Preferred Product

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Retail You Pay
1 MIS $20.36 $14 78
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Generally available
For more details call 1-800-854-5729

As announced in the June 2016 Medicaid Update, beginning September 1, 2016, all adult and youth sized diapers dispensed to all Medicaid enrollees must meet minimum product specifications established by the Department of Health: 

  • No plastic (non-breathable) backed products;
  • Rewet rate of <2.0g;
  • Rate of Acquisition (ROA) of <60 seconds;
  • Retention capacity of >250 g;
  • Presence of breathable zones with a minimum value of >100 cubic feet per minute (cfm);
  • Presence of a closure system which allows for multiple fastening and unfastening occurrences.

Retail You Pay
1 MIS $20.36 $14 78
Login for Best Price

Generally available
For more details call 1-800-854-5729

  • FitRight® design promotes a discreet, comfortable, garment-like fit.
  • Bronze Series 4D-Core™ with odor protection wicks fluid away quickly to promote dryness and help maintain skin integrity .
  • Skin-Safe closures provide a secure, safe and adjustable fit.
  • Ultra-Soft cloth-like backsheet provides a discreet, garment-like, natural feel.
  • Moisture alert wetness indicator changes color when the garment has been soiled.
    Size: Large 48"-58"

  Quantity   (1 x 25.0 EA MIS = 25.0)
  Order #   88890010000
  Mfg Name   MEDLINE
  HCPCS   T4523 - Adult size brief/diaper lg
  Weight   Not available
  Taxable   Yes, Healthcare Provider's Own Use

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