Prevail

Prevail Per-Fit Pull-Up Large

HCPCS T4527Sizes: Large (44–58 inch waist / hip)Prescription Required: YesPrior Authorization: No
Brand
Prevail
HCPCS Code
T4527
Available Sizes
Large (44–58 inch waist / hip)
Product Category
Incontinence Supplies
Product Subcategory
Pull-Ups
Request This Product Contact Ascend Medical Solutions Download Brochure

Product Overview

Prevail® Per-Fit® Extra Pull-On Underwear Large is designed with the comfort and appearance of everyday underwear while providing dependable protection for moderate to heavy urinary incontinence. QuickWick® with MaxSoft™ technology rapidly moves moisture away from the skin, while Omni-Odor Guard® and 360° Breathable Zones™ help keep users dry, comfortable, and confident throughout the day.

Product Features

  • Heavy absorbency protection
  • QuickWick® with MaxSoft™ technology
  • Omni-Odor Guard® odor protection
  • 360° Breathable Zones™
  • Comfort-Shape® design
  • Cloth-like outer fabric
  • Tear-away side seams
  • Latex free

Specifications

BrandPrevail
HCPCS CodeT4527
Size(s)Large (44–58 inch waist / hip)
ColorWhite
MaterialCloth-like backing with cloth-like topsheet
Absorbency / StrengthHeavy
Weight Capacity170–260 lbs.
Packaging QuantityPK/20 CS/80
Prescription RequiredYes
Prior AuthorizationNo
Medicare EligibleYes
Maryland Medicaid EligibleYes
Partners HealthPlan EligibleYes

Coverage Information

Medicare: Coverage depends on medical necessity, physician documentation, payer guidelines, eligibility verification, and quantity limits.

Medicaid: Coverage depends on medical necessity, physician documentation, payer guidelines, eligibility verification, and quantity limits.

Referral Actions

Referral sources, care coordinators, patients, and caregivers may contact Ascend Medical Solutions for product coordination and referral support.

Request This Product Contact Ascend Medical Solutions

Referral Builder

Add one or more products from the catalog, then submit one referral request with patient, provider, insurance, delivery, and documentation details.

Selected Products

Printable Referral Summary

No products added yet.

Provider Information
Patient Information
Insurance Information
Ordering Physician
Delivery Information
Notes
File Uploads

Upload prescriptions, face sheets, insurance cards, clinical notes, CMN/DWO forms, or related documentation when available.

Please do not submit emergency requests through this form. For urgent medical emergencies, call 911. Submission does not guarantee coverage, authorization, or product availability.

Related Products