$14.00
Small (24-32 in, 85-100 lb) / Pack of 10 · FSA/HSA

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Product Details
Specifications
TypeIncontinence brief
SizeSmall (24-32 in, 85-100 lb), Medium (32-44 in, 100-150 lb), Large (44-58 in, 150-200 lb), X-Large (56-64 in, 200-250 lb), or 2X-Large Bariatric (60-80 in, 250+ lb)
Pack SizePack of 10, Case of 100, Pack of 12, Case of 96, Case of 72, Pack of 8, Case of 64, or Case of 32
AbsorbencyHeavy
HCPCS CodeA4520
StyleTab brief
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4520 | — | — | A4520 |
| Type | Incontinence brief | Incontinence brief (bariatric) | Incontinence brief (bariatric) | Incontinence brief |
| Size | Small (24-32 in, 85-100 lb), Medium (32-44 in, 100-150 lb), Large (44-58 in, 150-200 lb), X-Large (56-64 in, 200-250 lb), or 2X-Large Bariatric (60-80 in, 250+ lb) | 2XL/3XL | 3X-Large | 2X-Large (65-78 in) or Bariatric (74-100 in) |
| Pack Size | Pack of 10, Case of 100, Pack of 12, Case of 96, Case of 72, Pack of 8, Case of 64, or Case of 32 | Bag of 20 or Case of 80 | 1 Bag or Case of 4 | Pack of 12, Case of 48, Pack of 8, or Case of 32 |
| Absorbency | Heavy | Heavy | Heavy | Maximum absorbency |


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