Our Brands:
Small |
Medium |
Large |
Extra Large |
XXL+ |
| T4525 | T4526 | T4527 | T4528 | T4544 |
| $.086 ea | $1.01 ea | $1.10 ea | $1.25 | $2.25 |
Title 19 Quantity Limit: 150
-
All incontinence orders require Prior Authorization through Title 19.
-
Our staff will gather the necessary paperwork for Prior Authorization.
-
If Title 19 denies the requested order, we will contact the case manager to submit the order to Advantage Waiver for approval.
-
You will receive updates in Harmony on our progress.
-
For additional qunatities, the case manager will add the overage to the member’s Advantage service plan.
-
Our Brands:
Small
Medium
Large
Extra Large
XXL+
T4521 T4522 T4523 T4524 T4543 $.081 ea $0.85 ea $0.96 ea $1.13 $2.25 Title 19 Quantity Limit: 180
-
All incontinence orders require Prior Authorization through Title 19.
-
Our staff will gather the necessary paperwork for Prior Authorization.
-
If Title 19 denies the requested order, we will contact the case manager to submit the order to Advantage Waiver for approval.
-
You will receive updates in Harmony on our progress.
-
For additional qunatities, the case manager will add the overage to the member’s Advantage service plan.
-
Our Brands:
Disposable Underpads
Title 19 Quantity Limit: 60
Small(23″ x 36″) |
Large(30″ x 30″) |
| T4542 | T4541 |
| $0.38 ea | $0.58 ea |
Reuseable Underpads
Title 19 Quantity Limit: 24
Small(18″ x 24″) |
Large(34″ x 35″) |
| T4540 | T4537 |
| $14.40 ea | $13.50 ea |
-
All incontinence orders require Prior Authorization through Title 19.
-
Our staff will gather the necessary paperwork for Prior Authorization.
-
If Title 19 denies the requested order, we will contact the case manager to submit the order to Advantage Waiver for approval.
-
You will receive updates in Harmony on our progress.
-
For additional qunatities, the case manager will add the overage to the member’s Advantage service plan.