Category: COVERED ITEMS/FORMULARY

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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 &amp

  Bariatric Plus Foam Mattress

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  BATH SAFETY

  Bariatric Shower Chair w/out Back

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  BED FRAMES &amp

  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 and Related Products

  Drive Bed Extension Kit

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  BED FRAMES &amp

  DRIVE Delta Ultra-Light 1000, Full-Electric Bed

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  BED FRAMES &amp

  DRIVE Full Electric Low Height Bed

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  Bed Frames and Related Products

  Drive Half Length Bed Rails

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  COVERED ITEMS/FORMULARY

  Drive Power Neb Ultra Nebulizer

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