Category: WHEELCHAIRS

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  COVERED ITEMS/FORMULARY

  AlliCareMed-Ride Manual Wheelchair 20″

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  NON COVERED ITEMS/NON-FORMULARY (STANDARD)

  AlliCareMed-Ride Reclining Wheelchair 20″ Detachable armrest with desk length Elevating legrest

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  For Rent

  Bariatric HD Wheelchair – 30 in x 20 in w/ ELR

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  For Rent

  Bariatric Reclining Wheelchair

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  NON-COVERED ITEMS/NON-FORMULARY (BARIATRIC)

  Bariatric Transport Wheelchair – 22″ x 16″

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  For Rent

  DynaRide Reclining Wheelchair – 18″ x 16″ w/ Detach Desk Arm

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  Ambulatory Products

  Dynaride Series 2 Wheelchair – 18″x16″ w/ Detach Full Arm FR – Standard

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  COVERED ITEMS/FORMULARY

  DynaRide Transport Wheelchair – 19″ x 16″ w/ Fixed Full Arm – Transport

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  Consumable

  Wheelchair Lap Hugger

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