Prevail

Prevail Per-Fit Pull-Up XL

HCPCS T4528Sizes: XL (58–68 inch hips)Prescription Required: YesPrior Authorization: No
Brand
Prevail
HCPCS Code
T4528
Available Sizes
XL (58–68 inch hips)
Product Category
Incontinence Supplies
Product Subcategory
Pull-Ups

Product Overview

Prevail Per-Fit Pull-Up XL is designed for adults experiencing moderate to heavy urinary incontinence. The pull-up design offers the look and feel of regular underwear while delivering reliable absorbency, odor protection, and breathable comfort for everyday use.

Product Features

  • Moderate to heavy absorbency
  • QuickWick® technology keeps skin drier
  • Cloth-like breathable outer fabric
  • Odor Guard® odor protection
  • Tear-away side seams for easy removal
  • Comfortable stretch waistband
  • Latex free

Specifications

BrandPrevail
HCPCS CodeT4528
Size(s)XL (58–68 inch hips)
ColorWhite
MaterialSoft cloth-like nonwoven fabric
Absorbency / StrengthModerate to Heavy
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.

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