Category: COVERED ITEMS/FORMULARY

Showing 1–12 of 62 results

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  Ambulatory Products

  Adult and Junior Front Wheel Walkers

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  COVERED ITEMS/FORMULARY

  AlliCareMed-Ride Manual Wheelchair 20″

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  BED FRAMES & RELATED

  Bariatric Plus Foam Mattress

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  BATH SAFETY

  Bariatric Shower Chair w/out Back

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  BED FRAMES & RELATED

  BED MATTRESS QUICK N EASY COMFORT PRESSURE REDISTRIBUTION TYPE

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  COVERED ITEMS/FORMULARY

  CGA 870 Oxygen Regulator – 0-15 LPM

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  COVERED ITEMS/FORMULARY

  Deluxe Shower Chair w/ Back

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  BED FRAMES & RELATED

  DRIVE 2M – Delta Ultra-Light 1000, Full-Electric Bed

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  BED FRAMES & RELATED

  DRIVE 3 Motor – Full Electric Low Height Bed

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  BED FRAMES & RELATED

  Drive Airfloat Mattress

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  BATH SAFETY

  Drive Bariatric Aluminum Commode

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  BED FRAMES & RELATED

  Drive Bariatric Bed Rails

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