5-year warranty. ™

ITEM #

HCPCS

UA787EJ A4670

MECHANICAL FLOOR SCALES Mechanical Floor Scale Features a 330-lb/150-kg. capacity, 1-lb. gradations, a large dial and a durable, nonskid platform mat. Platform size is 111⁄2˝ W x 21⁄4˝ H x 103⁄4˝ D. One-year limited warranty.

ITEM #

142KL E1639 ea

SOLD BY

HCPCS

ITEM #

HCPCS

Pounds only Pounds and kilograms

160LB 160KL

E1639 E1639

SOLD BY

ea ea

Mechanical Floor Scale Features a 330-lb. capacity and 1-lb. gradation. Platform size is 113⁄8˝ W x 2˝ H x 93⁄4˝ D. One-year limited warranty.

ITEM #

HCPCS

175LB

E1639

SOLD BY

DIGITAL FLOOR SCALES Digital Floor Scale Features a 397-lb./180-kg capacity, a 11⁄2˝ LCD, a textured platform and lb./kg switch. Platform size is 121⁄4˝ x 121⁄4˝. Includes one 3-volt lithium battery. Functions include auto off, auto zero and five-second weight hold. One-year limited warranty.

ITEM #

800KL E1639 ea

HCPCS

SOLD BY

High Capacity Digital Floor Scale Features a 440-lb./200-kg capacity, a 11⁄4˝ LCD, a durable, nonskid platform and a lb./kg lockout switch. Platform size is 125⁄8˝ x 125⁄8˝. Includes two 3-volt lithium batteries. Functions include auto off, auto zero and an initial add-on weighing option. One-year limited warranty.

ITEM #

844KL E1639 ea

HCPCS

SOLD BY

Physicians Remote Read Digital Scale Features 400-lb./180-kg capacity, 1⁄2˝ LCD. Remote indicator can be placed on table or mounted on a wall. Platform size is 121⁄2˝ W x 17⁄8˝ H x 12˝ D. Functions include lb./kg conversion, lb./kg lock out, zero out/tare, auto zero and auto off. Powered by six “AA” batteries. Optional power adapter. Two-year limited warranty.

SOLD BY

HEALTH O METER® PROFESSIONAL SCALE (HB)

HCPCS

100LB E1639 ea

SOLD BY

Premium Wrist Blood Pressure Monitor The design of this premium wrist monitor offers one of the largest screen displays available, while being compact enough for travel. Features dual-user mode that lets two people use the wrist monitor and record up to 60 time-stamped readings each. The Correct Position Guidance indicator guides users to move their arm to ensure that their blood pressure is being tested properly. HCPCS

ITEM #

Big Foot Floor Scale Features a 400-lb. capacity, 1-lb. gradations and a durable, nonskid platform mat. Platform size is 11˝ W x 3˝ H. 8˝ x 121⁄2˝ D. Dial is raised 4˝ from platform to allow for extra foot room. One-year limited warranty.

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Premium Multi-User Blood Pressure Monitor Features the AccuFit™ Plus wide range cuff (8.6˝ – 16.5˝ ), with flexible inflation technology to provide a more comfortable inflation. Latex-free, with irregular heartbeat detection, 60-memory recall with time and date stamp for up to four users. Easy one-button operation. Clinically validated for accuracy. Five-year warranty.

ITEM #

349KLX E1639

HCPCS

SOLD BY

Digital Floor Scale, Heavy Duty TAA-compliant bath scale features a 440-lb./200-kg/31-st capacity with a large 21⁄2˝ LCD display. The wide 17˝ platform has a nonslip, latex-free surface with a low 1.3˝ profile height. Includes two 3-volt lithium batteries. Functions: 10-second weight hold, LB/KG/ST switch, auto-off.

ITEM #

880KLS E1639

HCPCS

SOLD BY

SCALES Digital Chair Scale 600-lb./270-kg. capacity. 181⁄4˝ W x 171⁄2˝ H x 15˝ D seat. The flip-arm and foot rest allows for easier access and comfort. Scale is powered by a 6-volt rechargeable battery and battery charger included with scale.

ITEM #

594KL E1639 ea

HCPCS

SOLD BY

DIAGNOSTICS / IMPOTENCE

HEALTH O METER® PROFESSIONAL SCALE (HB)

QUEST PRODUCTS, INC. (QU)

MECHANICAL BEAM SCALES

3-in-1 Pulse Oximeter Portable, heavy-duty device for spot-checking SpO2 (percentage of oxygen saturation in the blood) and pulse rate with accuracy and ease. Measures SpO2, heart rate, and blood flow with a new Perfusion Index feature. Displays plethysmograph, SpO2, pulse rate: OLED display SpO2 range: 35% – 99%.

Mechanical Beam Scale Features a 390-lb./180-kg capacity and 1⁄4-lb. gradations. Platform size is 101⁄2˝ W x 31⁄4˝ H x 14˝ D. Professional, dual-reading height rod ranges from 235⁄8˝ – 84˝. Factory calibrated to ensure accuracy. Powder-coated, non-rust inside and out for extended life. 10-year limited warranty.

ITEM #

402KL E1639 ea

HCPCS

SOLD BY

ITEM #

Q1911 E0445

HCPCS

SOLD BY

KAZ USA, INC. (KAZ) Braun ThermoScan 5 Ear Thermometer Features a pre-warmed tip that ensures accurate readings and ExacTemp guidance system to confirm correct positioning with a light and a beep. Fast, gentle and convenient. Infrared technology provides a temperature reading in just seconds. Memory recalls last reading. Includes 21 disposable lens filters, two “AA” batteries and storage case. ®

Digital Beam Scale Features 500-lb./220-kg capacity, 1˝ LCD display and EMR capability via USB. Easy-to-use height rod measures 30˝ – 841⁄4˝ (76 cm – 214 cm), and the platform size is 133⁄4˝ W x 23⁄8˝ H x 161⁄2˝ D. Operating functions include BMI, zero out/tare, hold/release, auto zero, auto off, lb./kg conversion and lb./kg lockout. Two-year limited warranty.

ITEM #

HCPCS

500KL

E1639

ITEM #

IRT6500US A4649

ITEM #

Thermometer Probe covers, disposable

(61)504000 A4931 (61)500500 A4649

HCPCS

Designed to be the easiest, most comfortable vacuum therapy system on the market. It offers erection on demand and user-friendly, easy application. Comfortable soft-gel tension system with easy loader. Includes four multi-sized soft-gel tension rings, loading cone, easy loader, two comfort isolation inserts, manually operated pump head and cylinder, sealing gel, instructional DVD, user manual, and discreet packaging and carrying case.

ITEM #

HCPCS

Thermometer with base Probe covers, disposable

(68)303000 (68)303030

A4649 A4649

ea 96/bx

FABRICATION ENTERPRISES, INC. (FAB) Baseline® BMI Body Fat Scale Made with tempered glass. Measures weight, body fat and water percentages. Measurements range from 4% – 45% body fat; 37.8% – 66% body water and 330 lbs. /150 kg weight capacity. Resolution is 0.2 lbs./0.1% BF/water resolution. Up to 12-person memory recall. Dimensions: 12½˝ L x 12¼˝ W x 2˝ H. 3V battery included.

ITEM #

121190 E1639

HCPCS

SOLD BY

ITEM #

180ETMOS L7900

HCPCS

SOLD BY

All the features of the Erec-Tech Manually Operated Vacuum Erection Device, but with a battery-operated pump head and cylinder. Includes three “AA” batteries.

ea 20/bx

SOLD BY

BOS

SOLD BY

LATEX FREE Genius™ 2 Thermometer Infrared tympanic thermometer utilizes patented Peak Select System to record, analyze and select the most accurate temperature in one – two seconds. Intuitive interface with an easy-to-read display. Supports infection control initiatives with a no-touch probe cover application. Three-year warranty.

MOS

MEDTRONIC (61/68) LATEX FREE Filac™ 3000 EZ Electronic Thermometer Designed for clinicians to address the need for accurate and fast readings in about three – five seconds. Easy to use with intuitive, icon-based interface, durable design and an easy-to-read LCD display with backlight. Supports infection control with interchangeable, color-coded, self-sustained isolation chambers. Three-year warranty.

SOLD BY

POS-T-VAC (UR)

SOLD BY

HCPCS

ITEM #

181ETBOS L7900

HCPCS

SOLD BY

OWEN MUMFORD (OW) Rapport™ Vacuum Therapy Device for Erectile Dysfunction Designed to be a safer, more reliable alternative to prescription ED medication. Reusable system can provide significant cost-savings versus prescription drugs. Kit includes clear plastic vacuum tube, hand pump with pressure relief valve, five penile ring sizes, two transfer sleeve sizes, tube of water-soluble lubricating jelly and discreet carrying case.

ITEM #

HCPCS

Full Kit

SM2000

L7900

SOLD BY

INDIVIDUAL CONSTRICTION RINGS FOR REPLACEMENT

Ring #3 Ring #4

SM2203 SM2204

L7902 L7902

ea ea

UNYSEN (XN) VED® Ultra™ Streamlined, battery-operated system includes pump; polycarbonate highly durable cylinder; customized loading cone system; SofTouch™ Seal; two constriction rings (two sizes); two Sensation Seals™; Unysen Band™; VED® Personal Lubricant; customized oversized VED® carrying case; and comprehensive user manual and DVD.

ITEM #

VEDULTRA L7900

HCPCS

SOLD BY

DME / BARIATRIC

Transfer Bench*

BATH SAFETY

Constructed using corrosion-resistant anodized aluminum frame with non-marring, slip-resistant rubber tips. Removable backrest and handrail can be adjusted for both left and right application. Seat and backrest constructed of high-density plastic with drainage holes. Handholds molded into backrest offer additional safety and stability. Removable backrest and handrail for added convenience. Suction cup rubber feet help hold bench securely in place during transfers. Easy to assemble with all hardware and detailed instructions included. Seat height adjusts from 183⁄4˝ – 223⁄4˝ in 1˝ increments. Seat width: 263⁄4˝. Seat depth: 16˝. Width between legs: 251⁄2˝. Weighs 10 lbs. One-year limited warranty.

CARDINAL HEALTH™ (ZCH) * Not made with natural rubber latex.

Raised Toilet Seat* Unique contour design fits most standard toilet bowls. Raises toilet seat height by 5˝. Made of a moldable polyethylene that is highly durable and easy to clean. Includes four slip-resistant pads that adhere to underside of toilet seat. Completely portable with no assembly required. Easy to clean. Size: 15.7˝ L x 15.2˝ W x 5˝ H. One-year limited warranty.

ITEM #

RTS04 E0244 ea

HCPCS

SOLD BY

Locking Raised Toilet Seat* Safely raises toilet seat by 5˝ to help reduce the need to bend. Front locking bracket safely secures seat to most toilet bowls. Lightweight, plastic contoured seat made of moldable polyethylene that is highly durable and easy to clean. Seat size: 17˝ x 16˝. Weighs 4.4 lbs. One-year limited warranty.

ITEM #

RTS03 E0244 ea

HCPCS

SOLD BY

Locking Raised Toilet Seat with Arms* Safely raises toilet seat by 5˝ to help reduce the need to bend. Front locking bracket safely secures seat to most toilet bowls. Lightweight, plastic contoured seat made of a moldable polyethylene that is highly durable and easy to clean. Can be used with or without armrests for lateral transfers. Features padded, rust-resistant aluminum armrests for extra security. Width between arms: 19.75˝. Seat size: 20.5˝ x 16.5˝. Weighs 6 lbs. One-year limited warranty.

ITEM #

RTS01 E0244 ea

HCPCS

SOLD BY

Toilet Seat Safety Frame* For use over a standard toilet or with a raised toilet seat. Armrests provide secure hand and balance support. 1˝ anodized, noncorrosive aluminum frame. Easy-to-attach aluminum bracket. Arms fold back for cleaning and remove easily for transfers, adjusting from 17.5˝ – 20.5˝ wide. Legs adjust up or down in height from 25.75˝ – 30˝. Weighs 2 lbs., 5 oz.; One-year limited warranty.

ITEM #

HCPCS

1392KD E0243

SOLD BY

Shower Chairs* Anodized aluminum frame with non-marring, slip-resistant rubber tips and multiple handholds make this bath seat a safe solution for showering. Seat constructed of high-density plastic with drainage holes. Tool-free assembly with all hardware and detailed instructions included. Seat height adjusts from 14.5˝ – 21.5˝ in 1˝ increments. Seat width: 20˝. Seat depth: 12˝. Width between legs: 17.25˝. Weighs 5 lbs. One-year limited warranty.

ITEM #

HCPCS

Without Back With Back

SBH01 SBH02

E0240 E0240

SOLD BY

ea ea

ITEM #

SBH06 E0247

HEALTHSMART

HCPCS

SOLD BY

(64)

HealthSmart No-Skid Cushioned Bath Mat Slip-resistant suction cups anchor mat to tub or shower surface. Durable vinyl resists dirt, mildew, fading and peeling. ®

ITEM #

1740 A9270 ea

HCPCS

SOLD BY

CAREX® (RM) Vinyl-Padded Bathtub Transfer Benches Deluxe padding on benches provides a comfortable bath. Thick vinyl resists tearing. Seat height is adjustable, and vinyl-padded seat and back provide extra comfort. Convenient side rails provide support for easy transfer. Available with cut-out seat and commode pail. Deluxe bench with full seat measures 283⁄4˝ W x 30˝ H x 221⁄4˝ D. Bench with cut-out and commode pail measures 301⁄2˝ W x 305⁄8˝ H x 221⁄4˝ D.

ITEM #

HCPCS

Deluxe with full seat With cut-out and commode pail

B15011 B15211

E0247 E0247

SOLD BY

ea ea

Adjustable Bathtub Transfer Bench Economical transfer bench for trustworthy service. Contains space for shower curtain placement and adjustable seat height. Both the seat and back have a textured, slip-resistant surface. 293⁄4 ˝ W x 313⁄4 ˝ H x 22˝ D. 300-lb. weight capacity.

ITEM #

B15411 E0247

HCPCS

SOLD BY

EZ Bath and Shower Seat with Handles Large handles to make it easier for the user to safely get up and down. Seat back folds and legs can be removed for convenient storage. Features sturdy construction with a stylish contemporary look. Adjustable seat height 29˝. Dimensions: 21˝ W x 34.5˝ H 18˝ D. 300-lb. weight capacity.

ITEM #

B66000 E0245

HCPCS

SOLD BY

Universal Transfer Bench Combining a compact size with an extra-heavyweight capacity, this bathtub transfer bench offers assistance for bathing and independent living needs. Nonmetallic; will not rust. Bench disassembles quickly for travel or shared bathroom situations, while the Exact Level™ system allows for easy height adjustment (181⁄2˝ – 231⁄2˝ ). Fits most tubs and showers. 400-lb. weight capacity. 293⁄4˝ W x 33˝ H x 19˝ D.

ITEM #

B170C0 E0247

HCPCS

SOLD BY

DME / BARIATRIC

BATH SAFETY CAREX® (RM) Portable Shower Bench Convenient, one-piece bench has a comfortable, contoured seating area. Portable for easy storage and travel. Easily adjustable, the seat fits standard tubs 19˝ – 28˝ wide. Rubber stops help protect tub. 31˝ L x 143⁄4˝ W x 15⁄8˝ H. 300-lb. weight capacity.

ITEM #

HCPCS

B21786 E0245

SOLD BY

Universal Bath Benches Easily assembled without tools. Fit into virtually every tub or shower – whether at home or away. Easy to use; bring privacy and independence back to personal care. No metal parts. 400-lb. weight capacity. 21˝ W x 297⁄8˝ H x 18˝ D.

ITEM #

HCPCS

Without back With back

B670C0 B671C0

E0245 E0245

ea ea

ITEM #

B60011 E0245

SOLD BY

Hinged Toilet Seat Riser Elongated version is ideal for users who want to add height to their existing toilet seat. Adds 3.5˝ of height to the toilet, making it easier to sit and stand for individuals with mobility difficulties. Hinged design makes it easy to clean. Includes extra-long bolts for safe and secure installation between the toilet bowl and existing seat. 300-lb. weight capacity.

ITEM #

Elongated Standard

B32100 E0244 B32200 E0244

HCPCS

SOLD BY

ea ea

Bariatric Safe Lock Raised Toilet Seat Extra wide opening for extra comfort and hygiene. Curved design and smooth finish to enhance seat comfort and aesthetic. Adds 4.25˝ of height to toilet. No tools required. Easy to install. 500-lb. weight capacity.

ITEM #

B31300 E0244

HCPCS

ITEM #

B302CO E0244

HCPCS

ITEM #

B30700 E0244 4/cs B30600 E0244 4/cs

HCPCS

SOLD BY

ea ea

ITEM #

HCPCS

Elongated Seats Standard Seats

B31600 B31700

E0244 E0244

SOLD BY

ea ea

ITEM #

B30300 E0244

HCPCS

SOLD BY

Uplift Commode Assist Self-powered, providing up to 70% lift assistance for those up to 300 lbs. Use stand-alone or over a standard toilet. Locks in place when seated with height adjustable legs and rubber feet for safety. Strong steel construction with easy-to-clean white powder coated frame. Awarded the Arthritis Foundation Ease-of-Use Commendation. Measures 241⁄2˝ – 301⁄2˝ H x 261⁄2˝ – 271⁄2˝ W x 21˝ – 22˝ D.

ITEM #

CA200 E0171

HCPCS

SOLD BY

Toilet Support Rail Adjustable handle width 16˝ – 18˝ between arms. Helps user lower self onto toilet and aids user in getting up.

ITEM #

B36800 E0243

HCPCS

SOLD BY

Bathtub Rails Help provide additional support while moving into or out of the bathtub. Spring steel clamps are adjustable and lined with rubber pads to help protect the tub. White rails have wide contact area to help disperse weight evenly and are ideal for use on fiberglass tubs. Tri-grip rails have three gripping areas and a textured finish. Dual-level rails provide high-low grip support with two textured-finish gripping areas, including a straight bar. 200-lb. weight capacity.

Toilet Seat Elevators Fit under a regular home toilet seat. Two models available: one fits standard toilets, and one fits elongated toilets. Work in conjunction with existing toilet seat and lid for a nonprosthetic look. Add 31⁄2˝ to toilet height. 300-lb. weight capacity. Standard Elongated

HCPCS

B312C0 E0244 B311C0 E0244

SOLD BY

ITEM #

Standard With padded armrests

E-Z Lock Raised Toilet Seat Adds 5˝ to an existing home toilet, allowing more comfortable use for those with bending or sitting difficulties. Easy-to-use locking mechanism secures the seat to the toilet bowl to ensure safe, sturdy use. Adjustable handles with padded armrests offer additional support while sitting down and standing up. Smooth contours provide maximum comfort. Lightweight design with built-in hand grips allows for easy handling and cleaning. 300-lb. weight capacity. 18˝ – 20˝ width between handles. Limited lifetime warranty.

SOLD BY

Raised Toilet Seat Contoured, comfortable seat adds 5˝ of height to toilet. Slip-resistant rubber pads for safety. Fits most contoured and elongated toilets. Wider seating area for comfort, 7.25˝ L x 15.75˝ W x 16.75˝ H. 300-lb. weight capacity.

Toilet Seat Elevator with Handles Elevates existing toilet seat to make sitting and standing easier. Strong handles for extra support with padded, easy-to-clean Hypalon grips. Durable and sturdy design. Raises seat 31⁄2˝. 300-lb. weight capacity.

SOLD BY

Adjustable Round Shower Stools Ideal for narrow tubs and places where a regular chair will not fit. Equipped with slip-resistant rubber tips to grip the tub floor. Flared, adjustable, aluminum legs help provide a stable base. 13˝ W x 151⁄2˝ H x 13˝ D. 250-lb. weight capacity. HCPCS

E-Z Lock™ Raised Toilet Seats Lightweight, durable, smooth, plastic seat has built-in handgrips for easy handling. Easy-to-use locking mechanism secures seat to the bowl to prevent slipping. Add 5˝ to toilet seat height for those who have difficulty bending or sitting. Overall 151⁄2˝ W x 81⁄2˝ H x 17˝ D (model without arms) or 20˝ H (model with padded armrests).

ITEM #

HCPCS

Dual-Level (121⁄4˝ W x 171⁄4˝ H x 1˝ D) White (7˝ W x 131⁄4˝ H x 1˝ D)

B20300 B20400

E0242 E0242

SOLD BY

ea ea

DME / BARIATRIC

BATH SAFETY CAREX® (RM) Bed Pans Essential for anyone who has difficulty getting out of bed. Contour design provides comfort and comes with side grips. Fracture pan´s low, tapered front allows patients to position themselves more easily. Made of durable, lightweight polyethylene and are easy to clean.

ITEM #

HCPCS

Regular Fracture

P70400 E0275 P70500 E0276

Deluxe Bariatric Drop-Arm Commode Easy-to-release arm mechanism allows for safe lateral user transfers to and from commode. Durable, heavy-duty, white, powder-coated steel tubing is sturdy and easy to maintain. Large, durable, snap-on seat. Padded armrests. Pail easily slides in from behind commode. Comes with 12-quart commode bucket and cover that removes from behind. Large padded backrest provides comfort. 23˝ W x 23˝ H x 181⁄2˝ D seat dimensions, 1,000-lb. weight capacity.

SOLD BY

ea ea

ITEM #

HCPCS

Female (35 oz.) Male (32 oz.)

P70600 P70700

E0326 E0325

SOLD BY

ea ea

Sitz Bath For treatment of hemorrhoids and other conditions in the anal and genital areas, especially after an episiotomy. Wide contoured edges for comfort and comes with “on/off” flow control clip. Fits standard toilets.

ITEM #

P70800 E0160 6/cs

HCPCS

SOLD BY

CLEANIS (CLE) LATEX FREE Carebag Commode Liner with Super Absorbent Pad Green-friendly, medical-grade bag equipped with a super absorbent pad transitioning up to 16 oz. of any kind of body fluids into a gel within seconds. Eliminates spills, splashes and the soiling of the commode pail. Unique drawstring closure system prevents unpleasant odors once the liner is sealed. Greatly improves comfort to user, caregiver and family members. Latex-free. ®

ITEM #

7831738 A9270 20/bx

HCPCS

SOLD BY

DRIVE/DEVILBISS HEALTHCARE (FG) 2-in-1 Locking Elevated Toilet Seat with Tool-Free Removable Arms Full-length, padded, tool-free arms can be removed or added as needed. Arm sleeves and receivers are made of metal for more durability. Heavy-duty molded plastic construction provides additional strength and durability. Improved locking device is engineered with larger, heavy-duty “worm screw” and locking plate to ensure a safe, secure fit. Fits most toilets. 300-lb. weight capacity. Limited lifetime warranty. Adds 5˝ to seat height.

ITEM #

RTL12027RA E0244

HCPCS

SOLD BY

Folding Steel Commode Easily opens and folds flat for convenient storage and transportation. Durable plastic snap-on seat and lid. Powder-coated, steel-welded construction increases strength and durability. Plastic arms for added comfort. Includes 7.5-quart. commode bucket, cover and splash shield. 350-lb. weight capacity. Gray. Limited lifetime warranty.

ITEM #

111484 E0163

HCPCS

SOLD BY

ITEM #

FG111351 E0168

HCPCS

SOLD BY

Splash Guard Plastic splash guard without lid in white color for commodes. For use with Item# 111494 and 111484.

Urinals Designed to help prevent spills. Has a sturdy grip and can be used in several positions by a patient who must remain in bed. Lightweight, durable and easy to clean.

ITEM #

11107 E1399

HCPCS

SOLD BY

Bariatric Folding Commode 650-lb. capacity, gray. Easily opens and folds. Durable plastic, 161⁄2˝ deep, snap-on seat with lid. Includes 12-quart commode bucket with carry handle, cover and splash shield.

ITEM #

11117N2 E0168

HCPCS

SOLD BY

Toilet Safety Frame Anodized aluminum is sturdy and lightweight. Waterfall armrests provide additional comfort and support. Powder-coated aluminum bracket easily attaches frame to toilet. Arms are height and width adjustable. 300-lb. weight capacity. Limited lifetime warranty.

ITEM #

RTL12000 E0243

HCPCS

SOLD BY

K.D. Plastic Transfer Bench “A” frame construction provides additional stability. Durable, blow-molded plastic bench and backrest. Height adjusts in 1⁄2˝ increments with unique “Dual Column” extension legs. Reversible to accommodate any bathroom. No exposed hardware to injure patient. Extra-large, locking suction cups provide added safety. Tool-free assembly when connecting back, legs and arm. 400-lb. weight capacity. Limited lifetime warranty.

ITEM #

12011KD2 E0248

HCPCS

SOLD BY

Deluxe K.D. Aluminum Bath Seat Easy snap-together assembly of back, seat and legs. Drainage holes in seat reduces slipping. Aluminum frame is lightweight, durable and corrosion-proof. Angled legs with suction tips provide additional stability. Support collar prevents leg movement. Limited lifetime warranty. 400-lb. weight capacity.

ITEM #

HCPCS

With back Without back

12202KD4 12203KD4

E0245 E0245

SOLD BY

ea ea

Premium Series Bath Bench with Back and Arms Easy, tool-free height adjustment. Enhanced comfort seat fits all shapes and sizes. Tool-free removable back, legs and arms. Lightweight design has large, stable legs with soft, non-slip feet. 350-lb. weight capacity.

ITEM #

RTL12505 E0245

HCPCS

SOLD BY

DME / BARIATRIC

BATH SAFETY

INVACARE® (INV)

DRIVE/DEVILBISS HEALTHCARE (FG)

Invacare® Commode Pail and Lid For use with All-in-One Aluminum (Item # 96504), I-Class™ All-in-One (Item # 96301, 96304), Safeguard (Item # 96104). Treated to resist the growth of mold, mildew and bacteria. The pail and lid is used when the commode is placed at the bedside. 12-quart capacity.

Suction Cup Grab Bars No tools or professional installation/removal required. Will not damage property. Large suction cups provide an extremely strong hold. Release levers make installing and removing the suction cup grab bars quick and easy. Color indicator shows “safe secure” suction or “re-affix” suction. Limited lifetime warranty.

ITEM #

12˝ 193⁄4˝

RTL13082 E0241 RTL13084 E0241

HCPCS

SOLD BY

ea ea

PERSONAL LIVING AIDS Deluxe Handheld Shower Spray On/Off switch built into handle for easy access. Wall holder and extra-long 80˝, white, reinforced nylon hose provides extra convenience. Comes with diverter valve that allows either the regular shower head to operate or be used as a hand-held shower spray. Limited lifetime warranty.

ITEM #

12037 A9270 ea

HCPCS

SOLD BY

Deluxe Handheld Shower Massager Offers three spray options. Chrome shower arm mount and extra-long 84˝ chrome/mylar-reinforced, tangle-free hose. Adjustable massaging head. Can be used as hand-held shower spray or used in handle mount as traditional showerhead. Limited lifetime warranty.

ITEM #

RTL12045 A9270

HCPCS

SOLD BY

NORTH AMERICAN HEALTH AND WELLNESS (JII) Deluxe Toilet Safety Support Sturdy arms rise to meet the user, making it easier to sit and rise safely. Includes a handy magazine rack and slip-resistant padding at bottom. Weight capacity 300 lbs.

ITEM #

HCPCS

RET4349 E0243

SOLD BY

Bath Step Get in and out of the bath tub with ease. Modular design for secure stackability. Extra large platform. Complete textured finished top for slip-resistant safety and comfort. Rubberized feet to help prevent slipping. First step adds almost 4˝. Each additional step can go on top and adds 2˝. Design for secure stackability. 193⁄4˝ x 16˝. Platform supports up to 418 lbs.

ITEM #

JR5539 A9270

HCPCS

SOLD BY

Health+Wellness Bath Safety Bar Vertical safety grab bar mounts perpendicular to the tub to give a hand right where it’s needed. No more slipping, straining or worrying. Steel construction with vinyl coating and protective rubber cushion on the inside to prevent scratches to tub enamel. Screw clamp mounts easily and securely to tub wall without drilling. ™

ITEM #

JB2993 E0241

HCPCS

SOLD BY

ITEM #

HCPCS

Pail with lid Splash shield

6317 6319

E0167 ea A9270 ea

SOLD BY

I-Class™ Heavy-Duty Transfer Bench Sturdy, durable one-piece, blow-molded, textured, non-slip seat with drain holes. Includes a soap dish, hand-held shower holder and shower curtain opening. The reversible tool-less removable backrest is ergonomically shaped and accommodates right or left transfers. Armrail for support while bathing and transferring in and out of the tub. Non-marring, non-slip rubber tips, 1˝ anodized aluminum assembled frame will not rust. Seat-to-floor height 18˝ – 22.5˝, seat depth 18˝, seat width 33.25˝, overall height 31.25˝ – 35.75˝, clearance 14.5˝ – 19˝, overall width 30.5˝ – 31˝, overall depth 16.25˝ –17˝, nine height adjustment in 1⁄2˝ increments. Weighs 12 lbs., 400-lb. weight capacity. Three-year limited warranty.

ITEM #

HCPCS

Transfer bench With commode opening

9670 9670C

E0248 E0248

SOLD BY

ea ea

All-In-One Aluminum Commode Aluminum, rust-resistant, lightweight frame. Can be used bedside or, with backrest removed, can act as a toilet safety frame or raised toilet seat. Large 16˝ wide snap-on seat with lid for added comfort and support. Comes with commode bucket, bucket cover and splash shield. Wing nuts allow for removal of backrest when needed. 251⁄4˝ – 291⁄4˝ H x 241⁄4˝ W x 181⁄4˝ D. 350-lb. weight capacity Limited five-year warranty.

ITEM #

96504 E0163

HCPCS

SOLD BY

I·Class All-In-One Commode Lightweight frame. Comfortable, supportive, 16” wide snap-on seat with lid. Can be used bedside or acts as a toilet safety frame or raised toilet seat. 241⁄4˝ W x 291⁄4˝ H x 181⁄4˝ D. 350-lb. weight capacity. ™

ITEM #

96304 E0163

HCPCS

SOLD BY

Mariner™ Rehab Shower Chair Offers rust-resistant aluminum frame and stainless steel hardware, which makes it ideal for use in the shower. Fits over most standard and elongated bowls for over-the-toilet use. Flip-back padded arms that lock down for safety; swing-away front riggings with tool-free adjustable height footrests; and a four-position padded seat. Folds into a compact unit for storage and transport. Removable pan and pan holder. Safety strap included. 23˝ treaded urethane tire and 5˝ caster models. 39˝ H x 261⁄2˝ W x 32˝ D, 300-lb. weight capacity.

ITEM #

6895 E0240 ea

HCPCS

SOLD BY

DME / BARIATRIC

BATH SAFETY INVACARE® (INV) I-Fit™ Shower Chair Offer stability, comfort and tool-less assembly in seconds. Designed for those who require seating support when bathing or showering. Provide comfort and safety in the bathtub. Available with a composite or vinyl padded seat, shower chairs fit in most standard tubs and showers. 20˝ W x 21˝ H x 18˝ D, 400-lb. weight capacity.

ITEM #

HCPCS

Without back With back

9780 9781

E0245 E0245

SOLD BY

ea ea

Padded Vinyl Shower Chair Offers stability and comfort with a vinyl seat and back that are padded with 11⁄4˝ open-cell foam. Durable, 1˝ anodized aluminum frame will not rust. Nine height adjustments in 1⁄2˝ increments. Non-marring, non-slip rubber tips. Seat-to-floor height 17.25˝ – 22˝, seat depth 16˝, seat width 15.25˝, back height 14.75˝, overall width 19.25˝ – 19.75˝, overall depth 16.25˝ – 17˝. Weighs 9 lbs., 250-lb. weight capacity. Three-year limited warranty.

ITEM #

HCPCS

9872

E0240 ea

SOLD BY

Folding Shower Chair Provides a safe seating surface in the bathtub and can be folded for quick storage or transport. Contoured plastic seat and backrest. Built-in holder for optional hand-held shower. Durable, 1˝ anodized aluminum frame will not rust. Fixed height legs. Textured non-slip seat with drain holes. Depth folded 7.25˝, back height from seat 12˝, seat-to-floor height 17.25˝, seat depth 17˝, seat width 19.75˝, overall width at base 16.75˝, folded 19.75˝, overall depth 17.75˝, overall length folded 25.25˝. Weighs 6 lbs., 8 oz. 250-lb. weight capacity. Three-year limited warranty.

ITEM #

HCPCS

9981

E0240 ea

SOLD BY

SP ABLEWARE-MADDAK® (NV) Adjustable Transfer Bench Provides easier access for those who have difficulty getting into and out of the shower. Height-adjustable legs (16˝ – 21˝ ), removable back and arm, built-in handheld shower holder and suction feet. Overall width is 30˝. Supports up to 350 lbs. HCPCS

ITEM #

727142501 E0247

SOLD BY

Adjustable Transfer Benches with Exclusive Quick-Change Leg Design Provide easy access for those who have difficulty getting in and out of the shower or tub. Height adjustable from 16˝ – 23˝. Legs, back and arm are removable. Feature non-skid feet, a built-in soap tray, shower spray holder and slit for the shower curtain. Durable and rust-proof; 30˝ overall width. Sliding-rotating feature allows for easier transfers and greater accessibility. Stationary seat supports up to 400 lbs. Sliding-Rotating model supports 450 lbs. Easy assembly; no tools required. Made in the USA.

ITEM #

HCPCS

Stationary Bench Sliding-Rotating Bench

727142601 F727142701

E0247 E0247

Hinged Toilet Seats Features a seat riser made of two parts that are hinged together, allowing the ring to be lifted in the same manner as a regular toilet seat. Installed using the existing toilet seat so as to not appreciably change the toilet´s appearance. Elevate the seating position by 4˝ (10 cm) for easy sitting and rising. Hinged feature makes cleaning simple. Includes hardware kit. Supports up to 350 lbs. Made in the USA.

SOLD BY

ea ea

ITEM #

Standard Elongated

725711000 E0244 725711005 E0244

HCPCS

SOLD BY

ea ea

Rotating Round Shower Stool Ideal for people who have trouble standing for long periods of time, have lower extremity weakness, suffer from hip, knee or back injuries, or need assistance bathing; as well as pregnant women. Rotating seat swivels smoothly in both directions, allowing the user more freedom within the shower without the need to stand. Permits easy and safe transfers into and out of the shower stall, while reducing the chance of slipping and falling. Features a large, 16˝ seating area and legs that are adjustable in 1˝ increments, making the seat adjustable from 16˝ – 21˝ high. Nonskid feet securely grip the shower floor. At its widest, the stool is only 18˝ and the width between feet is 13˝. Conveniently sized to fit in stand-up shower stalls. Supports up to 300 lbs. Made completely of durable plastic, so there is no risk of rusting. Made in the USA.

ITEM #

727152100 E0245

HCPCS

SOLD BY

Maddak® Tall-Ette® Extra Wide Toilet Seat with Steel Frame Contoured, soft foam armrests designed to assist the user in sitting down or rising from the seat. Ideal for people who need extra assistance because of significant lower extremity weakness or poor balance. Legs are height-adjustable. Seat slides up and down the leg frames to adjust to the the toilet seat height. Adds 4˝ (10 cm) to the bowl height and eliminates the need for a commode or added toilet seat frame. Steel frame designed for bariatric use. Comes with Bolt-Down Lok-In-El Bracket and weighs 10 lbs. 231⁄4˝ x 191⁄2˝ x 131⁄2˝. 600-lb. weight capacity. 12-month parts and labor warranty.

ITEM #

HCPCS

Steel legs Aluminum legs

725882000 725881000

E0244 E0244

SOLD BY

ea ea

MOBILITY TRANSFER SYSTEMS, INC. (RI) Sani-Bag+® Commode Liner Eliminates the mess and fuss associated with cleaning a commode pail and reduces the risk of cross-contamination. Easy to use: place liner, use and toss. Fits any standard-sized commode pail. Contains a gelling agent that absorbs liquids and encapsulates solid waste, odor neutralizer and decaying catalyst. Good for three to five uses to provide secure comfort during the night. Never clean a commode pail again. Made in the USA.

ITEM #

HCPCS

SOLD BY

10 pack 100 pack 200 (10, 10 packs) Display (10, 10 packs)

65010 650100 650200 650100D

A9270 A9270 A9270 A9270

pk cs cs display

IDEAWORKS (JII) Hair Washing Tray Contoured to fit the neck comfortably and rest on the user’s shoulders for easy shampooing in a seated position. Raised edges allow water to drain into the sink. Easily cleaned with soap or household disinfectant and water. Can be used with chair or wheelchair.

ITEM #

JB4722 A9270

HCPCS

SOLD BY

DME / BARIATRIC

BATH SAFETY IDEAWORKS (JII) Swivel Shower Stool Get in and out of the tub with ease. Rotates 360° for full freedom of movement inside the tub or shower. Wash and rinse the entire body without standing. Compact size is perfect for smaller spaces. Height adjusts 17˝ – 19˝, large 16.5˝ diameter seat, supports up to 400 lbs.

ITEM #

JB5596 E0245

HCPCS

SOLD BY

NORTH AMERICAN HEALTH AND WELLNESS (JII) Long Reach Comfort Wipe The answer to personal hygiene when reaching is difficult. Ergonomic shape helps those with limited dexterity. Soft, flexible head grips toilet paper, tissue or pre-moistened wipes securely. Contains a unique release button for fast, sanitary disposal. Extends the reach 153⁄4˝ for better cleaning.

ITEM #

HCPCS

SOLD BY

JB5231 A9281

MOMMY’S HELPER (MOM) Safe-er-Grip Suction Bars Allows the user to enter a wet and slippery tub or shower safely and with confidence. Balance assist bars feature a rubberized grip surface on the underside, ensuring user’s grasp will not slip off. Flip-up – no tools required – easy-release tabs fasten and release suction cups for easy installation and removal. Fully portable, compact for traveling. Must be applied to a smooth, flat, non-porous surface, such as tub or shower walls; will not adhere over grout lines. Meant to be used as an aid – user’s full weight should not be applied to product.

ITEM #

HCPCS

16.5˝ long, Safe-er-Grip Suction Grab Bar 24˝ long, Safe-er-Grip Suction Bar 20˝ long, Safe-er-Grip Swivel Bar 11.5˝ long, Safe-er-Grip Suction Grab Bar

10255 10318 20848 S40524

E0241 E0241 E0241 E0241

SOLD BY

ea ea ea ea

PROBASICS BY PMI (ISG/PMI) ™

Deluxe All-In-One Commode Fully assembled. 1˝ gray powder-coated steel. Snap on seat and lid. Three versatile functions. Includes bucket, lid and splash guard. Adjustable 16˝ – 22˝ seat-to-floor height. Seat 14˝ x 16˝. Width between arms 19˝. Overall Width 25˝. 300-lb. weight capacity. Lifetime limited warranty.

ITEM #

(ISG)412GPC E0163

HCPCS

SOLD BY

4/cs

Bariatric Commode Features a sturdy frame and no-slip feet caps for extra stability. Padded arm rests provide added comfort. Fully adjustable legs allow use by individuals of varying heights. Great for home care agencies or hospital discharge facilities. 17˝ – 23˝ H seat to floor. Padded armrests. 450-lb. weight capacity.

ITEM #

(PMI)411 E0168

HCPCS

SOLD BY

Drop Arm Commode Gray powder-coated 1˝ steel. EZ Release drop arm allows for safe side transfer. Removable back rest. Soft hypolon armrests. Snap-on seat with lid. Bucket with lid and splash guard. Tool-free assembly. Adjustable height from 17˝ – 22˝ seat to floor. Seat: 14˝ x 16˝, width between arms 18.5˝, overall width 24˝. 300-lb. weight capacity. Two-year limited warranty.

ITEM #

(PMI)413 E0165

HCPCS

Bariatric Drop Arm Commode Drop arm for easy transfer. Heavy duty 1˝ steel construction and large comfortable snap on seat, 27.5˝ x 18.5˝. Width between arms 28˝, overall width 29˝, adjustable floor height 18-22˝. Weight capacity 650 lbs. Two-year warranty against manufacturers defects.

ITEM #

(PMI)413BAR E0168

HCPCS

SOLD BY

Bath Bench with Back & Arms Removable padded armrests provide comfort and added security. Blow-molded bench and back provide comfort and strength. Drainage holes in bench reduce slipping. Aluminum frame is lightweight, durable and corrosion proof. Tool-free assembly. Legs are height adjustable 15˝ – 20˝, seat width 16˝, seat depth 13˝, width between arms 19˝, footprint 17˝ x 14.5˝. Product weight 7.7 lbs., 300-lb. weight capacity.

ITEM #

(PMI)302 E0245

HCPCS

SOLD BY

Padded Transfer Bench with Suction Feet Tool-free assembly. Soft cushioned seat and back. Lightweight aluminum frame. Large suction cup feet. Adjustable from 21˝ – 25˝ floor to seat height, seat 24˝ W x 16˝ D, width between legs 16.5˝ D outside legs, length between legs 27.5˝ W outside legs. 300-lb. weight capacity. Two-year limited warranty.

ITEM #

(PMI)415 E0247

HCPCS

SOLD BY

2/cs

Bariatric Bath Chair with Back High-strength, aluminum frame to prevent rusting. Comfortable, blow-molded seat with integrated handles for additional support. Dual cross-brace for extra stability with extremely durable welds. 20˝ W x 161⁄2˝ – 201⁄2˝ H x 12˝ D seat dimension. Suction-cup feet secure bench in bathtub. Aircraft rivets will not loosen. Completely assembled.

ITEM #

(PMI)401 E0245

HCPCS

SOLD BY

Chrome Knurled Grab Bars Offers added security in and around the bathroom. Constructed of heavy-gauge steel for added stability with a knurled, chrome-plated finish that is rust-resistant. Mounts in a variety of angles to a wall’s structural supports, with rubber gaskets to protect the wall surface. 1˝ gripping diameter. 33⁄4˝ clearance from wall. Weighs 1 lb. Three-year warranty. 12˝ length.

ITEM #

HCPCS

SOLD BY

12˝ (PMI)5123 E0241 ea 16˝ (PMI)5163 E0241 ea 18˝ (PMI)5183 E0241 ea 24˝ (PMI)5243 E0241 ea 32˝ (PMI)5323 E0241 ea

Bariatric Bath Chair Comfortable blow-molded seat with integrated handles for additional support. Suction-cup feet secure bench in bathtub. Dual cross brace for extra stability with extremely durable welds. High-strength aluminum frame to prevent rusting. Completely assembled. Height adjustable from 16.5˝ – 20.5˝, seat is 20˝ x 12˝, overall width 18˝ x 17.5˝. Weight capacity 550 lbs. Two-year warranty against manufacturers defects.

ITEM #

HCPCS

With Back Without Back

(PMI)401 (PMI)402

E0245 E0245

SOLD BY

ea, 2/cs 2/cs

SOLD BY

DME / BARIATRIC

BATH SAFETY STANDER, INC. (STD) Curve Grab Bar Can be placed anywhere for a multipurpose grab bar. Handle rotates and locks every 45°. Makes it easy to stand from any sitting position, such as a toilet, then rotate and lock the handle to help in or out of the shower. Four hand grips make it easy to climb to a standing position. Can be pivoted out of the way when not in use. Space-saving design blends in with the look and feel of the bathroom. Five locking positions. Weight capacity: 300 lbs.

ITEM #

HCPCS

SOLD BY

9000 E0241 ea

ROLLATORS CARDINAL HEALTH™ (ZCH) LAX Lightweight Aluminum Rollator Durable, lightweight aluminum construction with ergonomically curved, padded backrest and flip-up, cushioned seat. Height-adjustable handles in 1˝ increments: 32.5˝ – 37˝. Secure bicycle-style, loop-lock handbrakes with ergonomic handgrips. Folds easily for compact storage and transportation. Wheel size: 6˝ diameter non-marring wheels designed for indoor use. Overall width: 24˝. Seat height: 21.5˝. Seat size: 13.5˝ x 10.75˝. Width between handles: 18˝. Weighs 12 lbs. with a One-year limited warranty.

ITEM #

Blue Black Burgundy

MT25BL E0143 MT25BLK E0143 MT25BG E0143

HCPCS

SOLD BY

ea ea ea

ATX All Terrain Travel Rollator Durable, steel construction with a soft cushioned seat and an ergonomically curved backrest. Includes large 71⁄2˝ diameter non-marring tires for better maneuverability for both indoor and outdoor use, and on uneven or rough surfaces. Easy to assemble and folds with ease for storage and transport. Loop-lock brakes are easy to push and lock in place for secure seating. Seat measures 13.5˝ x 12˝. 18˝ width between handle bars. Fits users approximately 5'4˝ – 6'3˝. Weighs 19 lbs. One-year limited warranty.

ITEM #

HCPCS

Blue Black

KDBL KDBLK

E0143/E0156 ea E0143/E0156 ea

SOLD BY

DRIVE/DEVILBISS HEALTHCARE (FG) Aluminum Rollator with Fold Up and Removable Back Support 6˝ black, non-marring casters with soft grip tires are ideal for indoor and outdoor use. Seamless padded seat (14˝ x 14˝) with zippered pouch underneath. Removable, hinged, padded backrest can be folded up or down. Includes carry pouch. 6˝ casters with easy-to-use loop locks. Ergonomic handles are easy to grip and height-adjustable. Cerated brakes. 300-lb. weight capacity. Limited lifetime warranty.

ITEM #

HCPCS

Blue Red Silver

R726BL R726RD R726SL

E0143, E0156 E0143, E0156 E0143, E0156

SOLD BY

ea ea ea

Aluminum 71⁄2˝ Wheel Rollator Large, non-marring 7.5˝ casters are ideal for indoor and outdoor use. Removable, hinged, padded backrest can be folded up or down as necessary. Handles are adjustable in height range 33˝ – 38˝. Easy-to-use loop locks. Includes a 14˝ x 12˝ padded seat at 23˝ height from floor and a zippered pouch under seat. Weighs 14 lbs. with a 300-lb. weight capacity. Limited lifetime warranty.

ITEM #

HCPCS

Blue Red

R728BL R728RD

E0143, E0156 E0143, E0156

SOLD BY

ea ea

Adjustable Height Seat Aluminum Rollator Universal height adjustment on frame allows seat height to be adjusted from 18˝ – 22˝ in 1˝ increments. Comes with seamless padded seat with zippered pouch under seat for added privacy and security of personal items. Removable, hinged padded backrest can be folded up or down. Includes 6˝ casters with offset castor journals to provide strength. Easy-to-use deluxe loop locks. Brakes with serrated edges provide firm hold. Ergonomic handles are easy to grip and are adjustable in height from 31˝ – 37˝ with self-threading knob. Measures 27˝ L x 22˝ W. Weighs 20 lbs. with a 300-lb. weight capacity.

ITEM #

Blue Red

RTL10261BL E0143 RTL10261RD E0144

HCPCS

SOLD BY

ea ea

Steel Rollator with 71⁄2˝ Casters The backrest can be folded up and down, and can also be removed for easier transport. Comes with a basket to store personal belongings. Durable steel frame. 71⁄2˝ non-marring casters are ideal for indoor and outdoor use. Easy-to-use deluxe loop locks; lever allows for independent handle height from 31˝ – 37˝. Measures 25.5˝ L x 23.5˝ W. Weighs 20 lbs. with a 300-lb. weight capacity.

ITEM #

Blue Red

10257BL1 E0143 10257RD1 E0143

HCPCS

SOLD BY

ea ea

INVACARE® (INV) Invacare Bariatric Rollator Height adjustable ergonomic handles with easy-to-operate hand brakes that lock the rear wheels. Wide, deep durable steel construction frame with reduced overall width designed to fit easily through standard household doorways. Flip-up 2˝ foam padded seat 18˝ W x 14˝ D with zipper compartment underneath and spacious pouch for storage of valuables. Removable straight padded backrest. Folds for ease of storage and transport. Height adjusts 33.75˝ – 38˝. Patient height 5’8 – 6’5”. Width inside hand grips 22˝, width inside legs 20.25˝, base width 27˝, base depth 29.5˝, depth folded 20˝, seat-to-floor height 22˝, wheels 7.5˝ x 2˝ solid. Product weighs 26 lbs., weight capacity 500 lbs. Five-year limited warranty on brakes, One-year warranty on components, none on tires/wheels. ®

ITEM #

HCPCS

INV66550

E0149, E0156

SOLD BY

PROBASICS™ BY PMI (PMI) Flame Finish Aluminum 6˝ Wheel Rollator Lightweight, adjustable height handles, easy squeeze brakes, 6˝ polyurethane tires. Push-button removable, padded backrest bar. Easy folding for storage and transportation. Comfortable molded hand grips. Flip-up padded seat for easy access to removable storage pouch. Handle height 31.5˝ – 35.5˝, distance between handles 18˝, seat-to-floor height 21.75˝, width 12˝, depth 14˝, overall 24˝ x 24.5˝. Product weighs 14 lbs., 300-lb. weight capacity. Three-year warranty on the frame, One-year warranty on the seat.

ITEM #

HCPCS

Red/Black flame Silver/Black flame Fushia/Black flame Blue/Black flame

(PMI)1037 (PMI)1037BLK (PMI)1037F (PMI)1037BL

E0143, E0156 E0143, E0156 E0143, E0156 E0143, E0156

SOLD BY

ea ea ea ea

DME / BARIATRIC

ROLLATORS

SHEEPSKIN RANCH, INC. (SHP)

PROBASICS™ BY PMI (PMI)

Genuine Sheepskin Accessories Ideal for active people using four-wheeled walkers. The hands are soothed and thumbs rest comfortably with sheepskin handgrips. The sheepskin backrest cover fits over padded backrests and provides extra cushioning. This eliminates the “bar in the back” discomfort. The 16˝ x 18˝ seat pad provides ample coverage and is fully adjustable with metal slides. All kit items are 100% washable and may be purchased individually.

Flame Finish Aluminum 8˝ Wheel Rollator Durable, lightweight aluminum frame has easy squeeze, locking loop brakes and a comfortable, rounded, padded backrest that is easily removable with a simple push button. 8˝ polyurethane wheels easily roll on carpet. Soft pouch included, sits under the seat. Folds easily for transport and storage. Seat-to-floor height 22˝, seat 13˝ x 13˝, width between handles 18˝, height adjusts 32˝ – 36˝, fits users approx. 5´4˝ – 6´2˝. Product weighs 16 lbs., 300-lb. weight capacity. Three-year limited warranty.

Blue flame, 5´4˝ – 6´2˝ Burgundy flame, 5´4˝ – 6´2˝

ITEM #

HCPCS

(PMI)1032BL (PMI)1032BUR

E0143, E0156 E0143, E0156

SOLD BY

ea ea

Junior Flame Finish Aluminum Rollator Easy fold seat, 13˝ x 13.5˝. Lightweight aluminum, weighs just 12 lbs. Removable padded backrest. Adjustable height 29˝ – 34˝, width wheel to wheel 23˝. Seat-to-floor height 19˝. 250-lb. weight capacity. Three-year warranty on the frame, one-year warranty on the seat and brakes.

ITEM #

HCPCS

Burgundy flame Blue flame

(PMI)1028BUR (PMI)1028BL

E0143, E0156 E0143, E0156

SOLD BY

ea ea

Bariatric Rollator Features locking loop brakes, large 19˝ x 13˝ padded seat and large storage pouch. Padded back rest can be folded up or removed. Adjustable handle height 33.5˝ – 38.5˝, width between handles 23.5˝, seat-to-floor height 22˝, overall width 25˝. Provides added stability with 8˝ diameter tubes with five ribs and durable welded aluminum frame. Product weight: 19.4 lbs., weight capacity 400 lbs. Three-year warranty.

ITEM #

Burgundy (PMI)1033 Black (PMI)1033BK

HCPCS

E0149, E0156 E0149, E0156

SOLD BY

ea ea

ROSCOE MEDICAL, INC. (FU) Transport Rollator with Padded Seat and Basket Provides the security of a wheeled rollator combined with the convenience of a companion transport chair for short trips. Equipped with flip-up footrests, an individual can be pushed safely by a caregiver. Large 8˝ wheels with wheel locks are perfect for indoor and outdoor use. Fold-down footrests make transporting a patient easy. Locking, easy-to-use, loop-style brakes. Ergonomic handles are easy to grip and adjustable in height. Padded seat with easy-folding system. Curved padded backrest with push handle. Handy wire basket for storage. Limited lifetime warranty on frame. 343⁄4˝ – 39˝ adjustable handle height. 8˝ wheels. 250-lb. weight capacity.

ITEM #

HCPCS

SOLD BY

Burgundy Blue

30192 E0143 ea 30194 E0143 ea

Bariatric Rollator with Padded Seat Made with an extra-strength, reinforced aluminum frame designed for those up to 400 lbs. The 8˝ wheels provide improved mobility for indoor and outdoor use. Comfort is not sacrificed as both the extra-wide, flip-up padded seat and straight padded backrest are standard, as well as a handy storage pouch. An easy-folding mechanism, reliable loop-style brakes and a durable finish. Ergonomic handles are easy to grip and adjustable in height. Limited lifetime warranty on frame. 90-day warranty on all other parts. 28˝ H x 18˝ W x 131⁄2˝ D. 400-lb. weight capacity.

ITEM #

HCPCS

Burgundy Blue

30196 30198

E0149/E0156 ea E0149/E0156 ea

SOLD BY

ITEM #

HCPCS

Kit Backrest Cover Seat Pad Handgrips

106 107 111 120

E0189 ea E0189 ea E0189 ea E0189 2/pk

SOLD BY

WALKERS CARDINAL HEALTH™ (ZCH) * Not made with natural rubber latex.

Two-Button Folding Walker* Two-button release for easy folding, compact storage and lateral access. Molded soft foam handgrips. Slip-resistant rubber tips. Steel cross brace provides additional rigidity. Constructed of strong, lightweight 1˝ anodized aluminum tubing. Dual release folding mechanism allows walker sides to fold independently. Adjustable height in 1˝ increments: 32˝ – 39˝. Overall width: 22.8˝. Folded width: 4.38˝. Width between handles: 17˝. Weight: 6 lbs. 300-lb. weight capacity. One-year limited warranty. Silver.

ITEM #

1050 E0135 ea

HCPCS

SOLD BY

Two-Button Folding Walker with 5˝ Wheels* Two-button release for easy folding, compact storage and lateral access. 5˝ front non-swivel wheels. Slip-resistant rubber tips on rear legs. Adjustable height in 1˝ increments: 32˝ – 38˝. Molded soft foam handgrips. Steel cross brace provides additional rigidity. Constructed of strong, lightweight 1˝ anodized aluminum tubing. Adjustable height: 32.5˝ – 39.5˝. Overall width: 25.75˝ – 26.38˝. Folded height: 4.88˝. Width between handles: 17˝. Weight: 6.75 lbs. 300-lb. weight capacity. One-year limited warranty. Silver.

ITEM #

1060 E0143 ea

HCPCS

SOLD BY

5˝ Fixed Walker Wheel Kit* Includes a pair of 5˝ wheel front extensions for extra stability and glide tips that attach for rear legs for smooth and constant gliding.

ITEM #

9057 E0155 pr

HCPCS

SOLD BY

CAREX® (RM) Adult Dual Paddle Walker with Wheels and Glides 5˝ wheels for smooth, easy movement. Glides have three points of contact for better stability and longer wear. Height adjust up to 373⁄4˝ with 300-lb. weight capacity.

ITEM #

A84790 E0143

HCPCS

SOLD BY

Canvas Walker Baskets Attractive and functional; collapse for easy travel and storage. Generous capacity holds personal belongings. Includes a handy elastic strap to hold items upright. Fits most walkers and attaches quickly and easily without tools. 161⁄2˝ W x 71⁄4˝ H x 6˝ D.

ITEM #

A82900 A9270 6/cs

HCPCS

SOLD BY

DME / BARIATRIC

WALKERS

INVACARE® (INV)

CAREX® (RM)

Invacare® I-Class™ Dual-Release Adult Walker Ergonomic folding mechanism is easy to reach from sitting position. Comfortably shaped paddles “pop up” when walker is opened. Nylon paddles resist cracking or shattering. Patented anti-rattle silencers provide quieter operation. Folds easily to 4˝ deep for transport or storage. 300-lb. weight capacity. Five-year limited warranty.

NEW Walker Basket with Tray Basket comes with a handy tray and cup insert to prevent items from spilling or slipping through the basket. Fits most walkers.

ITEM #

A82500 A9270

HCPCS

SOLD BY

DRIVE/DEVILBISS HEALTHCARE (FG) Deluxe Folding Walker – Two Button with 5˝ Wheels Easy push-button mechanisms may be operated by fingers, palms or side of hand. Each side operates independently to allow easy movement through narrow spaces and greater stability while standing. Sturdy, 1˝ diameter, anodized, extruded aluminum construction ensures maximum strength while remaining lightweight. Vinyl-contoured hand grip. Includes rear glide caps, allowing use on all surfaces. 350-lb. weight capacity. Limited lifetime warranty.

ITEM #

Junior Adult

102114 E0143 102104 E0143

HCPCS

SOLD BY

ea ea

Deluxe Folding Walker – Two Button Easy push-button mechanisms may be operated by fingers, palms or side of hand. Each side operates independently to allow easy movement through narrow spaces and greater stability while standing. Unique U-shape frame design creates greater clearance. The patient is able to bring the walker closer to assist in standing. Sturdy, 1˝ diameter, anodized, extruded aluminum construction ensures maximum strength while remaining lightweight. Vinyl-contoured hand grip. 350-lb. weight capacity. Limited lifetime warranty.

ITEM #

Junior Adult

102014 E0135 102004 E0148

HCPCS

SOLD BY

ITEM #

HCPCS

Without wheels With wheels

102202 102202WW

E0147 E0149

SOLD BY

ea ea

Deluxe Trigger Release Folding Walker with 5˝ Wheels Trigger-release feature allows the user to close the walker without removing their hands from the handle and is ideal for individuals with limited finger dexterity. Trigger release can be reached with hands of all sizes. Durable, composite trigger release resists cracking and breaking. Sturdy 1˝ diameter anodized, extruded aluminum construction ensures maximum strength while remaining lightweight. Replacement 5˝ wheels (Item #10109). Includes rear glide caps, allowing use on all surfaces. Patented. Limited lifetime warranty. 350-lb. weight capacity.

ITEM #

Adult Junior

102264 E0144 102274 E0143

HCPCS

SOLD BY

ea ea

Ski Glide, White Easily added to walker. Durable composite construction ensures long life. Ideal on most surfaces. For use with all Drive/Devibiss Healthcare and most leading manufacturers’ walkers. For 1˝ folding walkers.

ITEM #

10110 E1399

HCPCS

SOLD BY

HCPCS

SOLD BY

ea ea ea ea ea ea

I-Class™ Dual-Release Heavy Duty Walker All the features of the Dual-Release Lightweight Walker with a wide, deep frame that supports a weight capacity of 500 lbs. Also features convenient, ergonomic paddle release mechanism that allows it to open and close easily, ideal for users with dexterity issues. Walker is lightweight, stable and easy to maneuver. Folding mechanisms are easy to reach from a seated position. Compatible with all Invacare® walker leg accessories. Five-year limited warranty. Weight capacity: 500 lbs.

ITEM #

HCPCS

SOLD BY

303⁄8˝ – 373⁄8˝ 6291HDA E0148

WALKER ACCESSORIES Platform Attachment for Walkers Fits most walkers including adult and junior/youth sizes easily without tools. Thick, vinyl-covered pad with heavy-duty Velcro® strap securely holds arm in place on walker. Flexible foam handle grip reduces strain. 300-lb. weight capacity. Five-year limited warranty.

ea ea

Bariatric Folding Walker – Two Button Aluminum folding walker with wider and deeper frame design, and heavy-duty wheels for bariatric use. Steel legs and side braces. Precision design provides additional strength while adding minimal weight. Easy push-button mechanism. Each side operates independently. Vinyl-contoured hand grip. Wide width is 27˝ with a 23˝ depth. Weighs 11 lbs. with a 500-lb. weight capacity.

ITEM #

Adult single 5´3˝ – 6´4˝, 303⁄8˝ – 373⁄8˝ 62911 E0135 Adult 5´3˝ – 6´4˝, 303⁄8˝ – 373⁄8˝ 6291A E0135 Adult with 5˝ wheels 5´6˝ – 6´6˝, 33˝ – 39˝ 62915F E0135 Junior with 5˝ wheels 4´4˝ – 5´8˝, 27˝ – 33˝ 6291JR5F E0135 Adult with 3˝ wheels 5´3˝ – 6´4˝, 31˝ – 37˝ 62913F E0135 Junior with 3˝ wheels 4´4˝ – 5´7˝, 26˝ – 32˝ 6291JR3F E0135

ITEM #

HCPCS

6027

E0154 ea

SOLD BY

Invacare® Court-Side Glides™ Attachment Durable walker glide tip that is long-lasting, safe, easy to install and provides a smooth glide experience. Install in seconds on fixed-wheel walkers. Specially designed housing allows the ball to be manually rotated to unworn areas so it lasts longer. Spring-loaded brakes allow intermittent braking during ambulation for additional security. Lock-out clips to lock out brakes for pure gliding. Tennis balls pop in and out for quick and effortless replacement.

ITEM #

HCPCS

6290

E1399 2/pk

SOLD BY

Swivel Wheels with Glide Tips In addition to having the benefits of fixed-wheel attachments, swivel-wheel mounts allow the wheels to turn in a complete circle. This makes the walker easier to maneuver in confined areas such as elevators, apartments and retail stores. Swivel wheel attachments add 4.25˝ to the height of a walker. Five-year limited warranty.

ITEM #

HCPCS

5˝ 3˝

6267 6272

E0155 pk E0155 4/pk

SOLD BY

Fixed Wheels with Rear Glide Tips Help users perform daily activities with less effort and fewer steps. Wheel rims made of durable, easy-to-clean polypropylene; tires made of thermoplastic rubber for increased durability. Both wheels and bearings are corrosion-protected. 300-lb. weight capacity. Use 13˝ extension for maximum adjustability. Five-year limited warranty. 3˝ wheels roll freely and quietly over smooth, clean surfaces. 5˝ wheels provide more cushioning and improved maneuvering over uneven surfaces.

ITEM #

HCPCS

3˝ Wheels 5˝ Wheels

6270 6271

E0155 E0155

SOLD BY

2/pk 2/pk

DME / BARIATRIC

WALKERS INVACARE® (INV) NEW Walker Tray Fold Down Offers a 5-lb. weight capacity and is ideal for storing valuables while using Invacare walkers. Fold-down tray features cup and utensil holders. Raised edges prevent spills and rounded corners are easy to clean. One-year limited warranty.

ITEM #

6002 E1399 ea

HCPCS

SOLD BY

NORTH AMERICAN HEALTH AND WELLNESS (JII) Walker Tray Makes carrying dinner, magazines and crafts easy. Turns any standard walker into a TV/transport tray. Two recessed cup holders secure beverages. Raised edges prevent spills. 203⁄4˝ W x 153⁄4˝ L x 1˝ H. HCPCS

ITEM #

JB4790 E1399

SOLD BY

PENCO MEDICAL (PNC) WALKERBALLS Help increase mobility by allowing walkers with front wheels to glide effortlessly on most surfaces. Specially designed hollow balls are pre-cut for easy installation on most walker legs, regardless of the diameter of the leg tubing. Offered in a variety of colors for personalization of the walker. Walker balls are recommended for indoor use. ®

HCPCS

ITEM #

Gray Dark Blue

400001 E1399 400007 E1399

SOLD BY

ITEM #

3010 E1399 pr

Sure Lever Release™ Trigger Walker Lightweight walker with 1˝ anodized aluminum construction. Dual lever release offers individuals easy folding while holding onto walker. Dimensions: overall width 22˝, overall depth 19˝, width between grips 18˝, height adjustable from 32˝ – 39˝, fits users approximately 5´4˝ – 6´6˝. 300-lb. weight capacity. Five-year warranty against manufacturer’s defects.

ITEM #

HCPCS

Flame blue cross bar Without wheels

(PMI)1085BL (PMI)1080

E0135 E0135

ITEM #

(PMI)1050GWY E0135

HCPCS

SOLD BY

ITEM #

With dual wheels

(PMI)1090 E0148 (PMI)1091 E0149

HCPCS

SOLD BY

ea ea

Steerable Knee Walker Perfect aid for those with ankle or foot conditions such as surgery, breaks, sprains, amputation and ulcers. Folds easily for storage and transportation. Handle and kneepad height are independently and easily adjustable. Tight turning radius for easy maneuverability. Easy-squeeze dual-lever brakes. Durable steel frame. 71⁄2˝ front and rear wheels. Soft, molded knee pad. Removable wire storage basket included. Three-year warranty on the frame, one year on the seat and brakes. 31˝ x 16˝ with 14˝ L x 6˝ W x 23˝ H knee pad, 32˝ – 413⁄4˝ height handle, 300-lb. weight capacity.

ITEM #

(PMI)1030 E0118

HCPCS

SOLD BY

HERMELL PRODUCTS (HF) Set of Imitation Shearling Walker Grips Two layers of soft, washable, imitation shearling cushion the grip. Attach easily to any walker with hook-and-loop tape closure. Sold as a pair.

SOLD BY

PROBASICS™ BY PMI (PMI)

Bariatric Walker Easy to use, push-button mechanisms that may be operated by fingers, palm or side of hand. Each side operates independently to allow easy movement through narrow spaces and greater stability when standing up. Front cross-braces are located near top of walker to allow full stride. Sturdy, 1˝ aluminum tubing provides stability, while remaining lightweight. 20˝ width between handgrips. Folds to a slim 41⁄2˝ for easy transportation and storage. 30˝ – 431⁄2˝ height adjustment, 500-lb. weight capacity.

pr pr

Penco Universal Walker Glides Designed to fit front-wheeled walkers with 1˝ to 11⁄8˝ tubing diameter. Features a self-fitting mechanism for easy installation. Made of durable, high density resin for use on all walking surfaces. The “ski” design allows for easy movement over thresholds and slight elevation changes without snagging or the need to lift the walker. The self-fitting mechanism and stainless steel tightening bolt keep the glides safe and secure. Installation instructions included. Packaged in a four-color box with hang tag. Made in USA. HCPCS

Youth Two-Button Folding Walker Silver, 1˝ anodized aluminum frame construction provides superior strength and support. Dual-release folding mechanism allows walker sides to fold independently, making it an extremely portable walker and easy to store anywhere. The easy-to-use red button release allows simple folding by fingers, palms or the sides of the hand, making it the perfect walking aid for users with arthritis who may struggle with smaller buttons. 25˝ – 32˝ adjustable height, 300-lb. weight capacity.

ITEM #

MJ5010 E1399

HCPCS

SOLD BY

SHEEPSKIN RANCH, INC. (SHP) Sheepskin Walker Hand Grip Cover Grips tightly around the handgrip, providing extra cushioning for a softer grasp. Easily put on and removed with Velcro® fastener.

ITEM #

HCPCS

5˝ x 5˝

120

E1399

SOLD BY

2/pk

SOLD BY

ea, 4/cs ea

DME / BARIATRIC

WALKERS

KNEE SCOOTER

STANDER, INC. (STD)

Steerable Knee Scooter* Ideal for individuals recovering from foot surgery, breaks, sprains, amputation and ulcers of the foot. Padded leg pad provides comfort. Durable steel frame with silver vein finish. Tool-free height adjustment. Removable discreet storage pouch with Velcro®-lock strapping. 8˝ casters are ideal for indoor/ outdoor use. Deluxe breaking system.

EZ Fold-N-Go Walker When folded, this contemporarylooking walker is about four times smaller than the average walker. Fits in small spaces, like an airplane overhead bin or a tiny car trunk. Unique design allows it to open and fold up effortlessly. To fold, raise the easy-release lever with one hand and the walker collapses. To open, slide the handles apart. Lightweight but sturdy and strong, supporting up to 400 lbs. Innovative height-adjustment feature adjusts to accommodate users 4´10˝ – 6´8˝. 6˝ swivel wheels and rear easy-glide feet. Weighs 8 lbs.

ITEM #

HCPCS

Cobalt Blue Regal Rose Black Walnut

4300CB 4300RR 4300BW

E0143 E0143 E0143

SOLD BY

ea ea ea

CANES / CRUTCHES * Not made with natural rubber latex.

CANES / CRUTCHES J-Hook Adjustable Height Cane* Anodized aluminum finish with a soft cushioned hand grip. Easy push-button height adjustment in 1˝ increments from 29˝ – 38˝. Fits users 4´5˝ – 6´5˝. Uses 5 ⁄8˝ replacement tips.

ITEM #

Black Silver Bronze

CNR0014 E0100 ea CNE0015R E0100 ea CNE118BRZR E0100 ea

HCPCS

SOLD BY

Offset Adjustable Height Cane* Anodized aluminum finish with a soft cushioned hand grip. Easy push-button height adjustment in 1˝ increments from 31˝ – 40˝. Fits users 4´6˝ – 6´6˝. Uses 3 ⁄4˝ replacement tips. Black.

ITEM #

CNE0014 E0100 ea

HCPCS

SOLD BY

Push-Button Adjustable Crutches* Easy to adjust height with simple push-button adjustment. Thermo Plastic Rubber underarm pads and handrests provide a softer, more comfortable feel that is more durable and easier to clean than rubber. Patient height guide on crutch for easy, accurate adjustment. Constructed of lightweight, anodized aluminum with a solid one-piece crutch frame; and contoured, non-rotating handgrips. ITEM #

Youth, fits users 52˝ – 62˝ in height CA801YTH Adult, fits users 62˝ – 70˝ in height CA901AD Tall, fits users 70˝ – 78˝ in height CA801TL

HCPCS

E0114 E0114 E0114

SOLD BY

pr pr pr

Cardinal Health™ Crutch Accessories*

ITEM #

HCPCS

Replacement crutch hand grips Replacement crutch pads Replacement crutch tips Crutch replacement kit

CACG1015R CZCP20028R CACT20027R CACK20026R

E1399 E0014 A4637 E1399

ITEM #

ZCHCWAL240KS E0118

HCPCS

SOLD BY

ALEX ORTHOPEDIC, INC. (MNT) Portable Folding Seat Cane A sturdy, lightweight seat that can also be used as a cane. Features foam grip handles, matte bronze finish and a comfortable fabric seat. Seat height: 21˝. Walking height: 34˝. Weight: 2 lbs. 250-lb. weight capacity.

ITEM #

HCPCS

82102

E0105 ea

SOLD BY

Tri-Seat Adjustable Seat Cane Lightweight aluminum seat that can also be used as a cane. Foam grip handle and attractive matte bronze finish. Seat height 18˝ – 21˝. Walking height 34˝ – 38˝. 250-lb. weight capacity. Product weighs 2 lbs.

CARDINAL HEALTH™ (ZCH)

SOLD BY

pr pr pr pr

ITEM #

HCPCS

82002

E0105 ea

SOLD BY

Tourist Handle Wood Canes Traditional wood walking cane, made of solid wood with a replaceable 18-mm rubber tip. 36˝ – 37˝ and may be cut down to the correct size. 250-lb. weight capacity.

ITEM #

HCPCS

Walnut Black Rosewood Natural Spiral Walnut Spiral Rosewood

03001 03002 03003 03004 03021 03023

E0100 ea E0100 ea E0100 ea E0100 ea E0100 ea E0100 ea

SOLD BY

Fritz Handle Wood Canes Solid wood cane with a metal collar where the handle joins the shaft. The canes are 36˝ – 37˝ with a replaceable 18-mm rubber tip. May be cut down to the correct size. 250-lb. weight capacity.

ITEM #

HCPCS

Brown Black Ladies Black Natural Rosewood

05010 05015 06015 05014 51519

E0100 ea E0100 ea E0100 ea E0100 ea E0100 ea

SOLD BY

Lucite Canes Made of clear Lucite with a Fritz or Contour handle. Elegant canes are 36˝ – 36.5˝ in height with a replaceable 22-mm rubber tip and may be cut down to the correct size. 250-lb. weight capacity.

ITEM #

HCPCS

Contour Left Contour Right Fritz

12251 12252 12254

E0100 ea E0100 ea E0100 ea

SOLD BY

DME / BARIATRIC

CANES / CRUTCHES ALEX ORTHOPEDIC, INC. (MNT) Small Base Quad Cane Features an aluminum shaft with a welded, four-point, 6˝ x 8˝ steel base and replaceable rubber tips. Height adjustable in 1˝ increments from 30˝ – 39˝. Handle is offset with a comfortable Hypalon® grip. 300-lb. weight capacity.

ITEM #

HCPCS

Straight Adjustable Cane Patriotic Collection Aluminum cane with a solid maple handle. Height adjustable from 31˝ – 40˝. Each cane has its service branch colors, emblem, name and motto. 300-lb. weight capacity. *Special order item.

SOLD BY

Black 51000 E0105 ea Celestial 10810 E0105 ea Canterbury 10811 E0105 ea Summer Garden 10812 E0105 ea

ITEM #

HCPCS

Air Force Army Navy Coast Guard Marines American Patriot

15280* 15281* 15282* 15283* 15284* 15285*

E0100 E0100 E0100 E0100 E0100 E0100

SOLD BY

ea ea ea ea ea ea

ALEX DESIGNER CANE PATTERNS

Derby Handle Wood Canes Solid wood cane with a metal collar where the handle joins the shaft. The canes are 36˝ – 37˝ with a replaceable 18-mm rubber tip. May be cut down to the correct size. 250-lb. weight capacity.

ITEM #

HCPCS

Brown Rosewood

5011 5019

E0100 ea E0100 ea

SOLD BY

Offset Handle Aluminum Canes Features Hypalon® grip, safety locking silencer and wrist strap. Push-button height adjustment in 1˝ increments from 31˝ – 40˝. Easily replaceable 18-mm tips. 300-lb. weight capacity.

ITEM #

Celestial Canterbury Paisley Butterfly Summer Garden Blue Peacock Camouflage Black Bronze Silver Leopard Casino Compass Rose Red Hat Cats Green Paisley Mauve Floral Black Sparkle Champagne Sparkle

10910 E0100 10911 E0100 21005 E0100 21007 E0100 10912 E0100 21163 E0100 21164 E0100 21031 E0100 21032 E0100 21033 E0100 10922 E0100 10931 E0100 21006 E0100 21161 E0100 21162 E0100 21165 E0100 21141 E0100 21200 E0100 21226 E0100

HCPCS

SOLD BY

ea ea ea ea ea ea ea ea ea ea ea ea ea ea ea ea ea ea ea

Folding Travel Canes Strong, lightweight aluminum cane with solid maple handle and durable rubber tip. Folds into compact 11˝ x 5˝ plastic carry case (included). Adjustable height from 33˝ – 37˝. 250-lb. weight capacity.

ITEM #

HCPCS

Black Bronze Mauve Floral Paisley Compass Rose Butterfly Celestial Red Hat Blue Peacock Canterbury Summer Garden

10501 E0100 10503 E0100 10505 E0100 10506 E0100 10507 E0100 10510 E0100 11044 E0100 11061 E0100 11063 E0100 10911 E0100 10912 E0100

Walking Cane for the Blind This is used only for feel, to enhance the mobility of blind individuals. It is 59˝ long with a grip and wrist strap, and folds for convenient storage. Red and white. ITEM #

69000 E0100

HCPCS

SOLD BY

Cane Accessories Ice grip provides added safety for icy surfaces and attaches to the bottom of cane.

ITEM #

HCPCS

Ice Grip

04002

A4637

SOLD BY

Cane Stay Secures cane on any table or counter top. Lean cane against any wall or pole. Works on all standard canes.

SOLD BY

ea ea ea ea ea ea ea ea ea ea ea

ITEM #

99500 A4637 ea

HCPCS

SOLD BY

Suspension Tri-Tip This innovative tip secures to any 18-mm or 16-mm aluminum cane shaft by replacing the standard tip. The tip provides added security maintaining uniform ground contact by flexing and rotating 360 degrees at the tip. It also provides a level of shock absorption not found with ordinary cane tips.

ITEM #

99080 A4637 ea

HCPCS

SOLD BY

DME / BARIATRIC

CANES / CRUTCHES

MOBILITY TRANSFER SYSTEMS, INC. (RI)

CAREX® (RM)

Knee Sling for Walker Converts any standard wheeled and non-wheeled walker to a knee walker in seconds. Resting platform has a foam pad that is comfortable and reduces pressure on the leg. Does not need to be removed when transporting or storing the walker. Made in the USA. Water resistant. 300-lb. weight capacity.

CRUTCH, CANE & WALKER ACCESSORIES Crutch Tips Designed to provide skid-resistant traction. The extra tread improves durability. Fit most crutches.

ITEM #

HCPCS

SOLD BY

Standard X-Large

A71500 A4637 A95200 A4637

pr pr

Black Replacement Tips Provide skid-resistant traction for cane tip replacement; made of 100% natural rubber and are metal reinforced.

ITEM #

HCPCS

Fits 3⁄4˝ canes Fits 5⁄8˝ canes Fits 7⁄8˝ canes Fits 1˝ canes

A71800 A71700 A71900 A72000

A4637 A4637 A4637 A4637

ITEM #

HCPCS

SOLD BY

A70800 A4637

6050 A9270 ea

ITEM #

Black Burgundy

ROSKSB E0118 ROSKSBG E0118

ITEM #

104018 E0110 104008 E0114 104028 E0114

HCPCS

SOLD BY

pr pr pr

HERMELL PRODUCTS (HF) Set of Imitation Shearling Crutch Covers and Grips Imitation shearling adds a soft, washable cushion to armrest and handgrips on any crutches. Sold as a set of one pair armrest covers, one pair handgrips.

ITEM #

MJ5017 E1399

HCPCS

SOLD BY

MEDLINE (GU) NEW Guardian Quad Cane Tip Heavy-duty, rubber tips are reinforced with a metal insert for longer wear. Comes with a special tread for skid resistance and secure traction. Contains four tips per package. Heavy-duty, rubber tip is reinforced with a metal insert for longer wear. Special tread for skid resistance and secure traction. ITEM #

HCPCS

⁄8˝ diameter, gray, heavy-duty rubber 1 ⁄2˝ diameter, gray, heavy-duty rubber

02172 2162

A4637 A4637

SOLD BY

4/bx 4/bx

ea ea

Victory® 9 Features one-hand feather touch disassembly, wraparound delta tiller, 300-lb. weight capacity, a per charge range up to 13 miles and a maximum speed up to 5.25 mph. Standard features include, 9˝ solid tires, LED lighting package, backlit battery gauge and a front basket. Available in Viper Blue and Candy Apple Red.

ITEM #

3-wheel 4-wheel

SC609 K0800 SC709 K0800

HCPCS

SOLD BY

ea ea

Victory® 10 LX with CTS Suspension Offers Comfort-Trac Suspension (CTS) the next generation in mobility scooter ride comfort. Industry first technology incorporates advanced suspension components for improved absorption over rough surfaces and various terrains. Standard features included one-hand feather touch disassembly, high-back 18˝ x 18˝ seat, light package, delta tiller with wraparound handles, front basket, solid tires, a 400-lb. weight capacity, maximum speeds up to 5.6 mph, a per charge range up to 16.16 miles. Available in Candy Apple Red and True Blue.

ITEM #

S710LX K0801

HCPCS

SOLD BY

Go-Go Elite Traveller 3-Wheel Scooter The compact design allows user to easily maneuver in tight spaces while providing stable outdoor performance. With a 300-lb. weight capacity, charger port in tiller, one-hand feather-touch disassembly, per charge range up to 10.4 miles and maximum speeds up to 4 mph. Standard with Red and Blue interchangeable shrouds. ®

SOLD BY

PRIDE MOBILITY PRODUCTS® CORP (18)

CRUTCHES

Youth Adult Tall adult

HCPCS

SCOOTERS

DRIVE/DEVILBISS HEALTHCARE (FG)

SOLD BY

Features a contemporary style frame with a large contoured padded knee platform for maximum comfort. With an eight-hole stem, it adjusts in patient height range from 4´11˝ – 6´6˝. A great crutch alternative. 350-lb weight capacity.

Aluminum Crutches with Accessories Lighter than wood, the standard aluminum crutch provides stability and durability. Double extruded center tube provides additional strength to weight-bearing area. Push-pin adjustment makes it easy to adjust crutch height in 1˝ increments. Non-skid, jumbo vinyl-contoured tips provide excellent traction. Easy wing nut adjustments for hand grips. Comfortable, durable accessories are latex-free. 350-lb. weight capacity on aluminum crutch. Limited lifetime warranty.

HCPCS

ROSCOE MEDICAL, INC. (FU)

12/pk 12/pk 12/pk 12/pk

ITEM #

Knee Scooter

SOLD BY

Self Standing Cane Tip Place cane tip on existing cane and it will be able to stand by itself. Made of sturdy, non-slip rubberized material, and will not leave black marks on floor surfaces. Fits all 3⁄4˝ and 7⁄8˝ cane shafts.

ITEM #

3-wheel 4-wheel

SC40E K0800 SC44E K0800

HCPCS

SOLD BY

ea ea

Go-Go Sport® Delivers high-performance and convenience on-the-go. With a 325-lb. weight capacity, charger port in the tiller, standard front LED lighting, per charge range up to 12.7 miles and a maximum speed up to 4.7 mph. Standard with Red and Blue interchangeable shrouds.

ITEM #

3-wheel 4-wheel

SC73 K0801 ea SC74 K0801 ea

HCPCS

SOLD BY

DME / BARIATRIC

SCOOTERS

DRIVE/DEVILBISS HEALTHCARE (FG)

PRIDE MOBILITY PRODUCTS® CORP (18)

Aluminum Transport Chair Weighs only 19 lbs. Aluminum frame is lightweight and strong. Composite 8˝ wheels are lightweight and maintenance-free. Includes swing-away footrests and 19˝ x 16˝ seat. Padded armrests provide additional comfort. Nylon upholstery is comfortable, lightweight and easy to clean. Aluminum-casted back release hinge allows back to fold down for easy storage and transport. Standard rear wheel locks. 300-lb. weight capacity. Limited lifetime warranty.

NEW Go-Go® LX with CTS Suspension Comfort-Trac Suspension (CTS) brings a whole new level of comfort and performance to travel mobility. Incorporates advanced suspension components for improved absorbtion. With a 300-lb. weight capacity, charger port in the tiller, standard LED lighting, per charge range up to 10.5 miles and a maximum speed up to 4.4 mph. Standard with Red and Blue interchangeable shrouds and available in optional Orion Yellow, Onyx Black, Pearl Pink and Sunburst Orange.

ITEM #

HCPCS

3-wheel 4-wheel

S50LX K0899 ea S54LX K0899 ea

GOLDEN TECHNOLOGIES (GTC)

ITEM #

SOLD BY

3-wheel 4-wheel

GL111 K0800 ea GL140 K0800 ea

TRANSPORT CHAIRS / WHEELCHAIRS CARDINAL HEALTH

™

SOLD BY

ea ea

Silver Sport 2 – Dual Axle Wheelchair Powder-coated, silver vein steel frame. Padded armrests. Embossed vinyl upholstery is durable, lightweight, attractive and easy to clean. Urethane tires mounted on composite wheels provide durability and low maintenance. Comes with push-to-lock brakes. 8˝ front casters are adjustable in three positions. Carry pocket on backrest provides additional convenience. Tool-free, adjustable-length riggings. 250-lb. weight capacity on the 16˝, 300-lb. weight capacity on the 18˝ and 350-lb. weight capacity on the 20˝. Three-year limited warranty.

ITEM #

HCPCS

SOLD BY

SSP216DDAELR SSP218DDAELR SSP220DDAELR

K0001, K0002 K0001, K0002 K0001, K0002

ea ea ea

SSP216DDASF SSP218DDASF SSP220DDASF

K0001, K0002 K0001, K0002 K0001, K0002

ea ea ea

ELEVATING LEGRESTS

16˝ x 16˝ 18˝ x 16˝ 20˝ x 16˝ 16˝ x 16˝ 18˝ x 16˝ 20˝ x 16˝

* Not made with natural rubber latex.

Steel Transport Chair with Swingaway Footrests* Lightweight 19˝ steel transport chair with silver vein finish. Easy for caregivers to use and comfortable for patients. Designed for quick and easy transport of the user without the cumbersome bulkiness of a wheelchair. Quick release, fold-down back. Removable, swing-away leg riggings. Padded, fixed armrests. Dual push-to-lock rear wheel brakes. Adjustable seat belt. Seat/ back color: black. Seat-to-floor height: 19.25˝. Overall height: 39.5˝. Overall width: 22.2˝ open; 9.25˝ closed. Seat width: 17˝ and 19˝. Seat depth: 16˝. Seat back height: 19˝. Wheel size: 8˝. Weighs 28.25 lbs. without riggings. One-year limited warranty.

ITEM #

9105H E1038 ea

SOLD BY

Aluminum Lightweight Transport Chair* Designed for quick and easy patient transport without the cumbersome bulkiness of a wheelchair. Quick release fold-down back. Removable swing-away leg riggings. Padded fixed armrests. Dual push-to-lock rear wheel brakes. Adjustable seat belt. Powder-coated finish frame in blue, burgundy or black. Seat/back color: black. Seat-to-floor height: 19.25˝. Overall height: 39.5˝. Overall width: 22.2˝ open; 9.25˝ closed. Seat width: 17˝ and 19˝. Seat depth: 16˝. Seat back height: 19˝. 8˝ maintenance-free caster wheels. Unit weight: 20.25 lbs. without riggings. One-year limited warranty. HCPCS

HCPCS

E1038 E1038

SWING-AWAY FOOTRESTS

(ZCH)

HCPCS

ITEM #

Blue frame, black upholstery ATC19BL Red frame, black upholstery ATC19RD

SOLD BY

Golden LiteRider™ Scooter Full-size scooter with all of the benefits of a compact, portable scooter. Comes with a Delta Tiller, a large 17˝ x 16˝ stadium-style seat, a brand new LED ultra-bright adjustable headlight and adjustable armrests. With a 300-lb. weight capacity, the LiteRider can be quickly and wirelessly disassembled for transport or storage. Contains 2-22amp batteries for an operating range up to 12 miles. HCPCS

ITEM #

Blue Burgundy Black

9201BL E1038 9201BUR E1038 9201BLK E1038

Cruiser III Lightweight Wheelchair Carbon steel frame eliminates seat guides and allows for custom back inserts and accessories. The silver vein finish is attractive and easy to maintain. Precision-sealed wheel bearings in front and rear ensure long lasting performance and reliability, while the 8˝ front caster wheels provide a smooth ride over most surfaces. Removable, flip-back desk arms make transferring easy. Elevating leg rest, black nylon upholstery, composite mag-style wheels and push-to-lock wheel locks. Built-in seat rail extensions and extendable upholstery easily adjust seat depth from 16˝ – 18.˝ Padded armrests provide additional comfort. Dual axle provides easy transition of seat height to hemi-level. 300-lb. weight capacity. Limited lifetime warranty. 42˝ L x 24˝ W x 35˝ H.

ITEM #

HCPCS

SOLD BY

K316DDASF K318DDASF K320DDASF

K0003 K0003 K0003

ea ea ea

K316DDAELR K318DDAELR K320DDAELR

K0003 K0003 K0003

ea ea ea

SWING AWAY FOOTREST

16˝ W x 16˝ D Seat 18˝ W x 16˝ D seat 20˝ W x 16˝ D seat ELEVATING FOOTREST

16˝ W x 16˝ D Seat 18˝ W x 16˝ D seat 20˝ W x 16˝ D seat

SOLD BY

ea ea ea

DME / BARIATRIC

TRANSPORT CHAIRS / WHEELCHAIRS INVACARE® (INV) WHEELCHAIRS Invacare Tracer EX2 Wheelchair A true dual-axle position allows for repositioning the 24˝ rear wheels and 8˝ casters for adult or hemi height. 14-gauge cross braces add strength and durability. Dual-axle allows variations of seat-to-floor heights. Durable, low maintenance, triple silver vein, carbon steel frame is long lasting. Urethane rear tires mounted on “no flex” wheels offer superior performance. Midnight blue upholstery. Back height 16˝ fixed. All armrests are padded and fixed height. Product weighs 36 lbs. 250-lb. weight capacity. Five-year warranty on frame and crossbraces. Front riggings sold separately. ®

ITEM #

HCPCS

18˝ W x 16˝ D, Permanent arms and fixed footrests 18˝ W x 16˝ D, Removable, full-length arms 18˝ W x 16˝ D, Permanent, full-length arms 18˝ W x 16˝ D, Removable, desk-length arms 20˝ W x 16˝ D, Permanent arms and fixed footrests 16˝ W x 16˝ D, Removable, desk-length arms 16˝ W x 16˝ D, Removable, full-length arms 20˝ W x 16˝ D, Permanent arms 20˝ W x 16˝ D, Removable, desk-length arms

TREX28FFP TREX28RFP TREX28PP TREX28RP TREX20RFP TREX26RP TREX26RFP TREX20PP TREX20RP

K0001 K0001 K0001 K0001 K0001 K0001 K0001 K0001 K0001

SOLD BY

ea ea ea ea ea ea ea ea ea

Invacare® Tracer® SX5 Lightweight Manual Wheelchair Lightweight frame. 20˝ and 22˝ widths include a semi-pneumatic caster and chrome hand rims to accommodate a 300-lb. weight limit. Dual-axle positions allow variations of seat-to-floor height. Durable, low maintenance, triple silver vein, carbon steel frame is long lasting. Sectional back available in 16˝ and 18˝ back heights. Urethane rear tires and mounted “no flex” wheels offer superior performance. All arms are flip-back, padded and non-removable. Weighs 34 lbs. 250-lb. weight capacity. Lifetime warranty of frame on cross braces. Black upholstery. Front riggings sold separately.

ITEM #

HCPCS

20˝ W x 16˝ D, Desk-length arms 22˝ W x 16˝ D, Desk-length arms 18˝ W x 16˝ D, Desk-length arms 18˝ W x 16˝ D, Full-length arms 16˝ W x 16˝ D, Desk-length arms

TRSX50FBP TRSX52FBP TRSX58FBP TRSX58FBFP TRSX56FBP

K0003 K0003 K0003 K0003 K0003

SOLD BY

ea ea ea ea ea

Invacare® 9000 SL Wheelchair Durable, low-maintenance, carbon steel frame is long-lasting. Black satin frame finish, black nylon upholstery. Urethane casters for better ride and lighter weight. Urethane rear tires mounted on “no flex” wheels offer superior performance. Dual-axle positions allow variations of seat-to-floor heights: Standard 19.5˝ and Hemi 17.5˝. Adjustable back height: 15˝ – 17˝. Arms are flip-back, non-removeable, desk-length and padded. Weighs 33 lbs. 250-lb. weight capacity. Five-year warranty on frame and crossbraces. Front riggings sold separately.

ITEM #

HCPCS

16˝ W x 16˝ D 18˝ W x 16˝ D 20˝ W x 16˝ D

9SLWD66A88 9SLWD86A88 9SLWD06A88

K0004 K0004 K0004

SOLD BY

ea ea ea

Invacare® 9000 XT Wheelchair Vast offering of frame styles, seat-to-floor heights, back styles, widths, depths, frame colors, and a wide range of options and accessories. Components are interchangeable with all other 9000 and Tracer series chairs. Durable, silver vein, carbon steel frame with aluminum crossbraces. Offset axle position allows adjustment of center-of-gravity to increase maneuverability and stability to meet each user’s skill level. Urethane rear tires mounted on “no flex” wheels offer superior performance. Desk-length, fixed-height, conventional, flip-back arms. Adjustable back height: 15˝ – 19˝. Weighs 31 lbs. 250-lb. weight capacity. Five-year warranty on frame and crossbraces. Front riggings sold separately.

ITEM #

16˝ W x 16˝ D 18˝ W x 16˝ D 20˝ W x 16˝ D

9XTWD6688 K0004 9XTWD86A28 K0004 9XTWD0688 K0004

HCPCS

SOLD BY

ea ea ea

Invacare® Tracer® IV Wheelchair, Heavy Duty Features superior durability, rollability and streamlined looks for the active individual needing the strength of a reinforced, heavy-duty frame. Its many options include components that are interchangeable with the 9000 and Tracer series. Dual-axle positions allow variation of seat-to-floor heights. Durable, low-maintenance, triple silver vein, carbon steel frame is long-lasting. Heavy duty inner liners keep seat and back from stretching. Dual-sealed precision bearings. Reinforced frame includes gusseted sides, caster journals and dual crossbraces. Urethane rear tires mounted on “no flex” wheels offer superior performance. Seat-to-floor height: Adult 19.5˝, Hemi 17.5˝. Back height 16˝ fixed. Weighs 42 lbs. 350-lb. weight capacity. Five-year warranty on frame and crossbraces. Front riggings sold separately.

ITEM #

HCPCS

SOLD BY

T422RDAP T424RDAP T420RDAP

K0007 K0007 K0007

ea ea ea

T420RFAP T422RFAP T424RFAP

K0007 K0007 K0007

ea ea ea

DESK ARM

22˝ W x 18˝ D 24˝ W x 18˝ D 20˝ W x 18˝ D FULL ARM

20˝ W x 18˝ D 22˝ W x 18˝ D 24˝ W x 18˝ D

Invacare® Footrests for Tracer® and 9000 Series Wheelchairs Swingaway footrests make transfers easier. Heel loops included. Aluminum or composite foot plates. Fits all Tracer and Invacare 9000 wheelchairs.

ITEM #

Aluminum Composite Composite without heel loops

T93HAP K0052 2/pk T93HCP K0052 2/pk T93HEP K0052 2/pk

HCPCS

SOLD BY

Invacare® Elevating Legrests for Tracer® and 9000 Series Wheelchairs Swingaway elevating legrests for easier transfer. Padded, black vinyl-covered calf pads. Fit both Tracer and Invacare 9000 wheelchairs.

ITEM #

Aluminum Composite Economy

T94HAP E0990 2/pk T94HCP E0990 2/pk T94HEP E0990 2/pk

HCPCS

SOLD BY

DME / BARIATRIC

TRANSPORT CHAIRS / WHEELCHAIRS PROBASICS™ BY PMI (PMI) High Performance Lightweight Wheelchair Dual axle chair can convert to hemi height from 18˝ – 20˝. Features heavy-duty composite side panels, composite footplates with heel loops, composite handrims, flip-back padded desk arms and heavy duty brakes. Anti-tip device included. Black nylon upholstery. Adjustable height back from 16˝ – 18˝. Product is 35 lbs. without front riggings, swing-away footrests 6 lbs., elevating legrests 10 lbs. 300-lb. weight capacity. Limited lifetime warranty on sideframes and crossbraces, one year on all other components.

ITEM #

HCPCS

20˝ W x 16˝ D, swingaway footrests 18˝ W x 16˝ D, swingaway footrests 18˝ W x 16˝ D, elevating legrests 16˝ W x 16˝ D, swingaway footrests 16˝ W x 16˝ D, elevating legrests

1812 1810 1811 1610 1611

K0004,E0990 K0004,K0052 K0004,E0990 K0004,K0052 K0004,E0990

SOLD BY

ea ea ea ea ea

Heavy Duty Wheelchairs All DX Series wheelchairs include riggings. All components are compatible with most popular wheelchair brands. Dual Axle converts to hemi. Chrome-plated finish. Heavy duty reinforced frame has gussetted side frames, castor journals, dual crossbraces and 5⁄8˝ rear mounted axle. Mid-position slide post adds strength and allows easy folding. 24˝ composite mag wheel with urethane tires. 8˝ x 2˝ castor tires with positive tread pattern. Heavy duty reinforced upholstery with extra heavy duty liner. Seat-to-floor height 19˝ – 20˝. All arms are desk length. Product weights given are without front riggings. 450-lb. weight capacity. Five-year warranty on welds and crossbrace, one year on upholstery and wheel locks.

ITEM #

HCPCS

22˝ W x 18˝ D, swingaway footrests, 52 lbs. 22˝ W x 18˝ D, elevating legrests, 52 lbs. 24˝ W x 18˝ D, swingaway footrests, 54 lbs. 24˝ W x 18˝ D, elevating legrests, 54 lbs.

1013DX 1014DX 1124DX 1224DX

K0001 K0001 K0001 K0001

SOLD BY

ea ea ea ea

Standard DX Wheelchairs Carbon steel frame, chrome-plated finish. Mid-position slide post adds strength and allows easy folding. Double embossed vinyl upholstery with heavy duty inner liner is flame-retardant and mildew resistant. Dual precision, sealed, maintenance-free bearings. 24½˝ composite mag wheels with urethane tires. 8½˝ front castors with solid rubber tires. Composite handrims. Padded armrests and legrest panels. All DX Series wheelchairs include riggings. All components are compatible with the most popular wheelchair brands. Dual rear axle converts to hemi, from 17½˝ – 19½˝ seat-to-floor height. Product weights given are without front riggings. 300-lb. weight capacity for 16½˝ and 18½˝ models, 315-lb. weight capacity for 20½˝ models. Five-year warranty on welds and crossbrace, one year on upholstery and wheel locks.

ITEM #

HCPCS

Economy Wheelchairs Powder-coated steel frame with durable nylon upholstery, padded armrests, composite handrims and composite mag wheels with maintenance-free bearings. Strong steel frame is powder-coated and scratch-resistant. Dual axle can convert to hemi height from 17.5˝ – 19.5˝, back height 16˝. Weighs 39 lbs., 300-lb. weight capacity. Five-year warranty on welds and crossbrace, one year on upholstery and wheel locks.

ITEM #

HCPCS

20˝ W x 16˝ D, removable desk arms, swingaway footrests 20˝ W x 16˝ D, removable desk arms, elevating legrests 16˝ W x 16˝ D, removable desk arms, swingaway footrests 18˝ W x 16˝ D, removable desk arms, elevating legrests 18˝ W x 16˝ D, removable desk arms, swingaway footrests 18˝ W x 16˝ D, removable desk arms, elevating legrests

EC11 EC12 EC03 EC04 EC09 EC10

K0001 K0001 K0001 K0001 K0001 K0001

ea ea ea ea ea ea

Full Reclining Wheelchairs Flame-retardent, mildew-resistant upholstery with heavy duty inner liner. Composite mag wheels with dual seal precision bearings. Rear anti-tippers and headrest extension. Padded removeable desk armrests. Padded elevating legrests standard. Finger trigger-release mechanism allows for smooth reclining. Enhanced reclining mechanism. Five-year warranty on welds and crossbrace, one year on upholstery and wheel locks.

ITEM #

HCPCS

18˝, 300 lbs. 22˝, 400 lbs. 20˝, 300 lbs. 16˝, 300 lbs.

1818R 1822 1820 1816

K0006, E1225 K0006, E1225 K0006, E1225 K0006, E1225

SOLD BY

ea ea ea ea

NEW ProBasics™ Bariatric Extra Wide Wheelchair The reinforced frame with double cross-brace offers a rugged, heavy duty wheelchair for bariatric users. Arm rests and front riggings are Invacare® compatible. Detachable desk arms, flat-free tires and Double cross-braces with link bars. 8˝ x 1˝ solid casters with HD fork and 1˝ stem. 24˝ x 13⁄8˝ spoke wheels with high-strength M15 axles. 26˝ x 20˝, 17˝ seat height, 341⁄2˝ W, 700-lb. weight capacity.

26˝ x 20˝ 28˝ x 20˝

ITEM #

HCPCS

1326 1328

K0007 K0007

SOLD BY

ea ea

ROSCOE MEDICAL, INC. (FU) Kona Wheelchair Removable desk-length arms. With a powder-coated durable finish, a dual axle for hemi-height adjustment and multi-position caster forks, the K2-lite wheelchair is designed to meet a variety of user profiles. 250-lb. weight capacity.

ITEM #

HCPCS

SOLD BY

W11616DS W11816DS W12066DS

K0002 K0002 K0002

ea ea ea

K0002 K0002 K0002

ea ea ea

SWING-AWAY FOOTRESTS

16˝ x 16˝ 18˝ x 16˝ 20˝ x 16˝

SOLD BY

18˝ W x 16˝ D, fixed arm, swingaway footrest, 39 lbs. 1006DX K0001 ea 18˝ W x 16˝ D, fixed arm, elevating legrest, 39 lbs. 1007DX K0001 ea 16˝ W x 16˝ D, detachable desk arm, swingaway footrest, 39 lbs. 1003DX K0001 ea 18˝ W x 16˝ D, detachable desk arm, swingaway footrest, 41 lbs. 1009DX K0001 ea 20˝ W x 16˝ D, detachable desk arm, swingaway footrest, 47 lbs. 1011DX K0001 ea 16˝ W x 16˝ D, detachable desk arm, elevating legrest, 39 lbs. 1004DX K0001 ea 20˝ W x 16˝ D, detachable desk arm, elevating legrest, 47 lbs. 1012DX K0001 ea 18˝ W x 16˝ D, detachable desk arm, elevating legrest, 41 lbs. 1010DX K0001 ea

SOLD BY

WITH DESK ARMS AND ELEVATING LEGRESTS

16˝ x 16˝ 18˝ x 16˝ 20˝ x 16˝

W11616DE W11816DE W12016DE

Wheelchair K3 With removable desk-length arms. With nylon upholstery, a powder-coated durable finish, dual axle for hemi-height adjustment and multi-position caster forks, the K3-lite wheelchair is lightweight and versatile. 300-lb. weight capacity.

ITEM #

HCPCS

SOLD BY

K31616DHRSA K31816DHRSA K32016DHRSA

K0003 K0003 K0003

ea ea ea

K31616DHREL K31816DHREL K32016DHREL

K0003 K0003 K0003

ea ea ea

SWING-AWAY LEGRESTS

16˝ x 16˝ 18˝ x 16˝ 20˝ x 16˝ ELEVATING LEGRESTS

16˝ x 16˝ 18˝ x 16˝ 20˝ x 16˝

DME / BARIATRIC

TRANSPORT CHAIRS / WHEELCHAIRS ROSCOE MEDICAL, INC. (FU) Wheelchair K4 With removable flip-back, desk-length arms, comfortable padded nylon upholstery and chart pocket. With a dual axle for hemi-height adjustment and multi-position caster forks, the K4-lite is designed to meet a variety of user profiles. 400-lb. weight capacity.

ITEM #

HCPCS

SOLD BY

SWING-AWAY LEGRESTS

16˝ x 16˝ 18˝ x 16˝ 20˝ x 16˝

K41616DHFBSA K0004 K41816DHFBSA K0004 K42016DHFBSA K0004

ea ea ea

Jazzy Air® Power Chair Elevates in just 16 seconds to the primary standing height position, allowing quicker access to the environment. Safely drives 3.5 mph while elevated enabling user to socialize with others at walking speed. Patented Active-Trac® suspension provides maximum stability in both elevated and non-elevated positions. Weight capacity 300 lbs. and range per charge up to 15.29 miles. Available seat options, high-back captains seat 16˝ W x 16˝ – 18˝ D, 18˝ W x 18˝ – 20˝ D, 20˝ W x 20˝ – 22˝ D. Available in Ruby Red, Sapphire Blue, Rose Quartz, Amber Orange, Pearl White, Citrine Yellow, Black Onyx Black, Pink Topaz, Gold and Silver.

ITEM #

HCPCS

JAZZYAIR

K0899 ea

Go Chair®

NEW Offers a bold style available in an array of contemporary colors. Enhanced performance and comfort, along with feather-touch disassembly, allows user to enjoy light-weight travel and independence on the go. With a 300-lb. weight capacity, speeds up to 3.7 mph and a per charge range up to 8.74 miles. Available in Ruby Red, Sapphire Blue, Rose Quartz, Amber Orange, Pearl White and Citrine Yellow.

ELEVATING LEGRESTS

16˝ x 16˝ K41616DHFBEL K0004 ea 18˝ x 16˝ K41816DHFBEL K0004 ea 20˝ x 16˝ K42016DHFBEL K0004 ea

Wheelchair K7 Removable desk-length arms and higher weight capacity. With a heavy-duty slide tube frame, the K7-Lite offers a sturdy yet attractive option for a larger user profile. 450-lb. weight capacity.

ITEM #

HCPCS

K72218DHRSA K72418DHRSA

K0007 K0007

ea ea

K72218DHREL K72418DHREL

K0007 K0007

ea ea

ELEVATING LEGRESTS

22˝ x 18˝ 24˝ x 18˝

Standard Transport Chair Lightweight aluminum transport chair with fixed full-length arms, loop-style brakes and a blue powder-coated finish. 12˝ rear wheels. 250-lb. weight capacity.

ITEM #

19˝

KT1912B E0138

HCPCS

SOLD BY

ITEM #

HCPCS

GOCHAIR

K0899 ea

SOLD BY

WHEELCHAIR CUSHIONS AND ACCESSORIES

SOLD BY

SWING-AWAY LEGRESTS

22˝ x 18˝ 24˝ x 18˝

SOLD BY

CONTOUR PRODUCTS, INC. (CTP) Kabooti “Better Donut” Seating Cushion The feature rich design offers a solution to many common aliments associated with seating discomfort from coccyx/tailbone injury and lower back pain to pressure during prolonged sitting. Available in a large to accommodate a plus size customer and now offers a removable gel pack for cooling, therapeutic relief. Includes stylish cover available in navy, gray or camouflage. Washable. ™

ITEM #

HCPCS

Kabooti™ Ring

30750B1952

K0669

SOLD BY

EHOB (EH) Deluxe Heavy Duty Transport Chair Heavy-duty steel transport chair with removable desk-length arms, loop-style brakes and a silver-vein powder-coated finish. 12˝ rear wheels. 450-lb. weight capacity.

ITEM #

22˝

KT2212B E0139

HCPCS

SOLD BY

POWER CHAIRS PRIDE MOBILITY PRODUCTS® CORP (18) Jazzy Select® Elite Delivers a reliable blend of power, performance and style. In-line, front-wheel drive technology gives stability and maneuverability for solid performance indoors and out. Features include 9˝ solid tires, 40-amp controller, per charge range up to 15 miles, maximum speed up to 4 mph and two U-1 batteries. Available in Jazzy Red and Jazzy Blue, 18˝ x 18 – 20˝ and 20˝ x 18˝ – 20˝ high back seat.

ITEM #

HCPCS

Red Blue

2SCR 2SCB

K0822 K0823

SOLD BY

ea ea

SEAT CUSHIONS & PADS WAFFLE® Seat Cushion Clinically proven to prevent and treat pressure ulcers by reducing shear and friction. Unique, low-profile design provides safety and convenience for getting in and out of chairs. Air-venting holes allow heat and moisture to easily dissipate for a higher level of comfort. Recommended seating comfort for all surfaces. Easy to transport and clean. Constructed of antimicrobial vinyl. Three-month warranty. Does not ship preinflated; requires pump.

ITEM #

HCPCS

17˝ W x 17˝ H x 11⁄2˝ D (original) 19˝ W x 19˝ H x 1⁄2˝ D (standard adult) Seat Cushion Cover

200WC 218WC 2180WCXXCOV

E2601 E2601 E2619

SOLD BY

ea ea ea

WAFFLE® Multi-Care Pad with WAFFLE M.A.D.® Pump Double cushion offers relief to the back and the seat area while in a wheelchair; or it can be used laterally to cradle and stabilize patients. Clinically proven to prevent and treat pressure ulcers. Unique, low-profile design provides safety and convenience for getting in and out of chairs. Air-venting holes allow heat and moisture to easily dissipate for a higher level of comfort. Easy to transport and clean. Three-month warranty.

ITEM #

HCPCS

201WPP

E2601 ea

SOLD BY

DME / BARIATRIC

WHEELCHAIR CUSHIONS AND ACCESSORIES EHOB (EH) WAFFLE Chair Pad with WAFFLE M.A.D.® Pump Clinically proven to prevent and treat pressure ulcers by reducing pressure, shear and friction while sitting in a day or geriatric chair. Unique design prevents and treats pressure ulcers while sitting out of bed. Low-profile design provides safety and convenience for getting in and out of chairs. Air-venting holes allow heat and moisture to easily dissipate for a higher level of comfort. Recommended seating comfort for all surfaces. Easy to transport and clean. Three-month warranty. 21˝ W x 72˝ H x 3˝ D. ®

ITEM #

207GDCP K0669

HCPCS

SOLD BY

WAFFLE® Bariatric Cushion Designed with a diamond-shaped pattern to evenly distribute an individual’s weight and minimize material stress. Low profile reduces pressure and helps prevent and treat pressure ulcers in most seating applications. Recommended for pain management and comfort. Lightweight and easy to clean. Ships inflated and ready to use. Capable of supporting users up to 700 lbs. Six-month warranty.

ITEM #

HCPCS

22˝ L x 28˝ W x 2˝ H

240WCI

E2602

SOLD BY

HERMELL PRODUCTS (HF) LATEX FREE Convoluted Foam Wheelchair Cushion Make any seat comfortable with this 3˝ thick seat cushion made from “egg crate” convoluted foam. Helps distribute weight and prevent pressure ulcers. Cover zips off for easy cleaning.

ITEM #

HCPCS

Small, 16˝ L x 16˝ W x 3˝ H CP4414NV16 K0669 Medium, 16˝ L x 18˝ W x 3˝ H CP441401NV18 K0669 Large, 16˝ L x 18˝ W x 3˝ H CP441402NV20 K0669

SOLD BY

Ea Ea Ea

LATEX FREE Wheelchair Cushion 4˝ of thick support in a moisture repellant, coated nylon cover. Cover zips off for laundering. Latex-free.

ITEM #

HCPCS

16˝ x 18˝ x 4˝

WC4443

K0669

SOLD BY

LATEX FREE Slip-Not Flotation Gel Cushion Cushion equalizes pressure with vacuum-sealed gel bladder sandwiched between two layers of high density foam. Cover features a moisture-repellant surface and Staph-Chek hygienic incontinence barrier.

ITEM #

HCPCS

18˝ x 16˝ x 3˝

WC459001

K0669

SOLD BY

LATEX FREE Staph-Chek Flotation Gel Cushion Durable flotation gel cushion is made of a high resiliency foam base surrounding a vacuum-sealed gel bladder to equalize pressure. Vinyl casing around the core creates a solid incontinence barrier. Navy cover is rip-stop nylon that reverses to a proprietary Staph-Chek barrier. Machine washable. 250-lb. weight capacity. One-year warranty.

ITEM #

HCPCS

18˝ x 16˝ x 2˝ 18˝ x 16˝ 3˝

WC459101 WC459201

K0669 K0669

SOLD BY

ea ea

LATEX FREE NEW Memory Foam Wheelchair Cushions Helps relieve pain in the lower back. Removable navy cover zips off to machine wash, tumble dry low. 16˝ L x 18˝ W x 2˝ H.

ITEM #

HCPCS

Coccyx Cushion Wheelchair Cushion

WC4405VSNV WC4420VSNV

K0669 K0669

SOLD BY

ea ea

NEW Comfort Ring 16˝ with Navy Fabric Cover Specially designed foam ring relieves pressure on sensitive areas. This donut-shaped cushion is designed to cushion the tailbone and perineal region. Perfect for new mothers, hemorrhoid sufferers or recovery from surgery. High compression polyurethane foam is comfortable and durable. Polyester/cotton blend cover is removable and washable. Navy cover. 16˝ diameter.

ITEM #

IR7016NV E0190

HCPCS

SOLD BY

NEW Total Comfort Poly-Filled Chair Cushion and Liner Pressure-reducing seating surface helps prevent decubitus. Machine washable broadcloth side reverses to moisture-repellant surface for those experiencing incontinence. Hook-and-loop tabs attach to seating.

ITEM #

Cushion Liner

WC4485 K0669 WC4495 A4649

HCPCS

SOLD BY

ea ea

HEALTHSMART® (64) DMI® Acrylic Wheelchair Tray Raised strip at the top of tray to prevent items from rolling off. Contoured semi-circle cutout makes it easier to carry things from room to room. Hook and loop straps secure the tray around the wheelchair armrests. Fits most standard wheelchairs.

ITEM #

Clear, 23˝ x 19˝ x 1⁄4˝

5000 E0950 ea

HCPCS

SOLD BY

INVACARE® (INV) Invacare® Absolute™ Wheelchair Cushions Offer stability and comfort. Molded polyurethane construction is an effective solution for simple seating needs. Higher front and sides with lower back. Reduces poor posture and slipping down in the wheelchair. Firmer foam across the front and under the hips and legs for support, with softer foam under the coccyx for comfort. Breathable, water-repellent cover is machine-washable/dryable. Non-slip bottom with Velcro® patches keep the cushion in place. Lightweight.

ITEM #

HCPCS

20˝ W x 16˝ D 16˝ W x 16˝ D 18˝ W x 16˝ D

EC06 EC66 EC86

E2601 E2601 E2601

SOLD BY

ea ea ea

K2 HEALTH PRODUCTS LLC (KHP) BACK CUSHIONS Supra Visco Wheelchair Back Cushion The Kolb's Supra Visco is a general use wheelchair back cushion designed to help improve the comfort of those confined to a wheelchair. At the core of the Kolb's Supra Visco is high quality sculpted foam, contoured to conform to the user’s spinal curvature. Embedded in the core is a premium memory foam insert in the lumbar region to aid in relief of lower back pain. Contains a rigid insert that reduces the “hammock effect” commonly associated with sling-back wheelchairs. Cover is fire retardant, removable for easy cleaning, specially treated to make it moisture proof, yet it remains vapor permeable to help reduce sweating and increase air flow. Non-slip back and straps allow the user to fasten securely to the seat back and helps insure proper cushion placement. 12-month limited warranty.

ITEM #

HCPCS

16˝ W, 21⁄2˝ D 18˝ W, 21⁄2˝ D 20˝ W, 21⁄2˝ D 22˝ W, 21⁄2˝ D 24˝ W, 21⁄2˝ D

LWVB16 LWVB18 LWVB20 LWVB22 LWVB24

E2611 E2611 E2611 E2612 E2612

SOLD BY

ea ea ea ea ea

DME / BARIATRIC

Compressed Premium Foam Cushions

WHEELCHAIR CUSHIONS AND ACCESSORIES K2 HEALTH PRODUCTS LLC (KHP) Avir Wheelchair Back Cushion General use back cushion. Helps improve the seating posture and comfort of wheelchair users. User-controlled, fully customizable, inflatable lumbar support air pocket, enables user to determine the exact amount of support necessary. Contoured foam, non-slip back.

ITEM #

16˝ 18˝ 20˝

KLBAVR16 E2611 KLBAVR18 E2611 KLBAVR20 E2611

HCPCS

SOLD BY

ea ea ea

SEAT / RING CUSHIONS Vectra Wheelchair Seat Cushion, 2˝ General use wheelchair seat cushion. At the core is high quality molded foam specially contoured for extra comfort and to promote proper positioning. The cushion cover is fire retardant, removable for easy cleaning, specially treated to make it moisture proof, yet it remains vapor permeable to help reduce sweating, and increase air flow. The underside features a non-slip surface helping the cushion remain in place. 300-lb. weight capacity. 12-month limited warranty.

ITEM #

HCPCS

16˝ X 16˝ 18˝ x 16˝ 20˝ x 16˝

SPVC1616 SPVC1816 SPVC2016

E2601 E2601 E2601

SOLD BY

ea ea ea

Gel Wheelchair Cushion Premium wheelchair seat cushion offering excellent pressure distribution. Embedded in the core of the cushion is high quality aqueous gel sealed in a leak-proof bladder encased in premium foam offering the utmost in comfort. Removable, waterproof, fire-retardant cover protects from moisture and stains. Non-slip base ensures that the cushion stays firmly in place. 300-lb. weight capacity. 12-month limited warranty.

ITEM #

HCPCS

Premium foam cushions with unique compressed packaging maximize shelf space and are easier to store and ship. When opened they expand to offer complete pressure relief.

ITEM #

HCPCS

Lumbar cushion, 13.5˝ L x 13˝ W x 4˝ H Half roll pillow, 14.5 L x 8˝ W x 4.5˝ H Coccyx cushion, 18˝ L x 14.5˝ W x 3˝ H Compressed bed wedge, 24˝ L x 20˝ W x 8˝ H

KCMPLS KCMPHR KCMPCC KCMPBW8

N/A N/A N/A N/A

ITEM #

KHPKCMPRC E0190

ea ea ea ea ea

KBGUG1616 E2601 KBGUG1816 E2601 KBGUG2016 E2601

ea ea ea

BASIC

16˝ x 16˝ x 2˝ 18˝ x 16˝ x 2˝ 20˝ x 16˝ x 2˝

Compressed Foam Ring Cushion High density, molded foam conforms to body contours. Aids in the relief of post-natal discomfort, post-op pain, hemorrhoids and bruised coccyx. Removable, machine-washable black cover. After opening, foam will decompress to its full size in less than one minute.

ITEM #

KCMPRC E0190

HCPCS

SOLD BY

Super Compressed Coccyx Cushion Features a unique cut-out that helps relieve pressure on the coccyx bone. A sloping wedge shape helps correctly align the spine’s natural “S” shape while tilting the pelvis forward to restore the natural lumbar curve. Precision-cut, high density, premium foam cushion with unique compressed packaging maximizes shelf space and is easier to store and ship. Removable, machine-washable, low-shear Spandex® cover. For home, office and travel use. 18˝ W x 141⁄2˝ L x 3˝ H.

ITEM #

KCMPCC E0190

HCPCS

SOLD BY

HCPCS

SOLD BY

PROACTIVE MEDICAL PRODUCTS (LV) NEW Protekt® Foam Cushion High density polyurethane foam. Breathable and comfortable stretch cover. Safety buckles keep cushion in place. 250-lb. weight capacity. One-year warranty.

SOLD BY

KBGS1616 E2603 KBGS1816 E2603 KBGS2016 E2603 KBGS2218 E2604 KBGS2418 E2604

ea ea ea ea

Super Compressed Ring Cushion Kolb’s ring cushion is specially designed to reduce pressure to sensitive areas. Unique shape offers relief for those suffering from coccyx pain, hemorrhoids or post-surgery discomfort. Removable cover makes cleaning simple. Perfect for use in the home, office or car. Aids in the relief of post-natal discomfort, post-operative pain, hemorrhoids or other painful conditions. High density, molded foam conforms to body contours. After opening, foam will decompress to its full size in less than one minute. 161⁄2˝ L x 121⁄2˝ W x 23⁄4˝ thickness.

SUPREME

16˝ x 16˝ x 3˝ 18˝ x 16˝ x 3˝ 20˝ x 16˝ x 3˝ 22˝ x 18˝ x 3˝ 24˝ x 18˝ x 3˝

SOLD BY

ITEM #

HCPCS

16˝ x 16˝ x 3˝ 18˝ x 16˝ x 3˝ 20˝ x 16˝ x 3˝ 22˝ x 18˝ x 3˝ 24˝ x 18˝ x 3˝

71001 71002 71004 71005 71006

E2601 E2601 E2601 E2602 E2602

SOLD BY

ea ea ea ea ea

NEW Protekt® Gel/Foam Cushion Gel bladder designed to eliminate migration. Constructed of high density polyurethane foam. Breathable and comfortable stretch cover. Safety buckles keep the cushion in place. 275-lb. weight capacity. 18-month warranty.

ITEM #

HCPCS

16˝ x 16˝ x 3˝ 18˝ x 16˝ x 3˝ 20˝ x 16˝ x 3˝ 20˝ x 18˝ x 3˝ 22˝ x 18˝ x 3˝ 24˝ x 18˝ x 3˝

74001 74002 74004 74014 74005 74006

E2603 E2603 E2603 E2603 E2603 E2603

SOLD BY

ea ea ea ea ea ea

NEW Protekt® Supreme Cushion Molded high density pressure sensitive foam. Leg troughs promote thigh alignment and postural symmetry. Raised front ridge controls sliding. Low shear stretch nylon cover. Saefty buckles to keep cushion in place. 275-lb. weight capacity. 18-month warranty.

ITEM #

HCPCS

16˝ x 16˝ x 3˝ 18˝ x 16˝ x 3˝ 20˝ x 16˝ x 3˝ 22˝ x 18˝ x 3˝ 24˝ x 18˝ x 3˝

76001 76002 76004 76005 76006

E2605 E2605 E2605 E2606 E2606

SOLD BY

ea ea ea ea ea

DME / BARIATRIC

WHEELCHAIR CUSHIONS AND ACCESSORIES PROACTIVE MEDICAL PRODUCTS (LV) Protekt® Ultra Cushion Molded high density pressure sensitive foam. Gel bladder designed to eliminate migration. Gel infused visco foam top layer. Soft foam allows immersion of pelvis for comfort and stability. Medial and lateral side supports facilitate positioning. Trochanter cut-outs facilitate proper pressure distribution. Low shear and breathable stretch nylon cover. Safety buckles keeps cushion in place. 275-lb. weight capacity. 18-month warranty.

ITEM #

HCPCS

16˝ x 16˝ x 3˝ 18˝ x 16˝ x 3˝ 20˝ x 16˝ x 3˝ 22˝ x 18˝ x 3˝ 24˝ x 18˝ x 3˝

76001 76002 76004 76005 76006

E2605 E2605 E2605 E2606 E2606

ROHO® QUADTRO SELECT® Cushions Allow for quick, simple position selection for every user while seated. Provide unparalleled performance in facilitating blood flow by fitting, matching and tracking the shape of a person. Stability is enhanced by locking the air into place in each of the four quadrants through the simple use of the ISOFLO® Memory Control, minimizing side-to-side or front-to-back motion. Unlimited weight capacity as long as cushion is properly sized to the individual. Include two-way stretch cover, instruction booklet and hand inflation pump. Black. Three-year limited warranty.

SOLD BY

ea ea ea ea ea

LOW PROFILE®

Protekt® O2 Cushion

NEW Adjustable 4˝ or 2˝ high air cells offer deep immersion to provide excellent pressure redistribution for tissue protection and treatment. Dual valve compartments address pelvic obliquities, sacral seating and enhance posture control. Compartments can be adjusted independently to increase positioning and stability for side-to-side control. Nylon breathable cover with non-skid bottom and safety straps. Easy-to-use hand-held inflation pump. Flame-resistent, latex-free neoprene. 500-lb. weight capacity. Five-year warranty.

ITEM #

HCPCS

16˝ x 16˝ x 2˝ 18˝ x 16˝ x 2˝ 20˝ x 16˝ x 2˝ 16˝ x 16˝ x 4˝ 18˝ x 16˝ x 4˝ 20˝ x 16˝ x 4˝

78001 78002 78003 78004 78005 78006

E2622 E2622 E2622 E2622 E2622 E2622

SOLD BY

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NEW Protekt Back Cushion Improves seating posture while providing back support and comfort. Conforms to provide support to the lumbar region. Stabilizing board insert prevent hammocking in slingback wheelchair. Low shear and breathable nylon cover. Adjustable safety straps for added security. 18-month warranty. ®

ITEM #

HCPCS

16˝ x 17˝ 18˝ x 17˝ 20˝ x 19˝ 22˝ x 19˝

79001 79002 79003 79004

E2612 E2612 E2612 E2612

SOLD BY

ea ea ea ea

HCPCS

15˝ x 15˝ 16˝ x 16˝ 18˝ x 16˝ 16˝ x 18˝ 18˝ x 18˝ 18˝ x 20˝ 20˝ x 18˝ 20˝ x 20˝

QS88C QS99C QS109C QS910C QS1010C QS1011C QS1110C QS1111C

E2624 E2624 E2624 E2624 E2624 E2624 E2624 E2624

ea ea ea ea ea ea ea ea

16˝ x 16˝ 18˝ x 16˝ 16˝ x 18˝ 18˝ x 18˝ 18˝ x 20˝ 20˝ x 18˝

QS99LPC QS109LPC QS910LPC QS1010LPC QS1011LPC QS1110LPC

E2624 E2624 E2624 E2624 E2624 E2624

ea ea ea ea ea ea

ROHO CONTOUR SELECT Cushion Allows users to sit in the same position with the same support each time they transfer into the chair. If postural adjustments are needed, they are made while the user is seated – no need to transfer on and off. ISOFLO® Memory Control locks air into each of the four quadrants, providing stability by minimizing side-to-side and front-to-back motion. Contoured design positions the pelvis back in the wheelchair and centers the user comfortably in the middle of cushion. Separate air cells allow air circulation to reach the surface of the skin and provide a cooling environment. Flame-resistant, neoprene rubber construction. Cushion can be cleaned easily with soap and water, and can be patched or repaired. Includes CONTOUR SELECT Cushion, hand inflation pump, two-way stretch cover, instruction booklet, repair kit and operating instructions. Unlimited weight capacity as long as cushion is properly sized to the individual. Three-year limited warranty. ®

ITEM #

HCPCS

15˝ x 16˝ 16˝ x 16˝ 18˝ x 16˝ 18˝ x 18˝ 20˝ x 20˝

CS89C CS99C CS109C CS1010C CS1111C

E2624 E2624 E2624 E2624 E2624

SOLD BY

NEW ROHO® SOFFLEX® Cushion with Cover Constructed of urethane. An adjustable, air-filled wheelchair support surface intended to conform to an individual’s seated shape to provide skin/soft tissue protection. Recommended for seated individuals who are at risk for skin/soft tissue breakdown, require comfort and support, or require accommodation of up to approximately 1˝ of pelvic asymmetry. 300-lb. weight capacity. 16.25˝ – 20.25˝ W x 3˝ H.

ITEM #

HCPCS

16˝ x 16˝ 16˝ x18˝ 17˝ x 17˝ 18˝ x 16˝ 18˝ x 18˝

SFLX1616C SFLX1618C SFLX1717C SFLX1816C SFLX1818C

E2622 E2622 E2622 E2622 E2622

SOLD BY

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NEW ROHO® HIGH PROFILE® Sensor Ready® Cushion Improves seating posture while providing back support and comfort. Conforms to provide support to the lumbar region. Stabilizing board insert prevents hammocking in slingback wheelchair. Low shear and breathable nylon cover. Adjustable safety straps for added security. 18-month warranty.

ROHO® (RO) ®

ITEM #

HIGH PROFILE®

16˝ x 16˝ 16˝ x 18˝ 18˝ x 16˝ 18˝ x 18˝ 20˝ x 18˝ Smart Check® Sensor

ITEM #

HCPCS

1R99HCASR 1R910HCASR 1R109HCASR 1R1010HCASR 1R1110HCASR SMARTCHECK01

E2622 E2622 E2622 E2622 E2622 K0669

SOLD BY

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SOLD BY

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DME / BARIATRIC

WHEELCHAIR CUSHIONS AND ACCESSORIES ROHO® (RO) ROHO® HIGH PROFILE® Single Compartment Cushion Provides an adjustable, low-deformation, counter pressure environment that not only prevents ischemic ulcers but also assists in their healing. Cushion of choice for individuals who suffer from any stage of ischemic ulcer, are at high risk or have a history of tissue breakdown. Fully adjustable, hand-inflated cushion is light (only 3.5 lbs.) and consists of flexible, 4˝ high, interconnected air cells that give great support and comfort. Cushion comes with a hand inflation pump, cover, repair kit and operating instructions. Unlimited weight capacity as long as cushion is properly sized to the individual. Two-year limited warranty.

ITEM #

HCPCS

SOLD BY

1R88C 1R89C 1R99C 1R910C 1R109C 1R1010C 1R1011C 1R1110C 1R1111C

E2622 E2622 E2622 E2622 E2622 E2619 E2619 E2619 E2619

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UCFR88 UCFR99 UCFR109

E2619 E2619 E2619

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CUSHION

15˝ x 15˝ 15˝ x 16˝ 16˝ x 16˝ 16˝ x 18˝ 18˝ x 16˝ 18˝ x 18˝ 18˝ x 20˝ 20˝ x 18˝ 20˝ x 20˝ CUSHION COVER

15˝ x 15˝ 16˝ x 16˝ 18˝ x 16˝

ROHO® LOW PROFILE® Single Compartment Cushion Fully adjustable cushion is lightweight (2.5 lbs.) and consists of flexible, 21⁄2˝ high, interconnected air cells that allow for maximum therapeutic performance. Comes complete with hand inflation pump, cover, repair kit and operating instructions. Constructed of flame-resistant neoprene rubber. Can be cleaned with soap and water. Unlimited weight capacity as long as cushion is properly sized to the individual. Two-year limited warranty.

ITEM #

HCPCS

SOLD BY

1R88LPC 1R89LPC 1R99LPC 1R910LPC 1R109LPC 1R1010LP 1R1011LPC

E2622 E2622 E2622 E2622 E2622 E2619 E2619

ea ea ea ea ea ea ea

UCFR99LP UCFR910LP UCFR109LP 1R1010LP 1R1011LP

E2619 E2619 E2619 E2622 E2622

ea ea ea ea ea

CUSHION

15˝ x 15˝ 15˝ x 16˝ 16˝ x 16˝ 16˝ x 18˝ 18˝ x 16˝ 18˝ x 18˝ 18˝ x 20˝ CUSHION COVER

16˝ x 16˝ 16˝ x 18˝ 18˝ x 16˝ 18.5˝ x 18.5˝ 20˝ x 18˝

ROHO® MOSAIC® Cushion Especially suited for users who require a cushion for basic level skin protection, support and comfort. 3˝ polyvinyl chloride. Interconnected air cells are easy to set up, inflate and adjust. Designed to provide a comfortable, functional and stable sitting environment. Includes two-way stretch cover, instruction booklet and hand inflation pump. Weighs approximately 1 lb. 275-lb. weight capacity. One-year limited warranty.

ITEM #

HCPCS

16˝ x 16˝ 18˝ x 16˝ 18˝ x 18˝

MOSAIC1616C MOS1816 MOS1818

E2601 E2601 E2601

SOLD BY

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ROHO® HARMONY® Cushion Offers users a lightweight, stable cushioning solution. Combines a lightweight, comfortable ROHO® AIR FLOATATION polyurethane cushion with a pre-contoured foam base, encased within a moisture-resistant cover. Allows users to maximize abilities, independence and freedom without the worry of adding unnecessary weight to their mobility system. Weighs approximately 2 lbs. 275-lb. weight capacity. 18-month limited warranty.

ITEM #

HCPCS

16˝ x 16˝ 16˝ x 18˝ 18˝ x 16˝ 18˝ x 18˝ 20˝ x 18˝

H1616C H1618C H1816C H1818C H2018C

E2607 E2607 E2607 E2607 E2607

SOLD BY

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ROHO® Hybrid Elite SR® Cushion Combines the superb skin protection and shape matching ability of ROHO DRY FLOATATION® Technology with the stability of a customized Jay® contoured foam base. New cushion design allows for improved pelvic alignment and stability for improved position and function while maintaining optimal immersion and envelopment of both the ischial tuberosities and greater trochanters. The ROHO shape-fitting cushion insert provides critical pressure redistribution around the pelvis area, providing maximum skin protection. Simply adjust the cushion insert to fit the patient’s shape to minimize tissue deformation and maximize blood flow. Comes with hand inflation pump, cover, sensor and instruction booklet. Weighs approximately 3.5 lbs. 500-lb. weight capacity. Two-year limited warranty.

ITEM #

HCPCS

16˝ x 16˝ 16˝ x 18˝ 18˝ x 18˝ 18˝ x 20˝ 20˝ x 20˝

1RHY1616C 1RHY1618C 1RHY1818C 1RHY1820C 1RHY2020C

E2622 E2622 E2622 E2622 E2622

SOLD BY

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ROHO® AirLITE® Cushions Combine the benefits of a sealed air support pad and durable, contoured foam to provide good postural support and optimum durability. Nonadjustable, preset air support pad uses ROHO® AIR FLOATATION technology, while a contoured, high-density foam base positions the body in a comfortable position, creating one of the most effective and easy-to-use cushions. Provide support for basic positioning needs. Leg troughs and an ischial well provide support for lower extremity control, stability and comfort. Cover features a fluid-proof, polyurethane, film-laminated to two-way stretch polyester knit and a nonskid bottom. Weighs approximately 2 lbs. 275-lb. weight capacity. Two-year limited warranty.

ITEM #

HCPCS

15˝ x 15˝ 16˝ x 16˝ 16˝ x 18˝ 17˝ x 17˝ 18˝ x 16˝ 18˝ x 18˝ 20˝ x 18˝

AL1515 AL1616 AL1618 AL1717 AL1816 AL1818 AL2018

E2605 E2605 E2605 E2605 E2605 E2605 E2605

SOLD BY

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ROHO® Retroback® Back Support System Back support system clips to existing sling upholstery of a wheelchair to improve comfort and support posture. Simple and functional design provides rigidity to compensate for sagging upholstery, while increasing sitting tolerance and reducing lower back fatigue. Ideal for users who require basic posture support and comfort, users whose mobility is minimally or moderately impaired, and facilities that use products with multiple patients. Weighs approximately 3 lbs. (1.5 kg); 300-lb. weight capacity. One-year limited warranty.

ITEM #

HCPCS

Fits chair size 15˝ – 16˝ Fits chair size 17˝ – 18˝ Fits chair size 19˝ – 20˝

RETRO16C RETRO18C RETRO20C

E2611 E2611 E2611

SOLD BY

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DME / BARIATRIC

WHEELCHAIR CUSHIONS AND ACCESSORIES HOMECARE PRODUCTS/EZ-ACCESS (HN) SUITCASE® Singlefold Ramp Ultra-strong ramp that provides safety and durability while remaining lightweight and portable. A continuous full length, low profile hinge adds strength and stability to the ramp. The ramp features an extruded slip-resistant surface for superior traction, and a self-adjusting bottom transition plates for easy conversion from ramp to ground. An optional TLE can quickly be added to increase the top lip to 9˝, allowing even easier loading into an SUV or van. Unfolds to a 30˝ wide platform. Features an 800-lb. weight capacity and a lifetime warranty.

ITEM #

HCPCS

2' x 30˝ (24˝ L x 15˝ W x 4˝ H folded, weighs 11 lbs.) 3' x 30˝ (36˝ L x 15˝ W x 4˝ H folded, weighs 17 lbs.) 4' x 30˝ (48˝ L x 15˝ W x 4˝ H folded, weighs 23 lbs.) 5' x 30˝ (60˝ L x 15˝ W x 4˝ H folded, weighs 29 lbs.) 6' x 30˝ (72˝ L x 15˝ W x 4˝ H folded, weighs 34 lbs.) 7' x 30˝ (84˝ L x 15˝ W x 4˝ H folded, weighs 41 lbs.) 8' x 30˝ (96˝ L x 15˝ W x 4˝ H folded, weighs 47 lbs.)

SUITCASESF02 SUITCASESF03 SUITCASESF04 SUITCASESF05 SUITCASESF06 SUITCASESF07 SUITCASESF08

A9270 A9270 A9270 A9270 A9270 A9270 A9270

SOLD BY

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SUITCASE® Trifold AS Ramp Offers the additional length to accommodate larger access needs, yet it remains easy to transport thanks to its unique three-fold design. Additionally, by simply removing two hinge pins, the ramp can be quickly separated into two individual sections, making it even easier to use, carry and store. The ramp features an applied high-quality slip-resistant surface and self-adjusting bottom transition plates for easy conversion from ramp to ground. An optional TLE can quickly be added to increase the top lip to 9˝, allowing even easier loading into an SUV or van. Unfolds to a 291⁄2˝ wide platform. Features an 800-lb. weight capacity and a lifetime warranty.

ITEM #

HCPCS

5' x 29.5˝ (30.75˝ L x 15˝ W x 11.5˝ H folded, weighs 32 lbs.) SUITCASETFAS05 A9270 6' x 29.5˝ (36.75˝ L x 15˝ W x 11.5˝ H folded, weighs 38 lbs.) SUITCASETFAS06 A9270 7' x 29.5˝ (42.75˝ L x 15˝ W x 11.5˝ H folded, weighs 44 lbs.) SUITCASETFAS07 A9270 8' x 29.5˝ (48.75˝ L x 15˝ W x 11.5˝ H folded, weighs 50 lbs.) SUITCASETFAS08 A9270 10' x 29.5˝ (60.75˝ L x 15˝ W x 11.5˝ H folded, weighs 60 lbs.) SUITCASETFAS10 A9270

SUITCASE® Singlefold AS Ramp Offers a simple and convenient solution for wheelchairs and scooters to access steps, vehicles and raised landings. By simply removing two hinge pins, the ramp can be separated, making it even easier to use, carry and store. The ramp features a high-quality, skid-resistant tread and a self-adjusting bottom transition plate for easy conversion from ramp to ground. An optional TLE can quickly be added to increase the top lip to 9˝, allowing even easier loading into a SUV or van. Unfolds to a 291⁄2˝ wide platform. Features an 800-lb. weight capacity and a lifetime warranty.

ITEM #

HCPCS

2' x 29.5˝ (24˝ L x 15˝ W x 4.5˝ H folded, weighs 12 lbs.) 3' x 29.5˝ (36˝ L x 15˝ W x 4.5˝ H folded weighs 16 lbs.) 4' x 29.5˝ (48˝ L x 15˝ W x 4.5˝ H folded weighs 20 lbs.) 5' x 29.5˝ (60˝ L x 15˝ W x 4.5˝ H folded weighs 26 lbs.) 6' x 29.5˝ (72˝ L x 15˝ W x 4.5˝ H folded weighs 30 lbs.)

SUITCASESFAS02 SUITCASESFAS03 SUITCASESFAS04 SUITCASESFAS05 SUITCASESFAS06

A9270 A9270 A9270 A9270 A9270

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EZ-ACCESSORIES® CarryON!™ Wheelchair Backpack Features large privacy compartments, including spacious main section with zippered closure. Also features deep side pockets that are perfect for holding a beverage, newspaper or craft project. Made of nylon and attaches securely using buckle straps and handle loops. Convenient carrying handle makes pack usable as a portable tote. Available in black.

ITEM #

HCPCS

Pack, 15˝ x 15˝ x 5˝

EZ0200BK

E1399

E1399 E1399

ea ea

N/A

101⁄2˝ x 14˝ x 2˝, large 81⁄2˝ x 9˝ x 1˝, small

101⁄2˝ x 14˝ x 2˝, large, black, nylon EZBK0123DK

MOBILITY TRANSFER SYSTEMS, INC. (RI) Wheelchair Boards Provide a flat sitting surface and eliminate the hammock effect associated with traditional wheelchair seats. Provide an excellent sitting surface when combined with a pressure relief cushion. 500-lb. weight capacity. Made in USA.

ITEM #

SUITCASETLE E1399 1/pr

HCPCS

SOLD BY

ITEM #

HCPCS

SOLD BY

16˝ x 16˝ 5400 A9270 ea 16˝ x 18˝ 5410 A9270 ea 18˝ x 18˝ 5420 A9270 ea 20˝ x 16˝ 5505 A9270 ea 20˝ x 18˝ 5510 A9270 ea 22˝ x 18˝ 5515 A9270 ea

EZ0101BK EZ0102BK

SCOOTER ARM TOTE

Top Lip Extension (TLE)

SOLD BY

UNIVERSAL TOTE CARRY-ON BAG/POUCH

Increase the usefulness of the SUITCASE® and TRIFOLD® Ramps with the Top Lip Extension (TLE). This optional extension increases the standard 3˝ lip to become 9˝, allowing the ramp to clear the rear bumper of SUVs and vans by simply attaching to the top lip of the ramp. Shipped as a pair. 81⁄2˝ L x 137⁄8˝ W x 23⁄8˝ H.

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WHEELCHAIR ACCESSORIES

SOLD BY

SHEEPSKIN RANCH, INC. (SHP) Sheepskin Wheelchair Seat Pad With 18˝ x 16˝ pad for extra cushioning. Medical-grade sheepskin is chosen for its high-density wool that distributes weight evenly, relieves pressure and improves blood flow. Sheepskin's natural fibers help regulate body temperature and reduces moisture buildup that could lead to pressure sores and skn ulcerations. Sheepskin is naturally hypoallergenic, antimicrobial and machine washable.

ITEM #

HCPCS

18˝ x 16˝

111

E0189

SOLD BY

Sheepskin Wheelchair Seat Cover Warm in winter, cool in summer and completely breathable. Helps reduce presure, moisture or just discomfort. The backrest and seat of a standard-size wheelchair are covered, and the elastic straps slides easily to fasten securely to the chair.

ITEM #

110 E0189 ea

HCPCS

SOLD BY

DME / BARIATRIC

WHEELCHAIR CUSHIONS AND ACCESSORIES SHEEPSKIN RANCH, INC. (SHP) Sheepskin Wheelchair Arm Rest Cover Soft, comfortable and non-abrasive, these arm rest covers give delicate skin a safe place to rest. Easily maintained, 100% washable, easy to put on and easy to take off with Velcro® fasteners. Available in two sizes.

ITEM #

HCPCS

9.5˝ length 14.5˝ length

113 112

E0189 E0189

SOLD BY

2/pk 2/pk

CAREX® (RM) Invalid Cushions Durable, heavy-gauge cushions conform to the natural contours of the body for comfort. Foam cushion comes with a removable cover that is washable and wrinkle resistant. Vinyl, inflatable cushion helps provide support and comfort when sitting for long periods. Durable heavy-gauge rubber cleans with just a damp cloth and is easy to inflate and deflate with convenient push-pull valve.

ITEM #

HCPCS

Foam (121⁄2˝ W x 16˝ H x 23⁄4˝ D) Vinyl (13˝ x 3˝ ) Rubber (15˝ x 3˝ )

P70100 P70200 P70300

E0190 E0190 E0190

FootHold® with Splint, Secure Stick Sole and Anti-Rotation Bar Suspends the heel off the surface while an adjustable, soft-flow gel pad cradles calf, Achilles tendon and malleolus. Splint aids in positive foot and ankle support for foot drop, ankle contractures, lateral rotation and neurodeficiency. Anti-rotation bar controls hip rotation. Removable Secure Stick Sole is used for walking. Black.

FOOT CUSHIONS EHOB (EH)

ITEM #

HCPCS

Small (10˝ – 111⁄2˝ ) Medium (12˝ – 14˝ ) Large (141⁄2˝ – 18˝ )

503FW 504FW 505FW

E0370 E0370 E0370

SOLD BY

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WAFFLE® Heel Elevator Cushion surrounds the lower limb in air and is designed to float the heel while sustaining the integrity of the foot and ankle. The air-filled straps and foot pad offer pressure ulcer prevention, treatment and comfort. It can be used conveniently at home and on O.R. tables, stretchers, ICU beds, wheelchairs and general ward beds. Recommended for prevention and treatment of stages I – IV pressure ulcers and deep tissue Injury. Not a walking boot. Ships pre-inflated.

ITEM #

HCPCS

SOLD BY

545CX E0370 ea

FOOTHOLD® SIZING Description (Case Qty. 4)

Small

Medium

Large

X-Large

FootHold® with Splint and Secure Stick Sole

FH10-SMEX

FH10-MDEX

FH10-LGEX

FH10-XLEX

Men’s Shoe Size

3.5 – 6

5.5 – 8

8.5 – 11

11.5 – 14

Women’s Shoe Size

2.5 – 5

6.5 – 9

9.5 – 12

12.5 – 15

Pediatric Shoe Size

1.5 – 4

4.5 – 5

N/A

Sizing Chart

FH10SMEX L4396 FH10MDEX L4396 FH10LGEX L4396 FH10XLEX L4396 FH10XPEX L4396

HCPCS

SOLD BY

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ITEM #

HCPCS

SOLD BY

Small FH10SMSS L2999 Medium FH10MDSS L2999 Large FH10LGSS L2999 X-Large FH10XLSS L2999

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FootHold® Plus Suspends the heel off the surface while an adjustable, soft-flow gel pad cradles calf, Achilles tendon and malleolus. Indicated for use to prevent and treat pressure, diabetic and venous ulcers. Covers toes for additional protection for those with diabetes. Secure Stick Sole (not included) allows for walking. Also appropriate for bariatric users. Black.

HEEL ELEVATORS Foot WAFFLE® Brand Air Cushion Cushion surrounds the lower limb in air and is designed to float the heel while sustaining the integrity of the foot, ankle, calf and Achilles area. The air-filled straps and foot pad offer pressure ulcer prevention, treatment and patient comfort. It can be used conveniently at home and on O.R. tables, stretchers, ICU beds, wheelchairs and general ward beds. Recommended for prevention and treatment of stages I – IV pressure ulcers and deep tissue injury. Not a walking boot. Ships pre-inflated, may need to adjust the inflation from time-to-time. WAFFLE L.A.D. (Lower Air Delivery) Pump can be used for inflation.

ITEM #

Small Medium Large X-Large Extended Plus

FootHold® with Secure Stick Sole Suspends heel off surface while an adjustable, soft-flow gel pad cradles calf, Achilles tendon and malleolus. Removable Secure Stick Sole aids in ambulation while out of bed. Black.

SOLD BY

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ITEM #

Small Medium

FH20SMXX L2999 FH20MDXX L2999

HCPCS

SOLD BY

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LIFT CHAIRS CAREX® (RM) LIFT CHAIRS AND ASSISTS Uplift Premium Power Lifting Seat With LeveLift™ technology. An electric-powered portable lifting seat that will lift users safely and gently from almost any armchair or sofa without dumping them forward. Easy to operate with an arthritis-friendly toggle with movable, cloth-covered, gooseneck-style hand controller that is easy to adjust to a position. Stop the lift at any point to adjust the height to task or comfort level. Removable, three-layer cushion with memory foam for maximum comfort. Washable, zippered cover with comfort mesh for improved air flow. Wipe down cushion with mild soap and water for quick clean up. Portable, with two ergonomic carry handles. Stable non-skid base for peace of mind. Designed to provide 100% lift assistance for those weighing up to 300 lbs.

ITEM #

17˝ 20˝

PS3017 E0627 ea PS3020 E0627 ea

HCPCS

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Uplift Seat Assist Self-powered lifting cushion provides gentle assistance up and down from most armchairs and sofas. lifts up to 70% of the user’s body weight up to 350 lbs. Patented LeveLift™ technology and flexible seat that curves to a flat surface, provides a safe lift, with no forward dumping motion. Portable, with built-in carrying handle. Coated memory foam cushion adjusts to weight, shape and temperature. Black, waterproof, fire-retardant cover is removable and machine washable. Nonskid surface. Weighs 9 lbs.

ITEM #

HCPCS

Lifts 80 lbs. – 230 lbs. Lifts 200 lbs. – 350 lbs.

UL100 UL300

E0629 E0629

SOLD BY

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DME / BARIATRIC

LIFT CHAIRS CAREX® (RM) UPEASY Seat Assist Assists those living with arthritis and other joint ailments to lower and raise themselves from a seated position with greater ease. Lifts up to 70% of the user’s body weight up to 340 lbs. A truly portable solution, this self-powered lifting seat folds flat for ease in carrying. Works on most armchairs and sofas. Weighs 9 lbs. Marine blue. 16˝ W x 19˝ D.

ITEM #

HCPCS

200 lbs. – 340 lbs., Plus 95 lbs. – 220 lbs., Standard

UPE3 UPE1

E0627 E0627

SOLD BY

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UPEASY Power Seat For use on most armchairs and sofas. Electrically powered and gently raises and lowers users. Weighs just 12 lbs. and lifts those weighing up to 300 lbs. Initially designed to benefit those with arthritis, Parkinson’s, ALS, degenerative joint disease or post-operative conditions. Comes with a marine blue, washable polyester cover.

ITEM #

HCPCS

16˝ W x 19˝ D

UPEP100

E0627

MaxiComfort™ Lift Chairs Feature a plush, seamed backrest with lumbar support, a soft, comfortable seat and unique “grip rite” arm design. Patented MaxiComforter™ Ultimate Recline Technology for correct spinal alignment, back pressure relief and improved circulation. Available in the following colors: Palomino, Admiral, Evergreen, Cabernet and Pearl. **Drop ship item.

ITEM #

HCPCS

Small, 5´0˝ – 5´3˝ Medium, 5´4˝ – 5´10˝ Large, 5´11˝ – 6´2˝

PR505S** PR505M** PR505L**

E0627 E0627 E0627

GOLDEN TECHNOLOGIES (GTC)

ITEM #

HCPCS

Fits users 5´4˝ – 5´10˝

GTCPR116MED E0627 ea

ITEM #

HCPCS

Medium, 5´4˝ – 5´10˝ Large, 5´11˝ – 6´2˝

PR355M** PR355L**

E0627 E0627

ITEM #

HCPCS

Junior, up to 5´0˝ Small, 5´0˝ – 5´3˝ Medium, 5´4’’ – 5´10˝ Large, 5´11˝ – 6´2˝ Tall, 6´3˝

PR501JP* PR501S* PR501M* PR501L* PR501T*

E0627 E0627 E0627 E0627 E0627

SOLD BY

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MaxiComforter™ Cloud Zero Gravity Lift Chair Overstuffed, biscuit-style backrest and a unique bucket seat with full chaise pad for comfort. Standard fabrics: Hazelnut, Sterling, Copper, Calypso and Shiraz. *Vendor drop ship item.

ITEM #

PR510* E0627

HCPCS

SOLD BY

Monarch Lift Chairs Features a plush seam back and a split chaise pad, and a three-position recline system allowing the backrest to recline further back after the footrest is raised. Available in a variety of colors, including the standard Chestnut vinyl and the four new luxurious SofTouch™ with Stain Defense fabrics Autumn, Cornflower, Spring and Rosewood. Weight capacity 375 lbs. Made in USA. **Drop ship item.

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Comforter Series Lift Chairs Five sizes to comfortably fit people from 5´0˝ – 6´8˝ with weight capacities ranging from 300 lbs. – 375 lbs. Featuring a plush, seamed backrest with lumbar support, a soft, comfortable seat and user-friendly “grip rite” arm design. Available in the following colors: Palomino, Admiral, Evergreen, Cabernet and Pearl. Made in USA. Weight capacity on junior petite and small is 300 lbs. Weight capacity on medium, large and tall is 375 lbs. *Vendor drop ship item.

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Patient Lift Chair Three-position recliner with a stylishly sleek arm, seam back and full seat chaise for long-lasting comfort and support. Will lift user from a seated to a standing position with the touch of a button. 300-lb. weight capacity. Lifetime warranty on frame and mechanism; One-year on electrical parts. Dark brown or tan. Medium.

SOLD BY

ea ea

PRIDE MOBILITY PRODUCTS® CORP (18) NEW Home Décor Collection Split pillow back design features three-position full recline and combines luxurious comfort, elegant styling, and made-in-the-USA craftsmanship. Standard in Lexis St-Kleen®: Black, Burgundy, Mushroom and Chestnut. Weight capacity 375 lbs. Medium.

ITEM #

NM455 E0627

HCPCS

SOLD BY

Capri Lift Chair Made in the USA, the Capri features a comfortable, button style backrest and a soft, padded seat. With a 325-lb. weight capacity, the Capri features a split chaise pad and a two-position recline mechanism, which means the angle between the seat and back doesn’t change as the chair reclines. Available in the following colors: Autumn, Cornflower, Spring, Chestnut and Rosewood. **Drop ship item.

ITEM #

HCPCS

Fits users 5´4˝ – 5´10˝

PR200**

E0627

SOLD BY

Heritage Collection Features a button back-design, full chaise pad and three-position recline (except the 358XXL, two-position). With an array of plush DuraSoft fabrics: Oat, Timber, Ember, Deep Sky and Field. Weight capacities range from 375 lbs. up to 600 lbs.

ITEM #

HCPCS

Petite Wide, 5´3˝ and below Small, 5´3˝ and below Medium, 5´4˝ – 6´ Large, 5´6˝ – 6´2˝ X-Large, 5´9˝ – 6´1˝ XX-Large, 5´6˝ – 6´1˝

LC358PW LC358S LC358M LC358L LC358XL LC358XXL

E0627 E0627 E0627 E0627 E0627 E0627

SOLD BY

ea ea ea ea ea ea

DME / BARIATRIC

LIFT CHAIRS PRIDE MOBILITY PRODUCTS® CORP (18) Infinity Collection Split-back design features true infinite-position, zero gravity, Trendelenburg seating and pocketed coils designed to deliver comfort, style and performance. Standard with dual pockets and easy-to-use hand control with USB charger port standard in DuraSoft fabrics: Oat, Timber, Ember and Deep Sky. Weight capacity 375 lbs. Available in petite wide, medium and large.

ITEM #

HCPCS

Petite Wide, 5´2˝ and below Medium, 5´4˝ – 6˝ Large, 5´9˝ – 6´2˝

LC525IPW LC525IM LC525IL

E0627 E0627 E0627

SOLD BY

ea ea ea

Oasis

Security Pole and Curve Grab Bar Tension mounted, floor to ceiling pole that allows the user to rise from a sitting position with the pivoting Curve Grab Bar, which provides four hand grips at four different heights and locks in place every 45°. Rubber pads on the top and bottom protect the ceiling and floor. Main pole easily separates into two 53˝ pieces, making it easy to transport. Includes wrench, no other tools are required for assembly. It is the only floor-to-ceiling pole that fits ceiling height range 7´ – 10´ out of the box. Rust-resistant, zinc-plated steel. Product weight 20 lbs. Weight capacity 300 lbs. Dimensions: 54˝ L x 121⁄2˝ W x 33⁄4˝ H.

ITEM #

White Black

1100W E1399 ea 1100B E1399 ea

ITEM #

HCPCS

Medium, 5´4˝ – 6˝ Large, 5´9˝ – 6´2˝

LC580IM LC580IL

E0627 E0627

SOLD BY

ea ea

STANDER, INC. (STD) Omni Tray The Omni Tray from Stander gives you the convenience of a TV Table and the safety of a mobility handle in one product to keep you happy and healthy. The Omni Tray features a large Bamboo tray table that is perfect for using your lap top, eating dinner, or reading your favorite book. When not in use simply rotate the table off to the side for use as a couch side table. The ergonomic mobility handle gives you the leverage you need to help boost yourself up off the couch safely and independently. Whether you have recently had surgery or simply lack the same mobility you once had, the Omni Tray is the functional and attractive Tray Table you’ve been looking for. Handle weight capacity: 250 lbs. Tray weight capacity: 30 lbs.

ITEM #

2600 E0315 ea

HCPCS

SOLD BY

EZ Stand-N-Go Offers a simple way to stand from any couch, chair or recliner with greater ease and strength. Fits under or on top of cushions and provides a handle to safely raise from or lower to any seated position. Ergonomic handle provides a comfortable grip to assist sitting or standing safely. Fully adjustable height, width and depth for a wide range of couches and chairs. The unique design allows it to be installed on most recliners without interfering with the rocking of the chair. Supports up to 300 lbs.

ITEM #

2200 E0315 ea

HCPCS

SOLD BY

Security Pole Tension-mounted, floor-to-ceiling pole that allows the user to rise from a sitting position with padded grip for extra comfort. Rubber pads on the top and bottom protect the ceiling and floor. Main pole easily separates into two 53˝ pieces, making it easy to transport. Includes wrench, no other tools are required for assembly. It is the only floor-to-ceiling pole that fits ceiling height range 7´ – 10´ out of the box. Rust-resistant, zinc-plated steel. Product weight 20 lbs. Weight capacity 300 lbs. Dimensions: 54˝ L x 121⁄2˝ W x 33⁄4˝ H.

Overstuffed padding, contoured memory foam seating and pocketed coils deliver individualized support and relaxation. Features include true infinite-position, zero gravity and Trendelenburg positioning, quad pocket design for extra storage and easy-to-use hand control with USB charger port. Standard Saratoga fabrics: Charcoal, Eggplant, Cashmere, Godiva and Navy; optional Ultraleather™: Garnet, Fudge, Charcoal, Buff, and Pecan; Lexis Sta-Kleen®: Chestnut, Burgundy, Mushroom, Black; Crypton Aria®: Cool Grey, Sand, Espresso, Red and Lazul. Weight capacity 375 lbs. Available in medium and large.

HCPCS

ITEM #

White Black

1150W E1399 ea 1150B E1399 ea

HCPCS

SOLD BY

Assist-A-Tray and CouchCane Simple couch-side handle that makes standing from a favorite couch or chair easy. Comes with or without tray, a convenient multi-use swivel tray to eat, surf the Web or simply keep handy items close by. Can be used with a lift chair. Colors and finish blend in with the living room like another piece of furniture to maintain the comforting feeling of the home. Tray is made of high quality wood. Weight limit of tray: 30 lbs. Weight limit of handle: 250 lbs. with tray. Product weight: 19.5 lbs. with tray, 15 lbs. without tray.

ITEM #

HCPCS

Assist-A-Tray CouchCane without Tray

2050 2001

E0315 E0315

SOLD BY

ea ea

PATIENT LIFTS INVACARE® (INV) Invacare® Reliant™ 350 Standup Lift Adjustable pivoting leg support features a soft pad with lateral contour that secures legs in three positions for comfort at any height. Wide, non-slip footplate provides stable base for transfer. Ergonomic features make it ideal for toilet transfers, as well as for dependent and rehabilitation purposes. Fast, simple sling attachment that protects against accidental disengagement, wide push handle, good access for clothing removal and comfortable slings with extended back support that prevents pressure in the axilla area. Innovative adjustment features adapt to a wide variety of body sizes and shapes for comfort at any height, width and weight range up to 350 lbs. Multifunction slings allow for quick toileting, stand assist or full-support seated transfer. Adjustable leg strap option secures leg against knee pad for optimum positioning on footplate. Warranty includes three years on lift, one year on electric components. Under-bed clearance of 4.5˝ allows accessibility to most nursing home, hospital and home care bed styles. Removable battery eliminates downtime.

ITEM #

With powered low base

RPS3501 E0635 RPS3502 E0635

HCPCS

SOLD BY

ea ea

DME / BARIATRIC

PATIENT LIFTS INVACARE® (INV) Invacare® 9805 Hydraulic Lift Makes patient moves safe for everyone involved. Slim design with adjustable base provides versatility for variety of transfer situations. Hydraulic pump delivers 450 lbs. of lifting capacity. Six-point, padded swivel bar adapts to all sling styles and positions. Offers 360° patient rotation without side-to-side sway. 20˝ – 64˝ range allows patient to be picked up from lying position on floor. Pump handle rotates from side to side for comfort and convenience of attendant. Lightweight (68 lbs.), durable silver vein construction. Easy disassembly allows quick transport setup. 6´5˝ base clearance. Sling accessories sold separately. Three-year warranty on lift, one-year warranty on hydraulic pump. **Drop ship item.

ITEM #

9805P** E0630

HCPCS

SOLD BY

Invacare Reliant 450 Power Lift with Low Base Base legs adjust easily and lock securely into open position with the padded shifter handle. Total pinch-point protection covers all moving parts for added safety. Covered base provides protection against wear, dirt and moisture. Height range allows lifting from floor and high surfaces. Padded swivel bar with 360° rotation and six-point hookup allows use of Invacare chain-free slings as well as older-style slings with chains or straps. Base length 48˝, base width open 41˝, base width closed 26.5˝, front casters 3˝, rear casters 5˝, overall height at sling hookup 25˝ – 71˝, base height 4.5˝. Weighs 93 lbs. 450-lb. weight capacity. Three-year warranty on lift, one year on hydraulic pump. ®

™

ITEM #

With powered low base

RPL4501 E0635 RPL4502 E0635

HCPCS

SOLD BY

ea ea

Divided Leg Sling with Head Support Provides full head and neck support. Solid fabric has extra padding for delicate skin. Versatile sling for a variety of users and uses. Excellent for all transfers, especially toileting and bed to chair. Three support straps on each side for safety and security. Fully padded. Polyester/nylon, 450-lb. weight capacity.

ITEM #

HCPCS

SOLD BY

Standing Sling with Waist Belt Standing slings are for residents who are partially dependent, have at least 60% weight-bearing capacity, have head and neck control, are cooperative, can sit up on the edge of the bed (with or without assistance), and are able to bend at the hip, knees and ankles. Use for standing assistance, quick toileting, weight-bearing practice and transferring resident from bed to chair, or chair to bed. Works with Reliant 350, 440 and Get-U-Up Lifts. Users needs to be partially dependent. Support strap on each side of standing user lift sling for safety and security. Extended lift sling back support helps prevent pressure in the under arm area.16˝ L x 44˝ W, polyester/nylon, 440-lb. weight capacity.

ITEM #

HCPCS

R130

E0621 ea

SOLD BY

Transport Sling Transport slings are for transferring residents with minimal weight-bearing capacity, who have head and neck control, are cooperative, can sit up on the edge of the bed (with or without assistance), and are able to bend at the hips, knees and ankles. Use transport sling for transferring resident from bed to chair, chair to car, or general in-room transport. Works with the Reliant 350 and 440 and Get-U-Up lifts. Color-coded patient sling support straps on each side for safety and security. Extended back support helps prevent pressure in the under arm area. Transport slings are for transferring residents with minimal weight-bearing capacity. Large, 42˝ L x 34˝ W, polyester/nylon, 440-lb. weight capacity.

ITEM #

HCPCS

R134

E0621 ea

SOLD BY

Reliant 600 Bariatric Power Lift Battery powered full body patient lift with a 600 lb. weight capacity. Low 4.5˝ manual base height provides access to furnishings that are close to the floor. Provides a large lifting range that allows for patient transfers to high surfaces. Low friction casters (front 3.5˝, rear 5˝ ) significantly improve maneuverability and contribute to caregiver safety. Manual lowering for instant response to power loss. Boom controlled through hand pendant. Base legs adjust easily and lock securely into open position with padded shifter handle. Extra-wide coated swivel bar with 360 degree rotation and six-point hook-up. Total pinch-point protection covers all moving parts for added safety. One charger output 24-volt DC, two removable 24-volt battery packs, audible low battery alarm, 150 – 250* lifts per charge (*varies with lift range and load). Base length 48˝, base width; open 41˝, closed 26.5˝, overall height at sling hookup 68˝ – 28˝. Product weight 112 lbs., shipping weight 138 lbs. Three-year warranty on lift, one year on electric components.

ITEM #

HCPCS

SOLD BY

Low Base INVRPL6001 E0635 ea Medium, purple binding, 624⁄5˝ L x 371⁄2˝ W, 357⁄10˝ L Powered Low Base INVRPL6002 E0635 ea R100 E0621 ea Large, green binding, 674⁄5˝ L x 41˝ W, 417⁄10˝ L Standard Polyester Slings R101 E0621 ea Length 40.5˝, width 29˝. Requires chain or straps, sold separately.

One-year warranty. Weight capacity 450 lbs.

Full Body Sling

Fabrics are washer-safe. Can be used in a wet or dry environment. Four-point hook-up. Offers full head and neck support. Fully padded.

ITEM #

HCPCS

SOLD BY

Medium, 547⁄10˝ L x 411⁄2˝ W, without commode opening R110 E0621 ea Large, 60-1/2˝ L x 451⁄2˝ W, without commode opening R111 E0621 ea Large, 60-1/2˝ L x 451⁄2˝ W, solid fabric sling without commode opening R113 E0621 ea Medium, 547⁄10˝ L x 411⁄2˝ W, with commode opening R114 E0621 ea Large, 601⁄2˝ L x 451⁄2˝ W, with commode opening R115 E0621 ea X-Large, 653⁄10˝ L x 451⁄2˝ W, with commode opening R116 E0621 ea

ITEM #

HCPCS

Solid polyester (without cut-out) Sold polyester (with commode cut-out) Polyester mesh (without cut-out) Polyester mesh (with commode cut-out) Sling straps Sling chain

9042 9043 9046 9047 9070 9071

E0621 E0621 E0621 E0621 E1399 E1399

SOLD BY

ea ea ea ea ea ea

DME / BARIATRIC

POSEY (82)

PATIENT LIFTS Transfer Belt

MOBILITY TRANSFER SYSTEMS, INC. (RI) SafetySure® Transfer Belts Great for helping individuals to stand up or sit down. The Transfer Belt simplifies transfers from bed to wheelchair, wheelchair to toilet, or wheelchair to car seat. Can also be used as an ambulatory belt. Numerous handgrips provide a variety of leverage points and reduce strain on caregivers back. Slip resistant inner liner keeps the transfer belt in place during the transfer. Machine washable.

ITEM #

HCPCS

Small, fits waist, 23˝ – 36˝ Medium, fits waist, 32˝ – 48˝ Large, fits waist, 42˝ – 60˝ Bariatric, fits waist, 50˝ – 75˝

6033 6034 6035 6036

E0700 E0700 E0700 E0700

SOLD BY

ea ea ea ea

NEW

SafetySure Gait Belts

Provide a secure way for the caregiver to support the patient during the transfer process. Without the use of the gait belt, the caregiver is forced to hang on to the patient's clothing or under the patient's arms. This can cause discomfort or potential injury to both the patient and caregiver.

ITEM #

HCPCS

Pinstripe, plastic buckle, 54˝ Pinstripe, plastic buckle, 72˝ Pinstripe, metal buckle, 84˝ Blue, plastic buckle, 54˝

6218 6219 6220 6221

E0700 ea E0700 ea E0700 ea E0700 ea

ITEM #

HCPCS

Fits 28˝ – 52˝, 4˝ support band Quick release, fits 28˝ – 52˝, 4˝ support band Quick release, fits 30˝ – 66˝, 6˝ support band

6537 6537Q 6537QDX

E0700 E0700 E0700

ITEM #

HCPCS

SOLD BY

48˝ L x 2˝ W, plastic buckle 60˝ L x 2˝ W, plastic buckle

6216 6217

E0700 ea E0700 ea

StandEase®

HCPCS

SOLD BY

LATEX FREE

ITEM #

Fits waist sizes up to 51˝ Fits waist sizes up to 71˝

HCPCS

SOLD BY

6524 6524L

E0700 E0700

ea ea

NAVY

Fits waist sizes up to 51˝ Fits waist sizes up to 71˝

6528 6528L

E0700 E0700

ea ea

PROACTIVE MEDICAL PRODUCTS (LV) NEW Protekt Full Body Sling Aids in transferring users from bed to a wheelchair, toilet or shower chair. Soft lining helps prevent skin damage or irritation. Polyester fabric can be used wet or dry. 600-lb. weight capacity. ®

ITEM #

HCPCS

SOLD BY

30114 30115 30116 30117 30116

E0621 E0621 E0621 E0621 E0621

ea ea ea ea ea

E0621 E0621 E0621 E0621 E0621

ea ea ea ea ea

WITH COMMODE OPENING

Mesh, medium Mesh, large Solid, medium Solid, large Mesh, X-Large

SOLD BY

WITHOUT COMMODE OPENING

Mesh, medium Mesh, large Solid, medium Solid, large Mesh, X-Large

30110 30111 30112 30113 30117

NEW Protekt® Sit-to-Stand/Transfer Sling Aids in standing assistance, quick toileting, weight bearing practice and transfers. Soft lining helps prevent skin damage or irritation. Polyester fabric can be used wet or dry. 450-lb. weight capacity.

SOLD BY

PMI0087 E0630 ea

ITEM #

HCPCS

SOLD BY

SIT-TO-STAND

Solid, large Solid, X-Large

30130 30131

E0621 E0621

ea ea

TRANSFER

Solid, large Solid, X-Large

HCPCS

WHITE

PROBASICS™ BY PMI (ISG/PMI)

ITEM #

6545 E0700 ea

™

ITEM #

Constructed of sturdy cotton. 2˝ wide webbing. Specially designed nickel-plated metal buckles offer secure hold, while reducing wear on the bottom belt for increased durability. Machine washable.

970 A9270 ea

ProBasics Hydraulic Patient Lifter Hydraulic patient lifter has dual purpose, padded swivel bar for added safety. Can be used with 4 or 6 point sling. Rotating handle on hydraulic pump. Adjustable width base. Lifter only weighs 68 lbs. and disassembles for easy one man delivery. Heavy duty round tube steel construction. Chip resistant brown vein finish. Two locking casters. Can easily fit through small door openings. Base open up to 421⁄4˝ for patient safety. 5˝ Locking Casters, 64˝ – 64˝ H, 22˝ Base Closed, 61⁄2˝ H Base, 450-lb. weight capacity.

ea ea ea

Posey Gait Belt

Use on sofas and armless chairs. Ideal for individuals with arthritis, recovering from hip surgery or osteoporosis, or anyone who has difficulty standing. Lightweight and can be moved from room to room. Makes standing or sitting easier. Installs in seconds. All-steel construction for strength and durability. 22-24˝ H x 20˝ W x 24˝ D. Made in USA. 350-lb. weight capacity. ITEM #

SOLD BY

LATEX FREE Posey Gait Belt, E-Z Clean Biothane® polyurethane, encapsulated webbing wipes clean to help address cleanliness concerns. Airline-style spring loaded self-locking buckle is easy to apply. 2˝ wide webbing. Fits waists up to 58˝.

SOLD BY

Economy Gait Belts with Hand Grips Made of nylon webbing and secured with a quick-release plastic buckle. Has two hand grips on the back of the belt for added stability and leverage. Available in 48˝ and 60˝ lengths. Made in the USA.

LATEX FREE

Helps prevent caregiver back injuries and assists in safe patient transfer and ambulation. Extra wide soft nylon belt provides greater contact area with patients. Sewn-on handles provide multiple vertical and horizontal grasping points. Machine washable.

30134 30136

E0621 E0621

ea ea

DME / BARIATRIC

PATIENT LIFTS PROACTIVE MEDICAL PRODUCTS (LV) NEW Protekt Divided Leg Sit-to-Stand Sling Designed for users who are totally or partially dependent, non-weight bearing or very heavy. Large opening accommodates toileting. Soft lining helps prevent skin damage or irritation. Polyester fabric can be used wet or dry. 450-lb. weight capacity. ®

ITEM #

Petite Small Medium Large

30100P E0621 30100 E0621 30101 E0621 30102 E0621

HCPCS

SOLD BY

ea ea ea ea

NEW Protekt® Standard Sling One piece contour sling design supports users from shoulders to knees. Soft lining helps prevent skin damage or irritation. Polyester fabric can be used wet or dry. 350-lb. weight capacity.

ITEM #

Canvas, without commode 30137 Canvas, with commode 30138 Nylon, without commode 30132 Nylon, with commode 30133

HCPCS

E0621 E0621 E0261 E0621

SOLD BY

ea ea ea ea

BEDS INVACARE (INV) Invacare Semi-Electric Home Care Bed High-impact bed end panels are more durable, scratch-resistant and washable for easy cleaning. Universal bed end can be used as either headboard or footboard on any Invacare bed with the use of the IVC drive shaft with silver decal. DC low-voltage, compact motor system is faster, quieter and lighter. IP66-rated waterproof enclosures allow the entire system to be washable. Mattress and rails not included. Assembly required. Pendant-controlled electric positioning of upper body and knees. Manual crank located at foot end adjusts bed height. Bed height 15˝ – 23˝, overall 36˝ W x 88˝ L, sleep surface 36˝ W x 80˝ L. 250-lb. weight capacity. Patient weight 450 lbs., inclusive of all accessories. Five-year warranty on all welds, two-year warranty on mechanical/ electrical. **Drop ship item. ®

ITEM #

HCPCS

ITEM #

HCPCS

5410LOW**

E0297

5310IVC** E0295 ea

Invacare Full Electric Home Care Bed All bed functions are controlled with a handheld pendant. Electric height adjustment facilitates transfers for both the patient and caregiver. 3˝ non-marring casters with locks on two wheels make the bed easy to move and protect the floor surfaces while ensuring safe transfer. Height adjusts from 15˝ – 23˝. Sleep surface 36˝ W x 80˝ L, overall size 36˝ W x 88˝ L. Mattress and bed rails sold separately. Assembly required. Weighs 177 lbs. 350-lb. weight capacity. Patient weight 450 lbs., inclusive of all accessories. Warranty: Five-year warranty on all welds, two-year warranty on mechanical/electrical. **Drop ship item.

ITEM #

5410IVC** E0297 ea

SOLD BY

Innerspring Mattress High quality, 0.312 innerspring design. High density polyfiber padding increases comfort and mattress life. Durable, 11-oz. vinyl cover is anti-bacterial, anti-static, acid-resistant and waterproof. Meets Fire Code Regulations 16 CFR1632 and 16 CFR1633. 80˝ L x 36˝ W x 6˝ H. 250-lb. weight capacity. One-year warranty.

ITEM #

5185 E0271 ea

HCPCS

SOLD BY

Invacare® Reduced Gap Full Length Bed Rails New designs offer added protection to traditional bed rails by closing up the open area that used to occur with the bed in the fully articulated position. The spacing between the crossbars of the reduced-gap bed rails has been modified to reduce entrapment hazards. One-year limited warranty.

ITEM #

6629

HCPCS

SOLD BY

E0310 2/pk

NEW Invacare® Bariatric Matresses Durable 11-oz. vinyl cover is antibacterial and waterproof for easy use and care. High quality 2.6 lb/cu ft. density foam provides comfortable, firm support. Compliant with fire regulation codes 16 cfr 1633 and 16 cfr 1632. 750-lb. weight capacity.

ITEM #

HCPCS

80˝ L x 6.5˝ H x 39˝ W 80˝ L x 6.5˝ H x 42˝ W 80˝ L x 6.5˝ H x 48˝ W

BARMATT39 BARMATT42 BARMATT48

E1399 E0272 E0272

SOLD BY

ea ea ea

PROBASICS™ BY PMI (PMI)

SOLD BY

HCPCS

Invacare® IVC Full Electric Low Bed The split-spring design incorporated into the standard low bed profile combines the easy, one-person delivery of an Invacare bed with the benefits of a low bed, where rails are not desirable or appropriate, but injuries from falling out of bed are still a concern. 9.5˝ – 20˝ floor-to-bed deck height. Overall dimensions 36˝ W x 88˝ L, sleep surface 36˝ W x 80˝ L. UL962- and CSA-approved. Universal low bed ends are durable, impact-resistant and washable for easy cleaning. Mattress not included. 450-lb. weight capacity. Five-year warranty on all welds, two-year warranty on mechanical/electrical. **Drop ship item.

Electric Home Care Bed Packages Features strong base frame with more clearance between the motor and the bed frame. Reinforced head section with universal bed ends and universal hi-lo rod. Pivot points use self-wrenching nut system. German motor and electronics, USA-made steel and welds, USA construction. A single Semi-Electric Model with motor lifts both head and foot. Easy assembly and cleaning, Single Motor with motor and electronics fully removable. Easy-to-use hand pendant for head or foot adjustment. Trendelenberg and reverse Trendelenberg position capable. Minimum height: 15˝, maximum height: 24˝. Length: 87˝, width: 36˝. Extremely quiet. In case of a power failure, the head and foot sections can be lowered by inserting a 9 Volt battery on to the motor via a simple connection. Includes mattress and full length side rails. 450-lb. weight capacity. Two-year warranty on frame and electronics. *Drop ship item.

ITEM #

Semi-electric bed package, with single motor Full-electric bed package with two motors

(PMI)HBSMMPKG* E0260 (PMI)HBS* A0297

HCPCS

SOLD BY

ea ea

DME / BARIATRIC

BEDS

HEALTHSMART® (64/66) DMI® Transfer Boards

PROBASICS™ BY PMI (PMI)

Helps in transferring patients from wheelchair, bed, chair or commode. Wood boards are sealed and coated for protection and friction-free transfer. 440-lb. weight capacity for Southern Yellow Pine boards. 220-lb. weight capacity for plastic board.

Bariatric Bed Package Includes bed, mattress with three types of specialty foam for a weight capacity of 700 lbs., headboard and footboard, heavy duty half rails. Motor feautures quiet, smooth electrical operation with convenient hand control for positioning of upper body, knees and bed height for maximun comfort and flexibility. Heavy-duty steel plate with pan spring design ensures extra strength while reducing bed weight. Back and foot adjustments provide an anatomically correct sleep surface. Adjustable height from 18.25˝ – 26.25˝, 2 year warranty on frame, 1 year on mechanical and electronics. *Special order item.

ITEM #

HCPCS

88˝ L x 42˝ W, 600 lbs. 88˝ L x 48˝ W, 750 lbs.

HB4PKG* HB6PKG*

E0303 E1399

SOLD BY

Deluxe Full Length Hospital Bed Side Rails Telescopes with movement of the bed to provide adequate support. The 1˝ steel construction with brown vein finish is both strong and attractive. The rails adjust up or down thanks to a spring-loaded release. The spring-loaded crossbars offer extra support, and are easy to install or remove. Full, 441⁄2˝ L x 201⁄4˝ W x 3˝ H. ITEM #

HCPCS

ITEM #

HCPCS

8˝ x 24˝, Southern Yellow Pine 8˝ x 30˝, Southern Yellow Pine 8˝ x 30˝ Southern Yellow Pine 8˝ x 24˝ Southern Yellow Pine 8˝ x 30˝ Southern Yellow Pine 8˝ x 271⁄2˝, plastic

(64)1753 (64)1754 (64)1756 (64)1765 (66)51817600400 (66)51817610000

E0705 E0705 E0705 E0705 E0705 E0705

ea ea

DRIVE/DEVILBISS HEALTHCARE (FG/ MA)

SOLD BY

ea ea ea ea ea ea

DRIVE/DEVILBISS HEALTHCARE (FG) Therapeutic 5 Zone Support Mattress Deluxe, horizontal, cross-cut, foam mattress with five zones provides comfort, support and pressure redistribution. 210-denier nylon cover reduces friction and shear, and is water resistant and vapor permeable. 350-lb. weight capacity.

ITEM #

15019 E0184 ea

HCPCS

SOLD BY

Non-Tilt Overbed Table Walnut, wood grain, low-pressure laminate top. Tabletop can be raised or lowered in infinite positions between 28˝ and 45˝. Steel “H˝ base provides security and stability. 15˝ x 30˝ tabletop is locked securely when height adjustment handle is released. Table top can be raised with slightest upward pressure. Base and mast are available in silver vein finish. 2˝ swivel casters allow for easy maneuverability. 40-lb. weight capacity. Limited lifetime warranty.

Full FG15001ABVPR E0310 Pr Half FG15201BV E0271 Pr

Innerspring Mattresses 36˝ x 80˝, firm support, 250-lb. weight capacity.

ITEM #

HCPCS

Springease Extra Firm Flexease Form

MA36372SE FG36372FE

E0271 E0271

SOLD BY

ea ea

BED ACCESSORIES CARDINAL HEALTH

™

(ZR)

* Not made with natural rubber latex.

Cardinal Health Hospital Bed Sheets* Designed specifically for hospital beds. Stays in place even when head or foot of bed is raised. Available in fitted bottom sheet or three-piece sheet set, which includes one flat sheet, one contour fitted sheet and one pillowcase. Fitted sheet measures 36˝ x 80˝; flat sheet is 66˝ x 104˝; pillow case measures 20˝ x 30˝. Made of 50% cotton and 50% polyester. Machine washable and dryable. White.

ITEM #

HCPCS

Fitted bottom sheet Three-piece set

6615631 66124B

A9270 A9270

ITEM #

HCPCS

661ZMP E1399

SOLD BY

ea set

Zip Vinyl Mattress Cover 36˝ x 80˝ SOLD BY

Home Care Bed-in-a-Bag Complete bedding set in cotton/polyester blend. Includes one each 130 thread count: woven fitted bottom sheet, top sheet, pillowcase and 100% cotton thermal blanket. 50/50 cotton/polyester bed linens never need ironing. Fits hospital bed mattresses up to 36˝ W x 80˝ L x8˝ D. Open cell construction thermal blanket is preshrunk for long-term service and breathable for warmth and comfort.

ITEM #

Standard Bariatric

661EBBCB A9270 661BBBCB A9270

HCPCS

SOLD BY

ea ea

ITEM #

13067 E0274 ea

HCPCS

SOLD BY

Deluxe Tilt Top Overbed Table Walnut, wood grain, low-pressure laminate top can be tilted 33° in either direction. Top can be raised or lowered in infinite settings between 29.5˝ and 46˝. Swivel casters allow for easy maneuverability. Chrome-plated, steel “H” base provides security and stability. Table top can be raised with the slightest upward pressure. 50-lb. weight capacity. Limited lifetime warranty.

ITEM #

13008 E0274 ea

HCPCS

SOLD BY

EHOB (EH) BEDDING SUPPORT SURFACES AND OVERLAYS WAFFLE Expansion Control Mattress Used in hospitals, nursing homes and home care for more than 25 years to prevent and treat pressure ulcers. Static air technology evenly distributes the body’s weight on the bed surface while reducing skin shear and friction. The hand wells surrounding the product allow for easy logrolling and user transfers up to 600 lbs. The low-profile design ensures user safety and ease of movement in and out of bed. Inflate with WAFFLE M.A.D.® hand pump. Three-month warranty. 30˝ W x 75˝ H x 3˝ D. ®

ITEM #

1004EC E0197 ea

HCPCS

SOLD BY

DME / BARIATRIC

BED ACCESSORIES

INVACARE® (INV)

HERMELL PRODUCTS (HF)

Invacare® Fixed Offset Trapeze Bars Helps patients change positions in bed and transfer from bed to chair with minimal assistance. A wide range of height adjustments and hand bar positions maximize patient accessibility. Heavy-gauged, octagon-steel construction with no tools required for an easy assembly. Nylon coating ensures a secure grip on handbar. Wall bumpers and padded mounting brackets protect bed ends and wall surfaces. For use on Item # 7714P floor stand or on any Invacare home care bed end. Octagon-steel 1.25˝ tubing. 61˝ height. 34˝ reach. Weighs 17 lbs. Three-year warranty.

Imitation Shearling Decubitus Seat Pad Add this imitation sheepskin pad to any seating or sleeping surface to help prevent and alleviate shearing, slipping, skin breakdown and pressure ulcers. Perfect size for sofas and recliners. Allows air to circulate, keeping skin dry and cool. Bounces back to maintain softness. Machine wash, air dry.

16˝ W x 18˝ L Small, 24˝ W X 30˝ L Medium, 30˝ W X 40˝ L Large, 30˝ W X 60˝ L Hospital bed, 36˝ W X 80˝ L

ITEM #

HCPCS

DP8001SHP DP8011SHP DP8021SHP DP8031SHP DP8041SHP

E0188 E0188 E0188 E0188 E0188

SOLD BY

ea ea ea ea ea

NEW

Bed Rail Pad

Creates a padded barrier between the patient and metal bed rails. Helps minimize bruising and abrasions. Does not interfere with operation of the side rails. Hook-and-loop tape makes installation and removal easy; folds for storage. Wipe clean. Sold as a pair.

30˝ x 18˝ x 1˝ 56˝ x 18˝ x 1˝

ITEM #

HCPCS

BR3018 BR5618

A9270 A9270

SOLD BY

ea ea

NEW Total Comfort Bed Pad Reversible pad has a wicking polyester-cotton blend on one side, waterproof polyurethane on the other side. Distributes weight and pressure to make home health patients more comfortable. Elastic straps on all four corners keep it in place. Proprietary polyester fiber fill distributes weight and recovers from compression. Spot clean only.

ITEM #

BP3692 E0199

HCPCS

SOLD BY

LATEX FREE NEW Eggcrate Convoluted Mattress Pad This “egg crate” mattress topper adds a more comfortable layer to any sleeping or lounge surface. Distributes weight and pressure to make home health patients more comfortable. Durable polyurethane foam does not off-gas, is latex-free.

ITEM #

HCPCS

Twin, 34˝ x 72˝ x 4˝ Full, 50˝ x 72˝ x 4˝ Queen, 56˝ x 72˝ x 4˝ King, 72˝ x 72˝ x 4˝ Full, 50˝ x 72˝ x 2˝ Queen, 56˝ x 72˝ x 2˝ King, 72˝ x 72˝ x 2˝ Hospital, 33˝ x 72˝ x 1˝ Hospital, 33˝ x 72˝ x 3˝ Hospital, 33˝ x 72˝ x 4˝

CP5300 CP5301 CP5302 CP5303 CP5315 CP5316 CP5317 CP5320 CP5326 CP5331

E0199 E0199 E0199 E0199 E0199 E0199 E0199 E0199 E0199 E0199

SOLD BY

ea ea ea ea ea ea ea ea ea ea

NEW

Fall Protection Pad

Additional safety precaution for patients at risk of falling out of bed. Folds for easy storage under the patient's bed

ITEM #

HCPCS

35˝ x 70˝ x 2˝ 35˝ x 80˝ x 4˝

FP3570 FP3580

E0199 E0199

SOLD BY

ea ea

ITEM #

7740P E0910 ea

HCPCS

SOLD BY

Invacare® Trapeze Floor Stand (For use with 7740P Invacare® Offset Trapeze Bar) Provides freestanding support for Item # 7740P Fixed Trapeze Bar. Folds flat for convenient storage and handling. 40˝ L x 32˝ W x 38˝ H. Weighs 24 lbs. Assisted weight capacity of 250 lbs. Three-year warranty.

ITEM #

7714P E1399 ea

HCPCS

SOLD BY

Invacare® Solace® Prevention Foam Mattress Two-layer quality foam designed for preventing pressure ulcers. A zoned top layer relieves pressure in the important susceptible body zones, while the convoluted fortress-cut foam offers more surface area for user support and relief. Includes softer head and heel sections to help protect vulnerable areas. Helps distribute weight and lower interface pressure to help prevent pressure ulcers in low-risk patients. 70-denier nylon cover guards against friction with non-skid bottom surface. Convoluted foam helps circulate air around user. 80˝ L x 36˝ W x 6˝ H. Flammability meets 16 CFR 1632 and 16 CFR 1633 TB 129 and ASTM 1590. Five-year warranty on mattress, one year on cover.

ITEM #

HCPCS

80˝ L x 35.5˝ W x 6˝ H

SPS1080

E0272

SOLD BY

Invacare Gel Foam Mattress Overlay Several large 2˝ thick gel bladders encased in a polyurethane foam mattress core provide maximum patient comfort and help prevent and treat pressure ulcers. Gel stays under patient and will not migrate from point of pressure. Reversible for increased service life. Durable base material with strong elastic corner straps reduces overlay movement. Vapor permeable, water-resistant cover with low friction and shear. Does not contain latex. 77˝ L x 36˝ W x 3.5˝ H. Weighs 55 lbs. 250-lb. weight capacity. Six-month warranty. ®

ITEM #

IVCGFMO2 E0185 ea

HCPCS

SOLD BY

BEDSIDE TABLES Invacare Overbed Table Height easily adjusts for comfort while reading, writing or eating. Attractive, walnut wood-grained laminate top with a T-molded edge designed to resist damage. Heavy-gauge, silver vein, tubular, welded steel construction ensures durability, and the 1.5˝ casters ensure smooth mobility in any direction. Light upward touch on patented spring-loaded locking handle allows table to elevate freely. Unique U-base design permits use with chairs. Base 15.5˝ W x 26˝ L, table top 30˝ L x 15˝ W x 0.75˝ H, height adjusts 27.25˝ – 42˝. Weighs 27 lbs. 25-lb. weight capacity. One-year limited warranty. ®

ITEM #

HCPCS

6417

E0315 ea

SOLD BY

DME / BARIATRIC

BED ACCESSORIES INVACARE® (INV) Invacare® Tilt Top Table Overbed table allows three angle positions in either direction using tilt-release lever. Table elevates freely with light upward touch; downward touch locks it into position. Adjustable height for comfort while reading, writing or eating. Supports up to 25 lbs. of evenly distributed weight in lowest position. Attractive walnut wood-grained laminate top measures 30˝ L x 15˝ W x 0.75˝ H, base 26˝ L x 15.5˝ W, height adjusts 25.75˝ – 39˝. Weighs 28 lbs. One-year limited warranty.

ITEM #

6418 E0315 ea

HCPCS

SOLD BY

CAREX® (RM) Overbed Table Convenient, flat surface makes it easier for people to eat, write letters or do projects while in bed or in a chair. Table easily adjusts for left- or right-hand use and height variation. “C”-style base allows for easier and closer access from a chair.

ITEM #

P56700 E0274 ea

HCPCS

SOLD BY

JOERNS HEALTHCARE (JN) BioClinic Eggcrate Convoluted Foam Bed Pads Designed to meet the needs of those at risk for varying types of skin injuries. Distribute body weight evenly, reduce pressure and promote air circulation for enhanced comfort. Proprietary Eggcrate cut promotes air circulation for enhanced comfort. Body weight is allocated evenly, allowing for pressure redistribution.

ITEM #

HCPCS

33˝ L x 72˝ W x 2˝ H 33˝ L x 72˝ W x 4˝ H

11760CC 14000CC

E0184 E0184

SOLD BY

18/cs 6/cs

BioClinic Therapad Eggcrate Overlay Puncture-proof pad that has open cell material, wave cut construction and provides greater support while dissipating heat and moisture better than fluff or mechanized pads. Utilizes more of the body to distribute weight and is made of standard density foam.

ITEM #

HCPCS

Twin, 34˝ L x 72˝ W x 4˝ H Full, 50˝ L x 72˝ W x 4˝ H Queen, 56˝ L x 77˝ W x 4˝ H

38004 38014 38524

E0184 E0184 E0184

SOLD BY

2/cs 2/cs 2/cs

K2 HEALTH PRODUCTS LLC (KHP) Kolbs NSR Compressed Foam Homecare Mattress Premium quality foam mattress with patented super compression technology. Packaged in a box with a footprint of just 14˝ L x 14˝ W x 37˝ H. To reduce cargo space on delivery vehicles. Easier to deliver than traditional bulky mattresses.

ITEM #

KBCNSR80366 E0272

HCPCS

SOLD BY

MOBILITY TRANSFER SYSTEMS, INC. (RI) FREEDOM Grip® Bed Handle Helps prevent falls and rolling out of bed. Assists in transfers and improves in bed mobility. Comes with a 20˝ x 29˝ bed board that easily slides between the mattress and box spring. Handle is steel construction and has an anti-slip grip for security. Tool-free assembly. Fits any sized home-style bed. Handle length 21˝, weight capacity 250 lbs. Made in USA.

ITEM #

HCPCS

501

A9270 ea

SOLD BY

FREEDOM Grip® Plus Has all of the features and benefits of the FREEDOM Grip® Bed Handle and also has the ability to adjust the height of the handle from 21.5˝ to 24.5˝ in 1˝ inch increments. The top handle is covered with an anti-slip surface and attaches to a 20˝ x 29˝ bed board. Fits any home style bed. Weight capacity 250 lbs. Made in USA.

ITEM #

HCPCS

502

A9270 ea

SOLD BY

FREEDOM Grip® Travel Handle When disassembled, the travel handle fits into a suitcase for ease of transport. Made of tubular steel for strength and safety. Handle height adjusts from 23˝ – 26˝ to accommodate thicker mattresses. Top of handle is covered with non-slip grip. Weight capacity 250 lbs. Madein the USA.

ITEM #

HCPCS

505

A9270 ea

SOLD BY

Freedom Assist Handle Bedrail provides safety and extra stability when getting into and out of bed. The handle height can be adjusted from 31˝ – 39˝ from the floor in 1˝ increments, based on user’s needs and the height of the mattress. The top of the handle is covered with a non-slip cushioned grip for added safety and comfort. Can be used on either side of a home-style bed. A nylon safety strap slides under the mattress and secures the bed rail to the other side of the bed frame to prevent it from pulling out. 350-lb. weight capacity. Easy to install, no tools required. Made in USA.

ITEM #

HCPCS

SOLD BY

510 E0305 ea

Economy Bed Rail Maintains user’s independence and safety in the bedroom. For added stability, a nylon safety strap runs under the mattress and secures the handle to the other side of the bed frame. Fits on either side of the bed and can be used with any size home style bed. Fits mattresses 6˝ – 12˝ thick. The handle is 20˝ H x 18˝ L and is covered with a non-slip grip. All-steel tubing. 250-lb. weight capacity. Easy to assemble, no tools required. Made in USA.

ITEM #

HCPCS

SOLD BY

401 E0305 ea

Reverse SlantRail™ Ergonomic bed rail allows users to choose which direction to place it, depending on their needs and preference. Provides a wide range of grasping and leveraging positions to help mobility and avoid back strain. Fits any size home-style bed in either direction. All-steel tubing. Easy to assemble, no tools required. Helps make moving around in bed easier. Assists in transferring to bedside commode. 21˝ H x 181⁄2˝ W handle. Fits mattresses up to 12˝ in height. Weight capacity 250 lbs. Made in USA.

ITEM #

HCPCS

SOLD BY

600 A9270 ea

Bed Cradle Ideal for individuals with paraplegia, pressure ulcers, burns, open skin sores, infections or sensitive skin. Continuous closed loop frame of all-steel construction. The lower end slides between the mattress and box spring at the bottom of the bed. The top portion supports bed linens and blankets to keep them from directly lying on the feet, providing pressure relief and increased ventilation. Installs in seconds on any sized bed and requires no additional tools. 22˝ H x 15˝ W x 24˝ D. Made in USA.

ITEM #

HCPCS

SOLD BY

300 E0280 ea

DME / BARIATRIC

BED ACCESSORIES MOBILITY TRANSFER SYSTEMS, INC. (RI) Security Bed Rail Helps reduce the risk of falling and rolling out of bed. Available in 18˝ and 30˝ lengths. The 18˝ length can be used as a support handle to aid in getting in and out of bed. Choose the 30˝ length when individual requires more confinement. Both lengths are 20˝ in height. Rails easily lowers by depressing snap buttons. Weight capacity 250 lbs. Made in USA.

ITEM #

HCPCS

Single, 18˝ L x 20˝ H Double, 18˝ L x 20˝ H Single, 30˝ L x 20˝ H Double, 30˝ L x 20˝ H

1875 1885 5075 5085

A9270 A9270 A9270 A9270

1875M 1885M 5075M 5085M

A9270 ea A9270 ea A9270 ea A9270 ea

Transfer Handle – Hospital Beds Safety assist handle that meets FDA non-entanglement guidelines. Makes patient transfers easier and improves in bed mobility. Available for both spring base and pan base hospital style beds. The handle is 22˝ in length and 51⁄2˝ wide. Weight capacity 250 lbs. Great rental item. Made in USA.

SOLD BY

ea ea ea ea

ITEM #

Single Double Spring base, single side Spring base, double side Pan base, single side Pan base, double side

1025H E0705 1125H E0705 2025H A9270 4025H A9270 6025H A9270 8025H A9270

HCPCS

PRESSURE RELIEF SYSTEMS Protekt Aire 1500 Enables clinician to control interface pressure by adjusting air flow. Features a manual air flow adjustment knob, lighted on/off switch, hanging bed hooks and medical-grade, fire-retardant PVC. Cycle time: 10 minutes. 11.5 gauge thickness. 78.5˝ L x 35.5˝ W. 300-lb. weight capacity. 18-month warranty.

ITEM #

HCPCS

ITEM #

Multi-Ply Notched, 24˝ L x 8˝ W Multi-Ply Notched, 29˝ L x 8˝ W Maple, Solid, 24˝ L x 8˝ W Maple, two hand slots, 24˝ L x 8˝ W Maple, two hand slots, 30˝ L x 8˝ W Multi-Ply, center slot, 24˝ L x 8˝ W

5100 E0705 5110 E0705 5200 E0705 5210 E0705 5200 E0705 5300 E0705

Adjustable alternating pressure pump with pad

80010

E0181

SOLD BY

ea ea ea ea ea ea

Curved Transfer Board Makes transfers between surfaces easier. Ergonomically designed, arched shape follows the natural transfer motion. 28˝ L x 12˝ W. Polyethylene plastic. Weight capacity 250 lbs. Made in the USA.

ITEM #

HCPCS

SOLD BY

5015 E0705 ea

ITEM #

HCPCS

Without flaps Deluxe bubble pad only with flaps

80011 80012

A4640 A4640

HCPCS

SOLD BY

ITEM #

13˝ diameter 15˝ diameter 18˝ diameter

5081 A9270 ea 5082 A9270 ea 5083 A9270 ea

HCPCS

SOLD BY

The Transfer Handle® – Home Beds Makes getting into and out of bed easier, helps maintain mobility and independence while reducing risk of falls. Easy to install, no tools required, simply slide the 30˝ L x 27˝ W bed board between the mattress and box spring and attach the handle. The 4˝ internal width of the handle helps prevent entrapment. Fits any size home-style bed. Handle length 22˝, outside width 6˝, weigh capacity 250 lbs. Also available for home style electric adjustable beds. Great rental item. Made in USA.

The Transfer Handle For adjustable electric bed – Left Side For adjustable electric bed – Right Side

ITEM #

HCPCS

2025 2025ML 2025ML

A9270 E0305 E0305

SOLD BY

ea ea ea

SOLD BY

ea ea

High volume, user-friendly pump combines low air loss and alternating pressure in one unit. The air flow and pressure range can be customized according to each individual patient’s weight. The “static” mode provides firm support for easy patient transfer. The mattress comprises 20 8˝ air bladders that allow for deep immersion and excellent pressure redistribution. The top cover is quilted for added patient comfort.

3011 A9270 ea

SafetySure® Pivot Disc For assisted or unassisted transfers by individuals with limited or no ability to pivot. Individuals with upper body strength can use the Pivot Disc to accomplish independent transfers. Aids in transfers between the bed, wheelchair, toilet or bedside commode.

Protekt™ Aire 4000

SafetySure Transfer Sling Easy to use with many transfer applications. Sling has non-slip inner surface. Reduces stress on users’ and caregivers’ backs. 19˝ L x 8˝ H, 3 ⁄8˝ thickness. Four hand grips, 250-lb. weight capacity. Made in USA. ITEM #

SOLD BY

Bubble Mattress Pad for Protekt™ 1500 Aids in the prevention and treatment of pressure ulcers. Design allows greater skin contact. Economical pressure redistribution surface. Features a lighted on/off switch, hanging bed hooks and medical-grade, fire-retardant PVC. Cycle time: 10 minutes. 11.5 gauge thickness. 300-lb. weight capacity. 18-month warranty.

ea ea ea ea ea ea

™

Wooden Transfer Boards Used to bridge the gap between two transfer points. Choose from various styles – notched (shown), slotted or solid. Weight capacity 400 lbs. Made in USA. HCPCS

SOLD BY

PROACTIVE MEDICAL PRODUCTS (LV)

FOR CRAFTMATIC TYPE BED, STEEL

18˝ L x 20˝ H, Single Bed Rail, Cream 18˝ L x 20˝ H, Double Bed Rail, Cream 30˝ L x 20˝ H, Single Bed Rail, Off White Coating 30˝ L x 20˝ H, Double Bed Rail, Off White Cream

ITEM #

80040 E0277 ea

HCPCS

SOLD BY

Protekt™ Fiber Core Homecare Mattress The dense fiber core is designed specifically for use in home care. Lighter weight than traditional inner spring mattresses. Inverted seams for comfort and caretaker convenience. Durable, nylon cover is waterproof and anti-microbial. One-year, non-prorated warranty. 300-lb. weight capacity.

ITEM #

91001 E0277 ea

HCPCS

SOLD BY

Protekt™ Serenity Gel Overlay Utilizes a series of gel bladders encapsulated between high density, high resiliency, contoured foam and a firm support base. This composition creates a cost-effective pressure redistribution. Optimal overlay surface for the prevention and treatment of pressure ulcers. Convoluted, high density polyurethane foam top layer. Bladders contain an aqueous gel composition that provides deep submersion. Base foundation is a high density, high resiliency foam construction that prevents “bottoming out.” Cover is a soft nylon, urethane-coated, vapor-permeable, waterproof fabric. Top cover is non-shear, low-friction and anti-microbial/bacterial. One-year, non-prorated warranty. 300-lb. weight capacity.

ITEM #

HCPCS

34˝ x 78˝ x 3˝ 42˝ x 78˝ x 4˝

90001 90002

E0277 E0277

SOLD BY

ea ea

DME / BARIATRIC

Mobility Bed Rail

BED ACCESSORIES

Extra pivoting arm provides extra support while walking or transferring to a wheelchair. Legs extend to the ground for extra stability while standing, and the half-side rail prevents nighttime falls. Colors blends in with the bedroom to maintain the comforting feeling of the home. Height adjustment from ﬂoor to top of handle: 21˝ – 44˝; height adjustment from mattress base to top of handle: 17.5˝ – 22.5˝; rail width: 19˝; weight capacity: 300 lbs. Mobility arm swings out 19˝ away from bed.

ROHO® (RO) ROHO® SOFFLEX®2 Mattress Replacement System This mattress replacement system is a superior skin protection support surface for different care settings, costing less than leading powered mattress systems. Utilizing ROHO’s Shape Fitting Technology®, SOFFLEX 2 Mattress’ interconnected air cell sections may be adjusted separately to match the individual’s shape, providing overall skin/soft tissue protection, comfort, and treatment. Three sections create a multi-zoned support surface for an individualized fit. The side inflation ports allow for easy, quick access to adjusting each section. Fits most bed frames including existing home, hospital or care facility bed frames that are 80˝ to 84˝ in length and 36˝ or 42˝ wide. Cost-effective and energy efficient. The SOFFLEX 2 Mattress is non-powered, reusable and costs significantly less than powered mattress systems. For people who are at risk of developing pressure ulcers and/ or tissue injury or who currently have skin/soft tissue breakdown; have any stage pressure ulcer, skin grafts or recent myocutaneous flap surgery; need comfort or need a mattress that provides an individualized fit. Weighs approx. 28 lbs. (12.7 kg). Cover is fluid-resistant, flame-resistant and the cover top can be cleaned and disinfected between patient use. 5-year limited warranty on the Mattress System; Cover has 18-month limited warranty.

Stable Rail

ITEM #

HCPCS

36˝ L x 80˝ W x 8.5˝ H 36˝ L x 84˝ W x 8.5˝ H 42˝ L x 80˝ W x 8.5˝ H

SFLX2MRSSTD SFLX2MRSCUST SFLX2MRSCUST

E0373 E0373 E0373

30 Safety Bed Rail

SOLD BY

ea ea ea

ROHO® PRODIGY® Mattress Overlay Zoned, non-powered, full mattress overlay designed for individuals who are at risk for breakdown and/or have a Stage I or II ischemic ulcer. Three sections each 27˝ x 36˝. Adjustable 61⁄2˝ L x 61⁄2˝ W x 31⁄2˝ H air cells adjust to body shape and contour. Does not require external power source. Durable polyester/vinyl material can be easily cleaned with soap and water. Approximately 3 lbs. per section; 9.5 lbs. for a complete system. 300-lb. weight capacity. One-year limited warranty.

ITEM #

HCPCS

PRODIGYS E0197 ea

5100 E0315 ea

HCPCS

SOLD BY

ITEM #

8000 E0310 ea

HCPCS

SOLD BY

ITEM #

5800 E0315 ea

HCPCS

SOLD BY

ITEM #

HCPCS

8051 8050

E0305 E0310

SOLD BY

ea ea

Bed Caddie Unique, ladder-like design with three handgrips to make it easier to sit up in bed. Great for users who want a little extra support while sitting up. Can be used with bed rails to help user easily get out of bed. Strap length adjusts 48˝ – 84˝; length between handles: 12˝. Weight capacity: 300 lbs.

ITEM #

2085 A9270 ea

HCPCS

SOLD BY

ORGANIZERS / TABLES Bed Rail Advantage Traveler & Organizer Requires no assembly. Folds for travel. The rail is 17˝ W x 22˝ H to accommodate thicker pillow-top mattresses. Attaches to any size home or hospital bed frame. Includes four-pocket Bed Rail organizer. Weight capacity: 400 lbs.

EZ Adjust Bed Rail Works as both a side rail for preventing falls and as a support for getting into and out of bed. Adjusts from 26˝ – 42˝ with the push of a button and locks into place. Folds down and out of the way when not in use. Can be installed on either side of the bed in between the mattress and box spring. Installs on any size home or hospital bed and can accommodate thicker pillow-top mattresses; also works well with adjustable beds. Includes a six-pocket organizer. Weight capacity: 300 lbs.

SOLD BY

Bedside Econorail

ITEM #

HCPCS

With organizer pouch Without organizer pouch

BED RAILS

5850 E1399 ea

Can be installed on either side of the bed. Folds down and out of the way when not in use. Attaches to any size home or hospital bed and works well with adjustable beds. At 23˝ high, accommodates taller pillow-top mattresses. Installs in minutes with four bolts and Allen wrench (included). Includes a bumper pad with an eight-pocket organizer pouch. Weight capacity: 300 lbs.

STANDER, INC. (STD)

ITEM #

Legs extend to the ground for extra stability while standing, and the half-side rail prevents nighttime falls. Colors blends in with the bedroom to maintain the comforting feeling of the home. Height adjustment from ﬂoor to top of handle: 21˝ – 44˝; height adjustment from mattress base to top of handle: 17.5˝ – 22.5˝; rail width: 19˝; weight capacity: 300 lbs.

SOLD BY

Highly portable bed rail. Makes it easy to get in out of bed, wherever user goes. Strong, lightweight design only weighs 1.5 lbs. but supports up to 300 lbs. Simply snap the ends together for fast and easy assembly – no tools required.

ITEM #

5000 E0315 ea

HCPCS

SOLD BY

Stander’s BedCane With Organizer Strong and sturdy, the steel ˝cane˝ with cushion grip handle makes it easier to get into and out of bed. Mounts on a board that secures between mattress and box spring – easy to install. Attaches securely to any size home or hospital bed; also works well with adjustable beds. Adjusts from 19˝ – 22˝ high and can accommodate thicker pillow-top mattresses. Includes a four-pocket BedCane Organizer. Weight capacity: 300 lbs.

ITEM #

2041 E0315 ea

HCPCS

SOLD BY

DME / BARIATRIC

BED ACCESSORIES

HEALTHSMART® (64/66)

SHEEPSKIN RANCH, INC. (SHP)

PADS, CUSHIONS AND FOAM WEDGES

Genuine Medical Sheepskin Overlay Used in hospitals and nursing homes for their healing and pressure sore prevention qualities. Medical-grade sheepskin is chosen for its high wool density to distribute weight evenly, relieve pressure and improve blood flow. Sheepskin’s natural fibers help regulate body temperature, cutting down on moisture making it useful for those with skin irritants such as bed sores, eczema, rashes and itchy skin. Sheepskin absorbs 33% of its own weight without feeling wet, synthetic fibers absorb only 1%. Naturally hypoallergenic, antimicrobial and machine washable

DMI Synthetic Sheepskin Decubitus Pad Helps to prevent pressure sores and decubitus ulcers. Made of synthetic sheepskin and is machine washable and hypoallergenic. 100% polyester fabric.

ITEM #

HCPCS

36˝ x 30˝ 72˝ x 30˝

101 105

E0189 E0189

SOLD BY

ea ea

Genuine Medical Sheepskin Mattress Cover The ultimate in sheepskin bed overlays. Used in hospitals and nursing homes for their healing and pressure sore prevention qualities. Medical-grade sheepskin is chosen for its high wool density which distributes weight evenly, relieves pressure and improves blood flow. Sheepskin’s natural fibers help regulate body temperature, cutting down on moisture. Tailored for those with skin irritants such as bed sores, eczema, rashes and itchy skin. Sheepskin absorbs 33% of its own weight without feeling wet, synthetic fibers absorb 1%. Sheepskin is naturally hypoallergenic and antimicrobial and machine washable. Includes elastic straps on corners.

ITEM #

104 E0189 ea

HCPCS

SOLD BY

DAILY LIVING AIDS CARDINAL HEALTH™ (ZR)

ITEM #

5913347 A9281

HCPCS

SOLD BY

Cardinal Health Adult White Terry Bibs* Designed to be worn by those with upper extremity or eating and swallowing disabilities. Large, 18˝ x 27˝, machine-washable and dryable bibs are made from 100% cotton fronts with a lower pocket to catch spills. Fully-lined waterproof back and easy Velcro® closure at the back of the neck.

ITEM #

HCPCS

(64)806040 (64)806060

E0188 E0188

SOLD BY

ea ea

HealthSmart® Aluminum Reachers with Magnetic Tip Feature a brushed-aluminum frame. Plastic handle and jaw make the reacher extremely lightweight. Easy-grip contour handle design. Attached magnet picks up light metal objects.

ITEM #

26˝, folding (64)1764 32˝, non-folding (64)017640623

HCPCS

SOLD BY

A9281 A9281

ea ea

MOBILITY TRANSFER SYSTEMS, INC. (RI) SafetySure® CarEase™ Slide Slick inner surface makes getting into and out of a car seat effortless. Sliding and rotation into the car seat is smooth, with almost no friction. Unlike other products, CarEase™ is comfortable to sit on. Perfect for all sliding transfers. When not in use, can be stored in the glove compartment. 22˝ L x 18˝ W. Made in USA.

ITEM #

978 A9270 ea

HCPCS

SOLD BY

SafetySure® TurnEase™ Turning and Moving Bed Assist Ideal for those with Parkinson’s disease, muscular dystrophy, stroke, arthritis, back pain, stiffness or difficulty turning in bed. Assists in turning and moving to make getting into and out of bed easier. Helps maintain independence. Machine washable. 27˝ L x 37˝ W. 300-lb. weight capacity. Made in USA.

ITEM #

980 A9270 ea

HCPCS

SOLD BY

NORTH AMERICAN HEALTH AND WELLNESS (JII) Outdoor Step Step securely and cut the rise in half when stepping into doorway. Large platform makes it easier for those with limited ability to lift their feet & remain steady while stepping up. Use indoors or out. Comes with slip-resistant rubber mat. 91⁄4˝ x 151⁄2˝ x 347⁄50˝. Supports up to 440 lbs.

SOLD BY

5915433 A9270 12/pk

DRIVE/DEVILBISS HEALTHCARE (FG) Exercise Peddler

ITEM #

30˝ x 40˝ 30˝ x 60˝

PERSONAL LIVING AIDS

* Not made with natural rubber latex.

Cardinal Health Hip Kit* Six-piece kit includes one sock aid; one 26˝ reacher; one 19.5˝ dressing stick/shoe horn; one 22.5˝ handle bath sponge; and one pair each 27˝ black and white elastic shoe laces.

ITEM #

JR5919 A9270

HCPCS

SOLD BY

Long Reach Grabber Four anti-slip rubber pads prevent sliding and protect floor. Safe and gentle form of low-impact exercise. Stimulates circulation. Ideal for toning leg and arm muscles. Tension can be adjusted. Attractive silver vein finish. Compact for storage and transport. Assembly required. Limited lifetime warranty.

Aluminum, Trigger-Style Grip. The long-reach folding grabber extends reach, bringing those hard-to-reach objects within grasp. Suction cups grips with secure locking handle. Extends reach nearly 3’. Folded 16.5˝ x 6˝ x 1˝. Unfolded 32˝ x 5˝ x 1˝

ITEM #

JB7440 A9281

ITEM #

Without monitor 10270KDRSV1 With monitor RTL10273

HCPCS

A9300 A9300

SOLD BY

ea ea

HCPCS

SOLD BY

PROVIDENCE SPILLPROOF CONTAINER (PI) Independence™ 2-Handle Plastic Mug Handles are easy to hold, and the large base adds stability to help prevent spills. Comes with two lids: one with a spout and one anti-splash, both usable with a straw. Holds 10 oz. of liquid. Dishwasher safe.

ITEM #

PSC49 A9270 3/pk

HCPCS

SOLD BY

DME / BARIATRIC

DAILY LIVING AIDS

8˝ x 12˝, 2 mil 12˝ x 18˝, 2 mil

PROVIDENCE SPILLPROOF CONTAINER (PI)

HCPCS

SOLD BY

DS20812 DS21218

A9270 1,000/cs A9270 1,000/cs

K48 K48B* K48T*

A9270 A9270 E1399

MATTRESS TWIN

Kennedy Cup™ Eliminate messy spills and increase confidence with this spill-proof drinking cup. Perfect for all ages, this plastic cup has an easy-grip handle, sturdy screw-on lid and uses disposable straws. Holds 7 oz. of hot or cold liquid. Dishwasher safe.

ITEM #

HCPCS

SOLD BY

KCUP A9270

3/pk

ELKAY PLASTICS CO, INC. (EK) Equipment Tags Vivid, color-coded equipment tags designate “Clean Equipment,” “Dirty Equipment” and “Equipment Repair.” Made of durable cardstock. Help HME equipment providers meet requirements of accreditation agencies to designate equipment status. Compliance with these standards is both good business practice and is required by governmental agencies. Tags can be used in conjunction with tinted poly equipment covers for a complete identification system. 25⁄16˝ x 43⁄4˝. 12˝ long wire ties are included for easy attachment to virtually any piece of equipment.

ITEM #

HCPCS

SOLD BY

Clean equipment, green Multipack (red – dirty, green – clean, lemon – repair)

TCEG TMUL

A9270 A9270

500/cs 750/cs

Equipment Covers Facilitate the clean and dry storage of various types of medical and home care equipment, including walkers, concentrators, feeding pumps and nebulizers. Large side gussets; clear except as noted. *Special order item.

ITEM #

HCPCS

39˝ x 9˝ x 90˝, 1.5 mil 39˝ x 9˝ x 90˝, 1.5 mil, blue tint 39˝ x 9˝ x 90˝, 1.5 mil, tan tint

12˝ x 8˝ x 30˝, 1.25 mil

BOR128030

100/rl 100/rl 100/rl

STANDER, INC. (STD) Metro Car Handle Plus Makes it easy to get in and out of the car. Simply slide the handle into the striker/door latch for extra support while sitting or standing. Fits any door striker, providing support anywhere in the car for stress-free traveling. Includes a flashlight for greater visibility at night. User can place the handle in the car when finished. Weight capacity: 300 lbs.

ITEM #

2082 E1399 ea

HCPCS

SOLD BY

HandyBar Makes it easy to get in and out of the car. Simply slide the handle into the striker/door latch for extra support while sitting or standing. Fits any door striker, providing support anywhere in the car for stress-free traveling. User can place the handle in the car when finished. Weight capacity: 350 lbs.

ITEM #

3001 E0315 ea

HCPCS

SOLD BY

Automobility Combo Pack All-in-one solution that makes getting in and out of the car easy. Combo pack contains the Swivel-Seat-Cushion to help pivot the legs and the Handy Bar to help easily get in and out of the car for stress-free traveling. Weight capacity: 350 lbs.

SOLD BY

IV POLE/PORTABLE SUCTION/FOLDED WALKER

ITEM #

3033 A9270 ea

HCPCS

SOLD BY

A9270

500/rl

A9270 A9270 A9270

150/rl 150/rl 150/rl

A9270 A9270

250/rl 150/rl

16˝ x 14˝ x 36˝, 1.5 mil BOR161436 A9270 28˝ x 22˝ x 56˝, 1.0 mil 10G282256BOR A9270 18˝ x 15˝ x 21˝, 1 mil BOR181521 A9270 28˝ x 22˝ x 56˝, 1 mil, blue tint BOR10G282256B* A9270 20˝ x 18˝ x 30˝, 1.8 mil BOR18G201830 A9270 16˝ x 14˝ x 36˝, 1.2 mil, blue tint BOR161436B* A9270 25˝ x 15˝ x 30˝, 2 mil, tan tint BOR251530T A9270

250/rl 50/rl 250/rl 50/rl 200/rl 200/rl 250/rl

Lever Extender A simple handle that makes it easier to raise and lower the recliner leg rest. The added length makes it easy to reach the lever and provides more leverage while reclining. Length of handle: 9˝; width of handle: 7˝.

A9270 4,000/cs A9270 1,000/cs A9270 500/rl A9270 500/rl A9270 500/rl A9270 500/rl A9270 500/rl

Great Grips Doorknob Grippers Makes opening doors easy. Made of a soft, latex-free material. Designed so anyone can turn a doorknob with a finger, elbow or closed fist. Glows in the dark and has “mini levers” which provide extra leverage and make opening any door easy.

WHEELCHAIR/WALKER

28˝ x 22˝ x 35˝, 1.5 mil BOR282235 28˝ x 22˝ x 35˝, blue tint, 1.5 mil BOR282235B 30˝ x 20˝ x 35˝, tan tint, 1.5 mil BOR302035T

Car Caddie Makes it easier to get in and out of the car. Simply roll down the window and attach the Car Caddie to add an extra support handle on any car door. Use it with the Handy Bar for maximum support. Universal fit for any car type. Weight capacity: 250 lbs.; strap length adjusts from 7˝ – 16˝; handle width: 5˝.

GENERAL EQUIPMENT

30˝ x 42˝, 1.5 mil 38˝ x 26˝ x 48˝, 1 mil

BOR3042 BOR382648

CONCENTRATORS

SUCTION MACHINES/NEBULIZERS

5˝ x 7˝, 1 mil, 10˝ x 15˝, 1 mil 18˝ x 24˝, 1.5 mil 20˝ x 5˝ x 35˝, 1 mil 20˝ x 5˝ x 35˝, 1 mil, tan tint 20˝ x 24˝, 2 mil 24˝ x 30˝, 1.5 mil

7F0507 7F1015 BOR15F1824 BOR20535 BOR20535T BOR20F2024 BOR2430

BED COVERS

46˝ x 36˝ x 65˝, 1.5 mil BOR463665 46˝ x 36˝ x 65˝, 1.5 mil, blue tint BOR463665B* 72˝ x 52˝, 1 mil BOR7252 72˝ x 52˝, 1 mil, tan tint BOR7252T 48˝ x 14˝ x 41˝, 1.5 mil, blue tint BOR481441B* 16˝ x 14˝ x 54˝, 1.0 mil BOR161454

A9270 A9270 A9270 A9270 A9270 A9270

55/rl 55/rl 200/rl 100/rl 120/rl 250/rl

PERSONAL BELONGING BAGS

18˝ x 181⁄2˝ x 6BG, 1.5 mil, white PB181853DW

A9270 500/cs

T-SHIRT SHOP BAGS/RESPIRATORY

12˝ x 16˝, 2 mil 9˝ x 5˝ x 23˝, 0.6 mil, white

ITEM #

PULL-TITE™ DOUBLE DRAWSTRING BAGS

RDS21216 CT1423W*

A9270 500/cs A9270 1,000/cs

ITEM #

2080 A9270 ea

HCPCS

SOLD BY

ITEM #

3000 E1399 ea

HCPCS

SOLD BY

ITEM #

3101 A9270 2/pk

SOLD BY

Handy Handle Stand safely from any couch, chair or recliner. Dual support cushion handles for easy standing. Eliminates awkward arm pulling and under-arm grabbing. Uses less energy than hands alone.

ITEM #

Blue Ivory Red

3200BL E1399 3200IV E1399 3200RD E1399

HCPCS

SOLD BY

ea ea ea

ENTERAL

ABBOTT NUTRITION (52) Note: Manufacturer approval may be required for some items.

SUPPLEMENTAL NUTRITION ENSURE® NUTRITIONAL PRODUCTS Ensure® Original Can benefit those with malnutrition, at risk of malnutrition or experiencing involuntary weight loss. For oral use. For interim sole-source nutrition. Not for IV use. Kosher, Halal, gluten-free, suitable for lactose intolerance, low-residue. Not for people with galactosemia.

ITEM #

HCPCS

SOLD BY

Homemade Vanilla Creamy Milk Chocolate Strawberries and Cream

58297 58293 58295

B4150 B4150 B4150

ea ea ea

CASE QTY.

Jevity® 1.2 Cal High-protein, fiber-fortified formula that provides Complete, Balanced Nutrition® for long- or short-term tube feeding. For tube feeding. For supplemental or sole-source nutrition. May be used for oral feeding of those with altered taste perception. Not for IV use. Kosher, Halal, gluten-free, suitable for lactose intolerance. Not for people with galactosemia.

ITEM #

HCPCS

SOLD BY

Homemade Vanilla Creamy Milk Chocolate

56564 56562

B4150 B4150

ea ea

24/cs 24/cs

Ensure® Enlive® Advanced therapeutic nutritional shake. Designed to help rebuild strength and energy from the inside, with an ALL-IN-ONE blend to support muscle, bone, heart, immune and digestive tract health. Specially formulated to help maintain and rebuild lean body mass and strength in those recovering from illness, injury and surgery. For oral use. Recommend two servings per day in addition to a healthy diet. Not for sole-source nutrition. Not for IV use.

ITEM #

HCPCS

SOLD BY

Vanilla, 8-oz. bottle Milk Chocolate, 8-oz. bottle Strawberry, 8-oz. bottle

64286 64283 64281

B4152 B4152 B4152

ea ea ea

CASE QTY.

24/cs 24/cs 24/cs

Ensure® Plus Provides concentrated calories and protein to help users gain or maintain healthy weight. Can benefit those who have malnutrition, are at risk of malnutrition, or are experiencing involuntary weight loss. For oral use. For interim sole-source nutrition. Not for IV use. Kosher, Halal, gluten-free, suitable for lactose intolerance, low-residue. Not for people with galactosemia.

Homemade Vanilla Creamy Milk Chocolate Strawberries and Cream Butter Pecan

ITEM #

HCPCS

SOLD BY

50464 50466 50646 51894

B4152 B4152 B4152 B4152

ea ea ea ea

CASE QTY.

24/cs 24/cs 24/cs 24/cs

Jevity® 1 Cal Fiber-fortified tube-feeding formula. For tube feeding. For supplemental or sole-source nutrition. May be used for oral feeding of those with altered taste perception. Not for IV use. Kosher, Halal, gluten-free, suitable for lactose intolerance. Not for people with galactosemia. ITEM #

8-oz. can 143 1-L prefilled container 62685 1.5-L prefilled container 62687

SOLD BY CASE QTY.

B4150 B4150 B4150

ea ea ea

24/cs 8/cs 6/cs

ITEM #

HCPCS

SOLD BY CASE QTY.

8-oz. can 1-L prefilled container 1.5-L prefilled container

57333 62681 62689

B4152 B4152 B4512

ea ea ea

24/cs 8/cs 6/cs

GLUCERNA® NUTRITIONAL PRODUCTS Glucerna® 1 Cal Reduced-carbohydrate, modified-fat, fiber-containing formula clinically shown to blunt blood glucose response in those with abnormal glucose tolerance. Provides only 34.3% of total calories as carbohydrate1–3. This helps minimize glycemic response. The formulation includes soy fiber to help maintain normal bowel function. For those with type 1 and type 2 diabetes, or hyperglycemia resulting from metabolic stress, such as illness, trauma or infection. For supplemental or total nutrition. For tube feeding (8-fl. oz. cans with mild vanilla flavor can be used orally as well as for tube feeding). Not for IV use. 1. Peters AL, et al. Am J Med. 1989;87:178-182. 2. Peters AL, et al. JPEN. 1992;16:69-74. 3. McCargar LJ, et al. Mol Cell Biochem. 1998;188:81-89.

ITEM #

HCPCS

SOLD BY CASE QTY.

Vanilla, 8-oz. can Vanilla, 1-L prefilled container Vanilla, 1.5-L prefilled container

50240 62671 62673

B4154 B4154 B4514

ea ea ea

24/cs 8/cs 6/cs

Glucerna® 1.2 Cal Calorically dense formula that has CARBSTEADY®, a unique blend of carbohydrates, including slowly digestible carbohydrate clinically shown to help minimize blood glucose response1 and fish oil to support cardiovascular health. For those with type 1 or type 2 diabetes. For those with hyperglycemia resulting from metabolic stress, such as illness, trauma, or infection. For tube or oral feeding. For supplemental or sole-source nutrition. For use under medical supervision. Not for IV use. 1. Alish CJ, et al. Diabetes Tech & Ther. 2010;12:419-425.

JEVITY® NUTRITIONAL PRODUCTS

HCPCS

53118 62683 62667

Calorically dense formula with a unique fiber blend that provides Complete, Balanced Nutrition®. For tube feeding. For supplemental or sole-source nutrition. May be used for oral feeding of those with altered taste perception. Not for IV use. Kosher, Halal, gluten-free, suitable for lactose intolerance. Not for people with galactosemia.

24/cs 24/cs 24/cs

CASE QTY.

ITEM #

8-oz. can 1-L prefilled container 1.5-L prefilled container

Jevity® 1.5 Cal

Ensure® High Protein Nutritionally complete, hypoallergenic amino acid-based formula for infants 0 – 12 months or children 1 – 13 years. Clinically demonstrated to meet the AAP criteria for hypoallergenicity. Suitable for these diets: lactose-free, gluten-free. Provides nutritional support for infants or children with CMPA (cow’s milk protein allergy,), multiple food allergies, GI disorders, malabsorptive conditions or SBS (short bowel syndrome). 400-g canisters.

HCPCS

SOLD BY

B4150 B4150 B4150

ea ea ea

CASE QTY.

24/cs 8/cs 6/cs

ITEM #

HCPCS

SOLD BY CASE QTY.

Vanilla, 8-oz. can Unflavored, 1-L prefilled container Unflavored,1.5-L prefilled container

50904 62677 62675

B4154 B4154 B4154

ea ea ea

24/cs 8/cs 6/cs

Glucerna® 1.5 Cal Calorically dense formula that has CARBSTEADY®, a unique blend of carbohydrates, including slowly digestible carbohydrate clinically shown to help minimize blood glucose response.1 For those with type 1 or type 2 diabetes, or hyperglycemia/abnormal glucose tolerance resulting from metabolic stress, such as illness, trauma or infection. For tube or oral feeding. For supplemental or sole-source nutrition. For use under medical supervision. Not for IV use. 1. Alish CJ, et al. Diabetes Tech & Ther. 2010;12:419-425.

ITEM #

HCPCS

SOLD BY CASE QTY.

Vanilla, 8-oz. can Unflavored, 1-L prefilled container

53534 62679

B4154 B4154

ea ea

24/cs 6/cs

ENTERAL

VITAL® NUTRITIONAL PRODUCTS

ABBOTT NUTRITION (52) Note: Manufacturer approval may be required for some items.

SUPPLEMENTAL NUTRITION Glucerna Shake ®

Convenient reclosable plastic bottle contains CARBSTEADY to help manage blood glucose response. For people with diabetes. For use as a supplement, snack or meal as part of a diabetes management plan. Not for sole-source nutrition. Not for tube feeding. Not for IV use. Kosher, Halal, suitable for lactose intolerance, gluten-free. Not for people with galactosemia.

ITEM #

HCPCS

SOLD BY

Homemade Vanilla Rich Chocolate Classic Butter Pecan Creamy Strawberry

54328 54544 54326 56052

B4154 B4154 B4154 B4154

ea ea ea ea

CASE QTY.

24/cs 24/cs 24/cs 24/cs

Glucerna® Hunger Smart™ Shake Specially formulated for people with diabetes for use as a meal or partial meal replacement to be used as part of a weight loss plan. Has CARBSTEADY®, which includes slowly digestible carbohydrates. Helps the body’s insulin work better1. Antioxidant vitamins C, E and A, and excellent source of protein (30% DV) to help manage hunger. Gluten-free; suitable for lactose intolerance. Kosher and Halal. 1

ITEM #

HCPCS

SOLD BY

Homemade Vanilla Rich Chocolate

62882 62885

B4154 B4154

ea ea

Targeted therapeutic nutrition drink mix that has been clinically shown to support tissue building in two weeks, and to help build and maintain LBM (lean body mass) in four weeks. Two packets per day are recommended to increase LBM in four weeks in those with illness-related weight loss. Supports tissue building. Significantly increases collagen formation in two weeks. Administer orally or as a modular via feeding tube. Use as part of a complete, balanced diet. Not for IV use.

ITEM #

Unflavored Fruit Punch Orange

54000 B4155 ea 180/cs 56431 B4155 30/pk 180/cs 57935 B4155 30/pk 180/cs

HCPCS

SOLD BY

CASE QTY.

NEPRO® NUTRITIONAL PRODUCTS Nepro® with Carb Steady® Therapeutic nutrition specifically designed to help meet the nutritional needs of people on dialysis (stage 5 chronic kidney disease). For tube or oral feeding. For supplemental or sole-source nutrition. Not for IV use. Good source of fiber, including prebiotics. Low in phosphorus, potassium and sodium.

ITEM #

HCPCS

SOLD BY

B4154 B4154 B4154

ea ea ea

CASE QTY.

INSTITUTIONAL 8-OZ. CAN

Butter Pecan 62090 Mixed Berry 62092 Homemade Vanilla 62094

24/cs 24/cs 24/cs

1-L PREFILLED CONTAINER

Vanilla

62669 B4154 ea

8/cs

SOLD BY

B4153 B4153

ea ea

CASE QTY

24/cs 24/cs

ITEM #

HCPCS

SOLD BY

Vanilla, 8-oz. can, institutional Vanilla, 1.5-L bottle, institutional

56277 56281

B4153 B4153

ea ea

CASE QTY.

24/cs 6/cs

Vital® AF 1.2 Cal Advanced formula therapeutic nutrition with ingredients to help manage inflammation and symptoms of GI intolerance. For tube or oral feeding. For supplemental or sole-source nutrition. Not for IV use. Suitable for lactose intolerance,* gluten-free, low-residue. *Not for people with galactosemia.

12/cs 12/cs

Juven®

HCPCS

Vital® 1.0 Cal Peptide-based formula for those experiencing malabsorption, maldigestion, or impaired GI function and/or symptoms of GI intolerance. For tube or oral feeding. For supplemental or sole-source nutrition. Not for IV use. Suitable for lactose intolerance, gluten-free, low-residue. Not for people with galactosemia.

CASE QTY.

JUVEN® NUTRITIONAL PRODUCTS

ITEM #

Homemade Vanilla, 8-oz. can 63119 Homemade Vanilla, 8-oz. carton 64820

Broadhurst CL, et al. Diabetes Technol Ther 2006;8:677-687.

Vital® High Protein Peptide-based therapeutic nutrition to help manage inflammation and symptoms of GI intolerance in those requiring a low-fat, high protein diet. For tube or oral feeding. For supplemental or sole-source nutrition. Not for IV use. Suitable for lactose intolerance, gluten-free, low-residue, fiber-free. Not for people with galactosemia.

ITEM #

HCPCS

SOLD BY

Vanilla, 8-oz. can, ready-to-drink Vanilla, 1-L bottle, ready-to-hang

56542 62715

B4153 B4153

ea ea

CASE QTY.

24/cs 8/cs

Vital® 1.5 Cal Calorically dense, peptide-based formula for those experiencing malabsorption, maldigestion, or impaired GI function and/or symptoms of GI intolerance. For tube or oral feeding. For supplemental or sole-source nutrition. Not for IV use. Suitable for lactose intolerance, gluten-free, low-residue. Not for people with galactosemia.

ITEM #

HCPCS

SOLD BY

Vanilla, 8-oz. bottle Vanilla, 1,000-mL bottle

56279 62713

B4153 B4153

ea ea

CASE QTY.

24/cs 6/cs

ENSURE® CLEAR NUTRITIONAL PRODUCTS Ensure® Clear Great-tasting, clear liquid nutrition drink that contains high-quality protein and essential nutrients. Fat-free, making it an ideal choice for those on clear liquid, pre- and post-surgical, bowel prep, fat-malabsorptive and fat-restricted diets. It is also ideal for those who prefer a fruit flavored alternative to creamy shake-like supplements. Can benefit those who have malnutrition are at risk of malnutrition or are experiencing involuntary weight loss. For oral use. Not for sole-source nutrition. Not for IV use. Kosher, Halal, gluten-free, suitable for lactose intolerance, low-residue.

ITEM #

Apple Mixed Berry Blueberry Pomegranate

56640 B4102 ea 56642 B4102 ea 56500A B4102 ea

HCPCS

SOLD BY

CASE QTY.

32/cs 32/cs 32/cs

ENTERAL

PULMOCARE® NUTRITIONAL PRODUCTS

ABBOTT NUTRITION (52) Note: Manufacturer approval may be required for some items.

SUPPLEMENTAL NUTRITION OSMOLITE® NUTRITIONAL PRODUCTS Osmolite® 1 Cal Tube-feeding formula for those with caloric requirements of less than 2,000 cal per day or for those with increased protein requirements. For tube feeding. For supplemental or sole-source nutrition. May be used for oral feeding of those with altered taste perception. Not for IV use. Kosher, Halal, gluten-free, suitable for lactose intolerance, without fiber. Not for people with galactosemia.

8-oz. can 1-L prefilled container

ITEM #

HCPCS

SOLD BY

735 62691

B4150 B4150

ea ea

CASE QTY.

24/cs 8/cs

Osmolite® 1.2 Cal Source of Complete, Balanced Nutrition® and a high-protein, low-residue formula for tube-fed users who may benefit from increased protein and calories. For tube feeding. For supplemental or sole-source nutrition. May be used for oral feeding of those with altered taste perception. Not for IV use. Kosher, Halal, gluten-free, suitable for lactose intolerance, without fiber. Not for people with galactosemia.

ITEM #

HCPCS

SOLD BY

8-oz. can 1-L prefilled container 1.5-L prefilled container

53120 62697 62693

B4150 B4150 B4150

ea ea ea

CASE QTY.

24/cs 8/cs 6/cs

Osmolite® 1.5 Cal Source of Complete, Balanced Nutrition® and a low-residue formula for tube-fed users with increased calorie and protein needs, or for those with limited volume tolerance. For tube feeding. For sole-source nutrition via a feeding tube. Not for IV use. Kosher, Halal, gluten-free, suitable for lactose intolerance, without fiber. Not for people with galactosemia.

ITEM #

HCPCS

SOLD BY

8-oz. can 1-L prefilled container

57469 62699

B4152 B4152

ea ea

CASE QTY.

24/cs 8/cs

Pulmocare® Designed for people with COPD (chronic obstructive pulmonary disease), cystic fibrosis or respiratory failure who may benefit from a high calorie, modified carbohydrate and fat, enteral formula that may help reduce diet-induced carbon dioxide production. For tube or oral feeding. For supplemental or sole-source nutrition. Not for IV use. Kosher, Halal, suitable for lactose intolerance, gluten-free, low-residue. Not for people with galactosemia.

ITEM #

Vanilla, 8-oz. can Vanilla, 1-L prefilled container

699 B4154 ea 62725 B4154 ea

ITEM #

HCPCS

SOLD BY

62088

B4154

Complete, balanced, very-high-protein formula for those who need a higher proportion of calories from protein. It is ideal for those with low caloric needs and those at risk for protein-energy malnutrition or pressure ulcers. For tube or oral feeding. For supplemental or sole-source nutrition. Not for IV use. Kosher, Halal, gluten-free, suitable for lactose intolerance, without fiber. Not for people with galactosemia.

ITEM #

Vanilla, 8-oz. can

50774 B4150 ea

HCPCS

SOLD BY

Vanilla, 8-oz. can Butter Pecan, 8-oz. can Vanilla, 1-L prefilled container

729 54064 62709

B4152 B4152 B4152

ea ea ea

HCPCS

SOLD BY

CASE QTY.

24/cs

62701 B4150 ea 62707 B4153 ea

8/cs 8/cs

READY-TO-HANG

Unflavored, 1-L prefilled container 1,000 mL, with safety screw connector

Promote® with Fiber Complete, balanced, very-high protein and fiber-fortified formula for those who need a higher proportion of calories from protein. It is ideal for those with low caloric and/or wound-healing needs and those at risk for protein-energy malnutrition or pressure ulcers. For tube or oral feeding. For supplemental or sole-source nutrition. Not for IV use. Kosher, Halal, gluten-free, suitable for lactose intolerance. Not for people with galactosemia.

ITEM #

Vanilla, 8-oz. can Vanilla, 1-L prefilled container

51872 B4150 ea 62703 B4150 ea

HCPCS

SOLD BY

CASE QTY.

24/cs 8/cs

Perative® Designed for metabolically stressed users who can benefit from an enteral formula supplemented with arginine. For tube feeding. For supplemental or sole-source nutrition. Not for IV use. Kosher, Halal, suitable for lactose intolerance, gluten-free, low-residue. Not for people with galactosemia.

CASE QTY.

24/cs

ITEM #

Unflavored

50628 B4153 ea

HCPCS

SOLD BY

CASE QTY.

24/cs

PIVOT NUTRITIONAL PRODUCTS ®

TwoCal® HN Nutritionally complete, high-calorie formula designed to meet the increased protein and calorie needs of stressed users and those requiring low-volume feedings. For tube or oral feeding. Often provided in 2-fl.oz. amounts QID with Med Pass programs to assist with weight gain or maintenance. For supplemental or sole-source nutrition. Not for IV use. Kosher, Halal, gluten-free, suitable for lactose intolerance, low-residue. Not for people with galactosemia. ITEM #

24/cs 8/cs

Promote®

TWOCAL® HN NUTRITIONAL PRODUCTS

CASE QTY.

PERATIVE® NUTRITIONAL PRODUCTS

Suplena® with Carb Steady® Therapeutic nutrition specifically designed for people with chronic kidney disease (stages 3 and 4). For tube or oral feeding. For supplemental or sole-source nutrition. Kosher, Halal, gluten-free, suitable for lactose intolerance, low-residue. Not for people with galactosemia. Vanilla, 8-oz. bottle

SOLD BY

PROMOTE® NUTRITIONAL PRODUCTS

SUPLENA® NUTRITIONAL PRODUCTS

HCPCS

CASE QTY.

Pivot 1.5 Cal ®

Designed for metabolically stressed surgical, trauma, burn, or head and neck cancer patients who could benefit from an immune modulating enteral formula. For tube feeding and for sole-source nutrition. Not for IV use. Halal, suitable for lactose intolerance, gluten-free, low-residue. Not for people with galactosemia.

ITEM #

HCPCS

SOLD BY

Unflavored, 8-oz. can 58013 B4153 ea Unflavored, 1-L prefilled container 62719 B4153 ea

CASE QTY.

24/cs 8/cs

24/cs 24/cs 8/cs

ENTERAL

ELECARE® NUTRITIONAL PRODUCTS

ABBOTT NUTRITION (52) Note: Manufacturer approval may be required for some items.

INFANT/CHILD FORMULAS PEDIASURE® NUTRITIONAL PRODUCTS PediaSure® Source of Complete, Balanced Nutrition® especially designed for children 1 – 13 years of age. May be used as the sole source of nutrition or as a supplement. Formulated for oral feeding; may also be tube fed. Clinically proven to help kids grow†. Meets or exceeds 100% of the DRIs for protein and 25 essential vitamins and minerals for children 1 – 8 years of age in 1,000 mL, and for children 9 – 13 years of age in 1,500 mL. Antioxidants‡ to support the immune system. DHA omega-3§ for brain and eye health1,2. Suitable for lactose intolerance and gluten-free. Kid-approved taste. Kosher, Halal. 1. Uauy R, et al. Proc Nutr Soc. 2000;59(1):3-15. 2. Uauy R, et al. Lipids. 2001;36(9):885-895. * WIC is a registered trademark of the US Department of Agriculture and an abbreviation for the Special Supplemental Nutrition Program for Women, Infants, and Children. † Studied in children at risk for malnutrition. ‡ Vitamins C & E and selenium. § 32 mg of DHA per 8-fl -oz serving (20% of 160 mg Daily Value).

ITEM #

HCPCS

Chocolate Vanilla Vanilla with Fiber Strawberry Banana

51882 55897 51806 51880 51884

B4160 ea B4160 ea B4160 ea B4160 ea B4160 ea

SOLD BY

24/cs 24/cs 24/cs 24/cs 24/cs

§ Low-residue. § Not for children with galactosemia.

ITEM #

HCPCS

SOLD BY

56409 56411

B4160 B4160

ea ea

CASE QTY.

24/cs 24/cs

PediaSure® Peptide 1.0 Cal Nutritionally complete, peptide-based formula for the nutritional needs of children ages 1 – 13 years with malabsorption, maldigestion and other GI conditions. For oral or tube feeding. For supplemental or sole-source nutrition. Kosher, Halal, gluten-free, suitable for lactose intolerance, low-residue. Not for children with galactosemia.

Unflavored Vanilla Strawberry

ITEM #

HCPCS

SOLD BY

62123 B4161 ea 62119 B4161 ea 62121 B4161 ea

CASE QTY.

24/cs 24/cs 24/cs

PediaSure® Peptide 1.5 Cal Nutritionally complete, peptide-based formula for the nutritional needs of children ages 1 – 13 years with malabsorption, maldigestion and other GI conditions. It is designed to meet the nutritional and caloric needs of kids who require higher caloric density, have fluid restrictions and are at risk for malnutrition. For oral or tube feeding. For supplemental or sole-source nutrition. Kosher, Halal, gluten-free, suitable for lactose intolerance, low-residue. Not for children with galactosemia.

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HCPCS

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Vanilla, 1.5-L bottle, institutional Unflavored, 1-L bottle, ready-to-hang Unflavored, 1-L bottle, institutional

56655 62729 62731

B4161 B4161 B4161

ea ea ea

ITEM #

HCPCS

SOLD BY

Unflavored, 20-oz. (400-g) can

55251

B4161

CASE QTY.

24/cs 8/cs 8/cs

CASE QTY.

6/cs

EleCare Jr. Powder A 30 cal/fl. oz. nutritionally complete amino acid-based medical food for children age 1 and older who cannot tolerate intact or hydrolyzed protein. For the dietary management of protein maldigestion, malabsorption, severe food allergies, short-bowel syndrome, eosinophilic GI disorders, GI tract impairment, or other conditions in which an amino acid-based diet is required. 1 year and older. For oral or tube feeding. Not for IV use. Does not contain milk protein, soy protein, fructose, galactose, lactose or gluten. ®

ITEM #

Unflavored Vanilla

55253 B4161 56585 B4161

HCPCS

SOLD BY

CASE QTY.

ea ea

6/cs 6/cs

SIMILAC® NUTRITIONAL PRODUCTS

CASE QTY.

PediaSure® 1.5 Cal Higher caloric density product designed to meet the energy requirements of children who are at risk for malnutrition, require a higher caloric density, or have fluid restrictions. Provides a source of Complete, Balanced Nutrition® for children 1 – 13 years of age. May be used as the sole source of nutrition or as a supplement. Formulated for oral or tube feeding. Kosher, Halal, gluten-free, suitable for lactose intolerance.

Vanilla, 8-oz. can, institutional Vanilla, 8-oz. can, with fiber, institutional

EleCare® DHA/ARA Powder A 20 cal/fl. oz. nutritionally complete amino acid-based formula for infants who cannot tolerate intact or hydrolyzed protein. Indicated for the dietary management of protein maldigestion, malabsorption, severe food allergies, short-bowel syndrome, eosinophilic GI disorders, GI-tract impairment or other conditions in which an amino acid-based diet is required. For infants 0 – 12 months of age. For oral or tube feeding. Not for IV use. DHA and ARA, nutrients that help support brain and eye development. Does not contain milk protein, soy protein, fructose, galactose, lactose or gluten.

Similac® Sensitive® A 19 cal/fl. oz. nutritionally complete, reduced-lactose infant feeding that is an alternative to standard milk-based formulas for mild tolerance symptoms, such as fussiness and gas due to lactose sensitivity. Reduced lactose· formulation suitable for infants with lactose sensitivity. Gluten-free. Kosher, Halal.

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HCPCS

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Powder, 12.9-oz. can Powder, 23.2-oz. SimplePac Ready-to-feed, 32-oz. bottle Ready-to-feed, 8-oz. bottle

57539 50817 57533 53676

B4158 B4158 B4158 B4158

ea ea ea ea

CASE QTY.

6/cs 6/cs 6/cs 24/cs

Similac® Alimentum® A 20 cal/fl. oz. nutritionally complete, hypoallergenic formula for infants, including those with colic symptoms due to protein sensitivity. A supplemental beverage for children with severe food allergies, sensitivity to intact protein, protein maldigestion or fat malabsorption. Gluten-free.

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HCPCS

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Ready-to-feed, 8-oz. can Ready-to-feed, 32-oz. bottle Powder, 16-oz. can

57508 57512 64715

B4161 B4161 B4161

ea ea ea

CASE QTY.

24/cs 6/cs 6/cs

Similac® Neosure® A 22 cal/fl. oz. nutrient-enriched formula for babies who were born prematurely. Designed to be used as a pre-term post-discharge formula. Gluten-free. Kosher, Halal.

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HCPCS

SOLD BY

Ready-to-feed, 32-oz. bottle

57455

B4160

CASE QTY.

6/cs

Similac Advance EarlyShield™ Infant formula with iron. Has DHA (Omega 3) and ARA (Omega 6) for brain and eye development. Calcium for strong bones – no palm olein oil. Nucleotides to help support the immune system. Prebiotics to help promote digestive health. Carotenoids naturally found in breast milk.

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HCPCS

SOLD BY

Powder, 12.9-oz. can Powder, 23.2-oz. SimplePac Ready-to-feed, 32-oz. bottle

55957 53359 53363

B4158 B4158 B4158

ea ea ea

CASE QTY.

6/cs 6/cs 6/cs

ENTERAL

ABBOTT NUTRITION (52)

NESTLÉ HEALTHCARE NUTRITION (85/CR)

Note: Manufacturer approval may be required for some items.

Note: See individual product labels for ingredients, allergen statements and indications for use.

MEDICAL FOODS FOR METABOLIC DISORDERS

SUPPLEMENTAL NUTRITION

PHENEX® PRODUCTS

BOOST® NUTRITIONAL PRODUCTS

Phenex®-1 Nutrition support of infants and toddlers with PKU (phenylketonuria) or hyperphenylalaninemia. Nutrient profile specifically designed for infants and toddlers. Lactose-free and gluten-free. Halal.

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HCPCS

SOLD BY

14.1-oz. can

51120

B4157/B4162

BOOST® 10 g high-quality protein. 26 vitamins and minerals. Contains a blend of essential nutrients to support bone health. Excellent source of antioxidants (selenium and nutrients including calcium and vitamin D, C and E. Suitable for these diets: lactose intolerance*, gluten-free, low-residue, kosher. Provides nutritional support for individuals with inadequate oral intake, reduced appetite, malnutrition, general oral supplement needs, or supplemental or interim sole source nutrition needs.

CASE QTY.

6/cs

Phenex®-2 Nutrition support of children and adults with PKU (phenylketonuria) or hyperphenylalaninemia. Nutrient profile specifically designed for children and adults. Lactose-free and gluten-free. Halal.

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HCPCS

SOLD BY

14.1-oz. can

51122

B4157/B4162

CASE QTY.

6/cs

PROPIMEX® PRODUCTS Propimex -1 Nutrition support of infants and toddlers with propionic or methylmalonic acidemia. Nutrient profile specifically designed for infants and toddlers. Lactose-free and gluten-free. Halal. ®

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HCPCS

SOLD BY

14.1-oz. can

51132

B4157/B4162

CASE QTY.

6/cs

*Not for individuals with galactosemia.

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HCPCS

SOLD BY

Rich Chocolate Very Vanilla Creamy Strawberry

(85)4390067538 (85)4390067438 (85)4390067639

B4150 B4150 B4150

ea ea ea

CASE QTY.

27/cs 27/cs 27/cs

BOOST BREEZE® 250 calories and 9 g of protein per serving to sustain energy and help maintain muscle mass. Great nutritional benefits in clear-liquid, fruit-flavored beverage. Suitable for these diets: lactose-free*, gluten-free, low-residue, kosher, halal (all flavors). Provides nutritional support for individuals who require a clear-liquid diet, or with fat malabsorption or malnutrition. 8-fl. oz. Tetra Brik®. *Not for individuals with galactosemia.

Propimex®-2 Nutrition support of children and adults with propionic or methylmalonic acidemia. Nutrient profile specifically designed for children and adults. Lactose-free and gluten-free. Halal.

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HCPCS

SOLD BY

14.1-oz can

51134

B4157/B4162

CASE QTY.

6/cs

I-VALEX® PRODUCTS I-Valex®-2 Nutrition support of infants and toddlers with a disorder of a leucine catabolism. Nutrient profile specifically designed for infants and toddlers. Lactose-free and gluten-free. Halal.

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HCPCS

SOLD BY

14.1-oz. can

51138

B4157/B4162

CASE QTY.

6/cs

GLUTAREX PRODUCTS ®

ITEM #

Orange Peach Wild Berry Variety-Pak

(85)186200 B4102 ea (85)186400 B4102 ea (85)186600 B4102 ea (85)186000 B4102 cs

HCPCS

SOLD BY

CASE QTY.

27/cs 27/cs 27/cs 27/cs

BOOST PLUS® 360 calories and 26 vitamins and minerals per serving. Contains a blend of essential nutrients, including calcium and vitamin D, C and E to support bone health and 14 g high-quality protein to help maintain muscle. Contains PREBIO¹™, a blend of prebiotic fibers to promote the growth of beneficial intestinal bacteria to support digestive health. Same great formula available at retail. Suitable for these diets: lactose intolerance*, gluten-free, low-residue, kosher. Provides nutritional support for individuals with inadequate oral intake, increased protein and energy needs, fluid restriction, volume intolerance, malnutrition, weight maintenance, or supplemental or interim sole source nutrition needs. 8-fl. oz. Tetra Brik®. *Not for individuals with galactosemia.

Glutarex -1 Nutrition support of infants and toddlers with glutaric aciduria type I. Nutrient profile specifically designed for infants and toddlers. Lactose-free and gluten-free. Halal. ®

ITEM #

HCPCS

SOLD BY

14.1-oz. can

51140

B4157/B4162

CASE QTY.

6/cs

Glutarex®-2 Nutrition support of children and adults with glutaric aciduria type I. Nutrient profile specifically designed for children and adults. Lactose-free and gluten-free. Halal.

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HCPCS

SOLD BY

14.1-oz. can

51142

B4157/B4162

CASE QTY.

6/cs

ITEM #

HCPCS

SOLD BY

Rich Chocolate Very Vanilla Creamy Strawberry

(85)4390093238 (85)4390093138 (85)4390093331

B4152 B4152 B4152

ea ea ea

CASE QTY.

27/cs 27/cs 27/cs

BOOST® HIGH PROTEIN 15 g high-quality protein to help maintain muscle. 26 vitamins and minerals. Contains a blend of essential nutrients, including calcium and vitamin D, C and E to support bone health. Excellent source of antioxidants (selenium and vitamins C and E). Same great formula available at retail. Suitable for these diets: lactose intolerance*, gluten-free, low-residue, kosher. Provides nutritional support for individuals with increased protein requirements, reduced appetite, malnutrition, general oral supplement needs, or supplemental or interim sole source nutrition needs. 8-fl. oz. Tetra Brik®. *Not for individuals with galactosemia.

ITEM #

HCPCS

SOLD BY

Very Vanilla

(85)4390094139

B4150

CASE QTY.

27/cs

ENTERAL

NESTLÉ HEALTHCARE NUTRITION (85/CR)

ISOSOURCE® NUTRITIONAL PRODUCTS

Note: See individual product labels for ingredients, allergen statements and indications for use.

ISOSOURCE® 1.5 CAL Calorically-dense, nutritionally-complete, fiber-containing, tube-feeding formula. High-quality casein and soy protein blend to help support lean body mass. IS50™ fiber blend: a proprietary blend of 50% insoluble and 50% soluble fibers to help support normal bowel function and digestive health. Primary fat source is canola oil, which is naturally rich in monounsaturated fat and contains ALA, an omega-3 fatty acid. Suitable for these diets: lactose intolerance*, gluten-free, kosher. Provides nutritional support for individuals with elevated caloric and protein needs, shortened feeding schedules, fluid restriction, volume intolerance, bowel management or malnutrition. 250-mL Tetra Prisma®.

SUPPLEMENTAL NUTRITION BOOST NUTRITIONAL PUDDING Nutritionally balanced pudding. Each 5-oz. pudding cup provides 7 g of protein. Creamy pudding provides texture variety. Suitable for these diets: lactose intolerance*, gluten-free, low-residue, kosher. Provides nutritional support for individuals with fluid restriction, dysphagia or malnutrition. ®

*Not for individuals with galactosemia.

ITEM #

Chocolate Very Vanilla

(85)09460300 B9998 cs (85)09450300 B9998 cs

HCPCS

SOLD BY

CASE QTY.

48/cs 48/cs

BOOST GLUCOSE CONTROL® Contains a unique blend of protein, fat and carbohydrates designed to help manage blood glucose levels as part of a balanced diet for those with diabetes. Fiber blend helps support digestive health and normal bowel function. Suitable as an oral supplement, snack or mini-meal. Contains a blend of essential nutrients, including calcium and vitamin D, C and E to support bone health. Suitable for these diets: lactose intolerance*, gluten-free, kosher, halal (all flavors). Provides nutritional support for individuals with diabetes, carbohydrate controlled diets or general oral supplement needs for people with diabetes. 8-fl. oz. Tetra Brik®. *Not for individuals with galactosemia.

ITEM #

HCPCS

SOLD BY

Rich Chocolate Very Vanilla Creamy Strawberry

(85)36020000 (85)36010000 (85)36030000

B4154 B4154 B4154

ea ea ea

CASE QTY.

27/cs 27/cs 27/cs

BOOST® VHC The most calorically dense, nutritionally complete oral beverage with 2.25 kcal/mL. Appropriate for medication pass supplement programs**. Nutritionally dense to accommodate diminished appetites. Combines high calories with 22 g of protein to help preserve lean muscle mass and support weight gain or maintenance goals. Suitable for these diets: lactose intolerance*, gluten-free, low-residue, kosher, fluid-restricted. Provides nutritional support for individuals with increased energy needs, fluid restriction, volume sensitivity or malnutrition. *Not for individuals with galactosemia. **As with all medication taken with food, drug/nutrient interactions should be evaluated by the physician and/or pharmacist prior to use.

ITEM #

HCPCS

SOLD BY

Very Vanilla

(CR)4390018216

B4152

CASE QTY.

27/cs

FIBERSOURCE NUTRITIONAL PRODUCTS ®

FIBERSOURCE® HN Nutritionally complete, fiber-containing, tube-feeding formula for normal or elevated calorie and/or protein requirements. High-quality casein and soy protein blend to help support lean body mass. IS50™ fiber blend: a proprietary blend of 50% insoluble and 50% soluble fibers to help support normal bowel function and digestive health. Suitable for these diets: lactose-free*, gluten-free, kosher. Primary fat source is canola oil, which is naturally rich in monounsaturated fat and contains ALA, an omega-3 fatty acid. Provides nutritional support for individuals with elevated protein requirements, bowel management or malnutrition. *Not for individuals with galactosemia.

ITEM #

Unflavored, 250-mL Tetra Prisma® SpikeRight® PLUS 1,000-mL UltraPak® bags

(85)185500 B4150 ea (85)185801 B4150 ea

HCPCS

SOLD BY

CASE QTY.

24/cs 6/cs

*Not for individuals with galactosemia.

ITEM #

Unflavored

(85)181500 B4152 ea

HCPCS

SOLD BY

CASE QTY.

24/cs

NUTREN® NUTRITIONAL PRODUCTS NUTREN® 1.0 Nutritionally-complete tube-feeding formula. High-quality casein and soy protein blend to help support lean body mass. Primary fat source is canola oil, which is naturally rich in monounsaturated fat and contains ALA, an omega-3 fatty acid. For normal protein and calorie requirements. Suitable for these diets: lactose intolerance*, gluten-free, low-residue, kosher. Provides nutritional support for individuals with short- or long-term tube feeding needs or malnutrition. *Not for individuals with galactosemia.

ITEM #

Unflavored

(CR)2L6210A B4150 ea

HCPCS

SOLD BY

CASE QTY.

24/cs

NUTREN® 1.5 Calorically-dense, nutritionally-complete, tube-feeding formula for increased energy requirements and/or restricted fluid volume. High-quality casein and soy protein blend to help support lean body mass. Primary fat source is canola oil, which is naturally rich in monounsaturated fat and contains ALA, an omega-3 fatty acid. Suitable for these diets: lactose intolerance*, gluten-free, low-residue, kosher. Provides nutritional support for individuals with volume intolerance, fluid restriction, shortened feeding schedules, increased energy needs or malnutrition. *Not for individuals with galactosemia.

ITEM #

Unflavored

(CR)2L6220A B4152 ea

HCPCS

SOLD BY

CASE QTY.

24/cs

NUTREN® 2.0 Calorically-dense, nutritionally-complete, tube-feeding formula for increased energy requirements and/or restricted fluid volume. High quality casein-soy protein blend to help support lean body mass. Primary fat source is canola oil, which is naturally rich in monounsaturated fat and contains ALA, an omega-3 fatty acid. Suitable for these diets: lactose intolerance*, gluten-free, low-residue, kosher. Provides nutritional support for individuals with volume intolerance, fluid restriction, elevated energy needs or malnutrition. *Not for individuals with galactosemia.

ITEM #

Unflavored

(CR)2L6230A B4152 ea

HCPCS

SOLD BY

CASE QTY.

24/cs

NUTREN 1.0 FIBER Nutritionally-complete, fiber-containing, tube-feeding formula. High-quality casein and soy protein blend to help support lean body mass. IS50™ fiber blend: a proprietary blend of 50% insoluble and 50% soluble fibers to help support normal bowel function and digestive health. Primary fat source is canola oil, which is naturally rich in monounsaturated fat and contains ALA, an omega-3 fatty acid. Suitable for these diets: lactose intolerance*, gluten-free, kosher. Provides nutritional support for individuals with short- or long-term tube feeding needs, bowel management needs or malnutrition. ®

*Not for individuals with galactosemia.

ITEM #

Unflavored

(CR)9871616056 B4150

HCPCS

SOLD BY

CASE QTY.

24/cs

ENTERAL

NESTLÉ HEALTHCARE NUTRITION (85/CR) Note: See individual product labels for ingredients, allergen statements and indications for use.

SUPPLEMENTAL NUTRITION NUTREN PULMONARY Designed with a carbohydrate and fat profile to help reduce CO2 production and respiratory quotient. Calorically dense to meet elevated energy requirements in a low volume. Elevated protein to support lean body mass. Balanced lipid profile with MCT to facilitate tolerance. Nutritionally complete formula for tube feeding or oral supplementation. Suitable for these diets: lactose intolerance*, gluten-free, low-residue, kosher. Provides nutritional support for individuals with chronic pulmonary disease, respiratory disorders, ventilator dependency, fluid restriction or carbohydrate-control needs. ®

*Not for individuals with galactosemia.

ITEM #

HCPCS

SOLD BY

Vanilla

(CR)2L6480A B4154 ea

CASE QTY.

24/cs

PEPTAMEN NUTRITIONAL PRODUCTS ®

PEPTAMEN® formulas contain milk protein. Not appropriate for individuals with cow’s milk protein allergy.

PEPTAMEN® The evidence-based, well-tolerated GI formula. Balanced peptide profile promotes GI absorption and integrity. Enzymatically hydrolyzed 100% whey protein, which may facilitate gastric emptying. 70% of fat from MCT to decrease potential for fat malabsorption. Nutritionally complete formula for tube feeding. Suitable for these diets: lactose intolerance*, gluten-free, low-residue. Provides nutritional support for individuals with impaired GI function: malabsorption, pancreatitis, short bowel syndrome, chronic diarrhea, Crohn’s disease/IBD, cystic fibrosis, delayed gastric emptying, cerebral palsy, malnutrition, malabsorption related to cancer treatment, celiac disease with malabsorption, early enteral feeding, transition from or dual feeding with TPN. Contains milk protein; not appropriate for individuals with CMPA (cows’ milk protein allergy).

PEPTAMEN® 1.5 The evidence-based, well-tolerated, calorically-dense GI formula. Calorically dense to address nutritional needs in smaller volume. Balanced peptide profile promotes GI absorption and integrity. Enzymatically hydrolyzed 100% whey protein, which may facilitate gastric emptying. 70% of fat from MCT to decrease potential for fat malabsorption. Suitable for these diets: lactose intolerance*, gluten-free, low-residue. Provides nutritional support for individuals with impaired GI function: shortened feeding schedules, elevated protein requirements, fluid/volume restrictions, malabsorption, pancreatitis, short bowel syndrome, chronic diarrhea, malnutrition, cystic fibrosis, delayed gastric emptying, cerebral palsy, Crohn’s disease/IBD, malabsorption related to cancer treatment, early enteral feeding or transitioning from TPN. Contains milk protein; not appropriate for individuals with CMPA (cows’ milk protein allergy). *Not for individuals with galactosemia.

ITEM #

Vanilla Unflavored

(CR)2L8190 B4153 ea (CR)2L8192 B4153 ea

ITEM #

Unflavored

CASE QTY.

24/cs 24/cs

*Not for individuals with galactosemia.

ITEM #

Vanilla

(CR)4390034958 B4153

HCPCS

SOLD BY

CASE QTY.

24/cs

REPLETE NUTRITIONAL PRODUCTS ®

HCPCS

SOLD BY

(CR)2L6269 B4153 ea

CASE QTY.

24/cs

PEPTAMEN with PREBIO Well-tolerated GI formula with a unique blend of prebiotic fibers. 4 g/L PREBIO1™ soluble fiber blend helps promote growth of beneficial bacteria to help support digestive health. Balanced peptide profile promotes GI absorption and integrity. Enzymatically hydrolyzed 100% whey protein, which may facilitate gastric emptying. 70% of fat from MCT to decrease potential for fat malabsorption. Nutritionally complete formula for tube-feeding or oral supplementation. Suitable for these diets: lactose intolerance*, gluten-free, low-residue. Provides nutritional support for individuals with impaired GI function: malabsorption, pancreatitis, short bowel syndrome, chronic diarrhea, Crohn’s disease/ IBD, cystic fibrosis, delayed gastric emptying, cerebral palsy, malnutrition, malabsorption related to cancer treatment, celiac disease with malabsorption, early enteral feeding, transition from or dual feeding with TPN. Contains milk protein; not appropriate for individuals with CMPA (cows’ milk protein allergy). ®

SOLD BY

PEPTAMEN® 1.5 with PREBIO1™ Calorically-dense, peptide-based GI forumla with a blend of soluble fiber. PREBIO¹™ soluble fiber blend helps promote the growth of beneficial bacteria to help support digestive health. Balanced peptide profile promotes GI absorption and integrity. Enzymatically hydrolyzed 100% whey protein, which may facilitate gastric emptying. 70% of fat from MCT to promote absorption. Nutritionally complete formula for tube-feeding or oral supplementation. Suitable for these diets: lactose intolerance*, gluten-free, low-residue. Provides nutritional support for individuals with impaired GI function: shortened feeding schedules, elevated protein requirements, fluid/volume restrictions, malabsorption, pancreatitis, short bowel syndrome, chronic diarrhea, cystic fibrosis, malnutrition, delayed gastric emptying, cerebral palsy, Crohn’s disease/IBD, malabsorption related to cancer treatment, early enteral feeding or transitioning from TPN. Contains milk protein; not appropriate for individuals with CMPA (cows’ milk protein allergy).

*Not for individuals with galactosemia.

HCPCS

1™

*Not for individuals with galactosemia.

ITEM #

Vanilla

(CR)2L8185 B4153 ea

HCPCS

SOLD BY

CASE QTY.

24/cs

REPLETE Elevated protein for those recovering from surgery, burns or pressure ulcers. Protein source is casein (milk); does not contain soy protein or soy lecithin. Primary fat source is canola oil, which is naturally rich in monounsaturated fat and contains ALA, an omega-3 fatty acid. Nutritionally complete tube-feeding formula. Suitable for these diets: lactose intolerance*, gluten-free, low-residue, kosher. Provides nutritional support for individuals with wounds: Stage I –IV pressure ulcers, burns, surgical wounds or high protein needs. ®

*Not for individuals with galactosemia.

ITEM #

Unflavored

(CR)2L6249A B4150 ea

HCPCS

SOLD BY

CASE QTY.

24/cs

REPLETE FIBER Elevated protein for those recovering from surgery, burns or pressure ulcers. High-quality casein and soy protein blend to help support lean body mass. IS50™ fiber blend: a proprietary blend of 50% insoluble and 50% soluble fibers to help support normal bowel function and digestive health. Primary fat source is canola oil, which is naturally rich in monounsaturated fat and contains ALA, an omega-3 fatty acid. Nutritionally complete, fiber containing, tube-feeding formula. Suitable for these diets: lactose intolerance*, gluten-free, kosher. Provides nutritional support for individuals with wounds: Stage I – IV pressure ulcers, burns, surgical wounds, high protein needs or bowel management. ®

*Not for individuals with galactosemia.

ITEM #

250-mL Tetra Prisma®, Unflavored SpikeRight® PLUS 1,000-mL UltraPak® bag

(CR)2L6245A B4150 (CR)2L6358 B4150

HCPCS

SOLD BY

ea ea

CASE QTY.

24/cs 6/cs

ENTERAL

NESTLÉ HEALTHCARE NUTRITION (85/CR)

INFANT/CHILD FORMULAS

Note: See individual product labels for ingredients, allergen statements and indications for use.

BOOST® KID ESSENTIALS™ PRODUCTS

SUPPLEMENTAL NUTRITION GLYTROL® NUTRITIONAL PRODUCTS GLYTROL® Balanced formulation to help support glycemic control. Elevated protein to support lean body mass. Fiber blend includes PREBIO¹™ soluble fiber to help promote the growth of beneficial bacteria and insoluble fiber to help support normal bowel function. Includes Suitable for these diets: lactose intolerance*, gluten-free, kosher. Provides nutritional support for individuals with diabetes, abnormal glucose tolerance or hyperglycemia. *Not for individuals with galactosemia.

ITEM #

HCPCS

SOLD BY

250-mL Tetra Prisma®, Vanilla SpikeRight® PLUS 1,000-mL UltraPak® bag SpikeRight® PLUS 1,500-mL UltraPak® bag

(CR)2L6275 B4154 (CR2L2390 B4154 (CR)2L32391 B4154

ea ea cs

CASE QTY.

24/cs 6/cs 4/cs

NOVASOURCE® NUTRITIONAL PRODUCTS NOVASOURCE® RENAL Provides 18% of calories from protein (90.7 g/L) to meet needs and to help replace losses associated with dialysis. Calorically dense for users who require a fluid restriction. Optimized electrolyte content (potassium, magnesium, phosphorus) to meet needs and to help replace losses associated with dialysis.. Nutritionally complete formula for tube feeding or oral supplement.. Provides nutritional support for those with CKD (chronic kidney disease) on dialysis, AKI (acute kidney injury) and electrolyte restriction or fluid restriction due to AKI or CKD. Suitable for lactose intolerance, gluten-free, low-residue and kosher diets. *Not for individuals with galactosemia.

ITEM#

HCPCS

SOLD BY

8-fl. oz. Tetra Brik®, Vanilla (85)351100 B4154 1,000-mL SpikeRight® PLUS UltraPak® bag (85)35180100 B4154

ea ea

CASE QTY.

27/cs 6/cs

NUTRIHEP® NUTRITIONAL PRODUCTS NUTRIHEP® Formulated to help decrease metabolic end-products in those with hepatic disease. High ratio of branched-chain amino acids to aromatic amino acids. Calorically dense for fluid management. High MCT to LCT ratio to facilitate absorption. Suitable for these diets: lactose intolerance*, gluten-free, low-residue, kosher. Provides nutritional support for individuals with hepatic insufficiency or liver disease with encephalopathy refractory to standard treatment.

BOOST® KID ESSENTIALS™ 1.5 WITH FIBER Specially designed formula and packaging for children ages 1 – 13. Delivers more calories per serving than standard 1.0 formulas. Fiber blend helps support digestive health and normal bowel function. Meets 2011 IOM recommendations for calcium and vitamin D. Contains CalciLock® blend of essential nutrients to support healthy bone development. Nutritionally complete formula for oral supplementation or tube feeding. Suitable for these diets: lactose intolerance*, gluten-free, kosher. Provides nutritional support for children with inadequate oral intake, increased energy needs, volume intolerance, shortened feeding schedules, malnutrition or bowel management. *Not for individuals with galactosemia.

ITEM #

HCPCS

SOLD BY

Very Vanilla

(85)335000

B4160

ITEM #

SOLD BY

CASE QTY.

Unflavored

(CR)2L6479 B4154 ea

HCPCS

24/cs

FOOD THICKENERS RESOURCE THICKENUP® CLEAR Easy to prepare in many types of liquids. More concentrated; less powder required than some starch-based thickeners. Made with xanthan gum. Patented production process. Suitable for these diets: lactose-free, gluten-free, kosher. Provides nutritional support for individuals with dysphagia. Only appropriate for use in individuals ages 3 and older. ®

ITEM #

1.4-g packets, Unflavored 4.4-oz. canister, Unflavored

(CR)4390015193 B4100 (CR)4390015195 B4100

HCPCS

SOLD BY

ea ea

CASE QTY.

288/cs 12/cs

RESOURCE® THICKENUP® Thickens food and beverages. Provides a consistency that meets NDD (National Dysphagia Diet) standards. Suitable for these diets: lactose-free, gluten-free, low-residue, kosher. Provides nutritional support for individuals with dysphagia.

ITEM #

HCPCS

SOLD BY

Unflavored (85)225100 B4100 ea

CASE QTY.

12/cs

27/cs

BOOST KID ESSENTIALS 1.5 Specially designed formula and packaging for children ages 1 – 13. Delivers more calories per serving than standard 1.0 formulas. Does not contain fiber. Meets 2011 IOM recommendations for calcium and vitamin D. Contains CalciLock® blend of essential nutrients to support healthy bone development. Nutritionally complete formula for oral supplementation or tube feeding. Suitable for these diets: lactose intolerance*, gluten-free, low-residue, kosher. Provides nutritional support for children with inadequate oral intake, increased energy needs, volume intolerance, shortened feeding schedules, malnutrition or bowel management. ®

™

*Not for individuals with galactosemia.

ITEM #

Rich Chocolate Creamy Strawberry Very Vanilla

(85)3358000 B4160 (85)33590000 B4160 (85)335400 B4160

HCPCS

SOLD BY

ea ea ea

CASE QTY.

27/cs 27/cs 27/cs

BOOST® KID ESSENTIALS™ Meets 2011 IOM recommendations for calcium and vitamin D. Convenient, kid-friendly packaging. Contains CalciLock® blend of essential nutrients to support healthy bone development. Nutritionally complete formula for oral supplementation or tube feeding. Suitable for these diets: lactose intolerance*, gluten-free, low-residue, kosher. Provides nutritional support for children with inadequate oral intake, increased energy needs, weight maintenance or malnutrition. *Not for individuals with galactosemia.

ITEM #

HCPCS

SOLD BY

Rich Chocolate Creamy Strawberry Very Vanilla

(85)335200 (85)335300 (85)335100

B4160 B4160 B4160

ea ea ea

CASE QTY.

27/cs 27/cs 27/cs

NUTREN JUNIOR® NUTRITIONAL PRODUCTS

*Not for individuals with galactosemia.

CASE QTY.

NUTREN JUNIOR® Specifically formulated for children ages 1 – 13. 50% whey protein to promote tolerance. Meets 2011 IOM recommendations for calcium and vitamin D. Contains CalciLock® blend of essential nutrients to support healthy bone development. Nutritionally complete formula for tube feeding or oral supplementation. Suitable for these diets: lactose intolerance*, gluten-free, low-residue, kosher. Provides nutritional support for children with growth failure or malnutrition. *Not for individuals with galactosemia.

ITEM #

SOLD BY

CASE QTY.

Vanilla

(CR)2L6062 B4160 ea

HCPCS

24/cs

ENTERAL

NESTLÉ HEALTHCARE NUTRITION (85/CR)

GERBER®

Note: See individual product labels for ingredients, allergen statements and indications for use.

EXTENSIVE HA® – POWDER FORMULA Hypoallergenic formula that uses 100% whey, high-quality protein that has been extensively hydrolyzed. It is a complete source of nutrition for the dietary management of infants with CMPA (cow’s milk protein allergy). Features B. lactics, probiotics found in breast milk that help support digestive health. Has a unique oil blend made with expert-recommended DHA for brain and eye development, and MCT (medium-chain triglycerides), a fat known to be well-absorbed. For babies ages 0 – 12 months.

INFANT/CHILD FORMULAS NUTREN JUNIOR FIBER With a blend of PREBIO¹™ soluble fiber and insoluble fiber for children ages 1 – 13. 50% whey protein to promote tolerance. Fiber blend includes 2.2 g/L PREBIO¹™ soluble fiber to promote the growth of beneficial bacteria and 3.8 g/L insoluble fiber to support normal bowel function. Meets 2011 IOM recommendations for calcium and vitamin D. Contains CalciLock® blend of essential nutrients to support healthy bone development. Nutritionally complete formula for tube feeding or oral supplementation. Suitable for these diets: lactose intolerance*, gluten-free, kosher. Provides nutritional support for children with bowel management needs, growth failure, malnutrition, or short- or long-term tube feeding needs. ®

*Not for individuals with galactosemia.

ITEM #

HCPCS

SOLD BY

CASE QTY.

Vanilla

(CR)2L6063

B4160 ea

24/cs

ALFAMINO PRODUCTS ®

Alfamino™ Infant Nutritionally complete, hypoallergenic, amino acid-based formula for infants up to 12 months old. Clinically demonstrated to meet AAP criteria for hypoallergenicity. Clinically demonstrated in healthy infants to promote adequate growth. Comprises 43% of fat as MCT to facilitate fat absorption. DHA to support visual and cognitive development. Easy to digest. Suitable for lactose- and gluten-free diets. Provides nutritional support for infants with CMPA (cow’s milk protein allergy), multiple food allergies, eosinophilic GI disorders, malabsorptive conditions or SBS (short bowel syndrome).

ITEM #

Unflavored Powder, 6 x 400-g canisters (85)1303478822

HCPCS

SOLD BY

B4161 ea

CASE QTY.

6/cs

Alfamino™ Junior Nutritionally complete, hypoallergenic, amino acid-based formula for children ages 1 – 13. Comprises 65% of fat as MCT to facilitate fat absorption. For oral supplementation or tube feeding. Suitable for lactoseand gluten-free diets. Provides nutritional support for infants with CMPA (cow’s milk protein allergy), multiple food allergies, eosinophilic GI disorders, malabsorptive conditions or SBS (short bowel syndrome).

ITEM #

Unflavored Powder, 6 x 400-g canisters (85)1303478796

HCPCS

SOLD BY

B4161 ea

6/cs

PEPTAMEN JUNIOR® For the nutritional management of children ages 1 – 13 with impaired GI function. Enzymatically hydrolyzed 100% whey protein to facilitate gastric emptying. Meets 2011 IOM recommendations for calcium and vitamin D. Contains CalciLock® blend of essential nutrients to support healthy bone development. 60% of fat from MCT to decrease potential for fat malabsorption. Nutritionally complete formula for tube-feeding or oral supplementation. Suitable for these diets: lactose intolerance*, gluten-free, low-residue. Provides nutritional support for children with impaired GI function: short bowel syndrome, cerebral palsy, cystic fibrosis, Crohn’s disease, malabsorption, chronic diarrhea, delayed gastric emptying, growth failure, early enteral feeding or transitioning from TPN. Contains milk protein; not appropriate for individuals with CMPA (cows’ milk protein allergy). *Not for individuals with galactosemia. ITEM #

HCPCS

SOLD BY

Vanilla (CR)2L6252 B4161 ea Unflavored (CR)2L6253 B4161 ea Strawberry (CR)987166013060 B4161 ea

ITEM #

14.1 oz.

(85)5000048519 B4161

CASE QTY.

24/cs 24/cs 24/cs

HCPCS

SOLD BY

CASE QTY.

6/cs

PUMP/GRAVITY SETS CAUTION: Federal (USA) law and similar laws throughout the world restrict this device to sale by or on the order of a licensed healthcare practitioner. For complete indications, cautions and instructions for use, see labeling supplied with device.

COMPAT® REPLACEMENT BALLOON GASTROSTOMY TUBE Designed to promote secure connections and dependable enteral access. Reduce risk of inadvertent disconnections through use of the Stretch-Lok® Strap. Available in a variety of sizes to meet a range of enteral delivery needs. Durable silicone balloon and replaceable “Y” adapter encourage up to 90 days of service life. External bolster designed to grip tube to reduce the risk of inward migration; external centimeter markings permit monitoring of position. Side port accepts catheter tip and oral tip syringes for flushing or medication delivery. Product not made with natural rubber latex; sterile packaging.

ITEM #

HCPCS

SOLD BY

14 fr 16 fr 18 fr 20 fr 22 fr 24 fr

(85)087414 (85)087416 (85)087418 (85)087420 (85)087422 (85)087424

B4087 B4087 B4087 B4087 B4087 B4087

cs cs cs cs cs cs

CASE QTY.

5/cs 5/cs 5/cs 5/cs 5/cs 5/cs

NUTRICIA NORTH AMERICA (SB/PS) SUPPLEMENTAL NUTRITION PRO-STAT®

CASE QTY.

PEPTAMEN JUNIOR® NUTRITIONAL PRODUCTS

Pro-Stat® Sugar-Free Sugar-free, ready-to-drink medical food providing 15 g of enzyme-hydrolyzed complete protein and 100 calories per 1 fl. oz. Indicated for increased protein needs related to stage 1 and 2 pressure ulcers, wounds, unintentional weight loss, protein-energy malnutrition, low-serum proteins and muscle loss (sarcopenia).

ITEM #

HCPCS

SOLD BY

CASE QTY.

1-OZ. UNIT DOSE

Wild Cherry Punch Vanilla

(PS)10464U B4155 ea (PS)40464U B4155 cs

96/cs 96/cs

(PS)10064 B4155 ea (PS)40064 B4155 ea (PS)50064 B4155 ea

6/cs 6/cs 6/cs

30-OZ. BOTTLE

Wild Cherry Punch Vanilla Grape

Pro-Stat® AWC (Advanced Wound Care) Sugar-free, ready-to-drink medical food providing 17 g of enzyme-hydrolyzed complete protein and 100 calories per 1 fl. oz., with added arginine, citrulline, cystine, vitamin C and zinc. Indicated for increased protein needs related to stage 3 and 4 pressure ulcers, hard-to-heal wounds, unintentional weight loss, protein-energy malnutrition, low-serum proteins and muscle loss (sarcopenia).

Citrus Splash, 1-oz. unit dose Citrus Splash, 30-oz. bottle

ITEM #

HCPCS

SOLD BY

(PS)40230U (PS)4023

B4155 B4155

cs ea

CASE QTY.

96/cs 4/cs

ENTERAL

NUTRICIA NORTH AMERICA (SB/PS) SUPPLEMENTAL NUTRITION UTI-STAT® UTI-Stat® A ready-to-drink medical food providing cranberry concentrate with added nutrients: vitamin C, D-mannose, FOS (fructo-oligosaccharides) and bromelain. Low in sugar (1 g sugar/1-fl. oz. serving). Indicated for management of urinary tract infections and urinary tract health. Shown to manage urinary tract infections.

ITEM #

HCPCS

SOLD BY

30-oz. bottle 1-oz. unit dose

(PS)60001 (PS)60001U

B4104 B4104

ea cs

Neocate Nutra Semi-Solid Medical Food Hypoallergenic, amino acid-based, semi-solid medical food for infants and children over 6 months of age for the dietary management of cow milk allergy, multiple food protein intolerance and food-allergyassociated conditions: gastroesophageal reflux disease, eosinophilic esophagitis, short bowel syndrome, malabsorption and other GI disorders. Contains essential vitamins and minerals to promote balanced nutrition. Smooth, consistent texture ideal for spoon feeding. Meant for oral use only and is not intended to be bottle or tube fed.

ITEM #

HCPCS

SOLD BY

400-g (14-oz). can

(SB)66739

B4161

Nutritionally complete, ready-to-feed, amino acid-based medical food for children ages 1 – 10. 400-g (14-oz.) can.

4/cs 96/cs

DIFF-STAT®

Unflavored, capsules Unflavored, 2-g unit dose packets

ITEM #

HCPCS

SOLD BY

(PS)80001 (PS)80001U

B9998 B9998

ea cs

CASE QTY.

6/cs 96/cs

FIBER-STAT®

ITEM #

Unflavored, 30-oz. bottle (PS)70001

HCPCS

SOLD BY

B4104

ITEM #

Unflavored Tropical Chocolate Prebiotics, unflavored

(SB)11790 B4161 (SB)12124 B4161 (SB)12690 B4161 (SB)12912 B4161

Age-specific line of hypoallergenic, amino acid-based formulas designed to meet the nutritional needs of children with cow’s milk allergy, multiple food protein intolerance, short bowel syndrome, eosinophilic esophagitis and other GI disorders. Neocate provides all the necessary nutrients required for infants’ growth and development. Recommended by doctors and dietitians for babies and children ages 1 – 10 with difficulty tolerating or digesting other formulas across the conditions mentioned above.

Neocate Infant DHA and ARA Nutritionally complete, powdered, amino acid-based exempt infant formula with iron. ITEM #

HCPCS

SOLD BY

400-g (14-oz.) can

(SB)12595

B4161

ITEM #

HCPCS

SOLD BY

14.1 oz.

(SB)111436

B4161

ea ea ea ea

CASE QTY.

4/cs 4/cs 4/cs 4/cs

Pepdite Junior Nutritionally complete, powdered medical food based on free amino acids and nondairy hydrolysates. For children ages 1 – 10. 51-g packets. ITEM #

HCPCS

Unflavored (SB)11766 B4161

SOLD BY

CASE QTY.

15/cs

E028 Splash Nutritionally complete, ready-to-feed, amino acid-based medical food for children ages 1 – 10. Recommended for gluten- and casein-free diets. 237-mL drink box.

ITEM #

Grape Tropical Fruit Orange Pineapple

(SB)12670 B4161 (SB)12666 B4161 (SB)11050 B4161

6/cs

SOLD BY

ea ea ea

CASE QTY.

27/cs 27/cs 27/cs

DUOCAL

Duocal Provides fat and carbohydrates for increased caloric intake for children age 1 and older. Completely soluble in water, liquids and moist foods without altering the taste. Calorically dense; 1 scoop (5 g) provides 25 kcal. Gluten-, lactose-, sucrose- and fructose-free. Energy distribution: 59% carbohydrate and 41% fat.

4/cs

CASE QTY.

HCPCS

Medical food designed to meet individual nutritional needs of a broad spectrum of children for whom a nutritionally complete feed is not suitable and a modular approach is required. Ideal for those with disease-related increased needs or malnutrition requiring additional energy supplementation and/or fluid-restricted diets.

CASE QTY.

NEW Neocate Syneo™ Amino acid-based formula that is specially formulated for the dietary management of infants with cow milk allergy, multiple food allergies and related GI and allergic conditions, including FPIES, EoE and GER. Contains Syneo, a patented, clinically tested symbiotic (prebiotic + probiotics) blend of sc-FOS, lc-FOS and Bifidobacterium breve M-16V. Ingredients are corn syrup solids, refined vegetable oil, vitamins and minerals.

SOLD BY

6/cs

NEOCATE FAMILY

HCPCS

CASE QTY.

INFANT/CHILD FORMULAS

Fiber-Stat® Ready-to-drink, medical food with prebiotic soluble fiber and prune juice concentrate, providing 15 g of soluble prebiotic fiber (60% DV) in 1 fl. oz. Contains FOS (fructo-oligosaccharides) and polydextrose to support total gut health. Indicated for dietary management of constipation, bowel regularity, low fiber intake and colon health.

4/cs

Neocate Junior

CASE QTY.

Diff-Stat® A dietary supplement providing a blend of probiotics and a prebiotic fiber, which work synergistically to promote intestinal health. Provides two probiotics (saccharomyces boulardii and bacillus coagulans) and a prebiotic (fructo-oligosaccharide). Indicated for intestinal health.

CASE QTY.

ITEM #

HCPCS

SOLD BY

400-g (14-oz.) can

(SB)118262

B4155

CASE QTY.

6/cs

MONOGEN NEW Monogen® Protein Powder Nutritionally-complete, low-fat, powdered feed containing whey protein, carbohydrate, vitamins, minerals and trace elements. Contains fat that is low in long chain triglycerides (LCT) and high in medium chain triglycerides (MCT). Can be recommended for use in infants as a sole source of nutrition or as a supplementary feed for children for the dietary management. Use under medical supervision. Not for parenteral use.

ITEM #

HCPCS

SOLD BY

400-g can

(SB)106033

B4157

CASE QTY.

6/cs

ENTERAL

Komplete® Meal Replacement Shakes A non-GMO verified, ready-to-drink formula made with organic ingredients, plant-based protein and antioxidants from 29 superfoods. Does not contain any of the common allergens (milk, wheat, soybeans, eggs, peanuts, tree nuts, fish, shellfish) or corn products. One-year shelf stable.

NUTRICIA NORTH AMERICA (SB/PS) MEDICAL FOODS FOR METABOLIC DISORDERS MAXAMUM FAMILY Series of medical foods for the dietary management of metabolic disorders in older children and adults, including pregnant women and women of child-bearing age.

MSUD Maxamum Powder An isoleucine-, leucine- and valine-free, powdered medical food for the dietary management of MSUD (maple syrup urine disease) in older children and adults, including pregnant women and women of child-bearing age. Contains a balanced mixture of all other essential and non-essential amino acids, carbohydrates, vitamins, minerals and trace elements. Age-appropriate DRI formulation. Provides 40 g of protein equivalent per 100 g of powder. Does not contain fat for greater flexibility in modifying energy intake.

ITEM #

HCPCS

SOLD BY

454-g can

(SB)117789

B4157

CASE QTY.

6/cs

Xmet Maxamum Powder A methionine-free, powdered medical food for the dietary management of vitamin B6 non-responsive homocystinuria or hypermethioninemia in older children and adults, including pregnant women and women of child-bearing age. Contains a balanced mixture of all other essential and non-essential amino acids, carbohydrates, vitamins, minerals and trace elements. Provides age-appropriate DRI formulation and 40 g of protein equivalent per 100 g of powder. Does not contain fat for greater flexibility in modifying energy intake.

ITEM #

HCPCS

SOLD BY

454-g can 454-g can

(SB)117795 (SB)117795

B4157/B4162 B4157/B4162

ea ea

CASE QTY.

6/cs 6/cs

XPhe Maxamum Powder A phenylalanine-free powdered medical food for the dietary management of PKU (phenylketonuria) in older children and adults, including pregnant women and women of child-bearing age. Contains a balanced mixture of all other essential and non-essential amino acids, carbohydrates, vitamins, minerals and trace elements. Age-appropriate DRI formulation. Provides 40 g of protein equivalent per 100 g of powder. Does not contain fat for greater flexibility in modifying energy intake.

ITEM #

HCPCS

SOLD BY

CASE QTY.

454-G CAN

Unflavored Orange

(SB)118323 B4157/B4162 ea (SB)118324 B4157/B4162 ea

6/cs 6/cs

(SB)12311 B4157/B4162 cs (SB)12312 B4157/B4162 cs

30/cs 30/cs

50-G SACHET

Unflavored Orange

ITEM #

HCPCS

SOLD BY

B4150 B4150

ea ea

Liquid Hope

*May be applicable to other age groups under medical supervision.

ITEM #

HCPCS

12 oz. (341 g)

LHWS124

B4149 ea

ITEM #

HCPCS

SOLD BY

851823006379

B4153

SOLD BY

CASE QTY.

24/cs

Nourish

Optimized for pediatric users, this whole-foods real-food feeding tube formula is nutritionally complete and meets or exceeds 100% of the DRI for 26 key vitamins and minerals for children ages 4 – 8 years old.* Provides 1.1 kcal/mL and 14% of calories from protein (14 gm/355 ml). USDA Certified Organic and non-GMO. Made with water, organic plant-based ingredients, and a vitamin/mineral blend including calcium, vitamin D, vitamin E, potassium and magnesium. The formula is free of added sugar, soy, corn, dairy, nuts, tree nuts and gluten (produced in a facility where gluten and tree nuts are used). Safe for people with lactose intolerance. Packaged in a BPA-free pouch and shelf-stable for two years. For supplemental or sole source nutrition as a whole foods enteral formula or oral meal replacement. Latex- and silver-free. *May be applicable to other age groups under medical supervision.

ITEM #

HCPCS

SOLD BY

12 oz. (341 g)

NWS124

B4149

CASE QTY.

24/cs

REAL FOOD BLENDS (KF)

100% real-food meals for enteral nutrition. Offer easy access to whole foods and nutritional variety to tube-feeders. Ready-to-use for bolus feeding, each 8-oz. serving provides 320 – 340 calories from five to seven simple, whole food ingredients. No refrigeration required. Shelf stable for three years. No corn syrup, dairy, soy or nuts. Additional liquid required for enteral feeding pumps or gravity bags.

CASE QTY.

12/cs 12/cs

NEW Core Essentials Peptide 1.5 A ready-to-use oral and tube-feeding, peptide-based formula.Made with 100% hydrolyzed organic pea protein and amino acids for calorically dense total nutrition. Does not contain any of the common allergens (milk, wheat, soybeans, eggs, peanuts, tree nuts, fish, shellfish) or corn products. Each 325 mL carton provides 500 calories and delivers 24 vitamins and minerals, and 29 antioxidant-rich superfoods. One-year shelf stable. Flows smoothly through enteral feeding pumps. Plain, 24 g protein

LATEX FREE

Shelf stable, organic, whole-food, real-food feeding tube formula and meal replacement. Nutritionally complete, meets 100% RDI for 21 essential vitamins and minerals. Concentrated calories (1.3 cal/mL and high protein (23 gm/355 ml). Made with filtered water, a vitamin blend including potassium, calcium, selenium, D3, B6, B2, B1 and B12, and all-organic ingredients. USDA Certified Organic. Plant-based product that is dairy-, soy- and corn-free, and safe for those with lactose intolerance. Gluten-free ingredients (produced in a facility where gluten is used). Non-GMO. No added sugar. Packaged in a BPA-free pouch. Two-year shelf life without preservatives. For those looking to increase daily nutrition or who cannot tolerate synthetic formulas. Latex- and silver-free.

Real Food Blends

™

12/cs 12/cs 12/cs

BLENDED FOODS ®

NEW Core Essentials™ 1.0 A ready-to-use oral and tube-feeding formula. Does not contain any of the common allergens (milk, wheat, soybeans, eggs, peanuts, tree nuts, fish, shellfish) or corn products. Each 325 mL carton provides 325 calories and delivers 24 vitamins and minerals, and 29 antioxidant-rich superfoods. One-year shelf stable. Flows smoothly through enteral feeding pumps. 851823006638 851823006690

CASE QTY.

BLENDED FOODS

SUPPLEMENTAL NUTRITION

Vanilla, 18 g protein Chocolate, 18 g protein

SOLD BY

FUNCTIONAL FORMULARIES® (KX)

KATE FARMS® (XK)

HCPCS

Chocolate, 18 g protein, 310 cal. 700175588913 B4150 ea Vanilla, 16 g protein, 290 cal. 700175588920 B4150 ea Coffee, 16 g protein, 300 cal. 700175588937 B4150 ea

ITEM #

HCPCS

SOLD BY

Salmon, Oats and Squash Quinoa, Kale and Hemp Orange Chicken, Carrots and Brown Rice Beef, Potatoes & Peas

49747 49748 49746 49746

B4149 B4149 B4149 B4149

ea ea ea ea

CASE QTY.

12/cs 12/cs 12/cs 12/cs

CASE QTY.

12/cs

ENTERAL

Thick-It®2 Concentrated Instant Food and Beverage Thickener, Starch-Based Allows users to use less to achieve the desired consistency. Contains fewer calories and carbohydrates per serving. Kosher and gluten-free.

MEAD JOHNSON (75) INFANT/CHILD FORMULAS NUTRAMIGEN® PRODUCTS Nutramigen

Hypoallergenic formula for infants who are sensitive to the intact protein found in milk- and soy-based formulas. Contains extensively hydrolyzed protein proven effective to manage colic due to cow’s milk protein allergy. Hypoallergenic, lactose- and sucrose-free. Includes LIPIL®, a blend of DHA and ARA, nutrients also found in breast milk that promote brain and eye development. Fatty acid profile patterned after breast milk. Increased level of choline, which is important for baby’s brain development, to be closer to the level found in breast milk.

ITEM #

HCPCS

SOLD BY

Concentrated liquid, 13-fl. oz. can

049811

B4161

CASE QTY.

12/cs

Nutramigen® with Enflora™ LGG® Iron-fortified, lactose-, galactose- and sucrose-free, hypoallergenic infant formula for term infants who are allergic to the intact proteins in cow’s milk and soy formulas, as well as other foods. Contains extensively hydrolyzed protein to avoid an immune system response. Also appropriate for infants with galactosemia. Clinically proven to effectively manage colic due to cow’s milk protein allergy in 48 hours. Contains the probiotic LGG, the most effective strain for infants with cow’s milk protein allergy. Proven to promote skin health in infants through 18 months. Proven to promote GI health within one week of use. Includes a blend of DHA and ARA, nutrients also found in breast milk that promote brain and eye development. Fatty acid profile patterned after breast milk.1,740 calories per 12.6-oz. can.

ITEM #

HCPCS

SOLD BY

Powder, 12.6-oz. can

123901

B4161

CASE QTY.

6/cs

MEDICAL FOODS FOR METABOLIC DISORDERS PHENYL-FREE®2 PRODUCTS Phenyl-Free®2 Free of essential amino acid phenylalanine for children and adults with PKU (phenylketonuria). Less fat, fewer total calories and higher level of protein equivalents than Phenyl-Free®1. 22-g protein equivalents per 100 g. Lactose-free. Vanilla scent.

ITEM #

HCPCS

SOLD BY

454-g can

891301

B4157

CASE QTY.

6/cs

Phenyl-Free®2 HP High-protein equivalent, phenylalanine-free dietary powder for children and adults with PKU (phenylketonuria). Provides the essential amino acids as well as nonessential amino acids, carbohydrates, fat, essential fatty acids, vitamins and minerals. Phenyl-Free®2 HP is higher in protein equivalents and most vitamins and minerals than Phenyl-Free®2. Vanilla scent.

ITEM #

HCPCS

SOLD BY

454-g can

891401

B4157/B4162

CASE QTY.

6/cs

KENT PRECISION FOODS GROUP, INC. (PX)

ITEM #

HCPCS

SOLD BY

10-oz. can 36-oz. can

J586 J587

B4100 B4100

ea ea

CASE QTY.

12/cs 6/cs

Thick-It® Purees Developed by a registered dietitian. Provide ready-to-eat, fully-cooked, complete meals in seconds for those with difficulty swallowing. Consistent texture and nutrition in every serving. Allows caregivers to confidently serve beloved comfort foods that can satisfy the taste preferences and nutritional needs of those with dysphagia. Available as entrees, sides, breakfast options and desserts. An ideal mealtime option that can be enjoyed anywhere at any time. 15-oz. can (except seasoned chicken patty is 14 oz.).

ITEM #

HCPCS

SOLD BY

Seasoned Chicken Patty (14 oz.) Chicken a la King Beef Lasagna Carrot and Pea Sweet Corn Seasoned Green Bean Maple Cinnamon French Toast Beef Stew Beef in Barbecue Sauce Salisbury Steak Omelet with Sausage and Cheddar Cheese Mixed Fruit and Berry Caramel Flavored Apple Pie Seasoned Broccoli Seasoned Spinach

H318 H301 H302 H303 H304 H305 H307 H308 H309 H314 H315

B9998 B4149 B4149 B9998 B9998 B9998 B4149 B4149 B4149 B4149 B4149

ea ea ea ea ea ea ea ea ea ea ea

CASE QTY.

12/cs 12/cs 12/cs 12/cs 12/cs 12/cs 12/cs 12/cs 12/cs 12/cs 12/cs

H316 H317 H319 H320

B9998 B9998 B9998 B9998

ea ea ea ea

12/cs 12/cs 12/cs 12/cs

Thick-It® Ready-to-Drink Beverages, Xanthan-Based These next-generation, ready-to-drink, thickened beverages help improve hydration for those with swallowing difficulties. Pure appearance and natural taste. Can be served chilled, frozen or heated without a change in consistency. Water and coffee have no calories, carbohydrates or sugars. Juices are made with 100% juice and contain no high fructose corn syrup. Available in nectar and honey consistencies and in 8-oz. and 64-oz. resealable bottles. Select flavors and consistencies are also available in 46-oz. resealable bottles.

ITEM #

HCPCS

SOLD BY

CASE QTY.

B451 B459 B627 B476 B455

B9998 ea B9998 ea B9998 ea B9998 ea B9998 ea

24/cs 24/cs 24/cs 24/cs 24/cs

B480 B9998 ea

4/cs

NECTAR, 8-OZ. BOTTLE

Water Cranberry Juice Black Tea, Decaffeinated Orange Juice Apple Juice NECTAR, 46-OZ. BOTTLE

Water

FOOD THICKENERS

HONEY, 8-OZ. BOTTLE

Thick-It® Original Instant Food and Beverage Thickener, Starch-Based Offers those with dysphagia and swallowing-related problems a chance to improve their quality of life by expanding their food and beverage options. Add to hot or cold puréed foods and beverages without affecting their appearance or taste. Easy to use and reliable; the health care instant food thickener used by doctors, speech-language pathologists and dietitians since 1987. Kosher and gluten-free.

ITEM #

HCPCS

SOLD BY

6-g packet 10-oz. can 36-oz. can

J589 J584 J585

B4100 B4100 B4100

cs ea ea

CASE QTY.

200/cs 12/cs 6/cs

Water Cranberry Juice Black Tea, Decaffeinated Apple Juice

B453 B461 B628 B457

B9998 ea B9998 ea B9998 ea B9998 ea

24/cs 24/cs 24/cs 24/cs

B454 B9998 ea B450 B9998 ea B629 B9998 ea

4/cs 4/cs 4/cs

B456 B630

4/cs 4/cs

NECTAR, 64-OZ. BOTTLE

Apple Juice Water Black Tea, Decaffeinated HONEY, 64-OZ. BOTTLE

Apple Juice Black Tea, Decaffeinated

B9998 B9998

ea ea

ENTERAL

Cyto RALA™

SOLACE NUTRITION (SY)

NEW Enhanced absorption R-form alpha lipoic acid powder. A medical food for use in the dietary management of mitochondrial cytopathies. Not for the general population of consumers. Sodium stabilized and concentrated. Allergen-free of gluten, egg, soy, wheat, fish, shellfish, walnut, almond and peanut. GMO-free. 30 g.

SUPPLEMENTAL NUTRITION NanoVM 9-18 Powder Vitamin and mineral supplement designed by pediatric dieticians. Two scoops per day provide a child ages 9 – 18 with 100% of the dietary recommended intake of 13 vitamins and 12 minerals. 275 g, gluten-free. ®

ITEM #

1918A B4104 ea

HCPCS

SOLD BY

NanoVM Dietary Supplement Vitamin and mineral supplement designed by pediatric dieticians. Two scoops per day provide a child ages 1 – 3 with 100% of the dietary recommended intake of 13 vitamins and 12 minerals. 275 g, gluten-free.

Cytolline

ITEM #

1113 B4104 ea

HCPCS

SOLD BY

ITEM #

1148 B4104 ea

HCPCS

SOLD BY

Cyto-Q Max Concentrated Ubiquinol Liquid 100 mg Ubiquinol/mL. For tube or oral feeding. Unflavored. ™

ITEM #

1204 B4155 ea

HCPCS

SOLD BY

NanoVM® t/f Powder Designed for tube feedings – is a highly soluble powder. Hypoallergenic, carbohydrate-free. Use with tube feeding formula that does not provide 100% of vitamin and mineral requirements, low energy requirements and normal for age micronutrient requirements, fluid restrictions.

Galaxtra™

Cyto Carn™

ITEM #

1190 B4104 ea

HCPCS

Sol Fiber

1209 B4157 ea

HCPCS

SOLD BY

ITEM #

275 g

1209 B4157 ea 1210 B4157 ea

Cholextra™

NeoKe™

ITEM #

NEW A white, pure & crystalline, soluble, L-Citrulline powder for individuals with MELAS syndrome, Urea Cycle Disorder, or Nitric Oxide Disorders. HCPCS

SOLD BY

NEW A tasteless, microencapsulated, powdered medical food for the dietary management of SLOS (Smith-Lemli-Opitz Syndrome). For individuals with sterol disorders who cannot obtain the recommended intake of cholesterol through regular diet. Unit contains 200 g of powder, which equals 120 g of cholesterol. 200 g.

NanoVM® Dietary Supplement Vitamin and mineral supplement designed by pediatric dieticians. Two scoops per day provide a child ages 4 – 8 with 100% of the dietary recommended intake of 13 vitamins and 12 minerals. 275 g, gluten-free.

ITEM #

5001 B4155 ea

HCPCS

SOLD BY

NEW A medical food for the dietary management of fatty acid metabolism disorders and conditions managed by the ketogenic diet. Not for the general population of consumers. Allergen-free of egg, soy, wheat, fish, walnut, almond and peanut. GMO-free. Contains lactose. 300 g

ITEM #

HCPCS

NeoKe™ BCAA4 NeoKe™ MCT70

6003 6004

B4157 B4157

SOLD BY

ea ea

NEW A white, 90% concentrated, soluble, fiber powder for individuals with constipation, hard stools and irregularity.

ITEM #

HCPCS

225 g

7002

B4157

SOLD BY

NEW Medical food for the dietary management of congenital disorders of glycosylation (CDG disorder), such as phosphoglucomutase 1 (PGM1) deficiency. Not for the general population of consumers. An enteral form of powdered D-galactose is for individuals with abnormal glycosylation, who are unable to obtain adequate D-galactose intake through regular diet alone. Allergen tested and analyzed at no detectable level (NDL) for egg, gluten, soy, wheat, walnut, almond and peanut. GMO-free. 1,500 calories per can.

ITEM #

4001 B4157 ea

HCPCS

SOLD BY

NEW Pure, soluble acetyl-L-carnitine powder. A medical food for the dietary management of mitochondrial cytopathies and for individuals with fatty acid transport disorders. Not for the general population of consumers. Allergen-free for egg, milk, fish, soy, wheat, walnut, almond and peanut. GMO-free. 150 g.

ITEM #

1208 B4157 ea

HCPCS

SOLD BY

ENTERAL

HALYARD (MI) FEEDING SETS/SUPPLIES MIC-KEY Low-Profile Gastrostomy Tube Kits Contain MIC-KEY® skin-level G-tube, 12˝ SECUR-LOK® extension set with clamp (Item # 012112), 6-cc Luer slip-tip syringe, 35-cc catheter tip syringe, gauze sponges, user ID card and directions for use. Stoma length listed in centimeters. ®

ITEM #

HCPCS

SOLD BY

1201208 1201210 1201212 1201215 1201217 1201220 1201225 1201235 1201240

B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088

ea ea ea ea ea ea ea ea ea

N/A N/A N/A N/A N/A N/A N/A N/A N/A

1201412 1201415 1201417 1201420

B4088 B4088 B4088 B4088

ea ea ea ea

N/A N/A N/A N/A

1201610 1201612 1201615 1201617 1201620 1201623 1201625 1201627 1201630 1201635

B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088

ea ea ea ea ea ea ea ea ea ea

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

1201812 1201815 1201817 1201820 1201825

B4088 B4088 B4088 B4088 B4088

ea ea ea ea ea

N/A N/A N/A N/A N/A

1202015 1202020

B4088 B4088

ea ea

N/A N/A

1202415 1202417 1202420 1202423 1202425 1202427 1202430 1202435 1202440 1202445

B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088

ea ea ea ea ea ea ea ea ea ea

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

14 FR

1.2 cm 1.5 cm 1.7 cm 2.0 cm 16 FR

1.0 cm 1.2 cm 1.5 cm 1.7 cm 2.0 cm 2.3 cm 2.5 cm 2.7 cm 3.0 cm 3.5 cm 18 FR

1.2 cm 1.5 cm 1.7 cm 2.0 cm 2.5 cm 20 FR

1.5 cm 2.0 cm 24 FR

1.5 cm 1.7 cm 2.0 cm 2.3 cm 2.5 cm 2.7 cm 3.0 cm 3.5 cm 4.0 cm 4.5 cm

MIC-KEY® ACCESSORIES Non-Bolus Extension Sets Nonsterile; for use with the MIC-KEY® skin-level feeding tubes. Feature SECUR-LOK® key connection mechanism, clear tubing, medication port, individually packaged extension sets and tubing clamp.

ITEM #

12˝ 012112 24˝ 012124

HCPCS

SOLD BY

CASE QTY.

B9998 B9998

ea ea

5/cs 5/cs

ITEM #

012312 B4088 ea

HCPCS

SOLD BY

CASE QTY.

5/cs

MEDTRONIC (61/68) FEEDING SETS/SUPPLIES

CASE QTY.

12 FR

0.8 cm 1.0 cm 1.2 cm 1.5 cm 1.7 cm 2.0 cm 2.5 cm 3.5 cm 4.0 cm

Bolus Extension Set Includes cath tip, SECUR-LOK® straight connector and clamp. Features clear tubing. For use with MIC-KEY® low-profile gastrostomy tubes. Nonsterile. 12˝ long.

LATEX FREE NutriPort Skin Level Gastrostomy Kits 100% silicone. DEHP- and latex-free. Long-life silicone balloon allows for fewer unnecessary tube replacements. The raised feet design allows air and moisture to circulate, keeping skin dry and healthy. Anti-reflux valve protects user from gastric reflux. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr, 0.80-cm Balloon SLG would be 7 1 2 080. ™

ITEM #

HCPCS

SOLD BY

CASE QTY.

B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088

ea ea ea ea ea ea ea ea ea ea ea ea ea ea

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

B9998 B9998 B9998

ea ea ea

5/cs 10/cs 10/cs

BALLOON SLG 12 FR – 24 FR (EVEN NUMBERS ONLY)

0.80 cm 1.0 cm 1.2 cm 1.5 cm 1.7 cm 2.0 cm 2.3 cm 2.5 cm 2.7 cm 3.0 cm 3.5 cm 4.0 cm 4.5 cm 5.0 cm

(68)7 _ _ 080 (68)7 _ _ 100 (68)7 _ _ 120 (68)7 _ _ 150 (68)7 _ _ 170 (68)7 _ _ 200 (68)7 _ _ 230 (68)7 _ _ 250 (68)7 _ _ 270 (68)7 _ _ 300 (68)7 _ _ 350 (68)7 _ _ 400 (68)7 _ _ 450 (68)7 _ _ 500

NUTRIPORT™ SKIN LEVEL GASTROSTOMY KIT ACCESSORIES

Stoma measuring device, sterile (61)741805 Bolus feeding set, nonsterile (61)741813 Continuous feeding set, nonsterile (61)741821

Kangaroo™ Gastrostomy Tubes Medical-grade silicone tubing for durability and longevity. The device has a unique “raised feet” design, which allows air and moisture to circulate, promoting a healthy stoma site and less skin irritation. Tube is designed with a replaceable Y-Port for easy replacement without needing to replace the entire tube.

ITEM #

HCPCS

SOLD BY

CASE QTY.

14 fr

(61)715148

B4087

5/cs

16 fr 18 fr 20 fr 22 fr 24 fr 26 fr

(61)720163 (61)720189 (61)720205 (61)720221 (61)720247 (61)720265

B4087 B4087 B4087 B4087 B4087 B4087

ea ea ea ea ea ea

5/cs 5/cs 5/cs 5/cs 5/cs 5/cs

5-ML BALLOON 20-ML BALLOON

ENTERAL

Nasogastric Feeding Tubes with Safe Enteral Connections The feeding port is incompatible with Luer lock or IV connections, reducing the risk of accidental connection or infusion. The Entriflex™ has a slimmer, lighter weighted tip for easier insertion.

MEDTRONIC (61/68) FEEDING SETS/SUPPLIES PUMP/GRAVITY SETS Kangaroo ePump Enteral Feeding Pump Sets and Accessories Pump sets for use with Kangaroo™ ePump Enteral Feeding Pumps. Purple stepped connectors help prevent tubing misconnections while providing a secure connection to the feeding tube. Anti-free flow and DEHP-free. ™

ITEM #

HCPCS

SOLD BY CASE QTY.

NONSTERILE

1,000-mL pump set with 1,000-mL flush set (61)773662 Safety screw spike set with 1,000-mL flush set (61)775100 Safety screw spike set (61)775659

B4035 ea

30/cs

B4035 cs B4035 cs

30/cs 30/cs

B4035 cs

5/cs

ITEM #

36˝, no stylet, 8 fr, 3-g weighted tip (61)720817 43˝, no stylet, 8 fr, 3-g weighted tip (61)720841 55˝, 8 fr, 3-g weighted tip (61)720858 43˝, 10 fr, 5-g weighted tip (61)721088 43˝, no stylet, 10 fr, 5-g weighted tip (61)721096

(68)776150

Kangaroo™ Joey Enteral Feeding Pump Sets and Accessories Pump sets for use with Kangaroo™ Joey Enteral Feeding Pumps. Purple stepped connectors help prevent tubing misconnections while providing a secure connection to the feeding tube. Anti-free flow and DEHP-free.

ITEM #

HCPCS

500-mL pump set (61)762055 1,000-mL pump set (61)763656 1,000-mL pump set with 1,000-mL flush set (61)763662 Joey safety screw spike set (61)765559 Joey safety screw spike set with 1,000-mL flush set (61)765100

55˝, 8 fr, 7-g weighted tip 43˝, 8 fr, 7-g weighted tip 43˝, 10 fr, 7-g weighted tip 43˝, 12 fr, 7-g weighted tip

30/cs 30/cs

B4035 ea B4035 ea

30/cs 30/cs

B4035 cs

30/cs

(61)F010506

B9998 ea

N/A

(68)776150

B4035 cs

5/cs

Kangaroo 924 Enteral Feeding Pump Sets Pump sets for use with Kangaroo™ 924 enteral feeding pumps. Purple stepped connectors help prevent tubing misconnections while providing a secure connection to the feeding tube. DEHP-free. ITEM #

HCPCS

SOLD BY

500-mL pump set (61)772025 B4035 ea 1,000-mL pump set (61)773621 B4035 ea Safety screw spike set (61)775759 B4035 ea

CASE QTY.

30/cs 30/cs 30/cs

ITEM #

HCPCS

SOLD BY

Nonsterile pump set 4´ tubing extension (61)700207 B9998 ea Nonsterile Y-site extension set (61)705008 B9998 ea

ITEM #

HCPCS

SOLD BY

10/cs 10/cs 10/cs 10/cs

ITEM #

9786 B9998 ea

HCPCS

SOLD BY

CASE QTY.

20/cs

LATEX FREE

ITEM #

9799 A9999 ea

HCPCS

SOLD BY

CASE QTY.

12/cs

FEEDING SETS/SUPPLIES LATEX FREE NG-Strip Adult Nasal Tube Fasteners Securement device for any nasogastric or nasal feeding tube. Eliminate the time-consuming ritual of securing nasal tubing with strips of skin-irritating tape. Adhere to the nose and to the tube; even on nonstick tube surfaces.

ITEM #

HCPCS

SOLD BY

NG50 A4649 50/pk NG25 A4649 25/pk

CASE QTY.

N/A N/A

DALE® MEDICAL (DA) FEEDING SETS/SUPPLIES

30/cs

Dale ACE (Access Controller for Enteral) Connector® Closed-system connector with needleless syringe port seal. Protects clinician from infectious splash back. Protects user from external contamination. No disconnect to irrigate or administer liquid medication, and no flip or tethered closure caps. Syringe port seal accepts most 60-cc, catheter tip syringes and provides inline feeding, suctioning, irrigation and medication delivery without the need to disconnect. Split septum silicone syringe port seal means no cap to flip or pop off. Recessed opening to eliminate hand contact and reduce contamination. Flexible silicone adapter accepts all enteral delivery sets and bolus feeding syringes. Replaces 5-in-1 connectors and enteral feeding tube Y-port adapters. Designed to physically prevent the administration of enteral formula into an IV line.

CASE QTY.

B4036 ea

30/cs

B4036 ea

30/cs

NONSTERILE

1,000-mL, large-bore gravity set (61)702505

ea ea ea ea

30/cs

STERILE

With ice pouch and 1,000-mL bag (61)702500

B4081 B4081 B4081 B4081

DERMA SCIENCES (DS)

CASE QTY.

Kangaroo™ Gravity Sets 1,000-mL capacity graduated bag with 7 1⁄2´ tubing and easy-cap closure.

(61)710859 (61)710826 (61)711006 (61)711253

Anchor Fast Oral Endotracheal Tube Fastener An easy-to-use alternative to adhesive tape for securing endotracheal tubes (5 mm – 10 mm). Its latex-free, advanced design allows for easy repositioning of the tube and provides ready access for suctioning and oral care. Helps minimize pressure ulcer formation on the lips and mucosal tissue.

Kangaroo™ Pump Set Accessories

10/cs 10/cs 10/cs 10/cs 10/cs

™

ea ea ea ea ea

LATEX FREE Feeding Tube Attachment Device (FTAD) Secures nasogastric/nasointestinal feeding or suction tubes (5 fr – 18 fr). Butterfly-shaped synthetic skin barrier conforms to the nose and is more comfortable than tape. Unique swivel clamp eliminates pressure on the nares.

100-ML BURETTE RECERTIFICATION SET

B4082 B4082 B4081 B4081 B4082

FEEDING SETS/SUPPLIES

BATTERY

CASE QTY.

HOLLISTER INCORPORATED (50)

SOLD BY CASE QTY.

B4035 ea B4035 ea

SOLD BY

DOBBHOFF™ TIP

100-ML BURETTE RECERTIFICATION SET

HCPCS

ENTRIFLEX® TIP

ITEM #

HCPCS

Syringe/Pump/Gravity

475

A4649 ea

SOLD BY

CASE QTY.

50/cs

ENTERAL

DALE® MEDICAL (DA) FEEDING SETS/SUPPLIES NasoGastric Tube Holder Perfect for securing nasogastric feeding and aspiration tubes. Skin-friendly adhesive remains secure for extended periods, yet is easily removed. Nose pad stretches and conforms for comfort. Unique, dual interlocking tabs spiral around the nasogastric tube to ensure security. Nonadhering plastic tips on tabs make removal safe and easy.

ITEM #

160

HCPCS

SOLD BY

A4649 ea

CASE QTY.

N/A

CORE PRODUCTS (95) FEEDING TUBES/SETS/SUPPLIES Nelmed G-Tube Holder Facilitates most enteral feeding systems. Designed by the wife of a gastrostomy patient who disliked the way G-tubes were constantly being taped to her husband’s skin. Eliminates the need for pins and tape to provide a comfortable way to secure most enteral feeding tubes (PEGS, surgically placed G-tubes, jejunostomy tubes and others). Increases user’s ability for self-care and helps minimize the risk of accidental pull-out in combative users or small children.

ITEM #

HCPCS

SOLD BY

30˝ – 45˝ 45˝ – 60˝

NEL1920 NEL1921

B9998 B9998

ea ea

CASE QTY.

6/cs 6/cs

CORPAK MEDSYSTEMS (CP) FEEDING TUBES/SETS/SUPPLIES

ITEM #

204100 B9998 ea

SOLD BY

CASE QTY.

30/cs

CORFLO® Nasogastric Feeding Tubes with ENFit™ Connectors Integrated “Y” port minimizes touch contamination and makes flushing easy. ULTRA Anti-Clog outlet port significantly reduces the occurrence of clogging. Water-activated lubricant for greater comfort during insertion and effortless stylet removal. Radiopaque for X-ray confirmation. Weighted tubes use multiple tungsten cylinders, allowing for flexibility and greater comfort during insertion.

ITEM #

HCPCS

SOLD BY

CASE QTY.

B4082 B4082 B4082 B4082 B4082 B4082

cs cs cs cs cs cs

10/cs 10/cs 10/cs 10/cs 10/cs 10/cs

B4081 B4081 B4081 B4081 B4081 B4081 B4081

cs cs cs cs cs cs cs

10/cs 10/cs 10/cs 10/cs 10/cs 10/cs 10/cs

CORFLO-ULTRA LITE, NON-WEIGHTED, WITHOUT STYLET

5 fr, 15˝, pedi, sterile 5 fr, 36˝, pedi, sterile 6 fr, 22˝, pedi, sterile 6 fr, 36˝, pedi 8 fr, 36˝, pedi/adult 8 fr, 43˝, adult

201155 201365 201226 201366 201368 201438

CORFLO-ULTRA LITE, NON-WEIGHTED, WITH STYLET

5 fr, 22˝, pedi, sterile 6 fr, 22˝, pedi 8 fr, 22˝, pedi 10 fr, 36˝, adult 6 fr, 36˝, pedi 8 fr, 36˝, pedi/adult 10 fr, 43˝, adult

209225 209226 209228 209361 209366 209368 209431

HCPCS

SOLD BY

CASE QTY.

6 fr, 22˝, 1-g weight, pedi 6 fr, 36˝, 1-g weight, pedi 8 fr, 36˝, 1.5-g weight, pedi 6 fr, 36˝, 3-g weight, pedi/adult 10 fr, 36˝, 3-g weight, adult 8 fr, 43˝, 3-g weight, adult 10 fr, 43˝, 3-g weight, adult 12 fr, 43˝, 3-g weight, adult

208226 208366 208368 207366 207361 207438 207431 207432

B4081 B4081 B4081 B4081 B4081 B4081 B4081 B4081

cs cs cs cs cs cs cs cs

10/cs 10/cs 10/cs 10/cs 10/cs 10/cs 10/cs 10/cs

B4082

10/cs

CORFLO-ULTRA, WEIGHTED, WITHOUT STYLET

10 fr, 43˝, 3-g weight, adult

205431

CORFLO® cuBBy Low-Profile Gastrostomy Device and Accessories and ENFit™ Connectors Innovative design insures stability, maximizes airflow over the stoma and allows sizing flexibility. Dome design offers comfort and reduces stoma irritation. Soft, medical-grade silicone. Secure locking mechanism. Ergonomically designed feeding set connectors. Super short tip. Durable anti-reflux valve.

ITEM #

HCPCS

SOLD BY

CASE QTY.

351210 351215 351220 351235 351410 351415 351420 351825 351835 352030 352415

B4088 ea B4088 ea B4088 ea B4088 ea B4088 ea B4088 ea B4088 ea B4088 ea B4088 ea B4088 ea B4088 ea

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

569024 569012 560112

B9998 B9998 B4088

5/cs 5/cs 5/cs

LOW PROFILE GASTROSTOMY TUBES

12 fr x 1.0 cm 12 fr x 1.5 cm 12 fr x 2.0 cm 12 fr x 3.5 cm 14 fr x 1.0 cm 14 fr x 1.5 cm 14 fr x 2.0 cm 18 fr x 2.5 cm 18 fr x 3.5 cm 20 fr x 3.0 cm 24 fr x 1.5 cm ACCESSORIES

FARRELL Valve Bag-Pressure Relief System LATEX FREE Designed to help those who suffer from poor gastric motility, pain and bloating. Maximizes enteral feeding by providing a channel to constantly decompress the stomach, allowing the stomach to feed at its own pace. ENFit™ Connector. ®

HCPCS

ITEM #

CORFLO-ULTRA, WEIGHTED, WITH STYLET

Right-angle feeding set, 24˝ Right-angle feeding set, 12˝ Bolus feeding set

cs cs cs

CORSTOP™ a.c.e. stoppers Soft and comfortable silicone plug used to seal stoma sites and maintain stoma tract patency, in-between catheter insertions. For those utilizing ACE (antegrade continence enema), MACE (Malone antegrade continence enema), caecostomy, Mitrofanoff, Monti and other similar procedures. Latex-, DEHP-, PVC- and BPA-free. CORSTOP™ 1.73˝ x 2.91˝ transparent hydrogel dressing is specifically designed for placement over the CORSTOP™ a.c.e. stoppers device, to provide securement and padding to the device.

ITEM #

HCPCS

SOLD BY

8 fr, 15 mm 8 fr, 30 mm 8 fr, 60 mm 10 fr, 15 mm 10 fr, 30 mm 10 fr, 60 mm 12 fr, 30 mm 12 fr, 60 mm 12 fr, 100 mm 14 fr, 30 mm 14 fr, 60 mm 14 fr, 100 mm CORSTOP™ Hydrogel Dressing

CS815 CS830 CS860 CS1015 CS1030 CS1060 CS1230 CS1260 CS12100 CS1430 CS1460 CS14100 CS01

B9998 B9998 B9998 B9998 B9998 B9998 B9998 B9998 B9998 B9998 B9998 B9998 A4649

ea ea ea ea ea ea ea ea ea ea ea ea ea

CASE QTY.

1/cs 1/cs 1/cs 1/cs 1/cs 1/cs 1/cs 1/cs 1/cs 1/cs 1/cs 1/cs 30/box

ENTERAL

VESCO MEDICAL (97) FEEDING TUBES/SETS/SUPPLIES LATEX FREE 40mm Screw Cap Gravity Feed Transition Set with ENFit™ Connector Industry exclusive. Ready-to-use. Single-patient use. Nonsterile. DEHP-, BPA- and latex-free.

ITEM #

HCPCS

SOLD BY

020

B4036 ea

CASE QTY.

24/cs

Safety Screw Connector Gravity Feed Transition Set with LATEX FREE ENFit™ Connector Ready-to-use. Single-patient use. Nonsterile. DEHP-, BPA- and latex-free.

ITEM #

HCPCS

026

B4036 ea

SOLD BY

CASE QTY.

24/cs

LATEX FREE 1,000-mL Gravity Feed Transition Set with ENFit™ Connector Translucent. Ready-to-use. Single-patient use. Nonsterile, Convenient snap cap with rigid neck. DEHP-, BPA- and latex-free.

ITEM #

HCPCS

SOLD BY

1,000 mL

032

B4036

CASE QTY.

30/cs

LATEX FREE ENFit™ Tip Syringes ISO 80369-3 compliant ENFit™ connector designed to reduce the risk of tubing misconnections. Enteral-specific syringes for use in initial tube placement, flushing/hydration, bolus feeding, irrigation, aspiration and administering medication. 2-mL graduated length markings. Packaged in resealable IV pole bag packed 30 per inner case and six inner cases per outer shipper. ENFit™ Tip protector cap.

ITEM #

HCPCS

SOLD BY

60 mL

660

A9900

ITEM #

HCPCS

SOLD BY

500 mL

038

B4036

CASE QTY.

30/cs

180/cs

LATEX FREE NEW ENFit Tip Medical Syringe, Flush and Bolus Feed ISO 80369-3 compliant ENFit™ connector designed to reduce the risk of tubing misconnection. Enteral-specific syringes for use in initial tube placement, flushing/hydration, bolus feeding and irrigation. Printed graduated markings. Made without natural rubber latex, DEHP, bisphenol A or other phthalates plasticizers. Individually blister-packed. 5-mL and 10-mL versions packed 100 per box with five inner boxes per case. 20-mL and 35-mL versions packed 50 per box with 10 inner boxes per case. ™

ITEM #

HCPCS

SOLD BY

5 mL 10 mL 20 mL 35 mL

97605 97610 97620 97635

N/A N/A N/A N/A

ea ea ea ea

CASE QTY.

100/bx 100/bx 50/bx 50/bx

LATEX FREE NEW ENFit™ Low Profile Extension Sets ISO 80369-3 compliant ENFit™ connector designed to reduce the risk of tubing misconnections. Compatible with MIC-Key® and MINI One® low-profile gastrostomy feeding tubes. Dual ENFit Ports with 90-degree connector for bolus feeding and easy flushing and medication delivery. Made without latex, bisphenol A and phthalate plasticizer.

LATEX FREE 500-mL Gravity Feed Transition Set with ENFit™ Connector Translucent. Ready-to-use. Single-patient use. Nonsterile. Convenient snap cap with rigid neck. DEHP-, BPA- and latex-free.

CASE QTY.

ITEM #

HCPCS

SOLD BY

CASE QTY.

12 inch (30cm) Dual ENFit Port Right Angle for Continuous Feeding 1000 N/A ea 24 inch (60cm) Dual ENfit Port Right Angle for Continuous Feeding 1001 N/A ea 12 inch (30cm) Single ENFit Port Straight for Bolus Feeding 1002 N/A ea 24 inch (60cm) Single ENFit Port Straight for Bolus Feeding 1003 N/A ea

10/bx 10/bx 10/bx 10/bx

LATEX FREE 1,000-mL TOP FILL Enteral Gravity Feed Transition Set with ENFit™ Connector Translucent. Ready-to-use. Single-patient use. Nonsterile. Screw-top cap. Slim line bag for portability. DEHP-, BPA- and latex-free.

ITEM #

HCPCS

SOLD BY

1,000 mL

044

B4036

CASE QTY.

24/cs

LATEX FREE Gastrostomy Feeding Tube Single ENFit™ Port Replacement gastrostomy feeding tube with Single ENFit™ port. AAMI/ CN3 and proposed ISO 80369-3 compliant ENFit™ connector designed to reduce the risk of tubing misconnections. Biocompatible-grade silicone tubing. Rounded skin disc with bumpers for retention. Clear shaft with graduations. Gastric balloon for internal retention. Rounded flush tip with open distal end. Made without latex, BPA and PHT.

ITEM #

HCPCS

SOLD BY

16 fr, 10 mL balloon 18 fr, 15 mL balloon 20 fr, 15 mL balloon 22 fr, 15 mL balloon

116 118 120 122

B4087 B4087 B4087 B4087

ea ea ea ea

CASE QTY.

2/cs 2/cs 2/cs 2/cs

GLOVES / GOWNS CARDINAL HEALTH™ (55) * Not made with natural rubber latex.

Positive Touch® Latex Exam Gloves Fully textured. Features a beaded cuff that facilitates donning. Powder-free.

ITEM #

Small Medium Large X-Large

8841 A4927 100/bx 8842 A4927 100/bx 8843 A4927 100/bx 8844XL A4927 100/bx

HCPCS

SOLD BY

InstaGard Synthetic Vinyl Exam Gloves* Made from polyvinyl chloride or PVC. Features a smooth finish and a beaded cuff that facilitates donning. Manufactured without the use of accelerators. Not made with natural rubber latex. Powder-free. Available in quantities of 100 per box or 150 per box. ®

ITEM #

HCPCS

SOLD BY

Small, 100 Count † Medium, 100 Count † Large, 100 Count † X-Large, 100 Count Small, 150 Count Medium, 150 Count Large, 150 Count X-Large, 150 Count

8886I 8887I 8888I 8889IX 8886DOTP 8887DOTP 8888DOTP 8889DOTP

A4927 A4927 A4927 A4927 A4927 A4927 A4927 A4927

100/bx 100/bx 100/bx 100/bx 150/bx 150/bx 150/bx 150/bx

†

ARNING: This product contains chemicals known to the State of California to cause cancer W and birth defects or other reproductive harm

Flexal® Feel Nitrile Exam Gloves* Feature textured fingertips. Powder-free. Nonsterile.

ITEM #

HCPCS

Small Medium Large X-Large

N88TT21S A4927 N88TT22M A4927 N88TT23L A4927 N88TT24XL A4927

SOLD BY

100/bx 100/bx 100/bx 100/bx

Flexal® Nitrile Exam Gloves* Textured fingertips. Powder-free. Larger box count helps reduce waste.

ITEM #

HCPCS

SOLD BY

Small Medium Large X-Large

88TN02S A4927 200/bx 88TN03M A4927 200/bx 88TN04L A4927 200/bx 88TN05XL A4927 200/bx

Esteem® Synthetic with Neu-Thera® Stretchy Vinyl Exam Gloves* Protects by restoring skin softness and elasticity. Powder-free.

ITEM #

HCPCS

SOLD BY

Small Medium Large X-Large

S88RX02 A4927 100/bx S88RX03 A4927 100/bx S88RX04 A4927 100/bx S88RX05 A4927 100/bx

Esteem® Stretchy Nitrile Gloves* Used for situations with high risk and greater exposure to blood or body fluids, or for use with harsh chemicals. Unique stretchy nitrile formulation for greater comfort. Contains no natural rubber. Blue. Powder-free. Nonsterile.

ITEM #

Small Medium Large X-Large

8816NB A4927 150/bx 8817NB A4927 150/bx 8818NB A4927 150/bx 8819NB A4927 130/bx

HCPCS

SOLD BY

Esteem® Stretchy Synthetic Vinyl Exam Gloves* Latex-free exam gloves. Offers all the protection of a synthetic while delivering latex-like comfort and flexibility. Powder-free.

ITEM #

Small Medium Large X-Large

8881DOTP A4927 8882DOTP A4927 8883DOTP A4927 8884DOTP A4927

HCPCS

SOLD BY

150/bx 150/bx 150/bx 150/bx

NEW

Esteem® XP Powder-Free, Non-Sterile, Nitrile Exam Gloves with 12˝ Cuff

ITEM #

X-Small Small Medium Large X-Large

N8850XP A4927 N8851XP A4927 N8852XP A4927 N8853XP A4927 N8854XP A4927

HCPCS

Esteem® Stretchy Powder-Free, Non-Sterile, Nitrile (ESNIII) Exam Gloves HCPCS

SOLD BY

50/bx 50/bx 50/bx 50/bx 50/bx

NEW

ITEM #

Small Medium Large X-Large 2X-Large

8855NSB A4927 150/bx 8856NMB A4927 150/bx 8857NLB A4927 150/bx 8858NXLB A4927 150/bx 8858NXXB A4927 130/bx

SOLD BY

Esteem® Tru-Blu Stretchy Nitrile Micro-Textured Powder-Free, NEW Non-Sterile Exam Gloves

ITEM #

X-Small Small Medium Large X-Large

8895N A4927 100/bx 8896N A4927 100/bx 8897N A4927 100/bx 8898N A4927 100/bx 8899N A4927 90/bx

HCPCS

Flexam Powder-Free, Sterile, Nitrile Exam Glove, Singles, 111⁄10˝ Long HCPCS

SOLD BY

NEW

ITEM #

Small Medium Large X-Large

N8820 A4930 50/bx N8821 A4930 50/bx N8822 A4930 50/bx N8823 A4930 50/bx

Flexam Nitrile Exam Gloves, Sterile, Powder-Free, Pair

ITEM #

HCPCS

Small Medium Large X-Large

N8830 N8831 N8832 N8833

A4930 A4930 A4930 A4930

SOLD BY

NEW SOLD BY

40 pair/bx 40 pair/bx 40 pair/bx 40 pair/bx

GLOVES / GOWNS

AMBITEX® Powder-Free, Non-Sterile, Nitrile Select Exam Gloves NEW

AMBITEX® (AX) AMBITEX® Latex Gloves General purpose powdered glove features smooth surface while powder-free glove offers a textured surface for improved grip. Non-exam.

ITEM #

HCPCS

ITEM #

Small Medium Large X-Large

NSM400 A4927 100/bx NMD400 A4927 100/bx NLG400 A4927 100/bx NXL400 A4927 100/bx

HCPCS

SOLD BY

POWDER-FREE

Small Medium Large X-Large

LSM5201 A4927 100/bx LMD5201 A4927 100/bx LLG5201 A4927 100/bx LXL5201 A4927 100/bx

AMBITEX® Powder-Free, Non-Sterile, Vinyl Exam Gloves

POWDERED

Small Medium Large X-Large

LSM5101 A4927 100/bx LMD5101 A4927 100/bx LLG5101 A4927 100/bx LXL5101 A4927 100/bx

AMBITEX® High Risk Latex Powder-Free Exam Gloves Extra thick to prevent tearing and puncturing. Extended cuff provides added forearm protection and textured surface aids in an improved grip. Meets or exceeds ASTM standards. Blue.

ITEM #

Small Medium Large X-Large

LSM620 A4927 100/bx LMD620 A4927 100/bx LLG620 A4927 100/bx LXL620 A4927 100/bx

HCPCS

SOLD BY

AMBITEX® Vinyl Gloves General purpose gloves provide a cost-effective solution for most everyday tasks. Not made with natural rubber latex. Features a smooth surface.

ITEM #

HCPCS

SOLD BY

POWDER-FREE

Small Medium Large X-Large

VSM5201 A4927 100/bx VMD5201 A4927 100/bx VLG5201 A4927 100/bx VXL5201 A4927 100/bx

POWDERED

Small Medium Large X-Large

VSM5101 A4927 100/bx VMD5101 A4927 100/bx VLG5101 A4927 100/bx VXL5101 A4927 100/bx

AMBITEX® Supreme XP™ Stretch Powder-Free Exam Gloves Latex-like material conforms to the hand for optimal comfort and dexterity. Stretches up to 33% more than traditional vinyl. Meets or exceeds ASTM standards.

ITEM #

Small Medium Large X-Large

VSM221 A4927 100/bx VMD221 A4927 100/bx VLG221 A4927 100/bx VXL221 A4927 100/bx

HCPCS

SOLD BY

AMBITEX® Black Nitrile Powder-Free Exam Gloves Resists a variety of chemicals and animal fats. Snug, comfortable fit. Rich color provides sharp contrast and hides stains. Meets or exceeds ASTM examination glove standards. Black.

ITEM #

Small Medium Large X-Large

NSM200BLK A4927 NMD200BLK A4927 NLG200BLK A4927 NXL200BLK A4927

HCPCS

AMBITEX® Powder-Free, Non-Sterile, Latex Exam Gloves HCPCS

SOLD BY

100/bx 100/bx 100/bx 100/bx

NEW

ITEM #

Small Medium Large X-Large

LSM200 A4927 100/bx LMD200 A4927 100/bx LLG200 A4927 100/bx LXL200 A4927 100/bx

SOLD BY

HCPCS

NEW

ITEM #

Small Medium Large X-Large

VSM200 A4927 100/bx VMD200 A4927 100/bx VLG200 A4927 100/bx VXL200 A4927 100/bx

SOLD BY

SALK (84) LadyLace Wraparound Patient Gown Wraparound styling with a generous back overlap for full coverage and freedom of movement. Snap closures on shoulders. Attractive lace yolk on puckered sleeves and fitted bustline. Available in a wide range of attractive fabric prints in 50/50 cotton/poly broadcloth for women. One size fits all. One gown per package. Made in the USA. ™

ITEM #

HCPCS

SOLD BY

SHORT SLEEVES

Pink Rosebud Print Yellow Rosebud Print Garden Print Blue Marble Print

535LPP 535LPY 535LPG 535BM

A9270 A9270 A9270 A9270

ea ea ea ea

A9270 A9270 A9270

ea ea ea

LONG SLEEVES

Pink Rosebud Print Yellow Rosebud Print Garden Print

540LPP 540LPY 540LPG

SnapWrap™ Deluxe Adult Patient Gown Wraparound styling with a generous back overlap for full coverage and freedom of movement. Snap closures on shoulders. Available in a wide range of attractive fabric prints in 50/50 cotton/poly broadcloth for both men and women. One size fits all. One gown per package. Made in the USA.

ITEM #

HCPCS

Blue Marble Blue Plaid Blue Plisse Garden Print Geometric Print Pink Rosebud Solid Pink Yellow Floral

500BM 500BP 500B 500LPG 500MP 500LPP 500P 500LPY

A9270 A9270 A9270 A9270 A9270 A9270 A9270 A9270

SOLD BY

ea ea ea ea ea ea ea ea

TieBack™ Traditional Hospital Style Gown Traditional tie-tape closures along a centered back opening. Available in solid colors and in a wide range of additional fabric prints in 50/50 cotton/poly broadcloth for both men and women. One gown per package. Made in the USA.

ITEM #

HCPCS

Blue Marble Blue Plaid Garden Print Geometric Print Solid Blue Solid Pink

550BM 550BP 550LPG 550MP 550B 550P

A9270 A9270 A9270 A9270 A9270 A9270

SOLD BY

ea ea ea ea ea ea

INCONTINENCE

Cardinal Health™ Light Absorbency Protective Underwear* Dual core locks in moisture for drier, healthier skin. Advanced odor neutralizing technology. Soft, breathable, cloth-like fabric provides comfort and dignity. Gentle outer leg gathers provide added protection against leaks.

CARDINAL HEALTH™ (55) * Not made with natural rubber latex.

ADULT BRIEFS & PROTECTIVE UNDERWEAR Cardinal Health™ Premium Absorbency Breathable Brief* Soft, cloth-like outer fabric that provides both comfort and discretion by reducing skin irritation and noisy rustling. Feature reattaching fasteners that grip and hold anywhere on the outer cover for a personalized fit and leakage protection. For severe urinary output or drainage and loss of bowel control. Advanced odor control. Hook and loop closure-like tab fastener. Premium acquisition distribution layer for dryness. Advanced core technology. Convenient, self-closure refastenable tabs allow easy adjustments for a perfect fit. Soft, ultra-absorbent contoured core. Featured dual leak barriers that provide extra security for leakage protection.

ITEM #

TCODE

HCPCS

SOLD BY

Small (waist 22˝ – 36˝ ) Medium (waist 32˝ – 44˝ ) Large (waist 45˝ – 58˝ ) X-Large (waist 59˝ – 64˝ ) 2X-Large (waist 63˝ – 69˝ )

BPHS200 BPHM600 BPHL610 BPHXL620 BPH2XL630

T4521 T4522 T4523 T4524 T4543

A4520 A4520 A4520 A4520 A4520

24/pk 16/pk 18/pk 15/pk 12/pk

ITEM #

TCODE

HCPCS

SOLD BY

Medium (32˝ – 44˝ ) Large (waist 45˝ – 58˝ ) X-Large (waist 59˝ – 64˝ )

BEUM800 BEUL810 BEUXL820

T4522 T4523 T4524

A4520 A4520 A4520

16/pk 18/pk 15/pk

96/cs 96/cs 72/cs 60/cs 48/cs

CASE QTY

96/cs 72/cs 60/cs

Cardinal Health™ Moderate Absorbency Brief* Dual core locks in moisture for drier, healthier skin. Advanced odor neutralizing technology. Soft, breathable, cloth-like fabric provides comfort and dignity. Gentle outer leg gathers provide added protection against leaks. Hook tabs assure a firm, secure fit. Hook tab fastening system.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 32˝ – 44˝ ) Large (waist 45˝ – 58˝ ) X-Large (waist 59˝ – 64˝ )

BVMMD100 BVMLG110 BVMXL120

T4522 T4523 T4524

A4520 A4520 A4520

16/pk 18/pk 15/pk

CASE QTY

96/cs 72/cs 60/cs

Cardinal Health™ Heavy Absorbency Brief* Hook tabs assure a firm, secure fit. Dual core locks in moisture for drier, healthier skin. Premium acquisition layer enhances dryness by wicking away fluid quickly.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 32˝ – 44˝ ) Large (waist 45˝ – 58˝ ) X-Large (waist 59˝ – 64˝ )

BVHMD210 BVHLG220 BVHXL230

T4522 T4523 T4524

A4520 A4520 A4520

20/pk 20/pk 20/pk

CASE QTY

80/cs 80/cs 80/cs

Cardinal Health™ Premium Bariatric Brief* Dual core locks in moisture for drier, healthier skin. Stretch side panels with refastenable tabs allow easy adjustment for a perfect fit. Large hook tabs assure a firm, secure fit. Fits waist sizes up to 95˝.

ITEM #

Fits up to 95˝ BBAR01

TCODE

HCPCS

SOLD BY

T4543

A4520

8/pk

ITEM #

TCODE

HCPCS

SOLD BY

UWLMD40 UWLLG45 UWLXL50

T4526 T4527 T4528

A4520 A4520 A4520

20/pk 18/pk 14/pk

CASE QTY

80/cs 72/cs 56/cs

Cardinal Health™ Moderate Absorbency Protective Underwear* Soft, breathable, clothlike fabric provides comfort and dignity. Advanced order neutralizing technology. Inner Leg Cuffs provide extra security for leakage protection.

CASE QTY

Cardinal Health™ Maximum Absorbency Brief* Designed for those experiencing total incontinence, these briefs have leg gathers for superior fit and containment, and padded wings for greater comfort and coverage. They contain a Poly-Fresh™ polymer lining for maximum absorbency and one-piece tape tabs for secure placement. The stay-dry facing with moisture-resistant backing enhances comfort, and diamond and linear embossing provides pad stability.

Medium (waist 32˝ – 44˝ ) Large (waist 45˝ – 58˝ ) X-Large (waist 59˝ – 64˝ )

CASE QTY

32/cs

ITEM #

TCODE

HCPCS

SOLD BY CASE QTY

Small (waist 22˝ – 36˝ ) Medium (waist 32˝ – 44˝ ) Large (waist 45˝ – 58˝ ) X-Large (waist 59˝ – 64˝ ) XX-Large (waist 63˝ – 69˝ )

UWMSM10 UWMMD15 UWMLG20 UWMXL25 UWM2XL30

T4525 T4526 T4527 T4528 T4528/T4544

A4520 A4520 A4520 A4520 A4520

20/pk 20/pk 18/pk 14/pk 12/pk

80/cs 80/cs 72/cs 56/cs 48/cs

Cardinal Health™ Maximum Absorbency Protective Underwear for Women* Dual core locks in moisture. Soft, breathable, cloth-like fabric provides comfort and dignity. Acquisition layer for dryness and comfort. Gentle outer leg gathers provide added leakage protection. Anatomically designed for absorbency where women need it.

ITEM #

TCODE

Medium, (32˝ – 44˝ ), 96 – 185 lbs. UWFSM20 T4526 Large, (45˝ – 58˝ ), 130 – 230 lbs. UWFLG18 T4527 Extra Large, (58˝ – 68˝ ), 195 – 245 lbs. UWFXL16 T4528

HCPCS

SOLD BY CASE QTY

A4520 20/pk A4520 18/pk A4520 14/pk

80/cs 72/cs 56/cs

Cardinal Health™ Maximum Absorbency Protective Underwear for Men* Dual core locks in moisture for drier, healthier skin. Soft, breathable, clothlike fabric provides comfort and dignity. Premium acquisition layer enhances dryness by wicking away fluid quickly. Gentle outer leg gathers provide added leakage protection. Anatomically designed for absorbency where men need it.

ITEM #

Medium (waist 32˝ – 44˝ ) Large (waist 45˝ – 58˝ )

UWMSMD20 T4526 A4520 20/pk UWMLXL18 T4527 A4520 18/pk

TCODE

HCPCS

SOLD BY CASE QTY

80/cs 72/cs

Cardinal Health™ Maximum Absorbency FlexRight Protective Underwear for Women* Dual core locks in moisture for drier, healthier skin. Soft, breathable, clothlike fabric provides comfort and dignity. Premium acquisition layer enhances dryness by wicking away fluid quickly. Underwear-like waistband for a more discreet fit. Anatomically designed for absorbency where women need it most.

ITEM #

TCODE

Small/Medium (waist 32˝ – 44˝ ) Large/X-Large (waist 45˝ – 58˝ )

UWFBSM UWFBLXL

T4526 A4520 12/pk T4527 A4520 10/pk

HCPCS

SOLD BY CASE QTY

48/cs 40/cs

INCONTINENCE

CARDINAL HEALTH™ (55) * Not made with natural rubber latex.

Cardinal Health™ Maximum Absorbency FlexRight Protective Underwear for Men* Dual core locks in moisture for drier, healthier skin. Soft, breathable, cloth-like fabric provides comfort and dignity. Premium acquisition layer enhances dryness by wicking away fluid quickly. Gentle outer leg gathers provide added leakage protection. Anatomically designed for absorbency where men need it most.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Small/Medium (waist 32˝ – 44˝ ) UWMBSM T4526 A4520 12/pk Large/X-Large (waist 45˝ – 58˝ ) UWMBLXL T4527 A4520 10/pk

48/cs

Cardinal Health™ Women’s Bladder Control Pads* Contoured shape for form-fitting comfort. Soft, cloth-like inner liner and outer covering for comfort, discretion and skin wellness. Acquisition layer and superabsorbent polymer channel to lock fluids in the core and help prevent odor. Full-length, secure-fit adhesive peel strip. Individually wrapped in discreet, cloth-like packaging for on-the-go convenience. ITEM #

Ultimate, 16˝ Maximum, 17˝ Moderate 101⁄2˝ Light, 12˝

BCPUL110 T4535 BCPMX100R T4535 BCPMD90 T4535 BCPTHIN80 T4535

TCODE

HCPCS

SOLD BY

CASE QTY

A4520 27/pk A4520 39/pk A4520 20/pk A4520 30/pk

108/cs 156/cs 120/cs 180/cs

Cardinal Health™ Booster Pad* Designed to be used in combination with another disposable absorbent product such as a brief, protective underwear, or pad. When the Booster Pad can no longer absorb any wetness, the porous backsheet allows the wetness to flow through the pad into the brief or other protective product being worn. Ultra-thin, absorbent core. Full-length, hold-in-place adhesive strip.

ITEM #

BCPBOOST50 T4535

TCODE

HCPCS

SOLD BY

CASE QTY

A4520

24/bg

192/cs

Cardinal Health™ Belted Shield Undergarment* Has acquisition layer and superabsorbent polymer channel that locks fluids in the core and helps prevent odor. Belted style with wide, comfortable, reusable belts. Leg gathers and contoured shape for leakage protection and form-fitting comfort. Soft, cloth-like inner liner is gentle against the skin. Poly outer covering prevents leakage. Acquisition layer and super absorbent polymer channel locks fluids in the core and help prevent odor. TCODE

HCPCS

SOLD BY

ITEM #

BLTD430 T4535 A4520 30/bg 120/cs

CASE QTY

Cardinal Health™ Men’s Protective Guard* Anatomically designed for men with light incontinence. Unique, anatomical form-fitting shape for maximum containment. Soft, cloth-like material for comfort and discretion. Superabsorbent beads quickly lock in fluids and help prevent odor. Hold-in-place adhesive patch. HCPCS

SOLD BY

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Non-flushable, scented Non-flushable, scented Non-flushable, fragrance-free Non-flushable, fragrance-free Flushable, fragrance-free

2AWS42 2AWS64 2AWU42 2AWU64 2AWUF42

N/A N/A N/A N/A N/A

A9270 A9270 A9270 A9270 A9270

42/pk 64/pk 42/pk 64/pk 42/pk

1,008/cs 768/cs 1,008/cs 768/cs 1,008/cs

UNDERPADS

40/cs

PADS & LINERS

Cardinal Health™ Adult Washcloths* Ideal for incontinence and quick cleanups, these products have a gentle, no-rinse formulation. The soft cloth is infused with aloe to soothe and moisturize skin. They’re pre-moistened, ready-to-use and come in resealable packs. pH-balance formula. Effectively removes urine and feces. CHG compatible.

ITEM #

TCODE

CASE QTY

GRD50

T4535 A4520 52/bg 208/cs

Cardinal Health™ Disposable Underpads* Convenient way to manage incontinence; protects beds, chairs and other furniture. Designed to draw moisture away from the body to prevent skin irritation. Multi-layer construction: Top sheet is a soft, non-woven fabric for maximum comfort; middle layer comprises cellulose fibers; polypropylene backing is water-resistant and protects against leakage.

ITEM #

TCODE

HCPCS

SOLD BY

17˝ x 24˝, blue 23˝ x 24˝, blue 23˝ x 36˝, blue 23˝ x 36˝, green 30˝ x 30˝, green 30˝ x 36˝, green 36˝ x 36˝, green

GRLT1724 GRLT2324 GRLA233650 GRMT2336 GRMT3030 GRMT3036 GRMD3636

T4542 T4542 T4542 T4542 T4541 T4541 T4541

A4554 A4554 A4554 A4554 A4554 A4554 A4554

ea ea ea ea ea ea ea

CASE QTY

300/cs 200/cs 150/cs 120/cs 100/cs 100/cs 100/cs

FEMININE HYGIENE PRODUCTS Cardinal Health Maxi Pads* Unscented. Individually wrapped. Wings for additional protection. ™

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

FHPADPUR FHPADORG

T4535 T4535

A4520 A4520

20/bg 14/bg

6/cs 12/cs

T4535 T4535

A4520 A4520

14/bg 16/bg

12/cs 12/cs

T4535

A4520

18/bg

18/cs

MAXI PAD WITH WINGS

Thin, super overnight Ultra thin, overnight SUPER PAD WITH WINGS

Long and thin, weave top FHPADWVW Long and thin, nonwoven top FHPADCTW PANTY LINER

Long, contoured panty liner

FHLNR01

Cardinal Health™ Tampons* Unscented. Cardboard applicator. Individually wrapped. Regular absorbency

ITEM #

TCODE

FHTAM01

T4535 A9270 20/bx 12/cs

HCPCS

SOLD BY

CASE QTY

WIPES & WASHCLOTHS Cardinal Health Baby Wipes* Wipes come out of the package one at a time, allowing the focus to stay on the newborn. Lighter weight fabric, but with the same gentle formulation that cleanses naturally. Choose from two formulations: fragrance-free and scented. Both are free of dyes, alcohol and lanolin. ™

Sensitive, fragrance-free Fragrance-free, tub

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

2BWPU42 2BWSU80

N/A N/A

A4649 A4649

42/pk 80/pk

1,008/cs 960/cs

INCONTINENCE

CARDINAL HEALTH™ * Not made with natural rubber latex.

REUSABLE PRODUCTS Cardinal Health™ Essentials Reusable Underpads* Four-layer protection. Comfortable Ibex* top layer. Nonslip, waterproof, PVC-coated vinyl backing. Medium absorbency, 8-oz. soaker. Machine washable. Clean, convenient retail packaging.

ITEM #

TCODE

HCPCS

SOLD BY

18˝ x 18˝ wheelchair pad 23˝ x 36˝ 34˝ x 36˝ 34˝ x 36˝ with flap 34˝ x 36˝ plaid 36˝ x 54˝ 36˝ x 72˝ 44˝ x 52˝

ZRUP1818R ZRUP2336R ZRUP3436R ZRUP3436FLR ZRUP346RP ZRUP3654R ZRUP3672R ZRUP4452R

T4540 T4537 T4537 T4537 T4537 T4537 T4537 T4537

A4553 A4553 A4553 A4553 A4553 A4553 A4553 A4553

2/pk ea ea ea ea ea ea ea

CASE QTY

20/cs 10/cs 10/cs 10/cs 10/cs 10/cs 8/cs 10/cs

*80% Cotton/20% Polyester blend

Cardinal Health™ Essentials Waterproof Reusable Seat Protector* Shields central area of the chair where protection is needed most and guards against moisture damage and stains. Quilted top layer. Non-slip bottom layer keeps pad in place. Machine wash and dry, bleach-safe. One-year warranty. 21˝ x 22˝.

ITEM #

Blue Green Tan Mauve

ZRUP2122RB T4540 ZRUP2122RG T4540 ZRUP2122RT T4540 ZRUP2122RM T4540

TCODE

HCPCS

SOLD BY

A4553 ea A4553 ea A4553 ea A4553 ea

CASE QTY

24/cs 24/cs 24/cs 24/cs

Cardinal Health™ Essentials Home Care Bedding Set* Complete bedding set in a cotton polyester blend. Includes woven bottom sheet, flat sheet and pillow case, and 100% cotton thermal blanket. All pieces are 130 thread count. Standard size fits hospital bed mattresses up to 36˝ x 80˝ x 8˝. Bariatric size fits hospital beds up to 52˝ x 80˝ x 12˝. Open-cell construction thermal blanket is preshrunk for long-term service and breathable for warmth and comfort.

ITEM #

TCODE

HCPCS

SOLD BY

Standard Hospital Bed Bariatric Hospital Bed

ZR661EBBCB ZR661BBBCB

N/A N/A

A9270 A9270

set set

ITEM #

TCODE

HCPCS

SOLD BY

3-piece sheet set Fitted bottom sheet

ZR6615631 ZR66124B

N/A N/A

A9270 A9270

ea ea

8/cs 8/cs

CASE QTY

24/cs N/A

Cardinal Health™ Essentials Vinyl Pull-On Pant* Quiet, soft vinyl eliminates embarrassing crinkling sounds for dependable and discreet incontinence protection. Elasticized waist and leg gathers for secure comfortable fit and leakage protection. Machine wash and dry with bleach. Antibacterial for improved odor control. Latex-free.

ITEM #

TCODE

HCPCS

SOLD BY

Small (waist 20˝ – 26˝ ) Medium (waist 26˝ – 34˝ ) Large (waist 34˝ – 42˝ ) X-Large (waist 42˝ – 52˝ ) 2X-Large (waist 52˝+)

ZR3024887 ZR3024870 ZR3024863 ZR3024894 ZR3024900

T4536 T4536 T4536 T4536 T4536

A4520 A4520 A4520 A4520 A4520

3/bg 3/bg 3/bg 3/bg 3/bg

ITEM #

HCPCS

SOLD BY

Contour Home Care Bed, 36˝ x 80˝ x 6˝ Zippered Home Care Bed, 36˝ x 80˝ x 6˝

ZR661CMP ZR661ZMP

E1399 E1399

ea ea

CASE QTY

24/cs 24/cs 24/cs 24/cs 24/cs

CASE QTY

12/cs 12/cs

SKIN PROTECTION Barrier Ointment A gentle skin barrier and moisturizer for all skin types. Used to treat, protect and prevent diaper dermatitis and relieve chapped or cracked skin.

ITEM #

HCPCS

SOLD BY

2-oz. tube 4-oz. tube 5-g packets

55CSCONTBR2 55CSCONTBR4 55CSCONTBRG

A6250 A6250 A6250

ea ea 150/bx

Antimicrobial Perineal & Skin Cleanser A gentle, easy-to-use, antimicrobial cleanser for the entire body, including the perineum area. Also soothes by providing a cooling relief. Contains aloe. Used to cleanse and protect the skin from microorganisms while helping to reduce odors and bacteria. Contains benzalkonium chloride.

ITEM #

HCPCS

8-oz. spray bottle

55CSCPRSKA8

A4335

SOLD BY

No-Rinse Perineal & Skin Cleanser A gentle, easy-to-use, no-rinse moisturizing cleanser for the entire body, including the perineum area. Also soothes by providing a cooling relief. Contains aloe. Used to remove urine, feces, odor and other skin impurities while moisturizing the skin.

ITEM #

HCPCS

4-oz. spray bottle

55CSCPRSK4

A4335

SOLD BY

No-Rinse Perineal Cleanser Easy-to-use, gentle, soothing cleanser for the perineum area. Used to remove urine, feces and odors.

CASE QTY

Cardinal Health™ Essentials Hospital Bed Sheets* Designed specifically for hospital beds. Stays in place even when head or foot of bed is raised. Available in fitted bottom sheet or three-piece sheet set, which includes one flat sheet, one contour fitted sheet and one pillowcase. Fitted sheet measures 36˝ x 80˝; flat sheet is 66˝ x 104˝; pillow case measures 20˝ x 30˝. Made of 50% cotton and 50% polyester. Machine washable and dryable. White.

Cardinal Health™ Essentials Vinyl Mattress Protectors* Zippered style is fully encased; contoured style has sidewalls and elastic straps that cover the top and sides of the mattress. Hospital-grade vinyl protector provides waterproof protection for mattresses. Easy to maintain – just wipe clean. Antibacterial, 100% waterproof PVC. One-year guarantee.

ITEM #

HCPCS

4-oz. bottle 8-oz. bottle

55CSCCLNPR4 55CSCCLNPR8

A4335 A4335

SOLD BY

ea ea

No Rinse Foam Cleanser A gentle, total body cleanser in ready-to-use convenient foam that also soothes by providing a cooling relief. Contains aloe. Used to remove urine, feces and other skin impurities without drying the skin. Ideal for repeated, gentle cleansing.

ITEM #

HCPCS

SOLD BY

55CSCCLNFS4 55CSCCLNFS8

A9270 A9270

ea ea

55CSCCLNFU4 55CSCCLNFU8

A9270 A9270

ea ea

SCENTED

4-oz. bottle 7.1-oz. bottle FRAGRANCE-FREE

4-oz. bottle 7.1-oz. bottle

INCONTINENCE

FIRST QUALITY® PRODUCTS, INC. (FQ) All First Quality Products, Inc. incontinence products are latex-free unless otherwise noted. ®

LATEX FREE

PREMIER SERIES Prevail® Extended Use Adult Briefs, Ultimate Absorbency Designed for extended-use incontinence protection. Skin Smart™ hypoallergenic fabric contains aloe, chamomile and vitamin E for skin wellness. Soft, cloth-like outer fabric and breathable zones help maintain skin wellness and comfort Easy-Lock® fastener strips allow for multiple refastenings. QUICK WICK® with MaxSoft™ provides maximum softness while maintaining first-class acquisition speeds. Odor Guard® helps stop odors before they start. Dri-Fit™ provides a new level of protection and skin comfort to help maintain healthy skin.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 32˝ – 44˝ ) Large (waist 45˝ – 58˝ ) X-Large (waist 59˝ – 64˝ )

NTB0121 NTB0131 NTB014

T4522 T4523 T4524

A4520 A4520 A4520

16/pk 18/pk 15/pk

CASE QTY

96/cs 72/cs 60/cs

BRIEFS First Quality® Adult Briefs Designed with extended fluff in both front and back side panels for enhanced security and comfort for wearer. Feature Advanced Zoning System® (AZS®) for maximum leakage protection and skin dryness. Fast-absorbing Blue Stay-Dry Strip significantly improves skin dryness and reduces potential for leakage. Fecal Containment Zone is a scientifically designed target area that locks up loose stool for improved containment and healthier skin.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 32˝ – 44˝ ) Large (waist 45˝ – 58˝ ) X-Large (waist 59˝ – 64˝ )

IB012 IB013 IB014

T4522 T4523 T4524

A4520 A4520 A4520

16/pk 18/pk 16/pk

CASE QTY

96/cs 72/cs 64/cs

NEW Prevail® Next Generation Briefs™ Provide enhanced protection when it comes to managing the loss of bladder control, comfort and breathability. Feature Microclimate Care™ with advanced features for skin health and wellness.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

T4522 T4522 T4524

A4522 A4520 A4520

16/pk 18/pk 15/pk

96/cs 72/cs 60/cs

T4526 T4527 T4524

A4520 A4520 A4520

18/pk 16/pk 14/pk

96/cs 72/cs 60/cs

BREEZERS360™ ULTIMATE ABSORBENCY

Size 1 (waist/hips 26˝ – 48˝ ) Size 2 (waist/hips 45˝ – 62˝ ) Size 3 (waist/hips 58˝ – 70˝ )

PVBNG012 PVBNG013 PVBNG014

PER-FIT360™ MAXIMUM PLUS ABSORBENCY

Size 1 (waist/hips 26˝ – 48˝ ) Size 2 (waist/hips 45˝ – 62˝ ) Size 3 (waist/hips 58˝ – 70˝ )

PFNG012 PFNG013 PFNG014

Breezers® by Prevail® Adult Briefs, Ultimate Absorbency Designed for maximum-plus incontinence protection with the most performance and enhanced comfort. Skin Smart™, a hypoallergenic fabric, contains aloe, chamomile and vitamin E for skin wellness. Soft, cloth-like outer fabric and breathable zones help maintain skin wellness and comfort. Easy-Lock® fastener tabs allow for multiple refastenings. QUICK WICK® with MaxSoft™ provides maximum softness while maintaining first-class acquisition speeds. Odor Guard® helps stops odors before they start. Dri-Fit™ provides a new level of protection and skin comfort to help maintain healthy skin.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 32˝ – 44˝ ) Regular (waist 40˝ – 49˝ ) Large (waist 45˝ – 58˝ ) X-Large (waist 59˝ – 64˝ )

PVB0122 PVB016 PVB0132 PVB014

T4522 T4522 T4523 T4524

A4520 A4520 A4520 A4520

16/pk 20/pk 18/pk 15/pk

CASE QTY

96/cs 80/cs 72/cs 60/cs

Prevail® Per-Fit® Adult Briefs, Maximum Absorbency Designed for maximum incontinence protection. Soft, cloth-like outer fabric and breathable zones help maintain skin wellness and comfort. Easy-Lock® fastener tabs allow for multiple refastenings. QUICK WICK® with MaxSoft™ provides maximum softness while maintaining first-class acquisition speeds. Odor Guard® helps stop odors before they start. Dri-Fit™ provides a new level of protection and skin comfort to help maintain healthy skin.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 32˝ – 44˝ ) Regular (waist 40˝ – 49˝ ) Large (waist 45˝ – 58˝ ) X-Large (waist 59˝ – 64˝ )

PF012 PF016 PF013 PF014

T4522 T4522 T4523 T4524

A4520 A4520 A4520 A4520

16/pk 20/pk 18/pk 15/pk

CASE QTY

96/cs 80/cs 72/cs 60/cs

NU-FIT® by First Quality® Adult Briefs, Extra Absorbency Designed for extra-absorbency incontinence protection. Soft, cloth-like outer fabric and breathable zones help maintain skin wellness and comfort. Easy-Lock® fastener tabs allow for multiple refastenings. QUICK WICK® with MaxSoft™ provides maximum softness while maintaining first-class acquisition speeds.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 32˝ – 44˝ ) Large (waist 45˝ – 58˝ ) X-Large (waist 59˝ – 64˝ )

NU0121 NU0131 NU0141

T4522 T4523 T4524

A4520 A4520 A4520

16/pk 18/pk 15/pk

CASE QTY

96/cs 72/cs 60/cs

ProCare™ Breathable Briefs Designed specifically for the cost-conscious reimbursement home care market. Cloth-like outer fabric and breathable zones for wearer comfort and skin health. Reattaching direct-lock fasteners do not have to be unfolded and allow multiple re-fastenings for improved fit, accurate sizing and cost savings through reduced waste. White coloring similar to retail briefs.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 32˝ – 44˝ ) Large (waist 45˝ – 58˝ ) X-Large (waist 59˝ – 64˝ ) 2X-Large (waist 62˝ – 73˝ )

CRB0121 CRB0131 CRB0141 CRB017

T4522 T4523 T4524 T4543

A4520 A4520 A4520 A4520

16/pk 18/pk 15/pk 12/pk

CASE QTY

96/cs 72/cs 60/cs 48/cs

SPECIALTY BRIEFS Prevail Specialty Briefs, Maximum Absorbency Designed for maximum incontinence protection with sizes to fit the smaller wearers. Soft, cloth-like outer fabric and breathable zones help maintain skin wellness and comfort. Easy-Lock® fastener tabs allow for multiple refastenings. QUICK WICK® with MaxSoft™ provides maximum softness while maintaining first-class acquisition speeds. Dri-Fit™ provides a new level of protection and skin comfort to help maintain healthy skin. ®

ITEM #

TCODE

HCPCS

SOLD BY

Youth (waist 15˝ – 22˝ ) Small (waist 20˝ – 31˝ )

PV015 PV011

T4533 T4521

A4520 A4520

16/pk 16/pk

CASE QTY

96/cs 96/cs

Prevail® Bariatric Briefs, Maximum Absorbency Designed for moderate to heavy incontinence protection. Bariatric briefs now available in two sizes to fit users up to 100˝. Soft, cloth-like outer fabric and breathable zones help maintain skin wellness and comfort. QUICK WICK® with MaxSoft™ provides maximum softness while maintaining first-class acquisition speeds. Odor Guard® helps stop odors before they start. Easy-Lock® fastener strips on Size A allow for multiple refastenings. Stretchy Direct Lock Panels on Size B make it easy to grab between the two Easy-Lock® fastening strips to release and attach without unfolding the tabs. Stretchy side panels allow for an adjustable fit that is secure and comfortable. Dri-Fit™ provides a new level of protection and skin comfort to help maintain healthy skin.

ITEM #

TCODE

HCPCS

SOLD BY

Bariatric A (waist 62˝ – 73˝ ) Bariatric B (waist up to 100˝ )

PV017 PV094

T4543 T4543

A4520 A4520

12/pk 10/pk

CASE QTY

48/cs 40/cs

INCONTINENCE

FIRST QUALITY® PRODUCTS, INC. (FQ) All First Quality® Products, Inc. incontinence products are latex-free unless otherwise noted.

LATEX FREE

PROTECTIVE UNDERWEAR Prevail® Per-Fit® Underwear For Women: Moderate to Maximum Absorbency Designed and contoured for a woman’s body shape, it features a form-fitting shape and stretchable waist for maximum comfort and discretion. Lavender color makes them as feminine as they are functional. Dri-Fit™ provides a new level of protection and skin comfort to help maintain healthy skin.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 34˝ – 46˝ ) Large (waist 44˝ – 58˝ ) X-Large (waist 58˝ – 68˝ )

PFW512 PFW513 PFW514

T4526 T4527 T4528

A4520 A4520 A4520

20/pk 18/pk 14/pk

CASE QTY

80/cs 72/cs 56/cs

NEW Prevail® Color Collections™ for Women Offering the same great protection and comfort as the Prevail® Underwear for Women. The latest innovation focuses on key emotional benefits for normalcy and dignity, with four colors: White, Lavender, Black and Beige. Dri-Fit™ cotton enhanced™ surface helps keep skin healthy by reducing friction. QUICK WICK® with MaxSoft™ and a Dri-Fit™ cotton enhanced™ surface quickly wicks wetness away from the skin. Cloth-like outer fabric is breathable, soft and comfortable. Odor Guard® technology helps prevent odors before they develop.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Small/Medium (waist/hips 28˝ – 40˝ / 34˝ – 46˝ ) PWV512 T4526 A4520 20/pk 80/cs Large (waist/hips 38˝ – 50˝/44˝ – 54˝ ) PWV513 T4527 A4520 18/pk 72/cs X-Large (waist/hips 48˝ – 64˝/48˝ – 64˝ ) PWV513 T4527 A4520 16/pk 64/cs

NEW Prevail® Overnight Absorbency Underwear for Women Offers the same great comfort and features as Previal Underwear for Women, along with superior protection with higher absorbency and faster absorption for heavier incontinence episodes or extended wear. Dri-Fit™ cotton enhanced™ surface helps keep skin healthy by reducing friction. QUICK WICK® with MaxSoft™ and a Dri-Fit™ cotton enhanced™ surface quickly wick wetness away from the skin. Odor Guard® technology helps prevent odors before they develop. Breathable Zones™ are ventilated side areas that allow the skin to breathe.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Small/Medium (waist/hips 28˝ – 40˝ / 34˝ – 46˝ ) PWX512 T4526 A4520 18/pk 72/cs Large (waist/hips 38˝ – 50˝/44˝ – 54˝ ) PWX513 T4527 A4520 16/pk 64/cs X-Large (waist/hips 48˝ – 64˝/48˝ – 64˝ ) PWX514 T4528 A4520 14/pk 56/cs

Prevail® SmoothFit™ Underwear for Women, Maximum Absorbency Designed for use by women. Maximum absorbency protective underwear. Lavender color along with cottony-like, soft materials and stretch panels make it look and feel more like everyday women’s underwear. Gentle and soft stretch waistband for a comfortable fit. Smooth, flexible leg elastics for a feminine look and fit. Tagless back label to distinguish front from back. Odor Guard® material to stop odors before they start. Dri-Fit™ for a softer and smoother surface to help keep skin healthy by reducing friction.

ITEM #

TCODE

HCPCS

SOLD BY

Small/Medium (waist 28˝ – 40˝ ) Large/X-Large (waist 38˝ – 50˝ )

PSF512 PSF513

T4526 T4527

A4520 A4520

12/pk 10/pk

CASE QTY

48/cs 40/cs

Prevail® Underwear For Women, Maximum Absorbency Designed specifically for women with maximum plus absorbency and a fast absorbing core that offers the ultimate comfort. New designer color makes it as pretty as it is functional. Soft, cloth-like outer fabric and breathable zones help maintain skin wellness and comfort. Easy-Lock® fastener tabs allow for multiple refastenings. QUICK WICK™ with MaxSoft provides maximum softness while maintaining first-class acquisition speeds. Tagless back sizing label. Dri-Fit™cotton enhanced™ for a softer and smoother surface to help keep skin healthy by reducing friction.

ITEM #

Small/Medium (waist 28˝ – 40˝ ) Large (waist 38˝ – 50˝ ) X-Large (waist 48˝ – 64˝ )

PWC5121 T4526 PWC5131 T4527 PWC5141 T4528

TCODE

HCPCS

SOLD BY

A4520 A4520 A4520

20/pk 18/pk 16/pk

CASE QTY

80/cs 72/cs 64/cs

Prevail® PurseReady™ for Women Protection users expect – now conveniently folded and wrapped. Soft, cloth-like outer fabric and breathable zones help maintain skin wellness and comfort. Easy-Lock® fastener tabs allow for multiple refastenings. QUICK WICK® with MaxSoft™ provides maximum softness while maintaining first-class acquisition speeds. Tagless back sizing label. Dri-Fit™ cotton enhanced™ for a softer and smoother surface to help keep skin healthy by reducing friction.

ITEM #

TCODE

HCPCS

SOLD BY

Small/Medium (28˝– 40˝ ) Large (38˝ – 50˝ )

PRU512 PRU513

T4526 T4527

A4520 A4520

20/pk 18/pk

CASE QTY

80/cs 72/cs

Prevail® Per-Fit Underwear for Men: Moderate to Maximum Absorbency Designed just for men, it features a form-fitting shape with stretch material for maximum comfort and protection. Printed soft stretch waistband makes them look and feel more like men’s underwear. Dri-Fit™ provides a new level of protection and skin comfort to help maintain healthy skin.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 34˝ – 46˝ ) Large (waist 44˝ – 58˝ ) X-Large (waist 58˝ – 68˝ )

PFM512 PFM513 PFM514

T4526 T4527 T4528

A4520 A4520 A4520

20/pk 18/pk 14/pk

CASE QTY

80/cs 72/cs 56/cs

NEW Prevail® Overnight Absorbency Underwear for Men Provides superior protection with higher absorbency and faster absorption for heavier incontinence episodes or extended wear. Dri-Fit™ cotton enhanced™ surface helps keep skin healthy by reducing friction. QUICK WICK™ with MaxSoft™ and a Dri-Fit™ cotton enhanced™ surface quickly wick wetness away from the skin. Odor Guard® technology helps prevent odors before they develop. Breathable Zones™ are ventilated side areas that allow the skin to breathe.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Small/Medium (waist/hips 28˝ – 40˝ / 34˝ – 46˝ ) PMX512 T4526 A4520 18/pk 72/cs Large (waist/hips 38˝ – 64˝/44˝ – 64˝ ) PMX513 T4526 A4520 16/pk 64/cs

Prevail® Underwear For Men, Maximum Absorbency Design and fit specifically for men. Comfortable waist panels and leg openings fitted more like regular men’s underwear. Superabsorbent core for maximum absorbency. Dri-Fit™ cotton enhanced™ for a softer and smoother surface to help keep skin healthy by reducing friction.

ITEM #

Small/Medium (waist 34˝ – 46˝ ) Large/X-Large (waist 44˝ – 64˝ )

PUM5121 T4526 PUM5131 T4528

TCODE

HCPCS

SOLD BY

A4520 A4520

20/pk 18/pk

CASE QTY

80/cs 72/cs

Discover the Difference. Discover the Difference. Unique to each of you.

™ ™

Unique to each of you.

Prevail® Gender Specific Underwear has you covered for your Medicaid customers, or to help grow Specific your cashUnderwear sales. Prevail® Gender has you covered for your Medicaid customers, or to help grow your cash sales. • Designed to fit the unique body shapes and needs of men & women ••

Designed to fit the unique Targeted absorbency zonesbody shapes and needs of men & women

••

Targeted absorbency zones Discreet and fast absorbing

• Discreet and fast absorbing New Prevail ® Overnight Absorbency Protective Underwear for Men and for Women provides ® superior protection withAbsorbency higher absorbency andUnderwear faster absorption incontinence New Prevail Overnight Protective for Men for andheavier for Women provides For more information call 1-800-227-3551. episodes or extended wear. superior protection with higher absorbency and faster absorption for heavier incontinence episodes or extended wear. For more information call 1-800-227-3551.

INCONTINENCE

ACTIVE LIFESTYLE SYSTEMS

FIRST QUALITY® PRODUCTS, INC. (FQ) All First Quality® Products, Inc. incontinence products are latex-free unless otherwise noted.

LATEX FREE

Prevail® Boxers for Men, Maximum Absorbency A revolutionary new product for men. Look and feel like regular boxer-style underwear. Maximum-absorbency underwear core is body-close, giving superior protection without additional bulk. Diamond-printed fabric looks more like conventional men’s boxers. Dri-Fit™ for a softer and smoother surface to help keep skin healthy by reducing friction.

ITEM #

Medium (waist 28˝ – 40˝ ) Large/X-Large (waist 38˝ – 64˝ )

PBM512 T4526 PBM513 T4528

TCODE

HCPCS

SOLD BY

A4520 A4520

12/pk 10/pk

CASE QTY

48/cs 40/cs

Prevail® Protective Underwear The pull-on and off design allows the wearer to put on and take off like regular underwear. A new, more innovative, discreet core has performance with added comfort and discretion. Now with Smart™ Fabric for skin wellness, and Odor Guard® that prevents odors before they start. Dri-Fit™ provides a new level of protection and skin comfort to help maintain healthy skin.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

PV511 PV512 PV513 PV514

T4525 T4526 T4527 T4528

A4520 A4520 A4520 A4520

22/pk 20/pk 18/pk 14/pk

88/cs 80/cs 72/cs 56/cs

PVS512 PVS513 PVS514 PV517

T4526 T4527 T4528 T4528/T4544

A4520 A4520 A4520 A4520

18/pk 16/pk 14/pk 12/pk

72/cs 64/cs 56/cs 48/cs

EXTRA ABSORBENCY

Youth/Small (waist 20˝ – 34˝ ) Medium (waist 34˝ – 46˝ ) Large (waist 44˝ – 58˝) X-Large (waist 58˝ – 68˝ ) MAXIMUM ABSORBENCY

Small/Medium (waist 34˝ – 46˝ ) Large (waist 44˝ – 58˝ ) X-Large (waist 58˝ – 68˝) 2X-Large (waist 68˝ – 80˝ )

Prevail® Adjustable Underwear, Maximum Absorbency Reattaching side tabs allow the wearer to put on and take off without removing clothes. Dri-Fit™ provides a new level of protection and skin comfort to help maintain healthy skin.

Prevail Male Guards Designed specifically for men to wear in their own underwear. Securely held in place with an adhesive strip. Fast absorbing, discreet and comfortable protection. QUICK WICK™ with MaxSoft provides maximum softness while maintaining first-class acquisition speeds. Dri-Fit™ provides a new level of protection and skin comfort to help maintain healthy skin. ®

ITEM #

13˝ 13˝

PV811 T4535 A4520 14/pk 126/cs PV812 T4535 A4520 52/pk 208/cs

TCODE

HCPCS

SOLD BY

CASE QTY

Prevail® Bladder Control Pads, Very Light – Ultimate Absorbency Discreet pads designed for light bladder leakage and protection. Individually wrapped and available in a variety of sizes and absorbencies. Designed for Women. QUICK WICK® with MaxSoft™ provides maximum softness while maintaining first-class acquisition speeds. Odor Guard® helps stop odors before they start. Dri-Fit™ cotton enhanced™ for a softer and smoother surface to help keep skin healthy by reducing friction. Dri-Fit™ cotton enhanced™ for a softer and smoother surface to help keep skin healthy by reducing friction.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Pantiliners, Very Light (71⁄2˝ long) Moderate (91⁄4˝ long) Moderate Long (11˝ long) Maximum (11˝ long) Maximum Long (13˝ long) Ultimate (16˝ long)

PV926 BC012 BC013 PV9161 PV9151 PV9231

T4535 T4535 T4535 T4535 T4535 T4535

A4520 A4520 A4520 A4520 A4520 A4520

26/pk 20/pk 16/pk 48/pk 39/pk 33/pk

312/cs 180/cs 144/cs 192/cs 156/cs 132/cs

NEW Prevail® Overnight Absorbency Bladder Control Pads Offer the same great comfort and features as the Prevail® Bladder Control Pads, with higher absorbency and rate of acquisition. WICK® with MaxSoft™ and a Dri-Fit™ cotton enhanced™ surface quickly wick wetness away from the skin. Odor Guard® technology helps prevent odors before they develop.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Overnight (16˝ long)

PVX120

T4525

A4520

30/pk

120/cs

UNDERPADS

ITEM #

Small/Medium (waist 28˝ – 44˝ ) Large (waist 44˝ – 58˝ )

PVR512 PVR513

TCODE

T4526 T4527

HCPCS

A4520 A4520

SOLD BY

18/pk 16/pk

CASE QTY

72/cs 64/cs

Per-Fit® Protective Underwear, Extra Absorbency Designed for moderate to maximum incontinence protection. Offers maximum leakage protection and wearer comfort. Soft, cloth-like outer fabric and breathable zones help maintain skin wellness and comfort. QUICK WICK® with MaxSoft™ provides maximum softness while maintaining first-class acquisition speeds. Tagless back sizing label. Dri-Fit™ provides a new level of protection and skin comfort to help maintain healthy skin.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 34˝ – 46˝ ) Large (waist 44˝ – 58˝ ) X-Large (waist 58˝ – 68˝ )

PF512 PF513 PF514

T4526 T4527 T4528

A4520 A4520 A4520

20/pk 18/pk 14/pk

CASE QTY

80/cs 72/cs 56/cs

ProCare™ Plus Underwear Has the performance that meets state requirements and packaged in bags of 50 (case counts of 100) to be most efficient for Medicare allowables. Features trusted performance, comfort-enhanced fit, efficient packaging for the Medicaid market and discreet outer packaging.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 34˝ – 46˝ ) Large (waist 44˝ – 58˝ ) X-Large (waist 58˝ – 64˝ )

CRU512 CRU513 CRU514

T4526 T4527 T4528

A4520 A4520 A4520

40/pk 36/pk 28/pk

CASE QTY

80/cs 72/cs 56/cs

Prevail Underpads Designed to protect beds, chairs and other surfaces. Feature an Integra Mat or bonded construction that reduces topsheet separation and clumping, and embossed poly backing. Also feature a cloth-like topsheet with a flat seal around the pad for added comfort and skin health; no plastic edges are exposed to the skin. ®

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

T4541 T4541 T4541

A4554 A4554 A4554

10/pk 25/pk 10/pk

100/cs 100/cs 40/cs

A4554 A4554

15/pk 18/pk

150/cs 72/cs

PREVAIL® SUPERABSORBENT UNDERPADS, PEACH

30˝ x 30˝ 30˝ x 36˝ X-Large (30˝ x 36˝ )

UP100 UP425 PV410

PREVAIL® HIGH PERFORMANCE FLUFF UNDERPADS, GREEN

23˝ x 36˝ Large (23˝ x 36˝ )

UP150 PV418

T4542 T4542

ProCare™ Underpads Designed specifically for the cost-conscious home care market. Sized specifically to be used on beds. Nonwoven topsheet and blue poly fabric with soft fluff filling for added comfort and protection. Fluff Absorbency.

ITEM #

TCODE

HCPCS

SOLD BY

21˝ x 36˝ 23˝ x 36˝

CRF120 CRF150

T4542 T4542

A4554 A4554

30/pk 50/pk

CASE QTY

120/ct 150/ct

Offering More Than Just Great Products

Discover the Difference.

™

Unique to each of you.

Prevail ® goes beyond offering just great products. Introducing 24/7 support Prevail® Gender Specific has you day covered for your Medicaid customers, with Prevail® eNurse™, nowUnderwear available anytime, and night. or to help grow your cash sales. •

Designed to fit the unique body shapes and of men & women • needs A trusted team of professional caregivers, ready to help you and • Targeted absorbency zones your customers • Discreet and fast absorbing • Ask us about our CE Credits for ® Case Managers New Prevail Overnight Absorbency Protective Underwear for Men and for Women provides superior protection with higher absorbency and faster absorption for heavierthat incontinence • Prevail® products provide episodes or extended wear. For more information call 1-800-227-3551. superior protection

24 7

Call 866-573-3776

Available via Live Chat! The eNurse™ team is available to connect with you online during daytime business hours, 8am to 5pm ET. Go to www.Prevail.com/eNurse and simply click to chat with a member of our team. © 2017 Prevail made by First Quality Products, Inc. All rights reserved. Made in the U.S.A. © 2017 Prevail made by First Quality Products, Inc. All rights reserved. Made in the U.S.A.

INCONTINENCE

FIRST QUALITY® PRODUCTS, INC. (FQ) All First Quality® Products, Inc. incontinence products are latex-free unless otherwise noted.

LATEX FREE

SHIELDS Prevail® Belted Shields, Extra Absorbency Disposable pads with reinforced buttonholes and reusable straps. These shields are fast absorbing with trusted protection. One size fits most.

ITEM #

PV324 T4535 A4520 30/pk 120/cs

TCODE

HCPCS

SOLD BY

CASE QTY

SleepOvers® Youth Pants, Overnight Protection Designed to meet the needs of older children with nighttime incontinence episodes. Superabsorbent leakage protection keeps kids and beds dry. Soft, cloth-like outer fabric and breathable zones help maintain skin wellness and comfort. Dri-Guard® superabsorbent core helps stop leaks before they start.

ITEM #

Small/Medium (38 lbs. – 65 lbs.) Large/X-Large (60 lbs. – 125 lbs.) X-Large (85 lbs. – 140 lbs.)

SLP05301 T4534 SLP05302 T4534 SLP05303 T4534

TCODE

HCPCS

SOLD BY

A4520 A4520 A4520

15/pk 12/pk 22/pk

CASE QTY

60/cs 48/cs 88/cs

WASHCLOTHS & WIPES JUVENILE CARE Cuties Baby Diapers Made with state-of-the-art technologies, including an ultra absorbent core for leakage protection and adjustable grip tabs for a more comfortable fit. Soft, cloth-like outer fabric helps maintain skin wellness and comfort. Easy-Lock® fastener tabs allow for multiple refastenings. Stretchable side panels are easy to grab, pull and attach for an adjustable fit that is secure and comfortable. Elastic along waistband creates a more comfortable fit. Inner leg cuffs with elastic bands help provide a custom fit and create a seal to protect against leakage. Hypoallergenic to minimize the likelihood of an allergenic response. ®

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Newborn (up to 10 lbs.) Size 1 (8 lbs. – 14 lbs.) Size 2 (12 lbs. – 18 lbs.) Size 3 (16 lbs. – 28 lbs.) Size 4 (22 lbs. – 37 lbs.) Size 5 (27+ lbs.) Size 6 (35+ lbs.) Size 7 (41+ lbs.)

CR0001 CR1001 CR2001 CR3001 CR4001 CR5001 CR6001 CRD701

T4529 T4529 T4529 T4529 T4530 T4530 T4530 T4530

A4520 A4520 A4520 A4520 A4520 A4520 A4520 A4520

42/pk 50/pk 42/pk 36/pk 31/pk 27/pk 23/pk 20/pk

168/cs 200/cs 168/cs 144/cs 124/cs 108/cs 92/cs 80/cs

WonderPants® Unisex Training Pants Feels and fits like regular underwear. Designs are made to work for both boys and girls, and fade when wet to support potty training. Designed with Dri-Guard for leakage protection and tear-away sides for convenience. New soft, stretchable sides move with the child. Dual leg cuffs for leakage protection. Cottony, soft material. Gentle, hypoallergenic liner with aloe and vitamin E. Dri-Guard® superabsorbent core helps stop leaks before they start.

ITEM #

Medium (2T – 3T; up to 34 lbs.) Large (3T – 4T; 32 lbs. – 40 lbs.) X-Large (4T – 5T; 38+ lbs.)

WP70011 T4531 WP80011 T4532 WP90011 T4534

TCODE

HCPCS

SOLD BY

CASE QTY

A4520 A4520 A4520

26/pk 23/pk 19/pk

104/cs 92/cs 76/cs

Cutie Pants™ Refastenable Sides Soft, stretchable sides move with an active toddler. Cottony, soft materials and gentle, hypoallergenic liner with vitamin E and aloe. Customized protection for boys and girls protects them from leaks. Characters fade when wet to help with potty training.

Boys, 2T – 3T, up to 34 lbs. Girls, 2T – 3T, up to 34 lbs. Boys, 3T – 4T, 32 lbs. – 40 lbs. Girls, 3T – 4T, 32 lbs. – 40 lbs. Boys, 4T – 5T, 38+ lbs. Girls, 4T – 5T, 38+ lbs.

Prevail Premium Quilted Washcloths Now with Skin Smart™, Prevail® Washcloths are hypoallergenic and enhanced with lotion for skin wellness. Prevail® Premium Quilted Washcloths are soft and strong, and the quilted texture creates pockets for a more complete cleaning with fewer washcloths. Single-Hand Dispensing® is easy to use while dispensing one wipe at a time, adding convenience and reducing waste. ®

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

CR7007 CR7008 CR8007 CR8008 CR9007 CR9008

T4531 T4531 T4532 T4532 T4532 T4532

A4520 A4520 A4520 A4520 A4520 A4520

26/pk 26/pk 23/pk 23/pk 19/pk 19/pk

104/cs 104/cs 92/cs 92/cs 76/cs 76/cs

ITEM #

TCODE

Premium tub WW901 N/A Premium refills WW902 N/A Premium Soft Pack with Press Open Lid WW910 N/A

HCPCS

SOLD BY

A9270 A9270 A9270

96/pk 96/pk 48/pk

CASE QTY

576/cs 576/cs 576/cs

Cuties® Baby Wipes Made from fabric that is super strong to clean up tough jobs and super soft for effective, gentle cleaning. Features Single-Hand Dispensing® to ensure that a single wipe dispenses each time using just one hand. Tri-Form™ Fabric is a unique, three-layer fabric: the two outer layers are made of a soft fabric to be gentle on the skin; the strong and thick inner layer prevents tearing or stretching. Available in scented and sensitive.

ITEM #

Sensitive

CR164133 N/A

TCODE

HCPCS

SOLD BY

A4649

72/pk

CASE QTY

864/cs

Prevail® Adult Washcloths Now with Skin Smart™, Prevail Washcloth’s super strong and soft washcloths are hypoallergenic and enhanced with lotion for skin wellness. Prevail’s Single-Hand Dispensing® is easy to use while dispensing one wipe at a time, adding convenience and reducing waste.

ITEM #

Soft pack with Press Open Lid, 12˝ x 8˝ WW710

TCODE

HCPCS

SOLD BY

N/A

A9270

48/pk

CASE QTY

576/cs

ProCare Washcloths Packaged in a convenient soft pack and have the features for efficient and effective pericare at a value price. Strong and soft fabric for gentle and effective cleaning. Single-Hand Dispensing® is easy to use while dispensing one wipe at a time, adding convenience and reducing waste. ™

ITEM #

TCODE

HCPCS

SOLD BY

Soft Pack

CRW050

N/A

A9270

50/pk

CASE QTY

600/cs

INCONTINENCE

DOMTAR PERSONAL CARE (48/PK) All Domtar Personal Care incontinence products are latex-free.

LATEX FREE

ATTENDS ADULT BRIEFS Attends Overnight Briefs Attends Overnight Briefs feature our Single Core Plus layer that has more absorbent polymers than a standard single core, making this brief highly absorbent for extended wear – day or night! A perfect choice for severe incontinence, this brief is made of soft, breathable material for comfort and odor-blocking properties to ensure confidence and dignity. ®

ITEM #

TCODE

HCPCS

SOLD BY

(48)BRNT20 (48)BRNT30 (48)BRNT40

T4522 T4523 T4524

A4520 A4520 A4520

18/pk 14/pk 14/pk

CASE QTY.

OVERNIGHT ATTENDS® BRIEFS

Medium (waist 32˝ – 44˝ ) Large (waist 44˝ – 58˝ ) X-Large (waist 58˝ – 63˝ )

36/cs 28/cs 28/cs

Attends® Advanced Briefs When maximum protection for heavy to severe incontinence is the goal, Attends Advanced Briefs live up to the challenge. This high-performance brief combines all the benefits of the Attends Brief but goes a step further in absorbency and protection. This top-tier design incorporates our Dry-Lock® Dryness Layer for maximum dryness. Attends Advanced Briefs also have a Rapid Lock dual core with a soft, breathable, cloth-like material for comfort. The absorbent core channels fluid and locks it away to keep the skin dry and healthy. A stretchy fastening panel with extra-wide secure tabs hold this brief in place for a contoured fit. Barrier leg cuffs provide an additional level of leakage protection, and odor-blocking properties ensure confidence and dignity. Attends Advanced Briefs – everything you could want in a top-performing brief.

ITEM #

TCODE

HCPCS

SOLD BY

Medium, (32˝ – 44˝ ) Regular, (44˝ – 56˝ ) Large, (44˝ – 58˝ ) X-Large, (58˝ – 63˝ )

(48)DDC20 (48)DDC25 (48)DDC30 (48)DDC40

T4522 T4522 T4523 T4524

A4520 A4520 A4520 A4520

24/pk 20/pk 24/pk 20/pk

CASE QTY

96/cs 80/cs 72/cs 60/cs

Attends®Stretch Briefs The Attends Stretch Brief speaks for itself. This premium brief has four-way stretch for individualized fit and comfort. We took our Advanced Brief and introduced stretchable side panels that contour around the body for a more secure fit. With twin stretch zones, these briefs have more stretchability than others brands to fit a wider range of waist sizes and body types. Perfect for heavy and severe incontinence, Attends Stretch incorporates all the advantages of our leading Advanced brief – dual core for absorbency; Dry-Lock® Dryness Layer for added dryness; soft, breathable, cloth-like material for comfort; barrier leg cuffs for leakage protection; and odor-blocking properties to ensure confidence and dignity. The Attends Stretch Brief is an all-around performer – when custom fit, maximum dryness and healthy skin are top priorities.

ITEM #

Medium/Regular Large/X-Large

(48)DDSMR T4522 A4520 24/pk (48)DDSLXL T4524 A4520 24/pk

TCODE

HCPCS

SOLD BY

CASE QTY

96/cs 96/cs

Attends® DermaDry™ Briefs for Moderate to Severe Incontinence An industry standard when it comes to high-performance, absorbent briefs for skin wellness, the Attends Brief combines our Rapid Lock dual core with a soft, breathable, cloth-like material for comfort. The absorbent core channels fluid and locks it away to keep the skin dry and healthy. Attends Briefs have a stretchy fastening panel with extra-wide secure tabs, holding the brief in place for a contoured fit. Barrier leg cuffs provide an additional level of leakage protection, and our odor-blocking properties ensure confidence and dignity.

ITEM #

TCODE

HCPCS

SOLD BY

Medium, (32˝ – 44˝ ) Regular, (44˝ – 56˝ ) Large, (44˝ – 58˝ ) X-Large, (58˝ – 63˝ )

(48)DDA20 (48)DDA25 (48)DDA30 (48)DDA40

T4522 T4522 T4523 T4524

A4520 A4520 A4520 A4520

24/pk 20/pk 24/pk 20/pk

CASE QTY

86/cs 80/cs 72/cs 60/cs

Attends® Classic Briefs The Attends Classic Brief is an excellent choice when performance and value are equally important. The Classic brief is made of soft, breathable material for comfort. It contains our Single Core Plus layer with more absorbent polymers for greater absorbency compared to a standard single core. Our Dry-Lock® Dryness Layer has been added to further enhance dryness, and odor-blocking properties ensure confidence and dignity. ATTENDS® CLASSIC BRIEFS

ITEM #

TCODE

Medium (waist 32˝ – 44˝ ) (48)BRB20 T4522 Regular (waist 44˝ – 56˝ and shorter than 5´6˝ ) (48)BRB25 T4522 Large (waist 44˝ – 58˝ ) (48)BRB30 T4523 Large (waist 44˝ – 58˝ ) (48)BRB3096 T4523 X-Large (waist 58˝ – 63˝ ) (48)BRB40 T4524 X-Large (waist 58˝ – 63˝ ) (48)BRB4096 T4524

HCPCS

SOLD BY

A4520

24/pk

CASE QTY

96/cs

A4520 24/pk A4520 24/pk A4520 24/pk A4520 20/pk A4520 24/pk

72/cs 72/cs 96/cs 60/cs 96/cs

ATTENDS® BRIEFS

ITEM #

X-Small (waist 20˝ – 32˝ ) Small (waist 25˝ – 34˝ )

(48)BRBX10 (48)BRBX15

TCODE

T4533 T4521

HCPCS

SOLD BY

A4520 A4520

24/pk 24/pk

CASE QTY

96/cs 96/cs

ATTENDS CARE ADULT BRIEFS Attends Care Briefs Air-comfort breathable side panels for healthy skin. Soft, cloth-like inner liner and outer covering for comfort, discretion and skin wellness. Triple-tier moisture locking system (cellulose fibers, microporous acquisition layer, superabsorbent polymer) for exponential improvements in absorbency while promoting skin health and managing odor. Soft and flexible Comfort Flex-Tabs® fasten anywhere for precise fit and provide added security. ®

ATTENDS® CARE BREATHABLE BRIEFS

ITEM #

Medium (waist 32˝ – 44˝ ) Large (waist 44˝ – 58˝ ) X-Large (waist 58˝ – 63˝ )

(48)BRHC20 (48)BRHC30 (48)BRHC40

TCODE

T4522 T4523 T4524

HCPCS

SOLD BY

A4520 A4520 A4520

24/pk 24/pk 20/pk

CASE QTY

96/cs 72/cs 60/cs

ATTENDS CARE POLY BRIEFS

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist/hips 32˝ – 44˝ ) Regular (waist/hips 44˝ – 56˝ ) Large (waist/hips 44˝ – 58˝ ) X-Large (waist/hips 58˝ – 63˝ )

(48)BR20 (48)BR25 (48)BR30 (48)BR40

T4522 T4522 T4523 T4524

A4520 A4520 A4520 A4520

24/pk 24/pk 24/pk 20/pk

CASE QTY

96/cs 72/cs 72/cs 60/cs

ATTENDS ADULT PROTECTIVE UNDERWEAR Attends Protective Underwear Attends Advanced is our softest, driest, most absorbent underwear. Worn under clothing like regular underwear, they provide an alternative to briefs for active individuals. This premium product is designed with DermaDry™ technology which provides a soft, cloth-like breathable fabric and partial belly elastic for a comfortable, contoured fit. The technologically advanced core has a high moisture capacity, channeling fluid and locking it away to keep the skin dry and healthy. With the added protection of barrier leg cuffs, Attends Advanced Underwear is suggested for moderate to heavy incontinence. Tear-away side panels make removal fast and easy. ®

ATTENDS® ADVANCED UNDERWEAR

ITEM #

Youth/Small (waist 20˝ – 34˝ ) (48)APP0710 Medium (waist 34˝ – 44˝ ) (48)APP0720 Large (waist 44˝ – 58˝ ) (48)APP0730 X-Large (waist 58˝ – 68˝ ) (48)APP0740

TCODE

HCPCS

SOLD BY

T4525 T4526 T4527 T4528

A4520 A4520 A4520 A4520

20/pk 20/pk 18/pk 14/pk

CASE QTY.

80/cs 80/cs 72/cs 56/cs

T4526 T4526 T4527 T4527 T4528 T4528 T4528/T4544

A4520 A4520 A4520 A4520 A4520 A4520 A4520

20/pk 25/pk 18/pk 25/pk 14/pk 25/pk 12/pk

80/cs 100/cs 72/cs 100/cs 56/cs 100/cs 48/cs

ATTENDS® UNDERWEAR

Medium (waist 34˝ – 44˝ ) Medium (waist 34˝ – 44˝ ) Large (waist 44˝ – 58˝ ) Large (waist 44˝ – 58˝ ) X-Large (waist 58˝ – 68˝ ) X-Large (waist 58˝ – 68˝ ) 2X-Large (waist 68˝ – 80˝ )

(48)AP0720 (48)AP0720100 (48)AP0730 (48)AP0730100 (48)AP0740 (48)AP0740100 (48)AU50

INCONTINENCE

ATTENDS CARE UNDERWEAR

DOMTAR PERSONAL CARE (48/PK) All Domtar Personal Care incontinence products are latex-free.

LATEX FREE

ADULT PULL-ONS/UNDERWEAR Attends® Protective Underwear Attends Care protective underwear is an excellent choice when value is most important. Attends Care briefs are made of soft, breathable material for comfort. The products consist of a standard single core with absorbent polymers for improved dryness and odor-blocking properties to ensure confidence and dignity.

ITEM #

TCODE

HCPCS

SOLD BY

(48)APV20 (48)APV30 (48)APV40

T4526 T4527 T4528

A4520 20/pk A4520 18/pk A4520 14/pk

CASE QTY.

REGULAR ABSORBENCY

Medium (waist 34˝ – 44˝ ) Large (waist 44˝ – 58˝ ) X-Large (waist 58˝ – 68˝ )

80/cs 72/cs 56/cs

ADULT DISCREET UNDERWEAR

ITEM #

TCODE

HCPCS

SOLD BY

Small, women’s dress size 4 – 6 Medium, women’s dress size 8 – 14 Large, women’s dress size 16 – 20 X-Large, women’s dress size 22 – 24

(48)ADUF10 (48)ADUF20 (48)ADUF30 (48)ADUF40

T4525 T4526 T4527 T4528

A4520 A4520 A4520 A4520

20/pk 20/pk 18/pk 18/pk

TCODE

HCPCS

SOLD BY

Small/Medium (waist/hips 28˝ – 40˝ ) (48)ADUM15 T4525 A4520 20/pk Large/X-Large (waist/hips 38˝ – 64˝ ) (48)ADUM35 T4527 A4520 18/pk

80/cs 80/cs 72/cs 64/cs CASE QTY.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (women’s dress size 8 – 14; men’s waist 28˝ – 40˝ ) (48)APPNT20 T4526 A4520 16/pk Large (women’s dress size 16 – 20; men’s waist 38˝ – 50˝ ) (48)APPNT30 T4527 A4520 14/pk X-Large (women’s dress size 22 – 24; men’s waist 48˝ – 64˝ ) (48)APPNT40 T4528 A4520 12/pk

TCODE

HCPCS

SOLD BY

(48)APV20 (48)APV30 (48)APV40

T4526 T4527 T4528

A4520 A4520 A4520

20/pk 18/pk 14/pk

CASE QTY.

80/cs 72/cs 56/cs

ATTENDS DISCREET BLADDER CONTROL PADS AND GUARD

ITEM #

TCODE

Liners, 6˝ (48)ADLINER A4520 Ultra Thin Pads, 9˝ (48)ADPTHIN A4520

HCPCS

SOLD BY

A4520 A4520

28/pk 20/pk

CASE QTY.

672/cs 480/cs

Attends® Discreet Bladder Control Pads

ITEM #

TCODE

Moderate Pads, 10.5˝ (48)ADPMOD Maximum Pads, 13˝ (48)ADPMAX Maximum Long Pads, 14.5˝ (48)ADPMAL Ultimate Pads, 15˝ (48)ADPULT

HCPCS

SOLD BY CASE QTY.

T4535 A4520 20/pk T4535 A4520 20/pk

200/cs 200/cs

T4535 A4520 20/pk 200/cs T4535 A4520 20/pk 200/cs

Attends® Discreet Men’s Guard Ideal for preventing accidents and leakage. Discreet and comfortable protection. 12.5˝.

80/cs

ITEM #

(48)ADMG20 T4535

TCODE

HCPCS

SOLD BY

CASE QTY.

A4520 20/pk

120/cs

72/cs

Attends® Discreet Day/Night Extended Wear Underwear Attends Discreet Day/Night Extended Wear Underwear is our most absorbent product in the Attends Discreet line. Featuring our high performance DermaDry™ Technology and 30% more absorbent capacity to lock in wetness and keep skin feeling dry and healthy. Now including - barrier leg cuffs, odor shield, partial belly elastics, and a comfortable stretch waistband for a secure fit. With the added protection of barrier leg cuffs, Attends Discreet Day/Night Extended Wear Underwear is suggested for moderate to heavy incontinence. Tear-away side panels make removal fast and easy.

ITEM #

Medium (waist/hips 34˝ – 44˝ ) Large (waist/hips 44˝ – 58˝ ) X-Large (waist/hips 58˝ – 68˝ )

CASE QTY.

Attends® Discreet Men’s Underwear ITEM #

Attends® Discreet Liners and Ultra Thin Pads

Attends® Discreet Women’s Underwear Attends Discreet Underwear is worn under clothing like regular underwear, they provide an alternative to briefs for more active individuals. This premium product is designed with a soft, cloth-like breathable fabric and full-belly elastic waistband for a comfortable, contoured fit. The advanced core materials have a high moisture capacity, channeling fluid and locking it away to keep the skin dry and healthy. With the added protection of barrier leg cuffs, Attends Discreet Underwear is recommended for moderate to heavy incontinence. Tear-away side panels make removal fast and easy.

Attends Care Underwear An everyday choice that offers individuals moderate to heavy protection with a high degree of mobility and freedom. Pull up or down just like underwear. Comfortable, stretch waistband and tear-away sides for easy removal. Breathable, stretchable, cloth-like material looks and feels like regular underwear. Triple-tier moisture locking system delivers superior performance and leakage protection while promoting skin wellness and managing odor. Tear-away sides for easy removal option. ®

CASE QTY.

64/cs 56/cs 48/cs

ATTENDS PADS Attends Shaped Pads ®

ITEM #

TCODE

HCPCS

SOLD BY

Overnight, 33˝ Super, 24.5˝ Plus, 24.5˝ Regular, 24.5˝

(48)SPNT (48)SPS (48)SPDP (48)SPDR

T4535 T4535 T4535 T4535

A4520 A4520 A4520 A4520

18/pk 18/pk 24/pk 24/pk

ITEM #

TCODE

HCPCS

SOLD BY

24.75˝ 18˝

(48)IP0400 T4353 A4520 24/pk (48)LP0600 T4535 A4520 30/pk

CASE QTY.

72/cs 72/cs 96/cs 96/cs

Attends® Insert Pads CASE QTY.

144/cs 120/cs

D FOR TE

TRUS

ER OV

E AR S

Over 35 years ago, Attends® became the first brand of Adult Incontinence products. We’re building on this proud heritage, combining insights, innovation, clinical data and customer feedback to — rebrand and streamline the new Attends®.

Simply the right product, for the right customer.

Delivering What Matters Most in Home Health Care Quality Products with Improved Outcomes

Meeting Reimbursement Standards

Growing Cash Sales

Attends® has superior quality that delivers overall savings with improved clinical, financial and operational outcomes.

Clinical

Financial

Operational

INCONTINENCE

SPECIALTY UNDERPADS

DOMTAR PERSONAL CARE (48/PK) All Domtar Personal Care incontinence products are latex-free.

LATEX FREE

Specialty Underpads

Attends® Booster Pads Ultra-thin, absorbent core. Full-length, secure-fit adhesive peel strip. Use only in combination with another absorbent product for an extra layer of protection. Individually wrapped to facilitate sanitary distribution to residents or on-the-go convenience and discretion for the at-home user. 33⁄4˝ x 11˝.

ITEM #

TCODE

HCPCS

SOLD BY

(48)BST0192 T4535 A4520 24/pk 192/cs

CASE QTY

Attends Belted Undergarments Belted style with wide, comfortable, reusable belts. Leg gathers and contoured shape for leakage protection and form-fitting comfort. Soft, cloth-like inner liner is gentle against the skin. Poly outer covering prevents leakage. Acquisition layer and superabsorbent polymer channel and lock fluids in the core and prevent odor. ®

ITEM #

(48)BU0600 T4535 A4520 30/pk 120/cs

TCODE

HCPCS

SOLD BY

CASE QTY.

PROFESSIONAL CARE Attends® Washcloths When used in conjunction with body-worn products and underpads, deliver a complete solution for ensuring skin wellness. Gentle, moisturizing cloths allow for convenient, one-step skin care, safeguarding against rashes and infections. With aloe and vitamin E. Alcohol-free to prevent irritation. Hypo-allergenic for sensitive skin. No rinsing necessary. Soft pack with reclosable lid. 8.7˝ x 12.6˝.

ITEM #

Scented Scented Unscented

(48)WCCP1000 N/A (48)WCPP1000 N/A (48)WCU48 N/A

TCODE

HCPCS

SOLD BY

CASE QTY

A9270 72/pk 864/cs A9270 48/pk 576/cs A9270 40/pk 576/cs

Attends Dry Wipes and Tissues Ultra-thin, absorbent core. Full-length, secure-fit adhesive peel strip. Use only in combination with another absorbent product for an extra layer of protection. Individually wrapped to facilitate sanitary distribution to residents or on-the-go convenience and discretion for the at-home user. 33⁄4˝ x 11˝.

ITEM #

TCODE

HCPCS

SOLD BY CASE QTY

Air Dri® Breathables Plus, 30˝ x 36˝ (48)FCPP3036 T4541 A4554 5/pk Air Dri® Breathables Plus, 23˝ x 36˝ (48)FCPP2336 T4542 A4554 10/pk Air Dri® Breathables, 30˝ x 30˝ (48)FCP3030 T4541 A4554 5/pk Air Dri® Breathables, 23˝ x 36˝ (48)FCP2336 T4541 A4554 10/pk Positioning Underpad, 30˝ x 36˝ (48)LLRT3036 T4541 A4554 5/pk Positioning Underpad, 30˝ x 36˝ (48)LLT3036 T4541 A4554 10/pk

60/cs 60/cs 60/cs 60/cs 60/cs 60/cs

UNDERPADS Attends Care Night Preserver Underpads Contain additional super absorbent polymer and cellulose fibers for heavy absorbency. Protect mattresses and chairs while helping promote healthy skin. Made with soft, non-woven top layers for wicking fluid away from the skin. Cellulose fibers provide added comfort and absorbency, and a strong, leak-proof backsheet holds fluid. Perfect for standard and everyday use. ®

ITEM #

TCODE

HCPCS

SOLD BY

23˝ x 36˝ 30˝ x 30˝ 30˝ x 36˝ 36˝ x 36˝

(48)UFPP236 (48)UFPP300 (48)UFPP360 (48)UFPP366

T4542 T4542 T4542 T4542

A4544 A4544 A4544 A4544

10/pk 5/pk 10/pk 5/pk

CASE QTY

150/cs 100/cs 100/cs 50/cs

Attends® Care Tuckable® Underpads

ITEM #

HCPCS

SOLD BY

36˝ x 70˝

(48)TUCK1913

T4541

5/pk

CASE QTY

50/cs

ITEM #

HCPCS

SOLD BY

Heavy Weight Medium Weight

(48)2500 (48)2503

A4649 A4649

50/pk 50/pk

CASE QTY

1,000/cs 1,000/cs

Attends® Discreet Flushable Wipes Attends Discreet Flushable wipes are a quick and easy way to freshen up - anytime, anywhere. Wipes are pH balanced, gentle on skin and break apart after flushing. The small packs allow users to easily keep these in a purse, bag or car.

ITEM #

HCPCS

SOLD BY

20 count 40 count

(48)ADFW20 (48)ADFW40

A4335 A4335

20/pk 40/pk

CASE QTY

960/cs 960/cs

PREMIUM UNDERPADS Supersorb® Premium Underpads The Attends Supersorb® Premium Underpad is the underpad that changed the industry, bringing Attends’ Dry-Lock® to the market and setting the stage for further advancements in the Attends Supersorb® Complete. The All-in-One has a pulp-filled super absorbent core and a soft, cloth-like topsheet for comfort against the skin. A leakage guard layer protects bed linens from wetness and reduces laundry volume. The strong, breathable backsheet holds the underpad in place without rolling or bunching.

ITEM #

HCPCS

SOLD BY

Maximum with Dry-Lock®, 30˝ x 36˝ Advanced with Dry-Lock®, 30˝ x 36˝ Advanced with Dry-Lock®, 23˝ x 36˝ Plus with Dry-Lock®, 30˝ x 36˝

(48)ASBM3036 (48)ASB3036 (48)ASB2336 (48)ASB3036G

A4554 A4554 A4554 A4554

5/pk 5/pk 5/pk 5/pk

CASE QTY

60/cs 60/cs 70/cs 60/cs

Attends® Care Dri-Sorb® Advanced Underpads Standard-use underpads are available in a variety of sizes and absorbencies, and are good for standard, everyday use in hospitals, long-term care facilities and the home. Protect mattresses and chairs while promoting healthy skin by having a soft, cloth-like topsheet that covers the entire surface while the top layers wick fluid away from the skin.

ITEM #

HCPCS

SOLD BY

23˝ x 36˝ 30˝ x 30˝ 30˝ x 36˝

(PK)UFP236 (PK)UFP300 (PK)UFP360

T4541 T4541 T4541

10/pk 10/pk 10/pk

CASE QTY

150/cs 150/cs 150/cs

Attends® Care Dri-Sorb® Underpads Used to protect mattresses and chairs while promoting healthy skin by having a soft, cloth-like topsheet that covers the entire surface while the top layers wick fluid away from the skin. Inner, cellulose fibers make them comfortable and absorbent, and a strong, leakproof backsheet holds fluid.

ITEM #

HCPCS

SOLD BY

17˝ x 24˝ 23˝ x 24˝ 23˝ x 36˝ 23˝ x 36˝ 30˝ x 30˝

(PK)UFS170 (PK)UFS230 (PK)UFS236 (PK)UFS236120 (PK)UFS300

T4542 T4542 T4541 T4541 T4541

10/pk 10/pk 10/pk 10/pk 10/pk

CASE QTY

300/cs 200/cs 150/cs 120/cs 150/cs

�

Domtar personal care

p.,emi'um1 f)ia�}J l'j;ai'lili'lil9J P�}J alild) � t,� Comfees

• • • •

feature:

Premium Softness Ultra Absorbency Enhanced Leakage Protection 12-hour Dryness Protection for Ultimate Comfort

Comfees premium diapers • Sizes from Newborn to 7 Comfees boys & girls training pants • Sizes 2T to 4T Comfees DriNite® juniors youth pants • For boys or girls 38 to 125 lbs Call your representative to order Comfees ® today!

INCONTINENCE

DOMTAR PERSONAL CARE (48/PK) All Domtar Personal Care incontinence products are latex-free.

LATEX FREE

JUVENILE CARE Comfees Baby Diapers ™

Umbilical cord notch on Newborn size. Features an ultra-absorbent core that locks away wetness for up to 12 hours of protection. The unique SoftFlex waistband, patented Accordion-StretchTM Fasteners, and ultra-contoured shape are designed to move with baby to ensure a comfortable, snug, and secure Comfees® fit. Comfees® have a soft hypoallergenic liner, soft outer cover, and are perfume and latex free.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Newborn (up to 10 lbs.) Size 1 (8 – 14 lbs.) Size 2 (12 – 18 lbs.) Size 3 (16 – 28 lbs.) Size 4 (23 – 27 lbs.) Size 5 (over 27 lbs.) Size 6 (over 35 lbs.) Size 7 (over 41 lbs.)

(48)CMFN (48)CMF1 (48)CMF2 (48)CMF3 (48)CMF4 (48)CMF5 (48)CMF6 (48)CMF7

T4529 T4529 T4529 T4529 T4530 T4530 T4530 T4530

A4520 A4520 A4520 A4520 A4520 A4520 A4520 A4520

42/bg 50/bg 42/bg 36/bg 31/bg 27/bg 23/bg 30/bg

168/cs 200/cs 168/cs 144/cs 124/cs 108/cs 92/cs 80/cs

Comfees™ Training Pants

Soft, stretchable sides, so a child can easily pull on and off. Easy-to-tear sides for quick removal. Wetness indicator fades when wet to help with the training process. Fun design. Soft outer cover is gentle to the skin.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Boys 2T – 3T, up to 34 lbs. Boys 3T – 4T, 32 – 40 lbs. Boys 4T – 5T, 38+ lbs. Girls 2T – 3T, up to 34 lbs. Girls 3T – 4T, 32 – 40 lbs. Girls 4T – 5T, 38+ lbs.

(48)CMFB2 (48)CMFB3 (48)CMFB4 (48)CMFG2 (48)CMFG3 (48)CMFG4

T4531 T4532 T4532 T4531 T4532 T4532

A4520 A4520 A4520 A4520 A4520 A4520

26/bg 23/bg 19/bg 26/bg 23/bg 19/bg

156/cs 138/cs 114/cs 156/cs 138/cs 114/cs

DriNite® Juniors Youth Pants

Depend® Real Fit® Briefs for Men Look, fit and feel like real underwear. Cotton-like fabric gives underwear-like comfort throughout the day and is soft against the skin. The slim side profile provides great protection with a discreet fit, while the all-around leg elastics help protect from leaks. Finished masculine elastic waistband creates a comfortable, natural, brief-like fit.

ITEM #

TCODE

HCPCS

SOLD BY

Small/Medium, 28˝ – 40˝ waist Large/X-Large, 38˝ – 50˝ waist

12778 12779

T4526 T4528

A4520 A4520

12/pk 10/pk

ITEM #

Small/Medium Large X-Large

45598 N/A 45599 N/A 45591 N/A

ITEM #

TCODE

HCPCS

SOLD BY

S/M 38 – 65 lbs. M/L 65 – 85 lbs. L/XL 70 – 125 lbs.

(48)CMFYS (48)CMFYM (48)CMFYL

T4534 T4534 T4534

A4520 A4520 A4520

17/bg 14/bg 13/bg

CASE QTY

68/cs 56/cs 52/cs

KIMBERLY-CLARK (69) DEPEND® ADULT BRIEFS & UNDERGARMENTS Depend® Silhouette® Briefs for Women Look, fit and feel like real underwear. Cotton-like fabric creates a sleek, ultra-smooth fit under clothes and is soft against the skin. The slim side profile provides great protection with a discreet fit, while the all-around leg elastics help protect from leaks. Feminine Elastic Waistband creates a comfortable, natural, brief-like fit.

TCODE

HCPCS

SOLD BY

CASE QTY

A4520 14/pk A4520 16/pk A4520 12/pk

N/A N/A N/A

Depend® Underwear for Women and Men Comfortable, breathable, slip-on style incontinence underwear features oval-cut leg openings and FITFLEX™ Protection to provide a smooth, close-to-body-fit that’s unlike bulky adult diapers. These disposable underwear for women feature a new Confidence Core technology that helps lock away moisture quickly for fast absorption and outstanding comfort. Use a thin, absorbent pad made of superabsorbent materials that draw wetness in, away from the skin, locking in urine and odors.

ITEM #

TCODE

HCPCS

SOLD BY

38535 38530 12535 38536 38531 12537 38529 38532 13406

T4526 T4526 T4526 T4527 T4527 T4527 T4528 T4528 T4528

A4520 A4520 A4520 A4520 A4520 A4520 A4520 A4520 A4520

21/pk 19/pk 32/pk 19/pk 17/pk 28/pk 17/pk 15/pk 26/pk

CASE QTY

WOMEN´S, PEACH

Small/Medium, moderate absorbency Small/Medium, maximum absorbency Small/Medium, maximum absorbency Large, moderate absorbency Large, maximum absorbency Large, maximum absorbency X-Large, moderate absorbency X-Large, maximum absorbency X-Large, maximum absorbency

84/cs 76/cs 64/cs 76/cs 68/cs 56/cs 68/cs 60/cs 52/cs

MEN´S, MAXIMUM ABSORBENCY, GRAY

Leak barriers help prevent side leakage. Stretchy sides and waist for better comfort and snug fit. Super-dry core helps protect all night. Leg gathers for snug, secure fit. Tear-away sides allow for quick, easy removal. Colored tread indicates back of product.

48/cs 40/cs

Depend Night Defense Underwear for Women Designed to address the most common nighttime needs: for overactive bladder leakage (frequency and faster rate), higher loading nighttime needs and more coverage for leakage while lying down. Women can have the confidence that their garment is designed for nighttime, but not at the expense of discretion and comfort.

Small/Medium Small/Medium Large/X-Large Large/X-Large

Small/Medium, 28˝ – 40˝ waist Large/X-Large, 38˝ – 50˝ waist

CASE QTY

ITEM #

TCODE

HCPCS

SOLD BY

12776 12777

T4526 T4528

A4520 A4520

12/pk 12/pk

CASE QTY

48/cs 48/cs

43616 T4526 12539 T4526 43587 T4528 13407 T4528

A4520 19/pk A4520 32/pk A4520 17/pk A4520 28/pk

38/cs 64/cs 34/cs 56/cs

Depend® Adjustable Protective Underwear Maximum Absorbency Underwear with maximum absorbency designed for discreet changing without having to remove pants and shoes – at home or on the go. Adjustable underwear features perforated sides that neatly tear open with four prefastened tabs to securely close for a snug, underwear-like fit. Offers worry-free odor control.

ITEM #

TCODE

HCPCS

SOLD BY

Small/Medium (28˝ – 45˝ waist) Large/X-Large (44˝ – 64˝ waist)

35445 35446

T4526 T4528

A4520 A4520

18/pk 16/pk

CASE QTY

54/cs 48/cs

INCONTINENCE

KIMBERLY-CLARK (69) Depend® Fitted Maximum Protection Designed with four refastenable tabs for discreet, open changing. For men and women. Offers maximum incontinence protection and absorbency, featuring a wetness indicator line so user knows when it’s time to change. Plus, built-in side leakage barriers provide extra protection. Depend disposable incontinence products are latex-free and contain no lotions or fragrance

ITEM #

TCODE

HCPCS

SOLD BY

Small/Medium (hips 26˝ – 41˝; waist 19˝ – 34˝; 110 lbs. – 170 lbs.) 35456 T4522 A4520 20/pk Large (hips 42˝ – 54˝; waist 35˝ – 49˝; 170+ lbs.) 35458 T4523 A4520 16/pk

CASE QTY

60/cs 48/cs

Depend® Guards for Men Offer protection from larger surges and feature discreet, cup-shaped protection right where men need it most. Individually wrapped in pocket-sized, discreet pouches.

ITEM #

SOLD BY

CASE QTY

13792 T4535 A4520 52/pk

TCODE

HCPCS

104/cs

POISE® PANTILINERS & PADS Poise® Overnight Incontinence Pads, Ultimate Absorbency Bladder control pad for extra protection, both day and night. SleepSecure shape with 75% wider back for protection while lying down. Absorb-Loc core quickly absorbs and locks away wetness and odor, while Leak-Block sides provide outstanding incontinence protection. Unscented, fragrance-free regular length: 16.2˝. Shipped in discreet packaging and FSA-eligible.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

46995 T4535 A4520 24/pk

48/cs

Poise Thin-Shape Pads Poise® Moderate Absorbency Pads are specifically designed for Light Bladder Leakage (LBL) and stay 3 times drier than leading period-only maxis. The leak-block sides give outstanding protection while the absorb-loc® core quickly locks away wetness and odor.

ITEM #

TCODE

HCPCS

SOLD BY

Light Absorbency Moderate Absorbency Moderate Absorbency Maximum Absorbency Ultimate Absorbency

45580 43117 43118 43119 43127

T4535 T4535 T4535 T4535 T4535

A4520 A4520 A4520 A4520 A4520

30/pk 20/pk 66/pk 48/pk 33/pk

CASE QTY

120/cs 80/cs 264/cs 192/cs 132/cs

Poise® Pantiliners Specifically designed for Light Bladder Leakage (LBL), Poise® Liners stay 3 times drier than leading period-only liners. The absorb-loc® core quickly locks away wetness and odor to help keep user fresh and dry.

ITEM #

SOLD BY

CASE QTY

19305 T4535 A4520 26/pk

TCODE

HCPCS

208/cs

Poise® Pads Maximum Absorbency Provide even more absorbency to give you the confidence and protection needed for Light Bladder Leakage (LBL). Absorb-loc® core quickly locks away wetness and odor, while the leak-block sides provide discreet and worry-free protection.

ITEM #

TCODE

Maximum absorbency 19568 T4535 Maximum absorbency 33594 T4535 Maximum absorbency, long 33591 T4535

HCPCS

SOLD BY

A4520 14/pk A4520 48/pk A4520 39/pk

CASE QTY

84/cs 192/cs 156/cs

Poise® Pads Ultimate Absorbency Ideal for daytime or overnight usage. Absorb-loc® core quickly locks away wetness and odor, and the leak-block sides give worry-free protection from Light Bladder Leakage (LBL). The dry-touch® layer helps keep user feeling dry and fresh.

ITEM #

Regular Long

33592 T4535 A4520 33/pk 132/cs 33593 T4535 A4520 27/pk 108/cs

TCODE

HCPCS

SOLD BY

CASE QTY

Poise® Impressa Non-absorbent, disposable, intravaginal devices that physically support the urethra to help prevent leaks. Inserted with an applicator similar to a tampon. The core, composed of flexible, medical-grade silicone with anchor and support poles, is designed to respond to movement while staying in place. As it supports the urethra, each pole functions independently to adapt to vaginal structural variability in order to effectively generate counter-tension under stress. A soft, non-absorbent polypropylene cover surrounds the core, stretching between the support poles to act as a tension-free sub-urethral sling without obstructing urinary flow or vaginal secretions.

ITEM #

TCODE

HCPCS

SOLD BY

Size 1 Size 2 Size 3 Sizing Kit

47059 47060 47061 47062

N/A N/A N/A N/A

10/pk 10/pk 10/pk 6/pk

CASE QTY

N/A N/A N/A N/A

KOTEX® PADS U by Kotex® Security* Maxi Overnight Pads Most absorbent pad for overnight protection. This feminine pad has a breathable, cottony SOFT TOUCH* cover for comfortable protection. Each sanitary napkin is designed with a super-absorbent core and deep channels to flex and fit the body for medium to heavy flow days, so it protects where needed.

ITEM #

01404 T4535 A4520 14/pk 168/cs

TCODE

HCPCS

SOLD BY

CASE QTY

HUGGIES® DIAPERS HUGGIES® Snug and Dry Features LeakLock® to quickly capture moisture and lock it away to prevent leaks. All-around stretch provides a super-snug fit.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

40653 40667 43087 43089 43090 40674

T4529 T4529 T4529 T4530 T4530 T4530

A4520 A4520 A4520 A4520 A4520 A4520

44/pk 38/pk 34/pk 29/pk 25/pk 21/pk

4/cs 4/cs 4/cs 4/cs 4/cs 4/cs

40701 43106 40703 40704

T4529 T4530 T4530 T4530

A4520 A4520 A4520 A4520

N/A N/A N/A N/A

JUMBO PACKS

Step 1 (up to 14 lbs.) Step 2 (12 lbs. – 18 lbs.) Step 3 (16 lbs. – 28 lbs.) Step 4 (22 lbs. – 37 lbs.) Step 5 (27+ lbs.) Step 6 (35+ lbs.)

Poise® Pads Moderate Absorbency Specifically designed for Light Bladder Leakage (LBL) and stay 3 times drier than leading period-only maxis. The leak-block sides give outstanding protection while the absorb-loc® core quickly locks away wetness and odor.

ITEM #

TCODE

HCPCS

SOLD BY

Moderate absorbency 19564 T4535 A4520 20/pk Moderate absorbency 33558 T4535 A4520 66/pk Moderate absorbency, long 33590 T4535 A4520 54/pk

CASE QTY

120/cs 264/cs 216/cs

BIG PACKS

Step 3 (16 lbs. – 28 lbs.) Step 4 (22 lbs. – 37 lbs.) Step 5 (27+ lbs.) Step 6 (35+ lbs.)

INCONTINENCE

KIMBERLY-CLARK (69)

PULL-UPS®

HUGGIES® Supreme Little Movers Diapers Provide a comfy fit that lasts and go where the baby does. New Double Grip Strips provide double the grip for a long-lasting fit. Unique contoured shape stays in place as the baby moves and plays. LEAK LOCK® system provides up to 12 hours of leakage protection. Only HUGGIES® Diapers have the stretchy SnugFit* waistband for even more flexibility.

Pull-Ups® Disposable Training Pants Go on like underwear; shaped, absorbent pad and increased absorbency protect like a diaper. Underwear-like big kid graphics for boys and girls. Tear-away side seams. Thin design with cloth-like outer cover.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

JUMBO PACKS

Step 4 (22 lbs. – 37 lbs.) 40767 T4530 Step 5 (27+ lbs.) 40798 T4530 Step 6 (35+ lbs.) 40799 T4530

A4520 24/pk A4520 24/pk A4520 18/pk

4/cs 4/cs 4/cs

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

45138 45141 45143

T4531 T4532 T4532

A4520 A4520 A4520

25/pk 22/pk 18/pk

100/cs 88/cs 72/cs

Medium, 2T – 3T Large, 3T – 4T X-Large, 4T – 5T

45148 45157 45151

T4531 T4532 T4532

A4520 A4520 A4520

54/pk 48/pk 40/pk

108/cs 96/cs 80/cs

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

45132 45140 45142

T4531 T4532 T4532

A4520 A4520 A4520

25/pk 22/pk 18/pk

100/cs 88/cs 72/cs

45147 45149 45150

T4531 T4532 T4532

A4520 A4520 A4520

54/pk 48/pk 40/pk

108/cs 96/cs 80/cs

BOY JUMBO PACKS

Medium, 2T – 3T Large, 3T – 4T X-Large, 4T – 5T

BIG PACKS

Step 3 (16 lbs. – 28 lbs.) 40736 Step 4 (22 lbs. – 37 lbs.) 40737 Step 5 (27+ lbs.) 40808 Step 6 (35+ lbs.) 43086

T4529 T4530 T4530 T4530

A4520 A4520 A4520 A4520

N/A N/A N/A N/A

BOYS BIG PACKS

GOODNITES® GoodNites® Disposable Underpants Effective overnight protection for good mornings. Feature better odor control and custom protection zones for boys and girls. Cloth-like outer cover looks and feels like underwear. Trim fit easily disappears under clothing.

GIRLS JUMBO PACKS

Medium, 2T – 3T Large, 3T – 4T X-Large, 4T – 5T GIRLS BIG PACKS

Medium, 2T – 3T Large, 3T – 4T X-Large, 4T – 5T

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

T4534 T4534

A4520 A4520

14/pk 11/pk

56/cs 44/cs

T4534 T4534

A4520 A4520

26/pk 20/pk

78/cs 60/cs

T4534

A4520

25/pk

75/cs

HUGGIES® BABY WIPES

BOYS JUMBO PACKS

Small/Medium (38 lbs. – 65 lbs.) 41313 Large/X-Large (60 lbs. – 125+ lbs.) 41315 BOYS MEGA PACKS

Small/Medium (38 lbs. – 65 lbs.) 30721 Large/X-Large (60 lbs. – 125+ lbs.) 30713

HUGGIES® Natural Care® Baby Wipes Unscented with Aloe and Vitamin E

BOYS BIG PACKS

Large/X-Large (60 lbs. – 125+ lbs.) 43364

Thoroughly clean to help maintain baby´s naturally healthy skin. Wipes contain vitamin E and aloe. Pop-Up® dispensing works with any kind of HUGGIES® baby wipes refill.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

T4534 T4534

A4520 A4520

14/pk 11/pk

56/cs 44/cs

T4534 T4534

A4520 A4520

26/pk 20/pk

78/cs 60/cs

ITEM #

Travel pack Tub Retail case

40706 N/A 39301 N/A 43247 N/A

GIRLS JUMBO PACKS

Small/Medium (38 lbs. – 65 lbs.) 41314 Large/X-Large (60 lbs. – 125+ lbs.) 41316 GIRLS MEGA PACKS

Small/Medium (38 lbs. – 65 lbs.) 30712 Large/X-Large (60 lbs. – 125+ lbs.) 30714 GIRLS BIG PACKS

Large/X-Large (60 lbs. – 125+ lbs.) 43365

T4534

A4520

25/pk

75/cs

TCODE

HCPCS

SOLD BY

CASE QTY

A4649 16/pk 256/cs A4649 64/tub 256/cs A4649 552/pk N/A

FLUSHABLE WIPES Cottonelle Fresh® Flushable Moist Wipes To feel cleaner and fresher than toilet paper alone. Provide a shower-fresh feeling that leaves user confidently clean.

ITEM #

36734 N/A

TCODE

HCPCS

SOLD BY

CASE QTY

A9270 42/tub 336/cs

INCONTINENCE

SCA PERSONAL CARE (SQ) All SCA Personal Care incontinence products are latex-free unless otherwise noted.

LATEX FREE

TENA® BRIEFS TENA® Briefs Feature InstaDri Skin-Caring System™ to improve surface dryness and promote healthy skin while reducing leakage. The transfer layer permits fluid to almost instantly enter the dual core, helping to promote skin dryness. The Dry-Fast Dual Core™ technology rapidly wicks fluid away from skin, trapping it into the lower core for greater security and increased skin dryness. The strategic placement of the Superabsorbent Polymer improves fluid absorption. TENA® Briefs have hook & loop fastening systems that provide unlimited fastening and refastening for optimal fit and comfort. Curved leg elastic provides a better fit, enhanced leakage protection and more comfort. The wetness indicator alerts that the brief has been soiled and needs to be checked. TENA® products have special ingredients to minimize the growth of odor-causing bacteria.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

T4521 T4533

A4520 A4520

12/pk 30/pk

96/cs 90/cs

T4522 T4523 T4524

A4520 A4520 A4520

40/pk 40/pk 15/pk

80/cs 80/cs 60/cs

T4522 T4523 T4524

A4520 A4520 A4520

28/pk 28/pk 15/pk

56/cs 56/cs 60/cs

SPECIALTY – MODERATE TO HEAVY PROTECTION

Small Brief (waist 22˝ – 36˝ ), green 66100 Youth Brief (waist 17˝ – 29˝ ), white 61199 ULTRA – SUPERIOR PROTECTION

Medium (waist 34˝ – 47˝ ), white Large (waist 48˝ – 59˝ ), blue X-Large (waist 60˝ – 64˝ ), beige

67200 67300 68010

SUPER – NIGHTTIME OR EXTENDED PROTECTION

Medium (waist 34˝ – 47˝ ), green Large (waist 48˝ – 59˝ ), green X-Large (waist 60˝ – 64˝ ), green

67401 67501 68011

TENA® Dry Comfort™ and Classic Briefs Innovative features help promote efficiency while providing a comfortable, flexible fit for wearers. Adjustable hook fastening tabs and odor control technology for secure and comfortable protection. For moderate to heavy bladder/bowel leakage protection.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

67620 67640 67650

T4522 T4523 T4524

A4520 A4520 A4520

12/pk 12/pk 15/pk

96/cs 72/cs 60/cs

T4522 T4523 T4524

A4520 A4520 A4520

25/pk 25/pk 25/pk

100/cs 100/cs 100/cs

DRY COMFORT™

Medium (34˝ – 47˝ ), white Large (48˝ – 59˝ ), blue X-Large (60˝ – 64˝ ), beige

CLASSIC – MODERATE TO HEAVY PROTECTION

Medium (waist 34˝ – 47˝ ), white Large (waist 48˝ – 59˝ ), blue X-Large (waist 60˝ – 64˝ ), beige

67720 67740 67750

TENA® Stretch Ultra Briefs Unique stretch sides provide full breathability to promote skin health and comfort; customizable fit to reduce product gapping and sagging for comfort, security and effective leakage control; and snug ˝stay-in-place˝ fit. Unique TENA® Sure Stay Wide Hook System provides secure fastening anywhere on the brief and unlimited refastenability. Moisture-proof lining protects clothing and linen against wetness, and is color coded for correct product selection. InstaDri Skin-Caring System™ improves surface dryness, promoting healthier skin with a transfer layer, Dry-Fast Dual Core™ technology and strategic placement of superabsorbent polymer. Curved elastics provide a better fit, enhanced leakage protection and more comfort. Wetness indicator signals when brief should be changed. Soft, nonwoven backsheet is gentle against the skin and less noisy, providing improved comfort and greater dignity.

ITEM #

Medium/Regular (33˝ – 52˝ ), lavender 67802 Large/X-Large (41˝ – 64˝ ), beige 67803

TCODE

HCPCS

SOLD BY

T4522 T4524

A4520 A4520

36/pk 36/pk

TENA® Stretch Ultra Bariatric Brief Designed to meet the individualized needs of bariatric users with maximum absorbency and greater sizing flexibility. The unique feature combination of Stretch Sides with full-length hook fasteners provides secure, individualized fit. This easily customizable fit reduces product gapping and sagging for improved comfort, security and effective leakage control. Soft, nonwoven material provides full breathability while promoting skin health and comfort.

ITEM #

TCODE

HCPCS

SOLD BY

2X-Large (hip size 64˝ – 70˝ ), gray 61390 T4543 A4520 2/pk 3X-Large (hip size 69˝ – 96˝ ), green 61391 T4543 A4520 8/pk

CASE QTY

64/cs 32/cs

TENA® PROTECTIVE UNDERWEAR TENA® Women™ Super Plus Protective Underwear Discreet style of disposable underwear designed to look and feel like regular underwear. Snug, close-to-body fit. Efficient, highly absorbent core positioned and designed just for women for moderate to heavy bladder protection. Soft, cloth-like, cottony material feels as comfortable as underwear. Features a soft and narrow comfort waistband. Provides increased discretion and comfort. Modern fit, just for women.

ITEM #

TCODE

HCPCS

SOLD BY

Small/Medium (waist 29˝ – 40˝ ) Large (waist 37˝ – 50˝ ) X-Large, (waist 48˝ – 64˝ )

54800 54900 54950

T4526 T4527 T4528

A4520 A4520 A4520

18/pk 16/pk 14/pk

CASE QTY

72/cs 64/cs 56/cs

TENA® Men™ Super Plus Protective Underwear Anatomically designed just for men. Highly efficient, absorbent target zone with superabsorbent polymers ensures protection where it is needed the most. Soft and cottony material for maximum comfort and discretion. Designed to look and feel like regular underwear. Soft, stretchable product that can be easily pulled on and off.

ITEM #

TCODE

HCPCS

SOLD BY

Medium/Large (waist 34˝ – 50˝ ) X-Large (waist 44˝ – 64˝ )

81780 81920

T4526 T4528

A4520 A4520

16/pk 14/pk

CASE QTY

64/cs 56/cs

TENA® Protective Underwear, Extra Absorbency Body-Close Fit™ technology with more elastic threads throughout pant. Gentle waist elastic allows pants to pull on and off like underwear. Soft, cloth-like material. Tear-away side for easy, convenient removal. Sizing letters help with correct product selection and application. Now available in discreet packaging.

ITEM #

TCODE

HCPCS

SOLD BY

Small (waist/hips 25˝ – 35˝ ) Medium (waist/hips 34˝ – 44˝ ) Large (waist/hips 45˝ – 58˝ ) X-Large (waist/hips 55˝ – 66˝ )

72101 72248 72347 72400

T4525 T4526 T4527 T4528

A4520 A4520 A4520 A4520

16/pk 16/pk 16/pk 12/pk

CASE QTY

64/cs 64/cs 64/cs 48/cs

TENA® Protective Underwear, Plus Absorbency For moderate to heavy bladder leakage protection; very mild bowel incontinence. Designed for day and night protection. Leg gathers ensure a comfortable, body-close fit. Large core provides effective leakage protection for wearer security and comfort.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist/hips 34˝ – 44˝ ) Large (waist/hips 45˝ – 58˝ ) X-Large (waist/hips 55˝ – 66˝ )

72242 72341 72465

T4526 T4527 T4528

A4520 A4520 A4520

18/pk 18/pk 15/pk

CASE QTY

72/cs 72/cs 60/cs

CASE QTY

72/cs 72/cs

INCONTINENCE

TENA® TWO-PIECE PADS & PANTS

SCA PERSONAL CARE (SQ) All SCA Personal Care incontinence products are latex-free unless otherwise noted.

LATEX FREE

TENA® Dry Comfort™ Underwear Designed for everyday use and frequent changing, with the home care user in mind. Provides moderate protection with full coverage. Soft, cloth-like, breathable material has the look, feel and comfort of regular underwear. Core is now 20% thinner for discretion, but just as effective in capturing leaks. Meets Medicaid reimbursement performance standards.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (34˝ – 44˝ ), white Large (45˝ – 58˝ ), white X-Large (55˝ – 66˝ ), white

72422 72423 72424

T4526 T4527 T4528

A4520 A4520 A4520

20/pk 18/pk 14/pk

ITEM #

TCODE

HCPCS

SOLD BY

Medium (34˝ – 44˝ ), white Large (45˝ – 58˝ ), white X-Large (55˝ – 67˝ ), white 2X-Large (68˝ – 80˝ ), white

72513 72514 72516 72517

T4526 T4527 T4528 T4528/T4544

A4520 A4520 A4520 A4520

20/pk 18/pk 14/pk 12/pk

ITEM #

62326 T4535 A4520 14/pk 84/cs

80/cs 72/cs 56/cs 48/cs

TENA® PADS

HCPCS

SOLD BY

CASE QTY

Dry-Fast Dual Core™ quickly absorbs fluid for greater security and skin dryness. Soft, cloth-like outer cover is less noisy for improved comfort and greater dignity. Oval-shaped elastic hugs the body for improved leakage protection. Wetness indicator alerts that the pad needs to be checked.

80/cs 72/cs 56/cs

CASE QTY

TCODE

TENA® Pads

CASE QTY

TENA® Classic Underwear Designed for everyday use and frequent changing. Provides moderate to heavy protection with full coverage. Soft, cloth-like, breathable material has the look, feel and comfort of regular underwear. Core is now 20% thinner for discretion, but just as effective in capturing leaks. Super-absorbent polymers lock away moisture and odor for effective leakage protection. Target Acquisition Zone wicks moisture into the absorbing core.

TENA® Day Light Pads For mild to moderate bladder control protection. Superabsorbent material gels fluid for greater security and skin dryness. Soft, cloth-like outer cover is less noisy for improved comfort and greater dignity. Soft elastic gathers to provide a closer fit. Can be worn with regular underwear.

ITEM #

TCODE

HCPCS

SOLD BY

Day Regular, blue Day Plus, yellow Night/Super, green

62418 62618 62718

T4535 T4535 T4535

A4520 A4520 A4520

46/pk 40/pk 24/pk

CASE QTY

92/cs 80/cs 48/cs

TENA® Comfort Pants Clothing-like design provides comfort, dignity and security. Design allows air to come in contact with skin, providing comfort for the wearer. Washable and reusable. Designed for use with TENA® Pads.

ITEM #

TCODE

HCPCS

SOLD BY

Small/Medium (waist size 20˝ – 37˝ ), yellow and blue waistband 36044 T4536 A4520 2/pk Large/X-Large (waist size 28˝ – 52˝ ), brown and green waistband 36055 T4536 A4520 2/pk 2X-Large/3X-Large (waist size 38˝ – 62˝ ), purple and orange waistband 36066 T4536 A4520 2/pk

CASE QTY

24/cs 24/cs 24/cs

TENA UNDERPADS ®

TENA Underpads ®

Specific design to ensure a great fit by following the body’s natural contours. A soft, quick-dry topsheet pulls in liquid fast to keep the wearer dry. The Dry-Fast Core™ with Superabsorbent microbeads wicks away and helps trap in liquid quickly for effective leakage and odor protection. Cushiony side gathers provide a fit that conforms to the wearer’s body. Advanced Odor Protection and pH-balanced to fight odors. Adhesive strip for secure fixation in the wearer’s underwear and individually wrapped for convenient, discreet portability.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

56300 64900

T4535 T4535

A4520 A4520

26/pk 44/pk

156/cs 176/cs

T4535 T4535 T4535

A4520 A4520 A4520

30/pk 24/pk 20/pk

180/cs 144/cs 120/cs

T4535

A4520

32/pk

128/cs

T4535 T4535 T4535

A4520 A4520 A4520

14/pk 12/pk 39/pk

84/cs 72/cs 117/cs

T4535 T4535

A4520 A4520

33/pk 28/pk

99/cs 84/cs

LIGHT BLADDER LEAKAGE PROTECTION

Active Liners – Regular Active™ Liners – Long ™

MODERATE BLADDER LEAKAGE PROTECTION

TENA® Ultra Thin Pads – Regular TENA® Ultra Thin Pads – Long Moderate Pads

46500 54344 41300

MODERATE TO HEAVY BLADDER LEAKAGE PROTECTION

TENA® Moderate Thin Long

52070

HEAVY BLADDER LEAKAGE PROTECTION

TENA® Heavy Pads TENA® InstaDRY™ Heavy Pads TENA® Heavy Long Pads

42800 47301 54295

ULTIMATE BLADDER LEAKAGE PROTECTION

TENA® Ultimate Pads TENA® Overnight Pads

54305 54282

Designed to absorb leakage, reduce odors and maintain dryness for a comfortable bed surface. Consist of a polyethylene layer combined with sealed edges to ensure leakage protection. Highly absorbent material is evenly distributed throughout the core.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Regular (23˝ x 36˝ ) Extra absorbency (23˝ x 36˝ ) Ultra Plus* (28˝ x 30˝ ) Ultra Plus* (28˝ x 36˝ ) Ultra Plus* (36˝ x 36˝ )

352 355 365 367 361

T4542 T4542 T4542 T4541 T4541

A4554 A4554 A4554 A4554 A4554

25/pk 25/pk 10/pk 10/pk 10/pk

150/cs 150/cs 100/cs 100/cs 100/cs

TENA® Air Flow Underpads Designed for use on low air-loss therapeutic beds. Nonwoven topsheet is gentle against the skin. Breathable, nonwoven backsheet allows air to circulate for healthier skin, while protecting the mattress from excessive soilage. Superabsorbent polymer helps to improve absorbency for greater security and skin dryness. 23˝ x 36˝.

ITEM #

TCODE

370

T4542 A4554 10/pk 60/cs

HCPCS

SOLD BY

CASE QTY

Quality of life TENA offers a full line of incontinence products to meet your customersâ&#x20AC;&#x2122; lifestyle needs. ÂŽ

Together we make a difference

INCONTINENCE

SCA PERSONAL CARE (SQ) All SCA Personal Care incontinence products are latex-free unless otherwise noted.

LATEX FREE

TENA® SKIN CARE TENA® Ultra and TENA® UltraFlush™ Washcloths Adult-sized, moistened washcloths offer premium cleansing and moisturizing in one convenient product.

ITEM #

TCODE HCPCS

Ultra Washcloths 65720 N/A UltraFlush™ Washcloths 65726 N/A Classic Washcloths 65724 N/A

SOLD BY CASE QTY

A9270 48/pk A9270 48/pk A9270 48/pk

576/cs 576/cs 576/cs

TENA® Cleansing Cream Cleansing 3-in-1 formula promotes skin health by gently cleansing, moisturizing and soothing vulnerable skin. Primarily used for cleansing between absorbent product changes, this creamy formula cleanses effectively without the need for rinsing and helps maintain skin’s natural pH while controlling odor.

ITEM #

TCODE

HCPCS

SOLD BY

8.5-oz. tube 16.9-oz. bottle 33.8-oz. bottle

64425 64430 64435

N/A N/A N/A

A6250 A6250 A6250

ea ea ea

CASE QTY

10/cs 10/cs 8/cs

DRYLOCK TECHNOLOGIES LTD. (PRT) All Drylock Technologies Ltd. products are not made with natural rubber latex.

LATEX FREE

Presto® Premier Brief MoistureLock™ dual core significantly increases the ability to wick and lock fluid away from the skin, resulting in superior performance and user satisfaction. Advanced OdorSecure™ technology reduces the amount of ammonia formed in the absorbent core, preventing odors before they begin. Core is thinner and more discreet, providing a more comfortable, dignified fit. Swift & Soft™ advanced acquisition layer technology is a soft high performing acquisition layer. Quality materials for a cloth-like softness that feels great and doesn’t irritate the skin.

ITEM #

Medium (waist 32˝ – 44˝ ), white ABB11020 Large (waist 45˝ – 58˝ ), blue ABB11040 X-Large (waist 58˝ – 64˝ ), beige ABB11050

TCODE

HCPCS

T4522 A4520 T4523 A4520 T4524 A4520

SOLD BY

16/bg 18/bg 15/bg

CASE QTY.

96/cs 72/cs 60/cs

Presto® Supreme Brief MoistureLock™ dual core significantly increases the ability to wick and lock fluid away from the skin, resulting in superior performance and user satisfaction. Advanced OdorSecure™ technology reduces the amount of ammonia formed in the absorbent core, preventing odors before they begin. Core is thinner and more discreet, providing a more comfortable, dignified fit. Swift & Soft™ advanced acquisition layer technology is a soft high performing acquisition layer. Cloth-like softness that feels great and doesn’t irritate the skin.

ITEM #

Small (waist 22˝ – 36˝ ), green ABB21010 Medium (waist 32˝ – 44˝ ), white ABB21020 Regular (waist 40˝ – 48˝ ), lavender ABB21030 Large (waist 45˝ – 58˝ ), blue ABB21040 X-Large (waist 58˝ – 64˝ ), beige ABB21050 2X-Large (waist 63˝ – 69˝ ), green ABB21060 Bariatric (Up to 95˝ ), white ABB41070

TCODE

HCPCS

SOLD BY CASE QTY.

T4521 T4522 T4522 T4523 T4524 T4543 T4543

A4520 A4520 A4520 A4520 A4520 A4520 A4520

24/bg 16/bg 20/bg 18/bg 15/bg 12/bg 8/bg

96/cs 96/cs 80/cs 72/cs 60/cs 48/cs 32/cs

Presto Plus Brief MoistureLock™ dual core significantly increases the ability to wick and lock fluid away from the skin, resulting in superior performance and user satisfaction. Advanced OdorSecure™ technology reduces the amount of ammonia formed in the absorbent core, preventing odors before they begin. Core is thinner and more discreet, providing a more comfortable, dignified fit. Cloth-like softness that feels great and doesn’t irritate the skin.

Presto® Ultimate Brief MoistureLock™ dual core significantly increases the ability to wick and lock fluid away from the skin, resulting in superior performance and user satisfaction. Advanced OdorSecure™ technology reduces the amount of ammonia formed in the absorbent core, preventing odors before they begin. Core is thinner and more discreet, providing a more comfortable, dignified fit. Swift & Soft™ advanced acquisition layer technology is a soft high performing acquisition layer. Quality materials for a cloth-like softness that feels great and doesn’t irritate the skin. LeakSecure™ barriers prevent leaks. Whether the user is in a bed or active, has urine or fecal incontinence, the inner leg cuffs provide superior security.

PRESTO BRIEFS ®

ITEM #

Medium (waist 32˝ – 44˝ ), white ABB01020 Large (waist 45˝ – 58˝ ), blue ABB01040 X-Large (waist 58˝ – 64˝ ), beige ABB01050

TCODE

HCPCS

T4522 A4520 T4523 A4520 T4524 A4520

SOLD BY

16/bg 18/bg 15/bg

CASE QTY.

96/cs 72/cs 60/cs

Presto® Premier Brief MoistureLock™ dual core significantly increases the ability to wick and lock fluid away from the skin, resulting in superior performance and user satisfaction. Advanced OdorSecure™ technology reduces the amount of ammonia formed in the absorbent core, preventing odors before they begin. Core is thinner and more discreet, providing a more comfortable, dignified fit. Swift & Soft™ advanced acquisition layer technology is a soft high performing acquisition layer. Cloth-like softness that feels great and doesn’t irritate the skin.

ITEM #

Medium (waist 32˝ – 44˝ ), white ABB11021 Large (waist 45˝ – 58˝ ), blue ABB11041 X-Large (waist 58˝ – 64˝ ), beige ABB11051

TCODE

HCPCS

T4522 A4520 T4523 A4520 T4524 A4520

SOLD BY

24/bg 18/bg 15/bg

CASE QTY.

96/cs 72/cs 60/cs

ITEM #

Medium (waist 32˝ – 44˝ ), white ABB30020 Large (waist 45˝ – 58˝ ), blue ABB30040 X-Large (waist 58˝ – 64˝ ), beige ABB30050

TCODE

HCPCS

T4522 A4520 T4523 A4520 T4524 A4520

SOLD BY

16/bg 18/bg 15/bg

CASE QTY.

96/cs 72/cs 60/cs

“Cha-Ching!” That’s the sound you might hear a little more often thanks to Presto™ products. You can improve cash sales and increase customer retention thanks to our reputation for quality trusted by retailers and healthcare professionals across the country.

Innovation. Quality. Care

Try us to learn why hundreds are making the switch to Presto brand incontinence protection (pages 98-101). ™

INCONTINENCE

DRYLOCK TECHNOLOGIES LTD. (PRT) All Drylock Technologies Ltd. products are not made with natural rubber latex.

LATEX FREE

PRESTO® UNISEX UNDERWEAR Presto® Plus Classic Underwear MoistureLock™ dual core significantly increases the ability to wick and lock fluid away from the skin, resulting in superior performance and user satisfaction. Advanced OdorSecure™ technology reduces the amount of ammonia formed in the absorbent core, preventing odors before they begin. Core is thinner and more discreet, providing a more comfortable, dignified fit. Fits the body like real underwear. Quality materials for a cloth-like softness that feels great and doesn’t irritate the skin.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 32˝ – 44˝ ), white Medium (waist 32˝ – 44˝ ), white Large (waist 44˝ – 58˝ ), white Large (waist 44˝ – 58˝ ), white Large (waist 44˝ – 58˝ ), white X-Large (waist 58˝ – 68˝ ), white X-Large (waist 58˝ – 68˝ ), white X-Large (waist 58˝ – 68˝ ), white

AUB01020 AUB01021 AUB01040 AUB01041 AUB01042 AUB01050 AUB01051 AUB01052

T4526 T4526 T4527 T4527 T4527 T4528 T4528 T4528

A4520 A4520 A4520 A4520 A4520 A4520 A4520 A4520

20/bg 25/bg 18/bg 25/bg 20/bg 14/bg 25/bg 20/bg

CASE QTY.

80/cs 100/cs 72/cs 100/cs 80/cs 56/cs 100/cs 80/cs

Presto® Premier Classic Underwear MoistureLock™ dual core significantly increases the ability to wick and lock fluid away from the skin, resulting in superior performance and user satisfaction. Advanced OdorSecure™ technology reduces the amount of ammonia formed in the absorbent core, preventing odors before they begin. Core is thinner and more discreet, providing a more comfortable, dignified fit. Swift & Soft™ advanced acquisition layer technology is a soft high performing acquisition layer. Quality materials for a cloth-like softness that feels great and doesn’t irritate the skin.

ITEM #

TCODE

Medium (waist 32˝ – 44˝ ), white Large (waist 44˝ – 58˝ ), white X-Large (waist 58˝ – 68˝ ), white

AUB12020 AUB12040 AUB12050

T4526 A4520 T4527 A4520 T4528 A4520

HCPCS

SOLD BY

20/bg 18/bg 14/bg

CASE QTY.

80/cs 72/cs 56/cs

Presto® Premier FlexRight® Underwear MoistureLock™ dual core significantly increases the ability to wick and lock fluid away from the skin, resulting in superior performance and user satisfaction. Advanced OdorSecure™ technology reduces the amount of ammonia formed in the absorbent core, preventing odors before they begin. Core is thinner and more discreet, providing a more comfortable, dignified fit. Swift & Soft™ advanced acquisition layer technology is a soft high performing acquisition layer. FlexRight® Underwear fits the body like real underwear. The stretchy, cotton-like fabric provides a more discreet and dignified fit than the traditional absorbent underwear. Cloth-like softness that feels great and doesn’t irritate the skin.

ITEM #

Medium (waist 32˝ – 44˝ ), white AUB14020 Large (waist 44˝ – 58˝ ), white AUB14040 X-Large (waist 58˝ – 68˝ ), white AUB14050

TCODE

HCPCS

T4526 A4520 T4527 A4520 T4528 A4520

SOLD BY

20/bg 18/bg 14/bg

ITEM #

Small (waist 25˝ – 32˝ ), white AUB23010 Medium (waist 32˝ – 44˝ ), white AUB23020 Large (waist 44˝ – 58˝ ), white AUB23040 X-Large (waist 58˝ – 68˝ ), white AUB23050 2X-Large (waist 68˝ – 80˝ ), white AUB23060

100

TCODE

HCPCS

SOLD BY

T4525 T4526 T4527 T4528 T4528/T4544

A4520 A4520 A4520 A4520 A4520

20/bg 20/bg 18/bg 14/bg 12/bg

ITEM #

TCODE

HCPCS

SOLD BY CASE QTY.

Medium (waist 32˝ – 44˝ ), white Large (waist 44˝ – 58˝ ), white X-Large (waist 58˝ – 68˝ ), white 2X-Large (waist 68˝ – 80˝ ), white

AUB24020 AUB24040 AUB24050 AUB24060

T4526 T4527 T4528 T4528/T4544

A4520 A4520 A4520 A4520

20/bg 18/bg 14/bg 12/bg

80/cs 72/cs 56/cs

CASE QTY.

80/cs 80/cs 72/cs 56/cs 48/cs

80/cs 72/cs 56/cs 48/cs

PRESTO® UNDERPADS Presto® Light Underpad Uniform, absorbent core traps fluid in the pad. Super soft, non-woven topsheet eliminates exposed poly edges for maximum comfort. Strong, leak-proof back sheet. Quality materials for a cloth-like softness that feels great and doesn’t irritate the skin.

ITEM #

TCODE

Value Plus, 23 x 36, blue Light, 23 x 36, blue Light, 30 x 30, blue

UPP09021 UPP19020 UPP19030

T4542 A4554 T4542 A4554 T4541 A4554

HCPCS

SOLD BY

25/bg 10/bg 15/bg

CASE QTY.

150/cs 150/cs 150/cs

Presto® Moderate Underpad Uniform, absorbent core traps fluid in the pad. Super soft, non-woven topsheet eliminates exposed poly edges for maximum comfort. Strong, leak-proof backsheet. Cloth-like softness that feels great and doesn’t irritate the skin.

23 x 36, green 30 x 30, green

ITEM #

TCODE

UPP29020 UPP29030

T4542 A4554 T4541 A4554

HCPCS

SOLD BY

15/bg 10/bg

CASE QTY.

150/cs 100/cs

Presto® Heavy Underpad Uniform, absorbent core traps fluid in the pad. Super soft, non-woven topsheet eliminates exposed poly edges for maximum comfort. Strong, leak-proof backsheet. Cloth-like softness that feels great and doesn’t irritate the skin.

ITEM #

TCODE

23 x 36, peach 30 x 30, peach 30 x 36, peach

UPP39020 UPP39030 UPP39040

T4542 A4554 T4541 A4554 T4541 A4554

CASE QTY.

Presto® Supreme Classic Underwear MoistureLock™ dual core significantly increases the ability to wick and lock fluid away from the skin, resulting in superior performance and user satisfaction. Advanced OdorSecure™ technology reduces the amount of ammonia formed in the absorbent core, preventing odors before they begin. Core is thinner and more discreet, providing a more comfortable, dignified fit. Swift & Soft™ advanced acquisition layer technology is a soft high performing acquisition layer. LeakSecure™ barriers provide double barrier leakage protection from both urinary and fecal incontinence, during activity or while in bed. Cloth-like softness that feels great and doesn’t irritate the skin.

Presto® Supreme FlexRight® Underwear MoistureLock™ dual core significantly increases the ability to wick and lock fluid away from the skin, resulting in superior performance and user satisfaction. Advanced OdorSecure™ technology reduces the amount of ammonia formed in the absorbent core, preventing odors before they begin. Our core is thinner and more discreet, providing a more comfortable, dignified fit. Swift & Soft™ advanced acquisition layer technology is a soft high performing acquisition layer. Fits the body like real underwear. Stretchy, cotton-like fabric provides a more discreet and dignified fit than traditional absorbent underwear. LeakSecure™ barriers prevent leaks. Whether the user is in a bed or active, has urine or fecal incontinence, the inner leg cuffs provide superior security.

HCPCS

SOLD BY

10/bg 10/bg 10/bg

CASE QTY.

100/cs 100/cs 100/cs

PRESTO® PADS FOR WOMEN Presto® Light Pad Advanced OdorSecure™ technology reduces the amount of ammonia formed in the absorbent core, preventing odors before they begin. Swift & Soft™ advanced acquisition layer technology is a soft high performing acquisition layer. Core is thin and discreet, providing a more comfortable, dignified fit. Quality materials for a cloth-like softness that feels great and doesn’t irritate the skin. Contoured shape for a discreet, comfortable fit for women.

ITEM #

TCODE

8.5˝, regular 10˝, long

BCP11100 BCP11210

T4535 A4520 T4535 A4520

HCPCS

SOLD BY

30/bg 24/bg

CASE QTY.

180/cs 144/cs

INCONTINENCE

PRESTO® SHAPED PADS AND LINERS

DRYLOCK TECHNOLOGIES LTD. (PRT) All Drylock Technologies Ltd. products are not made with natural rubber latex.

LATEX FREE

Presto® Moderate Pad MoistureLock™ dual core (available on BCP21310 and BCP21312) significantly increases the ability to wick and lock fluid away from the skin, resulting in superior performance and user satisfaction. Advanced OdorSecure™ technology reduces the amount of ammonia formed in the absorbent core, preventing odors before they begin. Swift & Soft™ advanced acquisition layer technology is a soft high performing acquisition layer. Core is thin and discreet, providing a more comfortable, dignified fit. Quality materials for a cloth-like softness that feels great and doesn’t irritate the skin. Contoured shape for a discreet, comfortable fit for women.

ITEM #

TCODE

HCPCS

SOLD BY

10˝, regular 10˝, regular 12˝, long 12˝, long

BCP21200 BCP21201 BCP21310 BCP21312

T4535 T4535 T4535 T4535

A4520 A4520 A4520 A4520

20/bg 20/bg 30/bg 16/bg

ITEM #

TCODE

HCPCS

SOLD BY

12˝, regular 14˝, long

BCP31300 BCP31410

T4535 A4520 T4535 A4520

48/bg 39/bg

ITEM #

TCODE

SOLD BY

16˝, long

BCP41510

T4535 A4520

120/cs 180/cs 180/cs 96/cs

CASE QTY.

192/cs 156/cs

Presto® Ultimate Pad HCPCS

45/bg

CASE QTY.

90/cs

PRESTO® GUARDS FOR MEN Presto® Maximum Guards for Men MoistureLock™ dual core significantly increases the ability to wick and lock fluid away from the skin, resulting in superior performance and user satisfaction. LeakSecure™ barriers prevent leaks. Advanced OdorSecure™ technology reduces the amount of ammonia formed in the absorbent core, preventing odors before they begin. Swift & Soft™ advanced acquisition layer technology is a soft high performing acquisition layer. Core is thin and discreet, providing a more comfortable, dignified fit. Quality materials for a cloth-like softness that feels great and doesn’t irritate the skin. Contoured shape for a discreet, comfortable fit for men. HCPCS

SOLD BY

ITEM #

TCODE

12˝ 12˝

BCM31300 BCM31301

T4535 A4520 14/bg 126/cs T4535 A4520 52/bg 104/cs

CASE QTY.

PRESTO® BOOSTER PAD Presto® Booster Pad Adds additional absorbency to disposable products. Barrier-free backing allows fluid to flow through. Full-length adhesive strip easily adheres to underwear.

ITEM #

TCODE

12˝, white

ILI03200

T4535 A4520

HCPCS

SOLD BY

24/bg

ITEM #

TCODE

HCPCS

SOLD BY

14˝ shaped pad, maximum 16˝ shaped pad, ultimate 24˝ liner, moderate 26˝ liner, extended

ILS21400 ILS31500 ILS11710 ILS31810

T4535 T4535 T4535 T4535

A4520 A4520 A4520 A4520

20/bg 20/bg 16/bg 16/bg

CASE QTY.

192/cs

CASE QTY.

120/cs 180/cs 96/cs 64/cs

ADULT WASHCLOTHS

CASE QTY.

Presto® Maximum Pad MoistureLock™ dual core significantly increases the ability to wick and lock fluid away from the skin, resulting in superior performance and user satisfaction. Advanced OdorSecure™ technology reduces the amount of ammonia formed in the absorbent core, preventing odors before they begin. Swift & Soft™ advanced acquisition layer technology is a soft high performing acquisition layer. Core is thin and discreet, providing a more comfortable, dignified fit. Quality materials for a cloth-like softness that feels great and doesn’t irritate the skin. Contoured shape for a discreet, comfortable fit for women.

Presto® Shaped Pads and Liners Contoured shape for a discreet, comfortable fit. Advanced OdorSecure™ technology reduces the amount of ammonia formed in the absorbent core, preventing odors before they begin. Full length adhesive strip easily adheres to garment. Available in a variety of sizes and absorbency levels to meet every need.

Presto Adult Washcloths Pre-moistened with a gentle cleansing solution to leave skin feeling fresh and clean. Soft, cloth-like material. Clean, light, fresh scent. Made with aloe, chamomile and vitamin E to moisturize skin. Hypoallergenic, paraben-free and alcohol-free. Unique, resealable lid peels back and stays open for easy access. Dispenser opening allows caregiver to easily take one wipe out at a time. ®

ITEM #

TCODE

HCPCS

SOLD BY

8˝ x 12˝ wipe

WW091248

N/A

A9270

48/bg

CASE QTY.

576/cs

MEDTRONIC (68) ADULT BRIEFS Wings Super Quilted Adult Briefs High density core specially formed for more protection where it’s needed most. Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Cloth-like backsheet is ultrasonically bonded for a quilted look and feel, offering a noticeably quieter, discreet and dignified solution. Airflow technology allows for air-to-skin contact, keeping the skin cool, dry and comfortable while minimizing heat buildup. State-of-the-art topsheet is noticeably softer than traditional non-wovens, providing a more comfortable experience for the wearer. Sturdy, refastenable tabs help ensure a secure fit. ™

ITEM #

TCODE

HCPCS

SOLD BY

Medium (32˝ – 44˝ ), white Large (45˝ – 58˝ ), blue X-Large (59˝ – 64˝ ), beige

87083 87084 87085

T4522 T4523 T4524

A4520 A4520 A4520

12/pk 18/pk 15/pk

CASE QTY

96/cs 72/cs 60/cs

Wings™ Ultra Quilted Adult Briefs High density core specially formed for more protection where it’s needed most. Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Cloth-like backsheet is ultrasonically bonded for a quilted look and feel, offering a noticeably quieter, discreet and dignified solution. Airflow technology allows for air-to-skin contact, keeping the skin cool, dry and comfortable while minimizing heat buildup. State-of-the-art topsheet is noticeably softer than traditional non-wovens, providing a more comfortable experience for the wearer. Sturdy refastenable tabs ensure a secure fit.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (32˝ – 44˝ ), white Large (45˝ – 58˝ ), blue X-Large (59˝ – 64˝ ), beige

77073 77074 77075

T4522 T4523 T4524

A4520 A4520 A4520

12/pk 18/pk 15/pk

CASE QTY

96/cs 72/cs 60/cs

Wings™ Overnight Quilted Adult Briefs Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Cloth-like backsheet is ultrasonically bonded for a quilted look and feel, offering a noticeably quieter, discreet and dignified solution. Airflow technology allows for air-to-skin contact, keeping the skin cool, dry and comfortable while minimizing heat buildup. Exclusive Hook & Loop fastening system ensures the right size and right fit every time.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (32˝ – 44˝ ), white Large (45˝ – 58˝ ), blue X-Large (59˝ – 64˝ ), beige

67033 67034 67035

T4522 T4523 T4524

A4520 A4520 A4520

12/pk 12/pk 12/pk

CASE QTY

96/cs 72/cs 60/cs

101

INCONTINENCE

MEDTRONIC (68) Wings Ultra HL Quilted Adult Briefs Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Cloth-like backsheet is ultrasonically bonded for a quilted look and feel, offering a noticeably quieter, discreet and dignified solution. Airflow technology allows for air-to-skin contact, keeping the skin cool, dry and comfortable while minimizing heat buildup. Exclusive Hook & Loop fastening system ensures the right size and right fit every time. ™

ITEM #

TCODE

HCPCS

SOLD BY

Small (20˝ – 31˝, 261⁄2˝ L ), peach Medium (32˝ – 44˝ ), white Large (45˝ – 58˝ ), blue X-Large (59˝ – 64˝ ), beige

63072 63073 63074 63075

T4521 T4522 T4523 T4524

A4520 A4520 A4520 A4520

12/pk 12/pk 12/pk 12/pk

CASE QTY

96/cs 96/cs 72/cs 60/cs

Wings™ Ultra Adult Briefs Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Fastening system features four sturdy tape tabs to ensure a secure fit. Dual-action core with extra heavy absorbency.

Medium (32˝ – 44˝ ), white Large (45˝ – 58˝ ), blue X-Large (59˝ – 64˝ ), beige

ITEM #

TCODE

HCPCS

SOLD BY

60003 60004 60010

T4522 T4523 T4524

A4520 A4520 A4520

12/pk 12/pk 12/pk

CASE QTY

96/cs 72/cs 72/cs

Wings Plus HL Quilted Adult Briefs Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Cloth-like backsheet is ultrasonically bonded for a quilted look and feel, offering a noticeably quieter, discreet and dignified solution. Airflow technology allows for air-to-skin contact, keeping the skin cool, dry and comfortable while minimizing heat buildup. Exclusive Hook & Loop fastening system ensures the right size and right fit every time. ™

ITEM #

TCODE

HCPCS

SOLD BY

Small (20˝ – 31˝, 261⁄2˝ ), peach Medium (32˝ – 44˝ ), white Large (45˝ – 58˝ ), blue X-Large (59˝ – 64˝ ), beige

63062 63063 63064 63065

T4521 T4522 T4523 T4524

A4520 A4520 A4520 A4520

12/pk 12/pk 12/pk 12/pk

ITEM #

TCODE

HCPCS

SOLD BY

Youth (20˝ – 31˝, 23˝ ), green Small (20˝ – 31˝, 261⁄2˝ ), peach Medium (32˝ – 44˝ ), white Large (45˝ – 58˝ ), blue X-Large (59˝ – 64˝ ), beige

60031 60032 60033 60034 60035

T4533 T4521 T4522 T4523 T4524

A4520 A4520 A4520 A4520 A4520

12/pk 12/pk 12/pk 12/pk 12/pk

96/cs 96/cs 72/cs 60/cs

ITEM #

TCODE

HCPCS

SOLD BY

Small (20˝ – 31˝, 261⁄2˝ L), peach Medium (32˝ – 44˝ ), white Large (45˝ – 58˝ ), blue X-Large (59˝ – 64˝ ), beige

66032 66033 66034 66035

T4521 T4522 T4523 T4524

A4520 A4520 A4520 A4520

12/pk 12/pk 12/pk 12/pk

102

ITEM #

TCODE

HCPCS

SOLD BY

Medium (32˝ – 44˝ ), white Large (45˝ – 58˝ ), blue X-Large (59˝ – 64˝ ), beige

60043 60044 60045

T4522 T4523 T4524

A4520 A4520 A4520

12/pk 12/pk 12/pk

96/cs 96/cs 96/cs 72/cs 60/cs

CASE QTY

96/cs 96/cs 72/cs 60/cs

CASE QTY

96/cs 72/cs 60/cs

Simplicity™ Extra Quilted Adult Briefs Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Cloth-like backsheet is ultrasonically bonded for a quilted look and feel, offering a noticeably quieter, discreet and dignified solution. Airflow technology allows for air-to-skin contact, keeping the skin cool, dry and comfortable while minimizing heat buildup.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (32˝ – 44˝ ), white Large (45˝ – 58˝ ), blue Large (45˝ – 58˝ ), blue X-Large (59˝ – 64˝ ), beige X-Large (59˝ – 64˝ ), beige

65033 65034 65034R 65035 65035K

T4522 T4523 T4523 T4524 T4524

A4520 A4520 A4520 A4520 A4520

10/pk 18/pk 10/pk 15/pk 10/pk

CASE QTY

100/cs 72/cs 100/cs 60/cs 100/cs

Wings™ Super Quilted XXL Adult Briefs Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Cloth-like backsheet is ultrasonically bonded for a quilted look and feel, offering a noticeably quieter, discreet and dignified solution. Airflow technology allows for air-to-skin contact, keeping the skin cool, dry and comfortable while minimizing heat buildup. Heavy duty panels allow for improved stretch to fit a 65˝ – 78˝ waist. Sturdy, refastenable tabs ensure a secure fit.

ITEM #

67093 T4543 A4520 12/pk 48/cs

TCODE

HCPCS

SOLD BY

CASE QTY

Wings™ Super Quilted Bariatric Adult Briefs Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Cloth-like backsheet is ultrasonically bonded for a quilted look and feel, offering a noticeably quieter, discreet and dignified solution. Airflow technology allows for air-to-skin contact, keeping the skin cool, dry and comfortable while minimizing heat buildup. Heavy duty panels allow for improved stretch to fit up to a 100” waist. Sturdy, refastenable tabs ensure a secure fit.

CASE QTY

Wings™ Plus Quilted Adult Briefs Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Cloth-like backsheet is ultrasonically bonded for a quilted look and feel, offering a noticeably quieter, discreet and dignified solution. Airflow technology allows for air-to-skin contact, keeping the skin cool, dry and comfortable while minimizing heat buildup. Sturdy, refastenable tabs ensure a secure fit.

CASE QTY

Wings™ Plus Adult Briefs Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Fastening system features four sturdy tape tabs to ensure a secure fit. Dual-action core with heavy absorbency.

Simplicity Extra Adult Briefs Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Fastening system features four sturdy tape tabs to ensure a secure fit. Dual-action core with moderate absorbency.

ITEM #

67095 T4543 A4520 8/pk

TCODE

HCPCS

SOLD BY

CASE QTY

32/cs

Simplicity™ Adult Briefs with Flat Fold Design Moderate Traditional, flat-fold design with refastenable tape tabs offers versatility in use as either a brief or underpad.

ITEM #

TCODE

Unisize (31˝ – 48˝ ) 6229 T4523 Large (31˝ – 52˝ ) 640 T4523 X-Large (31˝ – 56˝ ) 685 T4524

HCPCS

SOLD BY

A4520 A4520 A4520

cs 10/pk 10/pk

CASE QTY

100/cs 100/cs 60/cs

INCONTINENCE

MEDTRONIC (68)

UNDERGARMENTS/GUARDS

PROTECTIVE UNDERWEAR

Sure Care Bladder Control Pads Effective yet discreet protection for light incontinence control, with the look of a feminine hygiene product and the increased capacity of an incontinence product. Features a blue aperture acquisition layer and super absorbent polymer for maximum fluid retention while reducing odor and keeping wetness away from skin. Cloth-like facing and latex-free elastic leg gathers for a better fit. Individually sealed with a durable wrapper that doubles as a disposal device. ™

Discreet and dignified; keeps clothing and bedding dry. Underwear-like for better quality of life. Cloth-like moisture barrier protects against leaks to keep clothing dry. Tear-away sides provide quick and easy removal. Superabsorbent polymer for added protection and odor control.

Simplicity™ Extra Protective Underwear for Moderate Absorbancy Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Airflow technology allows for air-to-skin contact, keeping the skin cool, dry and comfortable while minimizing heat buildup. Tear-away side panels add convenience for easy removal and disposal.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist/hips 34˝ – 46˝ ) Medium (waist/hips 34˝ – 46˝ ) Large (waist/hips 44˝ – 54˝ ) Large (waist/hips 44˝ – 54˝ ) X-Large (waist/hips 48˝ – 66˝ ) X-Large (waist/hips 48˝ – 66˝ )

1840 1840R 1845 1845R 1850 1850R

T4526 T4526 T4527 T4527 T4528 T4528

A4520 A4520 A4520 A4520 A4520 A4520

20/pk 25/pk 18/pk 25/pk 14/pk 25/pk

CASE QTY

80/cs 100/cs 72/cs 100/cs 56/cs 100/cs

Sure Care Plus Protective Underwear Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Airflow technology allows for air-to-skin contact, keeping the skin cool, dry and comfortable while minimizing heat buildup. Tear-away side panels add convenience for easy removal and disposal.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Light (4˝ x 9 3⁄4˝ ) Moderate (4˝ x 10 3⁄4˝ ) Heavy (4˝ x 121⁄2˝ ) Night-time (4˝ x 141⁄2˝ )

1100B 1110B 1140A 1130A

T4535 T4535 T4535 T4535

A4520 A4520 A4520 A4520

22/pk 20/pk 16/pk 42/pk

132/cs 120/cs 96/cs 168/cs

Sure Care™ Guards for Men Soft inner facing feels dry next to skin. Features blue aperture acquisition layer and super-absorbent polymer for maximum fluid retention while reducing odor and keeping wetness away from skin. Extra heavy. 61⁄2˝ x 13˝.

™

ITEM #

TCODE

HCPCS

SOLD BY

1605 1605R 1615 1615R 1625 1625R

T4526 T4526 T4527 T4527 T4528 T4528

A4520 A4520 A4520 A4520 A4520 A4520

20/pk 25/pk 18/pk 25/pk 14/pk 25/pk

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist/hips 34˝ – 46˝ ) Large (waist/hips 44˝ – 54˝ ) X-Large (waist/hips 48˝ – 66˝ )

1205 1215 1225

T4526 T4527 T4528

A4520 A4520 A4520

18/pk 16/pk 12/pk

72/cs 64/cs 48/cs

Sure Care™ Ultra Protective Underwear Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Moisture vapor permeable film allows moisture vapor (gas) to transfer away from the wearer while protecting bed linens/clothing from bodily fluids, leaving the wearer drier and more comfortable. Airflow technology allows for air-to-skin contact, keeping the skin cool, dry and comfortable while minimizing heat buildup. Tear-away side panels add convenience for easy removal and disposal. State-of-the-art topsheet is noticeably softer than traditional non-wovens, providing a more comfortable experience for the wearer.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Small/Medium ( 34˝ – 46˝ ) X-Large ( 48˝ – 66˝ )

1430 1455

T4526 T4528

A4520 A4520

20/pk 14 /pk

80/cs 56/cs

TCODE

23246A

T4535 A4520 14/pk 84/cs

HCPCS

SOLD BY

CASE QTY

ITEM #

TCODE

HCPCS

SOLD BY CASE QTY

WINGS™ BELTED UNDERGARMENT

80/cs 100/cs 72/cs 100/cs 56/cs 100/cs

CASE QTY

ITEM #

Wings™ Belted and Beltless Undergarments Wide, adjustable belts make garments more comfortable to wear. One size fits all. Contains super absorbent polymer for maximum fluid retention while reducing odor and keeping wetness away from skin.

CASE QTY

Sure Care™ Super Protective Underwear Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Moisture vapor-permeable film allows moisture vapor (gas) to transfer away from the wearer, while protecting bed linens/clothing from bodily fluids, leaving the wearer drier and more comfortable. Airflow technology allows for air-to-skin contact, keeping the skin cool, dry and comfortable while minimizing heat buildup. Tear-away side panels add convenience for easy removal and disposal. State-of-the-art topsheet is noticeably softer than traditional non-wovens, providing a more comfortable experience for the wearer.

Extra Heavy Absorbency 171B10 T4535 A4520 10/pk Extra Heavy Absorbency 1058 T4535 A4520 30/pk

120/cs 120/cs

WINGS™ BELTLESS

Heavy Absorbency Heavy Absorbency

181B30 T4535 A4520 30/pk 1528 T4535 A4520 30/pk

120/cs 120/cs

UNDERPADS Wings Quilted Premium Strength Underpad Premium strength backsheet assists in the lift and repositioning of patients up to 375 pounds, which helps reduce the need for drawsheets and reusable underpads. Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Moisture vapor permeable film allows moisture vapor to transfer away from the patient, while protecting bed linens/clothing from bodily fluids, leaving the patient drier and more comfortable. State-of-the-art topsheet is noticeably softer than traditional non-wovens, providing a more comfortable experience. ™

ITEM #

TCODE

HCPCS

SOLD BY

23˝ x 36˝ 30˝ x 30˝ 30˝ x 36˝

P2336PS P3030PS P3036PS

N/A N/A N/A

A4554 A4554 A4554

12/bg 10/bg 10/bg

CASE QTY

72/cs 60/cs 40/cs

Wings™ Quilted Premium MVP Underpad Strong, cloth-like backsheet resists tearing while maintaining the pad’s integrity. Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Moisture vapor-permeable film allows moisture vapor (gas) to transfer away from the wearer, while protecting bed linens/clothing from bodily fluids, leaving the wearer drier and more comfortable.

ITEM #

TCODE

HCPCS

SOLD BY

23˝ x 36˝ 30˝ x 30˝ 30˝ x 36˝

P2336MVP P3030MVP P3036MVP

T4542 T4541 T4541

A4554 A4554 A4554

12/pk 10/pk 10/pk

CASE QTY

72/cs 60/cs 40/cs

103

INCONTINENCE

MEDTRONIC (68) Wings™ Quilted Premium Comfort Underpads Superabsorbent, soft core that quickly and effectively wicks away fluid. Superabsorbent polymer encapsulated in every cell for improved fluid management leads to drier skin, improved skin wellness and increased patient comfort. Strong, cloth-like backsheet. No plastic creates less heat buildup for added comfort and less possibility of skin irritation. Resist tearing and ripping while maintaining integrity. Super absorbency.

ITEM #

TCODE

HCPCS

SOLD BY

23˝ x 36˝ 30˝ x 30˝ 30˝ x 36˝

P2336C P3030C P3036C

T4542 T4541 T4541

A4554 A4554 A4554

12/pk 10/pk 10/pk

CASE QTY

72/cs 60/cs 40/cs

Wings™ Quilted Premium Breathable Underpads Strong, cloth-like backsheet resists tearing while maintaining the pad’s integrity. Breathable backsheet allows air to freely circulate and allows users to garner the benefits from an air therapy bed. Super absorbent core is designed to quickly lock in fluid and neutralize unpleasant odors. Moisture vapor-permeable film allows moisture vapor (gas) to transfer away from the wearer, while protecting bed linens/clothing from bodily fluids, leaving the wearer drier and more comfortable.

ITEM #

TCODE

HCPCS

SOLD BY

23˝ x 36˝ 30˝ x 30˝ 30˝ x 36˝

P2336B P3030B P3036B

T4542 T4541 T4541

A4554 A4554 A4554

12/pk 10/pk 10/pk

CASE QTY

72/cs 60/cs 40/cs

Wings™ Plus Underpad Extra-large size options provide maximum coverage, absorption and protection. Contains super-absorbent polymer for maximum fluid retention while reducing odor and keeping wetness away from skin. Polypropylene backsheet protects against leakage and resists melting.

ITEM #

TCODE

HCPCS

SOLD BY

23˝ x 36˝ 23˝ x 36˝ 23˝ x 36˝ 30˝ x 30˝ 30˝ x 30˝ 30˝ x 30˝ 30˝ x 36˝ 36˝ x 36˝ 23˝ x 36˝ 23˝ x 36˝

982B10 6418N 6422P 6569N 9173 948 958B10 968 7193 7194

T4542 T4542 T4542 T4541 T4541 T4541 T4541 T4541 T4542 T4542

A4554 A4554 A4554 A4554 A4554 A4554 A4554 A4554 A4554 A4554

10/pk 24/pk 5/pk cs 10/pk 10/pk 10/pk 12/pk 15/pk 5/pk

CASE QTY

100/cs 72/cs 75/cs 72/cs 80/cs 100/cs 50/cs 48/cs 75/cs 75/cs

Simplicity™ Extra Underpad Spunbond, non-woven topsheet allows fluid to pass quickly into the absorbent core. Polypropylene backsheet protects against leakage and resists melting.

17˝ x 24˝ 23˝ x 24˝ 23˝ x 24˝ 23˝ x 36˝ 30˝ x 30˝

ITEM #

TCODE

HCPCS

SOLD BY

949 1038 6349 1093 949B10

T4542 T4542 T4542 T4542 T4541

A4554 A4554 A4554 A4554 A4554

cs cs 10/pk cs 10/pk

CASE QTY

300/cs 200/cs 200/cs 150/cs 100/cs

Simplicity™ Basic Underpad Spunbond, non-woven topsheet allows fluid to pass quickly into the absorbent core. Polypropylene backsheet protects against leakage and resists melting.

ITEM #

TCODE

HCPCS

SOLD BY

17˝ x 24˝ 23˝ x 24˝ 23˝ x 24˝ 23˝ x 36˝ 23˝ x 36˝

7105 7134 7136 7174 7176

T4542 T4542 T4542 T4542 T4542

A4554 A4554 A4554 A4554 A4554

ea ea 10/pk ea 10/pk

104

CASE QTY

300/cs 200/cs 200/cs 150/cs 150/cs

Wings™ Ultra Underpad Unique polymer-impregnated tissue for maximum fluid retention while reducing odor and keeping wetness away from skin. Polypropylene backsheet protects against leakage and resists melting.

ITEM #

TCODE

HCPCS

SOLD BY

30˝ x 30˝ 30˝ x 36˝ 30˝ x 36˝ 30˝ x 36˝

7058 7059 7158 7159

T4541 T4541 T4541 T4541

A4554 A4554 A4554 A4554

5/pk 5/pk cs cs

CASE QTY

75/cs 60/cs 75/cs 60/cs

Wings™ Breathable Plus Underpad Breathable backsheet allows air to freely circulate and allows users to garner the benefits of a low air loss bed. Contains super-absorbent polymer for maximum fluid retention while reducing odor and keeping wetness away from skin.

ITEM #

TCODE

HCPCS

SOLD BY

23˝ x 36˝ 23˝ x 36˝ 23˝ x 36˝ 30˝ x 36˝

988B6 988 988HD 984

T4542 T4542 T4542 T4541

A4554 A4554 A4554 A4554

6/pk 12/pk 12/pk 10/pk

CASE QTY

72/cs 72/cs 72/cs 60/cs

Wings™ Specialty Underpad Extra-large size provides maximum coverage, absorption and protection equivalent to three or four regular fluff underpads. Contains super-absorbent polymer for maximum fluid retention while reducing odor and keeping wetness away from skin. Adhesive strips/tuckable wings minimize pad movement and bunching.

ITEM #

TCODE

HCPCS

SOLD BY

30˝ x 36˝, light blue 36˝ x 70˝ , peach

959 995

T4541 T4541

A4554 A4554

12/pk 12/pk

CASE QTY

72/cs 48/cs

JUVENILE CARE Curity Baby Diapers Refastenable hook-and-loop stretch tabs for easy inspection and adjustment. Stretchable side panels provide enhanced fit allowing baby to move freely and comfortably. Soft, cloth-like cover is gentle to the touch and kind to baby’s skin. Comfort leak guards gently gather around baby’s leg for soft leakage barrier. Super absorbent core quickly pulls moisture away from baby’s skin. ™

ITEM #

Size 1 – Small (8 lbs. – 12 lbs.) 80008CF Size 2 – Small/Medium (12 lbs. – 18 lbs.) 80018 Size 3 – Medium (16 lbs. – 28 lbs.) 80028 Size 4 – Large (22 lbs. – 35 lbs.) 80038CF Size 5 – X-Large (27+ lbs.) 80048 Size 6 – 2X-Large (35+ lbs.) 80058

TCODE

HCPCS

SOLD BY

T4529 T4529 T4529 T4530 T4530 T4530

A4520 A4520 A4520 A4520 A4520 A4520

40/pk 34/pk 28/pk 24/pk 22/pk 18/pk

CASE QTY

320/cs 272/cs 224/cs 192/cs 176/cs 144/cs

Curity™ Training Pants For potty-training juveniles. Combine the protection of a diaper and the feel of real underwear. Leg gathers and leak barriers for improved leakage protection. Stretchy sides and waistbands for better comfort and fit; tear-away sides for easy removal.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

70063BA 70064BA 70065BA

T4531 T4532 T4532

A4520 A4520 A4520

26/pk 23/pk 19/pk

104/cs 92/cs 76/cs

70063GA T4531 70064GA T4532 70065GA T4532

A4520 A4520 A4520

26/pk 23/pk 19/pk

104/cs 92/cs 76/cs

BOYS

Medium (18 lbs. – 34 lbs.) Large (34 lbs. – 40 lbs.) X-Large (38 lbs.+) GIRLS

Medium (18 lbs. – 34 lbs.) Large (34 lbs. – 40 lbs.) X-Large (38 lbs.+)

INCONTINENCE

MEDTRONIC (68) Curity™ Youth Pants Colored threads indicate back of youth pant. Soft, stretchable sides and waist for comfort and fit. Tear-away side seams for easy removal. Leg gathers and leak barriers for improved protection. Super-dry core helps protect all night. Cloth-like backing for discreet, comfortable fit. Plain white covering looks like real underwear. Unisex design appropriate for boys and girls.

ITEM #

TCODE

HCPCS

SOLD BY

Small/Medium (38 lbs. – 65 lbs.) Large/X-Large (60 lbs. – 125 lbs.)

70073 70074

T4534 T4534

A4520 A4520

17/pk 14/pk

CASE QTY

68/cs 56/cs

WASHCLOTHS Wings Pre-Moistened Washcloths Specially formulated for incontinence cleanup and geriatric skin. Moisturize the skin with the benefits of aloe vera. No rinsing or drying is necessary; alcohol-free. 8.7˝ x 11.8˝. ™

ITEM #

Tub Refill Soft pack/pop top Soft pack

6599N N/A 6699N N/A 6399SP N/A 6899N N/A

TCODE

HCPCS

SOLD BY

CASE QTY

A9270 64/tub 512/cs A9270 64/pk 768/cs A9270 48/pk 576/cs A9270 8/pk 192/cs

Wings™ Maternity Knit Pants Designed for use with Curity maternity pads and peri-pads. One row each of two color bands indicate size. Seamless sides increase comfort level. High quality material reduces risk of tearing; knit weave provides soft look and feel.

ITEM #

TCODE

HCPCS

SOLD BY

Large/X-Large (32˝ – 42˝ ) 2X-Large/3X-Large (45˝ – 52˝ )

706M 707M

T4536 T4536

A4520 A4520

50/bx 50/bx

ITEM #

TCODE

HCPCS

SOLD BY

Soft pack/pop top Soft pack/pop top

5299SP 5399SP

N/A N/A

A9270 A9270

48/pk 96/pk

ITEM #

TCODE

HCPCS

Winged (4˝ x 11˝ ), prepacked singles Regular (33⁄4˝ x 10˝ )

1580A 1380A

T4535 T4535

A4649 16/pk A4649 24/pk

Kendall™ Washcloths Deluxe style; heavy absorbency. Soft, yet highly absorbent cloths. Ideal as general purpose facecloths, hand towels or for incontinent care.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

N/A N/A N/A

A9270 A9270 A9270

50/pk 125/pk 50/pk

750/cs 500/cs 500/cs

6040N N/A

A9270

50/pk

600/cs

MODERATE WASHCLOTHS – APERTURE FINISH

White (10˝ x 13˝ ) Blue (93⁄8˝ x 131⁄2˝ ) Pink (111⁄2˝ x 131⁄2˝ )

6363 6360 6361

HEAVY WASHCLOTHS

White (10˝ x 13˝ )

Curity™ Cleaners Packaged for easy-access, single-use convenience. Soft yet resilient. Boast high wet strength that allows them to maintain all of their features, even after sterilization.

ITEM #

TCODE

Medium Large

1429 N/A 1913 N/A

HCPCS

SOLD BY

CASE QTY

A9270 250/pk 3,000/cs A9270 250/pk 2,000/cs

MATERNITY CARE

CASE QTY

192/cs 288/cs

ITEM #

TCODE

HCPCS

7420 2818 7053

N/A N/A N/A

A6216 20/pk 2,000/cs A6216 40/pk 2,000/cs A6216 100/pk 2,000/cs

SOLD BY

CASE QTY

PRINCIPLE BUSINESS ENTERPRISES, INC. (PU) All absorbent products are not created equal. We guarantee it! C.U.P. represents the amount of fluid retained after pressure (sitting or lying down) is exerted on the surface of the product. All Principle Business Enterprises, Inc. incontinence products are latex-free unless otherwise noted.

LATEX FREE

DISPOSABLE SWIMWEAR Swimmates® Disposable Swimwear Provide dignity, confidence and discretion when in public and group settings. The disposable swimwear is worn under a bathing suit to provide containment for bowel incontinence. The blue, moisture-proof barrier and Kufguards® (inner leg cuffs) help contain bowel incontinence, keeping the pool and bathing suit clean. Designed to have minimal swelling and does not break apart. Tear-away side seams are used for easy removal and disposal.

CURITY CLEANERS ™

SOLD BY

Curity™ 100% Cotton O-B Sponges Free of any chemical binding agents and packaged for single use, making them ideal for use as facial wipes, postpartum sponges and perineal wipes. Cotton, 4˝ x 4˝.

CASE QTY

576/cs 768/cs

100/cs 100/cs

Curity™ Peri-Pads Appropriate as postpartum or vaginal dressings, or for light incontinence containment.

Curity™ Pre-Moistened Washcloths Convenient, one-hand dispensing, minimizing crosscontamination. Soft, pre-moistened washcloths, pleasantly fragranced. Mild formula is alcohol-free, hypoallergenic and pH balanced, and contains aloe, vitamin E and camomile to soothe the skin. Cost-effective solution to standard washcloths.

CASE QTY

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Small (waist/hips 22˝ – 36˝; 80 lbs. – 125 lbs.) 2844 T4525 A4520 22/pk Medium (waist/hips 34˝ – 48˝; 120 lbs. – 175 lbs.) 2845 T4526 A4520 20/pk Large (waist/hips 44˝ – 54˝; 170 lbs. – 210 lbs.) 2846 T4527 A4520 18/pk X-Large (waist/hips 48˝ – 66˝; 210 lbs. – 250 lbs.) 2847 T4528 A4520 14/pk XXL-Plus (waist/hips 62˝ – 80˝; 250+ lbs.) 2848 T4528/T4544 A4520 12/pk

88/cs 80/cs 72/cs 56/cs 48/cs

Curity™ Maternity Pads Provide exceptional softness, comfort and absorbency for postpartum care, with a unique moisture barrier that helps prevent strike-through, and an innovative fluid dispersal system that promotes maximum absorbency. Maternity length, 4.3˝ x 12.25˝.

ITEM #

Prepacked singles

2022A T4535

TCODE

HCPCS

SOLD BY

A4520

14/pk

CASE QTY

168/cs

105

INCONTINENCE

LATEX FREE

DISPOSABLE ABSORBENT UNDERWEAR & BRIEFS NEW Tranquility® EliteCare® Disposable Briefs for Maximum-Plus Protection Provide an increased level of absorbency to accommodate individuals’ needs for more protection and extended wear-time. The PowerSorb® Micro-layer increases absorbent capacity without adding extra bulk. Skin is kept dry, odor is reduced and fluid is pH neutralized inhibiting bacterial growth. Cloth-like outer layer with micro-hook closure tabs and Kufguards® (inner leg cuffs) to channel fluids into the core, helping to contain high volume urge episodes and bowel incontinence. The dual wetness indicator that turns from yellow to blue when moisture is present, thus eliminating unnecessary changes and reducing costs. Latex-free.

ITEM #

Medium (waist/hips 32˝ – 44˝; 44 oz.) 2412 Large (waist/hips 45˝ – 58˝; 44 oz.) 2413 X-Large (waist/hip 56˝ – 64˝; 44 oz.) 2414

TCODE

HCPCS

SOLD BY

T4522 T4523 T4524

A4520 A4520 A4520

12/pk 12/pk 12/pk

CASE QTY

48/cs 48/cs 48/cs

Tranquility® Premium OverNight™ Disposable Absorbent Underwear Maximum protection for uninterrupted sleep. All sizes are tested for fluid capacity under pressure, simulating wearing conditions. Capacity under pressure means liquid absorbed by product that cannot be forced out. The soft, breathable fabric has an ample, full-rise waist panel providing for a proportioned fit. Tear-away side seams and Kufguards® (inner leg cuffs).

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

X-Small (waist/hips 17˝ – 28˝; 65 lbs. – 85 lbs.; 20.3 oz.) 2113 T4534 A4520 22/pk Small (waist/hips 22˝ – 36˝; 80 lbs. – 125 lbs.; 20.3 oz.) 2114 T4525 A4520 20/pk Medium (waist/hips 34˝ – 48˝; 120 lbs. – 175 lbs.; 34.0 oz.) 2115 T4526 A4520 18/pk Large (waist/hips 44˝ – 54˝; 170 lbs. – 210 lbs.; 34.0 oz.) 2116 T4527 A4520 16/pk X-Large (waist/hips 48˝ – 66˝; 210 lbs. – 250 lbs.; 34.0 oz.) 2117 T4528 A4520 14/pk 2XL (waist/hips 62˝ – 80˝; 250+ lbs.; 34.0 oz.) 2118 T4528/T4544 A4520 12/pk

88/cs 80/cs

ITEM #

TCODE

HCPCS

SOLD BY

64/cs 56/cs 48/cs

CASE QTY

Medium (waist/hips 34˝ – 48˝; 120 lbs. – 175 lbs.; 25.0 oz.) 2105 T4526 A4520 18/pk Large (waist/hips 44˝ – 54˝; 170 lbs. – 210 lbs.; 25.0 oz.) 2106 T4527 A4520 16/pk X-Large (waist/hips 48˝ – 66˝; 210 lbs. – 250 lbs.; 25.0 oz.) 2107 T4528 A4520 14/pk 2XL (waist/hips 62” – 80”; 250+ lbs.; 25.0 oz.) 2108 T4528/T4544 A4520 12/pk

106

72/cs 64/cs 56/cs 48/cs

ITEM #

Small (waist/hips 24˝ – 32˝; 22.0 oz.), green 2311 Medium (waist/hips 32˝ – 44˝; 28.0 oz.), white 2312 Large(waist/hips 45˝ – 58˝; 34.0 oz.), blue 2313 X-Large(waist/hips 56˝ – 64˝; 34.0 oz.), beige 2314 2XL(waist/hips 60˝ – 80˝; 34.0 oz.), white 2315

TCODE

HCPCS

SOLD BY CASE QTY

T4521 T4522 T4523 T4524 T4543

A4520 A4520 A4520 A4520 A4520

10/pk 12/pk 12/pk 12/pk 8/pk

100/cs 96/cs 96/cs 72/cs 32/cs

Tranquility® ATN (All-Through-the-Night) Disposable Briefs for Maximum Protection Hold more than a quart of liquid. Sleep all through the night uninterrupted by changes without compromising skin safety. Peach Mat absorbent core guarantees skin dryness, odor control and pH neutralization. Refastenable tape tabs for easy opening and closing, and Kufguards® for containing bowel incontinence. Item # 2183 has a cloth-like backsheet and micro-hook closure tabs.

ITEM #

X-Small (waist/hips 18˝ – 26˝; 18.5 oz.) 2183 Small (waist/hips 24˝ – 32˝; 22.2 oz.) 2184 Medium (waist/hips 32˝ – 44˝; 27.5 oz.) 2185 Large (waist/hips 45˝ – 58˝; 33.0 oz.) 2186 X-Large (waist/hip 56˝ – 64˝; 34.0 oz.) 2187

TCODE

HCPCS

SOLD BY

T4533 T4521 T4522 T4523 T4524

A4520 A4520 A4520 A4520 A4520

10/pk 10/pk 12/pk 12/pk 12/pk

CASE QTY

100/cs 100/cs 96/cs 96/cs 72/cs

Tranquility® SlimLine® Breathable Briefs for Heavy Protection Feature a soft, cloth-like outer layer with breathable sides allowing air to circulate around the body, promoting skin integrity. Micro-hook closure tabs with finger lift tips grip the soft cloth securely, fastening the brief while still allowing for multiple openings. Peach Mat Construction guarantees skin dryness, odor control and pH neutralization. Each brief has dual wetness indicators and Kufguards® for containing bowel incontinence and preventing leakage.

72/cs

Tranquility® Premium DayTime™ Disposable Absorbent Underwear For heavy protection, all sizes tested for capacity under pressure, which means liquid absorbed by product that cannot be forced out. The high performance ensures confidence and comfort during active daytime hours. Cloth-like, breathable fabric; full-rise waist panel; tear-away side seams; Kufguards® inner leg cuffs.

Tranquility® SmartCore® Disposable Briefs for Maximum Protection Create an ideal micro-climate for skin integrity. High capacity absorbent core remains effective up to six to eight hours. Breathable sides eliminate heat and moisture buildup, promoting skin integrity with increased fresh airflow. Micro-hook closure tabs grip the soft, cloth-like outer layer to securely fasten the brief and allow for multiple openings. Kufguards® inner leg cuffs channel fluids into the core, containing high volume urge episodes and bowel incontinence. Color-coded sizes. Dual wetness indicator turns from yellow to blue to identify the presence of moisture.

ITEM #

Medium (waist/hips 32˝ – 44˝; 20.4 oz.) 2305 Large (waist/hips 45˝ – 58˝; 21.4 oz.) 2306 X-Large (waist/hips 56˝ – 64˝; 23.7 oz.) 2307

TCODE

HCPCS

SOLD BY

T4522 T4523 T4524

A4520 A4520 A4520

12/pk 12/pk 12/pk

CASE QTY

96/cs 96/cs 72/cs

Tranquility® SlimLine® Original Briefs for Heavy Incontinence Softer, more comfortable brief with superior absorbency. Excellent leakage protection provides a safe skin environment. Peach Mat core guarantees skin dryness, odor control and pH neutralization. Wetness indicator, refastenable tape tabs for easy opening and closing, and Kufguards® for containing bowel incontinence. Item # 2112, 2166 and 2120 have a cloth-like back sheet and micro-hook closure tabs.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Junior (28 lbs. – 42 lbs.; 10.2 oz.) X-Small (waist/hips 18˝ – 26˝; 10.9 oz.) Small (waist/hips 24˝ – 32˝; 12.7 oz.) Medium (waist/hips 32˝ – 44˝; 20.4 oz.) Large (waist/hips 45˝ – 58˝; 21.4 oz.) X-Large (waist/hips 56˝ – 64˝; 23.7 oz.)

2112 2166 2120 2122 2132 2134

T4530 T4533 T4521 T4522 T4523 T4524

A4520 A4520 A4520 A4520 A4520 A4520

12/pk 10/pk 10/pk 12/pk 12/pk 12/pk

120/cs 100/cs 100/cs 96/cs 96/cs 72/cs

INCONTINENCE

ABSORBENT SHEETS

LATEX FREE

BARIATRIC CARE PRODUCTS Tranquility® AIR-Plus™ Bariatric Disposable Briefs for Maximum Protection 100% breathable – each section allows air to circulate to the skin. Stretchy side panels and core have microscopic pores that allow body moisture vapor to escape. Side panels extend to a circumference of 106˝ and follow body contours with firm support. Fuller, higher coverage in the front and rear assures a better fit. Soft, cloth-like outer layer is gentle against sensitive skin. Micro-hook closure tabs enable repositioning and multiple openings while still fastening the brief securely. Peach Mat absorbent core controls odor and holds more than a quart of liquid for maximum protection. Kufguards® (inner leg cuffs) provide leakage/bowel containment. Dual wetness indicator turns from yellow to blue to identify the presence of moisture. Elastic leg gathers provide a comfortable fit.

ITEM #

4X-Large (waist/hips 70˝ – 106˝; 34.0 oz.) 2195

TCODE

HCPCS

SOLD BY

T4543 A4520 8/pk

CASE QTY

32/cs

Tranquility ThinLiner Moisture Management® Absorbent Sheets Ultra-thin sheets wick moisture/exudate away from the skin, providing a dry environment in areas where moisture can cause significant skin breakdown. Soft, comfortable sheets absorb equally from both sides. Multiple applications or uses, such as tucking into skin folds, wrapping around the body and folding into various positions. Latex-free. Nonsterile. ®

ITEM #

TCODE

HCPCS

SOLD BY

6˝ x 10˝ 6˝ x 14˝ 20˝ x 22˝

3190 3191 3092

T4242 T4535 T4242

A4520 A4520 A4520

25/pk 25/pk 25/pk

CASE QTY

10/pk 10/pk 25/pk

BOOSTER PADS Tranquility TopLiner Booster Contour Pads for Added Protection Flow-through pad increases absorbency of any disposable brief by filling to capacity, then passing additional fluid to the brief. Improve wearing comfort by ending leakage, rashes and nighttime changes. Easy to change and dispose. Wider design helps contain bowel incontinence. ®

Super-Plus Booster Contour

Booster Contour

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

3097

T4535

A4520

12/pk

96/cs

3096

T4535

A4520

12/pk

120/cs

TOPLINER® SUPER-PLUS BOOSTER CONTOUR

Tranquility HI-Rise Bariatric Disposable Briefs for Maximum Protection Disposable brief with an extended rise and stretchy side panels comfortably fits waist/hip sizes 64˝ – 96˝. Fuller and higher coverage in the front and the rear of the product assures a better fit. Soft, cloth-like outer layer is gentle against sensitive skin. Wide, micro-hook closure tabs have finger lift tips that grip the brief securely while still allowing for multiple openings. Peach Mat absorbent core protects sensitive skin, controls odor and holds more than a quart of liquid for maximum protection. Kufguards® (inner leg cuffs) provide leakage/bowel containment. Each brief has dual wetness indicators that turn from yellow to blue identifying the presence of moisture. Elastic leg gathers provide a comfortable fit.

Tranquility® TopLiner® Booster Pads for Added Protection Flow-through pads fill to capacity, then pass additional fluid to the primary undergarment, economically extending the use of any disposable brief. Mini Regular Super

TOPLINER® REGULAR BOOSTER PAD

™

ITEM #

3X-Large (waist/hips 64˝ – 96˝; 34.0 oz.) 2192

TCODE

HCPCS

SOLD BY

T4543

A4520

8/pk

CASE QTY

32/cs

Tranquility® Bariatric Disposable Briefs for Maximum Protection Hold more than a quart of liquid. Soft, cloth-like outer layer is gentle against sensitive skin. Wide micro-hook closure tabs securely fasten the brief and allow multiple openings. Stretchy side panels comfortably fit waist/hip sizes 64˝ – 96˝. Peach Mat absorbent core protects sensitive skin and controls odor. Contain dual wetness indicators and Kufguards®. Enhance self-esteem and provide greater mobility.

ITEM #

3X-Large (waist/hips 64˝ – 96˝; 34.0 oz.) 2190

TCODE

HCPCS

SOLD BY

T4543

A4520

8/pk

CASE QTY

32/cs

Tranquility® Super-Plus Liners for Heavy Protection Worn with snug-fitting underwear. Liner features moisture-proof backing and a highly absorbent core with a fluid capacity of 27.5 oz. Excellent absorption capacity maintains skin dryness and controls odor.

ITEM #

TCODE

HCPCS

SOLD BY

Super-Plus Liner, 14˝ x 32˝; 27.5 oz. 2079 T4535 A4520 12/pk

14˝ x 32˝; 27.5 oz. TOPLINER® BOOSTER CONTOUR

211⁄2˝ x 131⁄2˝; 13.6 oz.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

2072

T4535

A4520 25/pk

200/cs

2070

T4535

A4520 25/pk

200/cs

2060

T4535

A4520 25/pk

200/cs

TOPLINER® MINI BOOSTER PAD

101⁄2˝ x 23⁄4˝; 5.7 oz. 14˝ x 4˝; 10.9 oz. TOPLINER® SUPER BOOSTER PAD

15˝ x 4.25˝; 14.2 oz.

PERSONAL CARE PADS Tranquility Personal Care Pads for Moderate Protection The Peach Mat Guarantee offers these benefits: skin dryness, odor reduction, neutralization of urine pH and inhibition of bacterial growth. All sizes tested for capacity under pressure, which means liquid absorbed by product that cannot be forced out. Comfortable, gentle elastics form a cup shape that enables a secure fit. ®

ITEM #

TCODE

HCPCS

SOLD BY

Super, 10.5˝ x 5.5˝, 13.5 oz. Ultimate, 13.5˝ x 6.5˝, 15.2 oz. OverNight, 16.5˝ x 7.25˝, 16.9 oz.

2380 2381 2382

T4535 T4535 T4535

A4520 A4520 A4520

24/pk 24/pk 24/pk

CASE QTY

96/cs 96/cs 96/cs

CASE QTY

96/cs

107

INCONTINENCE

LATEX FREE

Select® Soft n’ Breathable Disposable Briefs for Heavy Protection Soft and breathable sides allow free flow of air movement, maintaining skin integrity. Refastenable micro-hook closure tabs make size adjustment easy. The soft, cloth-like outer cover is form fitting and comfortable. The contoured core with moisture-proof backing prevents leakage. Kufguards®, inner leg cuffs, provide leakage and bowel containment. Gentle leg elastics provide a secure fit without binding. Latex-free.

UNDERPADS Tranquility® AIR-Plus™ Underpads for Maximum Protection Totally breathable and designed for use with low-air-loss bed systems that allow air circulation to support optimal skin integrity. The soft, consistently smooth, uniform surface minimizes pressure points and shear/friction concerns. Highly absorbent composite core provides the highest capacity available.

ITEM # TCODE

23˝ x 36˝; 29.0 oz. 30˝ x 36˝; 34.0 oz.

2709 T4542 A4554 10/pk 2710 T4541 A4554 10/pk

HCPCS

SOLD BY CASE QTY

40/cs 40/cs

ITEM #

Medium, white (waist 32˝ – 44˝, 15.8 fl. oz.) 2627 Large, blue (waist 45˝ – 58˝, 19.3 fl. oz.) 2628 X-Large, beige (waist 56˝ – 64˝, 23 fl. oz.) 2629

ITEM #

TCODE

HCPCS

SOLD BY

211⁄2˝ x 321⁄2˝; 34.0 oz.

2074

T4542

A4554

12/pk

ITEM #

30˝ x 36˝; 34.0 oz. 2088

TCODE

HCPCS

SOLD BY

T4541

A4554 10/pk

CASE QTY

60/cs

Regular pack

ITEM #

TCODE

HCPCS

3101

N/A

A9270

SOLD BY

CASE QTY

56/pk

672/cs

SELECT PRODUCTS BY TRANQUILITY ®

Select Disposable Absorbent Underwear for Heavy Incontinence Soft, breathable outer fabric and ample, full-rise waist panel provide a more comfortable fit. Kufguards®, inner leg cuffs, for leakage and bowel containment. Shaped, compact, highly absorbent core. Tear-away side seams allow for easy removal.

CASE QTY

T4522 A4520 12/pk 96/cs T4523 A4520 12/pk 72/cs T4524 A4520 8/pk

64/cs

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Select® Booster Pads for Added Protection Soft, flow-through pad designed to fill to capacity and then pass additional fluid into the primary garment. Easy to change and dispose. Economically extend the use of any primary garment.

Tranquility® Cleansing Wipes for Extra Care Super soft, cloth-like disposable wipes are adult size allowing for quicker cleanup. The wipes are paraben- and alcohol-free, enriched with aloe vera, chamomile and vitamin E. The mild scented, hypoallergenic wipes are perfect for thorough cleansing of any body surface. The resealable, soft peel lid keeps wipes moist. Latex-free. 9˝ x 13˝.

SOLD BY

Youth, white (28 lbs. – 42 lbs.; 9.8 oz.) 3665 T4530 A4520 10/pk 100/cs X-Small, white (waist/hips 18˝ – 26˝; 10.4 oz.) 3666 T4533 A4520 10/pk 100/cs Small, green (waist/hips 24˝ – 32˝; 11.8 oz.) 2620 T4521 A4520 10/pk 100/cs Medium, white (waist/hips 32˝ – 44˝; 15.8 oz.) 2624 T4522 A4520 12/pk 96/cs Large, blue (waist/hips 45˝ – 58˝; 19.3 oz.) 2634 T4523 A4520 12/pk 72/cs X-Large, beige (waist/hips 56˝ – 64˝; 23.0 oz.) 2635 T4524 A4520 8/pk 64/cs

96/cs

CLEANSING WIPES

CASE QTY

Tranquility® Heavy-Duty Underpads for Maximum Protection Heavy-duty underpad with extra strength, laminated backsheet resists tearing and bunching caused by normal patient movement.

HCPCS

Select® Disposable Briefs for Heavy Incontinence Offer absorbency, skin safety and odor control. Briefs are color-coded by size, have a wetness indicator, refastenable tape tabs and elastic leg gathers for a secure fit. Item # 3665 and 3666 have a cloth-like backsheet and micro-hook closure tabs.

Tranquility® Peach Sheet Underpads for Maximum Protection Maximum capacity in an underpad – able to contain much more than 1 quart of fluid. Four adhesive tape tabs secure the positioning of nearly 5 sq. ft. of protection to wheelchairs, bedding and furniture. Ideal for those who are at risk of skin breakdown due to fragile skin or high levels of urine loss.

TCODE

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

T4535

A4520

30/pk

180/cs

T4535

A4520

25/pk

200/cs

T4535

A4520

25/pk

200/cs

SELECT® SMALL BOOSTER PAD

12˝ x 3 ⁄4˝; 5.5 oz. 1

2770

SELECT® MEDIUM BOOSTER PAD

12˝ x 41⁄4˝; 6.7 oz.

2760

SELECT® EXTENDED BOOSTER PAD

15˝ x 41⁄4˝; 8.0 oz.

2762

Select Personal Care Pads for Moderate Protection Contoured pad designed with moisture-proof backing for use in regular underwear. Gentle elastic forms a cup shape that enables a secure fit and channels fluid. The pad is held in place with an adhesive strip. ®

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Youth (waist/hips 15˝ – 25˝; 38 lbs. – 65 lbs.; 14.5 oz.) 2602 T4534 A4520 12/pk X-Small (waist/hips 17˝ – 28˝; 65 lbs. – 85 lbs.; 14.5 oz.) 2603 T4534 A4520 24/pk Small (waist/hips 22˝ – 36˝; 80 lbs. – 125 lbs.; 14.5 oz.) 2604 T4525 A4520 22/pk Medium (waist/hips 34˝ – 48˝; 120 lbs. – 175 lbs.; 19.0 oz.) 2605 T4526 A4520 20/pk Large (waist/hips 44˝ – 54˝; 170 lbs. – 210 lbs.; 19.0 oz.) 2606 T4527 A4520 18/pk X-Large (waist/hips 48˝ – 66˝; 210 lbs. – 250 lbs.; 19.0 oz.) 2607 T4528 A4520 14/pk XXL-Plus (waist/hips 62˝ – 80˝; 250+ lbs.; 19.0 oz.) 2608 T4528 /T4544 A4520 12/pk

108

96/cs 96/cs 88/cs 80/cs 72/cs 56/cs 48/cs

ITEM #

TCODE

HCPCS

SOLD BY

Light (101⁄2˝ x 51⁄2˝; 10.1 oz.) Regular (131⁄2˝ x 61⁄2˝; 11.8 oz.) Extra (161⁄2˝ x 71⁄4˝; 12.6 oz.)

2880 2881 2882

T4535 T4535 T4535

A4520 A4520 A4520

24/pk 24/pk 24/pk

CASE QTY

96/cs 96/cs 96/cs

Select® Standard Underpads for Added Protection A soft, quilted underpad with a fluff-mat core for moisture absorbency and protection of furniture and bedding.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Large, blue (23˝ x 36˝; 8.1 oz.) 2675 T4542 A4554 25/pk 150/cs Extra Large, green (28˝ x 30˝; 10.6 oz.) 2677 T4541 A4554 10/pk 100/cs Ultra Large, beige (36˝ x 36˝; 18.5 oz.) 2679 T4541 A4554 10/pk 50/cs

INCONTINENCE

HARTMANN USA (HU/WH) HARTMANN USA incontinence products do not contain natural rubber latex. Dignity Briefs with Active Skin Protection™ include: Curly Fiber, which instantly converts the high pH value of voids to a skin-friendly pH 5.5; dermatologically tested materials, which have an extremely low potential for causing allergic reactions; superabsorbent polymer to lock in fluids and help maintain a dry environment; and cloth-like, breathable side panels for increased air-permeability and optimal skin health.

LATEX FREE

Select® Ultra-thin Underpads for Added Protection Smooth, ultra-thin composite core. Thin design makes for better space efficiency.

ITEM #

22.5˝ x 30˝; 8.4 oz. 2717

TCODE

HCPCS

SOLD BY

CASE QTY

T4542 A4554 30/pk 150/cs

COMFORTCARE PRODUCTS BY TRANQUILITY® ™

ComfortCare™ Disposable Briefs for Moderate Protection Breathable sides allow free flow of air movement. Soft, cloth-like outer cover is form-fitting and comfortable. Micro-hook closure tabs make size adjustments easy. Contoured core with moisture-proof backing prevents leakage. Kufguards® inner leg cuffs provide leakage and bowel containment. Gentle leg elastics provide a secure fit without binding. Latex-free.

ITEM #

Medium, white (waist/hips 32˝ – 44˝, 13.5 oz.) 2965 Large, blue (waist/hips 45˝ – 58˝, 13.5 oz.) 2966 X-Large, beige (waist/hips 56˝ – 64˝, 13.5 oz.) 2967

TCODE

HCPCS

SOLD BY

CASE QTY

T4522 A4520 25/pk 100/cs T4523 A4520 25/pk 100/cs

ComfortCare Disposable Absorbent Underwear for Moderate Protection Cloth-like outer fabric with breathable sides and full-rise waist panel provides a comfortable feel. Easy to pull up and down – just like normal underwear. Kufguards® inner leg cuffs provide leakage and bowel containment. Imprinted with size identification and the words “FRONT” and “BACK.” Blue waist elastics also indicate back of underwear. Tear-away side seams allow for easy removal. Available in four sizes. Latex-free. ITEM #

Dignity P.M. Overnight™ Briefs with Curly Fiber Designed for very heavy incontinence and extended overnight protection. Includes Active Skin Protection™ with Curly Fiber to ensure a skin-friendly pH 5.5, plus anatomically contoured inner cuffs to help prevent leakage.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (32˝ – 44˝ ) Large (45˝ – 58˝ ) X-Large (59˝ – 64˝ ) 2X-Large (63˝ – 68˝ )

(HU)222493 (HU)222495 (HU)222496 (HU)222497

T4522 T4523 T4524 T4543

A4520 A4520 A4520 A4520

24/pk 18/pk 20/pk 24/pk

CASE QTY

96/cs 72/cs 60/cs 48/cs

Dignity® Complete® Briefs with Curly Fiber High performing, non-overnight disposable brief for heavy incontinence. Includes Active Skin Protection™ with Curly Fiber to ensure a skin-friendly pH 5.5, plus anatomically contoured inner cuffs to help prevent leakage.

T4524 A4520 25/pk 100/cs

™

DISPOSABLE BRIEFS ®

TCODE

Small (waist 22˝ – 36˝, 80 lbs. – 125 lbs., 10.1 oz.) 2974 T4525 Medium (waist 34˝ – 48˝, 120 lbs. – 175 lbs., 13.5 oz.) 2975 T4526 Large (waist 44˝ – 54˝, 170 lbs. – 210 lbs., 13.5 oz.) 2976 T4527 X-Large (waist 48˝ – 66˝, 210 – 250 lbs., 13.5 oz.) 2977 T4528

HCPCS

SOLD BY

CASE QTY

ITEM #

TCODE

HCPCS

SOLD BY

Medium (32˝ – 44˝ ) Large (45˝ – 58˝ ) X-Large (59˝ – 64˝ ) 2X-Large (63˝ – 68˝ )

(HU)222453 (HU)222455 (HU)222456 (HU)222457

T4522 T4523 T4524 T4543

A4520 A4520 A4520 A4520

24/pk 18/pk 20/pk 24/pk

CASE QTY

96/cs 72/cs 60/cs 48/cs

Dignity® Compose® Briefs with Curly Fiber Popular adult brief for moderate to heavy incontinence. Includes Active Skin Protection™ with Curly Fiber to ensure a skin-friendly pH 5.5, plus anatomically contoured inner cuffs to help prevent leakage.

A4520 25/pk 100/cs A4520 25/pk 100/cs A4520 25/pk 100/cs A4520 25/pk 100/cs

ITEM #

TCODE

HCPCS

SOLD BY

Youth (15˝ – 22˝ ) Youth Large (20˝ – 31˝ ) Medium (32˝ – 44˝ ) Large (45˝ – 58˝ ) X-Large (59˝ – 64˝ ) 2X-Large (63˝ – 68˝ )

(HU)222420 (HU)222421 (HU)222423 (HU)222425 (HU)222426 (HU)222427

T4533 T4521 T4522 T4523 T4524 T4543

A4520 A4520 A4520 A4520 A4520 A4520

24/pk 24/pk 24/pk 18/pk 20/pk 24/pk

CASE QTY

96/cs 96/cs 96/cs 72/cs 60/cs 48/cs

Dignity® Comfort™ Briefs with Curly Fiber Basic, fitted disposable brief for moderate to heavy incontinence. Includes Active Skin Protection™ with Curly Fiber to ensure a skin-friendly pH 5.5.

Medium (32˝ – 44˝ ) Large (45˝ – 58˝ ) X-Large (59˝ – 64˝ ) 2X-Large (63˝ – 68˝ )

ITEM #

(HU)222313 (HU)222315 (HU)222316 (HU)222317

TCODE

HCPCS

SOLD BY

T4522 T4523 T4524 T4543

A4520 A4520 A4520 A4520

24/pk 18/pk 20/pk 24/pk

CASE QTY

96/cs 72/cs 60/cs 48/cs

109

INCONTINENCE

HARTMANN USA (HU/WH) HARTMANN USA incontinence products do not contain natural rubber latex.

Dignity® Bariatric Brief Premium-fitted briefs offering extended protection for very heavy incontinence. Product features include: superabsorbent polymer to lock-in fluids and help maintain a dry environment; breathable, cloth-like side panels for increased air-permeability and comfort; anatomically contoured inner cuffs to help prevent leakage; and soft, dermatologically tested materials to further protect the skin.

ITEM #

Bariatric (63˝ – 94˝ )

(HU)32000 T4543

TCODE

HCPCS

SOLD BY

A4520

8/pk

CASE QTY

32/cs

PROTECTIVE UNDERWEAR MoliCare Mobile Disposable Protective Underwear Designed for very heavy incontinence and extended overnight protection. Features include: Curly Fiber, which instantly converts the high pH value of voids to a skin-friendly pH 5.5; a three-layer, trim-fit core with superabsorbent polymer to lock-in fluids and help maintain a dry environment; an elastic waistband with tear-open side seams for easy removal; fluid-repellant inner cuffs with multi-strand elastic leg gathers to help maximize leakage protection; and a soft, cloth-like waterproof outer barrier for optimal comfort and security. ®

ITEM #

TCODE

HCPCS

SOLD BY

Small (waist 24˝ – 35˝ ) Medium (waist 32˝ – 47˝ ) Large (waist 40˝ – 59˝ ) X-Large (waist 51˝ – 67˝ )

(WH)915831 (WH)915832 (WH)915833 (WH)915834

T4525 T4526 T4527 T4528

A4520 A4520 A4520 A4520

14/pk 14/pk 14/pk 14/pk

CASE QTY

56/cs 56/cs 56/cs 56/cs

UNDERPADS Dignity Underpads Quality underpads that feature a moisture-proof backsheet, a plastic surface film to protect the skin and a range of sizes and performance characteristics to choose from. ®

ITEM #

TCODE

HCPCS

SOLD BY

(WH)333602

T4542

A4554

10/pk

100/cs

A4554 A4554

15/pk 10/pk

150/cs 100/cs

DIGNITY® ULTRASHIELD

Provides additional fluff for light to moderate absorption. 23˝ x 36˝ 30˝ x 30˝

(WH)333603 (WH)333605

T4542 T4541

DIGNITY ULTRASHIELD PLUS ®

Contains a combination of fluff and superabsorbent polymer for moderate to heavy absorption. 23˝ x 36˝ 30˝ x 36˝

(WH)333604 (WH)333607

T4542 T4541

A4554 A4554

15/pk 10/pk

75/cs 100/cs

DIGNITY® ULTRASHIELD PREMIUM

Contains the optimal amount of fluff and superabsorbent polymer for moderate to heavy absorption. 30˝ x 30˝ 30˝ x 36˝

(WH)333606 (WH)333608

T4541 T4541

A4554 A4554

10/pk 10/pk

100/cs 100/cs

MoliCare Mobile® light Disposable Protective Underwear Ideal for moderate urinary incontinence. Features include: Curly Fiber, which instantly converts the high pH value of voids to a skin-friendly pH 5.5; a three-layer, trim-fit core with superabsorbent polymer to lock-in fluids and help maintain a dry environment; an elastic waistband with tear-open side seams for easy removal; fluid-repellant inner cuffs with multi-strand elastic leg gathers to help maximize leakage protection; and a soft, cloth-like waterproof outer barrier for optimal comfort and security.

ITEM #

Small (waist 24˝ – 35˝ ) Medium (waist 32˝ – 47˝ ) Large (waist 40˝ – 59˝ )

(WH)9158610 T4525 (WH)9158520 T4526 (WH)9158530 T4527

110

TCODE

HCPCS

SOLD BY

A4520 A4520 A4520

14/pk 14/pk 14/pk

ITEM #

TCODE

HCPCS

Small (waist 20˝ – 32˝ ) Medium (waist 30˝ – 42˝ ) Large (waist 40˝ – 54˝ ) X-Large (waist 45˝ – 68˝ ) 2X-Large (waist 68˝ – 80˝ )

(WH)55190 (WH)55390 (WH)55590 (WH)55690 (WH)55790

T4525 T4526 T4527 T4528 T4528/T4544

A4520 20/pk A4520 20/pk A4520 18/pk A4520 14/pk A4520 12/pk

CASE QTY

56/cs 56/cs 56/cs

SOLD BY

CASE QTY

80/cs 80/cs 72/cs 56/cs 48/cs

Dignity® Comfort™ Disposable Protective Underwear For urinary and fecal incontinence. Features include: a three-layer, trim-fit core with superabsorbent polymer to lock-in fluids and help maintain a dry environment; an elastic waistband with tear-open side seams for easy removal; and a soft, cloth-like waterproof outer barrier for optimal comfort and security

ITEM #

TCODE

HCPCS

SOLD BY

Medium (30˝ – 42˝ ) Large (40˝ – 54˝ ) X-Large (45˝ – 68˝ )

(HU)35390 (HU)35590 (HU)35690

T4526 T4527 T4528

A4520 A4520 A4520

20/pk 18/pk 14/pk

CASE QTY

80/cs 72/cs 56/cs

UNDERGARMENTS MoliMed® Premium Bladder Control Pads Compact, contoured design ensures comfortable and discreet wear. Feature leg elastics, adhesive strip backing, breathable topsheet and soft, textile backsheet.

ITEM #

Micro Light, 81⁄2˝ x 4˝ (WH)168132 Micro, 101⁄2˝ x 4˝ (WH)168624 Mini, 101⁄2˝ x 41⁄2˝ (WH)168634 Midi, 13˝ x 51⁄2˝ (WH)168644 Maxi, 17˝ x 61⁄2˝ (WH)168654 Sportive, 11˝ x 31⁄2˝ (WH)168137

CASE QTY

Basic fluff underpads for light to moderate absorption. 23˝ x 36˝

Dignity® Compose® Disposable Protective Underwear Features include: a three-layer, trim-fit core with superabsorbent polymer to lock-in fluids and help maintain a dry environment; an elastic waistband with tear-open side seams for easy removal; fluid-repellant inner cuffs with multi-strand elastic leg gathers to help maximize leakage protection; and a soft, cloth-like waterproof outer barrier for optimal comfort and security.

TCODE

HCPCS

T4535 T4535 T4535 T4535 T4535 T4535

A4520 14/pk A4520 14/pk A4520 14/pk A4520 14/pk A4520 14/pk A4520 14/pk

SOLD BY

CASE QTY

168/cs 336/cs 252/cs 168/cs 168/cs 168/cs

Dignity® Regular-Duty Barrier-Free Pads For light to moderate bladder care protection. Economical protection without the use of a polymer, moisture-proof backing or adhesive strips. 6.7 oz. 4˝ x 12˝ pad size.

ITEM #

TCODE

(HU)26954

T4535 A4520 48/pk 384/cs

HCPCS

SOLD BY

CASE QTY

Dignity® Double-Duty Barrier-Free Pads For moderate bladder care. No moisture-proof backing or adhesive strip, so it can be used as a thick, double pad; cut into two singles; or even tripled. Great booster. 4˝ x 131⁄2˝ – 26˝ pad size.

ITEM #

(HU)26950180 T4535 A4520 30/pk 180/cs

TCODE

HCPCS

SOLD BY

CASE QTY

Dignity® Stackables® Long Barrier-Free Pads Lightweight, barrier-free pad. Super absorbency combined with extra length makes this a very versatile pad. For use in diapers, undergarments and protective underwear. Low-profile, highly absorbent pad. Faster absorption and optimum fluid retention, even under pressure. Economy packed. 31⁄2˝ x 15˝ pad size.

ITEM #

(HU)40052 T4535

TCODE

HCPCS

SOLD BY

CASE QTY

A4520 40/pk

160/cs

INCONTINENCE

HARTMANN USA (HU/WH) HARTMANN USA incontinence products do not contain natural rubber latex.

Dignity® Beltless Undergarments Unlike many other undergarments, there is adequate space for containment of fecal incontinence. May be used with mesh pant or in ordinary underwear. Provide many features and benefits of a diaper/brief, but without the stigma often associated with briefs. Superabsorbent polymer for dryness and odor control. Moisture-proof back; adhesive strip. Elastic gathers for a more comfortable fit. One size fits most. 131⁄4˝ x 271⁄2˝ pad size.

ITEM #

(HU)30073 T4535

TCODE

HCPCS

SOLD BY

CASE QTY

A4520 12/pk

72/cs

WASHCLOTHS Compose® Disposable Cloths Alcohol-free, soft and hypoallergenic to prevent skin irritation, providing effective cleansing with gentle aloe vera and lanolin. Ultra-strong, puncture-resistant cloths are conveniently packaged in a space-saving, resealable dispenser. More economical than traditional cleansing with soap and water.

ITEM #

(WH)25600 N/A

TCODE

HCPCS

SOLD BY

A9270

48/bg

CASE QTY.

576/cs

Women's Free & Active® Elegant and durable pant with the look and feel of regular women´s underwear. Center of the garment has a sewn-in, extra absorbent padding that is covered by a moisture-proof lining to provide reliable protection from light releases of fluid. A pad may be added for additional absorbency.

ITEM #

TCODE

HCPCS

SOLD BY

Small (fits hips 36˝ – 38˝ ) Medium (fits hips 39˝ – 40˝ ) Large (fits hips 41˝ – 42˝ ) X-Large (fits hips 43˝ – 45˝ ) XX-Large (fits hips 46˝ – 50˝ )

(HU)36946 (HU)36947 (HU)36948 (HU)36949 (HU)36950

T4536 T4536 T4536 T4536 T4536

A4520 A4520 A4520 A4520 A4520

ea ea ea ea ea

CASE QTY

N/A N/A N/A N/A N/A

Dignity® Men’s Boxers with Built-In Protective Pouch Look like regular underwear but contain a patented, moisture-proof pouch that holds the pad in place and helps prevent excess fluid spillage. Cotton-blend fabric. Fly front. Machine wash and dry. Combine with the Dignity® pad that meets user’s absorbency requirement. More economical and versatile than disposable underwear.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 34˝ – 36˝ ) Large (waist 38˝ – 40˝ ) X-Large (waist 42˝ – 44˝ ) XX-Large (waist 46˝ – 48˝ )

(HU)30312 (HU)30313 (HU)30314 (HU)30315

T4536 T4536 T4536 T4536

A4520 A4520 A4520 A4520

ea ea ea ea

CASE QTY

N/A N/A N/A N/A

REUSABLE UNDERWEAR

ABENA USA (RB)

Dignity Two-Piece Pant and Pad System Lady Dignity® panty and Sir Dignity® briefs look like regular underwear but contain a moisture-proof pouch that holds the pad in place and helps prevent excess fluid spillage. Cotton-blend fabric. Easy to care for. Machine wash and dry. Combine with the Dignity® pad that meets user’s absorbency requirement. More economical and versatile than disposable underwear.

LATEX FREE Abena Abri-Form Premium Overnight Briefs Feature amazing absorbency and leakage control to keep skin, clothing and linens dry for extended periods of time. This superior product is designed for heavy incontinence and includes the following features: Air Plus 100% breathable backsheet (compatible to use with low-air-loss bed systems), fast drying super-absorbent polymers, Top Dry sub-layer designed to separate wetness from the skin, two Lycra® in-cuffs, re-fastening tapes and wetness indicator.

Lady Dignity® Panty

ITEM #

TCODE

HCPCS

SOLD BY CASE QTY

Small (Hip 36˝ – 38˝ ) (HU)30201 T4536 A4520 Medium (Hip 39˝ – 40˝ ) (HU)30202 T4536 A4520 Large (Hip 41˝ – 42˝ ) (HU)30203 T4536 A4520 X-Large (Hip 43˝ – 45˝ ) (HU)30204 T4536 A4520 XX-Large (Hip 46˝ – 50˝ ) (HU)30205 T4536 A4520

ea ea ea ea ea

N/A N/A N/A N/A N/A

Sir Dignity® Briefs

ITEM #

Small (30˝ – 32˝ ) (HU)30211 Medium (34˝ – 36˝ ) (HU)30212 Large (38˝ – 40˝ ) (HU)30213 X-Large (42˝ – 44˝ ) (HU)30214 XX-Large (46˝ – 48˝ ) (HU)30215

TCODE

HCPCS

SOLD BY CASE QTY

T4536 T4536 T4536 T4536 T4536

A4520 A4520 A4520 A4520 A4520

ea ea ea ea ea

N/A N/A N/A N/A N/A

Men's Free & Active® One Piece Absorbent Briefs with Fly-Front For men who experience moderate to heavy releases of fluid. Attractive men´s brief with fly front features a soft, moisture-proof lining and sewn-in, extra absorbent padding. Cotton-blend fabric. Easy to care for. Machine wash and dry. Discreet and durable. A pad may be added for additional absorbency. Sizing is based on waist measurements.

ITEM #

TCODE

HCPCS

SOLD BY

Small (30˝ – 32˝ ) Medium (34˝ – 36˝ ) Large (38˝ – 40˝ ) X-Large (42˝ – 44˝ ) XX-Large (46˝ – 48˝ )

(HU)36936 (HU)36937 (HU)36938 (HU)36939 (HU)36940

T4536 T4536 T4536 T4536 T4536

A4520 A4520 A4520 A4520 A4520

ea ea ea ea ea

ITEM #

TCODE

HCPCS

X-Small (waist 19˝ – 24˝, 47 fl. oz. ) Small (waist 20˝ – 32˝, 47 fl. oz. ) Small (waist 20˝ – 32˝, 61 fl. oz. ) Small (waist 24˝ – 34˝, 74 fl. oz. ) Medium (waist 32˝ – 44˝, 88 fl. oz. ) Medium ( waist 32˝ – 44˝, 105 fl. oz. ) Medium (waist 28˝ – 44˝ , 122 fl. oz.) Large (waist 44˝ – 58˝, 105 fl. oz. ) Large (waist 44˝ – 58˝, 115 fl. oz. ) Large (waist 40˝ – 60˝, 135 fl. oz. ) X-Large (waist 58˝ – 63˝, 115 fl. oz. ) X-Large (waist 44˝ – 68˝, 135 fl. oz. )

43054 43050 43055 43056 43060 43062 43063 43065 43067 43068 43069 43071

T4533 T4521 T4521 T4521 T4522 T4522 T4522 T4523 T4523 T4523 T4524 T4524

A4520 32/bx 128/cs A4520 32/bx 128/cs A4520 28/bx 84/cs A4520 22/pk 66/cs A4520 24/bx 96/cs A4520 22/bx 88/cs A4520 14/pk 56/cs A4520 22/bx 88/cs A4520 20/bx 80/cs A4520 12/pk 48/cs A4520 20/bx 80/cs A4520 12/pk 48/cs

SOLD BY

CASE QTY

N/A N/A N/A N/A N/A

111

INCONTINENCE

ABENA USA (RB) LATEX FREE Abri-Flex Premium Overnight Underwear Redesigned. Feature amazing absorbency and leakage control to keep skin, clothing and linens dry up to six to eight hours. This discreet disposable underwear is designed for heavy incontinence and includes the following features: Air Plus 100% breathable backsheet (compatible to use with low-air-loss bed systems), fast drying super-absorbent polymers, Top Dry sub-layer designed to separate wetness from skin, two Lycra® in-cuffs and wetness indicator. Has more than three times the elastic around the waistband to ensure that the product fits snugly to the body.

ITEM #

TCODE

HCPCS

X-Small (waist 17.5˝ – 27.5˝, 47 fl. oz.) Small (waist 24˝ – 36˝, 47 fl. oz.) Small (waist 24˝ – 36˝, 64 fl. oz.) Medium (waist 32˝ – 44˝, 47 fl. oz.) Medium (waist 32˝ – 44˝, 64 fl. oz.) Medium (waist 32˝ – 44˝, 81 fl. oz.) Large (waist 40˝ – 56˝, 47 fl. oz.) Large (waist 40˝ – 56˝, 64 fl. oz.) Large (waist 40˝ – 56˝, 81 fl. oz.) X-Large (waist 52˝ – 67˝, 47 fl. oz.) X-Large (waist 52˝ – 67˝, 64 fl. oz.)

41070 41071 41082 41083 41084 41085 41086 41087 41088 41089 41090

T4525 T4525 T4525 T4526 T4526 T4526 T4527 T4527 T4527 T4527 T4528

A4520 21/pk A4520 14/pk A4520 14/pk A4520 14/pk A4520 14/pk A4520 14/pk A4520 14/pk A4520 14/pk A4520 14/pk A4520 14/pk A4520 14/pk

Delta-Flex Protective Underwear Pull Ups

ITEM #

TCODE

SOLD BY

CASE QTY

84/cs 48/cs 84/cs 84/cs 84/cs 84/cs 84/cs 84/cs 84/cs 84/cs 84/cs

LATEX FREE HCPCS

SOLD BY

CASE QTY

Small/Medium (waist 27˝ – 39˝, 42 fl. oz.) 308891 T4526 A4520 20/pk 80/cs Medium/Large (waist 32˝ – 42˝, 42 fl. oz.) 308892 T4527 A4520 18/pk 72/cs Large/X-Large (waist 40˝ – 60˝, 51 fl. oz.) 308893 T4528 A4520 14/pk 56/cs LATEX FREE Abri-Fix Man High quality reusable cotton pants for use with all disposable pads. Designed to provide a comfortable, secure fit. Color-coded waist band for easy sizing.

ITEM #

Small (waist 28˝ – 34˝ ) 4211 Medium (waist size 30˝ – 38˝ ) 4212 Large (waist size 36˝ – 44˝ ) 4213 X-Large (waist size 44˝ – 56˝ ) 4215

TCODE

HCPCS

SOLD BY

T4536 T4536 T4536 T4536

A4520 A4520 A4520 A4520

3/pk 3/pk 3/pk 3/pk

CASE QTY

30/cs 30/cs 30/cs 30/cs

LATEX FREE Abri-Man Male Guard The ultimate protection against leakage. Unique pocket-shaped, lengthwise barriers. Optimum comfort and security due to the special shape adapted to the male anatomy. Self-adhesive strip can be positioned to close-fitting underwear or even better in the specially designed Abri-Fix Man.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Formula 2, 9˝ x 11.25˝ Premium Slipguard 3.5˝ x 15.5˝ Premium Special 14˝ x 28˝

41007 207203 300744

T4535 T4535 T4535

A4520 A4520 A4520

14/pk 20/pk 21/pk

168/cs 100/cs 84/cs

LATEX FREE Abri-San Premium Bladder Control Pads Superabsorbent and ultra-soft, these premium countoured pads are designed to provide protection and comfort second to none. The Abri-San range forms a complete selection of shaped pads that will discreetly handle all levels of incontinence, Light – Heavy. Feature leg elastics, adhesive strip backing (1 – 4), soft textile fully breathable backsheet and superabsorbent polymers to safely lock wetness and odor away.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY

Size 1 (4˝ x 8˝ 7 fl. oz.) Size 2 (4˝ x 10˝, 12 fl. oz.) Size 3 (4˝ x 13˝, 17 fl. oz.) Size 4 (8˝ x 17˝, 27 fl. oz.) Size 5 (11˝ x 21˝, 41 fl. oz.) Size 6 (12˝ x 25˝, 54 fl. oz.) Size 7 (14˝ x 25˝, 71 fl oz.) Size 11 (15˝ x 29˝, 115 fl oz.)

9253 9260 9266 9271 9374 9378 9381 9389

T4535 T4535 T4535 T4535 T4535 T4535 T4535 T4535

A4520 A4520 A4520 A4520 A4520 A4520 A4520 A4520

28/bx 28/bx 28/bx 28/pk 36/bx 34/bx 30/pk 16/pk

280/cs 336/cs 196/cs 168/cs 144/cs 102/cs 90/cs 64/cs

LATEX FREE Abri-San Special Pad for fecal incontinence. Specially designed leakage barriers with built-in pockets keep feces inside even when under pressure. Designed to allow frequent pad changes. Backsheet (foil) is plastic.

ITEM #

300200 T4535 A4520 28/pk 112/cs

TCODE

HCPCS

SOLD BY

CASE QTY

LATEX FREE Abri-Form “Original” Overnight Briefs Amazing absorbency and leakage control to keep skin, clothing and linens dry. This superior product is designed for heavy incontinence and includes the following features: heavy plastic back sheet, fast drying super-absorbent polymers, Top Dry sub-layer designed to separate wetness from the skin, two Lycra® in-cuffs, re-fastening tapes and wetness indicator.

ITEM #

Medium (waist 28˝ – 44˝, 122 fl. oz.) 4163 Large (waist 44˝ – 60˝, 135 fl. oz. ) 4168

TCODE

HCPCS

SOLD BY

T4522 T4523

A4520 A4520

14/pk 12/PK

CASE QTY

56/cs 48/cs

UNIQUE WELLNESS® (UW) LATEX FREE The Wellness® Brief Designed to last 8 – 12 hours using NASA-inspired, multi-layered InconTek® technology similar to designs used by astronauts in space for long missions. Not only absorbs dramatically more liquid than standard briefs, but pulls it away from the skin and locks it in a separate layer, leaving little or no opportunity for skin irritation or infection. Unique, easy-to-use scheduled changing system – once every eight hours or three every 24 hours without worrying about exposure to urine. 70% more cost-effective than other briefs due to minimal changes or need for creams and ointments. Unprecedented odor control. Perfect for overnight use, travel or any time user needs to go long periods without changes. Features strong, re-sealable tape and leakage barriers. Color-coded for size.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 24˝ – 36˝ ) Large (waist 36˝ – 46˝ ) X-Large (waist 46˝ – 67˝ )

3131 3142 3155

T4522 T4523 T4524

A4520 A4520 A4520

20/pk 20/pk 20/pk

CASE QTY

60/cs 60/cs 60/cs

The Wellness® Brief Superio® Signature Series Awarded Medtrade’s Innovative Retail Product Award and featured on Discovery Channel’s How Stuff Works. Designed to last 8 – 12 hours using NASA-inspired, multi-layered InconTek® technology similar to designs used by astronauts for long missions. They feature a super strong plastic back, a wider core and a white outer shell. Unlike other products based on voiding patterns, they have a unique scheduled changing system that makes them one of the easiest to use. Changes can be scheduled to once every eight hours/three every 24 hours, putting the wearer or caregiver in control with no worry about exposure to the effects of urine. More cost-effective than other absorbent underwear because they require fewer changes and rarely require expensive creams or ointments.

112

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 24˝ – 36˝ ) Large (waist 36˝ – 46˝ ) X-Large (waist 46˝ – 67˝ )

2131 2142 2155

T4522 T4523 T4524

A4520 A4520 A4520

18/pk 18/pk 18/pk

CASE QTY

54/cs 54/cs 54/cs

INCONTINENCE

UNIQUE WELLNESS® (UW) The Wellness® Absorbent Underwear Awarded Medtrade’s Innovative Retail Product Award and were featured on Discovery Channel’s How Stuff Works. Designed to last eight hours using NASA-inspired, multi-layered InconTek® technology similar to designs used by astronauts for long missions. Unlike other products based on voiding patterns, it has a unique scheduled changing system that makes it one of the easiest to use. Changes can be scheduled once every eight hours/three every 24 hours, putting the wearer or caregiver in control with no worry about exposure to the effects of urine. More cost-effective than other absorbent underwear because they require fewer changes and rarely require expensive creams or ointments.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist 25˝ – 35˝ ) Large (waist 30˝ – 40˝ ) X-Large (waist 40˝ – 60˝ )

6244 6255 6266

T4526 T4527 T4528

A4520 A4520 A4520

18/pk 16/pk 12/pk

CASE QTY

72/cs 64/cs 48/cs

Wellness® Absorbent Breathable Underpad NASA-inspired design offers an added level of protection to the award-winning Unique Wellness Incontinence Program. An over 9500-mL capacity and Liquistay® system help keep the bed dry at all times. Can be worn 8 – 12 dry hours to coordinate with The Wellness Brief and/ or Absorbent Underwear three-per-day changing system. Air-flow non-woven material allows the user to feel as if they are sleeping directly on their actual bedsheets without the usual sensation of an underpad.

ITEM #

TCODE

HCPCS

SOLD BY

30˝ x 36˝

8130

T4541

A4554

8/pk

CASE QTY

48/cs

SALK (84) All SALK products are latex-free and made in the USA

LATEX FREE

ONE-PIECE PANT & PAD SYSTEMS HealthDri™ Reusable Briefs

LATEX FREE

Patented moisture transport system is designed to keep wearer dry. Ultrasoft, stay-dry liner pulls moisture away from skin. Breathable outer shield allows evaporation, yet blocks moisture from seeping to clothing. Feature comfort of reusables with absorbency of disposables. Provide dignity for those who require incontinence products, while providing peace of mind about moisture absorbency and clothing protection. Environmentally friendly, cost-saving alternative to disposables. Look and feel like regular underwear.

ITEM #

TCODE

HCPCS

SOLD BY

Medium (waist/hips 34˝ – 36˝ ) Large (waist/hips 38˝ – 40˝ ) X-Large (waist/hips 42˝ – 44˝ )

BM00M BM00L BM0XL

T4536 T4536 T4536

A4520 A4520 A4520

ea ea ea

N/A N/A N/A

A4520 A4520 A4520 A4520 A4520

ea ea ea ea ea

N/A N/A N/A N/A N/A

MEN’S FOR MODERATE INCONTINENCE (ABSORBS 2.5 OZ. OF LIQUID)

CASE QTY.

MEN’S FOR HEAVY INCONTINENCE (ABSORBS 6 OZ. OF LIQUID)

Small (waist/hips 30˝ – 32˝ ) Medium (waist/hips 34˝ – 36˝ ) Large (waist/hips 38˝ – 40˝ ) X-Large (waist/hips 42˝ – 44˝ ) 2X-Large (waist/hips 46˝ – 48˝ )

BH00S BH00M BH00L BH0XL BHXXL

T4536 T4536 T4536 T4536 T4536

LADIES’ FOR HEAVY INCONTINENCE (ABSORBS 6 OZ. OF LIQUID, 100% COTTON)

Size 4 Size 6 Size 8 Size 10 Size 12 Size 14 Size 16 Size 18 Size 20

PHC004 PHC006 PHC008 PHC010 PHC012 PHC014 PHC016 PHC018 PHC020

T4536 T4536 T4536 T4536 T4536 T4536 T4536 T4536 T4536

A4520 A4520 A4520 A4520 A4520 A4520 A4520 A4520 A4520

ea ea ea ea ea ea ea ea ea

N/A N/A N/A N/A N/A N/A N/A N/A N/A

LATEX FREE Sani-Pant® Plasticized Nylon Briefs Waterproof brief designed to hold absorbent pads, panties, diapers and more. Made of soft, white, plastic-coated nylon. Lightweight, yet strong. Will not tear.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY.

800S 800M 800L 800XLG

T4536 T4536 T4536 T4536

A4520 A4520 A4520 A4520

ea ea ea ea

N/A N/A N/A N/A

850S 850M 850L 850XL 850XXL

T4536 T4536 T4536 T4536 T4536

A4520 A4520 A4520 A4520 A4520

ea ea ea ea ea

N/A N/A N/A N/A N/A

SNAP-ON

Small (waist 22˝ – 28˝ ) Medium (waist 30˝ – 36˝ ) Large (waist 38˝ – 44˝ ) X-Large (waist 46˝ – 52˝ ) PULL-ON

Small (waist 22˝ – 28˝ ) Medium (waist 30˝ – 36˝ ) Large (waist 38˝ – 44˝ ) X-Large (waist 46˝ – 52˝ ) 2X-Large (waist 54˝ – 64˝ )

LATEX FREE Sani-Pant® Lite Plasticized Nylon Briefs with Breathable Panel Waterproof briefs designed to hold absorbent pads, panties, diapers and more. Made of soft, white, plastic-coated nylon with a breathable, 100% cotton panel. Lightweight, yet strong. Will not tear. Pull-on design.

ITEM #

TCODE

HCPCS

SOLD BY

Small (waist 22˝ – 28˝ ) Medium (waist 30˝ – 36˝ ) Large (waist 38˝ – 44˝ ) X-Large (waist 46˝ – 52˝ )

855S 855M 855L 855XL

T4536 T4536 T4536 T4536

A4520 A4520 A4520 A4520

ea ea ea ea

CASE QTY.

N/A N/A N/A N/A

LATEX FREE Men’s CareFor™ Ultra One Piece Odor Control Briefs Germ and odor-killing power of the reusable garment is renewed with every wash in chlorine bleach. Contains Haloshield® that eliminates the unpleasant, embarrassing urine odors that result from urinary incontinence. Kills 99.9% of odor-causing bacteria within 10 minutes of contact. 100% waterproof protection with ultrasoft, moisture-wicking top layer, to keep user dry. Superabsorbent inner layer quickly traps fluids. Non-irritating for sensitive skin. More economical and better for the environment than disposables.

ITEM #

TCODE

HCPCS

SOLD BY

Small, (waist 30˝ – 33˝ ) Medium, (waist 34˝ – 36˝ ) Large, (waist 37˝ – 40˝ ) X-Large, (waist 41˝ – 45˝ )

67800HS 67800HM 67800HL 67800HXL

T4536 T4536 T4536 T4536

A4520 A4520 A4520 A4520

ea ea ea ea

CASE QTY.

N/A N/A N/A N/A

LATEX FREE Women’s CareFor™ Ultra One Piece Odor Control Panties Germ and odor-killing power of the reusable garment is renewed with every wash in chlorine bleach. Contains Haloshield® that eliminates the unpleasant, embarrassing urine odors that result from urinary incontinence. Kills 99.9% of odor-causing bacteria within 10 minutes of contact. 100% waterproof protection with ultrasoft, moisture-wicking top layer, to keep user dry. Superabsorbent inner layer quickly traps fluids. Non-irritating for sensitive skin. More economical and better for the environment than disposables.

Small, (waist 22˝ – 28˝ ) Medium, (waist 29˝ – 33˝ ) Large, (waist 34˝ – 39˝ ) X-Large, (waist 40˝ – 48˝ )

ITEM #

TCODE

HCPCS

SOLD BY

5025HS 5025HM 5025HL 5025HXL

T4536 T4536 T4536 T4536

A4520 A4520 A4520 A4520

ea ea ea ea

CASE QTY.

N/A N/A N/A N/A

113

INCONTINENCE

SALK (84)

ALLIANCE LABS, LLC (AG)

All SALK products are latex-free and made in the USA

LATEX FREE

Enemeez

ITEM #

TCODE

HCPCS

SOLD BY

2000M 2000L 2000XL

T4539 T4539 T4539

A4520 A4520 A4520

ea ea ea

N/A N/A N/A

2006L 2006XL

T4536 T4536

A4250 A4250

ea ea

N/A N/A

* Federal Register / Vol. 50, No. 10 / Tuesday, January 15, 1985 / Proposed Rules; pgs 2124-2158.

CASE QTY.

SNAP-ON

Medium (waist 30˝ – 36˝ ) Large (waist 38˝ – 44˝ ) X-Large (waist 46˝ – 52˝ ) PULL-ON

Large (waist 38˝ – 44˝ ) X-Large (waist 46˝ – 52˝ )

ITEM #

23˝ x 36˝ 1990 32˝ x 36˝ 1994 32˝ x 36˝, with 18˝ flaps 1997 36˝ x 54˝ 1996 36˝ x 72˝ 1999

TCODE

HCPCS

SOLD BY

T4537 T4537

A4553 A4553

ea ea

CASE QTY.

N/A N/A

T4537 A4553 ea T4537 A4553 ea T4537 A4553 ea

N/A N/A N/A

LATEX FREE CareFor™ Ibex Economy Reusable Quilted Underpads 100% polyester soaker quilted with ibex (80% cotton/20% polyester). Waterproof backing is PVC-coated polyester. Not bound.

ITEM #

23˝ x 36˝ 1970 32˝ x 36˝ 1974 32˝ x 36˝, with flaps 1977 36˝ x 54˝ 1976 36˝ x 72˝ 1979

TCODE

HCPCS

SOLD BY

T4537 T4537

A4553 A4553

ea ea

CASE QTY.

N/A N/A

T4537 A4553 ea T4537 A4553 ea T4537 A4553 ea

N/A N/A N/A

LATEX FREE CareFor Ultra Odor-Control Underpads with HaloShield® Eliminate the unpleasant, embarrassing urine odors that result from incontinence. Kill 99.9% of odor-causing bateria within 10 minutes of contact with the HaloShield® underpad. Germ- and odor-killing power of the reusable pad is renewed every wash in chlorine bleach. Ultrasoft, moisture-wicking top layer keeps user dry. Superabsorbent inner layer quickly traps fluids. 100% waterproof protection for beddings and chairs. Nonirritating for sensitive skin. ITEM #

TCODE

HCPCS

SOLD BY

23˝ x 36˝ 32˝ x 36˝ 32˝ x 36˝, with 18˝ flaps 36˝ x 54˝ 36˝ x 72˝

1990H 1994H 1997H 1996H 1999H

T4537 T4537 T4537 T4537 T4537

A4553 A4553 A4553 A4553 A4553

ea ea ea ea ea

CUSTOM MANUFACTURED PRODUCTS LLC (CUS) Flushable Perineal Cleansing Wipes Dispersible soft, soothing, no-rinse, flushable cleansing wipe for perineal area. Cloth enriched with aloe and glycerin to soothe and moisturize irritated skin. Alcohol-free, pH balanced, odor reducing. Resealable soft pack.

114

ITEM #

TCODE

HCPCS

SOLD BY

7˝ x 8˝

200999

N/A

A9270

48/pk

CASE QTY.

N/A

17433987603 N/A

TCODE

HCPCS

SOLD BY

CASE QTY.

A4649

30/btl

6 btl/cs

ITEM #

17433987703 N/A

TCODE

HCPCS

SOLD BY

CASE QTY.

A4649

30/btl

6 btl/cs

MCAIRLAID’S INC (MCD) X top Absorbent Pouches for Men Revolutionary urinary incontinence product specifically designed for men. It is a leak-proof pouch with 360 degrees of protection. Penis is completely and comfortably enclosed. Odor eliminating. Latex-Free. Super fast, confident fluid absorption. Breathable outer cover means faster drying times. Discreet. For light to heavy protection.

Level 1, Light (50 mL) Level 2, Moderate (100 mL) Level 3, Overnight (150 mL)

ITEM #

TCODE

HCPCS

SOLD BY

XTOP50 XTOP100 XTOP150

N/A N/A N/A

A4520 A4520 A4520

16/bx 12/bx 9/bx

CASE QTY.

288/cs 216/cs 162/cs

LayDry® Premium Absorbent Bed Pads Patented SuperCore® technology coupled with a breathable back sheet make sure user stays dry all night long. Latex- and binder-free for happier and healthier skin. Improves quality of care while giving back to users their sense of dignity. Discreet, quiet and soft material promotes a restful night’s sleep free from embarrassment. Worry-free, easy-to-handle adhesive strips keep the bed pad securely in place. Disposable. Zero concern of fluid running off the pad. One pad absorbs as much fluid as a pair of large/x-large disposable underwear. 24˝ x 36˝.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY.

Kids UPLDUSKID T4542 A4554 10/bg 40/cs Adult UPLDUSADULT T4542 A4554 10/bg 40/cs

WELMEDIX® HOMECARE PRO (WX) Rapid Rash Relief Cream Rich, thick cream is designed to treat and prevent severe adult diaper rash and repair high-risk skin. Extra-strength formula adheres to fragile, weepy and denuded skin, providing a superior barrier against moisture and fecal soils. Contains calendula to moisturize and condition skin. 4-oz. tube.

CASE QTY.

N/A N/A N/A N/A N/A

ITEM #

™

LATEX FREE Enemeez® Plus The same formulation as Enemeez® with the addition of 20 mg of benzocaine. Developed for those who experience pain or autonomic dysreflexia during bowel movements.

UNDERPADS, PADS & SHEETING LATEX FREE CareFor™ Deluxe Reusable Quilted Underpads 100% brushed polyester quilted to highly absorbent polyester/ rayon soaker. Waterproof backing is PVC-coated polyester. Entire pad is bound with waterproof binding. White.

LATEX FREE

Enemeez® non-irritating formula produces complete evacuation within 2-15 minutes*. Easy twist-off tip. Enemeez® is effective for bowel care needs associated with spinal cord injury and disease, multiple sclerosis, traumatic brain injury, spina bifida, long-term care, stroke and general constipation.

LATEX FREE CareFor™ Briefs One-piece brief of reusable, brushed polyester. Newly designed, waterproof safety pocket keeps liquids locked into multilayered soaker. For men and women with heavy incontinence.

ITEM #

41007 N/A

TCODE

HCPCS

SOLD BY

A6250 ea

CASE QTY.

24/cs

Fragile Skin Protective Ointment Healing ointment is specially formulated for fragile elderly skin. Protects and heals skin affected by urinary and fecal incontinence, while maintaining a long-lasting moisture barrier that seals out wetness and prevents chafing. Contains aloe and calendula to moisturize and condition skin. 5-oz. tube.

ITEM #

41003 N/A

TCODE

HCPCS

SOLD BY

A6250 ea

CASE QTY.

24/cs

Adult Incontinence Cleansing Foam Ultra-gentle, no-rinse cleanser that is pH-balanced for fragile elderly skin. Lifts and cleans dried soils and removes odor, leaving a fresh, clean scent. Enriched with emollients and calendula to moisturize and condition skin. Ideal for incontinence, dementia and patients who must remain in bed. 5 fl.-oz. bottle.

ITEM #

41005 N/A

TCODE

HCPCS

SOLD BY

A4335 ea

CASE QTY.

24/cs

INCONTINENCE

WELMEDIX® HOMECARE PRO (WX) Skin Essentials Starter Kit Unique starter kit for new caregivers of loved ones living with incontinence. Trains caregivers in the three key steps necessary for nursing-level incontinence care. Includes starter sizes of Cleansing Foam, Protective Ointment and Rapid Rash Relief Cream, valuable coupons and a how-to DVD for home caregivers narrated by Paula Erwin-Toth, RN, CWOCN, a nationally-renowned nurse and caregiving expert.

ITEM #

41001 N/A

TCODE

HCPCS

SOLD BY

A6250

CASE QTY.

12/cs

SAGE® PRODUCTS (TO) LATEX FREE Comfort Shield® Barrier Cream Cloths Protect skin from incontinence moisture damage. Each pre-moistened, ultra-soft cloth gently cleans and coats skin with 3% dimethicone barrier cream to protect the skin from the harshness of incontinence moisture. Made in the USA by a veteran-owned company.

ITEM #

Three pack 7502 24-pack tub 7526 Eight pack 7905

TCODE

HCPCS

SOLD BY

CASE QTY.

N/A N/A N/A

A6250 A6250 A6250

3/pk 300/cs 24/tub 18 tubs/cs 8/pk 384/cs

LATEX FREE Nite Train-r® Wet Call® Pad & Alarm Specifically designed for those with an enuresis condition who do not want to wear any type of device on their body. Designed to lie just under the user, placed directly over the bottom sheet. Sensor pad has a large surface area (18˝ x 24˝) covering the bed, and is made to handle the toughest sleepers while still having the proper sensitivity to detect the first drop of urine. Sensor pads are made of vinyl with a soft foam pad backing for comfort. To be used with the specially designed washable mesh cover to help reduce false alarms and increase comfort. Sensor pads can be wiped clean and reused in seconds. No acid from urine can be trapped, giving the sensor pad an accurate and long life. Electronic alarm unit is attached to the sheet or to the bed rail using the included Velcro® strip. The alarm is triggered on the first detection of urine and awakens the user to finish eliminating in the toilet. One-year guarantee on all parts. Unit consists of one reusable moisture sensor pad, two mesh covers, a dual-volume control electronic alarm box (high pitch and low pitch sound options) with included 9-volt battery, instructions for use and progress chart.

ITEM #

NTWC N/A

ITEM #

TCODE

2-oz. spray 8-oz. spray

1002A N/A 1008A N/A

HCPCS

SOLD BY

A9270 A9270

ea ea

CASE QTY.

24/cs 12/cs

SOLD BY

CASE QTY.

S8270 ea

N/A

Magic Bullet Laxative Suppository Each suppository contains 10 mg bisacodyl. Does not contain an oil base; water-soluble base (polyethel glycol) stimulates bowels and causes bisacodyl to disperse within minutes after insertion.

ITEM #

CCMB100 N/A

TCODE

CRISTCOT

HCPCS

SOLD BY

CASE QTY.

A9270 100/bx

N/A

(CRI)

Sephure Suppository Applicator Sephure disposable applicators offer fast, clean and comfortable suppository administration. For use with all over-the-counter and prescription suppository medications. Medication not included. Patent No. 8195393, 8419712. Other patents pending. ®

Medication not included

HTA DIRECT SOURCING (KO)

HCPCS

CONCEPTS IN CONFIDENCE (CS)

ANACAPA TECHNOLOGIES, INC. (QD) Sani-Zone™ Maximum-strength odor eliminator, available in a convenient spray bottle. Quickly neutralizes the most offensive odors.

TCODE

ITEM #

10 Applicators 30 Applicators

A210C N/A A230C N/A

TCODE

HCPCS

SOLD BY

N/A N/A

10/pouch N/A 30/pouch N/A

CASE QTY.

Nite Train-r® Bed Wetting Alarm Wearable alarm has been redesigned to be more reliable. This gender-specific alarm features moisture sensor pads that are uniquely shaped to fit a boy’s or girl’s anatomy for added comfort and to ensure faster detection of urine. Sensor pads are strategically placed inside the underwear to catch the first drop of urine and sound the alarm at the point of contact. Alarm attaches to the shoulder of the sleepwear close to the ear, awakening the child to finish eliminating in the toilet. Specially designed, washable mesh cover helps differentiate between body sweat and drops of urine to reduce false alarms and increase comfort. Sensor pads can be wiped clean and reused in seconds. No acid from urine can be trapped, giving the sensor pads an accurate and long life. One-year guarantee on all parts. Each unit consists of two reusable moisture sensor pads, two mesh covers, a dual-volume control electronic alarm box (high pitch or low pitch sound options) with an included 9-volt battery and instructions for use.

ITEM #

TCODE

HCPCS

SOLD BY

CASE QTY.

Female Male

NTF NTM

N/A N/A

S8270 ea S8270 ea

N/A N/A

115

INFUSION

I.V. START KITS/DRESSING CHANGE KITS

VASCULAR ACCESS DEVICES

RELIAMED®

B. BRAUN (XB)

* Not made with natural rubber latex.

Dressing Change Kit with Chlorascrub* Contains one face mask, two gloves, one towel, one dressing (non-adhering), one roll medical tape, one split gauze 2˝ x 2˝, three alcohol swabsticks, one gauze 2˝ x 2˝, one gauze 4˝ x 4˝, one Chlorascrub swabstick, one Chlorascrub insert, one measuring tape and one Tegaderm® Transparent Dressing 4˝ x 4.75˝.

ITEM #

HCPCS

Soft tray

ZRDF88120CHG

A4649

Soft tray

ITEM #

HCPCS

ZR7097381

A4649

SOLD BY

30/cs

Dressing Change Kit with Opsite * Contains one face mask, two gloves, one patient label, one towel, one roll medical tape, three alcohol swabsticks, one gauze 2˝ x 2˝, one gauze 4˝ x 4˝, one measuring tape, one ChloraPrep® applicator, one ChloraPrep® insert and one Opsite® IV3000 Transparent Dressing. ITEM #

ZRDF88134CHG A4649

HCPCS

SOLD BY

Dressing Change Kit with Opsite® Soft Tray* Contains one face mask, two gloves, one patient label, one towel, one dressing (non-adhering), one roll medical tape, one split gauze 2˝ x 2˝, three alcohol swabsticks, one gauze 2˝ x 2˝, three PVP swabsticks, one gauze 4˝ x 4˝, one measuring tape and one Opsite® IV3000 Transparent Dressing.

ITEM #

ZRDF88134LF A4649 30/cs

HCPCS

SOLD BY

Central Line Dressing Change Kit* Contains one face mask, two gloves, one towel, one patient label, one dressing (non-adhering), one roll medical tape, one split gauze 2˝ x 2˝, three alcohol swabsticks, one gauze 2˝ x 2˝, three PVP swabsticks, one gauze 4˝ x 4˝, one measuring tape, one PVP ointment and one Tegaderm® Transparent Dressing 4˝ x 43⁄4˝.

ITEM #

HCPCS

Rigid Tray

ZRDK77234LF

A4649

SOLD BY

30/cs

IV Start Kit* Contains two gloves, one patient label, one roll medical tape, one gauze 2˝ x 2˝, one PVP prep pad, one alcohol prep pad, one tourniquet and one Tegaderm® Transparent Dressing 23⁄8˝ x 23⁄4˝.

ITEM #

ZRIK99185LF A4649 50/cs

HCPCS

22-gauge, 1˝ needle length 24-gauge, 3⁄4˝ needle lenth

ITEM #

SOLD BY

ZRIK99185LFC A4649 50/cs

HCPCS

SOLD BY

425251902 425250002

A4649 A4649

ea ea

425165202 4251628 425160102

A4649 A4649 A4649

50/bx 50/bx 50/bx

425354002 425352302

A4649 A4649

50/bx 50/bx

POLYURETHANE, STRAIGHT

20-gauge, 1˝ needle length 22-gauge, 1˝ needle length 24-gauge, 3⁄4˝ needle length POLYURETHANE, WING

22-gauge, 1˝ needle length 24-gauge, 3⁄4˝ needle length

LATEX FREE WHIN® Safe Huber Needle Female Luer connector, on/off clamp. DEHP-free, latex-free, lipid compatible, pressure-rated. Priming volume 0.23 cc. Length: 7˝ (17.78 cm).

ITEM #

HCPCS

20-gauge with Ultrasite® valve

573112

A4649

SOLD BY

25/bx

BD MEDICAL (58) BD Insyte Autoguard Shielded IV Catheters ™

™

ITEM #

HCPCS

20-gauge x 1˝, pink 22-gauge x 1˝, blue 24-gauge x 3⁄4˝, yellow

381433 381423 381412

A4649 A4649 A4649

SOLD BY

50/bx 50/bx 50/bx

BD Insyte™ Autoguard™ Winged Shielded IV Catheters

ITEM #

HCPCS

20-gauge x 1˝, pink 20-gauge x 1.16˝, pink 22-gauge x 1˝, blue 24-gauge x 3⁄4˝, yellow

381533 381534 381523 381512

A4649 A4649 A4649 A4649

SOLD BY

50/bx 50/bx 50/bx 50/bx

BD Angiocath™ Autoguard™ Shielded IV Catheters

ITEM #

HCPCS

24-gauge x 3⁄4˝, yellow

381700

A4649

SOLD BY

50/bx

BD Saf-T-Intma Integrated IV Catheters with PRN Adapter ™

ITEM #

HCPCS

22-gauge x 3⁄4˝, blue 24-gauge x 3⁄4˝, yellow

383322 383312

A4649 A4649

SOLD BY

50/bx 50/bx

BD Saf-T-Intma™ Integrated IV Catheters with Y Adapter

ITEM #

HCPCS

22-gauge x 3⁄4˝, blue 24-gauge x 3⁄4˝, yellow

383323 383313

A4649 A4649

SOLD BY

25/bx 25/bx

NEEDLELESS SYSTEMS

SOLD BY

IV Start Kit with Chloraprep®* Contains two gloves, one patient label, one roll medical tape, one gauze 2˝ x 2˝, one ChloraPrep® Sepp 0.67 mL, one ChloraPrep® insert, one tourniquet and one Tegaderm® Transparent Dressing 23⁄8˝ x 23⁄4˝.

ITEM #

FEP, STRAIGHT

30/cs

SOLD BY

Dressing Change Kit with ChloraPrep®* Contains one face mask, two gloves, one patient label, one towel, one dressing (non-adhering), one roll medical tape, one split gauze 2˝ x 2˝, three alcohol swabsticks, one gauze 2˝ x 2˝, one gauze 4˝ x 4˝, one measuring tape, one ChloraPrep® applicator, one ChloraPrep® insert and one Tegaderm® Transparent Dressing 4˝ x 4.75˝.

LATEX FREE Introcan Safety® IV Catheter Available in polyurethane for softer, more comfortable, in-dwelling performance, or FEP with firmer construction for arterial access and special procedures. All are DEHP- and latex-free.

B. BRAUN (XB) Needle-Free Dispensing Pins Utilize a bacterial retentive air-venting filter. DEHP- and latex-free.

LATEX FREE

ITEM #

HCPCS

SOLD BY

DP100 DP1800SC

A4649 A4649

50/cs 50/cs

DP2500 DP3500L

A4649 A4649

50/cs 50/cs

WITH MINI-SPIKE®

I.V. additive dispensing pin ULTRASITE® valve and security clip WITH SAFESITE®

Standard spike set with SAFESITE® valve Nonvented pin with SAFESITE® valve

Small Bore Extension Set with ULTRASITE® Injection Site DEHP- and latex-free.

116

ITEM #

HCPCS

8˝ (20.3 cm), 0.61-mL priming volume 14˝ (35 cm), 0.95-mL priming volume

CSE6L CSE12L

A4649 A4649

LATEX FREE SOLD BY

50/cs 50/cs

INFUSION

Filtered Medication Transfer Devices

NEEDLELESS SYSTEMS

ITEM #

HCPCS

SOLD BY

FS5005

A4649

100/cs

PF2000 PF1200

A4649 A4649

50/cs 50/cs

ITEM #

HCPCS

SOLD BY

R2000B

A4649

100/bx SOLD BY

FILTER STRAW® PARTICULATE MATTER FILTER

B. BRAUN (XB)

5˝, 13⁄4˝ flexible straw

LATEX FREE ULTRASITE® Valve For aspiration, injection or gravity flow of fluid upon insertion of a male Luer fitting. DEHP- and latex-free.

ITEM #

HCPCS

SOLD BY

0.35-mL priming volume

CSU100

A4649

100/cs

FILTERED MEDICATION TRANSFER DEVICE

0.2˝ SUPOR Aspiration/Disc, green 1.2 SUPOR® Aspiration/Disc, clear ®

Replacement Caps

MALE AND FEMALE END

RED CAP®, Leur cap

ICU MEDICAL (ICU) 8˝ Macrobore Extension Set 1.2-micron filter, female Luer lock, slide clamp and male rotating Luer. 4-mL approximate priming volume.

ITEM #

HCPCS

SOLD BY

B1016

A4649 50/cs

CLAVE Multi-Dose Vial Access Spike ®

ITEM #

HCPCS

CS50

A4649 50/cs

SOLD BY

Lopez Enteral Valve with Tether A stopcock-like device, which allows the healthcare worker to access enteral systems without breaking open the lines. This closed system protects the healthcare worker from exposure to bodily fluids that may carry bloodborne pathogens, such as HIV and hepatitis C. Nonsterile. ®

ITEM #

HCPCS

SOLD BY

M9000T B9998 ea

Sterile Cap Breather cap for male Luer slips, locks and spin Luers.

ITEM #

HCPCS

SOLD BY

CAP1

A4649 100/cs

I.V. SECUREMENT DRESSINGS ZEFON (ZEF) Grip-Lok®

Syringe Caps

ITEM #

HCPCS

MULTI-AD® Luer lock syringe cap

SC2000

A4649

Vented Needles and Dispensing Connectors DEHP- and latex-free.

ITEM #

HCPCS

SOLD BY

Fluid dispensing connector Lateral flow vented needle

FDC1000 VN1000L

N/A N/A

100/cs 100/cs

ITEM #

HCPCS

SOLD BY

11⁄8˝ long

IN2000

N/A

100/cs

Injection Cap

ITEM #

Medium, wide adhesive 3300MWA Universal 3300M

HCPCS

SOLD BY

A4333 100/bx A4333 100/bx

BARD MEDICAL (VE) StatLock PICC Plus Sutureless securement can secure PICC lines in place, eliminating the need for suture or tape, and significantly reducing the incidence of catheter-related bloodstream infections, dislodgment and other complications. Helps eliminate the risk of accidental needlesticks. ®

ITEM #

HCPCS

Crescent sliding post Crescent fixed post

VPPCSP VPPDFP

A4649 A4649

SOLD BY

ea ea

PHARMACY ADD MIXTURE DEVICES

LATEX FREE

EXTENSION SETS TRUECARE BIOMEDIX (TCR) LATEX FREE IV Extension Sets Equipped with male and female Luer locks and a slide clamp. The sets are DEHP- and latex-free.

ITEM #

43˝ (109 cm)

MAT4100

A4649

ea ea ea

LATEX FREE I.V. Administration Set with Rate Flow® Regulator (20 drops/mL) universal spike with 15-micron filter, on/off clamp, Rate Flow Regulator, injection site 6˝ above distal end, SPIN-LOCK connector. DEHP- and latex-free.

ITEM #

HCPCS

14 mL, 84˝ (213.4 cm), 15 micron

V5922

A4649

SOLD BY

50/cs

LATEX FREE Basic Lipid Administration Site (15 drops/mL) Universal spike, roller clamp, injection site 6˝ above distal end, SPIN-LOCK® connector. DEHP- and latex-free. 16-mL priming volume and 81˝ (205.7 cm) length.

ITEM #

HCPCS

15 drops/mL

V1390

A4649

SOLD BY

50/cs

B-Series Basic I.V. Administration Sets

ITEM #

HCPCS

SOLD BY

UNIVERSAL, 14-ML PRIMING VOLUME, 15 DROPS/ ML

73˝ (201 cm), 1 priming site 79˝ (201 cm), 1 priming site

V1416 V1402

A4649 A4649

50/cs 50/cs

A4649

50/cs

UNIVERSAL, 19-ML PRIMING VOLUME, 15 DROPS/ ML

V1482

NON-VENTED 19-ML PRIMING VOLUME, 15 DROPS/ ML

LATEX FREE MULTI-AD® Transfer Set Vented transfer set with automatic two-way valve assembly, universal spike, on/off clamp, dual check valve. Accepts standard syringe for dispensing I.V. additives. DEHPand latex-free. HCPCS

B. BRAUN (XB)

106˝ (269 cm), 1 priming site

ITEM #

SOLD BY

I.V. ADMINISTRATION

106˝ (269 cm)

B. BRAUN (XB)

HCPCS

7˝ small bore TCBEXT001 A4649 7˝ Microbore Extension Set with .22 Micron GVS with Speed Flow Filter TCBEXTF22 A4649 15˝ mini bore TCBEXT003 A4649 30˝ male/female small bore TCBEXT004 A4649

LATEX FREE

Catheter stabilization device that is strong enough to lock catheters securely in place, yet versatile enough for almost any securement situation. The adhesive on Grip-Lok® will adhere and secure PICC hubs made from silicone, PVC and other plastic compounds. Latex-free and packaged in individual sterile units, allowing use close to a wound site or right in the sterile field.

10/pk

SOLD BY

V1423

Universal Spike Connector Universal spike with 15-micron filter, on/off clamp, Rate Flow Regulator, injection site 6˝ above distal end, and SPIN-LOCK connector. DEHP- and latex-free.

ITEM #

HCPCS

V5922

A4649 50/cs

SOLD BY

20/cs

117

INFUSION

Heparin I.V. Flush Syringe Prefilled syringe. Sterile.

I.V. ADMINISTRATION TRUECARE BIOMEDIX (TCR)

I.V. Administration Set Includes universal (vented or non-vented) spike, male swivel Luer lock, roller clamp, Y-injection site located 6˝ from the distal end and drip chamber with a 15-micron filter. The sets are also available in models featuring a 0.22-micron, air-eliminating, low protein-binding, in-line filter; a flow regulator with a range of 10 mL – 300 mL per hour; or both. Each DEHP-free, latex-free set is individually blister packaged in quantities of 40 – 50 per box, and features patient information printed directly on the exterior of the package.

ITEM #

HCPCS

ITEM #

Venous Access 23 gauge x 0.75˝ needle x 12˝ tubing BD Vacutainer™ Safety-Lok blood collection and infusion set with Luer adapter. Manually activated safety shield to fully cover needle. BD Safety-Lok™ Blood Collection Sets have been designed to shield healthcare workers from exposed needles. Following venipuncture, a yellow transparent shield is moved over the exposed needle and locked into protective position, creating a barrier between the healthcare professional and the used needle.

I.V. PUMPS, DEVICES AND ACCESSORIES

ITEM #

HCPCS

367283

A9270 50/bx

SOLD BY

Blood Collection Devices

Homepump Eclipse® Disposable Elastomeric Infusion Devices ITEM #

HCPCS

SOLD BY

E050500

A4649

48/cs

E100500 E101000 E102000

A4649 E1399 E1399

48/cs 48/cs 48/cs

E251750 E252500

E1399 E1399

24/cs 24/cs

E401000 E402000

A4649 A4649

24/cs 24/cs

E502500

E1399

24/cs

50 ML

Dark green, 50 mL/hr rate

60/bx 60/bx

BD MEDICAL (58)

ea ea

I-FLOW (IFL)

SOLD BY

J1642 J1642

BLOOD COLLECTION

SOLD BY

15-micron filter in drip chamber TCBINF001 A4649 15-micron filter in drip chamber TCBINF022AE A4649 With GVS Easydrop Flow Regulator, DEHP-free, 15-micron filter in drip chamber TCBINF033G A4649

HCPCS

5 mL fill in 12-mL syringe, blue MIH2235 5 mL fill in 12-mL syringe, 100 USP units/mL, yellow MIH3335

1 Y-SITE, SWIVEL LUER LOCK, 92˝

LATEX FREE

ITEM #

HCPCS

SOLD BY

Vacutainer™ Multiple Sample Luer Adapter 367290 N/A 100/bx Eclipse Collection Needle, 22-gauge, 1.25˝ length 368608 A4215 48/bx

100 ML

Dark green, 50 mL/hr rate White, 100 mL/hr rate Blue, 200 mL/hr rate 250 ML

Navy blue, 175 mL/hr rate Gray, 250 mL/hr rate 400 ML

White, 100 mL/hr rate Blue, 200 mL/hr rate 500 ML

Gray, 250 mL/hr rate

CONNECTICUT CLEAN ROOM (CTC)

I.V. MISCELLANEOUS PREFILLED SYRINGES

CARDINAL HEALTH™ (55) Pre-Filled Syringe

ITEM #

HCPCS

Saline 10-mL pre-filled syringe Saline 5-mL pre-filled syringe

SA1010A SA105

A4216 A4216

SOLD BY

30/bx 30/bx

MEDEFIL, INC. (MDE) Normal Saline I.V. Flush Syringe Prefilled syringe. Sterile.

LATEX FREE

ITEM #

HCPCS

10 mL fill in 12-mL syringe, white 5 mL fill in 12-mL syringe, white

MIS1130 MIS1135

A4216 A4216

118

CLEAN ROOM SUPPLIES USP 797 was developed to reduce or prevent harm to patients that could result from microbial contamination and excessive bacterial endotoxins, large content error and incorrect ingredients from compounded sterile products. USP 797-compliant pharmacies will be required to wipe down every bottle, syringe and vial that enters the clean room; clean and sanitize all buffer room carts, equipment, hoods, walls, surfaces and floors; document all compounding activities; sanitize gloves; conduct sterility and bacterial endotoxin testing for high risk compounding; label in compliance with storage requirements; clean and sanitize the cleanroom, anteroom and shelving.

SOLD BY

60/bx 60/bx

PolyTack Entrance Mats Made from an incinerable polyethylene film with special anti-microbial agent. Provides long-lasting protection against bacterial growth. Removes foot-borne particulate before entering the cleanroom. Seamless one-piece construction. Numbered tabs provide easy identification and sheet separation. Easy mobility for carts and wheeled machinery. 30 sheets/mat.

ITEM #

HCPCS

8˝ x 36˝ 8˝ x 45˝ 24˝ x 36˝ 24˝ x 45˝

K101B K102B K111B K112B

A9270 A9270 A9270 A9270

SOLD BY

4/cs 4/cs 4/cs 4/cs

Autoclavable Nonwoven Wipers Ideal for applications where high sorbency and low extractables are important. Excellent for picking up aqueous spills. Suitable for cleaning precision components and apparatus. Nonwoven, spunlaced construction for excellent strength. Compatible with most solvents.

ITEM #

HCPCS

SOLD BY

9˝ x 9˝

CTCWWCV002

A9270

300/pk

INFUSION

CLEAN ROOM SUPPLIES COVIDIEN (68) ChemoSafety™ Nitrile Gloves Sterile, powder-free, latex-free gloves are 8-mL thick at fingertip. 12˝ length. Blue.

ITEM #

HCPCS

Small Medium Large X-Large

CTS731S A4930 CTS731M A4930 CTS731L A4930 CTS731XL A4930

HCPCS

CT0014 A9270

ITEM #

Medium Large X-Large

CT01921S A4930 CT01931S A4930 CT01941S A4930

HCPCS

2˝ x 3˝ 4˝ x 6˝ 5˝ x 8˝ 5˝ x 12˝ 6˝ x 8˝ 6˝ x 9˝ 6˝ x 10˝ 8˝ x 8˝ 9˝ x 12˝ 10˝ x 12˝ 10˝ x 13˝ 12˝ x 12˝ 12˝ x 15˝ 13˝ x 15˝ 13˝ x 18˝

SOLD BY

50/bx 50/bx 50/bx

HCPCS

SOLD BY

6˝ x 9˝ 12˝ x 15˝

CT0575 CT0500

A9270 A9270

200/cs 250/cs

Chemo Safety™ 17-piece Spill Kit Includes poly-coated, large, blue gown; two pairs of 18-mL thickness latex chemotherapy gloves (one large and one x-large); a dust/mist respirator mask; two 20-gallon waste disposal bags; a pair of side-paneled safety glasses; three spill towels; a shoe cover pair; a chemo caution sign; two ChemoSorb™ pads; a scoop and scraper; and two tie wraps. CT4004 A9270

HCPCS

ITEM #

Large XX-Large

CT5100 A9270 CT5102 A9270

HCPCS

SOLD BY

30/cs 30/cs

ITW TEXWIPE® (TEX)

ITEM#

HCPCS

F20203 F20406 F20508 F20512 F20608 F20609 F20610 F20808 F20912 F21012 F21013 F21212 F21215 F21315 F21318

A9270 A9270 A9270 A9270 A9270 A9270 A9270 A9270 A9270 A9270 A9270 A9270 A9270 A9270 A9270

SOLD BY

1,000/cs 1,000/cs 1,000/cs 1,000/cs 1,000/cs 1,000/cs 1,000/cs 1,000/cs 1,000/cs 1,000/cs 1,000/cs 1,000/cs 1,000/cs 1,000/cs 1,000/cs

2 MIL WITH WHITE BLOCK

3˝ x 5˝

F20305W A9270 1,000/cs

3 MIL RECLOSABLE AMBER

4˝ x 6˝ 8˝ x 8˝ 8˝ x 14˝ 12˝ x 12˝

FAM30406 FAM30808 FAM30814 FAM31212

A9270 A9270 A9270 A9270

1,000/cs 1,000/cs 1,000/cs 1,000/cs

F40608 F40609 F40810 F40912

A9270 A9270 A9270 A9270

1,000/cs 1,000/cs 1,000/cs 1,000/cs

4 MIL

6˝ x 8˝ 6˝ x 9˝ 8˝ x 10˝ 9˝ x 12˝

MEDIPAK (MPK)

SOLD BY

LATEX FREE Chemo Plus™ Protective Gowns Latex-free, lightweight, non-linting, splash-resistant fabric with closed front and wrap-around style for added protection. Features long sleeves with knit cuffs and waist ties with Velcro® neck closures. Blue.

Zipper Lock Bags

300/cs

ITEM #

SOLD BY

ELKAY PLASTICS CO, INC. (EK)

2 MIL

A4244

SOLD BY

LATEX FREE SafeLock™ Drug Transport Bag Latex-free, 4-mL thickness for maximum protection with zipper-lock closure. White.

HCPCS

TX3270

ZIPPER LOCK BAGS

Chemo Plus™ Chemotherapy Gloves Latex powder-free, 18-mL thickness and 12˝ length with beaded cuff. Provides maximum protection for chemotherapy drug administration and spill cleanup.

ITEM #

16-oz. bottle

50/bx 50/bx 50/bx 50/bx

ChemoSorb 9˝ x 9˝ Low Lint Towel Latex-free, single-use towel that is highly absorbent and lint-free. ITEM #

SOLD BY

™

Sterile 70% Isopropanol Contains 70% by volume USP-grade Isopropanol (isopropyl alcohol) and 30% USP-purified water. Submicron filtered, filled into cleaned containers, double-bagged and gamma-irradiated. Each bottle is lot coded with an expiration date for easy record keeping. Trigger spray.

UVLI Bags Light protection is extremely important in healthcare, and UVLI Bags are designed to provide protection against the deteriorating effects of ultraviolet light. Routinely tested for effectiveness as part of the Medipak Quality Assurance and Control Program. Cost effective – no more than pennies need be spent to protect I.V.s that often cost $50 to administer. Easily accessible in stackable boxes.

ITEM#

HCPCS

3˝ x 14˝ For piggyback I.V. bag, 5˝ x 7 1⁄2˝, amber For 1⁄2-liter I.V. bags, 6˝ x 10˝, amber, split top For 1⁄2-liter I.V. bags, 8˝ x 14˝, amber, split top For 1⁄2-liter I.V. bags, 8˝ x 14˝, split top

530ULS 540UPBD 551SUHL 561SUXLD 566SUXLM

A4649 A4649 A4649 A4649 A4649

SOLD BY

1,000/bx 500/bx 1,000/bx 500/bx 1,000/bx

ITW Texwipe® Wipes and Mops

ITEM #

HCPCS

SOLD BY

TX629 TX612

A9270 A9270

300/bg 150/pk

A9270 A9270

ea 6/cs

WIPES

Versawipe®, 9˝ x 9˝ Techni cloth wipers, 12˝ x 12˝ MOPS

Mop with fiberglass TX7108 Replacement covers and foam pads TX7118

119

INFUSION

I.V. DRESSINGS

CARDINAL HEALTH™ *Not made with natural rubber latex.

BROWNMED (FD) Seal Tight® PICC/Dressing Covers Easy, durable way to stay dry. Easy to use, slips comfortably over PICC lines or dressings to create a water-tight seal while showering. Latex-free. Reusable.

ITEM #

HCPCS

Medium Small Large 3.5˝ x 6˝ shield

20317 20318 20319 20435

A9270 A9270 A9270 A9270

I.V. Pole* Chrome-plated. Extends from 47˝ – 85˝ in height. Features two hooks and easy-roll 2˝ casters. Four-leg, low-profile base diameter is 23˝. One-year warranty.

SOLD BY

ea ea ea 5/bx

ITEM #

ZCH10170 E0776 ea

ETHICON (53) Biopatch Antimicrobial Dressing Polyurethane, absorptive foam with chlorhexidrine gluconate, a well-known antiseptic agent with antimicrobial and antifungal properties. Ideal for use with I.V. catheters, central venous lines, arterial catheters and PICC lines. Also used for orthopedic pins, epidural catheters and drain tubes. Highly absorbent, absorbs up to eight times its weight in fluid. Inhibits growth of bacteria for up to seven days. ITEM #

HCPCS

4151

A4649

10/bx

4150 4152

A4649 A4649

10/bx 10/bx

Economy Removable Top I.V. Pole with 2 Hook Four rubber wheels provide for a smooth transport and maneuverability. Chrome-plated steel with weighted base provides strength, durability and reduces risk of tipping. Easily converted to two-hook or four-hook with easy-to-release push-pin. Locking collar allows for easy height adjustment. 40˝ – 82˝ adjustable height. Removable hooks make this economy I.V. pole versatile. Silver vein.

SOLD BY

ITEM #

HCPCS

SOLD BY

13033SV E0776 ea

⁄4˝ FENESTRATED DISC

1.5-mm center hole

SOLD BY

DRIVE/DEVILBISS HEALTHCARE (FG)

HCPCS

1˝ FENESTRATED DISC

4.0-mm center hole 7.0-mm center hole

I.V. PREP WIPES

COOLERS AND GEL PACKS

ENTURIA INC. (55)

TC INDUSTRIES (TCI)

ChloraPrep One Step The formulation of 2% chlorhexidine gluconate and 70% isopropyl alcohol antiseptic provides rapid and persistent antimicrobial activity on the skin surface. Use for skin preparation for procedures such as central line catheter and percutaneous site insertions. Coverage area: 4˝ x 5˝. Effective in 30 seconds and persistent for at least 48 hours, even in blood and organic matter. No-mess applicator has an enclosed 3-mL ampule with unique sponge pad to control flow of solution while providing a friction scrub.

ITEM #

HCPCS

260400

A4248 100/cs

BrrBox Cooler

ITEM #

HCPCS

BBC0888 BBC1212 BBC1414 BBC1616

A9270 A9270 A9270 A9270

SOLD BY

UNASSEMBLED

8˝ L x 8˝ W x 8˝ H 12˝ L x 12˝ W x 12˝ H 14˝ L x 14˝ W x 14˝ H 16˝ L x 16˝ W x 16˝ H

8/cs 10/cs 6/cs 4/cs

SOLD BY

Gel Packs for BrrBox Coolers

I.V. POLES TRUECARE BIOMEDIX (TCR) I.V. Pole Disposable floor/tabletop convertible I.V. pole is a sturdy, cost-effective and quality alternative to the traditional method of maintaining an I.V. pole inventory. Equipped with three masts (up to 83˝ ) for conversion to floor or tabletop.

ITEM #

HCPCS

TCBIVF0800 E0776

ITEM #

TCBIVW0701 E0776

HCPCS

ITEM #

HCPCS

12 oz. 16 oz.

TC12G TC16G

A9273 A9273

SOLD BY

48/cs 36/cs

SHARPS DISPOSAL

SOLD BY

Heavy-Duty I.V. Pole Disposable five-wheel floor I.V. poles are a sturdy, cost-effective and quality alternative to the traditional method of maintaining an I.V. pole inventory. Streamlined, sturdy construction. Maximum height of 74˝. Supports infusion pumps.

BECTON DICKINSON (58) BD Phlebotomy Sharps Collector Red with dual access. Convenient, vertical “point first” drop, these robust sharps collectors are preassembled and offer a patented one-way funnel valve to help prevent needlestick and overfilling. ™

ITEM #

HCPCS

1.4 quart

305487

N/A

SOLD BY

BD™ One-Piece Multi-Use Sharps Collector Red with regular funnel entry. Convenient, vertical “point first” drop, these robust sharps collectors are preassembled and offer a patented one-way funnel valve to help prevent needlestick and overfilling.

120

ITEM #

HCPCS

3.3 quart

305488

E1399

SOLD BY

INFUSION

SHARPS DISPOSAL BECTON DICKINSON (58) BD™ Multi-use One-Piece Sharps Collector Convenient, vertical “point first” drop, these robust sharps collectors are preassembled and offer a patented one-way funnel valve to minimize needlestick and overfilling. 18˝ L x 7.5˝ W x 10.5˝ H. Red with open top.

ITEM #

5 gallon

305491 E1399

HCPCS

SOLD BY

8/cs

BD™ Patient/Exam Room Red with horizontal entry and counter balanced doors. Features exclusive funnel-shaped opening and safety neck. Allows “point first” drop and reduced risk of tampering and spilling. 103⁄4˝ square x 4˝ W. 5.4 quarts.

ITEM #

Red Pearl

305426 E1399 305425 E1399

HCPCS

SOLD BY

12/cs 12/cs

BD™ Multi-Use One-Piece Red with regular funnel entry. Convenient, vertical “point first” drop, these robust sharps collectors are preassembled and offer a patented one-way funnel valve to minimize needlestick and overfilling.

ITEM #

8.2 quart

305490 E1399

HCPCS

SOLD BY

12/cs

Qt BD™ Mail Away Sharps Collector Red with horizontal entry and counter balanced doors. Designed for small and remote medical waste facilities for convenient and secure disposal using U.S. Postal Service. 103⁄4˝ square x 4˝ W.

ITEM #

5.4 quart

305443 E1399

HCPCS

SOLD BY

20/cs

COVIDIEN (68) SharpSafety Autodrop Phlebotomy Adapts to present blood drawing trays and techniques. Facilitates the disconnection of multi-sample needles from needle holders and locks for final disposal. Red. ™

ITEM #

1 quart 2 quart

8900SA E1399 1522SA E1399

HCPCS

SOLD BY

ea ea

SharpSafety™ In Room Containers Economic horizontal drop maximizes container volume. Containers lock easily for final disposal.

ITEM #

HCPCS

5 quart, counter balanced lid, red 8507SA E1399 5 quart, mailbox style lid, red 85131 E1399 5 quart, mailbox style lid, clear 85121 E1399

SOLD BY

ea 20/cs 20/cs

SharpSafety™ Chemotherapy Sharps Container Hinged cover with gasket provides leak-resistant containment of fluid. Absorbent pad in bottom of container absorbs excess liquid. Provides temporary and final locking closure for disposal. Non-translucent.

ITEM #

HCPCS

2 gallon, red 8 gallon, red 8 gallon, yellow

8982 8980 8985

A9270 E1399 E1399

SOLD BY

20/cs 10/cs 10/cs

SharpSafety™ Large Volume Sharps Container Sliding lid accommodates large sharps waste. Provides temporary closure when not in use and final lock for disposal. Red, non-translucent.

ITEM #

HCPCS

2 gallon 18 gallon, sliding lid

8970 8938

E1399 E1399

SOLD BY

20/cs 5/cs

121

ORTHOPEDICS

RELIAMED WOUND PROTECTORS ReliaMed Heel and Elbow Protectors Helps prevent decubitus ulcers by reducing pressure, shearing and friction on heel or elbow. Comfortable; allows skin to breathe and does not restrict blood flow. Consists of a knitted tube of soft fabric with a foam pad stitched inside. Remains firmly in place. Color-coded sizes make fitting patients easy. Measure limb circumference for size. Contains latex.

ITEM #

HCPCS

Small up to 16˝ (green) Medium up to 17˝ (white) Large up to 19˝ (beige) X-Large up to 23˝ (yellow) 2X-Large up to 25˝ (blue)

ZGHEPSM ZGHEPMED ZGHEPLRG ZGHEPXLG ZGHEP2X

E0191 E0191 E0191 E0191 E0191

SOLD BY

pr pr pr pr pr

DALE MEDICAL (DA) LATEX FREE Dale Abdominal Binders Features the new EasyGrip Strip that can hold up to four 100-cc drainage bulbs in place. This allows for easier monitoring of drainage bulb contents and drainage bulbs to be emptied or removed quickly without removing pins or tape. Will not fray or unravel if cut to allow for tubing. Unlike other binders, which can restrict movement, Dale Abdominal Binders promote mobility and reduce the chance of sedentary complications. Reimbursement Codes: Dressing Holder (A4463) or Back Support (L0625).

ITEM #

HCPCS

30˝ – 45˝ 46˝ – 62˝ 60˝ – 75˝ 72˝ – 94˝

410 411 418 N/A

810 811 818 820

A4463/L0625 A4463/L0625 A4463/L0625 A4463/L0625

ea ea ea ea

A4463/L0625

9˝ WIDE*

12˝ WIDE*

15˝ WIDE*

72˝ – 94˝

920

SOLD BY

*All sizes when stretched.

BROWNMED (FD) IMAK Compression Arthritis Gloves Helps relieve arthritis, hand pain, swelling and cold hands. Provides mild compression to enhance blood circulation. Open fingertips allow freedom to touch, feel and grip. Cotton Lycra allows skin to breathe. Comfortable to use all day and night. Latex-free. Measure across the knuckles to size.

ITEM #

HCPCS

Intellinetix Vibrating Gloves Clinically proven to relieve pain for those with arthritis or other chronic conditions that result in pain in the fingers or hands. Small vibrating motors embedded in the gloves work at the push of a button, providing a subtle, yet effective method of increasing blood circulation, warming aching joints and disrupting chronic pain signals traveling to the brain. Available this August, a new version of Intellinetix Vibrating Gloves will feature three distinct levels of vibration, making it easier to find the perfect level of relief through vibration therapy. ITEM #

HCPCS

SOLD BY

Small 07100 A9270 pr Medium 07101 A9270 pr Large 07102 A9270 pr

122

ITEM #

Small Medium Large

A20185A A9270 pr A20186 A9270 pr A20187 A9270 pr

HCPCS

SOLD BY

Nice Stretch X Lite Universally sized dorsal night splint, with a retail package. Compact, comfortable and affordable to fit a retail environment. Commended by the Arthritis Foundation for Ease of Use.

ITEM #

50320 L4396 ea

HCPCS

SOLD BY

Seal-Tight Original Non-latex diaphragm. Stretches easily over cast to form a watertight seal. Durable polyvinyl protector. Prevents water penetration. For therapeutic care and daily bathing. Not for recreational water activities. For single patient use only.

ITEM #

HCPCS

Adult short leg Foot/ankle

20103 20105

A9270 A9270

SOLD BY

ea ea

Seal-Tight Sport Safe, economical protector for casts and bandages during recreational water activities or daily showering and bathing. Easy application eliminates the need for pumps, hook-and-loop closures and adhesive tapes that may irritate skin. Made of TPE, a high performance thermoplastic elastomer that stretches easily. Maintains a waterproof seal. Reusable and folds compactly. Lasts the life of the cast.

ITEM #

HCPCS

Adult long arm Adult short leg Adult long leg

20321 20322 20323

A4649 A9270 A9270

SOLD BY

ea ea ea

Seal-Tight Protector Safe, economical and effective covering for dressings surrounding PICC lines and elbow surgeries. Open design allows user the freedom to use his/her hand. Easy application eliminates need for pumps, hook-and-loop closure straps and adhesive tapes that may irritate skin. Made of TPE, high performance thermoplastic elastomer that stretches easily, folds compactly and maintains waterproof seal. Reusable. Not made with natural rubber latex.

SOLD BY

Small – up to 31⁄8˝ A20170 A9270 pr Medium – up to 31⁄2˝ A20171 A9270 pr Large – up to 4˝ A20172 A9270 pr

IMAK Compression Active Gloves Help encourage a healthy lifestyle by relieving aches, pains and stiffness associated with hand pain. The unique design provides mild compression for warmth and helps increase circulation and promote healing. Made of a soft breathable cotton material. The open fingertips and anti-slip design allow full freedom to feel, touch and grip all day.

ITEM #

Small Medium Large

20318 A9270 ea 20317 A9270 ea 20319 A9270 ea

HCPCS

SOLD BY

Seal-Tight Shield Disposable patches are a secondary or supplemental dressing that allow patients to shower while keeping wound sites or surgical dressings dry. Fills need for site-specific moisture protection. Easy to apply and remove. Made of transparent film, permitting view of wound or bandage to be covered. 5˝ x 8˝ size provides 3½˝ x 6˝ coverage area.

ITEM #

HCPCS

20435

A9270 5/bx

SOLD BY

SCOTT SPECIALTIES, INC. (SS) Comfy Cradle Maternity Support Offers relief from back discomfort during pregnancy. The 8˝ wide, plush elastic pregnancy belt supports the lower abdomen. Dual-adjustable elastic side tension panels and optional moldable insert offer additional support. Provides temporary stabilization of pelvis. Size: dress size before pregnancy.

ITEM #

Medium X-Large

3090SMMD A9270 ea 3090LGXL A9270 ea

HCPCS

SOLD BY

ORTHOPEDICS

SCOTT SPECIALTIES, INC. (SS) Posture Support Soft cotton/flannel back panel and felt padded stockinette shoulder straps. Front buckle closure makes support universal and allows easy self-application. Pliable metal stays are enclosed for added stability. Lightweight and discreet under clothing. Universal, 26˝ – 44˝.

ITEM #

HCPCS

SOLD BY

1582

L3650 ea

Clavicle Strap Comfortable support with stockinette over orthopedic polyester felt with sewn zig-zag fashion for strength and flexibility under arm. Straps adjust in back with slide buckles.

ITEM #

HCPCS

19˝ – 28˝ 24˝ – 33˝

1560MD 1560LG

L3650 L3650

SOLD BY

ea ea

Elastic Shoulder Immobilizer 6˝ wide elastic chest band with web straps. One humerus cuff, one forearm cuff with hook-and-loop closure. Fits either arm. Female support is contoured in front for proper anatomical fit.

ITEM #

HCPCS

Female, Small Male, X-Large

2500FSM 2500MXL

A4565 A4565

SOLD BY

ea ea

Snoopy Arm Sling Comfortable envelope-style arm sling is completely washable by hand. 1˝ wide shoulder strap with simple hook-and-loop closure and slide buckle for adjustment and customized fit. Colorful poly/cotton material.

ITEM #

HCPCS

10˝ x 5˝ 12˝ x 6˝ 15˝ x 7˝ 17˝ x 9˝

4704XS 4704SM 4704MD 4704LG

A4565 A4565 A4565 A4565

SOLD BY

ea ea ea ea

Deluxe Knee Immobilizer White cotton sateen on 3⁄8˝ thick foam, nylon tricot lined. One each medial and lateral stays with two contoured posterior aluminum stays. All stays are removable. Size: circumference 6˝ above and 6˝ below knee.

ITEM #

HCPCS

Upper 15˝ – 18˝, lower 9¾˝ – 12¾˝ 3216SM L1830 Upper 17¾˝ – 20 ¾˝, lower 12½˝ – 15 ½˝ 3216MD L1830 Upper 23¼˝ – 26¼˝, lower 18˝ – 21˝ 3216XL L1830

SOLD BY

ea ea ea

LEADER BRAND (SS) Universal Arm Sling With Shoulder Pad Durable cotton blend for lasting wear. Slide buckle for adjustable strap length. Neoprene shoulder pad for comfort.

ITEM #

HCPCS

Pouch size 18˝ L x 9˝ W

4535738

A4565

SOLD BY

Universal Cervical Collar With Chin Contour Contoured chin and stockinette sleeve for additional comfort. Firm foam provides stabilization. Hook closure for easy application.

ITEM #

HCPCS

Neck circumference 12˝ – 22˝

4535936

L0120

SOLD BY

Deluxe Carpal Tunnel Wrist Soft lined canvas wrist support provides durable, yet comfortable support. D-rings with hook-and-loop closures can be trimmed for an adjustable, customized fit. Aluminum palm stay is removable and adjustable.

ITEM #

HCPCS

SOLD BY

LEFT

Small Medium Large X-Large

4915047 L3908 ea 4914982 L3908 ea 4914891 L3908 ea 4915112 L3908 ea

RIGHT

Small Medium Large X-Large

4915088 L3908 ea 4915013 L3908 ea 4914933 L3908 ea 4914883 L3908 ea

Carpal Tunnel Wrist Brace Duo-tension elastic for varied tension around palm and wrist area. Pre-shaped removable 1˝ stay. Hook/loop closure.

ITEM #

HCPCS

SOLD BY

LEFT

Small Medium X-Large

4915518 L3908 ea 4915484 L3908 ea 4914909 L3908 ea

RIGHT

Small Medium Large X-Large

4915526 L3908 ea 4915492 L3908 ea 4915476 L3908 ea 4914966 L3908 ea

Slip-On Knee Compression Knitted elastic provides moderate compression. Tapered in back for contoured fit. Fits either leg.

ITEM #

Small Medium Large X-Large

4915427 A4467 ea 4915609 A4467 ea 4915583 A4467 ea 4915450 A4467 ea

HCPCS

SOLD BY

Neoprene Hinged Knee Brace Neoprene knee brace provides warmth and compression to injured knee. Medial and lateral hinges with 170° hyperextension stop. Loop-lock stabilizing straps for adjustable tension. Reinforced open patella with adjustable buttress pad for customized patella support.

ITEM #

Medium Large

4915419 L1810 ea 4915401 L1810 ea

HCPCS

SOLD BY

Neoprene Knee Wrap with Contoured Gel Patellar Ring Contoured gel patellar ring provides additional support, stabilization and comfort. Hook-receptive material and wrap-around design for a customized fit. Can be worn on left or right leg.

ITEM #

Kneecap fits 13˝ – 171⁄2˝ 4914818

HCPCS

SOLD BY

A4466

Bariatric Knee Wrap Long wearing, go anywhere support. Provides firm yet comfortable support. Lightweight. Optimum support for those with large structure. Plush latex-free neoprene in wrap around style. Fits either knee. Extra padding around the patella adds additional warmth and support. Fits maximum thigh of 30˝ and maximum calf of 30˝.

ITEM #

4915252 A4466 ea

HCPCS

SOLD BY

Gel Ankle Hard Shell Air/Gel pad provides a comfortable, contoured fit around the ankle. High impact shell minimizes rolling of the ankle without limiting plantar and dorsi-flexion. Molded plastic shell is tapered for a comfortable fit in most shoes. Fully adjustable, movable straps can be positioned and trimmed for customized fit. Fits left or right ankle.

ITEM #

HCPCS

Universal, 9˝ long

4915146

L4350

SOLD BY

123

ORTHOPEDICS

LEADER BRAND (SS) Criss Cross Lumbar Support Excellent abdominal and lower back support. Flexible stays to prevent rolling. Wide duo-tension straps encourage proper lifting.

ITEM #

HCPCS

SOLD BY

Medium/Large 4914958 L0625 ea X-Large 4915039 L0625 ea

9˝ Elastic Abdominal Binder Foam-lined abdominal panel provides a comfortable fit. Controlled tension, three panel design provides excellent support without stiffness. May be worn post surgical to support abdomen.

ITEM #

Small Large

4915161 L0625 ea 4915120 L0625 ea

HCPCS

SOLD BY

Bariatric Abdominal/Back Support Long wearing, go anywhere support. Provides firm yet comfortable support. Lightweight, breathable, latex-free elastic. Designed to contain and lift the abdomen. Back side supports the spine and transfers the load evenly and comfortably.

ITEM #

HCPCS

48˝ – 60˝

4915260

L0625

SOLD BY

Bariatric Abdominal Support Plus Lightweight and breathable. Moldable back insert. Reinforced front panel helps support the spine and transfer the weight evenly and comfortably. Antimicrobial.

ITEM #

X-Large 2X-Large 3X-Large

4915302 L0626 ea 4915070 L0626 ea 4915096 L0626 ea

HCPCS

SOLD BY

MMJ LABS (MMJ) NEW VibraCool Massaging Ice Therapy FDA-cleared pain relief device that temporarily relieves aches and injuries on contact using patented Cool-Pulse technology. High frequency vibration increases blood flow and mechanically massages away stiffness while freeze-solid ice packs reduce inflammation. Innovative combination is curved to fit along the foot arch to address running injuries. For neck, shoulder or lower back pain, tuck under clothing or hold in place. Includes vibration massager with toggle switch, two reusable Personal Ice Packs, one hands-free strap, two “AAA” batteries and instructions.

ITEM #

HCPCS

SOLD BY

VC2

A9270 ea

NEW VibraCool Vibration and Ice Therapy, Wrist/Elbow FDA-cleared pain relief device that temporarily relieves aches and injuries on contact using patented Cool-Pulse technology. High frequency vibration increases blood flow and mechanically massages away stiffness while freeze-solid ice packs reduce inflammation. Both help reduce pain on contact and over time. The vibration unit stays on for 10 minutes once activated, and fits into a soft neoprene compression cuff, which secures the ice pack. Ice pack stays frozen solid 22 minutes +/two minutes for one or two cycles of use. Includes compact VibraCool with one-minute shut-off feature, two “AAA” batteries, two-chamber ice pack, instructions and a 20˝ neoprene compression strap with D-Ring to allow easy, one-handed application to opposite elbow or wrist.

ITEM #

HCPCS

VCE

A9270 ea

124

SOLD BY

NEW VibraCool For Knee/Ankle Pain VibraCool is a clinically proven, FDA-cleared pain relief device that temporarily relieves aches and injuries on contact using patented Cool-Pulse technology. High frequency vibration increases blood flow and mechanically massages away stiffness while freeze-solid ice packs reduce inflammation – both are clinically proven to reduce pain on contact and over time. The vibration unit stays on for 10 minutes once activated, and fits into a soft neoprene compression cuff which secures the ice pack. Ice packs stay frozen solid 22 minutes +/- two minutes for one or two cycles of use. Includes compact VibraCool with 10-minute shut-off feature, two “AAA” batteries, four-chamber ice pack, instructions and a 28˝ neoprene compression strap for extra stability on knees, IT bands, hamstrings, ankles or for larger patients.

ITEM #

HCPCS

VCK

A9270 ea

SOLD BY

TYTEX (TYT) SAFEHIP AirX Unisex Hip Protector Designed for use by both sexes. 100% textile and breathable for greater comfort. Sewn-in shields for optimal protection. Patented horseshoe-shaped hip pads. Ideal for individuals suffering from dementia, dizziness or reduced physical strength with increased risk of falling. For hospital, nursing home or home use. Can be used with sanitary pads for light incontinence. Can be worn over user’s underwear. Discreet and comfortable to wear. Washable at up to 200°F, can be tumble-dried at high temperatures. Complies with disinfection control requirements.

ITEM #

HCPCS

X-Small, 26˝ – 34˝ Small, 30˝ – 38˝ Medium, 36˝ – 44˝ Large, 40˝ – 48˝ X-Large, 44˝ – 56˝ 2X-Large, 48˝ – 60˝

33650001 33650101 33650301 33650501 33650701 33650901

A9270 A9270 A9270 A9270 A9270 A9270

SOLD BY

ea ea ea ea ea ea

SAFEHIP AirX Open Hip Protector 100% textile and breathable for greater comfort. Sewn-in shields for optimal protection. Patented horseshoe-shaped hip pads. Ideal for heavy incontinence users. Can be worn over user’s underwear. Designed to be worn underneath an adult diaper. Excellent for nighttime use. Ideal for individuals suffering from dementia, dizziness or reduced physical strength with an increased risk of falling. For hospital, nursing home or home use. Discreet and comfortable to wear. Washable at up to 200°F, can be tumble-dried at high temperatures. Complies with disinfection control requirements.

ITEM #

HCPCS

X-Small, 26˝ – 34˝ Small, 30˝ – 38˝ Medium, 36˝ – 44˝ Large, 40˝ – 48˝ X-Large, 44˝ – 56˝ 2X-Large, 48˝ – 60˝

33680001 33680101 33680301 33680501 33680701 33680901

A9270 A9270 A9270 A9270 A9270 A9270

SOLD BY

ea ea ea ea ea ea

SHEEPSKIN RANCH, INC. (SHP) Sheepskin Elbow Protector Designed to reduce pressure sores and friction damage while absorbing moisture to protect the skin. Pressure redistribution properties promote blood circulation. Sheepskin is naturally hypoallergenic and antimicrobial, making it useful for those with skin irritants such as sores, eczema, rashes and itchy skin. Easy-on, easy-off with Velcro fasteners. Machine washable.

ITEM #

HCPCS

102

E0191/E0189 ea

SOLD BY

ORTHOPEDICS

SHEEPSKIN RANCH, INC. (SHP) Sheepskin Heel Protector Medical-grade sheepskin provides the ultimate in heel protection. Covered seams and high density wool help prevent and aid in the healing of heel fissures and pressure sores. Air insulation in the wool helps promote better blood circulation and moisture absorbing properties. Sheepskin is naturally hypoallergenic and antimicrobial, making it ideal for those with skin irritants such as eczema, rashes and itchy skin. Machine washable.

ITEM #

HCPCS

103

E0191/E0189 ea

SOLD BY

Medical Slippers Soft, cozy genuine Sheepskin cradles usersâ&#x20AC;&#x2122; feet with warmth during the winter months and offers moisture wicking comfort in the summer. All stitching is on the outside to help eliminate irritating pressure points, sheepskin encourages good circulation. Great for customers with diabetes, circulation problems or sensitive skin. Available with easy entry and exit opening for swollen feet, and Velcro closures for adjustment. Please specify gender and shoes size to ensure proper fit.

ITEM #

Medical Slippers 117 Open Toed Slippers with VelcroÂŽ 118

HCPCS

SOLD BY

A9270 pr A9270 pr

125

OSTOMY

ESTEEM SYNERGY ® + POUCHES

CONVATEC (51) All ConvaTec ostomy products are latex-free unless otherwise noted.

LATEX FREE

ESTEEM SYNERGY TWO-PIECE OSTOMY SYSTEMS ®

Two-piece ostomy systems provide the discretion of a one-piece and the versatility of a two-piece system. Feature innovative Adhesive Coupling Technology™, creating a secure seal and low profile.

DRAINABLE POUCHES 12˝ Esteem synergy ® + Drainable Pouches with InvisiClose® Tail Closure System, without Filter, Transparent With one-sided comfort panel.

Color-Coded Size Chart: Esteem synergy Ostomy Systems ®

up to 13⁄8˝ LIGHT BLUE

up to 17⁄8˝ GREEN

up to 2 ⁄8˝ YELLOW

up to 31⁄2˝ PEACH

SKIN BARRIERS Esteem synergy ® Moldable Durahesive® Convex Skin Barriers with Landing Zone Flange Soft, pliable adhesive rolls open to fit desired stoma size and shape. No cutting is necessary. Adhesive gently hugs individual stoma contours, creating a secure, personalized fit that adapts to changing stomas. Adhesive swells, or “turtlenecks,” up stoma wall, eliminating gaps and minimizing leaks that can compromise skin protection. Hydrocolloid Flexible Collar provides additional security, but is gentle on skin. Mold-to-fit opening.

ITEM #

HCPCS

SOLD BY

Small (1⁄2˝ – 7⁄8˝ stomas), LIGHT BLUE Medium (7⁄8˝ – 11⁄4˝ stomas), GREEN Large (11⁄4˝ – 13⁄4˝ stomas), YELLOW

409268 A4407 10/bx 409269 A4407 10/bx 409270 A4407 10/bx

Esteem synergy Moldable Stomahesive Skin Barriers Soft, pliable adhesive rolls open to fit desired stoma size and shape. No cutting is necessary. Adhesive gently hugs individual stoma contours, creating a secure, personalized fit that adapts to changing stomas. Adhesive swells, or “turtlenecks,” up stoma wall, eliminating gaps and minimizing leaks that can compromise skin protection. Hydrocolloid Flexible Collar provides additional security, but is gentle on skin. Mold-to-fit opening. ®

ITEM #

HCPCS

SOLD BY

Medium (1⁄2˝ – 7⁄8˝ stomas), GREEN Medium (7⁄8˝ – 11⁄4˝ stomas), GREEN Large (11⁄4˝ – 13⁄4˝ stomas), YELLOW

411657 A4414 10/bx 411658 A4414 10/bx 411659 A4414 10/bx

Esteem synergy ® Stomahesive® Cut-to-Fit Skin Barriers with Landing Zone Flange

ITEM #

HCPCS

SOLD BY

WITHOUT COLLAR

Small (up to 13⁄8˝ ), LIGHT BLUE 405467 A4415 Medium (up to 17⁄8˝ ), GREEN 405468 A4415 Large (up to 23⁄8˝ ), YELLOW 403948 A4415 X-Large (up to 31⁄2˝ ), PEACH 405483 A4415

10/bx 10/bx 10/bx 10/bx

WITH WHITE, FLEXIBLE TAPE COLLAR

Small (up to 13⁄8˝ ), LIGHT BLUE 405456 Medium (up to 17⁄8˝ ), GREEN 405457 Large (up to 23⁄8˝ ), YELLOW 405458

A4414 A4414 A4414

10/bx 10/bx 10/bx

Esteem synergy Stomahesive Precut Skin Barriers with Landing Zone Flange White, flexible tape collar. ®

126

ITEM #

Small (5⁄8˝ ), LIGHT BLUE Small (3⁄4˝ ), LIGHT BLUE Small (7⁄8˝ ), LIGHT BLUE Small (1˝ ), LIGHT BLUE Small (11⁄8˝ ), LIGHT BLUE Small (11⁄4˝ ), LIGHT BLUE Small (13⁄8˝ ), LIGHT BLUE Medium (11⁄2˝ ), GREEN Medium (15⁄8˝ ), GREEN Medium (13⁄4˝ ), GREEN

405473 A4414 405474 A4414 405475 A4414 405476 A4414 405477 A4414 405478 A4414 405479 A4414 405480 A4414 405481 A4414 405482 A4414

HCPCS

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

ITEM #

HCPCS

Small, LIGHT BLUE Medium, GREEN Large, YELLOW

416797 416900 416903

A5063 10/bx A5063 10/bx A5063 10/bx

SOLD BY

12˝ Esteem synergy ® + Drainable Pouches with InvisiClose® Tail Closure System and Filter With one-sided comfort panel.

ITEM #

TRANSPARENT OPAQUE

ITEM #

Small, LIGHT BLUE Medium, GREEN Large, YELLOW

416795 416798 416901

416796 416799 416902

HCPCS

SOLD BY

A4425 10/bx A4425 10/bx A4425 10/bx

CLOSED-END POUCHES 8˝ Esteem synergy ® + Closed-End Pouches with Filter With one-sided comfort panel.

ITEM #

TRANSPARENT OPAQUE

ITEM #

Small, LIGHT BLUE Medium, GREEN Large, YELLOW

416774 416778 416782

416775 416779 416783

HCPCS

SOLD BY

A4419 30/bx A4419 30/bx A4419 30/bx

6˝ Esteem synergy ® + Closed-End Mini Pouches with Filter With one-sided comfort panel.

ITEM #

TRANSPARENT OPAQUE

ITEM #

Small, LIGHT BLUE Medium, GREEN

N/A 416780

416777 416781

HCPCS

SOLD BY

A4419 30/bx A4419 30/bx

ESTEEM SYNERGY ® POUCHES DRAINABLE POUCHES 12˝ Esteem synergy ® Professional Kits, Transparent With one-sided comfort panel. Nonsterile. Include five Stomahesive® skin barriers with tape collar, five drainable pouches and one tail closure.

ITEM #

Small (13⁄8˝ ), LIGHT BLUE X-Large (31⁄2˝ ), PEACH

409277 A4421 5/bx 409275 A4421 5/bx

HCPCS

SOLD BY

14˝ Esteem synergy ® Drainable Pouches, Transparent Straight, with one-sided comfort panel.

ITEM #

HCPCS

X-Large, PEACH

405406

A5063 10/bx

SOLD BY

OSTOMY

CONVATEC (51) All ConvaTec ostomy products are latex-free unless otherwise noted.

LATEX FREE

UROSTOMY POUCHES 10˝ Esteem synergy ® Urostomy Pouches with Accuseal® Tap with Valve With one-sided comfort panel.

ITEM #

TRANSPARENT OPAQUE

Small, LIGHT BLUE Medium, GREEN Large, YELLOW

405451 405448 405452 405449 405453 405450

HCPCS

SOLD BY

A4432 10/bx A4432 10/bx A4432 10/bx

9˝ Esteem synergy ® Urostomy Pouches with Accuseal® Tap with Valve, Transparent With one-sided comfort panel.

ITEM #

HCPCS

SOLD BY

Small, LIGHT BLUE Medium, GREEN

405446 405447

A4432 10/bx A4432 10/bx

ESTEEM® + ONE-PIECE OSTOMY SYSTEMS DRAINABLE POUCHES 12˝ Esteem® + One-Piece Drainable Pouches with Moldable Technology™ Moldable Technology now available as part of a one-piece pouch. The thin, flexible design is made to move with the body. Easy to apply and remove, this unique pouch offers a soft comfort panel, advanced filter and an easy-view window.

ITEM #

WITH FILTER

OPAQUE

TRANSPARENT

HCPCS

SOLD BY

Medium, 13⁄16˝ – 13⁄16˝ (20 – 30 mm) Large, 13⁄16˝ – 19⁄16˝ (30 – 40 mm) X-Large, 19⁄16˝ – 2˝ (40 – 50 mm)

413521 413522 413523

413515 413516 413517

A4424 A4424 A4424

10/bx 10/bx 10/bx

N/A N/A N/A

413518 413519 413520

A5061 A5061 A5061

10/bx 10/bx 10/bx

WITHOUT FILTER

Medium, 13⁄16˝ – 13⁄16˝ (20 – 30 mm) Large, 13⁄16˝ – 19⁄16˝ (30 – 40 mm) X-Large, 19⁄16˝ – 115⁄16˝ (40 – 50 mm)

14˝ Esteem® + One-Piece Drainable Pouches with Stomahesive® Cut-to-Fit Skin Barrier and InvisiClose® Tail Closure, without Filter With one-sided comfort panel. Up to 4˝ (100 mm).

ITEM #

HCPCS

416908

A5061 10/bx

SOLD BY

12˝ Esteem® + One-Piece Drainable Pouches with Modified Stomahesive® Cut-to-Fit Skin Barrier and InvisiClose® Tail Closure Transparent has one-sided comfort panel, and opaque has two-sided comfort panel. Can be enlarged to accommodate stoma sizes 3⁄4˝ (19 mm) – 23⁄4˝ (70 mm).

ITEM #

HCPCS

SOLD BY

416721 416718

A5061 A4424

10/bx 10/bx

416719

A4424

10/bx

TRANSPARENT

Without filter With filter OPAQUE

With filter

12˝ Esteem® + One-Piece Drainable Pouches with Modified Stomahesive® Precut Skin Barrier, InvisiClose® Tail Closure and Filter Transparent has one-sided comfort panel, and opaque has two-sided comfort panel.

ITEM #

TRANSPARENT OPAQUE

1˝ (25-mm) stoma size opening 416724 13⁄16˝ (30-mm) stoma size opening 416728 13⁄8˝ (35-mm) stoma size opening 416732 19⁄16˝ (40-mm) stoma size opening 416736

ITEM #

HCPCS

416725 416729 416733 416737

A4424 A4424 A4424 A4424

SOLD BY

10/bx 10/bx 10/bx 10/bx

12˝ Esteem® + One-Piece Drainable Pouches with Durahesive® Precut Convex Skin Barrier, InvisiClose® Tail Closure and Filter Transparent has one-sided comfort panel, and opaque has two-sided comfort panel.

ITEM #

TRANSPARENT OPAQUE

⁄4˝ (19-mm) stoma size opening ⁄8˝ (22-mm) stoma size opening 1˝ (25-mm) stoma size opening 17⁄8˝ (28-mm) stoma size opening 11⁄4˝ (32-mm) stoma size opening 13⁄8˝ (35-mm) stoma size opening 11⁄2˝ (38-mm) stoma size opening

416738 416740 416742 416744 416746 416748 416750

3 7

ITEM #

HCPCS

416739 416741 416743 416745 416747 416749 416751

A5057 A5057 A5057 A5057 A5057 A5057 A5057

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

9˝ Esteem® + One-Piece Drainable Pouches with Cut-to-Fit Durahesive Plus® Skin Barrier, InvisiClose® Tail Closure and Filter With two-sided comfort panel. Can be enlarged to accommodate stoma sizes 3 ⁄4˝ (19 mm) to 21⁄2˝ (64 mm).

ITEM #

Transparent Opaque

416976 A5056 10/bx 416975 A5056 10/bx

HCPCS

SOLD BY

CLOSED-END POUCHES 8˝ Esteem® + One-Piece Closed-End Pouches with Moldable Technology™ with Filter, Tan Moldable Technology now available as part of a one-piece pouch. The thin, flexible design is made to move with the body. Easy to apply and remove, this unique pouch offers a soft comfort panel, advanced filter and an easy-view window.

ITEM #

HCPCS

⁄16˝ – 13⁄16˝ (20 – 30 mm) 13⁄16˝ – 19⁄16˝ (30 – 40 mm)

413509 413510

A4416 A4416

SOLD BY

30/bx 30/bx

8˝ Esteem® + One-Piece Closed-End Pouches with Modified Stomahesive® Cut-to-Fit Skin Barrier and Filter Transparent has one-sided comfort panel, and opaque has two-sided comfort panel. Can be enlarged to accommodate stoma sizes 3⁄4˝ (19 mm) – 23⁄4˝ (70 mm).

ITEM #

Transparent Opaque

416700 A4416 30/bx 416701 A4416 30/bx

HCPCS

SOLD BY

8˝ Esteem® + One-Piece Closed-End Pouches with Modified Stomahesive® Precut Skin Barrier and Filter, Opaque With two-sided comfort panel.

ITEM #

HCPCS

1˝ (25-mm) flange 13⁄16˝ (30-mm) flange 13⁄8˝ (35-mm) flange 19⁄16˝ (40-mm) flange 2˝ (50-mm) flange

416704 416707 416710 416713 416715

A4416 A4416 A4416 A4416 A4416

SOLD BY

30/bx 30/bx 30/bx 30/bx 30/bx

127

OSTOMY

NATURA® TWO-PIECE OSTOMY SYSTEMS

CONVATEC (51) All ConvaTec ostomy products are latex-free unless otherwise noted.

LATEX FREE

6˝ Esteem® + One-Piece Mini Closed-End Pouches with Modified Stomahesive® Cut-to-Fit Skin Barrier and Filter, Opaque With two-sided comfort panel. Can be enlarged to accommodate stoma sizes 3⁄4˝ (20 mm) to 23⁄4˝ (70 mm).

ITEM #

HCPCS

416702 A4416 30/bx

Trusted two-piece systems with secure snap-on, snap-off design. Provide versatility to fit individual lifestyles. Color-Coded Size Chart: Natura® Ostomy Systems up to 11⁄4˝ BROWN

up to 11⁄2˝ ORANGE

up to 13⁄4˝ LIGHT GREEN

up to 2 ⁄4˝ RED

up to 2 ⁄4˝ BLUE

up to 4˝ PURPLE

SOLD BY

ESTEEM®+ FLEX CONVEX SYSTEMS The latest addition to the range of ConvaTec one-piece ostomy solutions. Combines the comfort and freedom of flexibility with the firmness of convexity. It fits the contours of the body, moving with the wearer to provide confidence.

NEW Natura® Cut-to-Fit Accordion Flange Designed to make pouch application easy and comfortable. In the “up” position the Accordion Flange provides full finger-width space so the pouch can be attached with minimal pressure on the abdomen. In the “down” position it gives the wearer a flat, low profile that is extremely flexible and conforms to body contours. It's simple to measure and cut to create an opening tailored to each individual's stoma size. Pair with Natura® + comfort pouches in drainable and closed-end options.

ITEM #

HCPCS

SOLD BY

DURAHESIVE™ SKIN BARRIER WITH ACRYLIC COLLAR

1 ⁄4˝ (45-mm) flange, small (stoma size), ⁄2˝ – ⁄4˝ (13 – 21 mm), LIGHT GREEN 421454 A4409 21⁄4˝ (57-mm) flange, medium (stoma size), 1⁄2˝ – 11⁄4˝ (13 – 33 mm), RED 421458 A4409 23⁄4˝ (70-mm) flange, large (stoma size), 1⁄2˝ – 13⁄4˝ (13 – 45 mm), BLUE 421462 A4409 3

Esteem® + Flex Convex Closed Pouches

NEW

ITEM #

HCPCS

421612 421613 421614

A4417 A4417 A4417

SOLD BY

CUT-TO-FIT

20 – 43 mm, V1 20 – 35 mm, V2 20 – 25 mm, V3

Esteem + Flex Convex Drainable Pouches

NEW

30/bx 30/bx 30/bx

ITEM #

HCPCS

421615 421619 421622

A4389 A4389 A4389

SOLD BY

CUT-TO-FIT

20 – 43 mm, V1 20 – 35 mm, V2 20 – 25 mm, V3

10/bx 10/bx 10/bx

PRECUT

25 mm, V1 30 mm, V1 35 mm, V1 25 mm, V2 30 mm, V2

421616 421617 421618 421620 421621

A4389 A4389 A4389 A4389 A4389

Esteem® + Flex Convex Urostomy Pouches

10/bx 10/bx 10/bx 10/bx 10/bx

NEW

ITEM #

HCPCS

SOLD BY

421623 421626 421628

A4392 A4392 A4392

10/bx 10/bx 10/bx

421624 421625 421627 421629

A4392 A4392 A4392 A4392

10/bx 10/bx 10/bx 10/bx

CUT-TO-FIT

10 – 43 mm, V1 10 – 35 mm, V2 10 – 25 mm, V3 PRECUT

15 mm, V1 20 mm, V1 15 mm, V2 15 mm, V3

128

10/bx 10/bx 10/bx

STOMAHESIVE™ SKIN BARRIER WITH ACRYLIC COLLAR

1 ⁄4˝ (45-mm) flange, small (stoma size), ⁄2˝ – ⁄4˝ (13 – 21 mm), LIGHT GREEN 421456 A4414 21⁄4˝ (57-mm) flange, medium (stoma size), 1⁄2˝ – 11⁄4˝ (13 – 33 mm), RED 421460 A4414 23⁄4˝ (70-mm) flange, large (stoma size), 1⁄2˝ – 13⁄4˝ (13 – 45 mm), BLUE 421464 A4414 3

10/bx 10/bx 10/bx

Natura® Moldable Durahesive® Skin Barrier with Accordion Flange Flexible skin barriers that provide full finger-width space for pouch attachment in the “up” position. Can be put in the “down” position after pouch attachment to create a flat, low profile. Just roll, mold and hold to accommodate any stoma shape and size. No cutting, no stretching, no guesswork. The moldable seal “rebounds” to fit the size and shape of the stoma, providing an incredibly secure, snug fit.

ITEM #

HCPCS

Small (1⁄2˝ – 7⁄8˝ ), 21⁄4˝ (57-mm) flange, RED 421039 A4409 Medium (7⁄8˝ – 115⁄16˝ ), 21⁄4˝ (57-mm) flange, RED 421040 A4409 Large (11⁄4˝ – 13⁄4˝ ), 23⁄4˝ (70-mm) flange, BLUE 421041 A4409

SOLD BY

10/bx 10/bx 10/bx

Natura® Moldable Stomahesive® Skin Barrier with Accordion Flange Flexible skin barriers that provide full finger-width space for pouch attachment in the “up” position. Can be put in the “down” position after pouch attachment to create a flat, low profile. Just roll, mold and hold to accommodate any stoma shape and size. No cutting, no stretching, no guesswork. The elastic-like seal “rebounds” to fit the size and shape of the stoma, providing an incredibly secure, snug fit.

ITEM #

HCPCS

SOLD BY

Small (1⁄2˝ – 7⁄8˝ ), 21⁄4˝ (57-mm) flange, RED 421033 A4414 10/bx Medium (7⁄8˝ – 115⁄16˝ ), 21⁄4˝ (57-mm) flange, RED 421034 A4414 10/bx Large (11⁄4˝ – 13⁄4˝ ), 23⁄4˝ (70-mm) flange, BLUE 421035 A4414 10/bx

Moldable Technology™ Tough on leaks. Gentle on skin.

Our Accordion Flange makes pouch application much easier and more comfortable while delivering the proven skin protection of Moldable Technology™—giving you the freedom and confidence to live life to the fullest.

Support, insights & products for those living with an ostomy.

OVER 95% of people who started on Moldable Technology™ kept their skin healthy.1

No gaps. Fewer leaks. Healthier skin.

™

References: 1. Szewczyk MT, Majewska GM, Cabral MV, Hölzel-Piontek K. Osmose Study: Multinational Evaluation of the Peristomal Condition in Ostomates Using Moldable Skin Barriers. Poster presented at ECET, Paris, France, June 2013. TM indicates trademarks of ConvaTec Inc. © 2017 ConvaTec Inc. AP-016624-US

OSTOMY

CONVATEC (51) All ConvaTec ostomy products are latex-free unless otherwise noted.

LATEX FREE

SUR-FIT NATURA TWO-PIECE OSTOMY SYSTEMS ®

Color-Coded Size Chart: SUR-FIT Natura® Ostomy Systems up to 11⁄4˝ BROWN

up to 11⁄2˝ ORANGE

up to 13⁄4˝ LIGHT GREEN

up to 2 ⁄4˝ RED

up to 2 ⁄4˝ BLUE

up to 4˝ PURPLE

SUR-FIT Natura® Durahesive® Cut-to-Fit Skin Barriers with Flange Designed for people whose stoma output is mostly liquid. Unlike other skin barriers/wafers that can break down around liquid output, Durahesive® skin barriers/wafers swell up to protect the stoma. This special effect, called “turtlenecking,” helps create a more secure seal without harming the skin. Easy to fit, apply and remove. Adhere securely to the skin while showering, bathing and swimming.

ITEM #

SUR-FIT Natura® Low-Pressure Adaptors, Transparent Attach to the skin barrier for postoperative tenderness. Provide ample finger space, while eliminating contact with the abdomen when attaching the pouch.

ITEM #

13⁄4˝ (45-mm) flange, LIGHT GREEN 21⁄4˝ (57-mm) flange, RED 23⁄4˝ (70-mm) flange, BLUE 4˝ (100-mm) flange, PURPLE

401993 A4421 10/bx 401994 A4421 10/bx 401995 A4421 10/bx 401996 A4421 10/bx

HCPCS

SOLD BY

1 ⁄4˝ flange, up to ⁄4˝ (4˝ x 4˝ ), BROWN 413159 11⁄2˝ flange, up to 1˝ (4˝ x 4˝ ), ORANGE 413160 13⁄4˝ flange, up to 11⁄4˝ (4˝ x 4˝ ), LIGHT GREEN 413161 21⁄4˝ flange, up to 13⁄4˝ (5˝ x 5˝ ), RED 413162 23⁄4˝ flange, up to 21⁄4˝ (5˝ x 5˝ ), BLUE 413163 3

ITEM #

1 ⁄4˝ (45-mm) flange, small, ( ⁄2˝ – ⁄8˝ ), LIGHT GREEN 13⁄4˝ (45-mm) flange, medium, (7⁄8˝ – 11⁄4˝ ), LIGHT GREEN 21⁄4˝ (57-mm) flange, large, (11⁄4˝ – 13⁄4˝ ), RED 23⁄4˝ (70-mm) flange, x-large, (11⁄4˝ – 13⁄4˝ by 13⁄4˝ – 21⁄8˝ ), BLUE 1

HCPCS

⁄2˝ opening ⁄8˝ opening 3 ⁄4˝ opening 7 ⁄8˝ opening 1˝ opening 11⁄8˝ opening 11⁄4˝ opening 13⁄8˝ opening 1 5

SOLD BY

411801 A4414 10/bx 411803 A4414 10/bx 411805 A4414 10/bx 411807 A4414 10/bx 413421 A4414 413422 A4414 413423 A4414 413424 A4414

10/bx 10/bx 10/bx 10/bx

SUR-FIT Natura® Moldable Durahesive® Skin Barriers Durahesive® barrier material is ideal for people whose stoma output is mostly liquid. Barrier swells up to protect stoma instead of breaking down around liquid output. Soft, pliable adhesive rolls open to fit desired stoma size and shape. No cutting is necessary. Adhesive gently hugs individual stoma contours, creating a secure, personalized fit and adapting to changing stomas. Adhesive swells, or “turtlenecks,” up stoma wall, eliminating gaps and minimizing leaks that can compromise skin protection. Hydrocolloid Flexible Collar provides additional security, but is gentle on skin. Mold-to-fit opening.

ITEM #

HCPCS

SOLD BY

WITH HYDROCOLLOID FLEXIBLE COLLAR

13⁄4˝ (45-mm) flange, small, (1⁄2˝ – 7⁄8˝ ), LIGHT GREEN 411800 A4409 10/bx 13⁄4˝ (45-mm) flange, medium, (7⁄8˝ – 11⁄4˝ ), LIGHT GREEN 411802 A4409 10/bx 21⁄4˝ (57-mm) flange, large, (11⁄4˝ – 13⁄4˝ ), RED 411804 A4409 10/bx 23⁄4˝ (70-mm) flange, x-large, (11⁄4˝ – 13⁄4˝ (Length) x 13⁄4˝ – 21⁄8˝ (Width), BLUE 411806 A4409 10/bx WITH ACRYLIC FLEXIBLE COLLAR

1 ⁄4˝ (45-mm) flange, small, ( ⁄2˝ – ⁄8˝ ), LIGHT GREEN 413417 A4409 10/bx 13⁄4˝ (45-mm) flange, medium, (7⁄8˝ – 11⁄4˝ ), LIGHT GREEN 413418 A4409 10/bx 21⁄4˝ (57-mm) flange, large, (11⁄4˝ – 13⁄4˝ ), RED 413419 A4409 10/bx 23⁄4˝ (70-mm) flange, x-large, (11⁄4˝ – 13⁄4˝ (Length) x 13⁄4˝ – 21⁄8˝ (Width), BLUE 413420 A4409 10/bx 3

130

413164 A4409 10/bx 413165 A4409 10/bx 413166 A4409 10/bx 413167 A4409 10/bx 413168 A4409 10/bx

ITEM #

HCPCS

SOLD BY

413177 413178 413179 413180 413181 413182 413183 413184

A4407 A4407 A4407 A4407 A4407 A4407 A4407 A4407

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

413185 413186 413187 413188

A4407 A4407 A4407 A4407

10/bx 10/bx 10/bx 10/bx

21⁄4˝ FLANGE (57 MM), 5˝ X 5˝, RED

11⁄2˝ opening 15⁄8˝ opening 13⁄4˝ opening 2˝ opening

WITH ACRYLIC FLEXIBLE COLLAR

13⁄4˝ (45-mm) flange, small, (1⁄2˝ – 7⁄8˝ ), LIGHT GREEN 13⁄4˝ (45-mm) flange, medium, (7⁄8˝ – 11⁄4˝ ), LIGHT GREEN 21⁄4˝ (57-mm) flange, large, (11⁄4˝ – 13⁄4˝ ), RED 23⁄4˝ (70-mm) flange, x-large, (11⁄4˝ – 13⁄4˝ by 13⁄4˝ – 21⁄8˝ ), BLUE

SOLD BY

13⁄4˝ FLANGE (45 MM), 41⁄2˝ X 41⁄2˝, LIGHT GREEN

WITH HYDROCOLLOID FLEXIBLE COLLAR 3

HCPCS

SUR-FIT Natura® Durahesive® Precut Skin Barriers with CONVEX-IT® Ostomy System With white tape collar.

SUR-FIT Natura® Moldable Stomahesive® Skin Barriers Stomahesive® barrier material is designed for people whose stoma output is semi-formed to formed stool. Soft, pliable adhesive rolls open to fit desired stoma size and shape. No cutting is necessary. Adhere to both dry and moist skin. Mold-to-fit opening.

ITEM #

WHITE TAN

SUR-FIT Natura® Durahesive® Moldable Convex Skin Barriers Convex, mold-to-fit skin barrier can be used to create customized stoma openings. Include white tape collar.

ITEM #

HCPCS

SOLD BY

13⁄4˝ FLANGE

Small (1⁄2˝ – 7⁄8˝ ), LIGHT GREEN Medium (7⁄8˝ – 11⁄4˝ ), LIGHT GREEN

404592 A4407 10/bx 404593 A4407 10/bx

21⁄4˝ FLANGE

Large (11⁄4˝ – 13⁄4˝ ), RED

404594 A4407 10/bx

SUR-FIT Natura Durahesive Cut-to-Fit Skin Barriers Without tape collar. ®

ITEM #

11⁄4˝ flange (4˝ x 4˝ ), BROWN 11⁄2˝ flange (4˝ x 4˝ ), ORANGE 13⁄4˝ flange (4˝ x 4˝ ), LIGHT GREEN 21⁄4˝ flange (4˝ x 4˝ ), RED 23⁄4˝ flange (5˝ x 5˝ ), BLUE 4˝ flange (6˝ x 6˝ ), PURPLE

413153 A4409 10/bx 413154 A4409 10/bx 413155 A4409 10/bx 413156 A4409 10/bx 413157 A4410 10/bx 401905 A4410 5/bx

HCPCS

SOLD BY

SUR-FIT Natura® Stomahesive® Cut-to-Fit Skin Barriers Without tape collar.

ITEM #

401573 A4414 10/bx 401574 A4414 10/bx 401575 A4414 10/bx 401576 A4414 10/bx 401577 A4415 10/bx 401906 A4415 5/bx

HCPCS

SOLD BY

Take the pressure off of pouch application.

NATURA

™

Cut-to-Fit Accordion Flange

The Natura™ Cut-to-Fit Accordion Flange

lifts easily to provide generous finger room so coupling is easy and comfortable. Designed for tender abdomens or for anyone who wants everyday comfort.

“UP” position

Product highlights: • 2X more finger space than any other lifting flange.1 •

Comfortable and discreet.

•

Simple to measure and cut.

•

Compatible with a range of Natura™

pouch options.

Try the Accordion Flange today!

“DOWN” position

With accordion technology, now in cut-to-ﬁt and ConvaTec moldable technology. All trademarks are property of their respective owners. Natura is a registered trademark in the U.S. © 2017 ConvaTec Inc. References 1. Clinical Evaluation of Sur Fit Natura Cut to fit Skin Wafers Gillian Seaton. Data on file. AP-016229-US-N

OSTOMY

CONVATEC (51) All ConvaTec ostomy products are latex-free unless otherwise noted.

LATEX FREE

SUR-FIT Natura Stomahesive Flexible Cut-to-Fit Skin Barriers with Flange Ideal for people whose stoma output is semi-formed to formed stool. Provides a special formula that enables the skin barrier/ wafer to adhere to both dry and moist skin. Hold firmly to skin while helping to protect against irritating output. Outer protective coating helps keep it in place. Maintain adhesion to the skin when showering, bathing and swimming. Easy to fit, apply and remove. ®

ITEM #

HCPCS

SOLD BY

WHITE TAN

11⁄4˝ flange, up to 3⁄4˝ (4˝ x 4˝ ), BROWN 11⁄2˝ flange, up to 1˝ (4˝ x 4˝ ), ORANGE 13⁄4˝ flange, up to 11⁄4˝ (4˝ x 4˝ ), LIGHT GREEN 21⁄4˝ flange, up to 13⁄4˝ (5˝ x 5˝ ), RED 23⁄4˝ flange, up to 21⁄4˝ (5˝ x 5˝ ), BLUE

125257 125262 A4414 10/bx 125258 125263 A4414 10/bx 125259 125264 A4414 10/bx 125260 125265 A4414 10/bx 125261 125266 A4414 10/bx

12˝ SUR-FIT Natura® + Drainable Pouch with InvisiClose® Tail Closure System and Filter Transparent has one-sided comfort panel, and opaque has two-sided comfort panel.

ITEM #

TRANSPARENT OPAQUE

11⁄2˝ (38-mm) flange, ORANGE 416414 13⁄4˝ (45-mm) flange, LIGHT GREEN 416416 21⁄4˝ (57-mm) flange, RED 416419 23⁄4˝ (70-mm) flange, BLUE 416422

⁄2˝ stoma ⁄8˝ stoma 3 ⁄4˝ stoma 7 ⁄8˝ stoma 1˝ stoma 11⁄8˝ stoma 11⁄4˝ stoma 13⁄8˝ stoma 5

⁄4˝ inner diameter opening 7 ⁄8˝ inner diameter opening 1˝ inner diameter opening 13⁄4˝ (45-MM) FLANGE, LIGHT GREEN 11⁄8˝ inner diameter opening

11⁄4˝ inner diameter opening 13⁄8˝ inner diameter opening

11⁄4˝ (32-mm) flange, BROWN 11⁄2˝ (38-mm) flange, ORANGE 13⁄4˝ (45-mm) flange, LIGHT GREEN 21⁄4˝ (57-mm) flange, RED 23⁄4˝ (70-mm) flange, BLUE 11⁄4˝ (32-mm) flange, BROWN 11⁄2˝ (38-mm) flange, ORANGE 13⁄4˝ (45-mm) flange, LIGHT GREEN 21⁄4˝ (57-mm) flange, RED 23⁄4˝ (70-mm) flange, BLUE

13⁄4˝ (45-mm) flange, LIGHT GREEN 21⁄4˝ (57-mm) flange, RED 23⁄4˝ (70-mm) flange, BLUE 14˝ POUCH

4˝ (100-mm) flange, PURPLE

132

416400 A4419 30/bx 416403 A4419 30/bx 416406 A4419 30/bx 416409 A4419 30/bx 416412 A4419 30/bx

A4414 A4414 A4414 A4414 A4414 A4414 A4414 A4414

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

6˝ SUR-FIT Natura® + Mini Closed-End Pouch without Filter, Opaque With two-sided comfort panel.

125275 125276 125277

A4414 A4414 A4414

10/bx 10/bx 10/bx

UROSTOMY POUCHES

ITEM #

HCPCS

404006 404007 404008

A5093 A5093 A5093

SOLD BY

5/bx 5/bx 5/bx

404009 A5093 5/bx 404010 A5093 5/bx 404011 A5093 5/bx 404012 404013

A5093 A5093

5/bx 5/bx

SUR-FIT Natura® + Drainable Pouch with InvisiClose® Tail Closure System, without Filter, Transparent With one-sided comfort panel. 12˝ POUCH

416401 A5054 30/bx 416404 A5054 30/bx 416407 A5054 30/bx 416410 A5054 30/bx 416413 A5054 30/bx

125267 125268 125269 125270 125271 125272 125273 125274

SUR-FIT NATURA® + POUCHES DRAINABLE POUCHES

SOLD BY

WITH FILTER

SOLD BY

21⁄4˝ (57-MM) FLANGE, RED

11⁄2˝ inner diameter opening 15⁄8˝ inner diameter opening

HCPCS

11⁄2˝ (38-MM) FLANGE, ORANGE 3

ITEM #

SUR-FIT Natura® Disposable Convex Inserts For use with SUR-FIT Natura® skin barriers only. Select an insert that is at least 1⁄4˝ larger than the maximum diameter of stoma.

416415 A4425 10/bx 416417 A4425 10/bx 416420 A4425 10/bx 416423 A4425 10/bx

WITHOUT FILTER

21⁄4˝ FLANGE (57 MM), 5˝ X 5˝, RED

11⁄2˝ stoma 15⁄8˝ stoma 13⁄4˝ stoma

SOLD BY

8˝ SUR-FIT Natura® + Closed-End Pouch with Filter, Opaque With two-sided comfort panel.

13⁄4˝ FLANGE (45 MM), 4˝ X 4˝, LIGHT GREEN 1

HCPCS

CLOSED-END POUCHES

SUR-FIT Natura® Stomahesive® Flexible Precut Skin Barriers Soft, adhesive tan collar for maximum comfort. Low-profile flange. Provide superior skin protection.

ITEM #

HCPCS

SOLD BY

ITEM #

11⁄4˝ (32-mm) flange, BROWN 11⁄2˝ (38-mm) flange, ORANGE 13⁄4˝ (45-mm) flange, LIGHT GREEN 21⁄4˝ (57-mm) flange, RED

416402 A5054 30/bx 416405 A5054 30/bx 416408 A5054 30/bx 416411 A5054 30/bx

HCPCS

SOLD BY

SUR-FIT Natura® + Urostomy Pouches with Soft Tap, Transparent Pouch shape has been redesigned with a soft body-side comfort panel. New baffle system evenly distributes urine for a slimmer profile and less tugging. The flexible Soft Tap is designed for security and added comfort, and it works with multiple night drainage systems. Internal anti-reflux valves provide additional security.

ITEM #

SMALL STANDARD

ITEM #

11⁄4˝ 11⁄2˝ 13⁄4˝ 21⁄4˝ 23⁄4˝

421074 421075 421076 N/A N/A

413435 413436 413437 413438 413439

HCPCS

SOLD BY

A5073 A5073 A5073 A5073 A5073

10/bx 10/bx 10/bx 10/bx 10/bx

SUR-FIT NATURA® DRAINABLE POUCHES 12˝ SUR-FIT Natura® Drainable Pouches with InvisiClose® Tail Closure System and Filter Feature an integrated filter. InvisiClose® Tail Closure System features locking mechanism enhanced by additional security flap. Security flap is designed to provide comfort and protect skin and clothing from locking material. Outlet end strips and interlocking closure are easy to clean. Easy-to-open outlet end strips and tail design help control flow and reduce splashing. Transparent has one-sided comfort panel, and opaque has two-sided comfort panel.

TRANSPARENT 416418 A5063 10/bx 416421 A5063 10/bx  13⁄4˝ flange, LIGHT GREEN 21⁄4˝ flange, RED 416424 A5063 10/bx 23⁄4˝ flange, BLUE OPAQUE 416472 A5063 10/bx 11⁄2˝ flange, ORANGE 13⁄4˝ flange, LIGHT GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE

ITEM #

HCPCS

SOLD BY

411360 411361 411362

A4425 10/bx A4425 10/bx A4425 10/bx

411309 411310 411311 411312

A4425 20/bx A4425 20/bx A4425 20/bx A4425 20/bx

OSTOMY

CONVATEC (51) All ConvaTec ostomy products are latex-free unless otherwise noted.

LATEX FREE

12˝ SUR-FIT Natura Drainable Pouches with InvisiClose Tail Closure System, without Filter Clipless tail closure offers double security, comfort and cleanliness, and is easy to drain. One-sided comfort panel. ®

ITEM #

TRANSPARENT 13⁄4˝ flange, LIGHT GREEN

21⁄4˝ flange, RED 23⁄4˝ flange, BLUE

HCPCS

SOLD BY

413312 A5063 10/bx 413313 A5063 10/bx 413314 A5063 10/bx

OPAQUE

13⁄4˝ flange, LIGHT GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE

413334 A5063 20/bx 413335 A5063 20/bx 413336 A5063 20/bx

12˝ SUR-FIT Natura Drainable Pouches with Filter Specially engineered filter vents automatically to help reduce ballooning. Filter membrane maintains airflow, even when soiled, and helps to prevent leakage. Charcoal works to deodorize air as it passes through the filter. Transparent has one-sided comfort panel and opaque has two-sided comfort panel. Includes two tail closures per box.

10˝ SUR-FIT Natura® Small Drainable Pouches with Filter, Opaque Specially engineered filter vents automatically to help reduce ballooning. Filter membrane maintains airflow, even when soiled, and helps to prevent leakage. Charcoal works to deodorize air as it passes through the filter. With two-sided comfort panel and two tail closures.

ITEM #

HCPCS

11⁄4˝ (32-mm) flange, BROWN 11⁄2˝ (38-mm) flange, ORANGE 13⁄4˝ (45-mm) flange, LIGHT GREEN 21⁄4˝ (57-mm) flange, RED 23⁄4˝ (70-mm) flange, BLUE

411288 411289 411290 411291 411292

A4425 20/bx A4425 20/bx A4425 20/bx A4425 20/bx A4425 20/bx

10˝ SUR-FIT Natura® Small Drainable Pouches without Filter, Opaque With two-sided comfort panel and two tail closures.

ITEM #

HCPCS

SOLD BY

411264 411265 411266 411267

A4425 10/bx A4425 10/bx A4425 10/bx A4425 10/bx

411489 411490 411491 411492 411493

A4425 20/bx A4425 20/bx A4425 20/bx A4425 20/bx A4425 20/bx

TRANSPARENT

1 ⁄2˝ (38-mm) flange, ORANGE 13⁄4˝ (45-mm) flange, LIGHT GREEN 21⁄4˝ (57-mm) flange, RED 23⁄4˝ (70-mm) flange, BLUE 1

ITEM #

HCPCS

SOLD BY

401510 401511 401512 401513 401514

A5063 10/bx A5063 10/bx A5063 10/bx A5063 10/bx A5063 10/bx

12˝

1 ⁄4˝ flange, BROWN 11⁄2˝ flange, ORANGE 13⁄4˝ flange, LIGHT GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE 1

14˝ SUR-FIT Natura® Drainable Pouches for High Output, Opaque With one-sided comfort panel, antireflux valve, replaceable filter, and outlet with spout and cup. Hold 100 cc additional drainage.

ITEM #

13⁄4˝ flange, LIGHT GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE

401557 A4413 5/bx 401558 A4413 5/bx 401559 A4413 5/bx

401515 A5063 10/bx

12˝ SUR-FIT Natura Standard Drainable Pouches without Filter, Opaque Two tail closures per box. ®

ONE-SIDED COMFORT PANEL 11⁄4˝ flange, BROWN

11⁄2˝ flange, ORANGE 13⁄4˝ flange, LIGHT GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE TWO-SIDED COMFORT PANEL 11⁄4˝ flange, BROWN

11⁄2˝ flange, ORANGE 13⁄4˝ flange, LIGHT GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE

ITEM #

10/BX

401932 401933 401934 401935 401936 10/BX

401500 401501 401502 401503 401504

ITEM #

HCPCS

SOLD BY

SUR-FIT NATURA® CLOSED-END POUCHES 5˝ SUR-FIT Natura® Mini-Pouches without Filter, Opaque With one-sided comfort panel.

ITEM #

HCPCS

11⁄4˝ flange, BROWN 11⁄2˝ flange, ORANGE 13⁄4˝ flange, LIGHT GREEN 21⁄4˝ flange, RED

401529 401530 401531 401532

A5054 20/bx A5054 20/bx A5054 20/bx A5054 20/bx

SOLD BY

SUR-FIT Natura® Closed-End Pouches without Filter, Opaque With two-sided comfort panel.

ITEM #

30/BX 60/BX

ITEM #

HCPCS

11⁄2˝ flange, ORANGE 401521 413169 A5054 13⁄4˝ flange, LIGHT GREEN 401522 413170 A5054 21⁄4˝ flange, RED 401523 413171 A5054 23⁄4˝ flange, BLUE 401524 413172 A5054

14 ˝

4˝ flange, PURPLE

HCPCS

1 ⁄4˝ flange, BROWN 401505 404030 A5063 11⁄2˝ flange, ORANGE 401506 404031 A5063 13⁄4˝ flange, LIGHT GREEN 401507 404032 A5063 21⁄4˝ flange, RED 401508 404033 A5063 23⁄4˝ flange, BLUE 401509 404034 A5063

SUR-FIT Natura® Standard Drainable Pouches without Filter, Transparent With one-sided comfort panel and two tail closures per box.

ITEM #

10/BX 20/BX

OPAQUE

11⁄4˝ (32-mm) flange, BROWN 11⁄2˝ (38-mm) flange, ORANGE 13⁄4˝ (45-mm) flange, LIGHT GREEN 21⁄4˝ (57-mm) flange, RED 23⁄4˝ (70-mm) flange, BLUE

ITEM #

SOLD BY

SUR-FIT Natura® Closed-End Pouches with Filter, Opaque With two-sided comfort panel.

HCPCS

ITEM #

30/BX 60/BX

ITEM #

HCPCS

11⁄2˝ flange, ORANGE 401525 413173 A4419 20/BX 13⁄4˝ flange, LIGHT GREEN 401526 413174 A4419 404014 A5063 21⁄4˝ flange, RED 401527 413175 A4419 404015 A5063 23⁄4˝ flange, BLUE 401528 413176 A4419 404016 A5063 404017 A5063 STOMA CAPS 404018 A5063 ® 20/BX

SUR-FIT Natura Flange Caps with Filter, Opaque With one-sided comfort panel. 13⁄4˝, LIGHT GREEN.

404025 A5063 404026 A5063 404027 A5063 404028 A5063 404029 A5063

ITEM #

HCPCS

401909

A5055 25/bx

SOLD BY

133

OSTOMY

CONVATEC (51) All ConvaTec ostomy products are latex-free unless otherwise noted.

LATEX FREE

6˝ Little Ones® Two-Piece Adhesive Coupling Technology™ Standard Closed-End Pouches with Filter

ITEM #

SUR-FIT NATURA UROSTOMY POUCHES ®

⁄5˝ – 1 ⁄4˝ (4.8 – 31 mm), PEACH

SUR-FIT Natura Urostomy Pouches, Transparent Come with a bendable tap and one-sided comfort panel; designed for easy handling, comfort and a more discreet appearance. Each box contains two universal night drainage adapters.

ITEM #

HCPCS

SOLD BY

TRANSPARENT OPAQUE

411640

411639 A4419 10/bx

1 ⁄4˝ flange, BROWN 11⁄2˝ flange, ORANGE 13⁄4˝ flange, LIGHT GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE 1

ITEM #

9˝ SMALL

10˝ STANDARD

HCPCS

401538 401539 401540 401541 N/A

401533 401534 401535 401536 401537

SOLD BY

8˝ Little Ones® Two-Piece Adhesive Coupling Technology™ Standard Drainable Pouches with InvisiClose® Tail Closure System and Filter

A5073 10/bx A5073 10/bx A5073 10/bx A5073 10/bx A5073 10/bx

ITEM #

9˝ SMALL

TRANSPARENT OPAQUE

1 ⁄4˝ flange, BROWN 11⁄2˝ flange, ORANGE 13⁄4˝ flange, LIGHT GREEN 21⁄4˝ flange, RED

N/A N/A N/A N/A

10˝ STANDARD 11⁄4˝ flange, BROWN

TRANSPARENT OPAQUE

401542 11⁄2˝ flange, ORANGE 401543 13⁄4˝ flange, LIGHT GREEN 401544 21⁄4˝ flange, RED 401545 23⁄4˝ flange, BLUE 401546

HCPCS

401547 401548 401549 401550 401551 401552 401553 401554 401555

A4432 10/bx A4432 10/bx A4432 10/bx A4432 10/bx A4432 10/bx

SUR-FIT NATURA® UNIT DOSE KITS 12˝ SUR-FIT Natura® Pouch, Transparent With Stomahesive® flexible skin barrier with flange, white tape collar (except Item # 401922), pouch has one-sided comfort panel and drainable pouch/tail closure. ITEM #

HCPCS

13⁄4˝ flange, LIGHT GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE 4˝ flange, PURPLE

401920 402239 401921 401922

A4421 A4421 A4421 A4421

⁄5˝ – 11⁄4˝ (4.8 – 31 mm), PEACH

ITEM #

HCPCS

13⁄4˝ flange, LIGHT GREEN 21⁄4˝ flange, RED

401923 401924

A4421 5 sets/bx A4421 5 sets/bx

Color-Coded Size Chart: Adhesive Coupling Technology™ ⁄5˝ – 11⁄4˝ PEACH

Little Ones® Two-Piece Adhesive Coupling Technology™ Cut-to-Fit Skin Barriers ITEM #

HCPCS

SOLD BY

ROUND

X-Small, up to 9⁄10˝ (23 mm), YELLOW

411632 A4414 5/bx

SQUARE

Standard, 1⁄5˝ – 11⁄4˝ (4.8 – 31 mm), PEACH

411641 A4414 5/bx

SQUARE, WITH WHITE TAPE BORDER

Standard flexible, 1⁄5˝ – 11⁄4˝ (4.8 – 31 mm), PEACH 411642 A4414 5/bx

134

411637

HCPCS

SOLD BY

411638 A4425 10/bx

Color-Coded Size Chart: SUR-FIT Natura® Ostomy Systems up to 11⁄4˝ BROWN

up to 13⁄4˝ LIGHT GREEN

Little Ones® SUR-FIT Natura® Flexible Stomahesive® Skin Barriers Designed specifically to comfortably fit a young child’s body. Soft, pliable, adhesive white tape collar applies easily, anchors securely and dries quickly after bathing. Stomahesive® skin barrier offers excellent protection for skin and contours to child’s body, while allowing flexible movement.

ITEM #

11⁄4˝ flange (3˝ x 3˝ ), BROWN 13⁄4˝ flange (4˝ x 4˝ ), LIGHT GREEN

401925 A4414 5/bx 401926 A4414 5/bx

HCPCS

SOLD BY

6˝ Little Ones® SUR-FIT Natura® Standard Drainable Pouches without Filter, Transparent Designed for infants and children. Two-piece system permits easy pouch removal and easy repositioning to ensure unobstructed draining, even while child is asleep. Wide-tail opening for faster, easier emptying. 6˝ long pouch with one-sided comfort panel.

ITEM #

HCPCS

SOLD BY

11⁄4˝ flange, BROWN 401927 A5063 10/bx 13⁄4˝ flange, LIGHT GREEN 401928 A5063 10/bx

5˝ Little Ones® SUR-FIT Natura® Standard Closed Pouches without Filter, Opaque Designed for children and their parents who want the convenience and security of a two-piece, closed-end system with a two-sided comfort panel. Eliminate the need for a tail clip and allow for disposal after one-time use.

ITEM #

HCPCS

SOLD BY

11⁄4˝ flange, BROWN 401930 A5054 20/bx 13⁄4˝ flange, LIGHT GREEN 401931 A5054 20/bx

SOLD BY

LITTLE ONES® ADHESIVE COUPLING TECHNOLOGY™ PEDIATRIC OSTOMY SYSTEMS

ITEM #

LITTLE ONES® SUR-FIT NATURA® PEDIATRIC TWO-PIECE OSTOMY SYSTEMS

SOLD BY

5 sets/bx 5 sets/bx 5 sets/bx 5 sets/bx

SUR-FIT Natura® Urostomy Pouches, Transparent Durahesive® flexible skin barrier with flange and white tape collar. Each kit contains an Accuseal® night drainage adapter.

0˝ – 9⁄10˝ YELLOW

TRANSPARENT OPAQUE

SOLD BY

A4432 10/bx A4432 10/bx A4432 10/bx A4432 10/bx

ITEM #

SUR-FIT Natura® Urostomy Pouches with Accuseal® Tap with Valve Feature a swivel valve with a stem plug. Accuseal® adapter is provided to facilitate connection to a night drainage system. Contoured for quick and easy emptying, and has a comfort panel on the body side only. Designed for use with any SUR-FIT Natura® Stomahesive® or Durahesive® skin barrier/ wafer.

6˝ Little Ones® SUR-FIT Natura® Urostomy Pouches, Transparent Designed for a comfortable fit on a child’s body, protection for sensitive skin and a secure coupling. Antireflux valve keeps urine from pooling at base of stoma. Secure drainage tap helps provide leak-proof dependability. Pouches can be repositioned easily to allow for unobstructed drainage, even if child is asleep. Drainage adapter provides easy attachment to night drainage container. With one-sided comfort panel.

ITEM #

11⁄4˝ flange, BROWN

401929 A5073 10/bx

HCPCS

SOLD BY

OSTOMY

CONVATEC (51) All ConvaTec ostomy products are latex-free unless otherwise noted.

LATEX FREE

LITTLE ONES ACTIVELIFE POUCHES ®

ITEM #

411633 A5061 10/bx

SOLD BY

6˝ Little Ones® One-Piece Cut-to-Fit Drainable Pouches with Stomahesive® Skin Barrier, without Filter, Transparent With one-sided comfort panel. Do not include tape collar. Each box contains 16 individual tail closures. 5⁄16˝ – 2˝ opening. ITEM #

20922 A5061

HCPCS

ITEM #

TRANSPARENT OPAQUE

⁄4˝ ⁄4˝ 1˝ 1˝ 11⁄4˝ 11⁄4˝ 11⁄2˝ 11⁄2˝ 13⁄4˝ 13⁄4˝ 2˝ 2˝ 21⁄2˝ 21⁄2˝

22764 N/A 22765 N/A 22766 N/A 22767 N/A 22768 N/A 22769 N/A 22770 N/A

6˝ Little Ones® One-Piece Extra Small Drainable Pouches with Stomahesive® Skin Barrier, and InvisiClose® Tail Closure System, without Filter, Transparent With one-sided comfort panel. Up to 9⁄10˝ (23 mm). HCPCS

12˝ ActiveLife® One-Piece Precut Drainable Pouches with Stomahesive® Skin Barrier, without Filter Offer a one-sided comfort panel and tape collar.

SOLD BY

15/bx

5˝ Little Ones® One-Piece Cut-to-Fit Urostomy Pouches with Stomahesive® Skin Barrier, Transparent Do not include tape collar or comfort panels. Each box contains two night drainage adapters. 5⁄16˝ – 1˝ opening.

ITEM #

HCPCS

SOLD BY

20917

A5071 15/bx

ACTIVELIFE ONE-PIECE OSTOMY SYSTEMS ®

DRAINABLE POUCHES 12˝ ActiveLife® One-Piece Cut-to-Fit Drainable Pouches with Stomahesive® Skin Barrier without Filter, Transparent Designed for comfort with a one-sided comfort panel. Can be enlarged to accommodate stoma sizes 3⁄4˝ (19 mm) – 21⁄2˝ (64 mm). Include a tape collar and one tail closure.

ITEM #

HCPCS

22771 125330

A5061 10/bx A5061 20/bx

SOLD BY

ITEM #

HCPCS

Transparent Opaque

400598 400599

A4388 10/bx A4388 10/bx

ITEM #

25433 A5061 ea

ITEM #

10/BX 20/BX

⁄4˝ 1˝ 11⁄4˝ 11⁄2˝ 13⁄4˝ 2˝ 21⁄2˝

22750 125331 A5061 22751 N/A A5061 22752 125333 A5061 22753 125334 A5061 22754 125335 A5061 22755 125336 A5061 22756 125337 A5061

ITEM #

HCPCS

SOLD BY

12˝ ActiveLife® Convex Precut Drainable Pouches with Durahesive® Skin Barrier without Filter, Transparent Offer a one-sided comfort panel and tape collar.

ITEM #

5/BX 10/BX

⁄4˝ ⁄8˝ 1˝ 11⁄8˝ 11⁄4˝ 13⁄8˝ 11⁄2˝ 13⁄4˝ 2˝

175777 125352 A4390 175778 125353 A4390 175779 125354 A4390 175780 125355 A4390 175781 125356 A4390 175782 125357 A4390 175783 125358 A4390 175784 125359 A4390 175785 N/A A4390

ITEM #

HCPCS

CLOSED-END POUCHES 8˝ ActiveLife® One-Piece Closed-End Pouches with Skin Barrier and Filter With one-sided comfort panel and filter; no tape collar.

ITEM #

Cut-to-fit, ⁄4˝ – 2 ⁄2˝ Cut-to-fit, 3⁄4˝ – 21⁄2˝ Precut, 1˝ opening Precut, 1˝ opening Precut, 11⁄4˝ opening Precut, 11⁄4˝ opening Precut, 11⁄2˝ opening Precut, 11⁄2˝ opening Precut, 13⁄4˝ opening Precut, 13⁄4˝ opening Precut, 2˝ opening Precut, 2˝ opening

HCPCS

ITEM #

HCPCS

SOLD BY

TRANSPARENT OPAQUE 3

10˝ ActiveLife® One-Piece Precut Drainable Pouches with Stomahesive® Skin Barrier without Filter, Opaque With a one-sided comfort panel and tape collar. One tail closure per box.

A5061 10/bx A5061 20/bx A5061 10/bx A5061 20/bx A5061 10/bx A5061 20/bx A5061 10/bx A5061 20/bx A5061 10/bx A5061 20/bx A5061 10/bx A5061 20/bx A5061 10/bx A5061 20/bx

SOLD BY

22757 125338 22758 125339 22759 125340 22760 125341 22761 125342 22762 125343 22763 125344

SOLD BY

12˝ ActiveLife® One-Piece Cut-to-Fit Drainable Pouches with Durahesive Plus® Skin Barrier, without Filter Provide the benefits of ActiveLife® drainable pouches with Durahesive Plus® skin barriers for extended wear time. Offer a one-sided comfort panel and tape collar. 3⁄4˝ (19 mm) – 21⁄2˝ (64 mm).

HCPCS

12˝ ActiveLife® Drainable Pouch Unit Dose Kit With Stomahesive® skin barrier and tail closure. Can be enlarged to accommodate stoma sizes 3⁄4˝ (19 mm) – 21⁄2˝ (64 mm).

The only one-piece system available with both Stomahesive® and Durahesive® skin barriers. Flexible, integrated skin barrier allows it to mold to body contours.

ITEM #

175761 413147 175762 413148 175763 413149 175764 413150 175765 413151 175766 413152

175768 413141 175769 413142 175770 413143 175771 413144 175772 413145 175773 413146

A4416 15/bx A4416 60/bx A4416 15/bx A4416 60/bx A4416 15/bx A4416 60/bx A4416 15/bx A4416 60/bx A4416 15/bx A4416 60/bx A4416 15/bx A4416 60/bx

ActiveLife® One-Piece Cut-to-Fit Closed-End Pouches with Skin Barrier and Filter With one-sided comfort panel and tape collar. Can be enlarged to accommodate stoma sizes 3⁄4˝ (19 mm) – 2˝ (50 mm). Include 30 filter covers per box.

ITEM #

Transparent Opaque

650422 A4416 30/bx 650408 A4416 30/bx

HCPCS

SOLD BY

135

OSTOMY

CONVATEC (51) All ConvaTec ostomy products are latex-free unless otherwise noted.

LATEX FREE

ActiveLife® One-Piece Stoma Cap with Filter A lightweight, flexible, one-piece system, ActiveLife® combines the skin barrier and the pouch into one simple, easy-to-manage system.

ITEM #

175611 A5055 30/bx

HCPCS

SOLD BY

UROSTOMY POUCHES 8˝ ActiveLife® One-Piece Precut Urostomy Pouches with Durahesive® Skin Barrier and Accuseal® Tap with Valve, Transparent With one-sided comfort panel. Each box contains one Accuseal® night drainage adapter.

ITEM #

HCPCS

⁄4˝ opening 7 ⁄8˝ opening 1˝ opening 11⁄8˝ opening 11⁄4˝ opening 11⁄2˝ opening

650828 650829 650830 650831 650832 650833

A4428 A4428 A4428 A4428 A4428 A4428

ITEM #

5/BX 10/BX

⁄2˝ opening 5 ⁄8˝ opening 3 ⁄4˝ opening 7 ⁄8˝ opening 1˝ opening 11⁄8˝ opening 11⁄4˝ opening 13⁄8˝ opening 11⁄2˝ opening

175790 175791 175792 175793 175794 175795 175796 175797 175798

125361 125362 125363 125364 125365 125366 125367 125368 125369

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

A4393 A4393 A4393 A4393 A4393 A4393 A4393 A4393 A4393

ITEM #

27060 A5102 ea

SOLD BY

ConvaTec® Night Drainage Container Tubing For use with night drainage container. Approximately 58˝ long.

ITEM #

27062 A4331 ea

SOLD BY

IRRIGATION SUPPLIES Visi-Flow® Irrigation Starter Sets Include one Visi-Flow® irrigator with stoma cone, two SUR-FIT Natura® Stomahesive® Skin Barriers with Flange, two Visi-Flow® Irrigation Sleeves, two SUR-FIT Natura® Closed-End pouches, stoma lubricant, ostomy belt, tail closure, brush and carrying case.

ITEM #

13⁄4˝ flange, LIGHT GREEN 23⁄4˝ flange, BLUE

401916 A4400 ea 401917 A4400 ea

SOLD BY

Visi-Flow® Irrigation Adapter Faceplate Designed to be used with all Visi-Flow® irrigation products. HCPCS

SOLD BY

13⁄4˝ flange, LIGHT GREEN 401918 A4361 ea 23⁄4˝ flange, BLUE 401919 A4361 ea

136

Visi-Flow® Stoma Cone Designed for people with colostomies for whom irrigation is indicated. Flexible, soft on the outside and tough on the inside to prevent premature collapse.

ITEM #

22736 A4399 ea

HCPCS

SOLD BY

SUR-FIT Natura® Visi-Flow® Irrigation Sleeves, Transparent One tail closure per box.

ITEM #

11⁄2˝ flange, ORANGE 13⁄4˝ flange, LIGHT GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE

401911 A4397 5/bx 401912 A4397 5/bx 401913 A4397 5/bx 401914 A4397 5/bx

HCPCS

SOLD BY

ITEM #

650078 A4330 10/bx

HCPCS

SOLD BY

Sensi-Care® Sting-Free Adhesive Releaser Spray Easily and rapidly releases appliances or dressings adhered with adhesive1. Helps minimize trauma with no-touch removal. Helps minimize skin stripping that causes pain.

ITEM #

SOLD BY

SENSI-CARE SKIN PROTECTION

ConvaTec Night Drainage Container Set Contains one night drainage container with tubing, one container cover and one universal adapter.

HCPCS

ACCESSORIES

DRAINAGE SUPPLIES

HCPCS

401989 A4400 ea

HCPCS

ITEM #

Flexi-Seal® Fecal Collectors Fecal collector pouch with odor filter and skin-friendly hydrocolloid adhesive. With tail closure.

HCPCS

SOLD BY

8˝ ActiveLife® Convex One-Piece Precut Urostomy Pouches with Durahesive® Skin Barrier, Transparent Each box contains one universal night drainage adapter.

Visi-Flow® Irrigator with Stoma Cone Designed for people with colostomies for whom irrigation is indicated. Features a front-fill, reusable bag with an exclusive “paddle wheel” flow indicator, thumb-control flow regulator, bold-print volume graduations and flexible stoma cone attachment. Special fitting allows easy removal for cleaning.

ITEM #

HCPCS

50 mL (1.7 oz.), nonsterile 150 mL (5.1 oz.), sterile

413499 420798

A4455 A4455

SOLD BY

ea ea

Data on file. ConvaTec Inc.

Sensi-Care® Sting-Free Adhesive Remover Wipes Quickly removes adhesive residue. Fast drying with no residue left behind. More coverage: the largest wipe with generous 3-mL saturation1.

ITEM #

HCPCS

16 cm x 16 cm, 3 mL

413500

A4456

SOLD BY

30/bx

Data on file. ConvaTec Inc.

Sensi-Care® Sting-Free Protective Skin Barrier Creates a breathable barrier that protects the skin from damage caused by adhesives, body waste and friction. Ideal for daily use: no residue buildup or bonding to skin folds. Ongoing skin protection for up to 72 hours1.

ITEM #

HCPCS

SOLD BY

413501

A5120

30/bx

420797 413502

A4369 A4369

ea ea

420793 420795 420796

A5120 A5120 A5120

5/bx 5/bx 25/bx

WIPES

16 cm x 16 cm, 3 mL SPRAY

28 mL 50 mL FOAM APPLICATOR

1 mL 3 mL 3 mL

Voegeli D, LBF® “No-Sting” Barrier Wipes: Skin Care Using Advanced Silicone Technology. British Journal of Nursing, 2008; Vol. 17: No. 7.

Designed to help Patients have less leaks and

healthier skin. Cohesive

Eakin Cohesive® Seals can help solve the most common problems facing ostomates, leakage and skin irritation! The Cohesive® Seal is soft and moldable and ﬁts snugly around the base of a stoma to provide a leak proof seal and help prevent efﬂuent from coming in contact with the skin.

Experience one of our Eakin accessories ®

Everyday Use

Cohesive SLIMS® For those who change their  pouch frequently For use with pre-cut pouches  to create an exact ﬁt Designed for use with  convex pouches

839005

Extra Protection

Greater Coverage

Time Savings

Small Cohesive® Seal

Large Cohesive® Seal

Cohesive StomaWrap™

For those with high ﬂuid  content To help resolve leakage  problems

 Can provide ‘soft’ convexity 839002

 Designed for urostomates To cover a large area of  peristomal skin  For use with deep convexity 839001

Designed for large or oval  shaped stomas For those with limited  dexterity For a quick pouching  routine

839006

OSTOMY

CONVATEC (51) All ConvaTec ostomy products are latex-free unless otherwise noted.

LATEX FREE

SKIN BARRIERS/SEALS NEW Eakin Cohesive StomaWrap™ Designed for large or oval-shaped stomas. For those with limited dexterity. For a quick pouching routine. Helps prevent leakage by forming a waterproof barrier around the stoma. Helps prevent sore and irritated skin. Helps increase pouch weartime. Fits in any area around the stoma and creates a flat surface.

ITEM #

HCPCS

SOLD BY

839006 A4385 10/bx

Eakin Cohesive® Seals Donut-shaped ostomy accessory that can be molded to a variety of shapes. Acts as a gasket or barrier, and provides enhanced protection for hard-to-fit stomas. Moldable hydrocolloid barrier forms a gel that helps prevent skin damage by sealing the area between the skin and ostomy appliance.

ITEM #

HCPCS

Small (2˝ diameter) Large (4˝ diameter)

839002 839001

A4385 A4385

SOLD BY

20/bx 10/bx

Eakin Cohesive® SLIMS® Moldable, moisture-absorbing ostomy barrier seals designed to help protect the skin from contact with bodily fluids. Offer the same benefits as the current Eakin Cohesive® Seals in terms of filling in uneven skin surfaces and creating a level and leak-resistant base. In addition, they offer gentle skin protection, leakage protection with a lower profile and less residue. 1⁄8˝ thick. 2˝ diameter.

ITEM #

839005 A4385 10/bx

HCPCS

ITEM #

HCPCS

Small (4˝ x 4˝ ) Large (4˝ x 8˝ )

839004 839003

A4385 A4385

SOLD BY

5/bx 5/bx

Stomahesive Skin Barriers Multipurpose skin barriers designed to help protect peristomal skin and assist in the management of difficult stomas. No starter hole. ®

ITEM #

HCPCS

4˝ x 4˝, nonsterile 4˝ x 4˝, sterile 8˝ x 8˝, nonsterile

21712 21901 21715

A4362 A4362 A5122

SOLD BY

5/bx 5/bx 3/bx

Stomahesive Strips (Moldable Adhesive) Double-sided; for use as a filler to protect or fill in uneven skin surfaces next to an ostomy, fistula or wound. Three cards of five strips each. ®

ITEM #

HCPCS

25542

A4362 15/bx

SOLD BY

PASTE/POWDER/WIPES NEW Eakin® Cohesive Paste Alcohol-free, non-sting, adhesive paste for use in ostomy, wound and fistula care. Can be used in conjunction with all Eakin Cohesive® Seals.

138

ITEM #

839010 A4405 ea

HCPCS

SOLD BY

ITEM #

183910 A4406 ea

HCPCS

SOLD BY

Stomahesive® Protective Powder Helps form a protective barrier against excoriated or weeping skin. Increases wear time by absorbing moisture. 1-oz. bottle.

ITEM #

25510 A4371 ea

HCPCS

SOLD BY

AllKare® Adhesive Remover Wipes Effectively remove tape, skin barrier/wafer and adhesive residue from skin that can reduce wear time.

ITEM #

037436 A4456 50/bx 37443 A4456 100/bx

HCPCS

SOLD BY

AllKare® Protective Barrier Wipes Provide a barrier film layer on the skin under tapes, skin barriers/ wafers, adhesives and hydrocolloid dressings to help protect against irritation and adhesive buildup.

ITEM #

037439 A5120 50/bx 37444 A5120 100/bx

HCPCS

SOLD BY

BELTS Ostomy Appliance Belt For use with all ConvaTec pouches. Provides added sense of security. Adjustable up to 42˝.

SOLD BY

Eakin Cohesive® Skin Barriers Moldable and moisture absorbing. Designed to protect the skin from contact with bodily fluids. For use where skin is damaged, excoriated or vulnerable.

Stomahesive® Paste Pectin-based; ideal for use as a filler for uneven skin surfaces. Increases wear time by absorbing moisture, while helping to prevent skin irritation. 2-oz. tube.

ITEM #

175507 A4367 ea

HCPCS

SOLD BY

POUCH CLAMPS ConvaTec® Tail Closures For improved security, a clicking noise can be heard when closing the tail closure. For use with ActiveLife®, SUR-FIT Natura® and Esteem synergy ® drainable pouches.

ITEM #

175635 A4363 ea

HCPCS

SOLD BY

DuoLock® Curved Tail Closure Uniquely curved tail closure conforms to body contours. For use with SUR-FIT Natura®, Esteem synergy ® and ActiveLife® drainable pouches.

ITEM #

175652 A4363 ea

HCPCS

SOLD BY

Visi-Flow® Irrigation Sleeve Tail Closures Designed to be used with Visi-Flow® Irrigation Sleeves.

ITEM #

175650 A4363 ea

HCPCS

SOLD BY

OSTOMY

HOLLISTER INCORPORATED (50) PREMIER™ ONE-PIECE POUCHING SYSTEMS DRAINABLE POUCHES NEW 12˝ Premier™ CeraPlus™ Drainable Pouches Skin barrier is infused with ceramide, a naturally occurring lipid in the skin, which protects against dryness and features a formulation to help protect the skin’s natural moisture barrier; maintain good peristomal skin health; and decrease TEWL (transepidermal water loss) from damaged or eroded skin. Includes Lock ‘n Roll® Microseal Closure and comes in ultra-clear and beige with viewing options.

ITEM #

HCPCS

12˝ Premier™ Drainable Pouches with Flat Skin Barriers and Tape, Transparent ComfortWear™ panels provide a soft, cloth-like covering between the pouch and the skin. Provide confidence and discreetness with odor-barrier, rustle-free film and anatomically shaped pouches. Clamp closure with Flextend® (extended wear) Skin Barrier.

SOLD BY

WITH FLAT SKIN BARRIER AND TAPE BORDER, ULTRA-CLEAR

Cut-to-fit, up to 2 ⁄2˝ 1

8931

A4388 10/bx

WITH FLAT SKIN BARRIER AND TAPE BORDER, BEIGE WITH VIEWING OPTION AND INTEGRATED AF300™ FILTER

Cut-to-fit, up to 21⁄2˝ 1˝ opening 13⁄16˝ opening 13⁄8˝ opening 19⁄16˝ opening

8901 8925 8930 8935 8940

A5056 10/bx A5056 10/bx A5056 10/bx A5056 10/bx A5056 10/bx

8984 8988 89811

A4390 5/bx A4390 5/bx A4390 5/bx

WITH CONVEX SKIN BARRIER AND TAPE BORDER, BEIGE WITH VIEWING OPTION AND INTEGRATED AF300™ FILTER

Cut-to-fit, up to 1˝ Cut-to-fit, up to 11⁄2˝ Cut-to-fit, up to 2˝ 3 ⁄4˝ opening 7 ⁄8˝ opening 1˝ opening 11⁄8˝ opening

8914 8918 89111 8990 8991 8992 8993

A5057 5/bx A5057 5/bx A5057 5/bx A5057 5/bx A5057 5/bx A5057 5/bx A5057 5/bx

WITH SOFT CONVEX SKIN BARRIER AND TAPE BORDER, BEIGE WITH VIEWING OPTION AND INTEGRATED AF300™ FILTER

Cut-to-fit, up to 1˝ Cut-to-fit, up to 11⁄2˝ Cut-to-fit, up to 21⁄8˝ 3 ⁄4˝ opening 7 ⁄8˝ opening 1˝ opening 11⁄8˝ opening

8954 8958 89511 8960 8961 8962 8963

A5057 5/bx A5057 5/bx A5057 5/bx A5057 5/bx A5057 5/bx A5057 5/bx A5057 5/bx

12˝ Premier™ Soft Convex Pouching System Designed to stay secure, no matter what shape the body takes. Drainable pouch. Flextend (extended wear) skin barrier. With tape border. Lock ‘n Roll® Microseal Closure. With belt tabs.

ITEM #

HCPCS

SOLD BY

8674 A5057 5/bx 8678 A5057 5/bx 86711 A5057 5/bx 8661 A5057 5/bx 8662 A5057 5/bx 8663 A5057 5/bx 8664 A5057 5/bx 8665 A5057 5/bx 8666 A5057 5/bx

ULTRA CLEAR

Cut-to-fit, up to 1˝ 8574 A5057 5/bx Cut-to-fit, up to 11⁄2˝ 8578 A5057 5/bx Cut-to-fit, up to 21⁄8˝ 85711 A5057 5/bx

HCPCS

8631 8637 8632 8638 8633 8639 8634 8635

A4388 10/bx A4388 10/bx A4388 10/bx A4388 10/bx A4388 10/bx A4388 10/bx A4388 10/bx A4388 10/bx

SOLD BY

ITEM #

HCPCS

Cut-to-fit, up to 1˝ Cut-to-fit, up to 11⁄2˝ Cut-to-fit, up to 2˝ 3 ⁄4˝ opening 7 ⁄8˝ opening 1˝ opening 11⁄8˝ opening 11⁄4˝ opening 13⁄8˝ opening 11⁄2˝ opening 15⁄8˝ opening 13⁄4˝ opening 2˝ opening

8624 8628 86211 8610 8611 8612 8613 8614 8615 8616 8617 8618 8619

A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx

SOLD BY

12˝ Premier™ Drainable Pouches with Convex UPGRADED DESIGN Skin Barrier and Tape, Transparent The Lock ‘n Roll® Microseal Closure has an upgraded product design to help enhance ease-of-use and performance. Flexible, ribbed strips help facilitate ease of opening, draining, cleaning and closing. Transparent flap helps provide increased security and protect closure from accidentally being pulled open. Updated skin barrier design helps increase comfort with new flexible plastic release liner and tapered barrier edges, without changing the skin barrier application.

BEIGE WITH VIEWING OPTION

Cut-to-fit, up to 1˝ Cut-to-fit, up to 11⁄2˝ Cut-to-fit, up to 21⁄8˝ 7 ⁄8˝ opening 1˝ opening 11⁄8˝ opening 11⁄4˝ opening 11⁄2˝ opening 13⁄4˝ opening

ITEM #

Cut-to-fit, up to 21⁄2˝ 3 ⁄4˝ opening 1˝ opening 11⁄4˝ opening 11⁄2˝ opening 13⁄4˝ opening 2˝ opening 21⁄2˝ opening

12˝ Premier™ Drainable Pouches with Convex Skin Barrier and Tape, Transparent Built-in convexity allows added security and skin protection for recessed, retracted or flush stomas. Body-side ComfortWear™ panels provide a soft, cloth-like covering. Clamp closure with Flextend® (extended wear) skin barrier. With belt tabs.

WITH CONVEX SKIN BARRIER AND TAPE BORDER, ULTRA-CLEAR

Cut-to-fit, up to 1˝ Cut-to-fit, up to 11⁄2˝ Cut-to-fit, up to 2˝

ITEM #

HCPCS

Cut-to-fit, up to 1˝ Cut-to-fit, up to 11⁄2˝ Cut-to-fit, up to 2˝ 3 ⁄4˝ opening 7 ⁄8˝ opening 1˝ opening 11⁄8˝ opening 11⁄4˝ opening 13⁄8˝ opening 11⁄2˝ opening 15⁄8˝ opening 2˝ opening

82624 82628 826211 82610 82611 82612 82613 82614 82615 82616 82617 82619

A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx

SOLD BY

12˝ Premier™ Lock ’n Roll® Cut-to-Fit Drainable Pouches without Integrated Filter, Ultra Clear Contain SoftFlex® (standard wear) skin barrier. Nonsterile; do not contain tape border. Up to 21⁄2˝.

ITEM #

HCPCS

88401

A5061 10/bx

SOLD BY

139

OSTOMY

HOLLISTER INCORPORATED (50) 12˝ Premier™ Cut-to-Fit Drainable Pouches without Integrated Filter with SoftFlex® (Standard Wear) Skin Barrier, Ultra Clear Contain pouch clamp closure and do not contain tape border. Up to 21⁄2˝.

ITEM #

HCPCS

88501

A5061 10/bx

SOLD BY

UPGRADED DESIGN 12˝ Premier™ Lock ’n Roll® Microseal Closure Drainable Pouches with Convex Skin Barrier The Lock ‘n Roll® Microseal Closure has an upgraded product design to help enhance ease-of-use and performance. Flexible, ribbed strips help facilitate ease of opening, draining, cleaning and closing. Transparent flap helps provide increased security and protect closure from accidentally being pulled open. Updated skin barrier design helps increase comfort with new flexible plastic release liner and tapered barrier edges, without changing the skin barrier application.

12˝ Premier™ Cut-to-Fit Drainable Pouches without Integrated Filter with Flat Skin Barriers, Ultra Clear, Clamp Closure Contain pouch clamp and Flextend® (extended wear) Skin Barrier with tape border. Up to 21⁄2˝.

ITEM #

HCPCS

8651

A4388 10/bx

SOLD BY

NEW 12˝ Premier Soft Convex Pouching System Designed to stay secure, no matter what shape the body takes. Drainable pouch. Flextend (extended wear) skin barrier. With tape border. Lock ‘n Roll microseal closure. With belt tabs.

ITEM #

HCPCS

SOLD BY

8674 8678 86711 8661 8662 8663 8664 8665 8666

A5057 5/bx A5057 5/bx A5057 5/bx A5057 5/bx A5057 5/bx A5057 5/bx A5057 5/bx A5057 5/bx A5057 5/bx

8574 8578 85711

A5057 5/bx A5057 5/bx A5057 5/bx

BEIGE WITH VIEWING OPTION

Cut-to-fit, up to 1˝ Cut-to-fit, up to 11⁄2˝ Cut-to-fit, up to 21⁄8˝ 7 ⁄8˝ opening 1˝ opening 11⁄8˝ opening 11⁄4˝ opening 11⁄2˝ opening 13⁄4˝ opening ULTRA-CLEAR

Cut-to-fit, up to 1˝ Cut-to-fit, up to 11⁄2˝ Cut-to-fit, up to 21⁄8˝

12˝ Premier™ Lock ’n Roll® Microseal Closure Cut-to-Fit Drainable Pouches with Convex Skin Barrier and Integrated Waterproof AF300™ Filter, Transparent Odor-barrier, rustle-free pouch with Flextend® (extended wear) skin barrier with tape and ComfortWear™ panels on body side.

ITEM #

HCPCS

Up to 1˝ Up to 11⁄2˝ Up to 2˝

8584 8588 85811

A5057 5/bx A5057 5/bx A5057 5/bx

SOLD BY

12˝ Premier™ Lock ’n Roll® Microseal Closure Drainable Pouches with Convex Skin Barrier Odor-barrier, rustle-free pouch with Flextend® (extended wear) skin barrier with tape and ComfortWear™ panels. With belt tabs.

140

ITEM #

BEIGE TRANSPARENT

8504 8508 85011 8590 8591 8592 8593 8594 8595 8596 8597 N/A 8599

8524 8528 85211 8510 8511 8512 8513 8514 8515 85116 N/A 85118 85119

HCPCS

SOLD BY

A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx

ITEM #

BEIGE TRANSPARENT

ITEM #

Cut-to-fit, up to 1˝ Cut-to-fit, up to 11⁄2˝ Cut-to-fit, up to 2˝ 3 ⁄4˝ opening 7 ⁄8˝ opening 1˝ opening 11⁄8˝ opening 11⁄4˝ opening 13⁄8˝ opening 11⁄2˝ opening 13⁄4˝ opening

N/A N/A N/A 8290 8291 8292 N/A 8294 8295 N/A N/A

8244 8548 82411 8280 8281 8282 8283 8284 8285 8286 8288

HCPCS

SOLD BY

A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx

12˝ Premier™ Lock ’n Roll® Microseal Closure Drainable Pouches with Flat Skin Barriers Odor-barrier, rustle-free pouch with Flextend® (extended wear) skin barrier with tape and ComfortWear™ panels.

ITEM #

BEIGE TRANSPARENT

ITEM #

HCPCS

SOLD BY

Cut-to-fit, up to 21⁄2˝ 1˝ opening 11⁄2˝ opening 11⁄4˝ opening 13⁄4˝ opening

8551 8552 8553 8558 8559

N/A 8532 8533 8538 8539

A4388 10/bx A4388 10/bx A4388 10/bx A4388 10/bx A4388 10/bx

N/A

8531

A4388 10/bx

ULTRA-CLEAR

Cut-to-fit, up to 21⁄2˝

12˝ Premier™ Drainable Pouches with Flat Skin Barriers, Ultra-Clear Odor-barrier, rustle-free pouch with Flexwear® (standard wear) skin barrier with tape and ComfortWear™ panels. Up to 21⁄2˝.

ITEM #

HCPCS

Lock ’n Roll® Microseal Closure Pouch Clamp Closure

8031 8131

A5061 A5061

SOLD BY

10/bx 10/bx

12˝ Premier™ Lock ’n Roll® Microseal Closure Cut-to-Fit Drainable Pouches with Skin Barrier and Integrated Waterproof AF300™ Filter Odor-barrier, rustle-free pouch with tape and ComfortWear™ panels on body side. Upgraded product design includes viewing option.

ITEM #

FLEXTEND, EXTENDED WEAR

BEIGE WITH TRANSPARENT VIEWING OPTION

ITEM #

HCPCS

SOLD BY

Up to 1˝, convex Up to 11⁄2˝, convex Up to 2˝, convex Up to 21⁄2˝, flat

8544 8548 N/A 8371

8274 8278 82711 N/A

A5057 A5057 A5057 A5056

5/bx 5/bx 5/bx 10/bx

8381

N/A

A4424

10/bx

FLEXWEAR, STANDARD WEAR

Up to 21⁄2˝, flat

12˝ Premier™ Lock ’n Roll® Microseal Closure Cut-to-Fit Drainable Pouches with Flat Skin Barriers and Integrated Waterproof AF300™ Filter, Transparent Odor-barrier, rustle-free pouch with Flextend® (extended wear) skin barrier with tape and ComfortWear™ panels. Feature the AF300™ Filter, which promotes enhanced airflow to reduce gas buildup and ballooning, and provide better odor control.

ITEM #

HCPCS

Up to 21⁄2˝

8331

A5056 10/bx

SOLD BY

OSTOMY

HOLLISTER INCORPORATED (50) 12˝ Premier™ Lock ’n Roll® Microseal Closure Drainable Pouches with Flat Skin Barriers and Integrated Waterproof AF300™ Filter Odor-barrier, rustle-free pouch with SoftFlex® (standard wear) skin barrier with ComfortWear™ panels. Feature the AF300™ Filter, which promotes enhanced airflow to reduce gas buildup and ballooning, and provide better odor control. Without tape border.

ITEM #

BEIGE TRANSPARENT

ITEM #

Cut-to-fit, up to 21⁄8˝ Oval, cut-to-fit 3˝ x 21⁄2˝ 1˝ opening 13⁄16˝ opening 13⁄8˝ opening 19⁄16˝ opening

88300 88302 88325 88330 88335 88340

88400 88402 88425 88430 88435 88440

HCPCS

SOLD BY

A4424 10/bx A4424 10/bx A4424 10/bx A4424 10/bx A4424 10/bx A4424 10/bx

Premier™ Single-Use Kit for Colostomy/Ileostomy Drainable, one-piece pouch with Lock ’n Roll® closure.

With tape border

ITEM #

BEIGE TRANSPARENT

ITEM #

Cut-to-fit, up to 21⁄2˝ 1˝ opening 13⁄16˝ opening 13⁄8˝ opening 19⁄16˝ opening

8181 8125 8130 8135 8140

8081 8025 8030 8035 8040

HCPCS

Without tape border

9˝ Premier™ Mini Drainable Pouches with Flat Skin Barrier without Filter Odor-barrier, rustle-free pouch with Flextend® (extended wear) skin barrier with tape and ComfortWear™ panels on both sides. Clamp closure.

ITEM #

HCPCS

⁄4˝ opening 1˝ opening 11⁄4˝ opening 11⁄2˝ opening 13⁄4˝ opening

8647 8642 8648 8643 8649

A4388 A4388 A4388 A4388 A4388

8641

A4388 10/bx

Cut-to-fit, up to 2 ⁄2˝ 3 ⁄4˝ opening 1˝ opening 11⁄4˝ opening 11⁄2˝ opening 13⁄4˝ opening 2˝ opening

ITEM #

HCPCS

SOLD BY

Cut-to-fit, up to 21⁄8˝, with filter 1˝ opening 13⁄16˝ opening 13⁄8˝ opening 19⁄16˝ opening

88700 88725 88730 88735 88740

A4424 A4424 A4424 A4424 A4424

20/bx 20/bx 20/bx 20/bx 20/bx

88800

A4424

20/bx

TRANSPARENT

Cut-to-fit, up to 21⁄8˝ , with filter

5/bx

89001

A5061

5/bx

ITEM #

HCPCS

SOLD BY

8440 8447 8442 8448 8443 8449 N/A

8460 8467 8462 8468 8463 8469 8464

A4428 10/bx A4428 10/bx A4428 10/bx A4428 10/bx A4428 10/bx A4428 10/bx A4428 10/bx

UPGRADED DESIGN 9˝ Premier™ Urostomy Pouches with Flat Barrier Upgraded product design helps enhance comfort and performance. Available in the Flextend® (extended wear) skin barrier with tape. Multi-chamber collection system designed to help evenly distribute urine in the pouch for a more discreet profile. Enhanced flow control tap made with softer material and streamlined shape, and improved adapter.

ITEM #

BEIGE

TRANSPARENT ULTRA-CLEAR

Cut-to-fit, up to 21⁄2˝ 84490 3 ⁄4˝ opening 84497 1˝ opening N/A 11⁄4˝ opening 84498 11⁄2˝ opening N/A 13⁄4˝ opening 84499 2˝ opening 84494

10/bx 10/bx 10/bx 10/bx 10/bx

BEIGE

A4388

BEIGE TRANSPARENT 1

SOLD BY

7˝ Premier™ Lock ’n Roll® Microseal Closure Mini Drainable Pouches with Flat Skin Barriers Odor-barrier, rustle-free pouch with SoftFlex® (standard wear) skin barrier with ComfortWear™ panels. Features the AF300™ Filter, which promotes enhanced airflow to reduce gas buildup and ballooning, and provide better odor control. Without tape border.

ITEM #

TRANSPARENT

Cut-to-fit, up to 21⁄2˝

89004

9˝ Premier™ Urostomy Pouches with Flat Barriers Odor-barrier film with Flextend® (extended wear) skin barrier, internal nonreflux valves and a drain valve that allows regulation of flow rate. ComfortWear™ panels maintain quiet and comfort. Include tape and adjustable drain valve.

BEIGE 3

SOLD BY

UROSTOMY POUCHES

SOLD BY

A4424 10/bx A4424 10/bx A4424 10/bx A4424 10/bx A4424 10/bx

HCPCS

SOFTFLEX® SKIN BARRIER

12˝ Premier™ Lock ’n Roll® Microseal Closure Drainable Pouches with Flat Skin Barriers and Integrated Waterproof AF300™ Filter Odor-barrier, rustle-free pouch with Flexwear® (standard wear) skin barrier with tape and ComfortWear™ panels. Feature the AF300™ Filter, which promotes enhanced airflow to reduce gas buildup and ballooning, and provide better odor control.

ITEM #

FLEXTEND® SKIN BARRIER

84690 N/A 84692 84698 84693 84699 84694

ITEM #

84590 N/A N/A N/A N/A N/A N/A

HCPCS

SOLD BY

A4428 10/bx A4428 10/bx A4428 10/bx A4428 10/bx A4428 10/bx A4428 10/bx A4428 10/bx

9˝ Premier™ Presized Urostomy Pouches with Convex Skin Barriers and Belt Tabs Built-in convexity provides added security and skin protection for recessed, retracted and flush stomas. Flextend® (extended wear) skin barrier with tape.

ITEM #

BEIGE TRANSPARENT

⁄2˝ opening ⁄8˝ opening 3 ⁄4˝ opening 7 ⁄8˝ opening 1˝ opening 11⁄8˝ opening 11⁄4˝ opening 13⁄8˝ opening 11⁄2˝ opening 13⁄4˝ opening

N/A 8491 8492 8493 8494 8495 8496 8497 8498 8499

1 5

ITEM #

8480 8481 8482 8483 8484 8485 8486 8487 8488 8489

HCPCS

A4430 A4430 A4430 A4430 A4430 A4430 A4430 A4430 A4430 A4430

SOLD BY

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

9˝ Premier™ Cut-to-Fit Urostomy Pouches with Convex Skin Barriers and Belt Tabs Built-in convexity provides added security and skin protection for recessed, retracted and flush stomas. Flextend® (extended wear) skin barrier with tape.

ITEM #

BEIGE TRANSPARENT

ITEM #

Up to 1˝ Up to 11⁄2˝ Up to 2˝

8434 8438 84311

8474 8478 84711

HCPCS

SOLD BY

A4430 5/bx A4430 5/bx A4430 5/bx

141

OSTOMY

STOMA CAPS

HOLLISTER INCORPORATED (50) 9˝ Premier™ Presized Urostomy Pouches UPGRADED DESIGN NEW with Convex Skin Barrier and Belt Tabs Upgraded product design helps enhance comfort and performance. Available in the Flextend® (extended wear) skin barrier with tape, and features a multi-chamber collection system designed to help evenly distribute urine in the pouch for a more discreet profile. Offers an enhanced flow control tap made with softer material, streamlined shape and improved adapter.

ITEM #

BEIGE ULTRA-CLEAR

Cut-to-fit, up to 1˝ Cut-to-fit, up to 11⁄2˝ Cut-to-fit, up to 2˝ 1 ⁄2˝ opening 5 ⁄8˝ opening 3 ⁄4˝ opening 7 ⁄8˝ opening 1˝ opening 11⁄8˝ opening 11⁄4˝ opening 1 3⁄8˝ opening 11⁄2˝ opening 13⁄4˝ opening

N/A N/A 8439111 N/A 84991 84992 84993 84994 84995 84996 84997 84998 84999

84794 84798 8479111 84890 84891 84892 84893 84894 84895 84896 84897 84898 84899

HCPCS

SOLD BY

A4430 5/bx A4430 5/bx A4430 5/bx A4430 5/bx A4430 5/bx A4430 5/bx A4430 5/bx A4430 5/bx A4430 5/bx A4430 5/bx A4430 5/bx A4430 5/bx A4430 5/bx

9˝ Premier™ Cut-to-Fit Urostomy Pouches with Flat Skin Barriers, without Filter, Ultra-Clear Contain Flextend® (extended wear) skin barrier. Feature tape border, but not filter. Up to 21⁄2˝.

ITEM #

HCPCS

SOLD BY

8450

A4428 10/bx

12˝ Premier™ Cut-to-Fit High-Output with Soft Tap, without Filter, Ultra-Clear Includes all Premier™ features in a high-volume capacity pouch that helps handle high-output situations. Odor-barrier pouch with Flextend® (extended wear) skin barrier. Soft Tap features a wide bore opening and facilitates easy attachment to a variety of draining options. Body-side ComfortWear™ Panel provides a soft, cloth-like cover between the pouch and skin. Nonsterile. With access window.

ITEM #

HCPCS

SOLD BY

Up to 23⁄4˝ Up to 41⁄3˝

80070 A6154 10/bx 80110 A6154 10/bx

CLOSED-END POUCHES Premier™ Closed Pouches with Flat Skin Barriers and Integrated Waterproof AF300™ Filter Feature the AF300™ Filter, which promotes enhanced airflow to reduce gas buildup and ballooning, and provides better odor control. SoftFlex® (standard wear) skin barrier.

ITEM #

HCPCS

SOLD BY

7˝ BEIGE

Cut-to-fit, up to 21⁄8˝ 1˝ opening 13⁄16˝ opening 13⁄8˝ opening

82100 A4416 30/bx 82125 A4416 30/bx 82130 A4416 30/bx 82135 A4416 30/bx

9˝ BEIGE

Cut-to-fit, 21⁄8˝ 1˝ opening 13⁄16˝ opening 13⁄8˝ opening

82300 A4416 30/bx 82325 A4416 30/bx 82330 A4416 30/bx 82335 A4416 30/bx

TRANSPARENT

7 ˝ pouch, cut-to-fit, up to 21⁄8˝ 9˝ pouch, cut-to-fit, up to 21⁄8˝

142

82500 A4416 30/bx 82400 A4416 30/bx

4˝ Stoma Caps with Filter Provide the ultimate in comfort – they are almost like not wearing a pouch at all. Odor-barrier, rustle-free film is soft and silent. Protect the skin, yet gentle upon removal. SoftFlex® (standard wear) skin barrier with tapered edges. 115⁄16˝.

ITEM #

1796 A5055 30/bx

HCPCS

SOLD BY

KARAYA 5™ ONE-PIECE OSTOMY SYSTEMS Karaya 5™ is a natural skin barrier that is particularly well-suited for skin problems or sensitive skin where reactions may have occurred to other types of skin barriers. Karaya 5™ seal rings have unique chemical properties that help prevent the growth of organisms that could be damaging to the skin. Karaya 5™ seal rings are also slightly convex (approximately 2 mm) and help fill in around stomas that are flush, recessed or retracted.

DRAINABLE POUCHES 12˝ Karaya 5™ Drainable Pouches, Transparent with Belt Tabs Porous tape, odor-barrier, rustle-free film is soft and silent. Convex skin barrier. Clamp closure.

ITEM #

HCPCS

11⁄4˝ pouch size (7⁄8˝ barrier opening) 11⁄2˝ pouch size (11⁄8˝ barrier opening) 13⁄4˝ pouch size (13⁄8˝ barrier opening) 2˝ pouch size (11⁄2˝ barrier opening) 21⁄2˝ pouch size (2˝ barrier opening) 3˝ pouch size (21⁄2˝ barrier opening)

3608 3603 3609 3604 3605 3606

A4389 A4389 A4389 A4389 A4389 A4389

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

INCLUDES ONE BAG OF 20 HOLLISTER REPLACEMENT FILTERS AND TWO PLUGS (ITEM # 7766)

1˝ pouch size (5⁄8˝ barrier opening) 11⁄4˝ pouch size (7⁄8˝ barrier opening) 11⁄2˝ pouch size (11⁄8˝ barrier opening) 13⁄4˝ pouch size (13⁄8˝ barrier opening) 2˝ pouch size (11⁄2˝ barrier opening) 21⁄2˝ pouch size (2˝ barrier opening)

3662 3668 3663 3669 3664 3665

A4389 A4389 A4389 A4389 A4389 A4389

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

9˝ Karaya 5™ Drainable Pouches without Filter, Transparent with Belt Tabs Superior pouch materials; odor-barrier film and convex skin barrier. Clamp closure. Porous tape.

ITEM #

HCPCS

3232 3238 3233 3239 3234

A4389 A4389 A4389 A4389 A4389

SOLD BY

30/bx 30/bx 30/bx 30/bx 30/bx

12˝ Karaya 5™ Drainable Pouches without Filter, Transparent with Belt Tabs Odor-barrier film and convex skin barrier. Clamp closure. Porous tape.

ITEM #

HCPCS

3222 3228 3223 3229 3224 3225 3226

A4389 A4389 A4389 A4389 A4389 A4389 A4389

SOLD BY

30/bx 30/bx 30/bx 30/bx 30/bx 30/bx 30/bx

OSTOMY

HOLLISTER INCORPORATED (50) 16˝ Karaya 5™ Drainable Pouches without Filter, Transparent with Belt Tabs Superior pouch materials; odor-barrier film. Clamp closure. Porous tape.

ITEM #

HCPCS

3278 3273 3279 3274 3275 3276

A4389 A4389 A4389 A4389 A4389 A4389

SOLD BY

30/bx 30/bx 30/bx 30/bx 30/bx 30/bx

CLOSED-END POUCHES 9˝ Karaya 5™ Closed Pouches with Belt Tabs without Filter, Transparent Convex skin barrier and odor-barrier film.

ITEM #

HCPCS

7168 7163 7169 7164 7165 7166

A4387 A4387 A4387 A4387 A4387 A4387

SOLD BY

30/bx 30/bx 30/bx 30/bx 30/bx 30/bx

9˝ Karaya 5™ Closed Pouches with Belt Tabs and Filter, Transparent

ITEM #

HCPCS

3328 3323 3329 3324 3325 3326

A4417 A4417 A4417 A4417 A4417 A4417

SOLD BY

30/bx 30/bx 30/bx 30/bx 30/bx 30/bx

UROSTOMY POUCHES 9˝ Karaya 5™ Pouches, Transparent with Belt Tabs Porous tape and convex skin barrier. Contain internal nonreflux valves, convenient drain valve, superior pouch materials and odor-barrier film.

ITEM #

HCPCS

1432 1438 1433 1439 1434

A4429 A4429 A4429 A4429 A4429

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx

STOMA CAPS 41⁄4˝ Karaya 5™ Stoma Caps with Filter, White Porous tape. Contain integrated filter. Absorbent pad protects the stoma and is nonadherent, convenient and lightweight.

ITEM #

HCPCS

2˝ barrier opening 3˝ barrier opening

3184 3186

A5055 A5055

7˝ Pouchkins™ One-Piece Cut-to-Fit Child Ostomy Drainable Pouches with Integrated Waterproof AF300™ Filter Feature flat SoftFlex® (standard wear) skin barrier; integrated AF300™ filter; odor-barrier, rustle-free film; Lock ’n Roll® Microseal closure; and ComfortWear™ panels (body side only). Do not contain starter hole or tape border. Up to 2˝.

SOLD BY

30/bx 30/bx

POUCHKINS™ ONE-PIECE PEDIATRIC OSTOMY SYSTEMS The Pouchkins™ Pediatric Ostomy System, a range of one- and two-piece products, is an advancement in pediatric ostomy care. Designed for premature babies, infants or children, Pouchkins™ incorporate the latest technology and materials to provide the finest selection of high-quality pediatric ostomy products available today.

DRAINABLE POUCHES 61⁄2˝ Pouchkins™ One-Piece Cut-to-Fit Infant Ostomy Drainable Pouches without Filter

ITEM #

HCPCS

3795

A4424 10/bx

SOLD BY

UROSTOMY POUCHES 83⁄4˝ Pouchkins™ One-Piece Cut-to-Fit Infant Urostomy Pouches Feature flat SoftFlex® (standard wear) skin barrier; odor-barrier, rustle-free film; and ComfortWear™ panels (body side only). Do not contain starter hole, integrated filter or tape border. Up to 11⁄2˝.

ITEM #

HCPCS

3797

A5071 10/bx

SOLD BY

POUCHKINS™ TWO-PIECE PEDIATRIC OSTOMY SYSTEMS CLOSED POUCHES 41⁄2˝ Pouchkins™ Cut-to-Fit Premie Pouches Closed pouch can be cut at bottom and used as a drainable pouch. Use only with SoftFlex® (standard wear) skin barrier; flexible and gentle to baby’s sensitive skin. Comfortable; made of odor-barrier film and packaged with foam-covered closures. Do not contain starter hole, integrated filter or tape border. Up to 5⁄8˝.

ITEM #

HCPCS

3777

A5052 15/bx

SOLD BY

61⁄2˝ Pouchkins™ Cut-to-Fit Newborn Pouches Flexible and gentle to baby’s sensitive skin. Closed pouch. Can be cut at bottom and used as a drainable pouch. Use only with SoftFlex® (standard wear) skin barrier. Comfortable; made of odor-barrier film. Packaged with soft-wire closures. Up to 13⁄8˝.

ITEM #

HCPCS

3778

A4421

SOLD BY

15/bx

SKIN BARRIERS Pouchkins™ Infant/Child Ostomy Two-Piece Barriers Feature flat SoftFlex® (standard wear) skin barrier. Do not contain starter hole or tape border. 13⁄4˝ flange size. Barrier opening up to 11⁄4˝.

ITEM #

HCPCS

3761

A4414 5/bx

SOLD BY

DRAINABLE POUCHES 61⁄2˝ Pouchkins™ Two-Piece Infant Ostomy Drainable Pouches without Filter Odor-barrier, rustle-free film; Lock ’n Roll® Microseal closure; ComfortWear™ panels (body side only); and belt tabs. Do not contain starter hole, integrated filter or tape border. 13⁄4˝ flange size.

ITEM #

HCPCS

3799

A5063 10/bx

SOLD BY

7˝ Pouchkins™ Two-Piece Child Ostomy Pouches with Integrated Waterproof AF300™ Filter, Transparent Feature integrated AF300™ filter and Lock ‘n Roll® Microseal Closure; odor-barrier, rustle-free film; belt tabs; and ComfortWear™ panels (body side only). 13⁄4˝ flange size.

ITEM #

HCPCS

18292

A4425 20/bx

SOLD BY

UROSTOMY POUCHES

Feature flat SoftFlex® (standard wear) skin barrier; odor-barrier, rustle-free film; Lock ’n Roll® Microseal closure; and ComfortWear™ panels (body side only). Do not contain starter hole, integrated filter or tape border. Up to 11⁄2˝.

ITEM #

3796 A5061 10/bx

HCPCS

SOLD BY

9˝ Pouchkins™ Two-Piece Child Urostomy Pouches, Transparent Feature odor-barrier, rustle-free film; belt tabs; and ComfortWear™ panels (body side only). 13⁄4˝ flange size.

ITEM #

HCPCS

18402

A4432 10/bx

SOLD BY

143

OSTOMY

HOLLISTER INCORPORATED (50) PEDIATRIC ACCESSORIES Pouchkins™ Pediatric Adjustable Belt Comfortable for active children; made of high-quality materials that can be washed without special precautions. Provides security and confidence, fits most sizes, and is reusable and continuously adjustable. Sold as a single unit. 10˝ – 17 ˝ length.

ITEM #

3774 A4367 ea

HCPCS

SOLD BY

NEW IMAGE® TWO-PIECE OSTOMY SYSTEMS Offer a complete range for hospital or home use. Choose from a complete range of cut-to-fit, shape-to-fit, presized or convex skin barriers that are formulated for gentleness and durability. New Image® skin barriers feature the unique floating flange for the ultimate in a discreet, low-profile coupling system. Pouches are available in all styles, lengths and materials to fit lifestyle choices. All New Image® pouches feature highly effective, odor-barrier, quiet film that minimizes the noise associated with plastic films. Color-Coded Size Chart: New Image® Two-Piece Ostomy Systems up to 13⁄4˝ (44 mm) GREEN

up to 21⁄4˝ (57 mm) RED

up to 2 ⁄4˝ (70 mm) BLUE

up to 4˝ (102 mm) YELLOW

HCPCS

SOLD BY

13⁄4˝ (44-mm) flange, up to 11⁄4˝ (32-mm) opening, GREEN 14102 A4409 5/bx 21⁄4˝ (57-mm) flange, up to 111⁄16˝ (43-mm) opening, RED 14103 A4409 5/bx 23⁄4˝ (70-mm) flange, up to 21⁄4˝ (57-mm) opening, BLUE 14104 A4409 5/bx

New Image® FlexWear® (Standard Wear) Flat Skin Barriers Provide utmost security with the patented locking system that audibly clicks into place. Feature FlexWear®, a skin barrier designed to be worn more than one day and is more resistant to breakdown. Optional tape border adds security to the attachment of the barrier to skin. Barriers without tape feature tapered edges. Integrated floating flange reduces pressure on tender, postoperative abdomens and ensures confidence.

ITEM #

HCPCS

SOLD BY

CUT-TO-FIT WITH TAPE BORDER

1 ⁄4˝ (44-mm) flange, up to 1 ⁄4˝ (32-mm) opening, GREEN 14202 A4414 5/bx 21⁄4˝ (57-mm) flange, up to 13⁄4˝ (44-mm) opening, RED 14203 A4414 5/bx 23⁄4˝ (70-mm) flange, up to 21⁄4˝ (57-mm) opening, BLUE 14204 A4414 5/bx 4˝ (102-mm) flange, up to 31⁄2˝ (89-mm) opening, YELLOW 14206 A4415 5/bx 3

CUT-TO-FIT WITHOUT TAPE BORDER

13⁄4˝ (44-mm) flange, up to 11⁄4˝ (32-mm) opening, GREEN 15202 A4414 5/bx 21⁄4˝ (57-mm) flange, up to 13⁄4˝ (44-mm) opening, RED 15203 A4414 5/bx 23⁄4˝ (70-mm) flange, up to 21⁄4˝ (57-mm) opening, BLUE 15204 A4415 5/bx PRECUT WITH TAPE BORDER

13⁄4˝ (44-mm) flange, 5⁄8˝ (16-mm) opening, GREEN 13⁄4˝ (44-mm) flange, 3⁄4˝ (19-mm) opening, GREEN 13⁄4˝ (44-mm) flange, 7⁄8˝ (22-mm) opening, GREEN 13⁄4˝ (44-mm) flange, 1˝ (25-mm) opening, GREEN 13⁄4˝ (44-mm) flange, 11⁄8˝ (29-mm) opening, GREEN 13⁄4˝ (44-mm) flange, 11⁄4˝ (32-mm) opening, GREEN 21⁄4˝ (57-mm) flange, 13⁄8˝ (35-mm) opening, RED 21⁄4˝ (57-mm) flange, 11⁄2˝ (38-mm) opening, RED 21⁄4˝ (57-mm) flange, 13⁄4˝ (44-mm) opening, RED

144

SOLD BY

13⁄4˝ (44-mm) flange, 3⁄4˝ (19-mm) opening, GREEN 13⁄4˝ (44-mm) flange, 7⁄8˝ (22-mm) opening, GREEN 13⁄4˝ (44-mm) flange, 1˝ (25-mm) opening, GREEN 13⁄4˝ (44-mm) flange, 11⁄8˝ (29-mm) opening, GREEN 13⁄4˝ (44-mm) flange, 11⁄4˝ (32-mm) opening, GREEN 21⁄4˝ (57-mm) flange, 13⁄8˝ (35-mm) opening, RED 21⁄4˝ (57-mm) flange, 11⁄2˝ (38-mm) opening, RED

16402 A4414 5/bx 16403 A4414 5/bx 16404 A4414 5/bx 16405 A4414 5/bx 16406 A4414 5/bx 16407 A4414 5/bx 16408 A4414 5/bx

New Image® FlexWear® (Standard Wear) Convex Skin Barriers Provide security with the locking system that audibly clicks into place. Feature Flexwear®, a skin barrier that is more resistant to breakdown. Barriers without tape feature tapered edges. Floating flange eliminates pressure on tender, postoperative abdomens and ensures confidence. Built-in convexity provides added security and skin protection for recessed, retracted and flush stomas. Optional tape border adds security to the attachment of the barrier to skin.

ITEM #

HCPCS

SOLD BY

CUT-TO-FIT WITH TAPE BORDER

13⁄4˝ (44-mm) flange, up to 1˝ (25-mm) opening, GREEN 14402 A4373 5/bx 21⁄4˝ (57-mm) flange, up to 11⁄2˝ (38-mm) opening, RED 14403 A4373 5/bx 23⁄4˝ (70-mm) flange, up to 2˝ (51-mm) opening, BLUE 14404 A4373 5/bx 13⁄4˝ (44-mm) flange, up to 1˝ (25-mm) opening, GREEN 15402 A4373 5/bx 21⁄4˝ (57-mm) flange, up to 11⁄2˝ (38-mm) opening, RED 15403 A4373 5/bx 23⁄4˝ (70-mm) flange, up to 2˝ (51-mm) opening, BLUE 15404 A4373 5/bx

New Image® FormaFlex Shape-to-Fit Skin Barriers Can be stretched to the shape and size of the stoma. Do not require the use of scissors, measuring or tracing. Designed to maintain their shape and protect the skin. Move and bend with a person’s body. A possible choice when the stoma is not round or still changing sizes. For use with the New Image® two-piece closed-end, drainable and urostomy pouches. Integrated floating flange eliminates pressure on tender, postoperative abdomens and provides security with a patented locking system that audibly clicks into place. ITEM #

HCPCS

CUT-TO-FIT WITHOUT TAPE BORDER

SKIN BARRIERS

ITEM #

PRECUT WITHOUT TAPE BORDER

14301 A4414 5/bx 14302 A4414 5/bx 14303 A4414 5/bx 14304 A4414 5/bx 14305 A4414 5/bx 14306 A4414 5/bx 14307 A4414 5/bx 14308 A4414 5/bx 14309 A4414 5/bx

PRECUT WITH TAPE BORDER

13⁄4˝ (44-mm) flange, 7⁄8˝ (22-mm) opening, GREEN 13⁄4˝ (44-mm) flange, 1˝ (25-mm) opening, GREEN 21⁄4˝ (57-mm) flange, 11⁄8˝ (29-mm) opening, RED 21⁄4˝ (57-mm) flange, 11⁄4˝ (32-mm) opening, RED

14503 A4373 5/bx 14504 A4373 5/bx 14505 A4373 5/bx 14506 A4373 5/bx

PRECUT WITHOUT TAPE BORDER

15503 A4373 5/bx 15504 A4373 5/bx 15505 A4373 5/bx 15506 A4373 5/bx

UPGRADED DESIGN New Image® Flexwear® (Standard Wear) Convex Skin Barriers Upgraded product design allows users to continue relying on their Hollister skin barrier with no change in how they apply it. Feature enhancements are designed to help increase comfort and improve ease-of-use. New flexible plastic release liner covers both the skin barrier and the adhesive border to help improve ease-of-use. Barrier edges will be tapered to help provide increased comfort. Steps to apply skin barrier will remain the same.

ITEM #

HCPCS

SOLD BY

CUT-TO-FIT WITH TAPE BORDER

13⁄4˝ (44-mm) flange, up to 1˝ (25-mm) opening, GREEN 13402 A4373 5/bx 21⁄4˝ (57-mm) flange, up to 11⁄2˝ (38-mm) opening, RED 13403 A4373 5/bx 23⁄4˝ (70-mm) flange, up to 2˝ (51-mm) opening, BLUE 13404 A4373 5/bx PRECUT WITH TAPE BORDER

13503 A4373 5/bx 13504 A4373 5/bx 13505 A4373 5/bx 13506 A4373 5/bx

Infused with the science of skin health

Adapt CeraRing barrier rings Sealed with the confidence of ceramide Infused with ceramide—a natural component of the skin—Adapt CeraRing is designed to support the healthy peristomal skin your patients deserve. Ceramides help protect the skin’s natural moisture barrier and help prevent water loss that may lead to damage and dryness. Available in flat, round convex and oval convex.

Adapt barrier ring technology enables the flat barrier ring to be stretched and shaped to help enhance fit and minimize the risk of leakage around the stoma. The convex barrier ring provides uniform pressure around the stoma to help prevent leakage and form a customized fit for each patient. Experience the confidence of ceramide—try Adapt CeraRings today.

OSTOMY

New Image® Flextend® (Extended Wear) Flat Skin Barriers Provide security with the patented locking system that audibly clicks into place. Feature Flextend®, an extended wear skin barrier. Tape border adds security to the attachment of the barrier to skin. Barriers without tape feature tapered edges. Floating flange eliminates pressure on tender, postoperative abdomens and ensures confidence.

UPGRADED DESIGN New Image® Flextend® (Extended Wear) Convex Skin Barriers Upgraded product design allows users to continue relying on their Hollister skin barrier with no change in how they apply it. Feature enhancements are designed to help increase comfort and improve ease-of-use. New flexible plastic release liner covers both the skin barrier and the adhesive border to help improve ease-of-use. Barrier edges will be tapered to help provide increased comfort. Steps to apply skin barrier will remain the same.

HOLLISTER INCORPORATED (50)

ITEM #

HCPCS

SOLD BY

CUT-TO-FIT WITH TAPE BORDER

1 ⁄4˝ (44-mm) flange, up to 1 ⁄4˝ (32-mm) opening, GREEN 14602 A4409 5/bx 21⁄4˝ (57-mm) flange, up to 13⁄4˝ (44-mm) opening, RED 14603 A4409 5/bx 23⁄4˝ (70-mm) flange, up to 21⁄4˝ (57-mm) opening, BLUE 14604 A4409 5/bx 4˝ (102-mm) flange, up to 31⁄2˝ (89-mm) opening, YELLOW 14606 A4410 5/bx 3

CUT-TO-FIT WITHOUT TAPE BORDER

13⁄4˝ (44-mm) flange, up to 11⁄4˝ (32-mm) opening, GREEN 15602 A4409 5/bx 21⁄4˝ (57-mm) flange, up to 13⁄4˝ (44-mm) opening, RED 15603 A4409 5/bx 23⁄4˝ (70-mm) flange, up to 21⁄4˝ (57-mm) opening, BLUE 15604 A4410 5/bx PRECUT WITH TAPE BORDER

14701 A4409 5/bx 14702 A4409 5/bx 14703 A4409 5/bx 14704 A4409 5/bx 14705 A4409 5/bx 14706 A4409 5/bx 14707 A4409 5/bx 14708 A4409 5/bx 14709 A4409 5/bx

PRECUT WITHOUT TAPE BORDER

16101 A4409 5/bx 16102 A4409 5/bx 16103 A4409 5/bx 16104 A4409 5/bx 16105 A4409 5/bx 16106 A4409 5/bx 16107 A4409 5/bx 16108 A4409 5/bx

New Image Flextend (Extended Wear) Convex Skin Barriers Provide security with the locking system that audibly clicks into place. Feature Flextend®, an extended wear skin barrier. Barriers without tape feature tapered edges. Integrated floating flange reduces pressure on tender, postoperative abdomens and ensures confidence. Built-in convexity provides security and skin protection for recessed, retracted and flush stomas. Tape border adds security to the attachment of the barrier to skin. ®

ITEM #

HCPCS

SOLD BY

CUT-TO-FIT WITH TAPE BORDER

13⁄4˝ (44-mm) flange, up to 1˝ (25-mm) opening, GREEN 14802 21⁄4˝ (57-mm) flange, up to 11⁄2˝ (38-mm) opening, RED 14803 23⁄4˝ (70-mm) flange, up to 2˝ (51-mm) opening, BLUE 14804

A4407 5/bx A4407 5/bx A4407 5/bx

CUT-TO-FIT WITHOUT TAPE BORDER

13⁄4˝ (44-mm) flange, up to 1˝ (25-mm) opening, GREEN 15802 21⁄4˝ (57-mm) flange, up to 11⁄2˝ (38-mm) opening, RED 15803 23⁄4˝ (70-mm) flange, up to 2˝ (51-mm) opening, BLUE 15804

A4407 5/bx A4407 5/bx A4408 5/bx

PRECUT WITH TAPE BORDER

1 ⁄4˝ (44-mm) flange, ⁄8˝ (16-mm) opening, GREEN 13⁄4˝ (44-mm) flange, 3⁄4˝ (19-mm) opening, GREEN 13⁄4˝ (44-mm) flange, 7⁄8˝ (22-mm) opening, GREEN 13⁄4˝ (44-mm) flange, 1˝ (25-mm) opening, GREEN 21⁄4˝ (57-mm) flange, 11⁄8˝ (29-mm) opening, RED 21⁄4˝ (57-mm) flange, 11⁄4˝ (32-mm) opening, RED 21⁄4˝ (57-mm) flange, 13⁄8˝ (35-mm) opening, RED 21⁄4˝ (57-mm) flange, 11⁄2˝ (38-mm) opening, RED 23⁄4˝ (70-mm) flange, 15⁄8˝ (41-mm) opening, BLUE 23⁄4˝ (70-mm) flange, 13⁄4˝ (44-mm) opening, BLUE 23⁄4˝ (70-mm) flange, 2˝ (51-mm) opening, BLUE 3

14901 14902 14903 14904 14905 14906 14907 14908 14909 14910 14911

A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx

15903 15904 15905 15906

A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx

PRECUT WITHOUT TAPE BORDER

146

ITEM #

HCPCS

SOLD BY

WITH TAPE

13901 A4407 13902 A4407 13903 A4407 13904 A4407 13905 A4407 13906 A4407 13907 A4407 13908 A4407 13909 A4407 13910 A4407 13911 A4407

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

New Image® CeraPlus™ Flat Skin Barrier This skin barrier is designed to maintain adhesive properties. Features a formulation infused with ceramide to help protect the skin’s natural moisture barrier, maintain good peristomal skin health and decrease transepidermal water loss from damaged or eroded skin.

ITEM #

WITH TAPE 13⁄4˝ (44-mm) flange, 11⁄4˝ (32-mm) opening, GREEN

21⁄4˝ (57-mm) flange, 13⁄4˝ (44-mm) opening, RED 23⁄4˝ (70-mm) flange, 21⁄4˝ (57-mm) opening, BLUE

HCPCS

SOLD BY

11202 A4409 11203 A4409 11204 A4409

5/bx 5/bx 5/bx

15102 A4409 15103 A4409 15104 A4410

5/bx 5/bx 5/bx

WITHOUT TAPE

13⁄4˝ (44-mm) flange, 11⁄4˝ (32-mm) opening, GREEN 21⁄4˝ (57-mm) flange, 13⁄4˝ (44-mm) opening, RED 23⁄4˝ (70-mm) flange, 21⁄4˝ (57-mm) opening, BLUE

New Image® CeraPlus™ Convex Skin Barriers Designed to maintain adhesive properties. Feature a formulation infused with ceramide to help protect the skin’s natural moisture barrier, maintain good peristomal skin health and decrease transepidermal water loss from damaged or eroded skin.

ITEM #

CUT-TO-FIT

WITH TAPE WITHOUT TAPE

13⁄4˝ (44-mm) flange, 1˝ (25-mm) opening, GREEN 11402 21⁄4˝ (57-mm) flange, 11⁄2˝ (38-mm) opening, RED 11403 23⁄4˝ (70-mm) flange, 2˝ (51-mm) opening, BLUE 11404

ITEM #

HCPCS

SOLD BY

15302 A4407 5/bx 15303 A4407 5/bx 15304 A4407/A4408 5/bx

PRE-CUT

13⁄4˝ (44-mm) flange, 7⁄8˝ (22-mm) opening, GREEN 11503 13⁄4˝ (44-mm) flange, 1˝ (25-mm) opening, GREEN 11504 21⁄4˝ (57-mm) flange, 11⁄8˝ (29-mm) opening, RED 11505 21⁄4˝ (57-mm) flange, 11⁄4˝ (32-mm) opening, RED 11506

N/A N/A N/A N/A

A4407 A4407 A4407 A4407

5/bx 5/bx 5/bx 5/bx

DRAINABLE POUCHES 12˝ New Image® Lock ’n Roll® Microseal Closure Drainable Pouches without Filter with Belt Tabs Integrated closure system provides security. Odor-barrier, rustle-free film with ComfortWear™ panels.

ITEM #

HCPCS

SOLD BY

ULTRA BEIGE CLEAR TRANSPARENT 13⁄4˝ flange, GREEN 18112 18002 18132 A5063

21⁄4˝ flange, RED 18113 23⁄4˝ flange, BLUE 18114 4˝ flange, YELLOW N/A

10/bx 18003 18133 A5063 10/bx 18004 18134 A5063 10/bx 18006 N/A A5063 10/bx

OSTOMY

DRAINABLE KITS

HOLLISTER INCORPORATED (50) 12˝ New Image® Lock ’n Roll® Microseal Closure Drainable Pouches with Integrated Waterproof AF300™ Filter and Belt Tabs Feature the AF300™ Filter, which promotes enhanced airflow to reduce gas buildup and ballooning, and provide better odor control. Odor-barrier, rustle-free film with ComfortWear™ panels.

ITEM #

BEIGE TRANSPARENT

ITEM #

HCPCS

13⁄4˝ flange, GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE

18182 18192 A4425 10/bx 18183 18193 A4425 10/bx 18184 18194 A4425 10/bx

SOLD BY

12˝ New Image Drainable Pouches with Integrated Waterproof AF300™ Filter and Belt Tabs ComfortWear™ panels provide a soft, cloth-like covering between pouch and skin. Utilize an odor-barrier material and are rustle-free. Feature the integrated AF300™ Filter, which promotes enhanced airflow to reduce gas buildup and ballooning, and provide better odor control. Clamp closure. ®

ITEM #

HCPCS

ITEM #

BEIGE TRANSPARENT

13⁄4˝ flange, GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE

18142 18162 A4425 10/bx 18143 18163 A4425 10/bx 18144 18164 A4425 10/bx

ITEM #

HCPCS

ULTRA-CLEAR BEIGE TRANSPARENT

1 ⁄4˝ flange, GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE 4˝ flange, YELLOW

18172 18173 18174 18176

18122 18123 18124 N/A

SOLD BY

18102 A5063 10/bx 18103 A5063 10/bx 18104 A5063 10/bx N/A A5063 10/bx

9˝ New Image® Drainable Mini-Pouches without Filter, Beige with Belt Tabs Utilize an odor-barrier material, provide maximum protection and are rustle-free. ComfortWear™ panels provide a soft, cloth-like covering between the pouch and the skin. Clamp closure.

ITEM #

HCPCS

SOLD BY

13⁄4˝ flange, GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE

18202 A5063 10/bx 18203 A5063 10/bx 18204 A5063 10/bx

7˝ New Image® Lock ’n Roll® Microseal Closure Drainable MiniPouches with Integrated Waterproof AF300™ Filter and Belt Tabs Odor-barrier, rustle-free film; and ComfortWear™ panels (body side only for transparent pouches). Feature the integrated AF300™ Filter, which promotes enhanced airflow to reduce gas buildup and ballooning, and provide better odor control.

ITEM #

BEIGE TRANSPARENT

ITEM #

HCPCS

SOLD BY

13⁄4˝ flange, GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE

18282 18292 A4425 20/bx 18283 18293 A4425 20/bx 18284 18294 A4425 20/bx

12˝ New Image® High Output Drainable Pouches without Filter, Ultra Clear Feature odor-barrier, rustle-free film; belt tabs; and ComfortWear™ panels (body side only). Floating flange eliminates pressure on tender, postoperative abdomens. Do not have an integrated filter. Patented locking system audibly clicks into place to provide security. Soft-tap closure.

ITEM #

13⁄4˝ flange, GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE 4˝ flange, YELLOW

18012 A4412 10/bx 18013 A4412 10/bx 18014 A4412 10/bx 18016 A4412 10/bx

HCPCS

SOLD BY

ITEM #

HCPCS

21⁄4˝ flange, RED 23⁄4˝ flange, BLUE

19303 19304

A5063 5/bx A5063 5/bx

SOLD BY

IRRIGATOR SLEEVES 30˝ New Image® Irrigator Sleeves, Transparent with Belt Tabs Odor-barrier pouch with convenient, long drain directs effluent into the toilet. Easy-open top accommodates a stoma cone; easy closing wire tie seals top of pouch. Patented flange ensures confidence and provides utmost security with a locking system that audibly clicks into place.

SOLD BY

12˝ New Image® Drainable Pouches without Filter with Belt Tabs ComfortWear™ panels provide a soft, cloth-like covering between the pouch and the skin. Pouches utilize an odor-barrier material, provide maximum protection and are rustle-free. Clamp closure.

New Image® Nonsterile Drainable Kits with FormaFlex Shape-to-Fit Skin Barrier Two-piece kit with Lock 'n Roll® closure, odor barrier film and ComfortWear™ pouch panel on both sides.

ITEM #

HCPCS

13⁄4˝ flange, GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE

18152 18153 18154

A4397 5/bx A4397 5/bx A4397 5/bx

SOLD BY

CLOSED-END POUCHES 9˝ New Image® Closed Pouches with Belt Tabs ComfortWear™ panels on both sides provide a soft, cloth-like covering between the pouch and skin. Provide maximum protection. Contain odor-barrier, rustle-free film. Patented locking mechanism attaches pouch securely to skin barrier, preventing unintentional separation. Securely hold pouch to a belt with attached belt tabs. Can be worn while bathing or swimming without affecting performance.

BEIGE, WITHOUT INTEGRATED FILTER 13⁄4˝ (44-mm) flange, GREEN

21⁄4˝ (57-mm) flange, RED 23⁄4˝ (70-mm) flange, BLUE

ITEM #

WITH INTEGRATED WATERPROOF AF300™ FILTER BEIGE 13⁄4˝ (44-mm) flange, GREEN 18372

ITEM #

HCPCS

18332 18333 18334

A5054 30/bx A5054 30/bx A5054 30/bx

ITEM #

HCPCS

SOLD BY

TRANSPARENT

18362 18373 18363 18374 18364

21⁄4˝ (57-mm) flange, RED 23⁄4˝ (70-mm) flange, BLUE

SOLD BY

A4419 A4419 A4419

60/bx 60/bx 60/bx

9˝ New Image® Closed Pouches with Integrated Waterproof AF300™ Filter, Beige with Belt Tabs With QuietWear Pouch Material and integrated AF300™ Filter.

ITEM #

13⁄4˝ (44-mm) flange, GREEN 21⁄4˝ (57-mm) flange, RED 23⁄4˝ (70-mm) flange, BLUE

18322 A4419 18323 A4419 18324 A4419

HCPCS

SOLD BY

30/bx 30/bx 30/bx

7˝ New Image® Mini Closed Pouches Contain odor-barrier, rustle-free film and ComfortWear™ panels on both sides.

ITEM #

BEIGE, WITHOUT INTEGRATED FILTER 13⁄4˝ (44-mm) flange, GREEN

21⁄4˝ (57-mm) flange, RED 23⁄4˝ (70-mm) flange, BLUE

ITEM #

HCPCS

18352 A5054 18353 A5054 18354 A5054 ITEM #

HCPCS

WITH INTEGRATED WATERPROOF AF300™ FILTER BEIGE TRANSPARENT 13⁄4˝ (44-mm) flange, GREEN N/A 18382 A4419

21⁄4˝ (57-mm) flange, RED 23⁄4˝ (70-mm) flange, BLUE

18393 18383 18394 18384

A4419 A4419

SOLD BY

30/bx 30/bx 30/bx SOLD BY

60/bx 60/bx 60/bx

147

OSTOMY

HOLLISTER INCORPORATED (50)

11⁄2˝ flange (3⁄4˝ opening), H 11⁄2˝ flange (1˝ opening), H 13⁄4˝ flange (11⁄4˝ opening), I 21⁄4˝ flange (11⁄2˝ opening), J 21⁄4˝ flange (13⁄4˝ opening), J

UROSTOMY POUCHES 9˝ New Image® Two-Piece Urostomy Pouches with Belt Tabs New design. ComfortWear™ panels provide a soft, cloth-like cover between the pouch and skin. Transparent and Ultra Clear pouches have ComfortWear™ panels on body side only, while the Beige pouches have panels on both sides. Odor-barrier, rustle-free film provides confidence.

ITEM #

ULTRA CLEAR BEIGE

ITEM #

13⁄4˝ flange, GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE

18922 18923 18924

ITEM #

HCPCS

SOLD BY

TRANSPARENT

18912 18902 18913 18903 18914 18904

A4432 10/bx A4432 10/bx A4432 10/bx

9˝ New Image Pouches with Belt Tabs Feature internal, nonreflux valves and a drain valve that allow regulation of flow rate and ensure security and confidence. Soft ComfortWear™ panels against the skin provide comfort; while the odor-barrier, rustle-free film and anatomically shaped pouches provide confidence. ®

ITEM #

ULTRA CLEAR BEIGE

1 ⁄4˝ flange, GREEN 18422 21⁄4˝ flange, RED 18423 23⁄4˝ flange, BLUE 18424 3

ITEM #

HCPCS

SOLD BY

TRANSPARENT

18412 18402 18413 18403 18414 18404

A4432 10/bx A4432 10/bx A4432 10/bx

SINGLE-USE KITS New Image® Single-Use Kits, Nonsterile Ultra-Clear Two-piece kit with FlexWear™ (standard wear) skin barrier, Lock 'n Roll® closure, tape border, ultra-clear pouch with odor barrier film and ComfortWear™ pouch panel on body side.

ITEM #

HCPCS

13⁄4˝ flange, GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE 4˝ flange, YELLOW

19002 19003 19004 19006

A4421 5/bx A4421 5/bx A4421 5/bx A4421 5/bx

SOLD BY

New Image® Single-Use Kits, Sterile Ultra-Clear Drainable, two-piece kit with FlexWear™ (standard wear) skin barrier, Lock 'n Roll® closure, tape border, ultra-clear pouch with odor barrier film and ComfortWear™ pouch panel on body side.

ITEM #

HCPCS

13⁄4˝ flange, GREEN 21⁄4˝ flange, RED 23⁄4˝ flange, BLUE 4˝ flange, YELLOW

19052 19053 19054 19056

A4421 5/bx A4421 5/bx A4421 5/bx A4421 5/bx

SOLD BY

Letter Matching System: CenterPointLock Ostomy Systems To help user select compatible CenterPointLock™ Two-Piece System components, every CenterPointLock™ system product box label features a letter designation: H, I, J, K or L. Once user selects a CenterPointLock™ Two-Piece System Skin Barrier, then selects a pouch, irrigation drain or stoma cap with the matching letter on the box label. ™

SKIN BARRIERS CenterPointLock™ FlexWear® (Standard Wear) Skin Barriers with Tape Border Protect skin from corrosive drainage. Exclusive floating flange eliminates pressure on tender, postoperative abdomens. Unique CenterPointLock™ feature prevents unintentional pouch/skin barrier separation, and provides confidence and security. ITEM #

HCPCS

3727 3722 3723 3724 3726

A4414 A4414 A4414 A4414 A4415

SOLD BY

CUT-TO-FIT

11⁄2˝ flange; up to 1˝ opening, H 13⁄4˝ flange; up to 11⁄4˝ opening, I 21⁄4˝ flange; up to 13⁄4˝ opening, J 23⁄4˝ flange; up to 21⁄4˝ opening, K 4˝ flange; up to 31⁄2˝ opening, L

148

HCPCS

SOLD BY

3747 3742 3748 3743 3749

A4414 A4414 A4414 A4414 A4414

5/bx 5/bx 5/bx 5/bx 5/bx

CenterPointLock™ Flextend® (Extended Wear) Flat Skin Barriers with Tape Border Flextend® skin barrier with unique CenterPointLock™ feature provides confidence and security. Exclusive floating flange eliminates pressure on tender, postoperative abdomens.

ITEM #

CUT-TO-FIT PRECUT

11⁄2˝ flange (7⁄8˝ opening), H 11⁄2˝ flange (1˝ opening), H 13⁄4˝ flange (11⁄8˝ opening), I 13⁄4˝ flange (11⁄4˝ opening), I 21⁄4˝ flange (13⁄8˝ opening), J 21⁄4˝ flange (11⁄2˝ opening), J 21⁄4˝ flange; up to 13⁄4˝ opening, J 23⁄4˝ flange; up to 21⁄4˝ opening, K

N/A 8727 N/A 8722 N/A N/A 8723 8724

8743 8744 8745 8746 8747 8748 N/A N/A

HCPCS

A4409 A4409 A4409 A4409 A4409 A4409 A4409 A4409

SOLD BY

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

CenterPointLock™ Flextend® (Extended Wear) Cut-to-Fit Flat Skin Barriers without Tape Flextend® skin barrier with CenterPointLock™ feature ensures security. Exclusive floating flange reduces pressure on tender, postoperative abdomens.

ITEM #

HCPCS

13⁄4˝ flange; up to 11⁄4˝ opening, I 21⁄4˝ flange; up to 13⁄4˝ opening, J 23⁄4˝ flange; up to 21⁄4˝ opening, K

8752 8753 8754

A4409 A4409 A4410

SOLD BY

5/bx 5/bx 5/bx

CenterPointLock™ (Standard Wear) Cut-to-Fit Flat Skin Barriers SoftFlex® is formulated for gentleness and superior skin care. Exclusive floating flange reduces pressure on tender, postoperative abdomens.

ITEM #

HCPCS

SOLD BY

3707 3702 3703 3704 3706

A4414 A4414 A4414 A4414 A4415

5/bx 5/bx 5/bx 5/bx 5/bx

A4414 A4414 A4414 A4414 A4415

5/bx 5/bx 5/bx 5/bx 5/bx

HOLLIHESIVE® WITH TAPE BORDER

11⁄2˝ flange; up to 3⁄4˝ opening, H 13⁄4˝ flange; up to 1˝ opening, I 21⁄4˝ flange; up to 11⁄2˝ opening, J 23⁄4˝ flange; up to 2˝ opening, K 4˝ flange; up to 31⁄4˝ opening, L

SOFTFLEX® (STANDARD WEAR) SKIN BARRIER WITHOUT TAPE BORDER

CENTERPOINTLOCK™ TWO-PIECE OSTOMY SYSTEMS

ITEM #

PRECUT

5/bx 5/bx 5/bx 5/bx 5/bx

3767 3762 3763 3764 3766

CenterPointLock™ FlexWear® (Standard Wear) Convex Skin Barriers with Tape Border Protect skin with long-wearing, cross-linked FlexWear® skin barrier with integral convexity.

ITEM #

HCPCS

11⁄2˝ flange (1⁄2˝ opening), H 11⁄2˝ flange (5⁄8˝ opening), H 11⁄2˝ flange (3⁄4˝ opening), H 13⁄4˝ flange (7⁄8˝ opening), I 13⁄4˝ flange (1˝ opening), I 21⁄4˝ flange (11⁄8˝ opening), J 21⁄4˝ flange (11⁄4˝ opening), J 21⁄4˝ flange (13⁄8˝ opening), J 21⁄4˝ flange (11⁄2˝ opening), J 23⁄4˝ flange (15⁄8˝ opening), K

3730 3731 3732 3733 3734 3735 3736 3737 3738 3739

A4373 A4373 A4373 A4373 A4373 A4373 A4373 A4373 A4373 A4373

SOLD BY

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

OSTOMY

HOLLISTER INCORPORATED (50) CenterPointLock™ Flextend® (Extended Wear) Convex Skin Barriers with Tape Border Built-in convexity and skin protection for recessed, retracted or flush stomas. Porous cloth adhesive is gentle to skin. Floating flange allows fingers to be put under flange for support while attaching pouch to barrier and eliminates pressure on tender, postoperative abdomens. Tape border provides additional security.

ITEM #

HCPCS

SOLD BY

8774 8778 87711

A4407 A4407 A4407

5/bx 5/bx 5/bx

8731 8732 8733 8734 8735 8736 8738

A4407 A4407 A4407 A4407 A4407 A4407 A4407

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

CUT-TO-FIT

13⁄4˝ flange; up to 1˝ opening, I 21⁄4˝ flange; up to 11⁄2˝ opening, J 23⁄4˝ flange; up to 2˝ opening, K PRECUT

11⁄2˝ flange (5⁄8˝ opening), H 11⁄2˝ flange (3⁄4˝ opening), H 13⁄4˝ flange (7⁄8˝ opening), I 13⁄4˝ flange (1˝ opening), I 21⁄4˝ flange (11⁄8˝ opening), J 21⁄4˝ flange (11⁄4˝ opening), J 21⁄4˝ flange (11⁄2˝ opening), J

12˝ CenterPointLock™ Drainable Pouches without Filter, Beige with Belt Tabs ComfortWear™ panels provide a soft, cloth-like covering between the pouch and the skin. Pouches utilize an odor-barrier material, are rustle-free and provide maximum protection. Unique CenterPointLock™ feature ensures confidence and security, and prevents unintentional pouch/skin barrier separation.

ITEM #

HCPCS

11⁄2˝ flange, H 13⁄4˝ flange, I 21⁄4˝ flange, J 23⁄4˝ flange, K

8817 8812 8813 8814

A5063 A5063 A5063 A5063

SOLD BY

10/bx 10/bx 10/bx 10/bx

16˝ CenterPointLock™ Drainable Pouches without Filter, Transparent Unique CenterPointLock™ feature ensures confidence and security, and prevents unintentional pouch/skin barrier separation. Convenient, long drain directs effluent into the toilet. Pouch materials (e.g. transparent, odor-barrier film) ensure confidence.

ITEM #

HCPCS

13⁄4˝ flange, I 21⁄4˝ flange, J 23⁄4˝ flange, K

3872 3873 3874

A4412 A4412 A4412

SOLD BY

10/bx 10/bx 10/bx

DRAINABLE POUCHES

CLOSED-END POUCHES

9˝ CenterPointLock Drainable Mini-Pouches without Filter, Beige with Tape Border Unique CenterPointLock™ feature ensures confidence and security, and prevents unintentional pouch/skin barrier separation. Discreet pouch.

CenterPointLock™ Closed Pouches with Integrated Filter Highly effective, deodorizing, venting filter is made of activated carbon granules. CenterPointLock™ feature ensures confidence and security. Four-layer, odor-barrier, rustle-free film is soft and silent. Feature belt tabs and can be used during bathing/ swimming. Beige pouches have ComfortWear™ panel on both sides.

™

ITEM #

HCPCS

11⁄2˝ flange, H 13⁄4˝ flange, I 21⁄4˝ flange, J 23⁄4˝ flange, K

3847 3842 3843 3844

A5063 A5063 A5063 A5063

SOLD BY

10/bx 10/bx 10/bx 10/bx

11˝ CenterPointLock™ Drainable Pouches without Filter with Tape Border Unique CenterPointLock™ feature prevents unintentional pouch/ skin barrier separation. Rustle-free, odor-barrier film promotes confidence; while the strong, four-layer construction promotes security.

ITEM #

BEIGE TRANSPARENT

ITEM #

11⁄2˝ flange, H 13⁄4˝ flange, I 21⁄4˝ flange, J 23⁄4˝ flange, K 4˝ flange, L

3817 3812 3813 3814 N/A

3807 3802 3803 3804 3806

HCPCS

A5063 A5063 A5063 A5063 A5063

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx

12˝ CenterPointLock™ Drainable Pouches with Replacement Filter Unique, replaceable gas filter ensures peace of mind, deodorizes and vents gas from double-chambered pouch. Pouches utilize an odor-barrier material, are rustle-free and provide maximum protection. Unique CenterPointLock™ feature ensures confidence and security, and prevents unintentional pouch/skin barrier separation. Include one bag of 20 Hollister Replacement Filters and two plugs (Item # 7766).

ITEM #

HCPCS

BEIGE TRANSPARENT

1 ⁄2˝ flange, H 13⁄4˝ flange, I 21⁄4˝ flange, J 23⁄4˝ flange, K

3837 3832 3833 3834

3897 3892 3893 3894

A4425 A4425 A4425 A4425

SOLD BY

10/bx 10/bx 10/bx 10/bx

1 ⁄2˝ flange, H 13⁄4˝ flange, I 21⁄4˝ flange, J 23⁄4˝ flange, K 1

ITEM #

BEIGE 71⁄2˝

BEIGE 9˝

8347 8342 8343 8344

3347 3342 3343 3344

HCPCS

A4419 A4419 A4419 A4419

SOLD BY

15/bx 15/bx 15/bx 15/bx

STOMA CAPS 41⁄2˝ CenterPointLock™ Stoma Caps with Integrated Filter Ultimate in confidence with soft and silent, odor-barrier, rustle-free film. Highly absorbent, nonadherent inner pad collects mucus and provides security and comfort. Belt tabs permit easy attachment of belt for additional security. White.

ITEM #

HCPCS

11⁄2˝ (38-mm) opening, H 13⁄4˝ (44-mm) opening, I 21⁄4˝ (57-mm) opening, J 23⁄4˝ (70-mm) opening, K

3407 3402 3403 3404

A5055 A5055 A5055 A5055

SOLD BY

25/bx 25/bx 25/bx 25/bx

UROSTOMY POUCHES 9˝ CenterPointLock™ Urostomy Pouches Ensure security and confidence with internal, antireflux valves and a drain that allows flow rate regulation. CenterPointLock™ feature prevents unintentional pouch-skin barrier separation. Four-layer, odor-barrier, rustle-free film is soft and silent. Feature adjustable drain valve and belt tabs, and can be used during bathing/swimming. Drain valve (teardrop) indicator provides visible indication of whether valve is open or closed. Beige pouches have ComfortWear™ panel on body side.

ITEM #

HCPCS

SOLD BY

1 ⁄4˝ flange, I 21⁄4˝ flange, J

8902 8903

A4432 A4432

10/bx 10/bx

11⁄2˝ flange, H 13⁄4˝ flange, I 21⁄4˝ flange, J 23⁄4˝ flange, K

3907 3902 3903 3904

A4432 A4432 A4432 A4432

10/bx 10/bx 10/bx 10/bx

BEIGE 3

TRANSPARENT

149

OSTOMY

Adapt® Convex and Oval Convex Barrier Rings Convexity helps support the peristomal skin for stomas that do not protrude from the abdomen. Can be cut, bent and stacked to adjust barrier thickness for deeper convexity. Feature extended wear skin barrier technology for durability and erosion prevention. Adapt® Oval Convex Barrier Rings are ideal for oval-shaped stomas to create an even more customized fit.

HOLLISTER INCORPORATED (50) ACCESSORIES PASTE/POWDER/WIPES Adapt® Paste Low-alcohol paste minimizes stinging, and caulks and fills skin crevices. Soft, easy-to-squeeze tube for people with limited dexterity. Easy-to-see red cap.

ITEM #

HCPCS

0.5-oz. tube 2-oz. tube

79301 79300

A4406 A4406

⁄16˝, stretches to 1˝ 13⁄16˝, stretches to 13⁄8˝ 19⁄16˝, stretches to 13⁄4˝ 13

SOLD BY

ea ea

HCPCS

79520 79530 79540

A4411 A4411 A4411

10/bx 10/bx 10/bx

A4411 A4411 A4411

10/bx 10/bx 10/bx

⁄8˝ x 11⁄2˝, stretches to 11⁄8˝ x 13⁄4˝ 79601 13⁄16˝, x 17⁄8˝, stretches to 13⁄8˝ x 21⁄8˝ 79602 11⁄2˝ x 23⁄16˝, stretches to 13⁄4˝ x 23⁄8˝ 79603 7

Skin is protected from stomal discharge by Karaya, a natural hydrocolloid offering unique chemical properties. Prolongs skin barrier/stoma seal wear time.

4.5-oz. tube

ITEM #

HCPCS

7910

A4405

SOLD BY

Adapt Stoma Powder Protects raw and weeping skin by creating a sticky gel. Use sparingly to absorb moisture or exudate from skin prior to placing a skin barrier on peristomal skin. Convenient to use; squeeze bottle allows aeration of powder onto skin. Bottle has window for visualizing contents. ®

1-oz. puff bottle

ITEM #

HCPCS

7906

A4371

SOLD BY

Karaya 5 Powder Protects raw and weeping skin by creating a sticky gel. Karaya, a natural hydrocolloid, has unique skin care properties. Use sparingly to absorb moisture or exudate from skin prior to placing a skin barrier on peristomal skin. Convenient to use; squeeze bottle allows aeration of powder onto skin. ™

ITEM #

HCPCS

2.5-oz. puff bottle

7905

A4371

SOLD BY

Skin Gel Protective Dressing Wipes Protect skin by forming a thin, semipermeable polymer coating over the skin before applying tapes or skin barriers. Prevent skin stripping resulting from frequent removal of tapes or skin barriers. Convenient wipe package is easy to use.

ITEM #

HCPCS

SOLD BY

7917

A5120 50/bx

SKIN BARRIERS/SEALS NEW Adapt CeraRing™ Flat Barrier Rings With technology introduced more than 10 years ago, these rings can be stretched and shaped to help minimize the risk of leakage and protect the peristomal skin. Infused with ceramide and is designed to support healthy peristomal skin. Ceramides help protect the skin’s natural moisture barrier and help prevent water loss that may lead to damage and dryness.

ITEM #

HCPCS

2˝ (48-mm) outer diameter, 4.5-mm thick 2˝ Slim (48-mm) outer diameter, 2.3-mm thick

8805 8815

A4385 A4385

SOLD BY

10/bx 10/bx

Adapt® Flat Barrier Rings Sting-free alternative to paste. Flat shape means ring can be stretched and molded to create custom shapes. Can be cut, bent and stacked together to improve the fit of the skin barrier. Prolong skin barrier wear time when used under a pouch or two-piece skin barrier. For individuals with sensitive skin or limited dexterity.

ITEM #

HCPCS

2˝ (48-mm) outer diameter 4˝ (98-mm) outer diameter 2.3 mm thick, 48-mm outer diameter

7805 7806 7815

A4385 A4385 A4385

SOLD BY

10/bx 10/bx 10/bx

SOLD BY

OVAL

Karaya 5™ Paste

150

ITEM #

STANDARD

NEW Adapt® Barrier Extenders Offer an additional layer of protection for those concerned about lifting around the edges of their skin barrier. Thin and flexible hydrocolloid formulation conforms easily to body contours. Three convenient shapes make it easy to create a custom frame around the skin barrier.

ITEM #

HCPCS

79402

A4362 30/bx

SOLD BY

Adapt® Barrier Strips Can be cut, bent and stacked together to improve a skin barrier fit. Can be stretched and molded to create custom shapes. Conform to irregular skin folds and help prevent skin erosion. 51⁄8˝ length.

ITEM #

HCPCS

60 g

79400

A4385

SOLD BY

10/bx

Flextend Skin Barrier, Sterile Enhanced skin care technology through a special formulation of cross-linked molecules that absorbs and holds fluids. Durability is achieved by its unique cross-linking, giving the skin barrier superior resistance to erosion. Extended wear time over days translates into superior value. ®

ITEM #

HCPCS

4˝ x 4˝ 8˝ x 8˝

8800 8801

A4385 A5122

SOLD BY

5/bx 3/bx

Premium Skin Barriers, Nonsterile Protect skin from irritating urinary or fecal discharge, and wound drainage. Superior skin care is provided by the Premium (standard wear) skin barrier. Formulated for gentleness and flexibility, yet attach firmly to skin. 4˝ x 4˝.

ITEM #

HCPCS

7800

A4362 5/bx

SOLD BY

HolliHesive™ Skin Barriers, Nonsterile (Standard Wear) Protect the skin from irritating stomal discharge; durable in the presence of heat and moisture. Allow greater freedom of movement. Easy to use and comfortable. Flexible materials conform to body contours; sticky barrier on both sides can be shaped to give a custom fit. 4˝ x 4˝.

ITEM #

HCPCS

7700

A4362 5/bx

SOLD BY

Adapt® No Sting Universal Remover Wipes For adhesives and barriers. Silicone based. 12 cartons of 50 wipes each.

ITEM #

HCPCS

7760

A4456 50/bx

SOLD BY

OSTOMY

m9® Odor Eliminator Spray Effectively and safely eliminates odors. Available unscented or with a pleasant apple scent. Convenient packaging.

HOLLISTER INCORPORATED (50) BELTS Ostomy Belt

LATEX FREE

Attaches securely to an ostomy pouch to hold the pouch firmly in place. Belt attaches easily to the pouch belt adapter. High-quality elastic material is washable; wide belt is soft, comfortable and prevents rolling. Each belt is continuously adjustable and fits all sizes. Beige.

ITEM #

HCPCS

Medium (23˝ – 43˝ ) Large (34˝ – 65˝ )

7300 7299

A4367 A4367

SOLD BY

ea ea

ITEM #

2-oz. spray 8-oz. spray

ITEM #

7721 A4400 ea

HCPCS

SOLD BY

30˝ CenterPointLock™ Stoma Irrigator Sleeves Easy-open top accommodates a stoma cone; easy closing wire tie seals top of pouch. Nonstick, odor-barrier film provides convenience. Long drain directs effluent into the toilet.

ITEM #

HCPCS

11⁄2˝ opening, H 13⁄4˝ opening, I 21⁄4˝ opening, J 23⁄4˝ opening, K 4˝ opening, L

3827 3822 3823 3824 3826

A4397 A4397 A4397 A4397 A4397

SOLD BY

5/bx 5/bx 5/bx 5/bx 5/bx

22˝ Stoma Irrigation Sleeves with Belt Tabs Made with strong, easy-to-clean, nonstick polyethylene. Top opening permits easy access for stoma cone. The top is sealed with a preattached closure. Hollister Pouch Clamp ensures security and is used to seal the bottom of the drain. 2˝ opening.

ITEM #

HCPCS

7728

A4397 20/bx

SOLD BY

Stoma Cone Replacement Unit Design ensures safety; soft and flexible, yet firm enough to insert into the stoma. Contains easy-to-use, secure connector. Cleaning brush is supplied. Minimizes water backflow for hygienic use of the system.

ITEM #

7723 A4399 ea

HCPCS

SOLD BY

7732 7733

7734 7735

A4649 A4649

ea ea

m9® Cleaner/Decrystallizer Effectively and safely cleans urinary drainage systems. Specially formulated for use with urinary drainage system; pH balanced and nonacidic. Includes free wash bottle. 16-oz. bottle.

IRRIGATION SUPPLIES Cone Irrigation Kit Drains are made with strong, easy-to-clean, nonstick polyethylene. Top opening permits easy access for Stoma Cone. Top is sealed with a preattached closure. Hollister Pouch Clamp provides security to seal the bottom of the drain.

ITEM #

UNSCENTED LIGHT APPLE SCENT

ITEM #

HCPCS

7736

A5131 ea

SOLD BY

Adapt® Lubricating Deodorant Enables a new level of confidence and security with a proven odor-neutralizer and pouch lubricant that helps to keep the pouch interior clean. Lubrication eases emptying and helps prevent pouch static and sticking. Deodorant works by neutralizing the odor; not a perfume or masking agent.

ITEM #

HCPCS

0.27 oz. (8-mL packs) 8 oz. bottle

78501 78500

A4394 A4394

SOLD BY

50/bx ea

FILTERS Replacement Filters Highly effective deodorizing and venting filters made of activated carbon granules provide security and confidence. Convenient to use with drainable pouches that have replaceable filter holders (e.g. series 366x, 383x, 385x and 389x). Easily changed as needed.

ITEM #

HCPCS

7766

A4368 20/bx

SOLD BY

POUCH CLAMPS Drainable Pouch Clamp Precision-molded plastic pouch clamp locks securely and is easy to use. Clamp is curved and fits body contours. Included in every box of drainable pouches and also can be purchased separately. Beige. Box quantity is 20 clamps.

ITEM #

HCPCS

8770

A4363 ea

SOLD BY

Urostomy Drain Tube Adapter Convenient and easy to attach to urostomy pouch; allows easy attachment of a night drainage collector to the pouch. For use with series 14xx, 390x, 1840x and 1841x urostomy pouches.

ITEM #

7331 A4421 ea

HCPCS

SOLD BY

Adapt® Stoma Lubricant Ensures safe and effective insertion of stoma cone into stoma without causing undue friction. Easy-to-use, convenient bottle allows lubricant to be dispensed without mess. Easy to clean with soap and water. 4-oz. bottle.

ITEM #

7740 A4402 ea

HCPCS

SOLD BY

ODOR ELIMINATORS/CLEANERS/LUBRICANTS m9® Odor Eliminator Drops Highly effective in eliminating odors; safe to use as demonstrated over many years. Convenient to use; place drops into pouch before applying. Economical; a few drops per wearing adequately eliminates odor.

ITEM #

HCPCS

1 oz. (30 mL) 8 oz. (240 mL)

7715 7717

A4394 A4394

SOLD BY

ea ea

151

OSTOMY

COLOPLAST (62) All Coloplast ostomy products are not made with natural rubber latex unless otherwise noted.

LATEX FREE

SENSURA® MIO ONE-PIECE POUCHING SYSTEMS Features BodyFit Technology® to fit real body shapes. Skin barrier responds to natural body movements without lifting away from the skin or digging in. Pouch features a neutral-gray, real woven textile for the look and feel of clothing in a more discreet pouch. Innovative full-circle filter features a large circular “pre-filter” to reduce “ballooning.”

DRAINABLE POUCHES SenSura® Mio One-Piece EasiClose™ WIDE Drainable Pouches with Full-Circle Filter Incorporate the EasiClose WIDE outlet, designed to be ½˝ wider to ensure fast and easy emptying. Opaque pouches have inspection window.

ITEM #

MIDI

TRANSPARENT OPAQUE

Cut-to-fit, 3⁄8˝ – 13⁄4˝ (10 – 45 mm) N/A

ITEM #

HCPCS

SOLD BY

10461

A4424

10/bx

10471 10472 10473 10474 10475 10476 10480 10479 10477 10478

A4424 A4424 A4424 A4424 A4424 A4424 A4424 A4424 A4424 A4424

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

MAXI

Cut-to-fit, 3⁄8˝ – 21⁄8˝ (10 – 55 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (28 mm) Precut, 13⁄16˝ (30 mm) Precut, 11⁄4˝ (32 mm) Precut, 13⁄8˝ (35 mm) Precut, 11⁄2˝ (38 mm) Precut, 19⁄16˝ (40 mm) Precut, 13⁄4˝ (45 mm) Precut, 2˝ (50 mm)

10481 10482 10488 10483 10490 10484 10491 10487 10485 10486

SenSura® Mio One-Piece EasiClose™ WIDE Drainable Pouches without Filter, Transparent

ITEM #

HCPCS

Cut-to-fit, 3⁄8˝ – 21⁄8˝ (10 – 55 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (28 mm) Precut, 11⁄4˝ (32 mm) Precut, 13⁄8˝ (35 mm) Precut, 11⁄2˝ (38 mm)

10489 10492 10493 10494 10495 10496

A5061 A5061 A5061 A5061 A5061 A5061

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

SenSura® Mio Standard Wear MAXI Drainable Pouch, Soft Convex EasiClose™ WIDE Outlet. Full-circle filter. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo-inspection window for easy application. Belt tabs for use with Item #4237 and 4247. Flex shell is designed for stability and flexibility.

ITEM #

HCPCS

SOLD BY

16715 16716

A4389 A4389

10/bx 10/bx

16705 16706

A4389 A4389

10/bx 10/bx

TRANSPARENT 11˝ (28 CM)/655 ML

Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Cut-to-fit, 3⁄8˝ – 2˝ (10 – 50 mm) OPAQUE 11˝ (28 CM)/655 ML

Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Cut-to-fit, 3⁄8˝ – 2˝ (10 – 50 mm)

ITEM #

HCPCS

SOLD BY

OPAQUE 11˝ (28 CM)/655 ML

SenSura Mio Standard Wear MAXI Drainable Pouch, Convex Light EasiClose™ WIDE Outlet. Full-circle filter. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo-inspection window for easy application. Belt tabs for use with Item #4237 and 4247. Flex shell is designed for stability and flexibility.

Cut-to-fit, 3⁄8˝ – 3⁄4˝ (10 – 23 mm) Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Precut, 13⁄16˝ (21 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (28 mm) Precut, 11⁄4˝ (31 mm) Precut, 13⁄8˝ (35 mm) Precut, 11⁄2˝ (38 mm)

16725 16726 16730 16731 16732 16727 16734 16735

A4389 A4389 A4389 A4389 A4389 A4389 A4389 A4389

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

SenSura® Mio Standard Wear MAXI Drainable Pouch, Convex Light without Filter EasiClose™ WIDE Outlet. Neutral gray, water-resistant textile. Belt tabs for use with Item #4237 and 4247. Flex shell is designed for stability and flexibility.

ITEM #

HCPCS

16748

A4389

SOLD BY

TRANSPARENT 11˝ (28 CM)/655 ML

Cut-to-fit, ⁄8˝ – 1 ⁄16˝ (10 – 43 mm) 3

10/bx

SenSura® Mio Standard Wear MAXI Drainable Pouch, Deep Convex EasiClose™ WIDE Outlet. Full-circle filter. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo-inspection window for easy application.

Belt tabs for use with Item #4237 and 4247. Flex shell is designed for stability and flexibility.

ITEM #

HCPCS

SOLD BY

16765 16766 16767 16770 16771 16772 16773

A4389 A4389 A4389 A4389 A4389 A4389 A4389

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

16755 16756 16760 16761 16762 16757 16763 16764

A4389 A4389 A4389 A4389 A4389 A4389 A4389 A4389

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

TRANSPARENT 11˝ (28 CM)/655 ML

Cut-to-fit, 3⁄8˝ – 7⁄8˝ (10 – 23 mm) Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Cut-to-fit, 3⁄8˝ – 111⁄16˝ (10 – 43 mm) Precut, 13⁄16˝ (21 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (28 mm) Precut, 11⁄4˝ (31 mm) OPAQUE 11˝ (28 CM)/655 ML

Cut-to-fit, 3⁄8˝ – 7⁄8˝ (10 – 23 mm) Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Precut, 13⁄16˝ (21 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (28 mm) Precut, 11⁄4˝ (31 mm) Precut, 13⁄8˝ (35 mm) Precut, 11⁄2˝ (38 mm)

SenSura® Mio Standard Wear MAXI Drainable Pouch, Deep Convex without Filter EasiClose™ WIDE Outlet. Neutral gray, water-resistant textile. Belt tabs for use with Item #4237 and 4247. Flex shell is designed for stability and flexibility.

ITEM #

HCPCS

SOLD BY

A4389

10/bx

TRANSPARENT 11˝ (28 CM)/655 ML

Cut-to-fit, ⁄8˝ – 1 ⁄16˝ (10 – 43 mm) 3

16778

ITEM #

HCPCS

16737 16738 16739 16740 16741 16742

A4389 A4389 A4389 A4389 A4389 A4389

SOLD BY

TRANSPARENT 11˝ (28 CM)/655 ML

Cut-to-fit, 3⁄8˝ – 7⁄8˝ (10 – 23 mm) Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Cut-to-fit, 3⁄8˝ – 111⁄16˝ (10 – 43 mm) Precut, 13⁄16˝ (21 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (28 mm)

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

CLOSED-END POUCHES SenSura® Mio One-Piece Closed Pouches with Full-Circle Filter, Opaque with Inspection Window

ITEM #

HCPCS

Cut-to-fit, 5⁄8˝ – 13⁄4˝ (15 – 45 mm)

N/A

10870 A4416

MIDI MAXI

Cut-to-fit, 5⁄8˝ – 13⁄4˝ (15 – 45 mm) Cut-to-fit, 19⁄16˝ – 21⁄8˝ (40 – 55 mm) Precut, 1˝ (25 mm) Precut, 13⁄16˝ (30 mm) Precut, 13⁄8˝ (35 mm) Precut, 19⁄16˝ (40 mm)

10871 N/A 10872 10873 10874 N/A

SOLD BY

MINI

10881 10885* N/A 10883 10884 10885*

A4416 A4416 A4416 A4416 A4416 A4416

30/bx 30/bx 30/bx 30/bx 30/bx 30/bx 30/bx

*Due to its larger starter hole, 10885 functions as both a precut and cut-to-fit solution.

152

OSTOMY

COLOPLAST (62) All Coloplast ostomy products are not made with natural rubber latex unless otherwise noted.

LATEX FREE

SenSura® Mio Standard Wear MAXI Closed Pouch, Soft Convex Full-circle filter. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo-inspection window for easy application. Belt tabs for use with Item #4237 and 4247. Flex shell is designed for stability and flexibility.

ITEM #

HCPCS

16315

A4417

10/bx

16305 16306 16310 16311 16312 16313

A4417 A4417 A4417 A4417 A4417 A4417

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

SenSura® Mio Standard Wear MAXI Closed Pouch, Deep Convex Full-circle filter. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo-inspection window for easy application. Belt tabs for use with Item #4237 and 4247. Flex shell is designed for stability and flexibility.

Cut-to-fit, ⁄8˝ – 1 ⁄16˝ (10 – 43 mm) 3

Cut-to-fit, 3⁄8˝ – 7⁄8˝ (10 – 23 mm) Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (28 mm) Precut, 11⁄4˝ (31 mm) Precut, 13⁄8˝ (35 mm) Precut, 11⁄2˝ (38 mm)

SOLD BY

TRANSPARENT 8 ⁄4˝ (21 CM)/550 ML OPAQUE 81⁄4˝ (21 CM)/550 ML

Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Cut-to-fit, 3⁄8˝ – 2˝ (10 – 50 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (28 mm) Precut, 11⁄4˝ (31 mm) Precut, 13⁄8˝ (35 mm)

SenSura® Mio Standard Wear MIDI Closed Pouch, Soft Convex Full-circle filter. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo-inspection window for easy application. Belt tabs for use with Item #4237 and 4247. Flex shell is designed for stability and flexibility.

ITEM #

HCPCS

16301

A4417

Cut-to-fit, 3⁄8˝ – 7⁄8˝ (10 – 23 mm) Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Cut-to-fit/Precut, 11⁄4˝ – 111⁄16˝ (31 – 43 mm)

10/bx

ITEM #

HCPCS

SOLD BY

16335

A4417

10/bx

16325 16326 16330 16331 16327 16333 16334

A4417 A4417 A4417 A4417 A4417 A4417 A4417

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

TRANSPARENT 81⁄4˝ (21 CM)/550 ML

Precut, 3⁄8˝ – 111⁄16˝ (10 – 43 mm) OPAQUE 8 ⁄4˝ (21 CM)/550 ML 1

SenSura® Mio Standard Wear MIDI Closed Pouch, Convex Light Full-circle filter. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo-inspection window for easy application. Belt tabs for use with Item #4237 and 4247. Flex shell is designed for stability and flexibility.

ITEM #

HCPCS

16321 16322 16323*

A4417 A4417 A4417

SOLD BY

OPAQUE 71⁄4˝ (19 MM)/340 ML

Cut-to-fit, ⁄8˝ – ⁄4˝ (10 – 23 mm) Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Cut-to-fit/Precut, 11⁄4˝ – 111⁄16˝ (31 – 43 mm) 3

10/bx 10/bx 10/bx

SOLD BY

16355

A4417

10/bx

16345 16346 16350 16351 16347 16353 16354

A4417 A4417 A4417 A4417 A4417 A4417 A4417

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

ITEM #

HCPCS

16341 16342 16343*

A4417 A4417 A4417

SOLD BY

OPAQUE 71⁄4˝ (19 MM)/340 ML

SOLD BY

SenSura® Mio Standard Wear MAXI Closed Pouch, Convex Light Full-circle filter. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo-inspection window for easy application. Belt tabs for use with Item #4237 and 4247. Flex shell is designed for stability and flexibility.

HCPCS

SenSura® Mio Standard Wear MIDI Closed Pouch, Deep Convex Full-circle filter. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo-inspection window for easy application. Belt tabs for use with Item #4237 and 4247. Flex shell is designed for stability and flexibility.

OPAQUE 71⁄4˝ (19 MM)/340 ML

Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm)

OPAQUE 81⁄4˝ (21 CM)/550 ML

Cut-to-fit, 3⁄8˝ – 2˝ (10 – 50 mm)

ITEM #

TRANSPARENT 81⁄4˝ (21 CM)/550 ML

10/bx 10/bx 10/bx

*Due to its larger starter hole, 16343 functions as both a precut and cut-to-fit solution.

SenSura Mio Original Flat Standard Wear Closed Pouch with Filter, Opaque with Inspection Window ®

ITEM #

HCPCS

SOLD BY

10811

A4416

30/bx

10821 10822 10823 10824

A4416 A4416 A4416 A4416

30/bx 30/bx 30/bx 30/bx

10831 10835* 10833 10834 10835*

A4416 A4416 A4416 A4416 A4416

30/bx 30/bx 30/bx 30/bx 30/bx

MINI (5 1⁄2˝, 110 ML)

Cut-to-fit, 5⁄8˝ – 13⁄4˝ (15 – 45 mm) MIDI (7˝, 340 ML)

Cut-to-fit, 5⁄8˝ – 13⁄4˝ (15 – 45 mm) Precut, 1˝ (25 mm) Precut, 13⁄16˝ (30 mm) Precut, 13⁄8˝ (35 mm) MAXI (8 1⁄2˝, 550 ML)

Cut-to-fit, 5⁄8˝ – 13⁄4˝ (15 – 45 mm) Cut-to-fit, 19⁄16˝ – 21⁄4˝ (40 – 55 mm) Precut, 13⁄16˝ (30 mm) Precut, 13⁄8˝ (35 mm) Precut, 19⁄16˝ (40 mm)

*Due to its larger starter hole, 10835 functions as both a precut and cut-to-fit solution.

UROSTOMY POUCHES SenSura® Mio One-Piece Urostomy Pouch with Multi-Chambers, Transparent Redesigned anti-reflux valves support varying methods of stent management, while multi-chamber construction keeps the pouch from ballooning as it fills.

ITEM #

HCPCS

Cut-to-fit, 3⁄8˝ – 13⁄4˝ (10 – 45 mm)

10586

A5071

SOLD BY

10/bx

*Due to its larger starter hole, 16323 functions as both a precut and cut-to-fit solution.

SenSura® Mio Standard Wear MAXI Urostomy Pouch, Soft Convex Multi-chambers minimize sloshing. Anti-reflux valves prevent urine from washing over the stoma. Soft outlet can be connected to urostomy night bag (Item #21365). Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo-inspection window for easy application. Flex shell is designed for stability and flexibility.

ITEM #

HCPCS

SOLD BY

16810

A4392

10/bx

16805

A4392

10/bx

TRANSPARENT 101⁄2˝ (27 CM)/400 ML

Cut-to-fit, 3⁄8˝ – 2˝ (10 – 50 mm) OPAQUE 101⁄2˝ (27 CM)/400 ML

Cut-to-fit, 3⁄8˝ – 15⁄16˝ (10 – 33 mm)

153

OSTOMY

SENSURA® MIO FLEX TWO-PIECE POUCHING SYSTEMS

COLOPLAST (62) All Coloplast ostomy products are not made with natural rubber latex unless otherwise noted.

LATEX FREE

SenSura® Mio Standard Wear MIDI Urostomy Pouch, Soft Convex

ITEM #

HCPCS

16801

A4392

SOLD BY

OPAQUE 91⁄2˝ (24 CM)/330 ML

Cut-to-fit, 3⁄8˝ – 15⁄16˝ (10 – 33 mm)

10/bx

Features BodyFit Technology to fit to the shape of the body. Flexible adhesive coupling fits to individual body contours and maintains a secure seal over uneven abdomens caused by scarring, skin folds, hernias and other pouching challenges. Pouch features a neutral-gray, real woven textile for the look and feel of clothing in a more discreet pouch. An innovative full-circle filter features a large circular “pre-filter”. *Compatible with SenSura® Flex and Assura® AC systems.

SenSura® Mio Flex Flat Skin Barriers

SenSura® Mio Standard Wear MAXI Urostomy Pouch, Convex Light Multi-chambers minimize sloshing. Anti-reflux valves prevent urine from washing over the stoma. Soft outlet can be connected to urostomy night bag (Item #21365). Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo-inspection window for easy application. Flex shell is designed for stability and flexibility.

ITEM #

HCPCS

SOLD BY

16835 16837 16836 16840 16841 16842

A4392 A4392 A4392 A4392 A4392 A4392

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

16825 16826 16830 16831 16832 16833 16827

A4392 A4392 A4392 A4392 A4392 A4392 A4392

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

TRANSPARENT 101⁄2˝ (27 CM)/400 ML

Cut-to-fit, 3⁄8˝ – 7⁄8˝ (10 – 23 mm) Cut-to-fit, 3⁄8˝ – 111⁄16˝ (10 – 43 mm) Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Precut, 13⁄16˝ (21 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (28 mm)

ITEM #

HCPCS

16821 16822 16823

A4392 A4392 A4392

SOLD BY

OPAQUE 91⁄2˝ (24 CM)/330 ML

Cut-to-fit, 3⁄8˝ – 7⁄8˝ (10 – 23 mm) Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Precut, 11⁄4˝ (31 mm)

10/bx 10/bx 10/bx

SenSura® Mio Standard Wear MAXI Urostomy Pouch, Deep Convex Multi-chambers minimize sloshing. Anti-reflux valves prevent urine from washing over the stoma. Soft outlet can be connected to urostomy night bag (Item #21365). Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo-inspection window for easy application. Flex shell is designed for stability and flexibility.

ITEM #

HCPCS

SOLD BY

TRANSPARENT 101⁄2˝ (27 CM)/400 ML

16865 16867 16866 16870 16871 16872

A4392 A4392 A4392 A4392 A4392 A4392

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

16855 16856 16860 16861 16862 16863 16857

A4392 A4392 A4392 A4392 A4392 A4392 A4392

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

OPAQUE 101⁄2˝ (27 CM)/400 ML

Cut-to-fit, 3⁄8˝ – 7⁄8˝ (10 – 23 mm) Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Precut, 11⁄16˝ (18 mm) Precut, 13⁄16˝ (21 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (28 mm) Precut, 11⁄4˝ (31 mm)

154

SOLD BY

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

ITEM #

HCPCS

SOLD BY

CUT-TO-FIT

⁄8˝ – 3⁄4˝ (10 – 20 mm), GREEN ⁄8˝ – 13⁄16˝ (15 – 30 mm), RED 5 ⁄8˝ – 19⁄16˝ (15 – 40 mm), RED 5 ⁄8˝ – 21⁄16˝ (15 – 53 mm), YELLOW 3 5

16471 A4373 16481 A4373 16483 A4373 16491 A4373

5/bx 5/bx 5/bx 5/bx

16472 A4373 16484 A4373 16485 A4373 16486 A4373 16487 A4373 16488 A4373 16493 A4373 16494 A4373

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

PRECUT

⁄16˝ (18 mm), GREEN ⁄16˝ (21 mm), RED 1˝ (25 mm), RED 11⁄8˝ (28 mm), RED 11⁄4˝ (31 mm), RED 13⁄8˝ (35 mm), RED 11⁄2˝ (38 mm), YELLOW 15⁄8˝ (41 mm), YELLOW 11 13

SenSura® Mio Standard Wear MIDI Urostomy Pouch, Convex Light Multi-chambers minimize sloshing. Anti-reflux valves prevent urine from washing over the stoma. Soft outlet can be connected to urostomy night bag (Item #21365). Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo-inspection window for easy application. Flex shell is designed for stability and flexibility.

HCPCS

SenSura® Mio Flex Standard Wear Barrier, Convex Light Belt tabs. Flex shell is designed for stability and flexibility.

OPAQUE 101⁄2˝ (27 CM)/400 ML

ITEM #

Cut-to-fit, 3⁄8˝ – 15⁄16˝ (10 – 33 mm), GREEN 10551 A4414 Cut-to-fit, 3⁄8˝ – 17⁄8˝ (10 – 48 mm), RED 10561 A4414 Cut-to-fit, 3⁄8˝ – 211⁄16˝ (10 – 68 mm), YELLOW 10571 A4414 Precut, 1˝ (25 mm), RED 10562 A4414 Precut, 11⁄8˝ (28 mm), RED 10566 A4414 Precut, 13⁄16˝ (30 mm), RED 10563 A4414 Precut, 11⁄4˝ (32 mm), RED 10567 A4414 Precut, 13⁄8˝ (35 mm), RED 10564 A4414 Precut, 11⁄2˝ (38 mm), RED 10568 A4414 Precut, 19⁄16˝ (40 mm), RED 10565 A4414 Precut, 13⁄4˝ (45 mm), YELLOW 10572 A4415 Precut, 2˝ (50 mm), YELLOW 10573 A4415

SenSura® Mio Flex EasiClose™ WIDE Drainable Pouches Incorporates the EasiClose WIDE outlet, designed to be ½˝ wider to ensure fast and easy emptying. Opaque pouches have inspection window.

ITEM #

WITH FULL-CIRCLE FILTER, MIDI TRANSPARENT YELLOW N/A WITH FULL-CIRCLE FILTER, MAXI TRANSPARENT GREEN N/A

RED YELLOW WITHOUT FILTER, MAXI RED YELLOW

ITEM #

HCPCS

SOLD BY

OPAQUE

12281 A4425 10/bx OPAQUE

12273 12283

12262 A4425 10/bx 12272 A4425 10/bx 12282 A4425 10/bx

TRANSPARENT

OPAQUE

12274 12284

N/A N/A

A5063 10/bx A5063 10/bx

SenSura® Mio Flex Closed Pouches with Full-Circle Filter, Opaque with Inspection Window, Maxi

ITEM #

GREEN

TRANSPARENT OPAQUE

RED YELLOW

12203 12216 12223

ITEM #

HCPCS

SOLD BY

12202 A4419 30/bx 12213 A4419 30/bx 12222 A4419 30/bx

Convexity without

compromise

Now there is a solution for your ostomy customers who struggle with leakage For too long it has been accepted that finding a more secure convex ostomy product means settling for less flexibility1. SenSura® Mio Convex provides a high degree of flexibility and comfort — without compromising security!

It’s all in the FlexShell Unique integrated flexlines create an “adaptive convex” that provides the stability your customers are looking for without compromising on flexibility and comfort.

Elastic adhesive designed with BodyFit Technology® Skin-friendly elastic adhesive fits individual body contours and follows natural body movements.

Fits every convex need Soft, light, and deep options to address unique needs — because no two bodies are alike.

1. Colwell, J., Goldberg, M., & Carmel, E. Fecal & Urinary Diversions: Management Principles. Chicago, IL: Elsevier Health Sciences, 2012.

OSTOMY

COLOPLAST (62) All Coloplast ostomy products are not made with natural rubber latex unless otherwise noted.

LATEX FREE

SenSura® Mio Click Standard Wear Barrier, Deep Convex Belt tabs. Flex shell is designed for stability and flexibility.

SenSura® Mio Standard Wear MAXI Urostomy Pouch Multi-chambers minimize sloshing. Anti-reflux valves prevent urine from washing over the stoma. Soft outlet can be connected to urostomy night bag (Item #21365). Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo-inspection window for easy application.

ITEM #

TRANSPARENT 101⁄2˝ (27 CM)/480 ML GREEN

HCPCS

SOLD BY

12292 A5073 10/bx 12298 A5073 10/bx

RED OPAQUE 101⁄2˝ (27 CM)/480 ML GREEN

12291 A5073 10/bx 12297 A5073 10/bx

RED

SenSura® Mio Standard Wear MIDI Urostomy Pouch Multi-chambers minimize sloshing. Anti-reflux valves prevent urine from washing over the stoma. Soft outlet can be connected to urostomy night bag (Item #21365). Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo-inspection window for easy application.

ITEM #

OPAQUE RED

HCPCS

12296 A5073 10/bx

ITEM #

Cut-to-fit, 3⁄8˝ – 3⁄4˝ (10 – 20 mm), GREEN Cut-to-fit, 5⁄8˝ – 13⁄16˝ (15 – 30 mm), RED Cut-to-fit, 5⁄8˝ – 19⁄16˝ (15 – 40 mm), BLUE Cut-to-fit, 5⁄8˝ – 21⁄16˝ (15 – 53 mm), YELLOW Precut, 11⁄16˝ (18 mm), GREEN Precut, 13⁄16˝ (21 mm), RED Precut, 1˝ (25 mm), RED Precut, 11⁄8˝ (28 mm), RED Precut, 11⁄4˝ (31 mm), BLUE Precut, 13⁄8˝ (35 mm), BLUE Precut, 11⁄2˝ (38 mm), YELLOW Precut, 15⁄8˝ (41 mm), YELLOW

16941 A4373 16951 A4373 16961 A4373 16971 A4373 16942 A4373 16953 A4373 16954 A4373 16955 A4373 16963 A4373 16964 A4373 16973 A4373 16974 A4373

HCPCS

SOLD BY

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

SenSura® Mio Click EasiClose™ WIDE Drainable Pouches Incorporates the EasiClose WIDE outlet, designed to be 1⁄2˝ wider to ensure fast and easy emptying. Opaque pouches have inspection window.

SOLD BY

ITEM #

WITH FULL-CIRCLE FILTER, MIDI GREEN

TRANSPARENT

OPAQUE

N/A

11461 A4427 10/bx 11471 A4427 10/bx

RED N/A WITH FULL-CIRCLE FILTER, MAXI TRANSPARENT GREEN 11463

SENSURA® MIO CLICK TWO-PIECE SYSTEMS

RED BLUE

Features BodyFit Technology to fit to the shape of the body. Based on a human-centered approach to innovation; designed with individual bodies in mind. The pouch features a neutral-gray, real woven textile for the look and feel of clothing in a more discreet pouch. Innovative full-circle filter features a large circular “pre-filter,” which reduces clogging of the filter and allows consistent air-flow to reduce “ballooning” of the pouch.

YELLOW WITHOUT FILTER, MAXI RED BLUE YELLOW

*NOT compatible with SenSura Click or Assura Two-Piece with lock ring.

HCPCS

SOLD BY

OPAQUE

11473 11483 11487

11462 11472 11482 11486

TRANSPARENT

OPAQUE

11474 11484 11488

N/A N/A N/A

A4427 10/bx A4427 10/bx A4427 10/bx A4427 10/bx A4426 10/bx A4426 10/bx A4426 10/bx

SenSura® Mio Click Closed Pouches with Full-Circle Filter, Opaque with Inspection Window

SenSura® Mio Click Flat Skin Barriers with Belt Tabs

ITEM #

Cut-to-fit, 3⁄8˝ – 13⁄8˝ (10 – 35 mm), GREEN Cut-to-fit, 3⁄8˝ – 13⁄4˝ (10 – 45 mm), RED Cut-to-fit, 3⁄8˝ – 21⁄8˝ (10 – 55 mm), BLUE Cut-to-fit, 3⁄8˝ – 29⁄16˝ (10 – 65 mm), YELLOW Precut, 3⁄4˝ (18 mm), GREEN Precut, 7⁄8˝ (22 mm), GREEN Precut, 1˝ (25 mm), GREEN Precut, 11⁄8˝ (28 mm), GREEN Precut, 13⁄16˝ (30 mm), RED Precut, 11⁄4˝ (32 mm), RED Precut, 13⁄8˝ (35 mm), RED Precut, 11⁄2˝ (38 mm), RED Precut, 19⁄16˝ (40 mm), BLUE Precut, 13⁄4˝ (45 mm), BLUE Precut, 2˝ (50 mm), BLUE

10502 A4414 10512 A4414 10522 A4414 10531 A4415 10503 A4414 10506 A4414 10504 A4414 10505 A4414 10513 A4414 10514 A4414 10515 A4414 10516 A4414 10523 A4414 10524 A4414 10525 A4414

HCPCS

SOLD BY

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

SenSura® Mio Click Standard Wear Barrier, Convex Light Belt tabs. Flex shell is designed for stability and flexibility.

156

ITEM #

16901 A4373 16911 A4373 16921 A4373 16931 A4373 16903 A4373 16913 A4373 16914 A4373 16915 A4373 16923 A4373 16924 A4373 16933 A4373 16934 A4373

SOLD BY

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

ITEM #

HCPCS

OPAQUE MIDI OPAQUE MAXI TRANSPARENT MAXI GREEN 11401 11402 N/A

RED

11412 BLUE 11421 YELLOW N/A

11413 11422 11425

N/A N/A 11426

SOLD BY

A4423 30/bx A4423 30/bx A4423 30/bx A4423 30/bx

SenSura® Mio Click Urostomy Pouches with Multi-Chambers, Maxi Redesigned anti-reflux valves support varying methods of stent management, while multi-chamber construction keeps the pouch from ballooning as it fills.

ITEM #

GREEN

TRANSPARENT OPAQUE

RED

11492 11498

ITEM #

11491 11497

HCPCS

SOLD BY

A4433 10/bx A4433 10/bx

SENSURA® XPRO ONE-PIECE OSTOMY SYSTEMS SenSura® Xpro adhesive features a similar double-layer adhesive to SenSura®. However, SenSura® Xpro adhesive was specially formulated to provide extra protection against aggressive output from an ileostomy or urostomy.

111⁄2˝ SenSura® Xpro One-Piece Extended Wear EasiClose™ WIDE Outlet Drainable Pouches with Filter Feature soft cloth on front and back. 655 mL.

ITEM #

FLAT

TRANSPARENT OPAQUE

ITEM #

HCPCS

SOLD BY

Cut-to-fit, 3⁄8˝ – 3˝ (10 – 76 mm) Precut, 1˝ (25 mm) Precut, 13⁄16˝ (30 mm) Precut, 11⁄4˝ (32 mm) Precut, 11⁄2˝ (38 mm)

15981 N/A N/A N/A N/A

N/A 15991 15992 15993 15994

A5056 A5056 A5056 A5056 A5056

10/bx 10/bx 10/bx 10/bx 10/bx

15695 15696 N/A N/A

N/A N/A 15697 15698

A5057 A5057 A5057 A5057

10/bx 10/bx 10/bx 10/bx

CONVEX LIGHT

Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Cut-to-fit, 5⁄8˝ – 111⁄16˝ (15 – 43 mm) Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm)

OSTOMY

COLOPLAST (62) All Coloplast ostomy products are not made with natural rubber latex unless otherwise noted.

LATEX FREE

103⁄8˝ SenSura® Xpro Uro Extended Wear Urostomy Pouches, Transparent Anti-reflux valves prevent urine from washing over the stoma. Multi-chambers keep the pouch flat against the body and prevent sloshing. 400 mL.

ITEM #

HCPCS

SOLD BY

11809

A4391

10/bx

11819

A4393

10/bx

FLAT

Cut-to-fit, 3⁄8˝ – 3˝ (10 – 76 mm) CONVEX LIGHT

Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm)

10 ⁄8˝ SenSura Xpro Uro Extended Wear Urostomy Pouches, Opaque Anti-reflux valves prevent urine from washing over the stoma. Multi-chambers keep the pouch flat against the body and prevent sloshing. 400 mL. ®

ITEM #

HCPCS

11805 11806 11807 11808

A4391 A4391 A4391 A4391

10/bx 10/bx 10/bx 10/bx

11816 11817 N/A 11818

A4393 A4393 A4393 A4393

10/bx 10/bx 10/bx 10/bx

CLOSED-END POUCHES 81⁄2˝ SenSura® Flat Standard Wear Closed Pouches with Filter, Opaque Feature soft cloth on front and back. 550 mL.

Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm) Precut, 13⁄16˝ (30 mm) Precut, 11⁄4˝ (32 mm)

Midi, 3⁄8˝ – 2½˝ (10 – 66 mm) Maxi, 3⁄8˝ – 3˝ (10 – 76 mm)

HCPCS

SOLD BY

15521 15522 15523 15524

A4424 A4424 A4424 A4424

20/bx 20/bx 20/bx 20/bx

15531 15532 15533 15534

A4424 A4424 A4424 A4424

20/bx 20/bx 20/bx 20/bx

15821

A5061

20/bx

TRANSPARENT WITH FILTER

Cut-to-fit, 3⁄8˝ – 3˝ (10 – 76 mm) Precut, 1˝ (25 mm) Precut, 11⁄4˝ (30 mm) Precut, 13⁄8˝ (35 mm)

Maxi, 5⁄8˝ – 15⁄16˝ (15 – 33 mm)

TRANSPARENT, WITHOUT FILTER

Cut-to-fit, 3⁄8˝ – 3˝ (10 – 76 mm)

111⁄2˝ SenSura® Convex Light Standard Wear EasiClose™ WIDE Outlet Drainable Pouches with Filter Feature belt tabs and soft cloth back. 655 mL.

ITEM #

HCPCS

SOLD BY

TRANSPARENT

Cut-to-fit, 5⁄8˝ – 111⁄16˝ (15 – 43 mm) 15606 Precut, 1˝ (25 mm) 15623 Precut, 11⁄8˝ (28 mm) 15624

A4389 A4389 A4389

10/bx 10/bx 10/bx

A4389 A4389 A4389

10/bx 10/bx 10/bx

OPAQUE

Cut-to-fit, 5⁄8˝ – 111⁄16˝ (15 – 43 mm) 15608 Precut, 1˝ (25 mm) 15633 Precut, 11⁄8˝ (28 mm) 15634

ITEM #

HCPCS

SOLD BY

11803 11804

A5071 A5071

10/bx 10/bx

11814

A4392

10/bx

SENSURA® FLEX TWO-PIECE OSTOMY SYSTEMS Provide a unique combination of security and flexibility. Pouches feature a reinforced ring to ensure a tight seal across the entire coupling surface. Integrated security channel on the adhesive ring offers extra protection against leakage. Excellent postoperative solution because minimal pressure is required for application. The “floating” baseplate can be lifted during application to ensure a good seal and prevent direct pressure against the abdomen. Also compatible with SenSura® Mio Flex and Assura® AC Systems. Color-Coded Size Chart: SenSura® Flex (Adhesive Coupling) Flat Systems ⁄8˝ – 17⁄8˝ (10 – 48 mm) RED

⁄8˝ – 15⁄16˝ (10 – 33 mm) GREEN

SMALL COUPLING

MEDIUM COUPLING

⁄8˝ – 23⁄4˝ (10 – 68 mm) YELLOW

⁄8˝ – 31⁄2˝ (10 – 88 mm) GRAY

LARGE COUPLING

X-LARGE COUPLING

Color-Coded Size Chart: SenSura® Flex (Adhesive Coupling) Convex Light Systems ⁄8˝ – 15⁄16˝ (15 – 23 mm) GREEN

⁄8˝ – 15⁄16˝ (15 – 43 mm) RED

SMALL COUPLING

MEDIUM COUPLING

⁄8˝ – 2˝ (15 – 53 mm) YELLOW LARGE COUPLING

SENSURA® FLEX XPRO BARRIERS SenSura® Flex Xpro Cut-to-Fit Flat Extended Wear Barriers

ITEM #

HCPCS

⁄8˝ – 15⁄16˝ (10 – 33 mm), GREEN 3 ⁄8˝ – 17⁄8˝ (10 – 48 mm), RED 3 ⁄8˝ – 23⁄4˝ (10 – 68 mm), YELLOW

10104 10105 10106

A4409 10/bx A4409 10/bx A4410 10/bx

OPAQUE WITH FILTER

Cut-to-fit, 3⁄8˝ – 3˝ (10 – 76 mm) Precut, 1˝ (25 mm) Precut, 11⁄4˝ (30 mm) Precut, 13⁄8˝ (35 mm)

30/bx 30/bx

CONVEX LIGHT

DRAINABLE POUCHES

ITEM #

SOLD BY

FLAT

Offer a unique, double-layered adhesive. Lower layer provides absorption and moisture balance, while the upper layer is erosion resistant. Adhesive formulation also offers optimal adhesion, flexibility and ease of removal.

A4416 A4416

SENSURA® ONE-PIECE OSTOMY SYSTEMS

111⁄2˝ SenSura® Flat Standard Wear EasiClose™ WIDE Outlet Drainable Pouches Feature soft cloth on front and back. 655 mL.

HCPCS

15480 15484

103⁄8˝ SenSura® Uro One-Piece Pouches Redesigned anti-reflux valves support varying methods of stent management, while multi-chamber construction keeps the pouch from ballooning as it fills. 400 mL.

SOLD BY

CONVEX LIGHT

ITEM #

Cut-to-fit, 3⁄8˝ – 3˝ (10 – 76 mm) Precut, 13⁄8˝ (35 mm)

UROSTOMY POUCHES

FLAT

Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm) Precut, 13⁄16˝ (30 mm) Precut, 11⁄4˝ (32 mm)

SOLD BY

SenSura® Flex Xpro Cut-to-Fit Convex Light Extended Wear Barriers with Belt Tabs

ITEM #

HCPCS

⁄8˝ – 15⁄16˝ (15 – 23 mm), GREEN 5 ⁄8˝ – 15⁄16˝ (15 – 33 mm), RED 5 ⁄8˝ – 111⁄16˝ (15 – 43 mm), RED 5 ⁄8˝ – 2˝ (15 – 53 mm), YELLOW

11304 11305 11306 11308

A4407 5/bx A4407 5/bx A4407 5/bx A4408 5/bx

SOLD BY

SENSURA® FLEX BARRIERS SenSura® Flex Cut-to-Fit Flat Standard Wear Barriers

ITEM #

HCPCS

⁄8˝ – 15⁄16˝ (10 – 33 mm), GREEN 3 ⁄8˝ – 17⁄8˝ (10 – 48 mm), RED 3 ⁄8˝ – 23⁄4˝ (10 – 68 mm), YELLOW 3 ⁄8˝ – 31⁄2˝ (10 – 88 mm), GRAY

10101 10102 10103 10108

A4414 10/bx A4414 10/bx A4415 10/bx A4415 5/bx

SOLD BY

157

OSTOMY

COLOPLAST (62)

ITEM #

All Coloplast ostomy products are not made with natural rubber latex unless otherwise noted.

LATEX FREE

SenSura® Flex Convex Light Standard Wear Barriers with Belt Tabs

ITEM #

HCPCS

SOLD BY

CUT-TO-FIT

⁄8˝ – 15⁄16˝ (15 – 23 mm), GREEN 5 ⁄8˝ – 15⁄16˝ (15 – 33 mm), RED 5 ⁄8˝ – 111⁄16˝ (15 – 43 mm), RED 5 ⁄8˝ – 2˝ (15 – 53 mm), YELLOW

11301 A4373 11302 A4373 11303 A4373 11307 A4373

5/bx 5/bx 5/bx 5/bx

⁄16˝ (20 mm), GREEN 1˝ (25 mm), GREEN 13⁄16˝ (30 mm), RED 13⁄8˝ (35 mm), RED 19⁄16˝ (40 mm), BLUE

⁄8˝ (22 mm), GREEN 1˝ (25 mm), RED 11⁄8˝ (28 mm), RED 11⁄4˝ (31 mm), RED

11312 A4373 11313 A4373 11314 A4373 11315 A4373

⁄8˝ – 7⁄8˝ (15 – 23 mm), GREEN ⁄8˝ – 15⁄16˝ (15 – 33 mm), RED 5 ⁄8˝ – 111⁄16˝ (15 – 43 mm), BLUE 5 ⁄8˝ – 21⁄16˝ (15 – 53 mm), YELLOW 5

5/bx 5/bx 5/bx 5/bx

ITEM #

WITH FILTER, MAXI GREEN

TRANSPARENT OPAQUE

GRAY

ITEM #

HCPCS

⁄8˝ (22 mm), GREEN 1˝ (25 mm), RED 11⁄8˝ (28 mm), RED 11⁄4˝ (31 mm), RED 13⁄8˝ (35 mm), BLUE 7

SOLD BY

N/A 11512 11517 11590

11514 A4425 11515 A4425 11518 A4425 11591 A4425

20/bx 20/bx 20/bx 20/bx

11612 11690

N/A A5063 20/bx N/A A5063 20/bx

ITEM #

GREEN

RED YELLOW

ITEM #

⁄8˝ – 21⁄4˝ (10 – 55 mm) BLUE

⁄16˝ (20 mm), GREEN 1˝ (25 mm), GREEN 13⁄16˝ (30 mm), RED 13⁄8˝ (35 mm), RED 19⁄16˝ (40 mm), BLUE 13

HCPCS

SOLD BY

10914 A4419 30/bx 10915 A4419 30/bx 10918 A4419 30/bx

⁄8˝ – 15⁄16˝ (15 – 23 mm), GREEN ⁄8˝ – 15⁄16˝ (15 – 33 mm), RED 5 ⁄8˝ – 111⁄16˝ (15 – 43 mm), BLUE 5 ⁄8˝ – 21⁄16˝ (15 – 53 mm), YELLOW 5

LARGE COUPLING

⁄8˝ – 15⁄16˝ (15 – 33 mm) RED

⁄8˝ (22 mm), GREEN 1˝ (25 mm), RED 11⁄8˝ (28 mm), RED 11⁄4˝ (31 mm), RED 13⁄8˝ (35 mm), BLUE 7

MEDIUM COUPLING

⁄8˝ – 21⁄16˝ (15 – 53 mm) YELLOW

⁄8˝ – 13⁄8˝ (10 – 35 mm), GREEN ⁄8˝ – 13⁄4˝ (10 – 45 mm), RED 3 ⁄8˝ – 21⁄4˝ (10 – 55 mm), BLUE 3 ⁄8˝ – 21⁄2˝ (10 – 65 mm), YELLOW

158

HCPCS

SOLD BY

11011 A4373 11021 A4373 11031 A4373 11041 A4373

5/bx 5/bx 5/bx 5/bx

11012 A4373 11022 A4373 11023 A4373 11024 A4373 11032 A4373

5/bx 5/bx 5/bx 5/bx 5/bx

ITEM #

HCPCS

101⁄2˝ OPAQUE, WITH FILTER, MIDI (485 ML) GREEN 11114

RED

X-LARGE COUPLING

BLUE

SOLD BY

A4427 20/bx A4427 20/bx

11115 TRANSPARENT OPAQUE

11194 11195 11196 11197

11124 A4427 20/bx 11125 A4427 20/bx 11126 A4427 20/bx 11127 A4427 20/bx

11186

20/bx 11136 A4426 20/bx

YELLOW 111⁄2˝ WITHOUT FILTER, MAXI (655 ML) TRANSPARENT OPAQUE RED 11185 11135 A4426 HCPCS

SOLD BY

CUT-TO-FIT 3

RED 111⁄2˝ WITH FILTER, MAXI (655 ML) GREEN

SenSura® Click Xpro Flat Extended Wear Barriers with Belt Tabs 3

5/bx 5/bx 5/bx 5/bx 5/bx

SenSura® Click EasiClose™ WIDE Outlet Drainable Pouches

X-LARGE COUPLING

ITEM #

10012 A4414 10013 A4414 10022 A4414 10023 A4414 100321 A4414

SENSURA® CLICK POUCHES

SENSURA® CLICK XPRO TWO-PIECE BARRIERS

5/bx 5/bx 5/bx 5/bx

PRECUT

MEDIUM COUPLING

SMALL COUPLING

⁄8˝ – 111⁄16˝ (15 – 43 mm) BLUE

10011 A4414 10021 A4414 10031 A4414 10041 A4415

ITEM #

⁄8˝ – 21⁄2˝ (10 – 65 mm) YELLOW

Color-Coded Size Chart: SenSura® Click (Convex Light) Two-Piece Systems

SOLD BY

CUT-TO-FIT

⁄8˝ – 7⁄8˝ (15 – 23 mm) GREEN

HCPCS

SenSura® Click Convex Light Standard Wear Barriers with Belt Tabs

⁄8˝ – 13⁄4˝ (10 – 45 mm) RED

LARGE COUPLING

5/bx 5/bx 5/bx 5/bx 5/bx

ITEM #

⁄8˝ – 1 ⁄8˝ (10 – 35 mm), GREEN ⁄8˝ – 13⁄4˝ (10 – 45 mm), RED 3 ⁄8˝ – 21⁄4˝ (10 – 55 mm), BLUE 3 ⁄8˝ – 21⁄2˝ (10 – 65 mm), YELLOW 3

Color-Coded Size Chart: SenSura® Click (Flat) Two-Piece Systems SMALL COUPLING

11016 A4407 11026 A4407 11027 A4407 11028 A4407 11036 A4407

CUT-TO-FIT

Two-piece system combines the SenSura® double-layer adhesive for skin friendliness and protection with secure, click-lock technology. Upper layer provides erosion-resistant protection from stoma output and flexibility. Lower layer ensures absorption, moisture balance and ease of removal. When Security Ring is unlocked, the pouch can be turned in either direction, while still fastened to the barrier. Pouch is applied to barrier using minimal pressure and is easily removed with an “up and over” motion. Also compatible with Assura® Two-Piece Systems with locking rings. Not compatiable with SenSura® Mio Click.

⁄8˝ – 13⁄8˝ (10 – 35 mm) GREEN

5/bx 5/bx 5/bx 5/bx

PRECUT

SENSURA® CLICK TWO-PIECE OSTOMY SYSTEMS

11015 A4407 11025 A4407 11035 A4407 11045 A4408

SenSura® Click Flat Standard Wear Barriers with Belt Tabs

TRANSPARENT OPAQUE

10911 10912 10917

SOLD BY

SENSURA® CLICK TWO-PIECE BARRIERS

81⁄2˝ SenSura® Flex Closed Pouches with Filter, Maxi Soft cloth on front and back. 570 mL.

HCPCS

PRECUT

Soft cloth on front and back. 655 mL.

GRAY WITHOUT FILTER, MAXI RED

ITEM #

CUT-TO-FIT

SENSURA® FLEX POUCHES 111⁄2˝ SenSura® Flex EasiClose™ WIDE Outlet Drainable Pouches

5/bx 5/bx 5/bx 5/bx 5/bx

SenSura® Click Xpro Convex Light Extended Wear Barriers with Belt Tabs

YELLOW

SOLD BY

10016 A4409 10017 A4409 10026 A4409 10027 A4409 10036 A4409

PRECUT

RED

HCPCS

PRECUT

10015 A4409 10025 A4409 10035 A4409 10045 A4410

5/bx 5/bx 5/bx 5/bx

BLUE

OSTOMY

COLOPLAST (62) All Coloplast ostomy products are not made with natural rubber latex unless otherwise noted.

⁄8˝ – 15⁄16˝ (10 – 33 mm), GREEN ⁄8˝ – 17⁄8˝ (10 – 48 mm), RED 3 ⁄8˝ – 23⁄4˝ (10 – 70 mm), YELLOW 3

LATEX FREE

SenSura® Click Two-Piece Closed Pouches with Filter

ITEM #

OPAQUE GREEN

7˝ MIDI

81⁄2˝ MAXI

10154 10155 10156 N/A

10164 10165 10166 10167

A4423 30/bx A4423 30/bx A4423 30/bx A4423 30/bx

N/A

10187

A4423 30/bx

RED BLUE YELLOW TRANSPARENT YELLOW

HCPCS

SOLD BY

ITEM #

TRANSPARENT 91⁄2˝ MIDI GREEN 11851

11854 11855 11856

BLUE OPAQUE 91⁄2˝ MIDI GREEN 11841

⁄8˝ – 15⁄16˝ (15 – 23 mm), GREEN ⁄8˝– 111⁄16˝ (15 – 43 mm), RED 5 ⁄8˝ – 23⁄8˝ (15 – 60 mm), YELLOW

BLUE

A4433 10/bx A4433 10/bx A4433 10/bx

11844 11845 11846

121⁄2˝ SenSura® Click Magnum High Output Drainable Pouches A funnel-shaped, wider outlet provides improved drainage and can be connected to a night bag with an external connector. 1,160 mL.

ITEM #

GREEN

TRANSPARENT OPAQUE

ITEM #

19050 19051 19052

RED BLUE

⁄8˝ (22 mm), GREEN 1˝ (25 mm), RED 11⁄8˝ (28 mm), RED 11⁄4˝ (31 mm), RED 13⁄8˝ (35 mm), RED 7

HCPCS

19040 19041 19042

Large coupling, YELLOW

A4413 10/bx A4413 10/bx A4413 10/bx

Medium coupling, RED Large coupling, YELLOW

⁄8˝ – 15⁄16˝ (15 – 23 mm) GREEN SMALL COUPLING

Medium coupling, RED Large coupling, YELLOW Medium coupling, RED Large coupling, YELLOW Medium coupling, opaque, RED

HCPCS

SOLD BY

A4425 20/bx 14344 A4425 20/bx 20/bx 14347 A4425 20/bx 14349 A4425 20/bx 20/bx 14357 A4425 20/bx 14359 A4425 20/bx 20/bx 14362 A4425 20/bx 14364 A4425 20/bx 20/bx 14525 A5063 20/bx

121⁄2˝ X-LARGE (750 ML)

⁄8˝ – 3 ⁄2˝ (10 – 88 mm) GRAY

⁄8˝ – 111⁄16˝ (15 – 43 mm) RED

ITEM #

111⁄4˝ MAXI, OPAQUE WITH FILTER (600 ML) Small coupling, GREEN 14361 A4425

X-LARGE COUPLING

5/bx 5/bx 5/bx 5/bx

111⁄4˝ MAXI, WITHOUT FILTER (600 ML) Medium coupling, transparent, RED 14521 A5063

Assura® AC (Adhesive Coupling) Convex Light Systems 5

SOLD BY

111⁄4˝ MAXI, TRANSPARENT WITH FILTER (600 ML) Small coupling, GREEN 14356 A4425

LARGE COUPLING

HCPCS

101⁄4˝ MIDI, OPAQUE WITH FILTER (470 ML) Small coupling, GREEN 14346 A4425

MEDIUM COUPLING

⁄8˝ – 2 ⁄4˝ (10 – 68 mm) YELLOW

14601 A4407 14602 A4407 14603 A4407 14408 A4408

101⁄4˝ MIDI, TRANSPARENT WITH FILTER (470 ML) Medium custom peel coupling, RED 14342

⁄8˝ – 17⁄8˝ (10 – 48 mm) RED

ITEM #

⁄8˝ – 15⁄16˝ (15 – 23 mm), GREEN 5 ⁄8˝ – 15⁄16˝ (15 – 33 mm), GREEN 5 ⁄8˝ – 111⁄16˝ (15 – 43 mm), RED 5 ⁄8˝ – 23⁄8˝ (15 – 60 mm), YELLOW

SOLD BY

SMALL COUPLING

5/bx 5/bx 5/bx 5/bx 5/bx

DRAINABLE POUCHES

Color-Coded Size Chart: Assura® AC (Adhesive Coupling) Flat Two-Piece Systems

14642 A4373 14643 A4373 14644 A4373 14645 A4373 14646 A4373

Assura® AC Two-Piece EasiClose™ Drainable Pouches

This ostomy pouching system is based on adhesives that are flexible and easy on the skin. The baseplate adheres to the skin, and the pouch adheres to the baseplate, making the system simple. The system features a soft, flexible, two-piece adhesive coupling system that conforms to the body.

⁄8˝ – 15⁄16˝ (10 – 33 mm) GREEN

14401 A4373 5/bx 14403 A4373 5/bx 14406 A4373 5/bx

ASSURA® AC TWO-PIECE OSTOMY SYSTEMS

SOLD BY

Assura® AC Cut-to-Fit Convex Light Extended Wear Barriers with Belt Tabs

A4433 10/bx A4433 10/bx A4433 10/bx

SENSURA® TWO-PIECE POST-OPERATIVE PRODUCTS

HCPCS

PRECUT

SOLD BY

103⁄8˝ MAXI

N/A N/A

RED

HCPCS

14304 A4409 10/bx 14305 A4409 10/bx 14306 A4410 10/bx

ITEM #

103⁄8˝ MAXI

N/A N/A

RED

SOLD BY

CUT-TO-FIT 5

HCPCS

Assura® AC Convex Light Standard Wear Barriers with Belt Tabs Shallow convexity and adhesive. Based on adhesives that make it easy to apply the pouch to the flange – and easy to remove.

SenSura® Click Urostomy Pouches Redesigned anti-reflux valves support varying methods of stent management, while multi-chamber construction keeps the pouch from ballooning as it fills.

ITEM #

EXTENDED WEAR

X-Large coupling, transparent, without filter, GRAY 14527 A5063 20/bx X-Large coupling, opaque, with filter, GRAY 14379 A4425 20/bx

⁄8˝ – 23⁄8˝ (15 – 61 mm) YELLOW

MEDIUM COUPLING

LARGE COUPLING

BARRIERS Assura® AC Cut-to-Fit Flat Barriers

ITEM #

HCPCS

SOLD BY

14301 14302 14303 14309

A4414 10/bx A4414 10/bx A4415 10/bx A4415 5/bx

STANDARD WEAR

⁄8˝ – 15⁄16˝ (10 – 33 mm), GREEN ⁄8˝ – 17⁄8˝ (10 – 48 mm), RED 3 ⁄8˝ – 23⁄4˝ (10 – 68 mm), YELLOW 3 ⁄8˝ – 31⁄2˝ (10 – 88 mm), GRAY 3 3

159

OSTOMY

COLOPLAST (62) All Coloplast ostomy products are not made with natural rubber latex unless otherwise noted.

LATEX FREE

Assura® Flat Extended Wear Barriers with Belt Tabs Unique, transparent adhesive provides security and flexiblity, while preserving the integrity of the surrounding skin. Barrier is highly absorbent and more resistant to erosion.

CLOSED-END POUCHES

Assura® AC Two-Piece Closed Pouches with Filter

⁄8˝ – 13⁄8˝ (10 – 35 mm), GREEN 2831 ⁄8˝ – 13⁄4˝ (10 – 45 mm), RED 2832 3 ⁄8˝ – 21⁄4˝ (10 – 55 mm), BLUE 2833 3

ITEM #

HCPCS

SOLD BY

7˝ MIDI, OPAQUE (250 ML)

Small coupling, GREEN Medium coupling, RED Large coupling, YELLOW

14316 A4419 30/bx 14317 A4419 30/bx 14319 A4419 30/bx

81⁄2˝ MAXI, TRANSPARENT (500 ML) Small coupling, GREEN

14326 A4419 30/bx 14327 A4419 30/bx 14329 A4419 30/bx

Medium coupling, RED Large coupling, YELLOW 81⁄2˝ MAXI, OPAQUE (500 ML)

Small coupling, GREEN Medium coupling, RED Medium custom peel coupling, RED Large coupling, YELLOW 101⁄2˝ MAXI, OPAQUE (850 ML) X-Large coupling, GRAY

14331 A4419 14332 A4419 14333 A4419 14334 A4419

30/bx 30/bx 30/bx 30/bx

⁄8˝ (15 mm), GREEN ⁄16˝ (20 mm), GREEN 1˝ (25 mm), GREEN 13⁄16˝ (30 mm), RED 13⁄8˝ (35 mm), RED 19⁄16˝ (40 mm), BLUE 13⁄4˝ (45 mm), BLUE 5

ITEM #

GREEN

TRANSPARENT OPAQUE

ITEM #

HCPCS

ASSURA® TWO-PIECE OSTOMY SYSTEMS WITH LOCKING RING Also compatible with SenSura® Click Systems. Not compatible with SenSura® Mio Click.

⁄8˝ – 15⁄16˝ (15 – 23 mm), GREEN 14261 ⁄8˝ – 15⁄16˝ (15 – 33 mm), RED 14262 5 ⁄8˝ – 111⁄16˝ (15 – 43 mm), BLUE 14263 ⁄4˝ (18 mm), GREEN ⁄8˝ (22 mm), GREEN 1˝ (25 mm), RED 11⁄8˝ (28 mm), RED 11⁄4˝ (31 mm), RED 13⁄8˝ (35 mm), BLUE 11⁄2˝ (38 mm), BLUE 15⁄8˝ (41 mm), BLUE 3

⁄8˝ – 13⁄4˝ RED

⁄8˝ – ⁄16˝ GREEN

⁄8˝ – 1 ⁄16˝ RED

⁄4˝ (18 mm), GREEN ⁄8˝ (22 mm), GREEN 1˝ (25 mm), RED 11⁄8˝ (28 mm), RED 11⁄4˝ (31 mm), RED 13⁄8˝ (35 mm), BLUE 11⁄2˝ (38 mm), BLUE 15⁄8˝ (41 mm), BLUE 7

⁄8˝ – 1 ⁄16˝ BLUE

SKIN BARRIERS Assura® Flat Standard Wear Barriers with Belt Tabs Flexible, spiral skin barrier for hard-to-fit stomas. Secure, long-lasting wear.

ITEM #

HCPCS

SOLD BY

CUT-TO-FIT

⁄8˝ – 13⁄8˝ (10 – 35 mm), GREEN ⁄8˝ – 13⁄4˝ (10 – 45 mm), RED 3 ⁄8˝ – 21⁄4˝ (10 – 55 mm), BLUE 3 3

2881 A4414 5/bx 2882 A4414 5/bx 2883 A4414 5/bx

PRECUT

⁄16˝ (20 mm), GREEN 1˝ (25 mm), GREEN 13⁄16˝ (30 mm), RED 13⁄8˝ (35 mm), RED 19⁄16˝ (40 mm), BLUE 13⁄4˝ (45 mm), BLUE 13

160

3 15

12841 A4414 12842 A4414 12844 A4414 12845 A4414 12847 A4414 12848 A4414

SOLD BY

A4373 A4373 A4373

5/bx 5/bx 5/bx

14271 14272 14273 14274 14275 14276 14277 14278

A4373 5/bx A4373 5/bx A4373 5/bx A4373 5/bx A4373 5/bx A4373 5/bx A4373 5/bx A4373 5/bx

ITEM #

HCPCS

SOLD BY

14281 A4407 5/bx 14282 A4407 5/bx 14283 A4407 5/bx

PRECUT

CONVEX 5

HCPCS

CUT-TO-FIT

⁄8˝ – 15⁄16˝ (15 – 23 mm), GREEN ⁄8˝ – 15⁄16˝ (15 – 33 mm), RED 5 ⁄8˝ – 111⁄16˝ (15 – 43 mm), BLUE

⁄8˝ – 21⁄4˝ BLUE

A4409 5/bx A4409 5/bx A4409 5/bx A4409 5/bx A4409 5/bx A4409 5/bx A4409 5/bx

Assura® Convex Light Extended Wear Barriers with Belt Tabs Feature shallow convexity for flush or slightly retracted stomas, providing flexibility, security and low pressure to abdomen. Unique, transparent adhesive provides security and flexibility, while preserving integrity of surrounding skin.

FLAT

5/bx 5/bx 5/bx

PRECUT

Color-Coded Size Chart: Assura® Two-Piece Systems ⁄8˝ – 13⁄8˝ GREEN

ITEM #

SOLD BY

14553 A5073 20/bx 14555 A5073 20/bx

14250 14251 14252 14254 14255 14257 14258

Assura® AC Urostomy Pouches Provide flexibility and security. Unique multi-chamber design channels urine to enhance pouch discretion. Compatible with SenSura® Flex and Assura® AC barriers. 475 mL.

A4409 A4409 A4409

CUT-TO-FIT

14552 14554

SOLD BY

Assura® Convex Light Standard Wear Barriers with Belt Tabs Offer two-piece users a solution for flush or slightly retracted stomas. Shallow convexity provides increased flexibility, extra security and low abdominal pressure.

14355 A4419 30/bx

RED

HCPCS

PRECUT

UROSTOMY POUCHES

ITEM #

CUT-TO-FIT

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

14291 14292 14293 14294 14295 14296 14297 14298

A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx

Make the Hassles of Shipping and Handling a Thing of the Past Save time and reduce overhead with our Home Delivery Program Do you know how much time and money your business spends on receiving, storing, picking, packing and shipping products to your patients? It may be more than you think. Let Independence Medical work with you to lower your operational costs and improve your working capital. We serve as your virtual warehouse, helping you to eliminate storage facility expenses and reduce the costs of preparing orders. Plus, we offer convenient shipping options, based on your business needs.

The Home Delivery Program Ships orders directly to your patientâ&#x20AC;&#x2122;s home, with your name and logo on the package, so that supplies look like they are coming from you. Over time, customers who use our Home Delivery Program recognize a savings on their fulfillment costs per order.

Interested in reducing costs and growing your business? Call us today at 1-800-860-8027.

ÂŠ2017 Independence MedicalÂŽ

Expand your patient outreach with

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Personalized Catalog Program • Complete design assistance from layout to printing • Increase patient awareness of product lines you may not normally stock • Allow for easy and convenient home shopping • Suggest alternative or accessory items • Set your own prices • Differentiate yourself from the competition

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Healtlh ss e n l e W

NEW Digital catalog option available!

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1-(614)

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27 A4927

/bx 200/bx 200/bx

252 2D7253

8˝ 8 1⁄2

A4930 A4930

SOLD

40/bx

˝ 2D7254 A4930 Trifle ® 40/bx 9˝ x Vin 2D7255 A4930 yl Exa 40/bx 2D7256 m A4930 Offer 40/bx tactile Gloves* 2D7257 pairs, A4930 sensitiv 40/bx ity and smooththe gloves A4930 40/bx free down. finish andare suitable dom of 40/bx rubber Manufacture a beaded for sterile movement . Pac task latex. cuf Powderd without the f that faci s of sho kaged in rt -free. sing lita Sterile. use of acc tes donninduration. Fea les or Small elerato rs. Not g and inh tures a Medium ibit made with nats roll Large ITEM ural # 2D7 001 2D7002 PF 2D7003 PF PF

HCPCS

A4930 A4930 A4930

SOLD

100/bx 100/bx 100/bx

OSTOMY

COLOPLAST (62) All Coloplast ostomy products are not made with natural rubber latex unless otherwise noted.

LATEX FREE

Assura® Convex Standard Wear Barriers with Belt Tabs Flexible, spiral skin barrier with deep convexity for hard-to-fit stomas and secure, long-lasting wear.

ITEM #

HCPCS

Assura® EasiClose™ Two-Piece Drainable Pouches with Filter Extremely hygienic and secure pouch for ileostomy or colostomy patients with a unique, integrated closure system. Low-profile for maximum discretion with unique EasiClose™ outlet. Odor-control filter.

91⁄4˝ MINI, OPAQUE (280 ML) GREEN

RED

SOLD BY

ITEM #

HCPCS

SOLD BY

13924 13925

A4427 10/bx A4427 10/bx

13964 13965 13966

A4427 10/bx A4427 10/bx A4427 10/bx

CUT-TO-FIT 5 5

⁄8˝ – 15⁄16˝ (15 – 33 mm), RED 12716 ⁄8˝ – 111⁄16˝ (15 – 43 mm), BLUE 12719

A4373 A4373

5/bx 5/bx

PRECUT

⁄8˝ (15 mm), GREEN ⁄4˝ (18 mm), GREEN 7 ⁄8˝ (22 mm), GREEN 1˝ (25 mm), RED 11⁄8˝ (28 mm), RED 11⁄4˝ (31 mm), RED 13⁄8˝ (35 mm), BLUE 11⁄2˝ (38 mm), BLUE 15⁄8˝ (41 mm), BLUE 5 3

12701 12702 12703 12704 12705 12706 12707 12708 12709

A4373 5/bx A4373 5/bx A4373 5/bx A4373 5/bx A4373 5/bx A4373 5/bx A4373 5/bx A4373 5/bx A4373 5/bx

Assura Convex Extended Wear Barriers with Belt Tabs Transparent, spiral adhesive provides security and flexibility while preserving the integrity of the surrounding skin. Barrier is highly absorbent and more erosion resistant. ®

ITEM #

HCPCS

101⁄4˝ MIDI, GRAPHIC (485 ML) GREEN

RED BLUE

111⁄4˝ MAXI (655 ML) GREEN

RED BLUE

TRANSPARENT OPAQUE

13974 13975 13976

13984 13985 13986

A4427 10/bx A4427 10/bx A4427 10/bx

SOLD BY

CUT-TO-FIT

⁄8˝ – 15⁄16˝ (15 – 23 mm), GREEN 14243 ⁄8˝ – 15⁄16˝ (15 – 33 mm), RED 14246 5 ⁄8˝ – 111⁄16˝ (15 – 43 mm), BLUE 14249 5 5

A4407 A4407 A4407

5/bx 5/bx 5/bx

PRECUT

⁄4˝ (18 mm), GREEN ⁄8˝ (22 mm), GREEN 1˝ (25 mm), RED 11⁄8˝ (28 mm), RED 11⁄4˝ (31 mm), RED 13⁄8˝ (35 mm), BLUE 11⁄2˝ (38 mm), BLUE 15⁄8˝ (41 mm), BLUE 3 7

14232 14233 14234 14235 14236 14237 14238 14239

A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx A4407 5/bx

Assura® Two-Piece Drainable Pouches without Filter, Opaque Soft, moisture-absorbent backing; simple twist-tie or clip closure. Secure locking system. Include five pouch clamps.

93⁄4˝ MIDI (400 ML) GREEN

RED BLUE

111⁄4˝ MAXI (760 ML) GREEN

DRAINABLE POUCHES Assura® EasiClose™ WIDE Outlet Two-Piece Drainable Pouches Easy to empty and clean.

ITEM #

101⁄2˝ MIDI, WITH FILTER, OPAQUE (485 ML) GREEN

RED BLUE

HCPCS

RED BLUE

ITEM #

HCPCS

SOLD BY

12527 12528 12529

A4426 10/bx A4426 10/bx A4426 10/bx

12577 12578 12579

A4426 10/bx A4426 10/bx A4426 10/bx

ITEM #

HCPCS

SOLD BY

15954 A4427 10/bx 15955 A4427 10/bx 15956 A4427 10/bx

CLOSED-END POUCHES Assura® Closed Pouches with Filter Soft, moisture-absorbent panels on back.

111⁄2˝ MAXI, WITH FILTER (655 ML) GREEN

RED BLUE

TRANSPARENT OPAQUE

15974 15984 A4427 10/bx 15975 15985 A4427 10/bx 15976 15986 A4427 10/bx

ITEM #

7˝ MINI (275 ML) GREEN

TRANSPARENT OPAQUE

RED BLUE 81⁄2˝ MAXI (570 ML) GREEN

111⁄2˝ MAXI, WITHOUT FILTER, OPAQUE (655 ML) RED 15982 A4426 10/bx

BLUE

RED BLUE

12344 12345 12346

12354 12355 12356

SOLD BY

A4423 30/bx A4423 30/bx A4423 30/bx

TRANSPARENT OPAQUE

12374 12375 12376

12384 12385 12386

A4423 30/bx A4423 30/bx A4423 30/bx

15983 A4426 10/bx

161

OSTOMY

ASSURA® TWO-PIECE POST-OPERATIVE PRODUCTS

COLOPLAST (62) All Coloplast ostomy products are not made with natural rubber latex unless otherwise noted.

⁄8˝ – 1 ⁄8˝ GREEN

STOMA CAPS Assura® Two-Piece Ostomy Stoma Caps with Filter, Opaque Mini security pouch with secure locking system.

ITEM #

HCPCS

GREEN

2801 2802

A5055 30/bx A5055 30/bx

RED

Color-Coded Size Chart: Assura® Two-Piece Systems

LATEX FREE

SOLD BY

UROSTOMY POUCHES

ITEM #

GREEN

TRANSPARENT OPAQUE

RED BLUE

14227 14228 14229

ITEM #

14224 14225 14226

HCPCS

⁄8˝ – 13⁄4˝ RED

⁄8˝ – 21⁄4˝ BLUE

Assura® High Output Drainable Systems with Filter Two-piece system for the first days following ostomy surgery when output is high. Longer wear-time allows for fewer nighttime disturbances. Available in a 2-L ileo night pouch for initial use, and high output versions to “step down” as effluence decreases. Compatible with SenSura® Click and Assura® barriers.

ITEM #

HIGH OUTPUT POUCHES, 750 ML GREEN

TRANSPARENT

OPAQUE

8114 8115 8116

N/A 2846 2847

A4413 10/bx A4413 10/bx A4413 10/bx

ITEM #

HCPCS

2836 2837

A4413 5/bx A4413 5/bx

RED

101⁄2˝ Assura® Two-Piece Urostomy Multi-Chamber Pouches, Maxi Soft, absorbent backing, with anti-reflux valve. Pouches are divided into chambers for a more discreet and quiet pouch. Simple locking connector for night drainage bag attachment. 488 mL.

BLUE

HCPCS

SOLD BY

A4433 10/bx A4433 10/bx A4433 10/bx

ILEO NIGHT POUCHES, 2 LITER RED

BLUE

ASSURA® UROSTOMY POUCHES

SOLD BY

Soft, absorbent backing, anti-reflux valve, secure outlet closure and simple locking connector for night drainage bag attachment. Secure locking system.

91⁄2˝ SMALL, TRANSPARENT GREEN

RED

ITEM #

HCPCS

1751 1752

A4433 10/bx A4433 10/bx

ITEM #

HCPCS

ITEM #

103⁄4˝ STANDARD GREEN

TRANSPARENT OPAQUE

RED BLUE

1757 1758 1759

1754 1755 1756

SOLD BY

A4433 10/bx A4433 10/bx A4433 10/bx

ASSURA® ONE-PIECE POST-OPERATIVE PRODUCTS 12˝ Assura® One-Piece Post-Op and Wound Management Drainable Pouches without Filter, Transparent For use in most postsurgical ostomy, fistula and draining wound management. Easy-to-remove window allows quick access to wounds. Unique, spiral adhesive protects sensitive skin and adheres securely, yet removes easily. Drainable outlet is easy to open and close, and can be attached to drainage collector. 830 mL.

ITEM #

NONSTERILE

WITH WINDOW

WITHOUT WINDOW

12800 12802

12805 N/A

⁄2˝ – 23⁄4˝ (13 – 70 mm) ⁄2˝ – 4˝ (13 – 100 mm)

1 1

UROSTOMY STOMA CAPS Assura Two-Piece Urostomy Stoma Caps, Opaque Designed as an alternative for discreet situations. Have a soft front and superabsorbent material. Can hold up to 100 mL of urine, lasting approximately 0.5 – 1 hour. Include odor barrier and quiet film.

ITEM #

HCPCS

GREEN

2807 2808

A5055 30/bx A5055 30/bx

SOLD BY

Assura Two-Piece Urostomy Micro-Pouches Miniature size prevents twisting. Soft outlet can be connected to a drain bag for nighttime use, or a leg bag for those in a wheelchair. ®

ITEM #

HCPCS

GREEN

14204 14205 14206

A4433 10/bx A4433 10/bx A4433 10/bx

RED BLUE

162

WITH WINDOW

WITHOUT WINDOW

⁄2˝ – 23⁄4˝ (13 – 70 mm) 1 ⁄2˝ – 4˝ (13 – 100 mm)

12808 12810

12818 N/A

RED

STERILE

SOLD BY

HCPCS

SOLD BY

A6154 A6154

5/bx 5/bx

A6154 A6154

5/bx 5/bx

Fistula and Wound Management Systems “All-in-one” solution designed to save nurses time. “Laminate” adhesive is designed with two layers: the first (which touches the skin) provides great moldability and creates a secure, long-lasting seal; the second, erosion-resistant layer ensures the skin is protected from drainage. Tracing guide increases accuracy in cutting fistula or wound patterns. Lid is easy to apply and remove, allowing nurses to dress wounds. Drain port can be easily applied to the lid to allow for catheter insertion. Inflatable ring is positioned directly under the coupling to provide more stability when applying the lid and prevents leakage from the front of the pouch. Clinician can inflate ring by using the enclosed pump. Outlets are designed with spigots to help with draining fistulae (mini size is designed with one spigot; midi and maxi sizes have two). Include drain port, flexible lid, sheet and clamp.

ITEM #

HCPCS

Mini (41⁄8˝ – 61⁄4˝ ) Midi (61⁄8˝ – 9˝ ) Maxi (81⁄8˝ – 113⁄4˝ )

14050 14060 14070

A6154 A6154 A6154

SOLD BY

6/bx 3/bx 3/bx

OSTOMY

Assura® One-Piece Pouches with EasiClose™ Outlet and Filter

COLOPLAST (62)

All Coloplast ostomy products are not made with natural rubber latex unless otherwise noted.

LATEX FREE

Cut-to-fit, ⁄8˝ – 2 ⁄2˝ (10 – 65 mm) Precut, 1˝ (25 mm) Precut, 13⁄16˝ (30 mm) Precut, 13⁄8˝ (35 mm) 3

Flexible Lids For use with the Coloplast® Fistula and Wound Management System. Easy to apply and remove, allowing access to dress fistulae and wounds.

ITEM #

HCPCS

Mini Midi Maxi

14021 14031 14041

A4649 10/bx A4649 10/bx A4649 10/bx

HCPCS

SOLD BY

13840 13844 13845 13846

A4424 A4424 A4424 A4424

10/bx 10/bx 10/bx 10/bx

14404 14405

A4389 A4389

10/bx 10/bx

14196

A4389

10/bx

13860

A4424

10/bx

14411 14412

A4389 A4389

10/bx 10/bx

14103 14163 14164 14165 14166

A4389 A4389 A4389 A4389 A4389

10/bx 10/bx 10/bx 10/bx 10/bx

SOLD BY

Bed Drainage Bags For use with the Coloplast® Fistula and Wound Management System, SenSura® Magnum or Assura® High Output pouches. Wide-lumen, anti-kink tubing allows for easy drainage. HCPCS

ITEM #

101⁄4˝ MIDI OPAQUE POUCHES, FLAT (390 ML)

ITEM #

14010 A4357 6/bx

101⁄4˝ MIDI OPAQUE POUCHES, CONVEX LIGHT (390 ML)

Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Cut-to-fit, 5⁄8˝ – 111⁄16˝ (15 – 43 mm) 101⁄4˝ MIDI OPAQUE POUCHES, CONVEX (390 ML)

Cut-to-fit, 5⁄8˝ – 111⁄16˝ (15 – 43 mm) 111⁄4˝ MAXI TRANSPARENT POUCHES, FLAT (530 ML)

Cut-to-fit, 3⁄8˝ – 3˝ (10 – 75 mm)

SOLD BY

Drain Ports For use with the Coloplast® Fistula and Wound Management System. Apply to the lid to allow for catheter insertion.

ITEM #

HCPCS

SOLD BY

14015

A4649 12/bx

111⁄4˝ MAXI TRANSPARENT POUCHES, CONVEX LIGHT (530 ML)

Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Cut-to-fit, 5⁄8˝ – 111⁄16˝ (15 – 43 mm) 111⁄4˝ MAXI TRANSPARENT POUCHES, CONVEX (530 ML)

Cut-to-fit, 5⁄8˝ – 111⁄16˝ (15 – 43 mm) Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (28 mm) Precut, 11⁄4˝ (31 mm)

ASSURA® ONE-PIECE POUCHING SYSTEMS DRAINABLE POUCHES 111⁄2˝ Assura® EasiClose™ WIDE Outlet Flat Drainable Pouches Wide outlet makes it easy to empty and clean. 530 mL.

ITEM #

HCPCS

SOLD BY

15860 15870

A4424 A4424

10/bx 10/bx

15871

A5061

10/bx

15874 15875 15876

A4424 A4424 A4424

10/bx 10/bx 10/bx

CUT-TO-FIT, MAXI, WITH FILTER

⁄8˝ – 3˝ (10 – 75 mm), transparent ⁄8˝ – 3˝ (10 – 75 mm), opaque

3 3

CUT-TO-FIT, OPAQUE, MAXI, WITHOUT FILTER

⁄8˝ – 3˝ (10 – 75 mm)

PRECUT, OPAQUE, MAXI

1˝ (25 mm) 13⁄16˝ (30 mm) 13⁄8˝ (35 mm)

111⁄2˝ Assura® EasiClose™ WIDE Outlet One-Piece Cut-to-Fit Extended Wear Pouches without Filter EasiClose™ WIDE outlet provides an easy emptying process. Lower part of outlet can be folded backwards with Velcro® dot fastener, making emptying cleaner because the bottom flap is not exposed. Slick interior film makes emptying easy and fast for people with thicker output. Unique, transparent adhesive provides security and flexibility, while preserving the integrity of surrounding skin. Barrier is absorptive and resistant to erosion. 530 mL.

ITEM #

FLAT

TRANSPARENT OPAQUE

⁄8˝ – 3˝ (10 – 75 mm)

CONVEX LIGHT

⁄8˝ – 1 ⁄16˝ (15 – 33 mm) ⁄8˝ – 111⁄16˝ (15 – 43 mm)

15869

ITEM #

15879

HCPCS

SOLD BY

A4388

10/bx

A4390 A4390

10/bx 10/bx

TRANSPARENT OPAQUE

14413 14416

N/A 14419

111⁄2˝ Assura® EasiClose™ WIDE Outlet One-Piece Cut-to-Fit Convex Light Standard Wear Pouches with Filter, Transparent Large-size, drainable pouches with filter. Soft cloth on front and back.

ITEM #

HCPCS

⁄8˝ – 15⁄16˝ (15 – 33 mm) 5 ⁄8˝ – 111⁄16˝ (15 – 43 mm)

14511 14512

A4389 A4389

SOLD BY

10/bx 10/bx

Assura® One-Piece Pouches with EasiClose™ Outlet and Filter

ITEM #

HCPCS

SOLD BY

13870 13874 13875 13876

A4424 A4424 A4424 A4424

10/bx 10/bx 10/bx 10/bx

14414 14415 14421 14422 14423 14424

A4389 A4389 A4389 A4389 A4389 A4389

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

14106 14173 14174 14175 14176

A4389 A4389 A4389 A4389 A4389

10/bx 10/bx 10/bx 10/bx 10/bx

111⁄4˝ MAXI OPAQUE POUCHES, FLAT (530 ML)

Cut-to-fit, 3⁄8˝ – 3˝ (10 – 75 mm) Precut, 1˝ (25 mm) Precut, 13⁄16˝ (30 mm) Precut, 13⁄8˝ (35 mm)

111⁄4˝ MAXI OPAQUE POUCHES, CONVEX LIGHT (530 ML)

Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Cut-to-fit, 5⁄8˝ – 111⁄16˝ (15 – 43 mm) Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (28 mm) Precut, 11⁄4˝ (31 mm) 111⁄4˝ MAXI OPAQUE POUCHES, CONVEX (530 ML)

Cut-to-fit, 5⁄8˝ – 111⁄16˝ (15 – 43 mm) Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (28 mm) Precut, 11⁄4˝ (31 mm)

9 3⁄4˝ Assura® Cut-to-Fit Flat Standard Wear Drainable Pouches With odor-proof film. Include five clamps. 230 mL.

ITEM #

⁄8˝ – 21⁄4˝ (10 – 55 mm), transparent 12630 3 ⁄8˝ – 21⁄4˝ (10 – 55 mm), opaque 12620 5 ⁄8˝ – 111⁄16˝ (15 – 43 mm), convex, transparent 13703 3

HCPCS

A5061 A5061 A4389

SOLD BY

10/bx 10/bx 10/bx

163

OSTOMY

COLOPLAST (62) All Coloplast ostomy products are not made with natural rubber latex unless otherwise noted.

LATEX FREE

ITEM #

Transparent Opaque

12660 A5061 12670 A5061

HCPCS

SOLD BY

ITEM #

Transparent Opaque

13706 A4389 12533 A4389

HCPCS

Cut-to-fit, ⁄16˝ – 2 ⁄2˝ (20 – 65 mm) Precut, 1˝ (25 mm) Precut, 13⁄16˝ (30 mm) Precut, 13⁄8˝ (35 mm) 13

SOLD BY

10/bx 10/bx

ITEM #

HCPCS

SOLD BY

12130 12134 12135 12136

A4416 A4416 A4416 A4416

30/bx 30/bx 30/bx 30/bx

12140 12144 12145 12146 12147 12149

A4416 A4416 A4416 A4416 A4416 A4416

30/bx 30/bx 30/bx 30/bx 30/bx 30/bx

OPAQUE

Cut-to-fit, 13⁄16˝ – 21⁄2˝ (20 – 65 mm) Precut, 1˝ (25 mm) Precut, 13⁄16˝ (30 mm) Precut, 13⁄8˝ (35 mm) Precut, 19⁄16˝ (40 mm) Precut, 2˝ (50 mm)

10/bx 10/bx

111⁄4˝ Assura® Cut-to-Fit Convex Standard Wear One-Piece Drainable Pouches without Filter With odor-proof film. Include five clamps. 5⁄8˝ – 111⁄16˝ (15 – 43 mm). 530 mL.

TRANSPARENT

111⁄4˝ Assura® Cut-to-Fit Flat Standard Wear One-Piece Drainable Pouches without Filter Unique, spiral adhesive stays on securely, yet removes gently. Soft fabric backing leaves skin cool and dry. Rustle-free pouch material provides ultimate discretion. Include five pouch clamps and 10 twist-tie closures. 3⁄8˝ – 23⁄4˝ (10 – 70 mm). 530 mL.

7˝ Assura® Flat Standard Wear Closed Midi Pouches with Filter With charcoal filter and odor-proof film. Moisture-absorbent backing. 350 mL.

7˝ Assura® Convex Light Standard Wear Closed Midi Pouches with Filter Shallow convexity for flush or slightly retracted stomas. Moisture-absorbent backing. 350 mL.

ITEM #

HCPCS

SOLD BY

14431 14432

A4417 A4417

10/bx 10/bx

14434 14435 14451 14452 14453 14454

A4417 A4417 A4417 A4417 A4417 A4417

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

TRANSPARENT

11˝ Assura Convex Cut-to-Fit Extra-Extended Wear Drainable Pouches without Filter Include five pouch clamps and 10 twist-tie closures. 5⁄8˝ – 111⁄16˝ (15 – 43 mm). 530 mL.

Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Cut-to-fit, 5⁄8˝ – 111⁄16˝ (15 – 43 mm)

ITEM #

Transparent Opaque

12416 A4390 12419 A4390

HCPCS

SOLD BY

OPAQUE

Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Cut-to-fit, 5⁄8˝ – 111⁄16˝ (15 – 43 mm) Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (28 mm) Precut, 11⁄4˝ (31 mm)

10/bx 10/bx

CLOSED-END POUCHES 81⁄2˝ Assura® Flat Standard Wear Closed Maxi Pouches with Filter, Opaque Unique, spiral adhesive stays on securely, yet removes gently. Soft fabric backing leaves skin cool and dry. Rustle-free pouch material provides ultimate discretion. 530 mL.

ITEM #

HCPCS

Cut-to-fit, 13⁄16˝ – 3˝ (20 – 75 mm) Precut, 1˝ (25 mm) Precut, 13⁄16˝ (30 mm) Precut, 13⁄8˝ (35 mm) Precut, 19⁄16˝ (40 mm)

12170 12174 12175 12176 12177

A4416 A4416 A4416 A4416 A4416

SOLD BY

30/bx 30/bx 30/bx 30/bx 30/bx

8 1 ⁄2˝ Assura® Cut-to-Fit Convex Light Standard Wear Closed Maxi Pouches with Filter Shallow convexity for flush or slightly retracted stomas. Moisture-absorbent backing. 560 mL.

ITEM #

HCPCS

SOLD BY

TRANSPARENT

⁄8˝ – 15⁄16˝ (15 – 33 mm) ⁄8˝ – 111⁄16˝ (15 – 43 mm)

14441 14442

A4417 A4417

10/bx 10/bx

⁄8˝ – 15⁄16˝ (15 – 33 mm) ⁄8˝ – 111⁄16˝ (15 – 43 mm)

14444 14445

A4417 A4417

10/bx 10/bx

5 5

OPAQUE 5 5

164

STOMA CAPS Assura® One-Piece Ostomy Stoma Caps with Filter, Opaque Mini security pouch. With secure locking system.

ITEM #

HCPCS

13⁄16˝ – 21⁄4˝ (20 – 55 mm)

2501

A5055

SOLD BY

30/bx

UROSTOMY POUCHES 10 3 ⁄4˝ Assura® One-Piece Cut-to-Fit Urostomy Multi-Chamber Pouches, Transparent Unique chambers are designed to spread urine throughout the pouch to prevent “ballooning.” Feature a standard wear adhesive, specifically designed for people with urostomies. Adhesive features an erosion-resistant ring that provides increased absorption and offers a more secure solution. 470 mL.

ITEM #

HCPCS

SOLD BY

14222

A5071

10/bx

14717

A4392

10/bx

FLAT

⁄8˝ – 21⁄4˝ (10 – 55 mm)

CONVEX LIGHT

⁄8˝ – 111⁄16˝ (15 – 43 mm)

OSTOMY

COLOPLAST (62) All Coloplast ostomy products are not made with natural rubber latex unless otherwise noted.

LATEX FREE

9 1⁄ 2˝ Assura® Cut-to-Fit Extra-Extended Wear Urostomy Pouches Spiral, transparent adhesive provides security and flexibility and preserves the integrity of the surrounding skin. Barrier is highly absorbent and resists erosion. Box includes five adapters.

ITEM #

FLAT

TRANSPARENT OPAQUE

⁄8˝ – 21⁄4˝ (265 mL) ⁄8˝ – 21⁄4˝ (375 mL)

3 3

12472 12474

ITEM #

HCPCS

12471 N/A

A4391 A4391

Assura® Cut-to-Fit Pediatric Two-Piece Pouches with Filter Come with a filter for odor control. Soft cloth backing on pouches keeps skin cool, dry and free from irritation. All pediatric two-piece systems can be easily repositioned for unobstructed drainage.

ITEM #

HCPCS

81⁄2˝ DRAINABLE POUCHES, TRANSPARENT (150 ML) GREEN

SOLD BY

2156

A4426 10/bx

5 3⁄4˝ CLOSED-END POUCHES, OPAQUE GREEN

2161

A4423 30/bx

81⁄2˝ UROSTOMY POUCHES, TRANSPARENT (150 ML) GREEN

1789

A4433 10/bx

SOLD BY

10/bx 10/bx

CONVEX, TRANSPARENT (465 ML) 5 5

⁄8˝ – 15⁄16˝, 15 – 33 mm ⁄8˝ – 111⁄16˝, 15 – 43 mm

12432 12433

A4393 A4393

10/bx 10/bx

10 3⁄4˝ Assura® One-Piece Convex Standard Wear Urostomy Pouches, Transparent 465 mL with anti-reflux valve, odor-proof film and closure with five adapters for night drainage.

ITEM #

HCPCS

Cut-to-fit, 5⁄8˝ – 15⁄16˝ (15 – 33 mm) Cut-to-fit, 5⁄8˝ – 111⁄16˝ (15 – 43 mm) Precut, 5⁄8˝ (15 mm) Precut, 3⁄4˝ (18 mm) Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (28 mm) Precut, 11⁄4˝ (31 mm) Precut, 13⁄8˝ (35 mm)

12595 12596 12991 12992 12993 12994 12995 12996 12997

A4392 A4392 A4392 A4392 A4392 A4392 A4392 A4392 A4392

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

7˝ Assura® Cut-to-Fit Urostomy Pouches Custom cut with soft backing, anti-reflux valve, outlet closure and locking connector for night drainage. 3⁄8˝ – 21⁄4˝ (10 – 55 mm).

ITEM #

TRANSPARENT OPAQUE

265 mL/7˝ long 465 mL/103⁄4˝ long

5575 5585

HCPCS

5570 5580

A5071 A5071

Assura® Cut-to-Fit Pediatric One-Piece Pouches, Transparent Provide one-of-a-kind adhesive that is gentle, providing excellent peristomal protection. Soft cloth backing on pouches keeps skin cool, dry and free from irritation.

ITEM #

HCPCS

SOLD BY

2125

A4416

30/bx

2115

A5061

10/bx

8009

A5071

10/bx

5 3⁄4˝ CLOSED-END POUCHES

⁄8˝ – 13⁄8˝ (10 – 35 mm)

81⁄2˝ DRAINABLE POUCHES, WITHOUT FILTER

⁄8˝ – 13⁄8˝ (10 – 35 mm)

81⁄2˝ UROSTOMY POUCHES (150 ML)

⁄8˝ – 13⁄8˝ (10 – 35 mm)

SOLD BY

10/bx 10/bx

COLOKIDS™ PEDIATRIC OSTOMY PRODUCTS Color-Coded Size Chart: ColoKids™ Pediatric Ostomy Systems 0˝ – 5⁄8˝ ORANGE

0˝ – 1˝ PURPLE

⁄8˝ – 13⁄8˝ GREEN

Assura® Cut-to-Fit Flat Pediatric Skin Barriers Flexible skin barrier for secure, long-lasting wear. Flexible flange allows pouch to be secured with minimal pressure. One-of-a-kind adhesive is gentle, providing excellent peristomal protection.

⁄8˝ – 13⁄8˝ (10 – 35 mm), GREEN

ITEM #

HCPCS

SOLD BY

2182

A4414 5/bx

Assura® AC Cut-to-Fit Flat Pediatric Barriers Simple, soft, secure system for kids. Based on adhesives that make it easy to apply the pouch to the barrier and easy to remove. Do not contain starter hole.

ITEM #

Up to 5⁄8˝ (17 mm), ORANGE 14307 Up to 1˝ (27 mm), PURPLE 14308

HCPCS

A4414 A4414

SOLD BY

10/bx 10/bx

Assura® AC Pediatric EasiClose™ Pouches Feature a flexible, two-piece adhesive coupling system that conforms to the body. Barrier adheres to the skin, while the pouch adheres to the barrier, with no rigid coupling to snap together. Pouching system is hygienic and easy-to-clean with the EasiClose™ outlet.

ITEM #

OPAQUE, TRANSPARENT TEDDY BEAR DESIGN 51⁄2˝ pouch, ORANGE 14681 14691

61⁄4˝ pouch, PURPLE 14682

14692

HCPCS

SOLD BY

A4425 10/bx A4425 10/bx

165

OSTOMY

COLOPLAST (62) All Coloplast ostomy products are not made with natural rubber latex unless otherwise noted.

LATEX FREE

Brava® Moldable Rings Used to fill uneven skin surfaces, protect the skin and provide a tight seal. Absorb moisture without breaking down around the stoma. Easy to handle, mold and apply. Alcohol- and sting-free.

ASSURA® IRRIGATION PRODUCTS Assura® Irrigation Set Includes durable water bag/regulator with integrated thermometer, bold print and large opening; stoma cone, four irrigation sleeves and two closure clips. Can be used with one- or two-piece systems. Latex-free.

ITEM #

HCPCS

1500H

A4400 ea

ITEM #

HCPCS

2-mm, thin 4.2-mm, thick

120307 120427

A4385 A4385

ITEM #

HCPCS

12830

A4400 ea

SOLD BY

Pectin-based. Protects peristomal skin from stomal output. Used to fill uneven skin surfaces to create a flat pouching surface. Alcohol- and sting-free. 2 oz.

ITEM #

26555 A4406 10/bx

ITEM #

HCPCS

SOLD BY

DISPOSABLE, TRANSPARENT, ADHESIVE BACKED, LATEX-FREE

1003

FOR USE WITH SENSURA® CLICK OR ASSURA® BARRIERS GREEN 12834

RED

12835 12836

BLUE

A4397 10/bx A4397 5/bx A4397 5/bx A4397 5/bx

ITEM #

Y-Shape, extra-wide strip for extra security, 53⁄4˝ strip 120721 Straight for square barriers, 51⁄4˝ strip 120740 Curved for round or oval barriers, 51⁄2˝ strip 120700

Assura Irrigation Faceplate For use with ostomy belt. Use with Item # 12836 irrigation sleeve. ITEM #

HCPCS

12820

A4361 ea

SOLD BY

ITEM #

HCPCS

1110

A4399 ea

Stoma Cone with Tubing Soft and flexible.

ITEM #

HCPCS

4˝ x 4˝ (10 cm x 10 cm) 6˝ x 6˝ (15 cm x 15 cm) 8˝ x 8˝ (20 cm x 20 cm)

32105 32155 32205

A4362 A5121 A5122

ITEM #

HCPCS

21365

A4357 10/bx

SOLD BY

30/bx 20/bx 20/bx

SOLD BY

10/bx 5/bx 5/bx

Coloplast® Skin Barrier Rings Soft and flexible; provide skin protection for stomas, fistulae and draining wounds.

ITEM #

HCPCS

⁄8˝ (10 mm) 3 ⁄5˝ (15 mm) 3 ⁄4˝ (20 mm) 1˝ (25 mm) 11⁄8˝ (30 mm) 13⁄5˝ (40 mm) 2˝ (50 mm)

2310 2315 2320 2325 2330 2340 2350

A4404 A4404 A4404 A4404 A4404 A4404 A4404

UROSTOMY NIGHT DRAINAGE

HCPCS

A5121 A4362 A4362

SOLD BY

Assura® Urostomy Night Bag Includes a fixed connector that fits directly to the SenSura® or Assura® urostomy pouch (so the user no longer has to connect the night bag to a fitting component before connecting to the urostomy pouch). 2-L capacity and has a 120-cm long, flexible, cuttable tube with anti-reflux valve.

SOLD BY

Brava® Protective Sheets Hydrocolloid skin barriers protect the skin from stomal output and offer effective protection for peristomal skin. Provide a ready surface for good adhesion. Easy to apply around the stoma.

HCPCS

Brava® Elastic Barrier Strips Skin-friendly and elastic tape alternative, in sizes to fit any shape of barrier or body profile. Designed to keep the ostomy barrier securely in place while allowing freedom of movement. Thanks to their elasticity, whether users are stretching for something on the top shelf or bending down to tie their shoe, they can rest assured that their barrier strips will move with them and keep their appliance firmly in place.

Assura® Irrigation Sleeves

10/bx 10/bx

Brava® Strip Paste

SOLD BY

Assura® Deluxe Irrigation Set Includes water bag/regulator, cone, irrigation faceplate, belt, two irrigation sleeves and two closure clips. Components are supplied in a travel bag.

SOLD BY

30/bx 30/bx 30/bx 30/bx 30/bx 30/bx 30/bx

PASTE/POWDER/WIPES Coloplast® Paste Protects peristomal skin around the stoma, like “caulking”. Low alcohol content.

ITEM #

HCPCS

2-oz. tube

2650

A4405

SOLD BY

ACCESSORIES SKIN BARRIERS/SEALS NEW Brava® Protective Seal Moldable barrier ring designed to adhere securely and protect the skin around the stoma. Not made with natural rubber latex.

ITEM #

HCPCS

SOLD BY

12035 12037 12039

A4385 A4385 A4385

10/bx 10/bx 10/bx

12045 12047 12049

A4385 A4385 A4385

10/bx 10/bx 10/bx

THIN, 2.5 MM

⁄4˝ (18 mm) 11⁄8˝ (27 mm) 13⁄8˝ (34 mm) 3

THICK, 4.2 MM

⁄4˝ (18 mm) 11⁄8˝ (27 mm) 13⁄8˝ (34 mm) 3

166

Brava® Paste Durable, alcohol-free ostomy paste protects peristomal skin from stomal output without stinging the skin. Used to fill uneven skin surfaces. Made with pectin.

ITEM #

HCPCS

2-oz. tube

12050

A4406

SOLD BY

Brava® Ostomy Powder Nonsterile protective powder for moisture absorption.

ITEM #

HCPCS

1-oz. bottle

19075

A4371

SOLD BY

“Not worrying about leakage makes life so much easier” Henry, 65, Ileostomy since 2008 Henry is a Brava® user who has received compensation from Coloplast to provide this information

NEW

Brava® Protective Seal Moldable, extended wear design protects against leakage and provides skin protection Do your patients or customers have any of these issues? Brava® Protective Seal can help!

Creases and deep folds

Irregular stoma shape

Brava® Protective Seal is designed to protect peristomal skin Brava® Protective Seal helps to maintain healthy skin by absorbing moisture from the skin surface, while maintaining its shape, adhesion to the skin, and secure seal around the stoma.

Moist stoma area

Provides a seal over creases Brava® Protective Seal is easy to mold, so it fits snug around the stoma and can be applied over skin with dips, creases and folds.

Barrier adhesive break down

Stays in place Brava® Protective Seal stays where you put it. When it is time for removal, it will pull cleanly and easily away from the skin.

Brava® Protective Seal comes in three different sizes and two different thicknesses to offer a custom moldable, extended wear solution!

OSTOMY

COLOPLAST (62) All Coloplast ostomy products are not made with natural rubber latex unless otherwise noted.

LATEX FREE

Brava® Adhesive Remover Spray and Wipes Silicone-based. Dissolve residual skin barrier adhesive. Easy removal of adhesives. Dry within seconds. Alcohol- and sting-free.

ITEM #

1.7-oz. spray Wipes

120105 A4455 ea 120115 A4456 30/bx

HCPCS

ITEM #

1.7-oz. spray Wipes

120205 A4369 ea 120215 A5120 30/bx

ITEM #

HCPCS

2041

A5120 54/bx

Protective skin barrier. 2-fl. oz. (59-mL) bottle.

ITEM #

0925 A4369 ea

SOLD BY

ODOR ELIMINATORS Brava™ Lubricating Deodorant Pouch lubricant and deodorizer in one. Helps ensure content is always at the bottom of the pouch and not around the stoma. Powder-fresh scent. ITEM #

HCPCS

0.25-oz. sachet 8-oz. bottle

12060 12061

A4394 A4394

HCPCS

4237 4247

A4367 A4367

SOLD BY

20/bx ea

SOLD BY

ea ea

Baza® Antifungal Moisture barrier antifungal cream with 2% miconazole nitrate. Contains skin conditioners. CHG compatible.

ITEM #

HCPCS

SOLD BY

4-g single-use packet 2-oz. tube 5-oz. tube

1622 1611 1607

A6250 A6250 A6250

300/cs ea ea

Baza® Clear Skin Protectant Ointments Formulated with a soothing petrolatum base and essential vitamins A and D to provide reliable protection against damaging enzymes present in urine and feces. CHG compatible.

SOLD BY

Prep™

ITEM #

Standard, up to 40˝ XXL, up to 61˝

BARRIERS AND CLEANERS

SOLD BY

Prep™ Wipes Clear film forms a breathable barrier against skin irritants, such as adhesives, urine and feces. No need to remove between applications.

HCPCS

SOLD BY

Brava® Skin Barrier Spray and Wipes Silicone-based. Offer a thin protective barrier on the skin. Protect against stomal output and adhesives. Dry within seconds. Alcohol- and sting-free. HCPCS

Brava® Belt for SenSura® Mio Neutral gray color was designed to blend in under clothing; adjustable plastic tab is encased in fabric to prevent it from digging into the skin. Designed specifically for use with SenSura® Mio Click barriers.

ITEM #

HCPCS

1.75-oz. tube 5-oz. tube

1005 1006

A6250 A6250

SOLD BY

ea ea

Bedside-Care® Perineal Wash No-rinse spray. Soothing, deodorizing bathing procedure in a bottle; suitable for incontinent cleanup.

ITEM #

HCPCS

4-fl. oz. bottle 8-fl. oz. bottle Gallon bottle

1452 1453 1455

A4335 A4335 A4335

SOLD BY

ea ea ea

SECURI-T ® USA BY GENAIREX (EI) All Securi-T USA by Genairex ostomy products are latex-free unless otherwise noted. ®

LATEX FREE

SECURI-T ® USA TWO-PIECE OSTOMY SYSTEMS FILTERS/POUCH CLAMPS/SCISSORS Filtrodor® Pouch Filters Charcoal-activated deodorizing filters with self-sealing foam center. Adhere to pouch.

ITEM #

HCPCS

0509

A4368 50/bx

SOLD BY

ITEM #

HCPCS

9500 A4363 ea

Pouch Clamp For drainable pouches. SOLD BY

Scissors Curved ostomy scissors. One size.

ITEM #

HCPCS

SOLD BY

95050

A4421 30/bx

BELTS Brava® Ostomy Belt (Adjustable) Discreet and comfortable to wear.

168

ITEM #

HCPCS

431⁄3˝ length 49˝ length

4215 4220

A4367 A4367

SOLD BY

ea ea

Discreet, low profile and easy to use. Flanges connect with a gentle smoothing motion and feature top-quality hydrocolloids and flexible flange attachments for greater performance and wear time. Available in standard or extended wear.

SECURI-T ® USA EXTENDED WEAR SKIN BARRIERS NEW Flex & Form™ Collar Wafer System Introducing the unique, innovative wafer that provides leak proof protection. The light, pliable, flexible material used in the stoma opening gently clings and shapes around the stoma allowing normal peristaltic movement of the stoma while preventing leakage underneath the wafer. This unique patented wafer is combined with the Securi-T® USA Lift & Connect flange system providing maximum protection and security for a better lifestyle.

ITEM #

HCPCS

Small, 3⁄4˝ (19-mm) – 1˝ (25-mm) stoma opening, 21⁄4˝ flange, 5˝ x 5˝ 7910214 A4410 Medium, 1˝ (25-mm) – 11⁄4˝ (32-mm) stoma opening, 23⁄4˝ flange, 5˝ x 5˝ 7920234 A4410 Large, 1¼˝ (32-mm) – 11⁄2˝ (38-mm) stoma opening, 23⁄4˝ flange, 5˝ x 5˝ 7930234 A4410

SOLD BY

5/bx 5/bx 5/bx

Cut-to-Fit Flexible Wafers with Tape Collar, White

ITEM #

11⁄2˝ (38-mm) flange, 41⁄2˝ x 41⁄2˝ 13⁄4˝ (45-mm) flange, 41⁄2˝ x 41⁄2˝ 21⁄4˝ (57-mm) flange, 5˝ x 5˝ 23⁄4˝ (70-mm) flange, 5˝ x 5˝

7804112 A4409 7804134 A4409 7805214 A4409 7805234 A4409

HCPCS

SOLD BY

5/bx 5/bx 5/bx 5/bx

OSTOMY

12˝ Transparent with Filter, One Curved Tail Closure

SECURI-T ® USA BY GENAIREX (EI) All Securi-T USA by Genairex ostomy products are latex-free unless otherwise noted. ®

LATEX FREE

Solid Hydrocolloid, Cut-to-Fit, without Tape Collar

ITEM #

HCPCS

11⁄2˝ (38-mm) flange, 4˝ x 4˝ 13⁄4˝ (45-mm) flange, 4˝ x 4˝ 21⁄4˝ (57-mm) flange, 4˝ x 4˝ 23⁄4˝ (70-mm) flange, 5˝ x 5˝

7814112 7814134 7814214 7815234

A4409 A4409 A4409 A4410

SOLD BY

5/bx 5/bx 5/bx 5/bx

ITEM #

HCPCS

11⁄2˝ (38 mm) 13⁄4˝ (45 mm) 21⁄4˝ (57 mm) 23⁄4˝ (70 mm)

7308112 7308134 7308214 7308234

A4425 A4425 A4425 A4425

ITEM #

HCPCS

7400112 7400134 7400214 7400234

A5054 A5054 A5054 A5054

30/bx 30/bx 30/bx 30/bx

7408112 7408134 7408214 7408234

A4419 A4419 A4419 A4419

30/bx 30/bx 30/bx 30/bx

8˝ Opaque Closed-End Pouches

ITEM #

HCPCS

⁄4˝ (19-mm) stoma opening, 13⁄4˝ flange 7 ⁄8˝ (22-mm) stoma opening, 13⁄4˝ flange 1˝ (25-mm) stoma opening, 13⁄4˝ flange 11⁄8˝ (29-mm) stoma opening, 21⁄4˝ flange 11⁄4˝ (32-mm) stoma opening, 21⁄4˝ flange 13⁄8˝ (35-mm) stoma opening, 21⁄4˝ flange

7819134 7822134 7825134 7829214 7832214 7835214

A4407 A4407 A4407 A4407 A4407 A4407

11⁄2˝ (38 mm) 13⁄4˝ (45 mm) 21⁄4˝ (57 mm) 23⁄4˝ (70 mm)

SOLD BY

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

WITH FILTER AND FILTER COVERS

11⁄2˝ (38 mm) 13⁄4˝ (45 mm) 21⁄4˝ (57 mm) 23⁄4˝ (70 mm)

SECURI-T ® USA STANDARD WEAR SKIN BARRIERS Flexible Cut-to-Fit Wafers with Tape Collar

ITEM #

WHITE TAN

HCPCS

11⁄2˝ (38-mm) flange, 41⁄4˝ x 41⁄4˝ 7204112 7304112 A4414 13⁄4˝ (45-mm) flange, 41⁄4˝ x 41⁄4˝ 7204134 7304134 A4414 21⁄4˝ (57-mm) flange, 5˝ x 5˝ 7205214 7305214 A4414 23⁄4˝ (70-mm) flange, 5˝ x 5˝ 7205234 7305234 A4414

SOLD BY

10/bx 10/bx 10/bx 10/bx

SECURI-T ® USA UROSTOMY POUCHES 9˝ Urostomy Pouches for Two-Piece Systems One-sided comfort film. Flip-flow valve with 10 caps and one night drain adapter.

Flexible Precut Wafers with Tan Tape Collar

ITEM #

HCPCS

⁄8˝ (22-mm) stoma opening 1˝ (25-mm) stoma opening 11⁄8˝ (29-mm) stoma opening 11⁄4˝ (32-mm) stoma opening

7322134 7325134 7329134 7332134

A4414 A4414 A4414 A4414

SOLD BY

10/bx 10/bx 10/bx 10/bx

ITEM #

13⁄4˝ (45-mm) flange, 5˝ x 5˝ 21⁄4˝ (57-mm) flange, 5˝ x 5˝

7225134 A4373 7238214 A4373

HCPCS

1 ⁄2˝ (38-mm) flange, 4˝ x 4˝ 13⁄4˝ (45-mm) flange, 4˝ x 4˝ 21⁄4˝ (57-mm) flange, 4˝ x 4˝ 23⁄4˝ (70-mm) flange, 5˝ x 5˝

HCPCS

7404112 7404134 7404214 7405214

A4414 A4414 A4414 A4415

5/bx 5/bx

SOLD BY

10/bx 10/bx 10/bx 10/bx

SECURI-T ® USA DRAINABLE POUCHES 9˝ Opaque, One Curved Tail Closure

ITEM #

HCPCS

11⁄2˝ (38 mm) 13⁄4˝ (45 mm) 21⁄4˝ (57 mm) 23⁄4˝ (70 mm)

7209112 7209134 7209214 7209234

A5063 A5063 A5063 A5063

ITEM #

HCPCS

SOLD BY

10/bx 10/bx 10/bx 10/bx

12˝ One Curved Tail Closure ITEM #

TRANSPARENT OPAQUE

11⁄2˝ (38 mm) 13⁄4˝ (45 mm) 21⁄4˝ (57 mm) 23⁄4˝ (70 mm)

7312112 7312134 7312214 7312234

7212112 7212134 7212214 7212234

TRANSPARENT OPAQUE

ITEM #

11⁄2˝ (38-mm) flange 13⁄4˝ (45-mm) flange 21⁄4˝ (57-mm) flange

7502112 7502134 7502214

HCPCS

SOLD BY

7501112 A4432 7501134 A4432 7501214 A4432

10/bx 10/bx 10/bx

ITEM #

11⁄2˝ (38 mm) 13⁄4˝ (45 mm) 21⁄4˝ (57 mm)

7503112 A5073 7503134 A5073 7503214 A5073

HCPCS

SOLD BY

10/bx 10/bx 10/bx

SECURI-T ® USA ONE-PIECE OSTOMY SYSTEMS SECURI-T ® USA ONE-PIECE DRAINABLE POUCHES

ITEM #

SOLD BY

Solid Hydrocolloid, Cut-to-Fit, without Tape Collar 1

9˝ Transparent with Cap Closure

Cut-to-Fit Convex Wafers with White Tape Collar

SOLD BY

WITHOUT FILTER

10/bx 10/bx 10/bx 10/bx

SECURI-T ® USA CLOSED-END POUCHES

Precut Convex Wafers with White Tape Collar 3

SOLD BY

A5063 A5063 A5063 A5063

SOLD BY

10/bx 10/bx 10/bx 10/bx

9˝ Small Standard Wear Cut-to-Fit Drainable Pouch, Transparent Includes 10 soft closures and one curved tail closure.

ITEM #

7609002 A5061

HCPCS

SOLD BY

10/bx

12˝ Standard Wear Cut-to-Fit Drainable Pouch, Transparent With tape collar. Fit stomas up to 21⁄2˝. Two-sided comfort panel and one curved tail closure.

ITEM #

7600002 A5061

HCPCS

SOLD BY

10/bx

12˝ Extended Wear Cut-to-Fit Drainable Pouch, Opaque For stoma sizes 1⁄2˝ – 21⁄2˝. One-sided comfort panel and one curved tail closure.

ITEM #

7612008 A4388

HCPCS

SOLD BY

10/bx

169

OSTOMY

SECURI-T ® USA BY GENAIREX (EI) All Securi-T ® USA by Genairex ostomy products are latex-free unless otherwise noted.

LATEX FREE

12˝ Convex Extended Wear Pre-Cut Drainable Pouch, Opaque One curved tail closure. 3

⁄4˝ (19-mm) stoma opening 7 ⁄8˝ (22-mm) stoma opening 1˝ (25-mm) stoma opening 11⁄8˝ (29-mm) stoma opening 11⁄4˝ (32-mm) stoma opening

ITEM #

HCPCS

7612198 7612228 7612258 7612298 7612328

A4390 A4390 A4390 A4390 A4390

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx

Securi-T ® USA No Sting Skin Barrier Spray Provide effective protection between skin and tape. Help tape and film adhesion. No sting, nonirritating.

ITEM #

HCPCS

2-oz. spray

202402

A4369

SOLD BY

Securi-T ® USA Ostomy Deodorant Assists in effectively neutralizing odors in ostomy pouches. 8-oz. bottle.

ITEM #

108000 A4394 ea

HCPCS

SOLD BY

SECURI-T ® USA ONE-PIECE CLOSED POUCHES 8˝ Standard Wear Cut-to-Fit Closed Pouches with Filter Fit stomas up to 23⁄8˝. Include 30 filter covers.

ITEM #

Transparent Opaque

7608002 A4416 30/bx 7608001 A4416 30/bx

HCPCS

SOLD BY

Securi-T ® USA Lubricating Gel Ostomy Deodorant Gel formulation assists in effectively neutralizing odors and lubricating the ostomy pouch for easy draining. 8-oz. bottle.

ITEM #

108008 A4394 ea

HCPCS

SOLD BY

SECURI-T ® USA ONE-PIECE UROSTOMY POUCHES 9˝ One-Piece Convex Extended Precut Wear Urostomy System With one-sided comfort film. Flip-flow valve with cap and night drain adapter.

ITEM #

HCPCS

⁄4˝ (19-mm) stoma opening 7 ⁄8˝ (22-mm) stoma opening 1˝ (25-mm) stoma opening 11⁄8˝ (29-mm) stoma opening 11⁄4˝ (32-mm) stoma opening

7610198 7610228 7610258 7610298 7610328

A4430 A4430 A4430 A4430 A4430

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx

Securi-T ® USA Stoma Powder Protects irritated skin around the stoma. Absorbs moisture from weeping raw skin by forming a protective barrier. 1-oz. bottle.

ITEM #

201001 A4371 ea

ITEM #

HCPCS

2˝ diameter 4˝ diameter

7900222 7900444

A4385 A4385

SOLD BY

20/bx 10/bx

Securi-T USA Hydrocolloid Skin Barrier Strips Skin-friendly hydrocolloid strips can be used to picture frame around appliances instead of tape to provide extra security. Can be used under the wafer to help achieve better wafer adhesion or to protect the skin. Does not cause skin irrittion or trauma to skin. Precut and pre-shaped.

ITEM #

HCPCS

26˝ to 43˝

7126049

A4367

SOLD BY

Securi-T ® USA No Sting Wipe Barrier Protective Dressings Provide effective protection between skin and tape. Help tape and film adhesion. No sting, nonirritating.

ITEM #

202400 A5120 50/bx

HCPCS

SOLD BY

Securi-T ® USA Adhesive Remover Skin-friendly, anti-irritating formula, soothes skin with aloe extract and vitamin E. Assists in maintaining barrier function and moisturization.

ITEM #

SOLD BY

ITEM #

7200344 A4362 30/bx

203050 A4456 50/bx

HCPCS

Securi-T ® USA Solid Skin Barriers Can be used under ostomy appliances; cut into size needed to provide extra protection around the stoma; or used to fill in uneven areas of the skin before applying an appliance. 4˝ x 4˝.

ITEM #

7200444 A4362 10/bx

HCPCS

SOLD BY

Securi-T USA Stoma Paste Pectin-based protective paste. Used as a “caulk” to protect the skin around a stoma or to fill in uneven skin surfaces where leakage around an appliance may occur. Contains alcohol and is not for use on open wounds or skin ulcers. 2-oz. tube. ITEM #

200000 A4406 ea

HCPCS

SOLD BY

DEODORANTS BANISH* II Liquid Deodorant For pouches; no perfume additives.

HCPCS

SMITH & NEPHEW (54)

ADDITIONAL ACCESSORIES

170

SOLD BY

Securi-T ® USA Ostomy Belt Attaches to the ostomy pouch to hold the pouch firmly in place.

SKIN BARRIERS/SEALS Securi-T ® USA Conformable Seals Moldable seal that can be stretched to fit a variety of stoma sizes. Provide protection by filling in uneven areas around the stoma to prevent leakage and reduce moisture penetration under appliances.

HCPCS

ITEM #

HCPCS

1.25-oz. bottle 8-oz. bottle

412000A 412100A

A4394 A4394

SOLD BY

ea ea

URIKLEEN* Deodorizing Detergent Effectively cleans/deodorizes plastic and rubber urinary appliances in just 10 minutes. 16-oz. concentrate.

ITEM #

405000A A5131 ea

HCPCS

SOLD BY

OSTOMY

Cardinal Health™ Essentials Ostomy and Urostomy Appliance Cleaner* Helps to clean and deodorize ostomy pouches.

CARDINAL HEALTH™ ESSENTIALS * Not made with natural rubber latex.

ACCESSORIES Cardinal Health™ Essentials Ostomy Barrier Seals* Hydrocolloid, ostomy barrier seal.

ITEM #

HCPCS

2˝ diameter 4˝ diameter

ZROS22 ZROS44

A4385 A4385

ITEM #

16-oz. bottle

ZR16OZACA A5131

10/bx 10/bx

Cardinal Health™ Essentials Protective Barrier Wipes* Helps protect skin from adhesives. Non-irritating to intact skin. ITEM #

HCPCS

11⁄4˝ x 3˝ wipes

ZA40075

A5120

SOLD BY

75/bx

Cardinal Health™ Essentials Adhesive Remover Wipes* Helps remove adhesives from skin. Dries with a fresh scent. Available in a 4˝ x 4˝ wipe to help remove buildup over a larger surface area.

1 ⁄4˝ x 3˝ wipes 4˝ x 43⁄4˝ wipes 1

ITEM #

HCPCS

ZA30075 ZA30050XL

A4456 A4456

SOLD BY

ITEM #

HCPCS

SOLD BY

FOR USE WITH CONVATEC POUCHES

Adjusts up to 42˝

ZR9300

A4367

FOR USE WITH HOLLISTER INCORPORATED POUCHES

Medium (26˝ – 43˝ ) ZR8300 Large (29˝ – 49˝ ) ZR8299

A4367 A4367

ea ea

RETAIL PACKAGING Cardinal Health™ Essentials Ostomy Pouch Disposal Bags* Helps discreetly dispose of ostomy pouches. 60 disposable bags per pack. HCPCS

ITEM #

ZR97239 A9270 60/bg

SOLD BY

Cardinal Health Essentials Ostomy Odor Eliminator Drops* Helps reduce odor in ostomy pouches. Available in three sizes. ™

ITEM #

HCPCS

1-oz. bottle 4-oz. bottle 8-oz. bottle

ZR1OZEDA ZR4OZEDA ZR8OZEDA

A4394 A4394 A4394

SOLD BY

ea ea ea

Cardinal Health™ Essentials Lubricating Deodorant Drops* Helps reduce odor in ostomy pouch and helps facilitate emptying of pouch contents. Blue color helps provide visual indication of surface coverage in pouch.

ITEM #

HCPCS

8-oz. bottle

ZR8OZLD

A4394

SOLD BY

Cardinal Health Essentials Ostomy Protective Powder* Pectin-based powder helps protect irritated skin around the stoma and helps absorb moisture. Should be used sparingly. ™

ITEM #

HCPCS

1-oz. bottle

ZR1OZOPA

A4371

CYMED (93) LATEX FREE

ONE-PIECE UROSTOMY POUCHES UROSTOMY POUCHES 11˝ Large Cut-to-Fit Urostomy Pouches with Plain MicroSkin® Barrier, Clear Odor-proof film with MicroSkin® Adhesive Barrier, comfort backing and antireflux design. Includes two night drainage adapters. Cut 1⁄8˝ larger than stoma size.

ITEM #

HCPCS

Cut-to-fit to up to 21⁄2˝ (64 mm) Stomas

86800X

A4391

SOLD BY

10/bx

75/bx 50/bx

Cardinal Health™ Essentials Ostomy Appliance Belts* Adjustable length helps accommodate desired size.

SOLD BY

All Cymed ostomy products and accessories are latex-free.

HCPCS

9˝ Urostomy Pouches with Plain MicroSkin® Barrier, Clear Odor-proof film with MicroSkin® Adhesive Barrier, comfort backing and antireflux design. Include two night drainage adapters. Cut 1⁄8˝ larger than stoma size.

ITEM #

HCPCS

Cut-to-fit, up to 13⁄4˝ (45 mm) Precut, 3⁄4˝ (19 mm) Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (29 mm) Precut, 11⁄4˝ (32 mm)

86300 86319 86322 86325 86329 86332

A4391 A4391 A4391 A4391 A4391 A4391

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

9˝ Urostomy Pouches with Hydrocolloid Washer, Clear With MicroSkin® Adhesive Barrier and integral Hydrocolloid Washer. Odor-proof with comfort backing and antireflux design. Supplied with two night drainage adapters.

ITEM #

1-MM THIN 2-MM THICK WASHER WASHER

ITEM #

Cut-to-fit, up to 13⁄4˝ (45 mm) Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (29 mm) Precut, 11⁄4˝ (32 mm) Precut, 13⁄8˝ (35 mm) Precut, 11⁄2˝ (38 mm)

86300W 86322W 86325W 86329W 86332W 86335W 86338W

86300E 86322E 86325E 86329E 86332E 86335E 86338E

HCPCS

A4391 A4391 A4391 A4391 A4391 A4391 A4391

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

7˝ Mini Urostomy Pouches, Cut-to-Fit, Clear Odor-proof film with comfort backing, integral Hydrocolloid Washer, MicroSkin® Adhesive Barrier and antireflux design. Supplied with two night drainage adapters.

ITEM #

HCPCS

Up to 13⁄4˝ (45 mm) Up to 13⁄4˝ (45 mm) without washer

86400W 86400

A4391 A4391

SOLD BY

10/bx 10/bx

SOLD BY

Cardinal Health™ Essentials Closure Clamps for Drainable Pouches* Curved clamp helps to accommodate body contours.

ITEM #

ZRCLAMPS20 A4363

HCPCS

SOLD BY

171

OSTOMY

CYMED (93) All Cymed ostomy products and accessories are latex-free.

LATEX FREE

9˝ One-Piece Mid-Size Pouch with Thin Hydrocolloid Washer and Peel and Stick® Closure Feature MicroSkin® Adhesive Barrier and Thin Hydrocolloid Washer.

ONE-PIECE DRAINABLE POUCHES

ITEM#

11˝ Cut-to-Fit Drainable Colostomy Pouches with Thin Hydrocolloid Washer / Ring and Filter With MicroSkin® Adhesive Barrier, Thin Hydrocolloid Washer, integrated Charcoal Filter, odor-proof film and comfort backing.

CLEAR OPAQUE

Cut-to-fit, up to 13⁄4˝ (45 mm) Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (29 mm) Precut, 11⁄4˝ (32 mm) Precut, 13⁄8˝ (35 mm) Precut, 11⁄2˝ (38 mm)

41300 41322 41325 41329 41332 41335 41338

ITEM #

HCPCS

SOLD BY

CLEAR OPAQUE

Cut-to-fit, up to 1 ⁄4˝ (45 mm) Precut, 7⁄8˝ Precut, 1˝ Precut, 11⁄8˝ Precut, 11⁄4˝ Precut, 13⁄8˝ Precut, 11⁄2˝ 3

81300F 81400F 81322F 81422F 81325F 81425F 81329F 81429F 81332F 81432F 81335F 81435F 81338F 81438F

A4424 10/bx A4424 10/bx A4424 10/bx A4424 10/bx A4424 10/bx A4424 10/bx A4424 10/bx

ITEM #

Clear pouch with Peel and Stick® Closure 81100 Opaque pouch with Velcro® Closure 81100V Opaque pouch with Peel and Stick® Closure 81120

HCPCS

A4388 A4388 A4388

SOLD BY

10/bx 10/bx 10/bx

11˝ Drainable Pouches with Thin Hydrocolloid Washer Peel and Stick® Closure, and without Filter With MicroSkin® Adhesive Barrier, Thin Hydrocolloid Washer, odor-proof film and comfort backing.

ITEM #

CLEAR OPAQUE

Cut-to-fit, up to 13⁄4˝ (45 mm) Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (29 mm) Precut, 11⁄4˝ (32 mm) Precut, 13⁄8˝ (35 mm) Precut, 11⁄2˝ (38 mm)

81300 81322 81325 81329 81332 81335 81338

81400 81422 81425 81429 81432 81435 81438

HCPCS

A4388 A4388 A4388 A4388 A4388 A4388 A4388

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

11˝ Cut-to-Fit Drainable Pouches with Thin Hydrocolloid Washer and Velcro® Closure Feature MicroSkin® Adhesive Barrier, which is durable, waterproof, breathable, thin and elastic.

ITEM #

NO FILTER

FILTER

Cut-to-fit, up to 13⁄4˝ (45 mm) 81300V Precut, 7⁄8˝ 81322V Precut, 1˝ 81325V Precut, 11⁄8˝ 81329V Precut, 11⁄4˝ 81332V Precut, 13⁄8˝ 81335V Precut, 11⁄2˝ 81338V

81400V 81422V 81425V 81429V 81432V 81435V 81438V

HCPCS

9˝ One-Piece Cut-to-Fit Drainable Pouches with Plain Barrier Feature MicroSkin® Adhesive Barrier, which is durable, waterproof, breathable, thin and elastic. Without washer. Up to 13⁄4˝ (45 mm).

ITEM #

Clear Opaque

41100 A4388 10/bx 41120 A4388 10/bx

HCPCS

A4388 A4388 A4388 A4388 A4388 A4388 A4388

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

ITEM#

CLEAR OPAQUE

ITEM#

Cut-to-fit, up to 13⁄4˝ (45 mm) Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (29 mm) Precut, 11⁄4˝ (32 mm) Precut, 13⁄8˝ (35 mm) Precut, 11⁄2˝ (38 mm)

78300 78322 78325 78329 78332 78335 78338

78400 78422 78425 78429 78432 78435 78438

HCPCS

A4388 A4388 A4388 A4388 A4388 A4388 A4388

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

11˝ One-Piece Pouches with Thick Hydrocolloid Washer and Velcro® Closure Without filter, opaque.

ITEM #

HCPCS

Cut-to-fit, up to 13⁄4˝ (45 mm) Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (29 mm) Precut, 11⁄4˝ (32 mm) Precut, 1 7⁄8˝ (35 mm) Precut, 11⁄2˝ (38 mm)

78400V 78422V 78425V 78429V 78432V 78435V 78438V

A4388 A4388 A4388 A4388 A4388 A4388 A4388

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

9˝ Mid-Size Pouches with Thick Hydrocolloid Washer and Peel and Stick® Closure With MicroSkin® Adhesive Barrier, integral Thick Hydrocolloid Washer, odor-proof film and comfort backing.

ITEM#

HCPCS

SOLD BY

CLEAR OPAQUE

Cut-to-fit, up to 1 ⁄4˝ (45 mm) Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (29 mm) Precut, 11⁄4˝ (32 mm) Precut, 13⁄8˝ (35 mm) Precut, 11⁄2˝ (38 mm) 3

SOLD BY

A4388 10/bx A4388 10/bx A4388 10/bx A4388 10/bx A4388 10/bx A4388 10/bx A4388 10/bx

41400 41422 41425 41429 41432 41435 41438

HCPCS

11˝ One-Piece Pouches with Thick Hydrocolloid Washer and Peel and Stick® Closure With MicroSkin® Adhesive Barrier, integral 2-mm Thick Hydrocolloid Washer, odor-proof film and comfort backing.

11˝ Cut-to-Fit Drainable Pouches with Plain Barrier and without Filter Feature MicroSkin® Adhesive Barrier, which is durable, waterproof, breathable, thin and elastic. Up to 13⁄4˝ (45 mm).

ITEM#

48300 48322 48325 48329 48332 48335 48338

48400 48422 48425 48429 48432 48435 48438

A4388 A4388 A4388 A4388 A4388 A4388 A4388

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

7˝ One-Piece Mini Cut-to-Fit Drainable Pouches with Thick Hydrocolloid Washer With MicroSkin® Adhesive Barrier, integral Thick Hydrocolloid Washer and Charcoal Filter. Odor-proof film and comfort backing. Up to 13⁄4˝ (45 mm).

SOLD BY

ITEM #

Clear Opaque

78520 A4424 10/bx 78530 A4424 10/bx

HCPCS

SOLD BY

7˝ One-Piece Mini Cut-to-Fit Pouches with or without Thin Hydrocolloid Washer, Clear With MicroSkin® Adhesive Barrier, integral Thin Hydrocolloid Washer and Charcoal Filter.

ITEM #

Up to 13⁄4˝ (45 mm), with washer 81520W 81530W Up to 13⁄4˝ (45 mm), without washer 81520 81530

172

HCPCS

SOLD BY

CLEAR OPAQUE

A4424 A4424

10/bx 10/bx

OSTOMY

CYMED (93) All Cymed ostomy products and accessories are latex-free.

LATEX FREE

ONE-PIECE CLOSED-END POUCHES 8˝ Closed End Pouches with MicroSkin® Adhesive Barrier, Opaque With MicroSkin® Adhesive Barrier, integral Thin Hydrocolloid Washer, odor-proof film, comfort backing and charcoal filter.

ITEM #

HCPCS

85401

A4416

15/bx

85400

A4416

15/bx

85422 85425 85429 85432 85438

A4416 A4416 A4416 A4416 A4416

15/bx 15/bx 15/bx 15/bx 15/bx

11˝ Two-Piece Large Size Barrier Drainable Pouches with Peel and Stick® Closure Adhesive seal adheres to vinyl flange on Cymed’s Large Size MicroSkin® Barrier (Item # 68100). Odor-proof with comfort backing. Slightly more tapered at bottom than standard Cymed pouch.

ITEM #

HCPCS

Clear Opaque

68364 68464

A5063 10/bx A5063 10/bx

SOLD BY

CUT-TO-FIT, WITH WASHER

Up to 13⁄4˝ (45 mm) CUT-TO-FIT, WITHOUT WASHER

Up to 13⁄4˝ (45 mm) PRECUT, WITH WASHERS

⁄8˝ (22 mm) 1˝ (25 mm) 11⁄8˝ (29 mm) 11⁄4˝ (32 mm) 11⁄2˝ (38 mm) 7

11˝ Two-Piece Drainable Pouches For use with two-piece barriers Item # 58100, 58000 and 78000 series (not Item # 68100). Odor-proof film and comfort backing.

TWO-PIECE OSTOMY SYSTEMS SKIN BARRIERS Two-Piece System Barriers with Washer Feature MicroSkin® Adhesive Barrier, which is durable, clear, waterproof, breathable, thin and elastic. Universal flange works with all Cymed two-piece pouches (except Item # 68364 and 68464). With Thin Hydrocolloid Washer or Thick Hydrocolloid Washer.

ITEM #

1-MM THIN 2-MM THICK HYDROCOLLOID HYDROCOLLOID WASHERS WASHERS

Cut-to-fit, up to 13⁄4˝ (45 mm) Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (29 mm) Precut, 11⁄4˝ (32 mm) Precut, 13⁄8˝ (35 mm) Precut, 11⁄2˝ (38 mm)

58000 58022 58025 58029 58032 58035 58038

78000 78022 78025 78029 78032 78035 78038

HCPCS

A4410 A4410 A4410 A4410 A4410 A4410 A4410

SOLD BY

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

Two-Piece Cut-to-Fit System Barriers Feature MicroSkin® Adhesive Barrier, which is durable, clear, waterproof, breathable, thin and elastic. Universal flange works with all Cymed two-piece pouches (except Item #'s 68364 and 68464). With plain barrier. For stomas up to 13⁄4˝ (45 mm).

Cut-to-fit, up to 1 ⁄4˝ (45 mm) 3

ITEM #

HCPCS

58100

A4410

SOLD BY

5/bx

ITEM #

HCPCS

Cut-to-fit, up to 21⁄2˝ (64 mm) stomas

68100

A4415

HCPCS

SOLD BY

TWO-PIECE CLOSED-END POUCHES 8˝ Two-Piece Closed-End Pouches, Opaque For use with all MicroSkin® barriers (except Item # 68100). Odor-proof film, comfort backing and charcoal filter. For use with two-piece barriers Item # 58100, 58000, and 78000 series.

ITEM #

HCPCS

55645

A4419 15/bx

SOLD BY

6˝ Mini Two-Piece Closed-End Pouches with Filter, Opaque Closed-end mini pouch for use with all MicroSkin® barriers (except Item # 68100). Odor-proof film, comfort backing and charcoal filter. For use with two-piece barriers Item # 58100, 58000, and 78000 series.

ITEM #

HCPCS

35645

A4419 10/bx

SOLD BY

IRRIGATION SUPPLIES Two-Piece Irrigation Sleeves, Clear For use with two-piece barriers Item #58100.

Large Size Two-Piece Cut-to-Fit Plain MicroSkin® Barrier without Washer/Ring Contain all features of the standard (61⁄2˝ x 5˝ ) barrier, except that they can be cut-to-fit for stomas up to 21⁄2˝ (64 mm). For use with large size pouches only (Item # 68364 and 68464).

ITEM #

Clear, Plain Pouch with Peel and Stick® Closure (no filter) 51345 A5063 10/bx Opaque, Plain Pouch with Peel and Stick® Closure (no filter) 51445 A5063 10/bx Opaque, Comfort Backing Pouch with Velcro® Closure (with filter) 51445V A5063 10/bx Clear, Comfort Backing Pouch with Peel and Stick® Closure (no filter) 78345 A5063 10/bx Opaque, Comfort Backing Pouch with Peel and Stick® Closure (no filter) 78445 A5063 10/bx Opaque, Comfort Backing Pouch with Velcro® Closure (no filter) 78445V A5063 10/bx

ITEM #

HCPCS

59345

A4397 10/bx

SOLD BY

5/bx

TWO-PIECE DRAINABLE POUCHES 9˝ Two-Piece Drainable Pouches for Regular Size Barrier with Peel and Stick® Closure For use with two-piece barriers Item # 58100, 58000 and 78000 series (not Item # 68100).

ITEM #

HCPCS

SOLD BY

Clear Opaque

41345 41445

A5063 10/bx A5063 10/bx

ACCESSORIES 21⁄2˝ Two-Piece Stoma Caps with Filter, Opaque For use with all Cymed two-piece barriers (except Item # 68100). Include absorbent liner and charcoal filter. For use with two-piece barriers Item # 58100, 58000, and 78000 series.

ITEM #

HCPCS

25645

A5055 15/bx

SOLD BY

Cymed Seals Stretchable, moldable 2˝ diameter seals work perfectly with MicroSkin® Adhesive Barriers.

ITEM #

HCPCS

CS1000 CS2000 CS3000

A4385 10/bx A4385 20/bx A4385 30/bx

SOLD BY

173

OSTOMY

CYMED (93)

TORBOT (74/TR)

All Cymed ostomy products and accessories are latex-free.

LATEX FREE

Colly-Seel Discs ®

Made with healing Karaya, which helps to clear irritated skin. For use as an alternative to adhesives. Nonmedicated, easy to use and comfortable to wear. Include 1⁄2˝ starter hole (except Item # (74)215, which has no starter hole).

Hydrocolloid Washers Thin Hydrocolloid Washers have a 1-mm skin barrier for additional peristomal skin protection. Thick Hydrocolloid Washers have a 2-mm skin barrier for additional peristomal skin protection and twice the density as the Thin Hydrocolloid Washer.

ITEM #

1-MM THIN

2-MM THICK

Cut-to-fit, up to 11⁄2˝ (38 mm) Cut-to-fit, up to 21⁄2˝ (64 mm) Precut, 7⁄8˝ (22 mm) Precut, 1˝ (25 mm) Precut, 11⁄8˝ (29 mm) Precut, 11⁄4˝ (32 mm) Precut, 13⁄8˝ (35 mm) Precut, 11⁄2˝ (38 mm)

89410 98415 89422 89425 89429 89432 89435 89438

78910 98915 78922 78925 78929 78932 78935 78938

HCPCS

A4404 A4404 A4404 A4404 A4404 A4404 A4404 A4404

Super-thin, white (74)216 Standard thickness, yellow (74)221 Thick, blue (74)221B

SOLD BY

ITEM #

HCPCS

A4421

A4363 3/bx

SOLD BY

Super-thin, white (74)217 Standard thickness, yellow (74)222 Thick, blue (74)222B

ITEM #

HCPCS

87100

A4363 30/bx

Super-thin, white (74)218 Standard thickness, yellow (74)223 Thick, blue (74)223B

Adhesive paste designed to fill minor irregularities and protect the peristomal skin.

2-oz. tube

ITEM #

HCPCS

K0138

A4406

SOLD BY

MicroSkin® Applicator Optional for use in applying MicroSkin® barriers. For stomas up to 2˝.

ITEM #

89180 A4421 ea

HCPCS

SOLD BY

A4362 A4362 A4362

10/bx 10/bx 10/bx

A4362 A4362 A4362

10/bx 10/bx 10/bx

A4362 A4362 A4362

10/bx 10/bx 10/bx

4˝ X 4˝ SQUARE

Super-thin

(74)215 A4362 10/bx

LATEX FREE Skin Tac “H”™ Liquid Adhesive Barrier Clear, hypoallergenic adhesive. For use on skin as a tacky base before applying adhesive dressings. Acts as an effective barrier between tape and skin; removes easily with alcohol.

SOLD BY

MicroHesive™

SOLD BY

31⁄2˝ DISC

Peel and Stick Drainable Pouch Closures Pliable; stick to drainable end of pouch.

HCPCS

3˝ DISC

30/bx 30/bx 30/bx 30/bx 30/bx 30/bx 30/bx 30/bx

Drainable Pouch Clamps Durable, beige-colored clamps, for sealing the end of drainable pouches.

ITEM #

2˝ DISC

ITEM #

4-oz. bottle 8-oz. bottle Wipes

(74)407 A4364 ea (74)407B A4364 ea (74)407W A5120 50/bx

HCPCS

SOLD BY

ADHESIVE GASKETS Universal Adhesive Gaskets Water-resistant, double-faced gasket with precut opening and leak-proof seal. Safe, even for sensitive skin. Strong adhesive bond makes them suitable even for swimming. 27⁄8˝ x 33⁄4˝ oval. Ideal for use with Convert-A-Pouch® Convex Plastic Faceplates.

ITEM #

HCPCS

⁄2˝ opening 5 ⁄8˝ opening 3 ⁄4˝ opening 7 ⁄8˝ opening 11⁄8˝ opening 11⁄4˝ opening 13⁄8˝ opening 11⁄2˝ opening

(TR)SN268704 (TR)SN268705 (TR)SN268706 (TR)SN268707 (TR)SN268709 (TR)SN268710 (TR)SN268711 (TR)SN268712

A5126 A5126 A5126 A5126 A5126 A5126 A5126 A5126

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

BONGORT® ONE-PIECE OSTOMY SYSTEMS

Night Drain Adapter Tubes Molded design; for use with urostomy pouching system.

Designed for optimal wound and fistula management, and can be used postoperatively. Economical alternative with convenient, cut-to-fit design.

ITEM #

HCPCS

87000

A9900 3/bx

SOLD BY

The Original ILE-SORB™ Absorbent granule packets for ileostomy effluence.

ITEM #

HCPCS

87210 87230

A4422 90/bx A4422 135/bx

SOLD BY

Bongort® Max-E Drainable Wound Management Pouches Clear, gusseted, 8˝ x 20˝ pouch with large, 6˝ x 7˝ horizontal adhesive faceplate. Ideal for optimal wound and fistula management. Include rubber closures.

ITEM #

(TR)SN104400 A5062

HCPCS

SOLD BY

5/bx

Bongort® Cut-to-Fit Drainable Post-Operative Pouches Blue, odor-resistant, postoperative, open-ended pouching system. Convenient design comes with a standard 3⁄4˝ starter hole.

174

ITEM #

(TR)SN111006 A5062

HCPCS

SOLD BY

10/bx

OSTOMY

TORBOT (74/TR)

OSTOMY ACCESSORIES

TWO-PIECE OSTOMY SYSTEMS

Stoma Care Wipes Versatile, skin-friendly, natural aloe-based skin care wipes provide a soothing, moisturizing, non-greasy base before application of appliance and/or tape. Aid in the management of minor skin irritations, sunburns, scrapes, dry skin and more. ®

UROSTOMY POUCHES Feather-Lite™ Urinary Diversion Pouches Semidisposable alternative to reusable systems. Made with soft, flexible material. Comfortable, lightweight (3 oz.) and easy to use. Use with Convert-A-Pouch® Faceplates.

ITEM #

HCPCS

(TR)SN320800 A4381 (TR)SN320600 A4381 (TR)SN321800 A4381

5/bx 5/bx 5/bx

(TR)SN340600 A4381 (TR)SN341800 A4381

5/bx 5/bx

CLEAR

Regular (10 oz.) Large (9 oz.) fits Item # 3111

Feather-Lite™ Dri-Flo™ Urinary Diversion Pouches with Anti-Reflux Valve Semidisposable alternative to reusable systems. Made with soft, flexible material. Comfortable, lightweight (3 oz.) and easy to use. Use with Convert-A-Pouch® Faceplates. Regular, beige, 13 oz. (63⁄4˝ x 101⁄8˝ ).

ITEM #

(TR)SN380600 A4381

HCPCS

SOLD BY

5/bx

ILEOSTOMY POUCHES Feather-Lite™ Ileostomy Pouches, White Semidisposable alternative to reusable systems. Made with soft, flexible material. Comfortable, lightweight (3 oz.) and easy to use. Use with Convert-A-Pouch® Faceplates.

ITEM #

HCPCS

12 oz. (5 ⁄4˝ x 10 ⁄2˝ ) 18 oz. (6˝ x 11˝ ) 18 oz. (6˝ x 11˝ ) 30 oz. (61⁄2˝ x 12˝ ) 1

(TR)SN254100 (TR)SN251100 (TR)SN253100 (TR)SN252100

A4377 A4377 A4377 A4377

6/bx 6/bx 10/bx 6/bx

(TR)SN251500 A4377

6/bx

CENTER SPOUT

22 oz. (51⁄2˝ x 13˝ )

FACEPLATES Convert-A-Pouch® Convex Faceplates Part of the Feather-Lite™ Two-Piece System. Made with soft, plastic, flexible material, and are comfortable and easy to use. Use with Feather-Lite™ Pouches.

ITEM #

RIGID SOFT

⁄2˝ opening 5 ⁄8˝ opening 3 ⁄4˝ opening 7 ⁄8˝ opening 1˝ opening 11⁄8˝ opening 11⁄4˝ opening 13⁄8˝ opening 11⁄2˝ opening

(TR)SN840204 (TR)SN840205 (TR)SN840206 (TR)SN840207 (TR)SN840208 (TR)SN840209 (TR)SN840210 N/A (TR)SN840212

ITEM #

(TR)SN840404 (TR)SN840405 (TR)SN840406 (TR)SN840407 (TR)SN840408 (TR)SN840409 N/A (TR)SN840411 (TR)SN840412

HCPCS

A4361 A4361 A4361 A4361 A4361 A4361 A4361 A4361 A4361

(TR)TT600 A5120 50/bx

HCPCS

SOLD BY

Adjustable Appliance Belts 1˝ x 36˝ adjustable, elastic, noncorrosive, washable belt. Provide complete confidence when using reusable pouches.

ITEM #

HCPCS

With hooked buckle With slotted buckle

(TR)SN591123 (TR)SN592503

A4367 A4367

SOLD BY

ea ea

Bead “O” Rings For use with Feather-Lite™ systems; provide extra security around the pouch flange.

ITEM #

(TR)SN312000 A4421 2/bx

HCPCS

SOLD BY

Urinary Night Drainage Set Includes 60˝ tubing, adapter, 2-qt. bottle, detergent, deodorant, liquid deodorant drops and directions. Contains latex.

ITEM #

Night drainage set Adapter Tubing with adapter

(TR)SN432600 A5102 (TR)SN433600 A4421 (TR)SN592017 A4331

HCPCS

SOLD BY

ea ea ea

SOLD BY

RIGHT SPOUT 1

ITEM #

SOLD BY

BEIGE

Small (8 oz.) Regular (10 oz.) Large (9 oz.) fits Item # 3111

SOLD BY

2/bx 2/bx 2/bx 2/bx 2/bx 2/bx 2/bx 2/bx 2/bx

Medena™ Continent Ostomy Catheters Provide comfortable, easy and effective catheterization for urostomies (Item # (TR)M8724) or ileostomies (Item # (TR)M8730). Easily trimmed to desired length with scissors. Straight, nonsterile.

ITEM #

HCPCS

24 fr 30 fr

(TR)M8724 (TR)M8730

A5082 A5082

SOLD BY

ea ea

Torbot Liquid Bonding Cement Extra-strong, fast-drying, secure, liquid adhesive cement. Adheres ostomy appliances to skin. Contains latex and is flammable.

ITEM #

HCPCS

4-oz. can 4-oz. tube

(TR)410 (TR)411

A4364 A4364

SOLD BY

ea ea

Universal Flexible Faceplate Set Universal, flexible insert kit to customize a Convert-A-Pouch Convex Plastic Faceplate. Made of soft plastic. Set includes insert combinations from 1⁄2˝ to 11⁄2˝ in 1⁄8˝ graduations. 3˝ outside diameter. 1⁄2˝ – 11⁄2˝ opening.

ITEM #

(TR)SN266100 A4361

HCPCS

SOLD BY

175

OSTOMY

ORIGINAL FLAT PANEL – REGULAR ELASTIC

NU-HOPE (79)

3˝ and 4˝ Width

BELT RING PLATE SIZES

23⁄4˝ = A

3˝ = B 31⁄4˝ = C 27⁄8˝ = D 21⁄4˝ = F 25⁄8˝ = I 27⁄8˝ x 33⁄8˝ = Q 23⁄8˝ = S

ITEM #

3˝ 4˝

Small (28˝ – 31˝ ) Medium (32˝ – 35˝ ) Large (36˝ – 40˝ ) X-Large (41˝ – 46˝ ) 2X-Large (47˝ – 52˝ )

6594 N/A 6596 6597 6598

2660 2661 2662 2663 2664

A4396 A4396 A4396 A4396 A4396

ITEM #

HCPCS

LEFT RIGHT SIDE SIDE

Small (28˝ – 31˝ ) Medium (32˝ – 35˝ ) Large (36˝ – 40˝ ) X-Large (41˝ – 46˝ )

6600 6601 6602 6603

6610 6611 6612 6613

A4396 A4396 A4396 A4396

ITEM #

HCPCS

LEFT RIGHT SIDE SIDE

Small (28˝ – 31˝ ) Medium (32˝ – 35˝ ) Large (36˝ – 40˝ ) X-Large (41˝ – 46˝ ) 2X-Large (47˝ – 52˝ )

6630 6631 6632 N/A 6634

Med Oval = H Large Oval = J HOW TO DETERMINE THE BELT HOLE OPENING

Example: Flange size of 21⁄4 + 1⁄2 = 23⁄4˝ (˝A˝ opening) *(Inner diameter) **Fits Nu-Hope Oval Pouches only Features an extra easy Velcro®-like adjustment on left and right side. 360 degrees of support to the entire skin barrier and peristomal area. Supports small peristomal hernias. Twice the width of standard ostomy belts.

ITEM #

HCPCS

Small, 28˝ – 31˝ (71 – 79 cm) Medium, 32˝ – 35˝ (81 – 89 cm) Large, 36˝ – 40˝ (91 – 102 cm) X-Large, 41˝ – 46˝ (104 – 117 cm) XX-Large 47˝ – 52˝ (117 – 132 cm)

BG2620 BG2622 BG2624 BG2626 BG2628

A4396 A4396 A4396 A4396 A4396

SOLD BY

ea ea ea ea ea

SOLD BY

ea ea ea ea ea

Recommended to aid in hernia prevention, pouch support and/ or flattening small bulges. Feature non-stretch flexible support panel and 6˝ of Velcro®-like adjustment. Available in Regular or Cool Comfort® elastic. Standard opening size is 23⁄8˝. Additional opening sizes are listed below. Add the letter to the end of the belt number, i.e. 2667-F. Openings are centered (vertically) on the 3˝ and 4˝ so the belt can be worn with either a left- or a right-sided stoma. Openings are placed 1˝ from the bottom on the 6˝ and 9˝ belts. Best results when applied lying down.

ITEM #

PETITE/YOUTH SIZES

3˝

4˝

Small (16˝ – 19˝ ) Medium (20˝ – 23˝ )

6691 6692

N/A N/A

SOLD BY

A4396 A4396

ea ea ea ea ea ea ea

3˝

4˝

2665 2666 2667 2668 2669

A4396 A4396 A4396 A4396 A4396

ITEM #

HCPCS

LEFT RIGHT SIDE SIDE

Small (28˝ – 31˝ ) Medium (32˝ – 35˝ ) Large (36˝ – 40˝ ) X-Large (41˝ – 46˝ ) 2X-Large (47˝ – 52˝ )

6700 6701 6702 6703 6704

6710 6711 6712 6713 6714

A4396 A4396 A4396 A4396 A4396

ITEM #

HCPCS

LEFT RIGHT SIDE SIDE

Small (28˝ – 31˝ ) Medium (32˝ – 35˝ ) Large (36˝ – 40˝ ) X-Large (41˝ – 46˝ ) 2X-Large (47˝ – 52˝ )

N/A 6731 6732 6733 6734

Pouch system determines the belt opening size required.

6˝ Width

GIRTH/CIRCUMFERENCE

To determine belt size (small – 2x-large), measure horizontally around the body in line with the stoma. If herniated, measure lying down after 5 – 10 minutes. If the measurement falls between sizes for 3˝ – 6˝ wide belts, go down a size. For 7 ˝+ wide belts, go up a size. BELT WIDTH

To determine custom hole placement, first measure from the bottom of the hernia or where you’d like the belt to start, up to the bottom of where the pouch attaches to the wafer, or the bottom of the flange. This will determine the distance between the bottom edge of the belt and the edge of the hole.

6694 6695 6696 6697 6698

SPECIAL = SP (MUST INCLUDE DESCRIPTION)

HOLE PLACEMENT

HCPCS

ea ea ea ea ea

Small (28˝ – 31˝ ) Medium (32˝ – 35˝ ) Large (36˝ – 40˝ ) X-Large (41˝ – 46˝ ) 2X-Large (47˝ – 52˝ )

Medium Oval = H Large Oval = J X-Large Oval = K No Hole = NH

Depends on the pouching system. The standard opening size is 23⁄8˝. For two-piece systems, typically add 1⁄2˝ to the flange size. For one-piece pouches, adhesive couplings or other systems, measure where the pouch attaches to the wafer and add 1⁄4˝. Ring should be snug, but not pinching the sides of the pouch.

A4396 A4396 A4396 A4396 A4396

ADULT SIZES

25⁄8˝ = I 21⁄8˝ = L 27⁄8˝ x 33⁄8˝ = Q 31⁄8˝ = U

HOLE OPENING SIZE

N/A 6641 6642 6643 6644

SOLD BY

3˝ and 4˝ Width

23⁄4˝ = A 23⁄8˝ = NO LETTER (STANDARD) 3˝ = B 31⁄4˝ = C 27⁄8˝ = DC 21⁄4˝ = F

For pouch support, hernia prevention or a prolapsed stoma, a narrow belt (3˝ or 4˝ ) is usually sufficient. For hernia support, measure the hernia or area you want to support from bottom to top and round up to the next whole inch. Cover 75 – 80% of the hernia.

ea ea ea ea

ORIGINAL FLAT PANEL – COOL COMFORT®

BELT RINGS

Items needed to measure: instructions, a tape measure and the manufacturer’s product number for the pouching system.

SOLD BY

9˝ Width

ORIGINAL FLAT PANEL SUPPORT BELTS

176

HCPCS

6˝ Width

Nu-Comfort Belt

Beige color add BG to item number, i.e. BG6594.

ITEM #

SOLD BY

ea ea ea ea ea

9˝ Width

6740 6741 6742 6743 6744

A4396 A4396 A4396 A4396 A4396

SOLD BY

ea ea ea ea ea

OSTOMY

NU-FORM™ – VENTILATED COOL COMFORT®

NU-HOPE (79)

3˝ and 4˝ Width

NU-FORM™ SUPPORT BELTS Comfortable binder that conforms to bulges and other body shapes more naturally. Nu-Form™ belt rings are sturdy and will not lose shape. Standard opening size is 23⁄8˝. Additional opening sizes are listed below. Add the letter to the end of the belt number, i.e. 6423-E. Openings are centered (vertically) on the 3˝, 4˝, 5˝ and 6˝ so the belt can be worn with either a left- or a right-sided stoma. Openings are placed 11⁄2˝ from the bottom on the 7˝, 8˝ and 9˝ belts. Custom ring placement must be ordered as a “-SP” (Special**) along with a detail of the customization required. 2-1⁄8˝ –L 2-7⁄8˝ –DC 3- ⁄2˝ –T 1

2-1⁄4” –F

2-3⁄8˝

3˝ –B

3-1⁄8˝ –U

3- ⁄4˝ –M

4˝ –O

Medium Oval –H 2-7⁄8˝ x 3-3⁄8˝ –Q

2-5⁄8˝ –I

3-3⁄8˝ –V

4- ⁄2˝ –R 1

Large Oval –J

X-Large Oval –K

No Hole –NH

Special/Custom -SP (MUST INCLUDE DESCRIPTION) – Extra charges may apply.

ITEM #

3˝ 4˝

Small (28˝ – 31˝ ) Medium (32˝ – 35˝ ) Large (36˝ – 40˝ ) X-Large (41˝ – 46˝ ) 2X-Large (47˝ – 52˝ )

6400 6401 6402 6403 6404

6410 6411 6412 6413 6414

A4396 A4396 A4396 A4396 A4396

ITEM #

HCPCS

5˝ 6˝

Small (28˝ – 31˝ ) Medium (32˝ – 35˝ ) Large (36˝ – 40˝ ) X-Large (41˝ – 46˝ ) 2X-Large (47˝ – 52˝ )

6420 6421 6422 6423 6424

6430 6431 6432 6433 6434

A4396 A4396 A4396 A4396 A4396

ITEM #

HCPCS

LEFT RIGHT SIDE SIDE

Small (28˝ – 31˝ ) Medium (32˝ – 35˝ ) Large (36˝ – 40˝ ) X-Large (41˝ – 46˝ ) 2X-Large (47˝ – 52˝ )

6440 6441 6442 6443 6444

6445 6446 6447 6448 6449

A4396 A4396 A4396 A4396 A4396

ITEM #

HCPCS

LEFT RIGHT SIDE SIDE

Small (28˝ – 31˝ ) Medium (32˝ – 35˝ ) Large (36˝ – 40˝ ) X-Large (41˝ – 46˝ ) 2X-Large (47˝ – 52˝ )

6450 6451 6452 6453 6454

6455 6456 N/A 6458 6459

A4396 A4396 A4396 A4396 A4396

ITEM #

HCPCS

LEFT RIGHT SIDE SIDE

Small (28˝ – 31˝ ) Medium (32˝ – 35˝ ) Large (36˝ – 40˝ ) X-Large (41˝ – 46˝ ) 2X-Large (47˝ – 52˝ )

6460 6461 6462 6463 6464

NU-FORM™ – REGULAR SOLID ELASTIC 3˝ and 4˝ Width ITEM #

3˝ 4˝

ITEM #

HCPCS

Small (28˝ – 31˝ ) Medium (32˝ – 35˝ ) Large (36˝ – 40˝ ) X-Large (41˝ – 46˝ ) 2X-Large (47˝ – 52˝ )

N/A N/A 6302 6303 6304

6310 6311 6312 6313 6314

A4396 A4396 A4396 A4396 A4396

ITEM #

HCPCS

SOLD BY

ea ea ea ea ea SOLD BY

5˝ 6˝

Small (28˝ – 31˝ ) Medium (32˝ – 35˝ ) Large (36˝ – 40˝ ) X-Large (41˝ – 46˝ ) 2X-Large (47˝ – 52˝ )

6320 6321 6322 6323 6324

6330 6331 6332 6333 6334

A4396 A4396 A4396 A4396 A4396

ITEM #

HCPCS

LEFT RIGHT SIDE SIDE

Small (28˝ – 31˝ ) Medium (32˝ – 35˝ ) Large (36˝ – 40˝ ) X-Large (41˝ – 46˝ ) 2X-Large (47˝ – 52˝ )

N/A 6341 6342 N/A 6344

6345 6346 6347 6348 6349

A4396 A4396 A4396 A4396 A4396

ITEM #

HCPCS

LEFT RIGHT SIDE SIDE

Small (28˝ – 31˝ ) Medium (32˝ – 35˝ ) Large (36˝ – 40˝ ) X-Large (41˝ – 46˝ ) 2X-Large (47˝ – 52˝ )

6350 6351 6352 6353 6354

6355 6356 6357 6358 6359

A4396 A4396 A4396 A4396 A4396

ITEM #

HCPCS

LEFT RIGHT SIDE SIDE

ea ea ea ea ea SOLD BY

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8˝ Width SOLD BY

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9˝ Width

6365 6366 6367 6368 6369

A4396 A4396 A4396 A4396 A4396

ea ea ea ea ea SOLD BY

ea ea ea ea ea

SOLD BY

ea ea ea ea ea

SOLD BY

ea ea ea ea ea SOLD BY

ea ea ea ea ea

9˝ Width

7˝ Width

Small (28˝ – 31˝ ) 6360 Medium (32˝ – 35˝ ) 6361 Large (36˝ – 40˝ ) 6362 X-Large (41˝ – 46˝ ) 6363 2X-Large (47˝ – 52˝ ) 6364

SOLD BY

8˝ Width

5˝ and 6˝ Width

HCPCS

7˝ Width

Beige color add BG to item number, i.e. BG6369.

ITEM #

5˝ and 6˝ Width

2-3⁄4˝ –A

3-1⁄4˝ –C

N/A 6466 6467 6468 6469

A4396 A4396 A4396 A4396 A4396

SOLD BY

ea ea ea ea ea

ONE-PIECE POST-OPERATIVE SYSTEMS When ordering pouches, please specify (additional charges apply): • Deep convexity add (DC) to end of item number. Available with or without flutter valve. •R egular convexity add (C) to end of item number. Available with or without flutter valve. • Barrier add (40) to beginning of item number For example, the item number for a 7⁄8˝ opening, regular convexity, drainable round, post-op transparent pouch with barrier would be 4 0 7207 C.

Nu-Hope Drainable Round Pouches Foam cushion provides built-in “picture frame.” No taping or shear effect. Choice of flat, regular (3⁄16˝ ) or deep (3⁄8˝ ) convexity. Adult 24 oz. Also available in 12 oz.

ITEM #

HCPCS

SOLD BY

N/A N/A

7201 7202

A4388 10/bx A4388 10/bx

CUT-TO-FIT

Fits stomas 1⁄2˝ – 7⁄8˝ Fits stomas 1˝ – 13⁄8˝

POST-OP (CLEAR) OPAQUE

⁄8˝ opening 1˝ opening 11⁄8˝ opening 11⁄4˝ opening 13⁄8˝ opening 11⁄2˝ opening 7

7207 7208 7209 7210 7211 N/A

7407 7408 7409 7410 N/A 7412

A4388 A4388 A4388 A4388 A4388 A4388

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

177

OSTOMY

Waist Belt with Plastic Buckles

NU-HOPE (79) 11˝ Adult Drainable Post-Op (Clear) Pouches – Oval Ready to use, with a long-lasting skin barrier on a comfortable foam cushion. Durable and flexible with wet tack. Simple application. 24 oz.

ITEM #

HCPCS

7235 7255 7265 7275

A4388 A4388 A4388 A4388

ITEM #

HCPCS

1˝, elastic 11⁄2˝, elastic

2600 2610

A4367 A4367

SOLD BY

ea ea

SOLD BY

⁄2˝ STARTER HOLE PRECUT

Oval A (3⁄4˝ x 11⁄2˝ ) 7234 Oval C (13⁄16˝ x 21⁄4˝ ) 7254 Oval D (11⁄2˝ x 23⁄4˝ ) 7264 Oval E (13⁄4˝ x 31⁄4˝ ) 7274

10/bx 10/bx 10/bx 10/bx

Travel Urine Collector Collapsible; will not leak in any position and comes with handy carrying pouch. Expandable to 1-gallon capacity.

ITEM #

4003 A5102

HCPCS

SOLD BY

URINARY POST-OP POUCHES 11˝ Urinary Round Adult Pouches Long-wearing pouches with one-piece simplicity offer a perfect fit. Easy application; durable and economical. 24 oz.

ITEM #

POST-OP (CLEAR)

OPAQUE

⁄2˝ opening ⁄8˝ opening 3 ⁄4˝ opening 7 ⁄8˝ opening 1˝ opening 11⁄8˝ opening 11⁄4˝ opening 13⁄8˝ opening 11⁄2˝ opening

N/A 8455 8456 8457 8458 8459 8460 8461 8462

8254 8255 8256 8257 8258 8259 8260 8261 8262

1 5

HCPCS

A4391 A4391 A4391 A4391 A4391 A4391 A4391 A4391 A4391

ITEM #

HCPCS

Oval A (3⁄4˝ x 11⁄2˝ ) Oval B (11⁄8˝ x 2˝ ) Oval D (11⁄2˝ x 23⁄4˝ ) Oval E (13⁄4˝ x 31⁄4˝ )

8634 8644 8664 8674

A4391 A4391 A4391 A4391

Easy-to-clean, rigid gallon bottle with 4˝ lid. Includes hanging string with hook.

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

Cut-to-Fit 11˝ Urinary Oval Adult Post-Op (Clear) Pouches Cut-to-fit has a 1⁄2˝ starter hole. Simple and economical. 24 oz.

Urine Bottle

SOLD BY

10/bx 10/bx 10/bx 10/bx

SKIN CARE PRODUCTS AND ACCESSORIES

ITEM #

4068 A4362 10/bx

HCPCS

SOLD BY

Skin Barrier Washers Developed from special materials designed to provide the most comfortable skin protection and seal available. Flexible, durable and affordable.

ITEM #

HCPCS

⁄2˝ opening 5 ⁄8˝ opening 3 ⁄4˝ opening 7 ⁄8˝ opening 1˝ opening 11⁄8˝ opening

4054 4055 4056 4057 4058 4059

A4362 A4362 A4362 A4362 A4362 A4362

178

ITEM #

HCPCS

6-oz. jar

3220

A4405

HCPCS

ITEM #

HCPCS

2-oz. bottle 4-oz. bottle

2401 2400

A4364 A4364

SOLD BY

ea ea

Nu-Comfort™ Pouch Cover Cushions pouches in a well-fitted, cotton/polyester cover that gently buffers the body from perspiration, chafing and allergies. Wide-open bottom offers easy access to drainage. Beige tone conceals pouch ripples and wrinkles, even a whisper of sound. Preshrunk and machine washable. Precut circular opening can be enlarged simply by cutting up to the outer blue-lined stitching.

ITEM #

HCPCS

12 oz. (51⁄2˝ x 9˝ ) 24 oz. (51⁄2˝ x 111⁄2˝ ) 24 oz. (61⁄2˝ x 111⁄2˝ )

2511 2512 2513

A9270 A9270 A9270

SOLD BY

ea ea ea

Closure Clamp For use with Nu-Hope drainable pouches for ileostomies and colostomies. Semidisposable with 21⁄2˝ clamping area.

ITEM #

2548 A4363 ea

HCPCS

SOLD BY

Catheter Holders Provide secure catheter seal and bonds to secure pouches. Unique latex rubber tip fits any size catheter or tubing for a secure seal. Aggressive adhesive on latex holder provides a secure bond. Include lubricating gel in package to facilitate easy passage of catheter or tubing through holder. Tape ring and tape strip in package provide additional security. Allow a catheter to pass through the wall of ostomy pouch or to secure a G-tube to the abdomen.

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

SOLD BY

4004 A5102

SOLD BY

CarboZinc Peristomal skin barrier provides effective skin protection from stomal discharge.

ITEM #

Adhesive with Applicator Strong bond ensures longer wear time. Excellent additional aid for problem situations, such as oily skin, perspiration problems, scar lines, skin wrinkles and poorly located stomas. Repels effluent without having to remove adhesive or start over. Protects skin from urine if opening in pouch is larger than actual stoma size. When applied thinly, adhesive will dry to a tacky surface in a few minutes and will be durable and safe. Clean with soap and water.

SKIN BARRIERS Skin Barrier Caulking Strips Leave less residue than paste. Molded, flexible strips ensure perfect fit.

ITEM #

Latex Latex-free

9070 A4333 ea 9071 A4333 ea

HCPCS

SOLD BY

OSTOMY

NU-HOPE (79) Stoma Hole Cutter Tools Sharp steel blade mounted in plastic handle. Cutters are available from 1 ⁄2˝ – 2˝ (in 1⁄8˝ increments). Oval cutter also available through special order.

ITEM #

HCPCS

⁄2˝ 3 ⁄4˝ 7 ⁄8˝ 1˝ 11⁄8˝ 11⁄4˝ 13⁄8˝ 11⁄2˝ 15⁄8˝ 2˝

2524 2526 2527 2528 2529 2530 2531 2532 2533 2536

A4421 ea A4421 ea A4421 ea A4421 ea A4421 ea A4421 ea A4421 ea A4421 ea A4421 ea A4421 ea

SOLD BY

Karaya Gum Powder A water-soluble gum powder used to provide a protective layer on skin area around the stoma. Primarily for ileostomy use and fecal matter.

ITEM #

HCPCS

3.5-oz. squeeze bottle 1-lb. bottle

3200 3208

A4371 A4371

ITEM #

HCPCS

8-oz. bottle

1460

A4422

ea ea

SOLD BY

Pink Tape Solid plastic, acrylic-based adhesive tape. Waterproof, suitable for bathing and swimming.

ITEM #

HCPCS

1˝ x 5-yd. roll 11⁄2˝ x 5-yd. roll

1610 1615

A4452 A4452

SOLD BY

ea ea

Tape Strips

Small (300 cc) Small (500 cc) Small (800 cc) Small (1,100 cc) Medium (300 cc) Medium (500 cc) Medium (800 cc) Medium (1,100 cc) Large (500 cc) Large (800 cc) Large (1,100 cc)

WHITE

Regular Extra-wide Extra-long Long and Wide for Oval Pouch

2330 2331 A4452 100/bx 2332 2333 A4452 100/bx 2334 2335 A4452 100/bx N/A 2337 A4452 50/bx

PINK

HCPCS

SOLD BY

ONE-PIECE NON-ADHESIVE OSTOMY SYSTEMS Available in small, medium and large ring sizes. Pouch volume provided in parentheses.

UROSTOMY POUCHES

5000004 5000000 5000001 5000002 5010004 5010000 5010001 5010002 5020000 5020001 5020002

A4382/A4384/A4367 A4382/A4384/A4367 A4382/A4384/A4367 A4382/A4384/A4367 A4332/A4384/A4367 A4382/A4384/A4367 A4382/A4384/A4367 A4382/A4384/A4367 A4382/A4384/A4367 A4382/A4384/A4367 A4382/A4384/A4367

Provide those with a urostomy a reusable system for urine collection and drainage. Nonsterile set includes one each pouch, O-ring seal and belt. HCPCS

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Ileostomy Starter Sets Provide those with an ileostomy a reusable system for fecal collection and drainage. Nonsterile sets include one each pouch, O-ring seal, belt and drain tail closure.

ITEM #

SOLD BY

LEFT STOMA LOCATION

POUCH/RING/BELT

Large (800 cc)

A4382/A4384/A4367 ea

HCPCS

SOLD BY

LEFT STOMA LOCATION

POUCH/RING/BELT

Medium (500 cc) Large (500 cc)

A4377/A4384/A4367 ea A4377/A4384/A4367 ea

6112000 6122000

RIGHT STOMA LOCATION

POUCH/RING/BELT

Small (300 cc) Small (500 cc) Medium (300 cc) Medium (500 cc) Large (500 cc)

A4377/A4384/A4367 A4377/A4384/A4367 A4377/A4384/A4367 A4377/A4384/A4367 A4377/A4384/A4367

6100004 6100000 6110004 6110000 6120000

ea ea ea ea ea

Ileostomy Standard Sets Provide those with an ileostomy with a reusable system for fecal collection and drainage. Nonsterile sets include two pouches, two O-ring seals, two belts and one drain tail closure. ITEM #

HCPCS

SOLD BY

LEFT STOMA LOCATION

POUCH/RING/BELT

Medium (300 cc)

A4377/A4384/A4367 ea

6212004

RIGHT STOMA LOCATION

POUCH/RING/BELT

Small (500 cc) Medium (500 cc) Large (300 cc) Large (500 cc)

A4377/A4384/A4367 A4377/A4384/A4367 A4377/A4384/A4367 A4377/A4384/A4367

6200000 6210000 6220004 6220000

ea ea ea ea

Ileostomy Convenience Sets Provide those with an ileostomy with a reusable system for fecal collection and drainage. Nonsterile sets include four pouches, two O-ring seals, two belts and one drain tail closure.

Urostomy Sets

5022001

SOLD BY

ILEOSTOMY POUCHES

Waterproof, polyurethane-coated, rubber-based adhesive tape for picture-framing circular pouch seals. Use fewer strips of tape than tape on a roll. Clean appearance after picture framing. Easy to use.

ITEM #

HCPCS

SOLD BY

Nu-Sorb® Allows for instant absorption by turning liquid stool into a gel or mush, and drains easily from pouch. 0.25 tsp. absorbs 4 oz. of fluid. Helps prolong barrier from meltdown. Harmless to stomas and wounds.

ITEM #

RIGHT STOMA LOCATION

ITEM #

HCPCS

SOLD BY

LEFT STOMA LOCATION

POUCH/RING/BELT

Large (500 cc)

A4377/A4384/A4367

6422000

RIGHT STOMA LOCATION

POUCH/RING/BELT

Small (500 cc) Medium (300 cc) Medium (500 cc) Large (300 cc) Large (500 cc)

A4377/A4384/A4367 A4377/A4384/A4367 A4377/A4384/A4367 A4377/A4384/A4367 A4377/A4384/A4367

6400000 6410004 6410000 6420004 6420000

ea ea ea ea ea ea

179

OSTOMY

NU-HOPE (79)

MARLEN (72)

COLOSTOMY POUCHES

BARRIER AND MOUNTING RINGS

8˝ Colostomy Open-End Sets Provide those with a colostomy with a reusable system for fecal collection. Nonsterile standard sets include 10 pouches, one O-ring seal, one belt and one drain tail closure.

ITEM #

HCPCS

SOLD BY

STARTER STANDARD SET SET

POUCH/RING/BELT

11⁄4˝ ring 11⁄2˝ ring 2˝ ring 21⁄2˝ ring

82500S3 8250000 8260000 N/A

A4377/A4384/A4367 A4377/A4384/A4367 A4377/A4384/A4367 A4377/A4384/A4367

82500S3 8250000 8260000 8070000

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6˝ Colostomy Closed-End Starter Set Provides those with a colostomy with a reusable system for fecal collection. Nonsterile set includes two pouches, one O-ring seal and one belt. 11⁄2˝ ring.

ITEM #

HCPCS

8250001

A4377/A4384/A4367 ea

NONADHESIVE ACCESSORIES O-Ring Seals For NONADHESIVE urostomy, ileostomy or colostomy systems.

ITEM #

HCPCS

SOLD BY

UROSTOMY AND ILEOSTOMY – TYPE O

Small, fits up to 7⁄8˝ diameter stoma Medium, fits 7⁄8˝ – 11⁄8˝ diameter stoma Large, fits 11⁄8˝ – 13⁄8˝ diameter stoma

700000XXRNGA A4384 701000XXRNG A4384 702000XXRNG A4384

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704010XXRNG 705000XXRNG 706000XXRNG

ea ea ea

COLOSTOMY

11⁄4˝ ring 11⁄2˝ ring 2˝ ring

A4384 A4384 A4384

UltraSeal™ Flexible Barrier Rings Hydrocolloid barrier bends, stretches, twists and pulls. Adjust to accommodate most stomas, regardless of shape or size. Mold easily to fill in crevices and irregularities. Adhere well to body and ostomy appliance, and create an ultrasecure seal that prevents leakage and extends pouch wear time. Alcohol-free.

ITEM #

HCPCS

2˝ outer diameter, 5⁄8˝ inner diameter 33⁄4˝ outer diameter, 7⁄8˝ inner diameter

09500 09600

A4385 A4385

ITEM #

HCPCS

2˝ outer diameter

09700

A4385

ITEM #

With barrier and support shield 7002 Without shield 7002NS

HCPCS

A4388 A4388

SOLD BY

10/bx 10/bx

10/bx 5/bx

SOLD BY

10/bx

ALL-FLEXIBLE MOUNTING RINGS Basic Flat Mounting Rings For those with average or larger builds. Centrally located stoma and adequate clearance on all sides; 33⁄4˝ diameter. Oval mounting ring also available.

ITEM #

HCPCS

⁄2˝ (12-mm) opening 7 ⁄8˝ (22-mm) opening 1˝ (25-mm) opening 11⁄8˝ (29-mm) opening 11⁄4˝ (32-mm) opening 13⁄8˝ (34-mm) opening

GN101Z GN101C GN101D GN101E GN101F GN101G

A4361 A4361 A4361 A4361 A4361 A4361

SOLD BY

ea ea ea ea ea ea

Petite Flat Mounting Rings For the small person with a flat abdomen or a stoma in a hard-to-fit area close to the rib cage. 33⁄4˝ x 27⁄8˝.

ITEM #

HCPCS

⁄2˝ (12-mm) opening 3 ⁄4˝ (19-mm) opening 7 ⁄8˝ (22-mm) opening

GN40Z GN40B GN40C

A4361 A4361 A4361

PEDIATRIC POUCHES/ACCESSORIES Neonatal Drainable Pouches Clear on one side. Feature a 13⁄4˝ diameter barrier. With rubber bands. 4 oz.

SOLD BY

MaxSeal™ Protective Barrier Ring Easily moldable and offers maximum comfort. Provides performance features similar to the leading barrier ring on the market at a value price. Ideal solution for improving the seal around the stoma. Resists fluids. Adheres well while also minimizing skin irritation.

SOLD BY

POUCH/RING/BELT

BARRIER RINGS

SOLD BY

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Oval Mounting Rings For stomas located close to the waistline, where bending may be an important factor. 33⁄4˝ x 23⁄4˝.

ITEM #

HCPCS

SOLD BY

13⁄8˝ (34-mm) opening

GN50G

A4361

⁄8˝ (16-mm) opening ⁄8˝ (22-mm) opening 1˝ (25-mm) opening 11⁄8˝ (29-mm) opening 11⁄4˝ (32-mm) opening 11⁄2˝ (38-mm) opening

GN60A GN60C GN60D GN60E GN60F GN60H

A4361 A4361 A4361 A4361 A4361 A4361

ea ea ea ea ea ea

FLAT

CONVEX 5 7

Neonatal Belt For use with neonatal pouches (Item #7000 – 7002). The soft fabric belt loops through the support shield and hooks onto itself, eliminating buckles that may pinch delicate skin. Features soft elastic and Velcro® attachment.

ITEM #

HCPCS

10˝ length 12˝ length

2604 2605

A4367 A4367

SOLD BY

ea ea

Premee Drains 4˝ x 12˝ pouch with DualStick® adhesive pad.

180

ITEM #

HCPCS

13⁄8˝ sq. pad 17⁄8˝ sq. pad

8382 8383

A4388 A4388

SOLD BY

10/bx 10/bx

Basic Deep Convex Mounting Rings For fleshier abdomens and short or flush stomas, where deep convexity is needed and an all-flexible ring is desired. Deepest (3⁄8˝ ) convexity available in a mounting ring.

ITEM #

HCPCS

11⁄8˝ (29-mm) opening 11⁄4˝ (32-mm) opening 11⁄2˝ (38-mm) opening

WV80E WV80F WV80H

A4361 A4361 A4361

SOLD BY

ea ea ea

OSTOMY

UROSTOMY POUCHES

MARLEN (72) SEMIFLEXIBLE MOUNTING RINGS Basic Regular Convex Mounting Rings Ideal for those with slight or medium builds, especially in the immediate postoperative period. Very slight (7⁄32˝ ) convexity.

ITEM #

HCPCS

⁄4˝ (19-mm) opening 7 ⁄8˝ (22-mm) opening 1˝ (25-mm) opening 11⁄8˝ (29-mm) opening 11⁄4˝ (32-mm) opening

SF10B SF10C SF10D SF10E SF10F

A4361 A4361 A4361 A4361 A4361

SOLD BY

ea ea ea ea ea

Compact Regular Convex Mounting Rings Smaller in circumference with 7⁄32˝ convexity to accommodate short stomas. 35⁄8˝ x 31⁄8˝.

ITEM #

HCPCS

⁄4˝ (19-mm) opening 1˝ (25-mm) opening 11⁄8˝ (29-mm) opening

SF20B SF20D SF20E

A4361 A4361 A4361

SOLD BY

ea ea ea

ULTRALITE™ ONE-PIECE OSTOMY POUCHES DRAINABLE POUCHES 9˝ UltraLite™ One-Piece Convex Pouches with AquaTack™ Hydrocolloid Barrier, Transparent Slim, contoured design with AquaTack™ Hydrocolloid Barrier. Two choices of convexity (deep or shallow). Cloth-like comfort cover on body side. Complete range of stoma sizes from 1⁄2˝ (12 mm) – 13⁄4˝ (44 mm). Completely odor-proof material. AquaTack™ Hydrocolloid Barrier absorbs skin moisture, adheres to moist skin, seals securely and removes easily from sensitive skin. Also available in opaque.

ITEM #

SHALLOW CONVEXITY

DEEP CONVEXITY

⁄2˝ (12-mm) opening ⁄8˝ (16-mm) opening 3 ⁄4˝ (19-mm) opening 7 ⁄8˝ (22-mm) opening 1˝ (25-mm) opening 11⁄8˝ (29-mm) opening 11⁄4˝ (32-mm) opening 13⁄8˝ (34-mm) opening 11⁄2˝ (38-mm) opening 15⁄8˝ (41-mm) opening 13⁄4˝ (44-mm) opening

55294 55295 55296 55297 55298 55299 55300 55301 55302 55303 55304

55323 55324 55325 55326 55327 55328 55329 55330 55331 55332 55333

1 5

HCPCS

A4390 A4390 A4390 A4390 A4390 A4390 A4390 A4390 A4390 A4390 A4390

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

9˝ UltraLite™ One-Piece Convex Pouches with Skin Shield™ Barrier, Transparent Slim, contoured design. Two choices of convexity (deep or shallow). Cloth-like comfort cover on body side. Complete range of stoma sizes from 1 ⁄2˝ (12 mm) – 13⁄4˝ (44 mm). Skin Shield™ Barrier stays soft, is elastic and conformable. Also available in opaque.

ITEM #

SHALLOW CONVEXITY

DEEP CONVEXITY

⁄2˝ (12-mm) opening 5 ⁄8˝ (16-mm) opening 3 ⁄4˝ (19-mm) opening 7 ⁄8˝ (22-mm) opening 1˝ (25-mm) opening 11⁄8˝ (29-mm) opening 11⁄4˝ (32-mm) opening 13⁄8˝ (34-mm) opening 11⁄2˝ (38-mm) opening 15⁄8˝ (41-mm) opening 13⁄4˝ (44-mm) opening

N/A 55207 55208 55209 55210 55211 55212 55213 55214 N/A 55216

55235 55236 55237 55238 55239 55240 55241 55242 55243 55244 55245

HCPCS

A4390 A4390 A4390 A4390 A4390 A4390 A4390 A4390 A4390 A4390 A4390

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

UltraLite™ One-Piece Pouches, Transparent with Skin Shield™ Slim, contoured design. Two choices of convexity (deep or shallow). Cloth-like comfort cover on body side. Feature the Free-Flow nontwist stem, which allows unobstructed flow, and the E-Z Drain™ push-pull valve, which makes emptying the pouch quick and leak-proof. Skin Shield™ Barrier stays soft, is elastic and conformable.

ITEM #

SHALLOW CONVEXITY

DEEP CONVEXITY

77030 77031 77032 77033 77034 77035 77036 77037 77038 77039 77040

77059 77060 77061 77062 77063 77064 77065 77066 77067 N/A 77069

1 5

HCPCS

A4393 A4393 A4393 A4393 A4393 A4393 A4393 A4393 A4393 A4393 A4393

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

91⁄4˝ UltraLite™ One-Piece Convex Pouches with AquaTack™ Barrier, Transparent Slim, contoured design. Two choices of convexity (deep or shallow). Cloth-like comfort cover on body side. Feature the Free-Flow™ nontwist stem, which allows unobstructed flow, and the E-Z Drain™ push-pull valve, which makes pouch emptying quick and leak-proof. AquaTack™ Hydrocolloid Barrier absorbs skin moisture, adheres to moist skin, seals securely and resists urine drainage.

ITEM #

SHALLOW CONVEXITY

DEEP CONVEXITY

77118 77119 77120 77121 77122 77123 77124 77125 77126 77127 77128

77147 77148 77149 77150 77151 77152 77153 77154 77155 N/A 77157

1 5

HCPCS

A4393 A4393 A4393 A4393 A4393 A4393 A4393 A4393 A4393 A4393 A4393

SOLD BY

10/pk 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

MINIMAX™ POUCHES MiniMax™ One-Piece Drainable Ostomy System MiniMax™ is 30% smaller than Marlen's UltraMax™ Drainable. Offers the ease of a disposable system and all of the advantages of a one-piece pouch. The pouch is made of an odor-proof, leak-proof material and has a quiet, built-in comfort cover on the body side.

ITEM #

HCPCS

SOLD BY

FLAT WITH FILTER

Opaque, cut-to-fit, ( ⁄2˝ –1 ⁄2˝ ) 53600 Transparent, cut-to-fit, (1⁄2˝ –11⁄2˝ ) 52600 1

A4424 A4424

5/bx 5/bx

A4388 A4388

5/bx 5/bx

A4390 A4390

5/bx 5/bx

A4390 A4390

5/bx 5/bx

FLAT WITHOUT FILTER

Opaque, cut-to-fit, (1⁄2˝ –11⁄2˝ ) 53800 Transparent, cut-to-fit, (1⁄2˝ –11⁄2˝ ) 52800 SHALLOW CONVEXITY WITH FILTER

Opaque, cut-to-fit, (1⁄2˝ –11⁄2˝ ) 53700 Transparent, cut-to-fit, (1⁄2˝ –11⁄2˝ ) 52700 SHALLOW CONVEXITY WITHOUT FILTER

Opaque, cut-to-fit, (1⁄2˝ –11⁄2˝ ) 53900 Transparent, cut-to-fit, (1⁄2˝ –11⁄2˝ ) 52900

181

OSTOMY

MARLEN (72)

ITEM #

CLOSED END SERIES

OPAQUE

TRANSPARENT

83690 83612 83616 83619 83622 83625 83629 83632 83634 83638 83641 83644

82690 82612 82616 82619 82622 82625 82629 82632 82634 82638 82641 82644

OPAQUE

TRANSPARENT

N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

72690 72612 72616 72619 72622 72625 72629 72632 72634 72638 72641 72644

Cut-to-fit starter hole 1 ⁄2˝ (12-mm opening) 5 ⁄8˝ (16-mm opening) 3 ⁄4˝ (19-mm opening) 7 ⁄8˝ (22-mm opening) 1˝ (25-mm opening) 11⁄8˝ (29-mm opening) 11⁄4˝ (32-mm opening) 13⁄8˝ (34-mm opening) 11⁄2˝ (38-mm opening) 15⁄8˝ (41-mm opening) 13⁄4˝ (44-mm opening)

ULTRAMAX™ POUCHES 91⁄4˝ UltraMax™ Transparent Urostomy Pouches Odor-proof pouch material is leak-proof for added security. Quiet, built-in comfort cover faces the body. AquaTack™ Hydrocolloid Barrier adheres to moist skin, absorbs skin moisture, seals securely and resists urine drainage.

ITEM #

HCPCS

SOLD BY

72425

A4391

72500 72519 72522 72525 72529 72532

A4430 5/bx A4430 5/bx A4430 5/bx A4430 5/bx A4430 5/bx A4430 5/bx

FLAT

Precut, 1˝ opening

5/bx

CONVEX

Cut-to-fit, 1⁄2˝ – 11⁄2˝ Precut, 3⁄4˝ opening Precut, 7⁄8˝ opening Precut, 1˝ opening Precut, 11⁄8˝ opening Precut, 11⁄4˝ opening

UROSTOMY SERIES

9˝ UltraMax™ Convex Drainable Pouches Odor-proof pouch material is leak-proof for added security. Quiet, built-in comfort cover faces the body. AquaTack™ Hydrocolloid Barrier adheres to moist skin, absorbs skin moisture, seals securely and resists urine drainage. Kwick-Klose™ closure is dependable, secure and opens easily for draining. Hook-and-loop closure eliminates the need for a separate pouch clamp.

ITEM #

HCPCS

SOLD BY

53500 53519 53522 53525 53529 53532 53538

A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx

52500 52516 52519 52522 52525 52529 52532 52534 52541

A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx A4390 5/bx

OPAQUE

Cut-to-fit, 1⁄2˝ – 21⁄4˝ Precut, 3⁄4˝ opening Precut, 7⁄8˝ opening Precut, 1˝ opening Precut, 11⁄8˝ opening Precut, 11⁄4˝ opening Precut, 11⁄2˝ opening TRANSPARENT

Cut-to-fit, 1⁄2˝ – 21⁄4˝ Precut, 5⁄8˝ opening Precut, 3⁄4˝ opening Precut, 7⁄8˝ opening Precut, 1˝ opening Precut, 11⁄8˝ opening Precut, 11⁄4˝ opening Precut, 13⁄8˝ opening Precut, 15⁄8˝ opening

NEW UltraMax™ DEEP with AquaTack™ Hydrocolloid Barrier Unique petal design creates a flexible, comfortable fit for all abdominal contours. Flexible flange creates an optimal seal. Ideal for retracted, flush and hard-to-fit stomas. Avaiblable in precut stoma openings.

ITEM #

DRAINABLE SERIES

ITEM #

OPAQUE

TRANSPARENT

53690 53612 53616 53619 53622 53625 53629 53632 53634 53638 53641 53644

52690 52612 52616 52619 52622 52625 52629 52632 52634 52638 52641 52644

OPAQUE

TRANSPARENT

HCPCS

A4390 A4390 A4390 A4390 A4390 A4390 A4390 A4390 A4390 A4390 A4390 A4390

SOLD BY

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

Cut-to-fit starter hole, 1⁄2˝ – 21⁄2˝ (12 – 64-mm opening) 53699 52699 A4390 5/bx

182

HCPCS

SOLD BY

A4417 A4417 A4417 A4417 A4417 A4417 A4417 A4417 A4417 A4417 A4417 A4417

15/bx 15/bx 15/bx 15/bx 15/bx 15/bx 15/bx 15/bx 15/bx 15/bx 15/bx 15/bx

A4430 A4430 A4430 A4430 A4430 A4430 A4430 A4430 A4430 A4430 A4430 A4430

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

ULTRAMAX™ GEMINI™ TWO-PIECE OSTOMY SYSTEMS UltraMax™ Gemini™ Two-piece pouches with “E-Z Guide”™ Locating System for colostomies, ileostomies and urostomies. Odor-proof pouch material. Quiet, built-in comfort cover facing the body. Leakproof.

ITEM #

HCPCS

SOLD BY

71⁄2˝ CLOSED-END POUCHES WITH FILTER, 9 OZ.

Opaque

25100

A4419 30/bx

25250

A4425 10/bx

21000

A4407

5/bx

21022 21034

A4407 A4407

5/bx 5/bx

9˝ DRAINABLE POUCHES, 16 OZ.

Opaque SHALLOW CONVEXITY FLANGES

Cut-to-fit, with 1⁄2˝ starter hole CONVEX FLANGES

Precut, 7⁄8˝ opening Precut, 13⁄8˝ opening

ACCESSORIES SKIN BARRIERS Skin Shield™ Protective adhesive skin barrier is nonabsorbent and forms a long-lasting seal. Each pad is 4˝ x 4˝ with 1⁄2˝ starter opening.

ITEM #

HCPCS

9000

A4385 5/bx

SOLD BY

Protex™ Powder Used to protect the skin against excoriation from ostomy drainage.

ITEM #

HCPCS

4-oz. bottle

P116

A4371

SOLD BY

OSTOMY

MARLEN (72) Protex Powder Pads (Karaya Seal) Worn under appliance for protection from drainage coming in contact with the skin. Accommodate openings up to 21⁄2˝. ™

ITEM #

HCPCS

⁄2˝ opening ⁄8˝ opening 3 ⁄4˝ opening 7 ⁄8˝ opening 1˝ opening 11⁄8˝ opening 11⁄4˝ opening 13⁄8˝ opening 5

112A 112M 112B 112C 112D 112E 112F 112G

A4404 A4404 A4404 A4404 A4404 A4404 A4404 A4404

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

ITEM #

HCPCS

“O”-ring seal

103 XTL161

A4404 A4404

Extra-large series

SOLD BY

SMALL 1

Rubber “O”-Ring Seal Used with all mounting rings (except Item # XTL161) to assemble the mounting ring to the pouch.

⁄2˝ opening ⁄4˝ opening

PPC175 PPC175B

A4404 A4404

5/bx 5/bx

ILEOSTOMY POUCHES Gas-Relief™ Odour-Ban™ Ileostomy Pouches Lightweight plastic pouch with a gas-relief valve permanently sealed into the top of pouch. For persons with excess gas accumulation. Require a separate mounting ring and pouch closure.

ITEM #

HCPCS

SOLD BY

10220CA MDW10220M 10220EA

A4377 A4377 A4377

5/bx 5/bx 5/bx

10200DA 10200EA

A4377 A4377

5/bx 5/bx

MDW10201SM 10201DA 10201EA

A4377 A4377 A4377

5/bx 5/bx 5/bx

BEIGE

83⁄4˝ Small 93⁄4˝ Medium 11˝ Large

ea ea

Adjustable Elastic Appliance Belt (Adult) Used with traditional mounting rings for additional support.

ITEM #

HCPCS

104

A4367 ea

SOLD BY

ITEM #

HCPCS

15090 A4367 ea

Continent Ostomy Elastic Belt For catheter support.

LARGE 1

SOLD BY

Ultra™ Elastic Waist Belt Used with Ultra™ one-piece and Duet two-piece appliances for additional support.

ITEM #

5004 A4367 ea

HCPCS

SOLD BY

Deodorizer and Cleanser Ideal for cleaning reusable pouches and mounting rings. Concentrated; makes up to 6 gallons of solution.

ITEM #

HCPCS

12-oz. bottle

504

A5131

SOLD BY

CLEAR

93⁄4˝ Medium 11˝ Large WHITE

83⁄4˝ Small 9 3⁄4˝ Medium 11˝ Large

Weight-Less Odour-Ban Ileostomy Pouches Lightweight, plastic pouches with a gas-relief valve permanently sealed into the top of pouch. For those with excess gas accumulation. Require a separate mounting ring and pouch closure. ™

Mucosperse™ Mucous Dispersant Dissolves mucus buildup in urinary pouches and collection devices. Prevents blockage in appliances.

ITEM #

HCPCS

4-oz. bottle

507

A5131

SOLD BY

™

ITEM #

Beige

10220BA A4377 5/bx

HCPCS

SOLD BY

Urinary Bedside Drainage Kit For use with Marlen Ultra™ urostomy pouches. Constructed of durable plastic. Conveniently hooks on to the side of the bed. 90-oz. (2,800-cc) capacity. Kit includes one bedside drain bag, two plastic hangers and one 5´ tubing.

UROSTOMY POUCHES E-Z Drain Child Urostomy Pouches Sealed-in, push-pull valve makes the E-Z Drain™ pouch easy to use. Do not require separate fittings. Constructed of lightweight plastic. Require a separate mounting ring. ITEM #

HCPCS

SOLD BY

Clear Beige

36218BA A4381 5/bx 36225BA A4381 5/bx

ITEM #

MBD8 A4357 ea

HCPCS

SOLD BY

CONTINENT OSTOMY PRODUCTS

™

Straight Catheter, 15˝

ITEM #

HCPCS

Small (24 fr) Medium (30 fr) Large (34 fr)

15060 15040 15020

A5082 A5082 A5082

SOLD BY

ea ea ea

Medium Curved Catheter, 18˝

IRRIGATION SUPPLIES Biliary Drainage Kit Push-pull valve ideal for biliary and other drainages. Lightweight pouch features a “T”-tube connector, built-in flutter valve to prevent backflow and one-size, elastic weight belt.

ITEM #

BK6 A4649 ea

HCPCS

ITEM #

HCPCS

Medium (30 fr) Large (34 fr)

15030 15010

A5082 A5082

SOLD BY

ea ea

SOLD BY

183

OSTOMY

PERFECT CHOICE MEDICAL TECHNOLOGIES (OL) Next Generation Barrier Rings Unique, advanced absorption ability that provides excellent skin protection by wicking away body fluids and forming a secure, waterproof barrier seal. Stops leaks and irritation around the stoma. Feels soft and natural, just like the skin, and can be easily shaped or molded for a perfect fit. Easy to put on and take off. Significantly extends pouch wear time.

ITEM #

HCPCS

BR1001 A4385 10/bx

ITEM #

BP5002 A4406 ea

SOLD BY

Super Strength Lubricating Deodorant Clear and odorless. Non-toxic and anti-bacterial. Powerful, unique, super strength, dual-action deodorant destroys odor-causing bacteria on contact and eliminates static cling and pancaking inside the ostomy pouch. Excellent for ostomies, urostomies and ileostomies. HCPCS

ITEM #

SSLD3005 A4394

SOLD BY

Super Strength Non-Lubricating Deodorant Clear and odorless. Non-toxic and anti-bacterial. Active ingredients combined with the unique formula form a powerful, unique, super strength, dual-action deodorant that destroys odor-causing bacteria on contact. Excellent for ostomies, urostomies and ileostomies.

ITEM #

SSNLD3009 A4394

HCPCS

ITEM #

Clear Tan

DP4005 A5061 10/bx DP4004 A5061 10/bx

SOLD BY

8˝ Perfect Choice One-Piece, Cut-to-Fit, Closed-End Pouch Easy to use, lightweight and low profile with V2 technology. V2 antimicrobial inner pouch surface. Nine-layer, odor-blocking film shield. Advanced, next-generation skin barrier. Easy-peel taped collar. Whisper-quiet comfort panel. Fits stoma size 3 ⁄4˝ (19 mm) – 21⁄2˝ (64 mm). ITEM #

HCPCS

Clear No Filter Clear with Filter Tan with Filter

CP4006 CP4007 CP4008

A5051 A4416 A4416

SOLD BY

30/pk 30/pk 30/pk

Two-Piece V2 Precut, Closed-End Pouch System with Perfect-Lock Protection Quiet, silky soft, lightweight and low profile. DEHP-free and contains an antimicrobial inner surface that blocks odor-causing bacteria. Perfect-Lock flexible, patented locking system. Nine-layer, odor-blocking film shield. Whisper-quiet comfort panel. Precut 1¾˝.

ITEM #

HCPCS

Clear with Filter

2CP7006

A5054

HCPCS

2DP7003

A5063

SOLD BY

10/pk

Two-Piece, Cut-To-Fit Flexible Barrier Wafers Compatible with all Perfect Choice two-piece V2 pouch products. Advanced, next-generation skin barrier. Perfect Lock flexible, patented flange system. Easy-peel taped collar. Extended wear time. 4˝ x 4˝ size fits stoma sizes 3⁄4˝ (19 mm) – 21⁄2˝ (64 mm). Clear.

ITEM #

HCPCS

Clear with Filter

FW7002

A4414

SOLD BY

5/pk

Advanced Skin Barrier Strips An excellent substitute for aggressive skin tapes. Gentle and flexible. Clinically designed to support the outer edge of the ostomy appliance by providing a skin-friendly, comfortable adhesive barrier between the skin and the ostomy appliance. Extra security that helps prevent pouch edge rollups and helps maintain a low-profile appliance under garments. Easy to put on and take off.

ITEM #

HCPCS

Clear with Filter

BS2002

A4362

OPTIONS

™

SOLD BY

30/pk

(80)

OPTIONS™ OSTOMY BARRIER/SUPPORT UNDERWEAR

ITEM #

Clear with Filter

SOLD BY

12˝ One-Piece Cut-To-Fit Drainable Pouch with V2 Technology Easy-to-use, lightweight and low profile. Antimicrobial inner pouch surface. Nine-layer, odor-blocking film shield. Advanced, next-generation skin barrier. Easy-peel taped collar. Whisper quiet comfort panel. Easy-to-drain extended tail. Fits stoma size 3⁄4˝ (19 mm) – 21⁄2˝ (64 mm). Comfort curve safety lock tail clip included in every pack. HCPCS

SOLD BY

Perfect Paste Skin Barrier Paste Easy to put on and take off. Fills skin crevices to improve the fit of the skin barrier. Extends pouch wear time. HCPCS

Two-Piece V2 Precut, Drainable Pouch System with Perfect-Lock Protection Quiet, silky soft, lightweight and low profile. DEHP-free and contains an antimicrobial inner surface that blocks odor-causing bacteria. Perfect-Lock flexible, patented locking system. Nine-layer, odor-blocking film shield. Whisper-quiet comfort panel. Precut 1¾˝. Easy drain extended tail.

SOLD BY

30/pk

Men’s Size Chart (order by waist size)

Ladies’ Size Chart (hips – measure 7 ˝ below waist)

Small (32˝ – 34˝ )

Small (Sizes 4 – 5; Hips 33˝ – 37 ˝ )

Medium (36˝ – 38˝ )

Medium (Sizes 6 – 7; Hips 37 ˝ – 41˝ )

Large (40˝ – 42˝ )

Large (Sizes 8 – 9; Hips 41˝ – 45˝ )

XL (44˝ – 46˝ )

XL (Size 10; Hips 45˝ – 47 ˝ )

Larger Sizes Available

OPTIONS™ contain the patented built-in Ostomy Barrier/Support designed by a person with an ostomy for 24-hour wear for day, sleep and intimacy. Users can forget they are wearing a pouch they can wear regular clothing and virtually eliminate leakage. Designed for discreet appearance and to provide a flatter abdominal profile. When the pouch is contained within the support, it provides a larger area across the lower abdomen for pouch contents to be evenly distributed, providing concealment. To conceal and prevent bulging/ballooning, it is recommended that a 9˝ or longer pouch be used, directing the pouch tail to the opposite side. The support provides security and peace of mind, and maintains an adhesive seal – extending wear time. It also creates a barrier between skin, pouch and wafer that helps prevent rashes and skin breakdown. User will not feel the pouch, heat or tail closure; pouch is rustle-free. Access for urinary night drainage tubing on all products. Barrier/Support 100% cotton wicks/absorbs moisture away from skin. Note: When ordering, replace the A with the desired Barrier/Support Size (S-small, M-medium, L-large and XL-x-large), and replace B with the Stoma Location (R-right, L-left, C-center and D-dual). For example, the item number for a Large, Right-side Stoma Ladies’ Brief with Open Crotch and Built-in Barrier/Support would be 83002 L R. If stoma is under or above waistband, please contact customer service for special order. CHILDREN’S SIZES also available.

Ladies’ Wrap/Brief with Open Crotch and Built-in Barrier/Support NEW soft and flexible Velcro® tabs for waist closure. Amazingly beautiful all-over-stretch lace. Perfect for intimacy, providing security and freedom. Also great for daywear, sleepwear and ideal under swimwear. 92% Nylon/8% Lycra. Black.

ITEM #

HCPCS

SOLD BY

83002 A B A4421

184

OSTOMY

OPTIONS™ (80) Ladies’ Backless with Split-Lace Crotch and Built-in Ostomy Barrier/Support NEW soft and flexible Velcro® tabs for waist closure. Practical and functional for 24-hour wear for day, sleeping or intimacy. Perfect under pantyhose and swimwear. Black. 100% nylon.

ITEM #

HCPCS

SOLD BY

Soft Pink 80001 A B A4421 White 80204 A B A4421

ea ea

Ladies’ Brief with Built-in Ostomy Barrier/Support NEW soft and flexible Velcro® tabs for waist closure. 80% nylon/20% Lycra® and a 100% cotton crotch. Added support for contouring pouch and body. Soft, two-way stretch fabric provides control, support and comfort. White.

ITEM #

HCPCS

SOLD BY

88004 A B A4421

Ladies’ Split-Crotch with Built-in Ostomy Barrier/Support NEW soft and flexible Velcro® tabs for waist closure. Designed for 24-hour wear. Perfect for intimate moments, active daywear and, when sleeping, split allows air to flow to body. Split-crotch also separates automatically for urination when knees spread apart. Soft Pink features silky, supportive, 80% nylon/20% Lycra split-lace crotch. White features soft, absorbent, 92% cotton/8% Lycra, split-cotton crotch.

ITEM #

HCPCS

ITEM #

93206_A _B A4421

HCPCS

SOLD BY

Men’s Basic Brief with Built-in Ostomy Barrier/Support NEW soft and flexible Velcro® tabs for waist closure. New rib-knit is 100% soft cotton that is comfortable and wicks/absorbs moisture. The barrier/support is also 100% cotton baby jersey that wicks/absorbs moisture. Regular fly opening. New comfortable, soft waistband. Light Grey.

ITEM #

HCPCS

SOLD BY

90006 A B A4421

Men’s Backless with Built-in Ostomy Barrier/Support NEW soft and flexible Velcro® tabs for waist closure. The backless brief is a new rib-knit that is 100% soft cotton that is comfortable and wicks/absorbs moisture. The barrier/support is also 100% cotton baby jersey that wicks/absorbs moisture. Perfect for intimacy, sleep or under swimwear. The comfortable leg bands help hold garment and pouch securely against the body to ensure freedom of movement. No fly opening. Open crotch. New comfortable, soft waistband. Light Grey.

ITEM #

HCPCS

SOLD BY

93006 A B A4421

SOLD BY

MONTREAL OSTOMY (BE/MO)

ITEM #

(MO)WELPFL519 A4416 30/bx

HCPCS

SOLD BY

ACCESSORIES Welland Pouch Clamps

ITEM #

HCPCS

Reusable plastic

(MO)WELFSA500

A4363

SOLD BY

Pectin Powder Pectin-based stoma powder to help protect skin. Puffer bottle makes application easy.

ITEM #

HCPCS

1-oz. bottle

(MO)CPOWDER

A4371

SOLD BY

ea ea

Men's Wrap/Brief with Open Crotch and Built-in Ostomy Barrier/Support NEW soft and flexible Velcro® tabs for waist closure. Ideal for daily activities, exercise, intimacy and sleep, and perfect under swimwear. For higher stoma locations, adjust the garment on torso. Rib-knit is 100% soft cotton that is comfortable and wicks/absorbs moisture. The Barrier/Support is also 100% cotton baby jersey that wicks/absorbs moisture. Light Grey.

HCPCS

Welland Flair® Active Xtra Peel and Flush Cut-to-Fit Pouch System Allow users to discard their pouch discreetly, anytime, anywhere. The beige outer liner is peeled away from white inner liner/pouch, which contains the fecal output. The outer liner is thrown away, and the inner liner is flushed away. The inner liner is completely biodegradable and can be flushed in any toilet system, including septic tanks. The outer bag remains clean for normal garbage disposal at a convenient time and place.

SOLD BY

Soft Pink 81001 A B A4421 White 81204 A B A4421

ITEM #

94006 A B A4421

Ladies’ Basic Brief with Built-in Ostomy Barrier/Support NEW soft and flexible Velcro® tabs for waist closure. Soft Pink features silky supportive 80% nylon/20% Lycra®. White features, soft absorbent 92% cotton/8% Lycra®. Both have 100% cotton crotch, which wicks/absorbs moisture. ITEM #

SOLD BY

83202 A B A4421

Men’s Boxer Brief with Built-in Ostomy Barrier/Support NEW soft and flexible Velcro® tabs for waist closure. The boxer brief is a new rib-knit that is 100% soft cotton that is comfortable and wicks/ absorbs moisture. The barrier/support is also 100% cotton baby jersey that wicks/absorbs moisture. Comfort for active days or for sleepwear. Regular fly opening. New comfortable, soft waistband. Light Grey.

OSTO-STRIPS “THINS” Form a low-profile seal that stretches and molds around the stoma, creating a long-lasting, leak-free barrier. Thin, sticky and highly moldable, yet retain their form once shaped to size. Beneficial for flush stomas. Skin-friendly, do not sting and help cure and prevent sore or irritated skin. Extend appliance wear time.

ITEM #

4˝ x 5⁄8˝

(MO)OSTOSTRIPS A4385 15/bx

HCPCS

SOLD BY

OSTO-SEAL “XTRA” Regular Profile Extended Wear Barrier Rings Thicker barrier rings give a regular standard thickness profile. The seal stretches and molds around the stoma, creating a long-lasting, leak-free barrier. They are sticky, highly moldable and retain their form once shaped to size. The thicker seal is beneficial for more pronounced stomas. Alcohol-free, skin-friendly and help cure and prevent sore or irritated skin. Extend appliance wear time.

ITEM #

HCPCS

2˝ diameter

(MO)S400

A4385

SOLD BY

20/bx

OSTO-SEAL “Thins” Low Profile Extended Wear Barrier Rings Form a low-profile seal that stretches and molds around the stoma, creating a long-lasting, leak-free barrier. Thin, sticky and highly moldable, yet retain their form once shaped to size. Beneficial for flush stomas. Skin-friendly, do not sting and help cure and prevent sore or irritated skin. Extend appliance wear time.

ITEM #

HCPCS

2˝ diameter 4˝ diameter

(MO)S350 (MO)L350

A4385 A4385

SOLD BY

20/bx 10/bx

185

OSTOMY

MONTREAL OSTOMY (BE/MO) Welland Adhesive Remover Wipes Discreet and easy-to-carry sachets, conveniently fitting into a purse, wallet or pocket. Six times the size of traditional wipes. No-sting and alcohol-free.

ITEM #

(MO)WAD050 A4456

HCPCS

ITEM #

(MO)WBF050 A5120

HCPCS

50/bx

ITEM #

HCPCS

(MO)STOP125 (MO)STOP4 (MO)STOP8

A4394 A4394 A4394

SOLD BY

ea ea ea

ND2-Kit Fits all leading ostomy and urinary appliances. Contains a 2-L capacity, see-through translucent plastic bottle, three connectors and 5´ of plastic tubing.

ITEM #

(MO)CND2C A5102

HCPCS

SOLD BY

ITEM #

HCPCS

16-oz. bottle

(MO)SEABRZ

A5131

SOLD BY

Skin barriers are now thinner and more comfortable than ever before. Used by nurses to apply between appliances and skin, which gives complete protection and helps prevent skin breakdown. ITEM #

HCPCS

4˝ x 4˝

(MO)WAFER4

A4362

ITEM #

HCPCS

4-oz. tube

(MO)OSTOPASTE

A4406

ITEM #

4 oz.

(MO)OSTOBOND A4364

HCPCS

ITEM #

HCPCS

51⁄2˝ long

(BE)WAFH33

A4362

ITEM #

HCPCS

SOLD BY

Gel packets

(MO)OSTOGEL

A4422

100/pk

SOLD BY

20/pk

Gel-X Absorbent (Now with Unscented Deodorizer) Promotes healthier peristomal skin. Easiest absorbent to insert into the pouch; just place one or more tablets in the pouch after each emptying. Solidifies liquid waste into a gel, which helps keep caustic waste away from the stoma. Starts absorbing immediately. Helps prevent leaks and manage them when they do occur.

ITEM #

HCPCS

140 tablets 140 capsules

1060 960

A4422 A4422

SOLD BY

btl btl

Kontiba Stoma Cap Squares Made from airtight, odor-proof plastic film, with non-abrasive, hypoallergenic adhesive and superabsorbent interior pads, with 40-mL absorbent capacity.

ITEM #

Mini (20 mm) Midi (25 mm) Maxi (30 mm)

204621 A5055 204532 A5055 204622 A5055

HCPCS

SOLD BY

30/bx 30/bx 30/bx

Kontiba Stoma Caps Made from airtight, odor-proof plastic film, with non-abrasive, hypoallergenic adhesive and superabsorbent interior pads.

ITEM #

HCPCS

Mini (20 mm) Midi (25 mm) Maxi (20 mm) Maxi (30 mm) Cut-to-fit, (20 – 50 mm)

274720 274811 287747 287748 475174

A5055 A5055 A5055 A5055 A5055

SOLD BY

30/bx 30/bx 30/bx 30/bx 30/bx

ANACAPA TECHNOLOGIES, INC. (QD)

SOLD BY

SECURE HEALTH PRODUCTS, LLC (SU)

5/bx

SOLD BY

Osto-Gel Super-Absorbent Turns liquid stool into a gel, traps odor and prevents leakage. Add one packet to ileostomy pouch. Outer plastic dissolves on contact, releasing granules that form a gel with the liquid fecal output. Traps odor, which makes emptying the pouch simple.

186

HydroFrame® Thin, hydrocolloid flange extensions with soft, beveled edges ensure flexibility, comfort and security. Finger grips at either end allow accurate placement. Unique, semicircle design enables easy application. Extends pouch wear time and provides extra adhesion where it is needed most. Minimizes the leakage risk and reduces skin irritation and maceration.

Osto-Bond Skin Bond Adhesive Lid has brush cap for easy application. Contains pure latex and zinc oxide.

SOLD BY

OSTO-PASTE The first alcohol-free, pectin-based ostomy paste. Applied between and around appliance and skin to deter skin breakdown. No sting, which is ideal for sore and excoriated skin. Stays soft and sticky; washes off with warm water and mild soap.

Osto-Barriers

A4394

Sea-Breeze Appliance Cleaner/Deodorizer Add a teaspoon (5 mL) of concentrate to 1 pt. warm water and soak for 10 minutes. Removes fecal and urinary deposits from appliances and deodorizes.

HCPCS

(MO)GELPLUS8

50/bx

The world’s most powerful pouch odor eliminator. Just place a few drops into the new pouch and after emptying for hours of odor freedom. 1.25-oz. bottle 4-oz. bottle 8-oz. bottle

ITEM #

8-oz. bottle

SOLD BY

Stop-Odor Plus

SOLD BY

Skin Barrier Wipes Extra-large wipes contain silicone technology and are six times larger than regular wipes. No-sting and alcohol-free.

Gel-Plus Mixture of Stop-Odor and Osto-Gel to deodorize, lubricate and thicken liquid stool.

Sani-Zone Ostomy Appliance Deodorant Powerful and fast-acting; stands up to the strongest odors. Just five drops in an ostomy pouch stops odors for hours. Safe and nontoxic. Dropper bottle in a convenient flip-up spout. ™

ITEM #

2-oz. bottle 8-oz. bottle

1002OD A4394 1008OD A4394

HCPCS

SOLD BY

ea ea

OSTOMY

TRIAD MEDICAL, LLC (OF) Ostofresh Liquid Deodorant Clear, non-toxic, patented liquid deodorant formulated to destroy odors, not mask them. Place a few drops into pouch before use to quickly and economically eliminate odors. ™

ITEM #

HCPCS

8-oz. bottle

TM68002

A4394

Peri-Stoma Cleanser and Adhesive Remover – Flow Pack An alcohol-free, adhesive-removing liquid absorbed into large, soft wipes. These convenient skin cleanser wipes are gentle, convenient, scent-free and do not leave any oily residue. Save time with this alcohol-free, no rinse required adhesive remover. Convenient, resealable pouch.

SOLD BY

Ostofresh™ Barrier Ring This natural comfort seal is easy to mold, shape and apply. Provides a non-irritating, waterproof barrier that stops leaks. Great substitute for paste.

ITEM #

HCPCS

2˝

11001

A4385 10/pk

™

ITEM #

HCPCS

Small

12002

A4362 30/pk

SOLD BY

One-Piece, Cut-to-Fit, 12˝ Drainable Pouches A new line of cut-to-fit, 12˝ one-piece, drainable pouches with two clip closures in each box. Creates an optimum seal for a better fit and provides optimal wear time.

ITEM #

Transparent Opaque

SNS12T100 A5061 10/bx SNS12B100 A5061 10/bx

HCPCS

SOLD BY

One-Piece, Cut-to-Fit, 12˝ Drainable Pouches with Filters

ITEM #

Transparent Opaque

SNS12T10F A4424 10/bx SNS12B10F A4424 10/bx

HCPCS

SOLD BY

DEODORANTS

ITEM #

HCPCS

⁄4-oz. travel packet 4-oz. bottle, unscented 8-oz. bottle, gel

SNS41425 SNS41404 SNS41408

A4394 A4394 A4394

SOLD BY

ea ea ea

Ostomy Appliance Deodorant Fantastic odor control with no perfumes or artificial scents added for discreet protection. Convenient tilt-tip dispenser bottle. Formulation helps to empty pouch contents and provides odor control.

ITEM #

HCPCS

2-oz. bottle 8-oz. bottle

SNS40202 SNS40208

A4394 A4394

SOLD BY

ea ea

WIPES/SPRAY Adhesive Remover Effectively removes adhesive residue left from tapes, ostomy wafers and pouches from the skin.

ITEM #

HCPCS

SOLD BY

SNS00651 A4456 50/bx

HCPCS

SOLD BY

ITEM #

SNS00575 A4456 75/bx SNS00550 A4456 50/bx SNS00505 A4456 5/bx

HCPCS

SOLD BY

ITEM #

SNS81850 A5120 50/bx

HCPCS

SOLD BY

No-Sting Skin Barrier Film – Large Wipes Alcohol-free liquid absorbed into large, soft wipes that create a transparent protective film when wiped on the skin. Transparent film that forms on the skin once the liquid dries is a synthetic, protective skin barrier to adhesives, friction and body fluids. Increase adhesion of tapes and wafers. Gentle, convenient and scent-free. Individually packaged, 5˝ x 7˝ large and soft wipes.

ITEM #

SNS00807 A5120 25/bx

HCPCS

SOLD BY

No-Sting Skin Barrier Wipes – Sachets One of the most popular products is now available in a convenient sachet. Alcohol-free liquid absorbed into a wipe that creates a transparent, protective film when wiped on the skin. The transparent film that forms on the skin once the liquid dries is a synthetic, protective skin barrier film to adhesives, friction and body fluids. Increase adhesion of tapes and wafers. Gentle, convenient and scent-free. 1 g of liquid in each wipe.

Assure C Odor Eliminator Clear formulation eliminates the fear of staining associated with blue deodorant formulations. Contains a lubricant to help empty pouch contents. No perfumes or artificial scents added. Convenient tilt-tip dispenser bottle.

SNS00525 A4456 50/pk

Skin Barrier Film Provides a transparent, protective coating to the area applied. Dries quickly. Protects the skin from dressing tapes and damage caused by adhesives. Once liquid dries, provides a protective barrier film layer on the skin, for use under wafers, tapes and hydrocolloid dressings to help protect against irritation and adhesive buildup.

SAFE N SIMPLE™ (RR) POUCHES

ITEM #

Peri-Stoma Cleanser and Adhesive Remover Wipes Rinse-free formula. No-sting, alcohol-free, adhesive-removing liquid absorbed into large soft wipes. Gentle, convenient, scent-free and do not leave oily residue. Convenient, individually packaged wipes.

SOLD BY

Ostofresh Barrier Strip A skin-friendly adhesive barrier strip that is easy to apply and remove. Provides extra security without irritating the skin. A great replacement for tape.

ITEM #

SNS80725 A5120 25/bx SNS80775 A5120 75/bx SNS80744 A5120 100/bx

HCPCS

SOLD BY

No-Sting Skin Barrier Film Spray No-sting, alcohol-free spray provides a transparent, protective coating onto the area sprayed. This transparent film is a synthetic, protective skin barrier to adhesives, friction and body fluids. Increases adhesion of tapes and wafers. Gentle, convenient and scent-free. Ideal for use in the crusting technique.

ITEM #

SNS80792 A4369

HCPCS

SOLD BY

SKIN BARRIER RINGS/ARCS Skin Barrier Ring-Conforming Seals A high absorbency adhesive seal that creates a classic turtleneck around the stoma to prevent leakage. Ideal for those with an ileostomy or urostomy. These seals hold up better and don’t leave a mess when removed from the skin. They are very moldable and stretchable with a strong tack and require no cutting. Great for replacing paste.

ITEM #

2˝ 4˝

SNS684U2 A4385 10/bx SNS684U4 A4385 10/bx

HCPCS

SOLD BY

187

OSTOMY

SAFE N SIMPLE™ (RR)

KEM ENTERPRISES, INC. (KM)

Skin Barrier Ring INTEGRITY Seal Durable skin barrier rings maintain their integrity and do not melt from excessive moisture absorption or body heat. Provide a comfortable and protective seal to prevent leakage. Sticky, thin, low-profile seals stretch and mold easily to fit around any stoma. Individually packaged.

LATEX FREE Osto-EZ-Vent (Air Release for Ostomy and Fistula Pouches) An air release device that attaches to any manufacturer’s pouch, now with a refreshed design. Easy to install, bonds permanently, waterproof and lasts as long as the user wears the pouch. Pinch the OEV™ Glides to quickly release air buildup. Can also be used on preemie, infant and fistula pouches, and wound drainage bags.

ITEM #

2˝

SNS68002 A4385 20/bx

HCPCS

SOLD BY

Skin Barrier 4˝ x 4˝ Sheet Protects the skin from stoma output. Highly absorbent. Cut-to-fit with no starter hole. Non-sterile.

ITEM #

HCPCS

SNS21605 A4362 5/bx

ITEM #

HCPCS

2˝ width (X-Tra Wide) 2˝ width (X-Tra Wide) 1˝ width

SNS21120 SNS21130 SNS20630

A4362 A4362 A4362

SOLD BY

20/bx 30/bx 30/bx

PASTE/POWDER/STOMA CAPS No-Sting Skin Barrier Paste Alcohol-free formulation to reduce the sting and pain caused by conventional alcohol-based pastes. Easy-to-squeeze tube for smooth and quick application. Creates an optimum seal around the stoma for a better fitting pouch and protects against leaks. 2-oz. tube.

ITEM #

SNS92802 A4406

HCPCS

SOLD BY

NEW Skin Barrier Paste – Fast Drying A protective, pectin-based paste that hardens upon application. Contains alcohol for faster drying. Seals and prevents skin irritation around the stoma, and is great as a filler for those problem areas. 2-oz. tube.

ITEM #

SNS90516 A4406

HCPCS

SOLD BY

Skin Barrier Paste Protective skin barrier paste that helps prevent leakage and skin irritation around the stoma, providing an optimum seal for a better fit and longer wear time. Easy-to-squeeze tube.

ITEM #

SNS90502 A4406

HCPCS

Ostomy Skin Barrier Powder Protects irritated or broken skin with a protective barrier while absorbing moisture, enhancing comfort and increasing pouch wear time. Key ingredient if using “crusting technique” on skin.

ITEM #

HCPCS

5-oz. bottle

SNS92305

A4371

SOLD BY

Stoma Caps One-piece, lightweight, flexible system. Easy to manage.

ITEM #

Round cap with hydrocolloid collar SNS14502 Round cap with tape collar SNS14506

188

HCPCS

SOLD BY

A5055 A5055

30/box 30/box

EZVENT A4366 10/bx

HCPCS

SOLD BY

NEW Trio Siltac Silicone Ostomy Seal Innovative use of soft silicone technology to produce an ostomy seal that allows the skin to breathe, stretches to shape and lightly hugs the stoma. Maintains integrity and shape to provide a good seal and could extend wear time of ostomy appliances. Removes in one piece, leaving no residue. ®

ITEM #

HCPCS

20 – 28 mm 28 – 35 mm 35 – 44 mm

TR102010 TR102810 TR103510

A4385 A4385 A4385

SOLD BY

10/bx 10/bx 10/bx

NEW Trio Silvex® Silicone Convex Seal Innovative use of soft silicone technology to produce a convex seal that allows the skin to breathe, stretches to shape and lightly hugs the stoma. Provides mild convexity, perfect to fill skin folds. Maintains integrity and shape to provide a good seal and extend wear time of ostomy appliances. Removes in one piece, leaving no residue.

ITEM #

HCPCS

20 – 28 mm 30 – 40 mm

TR1020CX TR1030CX

A4411 A4411

SOLD BY

10/bx 10/bx

NEW Trio Silex® Silicone Flange Extender Advanced, soft silicone gel flange extender that provides instant, high-tack adhesion to skin. Can improve security and increase wear time, allowing greater freedom of body movement. Allows skin to breathe, reducing risk of maceration. Removes in one piece, leaving no residue.

ITEM #

TR1060 A4362 20/pk

HCPCS

SOLD BY

NEW Trio Silken® Silicone Stoma Gel Innovative use of silicone technology to produce a soft silicone stoma gel that fills surgical scars, skin folds, creases and uneven surfaces, removing in one piece when fully cured. Allows the skin to breathe and remains soft and flexible to ensure comfort. Removes in one piece, leaving no residue and virtually no cleanup!

ITEM #

HCPCS

2-oz. tube

TR1070

A4406

SOLD BY

PHOENIX OSTOMY (PM)

SOLD BY

ITEM #

TRIO OSTOMY CARE (ZX)

SOLD BY

Skin Barrier Arcs Can be used under or over the ostomy appliance. When placed directly on the skin around the stoma, they create a smooth platform that allows the pouch to be changed without having to remove the Skin Barrier Arcs from the skin. Protect the skin from trauma caused by repetitive removal of tapes and adhesives. User can apply wafer or tapes directly over them. Also can be placed around the wafer to secure the edges from lifting up, creasing or loosening. Picture frame around the edges of the wafer using one to three arcs. Provide an excellent, skin-friendly alternative to waterproof tapes and provide a waterproof seal around the wafer when bathing or showering.

Phoenix Ostomy Support System Belt provides comfortable and discreet stoma pouch, hernia and leakage support. Use to swim, dance, exercise, sleep and enjoy intimacy. Can be used with right- or left-side stomas with one- or two-piece pouch systems. For size, measure around body at stoma level.

ITEM #

HCPCS

X-Small/Small (20˝ – 26˝ ) Medium/Large (26˝ – 36˝ ) X-Large/2X-Large (36˝ – 47 ˝ )

PS100 PS300 PS500

A4396 A4396 A4396

SOLD BY

ea ea ea

OSTOMY

SCHENA OSTOMY TECHNOLOGIES, INC. (CY)

NB PRODUCTS (KG)

NEW EZ-Clean Flo-Thru Pouch Opening at top of pouch and drain at bottom permit the user to sit on the toilet, with the pouch attached, and use the Water Feed System to either pressure clean or pour water through from a bottle through the pouch, to facilitate cleaning. The inlet can also be used to release gas. Pouch is very thin with a hydrocolloid skin barrier wafer featuring a Perimeter Seal to provide body attachment integrity.

Na `Scent Ostomy Odor Eliminator A water-based, fragrance-free clear odor eliminator. Eliminates odor by creating an oxygen-rich environment in the pouch that gets rid of odor-causing microbes. Gives people with an ostomy a new sense of confidence and security. Use one or two squirts directly into the ostomy pouch (depending on the need) to eliminate ostomy odors. For use in colostomy, ileostomy and urostomy pouches and stoma caps. Safe, effective, nontoxic and easy to use.

ITEM #

Opaque

10701T A4375 10/pk

HCPCS

SOLD BY

NEW EZ Clean Drainable One-Piece Pouch with Attached Wafer Perimeter seal frames the skin wafer and provides a barrier that prevents exterior and interior elements from penetrating the bond to the body. Provides security and comfort to swim, shower and exercise without worry. The material is thin, very flexible and adapts to irregular body contours, providing a secure attachment that is comfortable and avoids leakage concerns.

ITEM #

HCPCS

SOLD BY

Clear, flat Opaque, flat Clear, convex Opaque, convex

011201C01 A4375 011201T01 A4375 111201C01 A4375 111201T01 A4375

10/bx 10/bx 10/bx 10/bx

NEW Stoma Surround Sealant Secure adhesion for the perimeter of the opening cut in the wafer for the stoma. The formulation provides a smooth seal between the wafer and the skin to help prevent leakage and leaves little or no residue when removed.

ITEM #

2-oz. tube

SSS70112 A4406

HCPCS

SOLD BY

ITEM #

HCPCS

1-oz. bottle 2-oz. bottle 8-oz. bottle 12-oz. bottle

01NOOES 02NOOEWS 9901NOOEWS 0112NOOEWS

A4394 A4394 A4394 A4394

SOLD BY

ea ea ea ea

KOSMA-KARE, INC. (KZ) ZinO Zinc Oxide Tape The original manufacturer of pink tape. Flexible, washable and waterproof. Easy on the skin; ideal for delicate skin. Eliminates the need for skin prep wipes and spray. Helps keep ostomy pouches in place, extending wear time.

ITEM #

HCPCS

⁄4˝ x 5 yds. 1 ⁄2˝ x 5 yds. 3 ⁄4˝ x 5 yds. 1˝ x 5 yds. 11⁄2˝ x 5 yds. 2˝ x 5 yds. 3˝ x 5 yds. 4˝ x 5 yds.

02185 05185 07125 10125 15065 20066 30015 40015

A4452 A4452 A4452 A4452 A4452 A4452 A4452 A4452

SOLD BY

ea ea ea ea ea ea ea ea

TYTEX (TYT) All Tytex ostomy products are latex-free unless otherwise noted.

LATEX FREE

Carefix StomaSafe Classic Lightweight stretch garment with inner pocket for safe retention of all types of ostomy pouches and drainage bags. Acts as a pouch cover to help reduce content noise. Soft and stretchy material – easy to pull on. Safe and convenient for nighttime use. Washable, white.

ITEM #

HCPCS

Small (311⁄2˝ – 391⁄2˝ ) Medium (371⁄2˝ – 451⁄2˝ ) Large (411⁄2˝ – 51˝ ) X-Large (451⁄2˝ – 57˝ )

50000101 50000301 50000501 50000701

A4367 A4367 A4367 A4367

SOLD BY

3/bx 3/bx 3/bx 3/bx

Carefix StomaSafe Plus Soft and stretchy garment with inner pocket for safe retention of all types of ostomy pouches and drainage bags. Seamless for sensitive skin. Smooth and supportive fit. Acts as a pouch cover to help reduce content noise. Provides extra security during physical activity. Washable, white.

ITEM #

HCPCS

Small/Medium (331⁄2˝ – 431⁄2˝ ) Medium/Large (411⁄2˝ – 491⁄2˝ ) Large/X-Large (471⁄2˝ – 551⁄2˝ )

32160202 32160402 32160602

A4367 A4367 A4367

SOLD BY

ea ea ea

CENORIN (BG) LATEX FREE AquaGuard® Moisture Barriers Disposable, impermeable moisture barrier that allows the wearer to cover area to keep dry when showering. Made in the USA at an FDA-registered facility. Certified to ISO 13485:2003 standards to ensure product safety and user confidence.

ITEM #

HCPCS

4˝ x 4˝ 7˝ x 7˝ 9˝ x 9˝ 10˝ x 12˝

50004RPK 50010RPK 50015RPK 50011RPK

A4649 A4649 A4649 A4649

SOLD BY

5/bx 5/bx 5/bx 5/bx

189

OTC

Tussin

LEADER® BRAND (PH)

VITAMINS & SUPPLEMENTS

4 oz., 10 – 100 mg 8 oz., 10 – 100 mg

Vitamins

COMPARES TO

ITEM #

HCPCS SOLD BY

DM LIQUID FORMULA COUGH AND COLD RELIEF

ITEM #

HCPCS

SOLD BY

Robitussin DM Robitussin DM

1388081 A9270 1759349 A9270

btl btl

4786026 4786059 3706819 3706827

A9270 A9270 A9270 A9270

btl btl btl btl

Robitussin DM Max 4259065 A9270 Robitussin DM 4259149 A9270

btl btl

LIQUID FORMULA

Calcium 600 mg with Vitamin 400IU Caplets, 60 ct. 4924734 A9152 btl

4 oz., Chest congestion, 100 mg Robitussin 8 oz., Chest congestion, 100 mg Robitussin 4 oz., Cough and cold relief Robitussin CF 8 oz., Cough and cold relief Robitussin CF MAX LIQUID FORMULA FOR ADULTS

Supplements

ITEM #

HCPCS

Sentry Senior Multivitamin with Minerals Dietary Supplement, 100 ct. 4263711 A9153 Calcium 600 + D Dietary Supplement Tablets, 300 ct. 4924759 A9152 Calcium Citrate + D Dietary Supplement, 60 ct. 2922078 A9152

4 oz., alcohol-free 8 oz., alcohol-free

SOLD BY

btl

Allergy Relief

btl

ITEM #

HCPCS

Children’s Cherry Elixir, 4 oz. Benadryl Allergy 1134717 A9270

btl

SOLD BY

ALLERGY RELIEF PE CAPLETS

Multi-symptom relief, 24 ct. Tylenol A/S

DIGESTIVE HEALTH Milk of M

COMPARES TO

COMPLETE ALLERGY

3687803 A9270

a, 12 oz.

COMPARES TO

ITEM #

HCPCS

Mint Original

Phillips Mom Phillips Mom

2582484 1460369

A9150 A9270

SOLD BY

btl btl

PAIN RELIEF Children’s Ibuprofen – Pain Reliever/Fever Reducer, 4 oz.

Clearlax Laxative

COMPARES TO

ITEM #

HCPCS

4.1 oz. 8.3 oz. 17.9 oz.

Miralax Miralax Miralax

4222527 4222535 4222543

A9270 A9270 A9270

SOLD BY

btl btl btl

COMPARES TO

ITEM #

HCPCS

Bubble Gum Berry Suspension Grape Berry, dye-free

Children’s Motrin Children’s Motrin Children’s Motrin Children’s Motrin

3312162 2727287 3312238 4090668

A9270 A9270 A9270 A9270

SOLD BY

btl btl btl btl

Ibuprofen – Pain Reliever/Fever Reducer Anti-Diarrheal

COMPARES TO

ITEM #

HCPCS

2 mg Caplets, 12 ct. 2 mg Caplets, 18 ct. Mint Liquid, 4 oz.

Imodium AD Imodium AD Imodium AD

1363068 2534188 4926374

A6250 A9270 A9270

SOLD BY

ea ea ea

Antacid/Antigas, 12 oz.

COMPARES TO

ITEM #

HCPCS

Maximum strength Regular strength

Mylanta Max Strength Mylanta

1783471 1386796

A9270 A9270

SOLD BY

btl btl

COMPARES TO

ITEM #

HCPCS

Orange Caplets, 200 mg, 50 ct. Orange Tablets, 200 mg, 100 ct. Brown Tablets, 50 ct. Brown Tablets, 100 ct. Caplets, 200 mg, 50 ct. Caplets, 200 mg, brown, 100 ct. Caplets, 200 mg, brown, 500 ct.

Motrin Motrin Advil Advil Advil Advil Advil

3424504 2302990 1110907 1110873 1783547 1783554 4557153

A9270 A9270 A9270 A9270 A9270 A9270 A9270

SOLD BY

ea ea ea ea ea ea ea

Extra-Strength Pain Reliever, 500 mg

COMPARES TO

Caplets, 50 ct. Tylenol Extra Strength Caplets, 100 ct. Tylenol Extra Strength

ITEM #

HCPCS

4527503 4527669

A9270 A9270

SOLD BY

ea ea

Children’s Pain Relief Suspension Liquid, 4 oz.

COLD & ALLERGY Sinus Relief Daytime sinus decongestant and pain relief caplets.

COMPARES TO

ITEM #

HCPCS

24 ct.

Tylenol Sinus

3687530

A9270

COMPARES TO

ITEM #

HCPCS

10 mg, 18 ct. 10 mg, 72 ct.

Sudafed PE Sudafed PE

3637022 3637048

A9270 A9270

COMPARES TO

ITEM #

HCPCS

Grape Bubble Gum

Children’s Tylenol Children’s Tylenol

4851341 4851283

A9270 A9270

SOLD BY

btl btl

SOLD BY

Nasal Decongestant PE

190

SOLD BY

ea ea

Aspirin Chewable Tablets Delayed release aspirin. 81-mg tablets. For temporary relief of minor aches and pains or as recommended by your doctor for an aspirin regimen. Compare to Bayer Enteric 81-mg Aspirin. Cherry. Low dose.

ITEM #

HCPCS

36 ct.

2534154

A9150

SOLD BY

OTC

NEILMED® (NEI)

EMERSON HEALTHCARE (EMH)

NeilMed Sinus Rinse Kit Easy squeeze bottle system delivers the saline solution with positive pressure to clean the nasal passages thoroughly, while maintaining the head in an upright position. Allows complete control of the pressure and volume of solution, ensuring a gentle, soothing and therapeutic experience. Daily rinsing is safe and will keep nasal passages clean, healthy and open. Soothing, no burning or stinging large volume and Low Pressure™ System. Single piece, custom-designed, rounded black cap. Free of preservative, drug, iodine, BPA, gluten and latex. Excellent cleansing. pH balanced.

Sea-Band Wrist Band Knitted elasticated wrist band operates by applying pressure on the Nei Kuan acupressure point on each wrist by means of a plastic stud. The band relieves motion sickness and morning sickness in addition to helping with post-operative and chemotherapy-induced nausea. Offers natural relief with no side effects and is reusable and washable.

™

ITEM #

HCPCS

SOLD BY

Starter Kit Refill Packets

1008 00200

A9270 A9270

50/bx 100/bx

ITEM #

HCPCS

SOLD BY

Adult 710016 A9270 ea Child 8000025C A9270 ea

NeilMed® Sinugator® Cordless Pulsating Nasal Wash Kit Nasal irrigation involves flushing the nasal passage with a saline solution. By washing away excess mucus, as well as allergens, nasal irrigation can reduce inflammation and relieve congestion, runny nose and post-nasal drip. Easy-to-use system delivers the saline solution with positive and pulsatile pressure to clean the nasal passages thoroughly, while maintaining the head in an upright position. Soothing; no burning or stinging. Use for post nasal drip, nasal dryness from occupational and house dust, fumes, animal dander, grass, pollen and smoke. Free of preservative, drug, iodine, BPA, gluten and latex. Contents: one irrigator, 30 packets, three “AA” batteries, educational brochure and instructions for use.

ITEM #

SGENUUS A9270 30/bx

HCPCS

SOLD BY

NeilMed® NasaFlo® Neti Pot A natural soothing saline nasal wash. Neti pots have been around for thousands of years, mainly used by yoga enthusiasts. Moisturization and natural relief from allergies and sinus symptoms. No spill, no mess, no stinging. Neti Pot Free flowing gravity method. Preservative free, natural product.

ITEM #

HCPCS

816

A9270 50/bx

SOLD BY

ADLENS® (DK) Emergensee™ And Adlens Adjustables™ The perfect glasses for those who don’t have time to wait for new glasses to be made or need a spare pair. They are continuously adjustable for near, intermediate and distance tasks. Users can easily change the glasses to match their needs, whether they are reading, watching the TV or more. Can be adjusted to improve vision for 90% of eyeglass and contact lens wearers who do not have astigmatism. -6D to +3D spherical and fit men and women. Two wave-shaped polycarbonate plates slide across one another to change the power of each lens.

ITEM #

HCPCS

SOLD BY

US01GY

A9270

EM02BK EM02BU EM02GYBK EM02RDBK

A9270 A9270 A9270 A9270

ea ea ea ea

EMERGENSEE™

Dark gray frame, 49 25 – 135 size ADLENS ADJUSTABLES™

Black frame/clear lens, 49 22 – 141 size Blue frame, 49 22 – 141 size Gray/black frame, 49 22 – 141 size Red/black frame, 49 22 – 141 size

191

PERSONAL THERAPY

SOUTHWEST TECHNOLOGIES, INC. (SW) Elasto-Gel Hot/Cold Therapy Products

CORE PRODUCTS (95)

Hot/cold therapy products are covered with a four-way stretch material that allows maximum conformity and comfort. Provide moist heat or soothing cold. Stay soft and pliable even at -20ºF. Will not leak if punctured. Durable and reusable. Made in the USA.

Tri-Core Cervical Pillow Fiber support pillow provides softer support and lasts longer than traditional pillows. The trapezoid-shaped center delivers great orthopedic benefits, cradling the head and firmly supporting the neck. Two different-sized lobes provide a better fit for different-sized sleepers. Side lobes are taller for side sleeping. Highly resilient fiber springs back when compressed for exceptional comfort and durability. Blended cotton cover is breathable and soft to the touch. Fits a standard pillowcase. 24˝ x 16˝ (61 cm x 41 cm). Designed specifically with the neck and back in mind. Choose the Firm Support Pillow or the Gentle Support Pillow with slightly less fiber and height.

ITEM #

HCPCS

Firm Support Gentle Support Standard blue pillowcase

FIB200 FIB220 821

E0190 E0190 A9270

™

LATEX FREE

ITEM #

HOT

HCPCS

COLD

SOLD BY

ALL-PURPOSE PACKS

6˝ x 8˝ 8˝ x 16˝ 12˝ x 12˝ Wrap, 9˝ x 24˝

HC801 HC805 HC804 TW6010

A9270 A9270 A9270 A9273

ea ea ea ea

CP4001 CP4005

E0190 E0190

ea ea

A convenient solution to elevate the upper body or legs, helping to relieve the symptoms of hiatal hernia and reflux disorders. Gentle elevation helps alleviate the pain or numbness sometimes caused by lying flat on the back. Unique two-piece, hinged design constructed of precision cut, high quality foam with zippered, gray deluxe cover. 24˝ x 24˝ (56 cm x 56 cm).

CERVICAL COLLAR

Microwavable

CC102 A9273 ea

CRANIAL CAPS

Small/Medium Large/X-Large

CAP600 E1399 ea CAP602 E1399 ea

SHOULDER SLEEVES

Small/Medium Large/X-Large

SW9004 SW9005

E1399 10/cs E1399 10/cs

SHOULDER WRAP

Original

SW9001 E1399 ea

SINUS MASK

3˝ x 81⁄2˝

SM301 E1399 ea

ORTHOPEDIC PHARMACEUTICALS (OR) Orthogel Advanced Pain Relief Gel With ilex, menthol 3.5%, camphor 0.2%, PUREFLEX glucosamine, boswellia serrata, curcumin, aloe, OptiMSM and vitamin E. Greaseless, stainless and has no lingering odor. Effects last for several hours for the temporary relief of pain. ™

ITEM #

HCPCS

3-oz. roll-on 4-oz. tube 4-oz. tottle 4-oz. BOV spray 4-oz. jar 16 oz. with pump 32 oz. with pump Gallon bottle with pump

4135 4018 4019 4130 4122 4125 4124 4123

A9270 A9270 A9270 A9270 A9270 A9270 A9270 A9270

SOLD BY

ea ea ea ea ea ea ea ea

Freeze IT® for Feet Provides temporary relief of minor aches and pains of muscles associated with simple foot pain, arch pain, arthritis, strains, bruises and sprains. Ingredients include 7% menthol, 1% camphor, peppermint oil, arnica for bruising, boswellia serrata for inflammation, cynatine FLX to prevent joint breakdown, pine tree bark extract (antioxidant) and aloe and vitamin E to reduce skin irritation.

ITEM #

HCPCS

3-oz. roll-on

70023

A9270

192

SOLD BY

ea ea ea

Bed Wedge

CERVICAL SUPPORT ROLLS

Small, 3˝ x 10˝ Large, 4˝ x 10˝

SOLD BY

ITEM #

HCPCS

7˝ height 12˝ height

5507 5512

E0190 E0190

SOLD BY

ea ea

HOT COLD Soft Comfort Hot & Cold Packs Frost-free hot and cold pack for superior relief. The perfect solution to help relieve strains, sprains, headaches and other soft-tissue injuries. These versatile packs can be warmed in the microwave to help relax muscle and increase blood flow or cooled in the freezer to help reduce swelling, reduce blood flow and promote healing. Gentle on skin and does not need to be wrapped in a towel. Have more fill than traditional packs to retain cold and heat longer. Long-lasting, reusable and filled with nontoxic, biodegradable fill.

ITEM #

HCPCS

Small, 3˝ x 5˝ Medium, 6˝ x 10˝ Large, 10˝ x 13˝ Cervical, 6˝ x 20˝ Tri-Sectional, 11˝ x 15˝

ACC549 ACC550 ACC551 ACC552 ACC554

A9270 A9270 A9270 A9270 A9270

SOLD BY

ea ea ea ea ea

NORTH AMERICAN HEALTH & WELLNESS (JII) Hot Water Bottle System Large 2-quart capacity. Perfect for hot or cold water. Wide opening for easy filling, ribbed surface helps maintain temperature. Also perfect for aches and pains, outdoor events, sleep comforts, sports injuries and more. Includes bottle, stopper, douche and enema syringe. Wide opening allows for easy filling. Ribbed outer surface helps maintain liquid temperature. Adaptor, tube, pipe, hook and shut-off clamp included.

ITEM #

HCPCS

SOLD BY

JB5568 A9273 ea

PERSONAL THERAPY

NORTH AMERICAN HEALTH & WELLNESS (JII) Roll-A-Lotion Applicator The easy way to apply lotion or bath gel to the back without squirming and twisting. Just fill this applicator and let the 19 floating balls massage back muscles as they spread the liquid evenly. Handle slides off to massage arms or legs without getting hands greasy.

ITEM #

BBB3747 A9270 ea

HCPCS

SOLD BY

HERMELL PRODUCTS (HF) LATEX FREE Softeze Thera Bolster Features proprietary blend of polyester fiber fill. Perfectly sized for supporting the natural cervical curve. Soft positioning for back or side sleepers. Add a cover; spot clean only. ™

HCPCS

ITEM #

NC6000EC E0190 ea

SOLD BY

LATEX FREE Softeze™ Allergy Free Orthopedic Pillow Contoured for orthopedic support and enhanced with Pristine® allergen-barrier fabric. Dense weave is lightweight, breathable and soft, while preventing allergens from collecting in the pillow. Oeko-Tex Standard 100-certified to be free of harmful chemicals. Unique design with a raised outer edge fills the gap between head and neck to support the spine. 100% polyester fiber fill. Cover is 100% polyester. Made in the USA.

ITEM #

HCPCS

25˝ x 19˝

NC6810AF

E0190

SOLD BY

LATEX FREE Softeze™ Body Pillow Fits the body's contours to provide comfortable support from head to toe. Ideal during pregnancy and for those who suffer from chronic neck and back pain. Side sleepers will also find a more restful sleep with this supportive pillow. Proprietary polyester fiber fill distributes weight and recovers from compression, while preventing the accumulation of allergen particles. Cover is machine washable.

ITEM #

HCPCS

16˝ x 52˝

BP7000

E0190

Bed Wedge

LATEX FREE Dual Position Comfort Bed Wedge Use vertically or horizontally: designed to support the neck, back, shoulders and head; or use as a bed wedge to elevate the head and allows for easier breathing. Egg crate layer provides additional support and comfort. Cover is machine wash, tumble dry. Cushion is 100% polyurethane foam. Cover is 65% polyester, 35% cotton. Made in the USA.

22˝ L x 19˝ W x 12˝ H

ITEM #

HCPCS

MJ1795

E0190

SOLD BY

LATEX FREE Softeze™ Butterfly Pillow The special hourglass shape of this pillow provides the head and neck support necessary for a good night’s sleep. Ideal for side or back sleepers. Relieves stiff neck, back and shoulder pain, and morning headache. Filled with 100% soft polyester fibers. Mashine washable white cover included.

ITEM #

HCPCS

22˝ x 18˝

NC3920

E0190

SOLD BY

LATEX FREE Elevating Leg Rest Improves circulation and reduce lower back pain with "zero gravity" spinal alignment. Maintains natural curvature of the lower spine and coccyx. Keeps ankles and feet above heart level while reclining. Offers 8" of elevation to provide relief for back sleepers.

ITEM #

FW4020 E0190 ea

HCPCS

SOLD BY

IMPLUS (SK) Silicore Foot Pillows Provide pressure relief for feet, heels and ankles; whether in bed or wheelchair. One size fits all with Velcro® closure. ®

ITEM #

31559 E0191 pr

HCPCS

SOLD BY

INSOLES

SOLD BY

ea LATEX FREE

Designed to provide comfort and relaxation for individuals suffering from respiratory problems, leg, ankle or foot discomfort. Acid reflux sufferers will also find relief with this bed wedge. Can also be used to support the back while sitting upright in bed. Comes with a removable, machine-washable cover. Blue polyester-cotton cover wicks away heat and moisture; zips off for easy care.

ITEM #

HCPCS

24˝ L x 24˝ W x 7.5˝ H 24˝ L x 24˝ W x 10˝ H 24˝ L x 24˝ W x 12˝ H

FW4070B FW4080B FW4090BL

A9270 A9270 A9270

Softeze™ Comfort Ring

SOLD BY

ea ea ea LATEX FREE

ITEM #

14˝, with white polycotton cover IR7070 181⁄4˝, with navy cover IR7018NV

HCPCS

E0190 E0190

SOLD BY

ea ea

Spenco RX® Orthotic Arch Supports Provide firm, customizable support for casual and athletic shoes. Help to control, stabilize and balance the foot. Heat moldable for a custom fit. Material absorbs shock and reduces friction to improve overall foot comfort.

ITEM #

HCPCS

SOLD BY

4315802 4315803 4315804 4315805 4315806

L3030 L3030 L3030 L3030 L3030

pr pr pr pr pr

4304201 4304202 4304203 4304204 4304205 4304206

L3030 L3030 L3030 L3030 L3030 L3030

pr pr pr pr pr pr

⁄4 LENGTH

Men's 6 – 7.5; Women's 7 – 8.5 Men's 8 – 9.5; Women's 9 – 10.5 Men's 10 – 11.5; Women's 11 – 12.5 Men's 12 – 13.5 Men's 14 – 15.5 FULL LENGTH

Women's 5 – 6.5 Men's 6 – 7.5; Women's 7 – 8.5 Men's 8 – 9.5; Women's 9 – 10.5 Men's 10 – 11.5; Women's 11 – 12.5 Men's 12 – 13.5 Men's 14 – 15.5

193

PERSONAL THERAPY

IMPLUS (SK) Spenco RX® Arch Cushions Soft, durable arch support. Soothe tired feet and sore arches. Improve body alignment. Absorb shock and reduce friction that can cause blisters. Unconditionally guaranteed for one year.

ITEM #

HCPCS

4412301 44123 4412304 4412305

L3040 L3040 L3040 L3040

SOLD BY

⁄4 LENGTH

Women's 5 – 6.5 Men's 8 – 9.5; Women's 9 – 10.5 Men's 10 – 11.5; Women's 11 – 12.5 Men's 12 – 13.5

pr pr pr pr

SpencoMedics™ Sport Instantly customizable orthotics help relieve pain while user waits for custom orthotics. Spenco Medics™ Adjustable Replacement Insoles feature proprietary TOTALSUPPORT® Technology with the added benefit of interchangeable heel and mid-foot pods for a complete, customizable solution. Spenco Medics™ Sport Insole features a high performance technical top cover which helps prevent blisters. Silpure antimicrobial reduces odor. Interchangeable multi-density pods piston through the flexible cradle to modulate ground forces. Stiffer medial pod counteracts overpronation; softer lateral pod provides shock attenuation at heel strike. Varying density heel and mid-foot pods allow for in-office prescription modifications.

Women's 5 – 6.5 Men's 8 – 9.5; Women's 9 – 10.5

4404001 4404003

L3040 L3040

ITEM #

HCPCS SOLD BY

Women's 5 – 6.5 Men's 6 – 7.5; Women's 7 – 8.5 Men's 10 – 11.5; Women's 11 – 12.5 Men's 12 – 13.5 Men's 14 – 15.5

4021201 4021202 4021204 4021205 4021206

L3510 L3510 L3510 L3510 L3510

pr pr pr pr pr

SpencoMedics™ DIABETIC+ Premium, full-length insoles specifically designed for the diabetic foot. Feature proprietary TOTALSUPPORT® Technology with the added benefit of a soft, low-density PolySorb® Memory Structured Foam body, friction-reducing SpenCore® impact zones and a Plastazote® top cover to help eliminate pressure points that can cause blisters. ITEM #

HCPCS

4603302 4603303 4603304 4603305

A9270 A9270 A9270 A9270

SOLD BY

FULL LENGTH

Men's 6 – 7.5; Women's 7 – 8.5 Men's 8 – 9.5; Women's 9 – 10.5 Men's 10 – 11.5; Women's 11 – 12.5 Men's 12 – 13.5

pr pr pr pr

SpencoMedics™ Dress Instantly customizable orthotics help relieve pain while user waits for custom orthotics. Spenco Medics™ Adjustable Replacement Insoles feature proprietary TOTALSUPPORT® Technology with the added benefit of interchangeable heel and mid-foot pods for a complete, customizable solution. Spenco Medics™ Dress Insole is slightly thinner with a leather-style brown top cover to complement most dress shoes. Low-friction top cloth helps prevent blisters. Silpure antimicrobial reduces odor. Interchangeable multi-density pods piston through the flexible cradle to modulate ground forces. Stiffer medial pod counteracts overpronation; softer lateral pod provides shock attenuation at heel strike. Varying density heel and mid-foot pods allow for in-office prescription modifications.

ITEM #

HCPCS

4603202 4603203 4603204 4603205

A9270 A9270 A9270 A9270

SOLD BY

⁄4 LENGTH

Men's 6 – 7.5; Women's 7 – 8.5 Men's 8 – 9.5; Women's 9 – 10.5 Men's 10 – 11.5; Women's 11 – 12.5 Men's 12 – 13.5

pr pr pr pr

HCPCS

4603402 4603403 4603404 4603405

A9270 A9270 A9270 A9270

SOLD BY

pr pr pr pr

OMRON HEALTHCARE, INC. (73) HJ-321 Pedometer Unlike other pedometers that use a pendulum design, it features smart sensor technology so it won’t miscount steps. Position the pedometer where it’s most comfortable – on the hip, or in a pocket or bag. Four modes to track steps, aerobic “brisk” steps, calories and distance. Automatic reset at midnight, to easily track daily steps and distance. Stores up to seven days of information.

ITEM #

HCPCS

HJ321

A9300 ea

SOLD BY

BATTLE CREEK® EQUIPMENT (BT) LATEX FREE Thermophore® Deep-Heat™ Therapy Products Provide a quick rush of intense heat to relax muscle spasms, relieve pain and increase circulation, speeding up the body’s natural healing action. Provide moisture to significantly enhance the penetrating power of heat and the body’s reaction to heat therapy. Self-contouring materials that shape to body curves for maximum contact with painful areas.

ITEM #

HCPCS

SOLD BY

077 056 055

N/A N/A N/A

ea ea ea

177 156 155

N/A N/A N/A

ea ea ea

THERMOPHORE CLASSIC™

Petite (4˝ x 17˝ ) Medium (14˝ x 14˝ ) Large (14˝ x 27˝ ) THERMOPHORE MAXHEAT™

Petite (4˝ x 17˝ ) Medium (14˝ x 14˝ ) Large (14˝ x 27˝ )

LATEX FREE Ice It!® MaxCOMFORT™ Systems Nontoxic Ice It!® packs freeze quicker, maintain low temperature longer, and stay flexible when frozen, to mold around painful areas for optimum therapeutic benefit. Plush Ice It® cover is fully removable, to be machine washed and dried. Insulated design retains cold longer, protects skin and prevents condensation. Comfort-Flex™ elastic strap secures the system and provides customized compression, allowing the user to maintain activities during cold therapy.

ITEM #

HCPCS

SOLD BY

530 540 550

A9270 A9270 A9270

ea ea ea

510 570 514 512 516

A9270 A9270 A9270 A9270 A9270

ea ea ea ea ea

MULTI-USE STYLES

FULL LENGTH

Men's 6 – 7.5; Women's 7 – 8.5 Men's 8 – 9.5; Women's 9 – 10.5 Men's 10 – 11.5; Women's 11 – 12.5

Men's 6 – 7.5; Women's 7 – 8.5 Men's 8 – 9.5; Women's 9 – 10.5 Men's 10 – 11.5; Women's 11 – 12.5 Men's 12 – 13.5

pr pr

Spenco RX® Comfort Insoles Extra layer of comfort. Lightweight cushioning protects against impact, and reduced friction helps prevent blisters. Fit in any shoe or boot, and over custom orthotics. Unconditionally guaranteed for one year.

ITEM #

FULL LENGTH

4603102 4603103 4603104

A9270 A9270 A9270

pr pr pr

Medium System (6˝ x 9˝ ) Large System (6˝ x 18˝ ) X-Large System (9˝ x 20˝ ) JOINT-SPECIFIC STYLES

Neck/Jaw/Sinus System (41⁄2˝ x 10˝ ) Wrist System (5˝ x 7˝ ) Ankle/Elbow/Foot System (101⁄2˝ x 13˝ ) Knee System (12˝ x 13˝ ) Shoulder System (13˝ x 16˝ )

194

PERSONAL THERAPY

BATTLE CREEK® EQUIPMENT (BT) LATEX FREE HOT COLD Good2Go™ Microwaveable Moist Heat Packs Plush, multi-ply cover design drives moist heat toward the body for maximum effectiveness. Joint-specific or multi-use shapes for a snug, secure fit, with a wide elastic strap to hold heat in place while relaxing or during regular activities. Patented non-allergenic fill does not leak, smell, decay or encourage fungus growth, and has a special porous surface to trap the maximum amount of atmospheric moisture. Mitt is filled with two soft gel packs that can be heated or frozen, to surround the hand with either hot or cold therapy.

ITEM #

HCPCS

Cervical/Pelvic, 5˝ x 16˝ Hot/Cold Mitt, 8˝ x 13˝ Medium, 9˝ x 12˝ Large, 12˝ x 16˝ Shoulder/Knee, 13˝ x 14˝

492 494 491 490 493

E1399 E1399 E1399 E1399 E1399

SOLD BY

ea ea ea ea ea

CARA® INCORPORATED (CRA) Cara Ice Bags

LATEX FREE

Durable waterproof fabric is electra – mechanically sealed. Cold therapy used for the treatment of muscle strains and sprains. The Ice Bag+Wrap contains a neoprene wrap that is adjustable for graduated compression. Latex-free.

ITEM #

HCPCS

English Ice Bag, 6˝ English Ice Bag, 9˝ English Ice Bag, 11˝ Ice Bag+Wrap

7 8 9 75

A9270 A9273 A9270 A9273

SOLD BY

ea ea ea ea

Cara Heating Pads

IMAK® Compression Active Gloves Help encourage a healthy lifestyle by relieving aches, pains and stiffness associated with hand pain. The unique design provides mild compression for warmth and helps increase circulation and promote healing. Made of a soft breathable cotton material. The open fingertips and anti-slip design allow full freedom to feel, touch and grip all day.

HCPCS

SOLD BY

Heating Pad Moist/Dry, 12˝ x 14˝ 51 E0215 ea Heating Pad Moist/Dry King Size, 12˝ x 24˝ 53 E0215 ea LCD Digital Heating Pad Moist/Dry, 60-minute Auto Shut-Off 72 E0215 ea King Size LCD Digital Heating Pad Moist/Dry, 60-minute Auto Shut-Off 73 E0215 ea

Cara Water Bottle Economy Water Bottle is made of dry natural rubber. Recommended for use when hot or cold applications are needed to soothe pains and muscle aches.

ITEM #

HCPCS

A9270 ea

SOLD BY

BROWNMED (FD) LATEX FREE IMAK® Compression Arthritis Gloves Help relieve arthritis, hand pain, swelling and cold hands. Provide mild compression to enhance blood circulation. Open fingertips allow freedom to touch, feel and grip. Cotton Lycra® allows skin to breathe. Comfortable to use all day and night. Latex-free. Measure across the knuckles to size.

ITEM #

Small, up to 31⁄8˝ A20170 Medium, up to 31⁄2˝ A20171 Large, up to 4˝ A20172

HCPCS

SOLD BY

A9270 A9270 A9270

pr pr pr

SOLD BY

ITEM #

Medium Large

A20191 A9270 pr A20192 A9270 pr

HCPCS

SOLD BY

IMAK® Compression Pain Relief Mask with Massaging ergoBeads™ Feels naturally cool or freeze to enhance effectiveness. Ideal for the relief of migraines or other headaches, sinus pain, tired, puffy, or dry eyes or post-surgery. Conforms to the face and eyes, blocking out light. Breathable cotton Lycra® material with head strap. Hand wash in cold water and air dry.

ITEM #

A30135 A9270 ea

HCPCS

SOLD BY

Intellinetix® Vibrating Gloves Soothing relief for those with arthritis or other chronic conditions that result in pain in the fingers or hands. Small vibrating motors embedded in the gloves work at the push of a button, providing a subtle, yet effective method of increasing blood circulation, warming aching joints and disrupting chronic pain signals traveling to the brain.

ITEM #

HCPCS

IMAK® Compression Arthritis Socks Help relieve aches, pains and stiffness associated with arthritis of the feet. Unique design provides mild compression for warmth and helps increase circulation to promote healing. Made of soft, breathable cotton material.

ITEM #

HCPCS

SOLD BY

Small 07100 A9270 pr Medium 07101 A9270 pr Large 07102 A9270 pr

Push-button control with four heat settings, a sponge pad for moist heat, wet-proof pad construction and a removable, hand washable, cloth cover. Heat switch with 60-minute automatic shut-off and “On” indicator lights.

ITEM #

Medium A20186 A9270 pr

W.R. MEDICAL (WR) Therabath® PRO® Professional Paraffin Bath Integrated side handles ease unit mobility. Made in the USA and factory-tested for quality and safety. Includes 6 lbs. of paraffin, lid, grille and paraffin therapy guide. Thermostatic control keeps paraffin at prescribed temperature (126°F – 134°F) for maximum benefit. Class II Medical Device. Five-year warranty. CE/ETL and Health Canada listed.

ITEM #

Wintergreen PeachE™ ScentFree™ Lavender Harmony™ Eucalyptus Rosemary Mint

2300 E0235 2310 E0235 2320 E0235 2330 E0235 2357 E0235

HCPCS

SOLD BY

ea ea ea ea ea

Paraffin Refill Beads Soft, pliable and nongreasy. Triple filtered for purity. Deeply hydrate and deliver fast, drug-free relief. Six individual 1-lb. packages per carton.

ITEM #

HCPCS

Wintergreen PeachE™ ScentFree™ Lavender Harmony™ Eucalyptus Rosemary Mint

0100 0101 0102 0107 0146

A4265 6/pk A4265 6/pk A4265 6/pk A4265 6/pk A4265 6/pk

SOLD BY

195

PERSONAL THERAPY

W.R. MEDICAL (WR) Insulated Mitts Use with disposable plastic liners to retain warmth from paraffin treatments. This prolongs the heat benefit for increased pain and stiffness relief, and softer, smoother skin. Made of heavyweight, plush polyester. Insulated for extra comfort and warmth. Hook/loop closure; machine washable.

ITEM #

HCPCS

SOLD BY

2410 A4649 2/pr

Mitt/Boot Liner Use plastic liners alone or with Therabath® Insulated Mitts or Boots. Liners hold in heat for a longer therapeutic treatment and keep mitt/ boot lining clean. 9˝ x 15˝ size fits both hands and feet. Perforated at the top for easy use. Disposable.

ITEM #

HCPCS

2420

A4649 100/pk

SOLD BY

FABRICATION ENTERPRISES, INC. (FAB)

CanDo® TheraPutty® Color-Coded Resistive Hand Exercise Material Each color-coded putty has a different consistency ranging from XX-soft for strengthening the weakest grasp to X-firm. Easy-to-open plastic container with lid is perfect for home or clinic use. Gluten-, casein-, nut-, egg-, soy- and latex-free.

ITEM #

2 OZ

4 OZ

Tan, XX-Soft Yellow, X-Soft Red, Soft Green, Medium Blue, Firm Black, X-Firm

100956 100900 100901 100902 100903 100958

100958 100905 100906 100907 100908 101468

ITEM #

HCPCS

Yellow, X-Light Red, Light Green, Medium Blue, Heavy Black, X-Heavy

105561 105562 105563 105564 105565

A9300 A9300 A9300 A9300 A9300

SOLD BY

ea ea ea ea ea

CanDo® Pedal Exerciser Inexpensive and portable, pre-assembled exerciser for both the upper and lower body. Can be used on the floor for foot pedaling or on the tabletop for hand pedaling. Wide leg spread and non-marring feet to keep stable, even when patient has little muscle control

ITEM #

HCPCS

SOLD BY

100710 A9300

CanDo Exercise Bands Ideal for rehabilitation, conditioning and training through resistance. These color-coded progressive resistance bands are used to improve strength and increase range -of-motion. Provides cost-effective, lightweight and portable exercise options for all users. One roll, 6 yds. long. ®

ITEM #

HCPCS

Yellow, X-Light Red, Light Green, Medium Blue, Heavy Black, X-Heavy Gold, XXX-Heavy

105211 105212 105213 105214 105215 105217

A9300 A9300 A9300 A9300 A9300 A9300

196

SOLD BY

ea ea ea ea ea ea

SOLD BY

A9270 A9270 A9270 A9270 A9270 A9270

ea ea ea ea ea ea

CanDo® Gel Ball Hand Exerciser Ball Gel squeeze ball hand exerciser for grip strength, dexterity, mobility, and fine and gross motor skills. Heat or chill for use in hot or cold therapy.

CanDo® Exercise Tubing, 48˝ with Handles Preassembled tubing-with-handles exerciser for upper, lower and full body strength and ROM (range-of-motion) workouts. Progress through five color-coded progressive resistance levels. Exercisers are lightweight, take up minimal room and are highly portable. Perform popular strength and ROM enhancing workouts on-the-go. Two foam handles for user comfort and firm grip. Can be used for total body workout.

HCPCS

ITEM #

HCPCS

XX-Soft, tan X-Soft, yellow Soft, red Medium, green Firm, blue X-Firm, black

101490 101491 101492 101493 101494 101495

A9270 A9300 A9300 A9300 A9300 A9300

SOLD BY

ea ea ea ea ea ea

CanDo® Adjustable Ankle and Wrist Weights Allow users to place weights comfortably around the ankle while still providing optimal exercise. With a touch fastener closure, the weights can be added or removed from the strap to allow personalized resistance. One size fits all, and the contoured-foam cushioned fit provides padding against the ankle and protects the Achilles tendon.

ITEM #

HCPCS

4 lbs., red 5 lbs., green 10 lbs., blue

103341 103331 103332

A9300 A9300 A9300

SOLD BY

ea ea ea

Original Cuff® Ankle and Wrist Weights Rehabilitation wrist and ankle weight contour to snugly fit the ankle, wrist and thigh. A long closure strap assures a secure and comfortable fit during the most strenuous exercise program. Features heavy-duty materials and double-stitching throughout.

ITEM #

1 lb., blue

100203 A9300 100205 A9300 100207 A9300 100208 A9270 100209 A9300 100215 A9300

2 lb., white 3 lb., gold 4 lb., turquoise 5 lb., black 10 lb., brown

HCPCS

SOLD BY

ea ea ea ea ea ea

PERFORMANCE HEALTH (TB) THERA°PEARL Hot & Cold Therapy Doctor-designed hot and cold therapy made with Pearl Technology®. Conforms to the body and holds temperature for a doctor-recommended 20 minutes. Nontoxic, reusable and can be frozen or microwaved. ®

ITEM #

HCPCS

Sport pack (7.5˝ x 4.5˝ ) Sport pack with strap (11˝ x 4.5˝ ) Knee wrap (14˝ x 10.5˝ ) Ankle & wrist wrap (13.83˝ x 4.25˝ ) Back wrap (17˝ x 6.75˝ ) Eye-ssential mask (9˝ x 2.75˝ ) Neck wrap (11.5˝ x 13˝ ) THERA°PEARL Pals, Pearl the Pig THERA°PEARL Pals, Ribbit the Frog

TPRS1 TPRCS1 4841615 TPRWW1 TRBW1 TPRE1 TPRNW1 TPRPIG TPRFROG

A9270 A9273 A9273 A9273 A9273 A9270 A9273 A9270 A9270

SOLD BY

ea ea ea ea ea ea ea ea ea

PERSONAL THERAPY

PERFORMANCE HEALTH (TB) EXERCISE / REHABILITATION PRODUCTS TheraBand Professional Resistance Band Helps rehabilitate injuries, improve functional living and enhance athletic performance. Color-coded progressive resistance gives at-a-glance indication of progress from one level to the next. Bands are small enough to pack into a briefcase or suitcase, yet durable enough to support complete fitness programs. Contains latex. Economical bulk rolls facilitate cutting band length to patient requirement. ™

ITEM #

HCPCS

SOLD BY

Tan, X-Light Yellow, Light Red, Medium Green, Heavy Blue, X-Heavy Black, Special Heavy

20110 20120 20130 20140 20150 20160

A9300 A9300 A9300 A9300 A9300 A9300

ea ea ea ea ea ea

Tan, X-Light Yellow, Light Red, Medium Green, Heavy Blue, X-Heavy Black, Special Heavy Silver, Super Heavy

20010 20020 20030 20040 20050 20060 20070

A9300 A9300 A9300 A9300 A9300 A9300 A9300

ea ea ea ea ea ea ea

50-YD. ROLLS, BULK

6-YD. ROLLS, BULK

DISPENSER PACKS

LATEX FREE HOT COLD TheraBand™ Hand Exerciser Patented product for hands, fingers or forearms. Supplied in two shapes (standard and elongated) and five progression levels. Unique soft feel enables users to complete a variety of movements to strengthen grip, increase dexterity and mobility. Improves fine and gross motor skills through a system of progressive compression while offering the added benefit of hot and cold therapy. Extra large, elongated hand exerciser is one-third larger than the standard size and is designed for patients with arthritis or large hands. Individually packaged with exercise illustrations.

Blue, Firm Black, X-Firm

ITEM #

HCPCS

Yellow, Light Red, Medium Green, Heavy

20520 20530 20540

A9300 A9300 A9300

Red, Soft Green, Medium Blue, Firm Black, X-Firm

SOLD BY

26050EA 26060EA

A9300 A9300

ea ea

26033 26043 26053 26063

A9300 A9300 A9300 A9300

ea ea ea ea

RETAIL PACKAGING LATEX FREE TheraBand™ Standard Exercise Ball Offers a wide range of exercises aimed at activating core muscles, improving stabilization and developing overall strength and balance. Available in five sizes for a custom fit. Each retail-packaged exercise ball comes with two plugs, an inflation adapter and a poster detailing 24 exercises.

SOLD BY

30/pk 30/pk 30/pk

HCPCS

X-LARGE (ELONGATED)

Dispenser Packs provide 30 individually wrapped, 5´ latex bands in a single TheraBand™ color. Each band includes safety instructions and UPC code.

ITEM #

STANDARD

ITEM #

HCPCS

Yellow, 45 cm Red, 55 cm Green, 65 cm Blue, 75 cm

23010 23020 23030 23040

A9300 A9300 A9300 A9300

SOLD BY

ea ea ea ea

LATEX FREE TheraBand™ Professional Latex-Free Resistance Band Provides the same quality and trusted resistance progression of the TheraBand™ natural latex bands, without the potential for causing a latex allergy reaction.

TheraBand™ Professional Resistance Tubing Made of natural rubber. Ideal for upper-body exercise, rehabilitation and conditioning. Available in seven color-coded levels of resistance for at-a-glance indication of progress from one level to the next. Small enough to pack into a briefcase or suitcase, yet durable enough to support complete fitness programs. Bulk tubing facilitates cutting length to patient requirement. Contains latex.

MULTI-BAND PACKS

Attractively packaged for retail and ideal for home dispensing where patient progression through rehab is prescribed. The Beginner Pack includes one Yellow, one Red and one Green band. The Advanced Pack includes one Blue and one Black band. Each band is 5´ long.

ITEM #

Beginner 20380 Advanced 20381

HCPCS

Yellow, Light Red, Medium Green, Heavy Blue, X-Heavy Black, Special Heavy Silver, Super Heavy

SOLD BY

A9300 3/pk A9300 2/pk

Red, Medium Green, Heavy Silver, Super Heavy

Economical 25-yd. bulk rolls facilitate cutting band length to patient requirement. ITEM #

HCPCS

Yellow, Light Red, Medium Green, Heavy

20324 20334 20344

A9300 A9300 A9300

HCPCS

SOLD BY

21020 21030 21040 21050 21060 21070

A9300 A9300 A9300 A9300 A9300 A9300

ea ea ea ea ea ea

21130 21140 21170

A9300 A9300 A9300

ea ea ea

100’ BULK TUBING

25-YD. ROLLS

ITEM #

25’ BULK TUBING

SOLD BY

ea ea ea LATEX FREE TheraBand™ Stability Trainer Oval-shaped, color-coded pads in three densities to provide a progressive system of balance training for rehab, post-rehab conditioning and fitness applications. The Green (Firm, Beginner) and Blue (Soft, Intermediate) pads are molded in closed-cell foam with a ridged surface. The Black (Extra-Soft, Advanced) PVC pad is inflated with air and has rounded points that provide tactile stimulation on one side. The Black Stability Trainer has sturdy edges that help prevent ankle-roll – a valuable differentiator in the air-filled balance product marketplace.

ITEM #

HCPCS

Soft, Blue (Intermediate)

23304

A9300

SOLD BY

197

PERSONAL THERAPY

Perform® Pain Relieving Gel Greaseless gel formula for hand application is well-suited for larger muscles and joints. Flip-top cap for easy dispensing and less mess.

PERFORMANCE HEALTH (TB) ACCESSORIES LATEX FREE TheraBand Exercise Handles Offer a soft yet durable foam covering. Provide added comfort when used with bands and tubing. Ideal for those with impaired hand abilities, yet tough enough for fitness and training exercise routines. ™

ITEM #

22120 A9300 pr

HCPCS

SOLD BY

LATEX FREE TheraBand™ Swim Belt with Buoyancy Foam Made with high-density buoyancy foam, these belts are ideal for use as an entry-level swim training aid for young swimmers. Supplied in three sizes corresponding to buoyancy level.

ITEM #

HCPCS

Tadpole

40140 A9270 ea

ITEM #

HCPCS

Instruction manual

22136

A9270

SOLD BY

HOT THERAPY Parabath®

LATEX FREE

Paraffin therapy is a hot therapeutic aid for treating pain due to arthritis, joint stiffness, sports-related injuries and even dry skin. Parabath® System provides comfortable, moist heat to the affected area. Allows for easy immersion of the hand and wrist, foot and ankle, or elbow. A variety of accessories are available, including mitts and booties for increased heat retention, a bottom grill to keep the skin away from heat, and a testing thermometer. Refills are specially formulated for use with Parabath® and similar paraffin heat therapy units.

ITEM #

HCPCS

Paraffin Unit Unscented Paraffin Refill (36-lb. package) Paraffin Mitts Paraffin Booties Liners

24050 24130 24220 24221 24222

E0235 ea A4265 6/bx E1399 pr A4649 pr A4649 100/pk

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PERFORM® PAIN RELIEVER Perform®, from the makers of Biofreeze®, is specially formulated with menthol as its active ingredient to provide temporary pain relief associated with arthritis, sore muscles and muscle sprains and strains.

Perform® Pain Relieving Spray Maximum strength formula in a continuous spray. Delivery can be applied from any angle, even upside down, making it easier to reach those hard-to-reach areas like the back, legs and feet.

ITEM #

HCPCS

4 oz.

12128

A9270

SOLD BY

Perform® Pain Relieving Roll-on Hands-free application is perfect for smaller muscles and feet. Roller ball allows product to be applied evenly while providing a gentle massage.

ITEM #

HCPCS

3 oz.

12126

A9270

198

SOLD BY

ITEM #

HCPCS

4 oz.

12127

A9270

SOLD BY

GENUINE VIRGIN ALOE, CORP. (GVA) GENUINE VIRGIN ALOE CORPORATION (GVA) TriDerma® Pain Relief Cream™ Provides fast pain relief for foot, heel and nerve pain, arthritis, joint pain, sore muscles and pain from shingles. Contains lidocaine, a touch of menthol, plus a unique combination of AP4® Genuine Virgin Aloe Complex and Arnica, both known to contain anti-inflammatory properties. Non-greasy, non-burning, disappearing fragrance. Safe for those with diabetes.

SOLD BY

TheraBand™ Booklets An easy-to-follow educational resource for health care professionals, patients and consumers. The manual includes practical exercise tips, instructions for caring for elastic bands and tubing, exercise resistance pull force charts, and more than 60 exercise instructions/illustrations.

ITEM #

HCPCS

2.2 oz.

73025

A6250

SOLD BY

PEDIFIX (FO) Soft Felt Hammer Toe Cushion Soft felt pad will support hammer, claw, mallet and/ or arthritic toes while easing pressure on toe tips to help prevent corns, calluses and blisters. It can also soothe related forefoot pain. Adjustable toe loop holds cushion securely in place. Small fits Women’s Shoe Sizes 4-7. Medium fits Women’s Shoe Sizes 8-10 and Men’s 6-8. Large fits Women’s Shoe Sizes 11+ and Men’s 9-10. Extra Large fits Men’s Shoe Size 11+.

ITEM #

HCPCS

SOLD BY

LEFT

Small Medium Large

P54SL A9270 ea P54MLL A9270 ea P54LL A9270 ea

RIGHT

Small Medium Large

P54SR A9270 ea P54MR A9270 ea P54LR A9270 ea

Visco-GEL® Corn Protectors Allows corns to heal naturally and prevent them from coming back. Slip-on, soft bandages with a comfortable gel pad made to absorb pressure and friction. Visco-GEL® releases mineral oil and vitamin E to soothe and moisturize skin. Treats blisters too. Fabric stretches for a custom fit. No messy adhesives.

ITEM #

Large

TP81L A9270 pr

HCPCS

SOLD BY

Visco-GEL® Fabric Covered Toe Protector Helps foot against corns, ingrown nails, blisters and other toe irritations and protects them so they can heal naturally. Soft fabric cap stretches over the entire toe and completely surrounds it with vitamin-enriched gel to absorb pressure and friction while releasing mineral oil to soothe and moisturize skin. No messy adhesives. Trimmable.

ITEM #

Small Large X-Large

TP82 A9270 ea TP82L A9270 ea TP82XL A9270 ea

HCPCS

SOLD BY

PERSONAL THERAPY

PAIN MANAGEMENT TECHNOLOGIES (PV) Infrared Automatic Moist Heat Pad Provides moist heat treatments by a process of fomentation without adding water for the relief of all types of pain conditions. During the healing process, moist heat therapy has proven most effective to ease pain, reduce stiffness and increase circulation. Includes flannel cover and three-year warranty.

ITEM #

HCPCS

King Digital Medium Digital Mini Digital Shoulder Digital King Analogue Medium Analogue Mini Analogue

S766D S767D S768D S769D S766 S767 S768

E0215 E0215 E0215 E0215 E0215 E0215 E0215

LATEX FREE Ace™ Adjustable Back Brace Features antimicrobial treatment that inhibits growth of odor-causing bacteria. Adjustable brace supports your lumbar and abdominal area with a comfortable, custom fit. Lightweight and low profile design. Mesh panels, dual straps.

ITEM #

207744 L0625 ea

HCPCS

SOLD BY

ea ea ea ea ea ea ea

LATEX FREE Futuro™ Precision Fit Adjustable Knee Support Comfortable antimicrobial material wicks away moisture and provides enhanced breathability. Compression gel pad adjusts for customized patella support. Breathable, high-performance anitmicrobial-treated materials. Low-profile contoured shape.

ITEM #

01039ENT A4467 ea

HCPCS

SOLD BY

PM 2000 Portable Ultrasound Device Generates deep heat through a piezoelectric crystal soundhead that converts electrical energy into a strong vibratory soundwave or “ultrasound” that is beyond the normal range of human hearing. Sound waves cause vibration of the cells in the soft tissue, increasing temperature and inducing vasodilation. When used as indicated, little or no heat is felt on the surface of the skin. Ultrasound therapy machines should always be used with ultrasound gel, which helps to transfer the sound waves into the body during treatment. Using the machine without the gel could damage the ultrasound device and lower the effectiveness of the therapy. Ideal for mobile physical therapy services, start-up clinics, at-home use or as a backup or second unit for facilities. Includes AC adapter, hard plastic carrying case, instruction booklet and ultrasound gel.

ITEM #

PM2000 E1399 ea

HCPCS

SOLD BY

Aqua Relief System Delivers pain relief to achy feet and other body parts due to arthritic pain, carpel tunnel syndrome, back pain and many other conditions. Delivers localized cold or hot water fluid therapy to patients either in the home or during their hospital visit. Hospital-grade plug. 60 minute timer, plus auto shut off. Lo and Hi heat settings. Anti-interference device. All units for use with a universal cold therapy pad (sold separately) that fits many different areas of the body, including: knees, shoulders, ankles, elbows, calves and limbs.

ITEM #

ARS2000C E1399 ea

HCPCS

SOLD BY

3M (58) LATEX FREE Ace Self-adhering Bandage Used to support an injured part of the body to reduce strain on muscles, tendons and joints. Reduces swelling by providing localized compression. Needs no clips and does not slip or loosen. Ideal for ankle, knee and lower leg. Can be easily washed and reused ™

ITEM #

207461 A6454 ea

HCPCS

SOLD BY

LATEX FREE Ace™ I.C.E/Heat™ Hot/Cold Compress Provides hot or cold, long-lasting temperature and compression frequently recommended by medical professionals. Soft outer bandage pouch for added comfort. Insulated side to help retain heat or cold. Freeze for cold therapy, microwave for heat therapy.

ITEM #

HCPCS

3˝ x 41⁄5 ft, 12⁄5 yds

207518

A9273

SOLD BY

199

RESPIRATORY

CARDINAL HEALTH™ ESSENTIALS (ZR)

OMRON HEALTHCARE, INC. (73)

* Not made with natural rubber latex.

NEBULIZER SYSTEMS

NEBULIZER SYSTEMS Cardinal Health™ Essentials Compressor Nebulizer* For treatment of asthma, COPD, and other respiratory ailments. Converts certain inhalable drugs into an aerosol form for inhalation. One button operation. Single patient use. Ideal for all ages. Includes piston-style compressor, nebulizer, 7’ tubing, angled mouth piece, five filters, and instruction manual in English.

ITEM #

Compressor Nebulizer CN01 Carrying Bag CN01BAG

HCPCS

E0570 E1399

SOLD BY

ea ea

Nebulizer Air Filters* Replacement air filters for Cardinal Health Essentials™ nebulizers.

ITEM #

HCPCS

N01RF

A7013 10/pk

SOLD BY

Cardinal Health™ Essentials JoJo The Jellyfish Pediatric Compressor Nebulizer* For treatment of asthma, COPD, and other respiratory ailments. Converts certain inhalable drugs into an aerosol form for inhalation. One button operation. Single patient use. Child-friendly design. Includes piston-style compressor, nebulizer, 7’ tubing, angled mouth piece, five filters, and instruction manual in English.

ITEM #

HCPCS

Compressor Nebulizer Carrying Bag

CN02PED CN02BAG

E0570 E1399

SOLD BY

ea ea

PULSE OXIMETERS Cardinal Health Essentials Fingertip Pulse Oximeter* OLED color screen; six display modes and 10 brightness level settings. Auto shut-off. Simple finger-tip readings. Push-button mechanism. Includes carrying case, lanyard, two “AAA” batteries and instruction manual. Not for continuous monitoring. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner. ™

ITEM #

PO1

HCPCS

SOLD BY

SUCTION CANISTERS Cardinal Health Essentials Suction Canister* For the collection and disposal of aspirated fluids. The 800-cc suction canister is available by the each or as a kit. Kit includes an 800-cc canister and is for single-patient use. Lid is easy to seal with a snap and has a tight, secure seal to prevent leakage. Auto shut-off helps prevent overflow for excellent protection. Volume measurement on canister. Designated space on canister for the patient label. Can be attached to most portable floor and wall suction units. ITEM #

ITEM #

HCPCS

Suction canister, 800-cc SUCC12 A7000 Includes an 800-cc canister, canister lid, filter assembly with elbow connector, 3˝ and 6˝ tubing, and 72˝ vacuum tubing SUCC48K A7000

SOLD BY

ea ea

HCPCS

Nebulizer system NEC30 Rechargeable battery and battery charger C30BATSET Replacement filters C30FL Nebulizer kit set – includes nebulizer kit, mouthpiece and air tube C900

SOLD BY

E0570 E1399 A7013

ea ea 5/pk

A7005 ea

CompAir Compressor Nebulizer System 3.5 times smaller than most compressor nebulizers to minimize storage space. Weighs 9 oz. – 70% lighter than most compressor nebulizers. Includes carrying case; compressor; nebulizer; mouthpiece; air tube; extra filters; AC adapter and instruction manual. Easy to use with one-button operation. Three-year warranty. ®

ITEM #

HCPCS

SOLD BY

Nebulizer system NEC801 E0570 ea Nebulizer kit set includes nebulizer kit, mouthpiece and air tube C801NEB A7005 ea

MicroAir® Electronic Nebulizer with V.M.T. V.M.T. (Vibrating Mesh Technology) creates dense, therapeutic control and delivers undiluted medication to the last drop. Offers unmatched portability and convenience, and operates silently for up to four continuous hours on two “AA” batteries. Convenient alternative to inhalers (MDIs and DPIs); includes a universal mask and mouthpiece adapter. Does not need cord or tubes, and is easy to clean.

ITEM #

Nebulizer Mouthpieces Mesh cap AC adapter

NEU22V E0574 ea U221 A9999 12/bx U224 A4649 ea U225 E1399 ea

E0445 ea

™

CompAir Elite Compact Compressor Nebulizer Systems Compact and easy to use. High-quality, durable design. Air tube features easy-to-grip air plugs. 7-mL medication cup capacity. Approximately 0.3 mL/min nebulizer rate (without cap). 5˝ W x 4˝ H x 2˝ D; 15.5 oz. Include carrying case with accessory compartment; compressor; nebulizer; mouthpiece; air tube; extra filters; child mask; AC adapter; instruction manual in English, Portuguese and Spanish; and instructional DVD in English and Spanish. Five-year limited warranty. ®

HCPCS

SOLD BY

PEAK FLOW METERS PeakAir Peak Flow Meter Suitable for users of all ages. Assists in monitoring the user’s maximum expiratory flow and provides an indicator of the user’s airway.

ITEM #

PF9940 A4614 ea

HCPCS

SOLD BY

DEVILBISS® HEALTHCARE (DV) NEBULIZER SYSTEMS PulmoNeb® LT Compressor Nebulizer Systems Tested to meet or exceed 1,000 hours of life. Five-year warranty. Small footprint and lightweight design make it easy to store and transport. VixOne™ nebulizer comes standard and delivers at least 18% more medication. High-capacity (>10 cc) medication cup accommodates varying therapy protocols. Nebulizes to 45° angle. Low residual volume. Multi-lingual instruction guide included.

ITEM #

HCPCS

SOLD BY

With VixOne™ Disposable Nebulizer 3655LT E0570 ea With VixOne™ Disposable Nebulizer and VixOne™ Reusable Nebulizer 3655LTR E0570 ea Intake filters 3655LT601 A7013 5/pk

200

RESPIRATORY

DEVILBISS® HEALTHCARE (DV)

SUCTION THERAPY PRODUCTS & ACCESSORIES

Pulmo-Aide® Compressor Nebulizer System The DeVilbiss Pulmo-Aide has been providing effective aerosol treatments for more than 30 years. The Pulmo-Aide is the only approved compressor for use with TOBI (tobramycin solution for inhalation). The DeVilbiss Pulmo-Aide is unmatched in quality and performance. Maximum compressor pressure – 30 psi or greater. Compressor free air flow – 9 lpm or greater. Average product life of 10 years. Metal frame motor construction. Unique four-pole motor design extends life of the unit. Large built-in compartment for storing nebulizers and tubing. Five-year-warranty.

DeVilbiss® Homecare Suction Pump 7305 Series Features high performance capabilities in a small, compact package. Vacuum adjustments allow for 80 – 550 mmHg and a free flow of 27 L/minute. Convenient, easy-to-read gauge allows for precise measurements. Adjustable flow regulator has an easy-to-turn knob conveniently placed directly below gauge for easy use and control. Knob has safety lock feature that will not allow the knob to be twisted off. 800-mL disposable collection bottle capacity. All of the high-performance capabilities are conveniently placed in a small, compact package weighing less than 6.3 lbs. Item # 7305PD meets the RTCA/DO160D Aircraft Standard, as well as the ISO-10079 Suction Standard; and features an internal, rechargeable battery for transport use. Item # 7305PD weighs 6.3 lbs.; Item # 7305DD weighs 3.8 lbs., 7˝ L x 9˝ W x 8˝ H.

ITEM #

HCPCS

5650D

E0570/A7003 ea

SOLD BY

PulmoMate® Compressor/Nebulizer Features custom-built metal head for durability and three-prong plug for low-voltage protection. UL rating label. Includes VixOne™ nebulizer.

ITEM #

HCPCS

SOLD BY

4650D E0570 ea

DeVilbiss Traveler Portable Compressor Nebulizer System with Battery Helps active users make the most of their aerosol therapy. Includes compressor, disposable and reusable nebulizers, five extra filters, tubing adapter, adult and pediatric masks, AC adapter, DC car adapter, rechargeable battery, carrying case, multi-lingual instruction guide and instructional DVD. Three-year compressor warranty; one-year battery warranty. Fast treatment time. Battery run time of 45 minutes; charges in four hours. ®

ITEM #

HCPCS

SOLD BY

6910PDR E0570

VixOne Disposable Nebulizers Latex-free and designed for easy use – medication can be added without opening the neb cup. Deliver more medication than with traditional open neb systems; low residual volume; respirable mass – 84% below 5 microns. ™

LATEX FREE

ITEM #

HCPCS

SOLD BY

With kink-resistant tubing and corrugated reservoir tubing 3655D621 A7003 ea With PediNeb Nasal Aersosol Pacifier 3655PN612 A7003 ea LATEX FREE VixOne™ Reusable Nebulizer Highly efficient nebulizer is latex-free and designed for easy use – medication can be added without opening the neb cup. Delivers more medication than with traditional open neb systems; low residual volume; respirable mass – 84% below five microns. Top-shelf dishwasher safe. Six-month warranty.

ITEM #

HCPCS

SOLD BY

900D610 A7005 ea

ITEM #

Without internal rechargeable battery (AC only) 7305DD With internal rechargeable battery 7305PD

HCPCS

SOLD BY

E0600 E0600

ea ea

Collection Bottle Tubing Connection Kit Includes 4˝ connection tubing, elbow, external filter, 800-cc bottle and 6´ patient tubing. For use with Item # 7305PD. 800 cc.

ITEM #

7305D603 A7000

HCPCS

SOLD BY

Vacu-Aide® QSU For more than half a century, DeVilbiss Healthcare has provided unmatched safety and performance in the airway suction device category. With the Vacu-Aide QSU, DeVilbiss brings you the same reliable, portable operation in a significantly quieter unit. With more than 50% reduction in sound, the Vacu-Aide QSU a quiet high flow/high suction portable unit.

ITEM #

HCPCS

SOLD BY

Suction Unit, 800 cc disposable bottle, tubing, 6´ tubing and AC and DC power cords 7314DD E0600 ea Suction Unit, Internal Battery, 800 cc disposable bottle, tubing, 6´ tubing, AC and DC power cords and carry case 7314PD E0600 ea

Replacement Tubing for Suction Pump 7305DD or 7305PD, 4˝

ITEM #

7305D612 A7002 6/pk

HCPCS

SOLD BY

MEDICAL MASKS LATEX FREE Adult and Child Aerosol Masks Standard aerosol masks. Feature a customizable fit on the bridge of the nose to ensure a secure and effective delivery of aerosol treatments. Comfortable, latex-free masks that fit any standard 22-mm fitting or nebulizer.

ITEM #

Adult Pediatric

AAM20 A7015 ea PAM10 A7015 ea

HCPCS

SOLD BY

LATEX FREE Children’s Puppy Aerosol Mask For pediatric patients, it makes treatment time fun, and its customizable fit ensures that a child remains comfortable throughout the treatment. Custom vent system keeps aerosol out of a child’s eyes. Fits any standard 22-mm fitting or nebulizer.

202

ITEM #

HCPCS

DL1050

A7015 50/cs

SOLD BY

RESPIRATORY

TELEFLEX®-HUDSON RCI® (92) All Teleflex -Hudson RCI respiratory products are latex-free unless otherwise noted. ®

LATEX FREE

BUBBLE HUMIDIFIERS Disposable Humidifiers Disposable, durable plastic with preset audible alarm at 4-psi or 6-psi pressure relief. Designed to provide users with comfortable, therapeutic humidity and minimal noise. Defined maximum and minimum water level lines. Recessed nipple reduces the possibility of breaking off outlet connection. 6-psi humidifier allows the use of longer lengths of oxygen tubing without the audible alarm sound. Hold 380 mL.

ITEM #

HCPCS

4 psi 6 psi

3230 3260

E0555 E0555

ITEM #

HCPCS

340 mL 540 mL 650 mL

00340 00540 00640

A4649 A4649 A4649

ITEM #

ea ea

NEBULIZER SYSTEMS Large Volume Disposable Nebulizer Designed to deliver humidified gas in concentrations ranging from 28% – 98%. Lightweight and easy to use. Bright yellow, Venturi-style entrainment ring with incremental dial for setting oxygen concentrations. Polypropylene jar holds up to 500 cc sterile water. Clearly marked water levels. Individually packaged.

ITEM #

1770 A7007

HCPCS

SOLD BY

Nebulizer Adaptor Attach to AQUAPAK® reservoirs for consistent mist delivery. Venturistyle entrainment ring allows the selection of oxygen concentrations from 28% – 98%. Sterile.

ITEM #

03128 A4649

HCPCS

SOLD BY

ITEM #

HCPCS

SOLD BY

With tee and mouthpiece 1732 A7003 With tee, mouthpiece and 8-cc reservoir tube 1734 A7003

ea ea

ea ea ea ea

Medium Concentration Oxygen Masks Clear, soft vinyl for patient comfort and visual assessment. Complete with 7´ oxygen supply tubing. Adapter swivels to accommodate user’s position.

ITEM #

HCPCS

SOLD BY

STANDARD

Pediatric Adult

1035 A4620 1040 A4620

ea ea

1042 A4620 1041 A4620

ea ea

ELONGATED

Pediatric Adult

Non-Rebreathing Masks Clear, soft vinyl for comfort and visual assessment. Adjustable nose clip ensures comfortable fit. Low-resistance check valve prevents rebreathing and allows exhaled gas to escape. Complete with 7´ oxygen supply tubing.

ITEM #

Pediatric Adult

1058 A4620 1059 A4620

HCPCS

SOLD BY

ea ea

Tracheostomy Masks For tracheostomy and laryngectomy aerosol therapy. Tubing connector swivels 360° and accepts 22-mm ID corrugated tubing. Does not include tubing.

ITEM #

Pediatric Adult

1076 A7525 1075 A7525

HCPCS

SOLD BY

ea ea

Aerosol Masks Clear, soft, vinyl mask with adjustable nose clip for comfort and 22-mm connector. Disposable aerosol masks can be used with most handheld nebulizers for aerosol therapy. Does not include tubing.

UP-DRAFT II® Neb-U-Mist Nebulizers Handheld nebulizers deliver concentrated mist at flow setting of 6 lpm and operate even when held at 45° angle. Anti-spill design prevents loss of medication in any position. Cap and jar screw apart for easy cleaning. Come with 7´ oxygen supply tubing and standard connector.

SOLD BY

MASKS

SOLD BY

ea ea ea

HCPCS

Nebulizer only 1880 A7004 With tee, mouthpiece, 7´ tubing and standard connector 1882 A7003 With tee, mouthpiece, 6-cc reservoir tube, 7´ tubing and standard connector 1883 A7003 With 7´ tubing, standard connector and adult mask 1885 A7003

SOLD BY

AQUAPAK® Humidifier Kits Sterile water with sterile humidifier adapter that emits audible alarm when flow is restricted. Microdiffuser produces smaller bubbles and greater surface agitation, for quiet operation and high humidity output.

MICRO MIST® Nebulizers Small-volume nebulizers are designed for performance and economy, and can be used for handheld or inline treatments. Consistent performance at angles up to 90° allows clinicians to administer medication to users positioned horizontally or with special treatment requirements. Easy-seal, threaded cap and 6-cc capacity anti-spill jar prevent leakage.

ITEM #

HCPCS

SOLD BY

STANDARD

Pediatric Adult

1080 A7015 1084 A7015

ea ea

1085 A7015 1083 A7015

ea ea

ELONGATED

Pediatric Adult

Air Entrainment Adult MULTI-VENT® Mask Safe, simple delivery for variable concentrations of oxygen. Features color-coded, air-entrainment, low- and medium-concentration diluters. Locking ring secures flow settings. Includes adapter for high-humidity entrainment. Supplied with 7´ oxygen supply tubing.

ITEM #

1088 A4620

HCPCS

SOLD BY

203

RESPIRATORY

OXYGEN TUBING AND SUPPLIES

TELEFLEX®-HUDSON RCI® (92) All Teleflex -Hudson RCI® respiratory products are latex-free unless otherwise noted. ®

LATEX FREE

CHAMBERS & PEAK FLOW METERS

STAR LUMEN Tubing with Connector and Lumen Features a standard connector that attaches directly onto flowmeter, which eliminates need for an adapter. Channeled inner lumen resists kinking and occlusion. ®

Pocket Chamber Equipped with a highly sensitive silicone valve that opens easily without restricting airflow. This one-way valve helps keep users from accidentally blowing the medication out of the chamber and may aid users experiencing difficulty timing their inhalation. Has standard 22-mm mouthpiece for use with a variety of masks.

ITEM #

100110 A4649 ea

HCPCS

SOLD BY

ITEM #

HCPCS

7´ 14´ 25´ 50´

1115 1118 1119 1120

A4616 ea A4616 ea A4616 ea A4616 ea

SOLD BY

Oxygen 7´ Supply Tubing Soft, flexible vinyl tubing with universal connectors.

ITEM #

HCPCS

1925

A4616 ea

SOLD BY

PocketPeak™ Peak Flow Meter Accurate, easy-to-use peak flow meter for assisting in measurement of lung function. Durable ABS plastic housing and Steel-flex™ stainless-steel vane are dishwasher safe. Universal range.

ITEM #

HCPCS

1801

A4614 ea

SOLD BY

NEW Disposable Cardboard Mouthpiece for 1801: PocketPeak Flow Meter Disposable and replacement plastic mouthpieces. Universal mouthpiece that allows it to be easily adopted for use by children and adults.

ITEM #

HCPCS

1805

A4617 100/cs

SOLD BY

ADAPTORS

Oxygen Supply Tubing Connector Clear plastic connector couples tubing 5 mm – 7 mm.

ITEM #

HCPCS

1420

A4649 ea

SOLD BY

Oxygen Tubing Water Traps Collect moisture that may accumulate during oxygen therapy into a small-bore tubing/nasal cannula.

ITEM #

HCPCS

1679

A7012 10/cs

SOLD BY

CORRA-A-FLEX® II Corrugated Roll Tubing Lightweight, flexible corrugated tubing in 100´ roll with cuttable sections every 6˝. Collared ends fit 22-mm connections.

Universal Cuff Adaptor Clear adaptor with standard 22-mm ID connections.

ITEM #

HCPCS

1421

E1399 ea

SOLD BY

ITEM #

HCPCS

1680

A7010 ea

SOLD BY

Multi-Adaptor Clear adaptor with standard 15-mm ID and 22-mm OD connections.

ITEM #

HCPCS

1422

E1399 ea

SOLD BY

Disposable Plastic Nipple and Nut Barbed hose adapter for standard DISS oxygen outlets.

Pressure Line Adaptor With standard 22-mm ID/OD connections and barbed elbow that swivels 360° and accepts 5-mm – 7-mm ID tubing.

ITEM #

HCPCS

1642

E1399 ea

SOFTECH Nasal Cannulas

ITEM #

HCPCS

With STAR LUMEN® 7´ tubing Without tubing

1820 1821

A4615 A4615

ITEM #

HCPCS

Over-the-ear, with 7´ oxygen tube Without tubing With curved, nonflared tips, 25´ tubing With flared nasal tips

1103 1109 1812 1108

A4615 A4615 A4615 A4615

204

E1399 ea

SOLD BY

ITEM #

HCPCS

Tee adapter Wye adapter

1740 1742

A7012 A7012

SOLD BY

ea ea

SOLD BY

ea ea

Over-the-Ear Nasal Cannulas Cost-effective; offered in a wide range of configurations. Flexible, contoured lip tab provides a high level of patient comfort. Over-the-ear design provides comfortable and secure fit. Offered with standard nonflared or flared nasal tips. Available with STAR LUMEN® tubing in a variety of lengths.

HCPCS

2555

Aerosol Drainage Bags Disposable aerosol drainage bags with adapter-fit 22-mm ID corrugated tubing. Bags have plastic chain for securing to stable objects. Feature convenient drainage port and 750-cc capacity.

Produced by a special manufacturing process to provide an exceptionally soft cannula. Over-the-ear design provides comfort and secure fit. Available with standard or universal connector.

ITEM #

AEROSOL & MEDICATION DELIVERY

SOLD BY

CANNULAS

SOLD BY

ea ea ea ea

MANUAL RESUSCITATOR LIFESAVER Reusable Pediatric Manual Resuscitator Can be taken apart fully for easy cleaning and reuse. Fully autoclavable (except reservoir bag). Collapsible for compact, convenient storage. Non-rebreathing valve offers low resistance to both inspiratory and expiratory gas flows. Designed to meet ISO and ASTM resuscitator bag standards. ®

ITEM #

HCPCS

5346

E1399 ea

SOLD BY

RESPIRATORY

TELEFLEX®-HUDSON RCI® (92) All Teleflex -Hudson RCI respiratory products are latex-free unless otherwise noted. ®

LATEX FREE

LIFESAVER® Disposable Manual Resuscitators Designed to meet ISO and ASTM resuscitation bag standards. Available with optional 40-cm pressure relief pop-off valve. Some styles include optional valved air cushion mask. Also contain optional foldable bags.

ITEM #

HCPCS

SOLD BY

Infant Pediatric Pediatric with mask,Item # 1273 Adult with mask, Item # 1276

5361 5366 5367 5372

E1399 ea E1399 ea E1399 ea E1399 ea

BREATHING EXERCISERS Air-eze Incentive Deep Breathing Exerciser Wide flow rate ranges from 200 cc/second – 1,200 cc/second. Compact, low-resistance design. Sliding incentive indicator.

ITEM #

715700 E1399 ea

HCPCS

SOLD BY

Voldyne® 5000 Volumetric Exerciser Large-volume measurement and advanced low-work-ofbreathing design. Compact, ergonomic design with built-in handle. Contains graduation on both sides of unit and good/better/best flow window for visualization of display improvement. 5,000 mL.

ITEM #

719009 E1399 ea

HCPCS

SOLD BY

NEW AsthmaMD Peak Flow Meter + free AsthmaMD App Designed to help patients measure their lung performance and anticipate attacks. Measures peak expiratory flow. Universal 60 - 810 LPM range. Lightweight, portable and accurate. Can be easily cleaned without disassembly. Meets all ATS standards for Peak Flow Meters. Compatible with a free to download, convenient physician-developed mobile app that replaces traditional graph paper journals.

ITEM #

HCPCS

SOLD BY

1802

A4614 ea

PHILIPS RESPIRONICS (HD/RE) All Philips Respironics respiratory products are latex-free unless otherwise noted.

LATEX FREE

NEBULIZER SYSTEMS InnoSpire Elegance Compressor Nebulizer System Provides reliable aerosol therapy. Rated for continuous use. Paired with the SideStream nebulizer that consistently delivers fast, efficient, high quality aerosol to in-home user.

ITEM #

HCPCS

SOLD BY

Nebulizer system (RE)1100134 E0570 ea SideStream disposable nebulizer with tubing (RE)HS800 A7003 ea SideStream reusable nebulizer with tubing (RE)HS860 A7005 ea Replacement filter (RE)1102088 A7013 4/pk

SideStream Plus Breath-Enhanced Reusable Nebulizer Breath-enhanced, reusable nebulizer is designed to improve drug delivery. Easy-action inspiratory valve opens on inspiration to boost medication delivery and closes on exhalation, preserving medication and reducing waste. Significantly less pressure is required to open the inspiratory valve compared to other breath-enhanced nebulizers. There’s no need to remove the valve when using a mask, making treatments easier for pediatric and elderly users. With its SideStream five-jet Venturi design, SideStream Plus provides high respirable fraction and shortens treatment times.

ITEM #

(RE)HS870 A7005 ea

HCPCS

SOLD BY

PEAK FLOW METERS/MDI SPACERS PersonalBest Peak Flow Meters Lightweight, self-contained, portable design. Rugged, sterilizible construction. Encourage compliance with comfortable oval mouthpiece and easy-to-use, built-in handle. Handle converts into a carrying case for ultimate portability and protection. Integrated, three-zone asthma management system helps users comply with treatment regimens. The color-coded indicators (located to the right of the scale) can be adjusted to delineate a user’s green, yellow and red zones based on personal best peak flow. Safety mouthpieces reduce the risk of cross-contamination during multiuser screening, and the one-way valve prevents users from inadvertently breathing in air through their meters during peak expiratory flow rate testing. One-year, unconditional warranty.

ITEM #

HCPCS

Full Range (60 L/min – 810 L/min)

(HD)HS755012

A4614

SOLD BY

MASKS Sami the Seal Pediatric Mask Designed to appeal to children and reduce their fear of mask treatments. For use with all SideStream nebulizers. Made of soft, flexible material to promote comfort and fit; reduces aerosol deposition in and around the eyes.

ITEM #

(RE)HS880 A7015 ea

HCPCS

SOLD BY

MONAGHAN MEDICAL (MW) AIRWAY CLEARANCE Aerobika Oscillating Positive Expiratory Pressure (OPEP) Therapy System Drug-free, easy to use, hand-held device that helps people with COPD and other respiratory conditions, breathe easier and live better. Clinical results demonstrate that using the Aerobika® OPEP device significantly improves mucus clearance, decreases cough frequency, reduces breathlessness, improves exercise tolerance and quality of life. Standard 22-mm fitting accommodates small volume nebulizers to reduce overall therapy time and improve user compliance. The device breaks down into four parts for easy cleaning and disinfection, and ensures proper reassembly every time. One device for all user groups. Includes five resistance setting to adjust to each user’s capacity. These devices are not made (or manufactured) with BPA (bisphenol A) or Natural Rubber Latex. ®

ITEM #

62510 E0484 ea

HCPCS

SOLD BY

205

RESPIRATORY

MONAGHAN MEDICAL (MW)

CAREFUSION (55)

CHAMBERS

MASKS

Monaghan Z STAT Anti-Static Valved Holding Chamber (aVHC) Provides consistent aerosol delivery right out of the package with no pre-treatment required. Helps overcome poor inhaler technique to improve medication delivery and reduce side effects. Small, portable chamber is dishwasher safe and the Ideal size for convenience and clinical effectiveness. Includes FlowSignal® Whistle to alert users to breathe slowly. Built-in ComfortSeal® Mask (small, medium, and large) is anatomically designed to contour gently to the face, providing a secure seal and comfortable fit with minimally applied pressure. BPA- and latex-free. These devices are not made (or manufactured) with BPA (bisphenol A) or Natural Rubber Latex. ™

LATEX FREE

ITEM #

aVHC

79750Z A4627 ea

HCPCS

SOLD BY

HOLDING CHAMBER (AVHC) WITH COMFORTSEAL® MASK

Small Medium Large

ITEM #

001225 A7525 ea

HCPCS

SOLD BY

Resuscitation Bags Reliable and affordable; feature a low-profile, textured bag, preattached PEEP valve, manometer port, double-swivel elbow, removable accumulator, corrugated tubing and mask.

ITEM #

2K8005 E1399 6/cs

HCPCS

SOLD BY

88710Z A4627 ea 78710Z A4627 ea 80710Z A4627 ea

PEAK FLOW METERS LATEX FREE TruZone® Peak Flow Meter (PFM) Reliable management of peak expiratory flow (PEF) helps keep users safe and in control of their asthma. ColorZone® tape and three-zone asthma management system peels and sticks directly onto the, TruZone® PFM, helping patients monitor their PEF and comply with their physicians instructions. Internal indicator delivers tamper-proof readings and reliable zone settings. Unique ergonomic body shape and small size facilitate user compliance. Multi-user use is available when used with the disposable one-way valve mouthpiece. BPA- and latex-free.

ITEM #

96510 A4614 ea

HCPCS

SOLD BY

NEBULIZERS LATEX FREE AeroEclipse® XL Breath-Actuated Nebulizer (BAN) Reusable. Breath-actuated jet nebulizer that can reduce potentially harmful emissions for safer hospital environments and optimize aerosolized medication delivery to the user. Breath-actuated delivery only produces aerosol on inhalation allowing for breaks in treatment without drug loss. Higher drug delivery efficiency offers clinical reassurance for treating a wide range of users with unique breathing patterns and disease states. Green feedback button confirms aerosol is being produced and encourages long, slow inhalation. Mode selector offers the flexibility to use in either breath-actuated or continuous mode. Includes user-friendly EZ Twist tubing for easier assembly and removal when connecting to a compressor. Optional ComfortSeal® Mask accessory contours gently to the face, providing a secure and comfortable fit with minimal dead space. Approved for up to six months of single-patient use. BPA- and latex-free.

ITEM #

69010 A7005 ea

HCPCS

SOLD BY

LATEX FREE AeroEclipse® II Breath-Actuated Nebulizer (BAN) The only breath-actuated jet nebulizer that can reduce potentially harmful emissions for safer hospital environments and optimize aerosolized medication delivery to the user. Breath-actuated delivery only produces aerosol on inhalation, allowing for breaks in treatment without drug loss. Higher drug delivery efficiency offers clinical reassurance for treating a wide range of users with unique breathing patterns and disease states. Green feedback button confirms aerosol is being produced and encourages long, slow inhalation. Mode selector offers the flexibility to use in either breath-actuated or continuous mode. Includes user-friendly EZ Twist tubing for easier assembly and removal when connecting to a compressor. Optional ComfortSeal® Mask accessory contours gently to the face, providing a secure and comfortable fit with minimal dead space. BPA- and latex-free.

ITEM #

64594050 A7003 ea

206

AirLife Tracheostomy Mask Available in pediatric and adult sizes, and incorporates several user features. The neckband is made from a comfortable, nonbiting material, and the swivel tubing connector permits access from either side of the user. The special strap clip allows the mask to be removed with minimal disturbance. ®

HCPCS

SOLD BY

LATEX FREE AirLife ® Concentration Mask Made from soft, medium-grade vinyl resins. Smooth, feathered edges are designed for comfort, while reducing irritation points. Designed for anatomical compatibility. Medium with 7´ tubing.

ITEM #

001201 A4620 ea

HCPCS

SOLD BY

LATEX FREE AirLife ® 3-in-1 High Concentration Mask Packaged as a medium-concentration, non-rebreathing mask complete with reservoir bag and one-way valve. Includes safety vent and 7´ tubing.

ITEM #

001203 A4620 ea

HCPCS

SOLD BY

Adult AirLife ® Aerosol Mask Soft, high-quality AirLife ® disposable aerosol masks are made from high-grade resins. Smooth, feathered edges are designed for comfort while reducing irritation points. All AirLife ® masks are designed for anatomical compatibility. Elastic strap.

ITEM #

001206 A7015 ea

HCPCS

SOLD BY

LATEX FREE Eden the Elephant® Aerosol Masks with Flexible Tubing Toy-like appearance facilitates easier treatment for children. Designed to reduce fear and encourage compliance during asthma therapy. Provide effective medication delivery while enabling simple treatment for children. Soft, plastic construction ensures a comfortable fit.

ITEM #

Pediatric

001276 A7015 50/cs

HCPCS

SOLD BY

OXYGEN TUBING & SUPPLIES Corrugated Blue Flex Tubing 100´ polyethylene/ethyl vinyl acetate plastic tubing for strength and drapability. Cuffs lock to 22-mm connections. Flat pack in dispenser box.

ITEM #

001427 A7010 ea

HCPCS

SOLD BY

RESPIRATORY

NEBULIZERS

CAREFUSION (55) Oxygen Tubing Vinyl oxygen tubing with crush-resistant or Smooth Bor® lumen.

AirLife Empty Nebulizer Transparent, break-resistant plastic with air entrainment and immersion heater adapter. ®

ITEM #

HCPCS

SOLD BY

001330

A4616

001302 001303GRN 001304 001305 001305GRN 001308GRN 001306 001306GRN

A4616 A4616 A4616 A4616 A4616 A4616 A4616 A4616

ea 50/cs ea ea 25/cs 20/cs ea 15/cs

SMOOTH BOR®

7´ tubing, clear

ITEM #

HCPCS

500 cc

002002

E0580

SOLD BY

CRUSH RESISTANT

7´ tubing, clear 14´ tubing, green 21´ tubing, clear 25´ tubing, clear vinyl tip 25´ tubing, green 40´ tubing, green 50´ tubing, clear 50´ tubing, green

Oxygen Tubing Connector Connects two oxygen tubes together.

ITEM #

HCPCS

001811

A4649

SOLD BY

50/cs

CANNULAS AirLife Standard Nasal Cannulas Offer an angulated, flexible lip plate, which provides comfort at the tip of the nasal region, with beveled tips to provide a softer edge. Disposable cannulas are curved and are available with flared or nonflared tips. Packaged separately or with varying lengths of oxygen tubing. ®

ITEM #

HCPCS

001320

A4615

Misty Max 10™ Disposable Nebulizers Deliver fast and effective treatment more efficiently to a wide range of users. Feature a one-piece jet design that delivers high output rates, resulting in faster treatment times and consistent medication delivery. Full, 10-cc capacity provides medication-dosing flexibility. Antispill design helps prevent medication waste and allows the unit to be used at an angle to accommodate various user positions.

ITEM #

HCPCS

With pediatric aerosol mask With adult aerosol mask and 7´ tubing With tee adapter, 7´ tubing and mouthpiece With tee adapter, 7´ tubing, mouthpiece and 6˝ flextube

002443 002433 002434 002438

A7003 A7003 A7003 A7003

SOLD BY

ea ea ea ea

Prefilled Nebulizer Kits Include nebulizer cap. Sterile water.

ITEM #

HCPCS

500 mL 1,000 mL

CK0005 CK0010

A7003 A7003

SOLD BY

12/cs ea

SOLD BY

FLARED TIP

7´ tubing

HUMIDIFIERS AirLife Respiratory Filter Empty Humidifier Jars, 6 psi Unit has an audible-alarm pressure relief valve to warn users and caregiver of flow obstructions. Jar and lid are made of break-resistant plastic. ®

NONFLARED TIP

Without tubing

001311

A4615

ITEM #

HCPCS

002006

E0555 50/cs

SOLD BY

CRUSH RESISTANT

7´ tubing 21´ tubing 50´ tubing

001325 001322 001329

A4615 A4615 A4615

ea ea ea

AirLife ® Cushion Nasal Cannulas Soft, vinyl cushion nasal cannula with curved, nonflared tip and 7´ oxygen supply tube.

ITEM #

HCPCS

SOLD BY

Over-the-ear style 002600 A4615 50/cs With over-the-ear curved tip and no tubing 002606 A4615 50/cs

PATIENT VENTILATION Adult Single-Limb Portable Ventilator Circuit Includes 6˝ tube and trach elbow adapter; 60˝ air tube; 70˝ pressure sensing line; and tip adapter.

ITEM #

001795 A4618 ea

HCPCS

AirLife ® Prefilled Humidifier Kit Features a snap-open trigger, which makes a round opening for secure attachment of a humidifier adapter. An audible relief valve warns if the tubing becomes occluded. Includes an adapter and a 4-psi pressure-relief valve with alarm. Less than 7˝ tall to fit most O2 concentrators. 500 mL sterile water.

ITEM #

HCPCS

002620

A4649 12/cs

SOLD BY

INHALATION PRODUCTS AirLife ® Sterile Water for Inhalation

ITEM #

HCPCS

500 mL 1,000 mL

CN0005 CN0010

A4217 A4217

SOLD BY

ea ea

SOLD BY

Modudose Unit Dose Saline Unit dose saline for inhalation in 0.9% sodium chloride. Easy-open, twist and pull. Contains no preservatives.

ITEM #

HCPCS

SOLD BY

3 mL 5 mL 10 mL 15 mL

5251 5257 5261 5262

A4649 A4216 A4216 A4216

100/bx 100/bx 24/bx 24/bx

207

RESPIRATORY

CAREFUSION (55) PleurX

The PleurX® catheter systems is a comprehensive portfolio that provides all the items necessary to successfully place the PleurX® catheter, support and train your patients, and help ensure safe and effective drainage by patients or their caregivers. All kit contents must be supplied if purchasing bottles and billing A7048.

ITEM #

HCPCS

Drainage kit with bottle, 500 mL Drainage kit with bottle, 500 mL Vacuum bottle with drainage line, 1,000 mL Vacuum bottle with drainage line, 500 mL Lockable drainage line set Replacement valve cap

507510 507500 507210 507205 507245 507235

A7048 A7048 A7048 A7048 A4649 A4649

7´ tube, clear 15´ tube, clear 25´ tube, clear 25´ tube, green 50´ tube, green

10/cs 10/cs 10/cs 10/cs 10/cs 10/cs

LATEX FREE

ITEM #

Dry with 3 psi pop-off alarm 7100 Dry with 6 psi pop-off alarm 7600 High flow 6 to 15 lpm 790010

HCPCS

A4649 A4649 E0555

15´ tube, clear 25´ tube, clear

NEBULIZERS

ITEM #

HCPCS

8900

A7003 ea

SOLD BY

With disposable nebulizer With disposable nebulizer and carrying bag With reusable nebulizer

208

ea ea ea ea ea

2515 2525

A4616 A4616

ea ea

ITEM #

HCPCS

1215

E1399 ea

SOLD BY

Oxygen Tubing Connector, Swivel Plastic, leak-proof, silky smooth, 360° fully rotating tubing connector. Helps to prevent twisting, kinking and tangling of oxygen connecting tube.

ITEM #

HCPCS

1220

A4649 ea

SOLD BY

Humidifier Adapter Tubing Includes one standard connector and one male thread grip connector. Single-patient use. ITEM #

12˝ 99961 15˝ S0676 21˝ S01790

HCPCS

SOLD BY

A4616 A4616 A4616

ea ea ea

AEROSOL MASKS Aerosol Therapy Masks Wide, adjustable elastic strap or over-the-ear style available in adult configuration. Elastic band fits comfortably below the ears or over the ear for use when movement is difficult. Soft, clear aerosol mask with anatomical form. Ideal for long-term users or edentulous patients. Exceptionally comfortable for even hard-to-fit faces. Maintain proper positioning. Provide an oxygen- and aerosol-rich environment.

ITEM #

HCPCS

1120

A7015

SOLD BY

PEDIATRIC

ADULT

Salter Aire Elite Compressor Compact compressor designed to be used with Jet Nebulizers. It has the power and flow for fast treatment times. Reliable, maintenance-free piston compressor has a five-year warranty.

A4616 A4616 A4616 A4616 A4616

Elastic strap

OXYGEN TUBING & SUPPLIES

2002 2015 2025 2025G 2050G

Salter 8900 Jet Nebulizer For reliability, efficiency and convenient aerosol treatment. Nebulizes 3 cc within seven minutes or less at 7 lpm. Nebulizes in horizontal or vertical position to allow user to be in a comfortable position for treatment. Features a larger surface area provided by a unique, convex, cone design for maximum capillary action to eliminate medication waste. Removable, green convex cone is easy to see and allows for thorough jet cleaning and reassembly. Scalloped, bottom cuff design allows the unit to stand alone to simplify tube attachment. One-eighth turn screw-on cap is easy to assemble and disassemble, and provides a leak-proof seal. Antidrool “T” prevents medication contamination. Includes nebulizer, antidrool “T,” mouthpiece, 6˝ reservoir tube and 7´ safety channel tubing. Disposable; single-patient use.

SOLD BY

Oxygen Tubing Connector New, unique design. Plastic adapter for adding additional lengths of oxygen tubing. Green.

SOLD BY

ea ea 10/cs

HCPCS

SMOOTH BORE

HUMIDIFIERS Bubble Humidifiers Easy to attach, will not cross-thread and resists breakage. Eliminate shredded aluminum in diffuser, prevent damage to concentrators, resist clogging due to mineral buildup and help eliminate “rain-out” in connecting tube. 350 cc.

ITEM #

SAFETY CHANNEL

SOLD BY

SALTER LABS (SA) All Salter Labs products are latex-free.

Three-Channel Oxygen Supply Tubing Special design has three inside channels that help prevent the tubing from becoming occluded. Ideal for home users where long lengths can cause a potential kinking problem. 3⁄16˝ ID. Available in bright green for increased visibility to help prevent tripping hazards.

ITEM #

HCPCS

83508900 8350B890 8660

E0570 A7005 E7005

SOLD BY

ea ea ea

Over-the-ear 8000 Elastic strap 8100

A7015 ea A7015 ea

ACCESSORIES Fiberglass Cylinder Wrench 18˝ clear plastic security cord attaches wrench to cylinder or cart to prevent loss. Fits CGA-870 post valves.

ITEM #

1249C E1399 ea

HCPCS

SOLD BY

RESPIRATORY

SALTER LABS (SA) All Salter Labs products are latex-free.

LATEX FREE

LATEX FREE Nellcor™ OxiMax™ Single Patient Use Sensors Feature LoSat™ expanded accuracy range. Comfortable, form-fitting and disposable. Designed for long-term monitoring.

NASAL CANNULAS

Salter-Style® Nasal Cannulas Clear, lightweight cannula with unique, one-piece, anatomical design. Eliminate the need for flap, which can cause irritation. The result is maximum patient comfort. Over-the-ear style with curved, tapered nasal prongs ensures secure positioning, allowing complete freedom of movement. No lip plate. Come with three-channel supply tubing.

ITEM #

HCPCS

Pediatric, 7´ cannula Infant, 7´ tubing Adult, 7´ tubing Adult, 7´ tubing, 0 lpm – 15 lpm Adult, cannula only; with barbed end fitting

1602 1601 1600 1600HF 1606B

A4615 A4615 A4615 A4615 A4615

SOLD BY

ea ea ea 25/cs ea

Salter Soft Low-Flow Cannula with 7´ Tubing Made with feather light components for comfort and to reduce behind-the-ear pressure. Diminutive, streamlined design with clear material that is almost invisible on the skin. Great for the active Low Flow user up to 3 LPM.

ITEM #

16SOFT750 A6415 ea

HCPCS

SOLD BY

CANNULA WRAPS E-Z Wrap Cannula Wraps Soft, closed-cell foam tube cushions slide over the head or face tube of an oxygen cannula. Reduce chafing or pressure to the sensitive tissue in the over-the-ear area. Gray. ™

ITEM #

1016

HCPCS

SOLD BY

A4649 pr

SMITHS MEDICAL (SF) Ster-O2 500-mL Prefilled Humidifier with 5 psi Humidifier Adapter For inhalation USP bottle. ™

ITEM #

HCPCS

0552

A4649 12/cs

SOLD BY

Comfeeze

LATEX FREE

Offer cushioned protection for oxygen tubing. Placed around tubing at the ears to protect against discomfort and sores that may develop from the nasal cannula. Made of a soft fleece material that can be easily changed out weekly or as needed.

ITEM #

HCPCS

Small Large

935D 930D

A4649 pr A4649 pr

SOLD BY

QUEST PRODUCTS, INC. (QU) Pulse Oximeter Reliable way to spot-check SpO2 (blood oxygen saturation) and pulse rate (bpm). Lightweight, portable device takes fast, non-invasive measurements at the fingertip. Ideal for sports, aviation and personal use. Not intended for continuous monitoring. 3-in-1 (oxygen flow, pulse rate and blood flow). Dual-color display of SpO2, Pulse Rate, Pulse Bar, Pulse Intensity and Plethysmogram. Innovative two-direction display.

ITEM #

Q1911 E0445 ea

HCPCS

SOLD BY

Lung Performance Meter Overall shape with curved contours fits nicely in the one hand. Scale features large numbers against a solid background, making it easy to see results. Handle folds away to create compact size for easy storage. Lightweight and portable. 5.8˝ L x 2.0˝ W x 0.9˝ H. Weighs 2.2 oz. Includes free AsthmaMD Phone APP for great way to track progress. Most accurate peak flow meter in its class.

ITEM #

OA60810QP A4614

HCPCS

SOLD BY

MADDAK (NV) Ableware Wheelchair Oxygen Tank Holders Heavy-duty, waterproof nylon holders allow for minimum lifting and positioning. Hang off center behind wheelchair back to avoid interference with user. The standard oxygen tank holder carries one size D or E oxygen tank. The mini oxygen tank holder has two pockets to hold either two M6 oxygen cylinders or an M6 oxygen cylinder and miscellaneous supplies, such as tubing. Made in the USA. ™

ITEM #

Standard Oxygen Tank Holder Mini Oxygen Tank Holder

70620100 E2208 706201001 E2208

HCPCS

SOLD BY

ea ea

COVIDIEN (PURITAN BENNETT) (PB) LATEX FREE Nellcor Reusable Sensors Designed for single-user monitoring, with a high degree of accuracy. HCPCS

Simply Saline® Nasal Relief Moisturizes and clears everyday congestion. Drug-free.

ITEM #

HCPCS

1.5 oz.

02915

A9270

SOLD BY

™

ITEM #

HCPCS

CHURCH & DWIGHT CO., INC. (BX)

MARPAC (NX)

ITEM #

Adult, greater than 40 kg MAXA A4606 24/cs Neonatal/Adult, less than 3 kg or greater than 40 kg MAXN A4606 24/cs Pediatric, 10 kg – 50 kg MAXP A4606 24/cs Infant, 3 kg – 20 kg MAXI A4606 24/cs

SOLD BY

Durasensor™Adult, 40 kg DS100A1 E1399 ea Pedicheck™ Pediatric Clip, 3 kg – 40 kg DYSPD E1399 ea Dura-Y™ Multisite Sensor, greater than1 kg DYS E1399 ea

SOLD BY

SAGE PRODUCTS (TO) All Sage Products respiratory products are latex-free unless otherwise noted.

LATEX FREE

Toothette® Mouth Moisturizer Helps soothe and moisturize lips and oral tissue with vitamin E and coconut oil. Water-based formula with a pleasant, minty taste. Easy to apply moisturizer to the lips and inside of the mouth with a Toothette® oral swab. Made in the U.S.A.

ITEM #

6083 A4649

HCPCS

SOLD BY

209

RESPIRATORY

SAGE PRODUCTS (TO) All Sage Products respiratory products are latex-free unless otherwise noted.

LATEX FREE

Single-Use Suction Swab System with Perox-A-Mint Solution Includes two suction swabs with Sodium Bicarbonate and one pouch of Perox-A-Mint Solution. Our one-piece design quickly connects to standard suction lines and makes it easy to provide oral care for someone who cannot expectorate (spit). Use the gentle foam ridges to cleanse and stimulate oral tissue while suctioning debris from the oral cavity. Made in the U.S.A.

ITEM #

HCPCS

6512

A4649

SOLD BY

2/pk

Suction Toothbrush Kit Kit includes one suction toothbrush with Sodium Bicarbonate, 1.25-fl. oz/7-mL antiseptic oral rinse, mouth moisturizer and one applicator swab. Made in the U.S.A.

ITEM #

HCPCS

6673

A4649

SOLD BY

Toothette® Oral Swabs Toothette foam swabs gently stimulate oral tissue and leave the mouth feeling clean and refreshed. Perpendicular ridges help clean between teeth and stimulate oral tissue. Swabs are individually wrapped and are mint-flavored with Dentifrice. Made in the U.S.A.

ITEM #

HCPCS

With Dentifrice With Dentifrice, individually wrapped Untreated, individually wrapped

5601 5602 5602UT

A4649 A4649 A4649

SOLD BY

20/bag 250/bag 250/bag

NEW Toothette® Plus Oral Swabs Toothette foam swabs gently stimulate oral tissue and leave the mouth feeling clean and refreshed. Our Toothette Plus® swabs have a slightly longer stick that makes it easier to clean teeth in the back of the mouth. Perpendicular ridges help clean between teeth and stimulate oral tissue. Swabs are individually wrapped and are mint-flavored with Dentifrice. Made in the U.S.A.

ITEM #

With Sodium Biocarbonate Untreated

6076 A4649 20/bag 6071 A4649 20/bag

HCPCS

SOLD BY

MARIL PRODUCTS, INC (NJ) LATEX FREE Control III Disinfectant/Germicide Concentrate Germicide should be mixed with tap water; does not require an activator. Does not cause dermatitis, headaches or irritation. Will not harm rubber, plastic, metal and fiber instruments. Kills a broad range of gram-negative and gram-positive bacteria and viruses in only 10 minutes.

LATEX FREE Control III® Disinfectant/Germicide Concentrated and ready-to-use formulas for use on pre-cleaned environmental surfaces such as masks, tubing, nebulizers and other equipment. Kills the AIDS virus and microorganisms on hard, non-porous, pre-cleaned surfaces. Also highly effective against gram negative and positive bacteria. Has a pleasant odor, is nonstaining and features a one-step dilution process that makes it easy to use. One pint of concentrate makes 16 gallons of disinfecting solution.

ITEM #

HCPCS

Concentrate, 1 pint Control 3 Home Care Kit

DISP12 HCK804

N/A N/A

ITEM #

HCPCS

2-oz. bottles 8-oz. bottles 16-oz. bottles

C3DIS224 C3DISH12 CSDISP12

A9270 A9270 A9270

SOLD BY

24/cs 12/cs 12/cs

LATEX FREE Control III® Disinfectant/Germicide Ready to use Ready-to-use formula for use on precleaned surfaces such as masks, tubing, nebulizers, and other equipment. Kills HIV and microorganisms on hard, nonporous, precleaned surfaces. Also highly effective against gram-negative and gram-positive bacteria. Has a pleasant odor and is nonstaining. Gallon bottle.

ITEM #

HCPCS

C3LABG04 A9270

Control III® Test Strips Used to test Control III® solution.

210

SOLD BY

4/cs

LATEX FREE

ITEM #

C3TS1501 A9270

HCPCS

SOLD BY

15/pk

ea ea

KAZ USA, INC. (KAZ) Honeywell True HEPA Air Purifier True HEPA filter captures up to 99.97% of microscopic allergens such as mold spores, pollen, dust, smoke and pet dander as small as 0.3 microns. Circulates room air up to five times an hour. ENERGY STAR® rated for energy efficiency. Three air cleaning levels. HPA060 is recommended for a 75 sq. ft. (8´ x 9´ ) room and HPA160 is recommended for a 170 sq. ft. (13´ x 13´ ) room. Five-year limited warranty.

ITEM #

12.99˝ L x 9.88˝ W x 17.52˝ H HPA060 13.31˝ L x 10.39˝ W x 28.27˝ H HPA160

HCPCS

E1399 E1399

SOLD BY

ea ea

Vaporizer with Safety-Light Warm steam vaporizer with safety light and auto shut-off. Provides proper humidity levels for up to 10 hours per filling to keep your respiratory systems moist and help relieve cold and flu symptoms. Has a medicine cup for the addition of vapors. No white dust and bacteria-free steam. Three-year warranty. 1-gallon capacity.

ITEM #

21006 A9270

HCPCS

SOLD BY

VICKS 1.2 Gallon Ultrasonic Humidifier Large, easy-to-clean, 1.2-gallon capacity tank for up to 20 hours of continuous use. Ultra quiet operation won’t disturb sleep. Includes variable mist control, allowing regulation of humidity level and a directional mist outlet to adjust directional mist flow. Demineralization cartridge removes minerals and other impurities from the water. Features Vicks® vapor therapy with integrated scent pad (optional). ®

SOLD BY

ITEM #

V5100NS E1399

HCPCS

SOLD BY

RHINOMED (ZY) LATEX FREE Mute Nasal Snoring Device Drug-free, lightweight and designed for comfort. Nasal dilator that gently stents the nasal valve to overcome nasal obstruction caused by congestion, septum deviations and narrow airways. Increases airflow by an average of 38%1. Used as a primary device to reduce nasal snoring or as a nasal stent to work alongside other treatments where nasal obstruction is compromising user compliance. Fully adjustable dilation system. Comes in packs of three in either small, medium and large for use up to 10 times each. Trial pack also available to try all three sizes. Counter and floor standing displays are also available, ask your rep for details. Latex-free. ™

Clinical trial. Data on file.

ITEM #

Small Medium Large Trial Pack

ENMUTE10SMLXX N/A ENMUTE10MEDXX N/A ENMUTE10LGEXX N/A ENMUTE10SAMXX N/A

HCPCS

SOLD BY

3/pk 3/pk 3/pk 3/pk

SKIN CARE

CARDINAL HEALTH™ (55) Barrier Protectant Cream A skin protectant and barrier for all skin types. Ideal for temporary protection of diaper rash, minor cuts, scrapes and burns. Protects chafed skin associated with diaper rash and protects from wetness. Contains 6% zinc oxide and 5% dimethicone.

ITEM #

5-g packets 2-oz. tube 4-oz. tube

CSCCRMBRG A6250 150/bx CSCCRMBR2 A6250 ea CSCCRMBR4 A6250 ea

HCPCS

SOLD BY

All Day Moisturizer Cream A heavy-weight, long-lasting, cream-based moisturizer. Ideal for temporary protection of diaper rash, minor cuts, scrapes and burns. Temporarily protects and helps relieve chapped or cracked skin. Contains 5% dimethicone.

ITEM #

HCPCS

SOLD BY

2-oz. tube 4-oz. tube 5-g packets

CSCMSAD2 CSCMSAD4 CSCMSAD5G

A6250 A6250 A6250

24/cs 24/cs 150/bx

No Rinse Foam Cleanser A gentle, total body cleanser in ready-to-use convenient foam that also soothes by providing a cooling relief. Contains aloe. Used for shampooing hair, cleansing the body, removing urine, feces and other skin impurities without drying the skin. Ideal for repeated, gentle cleansing.

ITEM #

HCPCS

SOLD BY

CSCCLNFS4 CSCCLNFS8

A9270 A9270

ea ea

CSCCLNFU4 CSCCLNFU8

A9270 A9270

ea ea

SCENTED

4-oz. bottle 7.1-oz. bottle FRAGRANCE-FREE

4-oz. bottle 7.1-oz. bottle

No-Rinse Perineal Cleanser Easy-to-use, gentle, soothing cleanser for the perineum area. Used to remove urine, feces and odors.

ITEM #

HCPCS

4-oz. spray bottle

CSCCLNPR4

A4355

SOLD BY

No-Rinse Perineal & Skin Cleanser A gentle, easy-to-use, moisturizing cleanser for the entire body, including the perineum area. Also soothes by providing a cooling relief. Contains aloe. Used to remove urine, feces, odor and other skin impurities while moisturizing the skin.

ITEM #

HCPCS

4-oz. spray bottle

CSCPRSK4

A4355

ITEM #

HCPCS

8-oz. spray bottle

CSCPRSKA8

A4355

ITEM #

HCPCS

4-oz. tube

CSCCRMFG4

A6250

ITEM #

HCPCS

SOLD BY

2-oz. bottle 4-oz. bottle 5-g packets

CSCSKCND2 CSCSKCND4 CSCSKCNDG

A6250 A6250 A6250

ea ea 150/bx

No-Sting Barrier A sterile, water-based polymer that creates a protective barrier over the skin. Used to protect intact or damaged skin from irritation caused by friction, repeated application of adhesives and contact with bodily fluids. Does not contain alcohol.

ITEM #

HCPCS

1-mL wand applicator

CSCBNSAP

A4369

SOLD BY

25/bx

Barrier Ointment A gentle skin barrier and moisturizer for all skin types. Ideal for temporary protection of diaper rash, minor cuts, scrapes and burns. Helps prevent and protect from the drying effects of wind and cold weather. Contains 43% petrolatum.

ITEM #

HCPCS

SOLD BY

2-oz. tube 4-oz. tube 5-g packets

CSCONTBR2 CSCONTBR4 CSCONTBRG

A6250 A6250 A6250

ea ea 150/bx

Barrier Cream with Manuka Honey Designed to protect at-risk skin. Ideal for skin irritations caused by urine, diarrhea, perspiration, fistula drainage, feeding tube site leakage, wound drainage (peri-wound skin), minor burns, cuts, scrapes, anorectal itching and chafing. Dries the oozing and weeping of poison ivy, poison oak and poison sumac. Contains 20% zinc oxide, 0.1% menthol and Manuka Honey.

ITEM #

4-oz.

CSCCRMBH4 A6250

HCPCS

SOLD BY

Personal Cleansing Cloths Ideal for incontinence and quick cleanups. Gentle, no-rinse formulation. Large 9˝ x 13˝ size. Infused with aloe to soothe and moisturize the skin. Pre-moistened, ready-to-use and come in convenient, resealable packs.

ITEM #

HCPCS

Non-flushable, scented Non-flushable, scented Non-flushable, fragrance-free Non-flushable, fragrance-free Flushable, fragrance-free

2AWS42 2AWS64 2AWU42 2AWU64 2AWUF42

A9270 A9270 A9270 A9270 A9270

SOLD BY

42/pk 64/pk 42/pk 64/pk 42/pk

SMITH & NEPHEW (54)

Antifungal Cream Proven clinically effective treatment for most common fungal skin infections such as athlete's foot (tinea pedis), jock itch (tinea cruris), ringworm (tinea corporis) and superficial skin infections caused by yeast (Candida albicans). Used to treat and relieve symptoms such as itching, scaling, redness, discomfort and burning. Contains 2% miconazole nitrate.

SOLD BY

Skin Conditioner A medium weight moisturizer for the skin. Used to temporarily soothe chapped or cracked skin. Contains dimethicone.

ADHESIVE REMOVERS UNI-SOLVE* Adhesive Removers Formulated to reduce adhesive trauma to the skin by thoroughly dissolving dressing tape or ostomy appliance adhesives. Ideal for removing acrylic-, rubber- and hydrocolloid-based residue from the skin. Contain aloe, which soothes and moisturizes skin without greasiness. Can be used anywhere with a need for an adhesive dressing. Do not contain ozone-depleting CFCs (chlorofluorocarbons).

ITEM #

HCPCS

Wipes 8-oz. bottle

402300 59402500

A4456 50/bx A4455 ea

SOLD BY

REMOVE* Adhesive Removers Gently clean hydrocolloid-, acrylic- and rubber-based adhesive residue from skin. Aloe moisturizes and conditions the skin without greasiness. Can be used anywhere with a need for an adhesive dressing. Do not contain ozone-depleting CFCs (chlorofluorocarbons).

ITEM #

HCPCS

Wipes 8-oz. bottle

403100 403300

A4456 50/bx A4455 ea

SOLD BY

211

SKIN CARE

SMITH & NEPHEW (54)

MOISTURIZING & PROTECTIVE CREAMS

SKIN PROTECTANTS

SECURA* Moisturizing Cream Reduces friction and moisturizes dry skin. Nongreasy, nonstaining, pH balanced, does not contain lanolin. Use twice daily and after bathing.

SKIN-PREP* Protective Dressings Protective liquid dressing may reduce adhesive removal trauma during removal of tapes or films. Reduce friction. Allow skin to “breathe” so tapes and films may adhere better.

ITEM #

HCPCS

Wipes 4-oz. pump spray

420400 420200

A5120 50/bx A4369 ea

SOLD BY

NO-STING SKIN-PREP* Protective Dressings and Spray Liquid, film-forming dressings form a protective interface to reduce friction during adhesive dressing removal. May be used on intact or damaged skin to help prepare skin attachment sites for drainage tubes, external catheters, surrounding ostomy sites and adhesive dressings. Alcohol-free formula will not sting damaged skin. Allow skin to “breathe” so tapes and films may adhere better.

ITEM #

Wipes Swabs 1.28-mL/1-oz. spray bottle

59420600 A5120 50/bx 59420700 A5120 50/bx 66800709 A4369 ea

HCPCS

SOLD BY

SKIN CONDITIONERS & MOISTURIZERS UNIDERM* Moisturizing Cream Effective, water-based cream moisturizes dry skin. Combination of quality moisturizers and conditioners gently moisturizes, lubricates and conditions dry, scaling or cracked skin. Helps reduce the incidence of friction injuries and pressure ulcers. Gentle to the skin; nonirritating, nonsensitizing and pH-balanced formula will not disturb the skin's natural mantle. Proven safe; hypoallergenic and nontoxic. Useful in many affected areas, such as heels, elbows, hands, and peristomal or perineal areas. Convenient to use; nongreasy, nonstaining, water-based formula glides on easily and vanishes into the skin. Can be used in conjunction with other Triple Care* products.

ITEM #

HCPCS

3-oz. tube

443500

A6250

SOLD BY

ITEM #

59421200 A4245 50/bx

HCPCS

SOLD BY

ITEM #

HCPCS

4.5-fl. oz. dispenser 8.5-fl. oz. dispenser

59430200 59430300

A9270 A9270

SOLD BY

ea ea

SECURA* Moisturizing Skin Cleanser Provides no-rinse cleansing for total body. Aids in the removal of urine and feces without causing friction. Contains aloe; pH balanced; pediatrician tested.

212

ITEM #

HCPCS

4-fl. oz. bottle 8-fl. oz. bottle

59430800 59430900

A9270 A9270

SOLD BY

ea ea

HCPCS

59431900 59432000

A6250 A6250

ITEM #

HCPCS

1.75-oz. tube 2.75-oz. tube

59431100 59431200

A6250 A6250

SOLD BY

ea ea

SOLD BY

ea ea

SECURA* Dimethicone Protectant Protects against exposure to urine and feces while moisturizing and conditioning dry skin. Nonirritating, transparent application allows for visual skin inspection and absorbs quickly. Pediatrician tested. Less likely to clog briefs. Contains 5% dimethicone.

ITEM #

HCPCS

4-oz. tube

59432200

A6250

SOLD BY

SECURA* EPC Extra Protective Cream Provides a high level of protection for individuals with severe diarrhea. Helps treat and prevent rash associated with diaper use or continued exposure to feces, urine or both; and helps seal out wetness. Will not wash away after repeated exposure to urine and feces. Contains 30% zinc oxide, karaya and vitamin E. Pediatrician tested.

ITEM #

HCPCS

3.25-oz. tube 7.75-oz. tube

59432400 59432500

A6250 A6250

SOLD BY

ea ea

PROTECTIVE OINTMENTS SECURA* Protective Ointment Protects skin from minor irritation associated with diaper rash and exposure to feces and urine, and helps seal out wetness. Sticks to weepy, wet skin. Clove oil reduces odor. Petrolatum based. Pediatrician tested.

ITEM #

HCPCS

2.47-oz. tube 5.6-oz. tube

59431500 59431600

A6250 A6250

SOLD BY

ea ea

ANTIFUNGAL PRODUCTS SECURA* Antifungal Formula Helps treat candida albicans (yeast), tinea cruris (jock itch), tinea corporis (ringworm) and tinea pedis (athlete's foot). Contains vitamin E and skin conditioners. Extra-thick formula can be used in the perineal area or other high-moisture areas. Pediatrician tested.

SECURA* Total Body Foam Cleanser Provides no-rinse cleansing for all external body areas. Can be used on the hair. Skin cleanser is a pH-balanced foam that gently and thoroughly removes oil, dirt and grease; adds moisture; helps condition the skin; and deodorizes. Also aids in the removal of urine and feces. Pediatrician tested.

ITEM #

3-oz. tube 6.5-oz. tube

SECURA* Protective Cream Zinc-based skin protectant treats and prevents rash associated with urine and feces. Protects the skin from wetness and reduces odors. Pediatrician tested.

CLEANSERS & SKIN PREPARATIONS IV PREP* Antiseptic Wipes for preparation of the skin prior to injection or venipuncture. Provides a clear, one-step antiseptic for IV site preparation, as well as a film that may help reduce skin trauma associated with adhesive removal when dressings are changed.

ITEM #

HCPCS

2-oz. tube, greaseless 3.25-oz. tube, extra thick

59432800 59432900

A6250 A6250

SOLD BY

ea ea

LOTIONS UNICARE* Moisturizing Lotion Soothes, conditions and moisturizes dry skin without disturbing the skin's natural acid mantle. Nonirritating, rich lotion can be applied easily and is quickly absorbed. Contains allantoin, dimethicone and aloe vera. Can be used as a moisturizer after radiation treatment. pH balanced.

ITEM #

HCPCS

8-oz. bottle

445000

A6250

SOLD BY

SECURA* Moisturizing Lotion Use daily to replenish moisture and maintain healthy skin. Fragrance-free.

ITEM #

HCPCS

8-oz. bottle

59433400

A6250

SOLD BY

SKIN CARE

SMITH & NEPHEW (54)

PROTECTIVE WIPES

SECURA* KITS

Skin Gel Protective Dressing Wipes Protect skin by forming a thin, semipermeable polymer coating over the skin before applying tapes and skin barriers. Prevent skin stripping, which results from frequent removal of tapes or skin barriers. Easy to use in a convenient wipe package.

SECURA* Personal Skin Care Starter Kit Contains 8-fl. oz. bottle of SECURA* Antimicrobial Skin Cleanser, 3-oz. tube of UNI-DERM* Moisturizing Cream and 2.47-oz. tube of SECURA* Protective Ointment.

ITEM #

HCPCS

SOLD BY

59434200 A4335 ea

ITEM #

HCPCS

7917

A5120 50/pk

SOLD BY

COLOPLAST (62) All Coloplast skin care products are latex-free unless otherwise noted.

LATEX FREE

MOISTURE BARRIERS

*Registered trademark of Smith & Nephew

MÖLNLYCKE® HEALTH CARE (OY) HIBICLENS® Antiseptic/Antimicrobial Antiseptic skin cleanser with 4% chlorhexidine gluconate, which bonds to the skin and continues killing pathogens for up to six hours after use. Unique formulation has a very low potential for irritation, and is gentle enough for daily use. Use for daily bathing, hand hygiene, preoperative skin preparation, or as a surgical scrub.

ITEM #

HCPCS

4-oz. bottle 8-oz. bottle 16-oz. pump bottle 32-oz. bottle Gallon bottle 15-mL packets

57504 57508 57516 57532 57591 57517

A4248 A4248 A4248 A4248 A4248 A4248

SOLD BY

ea ea ea ea ea 50/bx

HOLLISTER WOUND CARE (50) SKIN CLEANSERS & CREAMS Restore Skin Cleanser For use on intact skin. Cleanses peristomal and perineal skin of urinary and fecal discharge. Gentle and nonirritating. Must be rinsed off the skin. ®

ITEM #

HCPCS

8-oz. pump bottle

517210

A9270

SOLD BY

Restore® Skin Conditioning Creme Moisturizes and soothes dry, flaky skin. Can also be used to condition skin under adhesive products.

ITEM #

HCPCS

4-oz. bottle

517220

A6250

SOLD BY

Restore® Cleanser & Moisturizer Convenient three-in-one spray cleanses, moisturizes and protects skin from urinary and/or fecal incontinence. Forms protective, breathable barrier on skin. Dimethicone based and does not require rinsing.

ITEM #

HCPCS

7.5-oz. pump spray 11.5-oz. pump spray

529977 529978

A6250 A6250

SOLD BY

ea ea

Restore DimethiCreme Skin Protectant Dimethicone-based, protective, breathable barrier for skin or mucous membrane surfaces that are, or may be, exposed to harmful stimuli. Effectively moisturizes and protects skin. Dries clear to allow skin assessment. ®

ITEM #

HCPCS

4-oz. tube

529979

A6250

Baza Clear Skin Protectant Ointments Formulated with a soothing petrolatum base and essential vitamins A and D to provide reliable protection against damaging enzymes present in urine and feces. CHG compatible. ®

SOLD BY

ITEM #

HCPCS

1.75-oz. tube 5-oz. tube

1005 1006

A6250 A6250

SOLD BY

ea ea

Baza® Protect Occlusive Skin Barrier Cream Zinc oxide and dimethicone with petrolatum; contains natural vitamins A, D and E. Provides everyday wetness protection and aids in the prevention and treatment of incontinence associated dermatitis. CHG compatible.

ITEM #

HCPCS

SOLD BY

4-g single-use packet 2-oz. tube 5-oz. tube

1873 1877 1880

A6250 A6250 A6250

300/cs ea ea

Critic-Aid® Clear For intact to denuded skin. Stays in place, yet easily applies and removes. Eliminates frequent reapplications. Prevents additional damage to fragile skin caused by urine, feces and diarrhea. Clear moisture barrier allows for easy skin assessment. CHG compatible. Suitable for neonatal use.

ITEM #

HCPCS

SOLD BY

4-g single-use packet 2.5-oz. tube 6-oz. tube

7565 7566 7567

A6250 A6250 A6250

300/cs ea ea

Critic-Aid® Skin Paste Thick moisture barrier paste with minimal ingredients. Adheres to intact and denuded skin. Easy to apply and remove. CHG compatible. Suitable for neonatal use.

ITEM #

HCPCS

2.5-oz tube 6-oz tube

1944 1947

A4649 A4649

SOLD BY

ea ea

Baza Cleanse & Protect® Lotion All-in-one perineal lotion, protectant and cleanser. One step provides mild cleansing and a breathable barrier with moisturization. CHG compatible.

ITEM #

HCPCS

8-oz. spray bottle 8-oz. spray bottle, odor control

7712 7725

A4335 A4335

SOLD BY

ea ea

ANTIFUNGALS Baza® Antifungal Moisture barrier antifungal cream with 2% miconazole nitrate. Contains skin conditioners. CHG compatible.

ITEM #

HCPCS

SOLD BY

4-g single-use packet 2-oz. tube 5-oz. tube

1622 1611 1607

A6250 A6250 A6250

300/cs ea ea

Critic-Aid® Clear AF Antifungal, clear moisture barrier ointment with 2% miconazole nitrate. Minimal ingredients. Adheres to intact and denuded skin. Easy to apply and remove. CHG compatible.

ITEM #

HCPCS

SOLD BY

4-g single-use packet 2-oz. tube 5-oz. tube

7570 7571 7572

A6250 A6250 A6250

300/cs ea ea

213

SKIN CARE

COLOPLAST (62) All Coloplast skin care products are latex-free unless otherwise noted.

LATEX FREE

Micro-Guard Powder Antifungal powder with 2% miconazole nitrate. Treats superficial fungal infections. Helps reduce friction and shearing.

Bedside-Care® Foam No-rinse, foaming, deodorizing body wash, shampoo and incontinence cleanser. Alcohol-free, and pH-balanced. CHG compatible.

ITEM #

HCPCS

3-oz. bottle

1337

A4649

ITEM #

HCPCS

2-oz. bottle 4-oz. bottle 8-oz. bottle 21-oz. bottle

0407 0406 0402 0408

A6250 A6250 A6250 A6250

ea ea ea ea

ITEM #

HCPCS

SOLD BY

2-g single-use packet 3-oz. tube 6.5-oz. tube 12-oz. jar

0283 7067 7068 7069

A6250 A6250 A6250 A6250

300/cs ea ea ea

Sween® 24 Cream Moisturizing skin protectant cream for once-a-day application. Contains 6% dimethicone. Fragrance-, petrolatum-, lanolin- and preservative-free. CHG compatible. Suitable for neonatal use.

ITEM #

HCPCS

SOLD BY

4-g single-use packet 2-oz. tube 5-oz. tube 9-oz. tube

7090 7091 7092 7095

A6250 A6250 A6250 A6250

300/cs ea ea ea

Atrac-Tain® Cream Soothing cream exfoliates and softens severely dry, cracked and callused skin. CHG compatible.

ITEM #

HCPCS

SOLD BY

2-g single-use packet 2-oz. tube 5-oz. tube

1843 1802 1814

A6250 A6250 A6250

300/cs ea ea

SKIN FOLD MANAGEMENT InterDry Ag – Textile with Antimicrobial Silver Complex Effectively manages the complications associated with skin folds and skin-on-skin contact areas. Helps manage the symptoms associated with intertriginous dermatitis, such as maceration, erythema, erosion, itching/burning, odor and pain. Wicks and translocates moisture. Kills bacteria and yeast in the textile through a silver complex that is active for up to five days wear time.

ITEM #

HCPCS

7910 7912

A6250 A6250

SOLD BY

ea ea

INCONTINENT CLEANSING & NO-RINSE BATHING Bedside-Care® No-rinse body wash, shampoo and incontinence cleanser. Alcohol-free and pH-balanced. CHG compatible.

ITEM #

HCPCS

4-oz. spray 8-oz. spray 1-gallon bottle

1768 1762 1764

A9270 A9270 A9270

214

SOLD BY

ea ea ea

HCPCS

SOLD BY

7143 7145

A9270 A9270

ea ea

7147 7146

A9270 A9270

ea ea

UNSCENTED

4-oz. bottle 8-oz. bottle

Bedside-Care® Sensitive Skin Foam No-rinse foaming body wash, shampoo and incontinence cleanser. Tear-free, hypoallergenic, dye- and fragrance-free, and suitable for neonatal use.

SOLD BY

Sween Cream® Moisturizing body cream. Non-occlusive formula. Will not interfere with tape adhesion. CHG compatible. Suitable for neonatal use.

10˝ x 144˝ roll 10˝ x 36˝

4-oz. bottle 8-oz. bottle

Sween® Lotion Moisturizing lotion with natural vitamin E. Non-occlusive formula. CHG compatible.

ITEM #

SCENTED

SOLD BY

SKIN MOISTURIZERS

ITEM #

HCPCS

4-oz. bottle 8-oz. bottle

7300 7301

A9270 A9270

SOLD BY

ea ea

Bedside-Care® EasiCleanse™ No-rinse, self-foaming, disposable washcloth. Non-irritating and non-sensitizing. Preservative-, dye-, alcohol- and latex-free. CHG compatible. Suitable for neonatal use.

ITEM #

HCPCS

7055

A9270 30/pk

SOLD BY

BATHING PRODUCTS Gentle Rain Extra Mild Moisturizing body wash, shampoo and hand wash. Mild ingredients and added emollients for use on fragile, sensitive skin.

ITEM #

HCPCS

2-oz. bottle 8-oz. bottle 21-oz. bottle 34-oz. bottle 1-gallon bottle

7230 7235 7233 7234 7236

A9270 A9270 A9270 A9270 A9270

SOLD BY

ea ea 12/ea ea ea

Gentle Rain Antibacterial Antibacterial, moisturizing body wash, shampoo and hand wash. Cleanses, moisturizes and deodorizes skin.

ITEM #

HCPCS

2-oz. bottle 21-oz. bottle 34-oz. bottle

7201 7205 7207

A9270 A9270 A9270

SOLD BY

ea ea ea

Sween® Body Powder Non-caking body powder formulated with natural corn starch. Absorbs moisture and perspiration. Helps reduce friction and prevent shearing. Easy to apply.

ITEM #

HCPCS

3-oz. bottle 8-oz. bottle

0506 0505

A4649 A4649

SOLD BY

ea ea

NEW MicroGuard CHG Solution Chlorhexidine gluconate solution antiseptic for use as a surgical hand scrub, healthcare personnel handwash or skin wound and general skin cleanser. Helps reduce bacteria on the skin1. Effective against a broad range of microorganisms2. Suitable for daily skin cleansing1. FDA-approved antimicrobial for most users, including those at risk of infection. Label information. 2Coloplast data on file.

ITEM #

HCPCS

2% Chlorhexidine Gluconate Solution 4% Chlorhexidine Gluconate Solution

67750 67760

A4248 A4248

SOLD BY

48/bx 48/bx

CONVATEC (51) Aloe Vesta® Daily Moisturizer Soothes, softens and moisturizes skin. Temporarily protects chafed, chapped or cracked skin. Contains 3% dimethicone to temporarily protect and help relieve chapped or cracked skin and lips.

ITEM #

HCPCS

2-oz. bottle 4-oz. bottle 8-oz. bottle

324802 324804 324809

A6250 A6250 A6250

SOLD BY

ea ea ea

SKIN CARE

CONVATEC (51)

MOISTURE BARRIERS

Sensi-Care Body Cream Specially formulated to relieve chronic dry skin. Contains emollients that smooth and soften the skin, and humectants that attract and retain moisture. Good for hands, heels, elbows and knees.

Sensi-Care Clear Zinc Rubs in clear. Contains 5% dimethicone to help care for vulnerable skin by repelling water, and 5% zinc oxide to protect and help relieve chapped or cracked skin.

ITEM #

HCPCS

3-oz. tube

324403

A6250

SOLD BY

BATHING PRODUCTS Sensi-Care Body Wash & Shampoo Formulated with mild surfactants, humectants and emollients. Use in tub or shower with washcloth or dilute with water for no-rinse bathing. Moisturizes and conditions skin, and reduces odor-causing bacteria. ®

ITEM #

HCPCS

4-oz. bottle 8-oz. bottle

325304 325309

A9270 A9270

ea ea

ITEM #

HCPCS

325521

A4335 8/pk

SOLD BY

Aloe Vesta® Body Wash and Shampoo A mixture of surfactants for effective yet mild removal of a broad range of oil, soil and other skin debris. Contains botanicals to soothe irritated skin. Humectants attract and retain moisture in the skin. No-rinse bed bathing option for added convenience. ITEM #

HCPCS

4-oz. bottle 8-oz. bottle 1-L bottle 4-L bottle

324604 324609 324612 324611

A9270 A9270 A9270 A9270

ITEM #

HCPCS

2-oz tube 5-oz tube

413586 413587

A6250 A6250

SOLD BY

ea ea

Aloe Vesta® Clear Barrier Spray Delivers at least 72% petrolatum upon evaporation of solvent1 to help protect skin at risk of breakdown. Sprays from any angle for all-over protection without rubbing or damaging skin. Formulated without alcohol, preservatives and fragrances to minimize skin irritation.

SOLD BY

Aloe Vesta® Bathing Cloths Thick, soft cloths. Contain botanicals to soothe irritated skin. Pre-moistened for easy, no-rinse bathing.

Determination of the petrolatum concentration within Aloe Vesta® Protective Barrier Spray before and after solvent evaporation. Scientific Background Report. WHR12698 TA048, 2007.

ITEM #

HCPCS

2.1-oz. bottle

413401

A4369

SOLD BY

Aloe Vesta Protective Ointment 43% petrolatum moisture barrier to seal out moisture and protect skin. Contains mineral oil and lanolin for skin conditioning. Contains humectants to attract and retain moisture in the skin. Rubs in clear. ®

ITEM #

HCPCS

2-oz. tube 8-oz. tube

324913 324908

A6250 A6250

SOLD BY

ea ea

Sensi-Care® Protective Barrier Adheres to and helps treat denuded skin. Good for diaper or undergarment rash. Contains 15% zinc oxide and petrolatum.

ITEM #

HCPCS

4-oz. tube

325614

A6250

SOLD BY

ea ea 8/cs ea

INCONTINENCE CLEANSERS

Sensi-Care™ Sting-Free Protective Skin Barrier Creates a breathable barrier that protects the skin from damage caused by adhesives, body waste and friction. Ideal for daily use: no residue buildup or bonding to skin folds. Ongoing skin protection for up to 72 hours1. Voegeli D, LBF® “No-Sting” Barrier Wipes: Skin Care Using Advanced Silicone Technology. British Journal of Nursing, 2008; Vol. 17: No. 7.

Sensi-Care Perineal/Skin Cleanser Extra-gentle, no-rinse cleanser. Contains a botanical to soothe irritated skin and collagen to aid in maintaining the skin matrix. ®

ITEM #

4-oz. 8-oz.

324504 A4335 ea 324509 A4335 ea

HCPCS

ITEM #

HCPCS

413501

A5120

SOLD BY

WIPES

16 cm x 16 cm, 3 mL

SOLD BY

30/bx

SPRAY

28 mL 420797 A4369 ea 50 mL 413502 A4369 ea FOAM APPLICATOR

1 mL 3 mL 3 mL

Aloe Vesta® Cleansing Foam A mixture of surfactants for effective yet mild removal of a broad range of oil, soil and other skin debris. Humectants to soothe and moisturize fragile skin. Convenient no-rinse cleanser for body and hair. Contains hydrolyzed collagen, an effective skin conditioner.

ITEM #

HCPCS

4-oz. bottle 8-oz. bottle

325204 325208

A4335 A4335

SOLD BY

ea ea

Aloe Vesta® Perineal/Skin Cleanser Minimizes rubbing with special cleansing agents that dissolve soils and remove odors. Contains botanicals to soothe irritated skin. No-rinse formula for easy clean up.

ITEM #

HCPCS

4-oz. bottle 8-oz. bottle

324704 324709

A4335 A4335

A5120 A5120 A5120

5/bx 5/bx 25/bx

ADHESIVE REMOVERS Sensi-Care™ Sting-Free Adhesive Releaser Spray Easily and rapidly releases appliances or dressings adhered with adhesive1. Helps minimize skin trauma with no-touch removal. Helps minimize skin stripping that causes pain. 1

SOLD BY

ea ea

420793 420795 420796

Data on file. ConvaTec Inc.

ITEM #

HCPCS

50 mL 150 mL

413499 420798

A4455 A4455

SOLD BY

ea ea

Sensi-Care™ Sting-Free Adhesive Remover Wipes Quickly remove adhesive residue. Fast drying with no residue left behind. More coverage: the largest wipe with generous 3.3-mL saturation1. Data on file. ConvaTec Inc.

ITEM #

HCPCS

16 cm x 16 cm, 3 mL

413500

A4456

SOLD BY

30/bx

215

SKIN CARE

CONVATEC (51) ANTIFUNGAL OINTMENTS Aloe Vesta® Clear Antifungal Ointment Contains 2% miconazole nitrate to relieve most superficial fungal infections. Contains petrolatum to help repel moisture from urine and feces. Emollients and conditioners to help relieve itching, scaling, cracking and discomfort. Rubs in clear.

ITEM #

HCPCS

2-oz. tube 5-oz. tube

325102 325105

A6250 A6250

SOLD BY

ea ea

FNC MEDICAL (FN) Ca-Rezz® No Risc® Antibacterial Cream Moisturizes, heals and creates an antibacterial barrier. Formulated with antibacterial ingredients. Enriched with vitamins A, D, E and aloe vera. Nongreasy formula contains allantoin for added moisture and protection. Gentle formula helps prevent skin breakdown, infection and odor.

ITEM #

HCPCS

4.2-oz. tube 9.7-oz. tube 9.7-oz. jar

11204 11309 11409

A6250 A6250 A6250

SOLD BY

ea ea ea

Ca-Rezz® Antibacterial Liquid Soap Formulated with antibacterial ingredients. Eliminates more than 99% of microorganisms in seconds. Broad spectrum efficacy is not compromised by dirt or organic matter. Formulated with emollients, humectants and moisturizers to ensure healthy, soft skin, even after repetitive washing. Nontoxic and nonirritating; does not contain dyes or perfumes.

ITEM #

HCPCS

12-oz. pump Gallon bottle

10812 10801

A9270 A9270

SOLD BY

ea ea

Ca-Rezz No Risc Wash Soapless, rinseless, pH-balanced formula with an antibacterial agent. Stops odors, deodorizes and reduces the risk of cross-contamination. Removes infectious microorganisms that can cause painful rashes, bed sores and decubitus ulcers. Alcohol-free. Gentle wash offers the same benefits as the original, but in a milder formulation for sensitive skin with a fresh, powder-like fragrance. ®

4.2-oz. tube

ITEM #

HCPCS

8-oz. spray 16-oz. spray

11308 11316

A4649 A4649

ITEM #

HCPCS

4.2-oz. tube

41904

A6250

ITEM #

15108 A4649 ea

HCPCS

ITEM #

4.2-oz. bottle

21204 A6250 ea

SOLD BY

Diabet-X Therapeutic Body Lotion Formulated specifically for extra-dry skin conditions associated with diabetes. Nourishes dry, cracked and chapped skin while shielding against the sun’s harmful burning and dehydrating rays. Contains vitamin E, urea and aloe vera.

ITEM #

HCPCS

12-oz. bottle

40712

A6250

SOLD BY

Diabet-X® Moisturizing Body Wash Extra-deep moisturizing formula leaves the skin comfortable, clean and soothed. Provides a layer of antibacterial protection that lasts for hours. Rich lather gently cleans without stripping the skin of its natural oils. Vitamin B-12 promotes the growth of healthy tissue. Antibacterial ingredients shield the body against infection.

ITEM #

HCPCS

16-oz. bottle.

40316

A9270

SOLD BY

12/bx

CLEANLIFE PRODUCTS (NR) HAIR CARE No Rinse® Shampoo No rinsing required. Completely cleans hair without water. No need to remove patient from bed. Eliminates odor. Easy to use – apply until hair is completely wet. Massage and thoroughly towel dry.

ITEM #

HCPCS

SOLD BY

2-oz. bottle 8-oz. bottle 16-oz. bottle Gallon bottle

00120 00100 00200 00400

A9270 A9270 A9270 A9270

144/cs 24/cs 12/cs 4/cs

No Rinse® Hair Conditioner No rinsing required. Instantly eliminates snarls and tangles with no greasiness.

ITEM #

HCPCS

8-oz. bottle

00540

A9270

SOLD BY

12/cs

LATEX FREE No Rinse® Shampoo Cap One-piece cap transfers all massaging action directly to hair and scalp. Alcohol-free. Eliminates odors, leaving hair fresh and clean. Allows user to shampoo more efficiently in less time. Package can be microwaved for a warm shampoo. Easy to use. Simply put on cap, massage hair through cap, remove and thoroughly towel dry.

ITEM #

HCPCS

02001 02000

A9270 12/cs A9270 30/cs

SOLD BY

Ca-Rezz Appliance Cleanser & Deodorizer Formulated with an antibacterial agent to provide the extra level of protection for today's increased health risks. Intended for frequent daily use. Eliminates odors without damaging or deforming appliances. Reduces the risk of cross-contamination. This advanced liquid soap is effective against many of today's complex pathogens. ®

HCPCS

SOLD BY

Ca-Rezz® Moisture Barrier Cream Made with a gentle formula that helps prevent skin breakdown, infections and odor. Its occlusive moisture barrier protects against exposure to wetness, urine acids and enzymes. Aloe vera, calamine and allantoin treat and soothe irritated, chaffed tissue and promote healing. Antibacterial ingredients help to reduce odor, protect against infection for up to two hours and prevent crosscontamination. Vitamins A, D and E soothe and promote healing of fragile, irritated skin. HCPCS

SOLD BY

ea ea

HCPCS

A6250

SOLD BY

ITEM #

40204

Diabet-X® Callus Treatment Deep-moisturizing formulation gently softens, soothes, heals and eliminates calluses on feet, fingertips and body. Specifically designed for those with diabetes. Does not use ingredients that dissolve or burn skin tissue like other callus or wart removal products. Contains benzethonium chloride.

Ca-Rezz® Incontinent Wash LTCF incontinent cleanser. Promotes healthy skin tissue while gently moisturizing the skin. Scientifically formulated for the unique skin conditions associated with incontinence. Gentle, healing formula of vitamins, moisturizers, humectants and emollients leave the skin feeling, healthy, soft and fresh. Helps cleanse, moisturize, heal and provide a protective barrier.

216

Diabet-X® Daily Prevention Skin Therapy Cream Gentle, natural ingredients make it safe for daily use. Formulation containing benzethonium chloride has been shown to be effective in eliminating the microorganisms that cause skin irritation, bacterial infections and tissue breakdown. Rich blend of vitamins A, D and E, aloe vera, urea and allantoin. Rehydrates, exfoliates and soothes dry, red, callused skin.

ITEM #

16-oz. bottle

15416 A5131 ea

SOLD BY

BODY CARE No Rinse® Peri-Wash No-rinse perineal cleanser that soothes and protects. Contains aloe and vitamin E. pH balanced. Eliminates odors and nonirritating. Emulsifies and cleans.

ITEM #

HCPCS

8-oz. bottles Gallon refills

00700P 00710P

A4335 A4335

SOLD BY

12/cs 4/cs

SKIN CARE

CLEANLIFE PRODUCTS (NR) No Rinse® Body Bath (Concentrate) Concentrated basin bath solution. No need to remove patient from bed. Mild formula will not dry skin. Easy to use. Simply fill basin with warm water, add 1 oz. of body bath, wet cloth with solution and squeeze to remove excess solution, wipe body area and towel dry.

ITEM #

HCPCS

SOLD BY

2-oz. bottle 8-oz. bottle 16-oz. bottle Gallon bottle

00920 00900 00910 00950

A9270 A9270 A9270 A9270

144/cs 24/cs 12/cs 4/cs

No Rinse® Moisturizing Body Wash Ready to use; no rinsing required. Leaves skin clean, refreshed and odor-free. Easy to use. Apply directly to skin or wet wash cloth and then towel dry.

ITEM #

HCPCS

2-oz. bottle 8-oz. bottle 1 gallon

00932 00940 00944

A9270 A9270 A9270

LATEX FREE NEW TENA® Bathing Glove Pre-moistened with a gentle body wash formula. Eliminates the need for soap, water, basins or additional towels. Can be used as an alternative, or in addition to, regular baths and showers. May be warmed for a more soothing bathing experience.

LATEX FREE No Rinse® Bathing Wipes Premoistened, aloe vera-enriched cloths provide a convenient bathing alternative. Wipes cleanse, deodorize and moisturize. Microwave pack for a warm bath. Hypoallergenic. Easy to use. No water, rinsing or towel drying required. Case quantity is 24/cs.

ITEM #

HCPCS

01000

A9270 8/pk

SOLD BY

HCPCS

SOLD BY

65005 A9270 5/pk 65004 A9270 5/pk

MEDLINE (56) LATEX FREE Medline Moisture Barrier Cream Protects skin while repelling moisture. Ideal for chafed, chapped or cracked skin. Provides excellent protection around gastrostomy and other tubes. Apply as often as needed. 3.5-oz. tube.

SOLD BY

12/cs 24/cs ea

ITEM #

Scented Scent-free

ITEM #

HCPCS

Without zinc With zinc

104040 104041

A6250 A6250

SOLD BY

ea ea

DERMA SCIENCES (DS) ApriVera® Skin and Hair Cleanser Effective, odor-reducing, nonalkaline, body and hair cleanser designed to make the bathing process a positive experience. Combination of conditioners and emollients in a pearlescent lotion base provides this gentle product a unique, rich lather. Both safe and effective for tub, shower, bedside basin and whirlpool bathing. Proprietary apricot fragrance leaves both user and facility smelling clean and odor-free. Contains a special antimicrobial preserving system designed to aid in eliminating cross-infection concerns.

ITEM #

HCPCS

8-oz. bottle

S1078Z

A9270

SOLD BY

SCA PERSONAL CARE (SQ)

SANTUS (LA)

LATEX FREE TENA Cleansing Cream Three-in-one formula promotes skin health by gently cleansing, moisturizing and soothing vulnerable skin. Primarily used for cleansing between absorbent product changes, this formula cleanses effectively without the need for rinsing and helps maintain skin’s natural pH while controlling odor.

Lantiseptic CaldaZinc Ointment Provides a moisture barrier that helps prevent and heal irritated skin, with 20% zinc oxide and calamine. Helps prevent chafing and moisture-related skin irritations. Temporarily relieves pain and itching with 0.45% menthol, external analgesic. Ideal for skin irritations resulting from urine, diarrhea, hemorrhoids and others. Fragrance- and paraben-free. Lanolin-enriched.

ITEM #

HCPCS

8.5-oz. tube 16.9-oz. bottle 33.8-oz. bottle

64425 64430 64435

A6250 A6250 A6250

SOLD BY

ea ea ea

LATEX FREE TENA® Classic Washcloth Gentle and effective, these adult-sized, moistened washcloths are designed for daily use. Dermatologically tested, alcohol-free and enriched with aloe, chamomile and vitamin E to soothe elderly skin. Provide effective, economic personal hygiene with easy-to-use, one-handed dispensing of unfolded washcloths.

ITEM #

HCPCS

65724

A9270 48/pk

™

ITEM #

TENA® Ultra Washcloths 65720 TENA UltraFlush™ Washcloths 65726

HCPCS

A9270 A9270

SOLD BY

48/pk 48/pk

LATEX FREE TENA® Protective Cream Extra protection that is ideal for irritated skin and sensitive skin. Contains zinc oxide (10% concentration) and vitamin E. Offers a smoother application and easier removal than other zinc pastes while still helping to prevent and treat minor skin irritation associated with incontinence.

ITEM #

HCPCS

3.4-oz. tube

64401

A6250

SOLD BY

ITEM #

HCPCS

4-oz. flip-top tube

0606

A6250

SOLD BY

Lantiseptic No-Rinse Cleansing Foam A no-rinse formula designed for optimal cleansing to reduce waste. Foaming formulation stays in place to help emulsify feces and cleanse urine. The ph-balanced foaming cleanser is non-irritating on all body areas, including the perineum. The added lanolin moisturizers help prevent the skin from over-drying. Pleasant scent helps mask unwanted odors. ®

SOLD BY

LATEX FREE TENA Ultra and TENA UltraFlush Washcloths Adult-sized, moistened washcloths offer premium cleansing and moisturizing in one convenient product. Thick, textured cloths that offer extra softness for fragile skin. Alcohol-free and enriched with aloe, chamomile and vitamin E to soothe elderly skin. Provide effective, economic personal hygiene with easy-to-use, one-handed dispensing of unfolded washcloths. ®

ITEM #

8-oz. foamer

0511 A4335 ea

HCPCS

SOLD BY

Lantiseptic® Original Skin Protectant Provides long-lasting protection for chafed skin and irritations due to incontinence. Emollient barrier helps prevent and treat skin irritations, and helps seal out wetness. Formulated to encourage the proper moisture balance of the skin, which supports the body’s natural healing process. Helps maintain skin integrity, promoting skin health.

ITEM #

HCPCS

SOLD BY

0.5-oz. packet 4-oz. flip-top tube 4.5-oz. jar 12-oz. flip-top jar

0305 0308 0310 0311

A6250 A6250 A6250 A6250

144/cs ea ea ea

Lantiseptic® Dry Skin Therapy Uniquely suited for the maintenance and protection of severly dry skin. The 30% lanolin-enriched cream closely mimics the lipids in skin to help maintain skin integrity and reduce breakdown. Helps keep skin pliable, which reduces cracking and bleeding. Use daily on diabetic, ulcer-prone or chafed skin, feet, legs, heels and elbows.

ITEM #

HCPCS

SOLD BY

0.5-oz. packet 4-oz. flip-top tube

0405 0410

A6250 A6250

144/cs ea

217

SKIN CARE

SANTUS (LA)

SAGE PRODUCTS (TO)

NEW Lantiseptic 3-in-1 Wash Cream Effective, no-rinse alternative to soap and water that gently cleans, revitalizes and protects even the most sensitive skin. The pH-balanced formula is ideal for all body cleansing, including the perineum. Added lanolin moisturizers help cleanse the area after incontinent episodes, as well as nourish the skin. Strong enough to clean, yet gentle enough to moisturize. Great all-in-one step for at-risk or normal skin from head to toe. ®

ITEM #

HCPCS

8.5-oz. flip-top tube

0513

A6250

SOLD BY

NEW Lantiseptic® Nourishing Skin Cream Unique moisturizing cream formulated with 1.5% dimethicone as a skin protectant, to provide temporary therapeutic relief for dry, cracking skin. Lanolin-enriched to help optimize skin hydration and fortified with green tea, coconut oil and vitamins to encourage healthy looking skin from head to toe. This cream is ideal for all-over-body moisturizing, long-term use or targeted use. The non-greasy formula leaves skin feeling smooth and soft.

ITEM #

HCPCS

4-oz. flip-top tube

0813

A6250

SOLD BY

PRINCIPLE BUSINESS ENTERPRISES, INC. (PU) LATEX FREE Tranquility® ThinLiner Moisture Management® Absorbent Sheets Ultra-thin sheets wick moisture/exudate away from the skin, providing a dry environment in areas where moisture can cause significant skin breakdown. Soft, comfortable sheets absorb equally from both sides. Multiple applications or uses, such as tucking into skin folds, wrapping around the body and folding into various positions. Latex-free. Nonsterile.

ITEM #

HCPCS

6˝ x 10˝ 6˝ x 14˝ 20˝ x 22˝

3190 3191 3092

A4520 A4520 A4520

SOLD BY

10/pk 10/pk 25/pk

SONOMA PHARMACEUTICALS, INC. (OI) Microcyn® Solution with Preservatives Intended for the irrigation and management via debridement of post-surgical wounds. For external use only. Not for injection. There may be a temporary burning or stinging sensation when first applied to broken skin. Do not store in flexible tubing for more than two hours. Keep out of reach of children. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

990 mL

847816

A6260

SOLD BY

ITEM #

HCPCS

2-oz. spray bottle 8-oz. spray bottle 250-mL squeeze bottle

84871 84507 84491

A6260 A6260 A6260

SOLD BY

ea ea ea

ITEM #

HCPCS

1.5-oz. squeeze bottle 3-oz. spray bottle 3-oz. squeeze bottle

84750 84872 84804

A6248 A6248 A6248

218

SOLD BY

ea ea ea

All Sage Products skin care products are latex-free unless otherwise noted.

LATEX FREE

Comfort Bath® Cleansing Washcloths Give the ultimate bathing experience that is gentle for even sensitive skin. No need for multiple products or getting into a tub or shower – the heavyweight cloths are enriched with the maximum amount of cleansers, aloe and vitamin E to clean and nourish skin. Can be warmed in the microwave for a soothing bathing experience. Made in the USA. No. 1 pre-packaged bathing product in U.S. Hospitals1. GHX Market Share Report.

ITEM #

HCPCS

Premium heavyweight Heavyweight fragrance-free Heavyweight with odor eliminator Standard weight fragrance-free

7900 7903 7942 7987

A9270 A9270 A9270 A9270

SOLD BY

8/pk 8/pk 8/pk 5/pk

Comfort Rinse-Free Shampoo Cap Provides clean, soft, healthy hair without running water – no rinsing, no mess. Ultra-soft, disposable cap is pre-moistened with rinse-free shampoo, conditioner and detangler. Microwavable. Made in the USA.

ITEM #

HCPCS

7909

A9270 ea

SOLD BY

NEW Comfort Shield® Barrier Cream Cloths Protect and soothe even the most delicate, irritated skin from the harsh effects of incontinence moisture. Each pre-moistened, ultra-soft cloth gently cleans and coats skin with 3% dimethicone barrier cream to seal out wetness. Easy, one-step application replaces other wipes, lotions, creams and deodorizers. Made in the USA.

ITEM #

HCPCS

8.5˝ x 8.5˝ 8.5˝ x 9˝ 8.5˝ x 8.5˝

7526 7905 7503

A6250 A6250 A6250

SOLD BY

24/pk 8/pk 3/pk

GENUINE VIRGIN ALOE CORPORATION (GVA) TriDerma® Scar Reliever™ Medical strength silicone and AP4® aloe gel promotes maximum healing power for scars. It provides a clear protective coating to help break down existing scar tissue, minimize new scars from forming and generate faster healing of injured skin from cuts, scrapes, burns, incisions or other skin injury. It helps speed healing and reduces the appearance of red, pink or raised scars. Fragrance-free.

ITEM #

HCPCS

1 oz.

50015

A6250

SOLD BY

TriDerma® Extreme Dryness PLUS™ Fast-acting medical-strength formula is more than a moisturizer. It delivers intense moisture to dry, chapped and cracked skin. Its unique blend of clinically proven skin protectants combined with powerful natural healing properties allows it to lock in vital moisture and help reinforce skin’s natural protective barrier. It helps soothe redness, itching and burning. Non-greasy, fragrance- and paraben-free.

ITEM #

HCPCS

2.2 oz.

56025

A6250

SOLD BY

TriDerma Vein Defense Healing Cream Professional-strength formula helps reduce the look of varicose veins, spider veins, red blotches, under-eye dark circles and broken capillaries on the face and body. It contains a highly concentrated botanical complex, active plant extracts, anti-aging peptides, vitamins and other specially selected ingredients to help improve overall skin tone for a healthier, more confident complexion. Its fragrance-free formula glides on, leaving skin silky soft. ®

™

ITEM #

HCPCS

2.2 oz.

74025

A6250

SOLD BY

SKIN CARE

GENUINE VIRGIN ALOE CORPORATION (GVA) TriDerma® Intense Fast Healing® Cream Specialized formula soothes, protects and helps promote fast healing for hard-to-heal skin problems. Recommended for symptomatic relief of skin irritations, pressure sores, diabetic ulcers, burns, including radiation burns, eczema, psoriasis and other skin conditions from minor to severe. Contains proprietary AP4® Genuine Virgin Aloe complex, zinc PCA, natural botanicals and other advanced healing and moisturizing ingredients. Fragrance- and paraben-free, no cortisone, non-greasy.

ITEM #

HCPCS

2.2-oz. tube 4-oz. jar

60025 09041

A6250 A6250

SOLD BY

ea ea

Eczema Fast Healing™ Cream Fragrance-free, non-greasy, this helps protect and relieve itching and rashes from Eczema or minor skin irritations due to chemicals, detergents or excessive hand washings. Provides soothing relief and long-lasting moisture for dry, cracked and irritated skin. Contains natural healing botanicals, vitamins and AP4® Genuine Virgin Organic Aloe. Helps relieve itching without harmful drugs, daily use helps maintain healthy skin, plus it is gentle enough to use on children or sensitive skin.

ITEM #

HCPCS

2.2-oz. tube

54025

A6250

SOLD BY

Psoriasis Control Cream Contains specific healing ingredients to ease the symptoms of psoriasis. This chronic skin disorder cannot be cured but it can be managed, safely and effectively, without the use of steroid products, coal tar or other prescription drugs. Daily use helps prevent recurrence and helps to maintain healthy skin. Unique combination of AP4 Genuine Virgin Organic Aloe, urea, salicylic acid, zinc PCA, oat protein and other advanced healing ingredients help promote and, while making it gentle enough to use on any sensitive skin area, including on the scalp. ™

ITEM #

HCPCS

2.2-oz. tube

62025

A6250

SOLD BY

Facial Redness Repair This highly specialized non-greasy cream helps provide results like those from a dermatologist. Contains professional strength anti-inflammatory ingredients, vitamins, carefully selected botanicals and proven healing essentials to quickly calm, balance and stabilize the skin. Daily use helps heal blemishes and improve the appearance of skin puffiness and redness due to sensitive skin or Rosacea on cheeks, nose, chin or forehead. It helps provide ongoing relief from flare-ups and helps maintain a healthy, even complexion.

ITEM #

HCPCS

2.2-oz. tube

52025

A6250

Provent Rosacea Formulated to help reduce the appearance of skin conditions often associated with Rosacea. Contains green tea extract, milk thistle and grape seed extract, ingredients known to have natural anti-inflammatory benefits. Provides a rich environment to promote healthy skin.

ITEM #

PV112R A6250 ea

BEAUMONT PRODUCTS, INC (BP) Citrus II Germicidal Deodorizing Cleaner Cleans and deodorizes as it disinfects. Biodegradable detergents system allows surfaces to be pre-cleaned prior to disinfecting, as required by OSHA regulations, without the need of a second product. Cleans without scrubbing and wipes clean without leaving grit or soap scum. As a highly effective deodorizer, it quickly eliminates odors caused by microorganisms in bathrooms, garbage cans and storage areas, basements and kitchens.

ITEM #

22 oz.

33712927 A9270 ea

ITEM #

PV513R A6250 ea

HCPCS

SOLD BY

Provent Eucalyptus Oil Helps with relief from congestion by opening up sinuses for better breathing. Within this all-natural topical treatment, there are antibacterial effects on pathogenic bacteria in the respiratory tract, which help relieve the symptoms of influenza and colds. Works great in showers, baths, steams and humidifiers; just add a few drops in water, wash cloth or humidifier, and feel the congestion relief.

ITEM #

HCPCS

SOLD BY

PV629R A9270 ea

SOLD BY

ITEM #

4-oz. bottle 7-oz. bottle

32112925 A9270 ea 32112923 A9270 ea

HCPCS

SOLD BY

CHATTEM, INC. (CHA) Gold Bond Ultimate Diabetics' Dry Skin Relief Lotion Proven formula of seven intensive moisturizers and Hydralast® soothes and hydrates while adding a protective layer of moisture for 24 hours. Combination of aloe and vitamins helps nourish and eliminate dry, flaky skin. Designed for daily use. Fragrance-free and non-greasy. Includes aloe, a natural, healing botanical to help soothe skin. ®

ITEM #

13 oz.

05350 A6250 ea

HCPCS

SOLD BY

Gold Bond® Ultimate Diabetics' Dry Skin Relief Foot Cream Two active ingredients help soothe and protect skin while sealing in moisture. This rich foot cream formula is non-irritating, hypoallergenic, fragrance-free, dye-free and perfect for daily use. Dermatologist-tested among people living with diabetes, it is proven to provide dry skin relief.

ITEM #

3.4 oz.

05400 A6250 ea

QUEST PRODUCTS, INC (QU)

HCPCS

Citrus® II Odor Eliminating Air Freshener The fresh, all natural way to eliminate tough odors on contact to create a positive, relaxed atmosphere for patients, personnel and visitors. 100% natural citrus air fragrance doesn't just mask strong odors, it destroys any airborne odor instantly. Keeps rooms odor-free for hours. Effective for hospitals, exam rooms, physicians' offices, labs, clinics, nursing homes and much more.

SOLD BY

Provent Eczema & Psoriasis Boost the skin’s natural immunity and its healing potential, reversing the effects of damage caused by eczema or psoriasis. Helps alleviate inflammation, redness, dry skin and itching. Non-steroidal, natural relief. No parabens, perfumes or dyes.

HCPCS

SOLD BY

iLEX HEALTH PRODUCTS (IU) iLEX Skin Protectant Topical, hydroactive skin barrier seals out wetness to heal and protect damaged skin due to numerous medical conditions, including pediatric and adult perineal excoriation, severe diaper rash, use of a gastrostomy tube, and ostomy site irritation and excoriation. Prevents infections and maximizes healing by providing a 0.0 cm/hr moisture penetration rate. Alcohol- and latex-free; safe to use on very fragile skin, such as that of neonates and geriatric users. Compatible with all ostomy supplies and other medical surgical devices. Used by hospitals and pediatricians. ®

ITEM #

HCPCS

57-g. tube 227-g. jar

IP51A IPT50A

A4406 A4406

SOLD BY

ea ea

CUSTOM MANUFACTURED PRODUCTS, LLC (CUS) Foaming No Rinse Shampoo & Body Wash Gentle for all hair types and enriched with aloe vera. pH balanced and alcohol-free.

ITEM #

HCPCS

7.1 oz

200905

A9270

SOLD BY

219

SKIN CARE

CUSTOM MANUFACTURED PRODUCTS, LLC (CUS) Pharma-C-Wipes™ Pre-moistened, soft and pliable wipes that can be used for first aid or for cleaning. Packaged in a pop-top canister with a pull-through domed lid, they are easy to use and store.

ITEM #

HCPCS

70% Isopropyl Alcohol 3% Hydrogen Peroxide

200736 200737

A4245 A4649

SOLD BY

ea ea

CleanE-ze Disinfectant Wipes Plus For home, institutional and industrial use. Kills 99.9% of bacteria in 15 seconds.

ITEM #

HCPCS

Lemon Scent

200819

A9270

SOLD BY

3.5 oz. 16 oz.

ITEM #

HCPCS

500 505

A6250 A6250

SOLD BY

ea 24/bx

Soapreme™ All-purpose lotion soap with a rich lather and pleasant scent. Mild agents. Economical. For use in the shower or bath as a body wash/shampoo or for hand washing.

ITEM #

HCPCS

8-oz. bottle

230

A9270

SOLD BY

PDI® HEALTHCARE (PY)

AMERIDERM (ADM) AirCare™ Deodorizer Deodorizer for institutional, industrial and household use. Non-aerosol formula chemically absorbs and neutralizes offensive odors on contact. Freshens air. Economical.

ITEM #

HCPCS

8-oz. spray bottle

600

A9270

SOLD BY

ITEM #

HCPCS

8-oz. bottle

265

A9270

SOLD BY

DermaSoft™ with Aloe For use after shower or bath. Ideal for use in hospitals and nursing homes. Provides moisture to dry skin and is non-greasy. For daily use.

ITEM #

HCPCS

8-oz. bottle

115

A6250

SOLD BY

DermaFix™ Zinc enriched to promote healing of minor skin irritations. Contains vitamins A, D and E, and is pH balanced. Applied as a skin protectant. For bedside use in nursing homes, hospitals and home healthcare.

ITEM #

HCPCS

4-oz. squeeze tube

400

A6250

SOLD BY

24/bx

GentleWash Multipurpose, lotion skin cleanser enriched with vitamin E. Promotes soft, moist and smooth skin. Gentle enough for everyday use. Leaves no soap scum or oily residue. For use in the shower or bath as body wash or shampoo, and also can be used as hand washing soap. ™

ITEM #

HCPCS

8oz. 1 gallon

220 228

A9270 ea A9270 ea

SOLD BY

Ointment with Vitamins A&D Enriched with lanolin and vitamins A and D. For use in pharmacies, hospitals, nursing homes, home healthcare and general skin care. Can be used on geriatric users and children. Petrolatum base.

ITEM #

HCPCS

15-oz. jar

160

A6250

Sani-Cloth Plus Compatible with a broad range of hard, nonporous surfaces and equipment found in healthcare environments. Effective against 16 clinically relevant microorganisms in three minutes, including bloodborne pathogens, viruses and bacteria. ®

48/bx

BodyWash Rinse-Free Shampoo and Body Cleanser Created for those who must remain in bed. For use in hospitals, nursing homes and home healthcare. Ready-to-use formula contains aloe vera gel and effectively cleanses. Rinse-free. Free of alcohol and dyes.

220

PeriShield™ Barrier ointment and antimicrobial skin protectant. Antiseptic that protects against infection. Zinc oxide and chloroxylenol additives help prevent and treat diaper rash due to incontinence. Baby-fresh scent. Easy to apply and remove. Enriched with aloe and vitamins A, D and E. For use in hospitals and nursing homes.

SOLD BY

ITEM #

HCPCS

Large, canister X-Large, canister

Q89072 Q85084

A9270 A9270

SOLD BY

ea ea

Super Sani-Cloth® Germicidal Disposables Wipes Ideal for daily use in fast-paced environments that require short contact times and broad coverage of microorganisms. Fast contact time allows for quick room turnover. Compatible with a broad range of surfaces and equipment in healthcare. Effective against 30 clinically relevant microorganisms in two minutes, including bloodborne pathogens, mycobacterium bovis (TB), pathogenic fungi, muti-drug resistant organisms (MDROs) and viruses.

ITEM #

HCPCS

Large, canister X-Large, canister Large, individual packets X-Large, individual packets

Q55172 Q86984 H04082 U87295

A9270 A9270 A9270 A9270

SOLD BY

ea ea 50/bx 50/bx

Sani-Cloth® AF3 Germicidal Disposables Wipes Alcohol- and fragrance-free. Ideal for use around patients and staff, especially those with respiratory sensitivities. Ideal for use on equipment and other hard, nonporous surfaces sensitive to alcohol. Effective against 45 clinically relevant microorganisms in three minutes, including bloodborne pathogens, mycobacterium bovis (TB), pathogenic fungi, muti-drug resistant organisms (MDROs) and viruses.

ITEM #

HCPCS

Large, canister Large, individual packets X-Large, individual packets

P13872 H59200 U27500

A9270 A9270 A9270

SOLD BY

ea 50/bx 50/bx

Sani-Cloth® HB Germicidal Disposable Wipes Alcohol-free. Designed to accommodate many situations and hard, nonporous environmental surfaces found in healthcare settings. Effective against over 100 clinically relevant microorganisms in 10 minutes.

ITEM #

HCPCS

Large, canister

Q08472

A9270

SOLD BY

Sani-Cloth® Bleach Germicidal Disposables Wipes Ideal for disinfecting high-risk areas endemic with Clostridium difficile spores and norovirus. Effective against 50 clinically relevant microorganisms in four minutes, including bloodborne pathogens, mycobacterium bovis (TB), pathogenic fungi, muti-drug resistant organisms (MDROs) and viruses.

ITEM #

HCPCS

Large, canister X-Large, individual packets

P54072 U26595

A9270 A9270

SOLD BY

ea 40/bx

SLEEP APNEA / CPAP

Wisp Mask

PHILIPS RESPIRONICS (RE) All Philips Respironics sleep apnea/CPAP products are latex-free unless otherwise noted.

LATEX FREE

Amara View Full face mask design featuring lightweight materials and core full face components. Offers efficient CPAP therapy without a forehead support.

ITEM #

HCPCS

SOLD BY

1090622 1090623 1090624

A7030/A7035 A7030/A7035 A7030/A7035

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1090632 1090633 1090634

A7030 A7030 A7030

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WITH HEADGEAR

Small Amara View mask Medium Amara View mask Large Amara View mask WITHOUT HEADGEAR

Small Amara View mask Medium Amara View mask Large Amara View mask

Amara Full-Face Mask Easy to fit; with one click, any size cushion snaps into a single frame. Less intimidating design that looks and feels smaller and lighter than leading traditional full-face masks. Easy to adapt to, maintain and live with. A simple design with very few parts.

ITEM #

HCPCS

Compact design delivers a natural fit. Performance of a nasal mask with the style of a nasal pillows mask. Open field of vision for a feeling of independence â&#x20AC;&#x201C; users can read, watch TV or wear glasses. Contemporary frame options. All three cushion sizes included in one package.

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Petite Small Medium Large

1090400 A7030 1090401 A7030 1090405 A7030 1090406 A7030

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1106618 A7030 1106619 A7030 1106620 A7030 1106621 A7030

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STARTER KIT

Petite Small Medium Large

ComfortGel Blue Full-Face Mask A comfortable forehead cushion and enhanced StabilitySelector combine with a blue gel replaceable cushion to create a high level of comfort and stability. The unique sure seal technology provides a membrane-thin layer over the gel cushion to closely follow facial contours of both men and women, allowing more wearers to quickly achieve the comfortable seal they need. O2 pick-off port for pressure measurement. Angled exhalation micro ports make operation quieter and redirect air away from a bed partner. Ball-and-socket Quick Clips for free movement and easy mask removal. Integrated retaining ring tabs simplify removal.

ITEM #

HCPCS

ea ea ea ea

ITEM #

HCPCS

SOLD BY

1070040 1070039 1070038 1070037

A7034/A7035 ea A7034/A7035 ea A7034/A7035 ea A7034/A7035 ea

WITHOUT HEADGEAR

Petite Small Medium Large

GEL MASK WITH HEADGEAR

Petite Small Medium Large

SOLD BY

WITH HEADGEAR

SOLD BY

1090200 A7030 1090201 A7030 1090226 A7030 1090227 A7030

HCPCS

A7034 A7034 A7034 A7034

ComfortGel Blue Nasal Mask Soft, pliable blue gel adapts to facial features, simplifying fit and contributing to extended wearer comfort. Updated forehead pad helps reduce pressure points. Lower profile exhalation port, with integrated swivel, quietly directs airflow up and away. Gel cushion gently conforms to facial features. Premium headgear makes fitting and adjustment a snap, and helps maintain a proper seal.

SILICONE MASK WITH HEADGEAR

Petite Small Medium Large

ITEM #

With Fabric Frame, with Headgear 1094051 With Fabric Frame, without Headgear 1094056 With Clear Frame, with Headgear 1094050 With Clear Frame, without Headgear 1094055

1070044 A7034 1070043 A7034 1070042 A7034 1070041 A7034

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TrueBlue Gel Nasal Mask Headgear has inlaid adjustable straps that converge into a single back panel with a crown strap for added stability. Premium blue gel works with the thin, form-fitting outer silicone membrane to create an effective, self-adjusting seal. Freeform allows movement in any direction. The soft silicone spring limits disturbances to the seal. Angled exhalation micro ports make operation quieter and redirect air away from a bed partner. Talon clips make it easy to remove the mask and lock in the same fit, night after night.

ITEM #

HCPCS

Petite Small Medium Medium wide Large

1071800 1071801 1071803 1071804 1071805

A7034/A7035 ea A7034/A7035 ea A7034/A7035 ea A7034/A7035 ea A7034/A7035 ea

SOLD BY

WITH HEADGEAR

Small Medium Large X-Large

1081800 A7030/A7035 ea 1081801 A7030/A7035 ea 1081802 A7030/A7035 ea 1081803 A7030/A7035 ea

WITHOUT HEADGEAR

Small Medium Large X-Large

1081810 A7030 1081811 A7030 1081812 A7030 1081813 A7030

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221

SLEEP APNEA / CPAP

PHILIPS RESPIRONICS (RE)

RESMED (RC)

All Philips Respironics sleep apnea/CPAP products are latex-free unless otherwise noted.

LATEX FREE

DreamWear Unique design offers many of the benefits of nasal and pillow masks. The design directs airflow through the frame, providing freedom to sleep comfortably and unrestricted. Tubing attachment at the top of the head offers freedom of movement during the night. Helps prevent red marks or irritation in the nostrils or on the nose bridge, and provides clear line of sight for reading or watching TV with the mask on. Soft, flexible silicon frame and fabric wraps provide a soft touch on the cheeks.

ITEM #

HCPCS

SOLD BY

DREAMWEAR FITPAK

DreamWear with headgear, medium frame, all cushion sizes 1116700 A7034/A7035 ea DreamWear without headgear, medium frame, all cushion sizes 1116701 A7034/A7035 ea DREAMWEAR WITH HEADGEAR, SMALL FRAME

Small cushion Medium cushion Large cushion Medium wide cushion

1116685 1116686 1116687 1116688

A7034/A7035 A7034/A7035 A7034/A7035 A7034/A7035

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A7034/A7035 A7034/A7035 A7034/A7035 A7034/A7035

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A7034/A7035 A7034/A7035 A7034/A7035 A7034/A7035

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DREAMWEAR WITH HEADGEAR, MEDIUM FRAME

Small cushion Medium cushion Large cushion Medium wide cushion

1116680 1116681 1116682 1116683

DREAMWEAR WITH HEADGEAR, LARGE FRAME

Small cushion Medium cushion Large cushion Medium wide cushion

1116690 1116691 1116692 1116693

Mirage Quattro Full Face Mask Complete System with Cushion (With Headgear) Innovative design featuring an advanced seal that adjusts for a better fit. The MicroFit dial allows the mask forehead support to be adapted to the user. With headgear. ™

ITEM #

HCPCS

Small Medium Large

61201 61202 61203

A4649 ea A4649 ea A4649 ea

AirFit™ F10 Nasal Pillow CPAP Mask with Headgear Lightweight and easy-to-use full face mask in a design that touches less of the face. The cushion easily snaps into place after cleaning. Headgear supports the AirFit™ F10 without the need for a forehead support.

ITEM #

HCPCS

Small Medium Large

63101 63102 63103

A4649 ea A4649 ea A4649 ea

ITEM #

HCPCS

62900

A4649 ea

ITEM #

HCPCS

1105160 1106194

A7034 A7034

ITEM #

HCPCS

With headgear Without headgear

1105167 1106195

A7034 A7034

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ea ea

OptiLife Nasal Mask, Minimal Contact Interface Features a headgear design with an integrated chin support band that allows it to be put on and adjusted with little effort – and no buckles. Has both pillow and nasal options.

ITEM #

HCPCS

ITEM #

HCPCS

61500

A4649 ea

SOLD BY

Nuance Pro

SOLD BY

Swift™ FX Nasal Pillows System with Small, Medium, Large Dual-Wall Pillows and Headgear Sleek, minimal interface that is lightweight and easy to fit. Incorporates changes from the Swift™ LT that can be seen on the headgear, pillow cushion and frame.

Uses a soft cloth mask frame for lightweight comfort. Comfortable, non-slip headgear stays in place while user sleeps. With headgear Without headgear

SOLD BY

AirFit™ P10 Nasal Pillow CPAP Mask with Headgear Provides comfort and simplicity in a lightweight design. The QuietAir™ woven-mesh vents offer diffused exhalation for a quiet experience. The flexi-tube is ultra light and highly durable, letting user move around freely without compromising the mask’s seal.

Nuance

SOLD BY

FISHER & PAYKEL HEALTHCARE, INC. (FP) All Fisher & Paykel Healthcare, Inc. sleep apnea/CPAP products are latex-free unless otherwise noted.

Opus™ 360 Nasal Pillows Mask Kit Small, quiet and superbly comfortable, offering unprecedented freedom. Slim-line design allows for almost any sleeping position without mask displacement. Innovative 360°, pivoting ball-and-socket elbow provides greater versatility. Silicone pillows and facially contoured mask frame ensure extra stability. Includes all three sizes (small, medium and large) of silicone seal.

SOLD BY

Mask with petite/small/medium/large pillows sizes 1036800 A7034/A7035 ea Mask with petite/small/medium pillows; small/medium cradle sizes 1036801 A7032/A7034/A7035 ea Mask with medium/large pillows; medium/large/x-large narrow cradle sizes 1036802 A7032/A7034/A7035 ea

LATEX FREE

ITEM #

HC482 A7034/A7035 ea

HCPCS

SOLD BY

FlexiFit™ 431 Full Face Mask Kit Offers quick, easy fitting. Unique Glider™ Strap allows for unprecedented freedom of movement, and the under-chin design provides improved stability and fewer leaks. Packaged with all necessary sizes (small, medium and large) in one box, eliminating the need to inventory several sizes of full face masks.

ITEM #

HC431A A7030/A7035

HCPCS

SOLD BY

Simplus™ Full Face Mask Full-face comfort and seal. Easy use.

222

ITEM #

Small Medium Large

400475 A7030 400476 A7030 400477 A7030

HCPCS

SOLD BY

ea ea ea

SLEEP APNEA / CPAP

FISHER & PAYKEL HEALTHCARE, INC. (FP) All Fisher & Paykel Healthcare, Inc. sleep apnea/CPAP products are latex-free unless otherwise noted.

SUNSET HEALTHCARE SOLUTIONS (KR)

LATEX FREE

Pilairo™ Q Nasal Mask Low-profile frame that is stable, durable and small, and ensures a clear line of sight. The delivery tube is lightweight, very flexible and designed to minimize pressure or pull on the face. The Q Cover helps ensure quieter use and minimal draft. AirPillow seal uses CPAP pressure to self-inflate to create an effective yet gentle double seal into and around the nose.

ITEM #

HCPCS

SOLD BY

400421 A4649

NEW Eson™ Nasal Mask Complete Offers a quick, comfortable fit. Multiple points of adjustment enable a customizable fit that’s easy to maintain. Provides a small, lightweight option for nasal mask users.

ITEM #

Small Medium Large

400449 A4649 400450 A4649 400451 A4649

HCPCS

SOLD BY

ea ea ea

DEVILBISS® HEALTHCARE (DV) All DeVilbiss® Healthcare sleep apnea/CPAP products are latex-free unless otherwise noted.

LATEX FREE

IntelliPAP® CPAP Systems Among the quietest CPAP units on the market, the IntelliPAP® can be operated in both conventional CPAP and AutoAdjust® modes. AutoAdjust® features include automatic pressure and adjustment based on event density and type, adjustments on apnea/hypopnea detection, upper and lower pressure limits, delay setting for up to four hours, an automatic detection of mask conditions and ultra-sensitive snoring detection. It generates compliance reports via SmartLink® or SmartCode® Technology, has a pressure range of 3 cm – 20 cm H20, offers optional integrated heated humidification and is backed by a three-year warranty.

ITEM #

HCPCS

Sunset Halo Style Chinstrap Simple, innovative design connecting at the crown of the head that distributes force to reduce pressure points. Made of durable, soft, breathable material. ITEM #

CS025 A7036

HCPCS

SOLD BY

LATEX FREE

CPAP Tubing Compatible with nearly all CPAP, BiPAP and BiLevel systems for every manufacturer. Smooth interior and a corrugated exterior for excellent flexibility and unrestricted interior flow characteristics. Injection-molded cuffs to reduce tearing. Low memory to avoid kinks. BPA- and latex-free.

ITEM #

2´ 6´ 8´

TUB002 A7037 TUB06 A7037 TUB008 A7037

HCPCS

SOLD BY

ea ea ea

6´ Slim Tube Smaller diameter tube is lighter, more flexible and less bulky than standard CPAP tubes. Weighs less than a standard 6’ CPAP tube and works well with smaller, lightweight masks. 22-mm cuffs are easy to grip when removing the hose from the device.

ITEM #

TUB006SS A7037

HCPCS

SOLD BY

Sunset HCS Deluxe Replaceable Cushion Full Face CPAP Mask with Headgear Improved built-in vents for quieter, diffused exhalation. 360° dual-swivel elbow port allows for free movement while connected to the tubing. Quick-release clips make it easy to remove without resetting the headgear. Conventional forehead pad was removed to create a clear line of sight – great for claustrophobic users. Mask comes with frame, headgear and cushion. Replacement headgear and cushions also available.

SOLD BY

IntelliPAP® Standard Plus CPAP System 53D E0601 ea IntelliPAP® Standard Plus CPAP System with Heated Humidification 53DHH E0601/E0562 ea IntelliPAP® Standard CPAP System 51D E0601 ea IntelliPAP® Standard CPAP System with Heated Humidification 51DHH E0601/E0562 ea IntelliPAP® AutoBilevel CPAP System 57D E0470 ea IntelliPAP® AutoBilevel CPAP System with Heated Humidification 57DHH E0470/E0562 ea IntelliPAP® AutoAdjust® CPAP System 54D E0601 ea IntelliPAP® AutoAdjust® CPAP System with heater and humidifier 54DHH E0601 ea Washable Filter 51D602 A7039 4/pk Fine Particle Filter 51D603 A7038 4/pk

All Sunset Healthcare Solutions sleep apnea/CPAP products are latex-free unless otherwise noted.

ITEM #

HCPCS

Small Medium Large Small Cushion Medium Cushion Large Cushion Replacement Headgear

CM005S CM005M CM005L CUCM005S CUCM005M CUCM005L HG003

A7030/A7035 A7030/A7035 A7030/A7035 A7031 A7031 A7031 A7035

SOLD BY

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NEW Sunset HCS Deluxe Replaceable Cushion Nasal CPAP Mask with Headgear Headgear clips allow for quick removal of mask, with no further adjustments required after initial fitting. Mask comes with frame, headgear and cushion. Replacement headgear and cushions also available. Great value for those paying with cash or who have lower insurance reimbursement.

ITEM #

HCPCS

Medium Large Medium Cushion Large Cushion Replacement Headgear

CM006M CM006L CUCM006M CUCM006L HG003

A7034/A7035 A7034/A7035 A7032 A7032 A7035

SOLD BY

ea ea ea ea ea

Sunset HCS Universal Neoprene Chinstrap One size fits most. Attaches to itself at the top of the head. Can be used with any nasal mask or pillows.

ITEM #

34˝

CS001 A7036

HCPCS

SOLD BY

Sunset Ruby Style Adjustable Chinstrap Fully adjustable both on top of and behind the head. Super soft materials for extra comfort. Available in one size fits most and XL.

ITEM #

Standard X-Large

CS007ADJ A7036 CS007ADJXL A7036

HCPCS

SOLD BY

ea ea

223

SLEEP APNEA / CPAP

SUNSET HEALTHCARE SOLUTIONS (KR) All Sunset Healthcare Solutions sleep apnea/CPAP products are latex-free unless otherwise noted.

LATEX FREE

Sunset HCS Deluxe Chinstrap Attaches to itself at the top of the head. Two smaller support straps keep the system in place. Extra-wide strap distributes pressure to add comfort.

ITEM #

HCPCS

SOLD BY

28˝

CS004L A7036

Sunset Premium Style Chinstrap One size fits most. Attaches to itself at the top of the head to keep the chin lifted. Smaller support strap attaches to a split section of the chinstrap and wraps around the head for added stability.

ITEM #

CS006 A7036

HCPCS

ITEM #

DBXEFLO A4649 ea

HCPCS

SOLD BY

Respironics EverFlo™ Filter Plus Oxygen Concentrator Filter Kit Contains one Intake Hepa Filter and one Final Barb Filter, stepped, 3 ⁄16˝ x 1⁄4˝.

ITEM #

CFKRESPEFLOPLUS A4649

HCPCS

SOLD BY

2/pk

Intake HEPA Filter for Invacare Concentrators 30% less pressure drop for reduced compressor wear and energy consumption, saving the user on monthly energy bills. Better sound attenuation.

SOLD BY

ITEM #

DBX2550 A4649 ea

HCPCS

SOLD BY

Invacare® Platinum 5 & 10 Filter Plus Oxygen Concentrator Filter Kit Contains one Intake Hepa Filter, two Foam Cabinet Filters and one Final Barb Filter, straight, 5⁄16˝.

CPAP Filters Cost-effective replacement CPAP filters for ResMed and Respironics machines.

ITEM #

HCPCS

SOLD BY

Tabbed Disposable for M-Series and PR System One CF10071 A7038 Reusable for M-Series and PR System One CF1007F1 A7039 No Tab Disposable for M-Series and PR System One CF1009NT1 A7038 Disposable for ResMed S8 CF21051 A7038 Disposable for ResMed S9 and AirSense 10 CF21071 A7038 Dreamstation Disposable Style Filter CF10101 A7038 Dreamstation Style Reusable Filter CF1010F1 A7039

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SPIRIT MEDICAL (LL) All Spirit Medical sleep apnea/CPAP products are latex-free unless otherwise noted.

LATEX FREE

CPAP Tubing, Standard 22-mm cuffs, 6’.

ITEM #

CFKINVPLTPLUS A4649

HCPCS

SOLD BY

Ultra Fine Filter Compatible with Respironics REMstar Legacy Series Pro, Plus, Auto, Lite Size: 35⁄8˝ x 2˝. OEM P/N #1005945, 1039607.

ITEM #

CF10059451 A7038

HCPCS

SOLD BY

Ultra Fine Filter Compatible with Fisher & Paykel SleepStyle HC200, HC220, HC221 Size: 5˝ x 3⁄4˝ .OEM P/N # 900HC22.

ITEM #

CF900HC2221 A7038

HCPCS

SOLD BY

Ultra Fine Filter Compatible with Fisher & Paykel SleepStyle HC230, HC240, HC600 Size: 23⁄4˝ x 7⁄8˝. OEM P/N # 900HC240

ITEM #

CF900HC2401 A7038

HCPCS

SOLD BY

S9 Standard Disposable Filters Disposable, felt filter compatible with ResMed S9, AirSense 10 and AirCurve 10 Size: 21⁄8˝ x 125⁄64˝. OEM P/N # 36850/36853. ™

ITEM #

CTUB0601 A7037 ea

HCPCS

SOLD BY

Respironics PR SystemOne/M-Series Ultrafine Filter OptiFit™ Ultrafine fiber filters use advanced Electro-Med™ filter Media that are designed for use with all REMstar M-Series and PR SystemOne Series CPAP and BiPAP Machines. These optional filters increase overall air filtration when used in conjunction with a reusable foam filter. 13⁄4˝ x 7⁄8˝ for PR SystemOne and M-Series. Disposable & latex-free. White.

ITEM #

CF10293311 A7037

HCPCS

SOLD BY

PR SystemOne/M-Series Reusable Pollen Filter 15⁄8˝ x 7⁄8˝

224

Intake HEPA Filter for Respironics Concentrators Clear design allows for easy filter inspection. Stacked bi-level filtration. High performance efficiencies, flow rates and sound attenuation.

ITEM #

CF10293301 A7037

HCPCS

SOLD BY

ITEM #

CF368501 A7038 ea

HCPCS

SOLD BY

S9™ Disposable UltraFine Hypoallergenic Filter Disposable, hypoallergenic filter compatible with ResMed S9, AirSense 10 and AirCurve 10 Size: 21⁄8˝ x 125⁄64˝. OEM P/N # 36850/36853.

ITEM #

CF368551 A7038 ea

HCPCS

SOLD BY

S8™ Disposable UltraFine Filter Disposable, filter compatible with ResMed S8 Size: 13⁄8˝ x 17⁄16˝. OEM P/N # 33916.

ITEM #

Blue/White

CF339161 A7038 ea

HCPCS

SOLD BY

SLEEP APNEA / CPAP

AG INDUSTRIES (FH)

RHINOMED (ZY)

All AG Industries sleep apnea/CPAP products are latex-free unless otherwise noted.

LATEX FREE

Standard Gray CPAP Tubing Standard connection CPAP tubing, available in various lengths. Gray. 22-mm cuffs.

ITEM #

3´ 4´ 6´ 8´ 10´

HCG141C A7037 HCG142C A7037 HCG143C A7037 HCG145C A7037 HCG146C A7037

HCPCS

SOLD BY

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Flex-Lite Tubing 6´ lilac tubing with 22-mm elastomeric cuffs. For ResMed Corp. S9 series. Sterilizable with ethylene oxide.

ITEM #

AG36810 A7037 ea

HCPCS

SOLD BY

NEW Mute Nasal Snoring Device Anatomically designed to reduce the effects of snoring by holding open (stenting) nasal airways. This allows the snorer to breathe more easily through the nose and reduce the need to open the mouth during sleep, thus decreasing snoring. It is made from ultra-soft medical-grade polymers and can be adjusted to fit each side of the nostril perfectly to stay comfortably in place all night, while helping to maximize nasal breathing efficiency. It has two soft paddles that gently expand airways to increase airflow during sleep. Each paddle is adjustable using the patented dilation system. ™

ITEM #

Small Medium Large Pack: Small/Medium/Large

ENMUTE10SMLXX A9270 ENMUTE10MEDXX A9270 ENMUTE10LGEXX A9270 ENMUTE10SAMXX A9270

HCPCS

SOLD BY

3/pk 3/pk 3/pk 3/pk

XITECH, INC. (XT) NEW SoClean 2 CPAP Cleaner and Sanitizer Sanitizes and disinfects CPAP mask, hose and reservoir without needing to take any pieces apart every day. Does not require water or messy chemicals to avoid condensation and ensures equipment remains completely dry. Includes small bottle pre-wash, cartridge filter, check valve assembly, one slot plug and AC power adapter. ®

CPAP Filters Ultrafine and reusable aftermarket CPAP filters.

ITEM #

HCPCS

SOLD BY

Ultagen™ CPAP Filter for ResMed S8 AF33916MED A7038 Ultagen™ CPAP Filter for ResMed S9 AG36851 A7038 Reusable Foam CPAP Filter for Respironics M-Series AG1029330 A7039 Ultagen™ Ultrafine CPAP Filter with tab for Respironics M-Series AG1029331M A7038 Reusable Foam CPAP Filter for Respironics PR System One AG1063091 A7039 Ultagen™ Ultrafine Filter for Respironics PR System One AG1063096 A7038

2/pk 2/pk 2/pk 2/pk ea ea

CONTOUR PRODUCTS, INC. (CTP) CPAP Mask Cleaner Keeps masks clean and safe. Special 100% natural formula derived from coconut and other plant extracts contains no unpleasant or strong fragrances and no harmful chemicals. Alcohol- and latex-free, and suitable for daily cleaning. Effectively removes dirt, grease, oils and other organic residue from the mask, keeping it clean and fresh.

ITEM #

HCPCS

8-oz. Spray

149751901

A4649

ITEM #

187293000860 E1399 ea

HCPCS

SOLD BY

NEW SoClean® 2 Go CPAP Cleaner and Sanitizer Portable and battery operated. Users can take it with them while they travel and keep their CPAP system clean and sanitized when they’re away from home. Includes one sanitizing bag, one small bottle pre-wash, one cartridge filter, check valve assembly and “AA” batteries.

ITEM #

187293000853 E1399 ea

HCPCS

CPAP Adapters and Accessories

SOLD BY

NEW ITEM #

HCPCS

SOLD BY

CPAP Adapter for Fisher & Paykel Icon™, 3.6 oz. 187293000945 A4649 SoClean® CPAP Adapter for ResMed S9, 4 oz. 187293000969 A4649 SoClean® CPAP Adapter and Diffuser for Respironics DreamStation and One Series, 4 oz. 187293000426 A4649 SoClean® Replacement Cartridge Filter Kit 187293000761 E1399

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SOLD BY

CPAP Mask Wipes Keeps masks clean and safe. Special 100% natural formula derived from coconut and other plant extracts. Contains no harmful chemicals or alcohol and is latex-free. Suitable for daily cleaning. Effectively removes dirt, grease, oils and other organic residue from the mask, keeping it clean and fresh. Wipes are 100% pure cotton. Gentle for hands and face. Available in citrus or non-scented.

ITEM #

HCPCS

Citrus Scent, 62 ct. Unscented, 62 ct.

14990C1938 149501899

A9270 A9270

SOLD BY

ea ea

225

STOCKINGS / COMPRESSION THERAPY

SALK (84) LATEX FREE HealthDri™ Foot-Friendly Diabetic Socks Address the problems of those with diabetes and anyone requiring extra cushioning for sore or sensitive feet. Acrylic styles offer high value at an economic price. Socks are packed in single pairs with J-hook. Made with Amicor™ microbial fibers to control odor that won’t wash out. Provide superior protection, fit and comfort for cooler, drier feet. Made in the USA.

ITEM #

HCPCS

SOLD BY

35551PK 37551PK

A4649 A4649

1 pr/pk 1 pr/pk

ACRYLIC, WHITE

Size 9 – 11 Size 10 – 13

Borage DiabetiCare™ Foot Cream Addresses the fundamental cause of dry skin for people with diabetes by supplying OMEGA-6 oils directly to skin cells. Nonprescription, clinically proven, fragrance-free formula. Borage oil is the richest known source of GLA (24%). This oil is extracted from the seeds of the borage plant (borago officanalis), a wildflower commonly known as the blue starflower and used for thousands of years for its medicinal qualities. Because of its exceptional concentration of GLA, borage oil is used as the fundamental ingredient in all DiabetiCare™ formulations. 4.2-oz. tube.

ITEM #

HCPCS

SOLD BY

40320 A6250 ea

MEDTRONIC (68)

LATEX FREE T.E.D.™ Anti-Embolism Stockings, Thigh Length Designed to reduce venous stasis in entire leg. Clinically proven, graduated compression pattern from ankle to upper thigh helps ensure optimum blood flow velocity. Contoured, seamless construction promotes comfortable fit without constriction caused by harsh seams. Interrupted band and functional gusset minimize stocking slippage without constricting circulation. Pressure break at popliteal protects critical area and promotes free leg movement. Defined heel pocket facilitates application and ensures correct stocking placement. Inspection toe opening. 18 mmHg. White.

HCPCS

A6549 pr

SOLD BY

SIZE

SMALL MEDIUM LARGE X-LARGE 2X-LARGE

Short Regular

3071LF 3310LF 3634LF 3180LF 3183 3130LF 3416LF 3728LF 3181LF 3184LF

T.E.D.™ Anti-Embolism Stockings for Continuing Care, Thigh-Length Thigh-length compression stockings are designed for continued care of the recuperating patient. Graduated compression is clinically proven to reduce thromboembolic disease. Closed toe for comfort. 18 mmHg. White.

HCPCS

A6549 pr

SIZE

MEDIUM LARGE

Short 4297 4298 4299 Regular 4300 4301 4302 Large 4303 4304 4305

SMALL

SOLD BY

T.E.D.™ Anti-Embolism Stockings for Continuing Care, Knee-Length Knee-length compression stockings designed for continued care of the recuperating patient. Graduated compression is clinically proven to reduce thromboembolic disease. Closed toe for comfort. 18 mmHg.

T.E.D.™ ANTI-EMBOLISM STOCKINGS

HCPCS

A6549

SOLD BY

COLOR/SIZE SMALL MEDIUM LARGE X-LARGE WHITE

Regular 4278 4279 4280 4281 Long 4282 4283 4284 4285 BEIGE

Regular 4265 4271 4289 4296 Long 4317 4323 4335 4344 BLACK

Regular 4434 4435 4436 4437 Long 4572 4573 4574 4575

LATEX FREE T.E.D.™ Anti-Embolism Stockings, Knee Length Designed to reduce venous stasis below the knee when thigh-length styles are medically contraindicated. Clinically proven, graduated compression pattern helps ensure optimum blood flow velocity. Contoured, seamless construction eliminates harsh ridges that can cause constriction. Inlay circumference knit helps ensure proper pressure pattern and prevent slippage. Specifically designed knee band minimizes slippage without constricting circulation. Inspection toe opening. 18 mmHg. White.

HCPCS

A6549 pr

SOLD BY

SIZE

SMALL MEDIUM LARGE X-LARGE 2X-LARGE 3X-LARGE

Regular Long

7071 7115 7203 7604 7470LF 7472LF 7339 7480 7594 7802 7471LF 7473LF

226

STOCKINGS / COMPRESSION THERAPY

THIGH-HIGHS

JOBST® (BI)

Beautiful lace band, designed to stay up without a garter. Nylon/Spandex®.

JOBST® STOCKINGS SIZE CHART

15 – 20, 20 – 30, 30 – 40 mmHg Sizing Chart.

UltraSheer 8 – 15 mmHg Graduated Compression Thigh Highs with Silicone Lace Band See chart above.

HCPCS

A6549 pr

SOLD BY

COLOR SMALL

MEDIUM

LARGE

X-LARGE

Classic Black 117229 Silky Beige N/A

117230 117222

117231 117223

117232 117224

UltraSheer 15 – 20 mmHg Graduated Compression Thigh Highs with Silicone Lace Band See chart above.

HCPCS

A6533 pr

COLOR SMALL

MEDIUM

LARGE

SOLD BY

X-LARGE

Classic Black 119397 119398 119399 119400 Natural 119377 119378 119379 119380 Suntan 119381 119382 119383 119384

For Knee High, measure ankle and calf. For Thigh High, measure ankle, calf and thigh. For Waist High, Maternity and Chap, measure ankle, thigh and hip.

STOCKINGS COMPRESSION THERAPY – WOMEN ULTRASHEER MEDICAL LEG WEAR

Medical compression stocking designed specifically for women who prefer a formal look. Offers unparalleled sheerness in a lightweight design, ideal for daily activities or more formal occasions.

KNEE-HIGHS UltraSheer 8 – 15 mmHg Graduated Compression Knee Highs Sizing based on shoe size. Small = 4½ – 6½. Medium = 7 – 9. Large = 9½ – 11. Extra Large = 11½ – 13.

HCPCS

A6549 pr

COLOR SMALL

MEDIUM

LARGE

Classic Black N/A 119233 N/A Silky Beige 119328 119329 119330 Bronze 119229 119230 N/A

SOLD BY

X-LARGE

121476 121468 121493

UltraSheer 15 – 20 mmHg Graduated Compression Knee Highs See chart above.

HCPCS

A6530 pr

SOLD BY

UltraSheer 20 – 30 mmHg Graduated Compression Thigh Highs with Silicone Lace Band See chart above.

HCPCS

A6533 pr

COLOR SMALL

MEDIUM

LARGE

SOLD BY

X-LARGE

Classic Black 122250 122251 122252 122253 Natural 122246 122247 122248 122249 Suntan 122258 122259 122260 122261

PANTYHOSE UltraSheer 15 – 20 mmHg Graduated Compression Pantyhose See chart above.

HCPCS

A6539 ea

COLOR SMALL

MEDIUM

LARGE

SOLD BY

X-LARGE

Classic Black 119373 119374 119375 119376 Natural 119353 119354 119355 119356 Suntan 119357 119358 119359 119360

UltraSheer 20 – 30 mmHg Graduated Compression Pantyhose See chart above.

COLOR SMALL

MEDIUM

LARGE

X-LARGE

HCPCS

Classic Black 119421 Natural 119401 Suntan 119405

119422 119402 119406

119423 119403 119407

119424 119404 119408

A6539 ea

COLOR SMALL

UltraSheer 20 – 30 mmHg Graduated Compression Knee Highs See chart above.

HCPCS

A6530 pr

COLOR SMALL

MEDIUM

LARGE

MEDIUM

LARGE

SOLD BY

X-LARGE

Classic Black 121515 121516 121517 122236 Natural 121512 121513 121514 122235 Suntan 121529 121530 121531 122237

SOLD BY

X-LARGE

Classic Black 121504 121505 121506 121507 Natural 121500 121501 121502 121503 Suntan 121522 121523 121524 121525

227

STOCKINGS / COMPRESSION THERAPY

JOBST® (BI) JOBST® SOSOFT

Combines the look of a patterned fashion sock with trusted, physician-recommended gradient compression. So soft and comfortable, therapeutic compression therapy will become an after-thought. Excellent wearing comfort is enhanced by superior moisture-wicking properties, resulting in comfort for everyday life. For 15 – 30 mmHg, see sizing chart on page 220. For 8 – 15 mmHg, sizing based on shoe size. Small = 4½ – 6½. Medium = 7 – 9. Large = 9½ – 11. X-Large = 11½ – 13.

JOBST® SoSoft 8 – 15 mmHg Compression Knee Highs

HCPCS

SOLD BY

A6549 pr

SIZE

STYLE

COLOR

COMPRESSION

Small

Ribbed

Black

8 – 15 mmHg

ITEM #

JOBST® forMen 15 – 20 mmHg Ribbed Style, Knee-High, Nylon and Spandex® See sizing chart on page 229.

HCPCS

A6530 pr

COLOR SMALL

MEDIUM

LARGE

SOLD BY

X-LARGE

Black 115000 115001 115002 115003 White N/A 115009 115010 115011 Khaki 115012 115013 115014 115015

JOBST® forMen 20 – 30 mmHg Ribbed Style, Knee-High, Nylon and Spandex® See sizing chart on page 229.

120246

HCPCS

A6530 pr

COLOR SMALL

MEDIUM

LARGE

SOLD BY

X-LARGE

Black 115088 115089 115090 115091 Khaki 115100 115101 115102 115103

JOBST® SoSoft 15 – 20 mmHg and 20 – 30 mmHg Compression Knee Highs

HCPCS

SOLD BY

A6530 pr

SIZE

STYLE

COLOR

COMPRESSION

Small Large

Brocade Brocade

Sand Black

15 – 20 mmHg 120209 20 – 30 mmHg 120223

ITEM #

JOBST® Men’s Dress, 8 – 15 mmHg, Knee-High High quality, fashionable sock designed to complement business or business casual apparel. Lightweight fabric and extremely soft yarns deliver unparallel comfort. Knit-in heel and ample toe area ensure a perfect fit. Sizing based on shoe size. Small = 6 – 8. Medium = 8½ – 10. Large = 10½ – 12. X-Large: 12½ – 14.

OPAQUE STOCKINGS

JOBST Opaque hosiery is designed to look and feel just like elegant opaque legwear. Softness, ease-of-donning, and a lightweight design are core attributes of JOBST® Opaque, making this gradient compression stocking ideal for any occasion. See sizing chart on page 229. ®

OPAQUE 15 – 20 mmHg Graduated Compression, Knee-High

HCPCS

A6530 pr

COLOR SMALL

MEDIUM

LARGE

SOLD BY

X-LARGE

Classic Black 115200 115201 115202 115203 Natural 115212 115213 115214 115215

OPAQUE 20 – 30 mmHg Graduated Compression, Knee-High

HCPCS

A6530 pr

COLOR SMALL

MEDIUM

LARGE

SOLD BY

X-LARGE

Classic Black 115132 115133 115134 115135 Natural 115270 115271 115272 115273

HCPCS

A6549 pr LARGE

COLOR

MEDIUM

Black Khaki

110781 110782 110783 110797 110798 110799

X-LARGE

STOCKINGS COMPRESSION THERAPY – UNISEX JOBST ACTIVEWEAR ®

Cushioned compression sock with superior moisture management and extraordinary softness. The ideal compression sock for any activity. Designed to be worn by both men and women. See sizing chart on page 229.

JOBST® ActiveWear 15 – 20 mmHg Knee Highs

ITEM #

SIZE

COOL WHITE

COOL BLACK

HCPCS

SOLD BY

Small N/A 110483 A6530 pr Medium 110480 110484 A6530 pr Large 110481 110485 A6530 pr X-Large 110482 110486 A6530 pr

JOBST® ActiveWear 20 – 30 mmHg Knee Highs

ITEM #

SIZE

COOL WHITE

COOL BLACK

Small 110489 110493 Medium 110490 110494 Large 110491 110495 X-Large 110492 110496

STOCKINGS COMPRESSION THERAPY – MEN

SOLD BY

HCPCS

SOLD BY

A6530 A6530 A6530 A6530

pr pr pr pr

JOBST® FOR MEN

A dress sock for everyday wear. Designed specifically for men, the classic ribbed look and feel offer the style and durability today’s male consumers require. The lightweight fabric and smooth finish complement business attire and more casual apparel.

JOBST® forMen 8 – 15 mmHg Knee-High Support Socks Sizing based on shoe size. Small = 6 – 8. Medium = 8½ – 10. Large = 10½ – 12. Extra Large = 12½ – 14.

HCPCS

A6549 ea

COLOR SMALL

MEDIUM

LARGE

SOLD BY

X-LARGE

White 110331 110332 110333 110334

228

JOBST® ATHLETIC

A high performance sock with a sporty look. It can be worn for sports such as tennis or golf, or for working out, jogging or just going for a walk. Sizing based on shoe size. Women: Small = 7 – 9; Medium = 9½ – 11; Large = 11½ – 13. Men: Small = 6 – 8; Medium = 8½ –10; Large = 10½ – 12.

JOBST® Athletic 8 – 15 mmHg Knee Highs

ITEM #

HCPCS

SOLD BY

WHITE

Medium Large

110450 A6549 110451 A6549

pr pr

STOCKINGS / COMPRESSION THERAPY

JOBST RELIEF

UlcerCare™ Designed to help heal and manage venous leg ulcers. Provides freedom from weekly bandaging visits. Two-stocking system – light compression liner stocking holds dressing in place and helps the zippered, open-toe outer compression stocking slide on easier. Can be worn day and night. Easy to put on. Soft yarn for more comfort. Reciprocated heel for better fit and wear. Worn with regular clothing and footwear. Allows for daily bathing.

JOBST® Relief 20 – 30 mmHg Knee Highs

JOBST® (BI) STOCKINGS COMPRESSION THERAPY – UNISEX ®

Economical compression stocking that provides physician-recommended gradient compression to help treat symptoms commonly associated with vein disease. Designed to be worn by both men and women. See sizing chart on page 229.

ITEM #

HCPCS

SOLD BY

LEFT SIDE, BEIGE

ITEM #

SIZE

BEIGE BLACK

ITEM #

HCPCS

Small Medium Large X-Large

114620 114730 114621 114731 114622 114732 114623 114733

SOLD BY

A6530 A6530 A6530 A6530

pr pr pr pr

JOBST® Relief 30 – 40 mmHg Knee Highs

ITEM #

SIZE

BEIGE BLACK

ITEM #

HCPCS

Small Medium Large X-Large

114630 N/A 114631 114737 114632 114738 114633 114739

SOLD BY

A6531 A6531 A6531 A6531

Medium Large X-Large RIGHT SIDE, BEIGE

Small Medium Large X-Large

JOBST Relief 20 – 30 mmHg Thigh Highs, with Silicone Band ®

ITEM #

HCPCS

SIZE

BEIGE

Small Medium Large X-Large

114208 A6533 pr 114209 A6533 pr 114210 A6533 pr 114211 A6533 pr

SOLD BY

VENOUS LEG ULCER MANAGEMENT SYSTEM

114520 114521 114522 114523

A6532 ea A6532 ea A6532 ea A6532 ea

DIABETIC SOCKS

pr pr pr pr

114486 A6532 ea 114487 A6532 ea 114488 A6532 ea

Size

Men's Shoe Size

Women's Shoe Size

31⁄2 – 51⁄2

41⁄2 – 61⁄2

6–8

7– 9

81⁄2 – 10

91⁄2 – 11

101⁄2 – 12

111⁄2 – 13

121⁄2 – 14

N/A

JOBST® SensiFoot™ Diabetic Socks Provides comfort and protection in every step. Non-irritating, smooth toe seam reduces pressure and irritation on toes, 8 – 15 mmHg (Crew and Knee High), no compression (Mini-Crew). Extra padding in the foot, heel, and toe reduces friction and provides extra comfort and protection. Acrylic multifiber yarns wick away moisture to keep feet comfortable and dry. Antibacterial, antifungal finish inhibits growth of bacteria to help prevent odor. Designed to be worn by both men and women. Sizing based on shoe size. See size chart above.

ITEM #

HCPCS

SOLD BY

NAVY BLACK WHITE SENSIFOOT™ OVER-THE-CALF DIABETIC SOCKS FOR MEN AND WOMEN

X-Small Small Medium Large X-Large

N/A N/A 110862 110863 110864

N/A N/A 110867 110868 N/A

110830 N/A 110832 110833 110834

A6549 pr A6549 pr A6549 pr A6549 pr A6549 pr

SENSIFOOT™ CREW-LENGTH DIABETIC SOCKS FOR MEN AND WOMEN

Provide superior clinical effectiveness in the management of venous leg ulcers with a simple, two-part system. Gradient compression provided by the combination of the compression liner and therapeutic stocking increases venous return and helps manage edema. Ideal for managing leg ulcers and helping to prevent recurrences. Designed to be worn by both men and women.

UlcerCare™ 3-Pack Compression Stocking Liners, White

ITEM #

Small 114500 Medium 114501 Large 114502 X-Large 114503

HCPCS

A4649 A4649 A4649 A4649

SOLD BY

3/pk 3/pk 3/pk 3/pk

X-Small Small Medium Large X-Large

N/A 110846 N/A N/A 110849

N/A 110851 110852 110853 110854

110835 110836 110837 110838 110839

A6549 A6549 A6549 A6549 A6549

pr pr pr pr pr

SENSIFOOT™ MINI-CREW-LENGTH DIABETIC SOCKS FOR MEN AND WOMEN (WHITE)

Small Medium Large X-Large

N/A N/A N/A N/A

N/A N/A N/A 110879

A9270 A9270 A9270 A9270

pr pr pr pr

229

STOCKINGS / COMPRESSION THERAPY

JOBST® Anti-Em/GP Seamless Thigh Highs

JOBST® (BI)

JOBST® VAIROX

ITEM #

HCPCS

SOLD BY

SIZE SHORT REGULAR LONG

Small 111450 Medium 111454 Large N/A X-Large N/A XX-Large N/A

111451 111455 111459 111462 111464

111452 A6549 111456 A6549 111460 A6549 111463 A6549 111465 A6549

6pr/bx 6pr/bx 6pr/bx 6pr/bx 6pr/bx

JOBST® Anti-Embolism Retail Knee Highs

ITEM #

HCPCS

Medium, Regular Large, Regular XX-Large, Regular

111472 111474 111476

A6549 A6549 A6549

SOLD BY

pr pr pr

JOBST® Anti-Embolism Retail Thigh Highs JOBST® Vairox 30 – 40 mmHg with Side Zipper Offers effective leg therapy for severe indications. Side zipper makes them easy to put on. It features an open-toe style and a reciprocated heel for added comfort. Precise fit and multifiber yarns for the softest feel. Reinforced heel for comfort and durability. Designed to be worn by both men and women.

ITEM #

SIZE

BEIGE LONG

BEIGE SHORT

HCPCS

SOLD BY

ITEM #

HCPCS

Small, Short Large, Regular XX-Large, Short XX-Large, Long

111478 111485 111489 111490

A6549 A6549 A9270 A6549

SOLD BY

pr pr pr pr

Accessories for Medical Leg Wear JOBST® Stocking Donner Assists in the application of vascular stockings.

Medium 114474 N/A A6531 pr Large 114476 114475 A6531 pr

ITEM #

HCPCS

SOLD BY

Regular 110913 A9270 ea Large, calf circumference of 18˝ – 24˝ 110910 A9270 ea

JOBST® ANTI-EM/GP AND JOBST® ANTI-EMBOLISM Designed to reduce the risk of DVT (deep vein thrombosis), commonly known as blood clots. Specially designed as a thrombo embolic deterrent stocking. Apply gradient compression that is highest at the ankle and gradually decreases up the leg to improve blood flow to help reduce the risk for DVT. For patients who are resting in bed or otherwise immobile (non-ambulatory). Designed to be worn by both men and women.

KNEE HIGH SIZE CHART

JOBST® Donning Gloves Putting on JOBST® Hosiery is always easier with JOBST® Donning Gloves. JOBST® gloves help create friction, provide grip and help to evenly distribute the fabric on the leg.

ITEM #

Small Medium

131202 A9270 131203 A9270

HCPCS

SOLD BY

pr pr

Jolastic® Special washing solution formulated to remove soil, body acids and skin salts quickly and easily without damage to fabric. Helps extend the life of all elastic garments.

THIGH HIGH SIZE CHART

ITEM #

HCPCS

4-oz. bottles 12-oz. bottle 1-qt. bottle

130999 112001 112003

A4649 A4649 A4649

SOLD BY

12/cs ea ea

It Stays® Roll-on body adhesive specially designed to help keep supports in place. Ideal for thigh-length stockings when garter belts are undesirable or silicone band is not available.

JOBST® Anti-Em/GP Seamless Knee Highs

ITEM #

HCPCS

SOLD BY

SIZE REGULAR LONG

Small 111402 Medium 111406 Large 111410 X-Large 111414

230

111403 111407 111411 N/A

A6549 12pr/bx A6549 12pr/bx A6549 12pr/bx A6549 12pr/bx

ITEM #

HCPCS

2-oz. bottle

112013

A4649

SOLD BY

STOCKINGS / COMPRESSION THERAPY

MADDAK (NV) Heel Guide™ Compression Stocking Aid The easiest way to put on compression hose. Unique indented channel on the inside of the center cone acts as a heel guide and keeps the foot in perfect position while effortlessly pulling on the compression hose. Extra-wide cone is ideal for people with edema or larger feet. Sturdy handles, 17˝ (43.2 cm) high, reduce the need for bending or stretching, and feature three grip levels to accommodate different heights and hand sizes. Easy to assemble and can be taken apart for traveling. Tested on compression hose up to 30 – 40 mmHg. Made in the USA.

ITEM #

738550000 A9270

HCPCS

SOLD BY

LATEX FREE 840 Soft Opaque Medical Compression Tights Features the soft look and feel of designer fashion tights with all the health benefits of graduated compression hosiery. Comfortable collection makes it easy for women to coordinate graduated compression with their most fashion-forward outfits. Note: To Order: Use the 840 SOFT OPAQUE SIZING CHART. Compression Level: 841 = 15 – 20 mmHg, 842 = 20 – 30 mmHg and 843 = 30 – 40 mmHg. Style: Knee-High = C, Thigh-High = N, Pantyhose = P, Closed Toe = W, Open Toe = O. Size: Medium Long = ML. Gender: Women = W. Colors: Black = 99, Espresso = 89, Graphite = 91, Midnight Blue = 09, Nude = 35, Pecan = 40. Example: 841CMLW89. All styles also available in open toe. Colors not available in all compression levels. ITEM #

ITEM #

HCPCS

SOLD BY

15 – 20 MMHG

SIGVARIS (SG)

LATEX FREE 780 EVERSHEER Medical Compression Hosiery SIGVARIS’ most popular sheer graduated compression hosiery collection for women was designed to help prevent venous disorders and help maintain results post vein procedure. EVERSHEER improves circulation, energizes legs and is perfect for everyday wear. Note: To Order: Use the 780 EVERSHEER SIZING CHART. Compression Level: 781 = 15 – 20 mmHg, 782 = 20 – 30 mmHg and 783 = 30 – 40 mmHg. Style: Knee-High = C, Thigh-High = N, Pantyhose = P, Closed Toe = W, Open Toe = O. Size: Medium Long = ML. Gender: Women = W. Colors: Black = 99, Dark Navy = 08, Natural = 33, Nightshade = 94, Suntan = 36. Example: 781CMLW99. All styles also available in open toe.

HCPCS

Closed Toe Calf Closed Toe Thigh Pantyhose

781C A6530 pr 781N A6533 pr 781P A6539 pr

20 – 30 MMHG

Closed Toe Calf Closed Toe Thigh Pantyhose

782C A6530 pr 782N A6533 pr 782P A6539 pr

30 – 40 MMHG

Closed Toe Calf Closed Toe Thigh Pantyhose

783C A6531 pr 783N A6534 pr 783P A6540 pr

780 EVER SH EER / 840 SOF T OPA QU E SIZIN G C H A RT

SOLD BY

15 – 20 MMHG

Closed Toe Calf Closed Toe Thigh Pantyhose

841C A6530 pr 841N A6533 pr 841P A6539 pr

20 – 30 MMHG

Closed Toe Calf Closed Toe Thigh Pantyhose

842C A6530 pr 842N A6533 pr 842P A6539 pr

30 – 40 MMHG

Closed Toe Calf Closed Toe Thigh Pantyhose

843C A6530 pr 843N A6534 pr 843P A6539 pr

231

STOCKINGS / COMPRESSION THERAPY

SIGVARIS DOFF N’ DONNER CONE This loading device makes it easy to roll stockings onto the SIGVARIS DOFF N’ DONNER. The base has suction built into the bottom and will firmly attach to most clean, soft surfaces.

SIGVARIS (SG)

ITEM #

583D200 A9270

HCPCS

SOLD BY

DIABETIC COMPRESSION SOCKS

CASUAL COTTON Socks for Men & Women (146/186 Series) LATEX FREE Graduated compression socks for men and women revitalize legs and provide comfortable relief from tired, aching legs. These cotton socks are soft, comfortable and make it easy to incorporate graduated compression into every day. Note: To Order: Use the 146/186 CUSHIONED COTTON SIZING CHART. Women = 146C, Men = 186C. Compression Level: 15 – 20 mmHg. Size = A, B or C. Colors: White = 00, Navy = 10, Brown = 11, Khaki = 30, Black = 99. Example: 146CB99.

ITEM #

Women Men

146C A6530 pr 186C A6530 pr

HCPCS

ITEM #

362C A6530 pr

SOLD BY

LATEX FREE BUSINESS CASUAL Socks for Men (189 Series) This collection of socks for men revitalizes legs, boosts energy levels and provides comfortable relief from tired, aching legs. They are perfect for fashion-conscious men who want a professional look, but want to wear socks with all the health benefits of graduated compression. Feature timeless striped pattern. To Order: Use the 189 BUSINESS CASUAL SIZING CHART. Men = 189C. Compression Level: 15 – 20 mmHg. Size = A, B or C. Colors: Navy = 10, Brown = 11, Charcoal = 12, Black = 99. Example: 189CA12. HCPCS

ITEM #

189C A6530 pr

SOLD BY

ACCESSORIES FOR MEDICAL LEG WEAR SIGVARIS DOFF N’ DONNER Revolutionary donning device for all compression socks and stockings. Soft device allows user to quickly guide a compression sock or stocking up and down the leg or arm, making it simple to don and remove all styles of graduated compression. Ideal for both self-donning and caregiver use.

ITEM #

583D100 A9270

232

HCPCS

ITEM #

HCPCS

SOLD BY

602CMSM00 602CLLM00 602CXLM00

A6530 A6530 A6530

pr pr pr

602CMSW00

A6530

MEN’S CALF-LENGTH, WHITE

Medium, short Large, long X-Large, long WOMEN’S CALF-LENGTH, WHITE

Medium, short

SOLD BY

LATEX FREE 362 CUSHIONED COTTON Compression Socks Comfortable socks are constructed with Supima® Cotton to provide softness and relief from tired, aching legs. The extra padded sole absorbs impact when standing or walking for long periods of time. Only cotton touches the skin, making this sock ideal for people with skin allergies or sensitive skin. Pairs perfectly with work shoes, boots, sports shoes and athletic footwear. Note: To Order: Use the CUSHIONED COTTON SIZING CHART. Compression Level: 362 = 20 – 30 mmHg. Style: Calf-Length = C. Size: Medium Long = ML. Gender: Women = W, Men = M. Colors: Black = 99, White = 00. Example: 362CMLM00. HCPCS

LATEX FREE DIABETIC COMPRESSION SOCKS, 18 – 25 mmHg Graduated compression improves circulation for less discomfort. Designed to help reduce swelling for a more active lifestyle. Feet stay dry and odor-free. Ideal for sensitive skin and feet. To Order: Use the 602 DIABETIC COMPRESSION SIZING CHART.

SOLD BY

eaW

LATEX FREE MERINO OUTDOOR Wool Compression Socks Soft, comfortable and itch-free, MERINO OUTDOOR Wool Compression Socks are thermo-regulating for year round wear. Natural properties of wool make them odor resistant and mesh flex zones provide comfort and ventilation. To order: Use the MERINO OUTDOOR SIZING CHART. Compression Level 421=15 – 20 mmHg. Style: Calf-Length = C. Size = S, M, L, X. Colors: Charcoal = 12, Olive = 31. Example = 421CM12.

ITEM #

HCPCS

421C

A6530

SOLD BY

STOCKINGS / COMPRESSION THERAPY

SIGVARIS (SG)

CARDINAL HEALTH™ (55)

MIDTOWN Microfiber Compression Socks (Men’s Calf Length) Ensures correct fit and accurate compression, resulting in optimum therapeutic benefits and greater comfort. Advanced Microfiber Technology: 100% of microfiber lays against the skin to ensure comfort; soft and durable sock for everyday wear; excellent breathability and moisture management for added comfort; easy to put on and take off, with a non-binding top band. To Order: Use the MIDTOWN MICROFIBER SIZING CHART. Compression Level 822 = 20 – 30 mmHG. Compression Level 823 = 30 – 40 mmHG. Style: Calf-Length = C. Sizes = SS, SL, MS, ML, MX, LS, LL, LX, XS, XL, XX. Gender: Male = M. Colors: Black = 99, Tan-Khaki = 32. Example = 822CMSM99

Anti-Embolism Stocking Feature a clean appearance and design including no-bind stretch top, two-way stretch fabric, sheer ankle crest and oversized heel pouch, and top-view inspection port. The standard line is designed to simplify the care process, while providing patient comfort and cost-effectiveness. Available in knee, thigh and waist lengths in a full range of sizes.

ITEM #

HCPCS

822C 823C

A6531 A6531

SOLD BY

pr pr

HCPCS

A6549 pr LARGE

SOLD BY

KNEE LENGTH

SMALL

MEDIUM

Regular Long

23640520 N/A

23640540 23640560 23640580 23640545 23640565 23640585

X-LARGE

THIGH LENGTH

Short Regular Long

23640615 23640635 23640655 N/A 23640620 23640640 23640660 23640680 23640625 23640645 23640665 23640685

WAIST LENGTH

Regular Long

23640730 23640740 23640750 23640760 23640735 23640745 23640755 23640765

MEDICOOL (AT/MD) European Designed Diabetic Socks Do not contain elastic or elastomer. Guaranteed not to slip, sag or bind, so the wearer’s circulation is not affected. Free from bulky, pinching seems that can cause chafing. Designed specifically for those with diabetes. Thin, lightweight, can be worn as everyday or dress sock. Unisex. 71% cotton, 28% polyamide and 1% Spandex®.

ITEM #

HCPCS

SOLD BY

BLACK

MIDTOWN Microfiber Compression Socks (Men’s Thigh-High Length) Ensures correct fit and accurate compression, resulting in optimum therapeutic benefits and greater comfort. Advanced Microfiber Technology: 100% of microfiber lays against the skin to ensure comfort; soft and durable sock for everyday wear; excellent breathability and moisture management for added comfort; easy to put on and take off, with a non-binding top band. To Order: Use the MIDTOWN MICROFIBER SIZING CHART. Compression Level 821 = 15 – 20 mmHG. Compression Level 822 = 20 – 30 mmHG. Compression Level 823 = 30 – 40 mmHG. Style: Thigh-Length = N. Sizes = SS, SL, MS, ML, LS, LL. Gender: Male = M Colors: Black = 99, Tan-Khaki = 32. Example = 822NSLM32

ITEM #

HCPCS

821N 822N 823N

A6533 A6533 A6533

SOLD BY

pr pr pr

Small Medium Large X-Large 2X-Large

(AT)SOXSB A4649 (AT)SOXMB A4649 (AT)SOXLB A4649 (AT)SOXELB A4649 (AT)EUROXXLB A4649

pr pr pr pr pr

(AT)SOXLW A4649 (AT)SOXELW A4649 (AT)EUROXXLW A4649

pr pr pr

WHITE

Large X-Large 2X-Large

DiaSox Diabetic Socks Ideal for those with diabetes, or foot or leg swelling. Comfortably fit medium to wide shoe widths. Manufactured with a unique knit top that stays up without binding or leaving marks, and will not sag around the ankles. Flat-stitch toe seam offers a seam-free feel that enhances overall foot comfort. Antimicrobial fabric treatment helps protect against fungal growth and bacteria. Made of 88% breathable, cool-cotton yarn; 10% high-bulk acrylic and 2% Spandex®.

ITEM #

HCPCS

SOLD BY

BLACK

Medium (men’s 61⁄2 – 91⁄2; women’s 7 – 10 Large (men’s 91⁄2 – 12; women’s 10 – 13) X-Large (men’s 13 – 15; women’s 14+)

(MD)DISBM (MD)DISBL (MD)DISBXL

A4649 A4649 A4649

pr pr pr

(MD)DISWM (MD)DISWL (MD)DISWXL

A4649 A4649 A4649

pr pr pr

WHITE

Medium (men’s 61⁄2 – 91⁄2; women’s 7 – 10) Large (men’s 91⁄2 – 12; women’s 10 – 13) X-Large (men’s 13 – 15; women’s 14+)

PEDIFIX (FO) SeamLess Everyday Socks Innovative socks with hand-sewn toe seams to eliminate irritating ridges – a feature that provides extra comfort to feet, especially those with special needs. An anti-bacterial finish protects against germs and a cross-stretch construction conforms to feet without binding or bunching. Durable fibers help these socks return to their original shape after laundering. White. ™

ITEM #

Medium/Large X-Large

TP795M A4649 TP795L A4649

HCPCS

SOLD BY

pr pr

233

STOCKINGS / COMPRESSION THERAPY

PEDIFIX (FO) SeamLess™ Oversized Socks Innovative socks with hand-sewn toe seams to eliminate irritating ridges – a feature that provides extra comfort to feet, especially those with special needs. An anti-bacterial finish protects against germs and a cross-stretch construction conforms to feet without binding or bunching. Feature extra wide tops that expand to 18˝ to fit easily over enlarged feet, ankles, calves. White.

ITEM #

HCPCS

SOLD BY

Small Medium/Large X-Large

TP798S A4649 TP798M A4649 TP798XL A4649

pr pr pr

medi® USA (CI/NE) circaid® juxtalite® lower leg system An easy alternative for those who lack the strength or dexterity to use traditional compression stockings and bandages. The standard legging is available in two lengths – short (28 cm) and long (33 cm) – and in circumference sizes from Small to XXL, with three full-calf options. Adjustable assured compression levels (20 – 30, 30 – 40, or 40 – 50 mmHg) using patented built-in pressure system (BPS™) allow the clinician to set the desired compression and allow the user to repeat this process at home. Cool and lightweight Breathe-O-Prene® material and limited linear stretch material hug the limb. Includes lower leg garment, one pair of compression anklets, one undersleeve liner and one BPS™ measurement card.

ITEM #

HCPCS

circaid® juxtafit® premium ready-to-wear lower leg Allows for quick and easy application. Requires minimal adjustments without removal to help maintain required gradient compression levels. Can be worn 24 hours a day with the juxtaposed bands being slightly loosened for night-time wear. Comfortable design gives excellent leg coverage and allows user to manage lymphedema while maintaining an independent lifestyle. One-year warranty when proper wear and care instructions are followed.

ITEM #

HCPCS

SOLD BY

SHORT, BEIGE

Medium XX-Large

23604017 A6549 23604017 A6549

ea ea

23704017 A6549 23705017 A6549 23705117 A6549 23706117 A6549 23705117 A6549 23706117 A6549

ea ea ea ea ea ea

LONG, BEIGE

Medium Large X-Large XX-Large Full-calf, large Full-calf, x-large

SOLD BY

SHORT

Small Medium Large XX-Large Full-calf, medium Full-calf, large Full-calf, x-large

23023017 A6545 23024017 A6545 23025017 A6545 23027017 A6545 23024117 A6545 23025117 A6545 23026117 A6545

ea ea ea ea ea ea ea

23033017 A6545 23034017 A6545 23035017 A6545 23036017 A6545 23037017 A6545 23034117 A6545 23035117 A6545 23036117 A6545

ea ea ea ea ea ea ea ea

LONG

Small Medium Large X-Large XX-Large Full-calf, medium Full-calf, large Full-calf, x-large

circaid® juxtafit® essentials lower leg Instantly adjustable inelastic bands make this garment easy to apply, remove and target specific areas as needed throughout the period of wear. Includes a user-friendly, built-in pressures system (BPS™) guide card with multiple compression range settings for quickly and accurately verifying the application of prescribed compression levels anywhere from 20 – 30 mmHg to 50+ mmHg. For those with moderate to severe lower leg lymphedema. Includes one legging, one pair of undersleeves (footless), one power-aided compression (PAC) band and one pair of compression anklets. SILVERtec is incorporated into the fabric for odor control throughout the six-month warranteed use of the product when proper wear and care instructions are followed.

ITEM #

HCPCS

SOLD BY

SHORT, BEIGE

Small Medium XX-Large Full-calf, medium Full-calf, large

70013000 A6549 70014000 A6549 70017000 A6549 70014111 A6549 70125111 A6549

ea ea ea ea ea

70126000 A6549 70127000 A6549 70125111 A6549 70126111 A6549

ea ea ea ea

LONG, BEIGE

X-Large XX-Large Full-calf, large Full-calf, x-large

circaid® pac (Power Added Compression) band Adjustable compression targeting the ankle and arch area of the foot. Available in three sizes, the PAC band can be cut for individual fit. Material is lightweight and breathable, and can comfortably fit inside shoes. The band is designed to be worn with the Circaid® compression anklets for added compression.

ITEM #

Standard

38340017 A6549

234

HCPCS

SOLD BY

STOCKINGS / COMPRESSION THERAPY

medi® USA (CI/NE) circaid® juxtafit® premium interlocking ankle foot wrap Complements the Circaid® Juxtafit™ Premium Legging System. Incorporates state-of-the-art materials with a patented design to create a comfortable and effective compression device. The Juxtalock™ band system allows for quick and easy application and minimal adjustments that help maintain compression levels, a comfortable fit and better user outcomes with lymphedema or venous disease treatment. Covers the foot and ankle area, and incorporates SILVERtec™ to inhibit bacterial growth and odors.

ITEM #

HCPCS

SOLD BY

BEIGE

Small Medium Large

38260017 A6549 38260117 A6549 38260217 A6549

ea ea ea

mediven® comfort thigh beaded silicone topband Offers Clima Fresh and Clima Comfort features in a skin-friendly soft and supple fabric. Clima Fresh provides odor protection and prevents bacteria growth within the garment. Clima Comfort releases moisture for soothing temperature control. Available in many variations including closed-toe or open-toe; calf high, thigh high, maternity and waist high; 15 – 20, 20 – 30 and 30 – 40 mmHg compression levels. Offered in up to six colors across the assortment of compression levels and styles including petite lengths, extra-wide variants and two top band options for thigh highs.

ITEM #

HCPCS

SOLD BY

18756 18953

A6533 A6533

pr pr

19354

A6533

19002 18706

A6533 A6533

pr pr

19202

A6533

20-30 MMHG, EBONY

Standard, closed toe, size VI Standard, open toe, size III 30-40 MMHG, EBONY

Standard, open toe, size IV 20-30 MMHG, NATURAL

Petite, open toe, size II Standard, closed toe, size VI 30-40 MMHG, NATURAL

Petite, closed toe, size II

mediven® plus thigh beaded silicone topband Offers a broad range of ready-made sizes and stylesy. Opaque fabric is pleasantly soft against the skin but due to its highly resistant stretch properties, is specifically intended for the treatment of moderate to severe venous disease. To ensure additional wearing comfort, it incorporates the same Clima Fresh and Clima Comfort found in many mediUSA stockings. Available in beige or black, closed-toe or open-toe options, as well as calf high, thigh high, waist high, maternity and men’s leotard. Available styles include petite lengths, extra-wide variants and top band options in 20 – 30, 30 – 40 and 40 – 50 mmHg compression levels.

mediven® comfort thigh lace topband Offers clima fresh and clima comfort features in a skin friendly soft and supple fabric. Clima fresh provides odor protection and prevents bacteria growth within the garment. Clima comfort releases moisture for soothing temperature control. mediven® comfort is available in many variations with closed toe or open toe options in calf high, thigh high, maternity, and waist high in 15-20, 20-30 and 30-40mmHg compression levels. mediven® comfort is offered in up to 6 colors across the assortment of compression levels and styles including petite lengths, extra wide variants and two top band options for thigh highs.

ITEM #

HCPCS

SOLD BY

Petite, open-toe, size IV Standard, open-toe, size V Standard, closed-toe, size V Standard, closed-toe, size VII

ITEM #

HCPCS

SOLD BY

47712

A6533

48713

A6533

20-30 MMHG, SANDSTONE

20 – 30 MMHG, BEIGE

10604 10805 19505 19507

A6533 A6533 A6533 A6533

pr pr pr pr

20004

A6533

40003

A6533

Standard, open toe, size II 30-40 MMHG, SANDSTONE

Standard, closed toe, size III

30 – 40 MMHG, BEIGE

Standard, open-toe, size IV 40 – 50 MMHG, BEIGE

Standard, open-toe, size III

mediven® harmony armsleeve The perfect balance between efficacy and comfort. Knitted to stringent RAL quality standard to ensure accurate graduated compression. Unique fabric that is soft to touch, clinically effective and easy to apply. It features a new design that incorporates a double ellipse - one in the crease and one on the point of the elbow - for maximum patient comfort.

ITEM #

HCPCS

SOLD BY

2Y01502 2Y01503 2Y11501 2Y11502

A6549 A6549 A6549 A6549

ea ea ea ea

2Y00802

A6549

20-30 MMHG, BLACK

Silicone band, size II Silicone band, size III Gauntlet combo with silicone band, size I Gauntlet combo with silicone band, size II 20-30 MMHG, SAND

Gauntlet combo with silicone band, size II

235

TENS

PAIN MANAGEMENT TECHNOLOGIES (PV) ULTIMA TENS UNITS iTens - Wearable Pain Relief The world's first true wireless Bluetooth TENS device that works with iPhone or Android device to instantly relieve pain. The iTENS works by blocking pain signals at the nerves. Thin lithium-ion rechargeable battery; 24 hours of use per charge. Medical-grade strength, no prescription required.

ITEM #

iTens device small, green iTens device small, orange iTens device large, blue iTens device large, white iTens gel pads small iTens gel pads large Long strip wing, green Long Strip wing, gray Gel pads long strip

HCPCS

SOLD BY

ITENSGRSM A9270 ea ITENSORGSM A9270 ea ITENSBLL A9270 ea ITENSWHL A9270 ea ITRODESM A4595 3/bx ITRODELG A4595 3/bx ITENSGRLSA A4595 ea ITENSGYLSA A4595 ea ITRODESTR A4595 3/bx

Ultima Combo TENS/EMS with Body Part Diagram Includes device, batteries, lead wires, one four-pack of electrodes, carrying case and users manual. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

U3T

E0730 ea

ITEM #

HCPCS

E0720 ea

SOLD BY

Theratrac Cervical Traction Device Gently stretches neck muscles, allowing the vertebral discs to realign, freeing the nerve root tissue from the pressure of the discs. Helps “locked” neck muscles to slowly stretch and relax, allowing misaligned vertebrae to resume normal supportive position. Cradles the head and neck via a curvature in the neck portion of the device, as well as a special headrest section that is vertically pneumatic. Both the headrest and neck region inflate with over 30 lbs. of adjustable, neumatic pressure to create traction in the cervical curve. Medium 16˝ – 18˝. ITEM #

HCPCS

Small, 14˝ – 16˝ Medium, 16˝ – 18˝ Large, 18˝ – 20˝

PCT100S PCT100M PCT100L

E0849 E0849 E0849

SOLD BY

ea ea ea

Ultima OTC TENS A dual-channel, five-mode device that has an easy-to-select body part diagram on a large LCD screen. Combines function and traditional looks with new-age digital style. Includes a soft carrying case and is approved for over-the-counter, with no prescription necessary. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

236

HCPCS

UCOMBO E0730 ea

HCPCS

SOLD BY

ITEM #

ET99090101 A4595

HCPCS

SOLD BY

Ultima Neuro Hand and Foot System Advanced neuropathy stimulator that utilizes enhanced TENS specifications designed to target pain associated with neuropathy in the hands and feet.

ITEM #

UNEURO E0730 ea

HCPCS

SOLD BY

ESOCK

Silver fiber conductive sock for use with advanced neuropathy stimulator ESOCK E0731 ea

SOLD BY

Ultima 5 Digital TENS Unit Dual-channel, five-mode device with two wave form adjustments and a large LCD screen. Traditional look mixed with new-age digital style. With timer. Includes a soft carrying case. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

Lead Wires for use with TENS, EMS and IF 48˝ Lasts from one to six months depending on device settings. At the end of the lead wire, there is a male component of a pin-wire connection (long thin cylinder, 0.4˝ long) that is compatible with most electrodes. Periodic replacement of these wires is part of the upkeep of any electrotherapy device.

Ultima 3T TENS Unit with Timer Analog dual-channel device with three modes of operation (B, N and M) with timer. Ultra slim and runs on “AAA” batteries. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

Black White

U02CB A9270 ea U02CW A9270 ea

SOLD BY

EGLOVE

Silver fiber conductive glove for use with advanced neuropathy stimulator EGLOVE E0731

Ultima Neo Advanced neuropathy stimulator that utilizes enhanced TENS specifications designed to target pain associated with neuropathy in the hands and feet.

ITEM #

PMTUNEO E0730 ea

HCPCS

SOLD BY

NEW Soft-Touch Cloth Electrode Self-adhesive, reusable, disposable electrodes with a pigtail pin connector.

ITEM #

HCPCS

Tyco gel, 2˝ x 2˝ PMT gel, 2˝ x 2˝ PRM gel, 2˝ round Tyco gel, 2˝ round

SP2020 FA2020 FA2000 SP2000

A4595 A4595 A4595 A4595

SOLD BY

ea ea ea ea

TENS

OTC/NON-PRESCRIPTION ITEMS

CARDINAL HEALTH™ * Not made with natural rubber latex.

Cardinal Health Adhesive Remover Wipes* Thick, durable pad. Dissolves and removes adhesive residue from skin. Fresh scent. Nonirritating to intact skin. 4˝ x 4˝ size is ideal for tough-to-remove adhesives. For external use only. ™

ITEM #

HCPCS

11⁄4˝ x 3˝ 4˝ x 4˝

ZA30075 ZA30050XL

A4456 A4456

SOLD BY

75/bx 50/bx

BIOMEDICAL LIFE SYSTEMS, INC. (FA)

Rebound® Health TENS Device Pain relief in as little as 15 minutes. FDA-registered, Class II medical device is now available without a prescription. TENS pain relief device that works through the skin, emitting a tingling sensation to help manage pain without the use of drugs. It is non-addicting, simple to use, affordable and effective. Kit includes Rebound® unit, two conductive pads, one connecting cable, two “AAA” batteries, lanyard (strap) and instruction manual.

ITEM #

KBTR6 A9270 ea

BioStim SD (Strength Duration) Digital TENS Unit Compact, extremely durable and portable unit measures 3.9˝ L x 2.5˝ W x 1.1˝ H and weighs only 3.25 oz. The unit outputs an asymmetrical, biphasic square waveform and includes adjustable pulse width (10 μs – 250 μs) and frequency settings (1 Hz – 200 Hz). Features include four programmable functions: continuous, cycled burst, SD1 and SD2. Patient Compliance Meter shows how many hours the device was used. Features low battery indicator, timer and closure that covers all controls. When turned off, it stores the last setting used and displays it when turned on again. Clinician can lock the device in place to ensure the settings are retained. Includes a belt clip, lead wires, four 2˝ x 2˝ self-adhesive reusable electrodes, two “AA” Alkaline batteries and carrying case. Five-year warranty. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

KBSD

E0730 ea

SOLD BY

Impulse® TENS D5 5 Mode Digital TENS Safe to wear, even at night. As a safety feature, the amplitude drops to “0” when the modes of operation are changed or when the lead wires or electrodes become detached from the patient. Sleek, digital, two-channel unit has a flip-top safety cover to prevent buttons from being accidently pushed during wear. Lightweight unit features LCD screen and large push buttons. Inside cover reopens to an easy-to-read instruction diagram. Offers five preset and programmable modes of operation: continuous, width modulation, burst modulation, burst 1 and burst 2. Pulse intensity is continuously adjustable from 0 mA – 100 mA. Adjustable pulse rate ranges from 1 Hz – 120 Hz. Adjustable pulse width ranges from 25 μs – 250 μs. Features a mode lock, timer and patient compliance meter for clinician to monitor patient use. Unit comes with four electrodes, set of 48˝ lead wires, two “AA” Alkaline batteries and carrying case. Three-year warranty. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

SOLD BY

IMPULSETENSD5 E0720

BioStim® PLUS 4 Mode Digital TENS Handheld, dual-channel TENS with large, 2˝ LCD screen and digital keypad. Equipped with four preprogrammed and programmable protocols: continuous, width modulation, burst and cycled burst. The pulse width ranges from 10 μs – 250 μs. Through a constant current, the intensity is continuously adjustable from 0 mA – 98 mA peak. Features include patient lock/compliance meter and timer. Unit comes with four electrodes, set of 48˝ lead wires, two “AA”Alkaline batteries and carrying case. Five-year warranty. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner. ITEM #

BIOSTIMPLUS E0730

HCPCS

SOLD BY

ITEM #

HCPCS

SOLD BY

One conductive cable set (lead wire) and three sets of reuseable, latex-free electrode pads (six individual pads) SBTR200C A9270 ea

SOLD BY

Rebound® Health TENS Device Refill Packages

TENS UNITS

HCPCS

NEUROMUSCULAR STIMULATORS (E-STIM) BioStim NMS2 Digital Muscle Stimulator Versatile, dual-channel unit functions as an NMS or TENS with maximum control for optimal results. The BioStim® NMS2 has seven preprogrammed therapies based upon clinical studies and three types of stimulation: continuous, cycled and reciprical. Pulse rate is adjustable from 1 Hz – 120 Hz. Pulse width is adjustable from 0-μs – 400-μs. Features a patient lock system, compliance meter and timer. Unit comes with four electrodes, 48˝ lead wires, four “AA” Alkaline batteries and carrying case. Five-year warranty. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner. ®

ITEM #

KBNMS2 E0745 ea

HCPCS

SOLD BY

EMS™ 2000 Electric Muscle Stimulator Dual-channel, analog EMS device that increases range of motion, reduces muscle atrophy, re-educates muscles, prevents venous thrombosis and improves blood circulation. Produces three stimulation patterns: continuous, reciprocating and cycled. Includes four timing elements: “ON” and “OFF” times (1 – 60 seconds); “Off Ramp” (2 seconds); and “On Ramp” (0 – 8 seconds). Adjustable pulse rate from 1 Hz – 80 Hz, and 300-μs fixed pulse width. Output intensity adjustable from 0 mA – 98 mA. Kit includes four pigtail electrodes, set of lead wires, one 9-volt battery, carrying case and instructions. 3.9˝ L x 2.75˝ W x 1˝ H. Weighs 4.6 oz. Five-year warranty. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

KEMS

E0745 ea

SOLD BY

INTERFERENTIAL STIMULATORS (IF) BioStim INF Interferential Stimulator Utilizes a pulsed sine wave to stimulate tissue to reduce pain and decrease inflammation. Three pre-programmed sweeps for easy setup and patient instruction: 1 Hz – 10 Hz for edema reduction; 80 Hz – 150 Hz for pain relief; and 1 Hz – 150 Hz for total treatment. Offers bipolar stimulation using two electrodes where the interferential stimulation is already “mixed” or full interferential stimulation with the use of four electrodes. Includes timer. Uses four “AA” batteries or the BioStim® Wall Adaptor (included). Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner. ®

ITEM #

HCPCS

KBSI

E1399 ea

SOLD BY

237

TENS

BIOMEDICAL LIFE SYSTEMS, INC. (FA)

CONDUCTIVE GARMENTS AND SPRAY

COMBO/MULTI-MODALITY STIMULATORS

CONTAINS SILVER LATEX FREE BioKnit Conductive Garments The conductive fabric properties of the BioKnit® conductive garments and pads take the place of traditional adhesive electrodes when used in conjunction with an electrical stimulation device such as TENS or HVPS. Can be added to existing garments or bracing; attach with Velcro®. Woven with silver thread to provide even stimulation to the entire covered area. Cover hard-to-reach areas, such as the back and shoulder. Indicated for patients suffering from arthritis, neuropathy, carpel tunnel, tennis elbow, ACL injuries, low back pain and other conditions. Great alternative for patients with skin too sensitive for traditional electrodes. Reusable and hand washable. Single patient use only. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner. ®

Quadstar® II TENS, NMS, INTERFERENTIAL COMBO Fully loaded electrotherapy system, portable four-channel device delivers NMS, INF and TENS sequential stimulation. Great for sports medicine, physical therapy or anyone looking for the convenience and results of three units in one. Addresses the pain, muscle issues and edema that are common with most injuries. Allows the clinician to provide total treatment – just set and go. There are nine preprogrammed, fixed sequences taken from clinical studies, which enable the user to program 20 minutes of INF to loosen muscle groups, followed by 20 minutes of NMS therapy and ending with 20 minutes of TENS therapy for pain relief. Features three modes of operation: constant, burst and modulation. INF has adjustable frequency and four stimulation modes. NMS has three adjustable modes: constant, cycled and reciprocal. In addition, there is a patient lock system to hold prescription settings for ease of use. Patient compliance monitor records number of hours used. Unit comes with eight electrodes, color-coded 48˝ lead wires, carrying case and wall adapter. Three-year warranty. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

KQST

E0730 ea

ITEM #

HCPCS

PAD130

E0731

SOLD BY

CONDUCTIVE FABRIC PAD

2˝ x 3˝

CONDUCTIVE FABRIC GLOVE

Medium Large X-Large

SOLD BY

GAR111 E0731 ea GAR112 E0731 ea GAR113 E0731 ea

ELECTRODES LATEX FREE BioStim® PigTail Electrodes Pre-wired electrodes offer extreme flexibility. Designed to last two weeks or more. Adhesive is durable and non-irritating. Pre-wired socket system permits easy lead wire connections when the electrode is applied to hard-to-reach areas, such as the upper and lower back. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

2.5˝, oval 4˝, oval

EEOV150250M EEOV200400M

A4595 A4595

SOLD BY

Small Medium Large X-Large 2X-Large

ITEM #

21⁄4˝ x 21⁄2˝

EDRC225250 A4595 20/pk

GAR100 E0731 ea GAR101 E0731 ea GAR102 E0731 ea GAR103 E0731 ea GAR104 E0731 ea

CONDUCTIVE FABRIC SOCK

Small Medium Large X-Large

4/pk 4/pk

LATEX FREE Electrodes Disposable, pre-gelled electrodes are compatible with all Biomedical Life Systems devices: best suited for TENS, STIMs, INF+, MICRO+ and HVPS devices. Pin connection. Latex-free. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner. HCPCS

CONDUCTIVE FABRIC SLEEVE

GAR120 E0731 ea GAR121 E0731 ea GAR122 E0731 ea GAR123 E0731 ea

SPORT SHOULDER GARMENT

With four 2˝ x 3˝ fabric electrodes.

LB0971423 E0731

SOLD BY

UNIVERSAL SIZE KNEE BRACE

LEAD WIRES

With four 2˝ x 3˝ fabric electrodes.

L00013

KB0941 E0731 ea

Touchproof lead wires 48˝ (1.2 m) fit with all BioMedical Life Systems devices.

ITEM #

HCPCS

L00013

A4595 2/pk

SOLD BY

UNIVERSAL SIZE SOFT BACK BRACE

With four 2˝ x 3˝ fabric electrodes. FULL BACK CONDUCTIVE VEST

7˝ 9˝

KB0918423 E0731 KB0923423 E0731

ea ea

With eight 2˝ x 3˝ fabric electrodes. Color may vary. Universal

KV1016823 E0731

EXTENDER PANELS

12˝ extenders for universal size vest.

238

TKA0204 A9270 ea

TENS

BIOMEDICAL LIFE SYSTEMS, INC. (FA) Conductive Spray Electrolyte spray uniformly and consistently increases electrode-to-skin conductivity, eliminates hot spots and prevents electrode dry-out during prolonged use. Replaces water and conventional media. Use in conjunction with electrode garments for increased conductivity and coating of silver conductive thread to prevent tarnish that water and other media may cause. Electrode garments should be moistened when used to increase the conductive properties.

ITEM #

HCPCS

8-oz. bottle

EMIST250

A9999

Uni-Patch™ C Series Stimulating Electrodes Extra thick .040˝ hydrogel and a soft cloth backing. Adaptive socket makes connection to lead wires easy. Tinted double-sided storage liner simplifies removal and storage. Self-adhering and reusable electrodes for multiple applications up to 14 days. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

SOLD BY

MEDTRONIC (UP) All Medtronic products are latex-free unless otherwise noted.

LATEX FREE

ELECTRODES CONTAINS SILVER Uni-Patch™ S Series White Tricot Electrodes A highly conductive silver ink printed in a patented gradient starburst pattern evenly controls flow of current over the entire surface. Thick hypoallergenic hydrogel with aloe vera provides hydrating and moisturizing effect. For delicate or sensitive skin. Items # 696SS and 697SS incorporate a skin-friendly blue gel. Tinted double-sided storage liner simplifies removal and storage. Self-adhering and reusable for multiple applications of up to 14 days. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

SOLD BY

627SB 628SB 616SB 617SB

A4595 A4595 A4595 A4595

4/pk 4/pk 4/pk 4/pk

697SS 696SS

A4595 A4595

4/pk 4/pk

STARBURST ALOE GEL

2˝ round 23⁄4˝ round 2˝ x 2˝ square 2˝ x 4˝ rectangle WITH SKIN FRIENDLY POLYHESIVE BLUE GEL

13⁄4˝ x 33⁄4˝ rectangle, blue gel 2˝ x 2˝ square, blue gel

Uni-Patch™ S Series White Foam Electrodes Stimulating electrode design incorporates a silver ink/carbon film conductor for even current dispersion. The thick hydrogel is formulated with pure aloe vera known for its hydrating properties and natural moisturizing effects. Intuitive lift tab allows for easy removal of the electrodes from the liner and from the patient. Tinted double-sided storage liner simplifies removal and storage. Self-adhering and reusable for multiple applications of up to 14 days. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

2˝ round, aloe gel

EP84149

A4595

SOLD BY

4/pk

Uni-Patch™ R Series Stimulating Electrodes Proven electrode with reliable Covidien hydrogel and a durable tricot backing. Economical. Low-profile design. Tinted double-sided storage liner simplifies removal and storage. Self-adhering and reusable electrodes for multiple applications up to 14 days. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

1 ⁄2˝ x 2˝ oval 2˝ round 23⁄4˝ round 2˝ x 2˝ square 2˝ x 2˝ square, snap 2˝ x 4˝ oval 2˝ x 4˝ rectangle 2˝ x 4˝ rectangle, snap 1

ITEM #

HCPCS

650 652 653 654 655 657 658 659

A4595 A4595 A4595 A4595 A4595 A4595 A4595 A4595

SOLD BY

4/pk 4/pk 4/pk 4/pk 4/pk 4/pk 4/pk 4/pk

ITEM #

HCPCS

11⁄4˝ round 11⁄2˝ x 21⁄2˝ oval 2˝ round 23⁄4˝ round 2˝ x 2˝ square 2˝ x 31⁄2˝ rectangle 2˝ x 4˝ oval

3100C 3125C 3105C 3110C 3115C 3120C 3130C

A4595 A4595 A4595 A4595 A4595 A4595 A4595

SOLD BY

4/pk 4/pk 4/pk 4/pk 4/pk 4/pk 4/pk

Uni-Patch™ Specialty Stimulating Electrodes Easy, one-step application. Constructed of soft spun lace. Self-adhering and disposable electrodes for single application up to three days. 21⁄4˝ x 21⁄2˝ rectangle. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

Clear gel, pin Polyhesive® blue gel, pin

633 634

A4595 A4595

SOLD BY

32/pk 40/pk

LUMBOSACRAL STIMULATION Uni-Patch Specialty Stimulating Electrodes – Back Electrodes Specially designed for the lumbosacral area for treating lower back pain. Constructed of soft and flexible foam. Self-adhering and reusable electrodes for multiple applications up to 14 days. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner. ™

ITEM #

HCPCS

6˝ x 4˝ pigtail, blue gel 6˝ x 4˝ pigtail

639 640

A4595 A4595

SOLD BY

ea ea

SKIN PREPS AND LOTIONS Uni-Patch Pre-TENS Skin Prep Wipes Pre-treatment skin preparation increases adhesion, improves conductivity and reduces skin irritation. No cross-contamination with single-use wipes. ™

ITEM #

HCPCS

220

A9270 50/bx

SOLD BY

SUPREME TECHNOLOGIES/SUPREME POWER® (CB) Replacement Batteries

ITEM #

HCPCS

“AA” alkaline batteries 9-volt battery

SPAAKAM SP9VAM

A4649 A4630

SOLD BY

2/pk ea

ZEWA USA (ZEW) NEW Digital TENS Pain Therapy Compact, dual-channel TENS unit with large LCD display. Adjustable pulse width and pulse rate with 3 modes. 5- to 95-minute. timer and continuous. Intensity 0-100mA. Use with Replacement Electrodes item #21049 listed below. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

21005 A9270 ea

HCPCS

SOLD BY

239

TENS

ZEWA USA (ZEW)

OMRON HEALTHCARE, INC. (73)

SpaBuddy Sport – TENS Pain Therapy Natural drug-free pain relief using electro-massage therapy. Provides temporary relief of pain associated with sore and aching muscles due to strain from exercise or normal household and work activities. Incorporates the same technology used by health care professionals easily and safely in the home. Large LCD display. Eight computer-controlled programs. 30 intensity levels. Timer (5 – 95 minutes and Continuous). Pulse intensity max 100 mA. Includes four self-adhering electrodes and three “AAA” batteries.

ElectroTHERAPY TENS Pain Relief Unit A simple drug-free solution for relief of achy, stiff or sore muscle and joint pain. Available without a prescription, this easy-to-use TENS unit can help manage pain in as little as 15 minutes. Temporarily reduces pain in the lower back, arms, shoulders, legs, thighs, hips, feet, knees, elbows and ankles. Includes: unit, electrode cords, two Long Life pads, pad holder, 2 “AAA” batteries, instruction manual, quick start guide and pad placement guides. Limited one-year warranty.

ITEM #

21019 A9270 ea

HCPCS

SOLD BY

SpaBuddy Replacement Electrodes Pre-gelled, self-stick 2˝ x 2˝ square. Universal pin-type connection. Four per bag. Made in the USA.

ITEM #

HCPCS

21049

A4595 4/pk

SOLD BY

SpaBuddy Relax – Back Pain Relief System Same features as SpaBuddy Sport. Specifically designed for low back pain. Includes TENS belt for easy application.

ITEM #

HCPCS

SOLD BY

21017 A9270 ea

SpaBuddy Replacement Conductive Pads for TENS Belts and Garments Pre-gelled, self-stick on both sides. 2˝ x 2˝ square. Four per bag. Made in the USA.

ITEM #

HCPCS

21057

A4595 4/pk

SOLD BY

SpaBuddy Massage Belt Melts away stress and tension before the problem becomes more serious. Features four vibrating motors for a powerful, relaxing massage and a heat mode for deep-penetrating relief. Choose from seven different massage programs and three intensity levels with a timer. Great for lower back, shoulders, neck, legs and foot massage. Includes auto and AC Adapter.

ITEM #

21020 A9270 ea

SpaBuddy Mini

HCPCS

SOLD BY

NEW Soothe and stimulate sore, aching muscles using the same TENS technology used by physical therapists easily and safely at home. Simply place the SpaBuddy Mini on top of the area causing you the most pain, select a program and turn up the intensity, it's that easy. Features, 3˝ x 4˝ large pad, 10 intensity levels, 3 TENS and 2 EMS programs and a 30-minute timer.

ITEM #

HCPCS

21021 A9270 ea

240

ITEM #

HCPCS

21062

A4595 2/pk

SOLD BY

ITEM #

PM3030 A9270 ea

HCPCS

SOLD BY

ElectroTHERAPY TENS Long Life Pads Durable, comfortable and gently adhere to skin. Exclusively used with the Omron electroTHERAPY TENS Units, the electrode cords snap easily into place on to each pad. Tested in research and development laboratories, the Long Life Pads may be reusable up to 150 times or five months.

ITEM #

PMLLPAD E1399 ea

HCPCS

SOLD BY

ElectroTHERAPY TENS Pain Relief Pro Unit A personal TENS unit with more than 15 settings for pain relief included in the quick start guide. Choose one of the eight modes to customize therapy for more than one body pain or use the massage-like modes just for relaxing. Available without a prescription, this powerful premium TENS unit helps manage muscle and joint pain in about 15 minutes. Includes unit, electrode cords, two Long Life pads, pad holder, cloth carrying case, 2 “AAA” batteries, instruction manual, quick start guide and pad placement guides. Limited one-year warranty.

ITEM #

PM3031 A9270 ea

HCPCS

SOLD BY

CAREX® (RM) LATEX FREE AccuRelief™ Mini TENS Unique design includes two gel pads that surround the pain. Easy to use. Pre-programmed with two phases of alternating therapy. 20-minute treatment with auto shut-off and 15 levels of adjustable intensity. FDA cleared for use without a prescription and approved for all body parts.

ITEM #

ACRL1000 A9270 ea

HCPCS

SOLD BY

LATEX FREE AccuRelief™ Mini TENS Supply Kit Designed for AccuRelief™ Mini TENS. Includes eight electrode pads. Each pad is reusable up to 30 times.

SOLD BY

NEW SpaBuddy Mini Refill Pads Two replacement pads for Zewa - SpaBuddy Mini. Can be placed anywhere on the body. Pre-gelled, self-sticking, 3˝ x 4˝ Reusable pads for multiple pain areas

ITEM #

ACRL0002 A4595 ea

HCPCS

SOLD BY

CHATTEM, INC. (CHA) Icy Hot Smart Relief Back and Hip Starter Kit FDA cleared for relief of chronic pain associated with arthritis and persistent sore or aching muscles. Easy to use, place at site of pain. Portable and discreet. Control unit weighs less than 1 oz. Refill snaps easily onto unit. On/off button and “on” light indicator. Batteries are pre-installed; refill includes battery. Features 63 intensity levels, patented wireless design, no usage limit, varied wave widths and rates, and automatic shut-off after each 30-minute session. ®

™

ITEM #

04116708045 A4649

HCPCS

SOLD BY

TENS

CHATTEM, INC. (CHA)

BIO PROTECH USA, INC. (DY)

Icy Hot Smart Relief Back and Hip Refill Refill snaps easily onto unit. ®

™

ITEM #

04116708046 A4649

HCPCS

SOLD BY

PROTENS Electrodes Offers fast application and easy handling and removal with low impedance and high conductivity. Features a strong tacky adhesive that is self-adhering and reusable. Available in various styles and shapes for each use.

ITEM #

HCPCS

SOLD BY

30RDWSL 48RDWSL 75RWSL RG5090WSL

A4595 A4595 A4595 A4595

4/pk 4/pk 4/pk 4/pk

4848FC 48RDFC RG5090FC

A4595 A4595 A4595

4/pk 4/pk 4/pk

ELITE SILVER, WHITE CLOTH

1.25˝ Round 2˝ Round 3˝ Round 2˝ x 3.5˝ Rectangle

Icy Hot® Smart Relief™ Knee & Shoulder Starter Kit Powerful, portable pain relief. Relieves even chronic pain. Easy to use, no wires, no assembly, no doctor needed. For persistent sore or aching muscles. Includes an easily replaceable standard 3-volt (CR 2032) watch battery. Drug-free. Blocks pain signals at the nerves. Automatic shut-off after each 30-minute session. Reusable control unit, electrode pads and battery. Discreet and portable: use while doing normal activities. Intensity is adjustable (63 levels).

ITEM #

HCPCS

04116708047 A4649

CARBON, FOAM

2˝ x 2˝ Square 2˝ Round 2˝ x 3.5˝ Rectangle CARBON, WHITE CLOTH

2˝ x 2˝ Square 4848WC A4595 4/pk Plastic Zippered 2˝ x 2˝ Square 4848WCBZ A4595 4/pk 2˝ Round 48RDWC A4595 4/pk 3˝ Round 75RWC A4595 4/pk 2˝ x 4˝ Oval OVO2WC A4595 4/pk 2˝ x 3.5˝ Rectangle RG5090WC A4595 4/pk

SOLD BY

Icy Hot® Smart Relief™ Knee & Shoulder Refill Refill snaps easily onto unit.

ITEM #

04116708049 A4649

HCPCS

SOLD BY

CARBON, BLUE CLOTH

4˝ x 6˝ Butterfly

FABRICATION ENTERPRISES, INC. (FAB) Spectra® 360 Electrode Gel Non-gritty STAY-WET® formula allows for prolonged use without re-application. Can be used for ECG, TENS, monitoring and pediatrics. Saltand chloride-free, non-irritating, hypoallergenic and bacteriostatic.

ITEM #

HCPCS

8.5-oz. tube

5058311

A4558

SOLD BY

Aquasonic 100 Ultrasonic Gel Water-based gel is non-staining, hypoallergenic, bacteriostatic, non-sensitizing and non-irritating. Recommended for all procedures in which a viscous gel is required. ®

ITEM #

0.25 liter dispenser 5058101 5-L Sonicpac with refillable dispenser 5058121

HCPCS

A4558 A4558

SOLD BY

ea ea

BTO3BC

A4595

4/pk

MAXTENS 1000/2000 TENS Unit Feature a wide array of output combinations to help get the settings “just right.” With times ranging from 15 or 30 minutes to continuous mode, user can pick the setting that's right for them. Feature three modes: B (Burst), N (Normal), and M (Modulation). Pulse rate, pulse width and amplitude are adjustable to lessen acute pains due to an accident or chronic conditions, such as arthritis or other joint and muscle conditions.

ITEM #

Analog Digital

MAXTENS1000 E0720 MAXTENS2000 E0720

HCPCS

SOLD BY

ea ea

MAXTENS 1000/2000 EMS Unit Battery-operated pulse generator sends electrical impulses through electrodes to the body and reaches the underlying muscle group. Two controllable, independent output channels. An electrode pair can be connected to each output channel. Electrical impulse amplitude, pulse rate, contraction time, relaxation time and ramp time are adjustable. Dial controls and buttons are very easy to use. Slide cover prevents accidental setting changes.

ITEM #

Analog Digital

MAXEMS1000 E0745 MAXEMS2000 E0745

HCPCS

SOLD BY

ea ea

MAX-IF 1000 IF Unit Sends small, comfortable elctrical impluses through the skin into the painful area, causing a mild tingling sensation. Works to prevent pain signals from reaching the brain. Two channels allow independent operation of electrodes for better focus and deeper tissue stimulation compared to other types of electrical stimulation.

ITEM #

MAXIF1000 E0720

HCPCS

SOLD BY

241

TRACHEOSTOMY

Cardinal Health™ Yankauer Handles Helps aspirate fluid and debris from the throat area. Standard bulb tip and regular tip. Available with and without control vents. Side eyes helps reduce traumatic tissue grab. Suction tubing sold separately – available in various lengths and diameters. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

Cardinal Health™ Essentials Coil Packed Suction Catheter Kits* Kits include coil-packed suction catheter, two powder-free PVC gloves and pop-up cup. Graduation markings. Thumb suction control. Kit is wrapped for easy handling and cleanliness. Sterile; available in standard sizes. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr catheter would be ZRSCK 1 0. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

ITEM #

HCPCS

Bulb tip, vented Bulb tip Regular tip, vented

(55)K86V (55)K86 (55)K87V

A4628 A4628 A4628

6 fr 8 fr 10 fr – 14 fr (even numbers)

(ZR)SCK6 (ZR)SCK8 (ZR)SCK_ _

A4624 A4624 A4624

CARDINAL HEALTH™ (55/ZR) * Not made with natural rubber latex

SOLD BY

ea ea ea

Cardinal Health™ Suction Connecting Tubing* Sterile. Nonconductive. Two female connectors and one straight male connector.

ITEM #

6´ long, 3⁄16˝ diameter (55)N56A 6´ long, 1⁄4˝ diameter (55)N66A 10´ long, 3⁄16˝ diameter (55)N510

HCPCS

SOLD BY

A7002 A7002 A7002

ea ea ea

GAUZE / DRAIN SPONGES Cardinal Health™ Nonwoven Drain Sponges* Sterile dressing can be used around a tracheostomy tube or other types of tube on the body. 6-ply, split.

ITEM #

HCPCS

2˝ x 2˝ (2s) 4˝ x 4˝ (2s)

(55)CNWDS226S (55)CNWDS446S

A6402 A6402

SOLD BY

2 ea/pk 2 ea/pk

SUCTION CATHETERS

6 fr 8 fr 10 fr – 18 fr (even numbers)

ITEM #

HCPCS

(ZR)SC6 (ZR)SC8 (ZR)SC_ _

A4624 A4624 A4624

SOLD BY

ea ea ea

Cardinal Health™ Essentials Coil Packed Suction Catheters* Coil packed. Stepped connector. Two staggered, opposing eyes. Graduation markings. Thumb suction control. Sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr catheter would be ZRSC 1 0 C. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

8 fr 10 fr – 14 fr (even numbers)

242

ITEM #

HCPCS

SOLD BY

(ZR)SC8C A4624 (ZR)SC _ _ C A4624

ea ea

ea ea ea

TRACHEOSTOMY TRAYS & TUBE HOLDERS Cardinal Health™ Essentials Tracheostomy Tray* Includes one inner basin, one trach brush, one pair of powder-free PVC gloves, four pipe cleaners, two cotton-tip applicators, one waterproof drape, one split sponge, one twill tape and four nonwoven sponges. Sterile. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

(ZR)TCT

SOLD BY

A4629

Cardinal Health Essentials Tracheostomy Tube Holders* Two-piece neckband has foam with nonwoven backing. Adjustable Velcro® fasteners help hold tube in place and help prevent extubation. Single use; do not wash. Nonsterile. ™

Cardinal Health™ Essentials Straight Packed Suction Catheters* Stepped connector. Two staggered, opposing eyes. Graduation markings. Suction control. Sterile; available in standard sizes. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr catheter would be ZRSC 1 0. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

SOLD BY

Pediatric, 3⁄4˝ wide, fits up to 9˝ neck Adult, 1˝ wide, fully adjustable, one size fits most

ITEM #

HCPCS

(ZR)TT241P (ZR)TT240

A7526 A7526

SOLD BY

ea ea

SMITHS MEDICAL (BJ/SF) All Smiths Medical tracheostomy products are latex-free unless otherwise noted.

LATEX FREE

TRACHEOSTOMY TUBES Flex D.I.C. Tracheostomy Tubes Softer choice in a flexible, disposable inner cannula system. Constructed of siliconized polyvinyl chloride, providing a softer and more pliable tube to reduce risk of tracheal trauma. Built-in, 15-mm ISO termination for easy ventilator circuit attachment with or without inner cannula in place. ®

ITEM #

HCPCS

SOLD BY

Orange (6 mm) Green (7 mm) White (8 mm) Blue (9 mm) Yellow (10 mm)

(SF)505060 (SF)505070 (SF)505080 (SF)505090 (SF)505100

A7521 A7521 A7521 A7521 A7521

ea ea ea ea ea

Orange (6 mm) Green (7 mm) White (8 mm) Blue (9 mm) Yellow (10 mm)

(SF)504060 (SF)504070 (SF)504080 (SF)504090 (SF)504100

A7520 A7520 A7520 A7520 A7520

ea ea ea ea ea

CUFFED

UNCUFFED

TRACHEOSTOMY

SMITHS MEDICAL (BJ/SF) All Smiths Medical tracheostomy products are latex-free unless otherwise noted.

LATEX FREE

Disposable Inner Cannula For Flex D.I.C.® Trach Tubes Constructed of siliconized polyester/vinyl chloride, providing a softer and more pliable tube to reduce risk of tracheal trauma. Come in five adult sizes, each color-coded for quick identification.

ITEM #

HCPCS

Orange (6 mm) Green (7 mm) White (8 mm) Blue (9 mm) Yellow (10 mm)

(SF)526060 (SF)526070 (SF)526080 (SF)526090 (SF)526100

A4623 A4623 A4623 A4623 A4623

SOLD BY

ea ea ea ea ea

D.I.C.® Tracheostomy Tubes Designed with a disposable inner cannula, which facilitates care and helps reduce the possibility of post-procedural infection. Built-in, 15-mm termination for easy ventilator circuit attachment with or without inner cannula in place. Available in five adult sizes, uncuffed, cuffed, fenestrated and unfenestrated styles. Color-coded system allows for quick identification and correct sizing of tube and inner cannula.

Bivona® Uncuffed Pediatric Tracheostomy Tubes Soft, flexible and inert, silicone is an ideal material for the sensitive stomal and airway tissues. Wire-reinforced silicone shaft minimizes the risk of kinking while providing a soft, flexible material to maximize comfort. Can be reprocessed up to five times.

ITEM #

HCPCS

(SF)503060 (SF)503070 (SF)503080 (SF)503090 (SF)503100

A7521 A7521 A7521 A7521 A7521

ea ea ea ea ea

Orange (6 mm) Green (7 mm) White (8 mm) Blue (9 mm) Yellow (10 mm)

(SF)502060 (SF)502070 (SF)502080 (SF)502090 (SF)502100

A7520 A7520 A7520 A7520 A7520

ea ea ea ea ea

(SF)513060 (SF)513070 (SF)513080 (SF)513090 (SF)513100

A7521 A7521 A7521 A7521 A7521

ea ea ea ea ea

(SF)512060 (SF)512070 (SF)512080 (SF)512090 (SF)512100

A7520 A7520 A7520 A7520 A7520

ea ea ea ea ea

CUFFED, FENESTRATED

Orange (6 mm) Green (7 mm) White (8 mm) Blue (9 mm) Yellow (10 mm) UNCUFFED, FENESTRATED

Orange (6 mm) Green (7 mm) White (8 mm) Blue (9 mm) Yellow (10 mm)

Bivona® TTS™ Cuffed Pediatric Tracheostomy Tubes TTS™ (Tight-To-Shaft) tubes have the profile of an uncuffed tube with the insurance of a cuff, if and when needed. Available in both neonatal and pediatric sizes. When completely deflated, it collapses tight to the shaft of the tube. Silicone remains soft and flexible in the trachea. Can be reprocessed up to five times.

ITEM #

HCPCS

2.5 mm 3 mm 3.5 mm 4 mm 4.5 mm 5 mm 5.5 mm

(BJ)67P025 (BJ)67P030 (BJ)67P035 (BJ)67P040 (BJ)67P045 (BJ)67P050 (BJ)67P055

A7521 A7521 A7521 A7521 A7521 A7521 A7521

SOLD BY

ea ea ea ea ea ea ea

HCPCS

(BJ)60P025 (BJ)60P030 (BJ)60P035 (BJ)60P040 (BJ)60P045 (BJ)60P050 (BJ)60P055

A7520 A7520 A7520 A7520 A7520 A7520 A7520

SOLD BY

ea ea ea ea ea ea ea

ITEM #

HCPCS

SOLD BY

Infant (SF)520002 A7526 Pediatric (SF)520001 A7526 Adult (SF)520000 A7526

SOLD BY

UNCUFFED, UNFENESTRATED

ITEM #

2.5 mm 3 mm 3.5 mm 4 mm 4.5 mm 5 mm 5.5 mm

Velcro® Tracheostomy Tube Holders Designed to hold tracheostomy tubes firmly in place. Neck strap is made of a strong, soft, lightweight, fabric-covered foam for comfort. ea ea ea

ANCILLARY PRODUCTS & ACCESSORIES

CUFFED, UNFENESTRATED

Orange (6 mm) Green (7 mm) White (8 mm) Blue (9 mm) Yellow (10 mm)

Thermovent® T Heat and Moisture Exchanger (HME) Exhibits low flow resistance and high moisture output, which helps to minimize the loss of heat and moisture in ventilated or spontaneously breathing users. Has ISO-standard tapered ends to ensure a consistently leak-free seal.

ITEM #

(SF)570016 A4483 ea

HCPCS

SOLD BY

Thermovent® O2 Oxygen Adaptor Supplemental oxygen delivery adaptor for Thermovent® T. Clips over the Thermovent® T and provides a simple means of administering oxygen to the spontaneously breathing, tracheostomized user.

ITEM #

HCPCS

26.7 g

(SF)100575010

A4649

SOLD BY

Thermovent® T2 HME (Heat and Moisture Exchanger) Sterile, single-use heat and moisture exchanger provides effective humidification for spontaneously breathing users whose upper airways are bypassed by a tracheostomy tube. Device can be used for a maximum period of 24 hours. Simple opening port allows quick and easy access for a suction catheter to aid the removal of secretions. Clear housing gives an aesthetic appearance and allows visualization of contamination. Integrated oxygen port can provide up to 60% oxygen concentrations via the simplest of connections. Original Portex® Thermovent® T paper media provides high level performance heat and moisture exchange. Smooth, rounded edges aid comfort.

ITEM #

(SF)100570022 A4483

HCPCS

SOLD BY

Thermovent 600 Heat and Moisture Exchanging Filter High efficiency HME (heat and moisture exchanging) paper elements. Recovers approximately 75% of the energy and moisture that would otherwise be lost through respiration. Low resistance to flow. Minimizes pressure build and reduces the work of breathing for weaning off the ventilator. Small dead space. Suitable for both ventilated and spontaneously breathing users. Full compatibility with breathing systems or masks. ®

ITEM #

(SF)580011 A4483 ea

HCPCS

SOLD BY

243

TRACHEOSTOMY

DALE® MEDICAL PRODUCTS, INC. (DA) All Dale tracheostomy products are latex-free unless otherwise noted. ®

LATEX FREE

Dale® Tracheostomy Tube Holders Provide safe and secure positioning to minimize movement that can result in accidental decannulation. Moisture-wicking neckband lining reduces risk of skin breakdown. Secure and easy-to-use fastener tabs attach to any size tracheostomy tube. Two-piece neckband for adjustability.

ITEM #

HCPCS

240 Blue™, 1˝ wide, fits up to 191⁄2˝ neck 244 Blue™,11⁄2˝ wide, fits up to 28˝ neck

240 244

A7526 A7526

SOLD BY

ea ea

Dale® PediPrints™ Pediatric Tracheostomy Tube Holders Provide safe and secure positioning to minimize movement that can result in accidental decannulation. Offer a comfortable and cheerful design for children, parents and clinicians. Moisture-wicking neckband lining reduces risk of skin breakdown. Secure and easy-to-use fastener tabs attach to any size tracheostomy tube. Two-piece neckband secures with a rounded hook to offer maximum comfort.

ITEM #

241 PediPrints™, 1˝ wide, fits up to 18˝ neck 241 242 PediPrints™, 3⁄4˝ wide, fits up to 9˝ neck 242

HCPCS

A7526 A7526

SOLD BY

ea ea

CAREFUSION (55) TUBE HOLDERS AirLife® Tracheostomy Tube Holders Include hook-and-loop fastener tabs. For single-patient use.

ITEM #

HCPCS

SOLD BY

Adult RES240A A7526 ea Neonate and infant RES242A A7526 ea

TRACHEOSTOMY KITS & ACCESSORIES LATEX FREE AirLife® Tracheostomy Care Kits Packaged in a tray with a coated-paper lid. All kits include gauze trach dressing, 34˝ twill tape, trach brush and four 4˝ x 4˝ gauze sponges. Sterile.

ITEM #

HCPCS

SOLD BY

With two cotton-tipped applicators and three pipe cleaners 3T3030A A4629 ea With two cotton-tipped applicators, three pipe cleaners, one water-resistant towel and one pair of vinyl gloves 3T4691A A4629 ea With two cotton-tipped applicators, two pipe cleaners, one water-resistant towel and one pair of vinyl gloves 3T4691 A4629 ea With two cotton-tipped applicators, three pipe cleaners, one water-resistant towel, one pair of vinyl gloves, two 30-mL packets of hydrogen peroxide and one trach pad 3T4692 A4629 ea

AirLife® Trach Drain Container Drainage bag collects moisture accumulating from continuous inline aerosol therapy. Composed of durable vinyl and can be attached to a trach tee or patient. Includes hanger and bottom drainage port. 2 L.

244

ITEM #

001562 A4649 ea

HCPCS

SOLD BY

AirLife® Complete Tracheostomy Cleaning Trays Single-use trays for tracheostomy care. Overwrap trays include three rigid basins for cleaning, soaking and rinsing; presewn trach dressing; four gauze sponges; three pipe cleaners; cleaning brush; three cotton-tipped applicators; 32˝ twill tape; plastic forceps; and paper wrap.

ITEM #

HCPCS

Without gloves With vinyl gloves

4682A 4681A

A4629 A4629

SOLD BY

ea ea

AirLife® Aerosal Drainage Bag with Tee Adaptar Aerosol drainage bag holds 500 cc of fluid and can be attached to standard corrugated tubing. The bag features a tee adapter with 22-mm OD arms and a 15-mm ID base. Also included are two 18-mm OD oxygen tubing adapters, which can be attached to the tee adapter.

ITEM #

001501 A4649 ea

HCPCS

SOLD BY

TRI-FLO® SINGLE SUCTION CONTROL CATHETERS LATEX FREE Tri-Flo® Single Catheters Designed to be less traumatic and provide high suctioning efficiency. Available in a variety of configurations, allowing choice of fit that best suits suctioning needs. Available straight packed with control port, and coil packed with or without control port. Sterile.

ITEM #

HCPCS

SOLD BY

T261C T260C

A4624 A4624

ea ea

T63C T64C T61C T60C T62C

A4624 A4624 A4624 A4624 A4624

ea ea ea ea ea

STRAIGHT PACKED WITH CONTROL PORT

10 fr (20˝ length) 14 fr (20˝ length) COIL PACKED WITH CONTROL PORT

5 fr – 6 fr (14˝ length), infant with depth markings 8 fr (15˝ length), pediatric with depth markings 10 fr (20˝ length) 14 fr (20˝ length) 18 fr (20˝ length)

PEEL POUCH CATH-N-GLOVE® KITS LATEX FREE AirLife® Cath-N-Glove® Suction Kits with Peel Pouch Kits include a Tri-Flo® suction catheter and a solution basin. Sterile.

ITEM #

HCPCS

SOLD BY

ONE POWDER-FREE VINYL GLOVE

8 fr, pediatric 10 fr 14 fr

4697T 4695T 4694T

A4624 A4624 A4624

ea ea ea

A4624 A4624

ea ea

A4624 A4624 A4624

ea ea ea

TWO POWDER-FREE VINYL GLOVES

10 fr 14 fr

4895T 4894T

TWO BLUE NITRILE GLOVES

8 fr 10 fr 14 fr

4867T 4867T 4867T

Always Reaching for Something Better? At Dale, we’re always focused on making things better. Always better performance. Always better value. Quality that’s always better for patients. Personal service that’s always better for practitioners. Being always better also applies to operations. Lower infection rates. More efficient use of time. Increased patient satisfaction. Greater cost accountability. Whatever you’re responsible for in the healthcare system, Dale is committed to helping you make it better. Always.

Always better for: Enteral Care IV Protection Medical/Surgery Respiratory Care Urology

PMS 7540 C: 0 M: 0 Y: 0 K:85

TRACHEOSTOMY

TELEFLEX®-HUDSON RCI® (92) All Teleflex -Hudson RCI tracheostomy products are latex-free unless otherwise noted. ®

LATEX FREE

GIBECK® HUMID-VENT® These heat and moisture exchangers, also called hygroscopic condensing humidifiers, offer a wide range of performance capabilities and configuration options to meet the unique needs of both anesthesia and respiratory care. Hygroscopic, bacteriostatic, microwell paper media provides optimal moisture output with low flow resistance. Many configuration options allow the clinician to choose the product best-suited to the user's size, tidal volume and humidification needs. Filtered units provide bidirectional filtration with bacterial/viral efficiency up to 99.99%, offering cross-contamination protection for users and equipment.

ITEM #

HCPCS

Mini 1 2S 2S flex

10011 11112 14412 17732

A4483 ea A4483 ea A4483 ea A4483 ea

ITEM #

HCPCS

11012

A4649 20/cs

SOLD BY

GIBECK® HUMID-VENT® Filter Compact, Straight Midsized combined filter/HME for tidal volumes up to 1,000 mL. Only 35 mL of dead space with 30 mg/L moisture output at 1,000-mL tidal volume. Bacterial and viral efficiency of more than 99.99+%.

ITEM #

HCPCS

19402

A4483 25/cs

SOLD BY

GIBECK® HUMID-VENT® Filter Light, Straight Designed to accommodate tidal volumes from 250 mL – 1,500 mL. Weighs only 30 g. Two configurations to meet varying clinical needs of anesthesia and intensive care users. 30 mg/L moisture output at 1,200-mL tidal volume. Bacterial and viral efficiency of more than 99.99%.

ITEM #

HCPCS

19932

A4483 20/cs

SOLD BY

GIBECK® TRACH-VENT® T HME Designed specifically for spontaneously breathing, tracheotomized users. Weighs only 5.4 g and has minimal dead space. Can be used on pediatric users or adults.

ITEM #

41131 A7507 ea

SOLD BY

GIBECK® TRACH-VENT® HME Designed specifically for tracheostomy or intubated, spontaneously breathing users. Weighs only 4 g and has dead space of just 10 mL. Recommended for tidal volumes of 50 mL and above. Can be used on pediatric or adult users. HCPCS

ITEM #

SOLD BY

41112 A4483 ea

GIBECK® TRACH-VENT®+ HME Designed specifically for spontaneously breathing, tracheotomized users. Weighs only 6.5 g and has minimal dead space. Can be used on pediatric users or adults. HCPCS

ITEM #

41312 A4483 ea

SOLD BY

GIBECK® Oxy-Vent® HME with Tubing Oxy-Vent® snaps over the TRACH-VENT® to allow delivery of supplemental oxygen. Includes supplemental oxygen tubing and Oxy-Vent® adapter.

246

HCPCS

ITEM #

61112 A4649 ea

ITEM #

45512 A4649 ea

SOLD BY

HCPCS

SOLD BY

GIBECK® TRACH-VENT® Starter Kit Includes three TRACH-VENT® HMEs, one TRACH-VENT® Holder and one Oxy-Vent® with tubing.

ITEM #

41172 A4649 ea

HCPCS

SOLD BY

Aqua+ Flex Utilizes one-piece construction with flexible tubing to aid in user positioning. Individually packaged.

ITEM #

HCPCS

1570

A4483 ea

SOLD BY

Aqua+ Designed for most adult and pediatric users. Individually packaged.

HCPCS

SOLD BY

GIBECK HUMID-VENT Filter Pedi Combined filter/HME for children weighing 16 lbs. – 80 lbs. Ideal for ICU and anesthesia use. Bacterial and viral efficiency of more than 99.99%. ®

GIBECK® TRACH-VENT® Holder Conveniently attaches the TRACH-VENT® to the tracheostomy or endotracheal tube, allowing it to be removed and replaced easily during suctioning or change-out.

ITEM #

HCPCS

1571

A4483 ea

SOLD BY

Aqua+ N Ideal for neonate and infant users. Individually packaged.

ITEM #

HCPCS

1572

A4483 ea

SOLD BY

Aqua+ T Designed for spontaneously breathing tracheostomy users. Includes built-in supplemental oxygen port. Individually packaged.

ITEM #

HCPCS

1573

A4483 ea

SOLD BY

Aqua+ TS Designed for spontaneously breathing tracheostomy users. Includes built-in supplemental oxygen port and port for convenient suctioning. Individually packaged.

ITEM #

HCPCS

1574

A4483 ea

SOLD BY

Tracheostomy Masks For tracheostomy and laryngectomy aerosol therapy. Tubing connector swivels 360° and accepts 22-mm ID corrugated tubing. Do not include tubing.

ITEM #

Pediatric 1076 Adult 1075

HCPCS

SOLD BY

A7525 ea A7525 ea

KIMBERLY-CLARK (MI) LATEX FREE Trach Care Heat and Moisture Exchangers (HMEs) Small, lightweight HMEs for adults and pediatric users who do not require continuous ventilator support. Help protect from excessive loss of heat and moisture. ®

ITEM #

HCPCS

Pediatric

1157

A4483 50/cs

SOLD BY

TRACHEOSTOMY

KIMBERLY-CLARK (MI)

ADAPTERS

LATEX FREE Trach Care Closed Suction Systems Designed to safely suction users on mechanical ventilation. Remove secretions from the airway while maintaining ventilation and oxygenation throughout the suctioning procedure. Offered in a variety of configurations of catheter French sizes, lengths and accessories to meet the needs of both adult and pediatric users, and caregivers. Pediatric sizes include number- and color-coded graduations for controlled depth suctioning, Double Swivel Elbow, Elbow and T-Piece configurations, and tactile sleeve for catheter advancement. Additional sizes from 5 fr – 16 fr available by special order.

NEW Step-Down Adapters Provides clinicians with a way to easily connect the Passy Muir Valve inline while the patient is mechanically ventilated. Color coded for use with PMV007, the adapter provides a secure connection between the Passy Muir Valve and ventilator tubing, closed-suction systems, or other adapters. 15-mm OD – 22-mm ID. Provided in a re-sealable package of five adapters. Latex-free. Made in the USA.

ITEM #

HCPCS

8 fr, 14˝ length 12 fr, 12˝ length 12 fr, 21.3˝ length 14 fr, 21.3˝ length, swivel adapter 14 fr, 21.3˝ length 14 fr, 21.3˝ length

208 21513511 2155 22015 2205 22108

A4605 A4605 A4605 A4605 A4605 A4605

SOLD BY

ea 20/bx ea ea ea 20/bx

PASSY-MUIR® INC. (PF) All Passy-Muir ® Inc. tracheostomy products are latex-free unless otherwise noted.

LATEX FREE

PASSY-MUIR® TRACHEOSTOMY & VENTILATOR SWALLOWING & SPEAKING VALVES Patented, closed-position, “no-leak” design. Easily attaches to standard, 15-mm tracheostomy tube hubs.

PMV® 005 Valve Original Passy-Muir® Valve. More commonly used by non-ventilator dependent users but can also be used inline with mechanical ventilators with a 22-mm silicone adapter. White, 15-mm I.D. / 23-mm O.D.

ITEM #

PMV005 L8501 ea

HCPCS

SOLD BY

PMV® 007 Valve Designed to fit inside adult disposable ventilator tubing. Adapter may be needed to adapt to pediatric circuits or closed-suctioning systems. Can be used off the ventilator. Aqua Color™, 15-mm I.D. / 22 mm O.D.

ITEM #

HCPCS

SOLD BY

PMV007 L8501 ea

PMV 2000 Low Profile Valve Lightweight and opens with less resistance than the original design. Clear design and lower profile offers less visibility for the more ambulatory user. Can be used inline with mechanical ventilators with a 22-mm silicone adapter. Includes one PMV® Secure-It® Strap. Clear, 15-mm I.D. / 23-mm O.D. ®

ITEM #

HCPCS

PMV2000 L8501 ea

ITEM #

PMV2001 L8501 ea

SOLD BY

PMV® 2020 Low Profile Valve Attaches to the Premier Medical or Piling Weck brands of metal Jackson Improved tracheostomy tubes (sizes 4 – 6 or equivalent) with use of the Passy-Muir® Adapter 2020-S. Intended for use by short-term and long-term, non-ventilator-dependent, tracheostomy patients. Includes one PMA® 2020-S Adapter and one PMV® Secure-It® Strap. Clear, 15-mm I.D. / 23-mm O.D. HCPCS

ITEM #

PMVAD1522 E1399 5/pk

ITEM #

PMV2020 L8501 ea

HCPCS

SOLD BY

NEW Silicone Adapters For a variety of uses within a ventilator circuit. Color coded for use with the PMV2001, the adapter provides a secure connection between Passy Muir Valves and tubing, closed-suction systems or other adapters. Stretch to fit 22 mm. Provided in re-sealable package of three adapters. Latexfree. Made in the USA.

ITEM #

PMVAD22 E1399 3/pk

HCPCS

SOLD BY

PMA® 2020-S Adapter Used in conjunction only with the PMV® 2020 Low Profile Valve to attach to the Premier Medical or Piling Weck brand metal Jackson Improved tracheostomy tubes, sizes 4 – 6 or equivalent. Replacement part.

ITEM #

PMA2020S E1399 3/pk

HCPCS

SOLD BY

PMA® 2000 Valve Oxygen Adapter Small and lightweight. Clear and easily snaps onto the PMV® 2000 and PMV® 2001 Low Profile Valves. Allows for easy delivery of supplemental, low-flow oxygen (<6 lpm) and humidity. Users can improve their mobility and comfort by utilizing with oxygen tubing and a small portable oxygen tank, eliminating the need for bulky aerosol tubing. Oxygen is delivered in front of the diaphragm of the valve. This reduces complications associated with devices that provide continuous flow behind the diaphragm of a speaking valve, which may include air trapping, drying of secretions and possible cilia damage.

ITEM #

PMA2000 E1399 ea

HCPCS

SOLD BY

Passy-Muir® Secure-It® Strap Plastic tether for use with the PMV® 2000, PMV® 2001 and PMV® 2020 Low Profile Valves. Attaches the valve to the tracheostomy tie to prevent valve loss.

ITEM #

HCPCS

PMVSI

E1399 5/set

SOLD BY

SUNSET HEALTHCARE SOLUTIONS (KR) T-HME Captures heat and moisture on expiration and returns it to the user in inspiration. Suitable for spontaneously breathing users with a tracheostomy tube. Reduces the risk of tube blockage from encrustations, with minimal resistance to flow. Moisture output: 30 mg H20/L @ 500 mL VT. Weight: 5 g. Resistance to flow: 0.85 cm H20 @ 60 L/min.

SOLD BY

PMV® 2001 Low Profile Valve Identical to the PMV® 2000 Low Profile Valve except for its color. More visible for in-patient use. Lightweight and opens with less resistance than the original design. Can be used inline with mechanical ventilators with a 22-mm silicone adapter. Includes one PMV® Secure-It® Strap. Purple Color™, 15-mm I.D. / 23-mm O.D. HCPCS

ITEM #

RES027 A7507 ea

HCPCS

SOLD BY

Suction Canister Contains a floating shut-off valve for protection against overflow and premature shut-off. Leak-free seal to minimize vacuum loss.

ITEM #

HCPCS

RES023

A7000 20/cs

SOLD BY

247

TRACHEOSTOMY

SUNSET HEALTHCARE SOLUTIONS (KR) T-HME with Built-In Oxygen Port

ITEM #

RES027OP A7507 ea

HCPCS

SOLD BY

SHILEY™ (SH) All Shiley tracheostomy products are latex-free unless otherwise noted. ™

LATEX FREE

Reusable Cannula Cuffless Tracheostomy Tubes Designed for general pulmonary hygiene and for use with spontaneously breathing users. Include an inner cannula with open lumen and low-profile connector to reduce bulk at stoma; a translucent, inner cannula with integral, 15-mm, twist-lock connector to permit connection of ancillary equipment; and a smooth, rounded-tip obturator to facilitate insertion. Nonfenestrated tube also includes an inner cannula with closed lumen to direct breathing to the upper airway. Fenestrated tube includes a fenestrated inner cannula with green, 15-mm connector and white, 15-mm cap, and aids in weaning and speaking. When used in conjunction with the decannulation cap, fenestrated tube directs breathing through the upper airway.

TRACHEOSTOMY TUBES

Size 4 Size 6 Size 8 Size 10

XLT Extended-Length Tracheostomy Tubes, Proximal Extension Offer additional length in the proximal portion of the tube to accommodate users with thick necks. Flexible inner and outer cannula further improve fit. Use extended-length, disposable inner cannula with integral, 15-mm, twist-lock connector.

ITEM #

HCPCS

SOLD BY

Size 6 Size 7 Size 8

60XLTCP 70XLTCP 80XLTCP

A7521 A7521 A7521

ea ea ea

Size 5 Size 6 Size 7 Size 8

50XLTUP 60XLTUP 70XLTUP 80XLTUP

A7520 A7520 A7520 A7520

ea ea ea ea

CUFFED (LOW PRESSURE)

CUFFLESS

XLT Extended-Length Tracheostomy Tubes, Distal Extension Offer additional length in the distal portion of the tube to accommodate users with long tracheal anatomies, tracheal stenosis or malacia. Flexible inner and outer cannula further improve fit. Use extended-length, disposable inner cannula with integral, 15-mm, twist-lock connector.

ITEM #

HCPCS

60XLTCD 70XLTCD 80XLTCD

A7521 A7521 A7521

Size 4 Size 6 Size 8 Size 10

50XLTUD 60XLTUD 70XLTUD 80XLTUD

ea ea ea

A7520 A7520 A7520 A7520

ea ea ea ea

XLT Extended-Length Disposable Inner Cannula Flexible, extended-length, disposable inner cannula with integral, 15-mm, twist-lock connector for use with Shiley™ XLT Extended-Length Tracheostomy Tubes. Match inner cannula size to tracheostomy tube size.

248

SOLD BY

4CFS 6CFS 8CFS 10CFS

A7520 A7520 A7520 A7520

ea ea ea ea

4CFN 6CFN 8CFN 10CFN

A7520 A7520 A7520 A7520

ea ea ea ea

Reusable Cannula Cuffed (Low-Pressure) Tracheostomy Tubes Manufactured with high-quality, compliant material that softens at body temperature. Low-pressure, cylindrical cuff helps protect sensitive tissue. Fenestrated tube allows weaning of user from tube by facilitating upper airway breathing. Inner cannula with integral, 15-mm, twist-lock connector permits connection of ancillary equipment and can be cleaned to maintain airway patency. Include smooth, rounded-tip obturator to facilitate insertion. Fenestrated tube includes a fenestrated inner cannula with green, 15-mm connector and white, 15-mm cap. Fenestrated tube can be used with decannulation plug to permit upper airway breathing.

ITEM #

HCPCS

Size 5 Size 6 Size 7 Size 8

50XLTIN 60XLTIN 70XLTIN 80XLTIN

A4623 A4623 A4623 A4623

SOLD BY

10/bx 10/bx 10/bx 10/bx

ITEM #

HCPCS

SOLD BY

Size 4 Size 6 Size 8 Size 10

4LPC 6LPC 8LPC 10LPC

A7521 A7521 A7521 A7521

ea ea ea ea

Size 4 Size 6 Size 8 Size 10

4FEN 6FEN 8FEN 10FEN

A7521 A7521 A7521 A7521

ea ea ea ea

NONFENESTRATED

SOLD BY

CUFFLESS

Size 5 Size 6 Size 7 Size 8

HCPCS

FENESTRATED

CUFFED (LOW PRESSURE)

Size 6 Size 7 Size 8

ITEM #

NONFENESTRATED

FENESTRATED

TRACHEOSTOMY

SHILEY™ (SH) All Shiley tracheostomy products are latex-free unless otherwise noted. ™

LATEX FREE

Disposable Cannula Tracheostomy Tubes Provide the convenience of a disposable inner cannula. Fenestrated tube permits user to breathe through upper airway, if desired. Disposable inner cannula features integral, 15-mm, snap-lock connector for quick, safe disposal after single use. Include a smooth, rounded-tip obturator to facilitate insertion. Designed to bypass upper airway obstructions, provide long-term ventilation, and support and/or manage tracheal/bronchial secretions.

ITEM #

HCPCS

4DCFS 6DCFS 8DCFS 10DCFS

A7520 A7520 A7520 A7520

ea ea ea ea

CUFFLESS, FENESTRATED

Size 4 Size 6 Size 8 Size 10

4DCFN 6DCFN 8DCFN 10DCFN

A7520 A7520 A7520 A7520

ea ea ea ea

4DCT 6DCT 8DCT 10DCT

A7521 A7521 A7521 A7521

ea ea ea ea

4DFEN 6DFEN 8DFEN 10DFEN

A7521 A7521 A7521 A7521

ea ea ea ea

CUFFED (LOW PRESSURE), NONFENESTRATED

Size 4 Size 6 Size 8 Size 10 CUFFED (LOW PRESSURE), FENESTRATED

Size 4 Size 6 Size 8 Size 10

Cuffless Laryngectomy Tube Made with high-quality, compliant material. Provides a comfortable, convenient alternative to metal tubes. Smooth, rounded-tip obturator facilitates insertion. Inner cannula with integral, 15-mm, twist-lock connector permits connection of ancillary equipment. Inner cannula with low-profile connectors reduces bulk at stoma.

ITEM #

HCPCS

Size 6 Size 8 Size 10

6LGT 8LGT 10LGT

A7520 A7520 A7520

SOLD BY

ea ea ea

Disposable Inner Cannulas With integral snap-lock connector. Individually packaged; sterile. Nonfenestrated inner cannula for use with DCT, DFEN, PERC, DCFS and DCFN tracheostomy tubes. Fenestrated inner cannula for use with DCFN and DFEN tracheostomy tubes.

ITEM #

HCPCS

ITEM #

HCPCS

Size 4 Size 6 Size 8 Size 10

4SIC 6SIC 8SIC 10SIC

A4623 A4623 A4623 A4623

4DIC 6DIC 8DIC 10DIC

A4623 A4623 A4623 A4623

ea ea ea ea

4DICFEN 6DICFEN 8DICFEN 10DICFEN

A4623 A4623 A4623 A4623

ea ea 10/bx 10/bx

SOLD BY

ea ea ea ea

ACCESSORIES Decannulation Cap Attaches to fenestrated inner cannula with green, 15-mm connector to permit breathing through fenestration and upper airway. Also attaches to PED/NEO tubes. Universal size fits any FEN or CFN tracheostomy tube.

ITEM #

HCPCS

CAP

A4649 ea

SOLD BY

Hygrolife™ HMEs Hygroscopic HME (heat and moisture exchanger) medium traps the user’s own moisture and minimizes heat loss. Low airflow resistance. Moisture output greater than 30 mg H2O/I (ISO 9360, Vt 750 mL). Calcium chloride-treated HME medium improves effectiveness. End tidal CO2 port offers convenient access to airway gases. ISO-standard 15-mm and 22-mm fittings. Indicated for use on anesthetized or respiratory care individuals who require a breathing circuit. Intended to be replaced at least once every 24 hours. Individually packaged.

ITEM #

353U5413 A4483 50/cs

HCPCS

SOLD BY

Shiley™ Phonate Speaking Valves Designed for use by those with a tracheostomy who are alert, awake and can breathe independently without assisted mechanical ventilation. Connects to the tracheostomy tube and directs airflow past the vocal cords to facilitate speech. It permits easier vocalization without finger occlusion, which may cause hygiene and infection concerns. Directing airflow through the oral and nasal chambers also decreases secretions and improves swallowing and sense of smell.

ITEM #

HCPCS

Without O2 Port With O2 Port

SSV SSVO

L8501 L8501

SOLD BY

ea ea

MARPAC (NX) All Marpac tracheostomy products are latex-free unless otherwise noted.

LATEX FREE

Adult Tracheostomy Collars Easy to use and made of soft material for comfort. All edges are sealed to reduce skin irritation and increase durability. All joints are sewn to strengthen the holder. Fits all sized tracheostomy tubes. Select one-piece Perfect Fit for a seamless holder. Select two-piece Universal Fit for a safe and comfortable fit on a wide variety of neck sizes. Custom sizing available upon request.

SOLD BY

NONFENESTRATED

Size 4 Size 6 Size 8 Size 10

SOLD BY

CUFFLESS, NONFENESTRATED

Size 4 Size 6 Size 8 Size 10

Spare Inner Cannula Red, twist-lock connector. For temporary use during cleaning or removal of inner cannula for LPC, FEN, CFS and CFN tracheostomy tubes.

ITEM #

HCPCS

SOLD BY

101D 102D

A7526 A7526

ea ea

204D 201D 220SD

A7526 A7526 A7526

ea ea ea

PERFECT FIT HOLDERS (ONE-PIECE HOLDER)

Medium (12˝ – 16˝ neck) Large (16˝ – 20˝ neck) UNIVERSAL FIT HOLDERS (TWO-PIECE HOLDER)

Fits up to 19˝ neck (Velcro® ends) Fits up to 211⁄2˝ neck (twill/Velcro® ends) Bariatric 2˝ wide, fits up to 30˝ neck (Velcro® ends)

FENESTRATED

Size 4 Size 6 Size 8 Size 10

249

TRACHEOSTOMY

MARPAC (NX)

LECKIE MEDICAL PRODUCTS, INC. (LM)

All Marpac tracheostomy products are latex-free unless otherwise noted.

LATEX FREE

Danny Ties™

LATEX FREE

A unique tube holder with a softer and more comfortable fit around the neck for users of all ages. Quilted design minimizes skin irritation under the collar and stabilizes the position of the trach tube. Made of soft, absorbent cotton that lays smooth at the edges of the collar. Easy to apply with tapered ends on the collar straps. The ends thread easily through the eyelets of the tracheostomy tube allowing for quick application and changes of the collar position. May be washed, dried and reused by the same user.

Pediatric Tracheostomy Collars Easy to use and made of soft material for the child´s comfort. All edges are sealed to reduce skin irritation and increase durability. All joints are sewn to strengthen the holder. Fit all sized tracheostomy tubes. Select one-piece Perfect Fit for a seamless holder. Select two-piece Universal Fit for a safe and comfortable fit on a wide variety of neck sizes. Custom sizing available upon request.

ITEM #

HCPCS

SOLD BY

103D 100D

A7526 A7526

ea ea

203D

A7526

10/bx

PERFECT FIT HOLDERS (ONE-PIECE HOLDER)

Infant (51⁄2˝ – 8˝ neck) Pediatric (8˝ – 12˝ neck) UNIVERSAL FIT HOLDERS (TWO-PIECE HOLDER)

Neonatal to pediatric (6˝ – 12˝ neck)

Vent Circuit Anti-Disconnect Designed to help keep ventilator securely fastened to tracheostomy tube, resulting in fewer accidental disconnects. Made of a unique cloth/foam laminate that is gentle on the skin and non-adhesive, yet grips vent circuit securely. Made with soft Velcro® tabs with rounded edges. Perforations in center allow easy threading of vent circuit. Foam securely grips vent circuit. Also works by wrapping it around the vent circuit and then securing the soft Velcro® tabs to the tracheostomy collar. Use with Marpac Tracheostomy Collars.

ITEM #

HCPCS

SOLD BY

Adult Pediatric

900D 905D

A4649 10/bx A4649 10/bx

ITEM #

Small Medium Large

DWL105001 A7526 DWL105002 A7526 DWL105003 A7526

ITEM #

Pediatric 925D Adult 920D

HCPCS

SOLD BY

A7525 ea A7525 ea

Marpac Adjustable ET Tube Holder, The Track Offers a skin-friendly alternative with no adhesive on the face. Custom tab allows the ET tube to be adjusted laterally for easy oral care. The head gear gives added security and overall stability.

ITEM #

HCPCS

Adult Pediatric Burn Patient

320D 325D 321D

A7526 ea A7526 ea A7526 ea

SOLD BY

ITEM #

HCPCS

Small Medium Large

945 941 940

A7526 ea A7526 ea A7526 ea

250

SOLD BY

ea ea ea

Bronchial Suction Latex Rubber Two Glove Catheter Kit Rubber, bronchial catheter with thumb valve, one eye and coudé whistle tip. With pop-up solution container and two vinyl gloves in peel-open pouch. For single use only; sterile.

ITEM #

14 fr – 16 fr 0140100

HCPCS

A4624

SOLD BY

Bronchial Suction Latex Rubber Catheter Rubber, bronchial, coudé catheter with thumb valve, x-ray opaque, one eye and whistle tip. For single use only; sterile.

ITEM #

HCPCS

10 fr – 12 fr 14 fr – 16 fr 17 fr – 19 fr

0109120 0109150 0109190

A4624 A4624 A4624

SOLD BY

ea ea ea

Tracheal Suction Latex Rubber Catheter X-ray opaque, rubber suction catheter with thumb valve, whistle-tip and two eyes. For single use only; sterile.

ITEM #

HCPCS

8 fr 10 fr – 12 fr 14 fr – 16 fr

0128080 0128100 0128150

A4624 A4624 A4624

SOLD BY

ea ea ea

Tracheal Suction Latex Rubber Two Glove Kit Rubber, whistle-tip catheter with thumb valve has two side eyes to help minimize trauma. Includes rubber catheter, pop-up solution container and two vinyl gloves in a peel-open package.

Trach-Aide Non-invasive device designed to stabilize the tracheostomy tube and prevent irritation or discomfort for those on ventilatory support. Placed under the external portion of the tracheostomy tube and held in place at the base of the neck by hook-and-loop straps that attach to the tracheostomy collar. Made of soft polyester fleece that is highly absorbent.

SOLD BY

BARD® MEDICAL (57)

The Marpac Mask Uses Velcro® tabs that attach directly to the tracheostomy collar for an easy, one-hand application. Very comfortable because it has no elastic strap to tie around the neck, which reduces the chance of restriction and irritation.

HCPCS

ITEM #

HCPCS

14 fr – 16 fr

0140020

A4624

SOLD BY

LATEX FREE Tracheal Suction Cath´N Sleeve Gloveless Kit Clear, plastic sleeve envelops a plastic suction catheter. Sleeve slides over exudate to reduce potential clinician contact. Includes Cath´N Sleeve device and pop-up solution container in peel-open package.

ITEM #

HCPCS

8 fr 10 fr 14 fr

0089080 0089100 0089140

A4624 A4624 A4624

SOLD BY

ea ea ea

TRACHEOSTOMY

BARD® MEDICAL (57) LATEX FREE Tracheal Suction Plastic Catheter Two Glove Kit Plastic, whistle-tip suction catheter has two side eyes and thumb valve. Whistle-tip and side eyes help minimize trauma to delicate mucosal tissue. Includes whistle-tip catheter with two eyes and control vent, two vinyl gloves and pop-up solution container in peel-open package. For single use only; sterile.

ITEM #

HCPCS

14 fr (22˝ )

0140050

A4624

SOLD BY

LUMINAUD (LD) All Luminaud tracheostomy products are latex-free unless otherwise noted.

LATEX FREE

Stoma Cover Starter Kit Offers a sampling of basic stoma cover/filters at a reduced price. Kit includes large Buchanan Laryngectomee Protector, Breathe-Easy Stoma Cover, Romet Laryngectomee Filter, Cover-Up Shower Collar, one each of 10 different “patch-type” foam filters that adhere to the neck and Why Didn’t They Tell Me?, a 50-page softcover book by Don Moss.

ITEM #

63020 A4649 kit

HCPCS

SOLD BY

Buchanan® Laryngectomee Protector Absorbent, 1⁄8˝ white Hydrolux foam with a cotton mesh cover. Features a flexible slide lock (can be removed if user prefers to tie). Especially good for cold and dusty areas.

ITEM #

Small, 51⁄2˝ x 41⁄2˝ 38008 Large, 81⁄2˝ x 8˝ 38007

HCPCS

SOLD BY

A4649 A4649

Cover-Up Shower Collar Protective, plastic, bib-style cover allows showering in comfort and confidence. Protects sensitive areas during bathing, shampooing and shaving. Will last for several months. Contour-fitting, padded neckband with Velcro® closure adjusts to neck sizes 9˝ – 19˝. 9˝ W x 71⁄2˝ H.

ITEM #

38011 A7523 ea

HCPCS

SOLD BY

Romet Laryngectomee Filter Medium weight cotton knit in dicky style with ribbed neckband. Measures approximately 81⁄2˝ x 11˝ after machine washing. X-weave shape and texture. Comes with color-matched Velcro® tabs that can be sewn onto the neckband wherever necessary for the best possible fit. Fits neck sizes up to 161⁄2˝. Additional colors are available.

ITEM #

HCPCS

SOLD BY

White 38017 A4649 ea Black 38020 A4649 ea

StomaFoam Plus Filters Made of high-quality foam with medical-grade, hypoallergenic adhesive. Offer excellent moisture retention and a slightly larger size than many other filters. Opaque, white outer bag offers resistance to ultra-violet light and protects the filter against fading or discoloration during storage. Each individual filter comes in a press-closed, easy-open bag for convenience.

ITEM #

HCPCS

23⁄8˝ x 23⁄4˝ x 1⁄8˝, white 23⁄8˝ x 21⁄2˝ x 3⁄16˝, white

63004 63018

A4481 A4481

ea ea

SOLD BY

30/pk 30/pk

MEDMART (MU)

Buchanan Lite Protector Provides good level of filtration and airway protection to reduce problems after a laryngectomy or tracheostomy. Ezi-Tie® slide fasteners for increased comfort. Can be washed up to three times and reused. Lightweight. Breathable, polyester mesh covering over thin microfiber inner layers for high performance filtration and excellent heat-moisture exchange.

Ready-Made StomaShield™ An effective and disposable filtering cover specifically designed for stoma protection. Neat looking, easily concealable and can be worn night and day. Self-adhering with a nonirritating, hypoallergenic adhesive medical tape. Individually packaged in a heat-sealed bag. 2˝ x 21⁄8˝.

StomaShield™ Cover and Band Washable and adjustable. Soft and very comfortable. It goes on and off in seconds. Fastens in front with a Velcro® fastener, not a tie-back. The cover is light as a feather and easy to wear. It’s washable, so it can be used repeatedly. Both cover and band dry almost instantly. Comes with its own band attached and ready for use. Individually packed in a convenient sealed bag. 5˝ x 5½˝ foam.

ITEM #

HCPCS

SOLD BY

SMALL, 51⁄2˝ x 41⁄2˝

Beige Dark blue White

38232 A4649 ea 38231 A4649 ea 38230 A4649 ea

LARGE, 81⁄2˝ x 8˝

Beige Dark blue White

38222 A4649 ea 38221 A4649 ea 38220 A4649 ea

Breathe-Easy Stoma Cover Economical, lightweight and super absorbent. Bib-styling in non-woven, non-linting rayon/polyester blend with twill tape ties. Can be used once and thrown away or hand washed for reuse. Can be easily trimmed to fit the user's needs. 6˝ W x 61⁄2˝ H.

ITEM #

HCPCS

63001

A4649 5/pk

SOLD BY

Semi-Rigid Shower Collar Rigid “nose” won’t collapse against the stoma. Comfortable and soft. Flexible enough to follow neck contours to minimize problems with water running down the neck under the collar. Good for use with or without a trach tube in place. Fits neck sizes 11˝ – 18˝.

ITEM #

38003 A7523 ea

HCPCS

SOLD BY

ITEM #

HCPCS

SHIELD

A4649 30/pk

HCPCS

SOLD BY

ITEM #

SHIELDCB A4649 ea

SOLD BY

ShowerShield with Rubber Collar and Velcro® Fastener Designed to completely shield the stoma when showering and washing hair. Unique Velcro® fastener allows the shield to slide on and off in seconds. Allows user to breathe freely while preventing the shower spray and water from entering the stoma. Made of a lightweight, medically approved vinyl. Remains soft, pliable and most of all, comfortable. Comes in a resealable bag for easy storage. Note: Product is designed and intended for use during showering only. It will not protect the stoma (airway) if the head and the neck are submerged in water.

ITEM #

HCPCS

SH1

A7526 ea

SOLD BY

251

UROLOGICAL

COLOPLAST (62/76) SPEEDICATH INTERMITTENT CATHETERS LATEX FREE SpeediCath Compact Set All-in-one catheter and bag set that is instantly ready to use. Small enough to keep in a pocket or handbag. Simple and intuitive with a unique hydrophilic coating for easy, everyday use. Integrated and sterile bag is designed for no-touch insertion. Not made with natural rubber latex; DEHP- and phthalate-free. ®

ITEM #

HCPCS

SOLD BY

Male, 12 fr – 18 fr* Female, 10 fr Female, 12 fr Female, 14 fr

(62)28422 (62)28520 (62)28522 (62)28524

A4353 A4353 A4353 A4353

ea ea ea ea

CASE QTY.

20/bx 20/bx 20/bx 20/bx

* SpeediCath Compact Set male inner catheter (which enters the bladder) is 12 fr; the outer catheter is 18 fr. Contact Coloplast for more information. LATEX FREE SpeediCath Compact Male with SpeediBag The first, most compact, discreet, hydrophilic-coated, ready-to-use, “no touch” intermittent catheter for men. Hydrophilic shaft that telescopes to 13.2˝. Includes an optional 750-mL SpeediBag®. Not made with natural rubber latex; DEHP- and phthalate-free. ®

ITEM #

HCPCS

SOLD BY

12 fr – 18 fr

(62)287020BX

A4353

CASE QTY.

20/bx

LATEX FREE SpeediCath® Intermittent Catheters Easy to carry, store and use. Comes pre-hydrated in a ready-to-use package, so there is no need to wait for the catheter to hydrate. Hydrophilic coating is smooth and uniform for minimal friction. Polished eyelets for comfort. Uncoated GripZone™ area for control in handling. Not made with natural rubber latex; DEHP- and phthalate-free. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr catheter would be (62)287 0 6.

6 fr – 10 fr (even numbers)

ITEM #

HCPCS

SOLD BY

8 fr 10 fr 12 fr 14 fr

(62)285780 (62)285800 (62)285820 (62)285840

A4351 A4351 A4351 A4351

ea ea ea ea

CASE QTY.

30/bx 30/bx 30/bx 30/bx

LATEX FREE SpeediCath® Compact Plus Female SpeediCath Compact Female has additional catheter length for women who want discretion but require a longer catheter. 3.5˝ length. Not made with natural rubber latex; DEHP- and phthalate-free.

ITEM #

HCPCS

SOLD BY

10 fr 12 fr 14 fr

(62)28810 (62)28812 (62)28814

A4351 A4351 A4351

ea ea ea

CASE QTY.

30/bx 30/bx 30/bx

LATEX FREE NEW SpeediCath® Flex Coudé Offered in two compact sizes and instantly ready to use. Flexible tip allows for smooth insertion and is hygienic with a dry-sleeve and protective grip. Soft catheter that is easy to handle and less intimidating. Not made with natural rubber latex; DEHP- and phthalate- free.

252

ITEM #

HCPCS

SOLD BY

Pocket, 10 fr Pocket, 12 fr Pocket, 14 fr Standard, 10 fr Standard, 12 fr Standard, 14 fr Standard, 16 fr

(62)28910 (62)28912 (62)28914 (62)28920 (62)28922 (62)28924 (62)28916

A4352 A4352 A4352 A4352 A4352 A4352 A4352

ea ea ea ea ea ea ea

CASE QTY.

30/bx 30/bx 30/bx 30/bx 30/bx 30/bx 30/bx

HCPCS

SOLD BY

CASE QTY.

(62)287_ _

A4351

30/cs

(62)286_ _

A4351

30/cs

(62)284991 (62)285001 (62)285011 (62)285021 (62)285031 (62)285041

A4353 A4353 A4353 A4353 A4353 A4353

ea ea ea ea ea ea

100/cs 100/cs 100/cs 100/cs 100/cs 100/cs

(62)284_ _

A4351

30/cs

(62)28490 (62)28492 (62)28494 (62)28496

A4352 A4352 A4352 A4352

ea ea ea ea

30/cs 30/cs 30/cs 30/cs

PEDIATRIC, 10˝ LENGTH

6 fr – 12 fr (even numbers) FEMALE, 6˝ LENGTH

6 fr 8 fr 10 fr 12 fr 14 fr 16 fr MALE, 14˝ LENGTH

8 fr – 18 fr (even numbers) COUDÉ, 14˝ LENGTH

10 fr 12 fr 14 fr 16 fr LATEX FREE SpeediCath® Compact Female Convenient, discreet catheter designed specifically for the female body. No longer than a lipstick tube. Features the same low-friction coating as other SpeediCath® products. Prehydrated catheters are ready to use right out of the pack. Easy-grip handle allows for hygienic, non-touch insertion and control. 2.75˝ length. Not made with natural rubber latex; DEHP- and phthalate-free.

ITEM #

PEDIATRIC, 6˝ LENGTH

SELF-CATH® INTERMITTENT CATHETERS Feature fire-polished eyelets for comfort and a siliconized surface for smooth insertion. The Self-Cath® Female has been designed for the shorter female urethra. The Self-Cath® Soft is for comfort, yet firmer than red rubber, for easy insertion. The Self-Cath® Olive Tip Coudé and Tapered Tip Coudé have a Guide Stripe® for monitoring of the catheter tip position during insertion and removal. Self-Cath® products, including Self-Cath® Plus catheters and Self-Cath® Closed System Kits, are not made with natural rubber latex. LATEX FREE Self-Cath® Straight-Tip, 16˝ Length, Funnel End Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be (76)4 0 8.

ITEM #

8 fr – 18 fr (even numbers) (76)4_ _ 12 fr, curved package (76)460 14 fr, curved package (76)450

HCPCS

SOLD BY

A4351 A4351 A4351

ea ea ea

CASE QTY.

30/cs 50/cs 50/cs

LATEX FREE Self-Cath® Female, 6˝ Length Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be (76)2 0 8.

ITEM #

HCPCS

SOLD BY

CASE QTY.

(76)2_ _

A4351

30/cs

(76)240

A4351

30/cs

FUNNEL END

8 fr – 14 fr (even numbers) LUER END

14 fr

LATEX FREE Self-Cath® Soft Catheters, 16˝ Length, Funnel End Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr catheter would be (76)1 1 0.

ITEM #

HCPCS

SOLD BY

10 fr – 16 fr (even numbers)

(76)1_ _

A4351

CASE QTY.

30/cs

Introducing a new soft, easy-to-use coudé catheter for men Hygienic The soft-squeeze grip makes it easy to guide the tip into the urethra safely without touching it. The dry sleeve means the catheter can be inserted without having to touch the tube itself.

Flexible Coudé Tip SpeediCath® Flex Coudé was specially designed for difficult male anatomies. The flexibility of the tip bends to follow the curves of the urethra.

Discreet For tidy, discreet and hygienic handling and disposal, SpeediCath Flex Coudé is reclosable and features non-medical, practical packaging.

Every detail makes it easy The newest member of the award-winning range of SpeediCath® catheters, SpeediCath® Flex Coudé, is a standard length catheter in a compact package, designed to make every step of catheterization easy.

Ask your Coloplast representative today about SpeediCath® Flex Coudé! SpeediCath® Flex Coudé is prescribed for use by catheter users who require bladder drainage due to chronic urine retention or post void residual volume (PVR). Before use, carefully read all of the instructions. Call your doctor if you think you have a UTI or can't pass the catheter into the bladder. For more information regarding risks, potential complications and product support, call Coloplast Corp. at 1-866-226-6362 and/or consult the company website at www.coloplast.us.

PM-00981 06.17

UROLOGICAL

COLOPLAST (62/76) Self-Cath® Pediatric, 10˝ Length

ITEM #

LATEX FREE HCPCS

SOLD BY

CASE QTY.

(76)306

A4351

30/cs

(76)308 (76)310

A4351 A4351

ea ea

30/cs 30/cs

FUNNEL END

6 fr

LATEX FREE SureCath Set® Intermittent Catheter Sets with Accessories Hydrophilic-coated sterile solution, all enclosed in a collection bag. Accessories include one pair of exam gloves, one CSR wrap and two povidone-iodine prep pads. Not made with natural rubber latex.

LUER END

8 fr 10 fr

LATEX FREE Self-Cath Plus Hydrophilic-Coated Catheters Hydrophilic coating activates immediately upon exposure to water. Unique uncoated GripZone™ area for control in handling. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr catheter would be (76)42 1 0.

12 fr 14 fr

ITEM #

HCPCS

SOLD BY

(76)42_ _

A4351

(76)44 _ _

A4351

CASE QTY.

FEMALE, 6˝ LENGTH

10 fr – 14 fr (even numbers)

30/cs

MALE, 16˝ LENGTH

8 fr – 18 fr

30/cs

Self-Cath Olive Tip Coudé with Guide Stripe , 16˝ Length, Funnel End Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr catheter would be (76)8 0 6. ®

6 fr – 18 fr (even numbers)

LATEX FREE

ITEM #

HCPCS

SOLD BY

(76)8_ _

A4352

CASE QTY.

30/cs

Self-Cath® Tapered Tip Coudé with Guide Stripe®, 16˝ Length, Funnel End Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be (76)6 0 8.

ITEM #

HCPCS

SOLD BY

8 fr – 14 fr (even numbers)

(76)6_ _

A4352

CASE QTY.

30/cs

Self-Cath® Closed System Straight-Tip Kits Unisex system provides a method for safe, simple catheterization. The introducer tip aids in the reduction of bacterial contamination of the catheter during insertion. Include a Self-Cath® catheter. The new EasyOff™ tear tab makes it easy to use, even for those with limited dexterity. Kits include Self-Cath® prelubricated catheter, gloves, 1,100-mL seamless collection bag, antiseptic solution, underpad and instructions for use. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be (76)10 0 8.

ITEM #

HCPCS

SOLD BY

8 fr – 16 fr (even numbers)

(76)10_ _

A4353

CASE QTY.

50/cs

LATEX FREE SureCath Set Sterile Intermittent Catheter Sets Hydrophilic-coated catheter set with sterile solution, all enclosed in a ready-to-use collection bag. Sets include catheter, sterile solution and catheter bag. Not made with natural rubber latex. ®

ITEM #

HCPCS

SOLD BY

A4353 A4353 A4353 A4353 A4353

ea ea ea ea ea

CASE QTY.

700 ML, 14˝ MALE

8 fr 10 fr 12 fr 14 fr 16 fr

(62)28005S (62)28006 (62)28007S (62)28008S (62)28009

20/cs 20/cs 20/cs 20/cs 20/cs

1,200 ML, 14˝ MALE

12 fr 14 fr 16 fr

254

(62)28027 (62)28028 (62)28029S

A4353 A4353 A4353

ea ea 100/bx

20/cs 20/cs N/A

ITEM #

HCPCS

SOLD BY

CASE QTY.

A4353 A4353

ea ea

100/cs 20/cs

A4353

20/cs

700 ML, 14˝ MALE

(62)28024S (62)28032

1,200 ML, 14˝ MALE

14 fr

(62)28036

MALE EXTERNAL CATHETERS LATEX FREE Conveen® Optima Male External Catheters Packaged in a unique smart pack. Discreet and easy to slip in a pocket. Easy-on application is both simple and trouble-free. Triple-action, antileak system ensures maximum security. Comfortable PSX silicone is soft and breathable, and balanced adhesive provides reliability and skin friendliness. Not made with natural rubber latex.

ITEM #

HCPCS

SOLD BY

CASE QTY.

(62)22121 (62)22125 (62)22130 (62)22135

A4349 A4349 A4349 A4349

30/pk 30/pk 30/pk 30/pk

N/A N/A N/A N/A

(62)22025 62)22028 (62)22030 (62)22035 (62)22040

A4349 A4349 A4349 A4349 A4349

30/pk 30/pk 30/pk 30/pk 30/pk

N/A N/A N/A N/A N/A

SPORT (50-MM) LENGTH

X-Small (21 mm) Small (25 mm) Medium (30 mm) Large (35 mm) STANDARD (80-MM) LENGTH

Small (25 mm) Small/Medium (28 mm) Medium (30 mm) Large (35 mm) X-Large (40 mm)

Conveen® Security+ Self-Sealing Male External Catheters LATEX FREE Feature push ring for easier connection to a leg bag and antikink bulb for added security. Pull tab enables easy application. Skin-friendly adhesive. Not made with natural rubber latex.

ITEM #

HCPCS

SOLD BY

CASE QTY.

X-Small (21 mm) Small (25 mm) Medium (30 mm) Large (35 mm) X-Large (40 mm)

(62)5221 (62)5225H (62)5230H (62)5235H (62)5240H

A4349 A4349 A4349 A4349 A4349

35/bx ea ea ea ea

N/A 100/cs 100/cs 100/cs 100/cs

LATEX FREE Freedom Clear® with Kink-Resistant Nozzle Features an ultrathin sheath designed for comfortable, everyday wear. Not made with natural rubber latex.

ITEM #

HCPCS

SOLD BY

Small (23 mm) Medium (28 mm) Intermediate (31 mm) Large (35 mm) X-Large (40 mm)

(76)5100 (76)5200 (76)5300 (76)5400 (76)5500

A4349 A4349 A4349 A4349 A4349

ea ea ea ea ea

CASE QTY.

100/cs 100/cs 100/cs 100/cs 100/cs

LATEX FREE Freedom Clear® SS Male External Catheters Offer a thin, brief sheath for reduced rolling at the base of the catheter and provide a good choice for individuals with penis retractions. Kink-resistant nozzle is designed to prevent catheter blow-offs. Not made with natural rubber latex.

ITEM #

HCPCS

SOLD BY

CASE QTY.

Small (23 mm) Medium (28 mm) Intermediate (31 mm) Large (35 mm)

(76)5110 (76)5210 (76)5310 (76)5410

A4349 A4349 A4349 A4349

ea ea ea ea

100/cs 100/cs 100/cs 100/cs

UROLOGICAL

COLOPLAST (62/76)

LEG / NIGHT DRAINAGE BAGS

LATEX FREE Freedom Clear LS Male External Catheters Designed with a longer-length adhesive seal on a thin sheath, providing added security and comfort. Feature a kink-resistant nozzle designed to prevent catheter blow-offs. Not made with natural rubber latex.

Conveen Security+ Leg and Bedside Urine Bags Features a discreet design and color scheme to be less visible under clothing. Clamp or lever tap, anti-kink tubing, soft cloth backing, straps and extended outlet tubing for urine emptying process. PVC- and phthalate-free.

ITEM #

HCPCS

SOLD BY

Medium (28 mm)

(76)5290

A4349

CASE QTY.

500-mL sterile, 6-cm tube 500-mL sterile, 50-cm tube 1,000-mL sterile, 6-cm tube 1,000-mL sterile, 50-cm tube

LATEX FREE Clear Advantage® with Aloe Male External Catheters Premium, self-adhering, one-piece catheter designed for maximum wear time. Feature aloe in the adhesive and a kink-resistant nozzle designed to prevent catheter blow-offs. Not made with natural rubber latex.

ITEM #

HCPCS

SOLD BY

Small (23 mm) Medium (28 mm) Intermediate (31 mm) Large (35 mm) X-Large (40 mm)

(76)6100 (76)6200 (76)6300 (76)6400 (76)6500

A4349 A4349 A4349 A4349 A4349

ea ea ea ea ea

Freedom Cath® Male External Catheters Self-adhering, one-piece catheters for secure, everyday use. Combine a comfortable latex sheath with a wide, watertight adhesive seal. Contains latex.

ITEM #

HCPCS

SOLD BY

Small (23 mm) Medium (28 mm) Intermediate (31 mm) Large (35 mm)

(76)8000 (76)8200 (76)8205 (76)8400

A4349 A4349 A4349 A4349

ea ea ea ea

500-mL non-sterile, 50-cm tube 1,000-mL non sterile, 50-cm tube

ITEM #

Small (23 mm) (76)8100 Medium (28 mm) (76)8300 Large (35 mm) (76)8500

100/cs 100/cs 100/cs 100/cs

HCPCS

SOLD BY

CASE QTY.

A4349 A4349 A4349

ea ea ea

100/cs 100/cs 100/cs

ITEM #

HCPCS

SOLD BY

(76)AA6106 (76)AA6110

A4344 A4344

ea ea

CASE QTY.

2-WAY PEDIATRIC

ea ea ea ea

10/bx 10/bx 10/bx 10/bx

(62)21026 A4358 ea (62)21027 A4358 ea

10/bx 10/bx

ITEM #

(62)255020 A4358 ea

HCPCS

SOLD BY

CASE QTY.

30/cs

Alpine® Reusable Leg Bags Patented Kraylex® odor barrier, offset port options and integrated loops provide total confidence and comfort.

ITEM #

HCPCS

SOLD BY

CASE QTY.

(76)68006L (76)68006R

A5112 A5112

ea ea

N/A N/A

(76)68004

A5112

N/A

(76)68001

A5112

N/A

(76)68007

A5112

N/A

SPORT/SMALL (15 OZ.), 11˝ X 4˝

Offset left port Offset right port SHORT WIDE (26 OZ.), 13˝ X 5˝

Offset right port LARGE (32 OZ.), 17˝ X 5˝

Straight port X-LARGE (44 OZ.), 20˝ X 5˝

Straight port

Conveen Security+ X-Large Leg Bag/Bedside Drainage Bag LATEX FREE Anti-reflux valve, volume markings and soft cloth backing. Secure, user-friendly closure.

5/cs 5/cs

(76)AA6112 (76)AA6114 (76)AA6116 (76)AA6118 (76)AA6120 (76)AA6122 (76)AA6124 (76)AA6C18 (76)AA6C20 (76)AA6C22 (76)AA6C24

A4344 A4344 A4344 A4344 A4344 A4344 A4344 A4344 A4344 A4344 A4344

ea ea ea ea ea ea ea ea ea ea ea

5/cs 5/cs 5/cs 5/cs 5/cs 5/cs 5/cs 5/cs 5/cs 5/cs 5/cs

(76)AA6308 (76)AA6310 (76)AA6312 (76)AA6318

A4340 A4340 A4340 A4340

ea ea ea ea

5/cs 5/cs 5/cs 5/cs

ITEM #

(62)5062 A4357 ea

HCPCS

SOLD BY

CASE QTY.

10/cs

LATEX FREE Conveen® Security+ Contoured Leg Bags Deluxe leg bags with pre-attached, adjustable, antikink tubing; secure, user-friendly closure; antireflux valve; soft cloth backing; and low-profile contours. 18˝ tube. Not made with natural rubber latex.

ITEM #

Medium (21 oz.) (62)5170 Medium (21 oz.), sterile (62)5171 Large (28 oz.) (62)5174

HCPCS

SOLD BY

A4358 A4358 A4358

ea ea ea

CASE QTY.

10/cs 10/cs 10/cs

LATEX FREE Moveen® Bedside Night Bags Large volume bedside drainage bag. Conveniently attach to the Moveen® Leg Bag or Moveen® Knee Bag. 2,000-mL capacity. Not made with natural rubber latex.

ITEM #

HCPCS

SOLD BY

CASE QTY.

Non-sterile (62)21346 A4357 30/bx 6/cs Sterile (62)21356 A4357 30/bx 10/bx

ACCESSORIES

2-WAY COUDÉ

8 fr, 3 cc 10 fr, 3 cc 12 fr, 10 cc 18 fr, 15 cc

A4358 A4358 A4358 A4358

2-WAY

12 fr, 10 cc 14 fr, 10 cc 16 fr, 15 cc 18 fr, 15 cc 20 fr, 15 cc 22 fr, 15 cc 24 fr, 15 cc 18 fr, 30 cc 20 fr, 30 cc 22 fr, 30 cc 24 fr, 30 cc

(62)21029 (62)21034 (62)21053 (62)21054

LATEX FREE Folysil® All-Silicone Foley Catheters Radiopaque line allows visualization of the catheter position during x-rays. Made from 100% silicone and have a larger drainage channel than latex-coated catheters of the same external diameter. This increases patient comfort by reducing the potential for obstruction and maintaining efficient flow. An atraumatic tip helps to ease insertion. Sterile. Not made with natural rubber latex.

6 fr, 1.5 cc 10 fr, 3 cc

CASE QTY.

FOLEY CATHETERS

SOLD BY

LATEX FREE Conveen® Active Leg Bag Comfortable elastic band for ease of use and discretion. Wraps around the thigh with the bag facing inward for minimal visibility, even when wearing shorts. The bag’s fabric fastening system enables hastle-free fitting and keeps the bag in place, even during sport activities. Smaller, 250-mL bag ensures discretion. Not made with natural rubber latex.

Freedom Active Cath® Male External Catheters Self-adhering, extended wear, one-piece catheters. Combine a comfortable latex sheath with a wide, watertight adhesive seal. Contains latex.

HCPCS

NON STERILE

CASE QTY.

100/cs 100/cs 100/cs 100/cs 100/cs

ITEM #

STERILE

100/cs

Intermittent Catheter Extension Tube Nonsterile. Not made with natural rubber latex.

LATEX FREE

ITEM #

HCPCS

24˝

(76)475

A4331 ea

SOLD BY

CASE QTY.

12/cs

255

UROLOGICAL

COLOPLAST (62/76) LATEX FREE Manhood® Absorbent Pouch Designed for light to moderate incontinence. Using a superabsorbent polymer, the pouch can hold 250 cc of liquid, keeping the skin dry. One size fits most. Not made with natural rubber latex.

ITEM #

HCPCS

SOLD BY

CASE QTY.

(76)4200B A4335 30/bx N/A

Alpine Fresh Appliance Cleaner, Non-Toxic For use with Alpine® reusable leg bags. 16 fl. oz. ™

ITEM #

(76)90000 A5131 ea

HCPCS

SOLD BY

CASE QTY.

N/A

LATEX FREE EasyCath™ Coudé Tip Intermittent Catheters Sterile, urethral catheter used for intermittent self-catheterization. Note: Replace the _ _ with the desired French size when ordering. For example the item number for a 10 fr catheter would be (MM)EC 1 0 3.

ITEM #

HCPCS

LATEX FREE

ITEM #

HCPCS

SOLD BY

(RU)221800_ _

A4352

ITEM #

(62)1337 A4649 ea

HCPCS

SOLD BY

CASE QTY.

12/cs

TELEFLEX -RÜSCH BRAND UROLOGICALS (MM/RU) ®

INTERMITTENT CATHETERS Red Rubber Robinson/Nelaton Catheters Soft, comfortable, economical and disposable latex catheter has two opposed eyes. X-ray opaque, 40-cm (16˝ ) long. For single use only; sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be (RU)3510 0 8.

ITEM #

HCPCS

SOLD BY

CASE QTY.

8 fr – 30 fr (even numbers)

(RU)3510_ _

A4351

100/cs

Robinson/Nelaton Intermittent Catheters 16˝ all-purpose PVC catheter with two staggered eyes. Color-coded funnel. For single use only; sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr catheter would be (RU)238500 1 0. LATEX FREE

10 fr – 24 fr (even numbers)

CASE QTY.

50/cs

FloCath Quick Hydrophilic Coudé Intermittent Catheter An “all-in-one” intermittent catheter providing the ultimate convenience. The integrated package contains a FloCath® Hydrophilic Catheter with patented handling sheath and a packet of sterile 0.9% saline. Before opening, break the sterile saline pouch to hydrate the catheter. Sterile saline is much closer to the body’s natural fluids than sterile water, and the extremely lubricious coating allows for a comfortable insertion. The handling sheath provides an easy grip, allowing for touchless insertion. The sheath can also be pushed back and used as an extension to the catheter. Designed for single use. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr catheter would be (RU)220600 1 0 0. ™

50/cs

Tiemann ERU Coudé Catheters Sterile; latex-free. ERU® siliconized PVC, two staggered eyes, single-use catheter. Solid tip is color coded for size. Note: Replace the _ _with the desired French size when ordering. For example, the item number for a 12 fr catheter would be (RU)221800 1 2. ®

12 fr – 24 fr (even numbers)

Micro-Guard® Antifungal Powder 2% miconazole nitrate in a noncaking corn starch base for the treatment of superficial skin infections caused by yeast (candidiasis), jock itch, ringworm and athlete’s foot. Pours easily. 3-oz. bottle.

SOLD BY CASE QTY.

10 fr – 16 fr (even numbers) (MM)EC_ _3 A4352 ea

LATEX FREE

ITEM #

10 fr – 18 fr (even numbers)

HCPCS

(RU)220600_ _0 A4352

SOLD BY

CASE QTY.

30/cs

LATEX FREE FloCath Quick Hydrophilic Intermittent Catheters Integrated packages contain a hydrophilic-coated, flexible PVC catheter and sterile saline solution pouch. Glide easily into the urethra after being activated by the 0.9% sterile saline solution. Patented sheath maintains and protects the sterile catheter during insertion and facilitates sterile catheterization technique without additional gloves or messy gels. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr catheter would be (RU)220500 0 6 0. ™

ITEM #

HCPCS

SOLD BY

CASE QTY.

(RU)220500_ _0 A4351

30/bx

N/A

(RU)220400_ _0 A4351

30/bx

N/A

FEMALE, 7˝

6 fr – 16 fr (even numbers)

ITEM #

HCPCS

SOLD BY

CASE QTY.

STANDARD, 16˝

(RU)238500_ _

A4351

100/cs

8 fr – 16 fr (even numbers)

EasyCath Soft Eye Straight-Tipped Intermittent Catheters For intermittent self-catheterization. Funnel end; sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr catheter would be (MM)EC 0 6 0.

FloCath Intermittent Catheters, Sterile Designed to reduce friction and tissue irritation with the hydrophilic coating and smooth, polished, staggered eyes. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr catheter would be (RU)220800 1 0.

UNISEX STRAIGHT TIP

™

LATEX FREE

ITEM #

HCPCS

SOLD BY

CASE QTY.

(MM)EC_ _0

A4351

50/cs

(MM)EC_ _5 (MM)EC144

A4351 A4351

ea ea

50/cs 50/cs

(MM)EC121 (MM)EC141 (MM)ECS140 (MM)EC161

A4351 A4351 A4351 A4351

ea ea ea ea

50/cs 50/cs 50/cs 50/cs

(MM)EC_ _0

A4351

50/cs

PEDIATRIC CATHETER, 10˝ LENGTH

6 fr –10 fr (even numbers) FEMALE CATHETER, 7˝ LENGTH

6 fr – 16 fr (even numbers) 14 fr, without funnel STRAIGHT CATHETER, 16˝ LENGTH

12 fr 14 fr 14 fr, soft 16 fr CURVED CATHETER, 16˝ LENGTH

12 fr –16 fr (even numbers)

256

6 fr 8 fr 10 fr – 16 fr (even numbers)

LATEX FREE

ITEM #

HCPCS

SOLD BY

CASE QTY.

(RU)22080060 (RU)22080080 (RU)220800_ _

A4351 A4351 A4351

ea ea ea

30/cs 30/cs 30/cs

(RU)220850_ _

A4352

30/cs

UNISEX COUDÉ TIP

10 fr – 16 fr (even numbers)

UROLOGICAL

TELEFLEX®-RÜSCH® BRAND UROLOGICALS (MM/RU) LATEX FREE EasyCath™ Intermittent Catheter Kit All-in-one kit containing the EasyCath™ catheter with Soft Eye™ and insertion supplies, including underpad, latex-free gloves, BZK towelettes, 5-g water-soluble lubricant, urine collection bag and refuse bag. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr catheter would be (RU)ECK 0 6 5.

ITEM #

HCPCS

SOLD BY

(RU)ECK_ _5

A4353

50/cs

(RU)ECK_ _0

A4353

50/cs

(RU)ECK_ _0

A4353

50/cs

(RU)ECK_ _3

A4353

50/cs

Rüsch® MMG™ Intermittent Catheters Closed System Prelubricated in self-contained bag.

8 fr 10 fr 12 fr 14 fr, standard 14 fr, soft 16 fr

PEDIATRIC, 10˝

6 fr – 10 fr (even numbers) STANDARD, 16˝

12 fr – 16 fr (even numbers) COUDÉ

10 fr – 16 fr (even numbers)

14 fr 16 fr

RED RUBBER – CONTAINS LATEX

ITEM #

HCPCS

SOLD BY

(RU)221500_ _0

A4353

CASE QTY.

6 fr – 16 fr (even numbers)

50/cs

STANDARD, 16˝

6 fr – 16 fr (even numbers)

(RU)221400_ _0

A4353

50/cs

12 fr – 16 fr (even numbers)

HCPCS

SOLD BY

CASE QTY.

8 fr – 16 fr (even numbers)

(RU)21096_ _0

A4353

100/cs

Rüsch MMG H20 Intermittent Catheter Closed Systems LATEX FREE Closed-system catheter with unique, hydrophilic coating to help the catheter glide easily into the urethra. Kit contains a sterile saline pouch; sterile, latex-free gloves; underpad; BZK towelette; gauze; and refuse bag. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be (RU)20096 0 8 0. ®

ITEM #

HCPCS

SOLD BY

8 fr – 16 fr (even numbers)

(RU)20096_ _0

A4353

CASE QTY.

A4353 A4353 A4353 A4353 A4353 A4353

ea ea ea ea ea ea

100/cs 100/cs 100/cs 100/cs 100/cs 100/cs

A4353 A4353

ea ea

100/cs 100/cs

(MM)RONC14 (MM)RONC16

HCPCS

SOLD BY

CASE QTY.

(MM)RLA_ _23C A4353

100/cs

(MM)RLA_ _23

A4353

100/cs

(MM)RLA_ _23R A4353

STANDARD – LATEX-FREE

10 fr – 18 fr (even numbers) 12 fr – 16 fr (even numbers)

100/cs

Rüsch MMG Soft Catheter Kit Includes catheter, tissue, antiseptic and two gloves. PVC plastic. 14 fr. ®

™

LATEX FREE

ITEM #

SOLD BY

CASE QTY.

(MM)RLA14230 A4353 ea

100/cs

1 Bennett CJ, Young, MN et al. The Effect of Urethral Introducer Tip Catheters On The Incidence of Urinary Tract Infection Outcomes in Spinal Cord Injured Patients, Journal of Urology, Vol. 168 No. 2 August 1997.

ITEM #

(MM)ONC8 (MM)ONC10 (MM)ONC12 (MM)SONC14 (MM)ONC14 (MM)ONC16

ITEM #

Users are less likely to contract UTIs than with all other methods of intermittent catheterization.1 Soft silicone introducer tip shields the catheter from bacteria residing within the first 11⁄2 cm (approx. 1⁄2˝) of the distal urethra.

CASE QTY.

COUDÉ TIP – LATEX-FREE

RÜSCH MMG CLOSED SYSTEMS

LATEX FREE Rüsch® MMG H20® Intermittent Catheter Closed System – Singles Maximizes comfort and helps reduce urethral trauma. The unique hydrophilic coating, activated by the integrated sterile 0.9% saline pouch, allows the catheter to glide easily through the urethra. The soft silicone introducer protects the catheter from bacteria residing in the first few centimeters of the urethra, helping to reduce the risk of urinary tract infection. The collection bag holds 1,300 mL. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be (RU)21096 0 8 0.

SOLD BY

Rüsch® MMG™ Intermittent Catheter Closed System Kits Include prelubricated, self-contained catheter, one tissue, one pack with antiseptic, two gloves and underpad. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be (MM)RLA 1 2 23C.

LATEX FREE FloCath Quick™ Hydrophilic Intermittent Catheter Kits All-in-one kit containing the FloCath Quick™ hydrophilic catheter and insertion supplies, including underpad, latex-free gloves, BZK towelettes, urine collection bag and refuse bag. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr catheter would be (RU)221500 0 6 0. FEMALE, 7˝

HCPCS

RED RUBBER, CONTAINS LATEX

CASE QTY.

FEMALE, 6˝

6 fr – 16 fr (even numbers)

ITEM #

STANDARD, LATEX-FREE

HCPCS

FOLEY CATHETERS LATEX FREE 100% Silicone Foley Catheters Two-way, two opposed eyes. 40-cm (16˝) long. Color-coded tip. For single use only; sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be (RU)170605 1 2.

ITEM #

HCPCS

SOLD BY

CASE QTY.

(RU)170605_ _

A4344

10/cs

(RU)170630_ _

A4344

10/cs

5 CC

12 fr – 26 fr (even numbers) 30 CC

16 fr – 26 fr (even numbers)

Rüsch GOLD Two-Way Silicone-Coated Latex Foley Catheters For single use only; sterile. Two-way, two opposed eyes. 40-cm (16˝) long. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be (RU)180705 1 2. ®

™

ITEM #

HCPCS

SOLD BY

CASE QTY.

(RU)180705_ _

A4338

10/cs

(RU)180730_ _

A4338

10/cs

5 CC

12 fr – 30 fr (even numbers) 30 CC

12 fr – 30 fr (even numbers)

100/cs

257

UROLOGICAL

TELEFLEX®-RÜSCH® BRAND UROLOGICALS (MM/RU) Foley Catheterization Procedure Trays Contain a povidone-iodine swab, fenestrated drape, moisture-proof, under-buttocks drape, lubricating jelly, two vinyl gloves, 1,100-mL collection tray and either a 10-cc or 30-cc prefilled syringe. Sterile packed and recommended for single use. Do not include catheter, allowing the proper size and type to be chosen.

ITEM #

HCPCS

SOLD BY

10 cc 30 cc

(RU)76710 (RU)76700

A4310 A4310

ea ea

Red Rubber Catheters, 16˝ Two-eyed, radiopaque latex rubber. For single use only; sterile. Contains latex. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be (57)94 0 8.

ITEM #

HCPCS

SOLD BY

CASE QTY.

8 fr – 22 fr (even numbers)

(57)94_ _

A4351

100/cs

Util-Cath Vinyl Catheters with Whistle Tip, Sterile, 14 fr ™

CASE QTY.

ITEM #

6˝, female (57)015914 16˝, unisex (57)277514

20/cs 20/cs

LATEX FREE

HCPCS

SOLD BY

CASE QTY.

A4351 A4351

ea ea

200/cs 12/cs

LEG/NIGHT DRAINAGE BAGS LATEX FREE Rüsch Premium Drainage Bag 2,000-mL bedside bag. Not made with natural rubber latex and has kink-resistant extension tubing. Unique design allows for easy filling and emptying of the bag. Features a premium anti-reflux drip chamber and a needleless sample port as well as a universal hanger with additional securing features. The perfect bag for nursing homes, hospitals and home care. ®

ITEM #

(RU)390000 A4357 ea

HCPCS

SOLD BY

Economy Bag

CASE QTY.

20/cs

LATEX FREE

Features anti-reflux valve, hook hanger and center entry. Standard bag that meets market specifications and is cost-competitive. The high grade vinyl bag has a maximum capacity of 2,000 mL, is vented, comes with a synthetic latex bottom outlet tube and 120-cm length tubing. Not made with natural rubber latex.

ITEM #

HCPCS

SOLD BY

(RU)390060 A4357 ea

The Belly Bag

CASE QTY.

20/cs

LATEX FREE

Collection device is worn at the waist and designed for either males or females who have an indwelling catheter. Fastens around the waist by means of a woven belt with a quick-release buckle. Has a 1,000-mL capacity and is not made with natural rubber latex. Anti-reflux valve behind the catheter port prevents reflux urine flow. Emptied by means of a drain tube with a twist valve that is in the approximate position of the urethra. Users can easily sleep with the bag in place, so it can be worn 24 hours a day.

ITEM #

HCPCS

SOLD BY

With hip belt With attached, coiled drain tube With sample port

(RU)B1000 (RU)B1000CT (RU)B1000P

A4358 A4358 A4358

ea ea ea

CASE QTY.

10/cs 10/cs 10/cs

LATEX FREE Easy Tap® Leg Bags Single-use leg bags feature antireflux valve, two latex-free straps with buttons, sterile fluid path and high grade PVC construction with easy-open, flip drain valve.

ITEM #

HCPCS

SOLD BY

Medium (19 oz.) (RU)452919 A4358 ea Medium (19 oz.), with 18˝ extension tubing (RU)453919 A4358 ea Large (32 oz.) (RU)452932 A4358 ea Large (32 oz.), with 18˝ extension tubing (RU)453932 A4358 ea

CASE QTY.

48/cs 24/cs 48/cs 24/cs

BARD MEDICAL (57/RH) ®

INTERMITTENT CATHETERS Red Rubber Catheters, Sterile, 16˝ Unisex catheter with funnel end. Use as a Robinson or Nelaton catheter. Two opposing eyes. Contains latex. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be (57)8024 0 8.

ITEM #

HCPCS

SOLD BY

CASE QTY.

8 fr – 22 fr (even numbers)

(57)8024_ _

A4351

100/cs

258

LATEX FREE Clean-Cath® Vinyl Catheters Sterile. Smooth eyes for comfort; safety spherical tip minimizes discomfort. Suitable for users who require a rigid catheter. 14 fr.

ITEM #

6˝, female (57)420614 16˝, unisex (57)421614

HCPCS

SOLD BY

A4351 A4351

ea ea

CASE QTY.

50/cs 50/cs

LATEX FREE Clean-Cath® Ultra Vinyl Catheters Packaged in a unique, touchless sleeve that allows for insertion without touching the catheter. Sterile. 14 fr.

ITEM #

HCPCS

SOLD BY

CASE QTY.

6˝, female 16˝, unisex

(57)4A4286 (57)4A4287

A4351 A4351

ea ea

100/cs 50/cs

LATEX FREE Bard® Clean-Cath® Vinyl Intermittent Catheters Smooth, round tip for easy insertion. Available with convenient, color-coded funnels. Individually packaged in an easy-to-open, peel-strip package. Sterile, single-use intermittent catheter with connector end.

ITEM #

HCPCS

SOLD BY

CASE QTY.

(57)420706 (57)420708 (57)420710 (57)420712 (57)420714 (57)420716 (57)420718

A4351 A4351 A4351 A4351 A4351 A4351 A4351

ea ea ea ea ea ea ea

50/cs 50/cs 50/cs 50/cs 50/cs 50/cs 50/cs

(57)421108 (57)421110

A4351 A4351

ea ea

50/cs 50/cs

(57)421708 (57)421710 (57)421712 (57)421714 (57)421716 (57)421718

A4351 A4351 A4351 A4351 A4351 A4351

ea ea ea ea ea ea

50/cs 50/cs 50/cs 50/cs 50/cs 50/cs

(57)423710 (57)423712 (57)423714 (57)423716 (57)423718

A4352 A4352 A4352 A4352 A4352

ea ea ea ea ea

30/cs 30/cs 30/cs 30/cs 30/cs

STRAIGHT TIP, 6˝

6 fr, green 8 fr, blue 10 fr, black 12 fr, white 14 fr, green 16 fr, orange 18 fr, red STRAIGHT TIP, 10˝

8 fr, blue 10 fr, black STRAIGHT TIP, 16˝

8 fr, blue 10 fr, black 12 fr, white 14 fr, green 16 fr, orange 18 fr, red COUDÉ TIP, 16˝

10 fr, black 12 fr, white 14 fr, green 16 fr, orange 18 fr, red

UROLOGICAL

BARD® MEDICAL (57/RH) Bard® Coudé Tip Tiemann Catheters, Sterile Semirigid, red rubber catheter. For single use only; sterile. Contains latex. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be (57)0101 1 2.

ITEM #

HCPCS

SOLD BY

CASE QTY.

(57)0101_ _

A4352

12/cs

(57)1206_ _

A4352

12/cs

ONE EYE, 16˝

12 fr – 26 fr (even numbers) TWO EYES, 16˝

14 fr – 22 fr (even numbers)

Touchless® Plus Unisex Intermittent Catheter Kits Sterile. Contain prelubricated catheter in Touchless® sheath with insertion tip, 1,100-cc seamless collection chamber with built-in sample/drainage port, latex gloves, three povidone-iodine swabs, waterproof underpad and instructions for use.

ITEM #

HCPCS

SOLD BY

CASE QTY.

(57)4A5042 (57)4A5044 (57)4A7044

A4353 A4353 A4353

ea ea ea

30/cs 30/cs 30/cs

(57)4A5108 (57)4A5110 (57)4A5142 (57)4A5144 (57)4A7114 (57)4A5146 (57)4A7116

A4353 A4353 A4353 A4353 A4353 A4353 A4353

ea ea ea ea ea ea ea

30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs

(57)4A6110 (57)4A6142 (57)4A6144 (57)4A8114 (57)4A6044 (57)4A6146 (57)4A8116

A4353 A4353 A4353 A4352 A4353 A4353 A4352

ea ea ea ea ea ea ea

30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs

RED RUBBER CATHETER – CONTAINS LATEX

12 fr 14 fr 14 fr, coudé VINYL CATHETER – LATEX-FREE

8 fr 10 fr 12 fr 14 fr 14 fr, coudé 16 fr 16 fr, coudé CATHETER ONLY

10 fr, vinyl, latex-free 12 fr, vinyl, latex-free 14 fr, vinyl, latex-free 14 fr, vinyl, coudé, latex-free 14 fr, red rubber, contains latex 16 fr, vinyl, latex-free 16 fr, vinyl, coudé, latex-free

Magic3® All-Silicone Intermittent Catheters Exclusive, three-layer design provides easy handling and comfort. All-silicone design is DEHP-free, eliminating exposure to potential risks that may be associated with latex and PVC catheters. Four comfort-sized drainage eyes help ensure smooth passage and maximize comfort at the critical interface between the catheter and the urethra. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr catheter would be (RH)523 0 6.

ITEM #

HCPCS

SOLD BY

CASE QTY.

(RH)523_ _

A4351

30/bx

(RH)513_ _

A4351

30/bx

(RH)533_ _

A4351

30/bx

10˝ PEDIATRIC

6 fr – 10 fr (even numbers) 6˝ FEMALE

10 fr – 20 fr (even numbers) 16˝ MALE

10 fr – 20 fr (even numbers)

Magic3® Antibacterial Intermittent Catheters Provides all the benefits of Magic3® plus nitrofurazone, an antibacterial agent which is matrixed into the catheter’s outer surface. Nitrofurazone has proven to be effective against a variety of pathogens known to cause UTIs. All-silicone catheter is DEHP-free, designed for enhanced comfort and eliminating exposure to potential risks that may be associated with latex and PVC catheters. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be (RH)519 1 2.

ITEM #

HCPCS

SOLD BY

12 fr – 20 fr (even numbers)

(RH)519_ _

A4351

30/bx

(RH)539_ _

A4351

30/bx

6˝ FEMALE

CASE QTY.

16˝ MALE

12 fr – 20 fr (even numbers)

Magic3® Hydrophilic Intermittent Catheters Three-layer design provides easy handling, comfort and convenience. Packaged with their own sterile water packet. Provides virtually friction-free insertion and removal. Innovative packaging makes it quick and easy to prep while maintaining sterility. Feature a secure-grip area for added ease of handling. DEHP- and PVC-free. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr catheter would be (RH)526 0 6.

ITEM #

HCPCS

SOLD BY

6 fr – 10 fr (even numbers)

(RH)526_ _

A4351

30/bx

(RH)516_ _

A4351

30/bx

(RH)536_ _

A4351

30/bx

10˝ PEDIATRIC

CASE QTY.

6˝ FEMALE

10 fr – 20 fr (even numbers) 16˝ MALE

10 fr – 20 fr (even numbers)

Magic3® Hydrophilic Intermittent Catheters with Sure Grip™ Unique composite of three distinct all-silicone layers combined with a flared gripping device allows the catheter to be firmly held without touching the surface and minimizes the risk of contamination. Latex and phthalate-free. Packaged with its own sterile water packet. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr catheter would be (RH)526 0 6 G.

ITEM #

HCPCS

SOLD BY

CASE QTY.

(RH)526 _ _ G

A4351

30/bx

(RH)536 _ _ G

A4351

30/bx

10˝ PEDIATRIC

6 fr – 10 fr (even numbers) 16˝ MALE

10 fr – 20 fr (even numbers)

Magic Hydrophilic Intermittent Catheter Coudé Tip with Sure-Grip™ Now available with Sure-Grip™ in a coudé tip configuration. Features an all-silicone construction, ready-to-use hydrophilic coating, unique flared gripping device and coudé tip. Designed to be environmentally conscious and provide the most comfortable catheter experience possible. 16˝ length. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr catheter would be (RH)506 1 0. 3®

ITEM #

HCPCS

SOLD BY

10 fr – 18 fr (even numbers)

(RH)506 _ _

A4352

CASE QTY.

30/bx

Magic Antibacterial Hydrophilic Intermittent Catheters Combine all-silicone design, antibacterial agent nitrofurazone and virtually friction-free movement of a hydrophilic coating. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be (RH)515 1 2. 3®

ITEM #

HCPCS

SOLD BY

CASE QTY.

(RH)515_ _

A4351

30/bx

(RH)535_ _

A4351

30/bx

6˝ FEMALE

12 fr – 20 fr (even numbers) 16˝ MALE

12 fr – 20 fr (even numbers)

259

UROLOGICAL

BARD® MEDICAL (57/RH) Magic3® Antibacterial Hydrophilic Intermittent Catheters with Sure Grip™ Unique composite of three distinct all-silicone layers plus nitrofurazone, an antibacterial agent. Features a flared gripping device that allows the catheter to be firmly held without touching the surface and minimizes the risk of contamination. Latex- and phthalate-free. Packaged with its own sterile water packet. 16˝ male. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be (RH)535 1 2 G.

ITEM #

HCPCS

SOLD BY

12 fr – 20 fr (even numbers)

(RH)535 _ _ G

A4351

CASE QTY.

30/bx

Magic3® Hydrophilic Intermittent Catheter Closed Systems Latex- and PVC-free. Packaged with their own sterile water packet inside an 1,100-mL collection bag with a prelubricated introducer tip that offers touch-free catheterization. Closed system is available as single unit or part of a latex-free kit. Kit contains one pair of gloves, two BZK wipes and an underpad. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be (RH)557 0 8.

ITEM #

HCPCS

SOLD BY

CASE QTY.

(RH)557_ _

A4353

50/bx

(RH)537_ _

A4353

50/bx

16˝ SINGLE UNIT

8 fr – 18 fr (even numbers)

Magic3® All-Silicone Preconnected Urethral Tray Exclusive, three-layer construction of the Magic3® provides superior performance, easy handling and unsurpassed comfort. Features 100% silicone intermittent catheter that’s ideal for daily, repetitive catheter use because it’s firm enough for easy insertion, yet gentle on soft and sensitive urethral tissue. Packaged as a preconnected urethral tray with standard tray components.

ITEM #

HCPCS

SOLD BY

14 fr, 16˝ long

(RH)53214

A4353

CASE QTY.

20/bx

Magic3® Antibacterial Preconnected Urethral Tray The exclusive three-layer construction of the Magic3® provides superior performance, easy handling and unsurpassed comfort. This urethral tray features the only intermittent catheter that provides a release of nitrofurazone into the urethral-catheter boundary to produce localized antibacterial activity. Packaged as a pre-connected urethral tray with standard tray components.

ITEM #

(RH)53814 A4353 ea 20/bx

HCPCS

SOLD BY

CASE QTY.

Personal Catheter®, Sterile Ideal intermittent catheter for daily, repetitive catheter use. Firm enough for easy insertion, yet gentle on soft and sensitive urethral tissue. Four comfort-sized drainage eyes help ensure smooth passage through the urethra and maximize drainage. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be (RH)623 0 8.

ITEM #

HCPCS

SOLD BY

8 fr – 10 fr (even numbers) 10 fr – 18 fr (even numbers)

(RH)623_ _

A4351

30/cs

10 fr – 18 fr (even numbers)

(RH)613_ _

A4351

30/cs

(RH)633_ _

A4351

30/cs

16˝ MALE

10 fr – 18 fr (even numbers)

SOLD BY

(RH)626_ _

A4351

30/cs

(RH)616_ _

A4351

30/cs

10 fr – 18 fr (even numbers)

(RH)636_ _

A4351

30/cs

Hydrophilic Personal Catheter® Intermittent Closed Systems All-silicone catheters feature a hydrophilic coating that becomes very slippery when wet to provide nearly friction-free movement, without the use of lubricating gels. Firm enough for comfortable, easy movement; yet its gentle handling characteristics minimize the trauma that can occur with stiffer catheters. Seamless tip and four comfort-designed drainage eyes enhance movement over sensitive urethral tissue. Packaged with a sterile water packet inside an 1,100-mL collection bag with a prelubricated insertion tip. ITEM #

HCPCS

SOLD BY

CASE QTY.

(RH)65712 (RH)65714 (RH)65716

A4353 A4353 A4353

ea ea ea

50/cs 50/cs 50/cs

A4353 A4353

ea ea

50/cs 50/cs

CLOSED SYSTEM SINGLE UNIT

12 fr 14 fr 16 fr CLOSED SYSTEM KIT

Kit includes gloves, BZK wipes and an underpad. 12 fr 14 fr

(RH)63712 (RH)63714

Antibacterial Personal Catheter® Delivers an antibacterial agent to the urethral-catheter boundary during catheterization. All-silicone catheter is designed for enhanced comfort and elimination of concerns regarding potential health risks that may be associated with repeated exposure to latex- and PVC-containing devices. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be (RH)619 1 2.

ITEM #

HCPCS

SOLD BY

CASE QTY.

(RH)619_ _

A4351

30/cs

A4351

30/cs

6˝ FEMALE

12 fr – 18 fr (even numbers) 16˝ MALE

12 fr – 18 fr (even numbers)

(RH)639_ _

Antibacterial Hydro Personal Catheter Combines the delivery of an antibacterial agent with the virtually friction-free movement of a hydrophilic-coated intermittent catheter. Packaged with its own sterile water packet. ®

ITEM #

HCPCS

SOLD BY

CASE QTY.

A4351

30/cs

A4351 A4351

ea ea

30/cs 30/cs

6˝ FEMALE

12 fr

(RH)61512

16˝ MALE

12 fr 18 fr

(RH)63512 (RH)63518

Bardia® Red Rubber Catheter Tray Sterile. Contains waterproof underpad, drape, gloves, lubricant, BZK swabs, collection tray and specimen container with label. 15 fr.

ITEM #

HCPCS

SOLD BY

(57)802115 A4353 ea

260

CASE QTY.

16˝ MALE

CASE QTY.

6˝ FEMALE

HCPCS

6˝ FEMALE

10˝ PEDIATRIC

8 fr – 10 fr (even numbers)

ITEM #

10˝ PEDIATRIC

16˝ KIT

8 fr – 16 fr (even numbers)

Hydrophilic Personal Catheter® When wetted with the provided sterile water, the catheter becomes extremely slippery for virtually friction-free insertion and withdrawal. Features a secure-grip area for added ease of handling. PVC-free. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be (RH)626 0 8.

CASE QTY.

20/cs

UROLOGICAL

BARD® MEDICAL (57/RH) Bi-Level Urethral Catheterization Procedure Trays Sequence-packaged in a bilevel configuration that separates prepping components from catheterization components. Prepping components include drape, underpad, latex gloves, forceps, rayon balls, 5-g lubricant package and label. For single use only; sterile.

ITEM #

HCPCS

SOLD BY

CASE QTY.

WITHOUT CATHETER

(57)772100 A4310 ea

20/cs

(57)772415 (57)772416

20/cs 20/cs

WITH CATHETER

15 fr, red rubber, contains latex 16 fr, PVC, latex-free

A4353 A4353

ea ea

LATEX FREE Female Catheter Kit Closed system reduces the risk of specimen contamination and associated false readings. 15-mL collection tube is centrifuge-ready. Contains a pair of vinyl gloves, towel, three Iodophor swabsticks and label. For single use only; sterile.

ITEM #

HCPCS

SOLD BY

CASE QTY.

6˝, 8 fr

(57)0035380

A4353

100/cs

FOLEY CATHETERS Coudé Bardex Lubricath® Latex Foley Catheters (Carson Model) Hydrophilic polymer coating helps to reduce irritation of the urethral mucosa and minimize encrustation. High quality construction. Single use; sterile. Coudé tip design facilitates negotiation of the prostatic urethra. Medium length; olive coudé tip with single drainage eye. 5 cc. ®

ITEM #

HCPCS

SOLD BY

16 fr 18 fr

(57)0168L16 (57)0168L18

A4340 A4340

ea ea

CASE QTY.

12/cs 12/cs

Bard® Silicone Elastomer-Coated Latex Foley Catheters Sterile, short-length catheter with two opposing eyes. Provide protection against urethral irritation. Contains latex. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be (57)2657 1 2.

ITEM #

5 cc, 12 fr – 30 fr (even numbers) (57)2657_ _ 30 cc, 16 fr – 28 fr (even numbers) (57)2667_ _

HCPCS

SOLD BY

A4338 A4338

ea ea

CASE QTY.

12/cs 12/cs

Silastic® Catheters Smooth, nonstick silicone exterior coating reduces calcium buildup. Firm but flexible, latex-based construction with large drainage lumen. Round tip; sterile. Contains latex. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 14 fr catheter would be (57)336 1 4.

ITEM #

HCPCS

SOLD BY

CASE QTY.

(57)336_ _

A4338

10/cs

(57)334_ _

A4338

10/cs

WITH TWO OPPOSING EYES, 5 CC

14 fr – 24 fr (even numbers) WITH TWO STAGGERED EYES, 30 CC

16 fr – 28 fr (even numbers)

Bardex® Lubricath® Coudé Catheters Sterile, red latex, Tiemann olive-tip coudé, with a single drainage eye. Hydrophilic coating; two-way design. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 14 fr catheter would be (57)0102L 1 4.

ITEM #

5 cc, 14 fr – 24 fr (even numbers) (57)0102L_ _ 30 cc, 14 fr – 20 fr (even numbers) (57)0103L_ _

HCPCS

SOLD BY

A4340 A4340

ea ea

CASE QTY.

12/cs 12/cs

Bardex® Tri-Way® Lubricath® Catheters Sterile, short-length catheter with two opposing eyes. Three-way design permits continuous irrigation. Contains latex. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 16 fr catheter would be (57)0119L 1 6.

ITEM #

5 cc, 16 fr – 26 fr (even numbers) (57)0119L_ _ 30 cc, 16 fr – 26 fr (even numbers) (57)0167V_ _S

HCPCS

SOLD BY

A4346 A4346

ea ea

CASE QTY.

12/cs 12/cs

Bardex® Lubricath® Latex Foley Catheters Hydrophilic polymer coating helps reduce irritation of the urethral mucosa and helps minimize encrustation. High quality construction; short-length, round tip with two opposing eyes. For single use only; sterile. Contains latex. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be (57)0165L 1 2.

ITEM #

3 cc, 8 fr (57)0165PL08 5 cc, 12 fr – 30 fr (even numbers) (57)0165L_ _ 30 cc, 12 fr – 30 fr (even numbers) (57)0166L_ _

HCPCS

SOLD BY

A4338 A4338 A4338

ea ea ea

CASE QTY.

12/cs 12/cs 12/cs

LATEX FREE Bardex® All-Silicone Foley Catheters 100% silicone construction. For single use only; sterile. Short-length, round tip with two opposing eyes. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 14 fr catheter would be (57)1658 1 4.

ITEM #

5 cc, 14 fr – 24 fr (even numbers) (57)1658_ _ 30 cc, 18 fr – 24 fr (even numbers) (57)1668_ _

HCPCS

SOLD BY

A4344 A4344

ea ea

CASE QTY.

12/cs 12/cs

Bardex® Infection Control Latex Catheters Two-way infection control catheter with 5-cc balloon. For single use only; sterile. Contains latex. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be (57)165SI 1 2.

ITEM #

HCPCS

SOLD BY

12 fr – 30 fr (even numbers)

(57)0165SI_ _

A4338

CASE QTY.

12/cs

Bardex® Lubricath® Closed System Insertion Trays Sterile; contain prefilled sterile water syringe, five rayon balls, specimen container and label, PVP cleansing solution, plastic forceps, walleted latex gloves, 10-cc lubricant in syringe, drape and underpad.

Economy Lubricath Catheters Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be (57)3657 1 2.

ITEM #

HCPCS

SOLD BY

WITHOUT CATHETER AND WITH DRAINAGE BAG – LATEX-FREE

5 cc, 12 fr – 26 fr (even numbers)

(57)3657_ _

A4338

CASE QTY.

12/cs

ITEM #

HCPCS

SOLD BY

CASE QTY.

WITH LUBRICATH® 5-CC CATHETER CONNECTED TO DRAINAGE BAG ITEM # 154002 – CONTAINS LATEX

16 fr 18 fr

(57)899616 (57)899618

A4314 A4314

ea ea

(57)896300 A4354 ea

10/cs 10/cs 10/cs

Bardex® Lubricath® Latex Pediatric Foley Catheters Short-length, round tip with two opposing eyes. Permanent hydrophilic gel coating facilitates insertion and removal. Sterile. Contains latex.

ITEM #

3 cc, 8 fr (57)0165PL08 3 cc, 10 fr (57)0165PL10

HCPCS

SOLD BY

A4338 A4338

ea ea

CASE QTY.

12/cs 12/cs

261

UROLOGICAL

Foley Insertion Tray

BARD® MEDICAL (57/RH) Bardia® Coated Latex Foley Catheters Silicone elastomer-coated, two-way, latex Foley catheter. Coating provides protection against urethral irritation. Peel pouch. For single use only; sterile. Contains latex. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be 1235 1 2 A.

ITEM #

5 cc, 12 fr – 30 fr (even numbers) (57)1235_ _A 30 cc, 12 fr – 30 fr (even numbers) (57)1236_ _A

HCPCS

SOLD BY

A4338 A4338

ea ea

CASE QTY.

12/cs 12/cs

LATEX FREE

10 cc, with BZK swabs.

ITEM #

HCPCS

SOLD BY

(57)802100 A4310 ea

ITEM #

HCPCS

SOLD BY

(57)802214 A4353 ea

CASE QTY.

20/cs

LATEX FREE

Sterile; contain 500-cc solution container, underpad, irrigation syringe, alcohol wipes, tip protection sheath and 1,200-cc collection tray.

CASE QTY.

20/cs

Bardia® Urethral Plastic Catheter Tray Contains catheter, vinyl gloves, BZK swabs, drape, lubricant, specimen jar, Tyvek® lid and basin. 14 fr.

SOLD BY

Foley Catheter Irrigation Trays

Bardia® Urethral Catheter Tray Contains BZK swabs, gloves, drapes and specimen jar; does not include catheter.

HCPCS

(57)802110 A4310 ea

ITEM #

HCPCS

SOLD BY

CASE QTY.

(57)750107 (57)750307

A4320 A4320

ea ea

20/cs 20/cs

(57)750101 (57)750301

A4320 A4320

ea ea

20/cs 20/cs

BASIC IRRIGATION TRAY

Two-piece bulb syringe, 50 cc Piston syringe, 60 cc CSR WRAP

Two-piece bulb syringe, 50 cc Piston syringe, 70 cc

CASE QTY.

MALE EXTERNAL CATHETERS

20/cs

Spirit Male External Catheters Combines adhesive and moisture-wicking properties of hydrocolloid with the breathability and flexibility of silicone. Superior breathability for enhanced comfort and optimal skin integrity. Soft silicone and uniform adhesive for secure placement. Clear sheath for easy visual inspection of skin. Kink-resistant design to ensure continuous urine flow. ™

Bardia® Foley Insertion Trays without Catheter Sterile; contain underpad, latex gloves, lubricant, inflation syringe, swabs and graduated, peel-top tray.

ITEM #

HCPCS

SOLD BY

CASE QTY.

PEEL-TOP TRAY WITH PVI SWABS

10 cc (57)802010 30 cc (57)802030

A4310 A4310

ea ea

20/cs 20/cs

ea ea

20/cs 20/cs

CSR WRAP COVERED TRAY WITH PVI SWABS

10 cc (57)802011 30 cc (57)802031

A4310 A4310

LATEX FREE Bardia® Catheter Insertion Tray with Drainage Bags With 2,000-cc Davol® urine drainage bag (Item # 802001) PVI swabs and 10-cc syringe.

ITEM #

10 cc (57)802015

HCPCS

SOLD BY

A4354

CASE QTY.

20/cs

LATEX FREE Bardia® Foley Insertion Tray With 30-cc syringe, BZK swabs, waterproof underpad and two latex-free exam gloves. Sterile.

ITEM #

HCPCS

SOLD BY

30 cc

(57)802130

A4310

CASE QTY.

10/cs

LATEX FREE Bardia® Closed System Foley Trays With drainable bag, PVI swabs, 10-cc syringe and CSR wrap.

ITEM #

HCPCS

16 fr (57)802016 A4314 18 fr (57)802018 A4314

SOLD BY

ea ea

CASE QTY.

10/cs 10/cs

LATEX FREE Universal Catheter Insertion Trays Sterile; contain fenestrated drape, underpad, plastic forceps, 5-cc lubricant, specimen container and label, prefilled syringe with sterile water, PVP cleansing solution, five rayon balls, precuffed gloves and a graduated tray.

ITEM #

HCPCS

SOLD BY

10 cc 30 cc

(57)782100 (57)782102

A4310 A4310

ea ea

262

CASE QTY.

20/cs 20/cs

ITEM #

HCPCS

SOLD BY

CASE QTY.

STYLE 1

Adhesive in a length and placement found with traditional male external catheters. Small (25 mm) Medium (29 mm) Intermediate (32 mm) Large (36 mm) X-Large (41 mm)

(RH)35301 (RH)35302 (RH)35303 (RH)35304 (RH)35305

A4349 A4349 A4349 A4349 A4349

ea ea ea ea ea

30/cs 30/cs 30/cs 30/cs 30/cs

STYLE 2

Combines forward adhesive technology with a 1.5˝ sheath. The maximum adhesive area on a short sheath. Small (25 mm) Medium (29 mm) Intermediate (32 mm) Large (36 mm) X-Large (41 mm)

(RH)37301 (RH)37302 (RH)37303 (RH)37304 (RH)37305

A4349 A4349 A4349 A4349 A4349

ea ea ea ea ea

30/cs 30/cs 30/cs 30/cs 30/cs

STYLE 3

Provides 70% more adhesive area than traditional self-adhering designs. Combined with patented forward placement of the adhesive, this design helps prevent accidental catheter detachment. Small (25 mm) Medium (29 mm) Intermediate (32 mm) Large (36 mm) X-Large (41 mm)

(RH)39301 (RH)39302 (RH)39303 (RH)39304 (RH)39305

A4349 A4349 A4349 A4349 A4349

ea ea ea ea ea

30/cs 30/cs 30/cs 30/cs 30/cs

UROLOGICAL

BARD® MEDICAL (57/RH)

LEG/NIGHT DRAINAGE BAGS

LATEX FREE Natural® Male External Catheters All silicone and nonadhesive; 100% latex-free to eliminate the risk of latex-related allergic reaction. Eliminate skin irritation that may occur with adhesives. Ideal for those who change external catheters several times a day for intermittent catheterization. Three reusable foam straps with hook-and-loop closure provided in each box of 30 catheters (straps also sold separately).

Dispoz-a-Bag® Leg Bags Made from heavy-duty vinyl for extended wear, odor containment and leak resistance. Contain an antireflux valve. Flip-Flo™ drainage valve opens and closes with a simple flip. Reusable and sterile.

ITEM #

HCPCS

SOLD BY

CASE QTY.

Small (25 mm) Medium (29 mm) Intermediate (32 mm) Large (36 mm) X-Large (41 mm)

(RH)38301 (RH)38302 (RH)38303 (RH)38304 (RH)38305

A4349 A4349 A4349 A4349 A4349

30/bx 30/bx 30/bx 30/bx 30/bx

N/A N/A N/A N/A N/A

Pop-On Male External Catheters Self-adhering; have a shorter sheath with the same adhesive area as a normal-length catheter. 11⁄2˝ sheath works especially well with a short or retracted penis. Nonsensitizing adhesive provides a reliable bond to the skin for extra confidence and maximum wear time. All-silicone material is clear and breathable. ®

LATEX FREE

ITEM #

HCPCS

SOLD BY

CASE QTY.

Small (25 mm) Medium (29 mm) Intermediate (32 mm) Large (36 mm) X-Large (41 mm)

(RH)32101 (RH)32102 (RH)32103 (RH)32104 (RH)32105

A4349 A4349 A4349 A4349 A4349

ea ea ea ea ea

100/cs 100/cs 100/cs 100/cs 100/cs

LATEX FREE UltraFlex® Male External Catheters All-silicone, self-adhering male external catheters. Nonsensitizing adhesive provides a reliable bond to the skin for extra confidence and maximum wear time. Kink-proof funnel helps ensure uninterrupted urine flow. All-silicone material is clear and breathable.

ITEM #

HCPCS

SOLD BY

CASE QTY.

Small (25 mm) Medium (29 mm) Intermediate (32 mm) Large (36 mm) X-Large (41 mm)

(RH)33101 (RH)33102 (RH)33103 (RH)33104 (RH)33105

A4349 A4349 A4349 A4349 A4349

ea ea ea ea ea

100/cs 100/cs 100/cs 100/cs 100/cs

LATEX FREE WideBand® Male External Catheters Designed to stay on, with 70% more adhesive area than traditional self-adhering catheters. Patented, forward-placement of adhesive prevents urine migration and buildup. Nonsensitizing adhesive provides a reliable bond to the skin for extra confidence and maximum wear time. Kink-proof funnel helps ensure uninterrupted urine flow. All-silicone material is clear and breathable.

ITEM #

HCPCS

SOLD BY

CASE QTY.

Small (25 mm) Medium (29 mm) Intermediate (32 mm) Large (36 mm) X-Large (41 mm)

(RH)36101 (RH)36102 (RH)36103 (RH)36104 (RH)36105

A4349 A4349 A4349 A4349 A4349

ea ea ea ea ea

100/cs 100/cs 100/cs 100/cs 100/cs

LATEX FREE Additional Latex-Free Foam Straps with Hook-and-Loop Closure Reusable, adjustable strap provides a comfortable fit. For use with Natural Male External Catheters. One size fits most.

ITEM #

HCPCS

SOLD BY

(RH)48170 A4335 ea

CASE QTY.

ITEM #

HCPCS

SOLD BY

CASE QTY.

19 oz. (57)150319 A4358 ea 19 oz. (57)150419 A4358 4/bx 32 oz. (57)150332 A4358 ea 32 oz. (57)150432 A4358 4/bx 32 oz.; latex-free (57)150732 A4358 ea

50/cs 12/cs 50/cs 12/cs

WITH FLIP-FLO™ VALVE AND LEG STRAPS

50/cs

WITH BOTTOM CAP AND LATEX LEG STRAPS

Medium (93⁄4˝, 19 oz.)

(57)150107

A4358

48/cs

(57)150619 (57)150632

A4335 A4335

ea ea

50/cs 50/cs

WITH FLIP-FLO™ VALVE, WITHOUT LEG STRAPS

Medium (93⁄4˝, 19 oz.) Large (12˝, 32 oz.)

WITH DRAINAGE AND LATEX-FREE EXTENSION TUBE, FLIP-FLO™ VALVE AND LATEX LEG STRAPS

Medium (93⁄4˝, 19 oz.) (57)151919 A4358 ea Large (12˝, 32 oz.) (57)151932 A4358 ea

50/cs 50/cs

WITH 18˝ LATEX-FREE EXTENSION TUBING, FLIP-FLO™ VALVE AND 1 PAIR FABRIC LEG STRAPS

Large (12˝, 32 oz.)

(57)150832

A4358

Bedside Drainage Bags

50/cs LATEX FREE

Sterile; feature an antireflux valve, vented drip chamber, urine sample port on catheter and connector tubing.

ITEM #

HCPCS

SOLD BY

CASE QTY.

(57)154002

A4357

20/cs

(57)153504 (57)153509

A4357 A4357

ea ea

20/cs 20/cs

SINGLE-HOOK HANGER AND STRING

2,000 mL TWO-HOOK HANGER AND STRING

2,000 mL 4,000 mL

Economy Drain Bag Convenient to use. Large-volume capacity ensures efficient drainage. 2,000 cc.

ITEM #

(57)154003 A4357 ea

HCPCS

SOLD BY

CASE QTY.

20/cs

LATEX FREE Bardia® Closed System Drain Bags Feature antireflux chamber and sample port; sterile.

ITEM #

HCPCS

SOLD BY

CASE QTY.

LIVING HINGE HANGER, 2,000 CC

(57)802001 A4357 ea

20/cs

ADJUSTABLE HOOK-AND-LOOP HANGER, 2,000 CC

(57)802002 A4357 ea

20/cs

10/cs

263

UROLOGICAL

ACCESSORIES

BARD® MEDICAL (57/RH) Infection Control Urine Drainage Bags with Anti-Reflux Chamber Safe sampling port allows for needle-free aspiration. Single-hook design with string hanger. For single use only; sterile.

ITEM #

HCPCS

SOLD BY

Latex-free (57)154102 A4357 ea Latex (57)154004 A4357 ea

ITEM #

HCPCS

SOLD BY

Medium (600 mL) Medium (600 mL) Large (800 mL) Large (800 mL)

(RH)49125 A4335 ea (RH)49165 A4358 4/bx (RH)49121 A4335 ea (RH)49161 A4358 4/bx

ITEM #

HCPCS

SOLD BY

CASE QTY.

(57)150615

A4331

24/cs

(57)000538 (57)4A4194

A4331 A4331

ea ea

50/cs 50/cs

NONSTERILE

CASE QTY.

Latex-free (18˝ )

20/cs 20/cs

Urinary Leg Bags with Secure Glide™ Drainage Valve Constructed with high-quality, welded, vinyl seams and antireflux flutter valve. Easy-to-operate Secure Glide™ drainage valve provides security and discreet urine management. Provide a sterile fluid pathway.

Extension Tubes Attach Foley or external catheter to night drainage or leg bag.

STERILE

Plastic (81⁄2˝ ) Latex-free (18˝ )

Extension Tubing Individually packaged. 18˝. Sterile.

ITEM #

(RH)46161 A4331 ea

HCPCS

SOLD BY

CASE QTY.

12/cs

CASE QTY.

25/cs 12/cs 25/cs 12/cs

Urinary Leg Bag Kits

Catheter Strap and Tube Holder Holds catheter or extension tubing to leg with Velcro® fasteners. 30˝ long.

ITEM #

(57)000025 A4334 ea

HCPCS

SOLD BY

CASE QTY.

20/cs

Bardia Piston Irrigation Syringe, Sterile, 70 cc Graduated solution container and plastic collection basin. 70-cc piston irrigation syringe. Single use. ®

Each kit contains one leg bag, one extension tube and one pair of standard button-closure straps. All supplies are combined in a kit for ultimate convenience.

ITEM #

HCPCS

SOLD BY

Medium (600 mL) (RH)49405 A4358 ea Large (800 mL) (RH)49401 A4358 ea

CASE QTY.

40/cs 40/cs

Fabric Leg Bag Holders Soft, fabric holder offers a convenient and comfortable alternative to leg bag straps. Made of 80% polyester and 20% Spandex® for durability. Washable and reusable.

SOLD BY

CASE QTY.

Small (RH)47151 A4335 ea X-Large (RH)47154 A4335 ea

ITEM #

HCPCS

12/cs 12/cs

Latex Leg Bag Straps, Reusable, 22˝

ITEM #

(57)150707 A5113 100/cs N/A

HCPCS

SOLD BY

CASE QTY.

ITEM #

(57)802065 A4322 ea

HCPCS

SOLD BY

CASE QTY.

50/cs

Cunningham Penile Clamps Used to control stress incontinence or urine dribbling. Constructed of soft sponge rubber and can be adjusted to fit comfortably. Reusable and nonsterile.

ITEM #

HCPCS

SOLD BY

Regular, 2˝ Large, 3˝

(57)004053 (57)004054

A4356 A4356

ea ea

CASE QTY.

N/A N/A

HOLLISTER INCORPORATED (50) LATEX FREE NEW Onli Ready To Use Hydrophilic Intermittent Catheter Prehydrated and ready to use with reduced spill and no stain. Smooth hydrophilic coating for easy insertion and withdrawal. Ergonomic gripper on 16˝ catheter provides better control. Easy open package. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be 820830.

ITEM #

HCPCS

SOLD BY

82_ _ 430

A4351

82 _ _ 130

A4351

CASE QTY.

16˝

8 fr - 16 fr 7˝

LATEX FREE Deluxe Fabric Leg Straps Reusable, washable, nonsterile leg bag straps that adjust from 8˝ – 24˝. Straps are 3⁄4˝ wide, with Velcro® closure.

ITEM #

HCPCS

SOLD BY

(57)150507 A5114 pr

CASE QTY.

24/cs

LATEX FREE Wide Leg Bag Strap 2˝ wide strap with fabric backing and Velcro® closure. Reusable; nonsterile.

ITEM #

Small (9˝ – 13˝ ) (57)162110 Medium (13˝ – 20˝ ) (57)162210 Large (20˝ – 27˝ ) (57)162310

HCPCS

SOLD BY

A5114 A5114 A5114

ea ea ea

Standard Select

(RH)48160 A5114 pr (RH)48251 A5114 pr

264

HCPCS

SOLD BY

VaPro Plus Touch Free Hydrophilic Intermittent Catheter LATEX FREE Prehydrated and ready-to-use hydrophilic catheter with protective tip and sleeve. Includes a pre-attached 1,000-mL collection bag with large handle. Easy-open package.

12/cs 12/cs 12/cs

Three different styles of latex-free leg bag straps are offered for comfort and convenience. The standard 3⁄4˝ elastic fabric straps have a button closure; the select 3⁄4˝ elastic fabric straps feature an easy-to-use, hook-and-loop closure; and the premium 2˝ elastic fabric straps contain hook-and-loop fasteners to secure the leg bag to the strap, and the strap to the leg. ITEM #

INTERMITTENT CATHETERS ®

CASE QTY.

Leg Bag Straps

8 fr - 14 fr

CASE QTY.

12/cs 12/cs

ITEM #

HCPCS

SOLD BY

12 fr, 8˝ straight 12 fr, 16˝ straight 14 fr, 8˝ straight 14 fr, 16˝ straight

74122 74124 74142 74144

A4353 A4353 A4353 A4353

ea ea ea ea

CASE QTY.

30/cs 30/cs 30/cs 30/cs

LATEX FREE VaPro® Touch Free Hydrophilic Intermittent Catheter Prehydrated and ready-to-use hydrophilic catheter with protective tip and sleeve. Easy-open package. Latex-free. Coudé tip. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be 73 1 2 4.

ITEM #

HCPCS

SOLD BY

73_ _4

A4352

CASE QTY.

COUDÉ, 16˝

12 fr – 16 fr (even numbers)

30/cs

Ready to Use Hydrophilic Intermittent Catheter

Whether her day is ordinary or extraordinary, the Onli catheter is there for her patient’s day — whatever the day may bring. This easy to open hydrophilic intermittent catheter is designed for smooth insertion with reduced spills and no staining.* This ready to use catheter is as easy to learn as it is to use, so you can be the Onli catheter the right way at the right time.

Continence Care People First

UROLOGICAL

HOLLISTER INCORPORATED (50) LATEX FREE VaPro Plus Pocket® Touch Free Hydrophilic Intermittent Catheter Prehydrated and ready-to-use hydrophilic catheter with protective tip and sleeve, and a pre-attached, 1,000-mL collection bag with large handle. Discreet and easy-open package. Latex-free. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 8 fr catheter would be 71 0 8 2.

ITEM #

HCPCS

SOLD BY

71_ _2

A4353

30/cs

71_ _4

A4353

30/cs

LATEX FREE Apogee HC® Hydrophilic Intermittent Catheter Smooth eyelets and hydrophilic coating aid comfortable insertion and removal. Simple-to-use design. More control afforded with the sliding sleeve. Latex-free. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr catheter would be 9 1 0 06.

10 fr – 14 fr 8 fr – 10 fr

LATEX FREE Advance Plus® Intermittent Catheters and Kits Gel closed-system catheter with protective tip and integrated 1,500-mL collection bag with large handle. User-regulated gel reservoir evenly coats the catheter without additional supplies. Available with and without insertion supplies (gloves, BZK swabs, drape). Advance Plus Pocket features packaging that is 60% smaller. Latex-free. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr catheter would be 94 0 6 4.

ITEM #

HCPCS

SOLD BY

CASE QTY.

94_ _4

A4353

100/cs

95_ _4

A4353

100/cs

93_ _4

A4353

100/cs

96_ _4

A4353

100/cs

97_ _4

A4353

100/cs

ADVANCE PLUS® CATHETER STRAIGHT

6 fr – 18 fr (even numbers) ADVANCE PLUS® CATHETER COUDÉ

12 fr – 16 fr (even numbers) ADVANCE PLUS® POCKET CATHETER

10 fr – 16 fr

ADVANCE PLUS® CATHETER KIT, STRAIGHT

6 fr – 18 fr (even numbers) ADVANCE PLUS® CATHETER KIT, COUDÉ

12 fr – 16 fr (even numbers)

Apogee Plus Intermittent Catheters and Kits Gel closed-system catheter with integrated 1,500-mL collection bag. Available with and without insertion supplies (gloves, PVP swabs, gauze, drape). Latex-free unless otherwise noted. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr catheter would be B 1 0 F.

ITEM #

HCPCS

SOLD BY

CASE QTY.

A4353 A4353 A4353

ea ea ea

100/cs 100/cs 100/cs

A4353

100/cs

FIRM

8 fr B8F 10 fr – 18 fr (even numbers) B_ _ F 14 fr, female B14FFEMALE SOFT

12 fr – 14 fr (even numbers) B_ _ S

RED RUBBER LATEX – CAUTION: THIS PRODUCT CONTAINS LATEX, WHICH MAY CAUSE ALLERGIC REACTIONS.

14 fr – 16 fr (even numbers) B_ _ R

A4353

100/cs

12 fr – 18 fr

A4353

100/cs

A4353 A4353 A4353 A4353

ea ea ea ea

100/cs 100/cs 100/cs 100/cs

KITS, FIRM

6 fr B6FB 8 fr B8FB 10 fr – 18 fr (even numbers) B_ _ FB 14 fr, 6˝, female B14FBFEMALE SOFT KITS

12 fr – 14 fr (even numbers) B_ _ SB

A4353

100/cs

RED RUBBER LATEX KITS – CAUTION: THIS PRODUCT CONTAINS LATEX, WHICH MAY CAUSE ALLERGIC REACTIONS.

12 fr – 16 fr (even numbers) B_ _ RB

A4353

100/cs

A4353

100/cs

COUDÉ KITS

12 fr – 16 fr (even numbers) B_ _ CB

266

CASE QTY.

9_ _06

A4351

30/cs

9_ _10

A4351

30/cs

9_ _16

A4351

30/cs

9_ _26

A4352

30/cs

COUDÉ, 16”

12 fr – 16 fr

Apogee IC® Intermittent Catheters Smooth eyelets aid comfortable insertion and removal. Non-lubricated. Latex-free unless otherwise noted.

ITEM #

HCPCS

SOLD BY

6 fr, 10˝ straight 6 fr, 16˝ straight 8 fr, 6˝ straight 8 fr, 10˝ straight 8 fr, 16˝ straight 8 fr, 16˝ coudé 10 fr, 6˝ straight 10 fr, 10˝ straight 10 fr, 16˝ straight 10 fr, 16˝ coudé 12 fr, 6˝ straight 12 fr, 16˝ straight 12 fr, 16˝ coudé 14 fr, 6˝ straight 14 fr, 16˝ straight 14 fr, 16˝ coudé 14 fr, 6˝ straight, no funnel 16 fr, 16˝ straight 16 fr, 16˝ coudé 18 fr, 16˝ straight 18 fr, 16˝ coudé

10610 10616 10806 10810 10816 10826 11006 11010 11016 11026 11206 11216 11226 11406 11416 11426 11446 11616 11626 11816 11826

A4351 A4351 A4351 A4351 A4351 A4352 A4351 A4351 A4351 A4352 A4351 A4351 A4352 A4351 A4351 A4352 A4351 A4351 A4352 A4351 A4352

ea ea ea ea ea ea ea ea ea ea ea ea ea ea ea ea ea ea ea ea ea

30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs 30/cs

CASE QTY.

1046 1061 1083

A4351 A4351 A4351

ea ea ea

30/cs 30/cs 30/cs

SOFT

12 fr, 16˝ 14 fr, 16˝ 16 fr, 16˝

RED RUBBER LATEX – CAUTION: THIS PRODUCT CONTAINS LATEX, WHICH MAY CAUSE ALLERGIC REACTIONS.

12 fr, 16˝ 14 fr, 16˝ 16 fr, 16˝

1051 1067 1084

A4351 A4351 A4351

ea ea ea

30/cs 30/cs 30/cs

12 fr, 16˝ 14 fr, 16˝ 14 fr, soft, 16˝

1049 1065 1074A

A4351 A4351 A4351

ea ea ea

50/cs 50/cs 50/cs

CURVED PACKAGE

COUDÉ

12 fr – 16 fr (even numbers) B_ _ C

SOLD BY

STRAIGHT, 16˝

CASE QTY.

STRAIGHT, 16˝

8 fr – 16 fr (even numbers)

HCPCS

STRAIGHT, 10˝

STRAIGHT, 8˝

8 fr – 14 fr (even numbers)

ITEM #

STRAIGHT 6˝

MALE EXTERNAL CATHETERS Extended Wear Male External Catheter Self-adhesive, latex. Unique inner flap for extended wear. Easy applicator collar. Caution: This product contains natural rubber latex, which may cause allergic reactions.

ITEM #

HCPCS

SOLD BY

CASE QTY.

22 mm – 25 mm 26 mm – 30 mm 31 mm – 35 mm 36 mm – 39 mm

9206 9207 9208 9209

A4349 A4349 A4349 A4349

30/bx 30/bx 30/bx 30/bx

N/A N/A N/A N/A

UROLOGICAL

HOLLISTER INCORPORATED (50) Everyday Male External Catheter Easy to apply with its plastic collar; securely attaches and seals to the skin by its integral adhesive. Safely conducts urine through double convolutions that resist kinking and twisting, keeping fluid pathway open.

ITEM #

HCPCS

SOLD BY

CASE QTY.

22 mm – 25 mm 26 mm – 30 mm 31 mm – 35 mm 36 mm – 39 mm

9106 9107 9108 9109

A4349 A4349 A4349 A4349

30/bx 30/bx 30/bx 30/bx

N/A N/A N/A N/A

LATEX FREE InView® External Catheters Silicone formulation is nonirritating and perfect for those with known latex sensitivity. Available in three styles: Standard – regular length and adhesive width for everyday wear; Special – shorter sheath length accommodates wide range of needs; and Extra – with 70% more adhesive than the standard catheter, for added security.

ITEM #

HCPCS

SOLD BY

97525 97529 97532 97536 97541

A4349 A4349 A4349 A4349 A4349

ea ea ea ea ea

100/cs 100/cs 100/cs 100/cs 100/cs

97425 97429 97432 97436 97441

A4349 A4349 A4349 A4349 A4349

ea ea ea ea ea

100/cs 100/cs 100/cs 100/cs 100/cs

97625 97629 97632 97636 97641

A4349 A4349 A4349 A4349 A4349

ea ea ea ea ea

100/cs 100/cs 100/cs 100/cs 100/cs

LATEX FREE Vented Urinary Leg Bag Systems, Combo Pack Quality materials result in soft, comfortable, durable bags with pleated sides that increase the volume but not the length. Protect skin from pressure points by placing leg strap connectors and drain valve away from direct contact with leg. Safely and easily conduct urine through drain valve, which is easy to open and closes securely even with limited dexterity. Contain one vented urinary leg bag, one extension tubing with vacuum relief valve and one pair of 23˝ fabric leg bag straps.

ITEM #

HCPCS

SOLD BY

Medium (18 oz.) Large (30 oz.)

9645 9655

A4358 A4358

ea ea

25 mm 29 mm 32 mm 36 mm 41 mm EXTRA

25 mm 29 mm 32 mm 36 mm 41 mm

LEG/NIGHT DRAINAGE BAGS LATEX FREE Leg Bags Quality materials result in soft, comfortable, durable bags with pleated sides that increase the volume but not the length. Protect skin from pressure points by placing leg strap connectors and drain valve away from direct contact with leg. Safely and easily conduct urine through drain valve, which is easy to open and closes securely even with limited dexterity.

ITEM #

HCPCS

SOLD BY

Medium (18 oz.) Large (32 oz.)

9814 9805

A4335 A4335

ea ea

CASE QTY.

10/cs 10/cs

LATEX FREE Leg Bag Combination Packs Quality materials result in soft, comfortable, durable bags with pleated sides that increase the volume but not the length. Protect skin from pressure points by placing leg strap connectors and drain valve away from direct contact with leg. Safely and easily conduct urine through drain valve, which is easy to open and closes securely even with limited dexterity. Contain a leg bag, latex-free 18˝ extension tubing with connector and one pair of 23˝ fabric leg bag straps.

ITEM #

HCPCS

SOLD BY

Medium (18 oz.) Large (30 oz.)

9348 9349

A4358 A4358

ea ea

CASE QTY.

12/cs 12/cs

ITEM #

HCPCS

9839

A4357 ea

SOLD BY

Leg Bag Straps

CASE QTY.

20/cs

LATEX FREE

Wide, adjustable, high-quality straps prevent skin damage due to slippage of straps against skin, resulting in comfort. Nonslip, latex-free rib is woven into wide straps. Easy-to-apply plastic belt tabs connect readily to buttons on the leg bag; yet hold the bag securely in place. For Hollister Incorporated leg bags only. Machine washable and reusable. 11⁄8˝ wide.

CASE QTY.

SPECIAL

10/cs 10/cs

LATEX FREE Bedside Collection System 2,000-mL capacity. Includes sterile fluid pathway, sample port, hinged hanger, bed linen, security clamp and antireflux valve.

STANDARD

25 mm 29 mm 32 mm 36 mm 41 mm

CASE QTY.

ITEM #

HCPCS

SOLD BY

Small (15˝ long) Medium (23˝ long)

9342 9343

A5114 A5114

pr pr

Extension Tubing Kink-resistant, 18˝ extension tubing with connector.

ITEM #

Nonsterile 9345 Sterile 9346

HCPCS

CASE QTY.

10/cs 10/cs LATEX FREE

SOLD BY

A4331 ea A4331 ea

CASE QTY.

10/cs 10/cs

URINARY COLLECTION ACCESSORIES LATEX FREE 7½˝ Female Cut-to-Fit Urinary Pouches with Softflex™ Skin Barrier Odor barrier plastic pouch that funnels urine into a collection bag. It is easily attached to the body by a means of flexible, conformable hydrocolloid skin barrier that protects the skin from irritation.

ITEM #

HCPCS

9840

A4328 10/bx N/A

SOLD BY

CASE QTY.

LATEX FREE Male Urinary Pouch External Collection Device with Flextend® Skin Barrier, Transparent Excellent solution for those who cannot keep an external catheter on, or when diapers or indwelling catheters are not an alternative. Attach easily to leg bag or drainage device. Cut-to-fit.

ITEM #

HCPCS

9873

A4326 10/bx N/A

SOLD BY

CASE QTY.

Male Urinary Pouch Cut-to-Fit External Collection Device LATEX FREE with SoftFlex™ Barrier, Transparent Odor-barrier film is lightweight, strong and transparent. Safely conducts urine through a convenience drain that is easy to open, closes securely and adapts to drainage bags.

ITEM #

HCPCS

9811

A4326 10/bx N/A

SOLD BY

CASE QTY.

267

UROLOGICAL

HOLLISTER INCORPORATED (50) m9® Cleaner/Decrystallizer Nonacidic, pH-balanced formula eliminates odors and cleans urinary collection systems. Concentrated formula is economical, resulting in more than 40 cleanings per 16-oz. bottle.

ITEM #

HCPCS

7736

A5131 12/bx N/A

SOLD BY

CASE QTY.

CONVATEC (51) NEW GentleCath™ Intermittent Urinary Catheter Designed to make catheter insertion and removal as smooth and easy as possible for the patient. The product features polished and rounded eyelets to minimize friction, and has a soft, rounded tip that aids smooth insertion. It is available in male and female straight tip and male coude tip (for insertion through complicated passages). The product is available in a wide range of sizes and features color-coded funnels for easy size identification

ITEM #

HCPCS

SOLD BY

419800 501002 501003 501004 501005 501006

A4351 A4351 A4351 A4351 A4351 A4351

100/bx 100/bx 100/bx 100/bx 100/bx 100/bx

501019 501020 501021 501022 501023

A4351 A4351 A4351 A4351 A4351

100/bx 100/bx 100/bx 100/bx 100/bx

501011 501012 501013 501014 501015 501016

A4352 A4352 A4352 A4352 A4352 A4352

100/bx 100/bx 100/bx 100/bx 100/bx 100/bx

MALE STRAIGHT TIP PVC URINARY CATHETER

8 fr 10 fr 12 fr 14 fr 16 fr 18 fr FEMALE PVC URINIARY CATHETER

8 fr 10 fr 12 fr 14 fr 16 fr MALE TIEMANN TIP PVC URINARY CATHETER

8 fr 10 fr 12 fr 14 fr 16 fr 18 fr

GentleCath™ Glide

NEW Designed for fast and convenient cathing. A handling sleeve helps you to avoid getting bacteria from your hands on the catheter and FeelClean™ Technology provides a smooth slippery surface, fast lubrication once wetted and is designed to reduce the residuals and mess that cathing may leave behind on clothes, hands and body. ITEM #

HCPCS

SOLD BY

421565 421566 421567 421568

A4351 A4351 A4351 A4351

30/bx 30/bx 30/bx 30/bx

421571 421572 421573 421574

A4351 A4351 A4351 A4351

30/bx 30/bx 30/bx 30/bx

421907 421908 421909 421910 421911 421912

A4352 A4352 A4352 A4352 A4352 A4352

30/bx 30/bx 30/bx 30/bx 30/bx 30/bx

MALE, STRAIGHT TIP

10 fr 12 fr 14 fr 16 fr FEMALE STRAIGHT TIP

10 fr 12 fr 14 fr 16 fr TIEMANN TIP

8 fr 10 fr 12 fr 14 fr 16 fr 18 fr

268

NEW GentleCath™ Hydrophilic Urinary Catheter Includes a sterile water sachet, wall attachment and unique no-touch handling strip to provide an intermittent catheter that allows the catheter to be prepared, used and discarded without the need for direct hand contact with the catheter.

ITEM #

HCPCS

SOLD BY

509004 509005 509006 509007 509008

A4353 A4353 A4353 A4353 A4353

10/bx 10/bx 10/bx 10/bx 10/bx

509009 509010 509011 509012 509013 509014

A4353 A4353 A4353 A4353 A4353 A4353

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

A4353 A4353 A4353 A4353 A4353

10/bx 10/bx 10/bx 10/bx 10/bx

FEMALE HYDROPHILIC URINARY CATHETER KIT, 8”

8 fr 10 fr 12 fr 14 fr 16 fr MALE HYDROPHILIC URINARY CATHETER KIT, 16”

8 fr 10 fr 12 fr 14 fr 16 fr 18 fr

TIEMANN HYDROPHILIC URINARY CATHETER KIT COUDE, 16”

10 fr 12 fr 14 fr 16 fr 18 fr

509015 509016 509017 509018 509019

CARDINAL HEALTH™ * Not made with natural rubber latex.

Cardinal Health™ Foley-Tie® Foley Catheter Legband* White, soft stretch. One-piece Velcro® blue locking tab. Latex-free.

ITEM #

HCPCS

35˝ L x 2˝ W, fits up to 24˝ circumference 55FLB24 A4334 871⁄2˝ L x 2˝ W, fits up to 60˝ circumference 55FLB60 A4334

SOLD BY

CASE QTY.

100/cs

10/cs

Cardinal Health FoleyLoc Foley Catheter Holder* Single-use, non-sterile, latex-free. Helps secure and stabilize multiple styles of Foley catheters (silicone or latex, two- or three-port). Medical-grade adhesive. Non-swivel locking system helps reduce potential catheter kinking and twisting. Adjustable Velcro® EZ-Tabs allow for release, inspection, cleaning and reattachment. ™

ITEM #

HCPCS

55AFA

A4333 ea

SOLD BY

CASE QTY.

50/cs

Cardinal Health Tube Tie Multi-Tube Holder* Non-slip, single-use, non-sterile, latex-free. Can be used as multitube holder for Foley catheters, jejunostomy and gastrostomy tubes, and other tubes and ports. Quick-release Velcro® locking system allows for easy tube management and repositioning. ™

ITEM #

55MPATH A4333 ea

HCPCS

SOLD BY

CASE QTY.

50/cs

UROLOGICAL

ACCESSORIES

CARDINAL HEALTH™ * Not made with natural rubber latex.

Cardinal Health™ Foley Catheter Insertion Trays* Contains all of the components required to insert and flush a Foley catheter, according to a physician’s instruction. Include 1,000-mL tray, prefilled sterile water syringe, three PVP swabs, underpad, fenestrated drape, 5 cc of lubricating jelly, one pair of PVC gloves, specimen container and label. Sterile. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

Cardinal Health 60cc Irrigation Syringe* Sterile irrigation syringe packaged in a poly pouch. Features a flat-top catheter tip with tip protector. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner. ™

HCPCS

SOLD BY

CASE QTY.

With one pair of PVC gloves, specimen container, label and 10-cc prefilled syringe ZRCIT10CC A4310 ea 20/cs With one pair of PVC gloves, specimen container, label and 30-cc prefilled syringe ZRCIT30CC A4310 ea 20/cs With BZK swabs, PVC gloves, vinyl gloves, specimen container, label and 10-cc prefilled syringe ZRCIT10CCBZK A4310 ea 20/CS With BZK swabs, nitrile gloves, label and 10-cc prefilled syringe ZRCIT10CCBZN A4310 ea 20/cs With one pair of BZK swabs, nitrile gloves, label and 30-cc prefilled syringe ZRCIT30CCBZN A4310 ea 20/cs

ITEM #

HCPCS

SOLD BY

ZR60CCFT A4322 ea

CASE QTY.

50/cs

Cardinal Health Essentials Adhesive Remover Wipes Helps reduce adhesives from skin. Dries with a fresh scent. Availble in a 4˝ x 4˝ wipe to help remove build-up over a larger surface area. ™

ITEM #

HCPCS

11⁄4˝ x 3˝ wipes 4˝ x 43⁄4˝ wipes

ZA30075 ZA30050XL

A4456 A4456

SOLD BY

75/bx 50/bx

Cardinal Health™ Essentials Ostomy and Urostomy Appliance Cleaner Cleans and deodorizes. Add a tablespoon in appliance or a container; add warm water and soak for 20 – 30 minutes; then, rinse with water.

ITEM #

HCPCS

SOLD BY

16-oz. bottle

ZR16OZACA

A5131

CASE QTY.

12/cs

Cardinal Health Irrigation Trays* Includes one 60-mL bulb or piston syringe with graduations; tip protector; textured drape; alcohol prep pad; one graduated, 500-cc container; and 1,000-mL tray. Sterile. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

Cardinal Health™ Lubricating Jelly* Provides lubrication to aid in insertion of catheters, gloved fingers and medical devices into body openings. Sterile, clear and water soluble. CHG (chlorhexidine gluconate)-free. Made in the USA.

ITEM #

HCPCS

SOLD BY

ITEM #

With piston-type syringe With bulb-type syringe

ZRPIT ZRBIT

A4320 A4320

ea ea

4-oz. flip-top tube packets 5-g foil packets

ZRLJ33169 A4402 ea 72/cs 3-g foil ZRLJ33107 A4332 30/bx 48/cs ZRLJ33183 A4332 72/bx 36/cs

™

CASE QTY.

20/cs 20/cs

LEG/NIGHT DRAINAGE BAGS Cardinal Health™ Leg Bags* Packaged in a peel-open pouches. Sterile, fluid pathways. Includes preattached, fabric, elastic leg straps. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

SOLD BY

CASE QTY.

A4358 A4358

ea ea

48/cs 48/cs

A4358 A4358

ea ea

48/cs 48/cs

ea ea

48/cs 48/cs

STANDARD WITH T-TAP VALVE

600 mL 900 mL

ZRLB600TT ZRLB900TT

STANDARD WITH TWIST VALVE

600 mL 900 mL

ZRLB600R ZRLB900R

PREMIUM WITH FLIP VALVE AND FLOCKED BACK

500 mL ZRLB500H 1,000 mL ZRLB1000H

A4358 A4358

WITH TWIST VALVE AND 18˝ PRECONNECTED EXTENSION TUBING

600 mL 900 mL

ZRLB600T ZRLB900T

A4358 A4358

ea ea

24/cs 24/cs

18˝ LATEX-FREE EXTENSION TUBING

ZRLB18ET A4331 ea

50/cs

Cardinal Health™ Night Drainage Bags* Packaged in peel-open pouch. Sterile, diamond-shaped, vented drain bags feature needleless sample ports and an SBR drain tube. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

SOLD BY

HCPCS

SOLD BY

CASE QTY.

PECO BY SECURI-T® USA (PC) INTERMITTENT CATHETERS PECO Male Straight Tip Red Rubber Intermittent Catheter Sterile, red rubber straight intermittent catheter with two eyes. For single use only. Caution: this product contains natural rubber latex that may cause allergic reactions. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be PU77 0 8.

ITEM #

HCPCS

SOLD BY

16˝, 8 fr – 24 fr (even numbers)

PU77_ _

A4351

CASE QTY.

30/bx

PECO Red Rubber Coudé Catheter Sterile, red rubber coudé intermittent catheter with two eyes. For single use only. Caution: this product contains natural rubber latex that may cause allergic reactions. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter is PU77 1 2 C.

ITEM #

HCPCS

SOLD BY

16˝, 12 fr – 22 fr (even numbers)

PU77 _ _ C

A4352

CASE QTY.

30/bx

CASE QTY.

STANDARD WITH DOUBLE HANGER, PLASTIC THUMB CLAMP AND DRIP CHAMBER

2,000-mL capacity

ZRND2000R

A4357

20/cs

PREMIUM WITH DOUBLE HANGER, 48˝ TUBING, ANTIREFLUX DRIP CHAMBER, TUBE CLAMP, SHEET CLIP AND METAL THUMB CLAMP

2,000-mL capacity

ZRND2000H

A4357

269

UROLOGICAL

LATEX FREE PECO Straight-Tip Intermittent Catheters Smooth, offset, polished eyelets. Constructed of latex-free, DEHP-free, medical-grade PVC. Sterile, single use. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr catheter would be PU0 0 6. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

LATEX FREE PECO Elite Closed Pre-Lubricated Catheter Kits DEHP-, BPA- and latex-free, sterile, single use. Kit features polished eyelets, pre-lubricated catheter with integrated 1,300-mL collection bag. Kit includes BZK wipe, PVP prep pad, one pair of ambidextrous gloves and an underpad. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be PK0 0 8. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

PECO BY SECURI-T® USA (PC)

ITEM #

HCPCS

SOLD BY

CASE QTY.

10˝ PEDIATRIC

6 fr – 10 fr (even numbers) 12 fr – 14 fr (even numbers)

PU0_ _ PU0_ _ P

A4351 A4351

ea ea

30/bx 30/bx

PU0_ _ L PU0 _ _

A4351 A4351

ea ea

30/bx 30/bx

PU014FN

A4351

30/bx

PU0 _ _ F

A4351

30/bx

16˝ MALE

6 fr – 10 fr (even numbers) 12 fr – 18 fr (even numbers) 71⁄2˝ FEMALE – NO FUNNEL CONNECTOR

14 fr 71⁄2˝ FEMALE

8 fr – 16 fr (even numbers)

LATEX FREE PECO Olive & Tapered Tip Coudé Catheters Smooth, offset, polished eyelets. Constructed of latex-free, DEHP-free, medical-grade PVC. Marked funnel allows for optimal catheter tip positioning. Sterile, single use. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be PU8 1 2 C. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

SOLD BY

CASE QTY.

PU8_ _ C

A4352

30/bx

PU6_ _ C

A4352

30/bx

16˝ MALE OLIVE TIP COUDÉ CATHETER

12 fr – 18 fr (even numbers) Olive Tip

16˝ MALE TAPERED TIP COUDÉ CATHETER

10 fr – 18 fr (even numbers)

LATEX FREE PECO Clear & Free Hydrophilic Intermittent Catheters Smooth, offset, polished eyelets. Designed to reduce friction during insertion and removal. Constructed of latex-free, DEHP-free, medical-grade PVC. Hydrophilic coating is activated by water and creates extremely low friction for effortless insertion. Sterile, single use. Hydrophilic Intermittent Catheter with Easy Burst Water Pouch and Touch-Free Sleeve provide ultimate convenience and require no additional lubrication. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr catheter would be PH0 1 0 F. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

CASE QTY.

10 fr – 18 fr (even numbers)

12 fr – 18 fr (even numbers)

10 fr – 16 fr (even numbers)

14 fr, coudé

30/bx

8 fr – 16 fr (even numbers)

30/bx

14 fr, coudé

A4351

30/bx

PH2 _ _

A4351

30/bx

PH2 _ _

A4351

30/bx

A4352

30/bx

71⁄2˝ FEMALE HYDROPHILIC CATHETER WITH EASY BURST WATER POUCH AND TOUCH-FREE SLEEVE

PH2 _ _ F

A4351

30/bx

A4353

100/cs

ITEM #

HCPCS

SOLD BY

CASE QTY.

PC0_ _

A4353

100/cs

PC014C

A4353

100/cs

ITEM #

HCPCS

SOLD BY

HK0_ _

A4353

HK014C

A4353

CASE QTY.

50/cs 50/cs

PECO Elite Hydrophilic Closed Catheter System DEHP-, BPA- and latex-free, sterile, single use. System features polished eyelets, pre-lubricated catheter with integrated 1,300-mL collection bag. Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be HC0 0 8. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

PH1 _ _

PK014C

LATEX FREE

30/bx

100/cs

16˝ COUDÉ

10 fr – 16 fr, with water pouch, touch-free sleeve PH21_C

270

8 fr – 16 fr (even numbers)

A4351

16˝ STRAIGHT

PH0 _ _

16˝ MALE HYDROPHILIC CATHETER WITH EASY-BURST WATER POUCH AND TOUCH-FREE SLEEVE

10 fr – 16 fr (even numbers)

30/bx

PH1 _ _ F

A4353

LATEX FREE PECO Elite Hydrophilic Closed Catheter Kits DEHP-, BPA- and latex-free, sterile, single use. Kit features polished eyelets, hydrophilic catheter with integrated 1,300-mL collection bag. Kit includes BZK wipe, PVP prep pad, one pair of ambidextrous gloves and an underpad. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be HK0 0 8. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

16˝ STANDARD HYDROPHILIC CATHETER WITH EASY BURST WATER POUCH AND TOUCH-FREE SLEEVE

12 fr – 18 fr (even numbers)

14 fr

A4351

PK0_ _

16˝ COUDÉ

PH0 _ _

10˝ PEDIATRIC HYDROPHILIC CATHETER WITH EASY BURST WATER POUCH AND TOUCH-FREE SLEEVE

8 fr – 10 fr (even numbers)

8 fr – 16 fr (even numbers)

30/bx

PH1 _ _

CASE QTY.

16˝ STRAIGHT

10˝ PEDIATRIC HYDROPHILIC CATHETER WITH STERILE EASY-BURST WATER POUCH

6 fr – 10 fr (even numbers)

A4351

71⁄2˝ FEMALE HYDROPHILIC CATHETER WITH STERILE EASY-BURST WATER POUCH

SOLD BY

LATEX FREE PECO Elite Closed Pre-Lubricated Catheter System DEHP-, BPA- and latex-free. Sterile, single use. System features polished eyelets, pre-lubricated catheter with integrated 1,300-mL collection bag. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be PC0 0 8. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

PH0 _ _ F

16˝ MALE HYDROPHILIC CATHETER WITH STERILE EASY-BURST WATER POUCH

12 fr – 18 fr (even numbers)

14 fr

SOLD BY

16˝ MALE HYDROPHILIC CATHETER

HCPCS

16˝ COUDÉ

HCPCS

10˝ PEDIATRIC HYDROPHILIC CATHETER

6 fr – 10 fr (even numbers)

8 fr – 16 fr (even numbers)

ITEM #

71⁄2˝ FEMALE HYDROPHILIC CATHETER

ITEM #

16˝ STRAIGHT

ITEM #

HCPCS

SOLD BY

CASE QTY.

HC0_ _

A4353

50/cs

HC014C

A4353

50/cs

16˝ STRAIGHT 16˝ COUDÉ

UROLOGICAL

PECO BY SECURI-T® USA (PC)

WELLSPECT HEALTHCARE (AH)

LATEX FREE PECO 100% Silicone Foley Catheters Color-coded, hard body inflation valve. Radiopaque strip allows visualization during scans. Tips are bullet shaped and smooth with two large opposing eyes for maximum comfort. Sterile, single use. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 6 fr catheter would be PF58 0 6. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

LATEX FREE LoFric Classic Hydrophilic Catheter Hydrophilic single-use intermittent catheter designed to reduce urethral trauma. Unique Urotonic™ Surface Technology allows the smooth water layer to stay intact during the entire catheterization, which reduces friction up to 95% compared to conventional catheters. The only catheter clinically proven to reduce the risk of long-term complications.1 Peel open, add water and wait 30 seconds for activation of the hydrophilic coating. Single-use only. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be 401 0 8 40.

ITEM #

HCPCS

SOLD BY

CASE QTY.

3 CC, 2-WAY

6 fr – 10 fr (even numbers)

PF58_ _

A4344 ea

10/bx

PF58 _ _

A4344 ea

10/bx

PF68 _ _ A4344 ea

10/bx

PF59 _ _ A4346 ea

10/bx

6 fr 8 fr – 10 fr (even numbers)

30 CC, 2-WAY

16 fr – 24 fr (even numbers)

PECO Silicone Elastomer-Coated Foley Catheters Two-way. Coating provides protection against urethral irritation. Color-coded, hard body inflation valve. Tips are round and smooth with two opposing eyes for maximum comfort. Sterile, single use. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr catheter would be PF65 0 6. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

SOLD BY

CASE QTY.

PF65_ _

A4338 ea

10/bx

PF65 _ _ A4338 ea

10/bx

PF66 _ _ A4338 ea

10/bx

3 CC

6 fr – 10 fr (even numbers) 5 CC

12 fr – 30 fr (even numbers) 30 CC

12 fr – 30 fr (even numbers)

Catheter Insertion Kit

ITEM #

HCPCS

SOLD BY

CASE QTY.

Includes lubricating jelly (5g), vinyl gloves, BZK wipe, collection bag and underpad. P1 A4354 ea 100/cs Includes lubricating jelly (5g), vinyl gloves, BZK wipe, collection bag with universal connector and underpad. P2 A4354 ea 100/cs

8 fr – 10 fr (even numbers)

ITEM #

HCPCS

SOLD BY

2-oz. flip-top tube

203

A4402

CASE QTY.

920640 401_ _40

A4351 A4351

ea ea

120/cs 120/cs

402_ _40

A4351

120/cs

8 fr – 14 fr (even numbers)

404_ _40

A4351

120/cs

403_ _40

A4351

120/cs

400_ _40

A4351

120/cs

9611040 9611840

A4352 A4352

ea ea

100/cs 100/cs

8˝ STRAIGHT FEMALE CATHETER

8 fr – 18 fr (even numbers) 16˝ STRAIGHT MALE CATHETER

8 fr – 22 fr (even numbers) 16˝ COUDÉ TIP CATHETER

10 fr 18 fr

LATEX FREE LoFric® Primo™ Hydrophilic Catheter with Water Sachet Hydrophilic single-use intermittent catheter designed to reduce urethral trauma. Unique Urotonic™ Surface Technology allows the smooth water layer to stay intact during the entire catheterization, which reduces friction up to 95% compared to conventional catheters. The only catheter clinically proven to reduce the risk of long-term complications.1 Convenient and foldable, and features a no-touch design and sterile water sachet for activation of the hydrophilic coating. Single-use only. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 8 fr catheter would be 411 0 8 40. 1

7 years follow up of 30 LoFric patients, Waller et al. 1995.

ITEM #

HCPCS

SOLD BY

CASE QTY.

9620640 411_ _40

A4351 A4351

ea ea

120/cs 120/cs

414_ _40

A4351

120/cs

413_ _40

A4351

120/cs

410_ _40

A4351

120/cs

10 fr – 18 fr (even numbers) 966_ _40

A4352

120/cs

8˝ PEDIATRIC CATHETER

6 fr 8 fr – 10 fr (even numbers) 6˝ FEMALE 8˝ FEMALE

8 fr – 18 fr (even numbers)

HR® Lubricating Jelly Bacteriostatic. Non-CHG formula. Water soluble. Sterile.

SOLD BY

6˝ STRAIGHT FEMALE CATHETER

8 fr – 14 fr (even numbers)

HR® PHARMACEUTICALS, INC. (LJ)

HCPCS

12˝ STRAIGHT ADOLESCENT CATHETER

30 CC, 3-WAY

20 fr – 26 fr (even numbers)

ITEM #

8˝ STRAIGHT PEDIATRIC CATHETER

5 CC, 2-WAY

12 fr – 24 fr (even numbers)

7 years follow up of 30 LoFric patients, Waller et al. 1995.

16˝ MALE CASE QTY.

96/cs

8 fr – 18 fr (even numbers) 16˝ COUDÉ

271

UROLOGICAL

Cure Catheter®

WELLSPECT HEALTHCARE (AH) LATEX FREE LoFric® Hydro-Kit™ Hydrophilic Catheter Kit with Water Sachet Hydrophilic single-use intermittent catheter designed to reduce urethral trauma. Unique Urotonic™ Surface Technology allows the smooth water layer to stay intact during the entire catheterization, which reduces friction up to 95% compared to conventional catheters. The only catheter clinically proven to reduce the risk of long-term complications.1 All-in-one closed system that includes a sterile water sachet, handling aid and 1,000-mL urine collection bag. Ideal for use when it’s not convenient to go to the bathroom. Single use only. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 8 fr catheter would be 421 0 8 40. 1

CASE QTY.

300/cs 300/cs 300/cs

8 fr 10 fr – 18 fr (even numbers)

M8 M_ _

A4351 A4351

ea ea

300/cs 300/cs

M_ _C

A4352

300/cs

983_ _40

A4353

40/cs

9830840 987_ _40

A4353 A4353

ea ea

40/cs 40/cs

Sterile, single-use catheter. Features no-drip, no-mess pre-lubricated straight catheter with smooth, polished eyelets in an attractive package with easy, twist-open top. A universal funnel end provides ease of use. Now, available with insertion kit supplies. The kit includes a nonstaining BZK wipe, gloves, underpad and collection bag with universal connector. Note: Replace the _ _ with the desired size when ordering. For example, the item number for a 10 fr catheter would be T 1 0 K.

ITEM #

HCPCS

SOLD BY

CASE QTY.

444 _ _ 40

A4352

120/cs

HCPCS

SOLD BY

CASE QTY.

A4351

120/cs

CURE MEDICAL

(CQ)

All Cure Medical catheters feature smooth, fire-polished eyes to ensure comfortable catheterization and are not made with DEHP, BPA or natural rubber latex.

Hydrophilic Cure Catheter Offers all the benefits of all Cure Catheters®: smooth eyelets, not made with DEHP, BPA or natural rubber latex. Offers a smooth hydrophilic coating that features instant hydration, an advancer sleeve and purified water packet. Note: Replace the _ _ with the desired size when ordering. For example, the item number for a 12 fr catheter with straight tip would be HM 1 2. ®

ITEM #

HCPCS

SOLD BY

CASE QTY.

A4351

300/cs

A4351

300/cs

A4352

300/cs

PEDIATRIC 10˝ SINGLE HYDROPHILIC CATHETERS

HP_ _

MALE 16˝ SINGLE HYDROPHILIC CATHETER

HM_ _

MALE 16˝ SINGLE HYDROPHILIC CATHETER, COUDÉ

272

ea ea ea

Cure Twist®

12 fr – 16 fr (even numbers only)

A4351 A4351 A4351

40/cs

416 _ _ 50

12 fr – 16 fr (even numbers only)

8 fr 10 fr – 18 fr (even numbers) No connector, 14 fr

ITEM #

8 fr – 14 fr

F8 F_ _ F14NC

6˝ STRAIGHT FEMALE

A4353

6˝ STRAIGHT FEMALE CATHETER

300/cs 300/cs

423_ _40

LATEX FREE

8 fr – 14 fr (even numbers)

ea ea

16˝ COUDÉ MALE

™

A4351 A4351

40/cs

LoFric Sense Hydrophilic Catheter with Water Sachet Hydrophilic single-use intermittent catheter designed to reduce urethral trauma. Unique Urotonic™ Surface Technology allows the smooth water layer to stay intact during catheterization. Female catheter is extra small and discreet, yet still long enough to empty the bladder completely. Includes everything needed for safe and comfortable catheterization anywhere. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be 416 0 8 50. ®

P8 P_ _

16˝ COUDÉ TIP CATHETER

10 fr – 18 fr (even numbers)

8 fr 10 fr – 16 fr (even numbers)

A4353

LATEX FREE LoFric® Origo™ Coudé Hydrophilic Catheter with Water Sachet Hydrophilic single-use intermittent catheter designed to reduce urethral trauma. Unique Urotonic™ Surface Technology allows the smooth water layer to stay intact during catheterization. Discreetly packaged and foldable, easy to carry and use anywhere. Unique Insertion Grip provides extra control with no need to touch the catheter tube, ensuring safe and hygienic catheterization. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr catheter would be 444 1 0 40.

CASE QTY.

421_ _40

16˝ COUDÉ TIP CATHETER

8 fr 10 fr – 18 fr (even numbers)

SOLD BY

16˝ STRAIGHT MALE CATHETER

10 fr – 18 fr (even numbers)

HCPCS

8˝ STRAIGHT FEMALE CATHETER

8 fr – 18 fr (even numbers)

ITEM #

8˝ STRAIGHT PEDIATRIC CATHETER

8 fr – 10 fr (even numbers)

10˝ STRAIGHT PEDIATRIC

16˝ STRAIGHT MALE

7 years follow up of 30 LoFric patients, Waller et al. 1995.

Sterile, single-use catheters feature fire-polished eyelets and funnel ends for both male, female and pediatric. Note: Replace the _ _ with the desired size when ordering. For example, the item number for a 10 fr catheter would be P 1 0.

HM_ _C

10 fr – 18 fr (even numbers)

ITEM #

HCPCS

SOLD BY

8 fr 10 fr – 16 fr

T8K T_ _ K

A4353 A4353

ea ea

CASE QTY.

90/cs 90/cs

Cure Ultra® Sterile, single-use, ready-to-use catheter in a small, easy open package. Features polished eyelets on a pre-lubricated straight tip and a unique “no roll” funnel end. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr catheter would be ULTRA 1 0.

ITEM #

HCPCS

SOLD BY

6˝, 8 fr 6˝, 10 fr – 16 fr 16˝, 8 fr 16˝, 10 fr – 18 fr

ULTRA8 ULTRA_ _ ULTRAM8 ULTRAM_ _

A4353 A4353 A4353 A4353

ea ea ea ea

CASE QTY.

30/bx 30/bx 30/bx 30/bx

Cure Catheter® Closed System – Single Features fire-polished eyelets on a straight, prelubricated catheter tip with integrated, 1,500-mL collection bag. Does not include insertion supplies. Note: Replace the _ _ with the desired size when ordering. For example, the item number for a 10 fr catheter would be CB 1 0.

ITEM #

HCPCS

SOLD BY

CASE QTY.

8 fr 10 fr – 16 fr (even numbers)

CB8 CB_ _

A4353 A4353

ea ea

100/cs 100/cs

Cure Catheter® Closed System – Kit Features fire-polished eyelets on a straight or coudé, prelubricated catheter tip with integrated, 1,500-mL collection bag. Includes gloves, underpad, three PVP swabsticks, BZK wipe, 1,500-mL bag and gauze. Note: Replace the _ _ with the desired size when ordering. For example, the item number for a 10 fr catheter would be CS 1 0.

ITEM #

HCPCS

SOLD BY

CASE QTY.

8 fr 10 fr – 16 fr (even numbers) 14 fr coudé

CS8 CS_ _ CS14C

A4353 A4353 A4353

ea ea ea

100/cs 100/cs 100/cs

READY-TO -USE • NO MESS!

Cure Ultra®

FOR MEN AND WOMEN Men: 16” 8 -18 FR Women: 6” 8-14 FR

NEW! Like all Cure Medical catheters, the ready-to-use Cure Ultra® for men and women features many innovations and benefits for users and healthcare providers.

• The flexible Cure Ultra package features an easy tear top that serves a large user base. • The small package is portable for users. Its light weight (compared to a traditional hydrophilic catheter package) reduces shipping costs.

• A proprietary CoverAll™ application process provides even distribution of lubricant for ‘No Drip/No Mess’ cathing.

• Smooth, fire-polished eyelets on the pre-lubricated, straight catheter tip increase comfort. • A unique, ‘No Roll’ connector/funnel end offers secure, clean, confident use. • The Cure Ultra catheter for men includes a gripper sleeve for controlled, clean use. Additionally, the catheter will not kink when bent.

• Like all Cure Medical products, the Cure Ultra is made of high quality materials – not made with DEHP*, BPA, or natural rubber latex.

FACTURE NU

U R PA

*See CA EPA Office of Env. Health Hazard Assessment List of Chemicals Known to the State to Cause Cancer or Reproductive Toxicity, Dec. 8, 2006.

June 2017 • 900,100 - B

Cure Medical is your partner and your manufacturer, and we always will be!

ER.

YOUR MA

The unprecedented Cure Medical Commitment to donate 10% of net income to medical research in pursuit of a cure for spinal cord injuries and central nervous system disorders enables you to offer your customers the best benefit of all – the potential for a cure.

UROLOGICAL

CURE MEDICAL® (CQ) All Cure Medical catheters feature smooth, fire-polished eyes to ensure comfortable catheterization and are not made with DEHP, BPA or natural rubber latex.

Cure Medical® Pocket Catheter Flexible, U-shaped, sterile, single-use catheter with polished eyelets on a straight or coudé tip. Unique shape discreetly fits in a pants pocket or small bag. Available as a single (U), with lubricant (UL), extra long with lubricant (XL), and as a kit (UK). Kit includes a nonstaining BZK wipe, one packet of lubricating jelly, one pair of ambidextrous gloves, a collection bag and an underpad. Note: Replace the _ _ with the desired size when ordering. For example, the item number for a 12 fr catheter would be M 1 2 U.

ITEM #

HCPCS

SOLD BY

M_ _U

A4351

300/cs

A4351

300/cs

A4353

90/cs

A4351

N/A

A4351

300/cs

16˝ POCKET CATHETER WITH LUBRICANT, STRAIGHT TIP

14 fr

M14UL

16˝ POCKET CATHETER WITH INSERTION KIT, STRAIGHT TIP

14 fr

M14UK

ITEM #

HCPCS

SOLD BY

CASE QTY.

8 fr – 18 fr (even numbers)

(68)4006_ _

A4351

100/cs

Curity Ultramer Urethral Red Rubber Coudé Catheters Sterile, latex, red rubber catheters feature hydrophilic, lubricious coating and two opposing eyes. For single use only. 12˝. 14 fr. ™

™

ITEM #

HCPCS

SOLD BY

(68)8403 A4352 ea

CASE QTY.

16˝ POCKET CATHETER SINGLE, STRAIGHT TIP

12 fr – 16 fr, (even numbers only)

LATEX FREE Robinson Urethral Catheter Made from clear PVC material for easy visualization of contents. Staggered eyes. Vinyl; sterile. 16˝. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be (68)4006 0 8.

CASE QTY.

12/cs

Kenguard™ Urethral Catheterization Trays (Open) Trays feature peel-back lid, underpad, waterproof drape, lubricating jelly, Safeskin™ Blue Nitrile™ exam gloves and specimen container.

25˝ EXTRA LONG POCKET CATHETER WITH LUBRICANT, STRAIGHT TIP

14 fr

M14XL

16˝ POCKET CATHETER WITH LUBRICANT, COUDÉ TIP

12 fr – 16 fr

M_ _UCL

Cure Catheter® Insertion Kit Sterile, single-use insertion kit includes a nonstaining BZK wipe, one packet of lubricating jelly, one pair of ambidextrous gloves and an underpad. K1 includes resealable, disposable bag. K2 includes a 1,500-mL collection bag.

ITEM # HCPCS

SOLD BY

CASE QTY.

With disposable bag Bag with connector

K1 K2

ea ea

100/cs 100/cs

A4310 A4310

Cure Medical® Extension Tube Non-sterile, flexible 29˝ tube easily connects to any catheter to facilitate draining.

ITEM # HCPCS

ET1 A4351 ea

SOLD BY

CASE QTY.

30/cs

MEDTRONIC (61/68) INTERMITTENT CATHETERS Dover™ Red Rubber Robinson Catheters Sterile, 16˝, latex, red rubber catheters are radiopaque and feature two opposing eyes; smooth, rounded tip; and an integral, tapered funnel end. For single use only.

ITEM #

HCPCS

SOLD BY

CASE QTY.

14 fr 16 fr 20 fr

(61)660143 (61)660168 (61)660218

A4351 A4351 A4351

ea ea ea

100/cs 100/cs 100/cs

LATEX FREE Dover™ Rob-Nel™ Latex-Free Catheters Sterile, 16˝ catheter is radiopaque and made of a thermosensitive, poly/vinyl (PVC) material. Features include a smooth, rounded tip; two staggered eyes; and an integral, tapered funnel end. For single use only.

ITEM #

HCPCS

SOLD BY

CASE QTY.

8 fr 10 fr 12 fr 14 fr 16 fr 18 fr

(61)492017 (61)492025 (61)492033 (61)492041 (61)492058 (61)492066

A4351 A4351 A4351 A4351 A4351 A4351

ea ea ea ea ea ea

100/cs 100/cs 100/cs 100/cs 100/cs 100/cs

274

ITEM #

HCPCS

14 fr, clear vinyl catheter with BZK swabsticks 14 fr, red rubber latex catheter with BZK swabsticks 14 fr, clear vinyl catheter with PVP swabsticks 14 fr, red rubber latex catheter with PVP swabsticks Add-a-catheter with PVP swabsticks Add-a-catheter with BZK swabsticks

(68)75000 (68)75005 (68)75030 (68)75035 (68)75010 (68)75020

A4353 ea A4353 ea A4353 ea A4353 ea A4310 ea A4310 ea

SOLD BY

CASE QTY.

20/cs 20/cs 20/cs 20/cs 20/cs 20/cs

MALE EXTERNAL CATHETERS Uri-Drain™ Standard Male External Catheters Offer a large-diameter connector and large, reinforced funnel area. Feature molded, one-piece construction and natural, latex-rolled sheath. Individually packaged. Include foam strap. Standard (1.3˝ diameter).

ITEM #

(61)732300 A4349 ea 144/cs

HCPCS

SOLD BY

CASE QTY.

Texas Catheter™ Male External Catheters Made of a soft, lightweight latex. Drainage connector allows attachment to both connective tubing or a collection bag. Feature a hard plastic tip. Catheter without foam strap requires a method of attachment.

ITEM #

(61)730200 A4349 ea 144/cs

HCPCS

SOLD BY

CASE QTY.

FOLEY CATHETERS Kenguard Silicone-Coated Foley Catheters Silicone coating provides a smooth exterior shaft and facilitates insertion. 17˝, 5 cc, two-way, silicone coated. ™

ITEM #

HCPCS

SOLD BY

16 fr 18 fr

(68)3560 (68)3563

A4338 A4338

ea ea

CASE QTY.

10/cs 10/cs

LATEX FREE Dover™ 100% All-Silicone Foley Catheters Sterile, 100% silicone catheters are ideal for those allergic to latex products. Nonadherent, nonreactive material reduces incidence of encrustation, urethritis and urethral stricture. Packaged in an outer peel-back pouch and easy-to-open inner sheath. Color-coded inflation valve accepts Luer lock and Luer slip syringes. 5-cc balloon, 17˝.

ITEM #

HCPCS

SOLD BY

14 fr 16 fr 18 fr 26 fr

(61)605148 (61)605163 (61)605189 (61)605262

A4344 A4344 A4344 A4344

ea ea ea ea

CASE QTY.

10/cs 10/cs 10/cs 10/cs

UROLOGICAL

IRRIGATION SUPPLIES

MEDTRONIC (61/68) LATEX FREE Foley Catheter Accessories Plug occludes catheter drainage lumen. Adjustable foam strap prevents premature catheter removal and features a hook-and-loop closure.

ITEM #

Curity™ catheter plugs Dover™ catheter leg strap

(68)1600 A9270 (61)600149 A4334

HCPCS

SOLD BY

ea ea

CASE QTY.

50/cs 10/cs

LATEX FREE Mono-Flo™ Anti-Reflux Device Add-A-Foley Trays Include standard prep tray, 2,000-mL drain bag, Safeskin™ Blue Nitrile™ exam gloves and 10-cc prefilled syringe. Mono-Flo™ Anti-Reflux valve automatically closes when bag is tilted, lifted or laid on its side. Large-diameter drip chamber provides dry barrier against bacteria and facilitates the passage of clots. Safeguard™ Needleless Urine Sampling Port provides maximum protection, eliminates needlesticks, and is convenient and easy to use. Feature Safeguard™ Plus Luer Lock Port. Splashguard II™ Drain Spout effectively protects against accidental contact with urine, and opens and closes easily with one hand. Drain spout features back vents to keep chamber dry to help prevent bacterial growth.

ITEM #

HCPCS

SOLD BY

(68)6176LL A4354 ea

CASE QTY.

10/cs

LATEX FREE Kenguard™ Foley Catheterization Trays Contain CSR wrap; 2,000-mL drain bag; absorbent underpad; latex-free gloves; fenestrated drape; three PVI swabsticks; lubricating jelly; 5-g pouch; specimen container with cap; and a 10-cc prefilled syringe.

ITEM #

HCPCS

Irrigation Trays and Syringes Irrigation trays utilized for bladder and/or wound irrigation.

SOLD BY

CASE QTY.

(68)3515 A4354 ea

10/cs

1,200-cc tray, lidded

5-CC SILICONE-COATED LATEX FOLEY CATHETER, ANTIREFLUX CHAMBER

16 fr 18 fr

(68)3716 (68)3718

A4314 A4314

ea ea

10/cs 10/cs

HCPCS

SOLD BY

10-cc syringe (68)76010 A4310 ea 30-cc syringe (68)76000 A4310 ea

CASE QTY.

HCPCS

A4320

SOLD BY

With 10-cc prefilled syringe (68)5029 A4310 ea With 10-cc prefilled syringe and three BZK swabsticks (68)7100 A4310 ea With 30-cc prefilled syringe (68)5027 A4310 ea

CASE QTY.

20/cs 20/cs 20/cs

CASE QTY.

20/cs 20/cs 20/cs 20/cs 20/cs

STERILE 60-CC SYRINGES WITH PROTECTOR CAP, INDIVIDUALLY WRAPPED

Bulb Piston

(68)67000 A4322 ea (68)68000 A4322 ea

50/cs 50/cs

Piston Irrigation Syringe Tray Includes 1,200-cc tray with lid, 500-cc graduated container, waterproof drape, 60-cc plastic syringe, alcohol prep wipe and protector cap.

ITEM #

HCPCS

SOLD BY

(68)68800 A4320 ea

CASE QTY.

20/cs

LEG/NIGHT DRAINAGE BAGS LATEX FREE Curity™ Urinary Leg Bags Contain antireflux valve. Longer catheter adapter for greater security with all types of catheters. Twist valve for easier emptying and less spill; no bottom cap to lose or misplace. ITEM #

HCPCS

500 mL (17 oz.) (68)145514 A4358 730 mL (25 oz.) (68)145516 A4358

SOLD BY

ea ea

CASE QTY.

50/cs 50/cs

LATEX FREE Dover™ Urine Leg Bags with Sterile Fluid Path Feature an antireflux valve, twist valve at the bottom, sterile fluid pathway and latex-free leg straps.

20/cs 20/cs

Curity™ Universal Catheter Trays Trays contain CSR wrap, underpad, Safeskin™ Blue Nitrile™ gloves, fenestrated drape, 10% PVP solution, prepping balls, forceps, lubricating jelly, prefilled water syringe, specimen container and graduated basin. ITEM #

(68)67800

LATEX FREE Kenguard™ Universal Catheter Insertion Trays Contain underpad, latex-free gloves, fenestrated drape, lubricating jelly, three PVI swabsticks and granulated basin. ITEM #

SOLD BY

1,200-cc tray, lidded (68)68800 A4320 ea 1,200-cc tray with iodophor PVP prep pad, CSR wrapped (68)68803 A4320 ea 1,200-cc tray with 100-mL sterile saline, lidded (68)68820 A4320 ea Mini tray (68)3685 A4320 ea

INSERTION TRAYS

HCPCS

60-CC PISTON SYRINGE IRRIGATION TRAYS

ADD-A-CATH™ WITH ITEM # 3502 DRAIN BAG

ITEM #

60-CC BULB IRRIGATION TRAYS

ITEM #

HCPCS

Medium (17 oz.) (61)601121 A4358 Large (25 oz.) (61)601139 A4358

SOLD BY

ea ea

CASE QTY.

20/cs 20/cs

LATEX FREE Uri-Drain™ Reusable/Deluxe Leg Bags Feature an antireflux valve, heat-welded seams, a tapered design with flocked vinyl backing and a 5˝ draining tube with thumb-release clamp. Short, permanently bonded connector has backing flap. Large bag has expandable, pleated sides.

ITEM #

HCPCS

SOLD BY

Small (9 oz.) Medium (17 oz.) Large (25 oz.)

(61)733100 (61)733200 (61)733900

A4358 A4358 A4358

ea ea ea

CASE QTY.

24/cs 24/cs 24/cs

LATEX FREE Curity™ Bedside Drainage Bags 2,000-mL drainage bag with antireflux chamber. Splashguard II™ Drain Spout prevents urine backsplash.

ITEM #

HCPCS

SOLD BY

CSR wrapped

(68)6206

A4357

CASE QTY.

20/cs

275

UROLOGICAL

MEDTRONIC (61/68) LATEX FREE Curity™ Mono-Flo™ Bedside Drainage Bag CSR-wrapped drainage bag holds 2,000 mL. Mono-Flo™ Anti-Reflux Valve automatically closes when bag is tilted, lifted or laid on its side. Splashguard II™ Drain Spout prevents urine backsplash. Safeguard™ Needleless Sampling Port prevents needlesticks.

ITEM #

(68)6208 A4357 ea

HCPCS

SOLD BY

CASE QTY.

20/cs

LATEX FREE Kenguard™ Urinary Drainage Bags Contoured design for more even filling and complete emptying. 11 ⁄32˝ drainage tube provides quick drainage and eliminates standing column of urine. Universal hanger fits securely on bedrails and wheelchairs. Convenient carrying handle for ambulatory. 2,000 cc.

ITEM #

With antireflux chamber, latex-free (68)3512 With port without antireflux chamber (68)3502

HCPCS

SOLD BY

A4357 A4357

ea ea

Enema Bags

ITEM #

HCPCS

SOLD BY

8 fr – 10 fr Mini-pak (even numbers)

321_ _

A4353

100/cs

MTG Instant Cath

Vinyl, prelubricated catheter with fire-polished eyelets. 1,500-cc, closed-system collection bag with introducer tip to reduce UTI risk. Kit contains BZK prep, vinyl gloves, gauze and underpad. Mini-pak includes privacy bag for discreet disposal. Sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be 221 1 2.

20/cs 20/cs LATEX FREE

CASE QTY.

ITEM #

HCPCS

SOLD BY

1,500-cc polyethylene bags feature flip-top, slide-lock closure. Nonsterile with attached 24 fr, 60˝ enema tube and depth mark 5˝ from prelubricated tip.

12 fr – 16 fr (even numbers) 12 fr – 16 fr Mini-pak (even numbers)

221_ _ 121_ _

A4353 A4353

ea ea

100/cs 100/cs

12 fr – 16 fr (even numbers)

226_ _

A4353

100/cs

ITEM #

HCPCS

SOLD BY

CASE QTY.

Enema bag (68)145541 A4458 50/cs With Castile soap and underpad (68)145540 A4458 50/cs

N/A N/A

Uri-Drain™ Connective Tubing Reusable, 18˝ PVC tubing with adapter.

ITEM #

(61)731900 A4331 ea

HCPCS

SOLD BY

CASE QTY.

24/cs

MTG (NB) All MTG urological products are latex-free unless otherwise noted.

Vinyl, prelubricated catheter with fire-polished eyelets. 1,500-cc, closed-system collection bag with introducer tip to reduce UTI risk. Kit contains BZK prep, vinyl gloves, gauze and underpad. EZ-Advancer® valve prevents retraction during insertion. Mini-pak includes privacy bag for discreet disposal. Sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be 321 1 2.

ITEM #

HCPCS

SOLD BY

12 fr – 16 fr (even numbers) 12 fr – 16 fr Mini-pak (even numbers)

321_ _ 421_ _

A4353 A4353

ea ea

CASE QTY.

100/cs 100/cs

301_ _

A4353

100/cs

CATHETER ONLY

12 fr – 16 fr Mini-pak (even numbers)

MTG Cath-Lean® Female Catheter Female-length, vinyl, prelubricated catheter with fire-polished eyelets. 700-cc, closed-system collection bag with introducer tip to reduce UTI risk. Kit contains BZK prep, vinyl gloves, gauze and underpad. EZ-Advancer® valve prevents retraction during insertion. Mini-pak includes privacy bag for discreet disposal. Sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be 424 1 2.

ITEM #

HCPCS

SOLD BY

12 fr – 14 fr Mini-pak (even numbers)

424_ _

A4353

CASE QTY.

100/cs

CASE QTY.

COUDÉ TIP

MTG EZ-Gripper® Catheter Vinyl, prelubricated catheter with fire-polished eyelets. 1,500-cc, closed-system collection bag with introducer tip to reduce UTI risk. Kit contains BZK prep, vinyl gloves, gauze and underpad. Gripping device on outside of bag allows those with limited hand dexterity to self-catheterize. Sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be 521 1 2.

ITEM #

HCPCS

SOLD BY

12 fr – 16 fr (even numbers)

521_ _

A4353

CASE QTY.

50/cs

MARPAC (NX)

LATEX FREE

MTG EZ-Advancer® Catheter

276

MTG Kiddie-Kath® Pediatric Catheter Pediatric-length, vinyl, prelubricated catheter with fire-polished eyelets. 700-cc, closed-system collection bag with introducer tip to reduce UTI risk. Kit contains BZK prep, vinyl gloves, gauze and underpad. EZ-Advancer® valve prevents retraction during insertion. Mini-pak includes privacy bag for discreet disposal. Sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be 321 0 8.

LATEX FREE Foley Catheter Tube Holder Leg Bands Reduce indwelling Foley catheter irritation and discomfort. Quick, reliable securement and easy movement from leg to leg. Products are available in two sizes to maximize comfort. The 400 Standard Leg Band is made of comfortable elastic with a Velcro® locking device for simple securement. The 410 Premium Leg Band is made of a wider and longer elastic band with a locking device that securely grips even difficult-to-hold tubes (such as small diameter and pediatric tubes) while providing a flexible joint for the comfort of more active users. Fit a leg up to 28˝.

ITEM #

HCPCS

SOLD BY

CASE QTY.

400 Standard, 2˝ x 24˝ with Velcro® locking device 410 Premium, 21⁄4˝ x 26˝ with foam locking device

400D 410D

A4334 A4334

10/bx 10/bx

N/A N/A

SAFE N SIMPLE™ (RR) Skin Barrier No-Sting Film Alcohol-free liquid absorbed into large, soft wipes that create a transparent film on skin. Synthetic, protective barrier to adhesives, friction and body fluids. Increase adhesion of tapes and wafers. Gentle and scent-free. Individually packaged. 1 g liquid per wipe. Also available in 2-oz. spray.

ITEM #

Wipes 2-oz. bottle

SNS00807 A5120 25/bx 24/cs SNS80792 A4369 ea 24/cs

HCPCS

SOLD BY

CASE QTY.

UROLOGICAL

SAFE N SIMPLE™ (RR) No-Sting Skin Barrier Wipes – Sachets Now available in a convenient sachet. An alcohol-free liquid absorbed into a wipe that creates a transparent film on the skin. The transparent film that forms on the skin once the liquid dries is a synthetic protective skin barrier film to adhesives, friction and body fluids. Increase adhesion of tapes and wafers. Gentle, convenient and scent-free. 1 g of liquid in each wipe.

ITEM #

SNS80725 SNS80775 SNS80744

HCPCS

SOLD BY

CASE QTY.

A5120 25/bx 100/cs A5120 75/bx 100/cs A5120 100/bx 100/cs

LATEX FREE Posey Drainage Bag Straps Soft, non-slip foam strap. Helps hold most drainage bags on the leg. Hook and loop fasteners for easy application and placement. One size fits most. Washable. 30˝ L x 11⁄2˝ W.

ITEM #

HCPCS

8142

A5114 pair

ITEM #

HCPCS

SOLD BY

2-oz. bottle 8-oz. bottle

SNS40202 SNS40208

A4394 A4394

ea ea

ITEM #

HCPCS

SOLD BY

⁄4-oz. travel packet 4-oz. bottle, unscented 8-oz. bottle, gel

SNS41425 SNS41404 SNS41408

A4394 A4394 A4394

ea ea ea

DALE® MEDICAL PRODUCTS, INC. (DA) Dale Hold-n-Place® Foley Catheter Holders Save time for nurse or caregiver. Stabilize the indwelling catheter, reducing the likelihood of traumatic removal, without restricting movement or irritating the skin. ®

ITEM #

Legband, fits up to 20˝ 316 Legband/Waistband, fits up to 56˝ 330 Adhesive Patch – one size fits most 150

HCPCS

SOLD BY

CASE QTY.

A4334 A4335 A4333

10/bx 10/bx 50/bx

N/A N/A N/A

CORE PRODUCTS (95) Nelmed Urine Bag Support Provide two 2˝ wide bands lined with soft elastic that won’t slip, irritate skin or pull leg hair. 2˝ banding helps prevent “tourniquet effect” that common latex straps can cause. Two-button design fits most urinary bags. Adjustable hook-and-loop straps are machine washable. Thigh Support fits up to 31˝ (79-cm) upper thigh and 26˝ (66-cm) lower thigh; Calf Support fits up to 20˝ (51-cm) upper calf and 17˝ (43-cm) lower calf. Urinary bags not included.

ITEM #

HCPCS

SOLD BY

Calf Support Thigh Support

NEL1360 NEL1375

A4335 A4335

ea ea

HCPCS

SOLD BY

ITEM #

A4335 A4335

ea ea

N/A N/A

131⁄2˝ L x 101⁄2˝ W, with straps 8215V A4335

N/A

131⁄2˝ L x 101⁄2˝ W, with straps 8215 11˝ L x 10˝ W, without straps 8275

CASE QTY.

6/cs 6/cs

POSEY® (82)

CASE QTY.

VINYL

URESIL

(US)

LATEX FREE 600 mL Gravity Drainage Bags Stretchable tubing can be cut to desired length. Easy twist-open and close empty port. Soft, comfortable hook-and-loop waist belt for comfort.

CASE QTY.

400/cs 24/cs 12/cs

N/A

CANVAS

CASE QTY.

24/cs 12/cs

CASE QTY.

LATEX FREE Wheelchair Drainage Bag Holder/Cover Canvas or vinyl holder discreetly hides urine drainage bag. Fits most drainage bags. Item # 8275 has a vinyl window. Machine washable.

Appliance Deodorant Odor control with no perfume or artificial scents for discreet protection. Convenient tilt-tip dispenser bottle. Formulation helps to empty pouch contents and provides odor control.

SOLD BY

ITEM #

HCPCS

SOLD BY

20˝ tubing 36˝ tubing

TC600 TC600L

A4358 A4358

ea ea

CASE QTY.

20/cs 20/cs

LATEX FREE Tru-Close® Suction Drainage Systems Compact and self-contained system allows complete user ambulation. Closed-system design reduces the chance of cross-contamination.

ITEM #

HCPCS

SOLD BY

CASE QTY.

500 mL 1,000 mL 300 mL, empty port 500 mL, empty port

TCS500 TCS1000 TCS300D TCS500D

A7048 A7048 A7048 A7048

10/bx 10/bx 10/bx 10/bx

N/A N/A N/A N/A

LATEX FREE Percutaneous Drainage Catheter Connector Tubing 36˝ section of bubble tubing with a standard Luer-lock connector on one end and flange or bubble on the other to connect to a 2-L urinary bag for overnight drainage.

ITEM #

HCPCS

PDC36

A4649 10/bx N/A

SOLD BY

CASE QTY.

LATEX FREE “Y” Connector Tubing Sets for Bilateral Drainage “Y” connector attached to a 20˝ piece of silicone drain tubing to be used for bilateral drainage into the UreSil® TC600 gravity drainage bag (Item # TC600).

ITEM #

HCPCS

TCY2

A4649 5/bx N/A

SOLD BY

CASE QTY.

LATEX FREE Tru-Fix® Replacement Adhesive Tape Replacement adhesive dressing to be used with the UreSil® TFK-XX catheter fixation device.

ITEM #

HCPCS

TFDR

A4649 20/bx N/A

SOLD BY

CASE QTY.

LATEX FREE Foam Catheter Tube Holder Straps Soft and comfortable foam strap helps secure a urinary catheter or drainage tubes. Help prevent accidental pulling. Hook-and-loop fasteners for easy application and placement. Washable. 30˝ L x 11⁄2˝ W.

ITEM #

HCPCS

8143

A4334 ea

SOLD BY

CASE QTY.

N/A

277

UROLOGICAL

ALBERT MEDICAL DEVICES LTD (XU) Melio Self Emptying Leg Bag System Controller Pack Innovative system gives catheter users a new level of independence, control and dignity. A unique integrated level sensor alerts users when the bag is getting full, and a built-in pump empties the leg bag simply by pushing a button or with a wave of a magnetic bracelet. No mess, no embarrassing leaks and no need to bend down. This eliminates hassle and anxiety, is easy to use, and encourages proper hydration without dangerous back flows. The controller is rechargeable and is designed to last for years with reasonable care. Each controller pack contains one controller unit, one power supply unit, instructions for use and an instructional DVD. Consumables kits are sold separately. ®

ITEM #

HCPCS

SOLD BY

Z1001

A9189, A9280

CASE QTY

N/A

Melio Self Emptying Leg Bag System Consumable Pack Innovative system gives catheter users a new level of independence, control and dignity. A unique integrated level sensor alerts users when the bag is getting full, and a built-in pump empties the leg bag simply by pushing a button or with a wave of a magnetic bracelet. No mess, no embarrassing leaks and no need to bend down. This eliminates hassle and anxiety, is easy to use, and encourages proper hydration without dangerous back flows. Each unit contains two Melio System leg bags, one Melio System reusable thigh strap, two Melio System night bags, two silicone night bag connectors, two extension tubes (18˝ long), two Melio System replacement leg straps, one bag hanger and instructions for use. ®

ITEM #

HCPCS

SOLD BY

Z1003 A4335

CASE QTY

N/A

TYTEX (TYT) CareFix Care Bag Lightweight stretch support garment with an inner pocket for safe retention of urinary leg bags and bottom drainage opening. Tension is distributed evenly around the leg. Flexible fabric is comfortable and non-irritating to the skin. Washable. Does not contain latex. ®

ITEM #

HCPCS

Small, 12˝ – 171⁄2˝ 09120101 A4335 Medium, 171⁄2˝ – 251⁄2˝ 09120301 A4335 Large, 211⁄2˝ – 311⁄2˝ 09120501 A4335

SOLD BY

CASE QTY

ea ea ea

20/cs 20/cs 15/cs

CORPAK MEDSYSTEMS (CP) CORSTOP a.c.e. stoppers Soft and comfortable silicone plug used to seal stoma sites and maintain stoma tract patency, in-between catheter insertions. For those utilizing ACE (antegrade continence enema), MACE (Malone antegrade continence enema), caecostomy, Mitrofanoff, Monti and other similar procedures. Latex-, DEHP-, PVC- and BPA-free. CORSTOP™ 1.73˝ x 2.91˝ transparent hydrogel dressing is specifically designed for placement over the CORSTOP™ a.c.e. stoppers device, to provide securement and padding to the device. ™

ITEM #

HCPCS

SOLD BY

8 fr, 15 mm 8 fr, 30 mm 8 fr, 60 mm 10 fr, 15 mm 10 fr, 30 mm 10 fr, 60 mm 12 fr, 30 mm 12 fr, 60 mm 12 fr, 100 mm 14 fr, 30 mm 14 fr, 60 mm 14 fr, 100 mm CORSTOP™ Hydrogel Dressing

CS815 CS830 CS860 CS1015 CS1030 CS1060 CS1230 CS1260 CS12100 CS1430 CS1460 CS14100 CS01

B9998 B9998 B9998 B9998 B9998 B9998 B9998 B9998 B9998 B9998 B9998 B9998 A4649

ea ea ea ea ea ea ea ea ea ea ea ea ea

278

CASE QTY.

1/cs 1/cs 1/cs 1/cs 1/cs 1/cs 1/cs 1/cs 1/cs 1/cs 1/cs 1/cs 30/box

WOUND CARE ADVANCED WOUND CARE DRESSINGS

COMPRESSION DRESSINGS AND UNNA BOOTS

ABSORBENT DRESSINGS

Algidex Ag Silver Alginate Wound Dressing Thin Sheets ALLEVYN* Life Biatain Super Hydrocapillary Dressing CONFORMANT 2 Wound Veils Coverlet Flexible Fabric Adhesive Bandages Curity Cover Sponges Cutimed Sorbact and Sorbon DryMax Extra Superabsorbent Dressing FlivaSorb Super Absorbent Wound Dressing Kendall Zinc Calcium Alginate Dressings KerraMax Care Super-Absorbent Dressing Mepore and Mepore Pro Mextra Superabsorbent PRIMAPORE* Adhesive Nonwoven Wound Dressings PROFORE* Wound Contact Layers (WCL) Restore Contact Layer FLEX with TRIACT Technology Simpurity Polymer Pad Wound Dressing, Highly Absorbent Sofsorb Absorbent Wound Dressings Telfa “Ouchless” Adhesive Dressings Telfa “Ouchless” Non-Adherent Dressings Telfa Adhesive Island Dressings Telfa PLUS Island Dressings XTRASORB Super Absorbent Dressings

DeRoyal Industries, Inc. Smith & Nephew Coloplast Smith & Nephew Smith & Nephew Medtronic BSN medical, Inc. MPM Medical, Inc. Lohmann & Rauscher Medtronic Crawford Healthcare Mölnlycke Health Care Mölnlycke Health Care Smith & Nephew Smith & Nephew Hollister Wound Care Safe N Simple DeRoyal Industries, Inc. Medtronic Medtronic Medtronic Medtronic Derma Sciences

323 294 309 293 318 307 318 326 327 304 325 299 298 296 296 302 321 323 306 306 306 306 310

ANTIMICROBIAL DRESSINGS

ACTICOAT* 7 with SILCRYST Nanocrystalline Silver ACTICOAT* Absorbent Dressings with SILCRYST Nanocrystalline Silver ACTICOAT* Moisture Control with SILCRYST Nanocrystalline Silver ACTICOAT* Post-Op Silver-Coated Antimicrobial Barrier Dressing ACTICOAT* with SILCRYST Nanocrystalline Silver ALGICELL Ag Silver Alginate Dressings ALLEVYN* Ag Adhesive and Non-Adhesive Dressings Anasept Antimicrobial Skin & Wound Gel AQUACEL Ag EXTRA Hydrofiber Antimicrobial Dressing AQUACEL Ag Foam Dressings AQUACEL Ag SURGICAL Cover Dressings AQUACEL Ag SURGICAL Sp Biatain Ag Foam Dressings Biatain Alginate Ag Dressings Cutimed Sorbact Swab IODOFLEX* Cadexomer Iodine Pads Kendall AMD Antimicrobial Foam Dressings Kerlix AMD Rolls Kerlix AMD Super Sponges KerraCel Ag Gelling Fiber 100% CMC Dressing with AG OxySalts KerraCel Gelling Fiber Dressing KerraContact Ag Dressing MediPlus Comfort Foam Border Ag Island Dressing MediPlus Super Foam Ag Melgisorb Ag Antimicrobial Alginate Dressings Mepilex Ag Dressings PolyMem Silver Dressings PolyMem Wic Silver Dressings Restore Contact Layer Silver with TRIACT Technology SilvaSorb Sheets Silverlon Antimicrobial Calcium Alginate Dressings Silverlon Antimicrobial Island Dressings Silverlon Antimicrobial Wound Contact Dressings Silver-Sept Antimicrobial Skin & Wound Gel Simpurity Foam Wound Dressings – Ionic Silver Simpurity Silver Alginate Wound Dressings Sorbalgon Ag Silver Containing Calcium Dressings Supreme AG Calcium Alginate Dressing with Antibacterial Silver Telfa AMD Dressings Tranqulity ThinLiner Moisture Management Absorbent Sheets

BURN DRESSINGS

Mepitel Mepitel One Silverlon Burn Contact Dressings Spenco 2nd Skin Moist Burn Pads

Smith & Nephew 291 Smith & Nephew 291 Smith & Nephew 291 Smith & Nephew 291 Smith & Nephew 291 Derma Sciences 312 Smith & Nephew 294 Anacapa Technologies, Inc. 331 ConvaTec 289 ConvaTec 288 ConvaTec 289 ConvaTec 289 Coloplast 309 Coloplast 309 BSN medical, Inc. 318 Smith & Nephew 291 Medtronic 305 Medtronic 305 Medtronic 305 Crawford Healthcare 325 Crawford Healthcare 325 Crawford Healthcare 325 MediPurpose 286 MediPurpose 286 Mölnlycke Health Care 299 Mölnlycke Health Care 297 – 298 Ferris 316 Ferris 316 Hollister Wound Care 302 Medline Industries, Inc. 332 Argentum Medical 327 Argentum Medical 327 Argentum Medical 328 Anacapa Technologies, Inc. 331 Safe N Simple 320 Safe N Simple 320 HARTMANN USA 314 Skin Safe 287 Medtronic 305 Principle Business Enterprises, Inc. 329 Mölnlycke Health Care Mölnlycke Health Care Argentum Medical Spenco

297 – 298 297 328 332

CALCIUM ALGINATE DRESSINGS

ALGICELL Calcium Alginate Dressings ALGISITE* M Calcium Alginate Dressings Biatain Alginate Dressings CalciCare Calcium Alginate Cutimed Alginate KALTOSTAT Alginate Dressings Kendall Calcium Alginate Dressings MEDIHONEY Calcium Alginate Dressings ReliaMed® Alginate/CMC and Reinforcement Alginate Dressings Restore Calcium Alginate, Sterile Simpurity Alginate Wound Dressings Sorbalgon Calcium Alginate Dressings Suprasorb A + Ag Alginate Dressing

Derma Sciences Smith & Nephew Coloplast Hollister Wound Care BSN medical, Inc. ConvaTec Medtronic Derma Sciences ReliaMed® Hollister Wound Care Safe N Simple HARTMANN USA Lohmann & Rauscher

312 293 308 302 319 288 304 310 283 302 320 314 326

CHARCOAL AND ODOR CONTROL PRODUCTS

CarboFLEX Odor Control Dressings CarraScent

ConvaTec 290 Carrington 331

COLLAGEN DRESSINGS

BIOPAD Collagen Dressing BIOSTEP* AG Collagen Matrix Dressings with Silver BIOSTEP* Collagen Matrix Dressings ColActive Plus ColActive Plus Ag C-Pro 3D Collagen Wound Dressing Endoform Dermal Template Simpurity Collagen Dressing Pad & Particles Stimulen Collagen Powder Stimulen Enhanced Collagen Gel Triple Helix Collagen

Skin Safe Smith & Nephew Smith & Nephew Covalon Technologies Covalon Technologies DeRoyal Industries, Inc. Hollister Wound Care Safe N Simple Southwest Technologies, Inc. Southwest Technologies, Inc. MPM Medical, Inc.

287 296 296 287 287 324 300 320 322 322 326

COMPOSITE DRESSINGS

Alldress AQUACEL EXTRA Hydrofiber Wound Dressing Mesalt ReliaMed® Composite Barrier Dressings Repel Waterproof Composite Wound Dressings

Mölnlycke Health Care ConvaTec Mölnlycke Health Care ReliaMed® MPM Medical, Inc.

299 289 299 284 326

Artiflex Nonwoven Padding Bandage Cellona Synthetic Padding Comprilan Short Stretch Compression Bandages DeWrap Unna Boot Three-Layer Compression System Econo-Paste Conforming Zinc-Oxide Paste Bandages Elasto-Gel Cast/Splint Padding Gelocast The Original Unna’s Boot Isoband Finished Edge Bandages JOBST Comprifore Primer Modified Unna Boots Primer Unna-Pak PROFORE* Four-Layer Bandaging System PROFORE* LF Multi-Layer Compression Bandaging System PROFORE* Lite ReliaMed® Unna Boot Dressings Rosidal K Short Stretch Bandage and Soft Foam Padding Setopress SorBan Padding Bandage SurePress Absorbent Padding SurePress High Compression Bandage tg shape Tubular Bandage tg Tubular Bandage Tubigrip Arthro-Pad Tubigrip Multi-Purpose Tubular Bandage Tubigrip Shaped Support Bandages TwoPress Compression Bandaging System UNNA-FLEX Convenience Pack UNNA-FLEX Elastic Unna Boot VISCOPASTE* PB7 Zinc Paste Bandage

BSN medical, Inc. 319 Cenorin 327 BSN medical, Inc. 320 DeRoyal Industries, Inc. 324 HARTMANN USA 315 Southwest Technologies, Inc. 322 BSN medical, Inc. 319 BSN medical, Inc. 319 BSN medical, Inc. 319 Derma Sciences 314 Derma Sciences 314 Smith & Nephew 296 Smith & Nephew 296 Smith & Nephew 297 ReliaMed® 284 Lohmann & Rauscher 326 Mölnlycke Health Care 300 Derma Sciences 313 ConvaTec 288 ConvaTec 288 Lohmann & Rauscher 327 Lohmann & Rauscher 327 Mölnlycke Health Care 300 Mölnlycke Health Care 300 Mölnlycke Health Care 300 HARTMANN USA 315 ConvaTec 287 ConvaTec 287 Smith & Nephew 293

DRESSING RETENTION

Cardinal Health™ Three-Layer Compression Bandage System* CoFlex TLC Two Layer Compression Hypafix* Dressing Retention Rolls MT Spandage Tubular Elastic Retainer Net ReliaMed® Elastic Tubular Support Bandages ReliaMed® Pre-Cut Tubular Elastic Dressing Retainer (Perineum Panty) ReliaMed® Self-Adhesive Dressing Retention Sheet ReliaMed® Tubular Elastic Stretch Net Dressings Rosidal TCS Two Component Compression System SpandaGrip Tubular Support/Compression Bandage Stretch Net Tubular Elastic Bandage Surgilast Elastic Bandage Surgilast Pre-Cut Tubular Elastic Dressing Retainers Surgilast Tubular Elastic Dressing Retainers Tubifast Retention Bandage

FOAM DRESSINGS

ALLEVYN* Adhesive Dressings ALLEVYN* Gentle Border ALLEVYN* Gentle Hydrocellular Foam Dressings ALLEVYN* Non-Adhesive Hydrocellular Foam Dressings ALLEVYN* Non-Adhesive Tracheostomy Hydrocellular AQUACEL Ag Ribbon AQUACEL Foam Dressings AQUACEL Ribbon Biatain Foam Dressings Biatain Heel Foam Dressings Biatain Sacral Foam Dressings Biatain Soft-Hold Foam Dressings Elasto-gel Island Dressing Foam Lite Hydrofera Blue READY - Transfer Antibacterial Foam Hydrofera Blue Antibacterial Foam Hydrofera Blue Classic Antibacterial Foam HydroTac Foam Dressings Kendall Gentle Adhesion Border Foam Dressings Kendall Nonantimicrobial Sacrum Kendall Ultra-Soft Foam Dressings Kendall Ultra-Soft Foam Dressings with Topsheet Lyofoam Polyurethane Foam Sterile Dressings Mepilex XT MPM Medical Foam Dressings Multipad Non-Adherent Wound Dressings PermaFoam Foam Dressings Polyderm Hydrophilic foam Wound Dressings Polyderm Hydrophilic foam Wound Dressing with Border PolyMem Max Wound Care Dressings PolyMem Wic Wound Cavity Fillers PolyMem Adhesive Cloth-Backed Dressings PolyMem Adhesive Film Dressings PolyMem Finger/Toe Dressings PolyMem Non-Adhesive Dressings ReliaMed® Foam Dressings Restore Foam without Border with TRIACT Technology Restore LITE Foam without Border with TRIACT Technology Simpurity Foam Wound Dressings – Adhesive Border Simpurity Foam Wound Dressings – Non-Adhesive Sorbacell Foam XTRASORB Foam Dressings

Cardinal Health™ 282 Andover Healthcare 322 Smith & Nephew 292 Medi-Tech International Corp 329 ReliaMed® 284 ReliaMed® 285 ReliaMed® 285 ReliaMed® 285 Lohmann & Rauscher 327 Medi-Tech International Corp 329 DeRoyal Industries, Inc. 325 Derma Sciences 314 Derma Sciences 314 Derma Sciences 314 Mölnlycke Health Care 299 Smith & Nephew 294 Smith & Nephew 294 Smith & Nephew 294 Smith & Nephew 296 Smith & Nephew 296 ConvaTec 289 ConvaTec 288 ConvaTec 288 Coloplast 308 Coloplast 308 Coloplast 308 Coloplast 308 Southwest Technologies, Inc. 321 ConvaTec 290 Hollister Wound Care 300 Hollister Wound Care 300 Hollister Wound Care 302 HARTMANN USA 315 Medtronic 304 Medtronic 303 Medtronic 304 Medtronic 304 Mölnlycke Health Care 300 Mölnlycke Health Care 298 MPM Medical, Inc. 326 DeRoyal Industries, Inc. 323 HARTMANN USA 314 DeRoyal Industries, Inc. 323 DeRoyal Industries, Inc. 323 Ferris 316 Ferris 316 Ferris 316 Ferris 316 Ferris 316 Ferris 316 ReliaMed® 284 Hollister Wound Care 302 Hollister Wound Care 302 Safe N Simple 320 Safe N Simple 320 Derma Sciences 313 Derma Sciences 312

HYDROCOLLOID DRESSINGS

Comfeel Hydrocolloid Dressings Cutimed Hydro CUTINOVA* Hydro DuoDERM CGF Border Dressings DuoDERM CGF Sterile Dressings DuoDERM Extra Thin Dressings DuoDERM Signal Dressings DuoDERM Sterile Hydroactive Dressings Kendall Alginate Hydrocolloid Dressings MEDIHONEY Honeycolloid Dressings Physiotulle Wound Contact Layer Procol and Procol Thin Hydrocolloid Wound Dressing ReliaMed Hydrocolloid Dressings REPLICARE* Hydrocolloid Dressings REPLICARE* Thin Hydrocolloid Dressings REPLICARE* Ultra Advanced Hydrocolloid Alginate Dressings Restore Hydrocolloid Dressings Simpurity Hydrocolloid Wound Dressings Triad Hydrophilic Dressings

Coloplast BSN medical, Inc. Smith & Nephew ConvaTec ConvaTec ConvaTec ConvaTec ConvaTec Medtronic Derma Sciences Coloplast DeRoyal Industries, Inc. ReliaMed Smith & Nephew Smith & Nephew Smith & Nephew Hollister Wound Care Safe N Simple Coloplast

208 – 209 318 292 289 289 289 289 290 304 310 309 324 284 292 292 293 302 – 303 321 309

279

WOUND CARE XTRASORB HCS Dressings

Derma Sciences

312

HYDROGEL DRESSINGS

Algidex Ag Hydrogel Gauze Algidex Gel Cardinal Health™ Essentials Hydrogel* CarraGauze Dressings Cutimed Sorbact Gel Dermagran B Hydrophilic Wound Filler Dermagran Hydrogel Zinc Saline Wound Dressing Dermagran Hydrophilic Gauze Dressings Elasto-Gel Hydrogel Dressings Excel-Gel Hydrogel Dressing Horseshoe Shaped Dressings INTRASITE* Gel Amorphous Hydrogel Dressings Kendall Hydrogel Impregnated Gauze KerraLite Cool Hydrogel Moisture-Balancing Dressing MEDIHONEY HCS Shapes by PolyMem Shapes by PolyMem Tube-Site Dressings Simpurity Fibergel Wound Dressing SOLOSITE* Gel Conformable Wound Dressings Spand-Gel Hydrogel Sheets Spenco 2nd Skin Aquaheal Hydrogel Bandages TenderWet Active Toe-Aid Wound Gel Dressing with Vitamin E and Aloe Vera

DeRoyal Industries, Inc. 324 DeRoyal Industries, Inc. 324 Cardinal Health™ 283 Carrington 331 BSN medical, Inc. 318 Derma Sciences 310 Derma Sciences 310 Derma Sciences 310 Southwest Technologies, Inc. 322 MPM Medical, Inc. 326 Southwest Technologies, Inc. 322 Smith & Nephew 293 Medtronic 305 Crawford Healthcare 325 Derma Sciences 310 Ferris 316 Hollister Wound Care 316 Safe N Simple 321 Smith & Nephew 293 Medi-Tech International Corp 329 Spenco 332 Medline Industries, Inc. 331 Southwest Technologies, Inc. 321 AmeriDerm 331

HYDROGEL TUBE AND APPLICATOR SYSTEMS

Carrasyn Hydrogel Wound Dressing DuoDERM Hydroactive Gel DuoDERM Hydroactive Paste Kendall Amorphous Hydrogel Wound Dressings MEDIHONEY Gel MEDIHONEY Paste Microcyn Skin and Wound Hydrogel Multidex Maltodextrin Hydrogel Wound Dressings Normlgel Normlgel Ag Isotonic Saline Gel Puracyn Plus Professional Formula Antimicrobial Hydrogel Purilon Gel Regenecare Wound Care Gel with 2% Lidocaine ReliaMed® Amorphous Hydrogel Restore Hydrogel SOLOSITE* Wound Gel SᾹF-Fel Hydrating Dermal Wound Dressing Gel with Alginate Woun’Dres Collagen Hydrogel

Carrington 331 ConvaTec 287 ConvaTec 289 Medtronic 304 Derma Sciences 310 Derma Sciences 310 Sonoma Pharmaceuticals, Inc. 328 DeRoyal Industries, Inc. 324 Mölnlycke Health Care 299 Mölnlycke Health Care 299 Innovacyn, Inc. 328 Medtronic 308 MPM Medical, Inc. 325 ® ReliaMed 284 Hollister Wound Care 303 Smith & Nephew 293 ConvaTec 287 Coloplast 308

IMPREGNATED NONADHERENT DRESSINGS

BIOGUARD Barrier Dressings Cardinal Health™ Medicated Petrolatum Dressings Cardinal Health™ Oil Emulsion Dressings Curity Non-Adherent Strips Curity Sodium Chloride Dressings CUTICERIN* Gauze Petrolatum Gauze Non-Adhering Dressings Shur-Conform Oil Emulsion Non-Adhering Dressings Simpurity Hydrogel – Impregnated Gauze Wound Dressings

Derma Sciences 312 Cardinal Health™ 282 Cardinal Health™ 282 Medtronic 306 Medtronic 306 Smith & Nephew 291 Derma Sciences 312 Derma Sciences 312 Safe N Simple 321

NONIMPREGNATED NONADHERENT DRESSINGS

Covaderm Adhesive Wound Dressings Cardinal Health™ Nonadherent Sterile Wound Dressings Covaderm Plus Adhesive Wound Dressing Dudress Film Top Island Dressings EXU-DRY* Dressings with Anti-Shear Layer*

DeRoyal Industries, Inc. 324 Cardinal Health™ 282 DeRoyal Industries, Inc. 324 Derma Sciences 313 Smith & Nephew 296

SILICONE DRESSINGS

ALLEVYN* Gentle Border Silicone Gel Adhesive Biatain Silicone Foam Dressings Cardinal Health™ Essentials Silicone Non-Adhesive Foam and Silicone Adhesive Border Foam Dressings* Cardinal Health™ Silicone Contact Layer Dressings* CICA-CARE* Adhesive Silicone Gel Sheet Cutimed® Siltec KerraFoam™ Gentle Boarder – Silicone Retention Dressing MediPlus™ Silicone Comfort Foam Border Dressings Mepiform® Mepilex® Mepilex® Border Mepilex® Border Lite Mepilex® Transfer Mepitel® Polyderm GTL Silicone Dressings Proximel® Silicone Dressing with Border Restore® Foam Dressing with Silicone Simpurity Foam Wound Dressings – Silicone TRIACT® Foam with Silicone Border

Smith & Nephew Coloplast

294 308 – 309

Cardinal Health™ 283 Cardinal Health™ 283 Smith & Nephew 297 BSN medical, Inc. 318 Crawford Healthcare 325 MediPurpose® 287 Mölnlycke Health Care 298 Mölnlycke Health Care 297, 298 Mölnlycke Health Care 297, 298 Mölnlycke Health Care 298 Mölnlycke Health Care 297 Mölnlycke Health Care 297, 298 DeRoyal Industries, Inc. 323 HARTMANN USA 314 Hollister Wound Care 302 Safe N Simple™ 320 Hollister Wound Care 302

TRANSPARENT ADHESIVE/IV DRESSINGS

Hydrofilm® Transparent Film Dressings IV3000* Transparent Adhesive Film Dressings Kendall™ Transparent Film Dressings Mepore® Film OPSITE* FLEXIFIX* Transparent Film Roll OPSITE* FLEXIGRID* Transparent Adhesive Film Dressings OPSITE* Post-Op Transparent Waterproof Dressings with Absorbent Pad OPSITE* Transparent Adhesive Dressings ReliaMed® Transparent Thin Film Dressings Suprasorb® F Transparent Film Dressing

HARTMANN USA 315 Smith & Nephew 292 Medtronic 304 Mölnlycke Health Care 299 Smith & Nephew 292 Smith & Nephew 292 Smith & Nephew 292 Smith & Nephew 292 ReliaMed® 284 Lohmann & Rauscher 327

WOUND DRAINAGE COLLECTORS

Eakin® Fistula and Wound Pouches Eakin® Fistula and Wound Pouch Access Window

ConvaTec ConvaTec

290 291

GENERAL WOUND CARE GAUZE

Cardinal Health™ Abdominal Pads Cardinal Health™ Bandages and Bandage Rolls Cardinal Health™ Gauze Sponges and Sterile Fluff Sponges Co-Flex™ Cohesive Bandage CoFlex™ TLC Calamine and CoFlex™ TLC Zinc Co-Lastic® LF Cohesive Elastic Bandage Cover-Roll® Adhesive Gauze Bandages COVRSITE* Cover Dressings

280

Cardinal Health™ 281 Cardinal Health™ 281 Cardinal Health™ 281 Andover Healthcare 322 Andover Healthcare 323 HARTMANN USA 315 BSN medical, Inc. 319 Smith & Nephew 293

COVRSITE* Plus Composite Dressings Curity™ Adhesive Bandages Curity™ AMD Antimicrobial Gauze Sponges Curity™ Gauze Pads and Gauze Sponges Curity™ Nonwoven All-Purpose Sponges Curity™ Stretch Bandages DERMACEA™ Drain Sponges Ducare® Gauze and Sponges Duform® Synthetic Conforming Bandages Dusoft® Nonwoven Sponges Sterile 2s Dutex® Conforming Bandages Elastomull® Elastic Gauze Bandages Excilon™ AMD Drain and IV Sponges Excilon™ IV Sponges Kerlix® Bandage Rolls Peha-haft® Cohesive Conforming Bandage ReliaMed® Bordered Gauze Dressings WoundGard® Bordered Gauze Dressings

Smith & Nephew 293 Medtronic 306 Medtronic 305 Medtronic 307 Medtronic 307 Medtronic 305 Medtronic 306 Derma Sciences 313 Derma Sciences 313 Derma Sciences 313 Derma Sciences 313 BSN medical, Inc. 319 Medtronic 305 Medtronic 306 Medtronic 306 HARTMANN USA 315 ReliaMed® 284 MPM Medical, Inc. 326

MISCELLANEOUS

All Purpose First Aid Kit Antifungal Cream Band-Aid® Adhesive Bandages Variety Pack Band-Aid® Flexible Fabric Adhesive Bandages Cardinal Health™ Adhesive Bandages Cardinal Health™ Essentials Disposable Wound Measurement Guide* Cardinal Health™ Cotton Balls* Cardinal Health™ Eye Pad* Cutimed® ACUTE Cutimed® Sorbact Ribbon and Dressing Pad Cutimed® Sorbact® Hydroactive B Cutimed® Sorbion® Sorbact® Dale® Abdominal Binders Dale® Nasal Dressing Holder Dale® Post-Surgical Bra Dextatic® Dextrosan® Endangered Species 75 Piece First Aid Kit ES Sea and Safari Bandages Exudex™ Gold Dust™ Hydrophilic Polymer Powder Irrigation Piston Syringe Microcyn® Irrigation Solution Moleskin NormlShield™ Skin Protectant Pico Single Use Negative Pressure Wound Therapy System Plush Turtle Ice Pack Puracyn® Plus Professional Formula Wound Irrigation and Management Solutions ReliaMed® 60cc Irrigation Syringe ReliaMed® Abdominal Binders ReliaMed® Cotton Tip Applicators ReliaMed® Shower-Guard™ – Moisture Barrier ReliaMed® Wooden Tongue Depressors* Restore® Skin Conditioning Creme Spanda-Sleeves™ Spenco® 2nd Skin® Scar Gel

PACKING STRIPS

Cardinal Health™ Packing Strips with Unique Strip Delivery System Curity™ AMD Packing Strips Curity™ Packing Strips

PREPS AND WIPES

Cardinal Health™ EssentialsI.V. Antiseptic Wipes Cardinal Health™ Essentials Adhesive Remover Wipes Cardinal Health™ Essentials Protective Barrier Wipes Kendall™ Skin Barrier Wipes KerraPrep™ Touchless Care® No-Touch Skin Care Products

SKIN CLOSURES

Curity™ Suture Removal Kit Leukotape® P Sports Tape Lightplast® Pro Elastic Athletic Tape Mefix® Mepitac® ReliaMed® Surgical Tapes ZinO Zinc Oxide Tape

TAPE

Johnson & Johnson Consumer 321 MPM Medical, Inc. 326 Johnson & Johnson Consumer 321 Johnson & Johnson Consumer 321 ™ Cardinal Health 282 Cardinal Health™ 283 Cardinal Health™ 283 Cardinal Health™ 283 BSN medical, Inc. 319 BSN medical, Inc. 318 BSN medical, Inc. 318 BSN medical, Inc. 318 Dale® Medical 330 Dale® Medical 330 Dale® Medical 330 MPP Medical 329 MPP Medical 329 Cosrich Group, Inc. 330 Cosrich Group, Inc. 330 MPP Medical 329 Southwest Technologies, Inc. 322 Medtronic 307 Sonoma Pharmaceuticals, Inc. 328 Andover Healthcare 322 MPM Medical, Inc. 326 Smith & Nephew 291 Cosrich Group, Inc. 330 Innovacyn, Inc. 328 ReliaMed® 286 ReliaMed® 285 ReliaMed® 286 ReliaMed® 285 ReliaMed® 286 Hollister Wound Care 303 Medi-Tech International Corp 329 Spenco 332 Cardinal Health™ 282 Medtronic 305 Medtronic 307 Cardinal Health™ 283 Cardinal Health™ 283 Cardinal Health™ 283 Medtronic 307 Crawford Healthcare 325 Crawford Healthcare 325 Medtronic BSN medical, Inc. BSN medical, Inc. Mölnlycke Health Care Mölnlycke Health Care ReliaMed® Kosma-Kare, Inc.

306 320 320 299 297 285 – 286 286

WOUND CLEANSERS AND DEBRIDERS

Anasept® Antimicrobial Skin and Wound Cleanser Anacapa Technologies, Inc. 330 Biolex™ Wound Cleanser Spray Bard® Medical 330 Cardinal Health™ Essentials Wound and Skin Cleanser Cardinal Health™ 285 CarraKlenz™ Wound and Skin Cleaners Carrington® 331 Dermagran® Ointment and Moisturizing Spray and Zinc Wound Cleanser Derma Sciences 310 Dermal Wound/Skin Cleanser Smith & Nephew 292 ExSept Plus Skin and Wound Cleanser Skin Safe 287 IODOSORB* Gel Smith & Nephew 291 Microcyn® Skin and Wound Solution with Preservatives Sonoma Pharmaceuticals, Inc. 328 Natural Care™ Gel Bard® Medical 330 OPTIPORE® Sponge ConvaTec 287 RadiaGel™ Carrington® 331 Restore® Cleansers and Protectants Hollister Wound Care 303 Sea-Clens® No-Rinse Wound Cleanser Coloplast 307 Simply Saline® 3 in 1 Wound Wash Church & Dwight Co., Inc. 332 UltraKlenz™ Wound Cleaner Carrington® 331 Wound Wash with Saline Church & Dwight Co., Inc. 332

WOUND PROTECTORS

AquaGuard® Moisture Barriers CareFix® Pre-Cut Dressing and Bandage Fixation Arm Tube Glen-Sleeve® II Arm and Leg Protectors

Cenorin Tytex Derma Sciences

HEEL AND ELBOW PROTECTORS

ALLEVYN* Heel Biatain® Ag Heel Foam Dressings Heel and Elbow Protectors Heelbo® Heel and Elbow Protectors Medi Elbow and Heel Safeguard™ Mepilex® Heel ReliaMed® Heel and Elbow Protectors

332 332 313

Smith & Nephew 294 Coloplast 309 Derma Sciences 313 Healthsmart 328 Medi-Tech International Corp 329 Mölnlycke Health Care 298 ReliaMed® 285

WOUND CARE

CARDINAL HEALTH™ / RELIAMED®

ITEM #

HCPCS

SOLD BY

BOX QTY.

STERILE, NON-WOVEN, RAYON AND POLYESTER BLEND

2˝ x 2˝ (2s), 4-ply 4˝ x 4˝ (2s), 4-ply

ReliaMed® products will transition to the Cardinal Health™ brand in coming months. * Not made with natural rubber latex

55CNWS224S A6402 55CNWS444S A6402

N/A ea

50/bx 50/bx

55CNSG2228E 55CNSG3312E 55CNSG4412E 55CNSG4416

A6216 A6216 A6216 A6216

200/pk N/A 200/pk N/A 200/pk N/A 200/pk N/A

55CSG44S

A6251

200/pk 25/bx

SELF-ADHERING COHESIVE BANDAGES Cardinal Health™ Easy-Tear Cohesive Bandages* Easily tears by hand. Self-adhesive; won’t stick to hair or skin. Comfortable, lightweight material allows skin to breathe. Water resistant; protects and secures pads and dressings. Holds I.V. sets in place; promotes circulation and healing for sprains and strains. Provides compression for hemostasis, varicosity and edema control. Nonsterile. Assorted color pack has three rolls each of blue, green, yellow and red bandages.

ITEM #

HCPCS

1˝ x 5 yds., tan 2˝ x 5 yds., tan 3˝ x 5 yds., tan 4˝ x 5 yds., tan 4˝ x 5 yds., assorted color pack 6˝ x 5 yds., tan

55CAH15LF 55CAH25LF 55CAH35LF 55CAH45LF 55CAH45LFCP 55CAH65LF

A6453 A6453 A6454 A6454 A6454 A6455

SOLD BY

ea ea ea ea 12/bx ea

ELASTIC WRAPS Cardinal Health™ Elastic Bandage* Bandage wraps easily and securely. Can be used to secure ice packs and other bandages. Ideal for firm support and compression for sprains and strains. Retains elasticity after repeated use and washings. Tan.

ITEM #

HCPCS

552370002LF 552370003LF 552370004LF 552370006LF

A6448 A6449 A6449 A6450

ea ea ea ea

552359302LF 552359303LF 552359304LF 552359306LF

A6448 A6449 A6449 A6450

ea ea ea ea

552359314LF A6449

NON-STERILE WOVEN GAUZE SPONGES

2˝ x 2˝, 8-ply, standard 3˝ x 3˝, 12-ply, standard 4˝ x 4˝, 12-ply, premium 4˝ x 4˝, 16-ply, medium POST-OP GAUZE SPONGES

4˝ x 4˝, 12-ply, Sterile (2s)

Cardinal Health™ Sterile T-Drain/IV Split Sponges* Available in a non-woven rayon and polyester blend or 100% cotton, these sponges help keep tube sites clean and protected. Pre-slit to allow for a snug fit and designed to lay flat around a drainage tube. Ideal for IVs, drains, tubes, catheters and tracheostomies. Sterile.

ITEM #

2˝ x 4 yds.** 3˝ x 4 yds.** 4˝ x 4 yds.** 6˝ x 4 yds. ** STERILE, VELCRO CLOSURE ®

4˝ x 5.8 yds. ** **All sizes when stretched.

Cardinal Health Gauze Sponges* Indicated for debriding, covering and packing wounds. Ideal for wound cleansing and as secondary dressings for added absorbency. Highly absorbent material provides fast wicking properties, minimizing skin maceration. ™

ITEM #

HCPCS

SOLD BY

BOX QTY.

55CHH228NS A6216 N/A 55CHH448NS A6216 N/A 55CHH4412NS A6216 N/A

200/pk 200/pk 200/pk

NONSTERILE, NON-WOVEN, RAYON AND POLYESTER BLEND

4˝ x 4˝, 4-ply

55CNWS444

A6216

N/A

200/pk

STERILE, WOVEN, 100% COTTON

2˝ x 2˝ (2s), 8-ply 4˝ x 4˝ (10s), 8-ply 4˝ x 4˝ (2s), 8-ply 4˝ x 4˝ (2s), 12-ply 4˝ x 4˝ (2s), 12-ply 4˝ x 4˝ (2s), 16-ply

ITEM #

HCPCS

SOLD BY

BOX QTY.

5˝ x 9˝ 8˝ x 10˝

55CABP59 55CABP810

A6217 A6218

576/cs ea

N/A N/A

55CABP59S 55CABP758S 55CABP810S

A6252 A6253 A6253

ea ea ea

STERILE

5˝ x 9˝ 71⁄2˝ x 8˝ 8˝ x 10˝

25/bx 20/bx 18/bx

Cardinal Health™ Gauze Bandage Rolls* Can be used as a primary or secondary dressing. Excellent absorbency. Ideal for bandaging difficult-to-dress wounds, such as burns.

ITEM #

HCPCS

SOLD BY

BOX QTY.

A6445 A6446 A6446

ea ea ea

N/A N/A N/A

A6443 A6443

ea ea

N/A N/A

STERILE

2.25˝ x 3 yds., 6-ply 55CFR236S 3.4˝ x 3.6 yds., 6-ply 55CFR336S 4.5˝ x 4.1 yds., 6-ply 55CFR446SC 3.4˝ x 3.6 yds., 6-ply 55CFR336 4.5˝ x 4.1 yds., 6-ply 55CFR446

Cardinal Health™ Conforming Bandages* Holds securely to any body shape or contour; allows for movement and some tissue swelling. Stays in place with minimal taping. 1-ply.

ITEM #

HCPCS

SOLD BY

BOX QTY.

55CCB2 55CCB3 55CCB4 55CCB6

A6442 A6443 A6443 A6444

N/A ea ea ea

12/bx 12/bx 12/bx 6/bx

55CCB1S 55CCB2S 55CCB3S 55CCB4S 55CCB6S

A6445 A6445 A6446 A6446 A6447

ea ea ea ea ea

12/bx 12/bx 12/bx 12/bx 6/bx

NONSTERILE**

NONSTERILE, WOVEN, 100% COTTON

2˝ x 2˝, 8-ply 4˝ x 4˝, 8-ply 4˝ x 4˝, 12-ply

25/bx

NONSTERILE

GAUZE PRODUCTS

35/bx 25/bx

NONSTERILE

SOLD BY

VELCRO® CLOSURE

SOLD BY BOX QTY.

Cardinal Health™ Abdominal Pads* Soft, nonwoven layer for comfort, with absorbent fluff filler. Sealed end.

CLIP CLOSURE

2˝ x 5 yds.** 3˝ x 5 yds.** 4˝ x 5 yds.** 6˝ x 5 yds.**

HCPCS

2˝ x 2˝, 6-ply, non-woven (2s) 55CNWDS226S A6402 ea 4˝ x 4˝, 6-ply, non-woven (2s) 55CNWDS446S A6402 ea 4˝ x 4˝, 16-ply, 100% cotton, USP type VII 55CDRS4416S A6402 ea

55CHH228S A6402 ea 55CSG448ZS A6402 ea 55CHH448S A6402 ea 55CHH4412S A6402 ea 55CSG4412ZS A6402 N/A 55CSG4416S A6402 N/A

50/bx N/A 25/bx 25/bx 10/pk 10/pk

2˝ x 4.1 yds. 3˝ x 4.1 yds. 4˝ x 4.1 yds. 6˝ x 4.5 yds. STERILE**

1˝ x 75˝ 2˝ x 75˝ 3˝ x 75˝ 4˝ x 75˝ 6˝ x 75˝

**All sizes when stretched.

281

WOUND CARE

CARDINAL HEALTH™ / RELIAMED® * Not made with natural rubber latex Cardinal Health™ Sterile Fluff Sponges* Sponges with many uses: wound dressing, general cleaning, prepping, packing and debriding. USP type VII gauze. Sterile.

ITEM #

6˝ x 63⁄4˝ (2s), medium 55CSUS662S (Measured diagonally)

HCPCS

SOLD BY

A6403 ea

BOX QTY.

20/bx

Cardinal Health™ Packing Strips with Unique Strip Delivery System* Can be used dry to absorb drainage in exuding wounds or soaked with a medication of choice. Each bottle has a special patent-pending strip delivery system that ensures packing material is kept clean and tangle-free, with the end always easy to locate at the top of the bottle. Iodoform packing strips contain iodine. Sterile.

ITEM #

HCPCS

SOLD BY

BOX QTY.

55CPG145P 55CPG125P 55CPG15P 55CPG25P

A6407 A6407 A6407 A6407

ea ea ea ea

N/A N/A N/A N/A

55CPG145I 55CPG125I 55CPG15I 55CPG25I

A6266 A6266 A6266 A6266

ea ea ea ea

N/A N/A N/A N/A

PLAIN

⁄4˝ x 5 yds. ⁄2˝ x 5 yds. 1˝ x 5 yds. 2˝ x 5 yds. 1 1

IODOFORM

⁄4˝ x 5 yds. ⁄2˝ x 5 yds. 1˝ x 5 yds. 2˝ x 5 yds. 1 1

NONADHERENT WOUND DRESSINGS Cardinal Health™ Nonadherent Sterile Wound Dressings* Absorbent, yet will not damage tissue by sticking. Ideal for use as primary dressing for lightly draining wounds.

ITEM #

HCPCS

2˝ x 3˝ 3˝ x 4˝ 3˝ x 8˝

55CDDS23S 55CDDS34S 55CDDS38S

A6402 ea A6402 ea A6403 ea

SOLD BY

Cardinal Health™ Oil Emulsion Dressings* Knitted cellulose acetate fabric coated with a formulated petroleum emulsion provides nonadherent packing for wounds. Used for management of skin grafts, surgical sites, abrasions, lacerations and decubitus ulcers. Sterile.

BOX QTY.

100/bx 100/bx 50/bx

ITEM #

HCPCS

SOLD BY

1˝ x 8˝ 3˝ x 9˝ 3˝ x 18˝ 3˝ x 36˝ 6˝ x 36˝

55CWNM18 55CWNM39A 55CWNM318 55CWNM336 55CWNM636

A6222 A6223 A6266 A6266 A6266

ea ea ea ea N/A

BOX QTY.

50/bx 50/bx 12/bx 12/bx 12/bx

Cardinal Health™ Medicated Petrolatum Dressings* Offers the advantages of petrolatum gauze with the addition of 3% bismuth tribromophenate when mild medication or deodorizing is needed. Sterile.

282

ITEM #

HCPCS

SOLD BY

1˝ x 8˝ 2˝ x 2˝ 4˝ x 4˝ 5˝ x 9˝

55CWMD18P 55CWMD22 55CWMD44 55CWMD59

A6222 A6222 A6222 A6223

ea ea ea ea

BOX QTY.

50/bx 25/bx 25/bx 50/bx

ITEM #

3˝ x 3˝ (1 ea/pk) 3˝ x 8˝ (1 ea/pk) 3˝ x 8˝ (3 ea/pk) 3˝ x 16˝ (1 ea/pk) 5˝ x 9˝ (1 ea/pk)

55CWNM33 A6222 ea 55CWNM38 A6223 ea 55CWNM383 A6223 pk 55CWNM316 A6223 ea 55CWNM59 A6223 ea

HCPCS

SOLD BY

BOX QTY.

50 pk/bx 24 pk/bx N/A 36 pk/bx 12 pk/bx

COMPRESSION BANDAGE SYSTEMS Cardinal Health™ Three-Layer Compression Bandage System* For the treatment of mixed etiology leg ulcers where some degree of arterial impairment prevents the use of full compression. Absorbent Padding Bandage helps absorb exudate and protect bony prominences. Conformable Bandage helps absorb exudate and helps prepare and sculpt the leg for application of pressure. Self-Adherent Cohesive Bandage applies compression and safely maintains the system in place for up to one week. Used for ABI (ankle brachial index) between 0.6 and 0.8. Maintains effective compression after application. Clean, quick and easy hand-tear. Won't stick to skin, hair or clothing. Unstretched.

ITEM #

55CAHMLCB3 A4649

HCPCS

SOLD BY

Cardinal Health™ Four-Layer Compression Bandage System* A multi-layered compression bandage system used for the treatment of venous leg ulcers and related conditions. Ideal for those with ankle circumferences greater than 18 cm or 71⁄8˝ (padded) who have an ABI (ankle brachial index) <0.8. Maintains effective compression after application. Provides higher pressure at the ankle, decreasing pressure at the calf to help improve upward blood flow. May be left in place for up to one week.

IMPREGNATED GAUZE Cardinal Health™ Petrolatum Impregnated Gauze Non-Adhering Dressings* Designed to provide nonadhering packing for full-thickness wounds, providing a moist environment conducive to wound healing. Made of fine, soft, conformable gauze impregnated with white petroleum, which minimize trauma to wounds when removed. Ideal for Stage II – IV chronic wounds, tunneling wounds and noninfected wounds. Sterile.

ITEM #

55CAHMLCB4 A4649

HCPCS

SOLD BY

ADHESIVE BANDAGES Cardinal Health Adhesive Bandages* Sterile, ready-to-use protective strips for minor cuts and abrasions. Sheer, soft, flexible plastic blends evenly with many skin tones. Flexible fabric is stretchable material ideally suited for areas where flexibility is important. All feature a nonstick pad for comfort and absorption. ™

ITEM #

HCPCS

SOLD BY

55CBDF343 55CBDF13 55CBDFKN 55CBDFFT 55CBDF24XL

A6413 A6413 A6413 A6413 A6413

100/bx 100/bx 100/bx 100/bx 50/bx

55CBDSSP 55CBDS233 55CBDS13 55CBDP24XL

A6413 A6413 A6413 A6413

100/bx 100/bx 100/bx 50/bx

A6413 A6413

100/bx 100/bx

FABRIC

⁄4˝ x 3˝ 1˝ x 3˝ 11⁄2˝ x 3˝ knuckle 13⁄4˝ x 2˝ fingertip 2˝ x 4˝ X-Large 3

SHEER PLASTIC

⁄8˝ spot ⁄4˝ x 3˝ 1˝ x 3˝ 2˝ x 41⁄2˝, X-Large 7 3

PLASTIC SPECIALTY BANDAGES

⁄4˝ x 3˝ crayon design 55CBDPBL ⁄4˝ x 3˝, assorted neon colors (green, blue and purple) 55CBDPGR

3 3

WOUND CARE

Cardinal Health™ Essentials Protective Barrier Wipes* Helps protect skin from adhesives. Non-irritating to intact skin.

CARDINAL HEALTH™ / RELIAMED® ReliaMed products will transition to the Cardinal Health brand in coming months. ®

™

* Not made with natural rubber latex Cardinal Health™ Silicone Contact Layer Dressings* Sterile, occlusive wound dressings made with a conformable, open mesh structure and gentle silicone adhesive. Used to help facilitate fluid transfer and provide fixation and protection to the wound bed during dressing changes.

ITEM #

HCPCS

SOLD BY

2˝ x 3˝ 3˝ x 4˝ 4˝ x 7˝ 8˝ x 12˝

55SCL23 55SCL34 55SCL47 55SCL812

A6206 A6206 A6207 A6208

ea ea ea ea

Cardinal Health™ Essentials Silicone Non-Adhesive Foam and Silicone Adhesive Border Foam Dressings* Sterile wound dressing that consists of hydrophilic, absorbent, polyurethane foam that is designed to absorb exudate. The outer layer of the dressing is a pink, low friction, waterproof, polyurethane film that provides a bacterial barrier. The perforated, silicone adhesive, wound contact layer enables exudate uptake and prevents excess fluid that can cause maceration to healthy skin. Perforated wound contact layer prevents the dressing from sticking to the wound and reduces pain during dressing changes, by preventing the formation of granulation tissue into the pores of the foam. Maintains a moist environment to assist in the healing process of moderate to heavily exuding wounds. Provides a gentle but secure adhesion to skin.

ITEM #

HCPCS

SOLD BY

ZDSF44

A6209 ea

10/bx

ZDSF33B ZDSF44B ZDSF66B ZDSF77B

A6212 A6212 A6213 A6214

10/bx 10/bx 10/bx 10/bx

HCPCS

ZA40075

A5120

SOLD BY

75/bx

Cardinal Health I.V. Antiseptic Wipes* Helps clean skin prior to injection and helps protect skin from adhesives.

ITEM #

HCPCS

11⁄4˝ x 3˝

ZA50075

A5120

SOLD BY

75/bx

WOUND CARE ACCESSORIES Cardinal Health Essentials Disposable Wound Measurement Guide* Quick, easy guide measures wounds, stomas and more. Nonsterile. Flexible, clear plastic. ™

ITEM #

ZR20E4290 A4649

HCPCS

SOLD BY

250/pk

Cardinal Health™ Cotton Balls* Non-sterile cotton balls for a variety of uses.

ITEM #

HCPCS

1˝ diameter, medium 11⁄2˝ diameter, large

55CCOTBM 55CCOTBL

A9270 A9270

SOLD BY

2,000/pk 1,000/pk

Cardinal Health™ Eye Pad* Soft rayon and polyester blend covers an inner cotton filler to make this absorbent pad. Edges are neatly sealed. Sterile.

BOX QTY.

SILICONE ADHESIVE NON-BORDER FOAM

4˝ x 4˝ pad

ITEM #

11⁄4˝ x 3˝ ™

BOX QTY.

10/bx 10/bx 10/bx 5/bx

ITEM #

21⁄8˝ x 25⁄8˝

55CEYP22S A6410

HCPCS

SOLD BY

50/bx

SILICONE ADHESIVE BORDER FOAM

3˝ x 3˝, with 2˝ x 2˝ pad 4˝ x 4˝, with 3˝ x 3˝ pad 6˝ x 6˝, with 5˝ x 5˝ pad 7˝ x 7.25˝, with 5.25˝ x 5.75˝ pad, sacral

ea ea ea ea

Cardinal Health™ Essentials Hydrogel* Clean, greaseless hydrogel used for the maintenance of a moist wound environment. Excellent viscosity helps aid product applications. Fragrance-free. Non-sterile. 1-oz. bellows tube.

ITEM #

HCPCS

1-oz. bellows tube

55HG1OZ

A6248

SOLD BY

CONTAINS SILVER Cardinal Health™ Silver Amorphous Hydrogel* Opaque, amorphous hydrogel contains an antimicrobial silver compound that is an effective barrier to bacterial penetratoin based on in-vitro testing. Inhibits growth of a broad spectrum of microorganisms that come into contact with the gel. Donates moisture to dry, necrotic tissue to aid in the debridement and desloughing process. Non-sterile. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

1.5-oz. tube

ZSHG15

A6248

SOLD BY

WIPES Cardinal Health Essentials Adhesive Remover Wipes* Helps remove adhesives from skin. Dries with a fresh scent. Available in a 4˝ x 4˝ wipe to help remove buildup over a larger surface area. ™

ITEM #

11⁄4˝ x 3˝ 4˝ x 43⁄4˝

ZA30075 A4456 ZA30050XL A4456

HCPCS

ADVANCED WOUND CARE ®

ReliaMed Alginate/CMC and Reinforced Alginate Dressings* Soft and comfortable to wear. Highly absorbent. Calcium in the dressing promotes hemostasis. Blend of calcium alginate and CMC (carboxymethyl cellulose) provides excellent gelling and wet strength for one-piece, nontraumatic removal. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

SOLD BY

2˝ x 2˝ 2˝ x 2˝, reinforced 4˝ x 4˝ 4˝ x 8˝, reinforced 4˝ x 4.75˝, reinforced 4˝ x 8˝ 6˝ x 6˝ 6˝ x 6˝, reinforced 8˝ x 12˝ 12˝ rope 18˝ rope 18˝ rope, reinforced

ZCA22 ZSCA22RF ZCA44 ZSCA48RF ZSCA4475RF ZCA48 ZCA66 ZSCA66RF ZSCA812 ZCA12R ZCA18R ZSCA18RRF

A6196 A6196 A6196 A6197 A6197 A6197 A6197 A6197 A6197 A6199 A6199 A6199

ea ea ea ea ea ea ea ea ea ea ea ea

BOX QTY.

10/bx 10/bx 10/bx 5/bx 10/bx 5/bx 5/bx 5/bx 5/bx 5/bx 10/bx 5/bx

SOLD BY

75/bx 50/bx

283

WOUND CARE

ReliaMed® Amorphous Hydrogel* Contains aloe vera and glycerin to moisturize the wound. Allows visualization of the wound. Promotes autolytic debridement. Nontoxic to healthy tissue. Single patient use. Fragrance-free. Nonsterile.

CARDINAL HEALTH™ / RELIAMED® ReliaMed products will transition to the Cardinal Health brand in coming months. ®

™

* Not made with natural rubber latex ReliaMed® Foam Dressings* Extra-soft, small-pore foam minimizes lateral wicking of wound exudate. Highly absorptive to manage high levels of exudate. Breathable top film is bacteria-proof and waterproof. High MVTR (moisture vapor transmission rate) leads to longer wear time between dressing changes. Conforms to awkward sites. Foam dressings without an adhesive border can be secured with a conforming bandage or tape. Excellent elasticity. Contraindicated for third-degree burns. Foam heel fits snugly around the heel to provide cushioning and wound exudate absorption. 4˝ x 4˝ and 6˝ x 6˝ nonadherent pads are suitable for those with sensitivity to adhesives. Also available with an adhesive border for ease of application.

ITEM #

HCPCS

SOLD BY

ZDF33B ZDF55B ZDF66B

A6212 ea A6212 ea A6212 ea

10/bx 10/bx 10/bx

ZDF44 ZDF66

A6209 ea A6210 ea

10/bx 10/bx

ITEM #

HCPCS

3-oz. tube

ZRHG03

A6248

BOX QTY.

NON-ADHERENT

4˝ x 4˝ 6˝ x 6˝

ReliaMed® Hydrocolloid Dressings* Specialized hydrocolloid formulation effectively absorbs wound exudate. Beveled edge design reduces the risk of edge lift and rolling or bunching of the dressing. Thin dressings are indicated for lightly draining wounds and are translucent to allow for wound site monitoring. Foam-backed dressings are ideal for managing mild to moderately draining wounds and provides an extra layer of cushioning and comfort. Maintains a moist wound environment to help accelerate healing. Adhesive interacts with the skin’s moisture to provide a secure seal. Uniquely smooth, low-friction film backing reduces shear forces that can contribute to skin tearing. Waterproof and frequently used as secondary dressings to hold other products in place and prevent contamination. May also be worn in the shower. “Z” fold release system simplifies the application of the dressing, even with gloves, and helps eliminate the risk of contact with the adhesive surface. Flexible for easy application. Non-traumatic removal if dressing is left in place until gel bubble under surface is close to the edge. Sterile.

ITEM #

HCPCS

SOLD BY

ZDHC22B ZDHC44B ZDHC66B ZDHC67SB ZDHC88B

A6234 A6234 A6235 A6235 A6236

ea ea ea ea ea

BOX QTY.

FILM BACKED BEVELED EDGE

2˝ x 2˝ 4˝ x 4˝ 6˝ x 6˝ 6˝ x 7˝, sacral 8˝ x 8˝

20/bx 10/bx 5/bx 5/bx 5/bx

FOAM BACKED

4˝ x 4˝ 6˝ x 6˝ 8˝ x 8˝

ZDHC44F ZDHC66F ZDHC88F

A6234 N/A A6235 N/A A6236 N/A

5/bx 5/bx 5/bx

ZDHC44T

A6234 ea

10/bx

ReliaMed® Transparent Thin Film Dressings* Provides an occlusive barrier to moisture and bacteria. Allows for easy, one-handed application. Features a high MVTR (moisture vapor transmission rate) and a smooth finish to reduce shear friction to surrounding skin. Waterproof yet breathable. Sterile.

284

ITEM #

23⁄8˝ x 23⁄4˝ 23⁄8˝ x 23⁄4˝ 4˝ x 43⁄4˝ 4˝ x 43⁄4˝, oval 4˝ x 10˝ 6˝ x 8˝ 8˝ x 12˝

ZDTF238234D A6257 ea ZDTF238234 A6257 ea ZDTF4434 A6258 ea ZDTFOV4434 A6258 N/A ZDTF410 A6258 N/A ZDTF68 A6258 ea ZDTF812 A6259 ea

HCPCS

SOLD BY

BOX QTY.

10/bx 100/bx 50/bx 50/bx 30/bx 10/bx 10/bx

ITEM #

HCPCS

2˝ x 31⁄2˝ 4˝ x 4˝ 4˝ x 6˝ 4˝ x 8˝ 4˝ x 10˝ 4˝ x 14˝ 6˝ x 6˝

ZGB235 ZGB44 ZGB46 ZGB48 ZGB410 ZGB414 ZGB66

A6219 ea A6219 ea A6219 ea A6219 ea A6219 ea A6220 ea A6219 ea

SOLD BY

BOX QTY.

25/bx 25/bx 25/bx 25/bx 25/bx 25/bx 25/bx

ReliaMed® Unna Boot Dressings* Packaged in a vacuum-sealed pouch for longer shelf life. Non-hardening, zinc-oxide paste formulation keeps the bandage flexible, which encourages comfort and longer wear time. Finished selvage edges. Helps deliver firm, even compression therapy. Available with calamine for additional soothing relief. Indicated for the management of venous stasis ulcers, venous edema and minor lower extremity trauma injuries. For use in soothing inflammations, rashes, ulcers and related conditions. Nonsterile.

ITEM #

HCPCS

SOLD BY

ZGUB3 ZGUB4

A6456 A6456

bx bx

ZGUBC3 ZGUBC4

A6456 A6456

bx bx

WITHOUT CALAMINE

3˝ x 10 yds. 4˝ x 10 yds. WITH CALAMINE

3˝ x 10 yds. 4˝ x 10 yds.

ReliaMed® Composite Barrier Dressings* Sterile, individually sealed. 100% cotton, nonadherent island pad absorbs exudate for a cleaner wound bed. Nonwoven, adhesive cover has rounded edges to prevent detachment. Waterproof, top film layer prevents fluid from passing through the dressing but allows for a high MVTR (moisture vapor transmission rate). Wide, adhesive border ensures excellent adhesion. Item # ZGFB44 is a transparent film dressing with a nonadherent island pad.

ITEM #

HCPCS

4˝ x 4˝, 2˝ x 2˝ pads 4˝ x 4˝, 2˝ x 2˝ pads 6˝ x 6˝, 4˝ x 4˝ pads

ZGFB44 ZGC44 ZGC66

A6203 ea A6203 ea A6203 ea

SOLD BY

BOX QTY.

25/bx 25/bx 25/bx

DRESSING RETENTION

FILM BACKED THIN

4˝ x 4˝

ReliaMed® Bordered Gauze Dressings* Sterile, individually wrapped. 100% cotton, nonadherent island pad absorbs exudate for a cleaner wound bed. Nonwoven, adhesive cover has rounded edges to prevent detachment. Wide, adhesive border ensures excellent adhesion.

ADHESIVE BORDER

3˝ x 3˝ adhesive border with 2˝ x 2˝ pads 5˝ x 5˝ adhesive border with 3˝ x 3˝ pads 6˝ x 6˝ adhesive border with 4˝ x 4˝ pads

SOLD BY

ReliaMed® Elastic Tubular Support Bandages Nonbulky, elastic, tubular bandage for managing strains, sprains, soft tissue injuries, general edema and rib cage injuries. Provides consistent support for all variations of application. Easy to apply and can be reused. Allows for freedom of movement and comfort. Washable; will not lose elasticity. Sold by the 11-yd. roll. Cotton. Contains latex.

ITEM #

Size B, 21⁄2˝ (small hands and arms) ZG25TB Size C, 23⁄4˝ (medium hands and ankles) ZG275TB Size D, 3˝ (large arms, medium ankles and small knees) ZG30TB Size E, 31⁄2˝ (large ankles, medium knees and small thighs) ZG35TB Size F, 4˝ (large knees and medium thighs) ZG40TB Size G, 41⁄2˝ (large thighs) ZG45TB

HCPCS

SOLD BY

CASE QTY.

A6457 ea A6457 ea

20/cs 20/cs

A6457 ea

20/cs

A6457 ea A6457 ea A6457 ea

16/cs 16/cs 12/cs

WOUND CARE

WOUND CLEANSING

CARDINAL HEALTH™ / RELIAMED® ReliaMed products will transition to the Cardinal Health™ brand in coming months. ®

* Not made with natural rubber latex ReliaMed® Tubular Elastic Stretch Net Dressings Constructed from high quality nylon and rubber mix, knitted in a seamless band. Secures bandages in place without adhesive while applying gentle pressure. Features strong elasticity. Can be cut for a customized size without unraveling. Smooth surface increases comfort. Allows maximum airflow. Contains latex.

Cardinal Health Wound and Skin Cleanser* Nontoxic, pH-balanced to skin, nonirritating wound cleanser gently removes debris and dressing residue from the wound bed. Does not require scrubbing or rinsing. Ideal for all types of wounds, including Stage I – IV pressure ulcers, stasis ulcers, diabetic ulcers, post-surgical wounds, first- and second-degree burns, abrasions and minor skin irritation. Helps reduce odor. Spray bottle pressure is 8 psi in accordance with AHCPR guidelines. Made in the USA. ™

ITEM #

HCPCS

SOLD BY

ZG701NB

A6457

ZG702NB ZG703NB ZG704NB

A6457 A6457 A6457

ea ea ea

ZG705NB ZG706NB ZG707NB

A6457 A6457 A6457

ea ea ea

ZG708NB ZG709NB ZG710NB ZG711NB

A6457 A6457 A6457 A6457

ea ea ea ea

ZG720NB ZG722NB ZG724NB ZG726NB

A6457 A6457 A6457 A6457

ea ea ea ea

FINGERS, TOES AND WRIST, 25 YDS.

Size 1, x-small (53⁄8˝ stretched, 0.6˝ flat)

ITEM #

HCPCS

8-oz. spray bottle 12-oz. spray bottle 16-oz. spray bottle

ZRWC8 ZRWC12 ZRWC16

A6260 A6260 A6260

HEAD, SHOULDER AND THIGH, 25 YDS.

Size 5, small (10˝ – 13˝ stretched, 1.2˝ flat) Size 51⁄2, medium (18˝ stretched, 1.6˝ flat) Size 6, large (16˝ – 23˝ stretched, 2˝ flat) CHEST, BACK, PERINEUM AND AXILLA, 25 YDS.

Size 7, small (up to 29˝ stretched, 2.2˝ flat) Size 8, medium (24˝ – 33˝ stretched, 2.4˝ flat) Size 9, large (30˝ – 36˝ stretched, 2.8˝ flat) Size 10, x-large (35˝ – 42˝ stretched, 3.1˝ flat) PRECUT DRESSINGS, 10 YDS.

Size A (0.8˝ flat) Size B (1.2˝ flat) Size C (2.0˝ flat) Size D (3.1˝ flat)

ReliaMed® Pre-Cut Tubular Elastic Dressing Retainer (Perineum Panty) Tubular elastic retainer is specifically cut to fit perineum section. Constructed from a polyester and rubber mix. Secures bandages or any type of medical devices in place without adhesive tape. Smooth surface increases comfort. Allows maximum airflow. Contains latex.

ITEM #

HCPCS

Small/Medium, 2.4˝ x 15˝ Large/X-Large, 3.1˝ x 15.7˝

ZG620 ZG622

A4649 A4649

SOLD BY

ea ea

ReliaMed® Self-Adhesive Dressing Retention Sheet* Comfortable, nonwoven, water-resistant dressing retention tape. Air and moisture vapor permeable. Nonirritating adhesive acts as a secondary dressing for gauze, foams or gels. Does not restrict joint movement.

ITEM #

HCPCS

2˝ x 11-yd. roll 4˝ x 11-yd. roll 6˝ x 11-yd. roll

ZTDR02 ZTDR04 ZTDR06

A4452 A4452 A4452

SOLD BY

ea ea ea

Shower-Guard™ — Moisture Barrier* Protects PICC (peripherally inserted central catheter) lines, wound dressings, surgical sites, dialysis and Hickman catheters, and chemo ports from moisture while taking a shower. Product is not designed for immersion in the bathtub or during swimming. Single use; easy to apply and remove. Nonsterile. DEHP-free.

ITEM #

HCPCS

7˝ x 7˝

ZGSG77

A4649

ea ea ea

ABDOMINAL BINDERS

HAND, ARM, LEG AND FOOT, 25 YDS.

Size 2, small (4˝ – 5˝ stretched, 0.7˝ flat) Size 3, medium (5˝ – 6˝ stretched, 0.8˝ flat) Size 4, large (8˝ – 10˝ stretched, 1˝ flat)

SOLD BY

ReliaMed Abdominal Binders* Stretch material is prepaneled to provide firm support and complete range of motion. Features Velcro® closure so binder can be adjusted easily for a perfect fit. Improved comfort encourages wearer to move around, promoting a faster recovery. Allows wound site to be accessed quickly and easily without adjusting tape. Can be cut to accommodate drainage tubes. Allows clinician to control amount of applied pressure to abdomen. ®

ITEM #

HCPCS

SOLD BY

ZRB410 ZRB411 ZRB418

L0625 L0625 L0625

ea ea ea

ZRB810 ZRB811 ZRB818

L0625 L0625 L0625

ea ea ea

THREE-PANEL, 9˝ WIDE*

30˝ – 45˝ 46˝ – 62˝ 60˝ – 75˝ FOUR-PANEL, 12˝ WIDE**

30˝ – 45˝ 46˝ – 62˝ 60˝ – 75˝ **All sizes when stretched.

WOUND PROTECTORS ReliaMed® Heel and Elbow Protectors Helps prevent decubitus ulcers by reducing pressure, shearing and friction on heel or elbow. Comfortable; allows skin to breathe and does not restrict blood flow. Consists of a knitted tube of soft fabric with a foam pad stitched inside. Remains firmly in place. Color-coded sizes make fitting patients easy. Measures limb circumference for size. Contains latex.

ITEM #

HCPCS

Small up to 16˝ (green) Medium up to 17˝ (white) Large up to 19˝ (beige) X-Large up to 23˝ (yellow) 2X-Large up to 25˝ (blue)

ZGHEPSM ZGHEPMED ZGHEPLRG ZGHEPXLG ZGHEP2X

E0191 E0191 E0191 E0191 E0191

SOLD BY

pr pr pr pr pr

SURGICAL & ADHESIVE TAPE ReliaMed Paper Surgical Tape* Breathable and gentle to skin to reduce risk of irritation. ®

SOLD BY

ITEM #

HCPCS

5/pk

⁄2˝ x 10-yd. roll 1˝ x 10-yd. roll 2˝ x 10-yd. roll 3˝ x 10-yd. roll

ZTPA05A ZTPA01A ZTPA02A ZTPA03A

A4450 A4450 A4450 A4450

SOLD BY

ea ea ea ea

ReliaMed® Tan Paper Surgical Tape*

ITEM #

HCPCS

⁄2˝ x 10 yd. roll 1˝ x 10 yd. roll 2˝ x 10 yd. roll

ZTPA05AT ZTPA01AT ZTPA02AT

A4452 A4452 A4452

SOLD BY

ea ea ea

285

WOUND CARE

KOSMA-KARE, INC. (KZ)

CARDINAL HEALTH™ / RELIAMED® ReliaMed products will transition to the Cardinal Health™ brand in coming months. ®

ZinO Zinc Oxide Tape

* Not made with natural rubber latex ReliaMed® Clear Surgical Tape* Perforated to aid in tearing. Breathable and water resistant.

ITEM #

HCPCS

⁄2˝ x 10-yd. roll 1˝ x 10-yd. roll 2˝ x 10-yd. roll 3˝ x 10-yd. roll

ZTPL05A ZTPL01A ZTPL02A ZTPL03A

A4452 A4452 A4452 A4452

SOLD BY

ea ea ea ea

ReliaMed® Cloth Surgical Tape* Serrated edges to aid in tearing. Breathable and water resistant

ITEM #

HCPCS

⁄2˝ x 10-yd. roll 1˝ x 10-yd. roll 2˝ x 10-yd. roll 3˝ x 10-yd. roll

ZTCL05A ZTCL01A ZTCL02A ZTCL03A

A4452 A4452 A4452 A4452

SOLD BY

ea ea ea ea

ReliaMed® Soft Cloth Surgical Tape* Perforated to aid in tearing. Gentle to skin to reduce risk of irritation. Breathable and water resistant.

ITEM #

HCPCS

1˝ x 10-yd. roll 2˝ x 10-yd. roll 3˝ x 10-yd. roll 4˝ x 10-yd. roll 6˝ x 10-yd. roll 8˝ x 10-yd. roll

ZTSC01 ZTSC02 ZTSC03 ZTSC04 ZTSC06 ZTSC08

A4452 A4452 A4452 A4452 A4452 A4452

SOLD BY

ea ea ea ea ea ea

APPLICATORS ReliaMed Cotton Tip Applicators* Single-tipped applicator. 100% cotton, soft, absorbent tips. Can be used for wound treatment or to apply medication. Single cotton tip applicator. 6˝. ®

ITEM #

HCPCS

Sterile, 1/pk, 6˝ wood Sterile, 2/pk, 6˝ wood Nonsterile, 100/pouch Sterile, 1/pouch, 6˝ plastic

ZRCTA1S ZRCTA2S ZRCTA100NS C150S0006

A9270 A9270 A9270 A9270

SOLD BY

100 pk/bx pk 100/pk 500/bx

ReliaMed® Wooden Tongue Depressors* Smooth, rounded edges for comfort. Unflavored. 3 ⁄4˝ wide.

ITEM #

HCPCS

SOLD BY

Sterile, 1/pk Nonsterile

ZRTDS A9270 100 pouches/bx ZRTDNS A9270 500/bx

IRRIGATION SYRINGE ReliaMed® 60cc Irrigation Syringe* Sterile irrigation syringe packaged in a poly pouch. Features a flat-top and catheter tip with tip protector. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

286

ITEM #

ZR60CCFT A4322

HCPCS

SOLD BY

LATEX FREE

The original latex-free, zinc oxide-based, ostomy fixation tape. First to offer a performance-comparable tape product to replace latex-based adhesive tapes. Flexible, washable and waterproof. Conforms easily to body contours. Easy on the skin; adheres easily and securely, yet removes painlessly without skin breakdown. Eliminates the need for skin prep wipes or spray. For a variety of applications: dressings and ostomy pouches stay in place without deteriorating, extending wear time. Ideal for delicate skin (infants and children). Ideal for securing catheters, lines and tubing.

ITEM #

HCPCS

⁄4˝ x 5 yds. 1 ⁄2˝ x 5 yds. 1 ⁄2˝ x 5 yds., clear 3 ⁄4˝ x 5 yds. 1˝ x 5 yds. 1˝ x 5 yds., clear 11⁄2˝ x 5 yds. 11⁄2˝ x 5 yds., clear 2˝ x 5 yds. 2˝ x 5 yds., clear 3˝ x 5 yds. 3˝ x 5 yds., clear 4˝ x 5 yds.

02185 05185 5TZC05185 07125 10125 5TZC10125 15065 5TZC15065 20066 5BZC20065 30015 5BZC30015 40015

A4452 A4452 A4452 A4452 A4452 A4452 A4452 A4452 A4452 A4452 A4452 A4452 A4452

SOLD BY

ea ea ea ea ea ea ea ea ea ea ea ea ea

MEDIPURPOSE® (SE) CONTAINS SILVER LATEX FREE MediPlus Super Foam Ag Effective tri-layer technology: outside breathable film provides bacterial barrier and moisture vapor transmission. Inner foam layer absorbs fluid at five times its weight. Antimicrobial silver (Ag+) coated wound contact layer is a laminated polyurethane net, to help reduce microbial growth and prevent the dressing from sticking to the wound. 79 ppm of elemental silver is bound within the wound dressing to inhibit bacterial growth, which helps prevent colonization. Silver is effective up to three days within the wound dressing; silver ions remain in the wound dressing and do not migrate into the wound. Provides proven antibacterial effectiveness against microorganism (bacteria), enterococcus faecalis, escherichia coli, klebsiella pneumonia, proteus mirabilis, staphylococcus aureus and streptococcus pyogenes. Indicated for exudate absorption and management of partial- to full-thickness wounds, including ulcers (venous, arterial and diabetic), pressure sores, donor sites and surgical incisions, surgical excisions and first- and second-degree burns. Sterile. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

3˝ x 4˝ 4˝ x 4˝ 6˝ x 6˝ 8˝ x 8˝

MP7510PSFAG MP1010PSFAG MP1515PSFAG MP2020PSFAG

A6209 A6209 A6210 A6211

SOLD BY

10/bx 10/bx 5/bx 3/bx

CONTAINS SILVER LATEX FREE MediPlus Comfort Foam Border Ag Island Dressing Island dressing that offers the same advantages of MediPlus Super Foam Ag, with the addition of a polyurethane, low-allergy, gelatin-free adhesive border to allow fixation without a secondary dressing or fixation tape. Sterile. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

3˝ x 4˝, pad size 2.4˝ x 3˝ 4˝ x 4˝, pad size 2.4˝ x 2.4˝ 6˝ x 6˝, pad size 4˝ x 4˝ 8˝ x 8˝, pad size 5.5˝ x 5.5˝ 8.7˝ x 8.7˝, pad size 5˝ x 5.7˝

MP7510PFCAG MP1010PFCAG MP1515PFCAG MP2020PFCAG MP2222PFCAG

A6212 A6209 A6212 A6213 A6213

SOLD BY

10/bx 10/bx 5/bx 3/bx 3/bx

WOUND CARE

MEDIPURPOSE® (SE) MediPlus™ Silicone Comfort Foam Border Dressings LATEX FREE NEW Latex-Free All-in-one foam dressing coated with a soft silicone wound contact layer and a soft silicone adhesive border that allow fixation without secondary dressing or fixation tape. Intrinsic properties of soft silicone allow easy removal to minimize trauma (to the wound or to the surrounding skin) and pain. Designed to absorb and retain exudate to help reduce the risk of maceration. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

3˝ x 3˝ 4˝ x 4˝ 6˝ x 6˝ 7.2˝ x 7.2˝

MP7575SLCF MP1010SLCF MP1515SLCF MP2222SLCF (SACRAL)

A6212 A6212 A6213 A6213

SOLD BY

5/bx 5/bx 5/bx 5/bx

SKIN SAFE (SX)

CONTAINS SILVER LATEX FREE ColActive® Plus Ag All of the features of ColActive® Plus, and also contains ionic silver chloride as a highly effective antimicrobial intended to prevent colonization of the dressing. Indicated for pressure, diabetic and venous ulcers; ulcers caused by mixed etiologies; first- and second-degree burns; donor and graft sites; abrasions and lacerations; dehisced surgical wounds; and traumatic wounds healing by secondary infection. Sterile. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝ 7˝ x 7˝

TWBC1033 TWBC1034 TWBC1032

A6021 A6021 A6023

SOLD BY

10/bx 10/bx 10/bx

CONVATEC (51) WOUND CLEANSING SĀF-Clens AF Dermal Wound Cleanser Advanced, surfactant-containing cleanser intended for cleansing dermal lesions, such as Stages I – IV pressure, stasis and diabetic ulcers; postsurgical wounds; first- and second-degree burns; abrasions; and minor skin irritations. ®

BIOPAD™ Collagen Dressing Contains no fillers, just pure collagen to stimulate proliferation of fibroblasts and the formation of granulation tissue. With five times the standard amount of collagen, BIOPAD does not break down as quickly as the other thin dressings, sending more collagen to the wound site. Can be used in a hyperbaric chamber with NPWT and to fill large voids. Transforms into a soft gel that allows contact within the entire wound bed.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝

B220302 132644B

A6021 3/bx A6021 ea

SOLD BY

ExSept Plus Skin and Wound Cleanser Intended for the mechanical cleansing of skin debris and foreign material from epidermal and dermal wounds. Ideal for the cleansing and debridement of onychocryptosis and other podiatry needs. FDA-cleared cleanser that is non-irritating, non-sensitizing and safe for use on skin and wounds. 250-mL bottle.

ITEM #

HCPCS

EX250S

A6260 ea

SOLD BY

Supreme AG Calcium Alginate Dressing with Antibacterial Silver Has the absorptive capacity of natural calcium alginate plus antibacterial silver. Indicated for the management of wounds in the exudation and granulation phase that are moderate to heavily exuding, as well as superficial and deep wounds, such as pressure sores, arterial ulcers, venous lower leg ulcers, diabetic ulcers, post-operative wounds, partial thickness wounds, acute and surgical wounds, lacerations and second-degree burns. Silver calcium alginate material is soft, comfortable and easily conforms to the shape of the wound bed; and made with a high mannuronic acid content. Fluid uptake by the dressing is increased, forming a soft gel.

ITEM #

2˝ x 2˝ 4˝ x 5˝

MP00842 A6196 10/bx MP00840 A6197 10/bx

HCPCS

LATEX FREE

Fast-acting collagen matrix dressings that aid in the formation of granulation tissue and epitheliazation by creating a suitable environment for wound healing. Advanced dual MMP-inhibition targets and deactivates excess MMPs, rebalancing the chronic wound environment. Highly absorbent, conformable dressings are easy to apply, and the gelling actions provide cooling, soothing effect for enhanced patient comfort. Contain alginate and CMC for optimal moisture balance. Absorb up to 40 times their weight. Sterile.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝ 7˝ x 7˝

TWBC1016 TWBC1018 TWBC1035

A6021 A6021 A6023

ITEM #

HCPCS

12-oz. bottle

159712

A6260

SOLD BY

10/bx 10/bx 10/bx

SOLD BY

OPTIPORE® Sponge Soft, pliable, butterfly foam sponge specifically designed for use as a low-friction scrubbing implement for skin wounds. Fine, porous structure ensures minimal wound trauma due to mechanical cleaning. Combine with Shur-Clens® wound cleanser to cleanse wounds and minimize irritation.

ITEM #

125199 A4649

HCPCS

SOLD BY

WOUND HYDRATION DuoDERM Hydroactive® Gel Sterile, clear hydrocolloid gel releases moisture into dry cavity wounds. Provides a moist wound healing environment and aids in the removal of nonsterile tissue. ®

ITEM #

HCPCS

15-g tubes 30-g tubes

187990 187987

A6248 A6248

SOLD BY

10/bx 3/bx

SĀF-Gel® Hydrating Dermal Wound Dressing Gel with Alginate Provides an optimal, moist wound-healing environment and aids in autolytic debridement. Absorbs exudate. Indicated for use on chronic and acute wounds.

ITEM #

HCPCS

3-oz. tube

145730

A6248

SOLD BY

UNNA BOOTS

SOLD BY

COVALON TECHNOLOGIES LTD. (XC) ColActive® Plus

UNNA-FLEX Elastic Unna Boot Stretchable, zinc oxide-impregnated bandage provides an ideal form of compression for venous leg ulcer management. Flexible; conforms closely to the leg and is comfortable to wear. ®

ITEM #

HCPCS

3˝ x 10 yds. 4˝ x 10 yds.

650940 650941

A6456 A6456

SOLD BY

ea ea

COMPRESSION PRODUCTS UNNA-FLEX Convenience Pack Contains a 4˝ x 10-yd. UNNA-FLEX® Elastic Unna Boot and a 4˝ x 5-yd. self-adherent bandage. ®

ITEM #

650944 A4649

HCPCS

SOLD BY

287

WOUND CARE

CONVATEC (51)

AQUACEL® DRESSINGS

SurePress® High Compression Bandage Reusable bandage has a yellow center line and two rectangular extension indicators for easier application and appropriate amount of compression for a variety of leg sizes. Indicated for the management of venous leg ulcers and associated conditions. Can be used alone or in combination with the SurePress® absorbent padding.

AQUACEL® Foam Dressings Offer comfort and simplicity, plus the healing benefits of an AQUACEL® interface. Barrier provides evaporation of excess moisture, a waterproof barrier against viral/bacterial penetration and allows user to shower and bathe. Soft, absorbent foam pad enhances user comfort and absorbs excess fluid. AQUACEL® interface gels on contact with wound exudate to maintain a moist environment. Locks in wound exudate, including harmful components. Vertical wicking prevents lateral spread of fluid, reducing risk of maceration. Micro-contours to the wound bed, minimizing dead space where bacteria can grow. Gentle silicone border designed to adhere to surrounding skin, not to the wound bed. Skin-friendly adhesive supports simple application and removal. Demonstrated low potential for dermal irritation or allergic contact sensitization.

ITEM #

HCPCS

4˝ x 3.2 yds

650947

A6452

SOLD BY

SurePress® Absorbent Padding Soft, nonwoven, absorbent padding composed of a blend of viscous/bicomponent and superabsorbent fibers. Protects the skin, providing additional absorption and even distribution of pressure under compression bandages.

ITEM #

HCPCS

4˝ x 3.2 yds

650948

A6441

SOLD BY

6/bx

KALTOSTAT® DRESSINGS KALTOSTAT® Alginate Wound Dressing Ropes Designed to absorb exudate and help control minor bleeding. Convert to a gel/fiber mat on contact with fluid. Sterile.

ITEM #

HCPCS

2-g ropes

168132

A6199

SOLD BY

5/bx

ITEM #

HCPCS

SOLD BY

420804 420680 421153 421155 420619 420621 421149 421151 420625 420626 420828

A6209 A6212 N/A N/A A6212 A6213 A6212 A6212 A6213 A6213 N/A

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 5/bx 5/bx 5/bx

420633 420635 420637

A6209 A6210 A6210

10/bx 5/bx 5/bx

ADHESIVE

3.2˝ x 3.2˝, square 4˝ x 4˝, square 4˝ x 10˝, surgical size 4˝ x 12˝, surgical size 5˝ x 5˝, square 7˝ x 7˝, square 3˝ x 5˝, rectangle 4˝ x 8˝, rectangle 8˝ x 5.5˝, heel 8˝ x 7˝, sacral 91⁄2˝ x 81⁄2˝, sacral NONADHESIVE

KALTOSTAT® Alginate Wound Dressings Calcium alginate wound exudate absorber for moderately to heavily draining wounds. May be appropriately used for Stages II – IV pressure, venous, arterial and diabetic ulcers; donor sites; superficial burn wounds; abrasions; lacerations and traumatic wounds. Available in flat dressings or wound-packing ropes.

2˝ x 2˝ 3˝ x 4.75˝ 4˝ x 8˝ 6˝ x 9.5˝ 12˝ x 24˝

ITEM #

HCPCS

168210 168212 168214 168215 168219

A6196 A6196 A6197 A6198 A6198

SOLD BY

10/bx 10/bx 10/bx 10/bx 5/bx

KALTOSTAT® Alginate Fortex™ Dressings Unique, soft-fiber dressing designed for moderately to heavily draining wounds. May be appropriately used for Stages II – IV pressure, venous, arterial and diabetic ulcers; donor sites; superficial burn wounds; abrasions; lacerations and traumatic wounds. Available in a flat dressing.

ITEM #

HCPCS

4˝ x 4˝

168356

A6196

SOLD BY

10/bx

NEW Aquacel® Foam PRO Designed to protect the skin from breakdown caused by moisture, friction and shear forces when used as part of a protocol of care.

ITEM #

HCPCS

8˝ x 7˝, sacral 9.4˝ x 8.4˝, sacral

421579 421580

A6212 A6213

SOLD BY

5/bx 5/bx

4˝ x 4˝, square 6˝ x 6˝, square 6˝ x 8˝, rectangle

AQUACEL® Ag Foam Dressings The only silver foam dressing that offers the moist wound healing benefits of an AQUACEL® Ag interface, the comfort of foam and the bacteria-killing power of ionic silver. Features proprietary Hydrofiber® Technology, which gels on contact with the wound surface to lock in wound exudate and harmful bacteria. Micro-contours to a simulated wound bed, minimizing “dead space” where bacteria can thrive.

ITEM #

HCPCS

SOLD BY

420805 420681 420627 420628 420647 420648 420827 420807

A6209 A6209 A6212 A6213 A6213 A6213 A6213 A6213

10/bx 10/bx 10/bx 10/bx 5/bx 5/bx 5/bx 5/bx

420639 420642 420645 420806 420646

A6209 A6209 A6210 A6210 A6211

10/bx 10/bx 5/bx 5/bx 5/bx

ADHESIVE

3.2˝ x 3.2˝ 4˝ x 4˝ 5˝ x 5˝ 7˝ x 7˝ 8˝ x 51⁄2˝, heel 8˝ x 7˝, sacral 9.4˝ x 8.4˝, sacral 10˝ x 12˝, sacral NONADHESIVE

2˝ x 2˝ 4˝ x 4˝ 6˝ x 6˝ 6˝ x 8˝ 8˝ x 8˝

AQUACEL® Ribbon Nonwoven pad or ribbon absorbs wound fluid and creates a gel. Nonadherent, conforms to various wound shapes, supports debridement and can be removed in one piece with minimal damage to newly forming granulating tissues. Retains exudate and exudate bacteria in its fibers and maintains a moist wound healing environment.

288

ITEM #

HCPCS

0.39˝ x 18˝ ribbon with strengthening fiber 0.75˝ x 18˝ ribbon with strengthening fiber

420127 403770

A6199 A6199

SOLD BY

5/bx 5/bx

WOUND CARE

CONVATEC (51)

DUODERM® DRESSINGS & PASTE

AQUACEL® EXTRA™ Hydrofiber® Wound Dressing Composed of two layers of Hydrofiber® Technology stitched together. Has the same gelling benefits of the original AQUACEL® dressing, but is nine times stronger1 and 39% more absorbent1. Cleared for the same indications as original AQUACEL® dressing, AQUACEL® EXTRA™ wound dressing is specifically suitable when managing moderately to highly exuding wounds.

DuoDERM® CGF® Sterile Dressings Hydrocolloid, moisture-retentive wound dressing used for partialand full-thickness wounds with exudate. Recommended for use on dermal ulcers, Stages II – IV pressure ulcers, leg ulcers, superficial wounds and donor sites.

Assessment of the Physical Properties of AQUACEL® EXTRA & AQUACEL Dressings. Scientific Background Report WHRI3461 TA214. 2011 Data on File, ConvaTec.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 5˝ 6˝ x 6˝

420671 420674 420673

A6196 A6197 A6197

SOLD BY

10/bx 10/bx 5/bx

CONTAINS SILVER AQUACEL® Ag EXTRA™ Hydrofiber® Antimicrobial Dressing Provides immediate and sustained antimicrobial activity to kill pseudomonas aeruginosa and staphylococcus aureus, MRSA, VRE, and other wound pathogens in the dressing. Offers the unique gelling properties of Hydrofiber® technology to create a large fluid-absorption capacity. Locks bacteria within the gelled fibers away from the wound bed. Indicated for use on acute and chronic wounds, including burns, surgical wounds, diabetic foot ulcers, pressure ulcers and leg ulcers.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 5˝ 6˝ x 6˝ 8˝ x 12˝

420675 420677 420678 420679

A6196 A6197 A6197 A6198

SOLD BY

10/bx 10/bx 5/bx 5/bx

CONTAINS SILVER AQUACEL® Ag Ribbon Silver-impregnated antimicrobial dressing with benefits in addition to those of AQUACEL® dressings. The Hydrofiber® properties conform over the wound surface, creating a contact that allows for optimal exposure to bactericidal silver ions. Ionic silver starts killing a broad spectrum of pathogens within 30 minutes of exposure to the dressing as demonstrated by in vitro testing, including MRSA and VRE.

0.39˝ x 18˝ ribbon with strengthening fiber 0.75˝ x 18˝ ribbon with strengthening fiber

ITEM #

HCPCS

420128 403771

A6199 A6199

SOLD BY

5/bx 5/bx

CONTAINS SILVER AQUACEL® Ag SURGICAL Cover Dressings Easy-to-use, single-product solution to the post-operative management of surgical incisions. Designed to enhance clinical outcomes and facilitate mobility. Dressings combine skin-friendly hydrocolloid technology for comfort during body movement and proprietary Hydrofiber® Technology with ionic silver to help manage drainage. The cover layer of polyurethane film provides a viral, waterproof and bacterial barrier (when intact and with no leakage) to allow the user to shower.

ITEM #

HCPCS

3.5˝ x 4˝, for incision size up to 1.5˝ 3.5˝ x 6˝, for incision size up to 3.5˝ 3.5˝ x 10˝, for incision size up to 6.5˝ 3.5˝ x 14˝, for incision size up to 10.5˝ 3.5˝ x 12˝, for incision size up to 9˝

412009 412010 412011 412012 420670

A6196 A6197 A6197 A6198 A6197

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx

NEW Aquacel® Ag Surgical SP Slim profile sterile post‐operative dressing comprising an inner (wound contact) non‐woven pad composed of Hydrofiber™ technology and ionic silver that is stitch bonded with nylon and elastane yarns. The pad is held in place between a top layer of hydrocolloid adhesive that is bound to an outer polyurethane film and a windowed skin contact layer consisting of polyurethane film sandwiched between one layer of acrylic and one layer of hydrocolloid contacting the skin.

ITEM #

HCPCS

3.5˝ x 4˝ (9 x 10cm), incisions up to 1.5˝ 3.5˝ x 6˝ (9 x 15 cm), incisions up to 3.5˝ 3.5˝ x 10˝ (9 x 25 cm), incisions up to 6.5˝ 3.5˝ x 12˝ (9 x 30cm), incisions up to 8.5˝ 3.5˝ x 14˝ (9 x 35cm), incisions up to 10.5˝

413557 413556 413555 413554 413553

N/A N/A N/A N/A N/A

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx

ITEM #

HCPCS

4˝ x 4˝ 4˝ x 4˝ 6˝ x 6˝ 6˝ x 6˝ 6˝ x 8˝ 8˝ x 8˝ 8˝ x 12˝

187660 187658 187661 187659 187643 187662 187644

A6234 A6234 A6235 A6235 A6235 A6236 A6236

SOLD BY

5/bx 20/bx 5/bx 20/bx 5/bx 5/bx 5/bx

DuoDERM® Signal® Dressings Combine the convenience of a visual indicator to signal the proper time to change the dressing, along with the added feature of tapered edges to reduce rolling and bunching up. Both features offer the benefit of initial wound monitoring, potentially reducing premature dressing removals. Fewer dressing removals can produce increased cost-effectiveness, as well as reduced pain for the patient and reduced disruption to the wound bed. Provide exudate absorption and an optimal moist wound environment that is supportive of the healing process. Provide a viral and bacterial barrier while intact and without leakage. Can be used as a primary or secondary dressing.

ITEM #

HCPCS

4˝ x 4˝ 5.5˝ x 5.5˝ 6˝ x 7˝, triangle 7.5˝ x 7.8˝, heel 8˝ x 8˝ 8˝ x 9˝, triangle 8˝ x 9˝, sacral

403326 403327 403332 410500 403328 403333 410501

A6237 A6238 A6238 A6235 A6238 A6238 A6236

SOLD BY

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

DuoDERM® Extra Thin Dressings Thin, flexible, conformable and moisture-resistant wound dressing that protects susceptible areas anywhere on the body. Translucent backing is designed to prevent needless dressing changes that can cause discomfort and disturb healing. Maintain a moist wound healing environment and are recommended for use on skin tears, dry to lightly exuding dermal ulcers, superficial wounds and post-op wounds.

ITEM #

HCPCS

1.75˝ x 1.5˝, spots 2˝ x 4˝ 2˝ x 8˝ 3˝ x 3˝ 4˝ x 4˝ 4˝ x 6˝, oval 6˝ x 6˝ 6˝ x 7˝, triangular

187932 187900 187961 187901 187955 187902 187957 187903

A6234 A6234 A6234 A6234 A6234 A6235 A6235 A6235

SOLD BY

20/bx 20/bx 10/bx 20/bx 10/bx 10/bx 10/bx 10/bx

DuoDERM® CGF® Border Dressings For hard-to-dress areas. Feature a wide outer foam border that does not require additional taping. Recommended for use on dermal ulcers, including full thickness wounds, leg ulcers, donor sites and partial-thickness burns.

ITEM #

HCPCS

SOLD BY

187970 187971 187972

A6237 A6237 A6238

5/bx 5/bx 5/bx

187973 187974

A6237 A6238

5/bx 5/bx

SQUARES

2.5˝ x 2.5˝, 0.75˝ border 4˝ x 4˝, 0.75˝ border 6˝ x 6˝, 1˝ border TRIANGLES

4˝ x 5˝, 1˝ border 6˝ x 7˝, 1˝ border

DuoDERM® Hydroactive® Paste Hydrocolloid paste for the management of lightly exuding dermal ulcers. Use DuoDERM® Signal® as the cover dressing for best results.

ITEM #

HCPCS

30-g tube

187930

A6240

SOLD BY

289

WOUND CARE

CONVATEC (51) DuoDERM® Sterile Hydroactive® Dressings The original DuoDERM® dressing, designed for the management of partialand full-thickness pressure sores and leg ulcers.

ITEM #

HCPCS

4˝ x 4˝

187611

A6234

SOLD BY

20/bx

Eakin® Fistula and Wound Pouches with Tap Closure and Built-in Access Window Pouches with a Tap Closure allow easier emptying and connection to drainage. Built-in Access Window for easy access to the wound for viewing, dressing or irrigating without having to remove the entire dressing.

9.7˝ x 6.3˝

FOAM DRESSINGS Foam Lite™

NEW Thin, conformable, laminated polyurethane layered foam dressing designed for low to non-exuding wounds such as skin tears, minor cuts and abrasions.

ITEM #

HCPCS

ITEM #

HCPCS

SOLD BY

839264

A6154

5/bx

839268

A6154

5/bx

SUITABLE FOR CUTTING AREA OF:

SUITABLE FOR VERTICAL CUTTING AREA OF:

9.7˝ x 6.3˝

SOLD BY

SQUARE

3.1˝ x 3.1˝ (8cm x 8cm) 4˝ x 4˝ (10cm x 10cm) 5.9˝ x 5.9˝ (15cm x 15cm)

421557 421559 421561

A4212 A4212 A4413

10/bx 10/bx 10/bx

RECTANGLE

2.1˝ x 4.7˝ (5.5cm x 12cm)

421563

A1212

10/bx

CARBOFLEX® DRESSINGS CarboFLEX® Odor Control Dressings Designed to give caregivers a flexible and effective alternative for managing draining and malodorous wounds. Sterile, multilayer construction includes a comfortable, soft, nonadhesive wound contact layer; a fibrous layer that turns into a gel as it interacts with, and absorbs, wound exudate; and an active carbon layer that works to reduce odor. Can be used as a primary or secondary dressing.

ITEM #

HCPCS

3˝ x 6˝ 4˝ x 4˝ 6˝ x 8˝

403203 403202 403204

A6197 A6196 A6197

Eakin® Fistula and Wound Pouches with Tap Closure Pouches designed to dress and drain fistulas, wounds and difficult stoma sizes. The Tap Closure allows easier emptying and connection to tubing for remote drainage.

ITEM #

HCPCS

SOLD BY

1.8˝ x 1.2˝

839260

A6154

10/bx

2.4˝ x 3.14˝

839267

A6154

10/bx

4.3˝ x 3˝

839261

A6154

10/bx

6.9˝ x 4.3˝

839262

A6154

10/bx

839263

A6154

5/bx

9.7˝ x 6.3˝

839265

A6154

5/bx

11.4˝ x 5.1˝

839266

A6154

5/bx

SUITABLE FOR CUTTING AREA OF:

SOLD BY

5/bx 10/bx 5/bx

EAKIN® FISTULA AND WOUND POUCHES Specially designed to offer skin protection and contain drainage from wounds, fistulas and difficult stoma sizes. The Cohesive® Skin Barrier on each pouch ensures a secure fit and flexible comfort. Transparent plastic allows easy viewing of the wound without having to remove the pouch. Tracing template is supplied with every Wound Pouch to facilitate accurate wound tracing and ensure the best fit. Eakin® Fistula and Wound Pouches with New Fold and Tuck Closure The new fold and tuck closure allows for better mobility and comfort.

ITEM #

HCPCS

SOLD BY

1.8˝ x 1.2˝

839250

A6154

10/bx

4.3˝ x 3˝

839251

A6154

10/bx

SUITABLE CUTTING AREA OF:

SUITABLE FOR HORIZONTAL CUTTING AREA OF:

9.7˝ x 6.3˝ VERTICAL CUTTING AREA OF:

6.9˝ x 4.3˝

839252

A6154

10/bx

SUITABLE FOR VERTICAL CUTTING AREA OF:

HORIZONTAL CUTTING AREA OF:

9.7˝ x 6.3˝

290

839253

A6154

5/bx

WOUND CARE

CONVATEC (51) Eakin® Fistula and Wound Pouch Access Window Open and close Access Window can be fitted to pouches to allow instant access to the wound for viewing, dressing or irrigating without having to remove the entire dressing. For use with Item # 839252, 839253, 839262, 839263, 839265 and 839266.

ITEM #

839280 A6154 5/bx

HCPCS

SOLD BY

SMITH & NEPHEW (54) SURGICAL DRESSINGS NEW Pico Single Use Negative Pressure Wound Therapy System Canister-free and disposable. Allows NPWT to be used with a wider range of patients in all care settings.

ITEM #

HCPCS

4˝ x 8˝ 4˝ x 12˝ 4˝ x 16˝ 6˝ x 6˝ 6˝ x 8˝ 6˝ x 12˝ 8˝ x 8˝ 10˝ x 10˝

66800951 66800952 66800953 66800954 66800955 66800956 66800957 66800958

A9272 A9272 A9272 A9272 A9272 A9272 A9272 A9272

SOLD BY

ea ea ea ea ea ea ea ea

CUTICERIN* Gauze Impregnated gauze is made of nonadherent, smooth acetate fabric with a defined mesh size and water-repellent ointment coating. Reduces the risk of granulation tissue growing through dressing. Minimizes pain at dressing change. Allows air and exudate to pass freely through dressing. For the treatment of extensive, exuding wounds, especially burns, abrasion and split-thickness skin graft donor sites.

ITEM #

HCPCS

3˝ x 3˝ 3˝ x 3˝ 3˝ x 8˝ 3˝ x 8˝ 3˝ x 8˝ (3/pkg) 4˝ x 4˝ 8˝ x 16˝

66045562 66045560 66045563 66045561 66045503 66045564 66045502

A6222 A6222 A6223 A6223 A6223 A6222 A6224

SOLD BY

10/bx ea 10/bx 50/bx 25/bx 10/bx 25/bx

ACTICOAT* DRESSINGS CONTAINS SILVER ACTICOAT* with SILCRYST™ Nanocrystalline Silver Nanocrystalline, silver-impregnated, antimicrobial dressing. Highdensity polyethylene properties conform over the wound surface, creating a contact that allows optimal exposure to bactericidal nanocrystals of silver. Starts killing a broad spectrum of pathogens within 30 minutes of exposure to the dressing as demonstrated by in-vitro testing, including MRSA and VRE. Can be left in place for up to three days.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝ 4˝ x 8˝ 4˝ x 48˝ rolls 5˝ x 5˝ 8˝ x 16˝ 16˝ x 16˝

20601 20101 20201 20501 20151 20301 20401

A9270 A9270 A9270 A9270 A9270 A9270 A9270

SOLD BY

5/bx 12/bx 12/bx 6/bx 5/bx 6/bx 6/bx

CONTAINS SILVER ACTICOAT* 7 with SILCRYST™ Nanocrystalline Silver Nanocrystalline, silver-impregnated, antimicrobial dressing. Highdensity polyethylene properties conform over the wound surface, creating a contact that allows optimal exposure to bactericidal nanocrystals of silver. Starts killing a broad spectrum of pathogens within 30 minutes of exposure to the dressing as demonstrated by in-vitro testing, including MRSA and VRE. Can be left in place for up to seven days.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 5˝ 6˝ x 6˝

20341 20141 20241

A9270 A9270 A9270

SOLD BY

5/bx 5/bx 5/bx

CONTAINS SILVER ACTICOAT* Moisture Control with SILCRYST™ Nanocrystalline Silver Highly absorbent foam dressing with nanocrystalline silver technology. Provides an antimicrobial barrier to help protect against bacterial contamination and penetration. For moderately to heavily exuding wounds, minimizing the risk of skin maceration and erosion. Starts killing a broad spectrum of pathogens within 30 minutes of exposure to the dressing as demonstrated by in-vitro testing, including MRSA and VRE. Can be left in place for up to seven days.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝

20111 20311

A6209 A6209

SOLD BY

10/bx 10/bx

CONTAINS SILVER ACTICOAT* Post-Op Silver-Coated Antimicrobial Barrier Dressing Absorbent, postoperative dressing consisting of a nanocrystalline, silver-coated polyurethane layer, a white polyurethane foam pad and an adhesive-coated, waterproof polyurethane film layer. Indicated for use in lightly to moderately exuding, partial- and full-thickness wounds, including decubitus ulcers, diabetic ulcers, surgical wounds, first- and second-degree burns, and donor sites. Can be left in place for up to seven days.

ITEM #

HCPCS

4˝ x 8˝

66021771

A6212

SOLD BY

5/bx

IODOFLEX* DRESSINGS IODOFLEX* Cadexomer Iodine Pads Triple-action benefit helps create an effective wound healing environment. Feature debridement of slough and soft necrotic tissue, antimicrobial activity provided in a controlled, sustained release of bactericidal iodine at a noncytotoxic concentration of 0.9%, and exudate control for wet, sloughy wounds. Pliable dressing allows easy shaping to fit wound contours and promotes a moist wound environment for rapid healing. Broad-spectrum antimicrobial activity is sustained for up to 72 hours. Color change indicates dressing change is needed.

ITEM #

HCPCS

5 g (11⁄2˝ x 23⁄8˝ ) 10 g (21⁄8˝ x 3˝ )

6602133005 6602134010

A6222 A6222

SOLD BY

5/pk 3/pk

IODOSORB* GEL IODOSORB* Gel For use in cleaning wet ulcers and wounds, such as venous stasis ulcers, pressure sores, diabetic foot ulcers, and infected traumatic and surgical wounds. A sterile formulation of Cadexomer Iodine. Cleans wound by absorbing fluids, removing exudate, slough and debris, and forming a gel over the wound surface. As the gel absorbs exudate, iodine is released, killing bacteria and reducing associated pain. Exudate and debris is removed effectively. Helps to promote a moist, clean wound-healing environment. A change in color (white) indicates when gel should be changed. Gel formed over the wound promotes moist healing.

ITEM #

HCPCS

10-g tube 40-g tube

6602124014 6602125040

A6260 A6260

SOLD BY

ea ea

291

WOUND CARE

SMITH & NEPHEW (54)

23⁄8˝ x 23⁄4˝, peripheral 4˝ x 43⁄4˝, central

OPSITE* DRESSINGS OPSITE* Transparent Adhesive Dressings Transparent polyurethane membrane helps maintain a moist wound environment. Because the dressing is waterproof and aids in the prevention of bacterial contamination, OPSITE* reduces the risk of infection from urine, feces and airborne bacteria.

ITEM #

HCPCS

51⁄2˝ x 4˝ 51⁄2˝ x 4˝ 51⁄2˝ x 10˝ 11˝ x 4˝ 11˝ x 6˝ 11˝ x 113⁄4˝ 11˝ x 173⁄4˝ 173⁄4˝ x 215⁄8˝

4963 4975 4967 4542 4986 4987 4988 4989

A6258 10/bx A6258 50/bx A6259 20/bx A6258 10/bx A6259 10/bx A6259 10/bx A6259 10/bx A6259 10/bx

ITEM #

HCPCS

2˝ x 11 yds. 4˝ x 11 yds.

66000040 66000041

A6259 A6259

HCPCS

ea ea

ITEM #

23⁄8˝ x 23⁄4˝ 4˝ x 43⁄4˝ 4˝ x 43⁄4˝ 43⁄4˝ x 10˝ 6˝ x 8˝

66024628 A6257 100/bx 66024629 A6258 10/bx 66024630 A6258 50/bx 66024632 A6258 20/bx 66024631 A6258 10/bx

ITEM #

21⁄2˝ x 2˝ 33⁄4˝ x 33⁄8˝ 43⁄4˝ x 4˝ 61⁄8˝ x 33⁄8˝ 8˝ x 4˝ 10˝ x 4˝ 113⁄4˝ x 4˝ 133⁄4˝ x 4˝

66000708 A6203 100/cs 66000709 A6203 20/bx 66000710 A6203 10/bx 66000712 A6203 20/bx 66000713 A6203 20/bx 66000714 A6204 20/bx 66000715 A6204 20/bx 66000716 A6204 20/bx

SOLD BY

IV3000* DRESSINGS IV3000* Transparent Adhesive Film Dressings IV3000* was the first transparent dressing designed specifically for IV site care. Patented REACTIC* film is three to eight times more permeable to water vapor than standard film dressings. Under most situations, the unique film allows the IV site to remain dry. The risk of catheter-related infections may be reduced, unscheduled dressing changes are minimized and comfort is enhanced. Available in one-hand, frame and tape handle delivery. ITEM #

HCPCS

SOLD BY

4654 4007 4008

A6257 A6257 A6258

100/bx 100/bx 50/bx

ONE-HAND

292

SOLD BY

59410082 59410882

A6257 A6258

100/bx 50/bx

4925 4973 4649

A6258 A6258 A6258

10/bx 50/bx 50/bx

DRESSING RETENTION HYPAFIX* Dressing Retention Rolls Secure dressings, tubes, catheters and instruments quickly and easily, even in hard-to-tape areas. Comfortable, nonwoven dressing retention tape stretches for easy application and comfort. Water resistant, with a nonirritating adhesive that acts as an excellent secondary dressing for gauze, foam or gels.

ITEM #

HCPCS

2˝ x 2 yds. 2˝ x 10 yds. 4˝ x 2 yds. 4˝ x 10 yds. 6˝ x 2 yds. 6˝ x 10 yds.

4215 4209 4216 4210 4217 4211

A4452 A4452 A4452 A4452 A4452 A4452

SOLD BY

ea ea ea ea ea ea

WOUND CLEANSERS DERMAL WOUND SKIN/WOUND CLEANSER Over-the-counter, pH-balanced, nontoxic, nonirritating, no-rinse skin/wound cleanser. Contains surfactants and moisturizers that gently help remove debris and dressing residue from the wound bed without harsh scrubbing.

ITEM #

HCPCS

8 fl. oz. 16 fl. oz.

59449200 449000

A6260 A6260

SOLD BY

ea ea

SOLD BY

OPSITE* Post-Op Transparent Waterproof Dressings with Absorbent Pad Transparent, waterproof dressing with an absorbent pad and a low-adherent wound contact layer. Dressing is indicated for use in low to moderate exuding post-operative sites, wounds, lacerations, abrasions and minor burns. HCPCS

4˝ x 51⁄2˝, central 4˝ x 51⁄2˝, central 4˝ x 8˝, epidural

SOLD BY

OPSITE* FLEXIGRID* Transparent Adhesive Film Dressings Transparent film dressing is available with a simple and effective application system. The unique management grid can be written on with a ballpoint pen and provides a good record of the change in wound size.

2˝ x 11⁄2˝, pediatric 23⁄8˝ x 23⁄4˝, peripheral 4˝ x 43⁄4˝, central

HCPCS

TAPE HANDLE

SOLD BY

OPSITE* FLEXIFIX* Transparent Film Roll Waterproof, transparent film dressing provides excellent adherence, even during bathing or showering. Comes in roll form and aids in the prevention of bacterial contamination, reducing the risk of secondary infection. FLEXIFIX* allows the skin to breathe and may reduce the risk of maceration.

ITEM #

FRAME

CUTINOVA* DRESSINGS CUTINOVA* Hydro Flexible and waterproof; developed for high absorption. Advanced wound dressing is made of polyurethane gel with a top film layer. Helps to provide a bacterial barrier, and is oxygen and water vapor permeable.

ITEM #

2˝ x 23⁄8˝ 4˝ x 4˝ 6˝ x 8˝

47441 A6234 10/bx 47443 A6234 5/bx 47445 A6236 3/bx

HCPCS

SOLD BY

REPLICARE* HYDROCOLLOID DRESSINGS REPLICARE* Hydrocolloid Dressings Combine absorbency with all the advantages of a film dressing. Balance of adhesion and elasticity promotes excellent adherence over joints, while allowing the dressing to move more freely with the user.

ITEM #

11⁄2˝ x 21⁄2˝ 4˝ x 4˝ 6˝ x 6˝ 8˝ x 8˝

483000 A6234 30/bx 483100 A6234 5/bx 483200 A6235 5/bx 483300 A6236 5/bx

HCPCS

SOLD BY

REPLICARE* Thin Hydrocolloid Dressings Maintain a moist wound environment for lightly exuding wounds, such as skin tears and abrasions, as well as partial-thickness wounds. Comfortable, conformable and cost-effective.

ITEM #

21⁄2˝ x 23⁄4˝ 31⁄2˝ x 51⁄2˝ 6˝ x 8˝

594840 A6234 10/bx 594841 A6235 10/bx 594842 A6235 5/bx

HCPCS

SOLD BY

WOUND CARE

SMITH & NEPHEW (54) REPLICARE* Ultra Advanced Hydrocolloid Alginate Dressings Improved design provides better evaporation through an adaptable, polyurethane top film that regulates moisture vapor transmission rate. This allows excess moisture to evaporate, while maintaining a moist wound environment. Top film is waterproof, easy to clean and aids in the prevention of bacterial contamination.

4˝ x 4˝ 6˝ x 6˝ 7˝ x 8˝, sacrum

ITEM #

HCPCS

59484600 59484700 59484900

A6234 A6235 A6235

SOLD BY

5/bx 5/bx 5/bx

PASTE BANDAGES

ITEM #

HCPCS

8g 15 g 25 g

66027308 66027311 66027313

A6248 A6248 A6248

SOLD BY

10/bx 10/bx 10/bx

WOUND VEILS CONFORMANT 2 Wound Veils Designed to minimize adherence and save nursing time. Permeable and flexible; can be used over most wound sites under an absorbent outer dressing. Made entirely from high-density polyethylene, and tears easily and uniformly in the direction of the grain for dressing customization. ®

VISCOPASTE* PB7 Zinc Paste Bandage For use in the application of Unna boots for the management of venous leg ulcers. Also indicated for the management of skin tears and stasis eczema. Soothes dry skin and does not contain calamine. Made from a light, open-weave fabric. Simple to apply and easy to remove.

ITEM #

HCPCS

3˝ x 10 yds.

4956

A6456

SOLD BY

ALGINATE DRESSINGS ALGISITE* M Calcium Alginate Dressings Made of fast-gelling, high-mannuronic acid fibers from calcium alginate, which is extracted and purified from seaweed. When exudate comes into contact with ALGISITE* M, it forms a hydrophilic gel that remains in intimate contact with the wound surface, helping to create and maintain a moist wound environment.

ITEM #

HCPCS

⁄4˝ x 12˝ ropes 2˝ x 2˝ 4˝ x 4˝ 6˝ x 8˝

59480400 59480100 59480200 59480300

A6199 A6196 A6196 A6197

INTRASITE* Gel Amorphous Hydrogel Dressings Sterile, amorphous hydrogel gently rehydrates necrotic tissue and facilitates autolytic debridement in the initial management of chronic wounds. Gel absorbs exudate from the wound surface, creates a moist wound environment and reduces the frequency of dressing changes. Come in an easy-to-use APPLIPAK* delivery system. Contain no preservatives and can be used throughout the wound management process.

SOLD BY

10/bx 10/bx 10/bx 10/bx

4˝ x 4˝ 4˝ x 12˝ 12˝ x 12˝ 12˝ x 24˝

ITEM #

HCPCS

3-oz. tube

449600

A6248

SOLD BY

GEL DRESSINGS SOLOSITE* Gel Conformable Wound Dressings Clean wound dressing manufactured using nonwoven gauze thoroughly saturated with SOLOSITE* Wound Gel. The gel stays on the dressing and maintains intimate contact with the wound surface to create a moist wound healing environment.

ITEM #

HCPCS

SOLD BY

2˝ x 2˝ 2˝ x 2˝ 4˝ x 4˝ 4˝ x 4˝

59482300 59482340 59482400 59482440

A6231 A6231 A6231 A6231

10/bx 100/cs 10/bx 100/cs

HCPCS

SOLD BY

5955044 5955412 59551212 59551224

A6206 A6207 A6208 A6208

48/cs 48/cs 48/cs 48/cs

5955602

A6206

20/cs

ROLLS

6˝ x 2 yds.

COVRSITE* DRESSINGS COVRSITE* Cover Dressings Indicated for the management of acute or chronic wounds. Designed as a secondary cover dressing for gels, gel sheets, alginates, wound fillers and nonadhesive foams. Also can be used as an alternative to tape and gauze over central line dressings. Gentle adhesive is designed so that the dressing can be changed daily. Water resistant, extensible and conformable.

WOUND GELS SOLOSITE* Wound Gel Amorphous hydrogel creates a moist wound environment and is noncytotoxic. The polymer used is water “swellable,” allowing it to absorb exudate; yet remain gel-like until saturated.

ITEM #

SHEETS

ITEM #

HCPCS

4˝ x 4˝ 4˝ x 4˝ 6˝ x 6˝ 6˝ x 6˝

59714000 59714100 59714300 59714400

A6219 A6219 A6219 A6219

SOLD BY

10/bx 30/bx 10/bx 30/bx

COVRSITE* Plus Composite Dressings Waterproof version of COVRSITE*, which is indicated as a primary or secondary dressing in the management of acute or chronic wounds. Waterproof film layer covering the dressing helps protect the wound from contamination by urine or feces.

ITEM #

HCPCS

4˝ x 4˝ 6˝ x 6˝

59715000 59715100

A6203 A6203

SOLD BY

10/bx 10/bx

293

WOUND CARE

SMITH & NEPHEW (54) ALLEVYN* DRESSINGS ALLEVYN* Life High absorption and locks in fluid to minimize leakage. Maintains a moist wound environment with minimal risk of skin damage. Dressings feel clean and protective, and wounds look well-cared for, increasing user and nurse satisfaction. Unique design contours closely to the body, and wide adhesive border fits securely, with minimal pain on removal. Provides sacrum wear time up to five days, and seven days for other wound locations, depending on the nature of the wound and exudate level.1

ITEM #

4˝ x 4˝ 53⁄4˝ x 53⁄4˝ 61⁄16˝ x 61⁄16˝ 7˝ x 7˝, sacrum 81⁄4˝ x 81⁄4˝ 81⁄2˝ x 9˝, sacrum

66801067 A6212 66801068 A6212 66801069 A6212 66801306 A6212 66801070 A6213 66801307 A6213

HCPCS

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

Smith & Nephew data on file.

ALLEVYN* Gentle Hydrocellular Foam Dressings Contain unique trilaminate structure comprising a highly breathable polyurethane top film, which is both bacteria-proof and waterproof, a highly absorbent hydrocellular foam layer and a perforated wound contact layer. Help minimize pain and trauma at dressing change, and absorb and retain exudate and cellular debris to ensure minimal mess. Suitable for use on those with fragile skin. Stay in place during application of secondary retention.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝ 6˝ x 6˝ 8˝ x 8˝

66800255 66800256 66800257 66800258

A6209 A6209 A6210 A6211

SOLD BY

10/bx 10/bx 10/bx 10/bx

ALLEVYN* Gentle Border Adhesive Hydrocellular Foam Dressings Contain unique trilaminate structure comprising a highly breathable polyurethane top film, which is both bacteria-proof and waterproof, a highly absorbent hydrocellular foam layer and a perforated wound contact layer coated with a gentle gel adhesive. Help minimize pain and trauma at dressing change, and absorb and retain exudate and cellular debris to ensure minimal mess. Suitable for use on those with fragile skin.

ITEM #

HCPCS

3˝ x 3˝ 5˝ x 5˝ 7˝ x 7˝

66800276 66800279 66800280

A6212 A6212 A6213

SOLD BY

10/bx 10/bx 10/bx

ALLEVYN* Gentle Border Lite Wound Dressings A light and conformable dressing that is ideal for skin tears and hard-to-dress areas. Shower-proof. Contains a thinner foam core. Minimal pain on removal.

ITEM #

HCPCS

2˝ x 2˝ 21⁄8˝ x 43⁄4˝ 3˝ x 3˝ 4˝ x 4˝ 6˝ x 6˝

66800833 A6413 66800836 A6212 66800834 A6212 66800835 A6212 66800840 A6213

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx

CONTAINS SILVER ALLEVYN* Ag Gentle Border Dressings A unique, two-in-one solution for exuding chronic wounds that combines the power of silver (SSD) with gentle adhesives. Minimize pain and trauma at dressing change. Offer rapid and sustained antibacterial action and optimal exudate management. Stay in place throughout seven-day wear time. Bacteria-proof and waterproof top film.

294

ITEM #

HCPCS

3˝ x 3˝

66800452

A6212

SOLD BY

10/bx

ALLEVYN* Gentle Border Silicone Gel Adhesive Hydrocellular Dressings – Multisite Unique tri-lobe design contours closely to difficult-to-dress body areas. Ideal for curved or flat body areas. Easy to apply; can be lifted and repositioned. Minimal pain on removal for those with fragile skin.

ITEM #

66800959 A6212

HCPCS

SOLD BY

10/bx

ALLEVYN* Gentle Border Silicone Gel Adhesive Hydrocellular Dressings – Sacrum Fit better to help minimize pain during dressing changes. Are easy to apply and designed to stay in place even in the most challenging wound sites. Have the potential for more efficient wound care through dressing standardization.

ITEM #

66800898 A6212

HCPCS

SOLD BY

10/bx

ALLEVYN* Gentle Border Silicone Gel Adhesive Hydrocellular Dressings – Heel Provides coverage of the malleolus, providing extra cushioning and protection. Fits easily, requiring no secondary retention. Conforms well to the complex contours of the heel. Can be used as a part of a pressure-relieving protocol.

ITEM #

66800506 A6213

HCPCS

SOLD BY

5/bx

ALLEVYN* Heel Designed to fit snugly around the back of the foot, ensuring a better anatomical fit. Can be held in place with a lightly conforming bandage or tape.

ITEM #

41⁄2˝ x 51⁄2˝

66007630 A6210

HCPCS

SOLD BY

5/bx

CONTAINS SILVER ALLEVYN* Ag Adhesive Dressings Offer the convenience of optimal fluid management plus antibacterial protection in a single, easy-to-use dressing. Ideal for exuding wounds that are infected or at risk of becoming infected with adhesive borders to stay in place. Seven-day antibacterial activity and wear time. Bacteria-proof and waterproof top film.

ITEM #

HCPCS

3˝ x 3˝ 7˝ x 7˝

66020970 66020976

A6212 A6213

SOLD BY

10/bx 10/bx

ALLEVYN* Adhesive Dressings Stick and remain in place, even on difficult-to-dress areas of the body. May absorb up to four times more exudate than hydrocolloids and are ideal for moderately to heavily exuding wounds. Unique, porous wound contact layer allows absorption and gaseous exchange. Will not stick to the wound surface or irritate periwound skin. Waterproof; aid in the prevention of bacterial contamination.

ITEM #

HCPCS

3˝ x 3˝ 5˝ x 5˝ 7˝ x 7˝

66020043 66020044 66020045

A6212 A6212 A6213

SOLD BY

10/bx 10/bx 10/bx

CONTAINS SILVER ALLEVYN* Ag Non-Adhesive Dressings Offer the convenience of optimal fluid management plus antibacterial protection in a single, easy-to-use dressing. Ideal for exuding wounds that are infected or at risk of becoming infected with sealed and shaped edges to prevent leakage and maceration. Seven-day antibacterial activity and wear time. Bacteria-proof and waterproof top film. 2˝ x 2˝.

ITEM #

66020977 A6209

HCPCS

SOLD BY

10/bx

With a unique ﬁve-layer construction designed to absorb ﬂuids and redistribute pressure, ALLEVYN LIFE foam dressings are an ideal tool for pressure ulcer prevention protocols and wound management.

ALLEVYN LIFE exceeds expectations...

In a recent study,

of clinicians would recommend ALLEVYN LIFE for use in their practice1

For detailed product information, including indications for use, contraindications, eﬀects, precautions and warnings, please consult the product’s Instructions for Use (IFU) prior to use.

ALLEVYN LIFE Unique change indicator

Smith & Nephew, Inc. Fort Worth, TX USA

No border coverage – dressing can remain in place with strikethrough masked

50% border coverage – consider changing dressing

75% border coverage – change dressing

Reference 1. Simon D, Bielby A, A structured collaborative approach to appraise the clinical performance of a new product Wounds UK. Vol 10. No 3. 2014.

ALAE-29-0316-UE

WOUND CARE

SMITH & NEPHEW (54) ALLEVYN* Non-Adhesive Hydrocellular Foam Dressings Have a trilaminate structure comprising a nonadherent wound contact layer. Highly absorbent central layer; waterproof outer layer prevents bacterial contamination. This structure helps produce a moist wound environment for wounds that have traditionally proven difficult because the exudate is hard to manage. Usually can be left in place for up to four days.

ITEM #

HCPCS

4˝ x 4˝ 6˝ x 6˝ 8˝ x 8˝

66927637 66020093 66927638

A6209 A6210 A6211

SOLD BY

10/bx 10/bx 10/bx

ALLEVYN* Non-Adhesive Tracheostomy Hydrocellular Foam Dressings Unique structure of the dressing enables it to absorb large amounts of secretions, which may help prevent maceration and maintain the skin condition in the peristomal area. High absorbency requires fewer dressing changes, making the dressing cost-effective, while minimizing discomfort.

ITEM #

2˝ x 2˝ 31⁄2˝ x 31⁄2˝

66027643 A6209 66027640 A6209

HCPCS

2˝ x 3˝, slit tubes 3˝ x 4˝ 3˝ x 4˝, slit tubes 4˝ x 6˝ 4˝ x 6˝, slit tubes 6˝ x 9˝ 9˝ x 15˝ 15˝ x 18˝ 15˝ x 24˝ 20˝ x 28˝

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝

66800124 66800125

A6021 A6021

10/bx 10/bx

SOLD BY

10/bx 10/bx

CONTAINS SILVER BIOSTEP* Ag Collagen Matrix Dressings with Silver Feature all the benefits of BIOSTEP* with the addition of low-dose silver impregnated into the dressing. Not intended for treating infection; instead, they should be used on those with contaminated or colonized wounds who are at high risk for reinfection.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝

66800126 66800122

A6021 A6021

SOLD BY

10/bx 10/bx

EXU-DRY* DRESSINGS EXU-DRY* Dressings with Anti-Shear Layer* Ideal for all wounds, burns or skin ulcers. Nonadherent, highly absorbent, lint-free, nonocclusive, soft and pliable.

ITEM #

HCPCS

SOLD BY

5999003 5999003S 5999M04 5999M06 5999M09 5999M28

A6251 A6251 A6252 A6253 A6253 A6253

50/bx 50/bx 100/cs 50/cs 30/cs 30/cs

MEDIUM ABSORBENCY

296

5999PTM 5999034 5999034S 99004120 5999101 5999006 5999009 5999018 5999024 5999028

A6251 A6251 A6251 A6252 A6252 A6253 A6253 A6253 A6253 A6253

SOLD BY

50/cs 50/bx 50/cs 10/bx 25/bx 12/bx 30/cs 30/cs 30/cs 20/cs

PRIMAPORE* Adhesive Nonwoven Wound Dressings One-step island dressing helps prevent site contamination and avoids the multiple steps of “building” a gauze and tape dressing. Water-resistant, nonwoven polyester dressing helps reduce the potential moisture contamination and “strike-through” effect.

SOLD BY

BIOSTEP* Collagen Matrix Dressings Unique collagen for use on hard-to-heal wounds or to enhance the rate of wound closure. Deactivate excess protein-degrading enzymes that are barriers to wound closure, while maintaining moisture balance with a secondary dressing. Can be cut to shape or placed in pieces into the wound, and will biodegrade over time. For best results, use on exuding wounds and treat the wound with a bactericidal product such as IODOSORB* or ACTICOAT* for about two weeks before moving to BIOSTEP*.

3˝, discs 3˝, slit discs 4˝ x 6˝ 6˝ x 9˝ 9˝ x 15˝ 20˝ x 28˝

HCPCS

PRIMAPORE* DRESSINGS

BIOSTEP* DRESSINGS

ITEM #

FULL ABSORBENCY

ITEM #

2˝ x 3˝, peripheral 4˝ x 31⁄8˝ 6˝ x 31⁄8˝ 8˝ x 4˝ 113⁄4˝ x 4˝ 133⁄4˝ x 4˝

7133 A6254 100/bx 66000317 A6254 20/bx 66000318 A6254 20/bx 66000319 A6254 20/bx 66000321 A6255 20/bx 66007140 A6255 20/bx

HCPCS

SOLD BY

PROFORE* DRESSINGS PROFORE* Wound Contact Layers (WCL) Allow exudate to pass freely to an absorptive dressing or bandage layer, thereby preventing exudate pooling and the possibility of maceration. Nonadherent dressing assists in preventing wound trauma during removal. Contact layer protects the wound from absorbent pad materials, while the natural viscose rayon monofilament does not produce lint or breakdown residues to complicate wound cleansing.

ITEM #

51⁄2˝ x 8˝

66000701 A6207

HCPCS

SOLD BY

50/bx

PROFORE* Four-Layer Bandaging System Comprise a wound contact layer and four bandages; specifically designed for the management of venous leg ulcers. Designed to maintain effective levels of compression after application. The system may be left in place for up to one week.

ITEM #

66020016 A4649

HCPCS

SOLD BY

LATEX FREE PROFORE* LF Multi-Layer Compression Bandaging System Provides the same compression and results as the standard PROFORE* Multi-Layer Compression Bandage System, only with latex-free formulation for allergy-sensitive users. Best used on ankle circumferences greater than 18 cm or 71⁄4˝ (padded). Designed for managing venous leg ulcers and associated conditions.

ITEM #

66020626 A4649

HCPCS

SOLD BY

WOUND CARE

Mepitac®

SMITH & NEPHEW (54) PROFORE* Lite

LATEX FREE

Multilayer compression bandaging system comprising a wound contact layer and three bandages, offering reduced compression from the original PROFORE* LF Multi-Layer Compression Bandaging System. Developed for the management of “mixed” etiology leg ulcers where assessment has identified that the user has some degree of arterial impairment that prevents the use of full compression. Designed to maintain effective levels of compression after application. System may be left in place for up to one week. Should not be used on those with an ankle brachial pressure index of less than 0.6 or on those with diabetes and advanced small vessel disease.

ITEM #

66000771 A4649

HCPCS

SOLD BY

SCAR THERAPY DRESSINGS CICA-CARE* Adhesive Silicone Gel Sheet Flexible, adhesive, semi-occlusive silicone sheet indicated for the management of hypertrophic and keloid scars. Combines the benefits of silicone gel sheets utilized in scar therapy with the advantages of self-adhesiveness and durability, which results in improved user compliance. A single piece of CICA-CARE* can be washed and reused for up to four weeks.

ITEM #

43⁄4˝ x 6˝

66250707 A6025

HCPCS

SOLD BY

*Trademark of Smith & Nephew

MÖLNLYCKE HEALTH CARE (SC) PRODUCTS FEATURING SAFETAC® SOFT SILICONE TECHNOLOGY Mepilex® Border Sacrum Self-Adherent Foam Dressings Self-adherent, bordered foam dressing featuring Safetac® soft silicone technology in sizes ideal for the sacral area. Absorb exudate effectively and minimize the risk of periwound skin maceration and erosion. The film backing is moisture vapor permeable, moisture-proof and provides a bacterial barrier. Indicated for exuding wounds, painful wounds and wounds with compromised or fragile periwound skin, such as pressure ulcers and diabetic ulcers.

ITEM #

HCPCS

7.2˝ x 7.2˝ 9.2˝ x 9.2˝

282000 282400

A6213 A6213

ITEM #

HCPCS

4˝ x 8˝ 4˝ x 10˝ 4˝ x 12˝

29580001 295850 295900

A6212 A6213 A6213

5/bx 5/bx

ITEM #

HCPCS

2.4˝ x 3.4˝ 4˝ x 4˝ 6˝ x 6˝

284090 284190 284390

A6209 A6209 A6210

ITEM #

HCPCS

0.75˝ x 118˝ 1.5˝ x 59˝

298300 298400

A4452 A4452

ITEM #

HCPCS

6˝ x 8˝ 8˝ x 20˝

294899 294599

A6210 A6211

Mepilex® Transfer Ag

5/bx 5/bx 5/bx

12/cs 12/cs

SOLD BY

5/bx 4/bx

CONTAINS SILVER

Safetac® technology layer is a thin and conformable, antimicrobial wound contact layer that ensures direct contact to the wound and the surrounding skin, including uneven surfaces. As it seals around the wound, the foam structure allows exudate to move vertically into a secondary absorbent dressing. Maintains a moist wound environment in combination with an appropriate secondary dressing. Inactivates wound-related pathogens within 30 minutes, with a sustained effect up to 14 days. By reducing the number of microorganisms, may also reduce odor.

ITEM #

HCPCS

4˝ x 5˝ 6˝ x 8˝ 8˝ x 20˝ 4˝ x 47˝

394190 394890 394590 394990

A6210 A6210 A6211 A6211

Mepitel® Ag

SOLD BY

5/bx 10/bx 2/bx ea

CONTAINS SILVER

Antimicrobial contact layer with the innovative fusion of Safetac® technology and silver. Eight-day antimicrobial effect and can be left in place while a secondary layer is changed more frequently. It will stay securely in place and will cause minimal damage to the skin and wound at dressing changes. Ideal for skin tears, traumatic wounds, partial-thickness burns and painful skin conditions with blisters.

ITEM #

HCPCS

2˝ x 3˝ 3˝ x 4˝ 4˝ x 5˝ 4˝ x 7˝ 8˝ x 12˝ 8˝ x 20˝

390590 390790 390090 391090 392090 392059

A6206 A6206 A6207 A6207 A6208 A6208

SOLD BY

10/bx 10/bx 10/bx 10/bx 5/bx 2/bx

Mepitel® One Unique advanced contact layer dressing features Safetac® soft silicone technology. This single-sided product is easy to handle and apply since the Safetac® layer is only on the wound contacting side of the product compared to other contact layers. The Safetac® layer minimizes trauma to the wound and pain during dressing changes because it does not stick to moist tissue – only to intact skin. Ideal for skin tears, fixation of grafts, traumatic wounds, partial-thickness burns and painful skin conditions with blisters. It may be left in place for up to 14 days.

5/bx 5/bx 5/bx

SOLD BY

Mepilex® Transfer Exudate transfer dressing featuring Safetac® soft silicone technology. Thin, conformable and designed for a wide range of exuding and difficult-to-dress wounds, such as radiation skin reactions, EB and fragile skin. May be used as a protective layer on minimal or low exuding wounds. Large sizes enable coverage of large, awkward areas.

SOLD BY

Mepilex® Lite Thin foam dressing featuring Safetac® soft silicone technology that is highly conformable, absorbs low to moderate amounts of exudate and helps maintain a moist environment while minimizing the risk of periwound skin maceration. May be used under compression bandages.

SOLD BY

Mepilex® Border Post-Op Self-Adherent Foam Dressings Self-adherent, bordered foam dressing featuring Safetac® soft silicone technology in post-operative sizes. Absorb exudate effectively and minimize the risk of periwound skin maceration and erosion. The film backing is moisture vapor permeable, moisture proof and provides a bacterial barrier. Indicated for exuding wounds, painful wounds and wounds with compromised or fragile periwound skin.

Soft silicone tape designed for fixation of medical devices, such as drains, tubes, probes, electrodes, IV cannulae and dressings. Consists of a Safetac® soft silicone layer, a knitted fabric and a breathable polyurethane film. Highly conformable; easy to apply and remove; leaves no residue; and moisture-proof. Ideal for those with fragile and sensitive skin or who require repeated application and tape removal over the same area.

ITEM #

HCPCS

2˝ x 3˝ 3˝ x 4˝ 4˝ x 7˝ 6.8˝ x 10˝

289100 289300 289500 289700

A6206 A6206 A6207 A6208

SOLD BY

10/bx 10/bx 10/bx 5/bx

297

WOUND CARE

MÖLNLYCKE HEALTH CARE (SC) Mepitel® Atraumatic contact layer featuring Safetac® soft silicone technology (double-sided) that will not stick to moist tissue such as a wound bed, but adheres gently to intact skin. Ideal for skin tears, fixation of grafts, traumatic wounds, partial-thickness burns, painful skin conditions with blisters and wounds in the granulation phase.

ITEM #

HCPCS

2˝ x 3˝ 3˝ x 4˝ 4˝ x 7˝ 8˝ x 12˝

290599 290799 291099 292005

A6206 A6206 A6207 A6208

SOLD BY

10/bx 10/bx 10/bx 5/bx

Mepiform® Thin, flexible, self-adherent, soft silicone gel sheeting for scar management. Designed for discreet treatment of both old and new hypertrophic and keloid scars. Suitable for use on closed wounds to help prevent the formation of hypertrophic and keloid scarring.

ITEM #

HCPCS

1.6˝ x 12˝ 2˝ x 3˝ 4˝ x 7˝

293199 293299 293499

A4649 A4649 A4649

SOLD BY

5/bx 5/bx 5/bx

Mepilex® Highly absorbent foam dressing featuring Safetac® soft silicone technology. Absorbs exudate effectively, even under compression bandages, and minimizes the risk of periwound skin maceration and erosion. Conforms well to body contours and can be cut.

ITEM #

HCPCS

4˝ x 4˝ 4˝ x 5˝ 4˝ x 8˝ 8˝ x 8˝ 8˝ x 20˝

294199 294090 294299 294499 294500

A6209 A6210 A6210 A6211 A6211

SOLD BY

5/bx 5/bx 5/bx 5/bx 2/bx

Mepilex XT ®

Soft and conformable foam dressing with integrated exudate management channels designed to transfer exudate rapidly into the absorbent foam pad. Can be used on all exuding wound healing stages and absorbs both low and high viscosity fluid. Safetac® technology seals the wound edges, preventing exudate from leaking onto the surrounding skin, minimizing the risk of damage to the skin around the wound. Can be used under compression bandages and remain in place for several days depending on the condition of the wound. Conforms well to body contours and can be cut to suit various wound shapes and difficult-to-dress locations.

ITEM #

HCPCS

4˝ x 4˝ 4˝ x 8˝ 6˝ x 6˝ 8˝ x 8˝

211100 211200 211300 211400

A6209 A6210 A6210 A6211

SOLD BY

5/bx 5/bx 5/bx 5/bx

Mepilex® Heel Minimizes trauma to the wound and pain during dressing changes. The Safetac® soft silicone properties prevent sticking to the moist wound bed. Adheres to the surrounding skin, allowing easy application of secondary fixation. Absorbs moderate to high amounts of exudate effectively. Low risk of maceration. Indicated for moderate to highly exuding wounds, such as heel and other foot ulcers, pressure ulcers and traumatic wounds. Item # 388390 contains silver.

ITEM #

5˝ x 8˝

288100 A6210 5/bx 388390 A6210 5/bx

6˝ x 8.8˝, Ag

HCPCS

Mextra® SuperAbsorbent Unique superabsorbent dressing with four-layer construction to provide superior wound exudate management. At its core is an absorbent layer that comprises the optimal amount of superabsorbent particles to provide outstanding absorption and retention. Will not become bulky during use. Outer layer remains dry and comfortable. Suitable for use under compression bandages.

ITEM #

HCPCS

4˝ x 4˝ 4˝ x 6˝ 4˝ x 8˝ 6˝ x 8˝ 8˝ x 10˝ 8˝ x 12˝

610000 610100 610200 610300 610400 610500

A6251 A6252 A6252 A6252 A6253 A6253

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

Mepilex® Border Self-adherent, bordered foam dressing featuring Safetac® soft silicone technology. Absorbs moderate to high amounts of exudate effectively and minimizes the risk of periwound skin maceration and erosion. Film backing is moisture vapor permeable, moisture proof and provides a bacterial barrier.

ITEM #

HCPCS

3˝ x 3˝ 4˝ x 4˝ 6˝ x 6˝ 6˝ x 8˝

295200 295300 295400 29560004

A6212 A6212 A6213 A6213

SOLD BY

5/bx 5/bx 5/bx 5/bx

CONTAINS SILVER Mepilex® Border Ag Safetac® soft silicone technology layer reduces pain and trauma during changes, adheres only to dry skin and seals wound margins. Polyurethane backing film is moisture vapor permeable, moisture-proof and acts as bacterial and viral barrier. Multi-layered, absorbent foam pad spreads, wicks and retains exudate. Silver provides antimicrobial activity within 30 minutes and lasts up to seven days.

ITEM #

HCPCS

3˝ x 3˝ 4˝ x 4˝ 4˝ x 8˝, Post-Op 4˝ x 10˝, Post-Op 4˝ x 12˝, Post-Op 6˝ x 6˝ 6˝ x 8˝ 7.2˝ x 7.2˝, Sacrum Ag 9.2˝ x 9.2˝, Sacrum Ag

395290 395390 395890 395790 395990 395490 395690 382090 382490

A6212 A6212 A6213 A6212 A6213 A6213 A6213 A6213 A6213

SOLD BY

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

Mepilex® Border Lite Thin, conformable, self-adherent, bordered foam dressing features Safetac® soft silicone technology. Absorbs low amounts of exudate effectively and minimizes the risk of periwound skin maceration and erosion. Film backing is moisture-vapor permeable, moisture-proof and provides a bacterial barrier.

ITEM #

HCPCS

1.6˝ x 2˝ 2˝ x 5˝ 3˝ x 3˝ 4˝ x 4˝ 6˝ x 6˝

281000 281100 281200 281300 281500

A6212 A6212 A6212 A6212 A6213

Mepilex® Ag

SOLD BY

10/bx 5/bx 5/bx 5/bx 5/bx

CONTAINS SILVER

Highly absorbent foam dressing featuring Safetac® soft silicone technology and silver. Effective sustained release of silver for up to seven days; rapid silver release begins inactivating pathogens within 30 minutes. Absorbs exudate effectively even under compression bandages and minimizes the risk of periwound skin maceration and erosion.

SOLD BY

4˝ x 4˝ 4˝ x 5˝ 4˝ x 8˝ 6˝ x 6˝ 8˝ x 8˝ 8˝ x 20˝

298

SOLD BY

ITEM #

HCPCS

287100 287090 287200 28730002 287400 287500

A6209 A6210 A6210 A6210 A6211 A6211

SOLD BY

5/bx 5/bx 5/bx 5/bx 5/bx 2/bx

WOUND CARE

Mesalt®

MÖLNLYCKE HEALTH CARE (SC)

Sodium chloride-impregnated gauze helps stimulate the cleansing of moist necrosis (slough) in draining and infected wounds. Absorbs exudate, bacteria and necrotic material from the wound and into the dressing, thereby facilitating the natural wound healing process. Intended for the management of moderately to heavily discharging and infected wounds in the inflammatory phase and deep cavity wounds, such as pressure ulcers and surgical wounds.

ANCILLARY PRODUCTS Melgisorb® Plus Calcium Alginate Dressings Sterile, absorbent, calcium-alginate dressings for moderately to heavily exuding, partial- to full-thickness wounds. Upon contact with wound exudate, creates a hydrophilic gel, which helps to stop horizontal wicking of exudate, reducing periwound maceration while providing a moist environment conducive to wound healing. Appropriate for surface and cavity wounds.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝ 4˝ x 8˝ 12.5˝ rope

252000 252200 252500 253500

A6196 A6196 A6197 A6199

SOLD BY

10/bx 10/bx 10/bx 5/bx

Melgisorb Ag Antimicrobial Alginate Dressings Highly absorbent antimicrobial alginate dressings. The 14-day, sustained silver release kills bacteria, and the superb high fiber strength allows removal in one piece. ®

ITEM #

HCPCS

0.75˝ x 39˝ ribbon 4˝ x 4˝ 6˝ x 6˝ 8˝ x 8˝

285299 285580 285780 286099

A6266 A6222 A6222 A6222

ITEM #

HCPCS

1.2˝ x 18˝ rope 2˝ x 2˝ 4˝ x 4˝ 6˝ x 6˝ 8˝ x 12˝

255600 255050 255100 255150 255200

A6199 A6196 A6196 A6197 A6198

SOLD BY

10/bx 10/bx 10/bx 10/bx 5/bx

Mefix® Dressing fixation fabric secures gauze, tubes, cannula dressings and drainage devices, even to awkward areas of the body. Porous and nonabsorbing fabric minimizes fluid strike-through. Air and moisture vapor permeable. Mild, nonirritating adhesive layer allows the skin to breathe.

1˝ x 11 yds. 2˝ x 11 yds. 4˝ x 11 yds. 6˝ x 11 yds. 8˝ x 11 yds.

ITEM #

HCPCS

310299 310599 311099 311599 312000

A4450 A4450 A4450 A4450 A4450

0.9% isotonic saline gel is a moisture-donating gel that maintains an optimum healing environment.

Alldress® Moisture proof, all-in-one composite dressing that can be used as a primary or secondary dressing for wounds, and where a barrier to fluids and bacteria is required. Multilayered, sterile dressing has a low-adherent contact layer, a wicking and absorptive layer, and a self-adhesive porous fabric tape.

ITEM #

HCPCS

4˝ x 4˝ overall (pad size 2˝ x 2˝ ) 6˝ x 6˝ overall (pad size 4˝ x 4˝ ) 6˝ x 8˝ overall (pad size 4˝ x 6˝ )

265329 265349 265369

A6203 A6203 A6204

ITEM #

HCPCS

SOLD BY

2.4˝ x 2.6˝ 4˝ x 5˝ 4˝ x 10˝ 6˝ x 8.5˝

270600 271500 272500 273000

A6257 A6258 A6258 A6259

100/bx 70/bx 20/bx 10/bx

HCPCS

371500

A6248

ITEM #

HCPCS

1.5-oz (45-g) tubes

350450

A6248

SOLD BY

10/bx

Mepore

SOLD BY

10/bx

All-in-one, absorbent, sterile surgical dressing. Low-adherent pad protects healing wounds and conforms to the body so it can be applied to awkward areas. Soft, elastic, nonwoven polyester provides for a smooth, porous dressing while minimizing fluid strike-through. High air permeability allows the wound to breathe.

ITEM #

HCPCS

2.5˝ x 3˝ 3.6˝ x 4˝ 3.6˝ x 6˝ 3.6˝ x 8˝ 3.6˝ x 10˝ 3.6˝ x 12˝ 3.6˝ x 14˝

670800 670900 671000 671100 671299 671300 671400

A6219 A6219 A6219 A6219 A6219 A6220 A6220

SOLD BY

60/bx 50/bx 50/bx 30/bx 30/bx 30/bx 30/bx

Mepore® Pro Self-adherent, absorbent and breathable dressing with an outer film layer that protects the wound from water and contamination. Skin-friendly, water-based, solvent-free, polyacrylate adhesive provides gentle and secure fixation. May be used for surgical wounds and minor cuts and abrasions.

10/bx 10/bx 10/bx

Transparent film dressing is flexible and breathable. Conforms easily to body contours, helps protect the wound surface and provides a barrier to leakage and bacterial contamination.

ITEM #

0.5-oz. (15-g) tubes

SOLD BY

Mepore® Film

CONTAINS SILVER Normlgel® Ag Isotonic Saline Gel Antimicrobial hydrogel that is effective in assisting the debridement and desloughing process in dry necrotic wounds, while maintaining a moist wound environment for optimal wound healing. Contains an antimicrobial silver compound that is an effective barrier to bacterial penetration by inhibiting the growth of a broad spectrum of microorganisms.

SOLD BY

ea ea ea ea ea

10/bx 30/bx 30/bx 30/bx

Normlgel®

CONTAINS SILVER

SOLD BY

ITEM #

HCPCS

2.5˝ x 3˝ 3.6˝ x 4˝ 3.6˝ x 6˝ 3.6˝ x 8˝ 3.6˝ x 10˝ 3.6˝ x 12˝

670890 670990 671090 671190 671290 671390

A6203 A6203 A6203 A6203 A6203 A6203

SOLD BY

60/bx 40/bx 40/bx 30/bx 30/bx 30/bx

Tubifast® Retention Bandage Lightweight, tubular bandage ideal for dressing retention and skin covering for any part of the body. Holds dressings securely, without constriction or compression. Light elasticity allows complete freedom of movement. Does not require pins or tape. Wide range of sizes to fit everything from small limbs to large adult trunks.

ITEM #

HCPCS

1.5˝ x 33´, red 2˝ x 33´, green 3˝ x 33´, blue 4.5˝ x 33´, yellow 8˝ x 33´, purple

2434 2436 2438 2440 2444

A6457 A6457 A6457 A6457 A6457

SOLD BY

ea ea ea ea ea

299

WOUND CARE

MÖLNLYCKE HEALTH CARE (SC) COMPRESSION BANDAGES Setopress

High compression bandage that provides graduated high compression in the management of venous leg ulcers. Features a color-coded visual guide that is printed on both sides of the bandage to facilitate easy application.

ITEM #

HCPCS

4˝ x 138˝

3505

A6452

Tubigrip® Arthro-Pad® Provides noninvasive mechanical support for the elbow or knee after injury or surgery. Pad is made from a double layer of natural-colored Tubigrip® with a foam interlining. Easy to apply and washable for repeated use. Natural color. Contains latex.

ITEM # HCPCS

Small (up to 12˝ calf or forearm measurement) 1585 Medium (up to 16˝ calf or forearm measurement) 1586 Large (up to 20˝ calf or forearm measurement) 1587 X-Large (up to 24˝ calf or forearm measurement) 1588 2X-Large (up to 28˝ calf or forearm measurement) 1589

SOLD BY

A6457 A6457 A6457 A6457 A6457

SOLD BY

ea ea ea ea ea

BANDAGES

LYOFOAM® DRESSINGS

Tubigrip Multi-Purpose Tubular Bandage, 1M Provides tissue support in the treatment of strains, sprains, soft tissue injuries, general edema, postburn scarring and ribcage injuries. Easy to apply; no pins or tapes needed. Natural color, individual 1-m packages. Contains latex.

Lyofoam® Max Polyurethane Foam Dressings Highly absorbent dressing consisting of a polyurethane foam and a moisture-proof backing film. High permeability to allow for effective exudate management of moderate to highly exuding wounds.

ITEM #

HCPCS

Size B, 2.5˝ (small hands and arms) Size C, 2.75˝ (medium arms, small ankles) Size E, 3.5˝ (large ankle, medium knee, small thigh) Size F, 4˝ (large knee, medium thighs)

1520 1521 1528 1523

A6457 A6457 A6457 A6457

SOLD BY

12/bx 12/bx 12/bx 12/bx

Tubigrip® Multi-Purpose Tubular Bandage, 10M Roll Provides tissue support in the treatment of strains, sprains, soft tissue injuries, general edema, post-burn scarring and ribcage injuries. Easy-to-apply, no pins or tapes needed. Natural and beige colors. 10-m length helps reduce waste, as only the exact amount required is cut from the roll. Cut-to-fit. Contains latex.

ITEM #

HCPCS

SOLD BY

1435 1436 1443 1437 1434 1438 1439 1440 1441 1442

A6457 A6457 A6457 A6457 A6457 A6457 A6457 A6457 A6457 A6457

ea ea ea ea ea ea ea ea ea ea

1449 1450 1451 1448 1452 1453

A6457 A6457 A6457 A6457 A6457 A6457

ea ea ea ea ea ea

NATURAL

Size A, 1.5˝ (infant feet and arms) Size B, 2.5˝ (small hands and arms) Size C, 2.75˝ (medium arms, small ankles) Size D, 3˝ (large arms, medium ankles, small knees) Size E, 3.5˝ (large ankles, medium knees, small thighs) Size F, 4˝ (large knees, medium thighs) Size G, 4.5˝ (large thighs) Size J, 6.75˝ (small trunks) Size K, 8.25˝ (medium trunks) Size L, 13˝ (large trunks)

ITEM #

HCPCS

3˝ x 3.4˝ 4˝ x 8˝ 6˝ x 6˝ 6˝ x 8˝ 8˝ x 8˝

603200 603203 603204 603205 603206

A6209 A6210 A6210 A6210 A6211

Tubigrip® Shaped Support Bandages Anatomically shaped bandages designed to support venous and lymphatic return. Provide consistent support and compression along the complete length of the limb. Primarily used in the management of venous disorders of the legs and arms, such as varicose veins, gravitational edema and lymphedema. May be washed for repeated use. White. Contain latex.

ITEM #

HCPCS

Small (12.6˝ – 14˝ calf or forearm measurement) Medium (14˝ – 15.2˝ calf or forearm measurement) Large (15.2˝ – 16.3˝ calf or forearm measurement)

1472 1473 1474

A6457 A6457 A6457

300

SOLD BY

ea ea ea

10/bx 10/bx 10/bx 10/bx 10/bx

HOLLISTER WOUND CARE (50) All Hollister Wound Care products are latex-free unless otherwise noted.

LATEX FREE

COLLAGEN DRESSINGS Endoform Dermal Template A collagen with an intact ECM that provides broad spectrum MMP reduction. The strength of a dermal template with the simplicity of a collagen. Accessible to all clinicians, cost-effective through once-per-week applications and can be used in conjunction with negative pressure wound therapy, compression and total contact casting.

ITEM #

HCPCS

2˝ x 2˝ (5 cm x 5 cm) 2˝ x 2˝ (5 cm x 5 cm), fenestrated 4˝ x 5˝ (10 cm x 12.7 cm) 4˝ x 5˝ (10 cm x 12.7 cm), fenestrated

529311 529312 529313 529314

A6021 A6021 A6022 A6022

SOLD BY

10/bx 10/bx 10/bx 10/bx

FOAM DRESSINGS

BEIGE

Size B, 2.5˝ (small hands and arms) Size C, 2.75˝ (medium arms, small ankles) Size D, 3˝ (large arms, medium ankles, small knees) Size E, 3.5˝ (large ankles, medium knees, small thighs) Size F, 4˝ (large knees, medium thighs) Size G, 4.5˝ (large thighs)

SOLD BY

NEW Hydrofera Blue READY – Transfer Antibacterial Foam Antibacterial foam dressing without a protective film backing, designed to transfer wound fluid from the wound, into a secondary absorbent dressing. ™

ITEM #

HCPCS

2.5˝ x 2.5˝ 4˝ x 5˝ 8˝ x 8˝

HBRT2525 HBRT4050 HBRT8080

A6209 A6210 A6211

SOLD BY

10/bx 10/bx 10/bx

Hydrofera Blue™ READY Antibacterial Foam Antibacterial properties to help prevent infection. No secondary dressing required, featuring a waterproof backing that prevents strikethrough and acts as a barrier to moisture and bacteria. Up to seven-day wear time.

ITEM #

HCPCS

2.5˝ x 2.5˝ 4˝ x 5˝ 8˝ x 8˝

HBRS2520 HVRS4520 HBRS8820

A6209 A6210 A6211

SOLD BY

10/bx 10/bx 10/bx

Foam Dressings with Silicone

Performance.

Comfort.

Value.

• Fluid handling you need • Comfort your patient demands • Value you can count on

WOUND CARE

HOLLISTER WOUND CARE (50) All Hollister Wound Care products are latex-free unless otherwise noted.

LATEX FREE

Hydrofera Blue Classic Antibacterial Foam Highly absorptive. Broad spectrum activity against microorganisms commonly found in wounds, including MRSA, VRE and yeasts. Compatible with enzymatic debridement products. Does not inhibit growth factor activity. ™

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝ 6˝ x 6˝ 9-mm tunneling

HB2214 HB4414 HB6614 HBRS8820

A6209 A6209 A6210 A6211

SOLD BY

10/bx 10/bx 10/bx 10/bx

Restore® Foam Dressing with Silicone Smooth, flexible backing. Large perforations. Excellent absorption. Sterile, latex-free. Silicone interface and border. Secure hold. Virtually pain-free dressing removal. Exceptional total fluid handling capacity. Excellent exudate absorption speed. Helps minimize risk of maceration. Highly breathable. Excellent conformability. Provides barrier protection from water and bacteria.

ITEM #

HCPCS

SOLD BY

WITH BORDER

3.5˝ x 3.5˝ overall (pad size 2.5˝ x 2.5˝ ) 5˝ x 6.2˝ overall (pad size 3.4˝ x 4.6˝ ) 7˝ x 7˝ overall (pad size 5.5˝ x 5.5˝ ) 7.3˝ x 7.4˝, sacral overall (pad size 6.1˝ x 5.7˝ )

520003 520005 520000 520001

A6212 A6212 A6213 A6213

10/bx 10/bx 10/bx 10/bx

A6209 A6210 A6211 A6210

10/bx 10/bx 10/bx 10/bx

CONTAINS SILVER Restore® Contact Layer Silver with TRIACT® Technology An antimicrobial wound contact dressing featuring TRIACT technology for virtually pain -free removeal and silver. Indicated for light to moderate exuding wounds wounds, partial to full-thickness wounds. Show to be effective against bacteria most frequently associated with wound infections. Apply directly to wound and cover with secondary dressing.

ITEM #

HCPCS

4˝ x 5˝ 6˝ x 8˝

509341 509342

A6207 A6207

520023 520025 520027 520020

RESTORE® WITH TRIACT® TECHNOLOGY TRIACT® Technology is an innovative formulation in select Restore® wound dressings. The unique composition of TRIACT® Technology provides a superior environment for moist healing of chronic wounds, significantly reduces pain at dressing changes and promotes easy dressing application and removal. TRIACT® Foam with Silicone Border A foam dressing containing TRIACT® lipido-colloid technology combined with silicone, which provides a moist wound interface and allows virtually pain-free removal. Helps avoid trauma to delicate tissue upon removal. Indicated for moderately to heavily exuding acute and chronic wounds. Easy to apply and helps reduce risk of maceration. Waterproof and breathable backing.

ITEM #

HCPCS

4˝ x 4˝ overall (pad size 2.5˝ x 2.5˝ ) 6˝ x 6˝ overall (pad size 4˝ x 4˝ ) 6˝ x 8˝ overall (pad size 4˝ x 6˝ ) 8˝ x 8˝ overall (pad size 5˝ x 5.5˝ )

550762 550763 550764 550765

A6212 A6212 A6213 A6213

SOLD BY

10/bx 10/bx 10/bx 10/bx

Restore® Contact Layer FLEX with TRIACT® Technology A wound contact dressing featuring TRIACT® technology for virtually pain-free dressing removal. Indicated for lightly to moderately exuding, partial- to full-thickness wounds. Indicated for use in conjunction with negative pressure wound therapy.

302

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 5˝ 6˝ x 8˝

506487 506488 506489

A6206 A6207 A6207

SOLD BY

10/bx 10/bx 10/bx

10/bx 10/bx

Restore® Foam without Border with TRIACT® Technology Nonadhesive, absorbent dressing with TRIACT® nonadherent layer. Manages moderate to moderately heavily exuding acute and chronic wounds. Sterile.

ITEM #

HCPCS

2.5˝ x 2.5˝ 4˝ x 4˝ 4.7˝ x 7.5˝, heel 6˝ x 6˝

509380 509381 509384 509382

A6209 A6209 A6210 A6210

SOLD BY

10/bx 10/bx 10/bx 10/bx

Restore® LITE Foam without Border with TRIACT® Technology Nonadhesive, absorbent dressing with TRIACT® nonadherent layer is thinner than the standard foam dressings. Manages lightly to moderately exuding acute and chronic wounds. Sterile.

WITHOUT BORDER

2.5˝ x 2.5˝ 4˝ x 5˝ 6.5˝ x 8˝ 8˝ x 5˝

SOLD BY

ITEM #

HCPCS

2.5˝ x 2.5˝ 4˝ x 5˝ 6˝ x 8˝

509393 509394 509396

A6209 A6210 A6210

SOLD BY

10/bx 10/bx 10/bx

CALCIUM ALGINATE DRESSINGS CONTAINS SILVER CalciCare Calcium Alginate, Silver Composed of dressings with High G (guluronic acid) calcium/ sodium alginate. The dressings are soft and conformable, highly absorbent and fast gelling, as wound fluid is absorbed. Forms a moist environment for optimal wound healing. Non-woven pad is reinforced for intact removal. Releases silver ions in the presence of wound exudate. Effective barrier to bacterial penetration. ™

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 43⁄4˝ 1˝ x 18˝, rope

529967R 529968R 529969R

A6196 A6197 A6199

SOLD BY

10/bx 10/bx 5/bx

CalciCare™ Calcium Alginate Dressings Highly absorptive. Made from calcium sodium alginate, creating a conformable protective gel when in contact with exudate. Forms moist wound interface. Remain intact when saturated, so they are removed in one piece

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 43⁄4˝ 4˝ x 8˝ 18˝ rope

529938R 529937R 529939R 529940R

A6196 A6196 A6197 A6199

SOLD BY

10/bx 10/bx 5/bx 5/bx

Restore® Calcium Alginate, Sterile Highly absorptive. Made from calcium sodium alginate, creating conformable protective gel when in contact with exudate. Forms moist wound interface. Remains intact when saturated, so it is removed in one piece.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 8˝ 12˝ rope

529938 529939 529940

A6196 A6197 A6199

SOLD BY

10/bx 5/bx 5/bx

WOUND CARE

SKIN CARE PRODUCTS

HOLLISTER WOUND CARE (50) All Hollister Wound Care products are latex-free unless otherwise noted.

LATEX FREE

CONTAINS SILVER Restore Calcium Alginate with Silver, Sterile Sterile dressings release silver ions in presence of wound fluid and are an effective antimicrobial agent against a broad spectrum of microorganisms. Indicated for moderately to heavily exuding, partial- to full-thickness wounds. Assists in maintaining a moist environment and allow intact removal. ®

2˝ x 2˝ 4˝ x 4.75˝ 12˝ ropes

ITEM #

HCPCS

529967 529968R 529969

A6196 A6197 A6199

SOLD BY

10/bx 10/bx 5/bx

Restore® Skin Cleanser For use on intact skin. Cleanses peristomal and perineal skin of urinary and fecal discharge. Gentle and nonirritating. Must be rinsed off the skin.

ITEM #

HCPCS

8-oz. pump bottle

517210

A9270

SOLD BY

Restore® Skin Conditioning Creme Moisturizes and soothes dry, flaky skin. Can also be used to to condition skin under adhesive products.

HYDROGEL DRESSINGS

ITEM #

HCPCS

4-oz. bottle

517220

A6250

SOLD BY

Restore Hydrogel ®

Helps maintain a moist healing environment in partial- to full-thickness wounds. Clear, viscous gel provides up to 72 hours of wear time.

ITEM #

HCPCS

SOLD BY

3-oz. tube (nonsterile) 529974 A6248 ea 4˝ x 4˝ impregnated gauze sponges (sterile) 529972 A6231 15/bx

HYDROCOLLOID DRESSINGS Restore® Extra Thin Hydrocolloid, Sterile Thinner, semi-occlusive dressings with flexible backing that maintain a moist wound environment. Manages minimal exudate in shallow wounds and helps protect skin from friction injury. Includes disposable wound measuring guide.

ITEM #

HCPCS

4˝ x 4˝ 6˝ x 8˝ 8˝ x 8˝

519921 519923 519925

A6234 A6235 A6236

ITEM #

HCPCS

4˝ x 4˝ 6˝ x 8˝ 8˝ x 8˝

519930 519932 519935

A6234 A6235 A6236

5/bx 3/bx 3/bx

ITEM #

HCPCS

SOLD BY

519953 519954 519955

A6234 A6235 A6236

5/bx 3/bx 3/bx

519956 519963 519957 519958

A6234 A6235 A6235 A6236

5/bx 5/bx 3/bx 3/bx

A6235 A6235

5/bx 5/bx

WITH TAPERED EDGES

4˝ x 4˝ 6˝ x 6˝ 6˝ x 8˝ 8˝ x 8˝

WITH TAPERED EDGES, TRIANGLE SHAPE

17˝ square 26.5˝ square

519959 519965

HCPCS

529977 529978

A6250 A6250

SOLD BY

ea ea

ITEM #

HCPCS

4-oz. tube

529979

A6250

SOLD BY

WOUND CLEANSER Restore Wound Cleanser Spray helps remove particulate matter and other debris from wound bed. No-rinse alternative to saline and harsh antiseptic cleaners. ®

5/bx 3/bx 3/bx

WITHOUT TAPERED EDGES

4˝ x 4˝ 6˝ x 8˝ 8˝ x 8˝

ITEM #

7.5-oz. spray bottle 11.5-oz. spray bottle

Restore® DimethiCreme Skin Protectant Dimethicone-based, protective, breathable barrier for skin or mucous membrane surfaces that are, or may be, exposed to harmful stimuli. Effectively moisturizes and protects skin. Dries clear to easily assess skin condition.

SOLD BY

Restore® Hydrocolloid Sterile, conformable, semi-occlusive dressings with flexible outer layer. Maintains a moist wound environment. Manages minimal to moderate exudate in partial- and full-thickness wounds, and is available with or without tapered edges, and in specialty shapes. Includes disposable wound measuring guide.

SOLD BY

Restore® Hydrocolloid with Foam Backing, Sterile Occlusive dressings with white foam backing for low friction areas with moderate exudate.

Restore® Cleanser & Moisturizer All-in-one spray cleans, moisturizes and protects skin. An effective skin protectant for urinary and/or fecal incontinence. Protective, breathable barrier for skin. Dimethicone-based and does not require rinsing.

ITEM #

HCPCS

8-oz. spray bottle 12-oz. spray bottle

529975 529976

A6260 A6260

SOLD BY

ea ea

MEDTRONIC (68) All Medtronic wound care products are latex-free unless otherwise noted.

LATEX FREE

FOAM DRESSINGS NEW Kendall Nonantimicrobial Sacrum Gentle border foam sacrum dressings are designed to help prevent and treat pressure injuries. Unique winged design for secure application, gentle silicone adhesive for minimal trauma and continued wear time, and soft polyurethane foam to help relieve pressure. Silky, soft waterproof topsheet with high moisture vapor transmission rate helps reduce friction and shear. Highly absorbent to maintain moisture balance. ™

ITEM #

HCPCS

7.5˝ x 7.5˝ (5.25˝ x 4.75˝ pad) 9.25˝ x 9.25˝ (6.75˝ x 6˝ pad)

55577BG 55599BG

A6212 A6212

SOLD BY

10/bx 10/bx

55577BAMDG A6212 55599BAMDG A6212

10/bx 10/bx

AMD

7.5˝ x 7.5˝ (5.25˝ x 4.75˝ pad) 9.25˝ x 9.25˝ (6.75˝ x 6˝ pad)

303

WOUND CARE

MEDTRONIC (68) All Medtronic wound care products are latex-free unless LATEX FREE Kendall™ Gentle Adhesion Border Foam Dressings The comfort and superior absorbency of Kendall™ Foam is now available with a silicone adhesive that remains adherent after lifting or adjusting the dressing, while minimizing skin trauma. The high MVTR (moisture vapor transmission rate), low friction topsheet provides a waterproof microbial barrier, and reduces friction and sheer. The highly absorbent foam has a small pore size to prevent microbe and cell ingrowth, while providing a soft feel that helps promote comfort and relieve pressure.

ITEM #

HCPCS

1.75˝ x 3.25˝ (1˝ x 1.75˝ pad) 3.5˝ x 3.5˝ (2˝ x 2˝ pad) 3.5˝ x 5.5˝ (2˝ x 4˝ pad) 5.5˝ x 5.5˝ (4˝ x 4˝ pad) 7.5˝ x 7.5˝ (6˝ x 6˝ pad)

55523BG 55544BG 55546BG 55566BG 55588BG

A6209 A6212 A6212 A6212 A6213

SOLD BY

10/bx 10/bx 10/bx 10/bx 10/bx

Kendall™ Ultra-Soft Foam Dressings An ultra-soft, hydrophilic foam that protects and cushions wounds. Small pores decrease the chance of tissue migration into the foam dressing.

ITEM #

HCPCS

2˝ x 2˝ 3.5˝ x 3˝, fenestrated 4˝ x 4˝ 4˝ x 8˝ 6˝ x 6˝ 8˝ x 8˝

55522 55535 55544 55548 55566 55588

A6209 A6209 A6209 A6210 A6210 A6211

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝ 6˝ x 6˝

55522P 55544P 55566P

A6209 A6209 A6210

ITEM #

HCPCS

4˝ x 4˝ (2˝ x 2˝ pad) 6˝ x 6˝ (4˝ x 4˝ pad)

55544B 55566B

A6212 A6212

SOLD BY

10/bx 10/bx

TRANSPARENT FILM DRESSINGS

304

ITEM #

HCPCS

SOLD BY

6651WF 6640WF 6641WF 6647WF 6642WF 6648WF

A6257 A6257 A6258 A6258 A6258 A6259

100/bx 100/bx 50/bx 20/bx 10/bx 10/bx

SOLD BY

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝ 4˝ x 4˝, plus 4˝ x 8˝ 12˝ ropes 24˝ ropes 36˝ ropes

9232 9233 9236 9238 9231 9243 9244

A6196 A6196 A6196 A6197 A6199 A6199 A6199

SOLD BY

10/bx 10/bx 10/bx 5/bx 5/bx 5/bx 5/bx

ZINC DRESSINGS Kendall Zinc Calcium Alginate Dressings Absorb exudate from wound and create a protective cushioning gel and optimal moist healing environment. Protective gel binds exudate and helps prevent skin maceration. Easy, painless dressing removal minimizes tissue trauma and maximizes comfort. Absorb approximately 20 times the dressing’s weight.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝ 12˝ ropes

9354 9355 9351

A6196 A6196 A6199

SOLD BY

10/bx 10/bx 5/bx

HYDROCOLLOID DRESSINGS Kendall Alginate Hydrocolloid Dressings Sterile, highly flexible wound dressing designed for use on dry to lightly exuding wounds. Designed to create and maintain a moist wound healing environment optimal for wound healing. Unique formulation absorbs exudate, preventing the maceration of periwound skin. One per peel-pack. ™

Kendall Window Transparent Film Dressings Ideal dressings for IV sites, donor sites, burns, ulcers and sutures. Convenient window frame delivery method. Highly permeable to oxygen and moisture vapor. Outstanding barrier to bacteria and fluid contaminants. 1.75˝ x 1.75˝ 2.375˝ x 2.75˝ 4˝ x 4.75˝ 4˝ x 10˝ 6˝ x 8˝ 8˝ x 12˝

A6257 100/bx A6257 100/bx A6258 50/bx A6258 20/bx A6258 10/bx A6259 10/bx

™

HCPCS

6651 6640 6641 6647 6642 6648

Kendall Calcium Alginate Dressings Absorb exudate from wound and create a protective cushioning gel and optimal moist healing environment. Protective gel binds exudate and helps prevent skin maceration. Easy, painless dressing removal minimizes tissue trauma and maximizes comfort. Absorb approximately 20 times the dressing’s weight.

25/bx 50/cs 10/bx

Kendall™ Island Ultra-Soft Foam Dressings An ultra-soft, hydrophilic foam that protects and cushions wounds. Small pores decrease the chance of tissue migration into the foam dressing. Adhesive border allows for a secure fit to help protect and cushion the wound site.

ITEM #

11⁄2˝ x 11⁄2˝ 2˝ x 23⁄4˝ 4˝ x 43⁄4˝ 4˝ x 8˝ 6˝ x 8˝ 8˝ x 10˝

ALGINATE DRESSINGS

25/bx 10/bx 10/bx 10/bx 10/bx 10/bx

SOLD BY

™

SOLD BY

Kendall™ Ultra-Soft Foam Dressings with Topsheet An ultra-soft, hydrophilic foam that protects and cushions wounds. Small pores decrease the chance of tissue migration into the foam dressing. The polyurethane topsheet prevents strike-through while allowing for moisture vapor transmission and helping to reduce skin maceration.

Kendall™ Transparent Film Dressing Ideal dressing for IV sites, donor sites, burns, ulcers and sutures. Simple, effective delivery system allows for one-handed application. Highly permeable to oxygen and moisture vapor. Outstanding barrier to bacteria and fluid contaminants.

ITEM #

HCPCS

21⁄2˝ x 21⁄2˝, border 4˝ x 4˝ 4˝ x 4˝, border 4˝ x 5˝, sacral 6˝ x 6˝ 6˝ x 7˝, sacral 8˝ x 8˝

9807 9801 9808 9805 9802 9806 9804

A6237 A6234 A6237 A6238 A6235 A6238 A6236

SOLD BY

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

HYDROGELS Kendall Amorphous Hydrogel Wound Dressings Clear wound gel dressing helps provide an optimal environment for natural wound healing. Formulated for the management of Stages I – IV pressure ulcers, stasis ulcers, first- and second-degree burns, cuts, abrasions and minor skin irritations. ™

ITEM #

HCPCS

0.5-oz. tube 1-oz. tube 3-oz. tube

9250 9251 9252

A6248 A6248 A6261

SOLD BY

ea ea ea

WOUND CARE

MEDTRONIC (68) All Medtronic wound care products are latex-free unless otherwise noted.

LATEX FREE

Kendall™ Hydrogel Impregnated Gauze Features clear amorphous hydrogel, which helps provide the optimal environment for natural wound healing. Formulated for the management of Stages I – IV pressure ulcers, stasis ulcers, firstand second-degree burns, cuts, abrasions and minor irritations of the skin. One per peel-pack.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝ 4˝ x 8˝

9255 9256 9257

A6231 25/bx A6231 25/bx A6232 25/bx

SOLD BY

ANTIMICROBIAL DRESSINGS Kendall™ AMD Antimicrobial Foam Dressings Developed to help manage both moisture and bacterial balance. Open-cell, polyurethane foam dressing is impregnated with 0.5% PHMB (polyhexamethylene biguanide), a highly effective, low-toxicity antiseptic. Effective against gram-positive and gram-negative bacteria, and also work against fungi and yeast. AMD Bordered dressings also prevent complications, such as friction and shear injuries.

ITEM #

HCPCS

55522AMD 55535AMD 55544AMD 55588AMD 55535PAMD 55544PAMD

A6209 A6209 A6209 A6211 A6209 A6209

55511AMD 55512AMD

A4649 10/pk A4649 10/pk

Excilon™ AMD Drain and IV Sponges Superior absorbency and fast-wicking action help reduce infections and decrease the frequency of dressing changes. Unique, precut “T” slit conforms snugly around drains, catheters, chest tubes, IVs and tracheostomies. No loose threads to fall into wound. Eliminate need for sterile scissors and conserve nursing time. 6 ply, 2s.

4˝ x 4˝

HCPCS

SOLD BY

7088

A6222

50/bx

7089

A6222

70/bx

IV SPONGES

2˝ x 2˝

Telfa® AMD Dressings Impregnated with PHMB (polyhexamethylene biguanide), a powerful yet safe antiseptic that has a broad range effectiveness against gram-positive and gram-negative microorganisms, including MRSA and other multi-drug resistant strains. A prophylactic method of treatment without changing nursing protocol. Perforated mylar film with an absorbent core ideal for use as a primary dressing for lightly draining wounds.

ITEM #

HCPCS

SOLD BY

7662 7663

A6222 A6223

50/tray 600/cs

7666 7667 7668

A6203 A6204 A6204

100/cs 25/bx 25/bx

NON-ADHERENT

3˝ x 4˝ 3˝ x 8˝ ISLAND

4˝ x 8˝ 4˝ x 10˝ 4˝ x 14˝

SOLD BY

FOAM DRESSINGS

2˝ x 2˝ (5 cm x 5 cm) 3.5˝ x 3˝ (8.8 cm x 7.5 cm), fenestrated 4˝ x 4˝ (10 cm x 10 cm) 8˝ x 8˝ (20 cm x 20 cm) 3.5˝ x 3˝ (8.8 cm x 7.5 cm), fenestrated, with topsheet 4˝ x 4˝ (10 cm x 10 cm), with topsheet

ITEM #

DRAIN SPONGES

25/pk 10/bx 10/pk 10/pk 10/pk 10/pk

Curity™ AMD Packing Strips Impregnated with PHMB (polyhexamethylene biguanide), a powerful yet safe antiseptic that has a broad range effectiveness against gram-positive and gram-negative microorganisms, including MRSA and other multi-drug resistant strains. Prophylactic method of treatment without FOAM BORDER DRESSINGS cardinath changing nursing protocol. Fine mesh gauze ideal 1.75˝ x 3.25˝ (4.4 cm x 8.3 cm); 1˝ x 1.75˝ (2.5 cm x 4.4 cm) pad for wet-to-dry packing. Individually packaged. 55523BAMD A6212 10/pk ITEM # HCPCS SOLD BY 3.5˝ x 3.5˝ (8.9 cm x 8.9 cm); 2˝ x 2˝ (5.0 cm x 5.0 cm) pad 55544BAMD A6212 10/pk 1 ⁄4˝ x 1 yd. 7831AMD A6266 ea 3.5˝ x 5.5˝ (8.9 cm x 14.0 cm); 2˝ x 4˝ (5.0 cm x 10 cm) pad 55546BAMD A6212 10/pk 1 ⁄2˝ x 1 yd. 7832AMD A6266 ea 7.5˝ x 7.5˝ (15 cm x 15 cm); 6˝ x 6˝ (19 cm x 19 cm) pad 55588BAMD A6213 10/pk FOAM DISC

1˝ (2.5-cm) diameter, 4-mm hole 1˝ (2.5-cm) diameter, 7-mm hole

Kerlix® AMD Rolls Contain PHMB (polyhexamethylene biguanide). Resist bacterial colonization within the dressing and reduce bacterial penetration through the dressing. Broad-spectrum effectiveness provides protection against gram-negative, gram-positive and fungi/yeast microorganisms, including MRSA and VRE. Limit cross-contamination from patient to patient, patient to clinician, and patient to the environment. Sterile. 4.5˝ x 4.1 yds.

ITEM #

HCPCS

Plastic tray Soft pouch

3331 3332

A6266 60/cs A6266 ea

1˝ x 1 yd.

Kerlix AMD Super Sponges Sterile, antimicrobial gauze dressing; contain PHMB (polyhexamethylene biguanide). Resist bacterial colonization within the dressing and provide protection against gram-negative, gram-positive and fungi/yeast microorganisms, including MRSA and VRE. Limit cross-contamination from patient to patient, patient to clinician, and patient to the environment. 6˝ x 63⁄4˝.

ITEM #

HCPCS

Sterile 2s Sterile 5s

6662 6665

A6223 240/cs A6223 600/cs

A6266

Curity AMD Antimicrobial Gauze Sponges Impregnated with PHMB (polyhexamethylene biguanide), a powerful yet safe antiseptic that has a broad range effectiveness against gram-positive and gram-negative microorganisms, including MRSA and other multi-drug resistant strains. Prophylactic method of treatment without changing nursing protocol. The high quality woven gauze available with Curity™, but now with the powerful protection of AMD.

SOLD BY

7833AMD

™

ITEM #

HCPCS

2˝ x 2˝, 8-ply, sterile 2s 4˝ x 4˝, 12-ply, sterile 2s

2506 2533

A6222 A6222

SOLD BY

50/tray 1,200/cs

BANDAGES & ROLLS Curity Stretch Bandages One-ply cotton/polyester blend crocheted bandage. Provide softness, conformability, low lint and high absorbency. Ideal for securing dressings, IVs and splints; or for providing mild compression or support. Hold securely to any body contour; allow for movement and some soft tissue swelling. Stay in place with minimal taping. ™

SOLD BY

ITEM #

HCPCS

SOLD BY

2239 2242 2244 2247

A6448 A6448 A6449 A6449

24/pk 12/pk 12/pk 12/pk

2231 2232 2236

A6448 A6449 A6449

12/pk 12/pk 12/pk

NONSTERILE

1˝ x 75˝ 2˝ x 75˝ 3˝ x 75˝ 4˝ x 75˝ STERILE

2˝ x 75˝ 3˝ x 75˝ 4˝ x 75˝

305

WOUND CARE

NON-ADHERENT DRY DRESSINGS

MEDTRONIC (68) All Medtronic wound care products are latex-free unless otherwise noted.

LATEX FREE

Curity™ Adhesive Bandages Sterile, hypoallergenic and latex-free. Ideal for small cuts, punctures and wounds.

ITEM #

HCPCS

SOLD BY

44100 44101

A6413 A6413

50/bx 50/bx

44118 44119

A6413 A6413

50/bx 50/bx

FABRIC

⁄4˝ x 3˝ 1˝ x 3˝ 3

SHEER

⁄4˝ x 3˝ 1˝ x 3˝ 3

Kerlix® Bandage Rolls

Telfa “Ouchless” Non-Adherent Dressings Absorbent cotton pad won’t disrupt healing tissue by sticking to wound. Each sterile dressing is individually wrapped in peel-open envelope. Ideal as primary dressing for lightly draining wounds. Bonded on both sides with perforated, nonadherent film; can be cut to any shape without separating. Easy to use as an ideal take-home dressing. Sterile 1s in peel-back package. ®

ITEM #

HCPCS

SOLD BY

2˝ x 3˝ 3˝ x 4˝ 3˝ x 4˝ 3˝ x 6˝ 3˝ x 8˝

1961 1050 2132 1169 1238

A6402 A6402 A6402 A6403 A6403

100/bx 50/bx 100/bx 50/bx 50/bx

® Made of prewashed, fluff-dried, 100% woven gauze with Telfa “Ouchless” Adhesive Dressings Made of highly absorbent cotton fabric bonded on both sides unique, crinkle-weave pattern for loft and bulk to cushion with perforated, nonadherent film. Won’t disrupt healing tissue by and protect wound areas. Six-ply construction with finished sticking to wound. Adhesive strips keep dressing intact. Perforated edges reduces loose ends and lint. As primary dressing, carton for easy dispensing. Sterile 1s in peel-back package. open-weave design provides fast wicking action, superior ITEM # HCPCS SOLD BY aeration and excellent absorbency. As secondary dressing, it provides bulk, cushioning 2˝ x 3˝ 6017 A6402 100/bx and great conformability. Ideal for bandaging heads, limbs and difficult-to-dress wounds (i.e. burns, plastic or orthopedic wounds). Telfa® Adhesive Island Dressings ITEM # HCPCS SOLD BY Convenient, all-in-one dressing. Soft, nonwoven backing conforms around NONSTERILE, BULK AND PACKED, 6-PLY wound and seals on all four sides. Provide protection from external 4.5˝ x 4.1 yds. 1892 A6443 ea environment. Won’t disrupt healing tissue. Ideal dressing for lightly STERILE IN SOFT POUCH, 6-PLY draining wounds. Secure dressing for central and peripheral IV sites. 2.25˝ x 3 yds. 6720 A6445 ea

3.4˝ x 3.6 yds. 4.5˝ x 4.1 yds.

6725 6715

A6446 A6446

ea ea

6716

A6446

STERILE IN SOFT POUCH, 8-PLY

4.5˝ x 3.1 yds.

SUTURE REMOVAL KITS Curity Suture Removal Kit Disposable Littauer scissors and plastic, fine-point forceps in quality packaging. All-inclusive package saves time. Sterile delivery. ™

ITEM #

66100 A4649 ea

HCPCS

SOLD BY

DRAIN SPONGES Excilon™ IV Sponges Superior absorbency and fast wicking action help reduce infections and decrease the frequency of dressing changes. Unique, precut “T” slit conforms snugly around drains, catheters, chest tubes, IVs and tracheostomies. No loose threads to fall into wound. Eliminate need for sterile scissors and conserve nursing time. 6 ply, 2s.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝

7087 7086

A6402 A6402

SOLD BY

70/bx 50/bx

DERMACEA™ Drain Sponges Sterile, low-cost alternative to premium Excilon™ drain and IV sponges. Precut notch conforms well around drains, catheters, chest tubes, IVs and tracheostomies. Eliminates the need for sterile scissors and conserves time. Virtually lint-free.

ITEM #

HCPCS

4˝ x 4˝, 6-ply (2s)

6242P

A6402

SOLD BY

50/bx

ITEM #

2˝ x 33⁄4˝ 4˝ x 5˝ 4˝ x 8˝ 4˝ x 10˝ 4˝ x 14˝

7539LF A6219 50/bx 7540 A6219 25/bx 7541 A6219 25/bx 7542 A6219 25/bx 7544 A6220 25/bx

HCPCS

SOLD BY

Telfa® PLUS Island Dressings Ideal cover dressing after packing large, deep wounds. Superabsorbent pad provides maximum performance. Soft, nonwoven backing conforms around wounds and seals on all four sides. Nonperforated film above pad provides a fluid and bacterial barrier. Nonadherent dressing won’t disrupt healing tissue. Convenient sizes for surgical and chronic wounds.

ITEM #

HCPCS

4˝ x 6˝ 6˝ x 7˝ 6˝ x 10˝ 8˝ x 8˝

2562 2563 2564 2565

A6204 A6204 A6204 A6204

SOLD BY

25/bx 25/bx 25/bx 15/bx

NON-ADHERENT MOIST DRESSINGS Curity™ Non-Adherent Strips Oil emulsion blend impregnated into open mesh, knitted fabric design. Nonadhering to wound site. Exudate drains away from wound. Ideal for donor sites, delicate suture lines, graft sites and draining wounds.

ITEM #

HCPCS

3˝ x 3˝ 3˝ x 8˝

6112 6113

A6222 A6223

SOLD BY

50/bx 24/bx

Curity™ Sodium Chloride Dressings Hypertonic saline dressing in a convenient, pre-saturated formulation. Impregnated with sodium chloride to promote osmotic action, which helps to cleanse the wound while maintaining a moist wound environment.

ITEM #

⁄2˝ x 5 yds., packing strip 6˝ x 63⁄4˝

3335 A6407 ea 3339 A6229 24/bx

306

HCPCS

SOLD BY

WOUND CARE

MEDTRONIC (68) All Medtronic wound care products are latex-free unless otherwise noted.

LATEX FREE

Curity™ Nonwoven All-Purpose Sponges Ideal for applying ointments, prepping, wiping needles, cleaning slides and more. Rayon/polyester blend construction. Cost-effective, highly absorbent and virtually lint-free.

SKIN BARRIER WIPES

2˝ x 2˝, 4-ply 3˝ x 3˝, 4-ply 4˝ x 4˝, 3-ply 4˝ x 4˝, 4-ply

Kendall™ Skin Barrier Wipes Nonsterile wipes form a protective barrier between skin and adhesive products. Help protect skin from feces, urine, chemical irritants and gastrointestinal fluids. Help reduce the chance of excoriation.

ITEM #

HCPCS

Large, 2-ply

6560

A5120

HCPCS

2˝ x 2˝, 4-ply 3˝ x 3˝, 4-ply 4˝ x 4˝, 4-ply

50/bx

Irrigation Piston Syringe 60-cc, sterile syringe with protector cap.

ITEM #

68000 A4322 ea

SOLD BY

ITEM #

HCPCS

4˝ x 4˝, 12-ply

6309

A6402 100/bx

3˝ x 3˝ 3˝ x 4˝ 4˝ x 4˝

ITEM #

HCPCS

SOLD BY

7631 7632 7633

A6407 A6407 A6407

ea ea ea

7831 7832 7833

A6266 A6266 A6266

ea ea ea

PLAIN

IODOFORM STRIPS

⁄4˝ x 5 yds. ⁄2˝ x 5 yds. 1˝ x 5 yds. 1 1

SPONGES Curity Gauze Sponges Made from high-grade, 100% U.S.-grown cotton. Exceed USP Type VII gauze requirements. Economical dressing in broad range of sizes and plys. Well-suited for a variety of applications, such as wound dressing, general cleaning, minor prepping, wound packing and debriding. Nonsterile sponges conveniently indexed in 10s for faster, easier handling. ™

ITEM #

HCPCS

SOLD BY

2252 2346 2556 2634 2259

A6216 A6216 A6216 A6216 A6403

200/pk 200/pk 200/pk 200/pk 50/pk

1806 2187 3033

A6402 A6402 A6402

100/pk 50/pk 50/pk

NONSTERILE

2˝ x 2˝, 12-ply 3˝ x 3˝, 12-ply 4˝ x 4˝, 8-ply 4˝ x 4˝, 12-ply 4˝ x 8˝, 12-ply STERILE 2S

2˝ x 2˝, 8-ply 4˝ x 4˝, 8-ply 4˝ x 4˝, 12-ply

A6216 A6216 A6216 A6216

200/pk 200/pk 200/pk 200/pk

8042 8043 8044

A6402 A6402 A6402

50/pk 50/pk 50/pk

ITEM #

HCPCS

SOLD BY

1700 1713 1792

A6216 A6216 A6216

100/pk 100/pk 100/pk

3157 2913

A6402 A6402

50/pk 50/pk

STERILE 2S

3˝ x 4˝ 4˝ x 4˝

SOLD BY

Curity™ Packing Strips All-natural, 100% cotton, fine mesh gauze ideal for wet-to-dry packing. Available in plain or iodoform. Guaranteed sterility. ⁄4˝ x 5 yds. ⁄2˝ x 5 yds. 1˝ x 5 yds.

9022 9023 9134 9024

NONSTERILE

Curity™ Gauze Pads Nonwoven, nonsterile, gauze-covered, rayon cellulose material is highly absorbent for wound site absorbency only. Not designed for prepping, cleansing or general utility purposes.

SOLD BY

Curity™ Cover Sponges Filled with a layer of cellulose wadding covered with nonwoven fabric. Economical, all-purpose sponge with good absorbent capacity. Nonsterile sponges conveniently indexed in 10s for faster, easier handling.

GAUZE PRODUCTS

HCPCS

STERILE 2S IN PEEL-BACK PACKAGE

SOLD BY

IRRIGATION SYRINGES

ITEM #

NONSTERILE, BULK

Kerlix® Super Sponges Medium, sterile, prewashed, fluff-dried, woven gauze with crinkle-weave pattern and diamond-fold construction offers superior loft, bulk and high absorbency. Superior primary dressing designed to transfer exudate away from wound and into secondary dressing. Absorbency, strength and virtual lint-free performance is ideal for preoperative prepping and cleansing, debriding and packing. Soft pouch packages of sterile 2s or 5s. Made from high-grade, 100% U.S.-grown cotton. Exceeds USP Type VII gauze requirements. 6˝ x 63⁄4˝.

ITEM #

2s 5s

2585 A6403 40/pk 3085 A6403 50/pk

HCPCS

SOLD BY

Excilon™ Nonwoven All-Purpose Sponges Sterile, highly absorbent, fast-wicking fabric promotes drier wound site. Superior absorbency helps reduce infections and decreases the frequency of dressing changes. Rayon/polyester blend minimizes lint residue. Six-ply, 2s.

ITEM #

HCPCS

3˝ x 4˝ 4˝ x 4˝

7083 7084

A6402 A6402

SOLD BY

50/bx 50/bx

COLOPLAST (62) All Coloplast wound care products are latex-free unless otherwise noted.

LATEX FREE

WOUND CLEANSER Sea-Clens® No-Rinse Wound Cleanser Nonionic solution delivers a non-toxic and non-irritating formula. Adjustable with stream or spray delivery system. Assists in softening slough and eschar to facilitate debridement. Nonirritating to intact or damaged skin, or mucosa.

ITEM #

HCPCS

6-oz. spray bottle 12-oz. spray bottle

1063 1061

A6260 A6260

SOLD BY

ea ea

307

WOUND CARE

COLOPLAST (62) All Coloplast wound care products are latex-free unless otherwise noted.

LATEX FREE

Biatain® Soft-Hold Foam Dressings Skin-friendly contact adherent provides a “third hand” during dressing changes and minimizes adhesive trauma, with ease of application and removal. Manages moderate to high wound exudate levels.

HYDROGELS Woun’Dres® Collagen Hydrogel Provides a moist wound environment to facilitate optimal wound healing. Hydrates dry wounds and eschar. Can be used on superficial, partial- and full-thickness wounds, and minor burns.

1-oz. tube 3-oz. tube

ITEM #

HCPCS

1166 7690

A6248 A6248

SOLD BY

ea ea

ITEM #

HCPCS

2˝ x 23⁄4˝ (5 cm x 7 cm) 4˝ x 4˝ (10 cm x 10 cm) 6˝ x 6˝ (15 cm x 15 cm)

3473 3470 3475

A6209 A6209 A6210

5/bx 5/bx 5/bx

Biatain® Heel Foam Dressings Unique foam structure manages moderate to high wound exudate levels and protects the heel. Hydrocolloid border reduces need for secondary dressing.

ITEM #

HCPCS

3488

A6212

SOLD BY

ADHESIVE BORDER

Purilon® Gel Sterile hydrogel that provides a moist wound environment to facilitate optimal wound healing. Can be used on superficial, partialand full-thickness wounds, and minor burns.

0.28-oz. tube 0.5-oz. tube 1-oz. tube

ITEM #

HCPCS

3906 3900 3903

A6248 A6248 A6248

SOLD BY

ea ea ea

71⁄2˝ x 8˝ (19 cm x 20 cm)

Biatain® Alginate Dressings Unique combination of calcium alginate and CMC forms a soft cohesive gel, ensuring one-piece removal. Use with secondary dressing.

Biatain Foam Dressings Sterile foam dressing for exuding wounds that offers a soft, protective cushioning effect, which ensures longer wearing time. ®

ITEM #

HCPCS

2˝ x 23⁄4˝ (5 cm x 7 cm) 4˝ x 4˝ (10 cm x 10 cm) 6˝ x 6˝ (15 cm x 15 cm) 8˝ x 8˝ (20 cm x 20 cm)

6105 3410 3413 3416

A6209 A6209 A6210 A6211

10/bx 10/bx 5/bx 5/bx

3430 3420 3423

A6212 A6212 A6213

10/bx 10/bx 5/bx

Biatain® Sacral Foam Dressings Sterile foam dressing for exudating wounds. Includes a hydrocolloid adhesive border and is designed specifically for the sacral area.

ITEM #

HCPCS

3485

A6213

SOLD BY

ADHESIVE BORDER

9˝ x 9˝ (23 cm x 23 cm)

5/bx

Biatain Silicone Foam Dressings Conforms to the wound bed for superior absorption, even under body pressure. Soft and flexible dressing with silicone adhesive for easy removal with minimal damage or irritation to the skin. ®

ITEM #

HCPCS

33434 33435 33436 33437 33438

A6212 A6212 A6212 A6213 A6213

SOLD BY

SILICONE ADHESIVE BORDER

3˝ x 3˝ (7.5 cm x 7.5 cm) 4˝ x 4˝ (10 cm x 10 cm) 5˝ x 5˝ (12.5 cm x 12.5 cm) 6˝ x 6˝ (15 cm x 15 cm) 7˝ x 7˝ (18 cm x 18 cm)

10/bx 10/bx 10/bx 5/bx 5/bx

Biatain® Silicone Lite Foam Dressings Same benefits as Biatain® Silicone, with thinner foam for increased mobility. Ideal for hard-to-dress areas or frequent dressing changes.

ITEM #

HCPCS

33452 33453 33444 33445 33446

A6212 A6212 A6212 A6212 A6212

SOLD BY

SILICONE ADHESIVE

2˝ x 2˝ (5 cm x 5 cm) 2˝ x 5˝ (5 cm x 12.5 cm) 3˝ x 3˝ (7.5 cm x 7.5 cm) 4˝ x 4˝ (10 cm x 10 cm) 5˝ x 5˝ (12.5 cm x 12.5 cm)

ITEM #

HCPCS

2˝ x 2˝ (5 cm x 5 cm) 4˝ x 4˝ (10 cm x 10 cm) 6˝ x 6˝ ( 15 cm x 15 cm) 1˝ x 171⁄2˝ Rope (44 cm)

3705 3710 3715 3740

A6196 A6196 A6197 A6199

SOLD BY

30/bx 10/bx 10/bx 6/bx

HYDROCOLLOIDS Comfeel Plus Ulcer Dressings Sterile, highly absorbent hydrocolloid with alginate for superior exudate management. Adaptable polyurethane top film contributes to better exudate management, allowing pores to open for more evaporation when there is heavy exudate, and close to maintain a moist environment when there is little exudate. “No touch” system allows for easy application while wearing gloves. Skin-friendly adhesive keeps the dressing in place, yet it can easily be removed. ®

ADHESIVE

4˝ x 4˝ (10 cm x 10 cm) 5˝ x 5˝ (12 cm x 12 cm) 7˝ x 7˝ (18 cm x 18 cm)

SOLD BY

NONADHESIVE

5/bx

ALGINATES

FOAMS

308

SOLD BY

5/bx 5/bx 10/bx 10/bx 10/bx

ITEM #

HCPCS

11⁄2˝ x 21⁄2˝ (4 cm x 6 cm) 4˝ x 4˝ (10 cm x 10 cm) 6˝ x 6˝ (15 cm x 15 cm) 8˝ x 8˝ (20 cm x 20 cm) 2˝ x 5˝ (2 cm x 5 cm)

3146 3110 3115 3120 33453

A6234 A6234 A6235 A6236 A6232

SOLD BY

30/bx 10/bx 5/bx 5/bx 5/bx

Comfeel® Plus Sacral Dressings Triangular shape and sterile flexibility with anatomical design that is specifically for the difficult-to-dress sacral area.

ITEM #

HCPCS

7˝ x 8˝ (18 cm x 20 cm)

3285

A6235

SOLD BY

5/bx

Comfeel Plus Contour Dressings Butterfly shape and hydrocolloid edging eliminate the need for additional taping, even in areas such as the sacrum, heel and elbow. Thin, transparent hydrocolloid edging promotes a healing environment for damaged skin surrounding the ulcer. Washable surface minimizes the need for premature changes due to soiling. Unique, adaptable top film knows when to open and close its pores to allow excess moisture to evaporate, while maintaining the proper moist environment. “No-touch” system allows easy application while wearing gloves. ®

ITEM #

HCPCS

24˝ square (6 cm x 8 cm) 42˝ square (9 cm x 11 cm)

3280 3283

A6237 A6237

SOLD BY

5/bx 5/bx

WOUND CARE

COLOPLAST (62) All Coloplast wound care products are latex-free unless otherwise noted.

LATEX FREE

Comfeel® Plus Pressure Relief Dressings High-density, independently scored foam backing redistributes pressure, which enhances local circulation. Adhesive outer border keeps dressing in place, even over bony prominences. Residue-free removal helps prevent irritation. Adaptable polyurethane top film knows when to open and close its pores to allow excess moisture to evaporate, while maintaining the proper moist environment. “No-touch” system allows easy application while wearing gloves.

ITEM #

HCPCS

3˝ (7 cm) butterfly 4˝ (10 cm) round 6˝ (15 cm) round 8˝ x 8˝ (20 cm x 20 cm) round

3350 3353 3356 3120

A6237 A6237 A6238 A6236

SOLD BY

5/bx 5/bx 5/bx 5/bx

Comfeel® Plus Transparent Dressings Combine the benefits of a sterile, see-through hydrocolloid dressing with superior exudate management. Breakthrough in hydrocolloid technology produces unsurpassed absorptive capacity that helps manage low-exudate wounds.

ITEM #

HCPCS

2˝ x 23⁄4˝ (5 cm x 7 cm) 31⁄2˝ x 51⁄2˝ (9 cm x 14 cm) 4˝ x 4˝ (10 cm x 10 cm) 6˝ x 6˝ (15 cm x 15 cm)

3530 3536 3533 3539

A6234 A6235 A6234 A6235

SOLD BY

10/bx 10/bx 10/bx 5/bx

Comfeel Ulcer Care Dressings Hydrocolloid dressing absorbs exudate. Balanced adhesive formula. The original Comfeel® hydrocolloid promotes moist wound healing, absorbs exudate and allows natural debridement. “No-touch” system allows one-handed application, even with gloves. Microthin edges reduce the need for taping and lessen the chance of edge roll. Soft and flexible; conform easily to body contours. Remove easily, are residue-free and prevent irritation of sensitive skin surrounding partial-thickness wounds. ®

ITEM #

HCPCS

11⁄2˝ x 21⁄2˝ (4 cm x 6 cm) 4˝ x 4˝ (10 cm x 10 cm) 6˝ x 6˝ (15 cm x 15 cm)

3233 3213 3218

A6234 A6234 A6235

SOLD BY

30/bx 10/bx 5/bx

Triad™ Hydrophilic Dressings Zinc oxide-based hydrophilic paste gently adheres to moist wound beds and protects periwound skin. Autolytic action loosens dried eschar to aid in its removal process. Soothe compromised periwound skin and provide an occlusive wound dressing. Maintain a moist healing environment.

ITEM #

HCPCS

2.5-oz. tube 6-oz. tube

1964 1967

A6240 A6240

SOLD BY

ea ea

ANTIMICROBIAL DRESSINGS WITH SILVER CONTAINS SILVER Biatain® Silicone Ag Foam Dressings Unique 3D foam that conforms to the wound bed for superior absorption and continuous release of silver to the wound. Sustained release of silver during entire wear time (up to seven days). Silicone adhesive for easy removal.

CONTAINS SILVER Biatain® Ag Foam Dressings Sterile, foam dressing combines silver technology with moist wound healing to effectively prepare problem wounds for healing.

ITEM #

HCPCS

39636 39637 39638

A6212 A6212 A6215

ITEM #

HCPCS

SOLD BY

9622 9625

A6209 A6210

5/bx 5/bx

9632 9635 9641

A6212 A6213 A6213

5/bx 5/bx 5/bx

NONADHESIVE

4˝ x 4˝ (10 cm x 10 cm) 6˝ x 6˝ (15 cm x 15 cm) ADHESIVE

5˝ x 5˝ (12 cm x 12 cm) 7˝ x 7˝ (18 cm x 18 cm) 9˝ x 9˝ (sacral)

CONTAINS SILVER Biatain® Alginate Ag Dressings Unique mix of calcium alginate and highly absorbent CMC (carboxymethyl cellulose) with the addition of an ionic silver complex that releases silver ions in the presence of wound exudate. As exudate is absorbed, dressing forms a soft, cohesive gel that conforms to wound surface. Silver ions protect dressing from a broad spectrum of microorganisms over a period of up to four days. Can be removed in one piece. Indicated for the management of pressure, leg and diabetic ulcers; second-degree burns; grafts; donor sites; and trauma and cavity wounds.

ITEM #

HCPCS

2˝ x 2˝ (5 cm x 5 cm) 4˝ x 4˝ (10 cm x 10 cm) 6˝ x 6˝ (15 cm x 15 cm) 1˝ x 171⁄2˝ rope (44 cm)

3755 3760 3765 3780

A6196 A6196 A6197 A6199

SOLD BY

30/bx 10/bx 10/bx 10/bx

SUPER ABSORBENT Biatain Super Hydrocapillary Dressing A highly-absorbent hydrocapillary dressing available in both an adhesive and a non-adhesive version. Suitable for highly exuding wounds and promotes an optimal moist wound healing environment. ®

ITEM #

HCPCS

SOLD BY

46300 46320 46450 46350 46390

A6251 A6252 A6252 A6251 A6252

10/bx 10/bx 10/bx 10/bx 10/bx

46100 46120 46250 46150 46200

A6203 A6203 A6204 A6203 A6204

10/bx 10/bx 10/bx 10/bx 10/bx

NON-ADHESIVE

4˝ x 4˝ 5˝ x 5˝ 5˝ x 8˝ 6˝ x 6˝ 8˝ x 8˝ ADHESIVE

4˝ x 4˝ 5˝ x 5˝ 5˝ x 8˝ 6˝ x 6˝ 8˝ x 8˝

CONTACT LAYER Physiotulle® Wound Contact Layer Hydrocolloid-based, non-adherent wound contact layer for atraumatic dressing removals. Easy-to-handle and easy-to-use. Promotes a moist wound healing environment.

ITEM #

HCPCS

4˝ x 4˝ 4˝ x 8˝ 6˝ x 6˝ 6˝ x 8˝

3910 3912 3920 3915

A6206 A6207 A6207 A6207

SOLD BY

10/bx 3/bx 10/bx 10/bx

SOLD BY

SILICONE ADHESIVE BORDER

3˝ x 3˝ (7.5 cm x 7.5 cm) 4˝ x 4˝ (10 cm x 10 cm) 5˝ x 5˝ (12.5 cm x 12.5 cm)

5/bx 5/bx 5/bx

CONTAINS SILVER Biatain® Ag Heel Foam Dressings Combines effective antimicrobial technology with effective exudate management. Unique foam structure manages wound exudate and protects the heel. Hydrocolloid border for optimal adhesion.

ITEM #

HCPCS

71⁄2˝ x 73⁄4˝ (19 cm x 20 cm)

9643

A6212

SOLD BY

5/bx

309

WOUND CARE

WOUND MANAGEMENT PRODUCTS WITH ZINC-NUTRIENT TECHNOLOGY

DERMA SCIENCES (DE/DS/GL/KK) MEDIHONEY® DRESSINGS A complete line of dressings with Leptospermum Honey. Provide a moist wound

environment conducive to wound healing, have a low pH and high osmolarity, which helps promote autolytic debridement. Indications include diabetic foot ulcers; leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology); pressure ulcers and sores (both partial- and full-thickness); first- and second-degree, partial-thickness burns; donor sites; and traumatic and surgical wounds. MEDIHONEY® Gel

LATEX FREE

Patented formulation with 80% Active Leptospermum Honey and 20% natural gelling agents. This thicker, more viscous product provides greater stability at the wound site, even in the presence of wound fluid and body heat.

ITEM #

HCPCS

0.5-oz. tube 1.5-oz. tube

(DS)31805 (DS)31815

A4649 A4649

SOLD BY

ea ea

LATEX FREE MEDIHONEY® Calcium Alginate Dressings Patented formulation with 95% Active Leptospermum Honey impregnated in the calcium alginate dressing. As wound fluid enters the dressing, honey is released, while the dressing forms a gel, making the dressing easy to remove without disrupting the wound bed. Used in the same fashion as a typical calcium alginate dressing or other gel fiber dressing. Indicated for moderate to heavily exuding wounds.

ITEM #

HCPCS

⁄4˝ x 12˝ ropes 2˝ x 2˝ 4˝ x 5˝

(DS)31012 (DS)31022 (DS)31045

A4649 A4649 A4649

SOLD BY

5/bx 10/bx 10/bx

MEDIHONEY Honeycolloid Dressings Patented formulation with 80% Active Leptospermum Honey. Promotes an optimal wound-healing environment. The adhesive version is occlusive like a traditional hydrocolloid, with a thin film backing and adhesive border. The non-adhesive version is non-occlusive and requires a secondary dressing to hold in place. Indicated for lightly to moderately exuding wounds. ®

™

DERMAGRAN® Hydrophilic Gauze Dressings Contain zinc, and vitamins A and B-6, which play an important role in tissue repair. Encourage autolytic debridement and provide a mildly acidic environment for supporting epidermal growth. Also provide moisture and protection.

2˝ x 2˝ 4˝ x 4˝ 8˝ x 4˝

HCPCS

3-oz. tube

A4649 A4649

10/bx 10/bx

(DS)31422 (DS)31445

A4649 A4649

10/bx 10/bx

ADHESIVE BORDER

2˝ x 2˝ (3.5˝ x 3.5˝ with adhesive border) 4.5˝ x 4.5˝ (6˝ x 6˝ with adhesive border)

LATEX FREE MEDIHONEY® Paste With 100% Active Leptospermum Honey to promote an optimal wound-healing environment. Effective on wounds that have not progressed with conventional treatment. For use in hard-to-dress areas, including tunneled or undermined wounds, or sinus tracts.

ITEM #

0.5-oz. tube 1.5-oz. tube 3.5-oz. tube

(DS)31505 (DS)31515 (DS)31535

HCPCS

A4649 A4649 A4649

SOLD BY

10/bx ea ea

LATEX FREE MEDIHONEY® HCS Patented formulation with 63% Leptospermum Honey combined with a hydrogel colloid gelling agent. As wound exudate is absorbed, the dressing forms a gel, which allows for non-traumatic removal. The dressing provides a cooling and soothing, hydrogel-like feel. Indicated for dry to moderately exuding wounds.

ITEM #

HCPCS

2.4˝ x 2.4˝ 4.33˝ x 4.33˝ 2.8˝ x 2.8˝ (4.3˝ x 4.3˝ with adhesive border) 4.5˝ x 4.5˝ (6˝ x 6˝ with adhesive border)

(DS)31622 (DS)31644 (DS)31722 (DS)31744

A4649 A4649 A4649 A4649

310

SOLD BY

10/bx 10/bx 10/bx 10/bx

25/bx 15/bx 15/bx

ITEM #

HCPCS

(DS)SPD03

A6261

SOLD BY

DERMAGRAN Ointment and Moisturizing Spray Provide a slightly acidic environment, which is important for epidermal growth. Contain nutrients, such as zinc and vitamin B-6, that play an important role in tissue repair. Provide protection and moisture to wound bed.

ITEM #

HCPCS

SOLD BY

(DS)DT4 (DS)DG4

A6250 A6250

ea ea

(DS)DM4

A4649

OINTMENT

4-oz. tube 4-oz. jar MOISTURIZING SPRAY

4-oz. bottle

DERMAGRAN Hydrogel Zinc Saline Wound Dressing Contains nutrients, such as zinc and vitamin B-6, that play an important role in tissue repair. Provides a mildly acidic environment for supporting epidermal growth. Also provides moisture and protection. ®

SOLD BY

(DS)31222 (DS)31245

SOLD BY

NONADHESIVE BORDER

2˝ x 2˝ 4˝ x 5˝

HCPCS

A6231 A6231 A6232

DERMAGRAN® B Hydrophilic Wound Filler Impregnated filler tube contains zinc-nutrient formulation and pH-balanced technology. Provides a moist, mildly acidic environment conducive to wound healing. Contains nutrients such as zinc, and vitamins A and B-6, which play an important role in tissue repair. For use with pressure sores, tissue trauma, surgical incisions, partial-thickness thermal burns, and diabetic and venous stasis ulcers.

LATEX FREE

ITEM #

(DS)SPD20 (DS)SPD21 (DS)SPD24

ITEM #

HCPCS

3-oz. tube

(DS)DH03

A6248

SOLD BY

DERMAGRAN® Wound Cleanser with Zinc Remarkably low cytotoxicity. Contains nutrients, such as zinc and vitamin B-6, that play an important role in tissue repair. Precision delivery system achieves an irrigation pressure for wound management.

ITEM #

HCPCS

4-oz. bottle

(DS)WC04

A6260

SOLD BY

SUPER ABSORBENT DRESSINGS LATEX FREE XTRASORB Super Absorbent Dressings Based solely on advanced super absorbent polymers. When fluid is absorbed in dressings, super absorbent polymer core converts to a gel, locking fluid inside dressing. Help prevent maceration, keeping harmful components within wound fluid away from wound. Can be used under compression. Dressings have a nonadherent wound cover, allowing for easy, pain-free removal. For use on wounds with moderate to heavy amounts of exudate. ™

ITEM #

HCPCS

4˝ x 5˝ 6˝ x 9˝

(DE)89545 (DE)89569

A6252 A6253

SOLD BY

10/bx 10/bx

0630807-1-EN

WOUND CARE

DERMA SCIENCES (DE/DS/GL/KK)

HYDROGEL DRESSINGS

CATIONIC BIOCIDE IMPREGNATED DRESSINGS

LATEX FREE XTRASORB HCS Dressings Hybrid hydrogel/hydrocolloid dressing. Half water and glycerin for standard hydrogel cooling and soothing application while hydrating dry to lightly exuding wounds. Half sodium CMC and superabsorbent polymer blend for impressive absorption. This “smart dressing” can be used on dry to moderately exuding wounds, cutting down the number of dressings needed. The dressing minimizes lateral wicking, reducing maceration. Wound fluid is locked into the dressing. ®

LATEX FREE BIOGUARD® Barrier Dressings Patented line of infection control dressings with strong, broad-spectrum activity against wound pathogens, such as MRSA, VRE and pseudomonas. With greater than 99.99% kill rate, these cationic biocide impregnated dressings (PolyDadmac), in traditional wound care dressing formats, are designed to help reduce wound infections and cross-contamination during dressing changes.

ITEM #

HCPCS

SOLD BY

Large gauze roll, 4.5˝ x 4.1 yds., 6-ply Gauze sponges, 2˝ x 2˝, 8-ply, (2s) Conforming bandage, 2˝ x 4.1 yds. Conforming bandage, 3˝ x 4.1 yds. Gauze sponges, 4˝ x 4˝, 12-ply, (2s) Conforming bandage, 4˝ x 4.1 yds.

(DE)97322 (DE)97208 (DE)97241 (DE)97341 (DE)97412 (DE)97441

A6266 A6222 A6266 A6266 A6222 A6266

ea 50/pk ea ea 25/pk ea

(DE)97831 (DE)97832 (DE)97833

A6266 A6266 A6266

ea ea ea

(DE)97334 (DE)97338

A6222 A6223

50/bx 50/bx

(DE)97045 (DE)97048 (DE)97041 (DE)97042

A6203 A6203 A6203 A6204

25/bx 25/bx 25/bx 25/bx

PACKING STRIPS

⁄4˝ x 5 yds. 1 ⁄2˝ x 5 yds. 1˝ x 5 yds. 1

NON-ADHERENT DRESSINGS

3˝ x 4˝ 3˝ x 8˝ ISLAND DRESSINGS

4˝ x 5˝ 4˝ x 8˝ 4˝ x 10˝ 4˝ x 14˝

CALCIUM ALGINATE DRESSINGS LATEX FREE ALGICELL Calcium Alginate Dressings Soft, white and sterile dressings absorb moderate to large amounts of wound drainage and may help control minor bleeding. Alginate ropes can be used to fill or pack the dead space in a wound. Secondary dressing is needed to hold alginates in place and to protect the wound from outside contaminants. ™

ITEM #

HCPCS

0.75˝ x 12˝ ropes 0.75˝ x 36˝ rope 2˝ x 2˝ 4˝ x 4˝ 4˝ x 8˝

(DE)88112 (DE)88100 (DE)88022 (DE)88044 (DE)88048

A6199 A6199 A6196 A6196 A6197

SOLD BY

10/bx ea 10/bx 10/bx 10/bx

SILVER ALGINATE DRESSINGS CONTAINS SILVER LATEX FREE ALGICELL™ Ag Silver Alginate Dressings Antimicrobial silver alginate dressing that relies on 1.4% ionic silver for a seven-day broad spectrum antimicrobial effectiveness. Optimal gelling profile allows dressing to avoid sticking to the wound bed, but also to keep enough physical integrity to be removed from the wound in one piece.

ITEM #

⁄4˝ x 12˝ 2˝ x 2˝ 41⁄4˝ x 41⁄4˝ 4˝ x 5˝ 4˝ x 8˝ 8˝ x 12˝

(DE)88512 A6199 (DE)88522 A6196 (DE)88544 A6197 (DE)88545 A6197 (DE)88548 A6197 (DE)88582 A6198

312

HCPCS

SOLD BY

20/cs 10/bx 10/bx 10/bx 5/bx 5/bx

ITEM #

HCPCS

2.3˝ x 2.3˝ 4.5˝ x 4.5˝ 8˝ x 8˝ 3˝ x 3˝ (with adhesive border) 6˝ x 6˝ (with adhesive border)

(DE)86322 (DE)86344 (DE)86388 (DE)86433 (DE)86466

A6234 A6235 A6236 A6237 A6238

SOLD BY

10/bx 10/bx 5/bx 10/bx 10/bx

FOAM DRESSINGS LATEX FREE XTRASORB® Foam Dressings Superabsorbent foam dressing. It comprises a standard, highly absorptive, hydrophilic polyurethane foam dressing, with a patented superabsorbent polymer sheet fused to the back side of the foam. This allows for significantly more fluid to be handled by the dressing. Additionally, the fluid is locked within the superabsorbent sheet, keeping it away from the wound and surrounding tissue. This can help to reduce maceration, as well as reduce exposure to the harmful components of wound fluid.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4.75˝ 8˝ x 8˝ 3.2˝ x 3.2˝ (with adhesive border) 4.5˝ x 4.5˝ (with adhesive border) 6˝ x 6˝ (with adhesive border)

(DE)86122 (DE)86144 (DE)86188 (DE)86233 (DE)86244 (DE)86266

A6209 A6210 A6211 A6212 A6212 A6213

SOLD BY

10/bx 10/bx 5/bx 10/bx 10/bx 10/bx

NON-ADHERING DRESSINGS LATEX FREE Shur-Conform® Oil Emulsion Non-Adhering Dressings Sterile, oil emulsion, impregnated dressings are designed to provide nonadherent packing for wounds. Made of knitted cellulose acetate fabric coated with a formulated petroleum emulsion. Knitted fabric allows fluid to move through dressing into a secondary absorbent dressing. Removal causes minimal trauma to wound bed. Used for management of skin grafts, surgical sites, abrasions, lacerations, dermal ulcers and cosmetic surgery sites.

3˝ x 8˝ (3s) 3˝ x 16˝

ITEM #

HCPCS

(KK)77044 (KK)77043

A6223 A6223

SOLD BY

36/bx 36/bx

Derma Sciences Hydrogel Impregnated Gauze Non-Adhering Dressings Useful for rehydrating necrotic tissue and enhancing autolytic debridement. Helps provide a moist wound environment for minimally exuding wounds. Ideal when moist packing for full-thickness wounds is necessary. For use on Stages I – IV pressure ulcers, surgical incisions, thermal burns, cuts, abrasions and venous stasis ulcers. Sterile.

ITEM #

HCPCS

4˝ x 4˝

(DE)53044

A6231

SOLD BY

10/bx

LATEX FREE Petrolatum Gauze Non-Adhering Dressings Sterile, petrolatum-impregnated dressings are designed to provide nonadherent packing for full-thickness wounds, providing a moist environment conducive to healing. Made of fine, soft, conformable gauze impregnated with white petroleum. Removal causes minimal trauma to wound. Used for management of full-thickness chronic wounds, such as pressure ulcers (Stages II – IV), tunneling wounds and noninfected wounds.

ITEM #

HCPCS

0.5˝ x 72˝ 1˝ x 36˝

(KK)20049 (KK)20053

A6266 A6266

SOLD BY

12/bx 12/bx

WOUND CARE

DERMA SCIENCES (DE/DS/GL/KK)

2˝ x 4.5 yds. 3˝ x 4.5 yds. 4˝ x 4.1 yds. 6˝ x 4.5 yds.

ISLAND DRESSINGS LATEX FREE Dudress® Film Top Island Dressings Sterile dressings combine a nonadherent gauze pad with a transparent film top. Useful for superficial, lightly exuding wounds. Waterproof for showering, bathing or swimming.

ITEM #

HCPCS

4˝ x 4˝ 6˝ x 6˝ 6˝ x 8˝

(DE)89144 (DE)89166 (DE)89168

A6203 A6203 A6204

SOLD BY

25/bx 25/bx 25/bx

ITEM #

HCPCS

SOLD BY

(DE)90208 (DE)90308 (DE)90438

A6216 A6216 A6216

200/pk 200/pk 200/pk

(DE)90212 (DE)90312 (DE)90812

A6216 A6216 A6217

200/pk 200/pk 200/pk

12-PLY, NONSTERILE

(DE)82212 (DE)82312 (DE)82812

A6402 A6402 A6403

2˝ x 4.1 yds. 3˝ x 4.1 yds.

ITEM #

HCPCS

2˝ x 2˝ 3˝ x 3˝

(DE)84122 (DE)84133

A6402 A6402

ITEM #

HCPCS

4˝ x 4˝

(DE)82910

A6402

SORBACELL® Foam

SOLD BY

25/pk LATEX FREE

Polyurethane sheets absorb a large amount of fluid and provide a soft cushioning layer for additional comfort. Easy to apply and remove, with minimal trauma to both the user and the wound bed. Nonadhesive; ideal for use under compression because it does not have an outer film layer. Sterile.

ITEM #

HCPCS

4˝ x 4˝

(DE)84501

A6209

SOLD BY

10/bx

BANDAGES LATEX FREE Dutex Conforming Bandages 100% cotton, two-ply woven bandages. Gentle stretch for ease of application and safety. Low lint for superior performance. For use as a secondary dressing for wrapping legs and arms to hold dressings in place. ®

ITEM #

HCPCS

(DE)76781 (DE)76782 (DE)76783 (DE)76784

A6442 A6443 A6443 A6444

SOLD BY

A6442 A6444

12/pk 6/pk

(DE)75202 (DE)75203

A6445 A6446

12/pk 12/pk

ITEM #

HCPCS

4˝ x 5 yds.

(DE)79504

A6441

SOLD BY

WOUND PROTECTORS Heel and Elbow Protectors Designed to protect against decubitus ulcers and other skin damage common among wheelchair users or those who must remain in bed. Heel and elbow protectors consist of a knitted tube of soft fabric with a tricot-covered urethane foam pad stitched inside.

25/pk 25/pk

Ideal for dressing around a tracheostomy tube or any type of tube on the body. For use when natural breathability is desired. 12-ply.

(DE)75102 (DE)75106

LATEX FREE Sorban Padding Bandage Lightweight cotton bandage offers protection for bony prominences and absorption of wound exudate. Primarily used under other forms of compression bandaging.

SOLD BY

LATEX FREE

SOLD BY

COMPRESSION PRODUCTS

TRACHEOSTOMY/DRAIN SPONGES Ducare® Gauze

HCPCS

50/pk 25/pk 25/pk

LATEX FREE Dusoft® Nonwoven Sponges, Sterile, 2s Nonwoven sponges are ideal for wound cleansing and as a secondary dressing for added absorbency. Four-ply.

12/pk 12/pk 12/pk 6/pk

STERILE, STRETCHED

12-PLY, 2S, STERILE

2˝ x 2˝ 3˝ x 3˝ 4˝ x 8˝

A6445 A6446 A6446 A6447

ITEM #

2˝ x 72˝ 6˝ x 82˝

8-PLY, NONSTERILE

2˝ x 2˝ 3˝ x 3˝ 8˝ x 4˝, “H” -fold

(DE)77781 (DE)77782 (DE)77783 (DE)77784

SOLD BY

NONSTERILE, RELAXED LENGTH

LATEX FREE Ducare® Gauze Sponges Woven sponges made from 100% USP cotton are ideal for general use; or for debriding, covering and packing wounds.

2˝ x 2˝ 3˝ x 3˝ 4˝ x 3˝

HCPCS

LATEX FREE Duform® Synthetic Conforming Bandages Gentle elasticity provides a secure fit, minimizes bunching and allows for movement of soft tissue swelling. Controlled flexibility ensures an easy fit to any body shape. Rayon/ polyester blend provides a lint-free bandage.

GAUZE DRESSINGS & SPONGES

ITEM #

STERILE

ITEM #

HCPCS

Small (9.5˝ cuff stretched) Medium/Large (11˝ cuff stretched) X-Large (11.75˝ – 12.25˝ cuff stretched)

(GL)800 (GL)801 (GL)802

E0191 E0191 E0191

SOLD BY

pr pr pr

LATEX FREE Glen-Sleeve® II Arm and Leg Protectors For protection of fragile skin, rips, tears, lacerations and abrasions. Cover the arm from the base of the fingers to above the elbow, leaving thumb free. Padded to help minimize damage from bumps and scrapes. Knitted tubular sleeves made of cotton and Lycra® for softness and stretch. Comfortable and soft to the touch; permit snug fit with full freedom of movement. Wicking action removes excess moisture from the skin. All are 18˝ unstretched.

ITEM #

HCPCS

SOLD BY

(GL)1000 (GL)1000WP (GL)1000B

A4649 A4649 A4649

pr pr pr

(GL)2000

A4649

(GL)3000 (GL)3000B

A4649 A4649

pr pr

HAND/WRIST/ARM, 3˝ WIDE

White (18˝ long) White, padded (13.5˝ long) Beige (18˝ long) HAND/WRIST/THUMB/ARM, 3˝ WIDE

White (18˝ long) BELOW KNEE, 3.5˝ WIDE

White (15˝ long) Beige (15˝ long)

NONSTERILE

2˝ x 4.5 yds. 3˝ x 4.5 yds. 4˝ x 4.5 yds. 6˝ x 4.5 yds.

12/pk 12/pk 12/pk 6/pk

313

WOUND CARE

DERMA SCIENCES (DE/DS/GL/KK) DRESSING RETAINERS Surgilast® Pre-Cut Tubular Elastic Dressing Retainers Precut tubular elastic dressing retainers are made of nylon and rubber stretch net material. Preshaped to accommodate the more difficult-to-fit parts of the body.

Primer® Modified Unna Boots Gauze bandage that has been evenly impregnated with a nonhardening paste of zinc oxide. Used in the ambulatory treatment of venous leg ulcers. Bandage is rolled and packaged in an individual, vacuum-sealed pouch.

ITEM #

HCPCS

SOLD BY

(GL)3001 (GL)4001

A6456 A6456

ea ea

(GL)3001C (GL)4001C

A6456 A6456

ea ea

WITHOUT CALAMINE

3˝ x 10 yds. 4˝ x 10 yds. WITH CALAMINE

ITEM #

HCPCS

(GL)600

A4649

3˝ x 10 yds. 4˝ x 10 yds.

SOLD BY

HEAD

Universal fit

KNEE/FOOT/ELBOW/HAND

Universal fit

(GL)641

A4649

STRESS VEST

Small/Medium Large/X-Large

(GL)750 A4649 (GL)752 A4649

ea ea

Surgilast® Tubular Elastic Dressing Retainers Tubular elastic stretch net designed to serve as a secondary dressing. Gentle pressure keeps bandages securely in place. Can accommodate a wide variety of medical needs involving virtually every part of the body.

ITEM #

HCPCS

(GL)720 (GL)724

A6457 A6457

ea ea

(GL)701

A6457

(GL)702 (GL)703 (GL)704

A6457 A6457 A6457

ea ea ea

(GL)705 (GL)706 (GL)707

A6457 A6457 A6457

ea ea ea

(GL)708 (GL)709 (GL)710 (GL)711

A6457 A6457 A6457 A6457

ea ea ea ea

(GL)712 (GL)713 (GL)714 (GL)715

A6457 A6457 A6457 A6457

ea ea ea ea

HARTMANN USA (EV) All HARTMANN USA wound care products are latex-free unless otherwise noted.

NEW Proximel® Silicone Dressing with Border Soft, five-layer silicone-bordered dressing available in multiple sizes and shapes to confirm to virtually any wound. It is the gentle option that helps reduce complications, enhance comfort and promote optimal wound care and healing.

SOLD BY

PRECUT, 10 YDS.

Size A Size C FINGERS/TOES/WRIST, 25 YDS.

X-Small, size 1 (53⁄8˝ ) HAND/ARM/LEG/FOOT, 25 YDS.

Small, size 2 (4˝ – 5˝ ) Medium, size 3 (5˝ – 6˝ ) Large, size 4 (8˝ – 10˝ ) HEAD/SHOULDER/THIGH, 25 YDS.

Small, size 5 (10˝ – 13˝ ) Medium, size 51⁄2 (18˝ ) Large, size 6 (16˝ – 23˝ )

ITEM #

3˝ x 3˝ 4˝ x 4˝ 5˝ x 5˝ 6˝ x 6˝ 4' x 12˝ Small sacrum Large sacrum Heel

14100000 TBD 14200000 TBD 14300000 TBD 14400000 TBD 14500000 TBD 14600000 TBD 14700000 TBD 14800000 TBD

SPECIAL SIZING, 25 YDS.

Size 11 Size 12 Size 13 Size 14

Surgilast® Elastic Bandage Small dressing retainer for chest, back, perineum and axilla. Designed to serve as a secondary dressing. Gentle pressure keeps bandages securely in place. Accommodates a wide variety of medical needs.

ITEM #

HCPCS

Size 7, 25 yds.

(GL)LF2507

A6457

SOLD BY

UNNA BOOT BANDAGES Primer Unna-Pak ®

Convenient system offers the combined support and healing power of two premium bandages (Primer® Modified Unna Boot and Co-Press™ Self-Adherent Bandage). Ideal for treating venous stasis leg ulcers; lymphatic edema; minor sprains, strains and fractures; thrombophlebitis; eczema of the lower leg; and skin grafts on the burn wounds. Contains one Primer® Modified Unna Boot (10 yds.) and one Co-Press™ Self-Adherent Bandage (5 yds.).

ITEM #

3˝ x 10-yd. boot; 3˝ x 5-yd. Co-Press 4˝ x 10-yd. boot; 4˝ x 5-yd. Co-Press™ ™

314

HCPCS

(GL)2003 A4649 (GL)2004 A4649

SOLD BY

ea ea

HCPCS

SOLD BY

10/bx 10/bx 10/bx 5/bx 5/bx 5/bx 5/bx 5/bx

Sorbalgon® Calcium Alginate Dressings Supports the healing process by building up and maintaining a moist wound environment. Protects wound edges against maceration. Maintains contact to wound base (even in the case of deep wounds), so moist chambers are avoided and the risk of infection minimized. Used for chronic or acute moderate to heavily draining wounds.

CHEST/BACK/PERINEUM/AXILLA, 25 YDS.

Small, size 7 (up to 29˝ ) Medium, size 8 (24˝ – 33˝ ) Large, size 9 (30˝ – 36˝ ) X-Large, size 10 (35˝ – 42˝ )

LATEX FREE

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝ 4˝ x 8˝

49200000 49210000 49230000

A6196 A6196 A6197

SOLD BY

10/bx 10/bx 5/bx

Sorbalgon® Ag Silver Containing Calcium Dressings CONTAINS SILVER Silver ions protect dressing from micro-organisms for up to seven days. Highly absorbent, with excellent wet and dry strength. Forms gel to promote autolytic debridement. Ideal for treating chronic or acute moderate to heavily draining wounds.

ITEM #

HCPCS

1˝ x 12˝ ribbon 2˝ x 2˝ 4˝ x 4˝ 6˝ x 6˝

999609 999612 999611 999610

A6199 A6196 A6196 A6197

SOLD BY

5/bx 10/bx 10/bx 5/bx

PermaFoam® Foam Dressings High absorption capacity effectively supports wound cleansing and healing. Stimulates the formation of healthy granulation tissue. Fast, vertical absorption (wicking action). Easy to handle and highly conformable. Ideal for use on: medium to heavy exudating wounds; chronic draining wounds, including pressure ulcers, leg ulcers and diabetic foot ulcers; and also under compression bandaging systems.

ITEM #

HCPCS

SOLD BY

409426 409401 409405

A6209 A6209 A6210

10/bx 10/bx 5/bx

409408 409412 409422 409413

A6212 A6212 A6212 A6213

10/bx 5/bx 3/bx 3/bx

NON-ADHESIVE

3.2˝ x 3.2˝, tracheostomy 4˝ x 4˝ 6˝ x 6˝ COMFORT ADHESIVE

4.4˝ x 4.4˝ 6˝ x 6˝ 7˝ x 7˝, sacral 8˝ x 8˝

WOUND CARE

HARTMANN USA (EV) All HARTMANN USA wound care products are latex-free unless otherwise noted.

LATEX FREE

HydroTac® Foam Dressings Supports easy dressing changes and reduces potential of sticking to wounds. High retention rate under pressure. Accelerates healing and may stimulate the epithelialization process. Helps prevent secondary infection. Ideal for sensitive skin, treatment of dry or exudating wounds and light to medium exudating wounds during the granulation and epithelialization phases.

ITEM #

HCPCS

SOLD BY

685810 685815 685817 685821

A6212 A6212 A6212 A6213

10/bx 10/bx 3/bx 10/bx

685832 685833 685839 685844

A6209 A6210 A6210 A6211

10/bx 3/bx 3/bx 3/bx

COMFORT ADHESIVE

3˝ x 3˝ (2˝ x 2˝ pad) 5˝ x 5˝ (4˝ x 4˝ pad) 6˝ x 6˝ (4½˝ x 4½˝ pad) 6˝ x 8˝ (4½˝ x 6½˝ pad) NON-ADHESIVE

4˝ x 4˝ 4˝ x 8˝ 6˝ x 6˝ 8˝ x 8˝

Hydrofilm® Transparent Film Dressings Extremely thin, waterproof transparent film dressing with semi-permeable polyurethane film is highly breathable and protects against bacterial contamination. Hypoallergenic adhesive layer for excellent adhesion, even on conical body parts. Protects against physical damage on dry, primary healing wounds and nearly healed epithelial wounds. Also used as a secondary dressing to cover primary wound dressings. HydroFilm Plus includes an absorbent, non-stick pad.

ITEM #

HCPCS

SOLD BY

685755 685757 685759 685761

A6257 A6258 A6258 A6258

10/bx 10/bx 10/bx 10/bx

685770 685772 685774

A6203 A6203 A6203

5/bx 5/bx 5/bx

HYDROFILM®

2.4˝ x 2.75˝ 4˝ x 5˝ 4˝ x 6˝ 6˝ x 8˝ HYDROFILM® PLUS

2˝ x 2.8˝ 3.5˝ x 4˝ 3.5˝ x 6˝

NEW Co-Lastic® LF Cohesive Elastic Bandage Cohesive elastic bandage for securing splints and peripheral devices, managing edema and as a positioning aid. Highly elastic, yet does not slip even in moist environments. Not made with natural rubber latex. Adheres to itself without the need for pins, clips or tape. Conveniently hand tears to desired length, while easy to apply with quick-find starting edge.

ITEM #

HCPCS

SOLD BY

TAN

1˝ x 5 yds 1.5˝ x 5 yds 2˝ x 5 yds 3˝ x 5 yds 4˝ x 5 yds 6˝ x 5 yds

45120000 45150000 45200000 45300000 45400000 45600000

A6453 A6453 A6453 A6454 A6454 A6455

30/bx 48/bx 36/bx 24/bx 18/bx 12/bx

A6453 A6453 A6454

48/bx 36/bx 24/bx

ASSORTED COLORS

1.5˝ x 5 yds 2˝ x 5 yds 3˝ x 5 yds

45110000 45210000 45310000

NEW TwoPress® 2 Compression Bandage System Two-layer, non-slip inelastic compression system that provides a comfortable, one-size-fits-all application lasting up to seven days. Air permeable and highly absorbent, yet water resistant. Comfortable, yet therapeutically effective for up to seven days. Easy to use: quick start edge; hand tearable; no measurement of the leg circumference. Kit contains two bandages and two tape strips. Tan.

ITEM #

HCPCS

4˝ x 7.1 yds; 4˝ x 8.9 yds.

931687

A6441/A6449

SOLD BY

kit

Econo-Paste® Conforming Zinc-Oxide Paste Bandages Non-slip cotton stretch gauze with zinc oxide for the treatment of venous leg ulcers (VLU), lymphedema and post-operative edema. Stretches and conforms easily. Innovative plastic core promotes easy application. Vacuum-sealed foil pouch helps ensure longer shelf life.

ITEM #

HCPCS

SOLD BY

47300000 47400000

A6456 A6456

12/cs 12/cs

A6456 A6456

12/cs 12/cs

ECONO-PASTE®

3˝ x 10 yds. 4˝ x 10 yds.

ECONO-PASTE® PLUS CALAMINE

3˝ x 10 yds. 4˝ x 10 yds.

47310000 47410000

NEW Peha-haft® Cohesive Conforming Bandage Soft, absorbent, cohesive conforming gauze bandage that adheres securely without pins, clips or tape. Skin-friendly alternative to tape for those with delicate or traumatized skin. Breathable fabric with high share of natural fibers ensures high absorption capacity.

ITEM #

HCPCS

SOLD BY

1˝ x 4.5 yds 1.5˝ x 4.5 yds 2.25˝ x 4.5 yds 3˝ x 4.5 yds 4˝ x 4.5 yds

932452 932441 932442 932443 932444

N/A N/A N/A N/A N/A

8/bx 90/cs 90/cs 120/cs 135/cs

315

WOUND CARE

FERRIS (FR) POLYMEM® WOUND CARE DRESSINGS PolyMem belongs to an innovative class of multifunctional, adaptable wound care dressings. These dressings effectively cleanse, fill, absorb and moisten wounds, and help relieve wound pain throughout the healing continuum. Available in a variety of configurations and also available with the added benefit of silver to protect from microbial contamination. ®

PolyMem® Finger/Toe Dressings Made to roll comfortably onto a finger or toe right out of the package. Help reduce edema, bruising, pain and inflammation when applied to open or closed injuries. Help relieve both persistent and procedural-related pain associated with the injury throughout the healing process.

ITEM #

HCPCS

SOLD BY

1401 1402 1403 1404 1405

A6209 A6209 A6209 A6209 A6209

5/bx 5/bx 5/bx 5/bx 5/bx

4401 4402 4403 4404 4405

A6209 A6209 A6209 A6209 A6209

5/bx 5/bx 5/bx 5/bx 5/bx

WITH SILVER

Small, 1.8˝ – 2.2˝ (46.77 mm – 57 mm) Medium, 2.2˝ – 2.6˝ (57 mm – 67.2 mm) Large, 2.6˝ – 3˝ (67.2 mm – 77.4 mm) X-Large, 3˝ – 3.4˝ (77.4 mm – 87.6 mm) XX-Large, 3.4˝ – 3.8˝ (87.6 mm – 97.8 mm)

PolyMem® Non-Adhesive Dressings Optimal choice for applications where cutting to size and taping is the preferred method of application. Use as a combined primary and secondary dressing, or as a secondary dressing.

ITEM #

HCPCS

3˝ x 3˝ pad 4˝ x 4˝ pad 4˝ x 12.5˝ pad 4˝ x 24˝ rolls 5˝ x 5˝ pad 6.5˝ x 7.5˝ pad

5033 5044 5124 5244 5055 5077

A6209 A6209 A6210 A6211 A6210 A6210

SOLD BY

15/bx 15/bx 12/cs 4/bx 15/bx 15/bx

CONTAINS SILVER PolyMem Silver® Dressings Same formulation as PolyMem® with the addition of small-particle silver to protect against microbial contamination. May be used as a combined primary and secondary dressing, or as a secondary dressing.

ITEM #

4.25˝ x 4.25˝ pad, nonadhesive 1044 6˝ x 6˝ island (3.5˝ x 3.5˝ pad), adhesive 1766

HCPCS

SOLD BY

A6210 15/bx A6212 15/bx

WITHOUT SILVER

Shapes® by PolyMem® Offer the convenience of dressings already contoured to fit most common wounds. May be used as a primary or secondary dressing.

ITEM #

HCPCS

1823 1853 1886

A6212 A6212 A6212

5/bx 2/bx 2/bx

8023 8053 8086

A6212 A6212 A6212

5/bx 2/bx 2/bx

1709

A6212

2/bx

3709

A6212

2/bx

POLYMEM MAX® PolyMem Max® Wound Care Dressings Thick formulation for wounds with heavier drainage or when longer wear time is desired. May be used as a combined primary and secondary dressing, or as a secondary dressing.

4.5˝ x 4.5˝ pad 8˝ x 8˝ pad

SOLD BY

WITHOUT SILVER

2˝ x 3˝ adhesive (1˝ x 2˝ pad) 5˝ x 3.5˝ adhesive (3˝ x 2˝ pad) 6.5˝ x 8.2˝ adhesive (14˝ x 5.7˝ pad) SACRAL, WITH SILVER

7.2˝ x 7.8˝ adhesive (4.5˝ x 4.7˝ pad) SACRAL, WITHOUT SILVER

7.2˝ x 7.8˝ adhesive (4.5˝ x 4.7˝ pad)

PolyMem Adhesive Film Dressings Ultrathin, adhesive-coated urethane film provides a breathable yet tough, protective, water-resistant dressing with unsurpassed versatility. Do not require tape or secondary dressing. Exclusive, patented tab system allows for easy application, while maintaining membrane sterility. ®

ITEM #

HCPCS

2˝ x 2˝ dot (1˝ x 1˝ pad) 4˝ x 5˝ island (2˝ x 3˝ pad) 4˝ x 12.5˝ island (2˝ x 10˝ pad) 6˝ x 6˝ island (3.5˝ x 3.5˝ pad)

203A 405 3412 606

A6212 100/cs A6212 15/bx A6213 12/cs A6212 15/bx

316

4˝ x 4˝ pad 8˝ x 8˝ pad

ITEM #

HCPCS

SOLD BY

1˝ x 3˝ strip (1˝ x 1˝ pad) 2˝ x 2˝ dot (1˝ x 1˝ pad) 2˝ x 4˝ strip (2˝ x 1.5˝ pad) 4˝ x 5˝ island (2˝ x 3˝ pad) 6˝ x 6˝ island (3.5˝ x 3.5˝ pad)

7031A 7203A 7042 7405 7606

A6212 A6212 A6212 A6212 A6212

100/cs 100/cs 100/cs 15/bx 60/cs

SOLD BY

5045 5088

A6210 10/bx A6211 5/bx

1045 1088

A6209 A6211

16/cs 10/cs

POLYMEM WIC® PolyMem Wic® Wound Cavity Fillers Formulated especially for cavity wounds. Expand within the wound cavity to fill dead space, keeping the wound bed clean and moisturized while absorbing excess fluid. Will not fragment or adhere to the wound. Come without the thin film backing. To be used as a primary dressing only.

ITEM #

HCPCS

3˝ x 3˝, 4 g 3˝ x 12˝, 16 g

5733 5712

A6215 A6215

SOLD BY

ea 12/cs

CONTAINS SILVER PolyMem Wic Silver® Dressings Same formulation as PolyMem Wic® with addition of small-particle silver to protect against microbial contamination. Wound filler is to be used only as a primary dressing. Come without a thin film backing.

SOLD BY

PolyMem® Adhesive Cloth-Backed Dressings Breathable, adhesive-coated cloth backing is exceptionally comfortable. May be used as primary or secondary dressing.

HCPCS

WITH SILVER

2˝ x 3˝ adhesive (1˝ x 2˝ pad) 5˝ x 3.5˝ adhesive (3˝ x 2˝ pad) 6.5˝ x 8.2˝ adhesive (14˝ x 5.7˝ pad)

ITEM #

WITHOUT SILVER

ITEM #

HCPCS

0.4˝ x 14˝, rope, 3 g 3˝ x 3˝

1814 1333

A6215 A6215

SOLD BY

6/bx 10/bx

SHAPES® BY POLYMEM® TUBE-SITE DRESSINGS Shapes® by PolyMem® Tube-Site Dressings Dressings designed and cut specifically to ensure maximum comfort for those with tube sites.

ITEM #

HCPCS

3.5˝ x 3.5˝ pad

5335

A6209

SOLD BY

15/bx

They say time heals all wounds, but when time is money...

It’s time for Only PolyMem® wound dressings have a cleanser, a superabsorbent and a moisturizer, in a patented formulation that helps accelerate healing, reduces patients’ wound pain, facilitates easier dressing changes and allows caregivers to stock fewer dressings. It all adds up to less time — and less money — while achieving exceptional outcomes with a wide variety of wounds. © 2016 Ferris Mfg. Corp. 5133 Northeast Pkwy Fort Worth, TX 76106 USA Unless otherwise indicated, all trademarks are owned by or licensed to Ferris. MKL-702 R0 0116

WOUND CARE

BSN MEDICAL, INC. (BI) All BSN medical, Inc. wound care products are latex-free unless otherwise noted.

ITEM #

HCPCS

7269808 7269809 7269810 7269811

A6196 A6197 A6197 A6198

CUTIMED® SORBION® SORBACT®

11⁄2˝ x 3˝

SOLD BY

NEW 10/bx 10/bx 10/bx 10/bx

50/bx

01390

A6413

100/bx

⁄8˝ round 11⁄4˝ round

00301 00303

A6413 A6413

100/bx 100/bx

00230 00231 76448000

A6413 A6413 A6413

100/bx 100/bx 300/bx

SPOTS 7

STRIPS

⁄4˝ x 3˝ 1˝ x 3˝ 1˝ x 3˝ 3

7266200 7266201 7266202 7266203 7266204 7266205

A6206 A6206 A6207 A6207 A6207 A6208

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

7216401 7216400 7216501 7216500

A6222 A6222 A6222 A6222

5/bx 40/bx 5/bx  40/bx

7216101 7216201 721620

A6251 A6251 A6251

5/bx 40/bx 5/bx

7261100 7261101

A6231 A6232

10/bx 10/bx

TOE SHIELD

21⁄2˝ x 13⁄4˝

00801 A6413 100/bx

SILICONE FOAM DRESSING Cutimed Siltec ®

Features smart pore structure to absorb exudate vertically, allowing for less maceration. The silicone wound contact layer protects surrounding skin and allows atraumatic dressing changes. Above the foam core is a layer of super-absorbent stripes that ensure reliable fluid absorption and fluid retention, even under compression.

CUTIMED® SORBACT® GEL

3˝ x 3˝ 3˝ x 6˝

A6413

00330 A6413 100/bx 00340000 A6413 50/bx 7801000 A6413 50/bx

CUTIMED® SORBACT® DRESSING PAD

2.8˝ x 3.5˝ dressing pad 4˝ x 4˝ dressing pad 4˝ x 4˝ dressing pad

00385

11⁄2˝ x 2˝ 2˝ x 3˝ 4˝ x 23⁄4˝

CUTIMED® SORBACT® SWAB

1.6˝ x 2.4˝ 1.6˝ x 2.4˝ 2.8˝ x 3.5˝ 2.8˝ x 3.5˝

SOLD BY

PATCHES

CUTIMED® SORBACT® WCL

2˝ x 3˝ 4˝ x 4˝ 4˝ x 5˝ 4˝ x 8˝ 6˝ x 6˝ 8˝ x 8˝

HCPCS

KNUCKLES

Sorbact® uses a physical mode of action that irreversibly binds bacteria without a chemically active agent. This promotes safe, natural wound healing without cytotoxicity, no known systemic absorption, and no known bacterial resistance.

4˝ x4˝ 4˝ x 8˝ 8˝ x 8˝ 8˝ x 12˝

3˝ x 3˝

LATEX FREE

INFECTION MANAGEMENT

ITEM #

FOUR-WING

ITEM #

HCPCS

SOLD BY

7328501 7328503

A6209 A6210

10/bx 10/bx

7328300 7328301 7328302

A6209 A6209 A6210

10/bx 10/bx 10/bx

7328400 7328401 7328402

A6212 A6212 A6212

10/bx 10/bx 10/bx

7328700

A6212

5/bx

7264800

A6210

5/bx

SILTEC

4˝ x 4˝ 6˝ x 6˝ SILTEC L

CUTIMED® SORBACT RIBBON

2˝ x 78.7˝ 0.8˝ x 19.7˝

7216700 7216600

A6266 A6266

10/bx 20/bx

2˝ x 2.5˝ 4˝ x 4˝ 6˝ x 6˝ SILTEC B

Cutimed® Sorbact® Hydroactive B Innovative hydropolymer gel dressing provides the unparalleled performance of absorbency with balanced hydration. Reduces bacteria load, promotes autolytic debridement, reduces the risk of maceration and offers fast, effective wound healing. Binds bacteria with Sorbact® Technology as the wound contact layer.

ITEM #

HCPCS

2.8˝ x 3.3˝ 5.5˝ x 5.5˝ 7.5˝ x 7.5˝ 5.5˝ x 9.4˝

7993300 7993302 7993303 7993304

A6242 A6245 A6246 A6246

10/bx 10/bx 10/bx 10/bx

FABRIC ADHESIVE DRESSINGS Coverlet Flexible Fabric Adhesive Bandages Eliminate the risk of sensitization and allergic reactions for health care workers and those with latex allergies. Come in a variety of shapes and sizes, and are perfect for use on knees, elbows, joints, noses, chins and knuckles. Central absorbent island wound pad absorbs many times its weight in exudate and seals off wound from dirt and contamination. Ideal for securing IV lines and cannulae. ITEM #

HCPCS

SOLD BY

01306 01307

A6413 A6413

100/bx 50/bx

46429 46430

A6412 A6412

20/bx 20/bx

DIGITS

Small fingertip Large fingertip EYE OCCLUSORS

Junior size Regular size

318

SILTEC SACRUM

7˝ x 7˝ SILTEC HEEL

6.5˝ x 9.5˝

SOLD BY

3˝ x 3˝ 5˝ x 5˝ 6˝ x 6˝

HYDROCOLLOIDS Cutimed® Hydro Range of sterile, self-adhesive hydrocolloid dressings including Cutimed® Hydro L, mainly for dry to lightly exuding wounds and Cutimed® Hydro B for light to moderately exuding wounds. Hydrocolloids absorb exudate to form a gel, which is removed in one piece with the dressing. Promote healing by creating and controlling moist wound conditions.

ITEM #

HCPCS

SOLD BY

7263602 7263603

A6234 A6235

10/bx 5/bx

7263501 7263502 7263503

A6234 A6238 A6238

5/bx 5/bx 3/bx

HYDRO L

4˝ x 4˝ 6˝ x 6˝ HYDRO B

4˝ x 4˝ 6˝ x 6˝ 6˝ x 7˝, sacral

WOUND CARE

BSN MEDICAL, INC. (BI) All BSN medical, Inc. wound care products are latex-free unless otherwise noted.

LATEX FREE

Cutimed® ACUTE Effective relief from dry skin. Absorbs rapidly, penetrates deeply. Rebalances skin moisture levels. Re-establishes epidermal barrier function. Foam mousse is gentle to apply. Leaves skin smooth and supple. Does not leave greasy residue. 4.23 oz. (125 mL).

ITEM #

HCPCS

5% Urea 10% Urea

7264122 7264123

A6250 A6250

SOLD BY

ea ea

SUPERABSORBENT DRESSINGS NEW Cutimed® Sorbion Sachet Dressing Super absorbent dressing that also manages bacteria by safely and irreversibly binding bacteria, rendering them inactive and preventing toxin release and replication. The superabsorbent core absorbs and retains high levels of exudate.

ITEM #

HCPCS

SOLD BY

BI7323200 BI7323206 BI7323209 BI7323215 BI7323218

TBD TBD TBD TBD TBD

10/bx 10/bx 10/bx 10/bx 10/bx

BI7323319 BI7323322

TBD TBD

10/bx 10/bx

BI7323600 BI7323602 BI7323604

TBD TBD TBD

10/bx 10/bx 10/bx

DRESSING

3˝ x 3˝ 4˝ x 4˝ 8˝ x 4˝ 8˝ x 8˝ 12˝ x 8˝ SANA GENTLE DRESSING

3.5˝ x 3.5˝ 5˝ x 5˝ SACHET BORDER

4˝ x 4˝ total size, 3˝ x 3˝ Pad Size 6˝ x 6˝ total size, 4˝ x 4˝ Pad Size 10˝ x 6˝ total size, 8˝ x 4˝ Pad Size SACHET MULTI STAR

3.5˝ 5.5˝

BI7323701 TBD BI7323703 TBD

10/bx 10/bx

BI7323803 TBD

10/bx

BI7324000

TBD

10/bx

BI7324100

TBD 10/bx

SANA MULTI STAR

6 ⁄2˝ 1

Artiflex Nonwoven Padding Bandage Multipurpose; ensures even distribution of pressure as in phlebological or lymphedema applications. Also useful as under-padding, plaster or synthetic casts. Nonwoven padding is 40% polyester, 40% polypropylene and 20% polyethylene. Easy to apply; will not mat or stick together. Air permeable, eliminates skin maceration and is well-tolerated by skin. Autoclavable at 120°C when sterile application is required.

ITEM #

HCPCS

5.9˝ x 3.3 yds.

09047

A6441

SACHET S DRAINAGE

4˝ x 4˝

Isoband Finished Edge Bandages Woven, pure cotton and lightweight compression bandages useful for fixing foam padding applications to swollen limb areas. Do not contain elastic threading and are safe for long-term lymphedema treatment programs and other comprehensive edema management applications. 5.9˝ width is an excellent substitute for less durable gauze fixing solutions involving leg and trunk padding strategies. 7.9˝ width is the foremost bandage choice for truncal and abdominal bandaging, as well as for affixing foam to severely enlarged limbs. Can be washed and reused; and are a cost-effective component of any lymphedema bandages.

ITEM #

HCPCS

5.9˝ x 5.5 yds. 7.9˝ x 5.5 yds.

01958 01959

A4649 A4649

ITEM #

HCPCS

4˝ x 4˝ 1˝ x 11.75˝ rope

7263401 7263403

A6196 A6199

Provides effective levels of sustained graduated compression. Offers built-in safety and ease of application. Helps ensure compliance and maximum healing for cost-effective care. Includes Cutimed® Sorbact® Wound Contact Layer to reduce bioburden that may impede healing.

ITEM #

HCPCS

2˝ x 10 yds. 4˝ x 10 yds. 6˝ x 10 yds. 8˝ x 10 yds.

02034 02035 02041 02042

A4649 A4649 A4649 A4649

JOBST® COMPRIFORE® LITE — CONTAINS LATEX

ITEM #

HCPCS

1˝ x 4.1 yds. 2˝ x 4.1 yds. 3˝ x 4.1 yds. 4˝ x 4.1 yds.

02088000 02089000 02101000 02102000

A4649 A4649 A4649 A4649

ITEM #

HCPCS

SOLD BY

7266100

N/A

1 set/bx

7266101

N/A

1 set/bx

7266102

N/A

1 set/bx

7266103

N/A

1 set/bx

JOBST® COMPRIFORE® — CONTAINS LATEX

Four-layer compression bandaging system JOBST® COMPRIFORE® LATEX-FREE

Latex-free, four-layer compression bandaging system Three-layer compression bandaging system JOBST® COMPRIFORE® LITE LATEX-FREE

Latex-free, three-layer compression bandaging system

Gelocast The Original Unna’s Boot Impregnated with zinc oxide and calamine to soothe irritated skin. Nonraveling gauze is uniformly coated so that it is easy to handle and can mold to the limb, providing a semirigid cast When used in the management of venous stasis ulcers, it provides a high working pressure and lower-resisting pressure to reduce edema and improve venous hemodynamics. Made of 100% cotton. ®

SOLD BY

24/pk 12/pk 12/pk 12/pk

ea ea

JOBST® Comprifore®

SOLD BY

VENOUS LEG ULCER MANAGEMENT SYSTEMS

Cover-Roll Adhesive Gauze Bandages Very effective in securing a dressing and are especially gentle on fragile skin. Single-sheet tape comes in a roll that can be cut and used as needed. Add a slight amount of compression for covering a dressing in one application. Air and exudate permeable, hypoallergenic and radiolucent.

Elastomull® Elastic Gauze Bandages Offer a precise fit that will last, even in areas where there is constant movement, such as the elbow or knee. Provide superior performance and stretchability in controlling bleeding or edema. Virtually lint-free, reducing risk of particle contamination. Nonsterile.

ea ea

Cutimed® Alginate Calcium sodium alginate (80% calcium and 20% sodium) made of natural seaweed. Alginate component enables the dressing to absorb up to 20 times its own weight in exudate. Offers a broad performance spectrum, but is particularly useful for moderate to heavily exuding wounds, shallow wounds, lesions with rough edges, or deeper sites that are hard to dress. Maintains a moist environment. Fast gelling. Highly absorbent. Retains the exudate in a gel. Excellent wet integrity.

FIXATION DRESSINGS

ea ea ea ea

SOLD BY

ALGINATE DRESSING

SOLD BY

SACHET XL DRESSING

18˝ x 10˝

SOLD BY

3˝ x 10 yds. 4˝ x 10 yds.

ITEM #

HCPCS

01052 01053

A6456 A6456

SOLD BY

ea ea

319

WOUND CARE

BSN MEDICAL, INC. (BI) All BSN medical, Inc. wound care products are latex-free unless otherwise noted.

LATEX FREE

Comprilan® Short Stretch Compression Bandages Specifically designed for the management of venous leg ulcers, lymphedema and edema. Provide both compression and high resistance to stretch to increase venous and lymphatic return. Anatomically conforming, allowing freedom of movement. Easy to care for, durable, washable and reusable; made of 100% cotton. Clip contains latex.

ITEM #

2.4˝ x 5.5 yds. 3.1˝ x 5.5 yds. 3.9˝ x 5.5 yds. 4.7˝ x 5.5 yds.

01026000 01027000 01028000 01029000

HCPCS

A6448 A6448 A6449 A6449

Simpurity Collagen Dressing Pad & Particles Provides ingredients for tissue regeneration in phase 3 wounds. 3D scaffold structure allows fibroblasts to migrate across the wound bed to facilitate granulation, angiogenesis and tissue repair. 100% pure, non-bleached, native undigested bovine collagen. Provide high exudate absorption and retention to provide a moist wound healing environment. Easy application and superior conformity to the wound.

SOLD BY

ea ea ea ea

SPORTS MEDICINE PRODUCTS Leukotape P Sports Tape Rayon-backed tape with an aggressive zinc oxide adhesive. Recommended for patellofemoral taping and shoulder taping techniques. ITEM #

1 ⁄2˝ x 15 yds. 1

HCPCS

SOLD BY

76168 A4450 ea

Lightplast® Pro Elastic Athletic Tape Versatile elastic adhesive tape for all-purpose taping and strapping of the ankles, wrists and hands. Unique fabric backing is made of a conformable cotton/Spandex® blend, which helps it conform to body movement. Consistent unwind ensures smoother, faster wrapping. Moisture resistant; holds securely. White.

ITEM #

HCPCS

2˝ x 5 yds.

76954

A4450

SOLD BY

SAFE N SIMPLE™ (RR) CONTAINS SILVER Simpurity Alginate Wound Dressings Derived from seaweed and composed of soft, calcium alginate fibers shaped as pads (fibrous mats) or ropes (twisted fibers). When packed in a wound, the alginate interacts with wound exudate to form a soft gel that maintains a moist healing environment. Releases calcium ions that can activate prothrombin and improve hemostasis.

ITEM #

HCPCS

2˝ x 2˝ dressing pad 4˝ x 4˝ dressing pad 4˝ x 5˝ dressing pad 4˝ x 8˝ dressing pad 8˝ x 8˝ dressing pad 12˝ rope

SNS50702 SNS50704 SNS50720 SNS50732 SNS50764 SNS50712

A6196 A6196 A6197 A6197 A6198 A6199

SOLD BY

10/bx 10/bx 10/bx 5/bx 10/bx 30/bx

CONTAINS SILVER Simpurity Silver Alginate Wound Dressings Made of natural fibers derived from seaweed through a series of special processes. Can inhibit bacteria growing in the wound bed to reduce the risk of infection while maintaining a moist environment for wound healing. Strong tensile strength, a high absorption capacity and is easy to remove from the wound bed.

320

ITEM #

HCPCS

2˝ x 2˝ dressing pad 4˝ x 5˝ dressing pad 8˝ x 8˝ dressing pad 12˝ rope

SNS51702 SNS51720 SNS51764 SNS51712

A6196 A6197 A6198 A6199

SOLD BY

10/bx 10/bx 10/bx 10/bx

ITEM #

HCPCS

2˝ x 2˝ dressing pad 2˝ x 2˝ dressing pad 1-g vial particles 1-g packet particles

SNS50002 SNS5222 SNS5001G SNS5221G

A6021 A6021 A6010 A6010

SOLD BY

10/bx 5/bx 5/bx 10/bx

Simpurity Foam Wound Dressings – Non-Adhesive Help manage moderate to highly draining wounds. Absorb wound exudate, promote moist wound healing, protect the wound from contaminants and permit moisture vapor exchange. Protective transparent film backing protects against strike-through.

ITEM #

HCPCS

2˝ x 2˝ dressing pad 4˝ x 4˝ dressing pad 4˝ x 6˝ dressing pad

SNS51W02 SNS51W04 SNS51W24

A6209 A6209 A6210

SOLD BY

12/bx 12/bx 12/bx

Simpurity Foam Wound Dressings – Adhesive Border Composed of a soft and highly absorbent polyurethane foam pad to absorb wound drainage and a transparent adhesive border to hold the dressing in place. Island foam dressing helps maintain a moist environment, which accelerates wound healing. Especially suitable for moderate to highly exuding wounds and have a protective backing to protect against strike-through. Comfortable, easy to apply, conformable and easy to remove from the wound.

ITEM #

HCPCS

2˝ x 2˝ dressing pad 4˝ x 5˝ dressing pad

SNS72302 SNS72320

A6212 A6213

SOLD BY

12/bx 12/bx

Simpurity Foam Wound Dressings – Silicone Superior absorbent dressing for moderate to high wound exudate management. Highly absorbent foam pad and gentle adhesive silicone contact layer. Help maintain a moist wound healing environment with no irritation upon removal, minimize trauma to the wound and reduce pain during dressing changes.

2˝ x 2˝ dressing pad 4˝ x 5˝ dressing pad

ITEM #

HCPCS

SNS74502 SNS74520

A6209 A6210

SOLD BY

12/bx 12/bx

NEW Simpurity Foam Wound Dressings – Bordered Silicone Superior absorbent dressing for moderate to high wound exudate management. Contains a highly absorbent foam pad, gentle adhesive silicone contact layer and an adhesive border to hold the dressing in place. Helps maintain a moist wound healing environment with no irritation upon removal, minimizes trauma to the wound and reduces pain during dressing changes.

3˝ x 3˝ dressing pad 4˝ x 4˝ dressing pad

ITEM #

HCPCS

SNS77733 SNS77744

A6212 A6212

SOLD BY

12/bx 12/bx

CONTAINS SILVER Simpurity Foam Wound Dressings – Ionic Silver Silver ion-containing PU foam dressing that protects wounds from bacterial penetration while reducing the bioburden in a wound bed. Mainly consist of hydrophilic polyurethane foam substrate and silver compound. Indicated for the management of moderate to heavy exudate for chronic and acute wounds. Help maintain a moist healing environment. Controlled release of ionic silver provides sustained antibacterial effect. Inhibit a broad spectrum of infection up to 99.99% for a wide variety of bacteria. Provide longer wear times and pain-free removal.

ITEM #

HCPCS

2˝ x 2˝ dressing pad 4˝ x 5˝ dressing pad

SNS72502 SNS72520

A6209 A6210

SOLD BY

12/bx 12/bx

WOUND CARE

SAFE N SIMPLE™ (RR)

JOHNSON & JOHNSON CONSUMER (53)

CONTAINS SILVER NEW Simpurity Foam Wound Dressing, Silver Silicone Silver ion-containing polyurethane foam pad that has a gentle adhesive silicone contact layer to protect wounds from bacterial penetration while reducing the bioburden in the wound bed. Indicated for the management of moderate to high exudate for chronic and acute wounds. Helps maintain a moist healing environment. Controlled release of ionic silver provides sustained antibacterial effect. Provides longer wear times and pain-free removal.

Band-Aid Flexible Fabric Adhesive Bandages Johnson and Johnson Band-Aid® brand bandages offer long lasting adhesion for continuous protection. These flexible fabric bandages provide extra flexibility. Their stretchable and comfortable fabric and unique design moves with your body to fit better. These 1˝ x 3˝ bandages offer the versatility to work almost anywhere on the body. These sterile bandages feature rounded edges and thick, flush-to-the edge pads that won't stick to the wound.

ITEM #

HCPCS

2˝ x 2˝ dressing pad 4˝ x 5˝ dressing pad 6˝ x 6˝ dressing pad 7˝ x 7˝ dressing pad

SNS74422 SNS74445 SNS74466 SNS74477

A6209 A6210 A6210 A6210

SOLD BY

12/bx 12/bx 12/bx 12/bx

Simpurity Hydrocolloid Wound Dressings Thin hydrocolloid sheet. Absorbent. Deliver a gentle and secure adhesion that provides a barrier to external debris and bacteria when securely adhered to the skin. Individually packaged, sterile and latex-free. For use on light to moderately exuding wounds.

ITEM #

HCPCS

2˝ x 2˝ dressing pad 4˝ x 4˝ dressing pad 7˝ x 7˝ dressing pad

SNS55402 SNS55404 SNS21149

A6234 A6234 A6236

SOLD BY

12/bx 12/bx 12/bx

NEW Simpurity Polymer Pad Wound Dressing, Highly Absorbent Thin, sterile, superabsorbent, single-use dressing for use on highly exuding wounds. Absorbs the exudate and locks it into the superabsorbent core, allowing for significantly more fluid to be handled by the dressing while keeping it away from the wound and surrounding tissue. This can help to reduce maceration, as well as reduce exposure to harmful components of wound fluid.

ITEM #

HCPCS

4˝ x 5˝ dressing pad 8˝ x 10˝ dressing pad

SNS59020 SNS59080

A6251 A6251

SOLD BY

ITEM #

HCPCS

2˝ x 2˝ dressing pad 4˝ x 4˝ dressing pad

SNS56702 SNS56704

A6196 A6196

SOLD BY

ITEM #

HCPCS

4444

A6413 100/bx

ITEM #

111721000 A9270

ITEM #

HCPCS

2˝ x 15' plastic tape

SNS57220

A4452

1˝ x 15' silicone tape

ITEM #

HCPCS

SNS57230

A4452

ITEM #

004711 A6413 bx

Simpurity Hydrogel – Impregnated Gauze Wound Dressings Designed to provide a moist wound healing environment for wounds with minimal or no exudate. Contain a high viscosity gel impregnated into the gauze pad. Easy to apply.

ITEM #

HCPCS

2˝ x 2˝ dressing pad 4˝ x 5˝ dressing pad

SNS58802 SNS58820

A6231 A6232

SOLD BY

10/bx 10/bx

HCPCS

SOLD BY

SOUTHWEST TECHNOLOGIES, INC. (SW) All Southwest Technologies, Inc. wound care products are latex-free unless otherwise noted and are made in the USA.

LATEX FREE

STERILE WOUND DRESSINGS Toe-Aid™ Sterile, bacteriostatic, absorbent hydrogel dressing attached to a unique “T”-shaped border adhesive. High-glycerine pad will not dry out and will not stick to, or dissolve into, the wound. Absorbs excess exudate and helps preserve and maintain a clean, moist wound bed. When used as a postoperative dressing after toenail removal, helps reduce the frequency of dressing changes, negates daily soaks, nearly eliminates pain and helps ensure a positive clinical outcome.

roll

SOLD BY

12 rolls/bx

SOLD BY

10/bx 10/bx

NEW Simpurity DermaPro Waterproof Silicone Tape Latex-free and has a silicone adhesive that is gentle to remove from sensitive skin areas. Superior for securing wound dressings and repelling moisture from outside contaminants. Contains 12 1˝ rolls per box.

HCPCS

Band-Aid® Adhesive Bandages Variety Pack Includes: (8) Band-Aid® sheer extra large adhesive bandages, 13⁄4˝ x 4˝, 120 Band-Aid® flexible fabric adhesive bandages, 1˝ x 3˝, (82) Band-Aid® sheer extra large adhesive bandages, 5⁄8˝ x 21⁄4˝, (40) Band-Aid® flexible fabric adhesive bandages, 3⁄4˝ x 3˝, (30) Band-Aid® sheer extra large adhesive bandages, 7⁄8˝ x 7⁄8˝. 280 count

NEW Simpurity DermaPro Waterproof Tape Superior for securing wound dressings and repelling moisture from outside contaminants. Latex-free adhesive is gentle to remove from sensitive skin areas. Contains a start strip for easy dispensing.

SOLD BY

All Purpose First Aid Kit Clean, treat, protect and care for cuts, scrapes, minor burns, itches, pain, skin rashes and insect bites. Versatile kit contains 140 first aid essentials, including cleansing wipes, gauze pads, antibiotic ointment with pain relief, itch stopping cream, acetaminophen caplets, an instant cold pack, bandages, non-stick pads, rolled gauze and much more. Includes products from brands that include BAND-AID Brand Adhesive Bandages for covering cuts and scrapes, Neosporin for antibiotic protection, Tylenol for relieving pain, and Bengay for topical analgesia. Two pairs of nitrile examination gloves help ensure proper aseptic technique. First Aid Guide offers helpful instruction. All supplies come packaged in a durable, plastic first aid box that keeps items accessible, organized and ready when needed. For use at home, on-the-go and outdoors.

10/bx 10/bx

NEW Simpurity Fibergel Wound Dressing Soft, absorbent material that forms into a gel when in contact with exudate. The gelling action creates an optimal environment for moist wound healing. Conforms easily to various wound shapes, supports debridement and can easily be removed in one piece with minimal damage to newly forming granulating tissues. Use as primary dressing.

ITEM #

11⁄4˝ x 11⁄4˝

DR8450 A6245 3/bx

HCPCS

SOLD BY

ELASTO-GEL™ WOUND DRESSINGS NEW Elasto-gel Island Dressing Designed to provide an optimum wound healing environment. Control and prevent conditions that interfere with or obstruct the healing process. Decrease the amount of products needed to manage a wound, assist in reducing the time to heal the wound and decrease dressing change frequency. Bacteriostatic. 4˝ x 5˝ with a 1˝ adhesive border.

ITEM #

DR8075 A6246 5//bx

HCPCS

SOLD BY

321

WOUND CARE

SOUTHWEST TECHNOLOGIES, INC. (SW) All Southwest Technologies, Inc. wound care products are latex-free unless otherwise noted and are made in the USA.

LATEX FREE

Elasto-Gel™ Cast/Splint Padding Designed to help protect the skin from irritation that can develop under casts, splints, braces and orthotic or prosthetic devices. Padding is manufactured using a high-glycerin formula that allows it to absorb excess moisture and perspiration from the skin and transmit it directly to the air. Helps protect the skin and bony prominences from blisters and breakdown.

4˝ x 4˝ 6˝ x 8˝ 8˝ x 16˝ 12˝ x 12˝

ITEM #

HCPCS

CS5500 CS5600 CS5800 CS5700

A4649 A4649 A4649 A4649

SOLD BY

5/bx 5/bx 5/bx 5/bx

HYDROGEL DRESSINGS Horseshoe Shaped Dressings High-glycerine-content hydrogel dressing with a unique, horseshoe-shaped design to cover the buttocks area, including the coccyx and ischials, which are the most common areas for pressure ulcers. Used as a wound management dressing, as well as a preventive padding, to help prevent the formation of pressure ulcers. Bacteriostatic.

ITEM #

HCPCS

8˝ x 8˝

DR9051

A6247

SOLD BY

5/bx

Stimulen™ Collagen Powder 100% modified collagen; prepared from Type 1 collagen, which is the most abundant type in the human body. Collagen is a biological platform for all new growth1 and supplies nutritive protein directly to the wound site2. Collagen promotes and accelerates cellular regeneration by replicating the natural fibroconnective template3 and provides mechanical protection against physical and bacterial insult4. Interacts with the wound site as it forms a gel and creates a moist wound environment. Less painful; becomes a gelatinous mass as it comes in contact with exudate. No need to remove prior Stimulen™ powder applications; readily broken down by the natural enzymes present in most wound fluids. Cost-effective; lower cost per dressing change (case studies have shown improved outcomes at less cost compared to the previous protocols and products on these same wounds). Use with a non-adherent secondary dressing and secure with tape or appropriate wrap. Conveniently available in packets for single use and bottles for continued use. No special handling required; can be stored at room temperature. Sterile. “Material Properties of Hard Tissue Substitutes,” Jain MK, Berg PA, Man.In Prep. “Co-Factors in Impaired Wound Healing,” Stotts N, Tevis D, Ostomy/Wound Management, 1996:42:48. 3 “Biological Material, Structure, Properties, and Modeling of Soft Tissue,” Silver FH, NYU Press 1987. 4 “ Medical and Surgical Applications of Collagen,” Chvapil M, Van Winkle, Jr. W, International Review of Connective Tissue Research 6:36, 1973. 1 2

ITEM #

HCPCS

1-g packets 10-g bottle 20-g bottle

ST9501 ST9515 ST9520

A6010 A6010 A6010

Elasto-Gel Hydrogel Dressings Designed to provide an optimum wound healing environment. Control and prevent conditions that interfere with or obstruct the healing process. Decrease the amount of products needed to manage a wound, assist in reducing the time to heal the wound and decrease dressing change frequency. Bacteriostatic. ITEM #

HCPCS

2˝ x 3˝ 4˝ x 4˝ 5˝ x 5˝ 6˝ x 8˝ 8˝ x 16˝ 12˝ x 12˝

DR8200 DR8000 DR8500 DR8600 DR8800 DR8700

A6242 A6242 A6243 A6243 A6244 A6244

SOLD BY

5/bx 5/bx 5/bx 5/bx 5/bx 5/bx

ABSORBENT POWDERS & GELS Gold Dust Hydrophilic Polymer Powder Reduces dressing changes. Does not stick to wound site. Once powder interacts with wound exudate, it turns into a gel. Absorbs 100 times its own water weight. Used for heavily exuding wounds. ™

ITEM #

HCPCS

3-g packets

DR9300

A6248

10/bx ea ea

Stimulen™ Enhanced Collagen Gel Formulated to produce a highly concentrated dispersion of modified collagen. Provides a method to apply collagen to wounds when it is difficult to apply the powder. Contains a high level of collagen.

™

SOLD BY

ITEM #

HCPCS

0.5-oz. tube 1-oz. tube 5-g packets

ST9502 ST9503 ST9506

A6011 A6011 A6011

SOLD BY

ea ea 10/bx

ANDOVER HEALTHCARE (ANC) Co-Flex™ Cohesive Bandage Self-adherent, hand-tear wrap that acts as a secondary dressing without the need for clips or tape. Economical bandage used when lightweight compression is required. Adheres to itself, with no clips or fasteners needed. Offers excellent porosity and durability. Maintains original size and does not shrink in width. Easy removal with scissors and without unwrapping. Water-resistant, with 14-lb. tensile strength. Provides protection and superior adhesion, yet is easy to remove. When applied properly, provides an excellent pressure bandage that won’t cut off circulation. Non-sterile. Latex.

ITEM #

HCPCS

3˝ x 5 yds., tan

3300TN

A6454

Moleskin

SOLD BY

ea LATEX FREE

A tan colored flannel with a napped cotton backing used in podiatry to prevent blisters, corns, calluses and chafing. Also used under casts for comfort. Zinc oxide adhesive helps prevent irritation. Helps to wick away moisture.

SOLD BY

10/bx

ITEM #

HCPCS

4 yds. x 9˝, extra heavy 4 yds. x 9˝

04009012 04109012

A9270 A9270

SOLD BY

ea ea

LATEX FREE CoFlex™ TLC Two Layer Compression Delivers adaptive, consistent compression for those with edema associated with venous insufficiency. Layer 1 is an odor control and itch control soft foam with an excellent moisture transfer rate that wicks away drainage to help keep the peri-wound skin dry. Layer 2 is a latex-free, short stretch cohesive compression bandage that provides adaptive, consistent compression. EasyTear® technology eliminates the need for scissors. Together, both layers form a mechanical bond to prevent slippage. Comfortable, low-profile and lightweight for increased user compliance. High working pressure and low resting pressure. A nylon stocking is included in each kit to apply over the completed dressing for comfort and ease-of-movement under clothes and in footwear.

322

ITEM #

TLC ≥ ABI 0.8 TLCXL ABI ≥ 0.8, 2 yds. longer than TLC TLC Lite ABI ≥ 0.5

7800TLCTN A6441/A6452 7800TLCXL A6441/A6452 7802TLCTN A6441/A6452

HCPCS

SOLD BY

ea ea ea

WOUND CARE

ANDOVER HEALTHCARE (ANC) LATEX FREE CoFlex™ TLC Calamine and CoFlex™ TLC Zinc Combines the cleanliness, adaptive compression and ease-of-use of a two-layer compression with the soothing skin medication of an unna’s boot. Provides the consistent compression of CoFlex™ TLC Two-Layer Compression with added soothing zinc or calamine designed to treat those with multiple wounds or other skin conditions. Layer 1 is a medicated foam comfort roll impregnanted with zinc or calamine to soothe skin and promote healing. Layer 2 is a latex-free, moisture-resistant, cohesive compression bandage that sticks directly to the first layer to deliver a low-profile medicated compression system (no need for a gauze layer in between). Applies as easily and cleanly as a dry foam first layer without the unna boot mess. Patented no-latex, cohesive, high compression bandage delivers continuous restorative compression to promote venous return. Lightweight and low-profile. Kit includes nylon stocking to use over the top of system for ease in movement. No indentation or skin breakdown.

ITEM #

HCPCS

TLC Calamine ABI ≥ 0.5 TLC Zinc TLC Calamine-S ABI ≥ 0.8 TLC Zinc-S

8840UBCTN 8840UBZTN 8840UBCSC 8840UBZSC

A6456/A6452 A6456/A6452 A6456/A6452 A6456/A6452

SOLD BY

ea ea ea ea

Multipad™ Non-Adherent Wound Dressings A multi-layered, highly absorbent wound dressing. Gentle, nonwoven rayon pad between two nonadhering polypropylene contact layers. Will not stick to wound site, damage fragile granulation tissue or traumatize wound upon removal. Non-linting. Absorbs significantly more drainage than similar dressings, resulting in fewer dressing changes. Use in place of gauze and tape when more absorbency is needed.

ITEM #

2˝ x 2˝ 4˝ x 4˝ 4˝ x 8˝ 71⁄2˝ x 71⁄2˝

46011 A6251 25/bx 46012 A6251 25/bx 460131 A6251 25/bx 46014 A6253 10/bx

Polyderm™ Hydrophilic Foam Wound Dressings Effective in management of moderate to heavily exudating wounds. Made of non-adherent, highly absorbent, lint-free polyurethane foam. Thick, soft construction that is extremely comformable and comfortable. Ideal for painful wounds requiring protection and cushioning. Protect granulating tissue.

4˝ x 4˝ (2 ⁄4˝ x 2 ⁄4˝ pad) 6˝ x 6˝ (33⁄4˝ x 33⁄4˝ pad) 21⁄2˝ diameter

ABSORBENT DRESSINGS CONTAINS SILVER Algidex Ag® Silver Alginate Wound Dressings Unique combination of silver, alginate and maltodextrin designed to create the optimal moist wound environment important to healing. Provide immediate and sustained antimicrobial activity against a broad spectrum of wound pathogens for up to seven days, including MRSA (methicillin-resistant staphylococcus aureus), staphylococcus aureus, pseudomonas aeruginosa and E. coli. Excellent exudate management, helping reduce the risk of peri-wound maceration. HCPCS

2˝ x 2˝ 4˝ x 4˝ 6˝ x 6˝ 8˝ x 8˝ Precut trach dressing, 2˝ x 2˝

46AG22 46AG44 46AG66 46AG88 46TD22

A6209 A6209 A6210 A6211 A6209

5/bx 5/bx 5/bx 5/bx 5/bx

ITEM #

46TF44 A6196 5/bx

SOLD BY

Sofsorb Absorbent Wound Dressings Highly absorbent, multi-layered, one-piece dressing. Five-layer construction: non-adherent wound contact layer; stay-dry liner that permits passage of wound drainage to keep periwound skin dry and prevent maceration at wound site; center layer that absorbs wound drainage; cellulose layer that wicks drainage horizontally along pad to increase dressing absorption capacity; and air-permeable backing for strength and durability. May be soaked with saline or topical agents prior to use. Rounded edges and tapered limb configurations conform to curved and hard-to-dress areas without unnecessary bulk. Available in over 50 sizes, with or without silver. ®

ITEM #

HCPCS

3˝ x 3˝ 4˝ x 6˝ 4˝ x 9˝ 6˝ x 9˝ 9˝ x 15˝ 15˝ x 18˝ 15˝ x 24˝

46109 46101 46106 46102 46103 46104 46105

A6251 A6252 A6252 A6253 A6253 A6253 A6253

HCPCS

46915 46916 46908

A6212 A6212 A6212

SOLD BY

10/bx 10/bx 10/bx

WITHOUT BORDER

33⁄4˝ x 33⁄4˝

46906 A6209 10/bx

Polyderm Plus Hydrophilic Foam Wound Dressings with Border Border and breathable barrier film allow extra moisture vapor transmission and protection from external contaminants. ™

SOLD BY

CONTAINS SILVER Algidex Ag® Silver Alginate Wound Dressing Thin Sheets Unique combination of silver, alginate and maltodextrin designed to create the optimal moist wound environment conducive to healing. Provide immediate and sustained antimicrobial activity against a broad spectrum of wound pathogens for up to seven days including (MRSA), staphylococcus aureus, pseudomonas aeruginosa and E. coli. 4˝ x 4˝. HCPCS

ITEM #

WITH BORDER 1

ITEM #

SOLD BY

FOAMS

DEROYAL INDUSTRIES, INC. (DR)

HCPCS

ITEM #

HCPCS

4˝ x 4˝ (21⁄4˝ x 21⁄4˝ pad) 6˝ x 6˝ (33⁄4˝ x 33⁄4˝ pad)

46925 46926

A6212 A6212

SOLD BY

10/bx 10/bx

Polyderm GTL Silicone Dressings Soft and gentle silicone contact layer over foam pad. Ideal for those with sensitive or fragile skin. Contact layer forms a gentle bond/seal between the dressings, ensuring that fluid is absorbed by the foam to help protect against maceration. Can be lifted and moved without losing adhesiveness. Top film is water resistant and helps to provide a bacterial barrier. Helps minimize pain and trauma to the wound site during dressing changes. Contains silicone.

ITEM #

HCPCS

SOLD BY

46950 46951 46952

A6209 A6209 A6210

10/box 10/box 10/box

46954 46955

A6212 A6212

10/box 10/box

46957 46958

A6212 A6212

10/box 10/box

NON-BORDERED

2˝ x 2˝ 4˝ x 4˝ 6˝ x 6˝ BORDERED

2˝ x 2˝ 4˝ x 4˝ SACRAL

7.2˝ x 7.2˝ (5.4˝ x 4.8˝ pad) 9.2˝ x 9.2˝ (6.6˝ x 6.6˝ pad)

SOLD BY

30/bx 30/bx 4/bx 20/bx 30/bx 20/bx 15/bx

323

WOUND CARE

DEROYAL INDUSTRIES, INC. (DR)

COLLAGEN DRESSINGS

HYDROCOLLOID

C-Pro 3D Collagen Wound Dressing Made of 100% collagen. Designed to help facilitate moist wound healing and improve outcomes. Provides excellent absorption and 3D scaffolding for cell proliferation and migration, in as few as three days. ™

Procol® and Procol® Thin Hydrocolloid Wound Dressing Round-edged, self-adhesive, sterile hydrocolloid wound dressing with a semi-occlusive breathable polyurethane film. Hydrocolloid interacts with wound exudate to form a soft gel that creates a moist environment conducive to wound healing. Matrix formulation promotes vertical wicking and reduces residue in wound as it protects newly formed tissue from maceration. Tapered edges prevent dressing from rolling.

ITEM #

HCPCS

SOLD BY

46650 46651 46652

A6237 A6237 A6235

20/bx 10/bx 5/bx

46660 46661

A6234 A6237

20/bx 10/bx

PROCOL®

2˝ x 2˝ 4˝ x 4˝ 6˝ x 6˝ PROCOL® THIN

2˝ x 2˝ 4˝ x 4˝

CONTACT LAYER Dermanet Wound Contact Layer Nonadherent wound contact layer dressing. Shields fragile granulation tissue from disturbances caused by secondary dressings. May be used dry or coated with topical ointment. Ideal for lining deep wounds before the application of packing materials or under gauze. Reduces trauma during wound dressing removal. Dermanet® is also available in silver. ITEM #

HCPCS

4˝ x 5˝ 8˝ x 10˝ 24˝ x 36˝ 6˝ x 72˝

46143 46142 46140 46144

A6207 A6208 A6208 A6208

SOLD BY

25/cs 50/cs 50/cs roll

HYDROGEL DRESSINGS AND HYDROGELS Multidex® Maltodextrin Hydrogel Wound Dressings A hydrophilic Maltodextrin NF wound dressing clinically proven to promote the growth of granulation tissue and epithelial proliferation. Quickly fills wound site, rapidly mixing with exudate to form a protective coating that maintains an ideal moisture balance to protect against dehydration. For use on all wound types, including infected, hard-to-heal wounds. Specifically formulated to create a natural healing environment. Nontoxic and not systemically absorbed. Controls odor while decreasing purulent exudate. Penetrates all wound irregularities to fill tunneling and undermining.

ITEM #

HCPCS

⁄4 fl. oz. 1 ⁄2 fl. oz. 3 fl. oz.

46711 46710 46712

A6248 A6248 A6248

SOLD BY

ea ea ea

Algidex Ag® Hydrogel Gauze Releases active ionic silver for broad antimicrobial effectiveness. Specially woven gauze will not ravel, lint, or fray. Decreases wound odor. Absorbs wound exudate. Reduces bacterial colonization. Excellent autolitic debrider.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝

46GZ22 46GZ44

A6231 A6231

SOLD BY

25/bx 25/bx

Algidex Gel

ITEM #

HCPCS

1-oz. gel

46G10

A6248

324

SOLD BY

3/pk

ITEM #

2˝ x 2˝

46CP32 A6021 10/bx

HCPCS

SOLD BY

COMPRESSION AND UNNA BOOT Dewrap™ Unna Boot Three-Layer Compression System Three-layer compression system that delivers sustained, graduated compression for lower extremities. Provides recommended level of compression (30 – 40 mmHg) or (20 – 30 mmHg) depending on wrapping technique. Reduces venous hypertension and aids in healing venous ulcerations. Seven-day wear time. Three latex-safe layers: absorptive layer, elastic layer and cohesive layer. Self-adhering to secure bandage system, providing graduated compression for seven-day wear time.

ITEM #

46333 A4649 ea

HCPCS

SOLD BY

NON-IMPREGNATED GAUZE Covaderm® Adhesive Wound Dressings Nonadherent, general purpose sterile dressing. Protective, highly absobent sterile pad. Non-irritating acrulic adhesive tape. Comfortable round edges and stretchable fabric tape. Split release liner for easy, on-step application. Conform securely to body contours. Variety of sizes. Primary or secondary dressing.

4˝ x 4˝ with 21⁄2˝ x 21⁄2˝ pad 4˝ x 6˝ with 21⁄2˝ x 4˝ pad 4˝ x 8˝ with 2˝ x 51⁄2˝ pad 4˝ x 10˝ with 2˝ x 71⁄4˝ pad 4˝ x 14˝ with 2" x 11˝ pad

ITEM #

HCPCS

DR46001A DR46002 DR46003 DR46004 DR46005

A6254 A6254 A6254 A6254 A6254

SOLD BY

25/bx 25/bx 25/bx 25/bx 25/bx

Covaderm® Plus Adhesive Wound Dressing Multi-layered composite wound dressing.Maintains moist environment with protection from outside contaminants. Four-layer construction: protective non-adherent contact layer; soft pad for drainage absorption; breathable, semi-occlusive polyurethane barrier; and comfortable adhesive-coated fabric tape.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 4˝ with 21⁄2˝ x 21⁄2˝ Pad 6˝ x 6˝ with 4˝ x 4˝ Pad 6˝ x 8˝ Vascular Access 4˝ x 4˝ Tube site Dressing, 4˝ tape with 2˝ radical shift 4˝ x 14˝ tape

DR46400 DR46401 DR46402 DR46403 DR46405 DR46408 DR46415

A6203 A6203 A6203 A6203 A6203 A6203 A6203

SOLD BY

25/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx

WOUND CARE

DEROYAL INDUSTRIES, INC. (DR) TAPES AND DRESSING FIXATION Stretch Net Tubular Elastic Bandage Tubular elastic retention bandage that holds dressings in place without tape. Allows easy wound inspection and quick application for wounds with frequent dressing changes. Provides maximum aeration to wound. Available in 13 sizes in 10-yd. and 25-yd. lengths to accommodate all body parts and body sizes. Ideal for those with fragile skin or who are allergic to tape. Use as dressing retention. 10 yds. Contains latex. Also available with latex-safe. ™

ITEM #

HCPCS

Size 1, 3˝ – 8˝, fingers and toes Size 2, 8˝ – 11˝, fingers, wrist and small hand Size 3, 11˝ – 16˝, hand, elbow and foot Size 4, 16˝ – 22˝, hand, elbow, foot and knee Size 5, 22˝ – 36˝, calf, thigh and head Size 51⁄2, 26˝ – 35˝, small chest, axilla Size 6, 35˝ – 42˝, abdomen, thigh and shoulder Size 8, 52˝ – 58˝, chest, axilla and abdomen Size 9, 58˝ – 64˝, chest, axilla and abdomen Size 10, 64˝ – 72˝, chest, axilla and abdomen Size 13, 80˝ – 86˝, extra-large torso Size 13, 86˝ – 92˝, extra-large torso

107101 107102 107103 107104 107105 107106 107107 107109 107110 107111 107113 107114

A6457 A6457 A6457 A6457 A6457 A6457 A6457 A6457 A6457 A6457 A6457 A6457

SOLD BY

ea ea ea ea ea ea ea ea ea ea ea ea

CRAWFORD HEALTHCARE (87) KerraCel™ Gelling Fiber Dressing Highly absorbent, conformable wound dressing made of 100% CMC. It locks in exudate to help protect periwound skin from maceration while contouring to wound bed.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 5˝ 6˝ x 6˝ 1˝ x 18˝, Ribbon

CWL1032 CWL1033 CWL1034 CWL1035

A6196 A6197 A6197 A6199

ITEM #

HCPCS

3˝ x 3˝ 4˝ x 4˝ 4˝ x 8˝ 5˝ x 5˝ 6˝ x 6˝ 7˝ x 8˝, oval 4˝ x 12˝ 6.7˝ x 6.9˝, small sacrum 9˝ x 10˝, large sacrum 9.8˝ x 9˝, in heel

CWL1010 CWL1011 CWL1012 CWL1013 CWL1132 CWL113S CWL1134 CWL1023 CWL1040 CWL1024

A6212 A6212 A6212 A6212 A6213 A6213 A6213 A6212 A6213 A6213

1. Reference: 1. Spina C. Silver I, II, III: Chemical Characteristics, Properties, and Anti-microbial Activity. Data on file. Crawford Healthcare Ltd"

ITEM #

HCPCS

4˝ x 5˝ 6˝ x 6˝

090103 090105

A6207 A6207

SOLD BY

10/bx 10/bx

KerraMax Care® Super-Absorbent Dressing Designed to absorb and retain large amounts of exudate to minimize discomfort and dressing changes. Its wicking layer allows for increased absorption while staying dry to the touch to keep moisture away from healthy skin.

ITEM #

HCPCS

4˝ x 4˝ 4˝ x 9˝ 8˝ x 9˝ 8˝ x 12˝

PRD50050 PRD500120 PRD500240 PRD500380

A6196 A6197 A6197 A6198

SOLD BY

10/bx 10/bx 10/bx 5/bx

KerraLite Cool® Hydrogel Moisture-Balancing Dressing Soothing, debriding and moisturizing dressing that provides the ideal environment for managing dry to lightly exuding sloughy wounds. Strong, transparent hydrogel is cool and soothing to the touch, and will not dry out or stick to the underlying tissue on removal.

ITEM #

HCPCS

SOLD BY

CWL1004 CWL1005 CWL1006

A6234 A6235 A6235

5/bx 5/bx 5/bx

CWL1007 CWL1008 CWL1009

A6237 A6237 A6238

5/bx 5/bx 5/bx

NON-ADHESIVE

2.4˝ x 2.4˝ 4.7˝ x 3.3˝ 7˝ x 5˝

SOLD BY

ADHESIVE BORDER

10/bx 10/bx 5/bx 5/bx

KerraFoam™ Gentle Boarder – Silicone Retention Dressing Absorbent core and foam pad absorbs and locks in exudate. The soft silicone adhesive contact layer helps to prevent painful dressing changes and skin stripping, making this dressing ideal for both wound care and skin protection.

NEW KerraContact® Ag Dressing with ag Oxysalts™ Technology Contact layer that contains unique Ag Oxysalts™ Technology. Each Ag Oxysalt ion is up to six times more powerful than traditional silver, which leads to a faster and more powerful bacteria kill – including superbugs – and the ability to destroy biofilms1. Additional sizes available.

3˝ x 3˝ 4.3˝ x 4.3˝ 6˝ x 6˝

KerraPrep™ Unique conformable, polyester-fiber pad that gives more control over the wound and surrounding skin preparation.

SOLD BY

ITEM #

HCPCS

4˝ x 4˝ 5˝ x 8˝

CWL1021 CWL1022

A9270 A9270

SOLD BY

5/bx 5/bx

10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 5/bx 5/bx 5/bx 5/bx

NEW Touchless Care® No-Touch Skin Care Products Patented spray-on line of products allow for easy application to increase efficiency and user compliance. Soothes and protects irritated skin with 25% zinc oxide and 20% dimethicone without the mess and pain associated with traditional rubbed-in ointments.

KerraCel® Ag Gelling Fiber 100% CMC Dressing CONTAINS SILVER NEW with AG Oxysalts™ Technology Highly absorbent, conformable silver wound dressing made of 100% CMC containing unique Ag Oxysalts™ Technology. Each Ag Oxysalt ion is up to six times more powerful than traditional silver, which leads to a faster and more powerful bacteria kill – including superbugs – and the ability to destroy biofilms1.

Regenecare Wound Care Gel with 2% Lidocaine Amorphous hydrogel dressing proven to reduce pain intensity without side effects. Reduces both pain and itching. Effective in the management of dermatological problems (radiation reactions; abrasions and skin tears; burns and cuts; psoriasis; shingles; and dry and moist desquamation) and wound problems (diabetic and vascular ulcers; partial- and full-thickness wounds; and pain associated with debridement). 2% lidocaine HCl reduces pain and inflammation, and breaks the “itch and scratch” cycle. Medium molecular weight polysaccharides in aloe vera reduce inflammation and moisturize, plus stimulate microcirculation and immune factors to help heal wounds quickly. Marine collagen acts as a humectant, natural barrier. Contains calcium alginate to absorb drainage.

1. References: Evaluation of antimicrobial activity of KerraCel® Ag against in vitro biofilms. CHC R541. 2017. Data on file. Crawford Healthcare Ltd.

ITEM #

HCPCS

SOLD BY

2˝ x 2˝ 4˝ x 5˝ 0.75˝ X 12˝ ribbon 0.75˝ X 18˝ ribbon

CWL1157 CWL1158 CWL1168 CWL1162

A6196 A6197 A6199 A6199

10/box 10/box 5/box 5/box

ITEM #

2-oz. Zinc Oxide protectant spray 62402 2-oz. Antifungal spray 82402

HCPCS

A6250 A6250

SOLD BY

ea ea

MPM MEDICAL, INC. (QC) ®

ITEM #

HCPCS

3-oz. tube

MP00100

A9270

SOLD BY

325

WOUND CARE

MPM MEDICAL, INC. (QC) Excel-Gel™ Hydrogel Dressing Aloe vera and glycerin moisturize the wound. Allows visualization of the wound and maintains a moist wound environment. Indications for Stage II – IV pressure ulcers, first- and second-degree burns, and leg ulcers.

ITEM #

HCPCS

1-oz. tube 3-oz. tube

MP00026 MP00006

A6248 A6248

SOLD BY

ea ea

Repel™ Waterproof Composite Wound Dressings Center layer absorbs exudate, reducing the number of dressing changes. Dressing is nonadherent to tissue, reducing trauma during dressing changes. Protect wound from urine and feces. Indicated for leg ulcers, moderately to heavily draining wounds, skin tears, cuts, burns, abrasions and pressure Stage I – IV ulcers. Can be left on while showering. Can be wiped off when soiled.

ITEM #

HCPCS

4˝ x 4˝ (2˝ x 2˝ pad) 6˝ x 6˝ (4˝ x 4˝ pad) 6˝ x 8˝ (4˝ x 6˝ pad)

MP00082 MP00084 MP00086

A6203 A6203 A6204

SOLD BY

30/bg 30/bg 30/bg

Triple Helix Collagen 100% type-1 bovine. Biodegradable – no need to remove product, just add more. Will form a matrix in the wound bed, which encourages granulation tissue formation. Recommended for lightly to heavily exudating wounds.

1-g powder 2˝ x 2˝ dressing sheet

ITEM #

HCPCS

MP00311 A6010 MP00310 A6021

SOLD BY

ea ea

WoundGard® Bordered Gauze Dressings Effective for treatment of pressure ulcers (Stages I – IV), leg ulcers, skin tears, cuts, burns and abrasions. Maintain moist environment; protect wound from contamination, blood or drainage strike-through; and absorb drainage, preventing maceration. Absorbent pad is nonadherent, protecting new granulation tissue. Can be used on infected wounds. Allow wound to breathe. Eliminate need for gauze, tape and scissors.

ITEM #

HCPCS

SOLD BY

MP00094

A6219

120/cs

MP00097 MP00098

A6219 A6220

30/bg 30/bg

STERILE

5˝ x 5˝ (3˝ x 3˝ pad) NONSTERILE

4˝ x 4˝ (2.5˝ x 2.5˝ pad) 6˝ x 6˝ (4.5˝ x 4.5˝ pad)

NormlShield™ Skin Protectant Has been shown to support the effective treatment of minor irritation, rash and chaffing. Offers soothing relief associated with incontinence and drainage. Excellent moisturizer and nongreasy. Does not soil sheets or clothing. Allows taping after drying. Aloe vera moisturizes to help prevent callus buildup and cracking of the skin. Dimethicone seals in moisture and protects the skin from outside contaminants.

ITEM #

HCPCS

4-oz. tube

MP00022

A6250

ITEM #

HCPCS

4˝ x 4˝ 4˝ x 8˝ 8˝ x 8˝

MP00700 MP00701 MP00702

A6196 A6197 A6198

Foam Dressings Effective in management of chronic and acute, moderately to heavily exuding, partial- and full-thickness wounds, including superficial wounds, second-degree burns and pressure ulcers (Stages II – IV). Specialty foam quickly absorbs large amounts of fluid. Waterproof top layer.

ITEM #

HCPCS

4˝ (2˝ pad), circular 4˝ x 4˝ (2˝ x 2˝ pad) 5˝ x 5˝ (3˝ x 3˝ pad) 6˝ x 6˝ (4˝ x 4˝ pad) 2˝ x 2˝, nonbordered 4˝ x 4˝, nonbordered 6˝ x 6˝, nonbordered

MP00501 MP00500 MP00503 MP00502 MP00510 MP00511 MP00512

A6212 A6212 A6212 A6212 A6209 A6209 A6210

326

SOLD BY

50/cs 50/cs 50/cs 50/cs 50/cs 50/cs 50/cs

ITEM #

HCPCS

4-oz. tube

MP00023

A6250

SOLD BY

LOHMANN & RAUSCHER (LR) All Lohmann & Rauscher wound care products are latex-free unless otherwise noted.

LATEX FREE

CONTAINS SILVER Suprasorb A + Ag Alginate Dressing Combination of natural calcium alginate and antimicrobial silver cleans the wound and reduces bacteria. For heavily exuding wounds that are infected or at risk of infection. Silver ions released upon contact with the wound exudate can act directly at the wound surface because the calcium alginate forms a gel. Antimicrobial silver ions release slowly to maintain ph balance in the wound. Creates a highly absorbent gel in the wound. Sterile for up to five to seven days.

ITEM #

HCPCS

2˝ x 2˝ 4˝ x 5˝ 4˝ x 8˝ 2-g, 12˝ rope

32755 32757 32758 32759

A6196 A6197 A6197 A6199

SOLD BY

10/bx 10/bx 5/bx 5/bx

Rosidal® K Short Stretch Bandage 100% cotton, breathable, short stretch bandages provide strong compression support of the extremities for the treatment of acute and chronic lymphedema, venous edema and post-traumatic swellings. Provides a natural resistance to the pressure exerted during the movement of the muscles. Machine washable and reusable. Approximately 90% extensible.

SOLD BY

10/bx 10/bx 10/bx

Antifungal Cream Has been shown to support the effective treatment of athlete’s foot, ringworm and jock itch. Active ingredient is 1% clotrimazole and is less irritating than miconazole nitrate. Contains vitamins A, D and E.

NEW DryMax EXTRA Superabsorbant Dressing Thin, sterile, superabsorbent, single-use dressing. Absorbs fluid and retains it in the superabsorbent core. The vertical absorption and retention capacity prevents maceration on the wound edges. Bacteria from the wound exudate is absorbed into the core of the product.

SOLD BY

ITEM #

HCPCS

4 cm x 5.5 yds. 6 cm x 5.5 yds. 8 cm x 5.5 yds. 10 cm x 5.5 yds. 10 cm x 11 yds. 12 cm x 5.5 yds. 12 cm x 11 yds.

22199 22200 22201 22202 90689 90688 22205

A4649 A4649 A6449 A6449 A6452 A6452 A6449

SOLD BY

ea ea ea ea ea ea ea

Rosidal® Soft Foam Padding Washable, slip-resistant padding helps provide even pressure distribution of compression bandages over the extremities. Ideally suited for padding under lymphedema and venous edema compression bandage applications. Padding is made from polyurethane foam, which is highly breathable and permeable to moisture. The interlocking open pores provide slip-resistant assurance and can help prevent the compression bandages from sliding. Durable and tear resistant; can be a cost-effective padding due to its ability to withstand repeated washings and not lose its elasticity.

ITEM #

HCPCS

10 cm x 0.3 cm x 2.5 m 10 cm x 0.4 cm x 2.5 m 12 cm x 0.4 cm x 2.5 m 15 cm x 0.4 cm x 2.5 m

23110 23111 23112 23113

A6441 A6441 A6441 A4649

SOLD BY

ea ea ea ea

WOUND CARE

LOHMANN & RAUSCHER (LR) All Lohmann & Rauscher wound care products are latex-free unless otherwise noted.

LATEX FREE

Rosidal® TCS Two Component Compression System Combines Rosidal SC, an innovative soft padding compression bandage with integrated fabric for skin protection, and Rosidal CC, a cohesive short-stretch compression bandage. The two components work together to deliver effective levels of working compression and low levels of resting compression with comfort and safety built in. Low resting pressure is a clear advantage in terms of compliance, especially at night. Low profile; fits easily into shoes.

ITEM #

HCPCS

10 cm x 3.5 m

26484

A6451/A6449

SOLD BY

kit

NEW Conforming compression bandages for wrapping fingers, toes and genital edema and lymphedema. It can also be used for foam padding fixation and dressing retention with its wide range of sizes. This conforming bandage is a comfortable, open-weave gauze bandage that conforms well to the body contours.

Mollelast

ITEM #

HCPCS

4 cm x 4 m 6 cm x 4 m

19410 19411

A6442 A6442

SOLD BY

20/bx 20/bx

tg® Shaped Tubular Bandage Anatomically shaped, seamlessly knitted tubular bandage provides light, comfortable and effective support along the length of the limb. Elasticity provides light crease-free compression while allowing ambulant users freedom of movement. Quick and easy application, and can easily be fitted, removed and reapplied without pins or tapes. A single measurement around the calf provides a quick and easy size selection. Skin friendly and breathable due to its high cotton content. Washable (30°C/86°F). Contains latex.

ITEM #

HCPCS

SOLD BY

88900 88901 88902 88903

A6457 A6457 A6457 A6457

ea ea ea ea

88904 88905 88906

A6457 A6457 A6457

ea ea ea

FULL LEG

Small (12 ⁄2˝ – 14 ⁄4˝ calf circumference) Medium (133⁄4˝ – 151⁄4˝ calf circumference) Large (15˝ – 161⁄2˝ calf circumference) X-Large (161⁄4˝ – 173⁄4˝ calf circumference) 1

BELOW KNEE

Small (121⁄2˝ – 141⁄4˝ calf circumference) Medium (133⁄4˝ – 151⁄4˝ calf circumference) Large (15˝ – 161⁄2˝ calf circumference)

tg® Tubular Bandage Seamlessly knitted tubular stockinette is ideal as the first layer next to the skin under decongestive compression bandages. Close-meshed, skin-friendly material can be stretched to about four times its original width. Absorbs excess perspiration. Can be used for securing dressings or over zinc paste bandages.

ITEM #

HCPCS

SOLD BY

24003 24003 24003 24003 24004 24005 24006 24007

A6457 A6457 A6457 A6457 A6457 A6457 A6457 A6457

ea ea ea ea ea ea ea ea

24030 24031

A6457 A6457

ea ea

20 M (22 YD.) LENGTH

Size 1 (1.4 cm) Size 2 (2.3 cm) Size 3 (3 cm) Size 5 (5.5 cm) Size 6 (6.5 cm) Size 7 (7 cm) Size 9 (8.5 cm) Size 12 (12 cm) 10 M (11 YD.) LENGTH

Size K1 (16 cm x 11 yds.) Size K2 (21 cm x 11 yds.)

Flivasorb® Super Absorbent Wound Dressing For the management of moderate to highly exuding wounds. The super absorbent fiber core absorbs 20 times its own weight in fluid and does not release the retained exudate even under mechanical pressure, making Flivasorb® the comfortable choice under compression bandages. High absorption capacity allows for fewer dressing changes which saves time and money. Backing layer helps prevent strikethrough and external fluids from contaminating the wound.

ITEM #

HCPCS

4˝ x 4˝ 4˝ x 8˝ 8˝ x 8˝ 8˝ x 12˝

25810 25811 25812 25910

A6196 A6197 A6198 A6198

SOLD BY

10/bx 10/bx 10/bx 10/bx

Suprasorb® F Transparent Film Dressing Transparent film dressing that helps protect the wound against contaminants and helps shield the wound from external moisture. The moisture vapor permeability allows excess moisture to evaporate through the dressing while maintaining necessary moist wound environment to promote wound healing. Suprasorb® F can be worn in the shower.

ITEM #

HCPCS

SOLD BY

2˝ x 2.75˝ 2˝ x 2.75˝ 4˝ x 4.75˝ 4˝ x 4.75˝ 4˝ x 10˝ 6˝ x 8˝ 8˝ x 12˝

20460 20461 20462 20463 20464 20465 20466

A6257 A6257 A6258 A6258 A6258 A6258 A6259

10/bx 100/bx 10/bx 50/bx 10/bx 10/bx 10/bx

Cellona® Synthetic Padding Soft padding for use in multi-layer compression bandaging. Provides comfortable and excellent conformability around body contours and helps form a smooth surface. The material’s self-adhesion facilitates application and helps prevent slippage. The fibers do not retain moisture. Acts as an air-permeable cushion and retains its fullness with long-term wear, providing continuous, even pressure distribution.

ITEM #

HCPCS

4 cm x 3 m 6 cm x 3 m 10 cm x 3 m 15 cm x 3 m

10682 10683 10684 10685

A9270 A9270 A9270 A9270

SOLD BY

9/bx 6/bx 4/bx 3/bx

ARGENTUM MEDICAL (SR) All Argentum Medical wound care products contain silver.

CONTAINS SILVER

Silverlon Antimicrobial Calcium Alginate Dressings Combine the benefits of a highly absorbent calcium alginate with pure metallic silver-plated mesh core, providing superior, antimicrobial protection in the dressing with extra absorbency and exuding management for moderately to heavily exuding wounds. Unique design provides high integrity and tensile strength for assured one-piece removal for up to seven days. ®

ITEM #

⁄4˝ x 12˝ ropes 2˝ x 2˝ 4˝ x 43⁄4˝ 4˝ x 8˝ 8˝ x 12˝

CA7512 A6199 5/bx CA22 A6196 10/bx CA475 A6197 10/bx CA48 A6197 5/bx CA812 A6198 5/bx

HCPCS

SOLD BY

Silverlon® Antimicrobial Island Dressings Combine patented silver technology with a flexible retention tape. Ideal for superficial wounds and postsurgical incision sites over lightly to moderately exuding wounds. The dressing can remain in place while exercising or showering. Provides up to seven days of antimicrobial protection in the dressing.

ITEM #

HCPCS

4˝ x 4˝ 4˝ x 6˝ 6˝ x 6˝ 4˝ x 12˝

ID44 ID46 ID66 ID412

A6254 A6255 A6255 A6255

SOLD BY

5/bx 5/bx 5/bx 5/bx

327

WOUND CARE

ARGENTUM MEDICAL (SR) All Argentum Medical wound care products contain silver.

HEALTHSMART (64) CONTAINS SILVER

Silverlon® Antimicrobial Wound Contact Dressings Safe, easy-to-use and most durable silver antimicrobial dressings available for usage up to seven days. Made with pure metallic silver, bonded to the surface of the nylon substrate preventing the shedding (dumping) of metallic silver or silver fibers into the wound bed. Nylon substrate is highly conformable to wound contours and comfortable to users.

ITEM #

1˝ x 3˝, adhesive strips 1˝ x 12˝, packing strips 1˝ x 24˝, packing strips 2˝ x 2˝ 4˝ x 41⁄2˝ 4˝ x 12˝ 4˝ x 66˝, wrap 10˝ x 12˝

AS6001 A6413 150/bx WPS112 A4649 5/bx WPS124 A4649 5/bx WCD22 A6206 10/bx WCD44 A6206 10/bx WCD412 A6207 10/bx WCD466 A6208 ea WCD1012 A6208 5/bx

HCPCS

SOLD BY

Silverlon® Burn Contact Dressings Offer all advanced antimicrobial features of the wound contact dressings, in addition to a two-way stretch nylon substrate to add mild compression, when needed. Indicated for first- and second-degree burns, as well as graft and donor sites.

ITEM #

HCPCS

4˝ x 4˝ 4˝ x 8˝ 4˝ x 66˝, elastic burn wrap 16˝ x 16˝ Acute burn glove, small Acute burn glove, medium Acute burn glove, large

BCD44 BCD48 BWD466 BCD1616 ABG01S ABG01M ABG01L

A6206 A6207 A6208 A6208 A4649 A4649 A4649

SOLD BY

10/bx 10/bx ea ea ea ea ea

INNOVACYN, INC. (IN) NEW Puracyn Plus Professional Formula Antimicrobial Hydrogel Uses an advanced hypochlorous technology to add and maintain moisture in the wound bed and facilitate autolytic debridement. Intended for wounds with little to no exudate. Optimal for a wide range of wound and skin conditions. 90 mL (3 oz.), Twist Cap. Caution: Federal law restricts this device to sale by or on the order of a licensed health care practitioner. ®

HCPCS

ITEM #

6542 A6248 ea

SOLD BY

Puracyn® Plus Professional Formula Wound Irrigation & Management Solution Aids in the removal of debris without adversely affecting cellular activities crucial to wound-healing process. Super-oxygenated hypochlorous technology that is scientifically engineered to cleanse, irrigate, moisten and debride acute and chronic wounds. Caution: Federal law restricts this device to sale by or on the order of a licensed health care practitioner.

ITEM #

HCPCS

120 mL, twist cap (4 oz.) 120 mL, pump spray (4 oz.) 250 mL, twist cap (8 oz.) 250 mL, pump spray (8 oz.) 500 mL, flip cap, irrigation (16 oz.) 500 mL, trigger (16 oz.) 1,000 mL, flip cap, irrigation (1 L.)

6504 6505 6508 6509 6516 6517 6518

A6260 A6260 A6260 A6260 A6260 A6260 A6260

328

Heelbo® Heel and Elbow Protectors Comfortable, snug fit is designed to help reduce shear and friction on sensitive heels and elbows. Contain a sewn-in contoured pad to reduce pressure. Measure limb circumference for sizes.

SOLD BY

ea ea ea ea ea ea ea

ITEM #

HCPCS

Small, yellow Medium, blue Large, white X-Large, green 2X-Large, beige

12037 12038 12039 12040 12041

E0191 E0191 E0191 E0191 E0191

SOLD BY

pr pr pr pr pr

SONOMA PHARMACEUTICALS, INC. (OI) Microcyn Irrigation Solution with Preservatives Intended for the irrigation and management via debridement of post-surgical wounds. For external use only. Not for injection. There may be a temporary burning or stinging sensation when first applied to broken skin. Do not store in flexible tubing for more than two hours. Keep out of reach of children. Caution: Federal Law restricts this device to sale by or on the order of a physician or licensed practitioner. ®

ITEM #

HCPCS

500 mL 990 mL

84798 847816

A6260 A6260

SOLD BY

ea ea

Microcyn® Skin & Wound Solution with Preservatives Intended for the management via debridement of wounds, including stage I – IV ulcers, partial- and full-thickness wounds, diabetic foot ulcers, post-surgical wounds, first- and second-degree burns, grafted and donor sites. For external use only. Not for injection. There may be a temporary burning or stinging sensation when first applied to broken skin. Keep out of reach of children. Caution: Federal Law restricts this device to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

2-oz. spray bottle 8-oz. spray bottle 250-mL squeeze bottle

84871 84507 84491

A6260 A6260 A6260

SOLD BY

ea ea ea

Microcyn® Skin & Wound HydroGel™ Intended for the management of exudating wounds, including leg ulcers, pressure ulcers, diabetic ulcers, first- and second-degree burns, and mechanically or surgically debrided wounds. For external use only. Not for injection. Keep out of reach of children. Caution: Federal Law restricts this device to sale by or on the order of a physician or licensed practitioner.

ITEM #

HCPCS

1.5-oz. squeeze bottle 3-oz. squeeze bottle 3-oz. spray bottle

84750 84804 84872

A6248 A6248 A6248

SOLD BY

ea ea ea

WOUND CARE

MEDI-TECH INTERNATIONAL CORP. (MT)

HYDROGEL DRESSINGS

COMPRESSION/SUPPORT BANDAGES

LATEX FREE Spand-Gel Hydrogel Sheets Immediately relieve pain, burning, itching and soreness. Used for a variety of post-op treatments; after radiation therapy, laser resurfacing, head, neck or breast reconstructive surgery, or first- and second-degree burns. Do not adhere to tissue and can be rehydrated and reapplied. Sterile. ™

LATEX FREE SpandaGrip™ Tubular Support/Compression Bandage Delivers consistent support and gentle compression with a single application. Perfect for sprains and strains, joints and muscles, soft-tissue injuries or general edema. An alternative to flat wrap bandages. Additional sizes available. Natural and beige colors.

ITEM #

HCPCS

SOLD BY(

(B), 21⁄2˝ x 11 yds. (small hands and arms) (C), 23⁄4˝ x 11 yds. (medium arms, small ankles) (D), 3˝ x 11 yds. (lg. arms, med. ankles, sm. knees) (E), 31⁄2˝ x 11 yds. (lg. ankles, med. knees, sm. thighs) (F), 4˝ x 11 yds. (lg. knees, med. thighs) (G), 41⁄2˝ x 11 yds. (lg. thighs)

SAG13111 SAG13112 SAG13113 SAG13114 SAG13115 SAG13116

A6457 A6457 A6457 A6457 A6457 A6457

ea ea ea ea ea ea

SAG10336 SAG35036 SAG10436 SAG45036

A6457 A6457 A6457 A6457

12/cs 12/cs 12/cs 12/cs

SINGLE UNITS: I YD. (36˝ ) INDIVIDUALLY WRAPPED

(D), 3˝ (lg. arms, med. ankles, sm. knees) (E), 31⁄2˝ (lg. ankles, med. knees, sm. thighs) (F), 4˝ (lg. knees, med. thighs) (G), 41⁄2˝ (lg. thighs)

ITEM #

HCPCS

Full-face mask Half-face mask Breast wrap Neck wrap 4˝ x 4˝ sheet 4˝ x 5˝ sheet 6˝ x 8˝ sheet 8˝ x 8˝ sheet

SPHFM1 SPHFM2 SPHBW1 SPHNW1 SPHSA4 SPHSA45 SPHSA6 SPHSA8

A6244 A6243 A6243 A6244 A6242 A6243 A6243 A6244

Exudex

NEW Powder made of hydrophilic Dextranomer beads (granules) with a diameter of 0.1 – 0.3 mm. Cross-linked polysaccharide bipolymer with a three-dimensional structure. Absorbs approximately 4 mL of liquid. This action continues until the granules saturate. Helps eliminate fluids quickly and continuously from the surface of the wound. This translates into a reduction of inflammation, edema and pain.

™

ITEM #

HCPCS

SOLD BY

Small finger/toe, includes applicator Large hand, arm, leg, foot Large head, shoulder, thigh Small chest, back, perineum, axilla X-Large chest, back, perineum, axilla 3X-Large chest, back, perineum, axilla Custom size (circumference stretch to 80˝ )

MTF1 MT04 MT06 MT07 MT10 MT12 MT22

A6457 A6457 A6457 A6457 A6457 A6457 A6457

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A6457 A6457 A6457 A6457 A6457

50/cs 50/cs 50/cs 50/cs 50/cs

PRE-CUT SPANDAGE™ 1 YD. (36˝ ) INDIVIDUALLY WRAPPED

Medium hand, child arm-leg, foot Small adult arm, child leg Medium adult arm, lower leg X-Large adult arm, leg Large leg, thigh, child chest, vest

MTY3 MTY5 MTY6 MTY7 MTY8

ITEM #

HCPCS

3-g stick pack 40-g bottle

MD101 MD201

A6262 A6262

ITEM #

HCPCS

3-g stick pack

MD102

A6262

Dextatic®

LATEX FREE Spanda-Sleeves Protect fragile skin against tears, scrapes, abrasions or bruises. Provide gentle compression and promote warmth. Tubular sleeves are easy to apply and stay in place. HCPCS

SOLD BY

PS26000 PS26000L PS26000XL

A4649 A4649 A4649

pr pr pr

PS26001

A4649

LEG SLEEVES

Light skin tone, medium

LATEX FREE NEW Medi Elbow & Heel Safeguard™ Foam padding decreases friction and shear on the elbows and heels. Helps avoid dermal ulcers along with other dermal ulcer therapy by padding and shielding sensitive skin.

Small, up to 16˝ ,regular Medium, up to 17˝ ,regular Large, up to 19˝ ,regular X-Large, up to 23" ,regular XX-Large, up to 25˝, regular

ITEM #

HCPCS

ICSM59 ICMED60 ICLG61 ICXLG62 ICXXLG63

E0191 E0191 E0191 E0191 E0191

SOLD BY

pr pr pr pr pr

SOLD BY

10/bx

NEW Indicated for the instant stopping of bleeding of minor lacerations, absorbing released plasma and enhancing healing of the wound by the antibacterial activity of chitosan. Contains iron sulfate, a well-known hemostatic agent that stops bleeding instantly. The antimicrobial effects of chitosan protect the wound from bacteria. Dextranomer effectively absorbs exudate coming from the wound.

3-g stick pack

ARM SLEEVES

Light skin tone, medium with thumb cut-out Light skin tone, large with thumb cut-out Light skin tone, x-large with thumb cut-out

10/bx ea

NEW Indicated for the cleaning and removal of exudate from wet wounds, ulcers and burns that are exuding either clean or infected plasma. Enhance the healing of the wound by the antibacterial activity of chitosan. Comprised of half parts dextranomer and half parts chitosan. Greatly increase the antimicrobial effects of dextranomer. Provide strong absorptive properties and a moist wound bed environment essential to proper wound healing. With the addition of chitosan’s electrostatic interaction and absorptive properties, infected and heavily to moderately exuding wounds can be treated with better outcomes.

PROTECTORS

ITEM #

SOLD BY

Dextrosan®

™

6/cs 6/cs 6/cs 6/cs 30/cs 30/cs 30/cs 30/cs

MPP MEDICAL (MPP) ™

DRESSING RETENTION BANDAGES LATEX FREE MT Spandage Tubular Elastic Retainer Net A tape alternative that holds wet or dry dressings securely in place without tape or wrap gauze. Provides gentle equal pressure to keep dressings in place without slippage or excessive constriction. Variety of sizes fit any body part and can be used for infants and adults. 25 yds. (stretched) per box. Additional sizes are available.

SOLD BY

ITEM #

HCPCS

MD103

A6262

SOLD BY

10/bx

PRINCIPLE BUSINESS ENTERPRISES, INC. (PU) LATEX FREE Tranquility® ThinLiner Moisture Management™ Absorbent Sheets Ultra-thin material wicks moisture away from the skin, providing a dry environment in areas where moisture can cause significant skin breakdown. Ideal for tucking into skin folds, groin area, under breasts or other regions where light to moderate moisture is present. TQ-A/P (Tranquility’s Antimicrobial and Antifungal Protection) treatment inhibits bacterial and fungal growth on the product. Latex-free. Non-sterile.

ITEM #

HCPCS

6˝ x 10˝; 5.0 fluid oz. 6˝ x 14˝; 7.7 fluid oz. 20˝ x 22˝; 15.0 fluid oz.

3090 3091 3092

A4520 A4520 A4520

SOLD BY

25/pk 25/pk 25/pk

329

WOUND CARE

COSRICH GROUP INC. (COS)

DALE® MEDICAL (DA)

NEW Plush Turtle Ice Pack Provides child with ice and a little comfort for small scrapes, bruises or fever. Place in freezer in a freezer bag and pull out when needed. Soft plush exterior with a Velcro® opening that holds a gel ice pack inside its belly. Place the satin side down for relief. Thick, plush exterior helps deter cold hands. A portion of the proceeds for each kit is donated to a wildlife foundation.

LATEX FREE Dale® Abdominal Binders Feature the new EasyGrip® Strip that can hold up to four 100-cc drainage bulbs in place. Provide easier monitoring of drainage bulb contents and allow drainage bulbs to be emptied or removed quickly without removing pins or tape. Allow for easier ambulation when drainage bulbs are in place. Will not fray or unravel if cut to allow for tubing. Unlike other binders, which can restrict movement, Dale® Abdominal Binders promote mobility and reduce the chance of sedentary complications. Reimbursement Codes: Dressing Holder (A4463) or Back Support (L0625).

ITEM #

BE1833C A9270

HCPCS

SOLD BY

6/cs

NEW Endangered Species 75 Piece First Aid Kit Handy, functional teaching tool that offers a vast assortment of bandages, wraps and ice packs for actual or imaginary needs. Consists of seven spot round bandages, seven small strip bandages, two fingertip bandages, two large rectangle bandages, 21 large strip bandages, 21 medium strip bandages, two Instant Cold Packs, 10 antiseptic wipes, one self-adhesive bandage roll, one extra-large strip bandage and one reusable character tin. All bandages are latex-free. A portion of the proceeds for each kit is donated to a wildlife foundation.

ITEM #

HCPCS

ES1943C

A9270

SOLD BY

3/cs

NEW ES Sea and Safari Bandages Latex-free bandages in two convenient sizes offer lifelike shots of animals. Four unique designs in all: Sea Turtle, Dolphin, Giraffe and Cheetah. Each value pack box contains 15 of each animal.60 bandages per box.

ITEM #

OU9111C A6413

HCPCS

SOLD BY

12/cs

BARD® MEDICAL (57) Natural Care Gel Enriched with aloe vera and panthenol. Very effective on radiation dermatitis, or peristomal and nasal cannula irritations. Clear, greaseless gel will not interfere with application of adhesive tapes or ostomy appliances.

28˝ – 50˝

ITEM #

HCPCS

4-oz. tube

5000G

A6250

SOLD BY

Biolex™ Wound Cleanser Spray Nonirritating aloe vera cleanser that aids in the removal of wound debris and slough. No-rinse formula will not harm healthy tissue.

ITEM #

HCPCS

6-oz. bottle

5506B

A6260

SOLD BY

HCPCS

SOLD BY

525

A4463/L0625

410 411 418

A4463/L0625 A4463/L0625 A4463/L0625

ea ea ea

810 811 818 820

A4463/L0625 A4463/L0625 A4463/L0625 A4463/L0625

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920

A4463/L0625

9˝ WIDE*

30˝ – 45˝ 46˝ – 62˝ 60˝ – 75˝ 12˝ WIDE*

30˝ – 45˝ 46˝ – 62˝ 60˝ – 75˝ 72˝ – 94˝ 15˝ WIDE*

72˝ – 94˝ *All sizes when stretched.

Dale® Nasal Dressing Holder Replaces adhesive tape to hold nasal dressings in place following rhinoplasty, septoplasty, sinus surgery, facial trauma and nose bleeds.

™

ITEM #

6˝ WIDE*

ITEM #

HCPCS

One size fits all

600

A4649

SOLD BY

Dale® Post-Surgical Bra Offers soft support and compression immediately after breast surgery. Soft, breathable fabric stretches to accommodate edema without binding or irritating sensitive tissue. A front hook and loop closure facilitates inspection of the surgical site and dressing changes. Can be worn alone or can be used to hold surgical dressings in place without tape.

ITEM #

HCPCS

Medium, fits 34˝ – 36˝, sizes B – D Large, fits 36˝ – 38˝, sizes B – D X-Large, fits 38˝ – 44˝, sizes B – D 2X-Large, fits 46˝ – 54˝, sizes C – E

702 703 704 705

A6457 A6457 A6457 A6457

SOLD BY

ea ea ea ea

ANACAPA TECHNOLOGIES, INC. (QD) Anasept Antimicrobial Skin and Wound Cleanser Noncytotoxic antimicrobial skin and wound cleanser with exceptionally rapid broad-spectrum bactericidal (including the antibiotic resistant strains MRSA and VRE), fungicidal and virucidal properties. Completely colorless, tissue-compatible solution with 24 month shelf life. There is no known resistance to the active antimicrobial ingredient. ®

330

ITEM #

HCPCS

4-oz. dispensing cap 4-oz. pump bottle 8-oz. dispensing cap 8-oz. pump bottle 8-oz. spray bottle 12-oz. spray bottle 15-oz. dispensing cap

4004C 4004SC 4008C 4008SC 4008TC 4012SC 4016C

A6260 A6260 A6260 A6260 A6260 A6260 A6260

SOLD BY

ea ea ea ea ea ea ea

WOUND CARE

ANACAPA TECHNOLOGIES, INC. (QD) LATEX FREE Anasept® Antimicrobial Skin & Wound Gel Noncytotoxic, viscous, clear, isotonic hydrogel with long-lasting, broad spectrum bactericidal (including the antibiotic-resistant strains MRSA and VRE), fungicidal and virucidal properties. 18 – 24 month shelf life. There is no known resistance to the active antimicrobial agent.

ITEM #

HCPCS

1.5-oz. tube 3-oz. tube

5015G 5003G

A6248 A6248

SOLD BY

ea ea

CONTAINS SILVER Silver-Sept® Antimicrobial Skin & Wound Gel Clear, amorphous hydrogel will not stain or discolor tissue. Nonirritating, nonsensitizing and noncytotoxic. 200 µ/gm of silver, exhibits outstanding antimicrobial barrier properties even in the presence of organic substances in wound fluid that are known to interfere and inhibit the action of antimicrobial agents. Effective against bacteria, including the antibiotic-resistant strains MRSA and VRE, as well as fungi, such as candida albicans and aspergillus niger. Has been shown to maintain a high level of antimicrobial effectiveness for up to three days.

ITEM #

HCPCS

1.5-oz. tube 3-oz. tube

3015S 3003S

A6248 A6248

Carrasyn® V Gel Wound Dressing Thicker, more viscous formulation of Carrasyn® Hydrogel, which has special adhesion properties.

SOLD BY

ea ea

ITEM #

HCPCS

3-oz. tube

101023

A6248

RadiaGel™ Non-oily wound dressing specially formulated for the needs of radiation patients. Apply a liberal amount of gel over the affected area and massage into skin. Use as often as needed.

ITEM #

HCPCS

3-oz. tube

106042

A6248

ITEM #

HCPCS

420 A6248 ea

SOLD BY

RadiaDres Gel Sheets Consist of 89.5% water combined with a 10.5% cross-linked polyethylene oxide in a gel sheet specially formulated for the management of radiation-induced dermatitis. High specific heat provides a cooling effect, is hydrophilic and will absorb at least three times its weight in water, serum or blood. May be refrigerated for maximum cooling effect. ™

4˝ x 4˝

Wound Gel Dressing with Vitamin E and Aloe Vera For dressing and management of stasis ulcers, pressure ulcers (stages I – IV), first- and second-degree burns, cuts and abrasions, skin irritations, post-operative incisions and skin conditions associated with peristomal care. Maintains moist wound healing environment. Promotes autolytic debridement. Clean and greaseless. 3-oz. tube.

RADIATION DERMATITIS WOUND CARE

AMERIDERM (ADM)

SOLD BY

ITEM #

HCPCS

101052

A6242

SOLD BY

10/bx

WOUND CLEANSERS CarraKlenz™ Wound and Skin Cleansers Ideal wound cleanser for gentle cleaning of all types of wounds.

SOLD BY

ITEM #

HCPCS

6-oz. pump bottle 8-oz. spray bottle 16-oz. spray bottle

102060 102062 102160

A6260 A6260 A6260

SOLD BY

ea ea ea

CARRINGTON® (CA) ODOR ELIMINATORS CarraScent™ Scented formula combines with odor molecules to eliminate the odor, not just cover it up.

ITEM #

HCPCS

1-oz. bottle 8-oz. bottle

107010 107080

A4649 A4649

MicroKlenz™ Cleanses and helps manage bioburden in dermal wounds. No-rinse, non-irritating formula. Within optimum P.S.I. range.

ea ea

HYDROGEL DRESSINGS

ITEM #

HCPCS

101030

A6248

HCPCS

108008

A6260

ITEM #

HCPCS

8-oz. bottle

108080

A6260

ITEM #

HCPCS

101015

A6231

TenderWet Active ®

Polymer gel pad dressing maintains an ideal moist healing environment by autolytically debriding necrotic tissue, absorbing and retaining pathogens, and keeping the wound moist. Soften necrotic tissue by releasing Ringer’s solution as the dressing’s core absorbs and binds the loosened tissue. Indicated for all types of wounds.

SOLD BY

15/bx

SOLD BY

ADVANCED WOUND CARE

SOLD BY

Saturated with Carrasyn® Hydrogel. Ideal for the management of stasis ulcers, pressure ulcers, burns and postoperative wounds. 4˝ x 4˝

MEDLINE INDUSTRIES, INC. (60)

CarraGauze® Dressings

SOLD BY

UltraKlenz™ Wound Cleanser Clean wound and periwound tissue as needed. Pat surrounding skin dry. To use as wet dressing, moisten gauze with UltraKlenz™, fluff and gently apply to wound bed.

Carrasyn Hydrogel Wound Dressing Non-oily hydrogel with aloe vera gel extract designed to maintain a moist healing environment. For use with lightly exuding wounds; Stages I – IV pressure ulcers. 3-oz. tube

ITEM #

8-oz. spray bottle

SOLD BY

ITEM #

HCPCS

1.6˝, round 2.2˝, round 2.2˝, cavity, round 3˝ x 3˝, square 3˝ x 3˝, cavity, square 4˝ x 5˝ 4˝ x 5˝, cavity

MSC8301 MSC8302 MSC8402 MSC8303 MSC8403 MSC8305 MSC8405

A6242 A6242 A6242 A6242 A6242 A6243 A6243

SOLD BY

7/bx 7/bx 7/bx 7/bx 7/bx 7/bx 42/cs

331

WOUND CARE

MEDLINE INDUSTRIES, INC. (60)

IMPLUS (SK)

CONTAINS SILVER SilvaSorb Sheets Hydrogel sheet combines advanced fluid management with controlled-release ionic silver to provide antimicrobial protection. Effective against a broad spectrum of bacteria and fungi. Have the ability to absorb yet still give moisture as needed. The antimicrobial hydrogel sheet is non-staining and gentle. Hydrogel sheet may be left in place for up to seven days. ®

ITEM #

1˝, round 2˝ x 2˝ 41⁄4˝ x 41⁄4˝

MSC9310EP A6242 MSC9322 A6242 MSC9344 A6243

HCPCS

SOLD BY

25/cs 25/cs 25/cs

All Implus (formerly known as Spenco®) Wound Care Products are latex-free unless otherwise noted.

Spenco® 2nd Skin® Moist Burn Pads Hospital-proven, moist wound care technology. Speed natural healing for blisters, burns and road rash. Made from pure, sterile water to cool and soothe on contact. 95% water content hydrogel dressing. Help heal while protecting the burn. Cut to fit or combine for large area burns. Won’t stick to the wound. Sterile.

CHURCH & DWIGHT CO., INC. (BX) Wound Wash with Saline 0.09% sterile saline solution indicated for the flushing and cleansing of wounds with a pressure specifically designed for safe and effective wound irrigation. No prescription necessary. Cost-effective, because the solution remains sterile throughout the life of the can and there is no waste.

ITEM #

HCPCS

3-oz. (90-cc) bottle 7.1-oz. (210-cc) bottle

B8553 B8552

A4216 A4216

ITEM #

HCPCS

7.1-oz. bottle

08557

A6260

ea ea

SOLD BY

CENORIN (BG) LATEX FREE AquaGuard® Moisture Barriers Latex-free, disposable, impermeable moisture barrier that cover scatheter sites, surgical incisions or dressings, to keep them dry when showering. The only disposable, impermeable moisture barrier made in the USA at an FDA-registered facility. Certified to ISO 13485:2003 standards to ensure product safety and user confidence. ITEM #

HCPCS

4˝ x 4˝ 4˝ x 4˝ 7˝ x 7˝ 7˝ x 7˝ 9˝ x 9˝ 9˝ x 9˝ 10˝ x 12˝ 10˝ x 12˝

50004RBX 50004RPK 50010RBX 50010RPK 50015RBX 50015RPK 50011RBX 50011RPK

A4649 A4649 A4649 A4649 A4649 A4649 A4649 A4649

SOLD BY

50/cs 5/pk 50/cs 5/pk 50/cs 5/pk 50/cs 5/pk

IMPLUS (SK) All Implus (formerly known as Spenco®) Wound Care Products are latex-free unless otherwise noted.

LATEX FREE

Spenco® 2nd Skin® AquaHeal® Hydrogel Bandages First aid solution for the protection and management of minor cuts, scrapes, bites, blisters and burns. Composed of a sterile hydrogel with a polyurethane film adhesive. Transparent film allows visibility to the wound’s healing process. Provide instant soothing and cooling relief, and natural healing. Seal out bacteria. Allow skin to breathe. Highly absorbent. For multiple-day use. Include three small (1˝ x 21⁄5˝ ) and three large (13⁄4˝ x 3˝ ) bandages.

332

ITEM #

HCPCS

1½˝ x 2˝ 2˝ x 3˝ 3˝ x 4˝

47122 47121 47120

A6242 A6242 A6242

SOLD BY

25/bx 25/bx 25/bx

Spenco® 2nd Skin® Scar Gel Medical-grade silicone gel helps fade and flatten hypertrophic and keloid scars.

ITEM #

HCPCS

15-g pump dispenser

47548

A4649

SOLD BY

TYTEX (TYT) CareFix Pre-Cut Dressing and Bandage Fixation Arm Tube LATEX FREE Elastic pre-cut tubes for retention of bandages where they are difficult to keep in place. Retention of dressings and bandages on arm, leg or foot. High and sustained elasticity. Quick and easy to apply. Timesaving, ready-to-use pre-cut lengths. Washable. ®

SOLD BY

Simply Saline® 3 in 1 Wound Wash Cleans with pressurized saline spray. Helps prevent bacterial contamination or skin infection in minor cuts, scrapes and burns. Allows body to heal naturally. Contains soothing aloe vera.

LATEX FREE

ITEM #

4823900 A6245

HCPCS

SOLD BY

6/bx

ITEM #

HCPCS

SOLD BY

Small, for child 01510101 A6457 15/bx Medium 01510301 A6457 15/bx Large 01510501 A6457 15/bx X-Large 01510701 A6457 15/bx

MANUFACTURER’S DIRECTORY 3M (58) 3M Health Care (88)

MANUFACTURERS’ DIRECTORY

199

A A & D Medical (AE) 21 – 22 Abbott Diabetes Care, Inc. (ME/TW) 14 – 15 Abbott Laboratories (AB) Abbott Nutrition (52) Abbott Nutrition (52) 59 – 63 Abena USA (RB) Accu-Net LLC (CU) AccuTech LLC (ACU) Active Lifestyle Products (AL) Adapta Medical, Inc. (FS) Adlens® (DK) 191 AG Industries (FH) 225 Agamatrix (WA) Aircast, Inc. (AI) Albert Medical Devices Ltd (XU) Alex Orthopedic, Inc. (MNT) 34 – 35 Alimed, Inc. (AZ) Alliance Labs, LLC (AG) Allied Healthcare (BF) Allmed, Inc. (AMM) Alterna (ALT) Ambitex® (AX) 77 AMD Ritmed Inc. (AMD) Ameda (EW) American Australian Medical (AV) American Diagnostic Corporation (ADC) 18 – 19 American Infection Control (AIC) AmeriDerm (ADM) 220, 331 Amerx Health Care (DF) Amsino (MK) Anacapa Technologies, Inc. (QD) 115, 186, 330 – 331 Andover Healthcare (ANC) Animas® Corporation a Johnson & Johnson company (AN) 4–5 Apex Footcare (AU) Apex-Carex Healthcare (AP) Aplicare, Inc. (AJ) Apothecary Products (AY) Applied Medical Tech (AK) Applied Nutrition Corp. (AD) Aptalis Pharma US, Inc. (AR) Argentum Medical (SR) ARKRAY (CJ) 14 Ascensia Diabetes Care (56) 12 Atlantic Footcare (AO) Atos Medical (TL) Augusta Medical Systems (JO) Austin Medical (49) Axelgaard Manufacturing Co., Ltd. (LX) B B. Braun (XB) 116 – 117 Back-A-Line (IF) Bard® Medical (57/RH/VE) 117 Battle Creek® Equipment (BT) 194 – 195 Bauerfeind USA, Inc. (FB) BD Medical (58) 116, 118 Beaumont Products, Inc (BP) 219 Becton Dickinson (58) 8, 15, 120 – 121 Bed Bug 911 Corporation (BBG) Bed Handles, Inc. (HZ) Bedwetting Store (WS) Beiersdorf (DT) Bio Compression Systems, Inc. (DW) Bio Protech USA, Inc. (DY) BioDerm (CF) BioMedical Life Systems, Inc. (FA/MR) Bionime (GB) BioSense Medical Devices (SL) Biotech Medical LLC (BB) Bird & Cronin, Inc. (BS) Bivona (BJ) Blixtex Inc. (BLX) Brand Fanatics, Inc. (MP) Briggs Healthcare® (64/66) Brownmed (FD) 120, 122, 195 Bruce Medical Supply (BA) Bryan Medical Inc. (BM) BSN medical, Inc. (BI) 318 – 320 C C.B. Fleet (FL) C&S Ostomy Pouch Covers (CX) Calmoseptine® (CL) Cambrooke Foods (FC) Cara® Incorporated (CRA) 195 Cardinal Health™ (55/ZC/ZCH) 24, 30 – 31, 34, 37, 52, 57, 76, 78 – 80, 118, 120, 211, 233, 237, 242 Cardinal Health™ Essentials (ZR) 10, 16, 18, 171, 200 Care-Tech Laboratories (CE) CareFusion (55) 206 – 208, 244 Carex® (RM) 24 – 26, 31 – 32, 36, 46 – 47, 54, 240 Carolon (DD) Carrington® (CA) Cenorin (BG) 189, 332 Central Solutions (JM) Centurion Medical Products (EE) Century Pharmaceuticals, Inc. (BBC) Chart Industries Inc. (CAI) Chattem, Inc. (CHA) 219, 240 – 241 Church & Dwight Co., Inc. (BX) 209, 332 Clean Waste (CV) Cleanis (CLE) 26 CleanLife Products (NR) 216 – 217 Clinical Technologies (CW) Colo-Majic Liners, Inc. (LN) Coloplast (62) 152 – 154, 156 – 166, 168, 213 – 214, 252, 254 – 256, 307 – 309 Compu-TTY (CPU) Conair Corporation, Inc (CNR) Concepts in Confidence (CS) Connecticut Clean Room (CTC) 118 Contour Products, Inc. (CTP) 40, 225 ConvaTec (51) 126 – 128, 130, 132 – 136, 138, 214 – 216, 268, 287 – 291 Core Products (95) 74, 192, 277 CORPAK MedSystems (CP) 74, 278 Cosrich Group Inc. (COS) 330 Covalon Technologies Ltd. (XC) Covidien (61/68/PB/UP) Covidien (68) 119, 121 Covidien (Puritan Bennett) (PB) 209 Crawford Healthcare (87) 325 Cristcot® (CRI) Crown Medical, LLC. (EO) CuraMedica LLC (CMD) Cure Medical (CQ) Custom Manufactured Products LLC (CUS) 219 – 220, 114 Cymed (93) 171 – 174 Cypress Medical, LLC (CY) D 73 – 74, 122, 330 Dale® Medical (DA) Dansac (63) Derma Sciences (DE/DS/GL/KK) 73, 217 DermaRite (DM) DeRoyal Industries, Inc. (DR) 325 ® DeVilbiss Healthcare (DV) 200, 202, 223 Devon Medical Products (WT) Dexcom®, Inc. (ED) 3 DJ Orthopedics, LLC. (DJ)

Domtar Personal Care (48/pk) Drive/Devilbiss Healthcare (FG) Drylock Technologies, LTD (PRT) Dukal Corp. (DU) Dumotech LLC (LB) Dynarex (DX)

87 – 88, 90, 92 26 – 27, 30, 32, 36 – 38, 52, 57, 120 98 – 101

Ecolab, Inc. (EQ) EHOB (EH) Elkay Plastics Co, Inc. (EK) Emerson Healthcare (EMH) Empi, Inc. (ST) Encore®, Inc. (EN) Energizer Personal Care (TX) Enturia Inc. (55) Escali Corporation (ESC) Essential Medical Supply (ES) Ethicon (53) Evenflo Company, Inc. (EW) Excelsior Medical Corp (EXC)

40 – 41, 46, 52 58, 119 17, 191

120 120

Fabrication Enterprises, Inc. (FAB) Ferndale (FE) Ferris (FR) Fiberlinks Textiles Inc. (PR) Firma Medical VED™ (FZ) First Aid Bandage Company (FAO) First Quality® Products, Inc. (FQ) Fisher & Paykel Healthcare, Inc. (FP) Fisher Scientific Company LLC (CUR) Flexicare, Inc. (FK) FNC Medical (FN) Frank Stubbs Company, Inc. (STB) Freeman Manufacturing Supply Company (FRE) Freemie® (JR) Functional Formularies® (KX) FXI International (FXI) GE Diabetes Care (GG) GE Healthcare (GH) Gebauer Co. (GD) Genairex (EI) General Physiotherapy (GE) Gentell® (GTL) Genuine Virgin Aloe Corporation (GVA) GF Health Products Inc. (LS) Gilette Company, The (GIL) Global Health Products (GP) Global Medical (GF) Golden Technologies (GTC) Griffin Laboratories (GZ) Guardian Technologies LLC (GGI) Halyard (MI) HARTMANN USA (HU/WH/EV) Health Enterprises, Inc. (HEI) Health o Meter® Professional Scale (HB) Healthpoint Medical (HE) Healthsmart® (64/66) Hermell Products (HF) Hollister Incorporated (50) Hollister Wound Care (50) Homecare Products/EZ-Access (HN) HoMedics, LLC. (OBU) Hopkins Medical Products (HO) HR® Pharmaceuticals, Inc. (LJ) HTA Direct Sourcing (KO) HTL-Strefa, Inc. (HT) Hudson Industries, Inc. (HW) Human BioSciences (BC) Hy•Tape, The Original Pink Tape® (HY) Hygeia (HG) Hytech Medical Supply (HT) I-Flow (IFL) Iceland Health (ICE) ICU Medical (ICU) Ideal Brands, Inc. (ID) IdeaWorks (JII) iHealth (IY) iLEX Health Products (IU) IMplus (SK) Independent Living Aids, Inc. (IL) Insulet (OM) Intra Pump Infusion (IS) Invacare (INV) ITW Texwipe® (TEX) iWALKFree Inc. (CDL) Jobar (JII) JOBST® (BI) Joerns Healthcare (JN) Johnson & Johnson Consumer (53) Joint Active Systems (JS) Judah Manufacturing Inc. (JUD) Juzo (JU) K2 Health Products LLC (KHP) Kander Medical (GT) Kate Farms® (XK) Kaye Products, Inc. (KAY) KAZ USA, INC. (KAZ) KEM Enterprises, Inc. (KM) KEM Enterprises, Inc. (KM) Kent Elastomer (KL) Kent Precision Foods Group, Inc. (PX) Kerex LLC (KP) Kew Medical (JG) Kimberly-Clark (69/MI) Kingswood Laboratories, Inc. (KW) Knit-Rite, Inc. (TG) Kosma-Kare, Inc. (KZ) L.A. Care Industries LLC (LAC) Lansinoh Laboratories, Inc. (LAN) Lauder Enterprises, Inc. (LD/LH) LDB Medical, Inc. (LC) LDI Corporation (LDI) Leader® Brand (PH/SS) Leckie Medical Products, Inc. (LM) LED Technologies LLC (LED) Lee Medical International (LE) Lee Pharmaceuticals (CT) Liberty Industries, Inc. (LIB) LifeScan (70) Links Medical (LK) LogicMark (DC) Lohmann & Rauscher (LR) Luminaud (LD) M.C. Johnson (MJ) Mada Medical Products (LY) Maddak (NV) Mallinckrodt (89) Manufacturers’ Directory MANUKAMED (IG) Maril Products, Inc. (NJ) Marlen (72)

23, 196, 241 316

81 – 82, 84, 86 222 – 223 216 2 69 G

168 – 170 17, 198, 218 – 219

37, 47 H

72 109 – 111, 314 – 315 22 – 23 19, 24, 41, 52, 57, 328 33, 36, 41, 53, 193 73, 139 – 144, 146 – 151, 264, 266 – 268 213, 300, 302 – 303 45 271 10

118 117 28 – 29 219 193 – 194, 332 7–8

27 – 28, 30, 32 – 33, 38, 41, 48 – 49, 51, 53 – 54 119 J 227 – 229 54

41 – 42, 54 69 23, 210 188 70 92 – 94

189, 286

Marpac (NX) Mason Medical (MA) Mass Supply (VZ) Maxtec Inc. (MXT) McAirlaid’s Inc. (MCD) Mead Johnson (75) MED Alliance Group, Inc. (MAG) Med-Rite Laboratories (MLL) MedCenter Systems, LLC (MCS) Medcon Biolab Tech (MF) Medefil, Inc. (MDE) Medegen Medical Products, LLC (VG) Medel Group (BK) Medela (ML) medi USA (NE) Medi-Tech International Corp. (MT) Medi, Inc. (KB) Medical Action Industries (AC) MediCath (MX) Medicool (AT/MD) Mediflow Inc. (MDF) Medikmark, Inc. (KE) Medipak (MPK) Mediprime (AU) MediPurpose® (SE) Medisense Products – Abbott (ME) MediUSA (NE) Medline (56/GU) Medmart (MU) Medport, LLC (MPT) Medquip (MG) Medtrol (NA) Medtronic (61/68) Medtronic MiniMed (MN) MHC Medical Products (EZ) Microlife (MZ) Microtek Medical (NZ) Midwest Medical Supply (FM) Milliken & Co. (MQ) Millipore Corporation (MIL) Mission Pharmacal (MIS) MMJ LABS (MMJ/MM) Mobility Transfer Systems, Inc. (RI) Moen Home Care (MC) Mölnlycke Health Care (OY/SC) Mommy’s Helper (MOM) Monaghan Medical (MW) Montreal Ostomy (BE/MO) Moog (QZ) Moxi Enterprises LLC (RW) MPM Medical, Inc. (QC) MTG (NB) Mueller Sports Medicine (FO) Nature’s One® (CO) NB Products (KG) NeilMed® (NEI) Nestlé HealthCare Nutrition (85/CR) New World Imports, Inc. (NEW) Nipro Diagnostics, Inc. (67) North American Health & Wellness (JII) North Coast Medical, Inc. (NC) Nova Diabetes Care (NU) Nova Ortho-Med, Inc. (NO) Nu-Hope (79) Nullo.com (CT) Nurse Assist, Inc. (WE) Nutricia North America (SB/PS) Okamoto (OKO) Omega Medical Products (OG) Omnis Health (OH) Omron HealthCare, Inc. (73) One Pharmaceutical (ON) OPTIONS™ (80) Orthopedic Pharmaceuticals (OR) Owen Mumford (OW) Pain Management Technologies (PV) Parsons ADL Inc. (PRS) Parthenon (PA) Passy-Muir® Inc. (PF) Patton Medical (PW) PDI Inc. (PX) PDI® Healthcare (PY) PECO by securi-t USA (PC) PEDIFIX (FO) Pelstar LLC (HB) Pelton Shepherd Industries (PL) Penco Medical (PNC) Pepper Medical, Inc. (OZ) Perfect Choice Medical Technologies (OL) Performance Health (TB/THE) Perma-Type (81) PH R&D/GinJen (LT) Pharma Supply, Inc. (MV) Philips Respironics (RE) Phoenix Ostomy (PM) Polar Tech Industries, Inc (PLR) POS-T-VAC (UR) Posey® (82) Post Medical, Inc. (VY) Prairie Medical LLC (OK) Precision Dynamics Corporation (MKC) Precision Medical (PRE) Prestige Medical (PN) Pride Mobility Products® Corp (18) Principle Business Enterprises, Inc. (PU) Proactive Medical Products (LV) Probasics™ By PMI (ISG/PMI) Prodigy® Diabetes Care (OP) Progressive Medical (PRO) Providence Spillproof Container (PI) Purdue Products L.P. (BU) Puritan Bennett (PB) Puritan Medical Products (HA) Quest Products, Inc. (QU)

123 – 124, 190 250

M 209, 231

210 180 – 183

Real Food Blends (KF) Regency Products (REG) ReliaMed® ResMed Corp. (RC) Respiratory Delivery Systems, Inc. (RD) Rhinomed (ZY) Roche Diabetes Care (DI/59) Rochester Medical (RH) ROHO® (RO) Roll-A-Ramp (RAR) Roloke (RL) Roscoe Medical, Inc. (FU) Rose Healthcare (RK) Saebo (TQ) Safe Medical Systems (VY) Safe n Simple™ (RR) Sage Products (TO) SALK (84)

209, 249 – 250, 276

114 70

118 2

10 119 16, 286 – 287 36, 217

23, 72 – 73, 274 – 276 3, 5 – 6

17, 124 28, 36, 45, 50, 54 – 55, 57 213 29 205 – 206 185 – 186 325 – 326 276 N 189 191 63 – 67 21, 27, 29, 33, 57, 192 – 193 15 176 – 180

67 – 69

19 – 21, 194, 200, 240

184 – 185 192 9, 16, 23 199, 236 247 220 269 – 271 198, 233 – 234 33 184 196 – 198

205, 221 – 222 188 23 50, 277

36 – 37, 40, 47 – 48 105 – 109, 218, 329 42 – 43, 50 – 51, 55 29 – 31, 33, 39, 50 – 52 57 – 58

Q R

23, 209, 219 69 10, 16, 18, 116, 122, 281 – 286 222 210, 225 6 – 7, 13 43 – 44, 56 31, 36, 39 – 40

S 187 – 188, 276 – 277, 320 – 321 115, 209 – 210, 218 77, 113 – 114, 226

333

MANUFACTURER’S DIRECTORY AND PRODUCT INDEX Salter Labs (SA) 208 – 209 Salutron, Inc. (STI) Sandoz (EF) Santus (LA) 217 – 218 SCA Personal Care (SQ) 95 – 96, 98, 217 SCHENA OSTOMY TECHNOLOGIES, INC. (CY) 189 Scott Specialties, inc. (SS) 122 – 123 seca (SEC) Secure Health Products, LLC (SU) 186 Securi-T ® USA by Genairex (EI) 168 – 170 Select Medical Products (SLC) Seneca Medical, Inc. (96) Sharps Compliance (SCP) Sheepskin Ranch, Inc. (SHP) 31, 33, 45 – 46, 57, 124 – 125 Shelton Medical Products (RS) Shepard Medical Products, Inc. (SPD) Shiley™ (SH) 248 – 249 Shower Shield (SV) SIGVARIS (SG) 231 –233 Silipos (SIL) SIMPLYTHICK® (TT) SkinSafe, LLC. (SX) Smith & Nephew (54) 170, 211 – 213, 291 – 294, 296 – 297 Smiths Medical (DL/BJ/SF) 209 Sockwise Inc. (ERS) Sol-Millennium (SI) Solace Nutrition (SY) 71 Sonoma Pharmaceuticals, Inc. (OI) 16, 218 Southwest Technologies, Inc. (SW) 192, 321 – 322 SP Ableware-Maddak® (NV) 28 Specialty Medical Supplies (UK) Specialty Surgical (UA) Spectra Baby USA (JH) 2 Spectrum Surgical Supplies (SZ) Spenco (SK) Spirit Medical (LL) 224 Splash Shield LP (SPL) SPO Medical (OX) Spring Health Solutions (HX) Stander, Inc. (STD) 30, 34, 48, 56, 58 STERIS Corporation (CLV) Sto-Med, Inc. (FX) ® STOMOCUR (IN) StyleScience Inc. (STY) Summit Industries (LA) Sunrise Medical (GU) Sunset Healthcare Solutions (KR) 223 – 224, 247 – 248 Supreme Technologies/Supreme Power® (CB) Swede-O, Inc. (SWO) Systagenix (53) T T.C. Industries, Inc. (TCI) Tandem Diabetes Care (TN) 4 TC Industries (TCI) 120 Teleflex®-Hudson RCI® (92) 203 – 205, 246 Teleflex®-Rüsch® Brand Urologicals (MM/RU) 256 – 258 Terumo Medical (TJ) TheraBand™ (TB) Therafin Corporation (TFC) Thermal Aid (FSA) Timm Medical/Osbon (OB) Tomy (TF) 2 Torbot (74/TR) 174 – 175 Triad Medical, LLC (OF) 187 Trio Ostomy Care (ZX) 188 Trividia Health, Inc. (67) 9, 12 – 13 TrueCare Biomedix (TC/TCB/TCR) 117 – 118, 120 Trulife-Camp Healthcare (CM) Tuffcare, Inc. (TC) Tytex (TYT) 124, 189, 278, 332 U UG Healthcare (UGH) UltiMed, Inc. (UT) 9 ULURU Inc. (UI) Unique Wellness® (UW) 112 – 113 Universal Surgical (UZ) unysen (XN) 23 Uresil® (US) Uro Concepts Inc. (UCI) Urocare® (UC) Uromatrix (UR) V Val Med® (VAL) Valeritas (VJ) Veridien Corporation (VER) Verilux, Inc. (VLX) Vesco Medical (97) 75 Vitaflo (VF) Vital Signs (VS) VitalWear, Inc. (VW) VivoNex, LLC (VNX) VPI® (VP) W W.R. Medical (WR) 195 – 196 Weber & Judd Pharmacy (WJ) Wellspect HealthCare (AH) ® Welmedix HomeCare PRO (wx) Winchester Laboratories, LLC (WL) Windmill Health Products (WH) X X-Back Bracing Services (XBK) X-O Corporation (XO) Xitech, Inc. (XT) 225 Z Zefon (ZEF) 117 Zevex International (QZ) Zewa, USA (ZEW) Zoll Medical Corporation (ZOL) Zorbx (ZOR) *Guardian is a registered trademark of Medline Industries, Inc. PRODUCT INDEX “Y” Connector Tubing Sets for Bilateral Drainage 277 10 Series™ and 10 Series™ Connected Upper Arm Blood Pressure Monitors 19 2-in-1 Locking Seat with Tool-Free Removable Arms 26 A Abdominal Binder 124 Abena Abri-Form Premium Overnight Briefs 111 Ableware™ Wheelchair Oxygen Tank Holders 209 Abri-Fix Man 112 Abri-Flex Premium Overnight Underwear 112 Abri-Form “Original” Overnight Briefs 112 Abri-Man Male Guard 112 Abri-San Incontinence Products 112 ACCU-CHEK® Products 6 – 7, 13 ™ AccuRelief Mini TENS 240 ™ Ace Personal Therapy Products 199 ACTICOAT* Wound Care Dressings 291 ActiveLife® Ostomy Products 135 – 136 Activity Trackers 21 Adapt CeraRing™ Flat Barrier Rings 150 Adapt® Ostomy Accessory Care Products 150 – 151 ADTEMP™ Thermometers 19 Advance Plus® Intermittent Catheters and Kits 266 Aerobika® Oscillating Positive Expiratory Pressure (OPEP) Therapy System 205 AeroEclipse® Nebulizers 206 Aerosol Drainage Bags 204 Aerosol Masks 202 – 203, 206, 208 ® Air Entrainment Adult MULTI-VENT Mask 203

334

AirCare™ Deodorizer 220 Air-eze Incentive Deep Breathing Exerciser 205 AirFit™ Nasal Pillow CPAP Masks 222 ® AirLife Respiratory Products 206 – 207 Alfamino™ 67 ALGICELL™ Dressings 312 Algidex Ag® Wound Care Dressings 323 – 324 Algidex Gel 324 ALGISITE* M Calcium Alginate Dressings 293 All Day Moisturizer Cream 211 Alldress® 299 Allergy Relief 190 ALLEVYN* Wound Care Dressings 294, 296 AllKare® Wipes 138 Aloe Vesta® Skin Care Products 214 – 216 Alpine Fresh™ Appliance Cleaner, Non-Toxic 256 Alpine® Reusable Leg Bags 255 Amara Full-Face Mask 221 AMBITEX® Gloves 77 Anasept® Skin Care Products 331 Anchor Fast® Oral Endotracheal Tube Fastener 73 Animas® Vibe® System 4 Antacid/Antigas, 12 oz. 190 Anti-Diarrheal 190 Anti-Embolism Stocking 233 Antifungal Creams 211, 326 Antimicrobial Perineal & Skin Cleanser 80, 211 Apogee Intermittent Catheter 266 ApriVera® Skin and Hair Cleanser 217 Aqua Relief System 199 AQUACEL® Wound Care Dressings 288 – 289 AquaGuard® Moisture Barriers 189, 332 AQUAPAK® Humidifier Kits 203 Aquasonic® 100 Ultrasonic Gel 241 Arm Sling with Shoulder Pad, Universal 123 Artiflex Nonwoven Padding Bandage 319 Aspirin Chewable Tablets 190 Assist-A-Tray and CouchCane 48 Assura® 159 – 166 Assure C Odor Eliminator 187, 277 Assure® Lance Safety Lancets 14 AsthmaMD Peak Flow Meter + free AsthmaMD App 205 Atrac-Tain® Cream 214 ® Attends 87 – 88, 90 Autolet® Impression Advanced Lancing Device 16 Avir Wheelchair Back Cushion 42 B ® Band-Aid Bandages 321 Banish* II Liquid Deodorant 170 Bard® Catheters 258 – 259, 261 Bardex® Catheters 261 ® Bardia 260, 262 – 264 Bariatric Abdominal Supports 124 Bariatric DME Products 25 – 26, 29, 30 – 33, 52 Bariatric Knee Wrap 123 Barrier Creams 80, 211 Bathtub Rails 25 Baza® 168, 213 BD Catheters 116 ™ BD Lo-Dose Insulin Syringe 8 BD Microtainer® Contact-Activated Lancets 15 BD Safe Clip Clipper Device 8 ™ BD Saf-T-Intma IV Catheters 116 BD Syringes and Pen Needles 8 BD™ Sharps Collectors 120 – 121 Bead “O” Rings 175 Bed Caddie 56 Bed Cradle 54 Bed Drainage Bags 163 Bed Pans 26 Bed Rail Advantage Traveler & Organizer 56 Bed Rails and Pad 53 – 56 Bed Wedges 192 – 193 Bedside Collection Systems and Drainage Bags 263, 267, 275 Bedside-Care® Skin Care Products 168, 214 Belly Bag®, The 258 Biatain® Wound Care Products 308 – 309 Bi-Level Urethral Catheterization Procedure Trays 261 Biliary Drainage Kit 183 BIOGUARD® Barrier Dressings 312 BioKnit® Conductive Garments 238 Biolex™ Wound Cleanser Spray 330 BIOPAD™ Collagen Dressing 287 Biopatch® Antimicrobial Dressing 120 BIOSTEP* Wound Care Dressings 296 ® BioStim 237 – 238 Blood Collection Devices 118 Blood Pressure Monitors 19 – 22 Body Slings 49 – 50 BodyWash Rinse-Free Shampoo and Body Cleanser 220 Bolus Extension Set 72 Bongort® Pouches 174 BOOST® 63 – 64, 66 ™ Borage DiabetiCare Foot Cream 226 Braun ThermoScan®5 Ear Thermometer 23 Brava® Ostomy Accessory Care Products 166, 168 BREEZE®2 12 ® ® Breezers by Prevail Adult Briefs, Ultimate Absorbency 81 BrrBox Cooler 120 B-Series Basic I.V. Administration Sets 117 Bubble Humidifiers 208 Bubble Mattress Pad for Protekt™ 1500 55 Buzzy® Mini Personal 3, 17, 121 C CalciCare™ 302 CanDo® 196 Canes and Accessories 34 – 35 Car Caddie 58 Cara Products 195 ® CarboFLEX Odor Control Dressings 290 CarboZinc 178 Cardinal Health™ Essentials Automatic Digital Blood Pressure Monitor with XL Cuff 18 Cardinal Health™ Essentials Diabetes Products 16 Cardinal Health™ Essentials Incontinence Products 78 – 80 Cardinal Health™ Essentials Ostomy Accessory Care Products 10, 171, 237, 269, 283 Cardinal Health™ Essentials Respiratory Products 200 Cardinal Health™ Incontinence Products 78 – 80 Cardinal Health™ Personal Care Products 34, 52, 57 Cardinal Health™ Urological Products 268 – 269 Cardinal Health™ Wound Care Products 281 – 283, 285 Carebag® Commode Liner with Super Absorbent Pad 26 ® CareFix Care Bag 278 CareFix® Pre-Cut Dressing and Bandage Fixation Arm Tube 332 CareFix® StomaSafe 189 CareFor™ 113 – 114 Ca-Rezz® 216 Carpal Tunnel Wrist Brace 123 CarraGauze® Dressings 331 CarraKlenz™ Wound and Skin Cleansers 331 ™ CarraScent 331 Carrasyn® 331 Catheter Holders 178, 264, 277 Catheter Insertion Kit 271, 274 Catheter Insertion Trays, Universal 262, 275 Cellona® Synthetic Padding 327 CenterPointLock™ Ostomy Products 148 – 149, 151 Central Line Dressing Change Kit 116 Cervical Collar with Chin Contour, Universal 123 ChemoPlus™ 119 ChemoSafety™ 119

ChemoSorb™ 9˝ x 9˝ Low Lint Towel 119 Children’s Pain Relief 190 Children’s Puppy Aerosol Mask 202 ChloraPrep One Step 120 Cholextra™ 71 CICA-CARE* Adhesive Silicone Gel Sheet 297 Circaid® Stockings and Compression Therapy 234 – 235 Citrus® II 219 ® CLAVE Multi-Dose Vial Access Spike 117 Clavicle Strap 123 Clean-Cath® Catheters 258 CleanE-ze Disinfectant Wipes Plus 220 ® Clear Advantage with Aloe Male External Catheters 255 Clearlax Laxative 190 Coccyx Cushion, Super Compressed 42 CoFlex™ 322 – 232 ® ColActive Plus 287 Co-Lastic® LF Cohesive Elastic Bandage 315 Colly-Seel® Discs 174 Coloplast® Ostomy Accessory Care Products 166 ® Comfeel 308 – 309 Comfees™ 92 Comfeeze 209 Comfort Bath® Cleansing Washcloths 218 Comfort Ring 16˝ w/Navy Fabric Cover 41 Comfort Rinse-Free Shampoo Cap 218 Comfort Shield® Barrier Cream Cloths 115, 218 ® Comfort Infusion Sets 5 ComfortCare™ products by Tranquility® 109 ComfortGel Masks 221 comfort™/comfort™ Short Infusion Set 4 Comfy Cradle Maternity Support 122 Commodes 25 – 27, 29 CompAir® 200 Compose® Disposable Cloths 111 Comprilan® Short Stretch Compression Bandages 320 Cone Irrigation Kit 151 CONFORMANT 2® Wound Veils 293 contact™ Detach infusion set 4–5 Continent Ostomy Elastic Belt 183 CONTOUR® 12 Control III® 210 ® ConvaTec Night Drainage Containers 136 ConvaTec® Tail Closures 138 Conveen® Security+ Leg and Bedside Urine Bags 254 – 255 Convert-A-Pouch® Convex Faceplates 175 ™ Core Essentials 69 CORFLO® 74 CORRA-A-FLEX® II Corrugated Roll Tubing 204 CORSTOP™ a.c.e. stoppers 74, 278 Cottonelle Fresh® Flushable Moist Wipes 94 ® ® Coudé Bardex Lubricath Latex Foley Catheters (Carson Model) 261 Covaderm® 324 Coverlet® Flexible Fabric Adhesive Bandages 318 Cover-Roll® Adhesive Gauze Bandages 319 COVRSITE* 293 CPAP Accessories 223 – 225 C-Pro™ 3D Collagen Wound Dressing 324 Criss Cross Lumbar Support 124 Critic-Aid® 213 Cruiser III Lightweight Wheelchair 36 – 37 Crutches and Crutch Accessories 33, 36 Cunningham Penile Clamps 264 ® Cure Medical Catheters 272, 274 Curity™ Incontinence Products 104 – 105 Curity™ Urological Products 274 – 276 Curity™ Wound Care Products 303 – 307 CUTICERIN* Gauze 291 Cutie Pants™ Refastenable Sides 86 Cuties® 86 ® Cutimed 318 – 319 CUTINOVA* Hydro 292 Cymed Seals 173 Cyto Carn™ 71 ™ Cyto RALA 71 Cytolline 71 Cyto-Q™ Max Concentrated Ubiquinol Liquid 71 D Daily Diabetic Organizer Case 10 Dale® Abdominal Binders 122, 330 Dale® ACE (Access Controller for Enteral) Connector® 73 Dale® Hold-n-Place® Foley Catheter Holders 277 ® Dale Nasal Dressing Holder 330 Dale® Post-Surgical Bra 330 Delta-Flex Protective Underwear Pull Ups 112 Depend® 92 – 93 DERMACEA™ Drain Sponges 306 DermaFix™ 220 DERMAGRAN® 310 Dermal Wound Skin/Wound Cleanser 292 Dermanet® Wound Contact Layer 324 DermaSoft™ with Aloe 220 DeVilbiss Traveler® Portable Compressor Nebulizer System with Battery 202 DeVilbiss® Homecare Suction Pump 7305 Series 202 ™ Dewrap Unna Boot Three-Layer Compression System 324 Dexcom® Continuous Glucose Monitoring Systems 3 Dextatic® 329 ® Dextrosan 329 Diabetic Socks 232 – 233 Diabet-X® 216 Diagnostix™ Pocket Otoscope/Ophthalmoscope Diagnostic Set 19 ® Dia-Pak DayMate with Gel Pack 10 Diff-Stat® 68 Digital TENS Pain Therapy 239 Dignity® 109 – 111 Dispoz-a-Bag® Leg Bags 263 ® DMI Acrylic Wheelchair Tray 41 DMI® Synthetic Sheepskin Decubitus Pad 57 DMI® Transfer Boards 52 ™ Dover Urological Products 274 – 275 Drain Ports 163 Dressing Change Kits 116 DriNite® Juniors Youth Pants 92 Droplet® Pen Needles 10 DryMax EXTRA Superabsorbant Dressing 326 Ducare® 313 Dudress® Film Top Island Dressings 313 Duform® Synthetic Conforming Bandages 313 Duocal 68 DuoDERM® 287, 290 DuoLock® Curved Tail Closure 138 Dusoft® Nonwoven Sponges, Sterile, 2s 313 Dutex® Conforming Bandages 313 E E028 Splash 68 ® Eakin Cohesive 138 Eakin® 290 – 291 Easy Tap® Leg Bags 258 EasyCath™ 256 – 257 Econo-Paste® Conforming Zinc-Oxide Paste Bandages 315 Eczema Fast Healing™ Cream 219 Eden the Elephant® Aerosol Masks with Flexible Tubing 206 Eggcrate Convoluted Mattress Pad 53 ™ Elasto-Gel Products 192, 321 – 322 Elastomull® Elastic Gauze Bandages 319 Elecare® 62 Electric Home Care Bed Packages 51 Electrodes 238 – 241 Emergensee™ And Adlens Adjustables™ 191 EMS™ 2000 Electric Muscle Stimulator 237

PRODUCT INDEX Endoform Dermal Template 300 Enema Bags 276 Enemeez® 114 ™ ENFit 75 ® Ensure Clear 59 – 60 Equipment Covers and Tags 58 ES Sea and Safari Bandages 330 ™ Eson Nasal Mask Complete 223 ® Esteem synergy , Ostomy Products 126 – 127 Esteem® + 127 – 128 Esteem® Gloves 76 ™ Excel-Gel Hydrogel Dressing 326 ™ Excilon Sponges 305 – 307 Exercise Peddler 57 ExSept Plus Skin and Wound Cleanser 287 Extension Tubing 264, 267 ® Extensive HA – Powder Formula 67 Exudex™ 329 EXU-DRY* Dressings with Anti-Shear Layer* 296 EZ Adjust Bed Rail 56 EZ Bath and Shower Seat with Handles 24 EZ Clean Urological Products 189 E-Z Drain™ Child Urostomy Pouches 183 EZ Fold-N-Go Walker 34 EZ Stand-N-Go 48 E-Z Toilet Seats 25 E-Z Wrap™ Cannula Wraps 209 ® ™ EZ-ACCESSORIES CarryON! Wheelchair Backpack 38, 45 F Facial Redness Repair 219 FARRELL® Valve Bag-Pressure Relief System 74 Fat Loss Monitors 20 Feeding Tube Attachment Device (FTAD) 73 Female Catheter Kit 261 Feminine Hygiene Products 79 Fiberglass Cylinder Wrench 208 FIBERSOURCE® HN 64 Fiber-Stat® 68 Filac™ 3000 EZ Electronic Thermometer 23 ® Filtrodor Pouch Filters 168 First Aid Kits 321 First Quality® Adult Briefs 81 Fistula and Wound Management Systems 162 Fixed Wheels with Rear Glide Tips 32 Flex & Form™ Collar Wafer System 168 Flexal® Gloves* 76 Flexam Gloves 76 Flexible Faceplate Set, Universal 175 FlexiFit™ 431 Full Face Mask Kit 222 Flexi-Seal® Fecal Collectors 136 Flex-Lite Tubing 225 Flextend® Skin Barrier, Sterile 150 Flivasorb® Super Absorbent Wound Dressing 327 FloCath Intermittent Catheters 256 – 257 Flushable Wipes 94, 114 Foam Cushions, Compressed Premium 42 Foam Lite™ 290 Foaming No Rinse Shampoo & Body Wash 219 Foley Catheter Trays 258, 262 Foley Catheter Tube Holder Leg Bands 276 Foley Insertion Tray 262 Folysil® All-Silicone Foley Catheters 255 ® Foot WAFFLE Brand Air Cushion 46 ® FootHold 46 Freedom Active Cath® Male External Catheters 255 Freedom Assist Handle 54 Freedom Cath® Male External Catheters 255 Freedom Clear® 254 – 255 FREEDOM Grip® 54 Freemie® Collection Cups 2 FreeStyle® Diabetes Products 14 Freeze IT® for Feet 192 Fritz Handle Wood Canes 34 Futuro™ Precision Fit Adjustable Knee Support 199 G Gait Belts with Hand Grips 50 Galaxtra™ 71 Gas-Relief™ Odour-Ban™ Ileostomy Pouches 183 ™ Gastrostomy Feeding Tube Single ENFit Port 75 Gelocast® The Original Unna’s Boot 319 Gel-Plus 186 Gel-X Absorbent (Now with Unscented Deodorizer) 186 Genius™ 2 Thermometer 23 Gentle Rain 214 GentleCath™ 268 ™ GentleWash 220 Genuine Sheepskin Accessories 31 Glen-Sleeve® II Arm and Leg Protectors 313 Glucerna® 59 – 60 ® GLUCOCARD Blood Glucose Monitoring Systems 14 Glutarex® 63 GLYTROL® 66 Go Chair® 40 Go-Go® 36 – 37 Gold Bond® 219 Gold Dust™ Hydrophilic Polymer Powder 322 Golden LiteRider™ Scooter 37 Good2Go™ Microwaveable Moist Heat Packs 195 ® GoodNites 94 Grab Bars 29 – 30 Great Grips Doorknob Grippers 58 Grip-Lok® 117 ® Guardian Quad Cane Tip 36 H Hair Washing Tray 28 Handheld Shower Spray and Massager 27 HandyBar 58 Health+Wellness™ Bath Safety Bar 27 HealthDri™ Foot-Friendly Diabetic Socks 226 HealthDri™ Reusable Briefs 113 HealthSmart® DME Products 24, 57 Heel and Elbow Protectors 122, 285, 313 Heel Guide™ Compression Stocking Aid 231 Heparin I.V. Flush Syringe 118 Heritage Collection 47 HIBICLENS® Antiseptic/Antimicrobial 213 HJ-321 Pedometer 194 ™ HolliHesive Skin Barriers, Nonsterile (Standard Wear) 150 Home Care Bed-in-a-Bag 52 Homepump Eclipse® Disposable Elastomeric Infusion Devices 118 Honeywell True HEPA Air Purifier 210 Horseshoe Shaped Dressings 322 Hospital Bed Side Rails, Deluxe Full Length 52 HR® Lubricating Jelly 271 ® HUGGIES 93 – 94 Humidifier Adapter Tubing 208 Hydrofera Blue 300, 302 Hydrofilm® Transparent Film Dressings 315 ® HydroFrame 186 HydroTac® Foam Dressings 315 HYPAFIX* Dressing Retention Rolls 292 I I.V. Administration Sets 117 – 118 I.V. Poles 120 Ibuprofen – Pain Reliever/Fever Reducer 190 Ice It!® MaxCOMFORT™ Systems 194 ™ I-Class DME Products 27, 32 ® Icy Hot 240 –241 I-Fit™ Shower Chair 28 Ileostomy Sets 179

iLEX Skin Protectant 219 IMAK® 122, 195 Imitation Shearling Decubitus Seat Pad 53 ® Impulse TENS D5 5 Mode Digital TENS 237 Independence™ 2-Handle Plastic Mug 57 Infection Control Urine Drainage Bags with Anti-Reflux Chamber 264 Infrared Automatic Moist Heat Pad 199 Innerspring Mattresses 51 – 52 InnoSpire Elegance Compressor Nebulizer System 205 inset® Infusion Sets 5 InstaGard® Synthetic Vinyl Exam Gloves* 76 Insulated Mitts 196 Intake HEPA Filter 224 Intellinetix® Vibrating Gloves 122, 195 IntelliPAP® CPAP Systems 223 InterDry Ag – Textile with Antimicrobial Silver Complex 214 Intermittent Catheter Extension Tube 255 INTRASITE* Gel Amorphous Hydrogel Dressings 293 Introcan Safety® IV Catheter 116 ® Invacare DME Products 27, 30, 32, 38, 41 ® Invacare Personal Care Products 46, 48 – 49, 51, 53 – 54 Invacare® Platinum 5 & 10 Filter Plus Oxygen Concentrator Filter Kit 224 InView® External Catheters 267 IODOFLEX* Cadexomer Iodine Pads 291 IODOSORB* Gel 291 Irrigation Trays and Syringes 275, 307 Isoband® Finished Edge Bandages 319 ® ISOSOURCE 1.5 CAL 64 It Stays® 230 iTens – Wearable Pain Relief 236 ITW Texwipe® Wipes and Mops 119 IV Extension Sets 117 IV PREP* Antiseptic 212 IV Start Kit 116 IV3000* Transparent Adhesive Film Dressings 292 ® I-Valex -2 63 J 40 Jazzy Air® Power Chair Jazzy Select® Elite 40 Jevity® 59 J-Hook Adjustable Height Cane* 34 JOBST® Compression Products 228 – 230 JOBST® Comprifore® 319 ® Jolastic 230 Juven® 60 K K.D. Bath Seats and Benches 26 Kabooti™ “Better Donut” Seating Cushion 40 KALTOSTAT® Dressings 288 Kangaroo™ 72 – 73 ™ Karaya 5 142 – 143, 150 Karaya Gum Powder 179 Kendall™ Washcloths 105 Kendall™ Wound Care Products 304 – 305, 307 ™ Kenguard 274 – 276 ™ Kennedy Cup 58 Kerasal® One Step Exfoliating Foot Moisturizer Therapy Ointment 17 Kerlix® 305 – 307 KerraCel 325 KerraContact® Ag Dressing with ag Oxysalts™ Technology 325 KerraFoam™ Gentle Boarder – Silicone Retention Dressing 325 KerraLite Cool® Hydrogel Moisture-Balancing Dressing 325 ® KerraMax Care Super-Absorbent Dressing 325 KerraPrep™ 325 Ketostix® Reagent Strips 12 Knee Immobilizer, Deluxe 123 Knee Scooters 34, 36 Knee Walker and Accessories 33, 36 Kolbs NSR Compressed Foam Homecare Mattress 54 Komplete® Meal Replacement Shakes 69 Kona Wheelchair 39 Kontiba Stoma Caps 186 Kotex® Pads 93 L Lady Dignity® Panty 111 LadyLace™ Wraparound Patient Gown 77 Lantiseptic® 217 – 218 ® LayDry Premium Absorbent Bed Pads 114 Lead Wires for use with TENS, EMS and IF 48˝ 236 Leg Bags and Straps 264, 267 Leg Rest 193 ® Leukotape P Sports Tape 320 Lever Extender 58 LIFESAVER® Resuscitators 204 – 205 LifeSource™ Extra Large Arm Blood Pressure Monitor 21 Lift Chairs 47 Lightplast® Pro Elastic Athletic Tape 320 Liquid Hope® 69 Little Ones® 134 – 135 LoFric® 271 – 272 Logbook 11 Long Reach Comfort Wipe 29 Long Reach Grabber 57 Lopez Enteral Valve® with Tether 117 ® Lubricath Catheters 261 Lubricating Deodorant, Super Strength 184 Lucite Canes 34 Lyofoam® Max Polyurethane Foam Dressings 300 M m9® 151, 268 Macrobore Extension Set 117 Maddak® Tall-Ette® Extra Wide Toilet Seat with Steel Frame 28 Magic Bullet Laxative Suppository 115 Magic3® Catheters 259 – 260 Manhood® Absorbent Pouch 256 Mariner™ Rehab Shower Chair 27 MatchMates® Sprague Rappaport-Type Combination Kit 19 MAX-IF 1000 IF Unit 241 Maximum-Plus Protection 106 ™ MaxSeal Protective Barrier Ring 180 MAXTENS 241 Medela 2 ™ Medena Continent Ostomy Catheters 175 Medi Elbow & Heel Safeguard™ 329 MEDIHONEY® 310 MediPlus 286 – 287 MediSense Glucose and Ketone Control Solution (Mid only) 15 mediven® 235 Medline Moisture Barrier Cream 217 Mefix® 299 Melgisorb® 299 Melio® 278 Mepiform® 298 Mepilex® 297 – 298 Mepitac® 297 Mepitel® 297 – 298 Mepore® 299 MERINO OUTDOOR Wool Compression Socks 232 ® Mesalt 299 Metro Car Handle Plus 58 Mextra® SuperAbsorbent 298 MIC-KEY® Low-Profile Gastrostomy Tube Kits 72 ® MICRO MIST Nebulizers 203 MicroAir® Electronic Nebulizer with V.M.T. 200 Microcyn® 16, 218, 328 Micro-Guard® Powder 214, 256 MicroHesive™ 174 ™ MicroKlenz 331 MICROLET®2 Lancing Device 12 MicroSkin® 171, 173 – 174 ®

MIDTOWN Microfiber Compression Socks 233 MiniMax™ One-Piece Drainable Ostomy System 181 MiniMed 3, 6 ™ Mirage Quattro Full Face Mask Complete System with Cushion (With Headgear) 222 ™ Misty Max 10 Disposable Nebulizers 207 Mitt/Boot Liner 196 Mobility Bed Rail 56 Modudose Unit Dose Saline 207 Moleskin 322 MoliCare Mobile® 110 MoliMed® Premium Bladder Control Pads 110 Mollelast® 327 Monaghan™ Z STAT® Anti-Static Valved Holding Chamber (aVHC) 206 Mono-Flo™ Anti-Reflux Device Add-A-Foley Trays 275 Monogen® Protein Powder 68 MOS 23 ® Mothers Milk Spectra S1 Double Electric Breast Pump Kit 2 Moveen® Bedside Night Bags 255 MSUD Maxamum Powder 69 ™ MT Spandage Tubular Elastic Retainer Net 329 MTG Catheters 276 Mucosperse™ Mucous Dispersant 183 MULTI-AD® Transfer Set 117 Multi-Adaptor 204 Multidex® Maltodextrin Hydrogel Wound Dressings 324 Multipad™ Non-Adherent Wound Dressings 323 Mute™ Nasal Snoring Device 210, 225 N Na `Scent Ostomy Odor Eliminator 189 NanoVM® 71 Nasal Decongestant PE 190 Nasogastric Feeding Tubes and Holders 73 – 74 Natura® 128 Natural Care™ Gel 330 Natural® Male External Catheters 263 ND2-Kit 186 Nebulizer Adaptors and Air Filters 200, 203 Nebulizer Kits 207 Needle-Free Dispensing Pins 116 ® ™ NeilMed Sinus Rinse Kit 191 Nellcor™ 209 Nelmed G-Tube Holder 74 Nelmed Urine Bag Support 277 Neocate 68 NeoKe™ 71 Neonatal Dainable Pouches and Belts 180 Neoprene Knee Braces 123 Nepro® with Carb Steady® 60 New Image® Ostomy Products 144, 146 – 148 Next Generation Barrier Rings 184 NG-Strip Adult Nasal Tube Fasteners 73 Nice Stretch® X Lite 122 Night Drain Adapter Tubes 174 Nite Train-r® 115 No Rinse® Bathing Wipes 216 – 217, 219 Non-Rebreathing Masks 203 No-Rinse Cleansers 80, 211 Normal Saline I.V. Flush Syringe 118 ® Normlgel 299 NormlShield™ Skin Protectant 326 No-Sting Barrier 211 No-Sting Skin Barrier 187 – 188, 277 No-Sting Skin-Prep* Protective Dressings and Spray 212 Nourish® 69 Nova Max® 15 NOVASOURCE® RENAL 66 Nuance 222 Nu-Comfort Ostomy Products 176, 178 NU-FIT® by First Quality® Adult Briefs, Extra Absorbency 81 Nu-Hope Drainable Round Pouches 177 Nu-Sorb® 179 Nutramigen® 70 Nutren Junior® 66 – 67 NUTREN® 64 – 65 NUTRIHEP® 66 NutriPort™ Skin Level Gastrostomy Kits 72 O Oasis 48 Omni Tray 48 OmniPod® 7–8 OneTouch® Products 5, 11 Onli 264 OPSITE* 292 OptiLife Nasal Mask, Minimal Contact Interface 222 OPTIONS™ Ostomy Products 185 OPTIPORE® Sponge 287 OptiumEZ Blood Glucose Test Strips 15 Opus™ 360 Nasal Pillows Mask Kit 222 Original Cuff® Ankle and Wrist Weights 196 ™ Original ILE-SORB 174 O-Ring Seals 180 Orthogel™ Advanced Pain Relief Gel 192 Osmolite® 61 Osto-Barriers 186 Osto-Bond Skin Bond Adhesive 186 Osto-EZ-Vent® (Air Release for Ostomy and Fistula Pouches) 188 Ostofresh™ 187 Osto-Gel Super-Absorbent 186 Ostomy Appliance Deodorant 186 – 187, 277 Ostomy Belts 138, 151, 168, 170 – 171, 175, 183 Ostomy Skin Barrier Powder 188 OSTO-PASTE and OSTO-SEAL 185 – 186 Osto-Strips “Thins” 185 Outdoor Step 57 Overbed Tables 52 – 54 Over-the-Ear Nasal Cannulas 204 Oxygen Delivery Accessory Products 203 – 204, 208 P Pain Reliever, Extra-Strength, 500 mg 190 ® Parabath 198 Paraffin Refill Beads 195 PeakAir Peak Flow Meter 200 PECO Catheters 269 – 271 Pectin Powder 185 PediaSure® 62 Peel and Stick Drainable Pouch Closures 174 ® Peha-haft Cohesive Conforming Bandage 315 Penco Universal Walker Glides 33 Pepdite Junior 68 Peptamen Junior® 67 ® PEPTAMEN 65, 67 ® Perative 61 Perfect Choice One-Piece, Cut-to-Fit, Closed-End Pouch 184 Per-Fit® Protective Underwear, Extra Absorbency 84 Perform® 198 ™ PeriShield 220 Peri-Stoma Cleanser and Adhesive Remover 187 PermaFoam® Foam Dressings 314 Personal Care Pads 107 ® Personal Catheter 260 Personal Cleansing Cloths 211 PersonalBest Peak Flow Meters 205 Petrolatum Gauze Non-Adhering Dressings 312 ™ Pharma-C-Wipes 220 Phenex® 63 Phenyl-Free® 70 Phoenix Ostomy Support System 188 Physiotulle® Wound Contact Layer 309 Pico Single Use Negative Pressure Wound Therapy System 291 Pilairo™ Q Nasal Mask 223

335

PRODUCT INDEX Piston Irrigation Syringe Tray 275 Pivot® 1.5 Cal 61 Platform Attachment for Walkers 32 PleurX® 208 Plush Turtle Ice Pack 330 Pocket Chamber 204 PocketPeak™ Peak Flow Meter 204 Poise® 93 ™ Polyderm 323 PolyMem® 316 Pop-On® Male External Catheters 263 Portable Ventilator Circuit, Adult Single-Limb 207 Posey Drainage Bag Straps 277 Posey Gait Belt 50 Positive Touch® Latex Exam Gloves 76 Post-Op (Clear) Pouches, Urinary Oval Adult 178 Posture Support 123 Pouch Clamps 138, 151, 168, 174 Pouchkins™ 143 – 144 POUCHO™ – Cooling Pouch for Insulin 10 Precision Xtra® 15 Pre-Filled Syringe 118 Premee Drains 180 Premier™ Ostomy Products 139 – 142 Presto® Incontinence Care Products 98, 100 – 101 ® Prevail Incontinence Care Products 81 – 82, 84, 86 PRIMAPORE* Adhesive Nonwoven Wound Dressings 296 Primer® 314 ™ ProBasics DME Products 39, 50 ™ ProCare Incontinence Care Products 81, 84, 86 Procol® and Procol® Thin Hydrocolloid Wound Dressing 324 PROFORE* 296 – 297 ® Promote 61 ® Propimex 63 Proscope™ 19 Pro-Stat® 67 Protekt® DME Products 42 – 43, 50 – 51, 55 PROTENS Electrodes 241 Protex™ 182 – 183 Provent 219 ® Proximel Silicone Dressing with Border 314 Psoriasis Control™ Cream 219 Pull-Ups® 94 Pulmo-Aide® Compressor Nebulizer System 202 ® Pulmocare 61 PulmoMate® Compressor/Nebulizer 202 PulmoNeb® LT Compressor Nebulizer Systems 200 Pulse Oximeter 23, 200, 209 ® Puracyn 328 Purely Yours® Double Electric Breast Pump 2 Purilon® Gel 308 Q ™ Qt BD Mail Away Sharps Collector 121 Quadstar® II TENS, NMS, INTERFERENTIAL COMBO 238 Quick-serter® 6 Quilted Underpads 114 R RadiaDres™ Gel Sheets 331 RadiaGel™ 331 Rapid Rash Relief Cream 114 ™ Rapport Vacuum Therapy Device for Erectile Dysfunction 23 Rebound® 237 Red Rubber Catheters 256, 258 ® Regenecare Wound Care Gel with 2% Lidocaine 325 ReliaMed® Heel and Elbow Protectors 122, 285 ReliaMed® Mini Lancing Device for Fingertip and Alternate Site Testing 16 ReliaMed® Tape 10, 285 – 286 ReliaMed® Wound Care Products 283 – 286 Reliant 600 Bariatric Power Lift 49 Remove* Adhesive Removers 211 Repel™ Waterproof Composite Wound Dressings 326 ® REPLETE 65 REPLICARE* 292 – 293 RESOURCE® 66 Respironics Filters 224 ® Restore Wound Care Products 213, 302 – 303 Resuscitation Bags 206 Reverse SlantRail™ 54 Ring Cushions 42 Robinson Urethral Catheter 274 Robinson/Nelaton Intermittent Catheters 256 ROHO® Cushions 43 – 44 ROHO® PRODIGY® Mattress Overlay 56 ROHO® Retroback® Back Support System 44 ROHO® SOFFLEX®2 Mattress Replacement System 56 Roll-A-Lotion Applicator 193 Rollators 30 – 31 ® Rosidal 326 – 327 Rotating Round Shower Stool 28 Rubber “O”-Ring Seal 183 S ® SAF-Clens AF Dermal Wound Cleanser 287 Safe-er-Grip Suction Bars 29 SAFEHIP® 124 ™ SafeLock Drug Transport Bag 119 Safety Bed Rail 56 Safety Screw Connector Gravity Feed Transition Set with ENFit™ Connector 75 SafetySure® 50, 55, 57 ® SAF-Gel Hydrating Dermal Wound Dressing Gel with Alginate 287 Salter 8900 Jet Nebulizer 208 Salter Aire Elite Compressor 208 Salter Soft Low-Flow Cannula with 7´ Tubing 209 ® Salter-Style Nasal Cannulas 209 Sami the Seal Pediatric Mask 205 Sani-Bag+® Commode Liner 28 Sani-Cloth® 220 ® Sani-Pant 113 ™ Sani-Zone 115, 186 Scales 21 – 23 Scissors 168 ™ Screw Cap Gravity Feed Transition Set with ENFit Connector 75 Sea-Band Wrist Band 191 Sea-Breeze Appliance Cleaner/Deodorizer 186 Sea-Clens® No-Rinse Wound Cleanser 307 Seal Tight® 120 SeamLess™ Socks 233 – 234 Secura* Skin Care Products 212 – 213 Securi-T® USA Ostomy Accessory Care Products 170 Security Bed Rail 55 Security Poles 48 Select® Incontinence Care Products 108 – 109 Self-Cath® 252 – 254 Self-Standing Cane Tip 36 Sensi-Care® 136, 215 SenSura® Ostomy Products 152 – 154, 156 – 159 Sephure® Suppository Applicator 115 Setopress® 300 Shapes® by PolyMem® 316 SharpSafety™ 121 Sheepskin Heel and Elbow Protector 124 Sheepskin DME Products 33, 45 – 46 Shoulder Immobilizer 123 Shower Benches/Stools 24 – 26, 28 – 29 Shower-Guard™ — Moisture Barrier 285 ® Shur-Conform Oil Emulsion Non-Adhering Dressings 312 SideStream Plus Breath-Enhanced Reusable Nebulizer 205 SIGVARIS Doff n’ Donner 232 Silastic® Catheters 261 Silicore® Foot Pillows 193 SilvaSorb® Sheets 332

336

Silver Sport 2 – Dual Axle Wheelchair 37 Silverlon® Wound Care Products 327 – 328 Silver-Sept® Antimicrobial Skin & Wound Gel 331 Similac® 62 Simplicity™ 102 – 104 Simplus™ Full Face Mask 222 Simply Saline® 209, 332 Simpurity Alginate Wound Dressings 320 Simpurity 320 – 321 Sinus Relief 190 Sir Dignity® Briefs 111 Sitz Bath 26 Skin Conditioner 211 Skin Essentials Starter Kit 115 Skin Gel Protective Dressing Wipes 150, 213 Skin Shield™ 181 – 182 Skin Tac “H”™ Liquid Adhesive Barrier 174 Skin-Prep* Protective Dressings 212 SleepOvers® Youth Pants, Overnight Protection 86 Slip-Not Flotation Gel Cushion 41 Slip-On Knee Compression 123 Slippers 125 Small Bore Extension Set with ULTRASITE® Injection Site 116 SnapWrap™ Deluxe Adult Patient Gown 77 Snoopy Arm Sling 123 ™ Soapreme 220 SoClean® 225 Sofsorb® Absorbent Wound Dressings 323 Soft Comfort Hot & Cold Packs 192 Softech Nasal Cannulas 204 Softeze™ 193 Soft-Touch Cloth Electrode 236 Sol Fiber 71 SOLOSITE* 293 SORBACELL® Foam 313 Sorbalgon® 314 Sorban® Padding Bandage 313 SpaBuddy 240 SpandaGrip™ Tubular Support/Compression Bandage 329 Spanda-Sleeves™ 329 Spand-Gel™ Hydrogel Sheets 329 Spectra S2 Hospital Strength Breast Pump 2 Spectra® 360 Electrode Gel 241 SpeediCath® 252 ® Spenco RX 193 – 194 Spenco® 2nd Skin® 332 SpencoMedics™ 194 Sphygmomanometers 18, 20 Spike Connector, Universal 117 Spirit™ Male External Catheters 262 Splash Guard 26 Stable Rail 56 ® StandEase 50 Stander’s BedCane with Organizer 56 Standing Sling with Waist Belt 49 Staph-Chek Flotation Gel Cushion 41 ® STAR LUMEN Tubing with Connector and Lumen 204 StatLock® PICC Plus 117 Sterile Cap 117 Ster-O2™ 500-mL Prefilled Humidifier with 5 psi Humidifier Adapter 209 Stethoscopes 18, 20 Stimulen™ 322 Stoma Caps 142 – 143, 149, 162, 164, 173, 186, 188 Stoma Care® Wipes 175 Stoma Cones 151, 166 Stoma Hole Cutter Tools 179 Stoma Irrigation Sleeves with Belt Tabs 151 Stoma Surround Sealant 189 Stomahesive® 126, 130, 134, 138 Stop-Odor Plus 186 Stretch Net™ Tubular Elastic Bandage 325 Suction Cup Grab Bars 27 Suction Swab System with Perox-A-Mint Solution 210 Suction Toothbrush Kit 210 Sunset HCS 223 – 224 Sunset Premium Style Chinstraps 223 – 224 Supersorb® Premium Underpads 90 Suplena® with Carb Steady® 61 Supplements 190 Supra Visco Wheelchair Back Cushion 41 Suprasorb® 326 – 327 Supreme AG Calcium Alginate Dressing with Antibacterial Silver 287 Sure Care™ Incontinence Care Products 103 Sure Lever Release™ Trigger Walker 33 SureCath Set® 254 SurePress® 288 SUR-FIT Natura® Ostomy Products 130, 132 – 134, 136 SurgiLance™ 16 Surgilast® 314 Sween® Skin Care Products 214 Swift™ FX Nasal Pillows System 222 Swimmates® Disposable Swimwear 105 Swivel Wheels with Glide Tips 32 Syringe Caps 117 T ™ T.E.D. Anti-Embolism Stockings 226 t:30™ and t:90™ Infusion Sets 4 t:flex™ Insulin Pump 4 ™ t:slim G4 Insulin Pumps 4 ® TechLite Lancets 14 Telfa® Dressings 305 – 306 TENA® Incontinence Products 95 – 96, 98 ® TENA Skin Care Products 217 TenderWet® Active 331 Texas Catheter™ Male External Catheters 274 tg® Bandages 327 ™ The First Years Quiet Expressions Double Electric Breast Pump 2 ® THERA°PEARL Hot & Cold Therapy 196 TheraBand™ 197 – 198 Therabath® PRO® Professional Paraffin Bath 195 Therapeutic 5 Zone Support Mattress 52 Theratrac Cervical Traction Device 236 Thermophore® Deep-Heat™ Therapy Products 194 Thick-It® 70 TieBack™ Traditional Hospital Style Gown 77 Tiemann ERU® Coudé Catheters 256 Toe-Aid™ 321 Toilet Safety Frames and Risers 24 – 28 Toothette® 209 – 210 Torbot Liquid Bonding Cement 175 Touchless Care® No-Touch Skin Care Products 325 Touchless® Plus Unisex Intermittent Catheter Kits 259 Tourist Handle Wood Canes 34 Tracheostomy Masks 203 Tranquility® Incontinence Products 106 – 108 Tranquility® ThinLiner Moisture Management® Absorbent Sheets 218, 329 Transfer Belts 50 Transfer Benches and Boards 24, 26 – 29, 55 Transfer Handle® Home Beds 55 Transport Chairs 37, 40 Transport Sling 49 Travel Urine Collector 178 TRIACT® Foam with Silicone Border 302 Triad™ Hydrophilic Dressings 309 Tri-Core® Cervical Pillow 192 TriDerma® Diabetic Products 17 TriDerma® Skin Care Products 198, 218 – 219 Trigger Release Folding Walker with 5˝ Wheels, Deluxe 32 ® Trio Silex Silicone Flange Extender 188 Trio Silken® Silicone Stoma Gel 188

Trio Siltac® Silicone Ostomy Seal 188 Trio Silvex® Silicone Convex Seal 188 Triple Helix Collagen 326 Tri-Seat Adjustable Seat Cane 34 ® Tru-Close Suction Drainage Systems 277 ® True METRIX Self-Monitoring Blood Glucose System 12 TRUEbalance® Test Strips 12 TrueBlue Gel Nasal Mask 221 TRUEplus® Single-Use Insulin Syringes 9 ® TRUEtrack Test Strips 13 Tru-Fix® Replacement Adhesive Tape 277 TruZone® Peak Flow Meter (PFM) 206 Tubifast® Retention Bandage 299 Tubigrip® 300 Tussin 190 TwoCal® HN 61 TwoPress® 2 Compression Bandage System 315 U U by Kotex® Security* Maxi Overnight Pads 93 UA-1030T Premier Talking Blood Pressure Monitor 21 UlcerCare™ 229 ® UltiCare 9 Ultima 236 Ultra Fine Filter 224 UltraFlex® Male External Catheters 263 UltraKlenz™ Wound Cleanser 331 UltraLite™ 181 UltraMax™ 182 ™ UltraSeal Flexible Barrier Rings 180 UltraSheer Graduated Compression 227 ULTRASITE® Valve 117 Ultra™ Elastic Waist Belt 183 Undergarments/Guards 103 UNICARE* Moisturizing Lotion 212 UniDerm* Moisturizing Cream 212 Unifine® 9 Unilet® Lancets 16 Uni-Patch™ 239 Uni-Solve* Adhesive Removers 211 UNNA-FLEX® 287 UP-DRAFT II® Neb-U-Mist Nebulizers 203 UPEASY 47 Uplift Seat Assists 46 Uri-Drain™ 274 – 276 UriKleen* Deodorizing Detergent 170 Urinals 26 Urinary Leg Bag 264 Urinary Night Drainage Set 175, 183 Urine Bottle 178 Urostomy Drain Tube Adapter 151 Urostomy Sets 179 ™ Util-Cath Vinyl Catheters with Whistle Tip, Sterile, 14 fr 258 ® UTI-Stat 68 UVLI Bags 119 VW Vacu-Aide® QSU 202 Vaporizer with Safety-Light 210 VaPro 264, 266 Vectra Wheelchair Seat Cushion, 2˝ 42 ® ™ VED Ultra 23 Venous Access 118 Vented Needles and Dispensing Connectors 117 Vented Urinary Leg Bag Systems, Combo Pack 267 VibraCool® 124 ® VICKS 1.2 Gallon Ultrasonic Humidifier 210 Victory® 36 Visco-GEL® 198 VISCOPASTE* PB7 Zinc Paste Bandage 293 Visi-Flow® 136, 138 Vital® 60 Vitamins 190, 220 VixOne™ 202 Voldyne® 5000 Volumetric Exerciser 205 WAFFLE® 40 – 41, 46, 52 Waist Belt with Plastic Buckles 178 Walkers and Accessories 31 – 33 Walking Cane for the Blind 35 Weight-Less™ Odour-Ban™ Ileostomy Pouches 183 Welland 185 – 186 ® Wellness Incontinence Products 112 – 113 Wheelchair and Accessories 39 – 42, 45 WHIN® Safe Huber Needle 116 WideBand® Male External Catheters 263 Wings™ Incontinence Products 101 – 105 Wisp Mask 221 Women’s Free & Active® 111 WonderPants® Unisex Training Pants 86 ® Woun’Dres Collagen Hydrogel 308 Wound Gel Dressing with Vitamin E and Aloe Vera 331 Wound Wash with Saline 332 WoundGard® Bordered Gauze Dressings 326 XYZ X top® Absorbent Pouches for Men 114 Xmet Maxamum Powder 69 XPhe Maxamum Powder 69 XTRASORB® 310, 312 ZinO Zinc Oxide Tape 189, 286 Zip Vinyl Mattress Cover 52 Zipper Lock Bags 119

Advertisers’ Directory Coloplast 155, 167, 253 ConvaTec 129, 131, 137 Cure Medical 273 Dale® Medical 245 Derma Sciences 311 Domtar Personal Care 89, 91 Drylock Technologies, Inc. 99 Ferris 317 First Quality Products, Inc. 83, 85 Hollister Incorporated 145, 265 Hollister Wound Care 301 Omron Healthcare, Inc. 201 SCA Personal Care 97 Smith & Nephew 295

1810 Summit Commerce Park, Cleveland, Ohio 44087

Call Us Toll-Free 1-800-860-8027 or Fax 330-963-0709

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Applicant (Company Name):________________________________________________________Date:__________________________ Signed By:____________________________________________Type or Print Name:__________________________________________ (Duly Authorized Representative)

Personal Guarantee

The undersigned, in consideration of Independence Medical's (hereafter referred to as IM) agreement to sell its medical products to Applicant, personally and unconditionally guarantees the full and prompt performance and compliance by Applicant of all terms and conditions of this Credit Agreement and all terms and conditions of sale set forth in IM's catalog and Web site, and further personally and unconditionally guarantees the full payment of all outstanding indebtedness of the Applicant to IM, upon request by IM. Guarantor waives notice of and agrees that the guarantee shall not be terminated or limited by reason of a change in credit limits or terms extended to the Applicant. The undersigned Guarantor recognizes that his or her individual credit history may be a necessary factor in the evaluation of this Credit Application and hereby consents to and authorizes IM's use of a consumer credit report on the undersigned in the credit evaluation process.

Signature:_________________________________ Type or Print Name:___________________________________ Date:___________________ (Individually) Address:__________________________________ City________________________________________________ State:___________________ Zip code:__________________________________ Phone Number_______________________________________ TERMS AND CONDITIONS OF SALES OF PRODUCTS BY INDEPENDENCE MEDICAL TO CUSTOMERS

• Payment is due at the time of shipment of order by VISA, MasterCard, Discover or C.O.D. (which is not available for drop ship orders). Upon Independence Medical’s (hereinafter referred to as IM) approval of a signed Credit Application, Applicant may order products from IM as a “Customer” on open account terms. For purposes of the terms and conditions, a “Customer” shall mean any person who purchases products from IM, the Applicant, the Personal Guarantor, and any other person who Applicant notifies IM may purchase products from IM that will be paid for by the Applicant. • Payment under open account terms is required 30 days from date of invoice. A fee of 1.5% of invoice will be assessed each month for each 30 days after the initial 30-day period that the invoice remains unpaid. IM will accept company checks for payment of invoices and for the payment of C.O.D. orders after approval of Credit Application and receipt of bank references acceptable to IM. • All prices are exclusive of taxes and governmental charges on the sale and use of the products. Unless exempt, Customer will be invoiced for all such taxes and charges. Customer must provide proof of exemption at time of order. • IM, in its discretion, may hold shipments and refuse to accept orders if Customer is in arrears on payment or if amount ordered is in excess of approved credit limit. Waiver of this provision or any other Term or Condition by IM for a specific order or default shall not apply to any future order or default. • Customers requesting or maintaining a credit limit in excess of $30,000 shall furnish annual financial statements to IM no later than 120 days after the end of Customer’s fiscal year. • Customers requesting or maintaining a credit limit in excess of $100,000 shall furnish financial statements to IM within 45 days after the end of each calendar quarter. • If Customer disputes any IM invoice, it must notify IM’s accounts receivable department in writing within 30 days of the date of the disputed invoice, or forever waive Customer’s rights to raise the dispute. Any shipping discrepancy must be reported within 48 hours of receipt. Customer shall have no right or option to withhold for the purposes of set-off any moneys due to IM under any agreement with IM, RGH Enterprises, Inc. or Cardinal Health at Home. • Independence Medical will only accept product returned within 90 days from the date of purchase. Products must be returned 6 months prior to date of expiration. All returns will be charged a restocking fee. Returns will not be accepted on special-order items, insulin pumps or vendor drop ships. All returns must include Return Authorization Number, be in original packaging and in the same unit of measure as originally purchased. Returns are subject to inspection Independence Medical. No credit will be issued for product that is determined to be unsalable. • Any dispute which arises between Customer and IM concerning these terms and conditions or any other aspect of their relationship shall be interpreted and construed in accordance with the laws of the State of Ohio without regard to conflict of laws provisions applying the laws of other jurisdictions. In addition, both Customer and IM hereby irrevocably consent to the exercise of personal jurisdiction by the U.S. District Court for the Northern District of Ohio, the Common Pleas Court of Summit County, Ohio or the Stow Municipal Court of Stow, Ohio and agree that any lawsuit arising from or any matter connected to any dispute between the parties or the interpretation or enforcement of these terms and conditions shall only be prosecuted in one of those Courts. Attorneys’ fees and costs incurred by IM in connection with any legal action or proceeding with respect to the collection of any invoices which are in arrears shall be the responsibility of Customer. • Customer will be charged $20.00 by IM for any check of Customer that is returned because of insufficient funds in Customer's account. • IM reserves the right to withdraw credit terms granted to Customer or to change the credit terms and credit limits at any time at its discretion. • WARRANTY: IM PROVIDES NO WARRANTIES OF ANY KIND, WHETHER EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION, ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, ON THE PRODUCTS IT SELLS TO CUSTOMER, AND ALL SUCH WARRANTIES ARE EXPRESSLY EXCLUDED. IM WILL, HOWEVER, PASS ALONG TO THE CUSTOMER ANY MANUFACTURERS’ WARRANTIES APPLICABLE TO PRODUCTS NOT MANUFACTURED BY IM. • LIMITATION OF REMEDIES: Customer’s sole remedy, and IM’s sole liability for non-conforming goods rejected as provided herein, shall be limited to replacement of the products or, at IM’s option, refunding the portion of the price of such non-conforming products paid to IM. In no event shall IM’s liability for claim, loss, costs of damages relating to any products shipped, stored, sold or delivered hereunder, exceed the purchase price therefore, nor shall IM be liable for any loss, charge or damages resulting from its inability to procure any products ordered by IM or for delays or failure to deliver products hereunder. IN NO EVENT SHALL IM BE LIABLE FOR ANY INDIRECT, INCIDENTAL, CONSEQUENTIAL OR SPECIAL DAMAGES, NOTWITHSTANDING ANY PROVISION OF A SUPPLEMENT OR OTHER DOCUMENTS, WHETHER ARISING UNDER CONTRACT, TORT, STRICT LIABILITY, STATUTE OR OTHER FORM OF ACTION, EVEN IF IM HAS BEEN INFORMED OF THE POSSIBILITY THEREOF. • All orders for purchases of products shall be subject to acceptance by IM. The terms and conditions stated herein and all terms and conditions of sale set forth in IM's catalog and Web site shall apply to all product purchases and no other terms or conditions and no agreement or understanding, oral or written, purporting to modify these Terms and Conditions of Sale, whether contained in Customer’s purchase order or elsewhere, shall be binding on IM unless made in writing and accepted in writing by IM.