$11.00
Pack of 10 · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeAbsorbent liner sheet
Pack SizePack of 10 or Case of 200
HCPCS CodeA9999
Size6 x 10"
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A9999 | — | A4520 | A4520 |
| Type | Absorbent liner sheet | Incontinence booster pad | Incontinence booster pad | Incontinence booster pad |
| Pack Size | Pack of 10 or Case of 200 | Bag of 26 or Case of 104 | Pack of 12, Case of 96, or Case of 120 | Pack of 30, Case of 180, Pack of 25, or Case of 200 |
| Size | 6 x 10" | 16.5" | 14 x 32" | Youth, Regular, or Long |
| Style | — | Booster pad | Contoured booster pad | Booster pad |
| Absorbency | — | Moderate | — | Heavy |


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