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Incontinence

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Picture of A & D ointment 15 oz. - generic
922-10485

A & D ointment 15 oz. - generic

$4.25
Picture of A & D original ointment 1.5 oz.
922-11640

DISCONTINUED
A & D original ointment 1.5 oz. SUGGESTED REPLACEMENT:
922-99940 A+D Prevent Diaper Rash Ointment

$6.00
Picture of Balmex adult cream 3 oz.
922-91043

Balmex adult cream 3 oz.

$7.50
Picture of Balmex zinc oxide cream 2 oz.
922-91088

Balmex zinc oxide cream 2 oz.

$6.00
Picture of bedpan
922-10857

bedpan

$13.25
Picture of Dynarex zinc oxide ointment
922-10901

Dynarex zinc oxide ointment

$2.00
Picture of Flushable adult wipes 48 ct.
922-10012

Flushable adult wipes 48 ct.

$4.75
Picture of Male urinal
922-10856

Male urinal

$6.25
Picture of Prevail adult washcloths 48 ct.
922-11089

Prevail adult washcloths 48 ct.

$5.50
Picture of Prevail AIR Daily Breifs
922-99941

Prevail AIR Daily Breifs

922-99941 - Prevail AIR Daily Breifs
$20.25
Picture of Prevail air plus daily briefs with tabs 16 ct. size medium waist size: 26 in. – 48 in.
922-10709

DISCONTINUED
Prevail air plus daily briefs with tabs 16 ct. size medium waist size: 26 in. – 48 in. SUGGESTED REPLACEMENT:
922-99941 Prevail AIR Daily Breifs

$12.25
Picture of Prevail air plus large daily briefs with tabs 18 ct. waist size: 45 in. – 62 in.
922-10726

Prevail air plus large daily briefs with tabs 18 ct. waist size: 45 in. – 62 in.

$18.50
Picture of Prevail air plus XLarge daily briefs with tabs 15 ct. waist size: 58 in. – 70 in.
922-10717

Prevail air plus XLarge daily briefs with tabs 15 ct. waist size: 58 in. – 70 in.

$17.50
Picture of Prevail bariatric "A" briefs with tabs 12 ct. fits waist size: 62 in. - 73 in.
922-10449

Prevail bariatric "A" briefs with tabs 12 ct. fits waist size: 62 in. - 73 in.

$19.75
Picture of Prevail bariatric "B" briefs with tabs 10 ct. fits waist size up to 100 in.
922-10454

Prevail bariatric "B" briefs with tabs 10 ct. fits waist size up to 100 in.

$26.50
Picture of Prevail bladder control pads maximum 48 ct.
922-99161

Prevail bladder control pads maximum 48 ct.

$17.75
Picture of Prevail bladder control pads moderate 20 ct.
922-99162

Prevail bladder control pads moderate 20 ct.

$7.75
Picture of Prevail bladder control pads ultra thin 30 ct.
922-99163

Prevail bladder control pads ultra thin 30 ct.

$8.50
Picture of Prevail daily pant liners light-moderate size small 52 ct.
922-10498

Prevail daily pant liners light-moderate size small 52 ct.

$17.50
Picture of Prevail male guard pads 14 ct. Maximum absorbency
922-99164

Prevail male guard pads 14 ct. Maximum absorbency

$7.00
Picture of Prevail per-fit protective underwear women/large 18 ct.
922-99168

DISCONTINUED
Prevail per-fit protective underwear women/large 18 ct.

922-99168 - Prevail per-fit protective underwear women/large 18 ct.
$14.50
Picture of Prevail per-fit protective underwear women/medium 20 ct.
922-99167

DISCONTINUED
Prevail per-fit protective underwear women/medium 20 ct.

922-99167 - Prevail per-fit protective underwear women/medium 20 ct.
$14.50
Picture of Prevail super plus underwear 2XL 12 ct. fits waist size: 68 in. - 80 in.
922-10455

Prevail super plus underwear 2XL 12 ct. fits waist size: 68 in. - 80 in.

$18.50
922-10823 Prevail Underpads 25/Bag
922-10823

PREVAIL UNDER PADS 25/BAG

$17.00
Picture of Procare Plus underwear Large 25/ct Waist Size: 44 in. - 58 in.
922-10884

Procare Plus underwear Large 25/ct Waist Size: 44 in. - 58 in.

$17.75
Picture of Procare Plus Underwear Medium 25/ct Waist Size: 34 in. - 46 in.
922-10883

Procare Plus Underwear Medium 25/ct Waist Size: 34 in. - 46 in.

$17.75
Picture of Procare Plus underwear XL 25/ct Waist Size: 58 in. - 68in.
922-10885

Procare Plus underwear XL 25/ct Waist Size: 58 in. - 68in.

$20.00
Picture of Procare protective underwear large 18 ct. fits waist size: 44 in. - 58 in.
922-10500

Procare protective underwear large 18 ct. fits waist size: 44 in. - 58 in.

$17.75
Picture of Procare protective underwear size medium 20 ct. fits waist size: 34 in. - 46 in.
922-10499

Procare protective underwear size medium 20 ct. fits waist size: 34 in. - 46 in.

$17.75
Picture of Protective underwear size XL 14 ct. fits waist size: 58 in. - 68 in.
922-10501

Protective underwear size XL 14 ct. fits waist size: 58 in. - 68 in.

$17.75
Picture of Reusable bed pad 34 in. x 36 in.
922-91068

Reusable bed pad 34 in. x 36 in.

$19.25
Picture of Stay dry reusable bed pad 36 in. x 72 in.
922-10413

Stay dry reusable bed pad 36 in. x 72 in.

$45.25
Picture of Stay dry reusable chair pad 17 in. x 24 in.
922-10433

Stay dry reusable chair pad 17 in. x 24 in.

$13.25
Picture of Vitamin A & D ointment 4 oz. - Generic
922-99094

Vitamin A & D ointment 4 oz. - Generic

$2.25
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This information is issued on behalf of Highmark Wholecare, coverage by Gateway Health Plan, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 27 counties in western Pennsylvania. Highmark Wholecare serves Medicare Dual Special Needs plans (D-SNP) to Blue Shield members in 14 counties in northeastern Pennsylvania, 12 counties in central Pennsylvania, 5 counties in southeastern Pennsylvania, and to Blue Cross Blue Shield members in 27 counties in western Pennsylvania.

View Highmark Wholecare’s Nondiscrimination notice here.

Fieldtex is a separate company that administers the OTC, Home Safety, and Air Quality Equipment benefits for Highmark Wholecare.