Prevail Per-Fit Pull-Up XL
HCPCS: T4528
Premium protective pull-up underwear for adults with moderate to heavy urinary incontinence. Soft, cloth-like material provides comfort, discretion, and dependable absorbency.
TENA
TENA Sensitive Care Ultimate Pads
HCPCS A4554Sizes: One Size Fits Most (16-inch Regular Length)Prescription Required: YesPrior Authorization: No
- Brand
- TENA
- HCPCS Code
- A4554
- Available Sizes
- One Size Fits Most (16-inch Regular Length)
- Product Category
- Incontinence Supplies
- Product Subcategory
- Pads
Product Overview
TENA® Sensitive Care Ultimate Pads provide maximum protection for women experiencing continuous heavy bladder leakage or post-partum incontinence. Featuring SkinComfort Formula™, Dry-Fast Core™, and Triple Protection technology, these pads help protect against leaks, odor, and wetness while promoting healthy skin with soft, breathable materials.
Product Features
- Ultimate heavy absorbency
- SkinComfort Formula™ helps protect sensitive skin
- Triple Protection against leaks, odor, and wetness
- Dry-Fast Core™ locks away moisture
- Soft, breathable cloth-like materials
- Adhesive strip helps keep pad securely in place
- Dermatologically approved by the Skin Health Alliance
- Individually wrapped for convenience
Specifications
BrandTENA
HCPCS CodeA4554
Size(s)One Size Fits Most (16-inch Regular Length)
ColorWhite
MaterialSoft cloth-like breathable material
Absorbency / StrengthUltimate / Heavy
Packaging QuantityBG/33 CS/99
Prescription RequiredYes
Prior AuthorizationNo
Medicare EligibleYes
Maryland Medicaid EligibleYes
Partners HealthPlan EligibleYes
Coverage Information
Medicare: Coverage is subject to medical necessity, physician documentation, payer guidelines, eligibility verification, and quantity limits.
Medicaid: Coverage is subject to medical necessity, physician documentation, payer guidelines, eligibility verification, and quantity limits.
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