2015 McKesson Drug BSN medical Inc
Transcription
2015 McKesson Drug BSN medical Inc
McKesson Drug Product Order Guide Vascular Care Orthopedic Care Advanced Wound Care ServiceFIRST HHC Customer Center 1-855-625-7385 Page 1 Table of Contents 5 JOBST® PRODUCT SELECTION AND THERAPY GUIDE…………………………………………………………………….. 6 JOBST® COLOR AND STYLE GUIDE……………………………………………………………………………………………. 7 JOBST® DIABETIC SOCK………………………………………………………………………………………………………….. 7 SensiFootTM Knee Length Diabetic Socks for Men and Women…..……………….…………..……..……….…………………………………………………………… 7 SensiFootTM Crew Length Diabetic Socks for Men and Women…...…….………………....………………………………....…………………………………………… 8 SensiFootTM Mini-Crew Length Diabetic Socks for Men and Women.……...…..…………..…………………...………….…........................................................... 8-10 JOBST® SUPPORTWEAR 8-15 mmHg………………………………………………………………………………………… UltraSheer 8-15 mmHg, Knee High………………………….………….…...….……………………………………………...……………………………………………… 8 UltraSheer 8-15 mmHg, Thigh High………………………………………………………….....……………………….………….………………………………………… 8 UltraSheer 8-15 mmHg, Pantyhose……………………...........................................................................…….………………………………………………………… 8 UltraSheer 8-15 mmHg, Maternity Pantyhose…………………………………………….....……………………………….….….………………………………………… 9 soSoft 8-15 mmHg, Brocade Knee High Socks……………………….………………………...…...…...………………………………………………………………… 9 soSoft 8-15 mmHg, Ribbed Knee High Socks……………………………………………....………….…………………………………………………………………… 9 Athletic for Men and Women 8-15 mmHg, Knee High Socks……………………….…………....…………….…….…………………………………………………… 9 Men's Dress 8-15 mmHg, Knee High Socks……………………………………………….……....…...……………..……………………………………………………… 10 ® 10 JOBST forMen 8-15 mmHg, Knee High Socks…………………………………………….……………...……..………………………………………………………… 11-43 JOBST® MEDICAL LEGWEAR 15-20, 20-30, & 30-40 mmHg……………………………………………………………….. UltraSheer 15-20 mmHg, Knee High…………….…………………………………………………………....……………….…...………………………………………… 11 UltraSheer 15-20 mmHg, Knee High DIAMOND PATTERN…………….……………………………………………. 12 UltraSheer 15-20 mmHg, Knee High - Petite………..…..……………………………………………………….……………...…………………………………………… 12 UltraSheer 15-20 mmHg, Thigh High………..…..………………………………...……… ….………………………...………...………………………………………… 12-13 UltraSheer 15-20 mmHg, Thigh High DIAMOND PATTERN………..…..………………………………...……….… 13 UltraSheer 15-20 mmHg, Thigh High - Petite………..…..………………………………………………………...……………...………………………………………… 13-14 UltraSheer 15-20 mmHg, Pantyhose……………..…………………….……………………………………….…………………………………………………………… 14 UltraSheer 15-20 mmHg, Pantyhose DIAMOND PATTERN……………..…………………….……………………. 14 UltraSheer 15-20 mmHg, Maternity Pantyhose……………..………………...…………………………….…….………………………………………………………… 14 UltraSheer 20-30 mmHg, Knee High…………….…………………………..……………………………..………………….…...………………………………………… 15-16 UltraSheer 20-30 mmHg, Knee High DIAMOND PATTERN…………….…………………………..…………………. 16 UltraSheer 20-30 mmHg, Knee High - Petite………..…..…………………………………………………….…….……………...………………………………………… 16 UltraSheer 20-30 mmHg, Thigh High………..…..…………………………...……………….…………………………….……...………………………………………… 17-18 UltraSheer 20-30 mmHg, Thigh High DIAMOND PATTERN………..…..…………………………...………………. 18 UltraSheer 20-30 mmHg, Thigh High - Petite………..…..………………………………….…………………………..………...………………………………………… 18 UltraSheer 20-30 mmHg, Pantyhose……………..……………………………………...….………………………….……………………………………………………… 18-19 UltraSheer 20-30 mmHg, Pantyhose DIAMOND PATTERN……………..……………………………………...….... 19 UltraSheer 20-30 mmHg, Maternity Pantyhose……………..……………………………...……………………….………………………………………………………… 19 UltraSheer 30-40 mmHg, Knee High…………….……………………………………...…………………………….……….…...………………………………………… 19-20 UltraSheer 30-40 mmHg, Knee High - Petite………..…..………………………………………………………...……………...…………………………………………… 20 21 UltraSheer 30-40 mmHg, Thigh High………..…..……………………………………..……………………..…….……………...………………………………………… UltraSheer 30-40 mmHg, Thigh High - Petite………..…..………………………………………………………..……………...…………………………………………… 21-22 UltraSheer 30-40 mmHg, Pantyhose……………..…………………….…………………………………..………………….……………………………………………… 22 Opaque 15-20 mmHg, Knee High………..………………………………………….....………………………...…………….…...………………………………………… 22-23 Opaque 15-20 mmHg, Knee High - Petite………..………………………...…….………………………..………………….…...………………………………………… 23 Opaque 15-20 mmHg, Thigh High………..…..………………………………....…………………………….……….…………...………………………………………… 23-24 Opaque 15-20 mmHg, Thigh High - Petite……………………….………….………………………………….…….…………...………………………………………… 24 Opaque 15-20 mmHg, Pantyhose……………………….……………………....…………………………………..….…………...………………………………………… 24 Opaque 20-30 mmHg, Knee High………..………………………………………...…..……………………………..……….…...………………………………………… 25 Opaque 20-30 mmHg, Knee High - Petite………..………………….…….………………………………………...……….…...…………………………………………… 25 Opaque 20-30 mmHg, Thigh High………..…..………………………………...…………………………………..….…………...………………………………………… 25-26 Opaque 20-30 mmHg, Thigh High - Petite……………………….………….…………………………………….….…………...………………………………………… 26-27 Opaque 20-30 mmHg, Pantyhose……………………….………….……………….………………………...……….…………...………………………………………… 27 Opaque 30-40 mmHg, Knee High………..…………………………………………....……………………………...……….…...………………………………………… 27 Opaque 30-40 mmHg, Knee High - Petite………..…………………….………………………….………………………….…...………………………………………… 27-28 Opaque 30-40 mmHg, Thigh High………..…..…………………….……………….……………………..………….…………...………………………………………… 28 Opaque 30-40 mmHg, Thigh High - Petite……………………….………….……………………………….……….…………...………………………………………… 28-29 Opaque 30-40 mmHg, Pantyhose……………………….………….……………...……………………...………….…………...…………………………………………… 29 soSoft 15-20 mmHg, Brocade Knee High………..……………………………………....……………………...……… 29 soSoft 15-20 mmHg, Ribbed Knee High………..……………………………………....……………………...………. 29 soSoft 20-30 mmHg, Brocade Knee High………..……………………………………....……………………...……… 29 soSoft 20-30 mmHg, Ribbed Knee High………..……………………………………....……………………...………. 30 soSoft 30-40 mmHg, Brocade Knee High………..……………………………………....……………………...……… 30 soSoft 30-40 mmHg, Ribbed Knee High………..……………………………………....……………………...………. 30 ActiveWear 15-20 mmHg, Knee High………..…………………………………………………………..…………………….…...………………………………………… 30 ActiveWear 20-30 mmHg, Knee High………..……………………………...……………………….......…………………….…...………………………………………… 31 ActiveWear 30-40 mmHg, Knee High………..……………………………...……………………….......…………………….…...………………………………………… 31 Sport Socks 15-20 mmHg, Knee High………..……………………………...……………………….......………… 31 Sport Socks 20-30 mmHg, Knee High………..……………………………...……………………….......………… 31 32 JOBST ® forMen 15-20 mmHg, Ribbed Style, Knee High………....………..………………….………………………....……….………………………………………… 32 JOBST ® forMen 15-20 mmHg, Ribbed Style, Thigh High………....………………………..…………………………....……….………………………………………… 32 JOBST ® forMen 20-30 mmHg, Ribbed Style, Knee High………....………………………..…………………………….………………………………………………… 32 JOBST ® forMen 20-30 mmHg, Ribbed Style, Thigh High………....…………………..………………………………....……….………………………………………… 33 JOBST ® forMen 30-40 mmHg, Ribbed Style, Knee High………....………………….………………………………….…………………………………………………… 33 JOBST ® forMen 30-40 mmHg, Ribbed Style, Thigh High………....………………..…………………………………....……….………………………………………… ® 34 JOBST forMen Ambition 15-20 mmHg, Knee High………....………..………………….…………………………… 34-35 JOBST ® forMen Ambition 20-30 mmHg, Knee High………....………..………………….…………………………… 35-36 JOBST ® forMen Ambition 30-40 mmHg, Knee High………....………..………………….…………………………… Page 2 Table of Contents JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® BSN medical BSN medical Advanced Wound Care 37 JOBST ® forMen Casual, 15-20 mmHg, Knee High………....………………..…………………………………....……….………………………………………………… 37 JOBST ® forMen Casual, 20-30 mmHg, Knee High………....………………..…………………………………....……….………………………………………………… 37-38 JOBST ® forMen Casual, 30-40 mmHg, Knee High………....………………..…………………………………....……….………………………………………………… Travel Socks 15-20 mmHg, Knee High………………………………………………………………………………… 38 38-39 Relief® 15-20 mmHg, Knee High………………………………………………………..…………...……………...……….………………………………………………… 39 Relief® 15-20 mmHg, Thigh High………………….……….………………………..………………………….……………………………………………………………… 39-40 Relief® 20-30 mmHg, Knee High………………………………………………………..…………...……………...……….………………………………………………… 39-40 Relief® 20-30 mmHg, Knee High with Silicone Band………………………………………………………..…………...……………...……….…………………………… 40 Relief® 20-30 mmHg, Thigh High………………….……….………………………..………………………….……………………………………………………………… 41 Relief® 20-30 mmHg, Waist High……………………………………………………..………..….……….…………………………………………………………………… 41 Relief® 20-30 mmHg, Chaps Style…………………………….……….……….……………………………………………………………………………………………… 41-42 Relief® 30-40 mmHg, Knee High……………………………...……….…………………………….…………………..….………………………………………………… 41 Relief® 30-40 mmHg, Knee High with Silicone Band……………………………...……….…………………………….…………………..….…………………………… 42 Relief® 30-40 mmHg, Thigh High……………………………...……….……………………………………………...…….………………………………………………… 42 Relief® 30-40 mmHg, Waist High…………………………….………….………………………………………….……...….……………………………………………… 43 Relief® 30-40 mmHg, Chaps Style……………………..……………….…………………………………………..……..….………………………………………………… 43 Vairox® 30-40 mmHg - Knee High with Zipper………………………………………………………………………… VENOUS LEG ULCER MANAGEMENT SYSTEM…………………………………………………………………….. 44 UlcerCARE 2-Part System For Venous Stasis Ulcers Stockings………………..……………………………………………………...………………….……………… 44 UlcerCARE Compression Liners for use with 2-Part System………………......……………………………………………..………………………….………………… 44 D.V.T./P.E. PREVENTION……………………………………………………………………………………………….. 44-45 44 Anti-EM/GP™ Seamless Anti-Embolism Elastic Stockings Knee High……………………………………………………...………..…….……………………………… 45 Anti-EM/GP™ Seamless Anti-Embolism Elastic Stockings Thigh High……………………………………………………...………..…….……………………………… 45 Anti-EM/GP™ Seamless Anti-Embolism Elastic Stockings Waist High……………………………………………………...………..…….……………………………… 45 JOBST Anti-Embolism™ Stockings RETAIL Knee High (Closed Toe)…………………………………………….... 45 JOBST Anti-Embolism™ Stockings RETAIL Thigh High (Closed Toe)………………………………………………. MEDICAL ARMSLEEVES & GAUNTLETS…………………………………………………………………………….. 46-51 46 JOBST ® Bella™ Lite Armsleeve 15-20 mmHg…………………………………………………………………………. 46 JOBST ® Bella™ Lite Gauntlet 15-20 mmHg………....……………………………………………….………………. 46 JOBST ® Bella™ Lite Armsleeve 20-30 mmHg………....……………………………………………….…………………….....……….…………………………………… 46 JOBST ® Bella™ Lite Gauntlet 20-30 mmHg………....………………………………………………….……………….…...……….……………………………………… 47-48 JOBST ® Bella™ Strong Armsleeve 15-20 mmHg…………………………………………………………………….. 48-49 JOBST ® Bella™ Strong Armsleeve 20-30 mmHg……...………..…………………………………………………………………………………… 49-51 JOBST ® Bella™ Strong Armsleeve 30-40 mmHg……...………..…………………………………………………………………………………… 51 JOBST ® Bella™ Strong Gauntlet 15-20 mmHg………………………………………………………………………. 51 JOBST ® Bella™ Strong Gauntlet 20-30 mmHg……...………..…………………………………………………………………………………… MedicalWear Glove……………………………...………....………………………………………..…………...……………...…….………………………………………… 51 ACCESSORIES……………………………………………………………………………………………………………. 52 Foot Rest………………......………………………………………………………..…………...……………………………….…….………………………………………… 52 Garter Belts………………......………………………………...…..…………………………………………….…………………….………………………………………… 52 COMPLIANCE AIDS……………………………………………………………………………………………………... 52 52 JOBST ® Donning Gloves………………………...……..………………………………………………………...……………….…………………………………………… 52 JOBST ® Stocking Donner………………………...……..………………………………………………………...……………….…………………………………………… 52 JOBST ® Easy Wash and Wear Kit……………………………………………………………………………………………………………………………………………… Stocking Slips………………………...……..……………………………………..…………………………………......……….……………………………………………… 52 52 It Stays® Roll-On Body Adhesive……………………………………………………………....…………………………………….………………………………………… 52 Jolastic® Special Washing Solution……..………………..……………………………………….……………………….……….………………………………………… PLASTIC SURGERY PRODUCTS………………………………………………………………………………………. 53-54 53 EpsteinTM Facioplasty Support for Neck and Chin……………………………………………………………...…………………………………………………………… Facioplasty Elastic Support for Ears, Cheek and Chin……………………………………………………………………………………………………………………… 53 53 JOBST ® Surgical Vest……..…………………………...…..………..…………….……………..…………………………….…….………………………………………… Plastic Surgery Girdles……..……………....………..………..………………………………………………....……………….…….……………………………………… 53-54 COMPRESSION HOSIERY SIZING CHARTS………………………………………………………………………… 55-58 WOUND CARE PRODUCTS…………………………………………………………………………………………….. 59-63 59 Coverlet® Fabric Strip, Latex-Free Adhesive Dressing………..……..………………………………………………………..……….…………………………………… 59 Coverlet® Fabric Strip 300 Count, Latex-Free Adhesive Dressing……………………………………...…………………………….……………………………………… 59 Coverlet® Fabric Spots, Latex-Free Adhesive Dressing………..…………………….…..…………………………………………….…………………………………… 59 Coverlet® Fabric Patches, Latex-Free Adhesive Dressing………………………...……..…………..………………………….…….…………………………………… 59 Coverlet® Fabric Knuckles, Latex-Free Adhesive Dressing………..….…..……………………………..…………………………….…………………………………… 59 Coverlet® Fabric Toe Shield, Latex-Free Adhesive Dressing…………………..……..……………………………………………………………………………………… 59 Coverlet® Fabric Digits, Latex-Free Adhesive Dressing………………………...……..…………..…………………………….…….…………………………………… 59 Coverlet® Fabric 4-Wings, Latex-Free Adhesive Dressing………..……..………………….………..………………………….…….…………………………………… 59 Coverlet® Cabinet………..……..……………….……………..…………………….…………………………………...…….…….………………………………………… 59 Coverlet® Fabric Eye Occlusors………..…………………...…..………………………………………………...………...…….…………………………………………… 59 CUTIMED® SORBACT ® Bacteria-Binding Dressing………………………………………………………………….. 60 CUTIMED® SILTEC® Super Absorbent, Silicone Foam Dressing………………………………………………….. 60 CUTISORB® ULTRA Super Absorbent Wound Dressing……………………………………………………………. 60 CUTIMED® ALGINATE Calcium Alginate Dressing…………………………………………………………………… 60 CUTIMED® HYDRO Hydrocolloid Dressing……………………………………………………………………………. ® 60 CUTIMED CAVITY FOAM Cavity Foam Dressing……………………………………………………………………. 60 CUTIMED® GEL……………………………………………………………………………………………………………. 60 CUTIMED® PROTECT…………………………………………………………………………………………………….. 60 CUTIMED® ACUTE……………………………………………………………………………………………………….. Page 3 Table of Contents BSN medical Advanced Wound Care BSN medical BSN medical FLA® THERALL™ POSTURA® POWERSTEP ® ACTIVA® ACTIVA® 60 CUTICELL® STERILE OINTMENT DRESSING……………………………………………………………………………………………………….. 61 CUTICELL® CONTACT ® STERILE SILICONE CONTACT WOUND DRESSING……………………………………… 61 LEUKOMED® COMPOSITE DRESSING……………………………………………………………………………….. 61 LEUKOMED® T PLUS POST-OP DRESSING…………………………………………………………………………. 61 LEUKOMED® T TRANSPARENT FILM DRESSING…………………………………………………………………… 61 FIXOMULL® TRANSPARENT FIXATION DRESSING…………………………………………………………………. 61 Cover-Roll® Adhesive Gauze……..……..………..…………….……………..…………………………….…….…… ® 61 Cover-Roll Stretch Non-Woven Bandage……..……..………..…………….……………..…………………………….…….…………………………………………… 61 CUTIMED® OFF-LOADER………………………………………………………………………………………………… 61 CANVAS ROCKER BOTTOM CAST SHOE……………………………………………………………………………. BANDAGE PRODUCTS…………………………………………………………………………………………………... 61-62 61 Gelocast®, The Original Unna's Boot……..……..………..…………….……………..……………………………....…….………………………………………………… 62 JOBST ® COMPRIFORE® BANDAGE…………………………………………………………………………………… 62 Artiflex®………..……..………..…………….……………..……………………………………………………….………...….…….………………………………………… ® 62 Comprilan ………..……..………..…………….……………..……………………………………...……………………..….…….………………………………………… 62 Elastomull®………..……..………..…………….………………………………………………....…………………………….…….………………………………………… 62 Isoband®………..……..………..…………….………………………………………………...……………………...………...…….………………………………………… 62 Tricofix®………..……..………..…………….………………………………………………...……………………….……...….…….………………………………………… 62 JOBST ® Foam………..……..………..…………….………………………………….…………..…………………………….…….………………………………………… 62 CompriFoam®………..……..………..………………………………...………….……………..…………………………….…….…………………………………………… 62 Tensoplast® White (formerly Elastoplast)……..……..………..…………………………..………………..…………….…….…………………………………………… ® 62 Tensoplast Tan (formerly Elastoplast)……..……..………..………..………………..…………….…….………………………………………………………………… SPORTS MEDICINE PRODUCTS………………………………………………………………………………………. 63 63 Lightplast® Pro……..……..………..………..……………………..…..……………………………………………….……….…….………………………………………… 63 Lightplast® ProBlack…..……..………..………..……………………..…..……………………………………..…………….…….………………………………………… 63 Tensoplast® Tan Athletic Tape (formerly Elastoplast)……..…….………..………………….……………………….…….……………………………………………… 63 Leukotape® P……..……..………..…………….……………..…...……………………………………………………...…….…….………………………………………… 63 TENSOGRIP® BANDAGE ELASTIC TUBULAR……………………………………………………………………….. 63 TENSOSHAPE® BANDAGE ELASTIC TUBULAR……………………………………………………………………. ORTHOPEDICS - ORTHOPEDIC SOFT GOODS…………………………………………………………………….. 64-77 Cervical Collars…………………………………………………………………………………………………………….. 64 Clavicle / Shoulder Supports / Posture Control……………………………………………………………………………… 64 Elbow / Forearm Supports……………………………………………………………………………………………….. 64-65 Wrist Supports……………………………………………………………………………………………………………. 65-67 Thumb Supports…………………………………………………………………………………………………………… 67 Arm Slings……………………………………………………………………………………………………………….... 67-68 Back Supports / Lumbar Sacral………………………………………………………………………………………… 68-69, 77 Maternity Support Belt………………………………………………………………………………………………….. 68 Rib Support Belts………………………………………………………………………………………………………… 69 Abdominal Binders……………………………………………………………………………………………………….. 69-70 Knee Supports / Stabilizers…………………………………………………………………………………………….. 70 Knee Supports / Stabilizers - Hinged………………………………………………………………………………….. 70-71 Knee Supports……………………………………………………………………………………………………………. 70-73 Calf / Thigh Supports………………………………………………………………………………………………………. 73 Ankle Supports……………………………………………………………………………………………………………. 73-75 Ankle Stirrup Braces…………………………………………………………………………………………………….. 75 Ankle Walkers……………………………………………………………………………………………………………. 75 Cast Shoes……………………………………………………………………………………………………………….. 75 Post Op Shoes……………………………………………………………………………………………………………. 75 PATIENT CARE……………………………………………………………………………………………………………. 76 Hot/Cold Gel Packs……………………………………………………………………………………………………… 76 Hot/Cold Thermal Wraps………………………………………………………………………………………………… 76 Cast Protectors…………………………………………………………………………………………………………… 76 Heal & Elbow Protector………………………………………………………………………………………………….. 76 Ankle Foot Orthosis (AFOs)…………………………………………………………………………………………… 76 Plantar Fasciitis Night Splints………………………………………………………………………………………….. 76 Athletic Supporter………………………………………………………………………………………………………… 77 Hernia Aids………………………………………………………………………………………………………………… 77 Occupational Support Products………………………………………………………………………………………… 77 PREMIUM ARTHRITIS CARE PRODUCTS……………………………………………………………………………. 78 78 Therall™ Moist Heat Pad…………………………………………………………………………………………………. 78 Therall™ Moist Heat Therapy Heat Mitt………………………………………………………………………………… 78 Therall™ Joint Warming Elbow Supports……………………………………………………………………………… 78 Therall™ Joint Warming Arthritis Gloves……………………………………………………………………………….. ™ 78 Therall Joint Warming Wrist Supports……………………………………………………………………………….. 78 Therall™ Foot Warmers…………………………………………………………………………………………………… 78 Therall™ Heat Retaining Back Supports……………………………………………………………………………….. 78 Therall™ Joint Warming Knee Supports……………………………………………………………………………….. 78 Therall™ Joint Warming Ankle Supports……………………………………………………………………………….. Seating and Positioning Products……………………………………………………………………………………….. 78 79-80 Powerstep ® Foot Orthotics …………………………………………………………………………………………… COMPRESSION HOSIERY……………………………………………………………………………………………… 81-86 FIT AND MEASURE GUIDE…………………………………………………………………………………………….. 87 INDEX……………………………………………………………………………………………………………………… Page 4 88-90 Page 5 Page 6 Diabetic Sock ECONO # PRODUCT DESCRIPTION CAT # UPC SENSIFOOT™* KNEE LENGTH DIABETIC SOCKS FOR MEN AND WOMEN Order by Shoe Size— Men's Extra Small: 3 ½ - 5 ½; Small: 6 - 8; Medium: 8 ½ - 10; Large: 10 ½ - 12; Extra Large: 12 ½ - 14 Women's Extra Small: 4 ½ - 6 ½; Small: 7 - 9; Medium: 9 ½ - 11; Large 11 ½ - 13 1305572 110830 White, Extra Small 035664108304 1305671 110831 White, Small 035664108311 1306612 110832 White, Medium 035664108328 1306661 110833 White, Large 035664108335 1306968 110834 White, Extra Large 035664108342 1197334 110865 Black, Extra Small 035664108656 1188457 110866 Black, Small 035664108663 110867 Black, Medium 035664108670 1191790 110868 Black, Large 035664108687 1192061 110869 Black, Extra Large 035664108694 1188135 110860 Navy, Extra Small 035664108601 1189422 110861 Navy, Small 035664108618 1189828 110862 Navy, Medium 035664108625 1191170 110863 Navy, Large 035664108632 1191519 110864 Navy, Extra Large 035664108649 110855 Brown, Extra Small 035664108557 110856 Brown, Small 035664108564 1187624 110857 Brown, Medium 035664108571 1188895 110858 Brown, Large 035664108588 110859 Brown, Extra Large 035664108595 SENSIFOOT™* CREW LENGTH DIABETIC SOCKS FOR MEN AND WOMEN Order by Shoe Size— Men's Extra Small: 3 ½ - 5 ½; Small: 6 - 8; Medium: 8 ½ - 10; Large: 10 ½ - 12; Extra Large: 12 ½ - 14 Women's Extra Small: 4 ½ - 6 ½; Small: 7 - 9; Medium: 9 ½ - 11; Large: 11 ½ - 13 1734524 110835 White, Extra Small 035664108359 1734581 110836 White, Small 035664108366 1734599 110837 White, Medium 035664108373 1734730 110838 White, Large 035664108380 1734839 110839 White, Extra Large 035664108397 1192277 110850 Black, Extra Small 035664108502 1192673 110851 Black, Small 035664108519 1193069 110852 Black, Medium 035664108526 1193408 110853 Black, Large 035664108533 1193689 110854 Black, Extra Large 035664108540 1194497 110845 Navy, Extra Small 035664108458 110846 Navy, Small 035664108465 1186014 110847 Navy, Medium 035664108472 1186501 110848 Navy, Large 035664108489 1186758 110849 Navy, Extra Large 035664108496 110840 Brown, Extra Small 035664108403 110841 Brown, Small 035664108410 1193846 110842 Brown, Medium 035664108427 1194075 110843 Brown, Large 035664108434 110844 Brown, Extra Large 035664108441 *See sizing charts page 55. Page 7 Diabetic Sock ECONO # PRODUCT DESCRIPTION CAT # UPC SENSIFOOT™* MINI-CREW LENGTH DIABETIC SOCKS FOR MEN AND WOMEN Order by Shoe Size— Men's Extra Small: 3 ½ - 5 ½; Small: 6 - 8; Medium: 8 ½ - 10; Large: 10 ½ - 12; Extra Large: 12 ½ - 14 Women's Extra Small: 4 ½ - 6 ½; Small: 7 - 9; Medium: 9 ½ -11; Large 11 ½ - 13 1172436 1173236 1174630 1175512 110875 110876 110877 110878 110879 White, Extra Small White, Small White, Medium White, Large White, Extra Large 035664108755 035664108762 035664108779 035664108786 035664108793 *See sizing charts page 55. SupportWear ECONO # PRODUCT DESCRIPTION CAT # UPC ULTRASHEER 8-15 mmHg* KNEE-HIGH SUPPORT STOCKINGS Order by Shoe Size— 4 ½ - 6 ½ (Small); 7-9 (Medium); 9 ½-11 (Large) 1826866 1860311 1860709 119328 119329 119330 Silky Beige, 4 ½-6 ½ Silky Beige, 7-9 Silky Beige, 9 ½-11 035664193287 035664193294 035664193300 2292159 2293504 119229 119230 119231 Sun Bronze, 4 ½-6 ½ Sun Bronze, 7-9 Sun Bronze, 9 ½-11 035664192297 035664192303 035664192310 1350859 1338623 1338722 119232 119233 119234 Classic Black, 4 ½-6 ½ Classic Black, 7-9 Classic Black, 9 ½-11 035664192327 035664192334 035664192341 ULTRASHEER 8-15 mmHg* THIGH-HIGH SUPPORT STOCKINGS 2250785 2251106 2251288 2252773 117221 117222 117223 117224 Silky Beige, Small Silky Beige, Medium Silky Beige, Large Silky Beige, Extra Large 035664172213 035664172220 035664172237 035664172244 117225 117226 117227 117228 Sun Bronze, Small Sun Bronze, Medium Sun Bronze, Large Sun Bronze, Extra Large 035664172251 035664172268 035664172275 035664172282 117229 117230 117231 117232 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664172299 035664172305 035664172312 035664172329 ULTRASHEER 8-15 mmHg* PANTYHOSE 2264158 2264414 2264620 2265213 117233 117234 117235 117236 Silky Beige, Small Silky Beige, Medium Silky Beige, Large Silky Beige, Plus 035664172336 035664172343 035664172350 035664172367 1849793 1849827 1849835 117237 117238 117239 117240 Sun Bronze, Small Sun Bronze, Medium Sun Bronze, Large Sun Bronze, Plus 035664172374 035664172381 035664172398 035664172404 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Plus 035664172459 035664172466 035664172473 035664172480 2205755 117245 2205763 117246 2205771 117247 2205789 117248 *See sizing charts page 55. Page 8 SupportWear ECONO # PRODUCT DESCRIPTION CAT # UPC ULTRASHEER 8-15 mmHg* MATERNITY PANTYHOSE 117253 Silky Beige, Small 035664172534 2466316 117254 Silky Beige, Medium 035664172541 2466332 117255 Silky Beige, Large 035664172558 2466381 117256 Silky Beige, Plus 035664172565 so SOFT 8-15 mmHg* KNEE-HIGH SUPPORT SOCKS Order by Shoe Size— 4 ½ - 6 ½ (Small); 7-9 (Medium); 9 ½ - 11 (Large); 11 ½ - 13 (Extra Large) BROCADE Closed Toe 120243 White, Small 120244 White, Medium 035664007508 120245 White, Large 035664007515 120273 White, Extra Large 035664007379 2041762 120240 Sand, Small 035664007454 2041770 120241 Sand, Medium 035664007461 2041788 120242 Sand, Large 035664007478 120272 Sand, Extra Large 035664007362 120237 120238 120239 120271 Black, Small Black, Medium Black, Large Black, Extra Large 035664007416 035664007423 035664007430 035664007355 2068674 035664007492 so SOFT 8-15 mmHg* KNEE-HIGH SUPPORT SOCKS Order by Shoe Size— 4 ½ - 6 ½ (Small); 7-9 (Medium); 9 ½ - 11 (Large); 11 ½ - 13 (Extra Large) RIBBED Closed Toe 035664007584 3404753 120252 White, Small 3404761 120253 White, Medium 035664007591 3404779 120254 White, Large 035664007607 120276 White, Extra Large 035664007409 120249 Sand, Small 035664007553 120250 Sand, Medium 035664007560 120251 Sand, Large 035664007577 120275 Sand, Extra Large 035664007386 120246 120247 120248 120274 Black, Small Black, Medium Black, Large Black, Extra Large 035664007522 035664007539 035664007546 035664007393 2041796 2041804 2041812 Athletic for Men and Women 8-15 mmHg*∆ KNEE-HIGH SUPPORT SOCKS Order by Shoe Size— Women - Small: 7-9; Medium: 9 ½-11; Large: 11 ½-13 Men - Small: 6-8; Medium: 8 ½-10; Large: 10 ½ -12 1707207 1707199 1707181 110449 110450 110451 White, Small White, Medium White, Large ∆ 035664104498 035664104504 035664104511 Caution: These products contain natural rubber latex which may cause allergic reactions. *See sizing charts page 55. Page 9 SupportWear ECONO # PRODUCT DESCRIPTION CAT # UPC MEN'S DRESS 8-15 mmHg* KNEE-HIGH SUPPORT SOCKS Order by Shoe Size— Small: 6-8; Medium: 8 ½-10; Large: 10 ½-12; Extra Large: 12 ½-14 3246329 3246832 3247673 3249547 2244929 1203785 1203819 1203843 1774249 110780 110781 110782 110783 Black, Small Black, Medium Black, Large Black, Extra Large 035664107802 035664107819 035664107826 035664107833 110784 110785 110786 110787 Navy, Small Navy, Medium Navy, Large Navy, Extra Large 035664107840 035664107857 035664107864 035664107871 110788 110789 110790 110791 Brown, Small Brown, Medium Brown, Large Brown, Extra Large 035664107888 035664107895 035664107901 035664107918 110796 110797 110798 110799 Khaki, Small Khaki, Medium Khaki, Large Khaki, Extra Large 035664107963 035664107970 035664107987 035664107994 JOBST® forMen 8-15 mmHg* ∆ KNEE-HIGH SUPPORT SOCKS Order by Shoe Size— Small: 6-8; Medium: 8 ½-10; Large: 10 ½-12; Extra Large: 12½ -14 2288991 2292522 2293678 2296531 110301 110302 110303 110304 Black, Small Black, Medium Black, Large Black, Extra Large 035664103019 035664103026 035664103033 035664103040 2297422 110336 110337 110338 110339 Navy, Small Navy, Medium Navy, Large Navy, Extra Large 035664103361 035664103378 035664103385 035664103392 110331 110332 110333 110334 White, Small White, Medium White, Large White, Extra Large 035664103316 035664103323 035664103330 035664103347 2299402 1707256 ∆ Caution: These products contain natural rubber latex which may cause allergic reactions. *See sizing charts page 55. Page 10 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC ULTRASHEER 15-20 mmHg* KNEE HIGH Closed Toe 1956663 1956721 1956747 1460435 1460518 1460534 1460559 1460583 119421 119422 119423 119424 119003 119004 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large Classic Black, Large - Full Calf Classic Black, Extra Large - Full Calf 035664194215 035664194222 035664194239 035664194246 035664190033 035664190040 7768106 7768107 7768108 7768109 7768110 7768111 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large Classic Black, Large - Full Calf Classic Black, Extra Large - Full Calf 035664017897 035664017903 035664017910 035664017927 035664017934 035664017941 119401 119402 119403 119404 119005 119006 Natural, Small Natural, Medium Natural, Large Natural, Extra Large Natural, Large - Full Calf Natural, Extra Large - Full Calf 035664194017 035664194024 035664194031 035664194048 035664190057 035664190064 7768100 7768101 7768102 7768103 7768104 7768105 Natural, Small Natural, Medium Natural, Large Natural, Extra Large Natural, Large - Full Calf Natural, Extra Large - Full Calf 035664017835 035664017842 035664017859 035664017866 035664017873 035664017880 119405 119406 119407 119408 Suntan, Small Suntan, Medium Suntan, Large Suntan, Extra Large 035664194055 035664194062 035664194079 035664194086 119100 119101 119102 119103 Sun Bronze, Small Sun Bronze, Medium Sun Bronze, Large Sun Bronze, Extra Large 035664004750 035664004767 035664004774 035664004781 #N/A 119514 119515 119516 119517 Honey, Small Honey, Medium Honey, Large Honey, Extra Large 035664195144 035664195151 035664195168 035664195175 119796 119797 119798 119799 Midnight Navy, Small Midnight Navy, Medium Midnight Navy, Large Midnight Navy, Extra Large 035664011925 035664011932 035664011949 035664011956 119518 119519 119520 119521 Anthracite, Small Anthracite, Medium Anthracite, Large Anthracite, Extra Large 035664195182 035664195199 035664195205 035664195212 119676 119677 119678 119679 Espresso, Small Espresso, Medium Espresso, Large Espresso, Extra Large 035664196769 035664196776 035664196783 035664196790 119502 119503 119504 119505 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664195021 035664195038 035664195045 035664195052 119104 119105 119106 119107 Sun Bronze, Small Sun Bronze, Medium Sun Bronze, Large Sun Bronze, Extra Large 035664004798 035664004804 035664004811 035664004828 119510 119511 119512 119513 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664195106 035664195113 035664195120 035664195137 Open Toe *See sizing charts page 56. Page 11 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC ULTRASHEER 15-20 mmHg* KNEE HIGH Diamond Pattern Closed Toe 119170 119171 119172 119173 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 0-35664-00527-6 0-35664-00528-3 0-35664-00529-0 0-35664-00530-6 119280 119281 119282 119283 Espresso, Small Espresso, Medium Espresso, Large Espresso, Extra Large 0-35664-01143-7 0-35664-01144-4 0-35664-01145-1 0-35664-01146-8 ULTRASHEER 15-20 mmHg* KNEE HIGH - PETITE Closed Toe 119608 119609 119610 119611 Suntan, Small Suntan, Medium Suntan, Large Suntan, Extra Large 035664196080 035664196097 035664196103 035664196110 119604 119605 119606 119607 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664196042 035664196059 035664196066 035664196073 119600 119601 119602 119603 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664196004 035664196011 035664196028 035664196035 ULTRASHEER 15-20 mmHg* THIGH HIGH Closed Toe 1957737 1462050 1462233 1462332 1462357 119397 119398 119399 119400 Classic Black, Small, Lace Silicone Strip Classic Black, Medium, Lace Silicone Strip Classic Black, Large, Lace Silicone Strip Classic Black, Extra Large, Lace Silicone Strip 035664193973 035664193980 035664193997 035664194000 122304 122305 122306 122307 Classic Black, Small, Silicone Dot Band Classic Black, Medium, Silicone Dot Band Classic Black, Large, Silicone Dot Band Classic Black, Extra Large, Silicone Dot Band 035664223045 035664223052 035664223069 035664223076 7768600 7768601 7768602 7768603 Classic Black, Small, Sensitive Classic Black, Medium, Sensitive Classic Black, Large, Sensitive Classic Black, Extra Large, Sensitive 035664018191 035664018207 035664018214 035664018221 119377 119378 119379 119380 Natural, Small, Lace Silicone Strip Natural, Medium, Lace Silicone Strip Natural, Large, Lace Silicone Strip Natural, Extra Large, Lace Silicone Strip 035664193775 035664193782 035664193799 035664193805 122300 122301 122302 122303 Natural, Small, Silicone Dot Band Natural, Medium, Silicone Dot Band Natural, Large, Silicone Dot Band Natural, Extra Large, Silicone Dot Band 035664223007 035664223014 035664223021 035664223038 7768608 7768609 7768610 7768611 Natural, Small, Sensitive Natural, Medium, Sensitive Natural, Large, Sensitive Natural, Extra Large, Sensitive 035664018313 035664018320 035664018337 035664018344 119381 Suntan, Small, Lace Silicone Strip 035664193812 119382 Suntan, Medium, Lace Silicone Strip 035664193829 119383 Suntan, Large, Lace Silicone Strip 035664193836 119384 Suntan, Extra Large, Lace Silicone Strip 035664193843 122308 Suntan, Small, Silicone Dot Band 035664223083 122309 Suntan, Medium, Silicone Dot Band 035664223090 122310 Suntan, Large, Silicone Dot Band 035664223106 122311 Suntan, Extra Large, Silicone Dot Band 035664223113 #N/A *See sizing charts page 56. (Cont. next page) Page 12 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC ULTRASHEER 15-20 mmHg* THIGH HIGH (Cont.) Closed Toe 119112 Sun Bronze, Small, Silicone Dot Band 035664004835 119113 Sun Bronze, Medium, Silicone Dot Band 035664004842 119114 Sun Bronze, Large, Silicone Dot Band 035664004859 119115 Sun Bronze, Extra Large, Silicone Dot Band 035664004866 #N/A 119526 Honey, Small, Lace Silicone Strip 035664195267 119527 Honey, Medium, Lace Silicone Strip 035664195274 119528 Honey, Large, Lace Silicone Strip 035664195281 119529 Honey, Extra Large, Lace Silicone Strip 119800 119801 119802 119803 Midnight Navy, Small, Silicone Lace Band Midnight Navy, Medium, Silicone Lace Band Midnight Navy, Large, Silicone Lace Band Midnight Navy, Extra Large, Silicone Lace Band 035664195298 #N/A 035664011963 035664011970 035664011987 035664011994 #N/A 119522 Anthracite, Small, Lace Silicone Strip 035664195229 119523 Anthracite, Medium, Lace Silicone Strip 035664195236 119524 Anthracite, Large, Lace Silicone Strip 035664195243 119525 Anthracite, Extra Large, Lace Silicone Strip 035664195250 Open Toe 119680 Espresso, Small, Lace Silicone Strip 035664196806 119681 Espresso, Medium, Lace Silicone Strip 035664196813 119682 Espresso, Large, Lace Silicone Strip 035664196820 119683 Espresso, Extra Large, Lace Silicone Strip 035664196837 119764 Natural, Small, Silicone Dot Band 035664003173 119765 Natural, Medium, Silicone Dot Band 035664003180 119766 Natural, Large, Silicone Dot Band 035664003197 119767 Natural, Extra Large, Silicone Dot Band 035664003203 119760 Classic Black, Small, Silicone Dot Band 035664003135 119761 Classic Black, Medium, Silicone Dot Band 035664003142 119762 Classic Black, Large, Silicone Dot Band 035664003159 119763 Classic Black, Extra Large, Silicone Dot Band 035664003166 ULTRASHEER 15-20 mmHg* THIGH HIGH Diamond Pattern Closed Toe 119162 Classic Black, Small, Silicone Dot Band 035664005207 119163 Classic Black, Medium, Silicone Dot Band 035664005191 119164 Classic Black, Large, Silicone Dot Band 035664005214 119165 Classic Black, Extra Large, Silicone Dot Band 035664005221 119284 Espresso, Small, Silicone Dot Band 035664011499 119285 Espresso, Medium, Silicone Dot Band 035664011482 119286 Espresso, Large, Silicone Dot Band 035664011475 119287 Espresso, Extra Large, Silicone Dot Band 035664011505 ULTRASHEER 15-20 mmHg* THIGH HIGH PETITE Closed Toe 119644 Suntan, Small, Lace Silicone Strip 035664196448 119645 Suntan, Medium, Lace Silicone Strip 035664196455 119646 Suntan, Large, Lace Silicone Strip 035664196462 119647 Suntan, Extra Large, Lace Silicone Strip 035664196479 119640 Natural, Small, Lace Silicone Strip 035664196400 119641 Natural, Medium, Lace Silicone Strip 035664196417 119642 Natural, Large, Lace Silicone Strip 035664196424 119643 Natural, Extra Large, Lace Silicone Strip 035664196431 7768624 7768625 7768626 7768627 Natural, Small, Sensitive Natural, Medium, Sensitive Natural, Large, Sensitive Natural, Extra Large, Sensitive 035664018566 035664018573 035664018580 035664018597 119636 119637 119638 119639 Classic Black, Small, Lace Silicone Strip Classic Black, Medium, Lace Silicone Strip Classic Black, Large, Lace Silicone Strip Classic Black, Extra Large, Lace Silicone Strip 035664196363 035664196370 035664196387 035664196394 *See sizing charts page 56. (Cont. next page) Page 13 Medical LegWear ECONO # CAT # PRODUCT DESCRIPTION UPC ULTRASHEER 15-20 mmHg* THIGH HIGH PETITE (Cont.) Closed Toe 7768616 7768617 7768618 7768619 Classic Black, Small, Sensitive Classic Black, Medium, Sensitive Classic Black, Large, Sensitive Classic Black, Extra Large, Sensitive 035664018443 035664018450 035664018467 035664018474 ULTRASHEER 15-20 mmHg* PANTYHOSE Closed Toe 1894054 1894294 1894773 1894211 1895267 1894732 1895291 1895622 119373 119374 119375 119376 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664193737 035664193744 035664193751 035664193768 119353 119354 119355 119356 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664193539 035664193546 035664193553 035664193560 119804 119805 119806 119807 Midnight Navy, Small Midnight Navy, Medium Midnight Navy, Large Midnight Navy, Extra Large 035664012007 035664012014 035664012021 035664012038 119357 119358 119359 119360 Suntan, Small Suntan, Medium Suntan, Large Suntan, Extra Large 035664193577 035664193584 035664193591 035664193607 119116 119117 119118 119119 Sun Bronze, Small Sun Bronze, Medium Sun Bronze, Large Sun Bronze, Extra Large 035664004873 035664004880 035664004897 035664004903 119534 119535 119536 119537 Honey, Small Honey, Medium Honey, Large Honey, Extra Large 035664195342 035664195359 035664195366 035664195373 119530 119531 119532 119533 Anthracite, Small Anthracite, Medium Anthracite, Large Anthracite, Extra Large 035664195304 035664195311 035664195328 035664195335 119684 119685 119686 119687 Espresso, Small Espresso, Medium Espresso, Large Espresso, Extra Large 035664196844 035664196851 035664196868 035664196875 ULTRASHEER 15-20 mmHg* PANTYHOSE Diamond Pattern Closed Toe 119178 119179 119180 119181 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664005351 035664005368 035664005375 035664005382 119288 119289 119290 119291 Espresso, Small Espresso, Medium Espresso, Large Espresso, Extra Large 035664011512 035664011529 035664011536 035664011543 ULTRASHEER 15-20 mmHg* MATERNITY Closed Toe 2145142 2146785 2148682 119445 119446 119447 119448 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664194451 035664194468 035664194475 035664194482 119425 119426 119427 119428 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664194253 035664194260 035664194277 035664194284 *See sizing charts page 56. Page 14 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC ULTRASHEER 20-30 mmHg* KNEE HIGH Closed Toe 2783512 2783264 2784007 2783934 2783744 2783611 1703628 1703651 1703669 121504 121505 121506 121507 119009 119010 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large Classic Black, Large - Full Calf Classic Black, Extra Large - Full Calf 035664215040 035664215057 035664215064 035664215071 035664190095 035664190101 7768118 7768119 7768120 7768121 7768122 7768123 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large Classic Black, Large - Full Calf Classic Black, Extra Large - Full Calf 035664018016 035664018023 035664018030 035664018047 035664018054 035664018061 121500 121501 121502 121503 119011 119012 Natural, Small Natural, Medium Natural, Large Natural, Extra Large Natural, Large - Full Calf Natural, Extra Large - Full Calf 035664215002 035664215019 035664215026 035664215033 035664190118 035664190125 7768112 7768113 7768114 7768115 7768116 7768117 Natural, Small Natural, Medium Natural, Large Natural, Extra Large Natural, Large - Full Calf Natural, Extra Large - Full Calf 035664017958 035664017965 035664017972 035664017989 035664017996 035664018009 121522 121523 121524 121525 Suntan, Small Suntan, Medium Suntan, Large Suntan, Extra Large 035664215224 035664215231 035664215248 035664215255 119120 119121 119122 119123 Sun Bronze, Small Sun Bronze, Medium Sun Bronze, Large Sun Bronze, Extra Large 035664004910 035664004927 035664004934 035664004941 119542 119543 119544 119545 Honey, Small Honey, Medium Honey, Large Honey, Extra Large 035664195427 035664195434 035664195441 035664195458 121508 121509 121510 121511 Midnight Navy, Small Midnight Navy, Medium Midnight Navy, Large Midnight Navy, Extra Large 035664215088 035664215095 035664215101 035664215118 119538 119539 119540 119541 Anthracite, Small Anthracite, Medium Anthracite, Large Anthracite, Extra Large 035664195380 035664195397 035664195403 035664195410 119688 119689 119690 119691 Espresso, Small Espresso, Medium Espresso, Large Espresso, Extra Large 035664196882 035664196899 035664196905 035664196912 119742 119743 119744 119745 119746 119747 Natural, Small Natural, Medium Natural, Large Natural, Extra Large Natural, Large - Full Calf Natural, Extra Large - Full Calf Open Toe 035664002978 035664002985 035664002992 035664003005 035664003029 035664003043 *See sizing charts page 56. (Cont. next page) Page 15 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC ULTRASHEER 20-30 mmHg* KNEE HIGH (Cont.) Open Toe 119736 119737 119738 119739 119740 119741 Honey, Small Honey, Medium Honey, Large Honey, Extra Large Honey, Large - Full Calf Honey, Extra Large - Full Calf 035664002916 035664002923 035664002930 035664002947 035664002954 035664002961 119124 119125 119126 119127 Sun Bronze, Small Sun Bronze, Medium Sun Bronze, Large Sun Bronze, Extra Large 035664004958 035664004965 035664004972 035664004989 119730 119731 119732 119733 119734 119735 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large Classic Black, Large - Full Calf Classic Black, Extra Large - Full Calf 035664002855 035664002862 035664002879 035664002886 035664002893 035664002909 ULTRASHEER 20-30 mmHg* KNEE HIGH Diamond Pattern Closed Toe 119174 119175 119176 119177 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664005313 035664005320 035664005337 035664005344 119292 119293 119294 119295 Espresso, Small Espresso, Medium Espresso, Large Espresso, Extra Large 035664011550 035664011567 035664011574 035664011581 ULTRASHEER 20-30 mmHg* KNEE HIGH - PETITE Closed Toe 119620 119621 119622 119623 Suntan, Small Suntan, Medium Suntan, Large Suntan, Extra Large 035664196202 035664196219 035664196226 035664196233 119616 119617 119618 119619 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664196165 035664196172 035664196189 035664196196 119612 119613 119614 119615 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664196127 035664196134 035664196141 035664196158 119788 119789 119790 119791 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664003432 035664003449 035664003456 035664003463 119784 119785 119786 119787 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664003388 035664003395 035664003418 035664003425 Open Toe *See sizing charts page 56. Page 16 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC ULTRASHEER 20-30 mmHg* THIGH HIGH Closed Toe 1336866 1855717 1338987 1340728 1372531 1855089 1855345 1855543 1343078 1855790 1855931 122250 122251 122252 122253 Classic Black, Small, Lace Silicone Strip Classic Black, Medium, Lace Silicone Strip Classic Black, Large, Lace Silicone Strip Classic Black, Extra Large, Lace Silicone Strip 035664222505 035664222512 035664222529 035664222536 122316 122317 122318 122319 Classic Black, Small, Silicone Dot Band Classic Black, Medium, Silicone Dot Band Classic Black, Large, Silicone Dot Band Classic Black, Extra Large, Silicone Dot Band 035664223168 035664223175 035664223182 035664223199 7768700 7768701 7768702 7768703 Classic Black, Small, Sensitive Classic Black, Medium, Sensitive Classic Black, Large, Sensitive Classic Black, Extra Large, Sensitive 035664018238 035664018245 035664018252 035664018269 122246 122247 122248 122249 Natural, Small, Lace Silicone Strip Natural, Medium, Lace Silicone Strip Natural, Large, Lace Silicone Strip Natural, Extra Large, Lace Silicone Strip 035664222468 035664222475 035664222482 035664222499 122312 122313 122314 122315 Natural, Small, Silicone Dot Band Natural, Medium, Silicone Dot Band Natural, Large, Silicone Dot Band Natural, Extra Large, Silicone Dot Band 035664223120 035664223137 035664223144 035664223151 7768708 7768709 7768710 7768711 Natural, Small, Sensitive Natural, Medium, Sensitive Natural, Large, Sensitive Natural, Extra Large, Sensitive 035664018368 035664018375 035664018382 035664018399 122258 122259 122260 122261 Suntan, Small, Lace Silicone Strip Suntan, Medium, Lace Silicone Strip Suntan, Large, Lace Silicone Strip Suntan, Extra Large, Lace Silicone Strip 035664222581 035664222598 035664222604 035664222611 122320 122321 122322 122323 Suntan, Small, Silicone Dot Band Suntan, Medium, Silicone Dot Band Suntan, Large, Silicone Dot Band Suntan, Extra Large, Silicone Dot Band 035664223205 035664223212 035664223229 035664223236 119132 119133 119134 119135 Sun Bronze, Small, Silicone Dot Band Sun Bronze, Medium, Silicone Dot Band Sun Bronze, Large, Silicone Dot Band Sun Bronze, Extra Large, Silicone Dot Band 035664004996 035664005009 035664005016 035664005023 119552 119553 119554 119555 Honey, Small, Lace Silicone Strip Honey, Medium, Lace Silicone Strip Honey, Large, Lace Silicone Strip Honey, Extra Large, Lace Silicone Strip 035664195526 035664195533 035664195540 035664195557 122254 122255 122256 122257 Midnight Navy, Small, Lace Silicone Strip Midnight Navy, Medium, Lace Silicone Strip Midnight Navy, Large, Lace Silicone Strip Midnight Navy, Extra Large, Lace Silicone Strip 035664222543 035664222550 035664222567 035664222574 119546 119547 119548 119549 Anthracite, Small, Lace Silicone Strip Anthracite, Medium, Lace Silicone Strip Anthracite, Large, Lace Silicone Strip Anthracite, Extra Large, Lace Silicone Strip 035664195465 035664195472 035664195489 035664195496 119692 119693 119694 119695 Espresso, Small, Lace Silicone Strip Espresso, Medium, Lace Silicone Strip Espresso, Large, Lace Silicone Strip Espresso, Extra Large, Lace Silicone Strip 035664196929 035664196936 035664196943 035664196950 *See sizing charts page 56. (Cont. next page) Page 17 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC ULTRASHEER 20-30 mmHg* THIGH HIGH (Cont.) Open Toe 119776 119777 119778 119779 Natural, Small, Silicone Dot Band Natural, Medium, Silicone Dot Band Natural, Large, Silicone Dot Band Natural, Extra Large, Silicone Dot Band 035664003296 035664003319 035664003326 035664003333 119772 119773 119774 119775 Honey, Small, Silicone Dot Band Honey, Medium, Silicone Dot Band Honey, Large, Silicone Dot Band Honey, Extra Large, Silicone Dot Band 035664003258 035664003265 035664003272 035664003289 119768 119769 119770 119771 Classic Black, Small, Silicone Dot Band Classic Black, Medium, Silicone Dot Band Classic Black, Large, Silicone Dot Band Classic Black, Extra Large, Silicone Dot Band 035664003210 035664003227 035664003234 035664003241 ULTRASHEER 20-30 mmHg* THIGH HIGH Diamond Pattern Closed Toe 119166 119167 119168 119169 Classic Black, Small, Silicone Dot Band Classic Black, Medium, Silicone Dot Band Classic Black, Large, Silicone Dot Band Classic Black, Extra Large, Silicone Dot Band 035664005238 035664005245 035664005252 035664005269 119296 119297 119298 119299 Espresso, Small, Silicone Dot Band Espresso, Medium, Silicone Dot Band Espresso, Large, Silicone Dot Band Espresso, Extra Large, Silicone Dot Band 035664011598 035664011604 035664011611 035664011628 ULTRASHEER 20-30 mmHg* THIGH HIGH - PETITE Closed Toe 119656 119657 119658 119659 Suntan, Small, Lace Silicone Strip Suntan, Medium, Lace Silicone Strip Suntan, Large, Lace Silicone Strip Suntan, Extra Large, Lace Silicone Strip 035664196561 035664196578 035664196585 035664196592 119652 119653 119654 119655 Natural, Small, Lace Silicone Strip Natural, Medium, Lace Silicone Strip Natural, Large, Lace Silicone Strip Natural, Extra Large, Lace Silicone Strip 035664196523 035664196530 035664196547 035664196554 7768724 7768725 7768726 7768727 Natural, Small, Sensitive Natural, Medium, Sensitive Natural, Large, Sensitive Natural, Extra Large, Sensitive 035664018603 035664018610 035664018627 035664018634 119648 119649 119650 119651 Classic Black, Small, Lace Silicone Strip Classic Black, Medium, Lace Silicone Strip Classic Black, Large, Lace Silicone Strip Classic Black, Extra Large, Lace Silicone Strip 035664196486 035664196493 035664196509 035664196516 7768716 7768717 7768718 7768719 Classic Black, Small, Sensitive Classic Black, Medium, Sensitive Classic Black, Large, Sensitive Classic Black, Extra Large, Sensitive 035664018481 035664018498 035664018504 035664018511 119792 Natural, Small, Silicone Dot Band 035664003470 119793 Natural, Medium, Silicone Dot Band 035664003487 119794 Natural, Large, Silicone Dot Band 035664003494 119795 Natural, Extra Large, Silicone Dot Band 035664003500 Open Toe ULTRASHEER 20-30 mmHg* PANTYHOSE Closed Toe 1703206 1703198 1703131 121515 121516 121517 122236 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664215156 035664215163 035664215170 035664222369 *See sizing charts page 56. (Cont. next page) Page 18 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC ULTRASHEER 20-30 mmHg* PANTYHOSE (Cont.) Closed Toe 1703404 1702836 1702810 121512 121513 121514 122235 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664215125 035664215132 035664215149 035664222352 121529 121530 121531 122237 Suntan, Small Suntan, Medium Suntan, Large Suntan, Extra Large 035664215293 035664215309 035664215316 035664222376 119136 119137 119138 119139 Sun Bronze, Small Sun Bronze, Medium Sun Bronze, Large Sun Bronze, Extra Large 035664005030 035664005047 035664005054 035664005061 119560 119561 119562 119563 Honey, Small Honey, Medium Honey, Large Honey, Extra Large 035664195601 035664195618 035664195625 035664195632 121532 121533 121534 122239 Midnight Navy, Small Midnight Navy, Medium Midnight Navy, Large Midnight Navy, Extra Large 035664215323 035664215330 035664215347 035664222390 119556 119557 119558 119559 Anthracite, Small Anthracite, Medium Anthracite, Large Anthracite, Extra Large 035664195564 035664195571 035664195588 035664195595 119696 119697 119698 119699 Espresso, Small Espresso, Medium Espresso, Large Espresso, Extra Large 035664196967 035664196974 035664196981 035664196998 ULTRASHEER 20-30 mmHg* PANTYHOSE Diamond Pattern Closed Toe 119182 119183 119184 119185 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664005399 035664005405 035664005412 035664005429 119300 119301 119302 119303 Espresso, Small Espresso, Medium Espresso, Large Espresso, Extra Large 035664011635 035664011666 035664011642 035664011659 ULTRASHEER 20-30 mmHg* MATERNITY Closed Toe 1373000 1373893 1374883 121538 121539 121540 121617 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664215385 035664215392 035664215408 035664216177 121535 121536 121537 121616 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664215354 035664215361 035664215378 035664216160 ULTRASHEER 30-40 mmHg* KNEE HIGH Closed Toe 2751956 2751683 2751550 2751451 121473 121474 121475 121476 119015 119016 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large Classic Black, Large - Full Calf Classic Black, Extra Large - Full Calf *See sizing charts page 56. 035664214739 035664214746 035664214753 035664214760 035664190156 035664190163 (Cont. next page) Page 19 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC ULTRASHEER 30-40 mmHg* KNEE HIGH (Cont.) Closed Toe 2752731 2752509 2752343 2752152 1436450 1703610 1703479 1703461 7768130 7768131 7768132 7768133 7768134 7768135 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large Classic Black, Large - Full Calf Classic Black, Extra Large - Full Calf 035664018139 035664018146 035664018153 035664018160 035664018177 035664018184 121465 121466 121467 121468 119017 119018 Natural, Small Natural, Medium Natural, Large Natural, Extra Large Natural, Large - Full Calf Natural, Extra Large - Full Calf 035664214654 035664214661 035664214678 035664214685 035664190170 035664190187 7768124 7768125 7768126 7768127 7768128 7768129 Natural, Small Natural, Medium Natural, Large Natural, Extra Large Natural, Large - Full Calf Natural, Extra Large - Full Calf 035664018078 035664018085 035664018092 035664018108 035664018115 035664018122 121490 121491 121492 121493 Suntan, Small Suntan, Medium Suntan, Large Suntan, Extra Large 035664214906 035664214913 035664214920 035664214937 119140 119141 119142 119143 Sun Bronze, Small Sun Bronze, Medium Sun Bronze, Large Sun Bronze, Extra Large 035664005078 035664005085 035664005092 035664005108 119568 119569 119570 119571 Honey, Small Honey, Medium Honey, Large Honey, Extra Large 035664195687 035664195694 035664195700 035664195717 119564 119565 119566 119567 Anthracite, Small Anthracite, Medium Anthracite, Large Anthracite, Extra Large 035664195649 035664195656 035664195663 035664195670 119700 119701 119702 119703 Espresso, Small Espresso, Medium Espresso, Large Espresso, Extra Large 035664197001 035664197018 035664197025 035664197032 119754 119755 119756 119757 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664003098 035664003104 035664003111 035664003128 119748 119749 119750 119751 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664003050 035664003067 035664003074 035664003081 Open Toe ULTRASHEER 30-40 mmHg* KNEE HIGH - PETITE Closed Toe 119632 119633 119634 119635 Suntan, Small Suntan, Medium Suntan, Large Suntan, Extra Large 035664196325 035664196332 035664196349 035664196356 119628 119629 119630 119631 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664196288 035664196295 035664196301 035664196318 119624 119625 119626 119627 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664196240 035664196257 035664196264 035664196271 *See sizing charts page 56. Page 20 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC ULTRASHEER 30-40 mmHg* THIGH HIGH 1856079 1856186 1856319 1856442 1857051 1858174 Closed Toe 122270 122271 122272 122273 Classic Black, Small, Lace Silicone Strip Classic Black, Medium, Lace Silicone Strip Classic Black, Large, Lace Silicone Strip Classic Black, Extra Large, Lace Silicone Strip 035664222703 035664222710 035664222727 035664222734 122328 122329 122330 122331 Classic Black, Small, Silicone Dot Band Classic Black, Medium, Silicone Dot Band Classic Black, Large, Silicone Dot Band Classic Black, Extra Large, Silicone Dot Band 035664223281 035664223298 035664223304 035664223311 7768800 7768801 7768802 7768803 Classic Black, Small, Sensitive Classic Black, Medium, Sensitive Classic Black, Large, Sensitive Classic Black, Extra Large, Sensitive 035664018276 035664018283 035664018290 035664018306 122266 122267 122268 122269 Natural, Small, Lace Silicone Strip Natural, Medium, Lace Silicone Strip Natural, Large, Lace Silicone Strip Natural, Extra Large, Lace Silicone Strip 035664222666 035664222673 035664222680 035664222697 122324 122325 122326 122327 Natural, Small, Silicone Dot Band Natural, Medium, Silicone Dot Band Natural, Large, Silicone Dot Band Natural, Extra Large, Silicone Dot Band 035664223243 035664223250 035664223267 035664223274 7768808 7768809 7768810 7768811 Natural, Small, Sensitive Natural, Medium, Sensitive Natural, Large, Sensitive Natural, Extra Large, Sensitive 035664018405 035664018412 035664018429 035664018436 122278 122279 122280 122281 Suntan, Small, Lace Silicone Strip Suntan, Medium, Lace Silicone Strip Suntan, Large, Lace Silicone Strip Suntan, Extra Large, Lace Silicone Strip 035664222789 035664222796 035664222802 035664222819 122332 122333 122334 122335 Suntan, Small, Silicone Dot Band Suntan, Medium, Silicone Dot Band Suntan, Large, Silicone Dot Band Suntan, Extra Large, Silicone Dot Band 035664223328 035664223335 035664223342 035664223359 119148 119149 119150 119151 Sun Bronze, Small, Silicone Dot Band Sun Bronze, Medium, Silicone Dot Band Sun Bronze, Large, Silicone Dot Band Sun Bronze, Extra Large, Silicone Dot Band 035664005115 035664005122 035664005139 035664005146 119576 119577 119578 119579 Honey, Small, Lace Silicone Strip Honey, Medium, Lace Silicone Strip Honey, Large, Lace Silicone Strip Honey, Extra Large, Lace Silicone Strip 035664195762 035664195779 035664195786 035664195793 119572 119573 119574 119575 Anthracite, Small, Lace Silicone Strip Anthracite, Medium, Lace Silicone Strip Anthracite, Large, Lace Silicone Strip Anthracite, Extra Large, Lace Silicone Strip 035664195724 035664195731 035664195748 035664195755 119580 119581 119582 119583 Espresso, Small, Lace Silicone Strip Espresso, Medium, Lace Silicone Strip Espresso, Large, Lace Silicone Strip Espresso, Extra Large, Lace Silicone Strip 035664195809 035664195816 035664195823 035664195830 119780 119781 119782 119783 Natural, Small, Silicone Dot Band Natural, Medium, Silicone Dot Band Natural, Large, Silicone Dot Band Natural, Extra Large, Silicone Dot Band Open Toe 035664003340 035664003357 035664003364 035664003371 ULTRASHEER 30-40 mmHg* THIGH HIGH - PETITE Closed Toe 119668 119669 119670 119671 Suntan, Small, Lace Silicone Strip Suntan, Medium, Lace Silicone Strip Suntan, Large, Lace Silicone Strip Suntan, Extra Large, Lace Silicone Strip 035664196684 035664196691 035664196707 035664196714 119664 119665 119666 119667 Natural, Small, Lace Silicone Strip Natural, Medium, Lace Silicone Strip Natural, Large, Lace Silicone Strip Natural, Extra Large, Lace Silicone Strip 035664196646 035664196653 035664196660 035664196677 *See sizing charts page 56. (Cont. next page) Page 21 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC ULTRASHEER 30-40 mmHg* THIGH HIGH - PETITE (Cont.) Closed Toe 7768824 7768825 7768826 7768827 Natural, Small, Sensitive Natural, Medium, Sensitive Natural, Large, Sensitive Natural, Extra Large, Sensitive 035664018641 035664018658 035664018665 035664018672 119660 119661 119662 119663 Classic Black, Small, Lace Silicone Strip Classic Black, Medium, Lace Silicone Strip Classic Black, Large, Lace Silicone Strip Classic Black, Extra Large, Lace Silicone Strip 035664196608 035664196615 035664196622 035664196639 7768816 7768817 7768818 7768819 Classic Black, Small, Sensitive Classic Black, Medium, Sensitive Classic Black, Large, Sensitive Classic Black, Extra Large, Sensitive 035664018528 035664018535 035664018542 035664018559 ULTRASHEER 30-40 mmHg* PANTYHOSE 1703073 1436948 1703289 1320621 1702802 1702778 Closed Toe 121483 121484 121485 122241 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664214838 035664214845 035664214852 035664222413 121477 121478 121479 122240 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664214777 035664214784 035664214791 035664222406 121497 121498 121499 122242 Suntan, Small Suntan, Medium Suntan, Large Suntan, Extra Large 035664214975 035664214982 035664214999 035664222420 119152 119153 119154 119155 Sun Bronze, Small Sun Bronze, Medium Sun Bronze, Large Sun Bronze, Extra Large 035664005153 035664005160 035664005177 035664005184 119588 119589 119590 119591 Honey, Small Honey, Medium Honey, Large Honey, Extra Large 035664195885 035664195892 035664195908 035664195915 119584 119585 119586 119587 Anthracite, Small Anthracite, Medium Anthracite, Large Anthracite, Extra Large 035664195847 035664195854 035664195861 035664195878 119704 119705 119706 119707 Espresso, Small Espresso, Medium Espresso, Large Espresso, Extra Large 035664197049 035664197056 035664197063 035664197070 OPAQUE 15-20 mmHg* KNEE HIGH Closed Toe 2479350 2479459 2479681 2479889 115200 115201 115202 115203 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664152000 035664152017 035664152024 035664152031 2743755 2743839 2743912 2743979 115212 115213 115214 115215 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664152123 035664152130 035664152147 035664152154 *See sizing charts page 56. (Cont. next page) Page 22 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC OPAQUE 15-20 mmHg* KNEE HIGH (Cont.) Closed Toe 115681 115682 115683 115684 Honey, Small Honey, Medium Honey, Large Honey, Extra Large 035664000462 035664000448 035664000424 035664000400 115752 115753 115754 115755 Midnight Navy, Small Midnight Navy, Medium Midnight Navy, Large Midnight Navy, Extra Large 035664011246 035664011253 035664011376 035664011383 115685 115686 115687 115688 Espresso, Small Espresso, Medium Espresso, Large Espresso, Extra Large 035664000455 035664000431 035664000417 035664000394 115331 115332 115333 115334 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664153311 035664153328 035664153335 035664153342 #N/A 115335 115336 115337 115338 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664153359 035664153366 035664153373 035664153380 Open Toe OPAQUE 15-20 mmHg* KNEE HIGH - PETITE Closed Toe 115600 115601 115602 115603 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664156008 035664156015 035664156022 035664156039 115604 115605 115606 115607 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664156046 035664156053 035664156060 035664156077 115069 115070 115071 115072 Natural, Small Natural, Medium Natural, Large Natural, Extra Large Open Toe 035664150693 035664150709 035664150716 035664150723 OPAQUE 15-20 mmHg* THIGH HIGH - Silicone Dot Band Closed Toe 115504 115505 115506 115507 Classic Black, Small, Silicone Dot Band Classic Black, Medium, Silicone Dot Band Classic Black, Large, Silicone Dot Band Classic Black, Extra Large, Silicone Dot Band 035664155049 035664155056 035664155063 035664155070 7768900 7768901 7768902 7768903 Classic Black, Small, Sensitive Classic Black, Medium, Sensitive Classic Black, Large, Sensitive Classic Black, Extra Large, Sensitive 035664018689 035664018696 035664018702 035664018719 115508 115509 115510 115511 Natural, Small, Silicone Dot Band Natural, Medium, Silicone Dot Band Natural, Large, Silicone Dot Band Natural, Extra Large, Silicone Dot Band 035664155087 035664155094 035664155100 035664155117 7768908 7768909 7768910 7768911 Natural, Small, Sensitive Natural, Medium, Sensitive Natural, Large, Sensitive Natural, Extra Large, Sensitive 035664018801 035664018818 035664018825 035664018832 *See sizing charts page 56. (Cont. next page) Page 23 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC OPAQUE 15-20 mmHg* THIGH HIGH - Silicone Dot Band (Cont.) Closed Toe 115689 115690 115691 115692 Honey, Small, Silicone Dot Band Honey, Medium, Silicone Dot Band Honey, Large, Silicone Dot Band Honey, Extra Large, Silicone Dot Band 035664000158 035664000714 035664000684 035664000653 115760 115761 115762 115763 Midnight Navy, Small, Silicone Dot Band Midnight Navy, Medium, Silicone Dot Band Midnight Navy, Large, Silicone Dot Band Midnight Navy, Extra Large, Silicone Dot Band 035664011291 035664011307 035664011314 035664011321 115693 115694 115695 115696 Espresso, Small, Silicone Dot Band Espresso, Medium, Silicone Dot Band Espresso, Large, Silicone Dot Band Espresso, Extra Large, Silicone Dot Band 035664000172 035664000707 035664000677 035664000646 115552 115553 115554 115555 Natural, Small, Silicone Dot Band Natural, Medium, Silicone Dot Band Natural, Large, Silicone Dot Band Natural, Extra Large, Silicone Dot Band 035664155520 035664155537 035664155544 035664155551 115556 115557 115558 115559 Classic Black, Small, Silicone Dot Band Classic Black, Medium, Silicone Dot Band Classic Black, Large, Silicone Dot Band Classic Black, Extra Large, Silicone Dot Band 035664155568 035664155575 035664155582 035664155599 115697 115698 115699 115700 Honey, Small, Silicone Dot Band Honey, Medium, Silicone Dot Band Honey, Large, Silicone Dot Band Honey, Extra Large, Silicone Dot Band 035664000721 035664000691 035664000660 035664000639 Open Toe OPAQUE 15-20 mmHg* THIGH HIGH PETITE - Silicone Dot Band Closed Toe 115652 115653 115654 115655 Natural, Small, Silicone Dot Band Natural, Medium, Silicone Dot Band Natural, Large, Silicone Dot Band Natural, Extra Large, Silicone Dot Band 115644 115645 115646 115647 Natural, Small, Silicone Dot Band Natural, Medium, Silicone Dot Band Natural, Large, Silicone Dot Band Natural, Extra Large, Silicone Dot Band 035664156527 035664156534 035664156541 035664156558 Open Toe 035664156442 035664156459 035664156466 035664156473 OPAQUE 15-20 mmHg* THIGH HIGH PETITE Closed Toe 7768916 7768917 7768918 7768919 Natural, Small, Sensitive Natural, Medium, Sensitive Natural, Large, Sensitive Natural, Extra Large, Sensitive 035664018924 035664018931 035664018948 035664018955 OPAQUE 15-20 mmHg* PANTYHOSE Closed Toe 115220 115221 115222 115223 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664152208 035664152215 035664152222 035664152239 115756 115757 115758 115759 Midnight Navy, Small Midnight Navy, Medium Midnight Navy, Large Midnight Navy, Extra Large 035664011338 035664011345 035664011352 035664011369 115232 115233 115234 115235 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664152321 035664152338 035664152345 035664152352 *See sizing charts page 56. Page 24 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC OPAQUE 20-30 mmHg* KNEE HIGH Closed Toe 1735190 1735216 1735315 1337211 1734938 1735117 1735166 1332204 115132 115133 115134 115135 115364 115365 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large Classic Black, Large - Full Calf Classic Black, Extra Large - Full Calf 035664151324 035664151331 035664151348 035664151355 035664153649 035664153656 115740 115741 115742 115743 Midnight Navy, Small Midnight Navy, Medium Midnight Navy, Large Midnight Navy, Extra Large 035664008383 035664008390 035664008406 035664008413 115270 115271 115272 115273 115378 115379 Natural, Small Natural, Medium Natural, Large Natural, Extra Large Natural, Large - Full Calf Natural, Extra Large - Full Calf 035664152703 035664152710 035664152727 035664152734 035664153786 035664153793 115456 115457 115458 115459 Honey, Small Honey, Medium Honey, Large Honey, Extra Large 035664000622 035664000608 035664000585 035664000738 115460 115461 115462 115463 Espresso, Small Espresso, Medium Espresso, Large Espresso, Extra Large 035664000615 035664000592 035664000745 035664000752 115384 115385 115386 115387 115376 115377 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large Classic Black, Large - Full Calf Classic Black, Extra Large - Full Calf 035664153847 035664153854 035664153861 035664153878 035664153762 035664153779 115480 115481 115482 115483 115366 115367 Natural, Small Natural, Medium Natural, Large Natural, Extra Large Natural, Large - Full Calf Natural, Extra Large - Full Calf 035664154806 035664154813 035664154820 035664154837 035664153663 035664153670 Open Toe OPAQUE 20-30 mmHg* KNEE HIGH - PETITE Closed Toe 115608 115609 115610 115611 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664156084 035664156091 035664156107 035664156114 115614 115615 115616 115617 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664156145 035664156152 035664156169 035664156176 115620 115621 115622 115623 Natural, Small Natural, Medium Natural, Large Natural, Extra Large Open Toe 035664156206 035664156213 035664156220 035664156237 OPAQUE 20-30 mmHg* THIGH HIGH - Silicone Dot Band Closed Toe 115144 115145 115146 115147 Classic Black, Small, Silicone Dot Band Classic Black, Medium, Silicone Dot Band Classic Black, Large, Silicone Dot Band Classic Black, Extra Large, Silicone Dot Band *See sizing charts page 56. 035664151447 035664151454 035664151461 035664151478 (Cont. next page) Page 25 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC OPAQUE 20-30 mmHg* THIGH HIGH - Silicone Dot Band 1806330 1807353 (Cont.) Closed Toe 7769000 7769001 7769002 7769003 Classic Black, Small, Sensitive Classic Black, Medium, Sensitive Classic Black, Large, Sensitive Classic Black, Extra Large, Sensitive 035664018726 035664018733 035664018740 035664018757 115274 115275 115276 115277 Natural, Small, Silicone Dot Band Natural, Medium, Silicone Dot Band Natural, Large, Silicone Dot Band Natural, Extra Large, Silicone Dot Band 035664152741 035664152758 035664152765 035664152772 7769008 7769009 7769010 7769011 Natural, Small, Sensitive Natural, Medium, Sensitive Natural, Large, Sensitive Natural, Extra Large, Sensitive 035664018849 035664018856 035664018863 035664018870 115464 115465 115466 115467 Honey, Small, Silicone Dot Band Honey, Medium, Silicone Dot Band Honey, Large, Silicone Dot Band Honey, Extra Large, Silicone Dot Band 035664000769 035664000356 035664000325 035664000295 115748 115749 115750 115751 Midnight Navy, Small, Silicone Dot Band Midnight Navy, Medium, Silicone Dot Band Midnight Navy, Large, Silicone Dot Band Midnight Navy, Extra Large, Silicone Dot Band 035664011390 035664011406 035664011413 035664011420 115468 115469 115470 115471 Espresso, Small, Silicone Dot Band Espresso, Medium, Silicone Dot Band Espresso, Large, Silicone Dot Band Espresso, Extra Large, Silicone Dot Band 035664000363 035664000332 035664000301 035664000271 115544 Natural, Small, Silicone Dot Band 035664155445 115545 Natural, Medium, Silicone Dot Band 035664155452 115546 Natural, Large, Silicone Dot Band 035664155469 115547 Natural, Extra Large, Silicone Dot Band 035664155476 115560 Classic Black, Small, Silicone Dot Band 035664155605 115561 Classic Black, Medium, Silicone Dot Band 035664155612 115562 Classic Black, Large, Silicone Dot Band 035664155629 115563 Classic Black, Extra Large, Silicone Dot Band 035664155636 115472 Honey, Small, Silicone Dot Band 035664000370 115473 Honey, Medium, Silicone Dot Band 035664000349 115474 Honey, Large, Silicone Dot Band 035664000318 115475 Honey, Extra Large, Silicone Dot Band 035664000288 Open Toe OPAQUE 20-30 mmHg* THIGH HIGH PETITE - Silicone Dot Band Closed Toe 115660 Natural, Small, Silicone Dot Band 035664156602 115661 Natural, Medium, Silicone Dot Band 035664156619 115662 Natural, Large, Silicone Dot Band 035664156626 115663 Natural, Extra Large, Silicone Dot Band 035664156633 Open Toe 115664 Natural, Small, Silicone Dot Band 035664156640 115665 Natural, Medium, Silicone Dot Band 035664156657 115666 Natural, Large, Silicone Dot Band 035664156664 115667 Natural, Extra Large, Silicone Dot Band 035664156671 *See sizing charts page 56. Page 26 Medical LegWear ECONO # CAT # PRODUCT DESCRIPTION UPC OPAQUE 20-30 mmHg* THIGH HIGH PETITE Closed Toe 7769016 7769017 7769018 7769019 Natural, Small, Sensitive Natural, Medium, Sensitive Natural, Large, Sensitive Natural, Extra Large, Sensitive 035664018962 035664018979 035664018986 035664018993 OPAQUE 20-30 mmHg* PANTYHOSE Closed Toe 1323617 115156 Classic Black, Small 035664151560 1734417 115157 Classic Black, Medium 035664151577 1324243 115158 Classic Black, Large 035664151584 1324995 115159 Classic Black, Extra Large 035664151591 1330521 115278 Natural, Small 035664152789 1734508 115279 Natural, Medium 035664152796 1331172 115280 Natural, Large 035664152802 1331859 115281 Natural, Extra Large 035664152819 115744 115745 115746 115747 Midnight Navy, Small Midnight Navy, Medium Midnight Navy, Large Midnight Navy, Extra Large 035664008420 035664008437 035664008444 035664008451 OPAQUE 30-40 mmHg* KNEE HIGH Closed Toe 1333327 1334283 1334945 1335314 115168 115169 115170 115171 115368 115369 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large Classic Black, Large - Full Calf Classic Black, Extra Large - Full Calf 035664151683 035664151690 035664151706 035664151713 035664153687 035664153694 1335926 1336106 1336742 1336981 115282 115283 115284 115285 115370 115371 Natural, Small Natural, Medium Natural, Large Natural, Extra Large Natural, Large - Full Calf Natural, Extra Large - Full Calf 035664152826 035664152833 035664152840 035664152857 035664153700 035664153717 115701 115702 115703 115704 Honey, Small Honey, Medium Honey, Large Honey, Extra Large 035664000264 035664000240 035664000226 035664000202 115705 115706 115707 115708 Espresso, Small Espresso, Medium Espresso, Large Espresso, Extra Large 035664000257 035664000233 035664000219 035664000196 115388 115389 115390 115391 115380 115381 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large Classic Black, Large - Full Calf Classic Black, Extra Large - Full Calf 035664153885 035664153892 035664153908 035664153915 035664153809 035664153816 115496 115497 115498 115499 115382 115383 Natural, Small Natural, Medium Natural, Large Natural, Extra Large Natural, Large - Full Calf Natural, Extra Large - Full Calf 035664154967 035664154974 035664154981 035664154998 035664153823 035664153830 Open Toe OPAQUE 30-40 mmHg* KNEE HIGH - PETITE Closed Toe 115626 115627 115628 115629 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664156268 035664156275 035664156282 035664156299 *See sizing charts page 56. (Cont. next page) Page 27 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC OPAQUE 30-40 mmHg* KNEE HIGH - PETITE (Cont.) Closed Toe 115632 115633 115634 115635 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 115638 115639 115640 115641 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664156329 035664156336 035664156343 035664156350 Open Toe 035664156381 035664156398 035664156404 035664156411 OPAQUE 30-40 mmHg* THIGH HIGH - Silicone Dot Band Closed Toe 115180 115181 115182 115183 Classic Black, Small, Silicone Dot Band Classic Black, Medium, Silicone Dot Band Classic Black, Large, Silicone Dot Band Classic Black, Extra Large, Silicone Dot Band 035664151805 035664151812 035664151829 035664151836 7769100 7769101 7769102 7769103 Classic Black, Small, Sensitive Classic Black, Medium, Sensitive Classic Black, Large, Sensitive Classic Black, Extra Large, Sensitive 035664018764 035664018771 035664018788 035664018795 115286 115287 115288 115289 Natural, Small, Silicone Dot Band Natural, Medium, Silicone Dot Band Natural, Large, Silicone Dot Band Natural, Extra Large, Silicone Dot Band 035664152864 035664152871 035664152888 035664152895 7769108 7769109 7769110 7769111 Natural, Small, Sensitive Natural, Medium, Sensitive Natural, Large, Sensitive Natural, Extra Large, Sensitive 035664018887 035664018894 035664018900 035664018917 115709 115710 115711 115712 Honey, Small, Silicone Dot Band Honey, Medium, Silicone Dot Band Honey, Large, Silicone Dot Band Honey, Extra Large, Silicone Dot Band 035664000387 035664000554 035664000523 035664000493 115713 115714 115715 115716 Espresso, Small, Silicone Dot Band Espresso, Medium, Silicone Dot Band Espresso, Large, Silicone Dot Band Espresso, Extra Large, Silicone Dot Band 035664000561 035664000530 035664000509 035664000479 115548 115549 115550 115551 Natural, Small, Silicone Dot Band Natural, Medium, Silicone Dot Band Natural, Large, Silicone Dot Band Natural, Extra Large, Silicone Dot Band 035664155483 035664155490 035664155506 035664155513 115717 115718 115719 115720 Honey, Small, Silicone Dot Band Honey, Medium, Silicone Dot Band Honey, Large, Silicone Dot Band Honey, Extra Large, Silicone Dot Band 035664000578 035664000547 035664000516 035664000486 115564 115565 115566 115567 Classic Black, Small, Silicone Dot Band Classic Black, Medium, Silicone Dot Band Classic Black, Large, Silicone Dot Band Classic Black, Extra Large, Silicone Dot Band 035664155643 035664155650 035664155667 035664155674 Open Toe OPAQUE 30-40 mmHg* THIGH HIGH PETITE - Silicone Dot Band Closed Toe 115672 115673 115674 115675 Natural, Small, Silicone Dot Band Natural, Medium, Silicone Dot Band Natural, Large, Silicone Dot Band Natural, Extra Large, Silicone Dot Band 115676 115677 115678 115679 Natural, Small, Silicone Dot Band Natural, Medium, Silicone Dot Band Natural, Large, Silicone Dot Band Natural, Extra Large, Silicone Dot Band 035664156725 035664156732 035664156749 035664156756 Open Toe *See sizing charts page 56. 035664156763 035664156770 035664156787 035664156794 (Cont. next page) Page 28 Medical LegWear ECONO # CAT # PRODUCT DESCRIPTION UPC OPAQUE 30-40 mmHg* THIGH HIGH PETITE (Cont.) Closed Toe 7769116 7769117 7769118 7769119 Natural, Small, Sensitive Natural, Medium, Sensitive Natural, Large, Sensitive Natural, Extra Large, Sensitive 035664019006 035664019013 035664019020 035664019037 OPAQUE 30-40 mmHg* PANTYHOSE Closed Toe 1328103 1328491 1329333 1329861 115192 115193 115194 115195 Classic Black, Small Classic Black, Medium Classic Black, Large Classic Black, Extra Large 035664151928 035664151935 035664151942 035664151959 1325828 1326529 1327030 1327584 115290 115291 115292 115293 Natural, Small Natural, Medium Natural, Large Natural, Extra Large 035664152901 035664152918 035664152925 035664152932 so SOFT 15-20 mmHg* KNEE HIGH - Brocade Closed Toe 1263904 1264092 1264902 1265099 1265909 1266097 1266907 1267095 120209 120210 120211 120212 Sand, Small Sand, Medium Sand, Large Sand, Extra Large 035664007645 035664007652 035664007669 035664007676 120307 120308 120309 120310 White, Small White, Medium White, Large White, Extra large 035664012724 035664012731 035664012748 035664012755 120205 120206 120207 120208 Black, Small Black, Medium Black, Large Black, Extra Large 035664007614 035664008093 035664007621 035664007638 so SOFT 15-20 mmHg* KNEE HIGH - Ribbed Closed Toe 1269075 1269083 1269091 1269901 1270099 1270909 1270917 1270925 120217 120218 120219 120220 Sand, Small Sand, Medium Sand, Large Sand, Extra Large 035664007720 035664007737 035664007744 035664007751 120319 120320 120321 120322 White, Small White, Medium White, Large White, Extra large 035664012847 035664012854 035664012861 035664012878 120213 120214 120215 120216 Black, Small Black, Medium Black, Large Black, Extra Large 035664007683 035664007690 035664007706 035664007713 so SOFT 20-30 mmHg* KNEE HIGH - Brocade Closed Toe 1268093 1268903 1269000 1269018 1269026 1269034 1269042 1269059 120225 120226 120227 120228 Sand, Small Sand, Medium Sand, Large Sand, Extra Large 035664007805 035664007812 035664007829 035664007836 120311 120312 120313 120314 White, Small White, Medium White, Large White, Extra large 035664012762 035664012779 035664012786 035664012793 120221 120222 120223 120224 Black, Small Black, Medium Black, Large Black, Extra Large 035664007768 035664007775 035664007782 035664007799 *See sizing charts page 56. Page 29 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC so SOFT 20-30 mmHg* KNEE HIGH - Ribbed Closed Toe 1270941 1270958 1270966 1270974 1270982 1270990 1271097 1271907 120233 120234 120235 120236 Sand, Small Sand, Medium Sand, Large Sand, Extra Large 035664007881 035664007898 035664007904 035664007911 120323 120324 120325 120326 White, Small White, Medium White, Large White, Extra large 035664012885 035664012892 035664012908 035664012915 120229 120230 120231 120232 Black, Small Black, Medium Black, Large Black, Extra Large 035664007843 035664007850 035664007867 035664007874 so SOFT 30-40 mmHg* KNEE HIGH - Brocade Closed Toe 120259 120260 120261 120262 Sand, Small Sand, Medium Sand, Large Sand, Extra Large 035664007966 035664007973 035664007980 035664007997 120315 120316 120317 120318 White, Small White, Medium White, Large White, Extra large 035664012809 035664012816 035664012823 035664012830 120255 120256 120257 120258 Black, Small Black, Medium Black, Large Black, Extra Large 035664007928 035664007935 035664007942 035664007959 so SOFT 30-40 mmHg* KNEE HIGH - Ribbed Closed Toe 120267 120268 120269 120270 Sand, Small Sand, Medium Sand, Large Sand, Extra Large 035664008055 035664008062 035664008079 035664008086 120327 120328 120329 120330 White, Small White, Medium White, Large White, Extra large 035664012922 035664012939 035664012946 035664012953 120263 120264 120265 120266 Black, Small Black, Medium Black, Large Black, Extra Large 035664008000 035664008024 035664008031 035664008048 ACTIVEWEAR 15-20 mmHg* KNEE HIGH 1408277 1410083 1411552 1412105 Closed Toe 110479 110480 110481 110482 110525 110526 Cool White, Small Cool White, Medium Cool White, Large Cool White, Extra Large Cool White, Large - Full Calf Cool White, Extra Large - Full Calf 035664104795 035664104801 035664104818 035664104825 035664005955 035664005962 110483 110484 110485 110486 110531 110532 Cool Black, Small Cool Black, Medium Cool Black, Large Cool Black, Extra Large Cool Black, Large - Full Calf Cool Black, Extra Large - Full Calf 035664104832 035664104849 035664104856 035664104863 035664005979 035664005986 *See sizing charts page 56. Page 30 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC ACTIVEWEAR 20-30 mmHg* KNEE HIGH 1413418 1413921 1414770 1415744 Closed Toe 110489 110490 110491 110492 110527 110528 Cool White, Small Cool White, Medium Cool White, Large Cool White, Extra Large Cool White, Large - Full Calf Cool White, Extra Large - Full Calf 035664104894 035664104900 035664104917 035664104924 035664006006 035664005993 110493 110494 110495 110496 110533 110534 Cool Black, Small Cool Black, Medium Cool Black, Large Cool Black, Extra Large Cool Black, Large - Full Calf Cool Black, Extra Large - Full Calf 035664104931 035664104948 035664104955 035664104962 035664006013 035664006020 ACTIVEWEAR 30-40 mmHg* KNEE HIGH Closed Toe 110051 110052 110053 110054 110529 110530 Cool White, Small Cool White, Medium Cool White, Large Cool White, Extra Large Cool White, Large - Full Calf Cool White, Extra Large - Full Calf 035664100513 035664100520 035664100537 035664100544 035664006037 035664006044 110055 110056 110057 110058 110535 110536 Cool Black, Small Cool Black, Medium Cool Black, Large Cool Black, Extra Large Cool Black, Large - Full Calf Cool Black, Extra Large - Full Calf 035664100551 035664100568 035664100575 035664100582 035664006051 035664006068 JOBST® SPORT SOCKS 15-20 mmHg* KNEE HIGH Closed Toe 7528900 7528901 7528902 7528903 White/Grey Small White/Grey Medium White/Grey Large White/Grey X-Large 035664001360 035664001377 035664001384 035664001391 7528910 7528911 7528912 7528913 Black/Grey Small Black/Grey Medium Black/GreyLarge Black/Grey X-Large 035664013103 035664013110 035664013127 035664013165 JOBST® SPORT SOCKS 20-30 mmHg* KNEE HIGH Closed Toe 7529000 7529001 7529002 7529003 White/Grey Small White/Grey Medium White/Grey Large White/Grey X-Large 035664001735 035664001759 035664013080 035664013097 7529010 7529011 7529012 7529013 Black/Grey Small Black/Grey Medium Black/GreyLarge Black/Grey X-Large 035664013172 035664013189 035664013226 035664013233 *See sizing charts page 56. Page 31 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC JOBST® forMen 15-20 mmHg* RIBBED STYLE KNEE HIGH 1885664 1884469 1881309 1877703 Closed Toe 115000 115001 115002 115003 115068 Black, Small Black, Medium Black, Large Black, Extra Large Black, Large - Tall 035664150006 035664150013 035664150020 035664150037 035664150686 1875830 1874973 115008 115009 115010 115011 White, Small White, Medium White, Large White, Extra Large 035664150082 035664150099 035664150105 035664150112 1873520 115012 115013 115014 115015 Khaki, Small Khaki, Medium Khaki, Large Khaki, Extra Large 035664150129 035664150136 035664150143 035664150150 JOBST® forMen 15-20 mmHg* RIBBED STYLE THIGH HIGH Closed Toe 115516 115517 115518 115519 Black, Small Black, Medium Black, Large Black, Extra Large 035664155162 035664155179 035664155186 035664155193 115512 115513 115514 115515 Khaki, Small Khaki, Medium Khaki, Large Khaki, Extra Large 035664155124 035664155131 035664155148 035664155155 JOBST® forMen 20-30 mmHg* RIBBED STYLE KNEE HIGH Closed Toe 1616986 1618735 1620061 1621010 115088 115089 115090 115091 115255 115260 115294 115295 Black, Small Black, Medium Black, Large Black, Extra Large Black, Medium Tall Black, Large - Tall Black, Large - Full Calf Black, Extra Large - Full Calf 035664150884 035664150891 035664150907 035664150914 035664152550 035664152604 035664152949 035664152956 115100 Khaki, Small 035664151003 115101 Khaki, Medium 035664151010 1602200 115102 Khaki, Large 035664151027 1602747 115103 Khaki, Extra Large 035664151034 1608199 ® JOBST forMen 20-30 mmHg* RIBBED STYLE KNEE HIGH OpenToe 115432 115433 115434 115435 115372 115373 Black, Small Black, Medium Black, Large Black, Extra Large Black, Large - Full Calf Black, Extra Large - Full Calf 035664154325 035664154332 035664154349 035664154356 035664153724 035664153731 JOBST® forMen 20-30 mmHg* RIBBED STYLE THIGH HIGH 1882315 Closed Toe 115408 115409 115410 115411 Black, Small Black, Medium Black, Large Black, Extra Large 035664154080 035664154097 035664154103 035664154110 115400 115401 115402 115403 Khaki, Small Khaki, Medium Khaki, Large Khaki, Extra Large 035664154004 035664154011 035664154028 035664154035 *See sizing charts page 56. Page 32 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC JOBST® forMen 30-40 mmHg* RIBBED STYLE KNEE HIGH Closed Toe 1604107 1604735 1606540 1607332 1610831 115108 115109 115110 115111 115257 115265 115296 115297 Black, Small Black, Medium Black, Large Black, Extra Large Black, Medium Tall Black, Large - Tall Black, Large - Full Calf Black, Extra Large - Full Calf 035664151089 035664151096 035664151102 035664151119 035664152574 035664152659 035664152963 035664152970 115120 115121 115122 115123 Khaki, Small Khaki, Medium Khaki, Large Khaki, Extra Large 035664151201 035664151218 035664151225 035664151232 115452 115453 115454 115455 115374 115375 Black, Small Black, Medium Black, Large Black, Extra Large Black, Large - Full Calf Black, Extra Large - Full Calf Open Toe 035664154523 035664154530 035664154547 035664154554 035664153748 035664153755 JOBST® forMen 30-40 mmHg* RIBBED STYLE THIGH HIGH 1882588 Closed Toe 115412 115413 115414 115415 Black, Small Black, Medium Black, Large Black, Extra Large 035664154127 035664154134 035664154141 035664154158 115404 115405 115406 115407 Khaki, Small Khaki, Medium Khaki, Large Khaki, Extra Large 035664154042 035664154059 035664154066 035664154073 *See sizing charts page 56. Page 33 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC JOBST® FOR MEN AMBITION 15-20 mmHg* KNEE HIGH Closed Toe 3404787 3404795 3404803 3404811 3404829 3404837 7765900 7765901 7765902 7765903 7765904 7765905 7766000 7766001 7766002 7766003 7766004 7766005 Black Size 1 Regular Black Size 2 Regular Black Size 3 Regular Black Size 4 Regular Black Size 5 Regular Black Size 6 Regular Black Size 1 Long Black Size 2 Long Black Size 3 Long Black Size 4 Long Black Size 5 Long Black Size 6 Long 035664002374 035664013646 035664013653 035664013660 035664013677 035664013684 035664013691 035664013707 035664013714 035664013721 035664013738 035664013745 7765920 7765921 7765922 7765923 7765924 7765925 7766020 7766021 7766022 7766023 7766024 7766025 Brown Size 1 Regular Brown Size 2 Regular Brown Size 3 Regular Brown Size 4 Regular Brown Size 5 Regular Brown Size 6 Regular Brown Size 1 Long Brown Size 2 Long Brown Size 3 Long Brown Size 4 Long Brown Size 5 Long Brown Size 6 Long 035664013875 035664013882 035664013899 035664013912 035664013929 035664013936 035664013943 035664013950 035664013967 035664013974 035664013981 035664013998 7765910 7765911 7765912 7765913 7765914 7765915 7766010 7766011 7766012 7766013 7766014 7766015 Khaki Size 1 Regular Khaki Size 2 Regular Khaki Size 3 Regular Khaki Size 4 Regular Khaki Size 5 Regular Khaki Size 6 Regular Khaki Size 1 Long Khaki Size 2 Long Khaki Size 3 Long Khaki Size 4 Long Khaki Size 5 Long Khaki Size 6 Long 035664013752 035664013769 035664013776 035664013783 035664013790 035664013806 035664013813 035664013820 035664013837 035664013844 035664013851 035664013868 7765930 7765931 7765932 7765933 7765934 7765935 7766030 7766031 7766032 7766033 7766034 7766035 Navy Size 1 Regular Navy Size 2 Regular Navy Size 3 Regular Navy Size 4 Regular Navy Size 5 Regular Navy Size 6 Regular Navy Size 1 Long Navy Size 2 Long Navy Size 3 Long Navy Size 4 Long Navy Size 5 Long Navy Size 6 Long 035664014001 035664014018 035664014025 035664014032 035664014049 035664014056 035664014063 035664014070 035664014087 035664014094 035664014100 035664014117 JOBST® FOR MEN AMBITION 20-30 mmHg* KNEE HIGH Closed Toe 7766100 7766101 7766102 7766103 7766104 7766105 Black Size 1 Regular Black Size 2 Regular Black Size 3 Regular Black Size 4 Regular Black Size 5 Regular Black Size 6 Regular 035664014247 035664014254 035664014261 035664014278 035664014285 035664014292 *See sizing charts page 56. (Cont. next page) Page 34 Medical LegWear ECONO # CAT # PRODUCT DESCRIPTION JOBST® FOR MEN AMBITION 20-30 mmHg* (Cont.) KNEE HIGH Closed Toe UPC 7766200 7766201 7766202 7766203 7766204 7766205 Black Size 1 Long Black Size 2 Long Black Size 3 Long Black Size 4 Long Black Size 5 Long Black Size 6 Long 035664014308 035664014315 035664014322 035664014339 035664014346 035664014353 7766120 7766121 7766122 7766123 7766124 7766125 7766220 7766221 7766222 7766223 7766224 7766225 Brown Size 1 Regular Brown Size 2 Regular Brown Size 3 Regular Brown Size 4 Regular Brown Size 5 Regular Brown Size 6 Regular Brown Size 1 Long Brown Size 2 Long Brown Size 3 Long Brown Size 4 Long Brown Size 5 Long Brown Size 6 Long 035664014483 035664014490 035664014506 035664014513 035664014520 035664014537 035664014544 035664014551 035664014568 035664014575 035664014582 035664014599 7766110 7766111 7766112 7766113 7766114 7766115 7766210 7766211 7766212 7766213 7766214 7766215 Khaki Size 1 Regular Khaki Size 2 Regular Khaki Size 3 Regular Khaki Size 4 Regular Khaki Size 5 Regular Khaki Size 6 Regular Khaki Size 1 Long Khaki Size 2 Long Khaki Size 3 Long Khaki Size 4 Long Khaki Size 5 Long Khaki Size 6 Long 035664014360 035664014377 035664014384 035664014391 035664014407 035664014414 035664014421 035664014438 035664014445 035664014452 035664014469 035664014476 7766130 7766131 7766132 7766133 7766134 7766135 7766230 7766231 7766232 7766233 7766234 7766235 Navy Size 1 Regular Navy Size 2 Regular Navy Size 3 Regular Navy Size 4 Regular Navy Size 5 Regular Navy Size 6 Regular Navy Size 1 Long Navy Size 2 Long Navy Size 3 Long Navy Size 4 Long Navy Size 5 Long Navy Size 6 Long 035664014605 035664014612 035664014629 035664014636 035664014643 035664014650 035664014667 035664014674 035664014681 035664014698 035664014704 035664014711 JOBST® FOR MEN AMBITION 30-40 mmHg* KNEE HIGH Closed Toe 7766300 7766301 7766302 7766303 7766304 7766305 7766400 7766401 7766402 7766403 7766404 7766405 Black Size 1 Regular Black Size 2 Regular Black Size 3 Regular Black Size 4 Regular Black Size 5 Regular Black Size 6 Regular Black Size 1 Long Black Size 2 Long Black Size 3 Long Black Size 4 Long Black Size 5 Long Black Size 6 Long 035664014841 035664014858 035664014865 035664014872 035664014889 035664014896 035664014902 035664014919 035664014926 035664014933 035664014940 035664014957 *See sizing charts page 56. (Cont. next page) Page 35 Medical LegWear ECONO # CAT # PRODUCT DESCRIPTION JOBST® FOR MEN AMBITION 30-40 mmHg* (Cont.) KNEE HIGH Closed Toe UPC 7766320 7766321 7766322 7766323 7766324 7766325 7766420 7766421 7766422 7766423 7766424 7766425 Brown Size 1 Regular Brown Size 2 Regular Brown Size 3 Regular Brown Size 4 Regular Brown Size 5 Regular Brown Size 6 Regular Brown Size 1 Long Brown Size 2 Long Brown Size 3 Long Brown Size 4 Long Brown Size 5 Long Brown Size 6 Long 035664015084 035664015091 035664015107 035664015114 035664015121 035664015138 035664015145 035664015152 035664015169 035664015176 035664015183 035664015190 7766410 7766310 7766411 7766311 7766412 7766312 7766413 7766313 7766414 7766314 7766415 7766315 Khaki Size 1 Regular Khaki Size 2 Regular Khaki Size 3 Regular Khaki Size 4 Regular Khaki Size 5 Regular Khaki Size 6 Regular Khaki Size 1 Long Khaki Size 2 Long Khaki Size 3 Long Khaki Size 4 Long Khaki Size 5 Long Khaki Size 6 Long 035664015022 035664014964 035664015039 035664014971 035664015046 035664014988 035664015053 035664014995 035664015060 035664015008 035664015077 035664015015 7766430 7766330 7766431 7766331 7766432 7766332 7766433 7766333 7766434 7766334 7766435 7766335 Navy Size 1 Regular Navy Size 2 Regular Navy Size 3 Regular Navy Size 4 Regular Navy Size 5 Regular Navy Size 6 Regular Navy Size 1 Long Navy Size 2 Long Navy Size 3 Long Navy Size 4 Long Navy Size 5 Long Navy Size 6 Long 035664015268 035664015206 035664015275 035664015213 035664015282 035664015220 035664015299 035664015237 035664015305 035664015244 035664015312 035664015251 *See sizing charts page 56. Page 36 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC JOBST® FOR MEN CASUAL 15-20 mmHg* KNEE HIGH Closed Toe 113100 113101 113102 113103 113106 113107 113104 113105 Black, Small Black, Medium Black, Large Black, Extra Large Black, Medium Tall Black, Large Tall Black, Large - Full Calf Black, Extra Large - Full Calf 035664131005 035664131012 035664131029 035664131036 035664131067 035664131074 035664131043 035664131050 113148 113149 113150 113151 113152 113153 Navy, Small Navy, Medium Navy, Large Navy, Extra Large Navy, Large - Full Calf Navy, Extra Large - Full Calf 035664005542 035664005559 035664005566 035664005573 035664005580 035664005597 113108 113109 113110 113111 113114 113115 113112 113113 Khaki, Small Khaki, Medium Khaki, Large Khaki, Extra Large Khaki, Medium Tall Khaki, Large Tall Khaki, Large - Full Calf Khaki, Extra Large - Full Calf 035664131081 035664131098 035664131104 035664131111 035664131142 035664131159 035664131128 035664131135 JOBST® FOR MEN CASUAL 20-30 mmHg* KNEE HIGH Closed Toe 2192011 113116 113117 113118 113119 113122 113123 113120 113121 Black, Small Black, Medium Black, Large Black, Extra Large Black, Medium Tall Black, Large Tall Black, Large - Full Calf Black, Extra Large - Full Calf 035664131166 035664131173 035664131180 035664131197 035664131227 035664131234 035664131203 035664131210 113154 113155 113156 113157 113158 113159 Navy, Small Navy, Medium Navy, Large Navy, Extra Large Navy, Large - Full Calf Navy, Extra Large - Full Calf 035664005603 035664005610 035664005627 035664005634 035664005641 035664005658 113124 113125 113126 113127 113130 113131 113128 113129 Khaki, Small Khaki, Medium Khaki, Large Khaki, Extra Large Khaki, Medium Tall Khaki, Large Tall Khaki, Large - Full Calf Khaki, Extra Large - Full Calf 035664131241 035664131258 035664131265 035664131272 035664131302 035664131319 035664131289 035664131296 JOBST® FOR MEN CASUAL 30-40 mmHg* KNEE HIGH Closed Toe 113132 113133 113134 113135 113138 113139 113136 113137 Black, Small Black, Medium Black, Large Black, Extra Large Black, Medium Tall Black, Large Tall Black, Large - Full Calf Black, Extra Large - Full Calf 035664131326 035664131333 035664131340 035664131357 035664131388 035664131395 035664131364 035664131371 *See sizing charts page 56. (Cont. next page) Page 37 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC JOBST® FOR MEN CASUAL 30-40 mmHg* (Cont.) KNEE HIGH Closed Toe 113160 113161 113162 113163 113164 113165 Navy, Small Navy, Medium Navy, Large Navy, Extra Large Navy, Large - Full Calf Navy, Extra Large - Full Calf 035664005665 035664005672 035664005689 035664005696 035664005702 035664005719 113140 113141 113142 113143 113146 113147 113144 113145 Khaki, Small Khaki, Medium Khaki, Large Khaki, Extra Large Khaki, Medium Tall Khaki, Large Tall Khaki, Large - Full Calf Khaki, Extra Large - Full Calf 035664131401 035664131418 035664131425 035664131432 035664131463 035664131470 035664131449 035664131456 JOBST® TRAVEL SOCKS 15-20 mmHg* KNEE HIGH Closed Toe 2041705 2041713 2041721 7884415 7884515 7884615 7884715 7927215 Order by Shoe Size— Beige, Size 1 Men's: 3½ - 5½; Women's: 4½ - 6½ Beige, Size 2 Men's: 6 - 8; Women's 7 - 9 Beige, Size 3 Men's: 8½ -10; Women's: 9½ - 11 Beige, Size 4 Men's: 10½ - 12; Women's: 11½ - 13 Beige, Size 5 Men's: 12½ - 14 2041739 2041747 2041754 7884414 7884514 7884614 7884714 7927214 Black, Size 1 Black, Size 2 Black, Size 3 Black, Size 4 Black, Size 5 2041820 110827 Travel Socks Caddy: 18 pairs per Caddy Beige, Size 2 (3 units); Size 3 (3 units); Size 4 (3 units) Black, Size 2 (3 units); Size 3 (3 units); Size 4 (3 units) Men's: 3½ - 5½; Women's: 4½ - 6½ Men's: 6 - 8; Women's 7 - 9 Men's: 8½ -10; Women's: 9½ - 11 Men's: 10½ - 12; Women's: 11½ - 13 Men's: 12½ - 14 035664013011 035664013028 035664013035 035664013042 035664013059 035664001353 035664012977 035664012984 035664012991 035664013004 035664012960 RELIEF® 15-20 mmHg* KNEE HIGH Closed Toe 1879642 1880608 1881598 1882307 114806 114807 114808 114809 114810 114811 Beige, Small Beige, Medium Beige, Large Beige, Extra Large Beige, Large - Full Calf Beige, Extra Large - Full Calf 035664148065 035664148072 035664148089 035664148096 035664148102 035664148119 1883214 1883750 1884873 1845627 114812 114813 114814 114815 114816 114817 Black, Small Black, Medium Black, Large Black, Extra Large Black, Large - Full Calf Black, Extra Large - Full Calf 035664148126 035664148133 035664148140 035664148157 035664148164 035664148171 1846633 1847318 1848514 1849850 114800 114801 114802 114803 114804 114805 Beige, Small Beige, Medium Beige, Large Beige, Extra Large Beige, Large - Full Calf Beige, Extra Large - Full Calf Open Toe 035664148003 035664148010 035664148027 035664148034 035664148041 035664148058 RELIEF® 15-20 mmHg* KNEE HIGH - PETITE Closed Toe 114000 114001 114002 114003 Beige, Small Beige, Medium Beige, Large Beige, Extra Large 035664016548 035664016562 035664016586 035664016609 114004 114005 114006 114007 Black, Small Black, Medium Black, Large Black, Extra Large 035664016555 035664016579 035664016593 035664016616 *See sizing charts page 56, except JOBST Travel Socks page 55. (Cont. next page) Page 38 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC RELIEF® 15-20 mmHg* KNEE HIGH - PETITE (Cont.) Open Toe 114024 114025 114026 114027 Beige, Small Beige, Medium Beige, Large Beige, Extra Large 035664016623 035664016630 035664016647 035664016654 RELIEF 15-20 mmHg* THIGH HIGH - Silicone Dot Band Closed Toe 114822 114823 114824 114825 Beige, Small, Silicone Dot Band Beige, Medium, Silicone Dot Band Beige, Large, Silicone Dot Band Beige, Extra Large, Silicone Dot Band 035664148225 035664148232 035664148249 035664148256 114826 114827 114828 114829 Black, Small, Silicone Dot Band Black, Medium, Silicone Dot Band Black, Large, Silicone Dot Band Black, Extra Large, Silicone Dot Band 035664148263 035664148270 035664148287 035664148294 114818 114819 114820 114821 Beige, Small, Silicone Dot Band Beige, Medium, Silicone Dot Band Beige, Large, Silicone Dot Band Beige, Extra Large, Silicone Dot Band Open Toe 035664148188 035664148195 035664148201 035664148218 RELIEF 15-20 mmHg* THIGH HIGH - PETITE Closed Toe 114040 114041 114042 114043 Beige, Small, Silicone Dot Band Beige, Medium, Silicone Dot Band Beige, Large, Silicone Dot Band Beige, Extra Large, Silicone Dot Band 035664017033 035664017057 035664016999 035664017019 114044 114045 114046 114047 Black, Small, Silicone Dot Band Black, Medium, Silicone Dot Band Black, Large, Silicone Dot Band Black, Extra Large, Silicone Dot Band 035664017026 035664017040 035664017064 035664017002 114048 114049 114050 114051 Beige, Small, Silicone Dot Band Beige, Medium, Silicone Dot Band Beige, Large, Silicone Dot Band Beige, Extra Large, Silicone Dot Band Open Toe 035664017330 035664017323 035664017316 035664017347 RELIEF® 20-30 mmHg* KNEE HIGH 2728012 2727956 2727824 2725505 1732833 Closed Toe 114620 114621 114622 114623 114698 114624 Beige, Small Beige, Medium Beige, Large Beige, Extra Large Beige, Large - Full Calf Beige, Extra Large - Full Calf 035664146207 035664146214 035664146221 035664146238 035664146986 035664146245 114730 114731 114732 114733 114734 114735 Black, Small Black, Medium Black, Large Black, Extra Large Black, Large - Full Calf Black, Extra Large - Full Calf 035664147303 035664147310 035664147327 035664147334 035664147341 035664147358 114625 114626 114627 114628 114696 114629 Beige, Small Beige, Medium Beige, Large Beige, Extra Large Beige, Large - Full Calf Beige, Extra Large - Full Calf Open Toe 2725703 2725828 2725919 2726057 2726149 035664146252 035664146269 035664146276 035664146283 035664146962 035664146290 RELIEF® 20-30 mmHg* KNEE HIGH with Silicone Band Closed Toe 114743 114744 114745 114746 114747 Beige, Medium with Silicone Band Beige, Large with Silicone Band Beige, Extra Large with Silicone Band Beige, Large - Full Calf with Silicone Band Beige, Extra Large - Full Calf with Silicone Band *See sizing charts page 56. 035664001742 035664001766 035664001773 035664001780 035664001926 (Cont. next page) Page 39 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC RELIEF® 20-30 mmHg* KNEE HIGH with Silicone Band 114748 114760 114749 114761 114750 114751 114752 (Cont.) Open Toe Beige, Medium with Silicone Band Beige, Medium Petite with Silicone Band Beige, Large with Silicone Band Beige, Large Petite with Silicone Band Beige, Extra Large with Silicone Band Beige, Large - Full Calf with Silicone Band Beige, Extra Large - Full Calf with Silicone Band 035664001803 035664001933 035664001810 035664001919 035664001827 035664001834 035664001841 RELIEF® 20-30 mmHg* KNEE HIGH - PETITE Closed Toe 114008 114009 114010 114011 Beige, Small Beige, Medium Beige, Large Beige, Extra Large 035664016661 035664016685 035664016708 035664016722 114012 114013 114014 114015 Black, Small Black, Medium Black, Large Black, Extra Large 035664016678 035664016692 035664016715 035664016739 114028 114029 114030 114031 Beige, Small Beige, Medium Beige, Large Beige, Extra Large Open Toe 035664016746 035664016753 035664016760 035664016777 RELIEF® 20-30 mmHg* THIGH HIGH Closed Toe 1931849 1932318 114208 114209 114210 114211 Beige, Small, Silicone Dot Band Beige, Medium, Silicone Dot Band Beige, Large, Silicone Dot Band Beige, Extra Large, Silicone Dot Band 035664142087 035664142094 035664142100 035664142117 114212 114213 114214 114215 Black, Small, Silicone Dot Band Black, Medium, Silicone DotBand Black, Large, Silicone Dot Band Black, Extra Large, Silicone Dot Band 035664142124 035664142131 035664142148 035664142155 114640 114641 114642 114643 Beige, Small, Without Silicone Beige, Medium, Without Silicone Beige, Large, Without Silicone Beige, Extra Large, Without Silicone 035664146405 035664146412 035664146429 035664146436 114200 114201 114202 114203 Beige, Small, Silicone Dot Band Beige, Medium, Silicone Dot Band Beige, Large, Silicone Dot Band Beige, Extra Large, Silicone Dot Band 035664142001 035664142018 035664142025 035664142032 #N/A 114644 114645 114646 114647 Beige, Small, Without Silicone Beige, Medium, Without Silicone Beige, Large, Without Silicone Beige, Extra Large, Without Silicone 035664146443 035664146450 035664146467 035664146474 Open Toe 1424126 RELIEF 20-30 mmHg* THIGH HIGH - PETITE Closed Toe 114052 114053 114054 114055 Beige, Small, Silicone Dot Band Beige, Medium, Silicone Dot Band Beige, Large, Silicone Dot Band Beige, Extra Large, Silicone Dot Band 035664017149 035664017163 035664017187 035664017125 114056 114057 114058 114059 Black, Small, Silicone Dot Band Black, Medium, Silicone Dot Band Black, Large, Silicone Dot Band Black, Extra Large, Silicone Dot Band 035664017132 035664017156 035664017170 035664017118 114060 114061 114062 114063 Beige, Small, Silicone Dot Band Beige, Medium, Silicone Dot Band Beige, Large, Silicone Dot Band Beige, Extra Large, Silicone Dot Band Open Toe *See sizing charts page 56. Page 40 035664017088 035664017095 035664017101 035664017071 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC RELIEF® 20-30 mmHg* WAIST HIGH Closed Toe 114656 114657 114658 114659 Beige, Small Beige, Medium Beige, Large Beige, Extra Large 114660 114661 114662 114663 Beige, Small Beige, Medium Beige, Large Beige, Extra Large 035664146566 035664146573 035664146580 035664146597 Open Toe 035664146603 035664146610 035664146627 035664146634 RELIEF® 20-30 mmHg* CHAP STYLE Open Toe 114672 114673 114674 114675 Beige, Small, Left Leg Beige, Medium, Left Leg Beige, Large, Left Leg Beige, Extra Large, Left Leg 035664146726 035664146733 035664146740 035664146757 114676 114677 114678 114679 Beige, Small, Right Leg Beige, Medium, Right Leg Beige, Large, Right Leg Beige, Extra Large, Right Leg 035664146764 035664146771 035664146788 035664146795 114680 114681 114682 114683 Beige, Small, Both Legs Beige, Medium, Both Legs Beige, Large, Both Legs Beige, Extra Large, Both Legs 035664146801 035664146818 035664146825 035664146832 RELIEF® 30-40 mmHg* KNEE HIGH Closed Toe 2726263 2726396 2726495 2726677 114630 114631 114632 114633 114699 114634 Beige, Small Beige, Medium Beige, Large Beige, Extra Large Beige, Large - Full Calf Beige, Extra Large - Full Calf 035664146306 035664146313 035664146320 035664146337 035664146993 035664146344 2191047 2191534 2192425 114736 114737 114738 114739 114740 114741 Black, Small Black, Medium Black, Large Black, Extra Large Black, Large - Full Calf Black, Extra Large - Full Calf 035664147365 035664147372 035664147389 035664147396 035664147402 035664147419 2727287 2727139 2726941 2727022 114635 114636 114637 114638 114697 114639 Beige, Small Beige, Medium Beige, Large Beige, Extra Large Beige, Large - Full Calf Beige, Extra Large - Full Calf 2726867 Open Toe 2727881 035664146351 035664146368 035664146375 035664146382 035664146979 035664146399 RELIEF® 30-40 mmHg* KNEE HIGH with Silicone Band Open Toe 114753 114754 114755 114756 114757 Beige, Medium with Silicone Band Beige, Large with Silicone Band Beige, Extra Large with Silicone Band Beige, Large - Full Calf with Silicone Band Beige, Extra Large - Full Calf with Silicone Band 035664001858 035664001865 035664001872 035664001889 035664001896 RELIEF® 30-40 mmHg* KNEE HIGH - PETITE Closed Toe 114016 114017 114018 114019 Beige, Small Beige, Medium Beige, Large Beige, Extra Large 035664016784 035664016807 035664016821 035664016845 *See sizing charts page 56. (Cont. next page) Page 41 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC RELIEF® 30-40 mmHg* KNEE HIGH - PETITE (Cont.) Closed Toe 114020 114021 114022 114023 Black, Small Black, Medium Black, Large Black, Extra Large 114032 114033 114034 114035 Beige, Small Beige, Medium Beige, Large Beige, Extra Large 035664016791 035664016814 035664016838 035664016852 Open Toe 035664016869 035664016876 035664016883 035664016890 RELIEF® 30-40 mmHg* THIGH HIGH Closed Toe 114216 114217 114218 114219 Beige, Small, Silicone Band Beige, Medium, Silicone Band Beige, Large, Silicone Band Beige, Extra Large, Silicone Band 035664142162 035664142179 035664142186 035664142193 114220 114221 114222 114223 Black, Small, Silicone Band Black, Medium, Silicone Band Black, Large, Silicone Band Black, Extra Large, Silicone Band 035664142209 035664142216 035664142223 035664142230 114648 114649 114650 114651 Beige, Small, Without Silicone Beige, Medium, Without Silicone Beige, Large, Without Silicone Beige, Extra Large, Without Silicone 035664146481 035664146498 035664146504 035664146511 114204 114205 114206 114207 Beige, Small, Silicone Band Beige, Medium, Silicone Band Beige, Large, Silicone Band Beige, Extra Large, Silicone Band 035664142049 035664142056 035664142063 035664142070 114652 114653 114654 114655 Beige, Small, Without Silicone Beige, Medium, Without Silicone Beige, Large, Without Silicone Beige, Extra Large, Without Silicone 035664146528 035664146535 035664146542 035664146559 Open Toe 2745222 RELIEF 30-40 mmHg* THIGH HIGH - PETITE Closed Toe 114064 114065 114066 114067 Beige, Small, Silicone Dot Band Beige, Medium, Silicone Dot Band Beige, Large, Silicone Dot Band Beige, Extra Large, Silicone Dot Band 035664017262 035664017286 035664017309 035664017248 114068 114069 114070 114071 Black, Small, Silicone Dot Band Black, Medium, Silicone Dot Band Black, Large, Silicone Dot Band Black, Extra Large, Silicone Dot Band 035664017255 035664017279 035664017293 035664017231 114072 114073 114074 114075 Beige, Small, Silicone Dot Band Beige, Medium, Silicone Dot Band Beige, Large, Silicone Dot Band Beige, Extra Large, Silicone Dot Band Open Toe 035664017200 035664017217 035664017224 035664017194 RELIEF® 30-40 mmHg* WAIST HIGH Closed Toe 114664 114665 114666 114667 Beige, Small Beige, Medium Beige, Large Beige, Extra Large 114668 114669 114670 114671 Beige, Small Beige, Medium Beige, Large Beige, Extra Large 035664146641 035664146658 035664146665 035664146672 Open Toe 035664146689 035664146696 035664146702 035664146719 *See sizing charts page 56. Page 42 Medical LegWear ECONO # PRODUCT DESCRIPTION CAT # UPC RELIEF® 30-40 mmHg* CHAP STYLE Open Toe 1937374 114784 114785 114786 114787 Beige, Small, Left Leg Beige, Medium, Left Leg Beige, Large, Left Leg Beige, Extra Large, Left Leg 035664147846 035664147853 035664147860 035664147877 114788 114789 114790 114791 Beige, Small, Right Leg Beige, Medium, Right Leg Beige, Large, Right Leg Beige, Extra Large, Right Leg 035664147884 035664147891 035664147907 035664147914 114792 114793 114794 114795 Beige, Small, Both Legs Beige, Medium, Both Legs Beige, Large, Both Legs Beige, Extra Large, Both Legs 035664147921 035664147938 035664147945 035664147952 VAIROX® 30-40 mmHg* KNEE HIGH with ZIPPER Open Toe 114471 114472 114473 114474 114475 114476 035664144715 035664144722 035664144739 035664144746 035664144753 035664144760 Beige, Small A, Short Beige, Small B, Long Beige, Medium A, Short Beige, Medium B, Long Beige, Large A, Short Beige, Large B Long *See sizing charts page 56. Page 43 Venous Leg Ulcer Management System ECONO # PRODUCT DESCRIPTION CAT # ULCERCARE* UPC (May have implications for coding and reimbursement) 1440940 1440957 1440965 1440973 114479 114480 114481 114482 114483 114484 114507 2 - PART SYSTEM FOR VENOUS STASIS ULCERS THERAPEUTIC STOCKINGS without ZIPPER Beige, Small with 2 Liners (1 stocking, 2 liners per box) Beige, Medium with 2 Liners (1 stocking, 2 liners per box) Beige, Large with 2 Liners (1 stocking, 2 liners per box) Beige, Extra Large with 2 Liners (1 stocking, 2 liners per box) Beige, 2XLarge with 2 Liners (1 stocking, 2 liners per box) Beige, 3XLarge with 2 Liners (1 stocking, 2 liners per box) Beige, 4XLarge with 2 Liners (1 stocking, 2 liners per box) 2148575 1440916 1440924 1440932 114510 114511 114512 114513 114514 114506 114508 Black, Small with 2 Liners (1 stocking, 2 liners per box) Black, Medium with 2 Liners (1 stocking, 2 liners per box) Black, Large with 2 Liners (1 stocking, 2 liners per box) Black, Extra Large with 2 Liners (1 stocking, 2 liners per box) Black, 2XLarge with 2 Liners (1 stocking, 2 liners per box) Black, 3XLarge with 2 Liners (1 stocking, 2 liners per box) Black, 4XLarge with 2 Liners (1 stocking, 2 liners per box) 035664003517 035664003524 035664003531 035664003548 035664003555 035664003562 035664005436 035664004132 035664004149 035664004156 035664004163 035664004170 035664005443 035664005450 ULCERCARE* 1439900 1429067 1429059 1429042 1428093 1428903 1429000 1429018 114520 114521 114522 114523 114524 114530 114534 (May have implications for coding and reimbursement) 2 - PART SYSTEM FOR VENOUS STASIS ULCERS RIGHT SIDE ZIPPER CLOSURE-OPPOSITE SIDE OF VENOUS ULCER Beige, Small with 2 Liners (1 stocking, 2 liners per box) Beige, Medium with 2 Liners (1 stocking, 2 liners per box) Beige, Large with 2 Liners (1 stocking, 2 liners per box) Beige, Extra Large with 2 Liners (1 stocking, 2 liners per box) Beige, 2XLarge with 2 Liners (1 stocking, 2 liners per box) Beige, 3XLarge with 2 Liners (1 stocking, 2 liners per box) Beige, 4XLarge with 2 Liners (1 stocking, 2 liners per box) 035664004651 035664004668 035664004675 035664004682 035664004699 035664005474 035664005481 114485 114486 114487 114488 114489 114532 114536 2 - PART SYSTEM FOR VENOUS STASIS ULCERS LEFT SIDE ZIPPER CLOSURE-OPPOSITE SIDE OF VENOUS ULCER Beige, Small with 2 Liners (1 stocking, 2 liners per box) Beige, Medium with 2 Liners (1 stocking, 2 liners per box) Beige, Large with 2 Liners (1 stocking, 2 liners per box) Beige, Extra Large with 2 Liners (1 stocking, 2 liners per box) Beige, 2XLarge with 2 Liners (1 stocking, 2 liners per box) Beige, 3XLarge with 2 Liners (1 stocking, 2 liners per box) Beige, 4XLarge with 2 Liners (1 stocking, 2 liners per box) 035664003579 035664003586 035664003593 035664003609 035664003616 035664003623 035664005467 ULCERCARE* 2148575 1440916 1440924 1440932 114500 114501 114502 114503 114504 114505 114509 (May have implications for coding and reimbursement) COMPRESSION LINERS FOR USE WITH 2 - PART SYSTEM White, Small (3 per box) White, Medium (3 per box) White, Large (3 per box) White, Extra Large (3 per box) White, 2XLarge (3 per box) White, 3XLarge (3 per box) White, 4XLarge (3 per box) 035664003630 035664003647 035664003654 035664003661 035664003678 035664003685 035664005535 See sizing charts page 56. D.V.T./P.E. Prevention ECONO # PRODUCT DESCRIPTION CAT # UPC ANTI-EM/GP™ Seamless Anti-embolism Elastic Stockings KNEE-HIGH—NYLON With Inspection Window 2408565 2410702 2414159 2416808 2417863 2422608 2425163 111402 111403 111406 111407 111410 111411 111414 111415 Small, Regular, 9"-12" Calf Cir., 14"-17" Length Small, Long, 9"-12" Calf Cir., 17"-20" Length Medium, Regular, 12"-15" Calf Cir., 14"-17" Length Medium, Long, 12"-15" Calf Cir., 17"-20" Length Large, Regular, 15"-17 1/2" Calf Cir., 14"-17" Length Large, Long, 15"-17 1/2" Calf Cir., 17"-20" Length Extra Large, Regular, 17 1/2"-20" Calf Cir., 14"-17" Length Extra Large, Long, 17 1/2"-20" Calf Cir., 17"-20" Length *See sizing charts page 58. 035664114022 035664114039 035664114060 035664114077 035664114107 035664114114 035664114145 035664114152 (Cont. next page) Page 44 D.V.T./P.E. Prevention ECONO # PRODUCT DESCRIPTION CAT # UPC ANTI-EM/GP™ Seamless Anti-embolism Elastic Stockings THIGH-HIGH—NYLON With Inspection Window 2427375 1181031 2428670 111450 111451 111452 111454 111455 111456 111458 111459 111460 111462 111463 111464 111465 Small, Short, 9"-12" Calf Cir., 25"-29" Length Small, Regular, 9"-12" Calf Cir., 29"-33" Length Small, Long, 9"-12" Calf Cir., 33"-38" Length Medium, Short, 12"-15" Calf Cir., 25"-29" Length Medium, Regular, 12"-15" Calf Cir., 29"-33" Length Medium, Long, 12"-15" Calf Cir., 33"-38" Length Large, Short, 15"-18" Calf Cir., 25"-29" Length Large, Regular, 15"-18" Calf Cir., 29"-33" Length Large, Long, 15"-18" Calf Cir., 33"-38" Length Extra Large, Regular, 18"-20" Calf Cir., 29"-33" Length Extra Large, Long, 18"-20" Calf Cir., 33"-38" Length Extra Extra Large, Regular, 18"-21" Calf Cir., 25"-32" Length Extra Extra Large, Long, 18"-21" Calf Cir., 32"-38" Length 035664114503 035664114510 035664114527 035664114541 035664114558 035664114565 035664114589 035664114596 035664114602 035664114626 035664114633 035664114640 035664114657 ANTI-EM/GP™ Seamless Anti-embolism Elastic Stockings WAIST-HIGH NYLON With Inspection Window 111625 111626 111627 111628 111629 111630 Small, Regular, 9"-12" Calf Cir., 29"-33" Length Small, Long, 9"-12" Calf Cir., 33"-38" Length Medium, Regular, 12"-15" Calf Cir., 29"-33" Length Medium, Long, 12"-15" Calf Cir., 33"-38" Length Large, Regular, 15"-18" Calf Cir., 29"-33" Length Large, Long, 15"-18" Calf Cir., 33"-38" Length JOBST® ANTI-EMBOLISM™ RETAIL 035664116255 035664116262 035664116279 035664116286 035664116293 035664116309 # Seamless Anti-embolism Elastic Stockings - Closed Toe One pair per retail package KNEE-HIGH NYLON Closed Toe 1685437 1687243 111470 111471 111472 111473 111474 111475 111476 111477 Small, Regular, 9"-12" Calf Cir., 14"-17" Small, Long, 9"-12" Calf Cir., 17"-20" Length Medium, Regular, 12"-15" Calf Cir. 14"-17" Length Medium, Long, 12"-15" Calf Cir. 17"-20" Length Large, Regular, 15"-18" Calf Cir., 14"-17" Length Large, Long, 15"-18" Calf Cir., 17"-20" Length Extra Large, Regular, 18"-20" Calf Cir., 14"-17" Length Extra Large, Long, 18"-20" Calf Cir., 17"-20" Length JOBST® ANTI-EMBOLISM™ RETAIL 035664114701 035664114718 035664114725 035664114732 035664114749 035664114756 035664114763 035664114770 # Seamless Anti-embolism Elastic Stockings One pair per retail package THIGH-HIGH NYLON Closed Toe 1688464 1689926 111478 111479 111480 111481 111482 111483 111484 111485 111486 111487 111488 111489 111490 Small, Short 9"-12" Calf Cir., 25"-29" Length Small, Regular 9"-12" Calf Cir., 29"-33" Length Small, Long 9"-12" Calf Cir., 33"-38" Length Medium, Short 12"-15"' Calf Cir., 25"-29" Length Medium, Regular 12"-15" Calf Cir., 29"-33" Length Medium, Long 12"-15" Calf Cir., 33"-38" Length Large, Short 15"-18" Calf Cir., 25"-29" Length Large, Regular 15"-18" Calf Cir., 29"-33" Length Large, Long 15"-18" Calf Cir., 33"-38" Length Extra Large, Regular 18"-20" Calf Cir., 29"-33" Length Extra Large, Long 18"-20" Calf Cir., 33"-38" Length Extra Extra Large, Regular 18"-21" Calf Cir., 25"-32" Length Extra Extra Large, Long 18"-21" Calf Cir., 32"-38" Length *See sizing charts page 58. Page 45 035664114787 035664114794 035664114800 035664114817 035664114824 035664114831 035664114848 035664114855 035664114862 035664114879 035664114886 035664114893 035664114909 Medical Armsleeves ECONO # PRODUCT DESCRIPTION CAT # UPC JOBST BELLA™ LITE ARMSLEEVE 15-20 mmHg§* 101410 Beige, Small Regular 035664002206 101411 Beige, Medium Regular 035664002244 101412 Beige, Large Regular 035664002251 #N/A 101328 Beige, Small Long 035664013288 101329 Beige, Medium Long 035664013295 101330 Beige, Large Long 035664013301 #N/A 101413 Beige, Small Regular, Silicone 035664002268 101414 Beige, Medium Regular, Silicone 035664002220 101415 Beige, Large Regular, Silicone 035664002237 #N/A 101331 Beige, Small Long, Silicone 035664013318 101332 Beige, Medium Long, Silicone 035664013325 101333 Beige, Large Long, Silicone 035664013332 §§* JOBST BELLA™ LITE GAUNTLET 15-20 mmHg 101325 Beige, Small 035664013257 101326 Beige, Medium 035664013264 101327 Beige, Large 035664013271 §* JOBST BELLA™ LITE ARMSLEEVE 20-30 mmHg 101416 Beige, Small Regular 035664002275 101417 Beige, Medium Regular 035664002282 101418 Beige, Large Regular 035664002299 #N/A 101313 Beige, Small Long 035664013134 101314 Beige, Medium Long 035664013141 101315 Beige, Large Long 035664013158 #N/A 101419 Beige, Small Regular, Silicone 035664002329 101420 Beige, Medium Regular, Silicone 035664002336 101421 Beige, Large Regular, Silicone 035664002343 #N/A 101334 Beige, Small Long, Silicone 035664013349 101335 Beige, Medium Long, Silicone 035664013356 101336 Beige, Large Long, Silicone 035664013363 #N/A 101337 Brown, Small Long 035664013370 101338 Brown, Medium Long 035664013387 101339 Brown, Large Long 035664013394 #N/A 101340 Black, Small Long 035664013400 101341 Black, Medium Long 035664013417 101342 Black, Large Long 035664013424 §§* JOBST BELLA™ LITE GAUNTLET 20-30 mmHg 101319 Beige, Small 035664013196 101320 Beige, Medium 035664013202 101321 Beige, Large 035664013219 101355 Brown, Small 035664013554 101356 Brown, Medium 035664013561 101357 Brown, Large 035664013578 101358 Black, Small 035664013585 101359 Black, Medium 035664013592 101360 Black, Large 035664013608 § The mean compression for an average forearm size §§ The mean compression for an average palm size *See sizing charts page 57. Page 46 Medical Armsleeves ECONO # PRODUCT DESCRIPTION CAT # UPC JOBST® BELLA™ STRONG§* READY-TO-WEAR ARMSLEEVE 15-20 with Silicone Band Ready to wear, circular knit armsleeves and gauntlets for moderate to severe lymphedema covering a large range of patient sizes. Includes Donning Device with every Armsleeve 102251 102252 102253 102254 102255 102256 102257 102258 102259 102260 Armsleeve 15-20 with Silicone Band-Size 1 Natural, Reg Armsleeve 15-20 with Silicone Band-Size 2 Natural, Reg Armsleeve 15-20 with Silicone Band-Size 3 Natural, Reg Armsleeve 15-20 with Silicone Band-Size 4 Natural, Reg Armsleeve 15-20 with Silicone Band-Size 5 Natural, Reg Armsleeve 15-20 with Silicone Band-Size 6 Natural, Reg Armsleeve 15-20 with Silicone Band-Size 7 Natural, Reg Armsleeve 15-20 with Silicone Band-Size 8 Natural, Reg Armsleeve 15-20 with Silicone Band-Size 9 Natural, Reg Armsleeve 15-20 with Silicone Band-Size 10 Natural, Reg 035664008765 035664008772 035664008789 035664008796 035664008802 035664008819 035664008826 035664008833 035664008840 035664008857 102271 102272 102273 102274 102275 102276 102277 102278 102279 102280 Armsleeve 15-20 with Silicone Band-Size 1 Natural, Long Armsleeve 15-20 with Silicone Band-Size 2 Natural, Long Armsleeve 15-20 with Silicone Band-Size 3 Natural, Long Armsleeve 15-20 with Silicone Band-Size 4 Natural, Long Armsleeve 15-20 with Silicone Band-Size 5 Natural, Long Armsleeve 15-20 with Silicone Band-Size 6 Natural, Long Armsleeve 15-20 with Silicone Band-Size 7 Natural, Long Armsleeve 15-20 with Silicone Band-Size 8 Natural, Long Armsleeve 15-20 with Silicone Band-Size 9 Natural, Long Armsleeve 15-20 with Silicone Band-Size 10 Natural, Long 035664008963 035664008970 035664008987 035664008994 035664009007 035664009014 035664009021 035664009038 035664009045 035664009052 102211 102212 102213 102214 102215 102216 102217 102218 102219 102220 Armsleeve 15-20 with Silicone Band-Size 1 Black, Reg Armsleeve 15-20 with Silicone Band-Size 2 Black, Reg Armsleeve 15-20 with Silicone Band-Size 3 Black, Reg Armsleeve 15-20 with Silicone Band-Size 4 Black, Reg Armsleeve 15-20 with Silicone Band-Size 5 Black, Reg Armsleeve 15-20 with Silicone Band-Size 6 Black, Reg Armsleeve 15-20 with Silicone Band-Size 7 Black, Reg Armsleeve 15-20 with Silicone Band-Size 8 Black, Reg Armsleeve 15-20 with Silicone Band-Size 9 Black, Reg Armsleeve 15-20 with Silicone Band-Size 10 Black, Reg 035664008475 035664008482 035664009267 035664008499 035664008505 035664008512 035664008529 035664008536 035664008543 035664008550 102231 102232 102233 102234 102235 102236 102237 102238 102239 102240 Armsleeve 15-20 with Silicone Band-Size 1 Black, Long Armsleeve 15-20 with Silicone Band-Size 2 Black, Long Armsleeve 15-20 with Silicone Band-Size 3 Black, Long Armsleeve 15-20 with Silicone Band-Size 4 Black, Long Armsleeve 15-20 with Silicone Band-Size 5 Black, Long Armsleeve 15-20 with Silicone Band-Size 6 Black, Long Armsleeve 15-20 with Silicone Band-Size 7 Black, Long Armsleeve 15-20 with Silicone Band-Size 8 Black, Long Armsleeve 15-20 with Silicone Band-Size 9 Black, Long Armsleeve 15-20 with Silicone Band-Size 10 Black, Long 035664008666 035664008673 035664008680 035664008697 035664008703 035664008710 035664008727 035664008734 035664008741 035664008758 JOBST® BELLA™ STRONG§* READY-TO-WEAR ARMSLEEVE 15-20 without Silicone Band Includes Donning Device with every Armsleeve 102261 102262 102263 102264 102265 102266 102267 102268 102269 102270 102281 102282 102283 102284 102285 102286 102287 102238 102289 102290 Armsleeve 15-20-Size 1 Natural, Reg Armsleeve 15-20-Size 2 Natural, Reg Armsleeve 15-20-Size 3 Natural, Reg Armsleeve 15-20-Size 4 Natural, Reg Armsleeve 15-20-Size 5 Natural, Reg Armsleeve 15-20-Size 6 Natural, Reg Armsleeve 15-20-Size 7 Natural, Reg Armsleeve 15-20-Size 8 Natural, Reg Armsleeve 15-20-Size 9 Natural, Reg Armsleeve 15-20-Size 10 Natural, Reg Armsleeve 15-20-Size 1 Natural, Long Armsleeve 15-20-Size 2 Natural, Long Armsleeve 15-20-Size 3 Natural, Long Armsleeve 15-20-Size 4 Natural, Long Armsleeve 15-20-Size 5 Natural, Long Armsleeve 15-20-Size 6 Natural, Long Armsleeve 15-20-Size 7 Natural, Long Armsleeve 15-20-Size 8 Natural, Long Armsleeve 15-20-Size 9 Natural, Long Armsleeve 15-20-Size 10 Natural, Long § The mean compression for an average forearm size 035664008864 035664008871 035664008888 035664008895 035664008901 035664008918 035664008925 035664008932 035664008949 035664008956 035664009069 035664009076 035664009083 035664009090 035664009106 035664009113 035664009120 035664008734 035664009144 035664009151 *See sizing charts page 57. (Cont. next page) §§ The mean compression for an average palm size Page 47 Medical Armsleeves ECONO # PRODUCT DESCRIPTION CAT # JOBST® BELLA™ STRONG§* UPC (Cont.) READY-TO-WEAR ARMSLEEVE 15-20 without Silicone Band Includes Donning Device with every Armsleeve 102221 102222 102223 102224 102225 102226 102227 102228 102229 102230 Armsleeve 15-20-Size 1 Black, Reg Armsleeve 15-20-Size 2 Black, Reg Armsleeve 15-20-Size 3 Black, Reg Armsleeve 15-20-Size 4 Black, Reg Armsleeve 15-20-Size 5 Black, Reg Armsleeve 15-20-Size 6 Black, Reg Armsleeve 15-20-Size 7 Black, Reg Armsleeve 15-20-Size 8 Black, Reg Armsleeve 15-20-Size 9 Black, Reg Armsleeve 15-20-Size 10 Black, Reg 035664008567 035664008574 035664008581 035664008598 035664008604 035664008611 035664008628 035664008635 035664008642 035664008659 102241 102242 102243 102244 102245 102246 102247 102248 102249 102250 Armsleeve 15-20-Size 1 Black, Long Armsleeve 15-20-Size 2 Black, Long Armsleeve 15-20-Size 3 Black, Long Armsleeve 15-20-Size 4 Black, Long Armsleeve 15-20-Size 5 Black, Long Armsleeve 15-20-Size 6 Black, Long Armsleeve 15-20-Size 7 Black, Long Armsleeve 15-20-Size 8 Black, Long Armsleeve 15-20-Size 9 Black, Long Armsleeve 15-20-Size 10 Black, Long 035664009168 035664009175 035664009182 035664009199 035664009205 035664009212 035664009229 035664009236 035664009243 035664009250 JOBST® BELLA™ STRONG§* Ready To Wear Armsleeve 20 - 30mmHg with Silicone Band Includes Donning Device with every Armsleeve 102331 102332 102333 102334 102335 102336 102337 102338 102339 102340 Armsleeve 20-30 with Silicone Band-Size 1 Natural, Reg Armsleeve 20-30 with Silicone Band-Size 2 Natural, Reg Armsleeve 20-30 with Silicone Band-Size 3 Natural, Reg Armsleeve 20-30 with Silicone Band-Size 4 Natural, Reg Armsleeve 20-30 with Silicone Band-Size 5 Natural, Reg Armsleeve 20-30 with Silicone Band-Size 6 Natural, Reg Armsleeve 20-30 with Silicone Band-Size 7 Natural, Reg Armsleeve 20-30 with Silicone Band-Size 8 Natural, Reg Armsleeve 20-30 with Silicone Band-Size 9 Natural, Reg Armsleeve 20-30 with Silicone Band-Size 10 Natural, Reg 035664009755 035664009762 035664009779 035664009786 035664009793 035664009809 035664009816 035664009823 035664009830 035664009847 102351 102352 102353 102354 102355 102356 102357 102358 102359 102360 Armsleeve 20-30 with Silicone Band-Size 1 Natural, Long Armsleeve 20-30 with Silicone Band-Size 2 Natural, Long Armsleeve 20-30 with Silicone Band-Size 3 Natural, Long Armsleeve 20-30 with Silicone Band-Size 4 Natural, Long Armsleeve 20-30 with Silicone Band-Size 5 Natural, Long Armsleeve 20-30 with Silicone Band-Size 6 Natural, Long Armsleeve 20-30 with Silicone Band-Size 7 Natural, Long Armsleeve 20-30 with Silicone Band-Size 8 Natural, Long Armsleeve 20-30 with Silicone Band-Size 9 Natural, Long Armsleeve 20-30 with Silicone Band-Size 10 Natural, Long 035664009953 035664009960 035664009977 035664009984 035664009991 035664010003 035664010010 035664010027 035664010034 035664010041 102291 102292 102293 102294 102295 102296 102297 102298 102299 102300 Armsleeve 20-30 with Silicone Band-Size 1 Black, Reg Armsleeve 20-30 with Silicone Band-Size 2 Black, Reg Armsleeve 20-30 with Silicone Band-Size 3 Black, Reg Armsleeve 20-30 with Silicone Band-Size 4 Black, Reg Armsleeve 20-30 with Silicone Band-Size 5 Black, Reg Armsleeve 20-30 with Silicone Band-Size 6 Black, Reg Armsleeve 20-30 with Silicone Band-Size 7 Black, Reg Armsleeve 20-30 with Silicone Band-Size 8 Black, Reg Armsleeve 20-30 with Silicone Band-Size 9 Black, Reg Armsleeve 20-30 with Silicone Band-Size 10 Black, Reg 035664009359 035664009366 035664009373 035664009380 035664009397 035664009403 035664009410 035664009427 035664009434 035664009441 102311 102312 102313 102314 102315 102316 102317 102318 102319 102320 Armsleeve 20-30 with Silicone Band-Size 1 Black, Long Armsleeve 20-30 with Silicone Band-Size 2 Black, Long Armsleeve 20-30 with Silicone Band-Size 3 Black, Long Armsleeve 20-30 with Silicone Band-Size 4 Black, Long Armsleeve 20-30 with Silicone Band-Size 5 Black, Long Armsleeve 20-30 with Silicone Band-Size 6 Black, Long Armsleeve 20-30 with Silicone Band-Size 7 Black, Long Armsleeve 20-30 with Silicone Band-Size 8 Black, Long Armsleeve 20-30 with Silicone Band-Size 9 Black, Long Armsleeve 20-30 with Silicone Band-Size 10 Black, Long 035664009557 035664009564 035664009571 035664009588 035664009595 035664009601 035664009618 035664009625 035664009632 035664009649 § The mean compression for an average forearm size §§ The mean compression for an average palm size *See sizing charts page 57. Page 48 Medical Armsleeves ECONO # PRODUCT DESCRIPTION CAT # UPC JOBST® BELLA™ STRONG§* Ready To Wear Armsleeve 20 - 30mmHg without Silicone Band Includes Donning Device with every Armsleeve 102341 102342 102343 102344 102345 102346 102347 102348 102349 102350 Armsleeve 20-30-Size 1 Natural, Reg Armsleeve 20-30-Size 2 Natural, Reg Armsleeve 20-30-Size 3 Natural, Reg Armsleeve 20-30-Size 4 Natural, Reg Armsleeve 20-30-Size 5 Natural, Reg Armsleeve 20-30-Size 6 Natural, Reg Armsleeve 20-30-Size 7 Natural, Reg Armsleeve 20-30-Size 8 Natural, Reg Armsleeve 20-30-Size 9 Natural, Reg Armsleeve 20-30-Size 10 Natural, Reg 035664009854 035664009861 035664009878 035664009885 035664009892 035664009908 035664009915 035664009922 035664009939 035664009946 102361 102362 102363 102364 102365 102366 102367 102368 102369 102370 Armsleeve 20-30-Size 1 Natural, Long Armsleeve 20-30-Size 2 Natural, Long Armsleeve 20-30-Size 3 Natural, Long Armsleeve 20-30-Size 4 Natural, Long Armsleeve 20-30-Size 5 Natural, Long Armsleeve 20-30-Size 6 Natural, Long Armsleeve 20-30-Size 7 Natural, Long Armsleeve 20-30-Size 8 Natural, Long Armsleeve 20-30-Size 9 Natural, Long Armsleeve 20-30-Size 10 Natural, Long 035664010058 035664010065 035664010072 035664010089 035664010096 035664010102 035664010119 035664010126 035664010133 035664010140 102301 102302 102303 102304 102305 102306 102307 102308 102309 102310 Armsleeve 20-30-Size 1 Black, Reg Armsleeve 20-30-Size 2 Black, Reg Armsleeve 20-30-Size 3 Black, Reg Armsleeve 20-30-Size 4 Black, Reg Armsleeve 20-30-Size 5 Black, Reg Armsleeve 20-30-Size 6 Black, Reg Armsleeve 20-30-Size 7 Black, Reg Armsleeve 20-30-Size 8 Black, Reg Armsleeve 20-30-Size 9 Black, Reg Armsleeve 20-30-Size 10 Black, Reg 035664009458 035664009465 035664009472 035664009489 035664009496 035664009502 035664009519 035664009526 035664009533 035664009540 102321 102322 102323 102324 102325 102326 102327 102328 102329 102330 Armsleeve 20-30-Size 1 Black, Long Armsleeve 20-30-Size 2 Black, Long Armsleeve 20-30-Size 3 Black, Long Armsleeve 20-30-Size 4 Black, Long Armsleeve 20-30-Size 5 Black, Long Armsleeve 20-30-Size 6 Black, Long Armsleeve 20-30-Size 7 Black, Long Armsleeve 20-30-Size 8 Black, Long Armsleeve 20-30-Size 9 Black, Long Armsleeve 20-30-Size 10 Black, Long 035664009656 035664009663 035664009670 035664009687 035664009694 035664009700 035664009717 035664009724 035664009731 035664009748 JOBST® BELLA™ STRONG§* READY-TO-WEAR ARMSLEEVE 30-40 with Silicone Band Includes Donning Device with every Armsleeve 102411 102412 102413 102414 102415 102416 102417 102418 102419 102420 Armsleeve 30-40 with Silicone Band-Size 1 Natural, Reg Armsleeve 30-40 with Silicone Band-Size 2 Natural, Reg Armsleeve 30-40 with Silicone Band-Size 3 Natural, Reg Armsleeve 30-40 with Silicone Band-Size 4 Natural, Reg Armsleeve 30-40 with Silicone Band-Size 5 Natural, Reg Armsleeve 30-40 with Silicone Band-Size 6 Natural, Reg Armsleeve 30-40 with Silicone Band-Size 7 Natural, Reg Armsleeve 30-40 with Silicone Band-Size 8 Natural, Reg Armsleeve 30-40 with Silicone Band-Size 9 Natural, Reg Armsleeve 30-40 with Silicone Band-Size 10 Natural, Reg 035664010577 035664010584 035664010591 035664010607 035664010614 035664010621 035664010638 035664010645 035664010652 035664010669 102431 102432 102433 102434 102435 102436 102437 102438 102439 102440 Armsleeve 30-40 with Silicone Band-Size 1 Natural, Long Armsleeve 30-40 with Silicone Band-Size 2 Natural, Long Armsleeve 30-40 with Silicone Band-Size 3 Natural, Long Armsleeve 30-40 with Silicone Band-Size 4 Natural, Long Armsleeve 30-40 with Silicone Band-Size 5 Natural, Long Armsleeve 30-40 with Silicone Band-Size 6 Natural, Long Armsleeve 30-40 with Silicone Band-Size 7 Natural, Long Armsleeve 30-40 with Silicone Band-Size 8 Natural, Long Armsleeve 30-40 with Silicone Band-Size 9 Natural, Long Armsleeve 30-40 with Silicone Band-Size 10 Natural, Long 035664010775 035664010782 035664010799 035664010805 035664010812 035664010829 035664010836 035664010843 035664010850 035664010867 § The mean compression for an average forearm size *See sizing charts page 57. (Cont. next page) §§ The mean compression for an average palm size Page 49 Medical Armsleeves ECONO # PRODUCT DESCRIPTION CAT # UPC JOBST® BELLA™ STRONG§* (Cont.) READY-TO-WEAR ARMSLEEVE 30-40 with Silicone Band Includes Donning Device with every Armsleeve 102371 102372 102373 102374 102375 102376 102377 102378 102379 102380 Armsleeve 30-40 with Silicone Band-Size 1 Black, Reg Armsleeve 30-40 with Silicone Band-Size 2 Black, Reg Armsleeve 30-40 with Silicone Band-Size 3 Black, Reg Armsleeve 30-40 with Silicone Band-Size 4 Black, Reg Armsleeve 30-40 with Silicone Band-Size 5 Black, Reg Armsleeve 30-40 with Silicone Band-Size 6 Black, Reg Armsleeve 30-40 with Silicone Band-Size 7 Black, Reg Armsleeve 30-40 with Silicone Band-Size 8 Black, Reg Armsleeve 30-40 with Silicone Band-Size 9 Black, Reg Armsleeve 30-40 with Silicone Band-Size 10 Black, Reg 035664010157 035664010164 035664010171 035664010188 035664010195 035664010201 035664010218 035664010225 035664010232 035664010249 102391 102392 102393 102394 102395 102396 102397 102398 102399 102400 Armsleeve 30-40 with Silicone Band-Size 1 Black, Long Armsleeve 30-40 with Silicone Band-Size 2 Black, Long Armsleeve 30-40 with Silicone Band-Size 3 Black, Long Armsleeve 30-40 with Silicone Band-Size 4 Black, Long Armsleeve 30-40 with Silicone Band-Size 5 Black, Long Armsleeve 30-40 with Silicone Band-Size 6 Black, Long Armsleeve 30-40 with Silicone Band-Size 7 Black, Long Armsleeve 30-40 with Silicone Band-Size 8 Black, Long Armsleeve 30-40 with Silicone Band-Size 9 Black, Long Armsleeve 30-40 with Silicone Band-Size 10 Black, Long 035664010355 035664010362 035664010379 035664010386 035664010393 035664010409 035664010416 035664010423 035664010430 035664010447 JOBST® BELLA™ STRONG§* READY-TO-WEAR ARMSLEEVE 30-40 without Silicone Band Includes Donning Device with every Armsleeve 102421 Armsleeve 30-40-Size 1 Natural, Reg 035664010676 102422 Armsleeve 30-40-Size 2 Natural, Reg 035664010683 102423 Armsleeve 30-40-Size 3 Natural, Reg 035664010690 102424 Armsleeve 30-40-Size 4 Natural, Reg 035664010706 102425 Armsleeve 30-40-Size 5 Natural, Reg 035664010713 102426 Armsleeve 30-40-Size 6 Natural, Reg 035664010720 102427 Armsleeve 30-40-Size 7 Natural, Reg 035664010737 102428 Armsleeve 30-40-Size 8 Natural, Reg 035664010744 102429 Armsleeve 30-40-Size 9 Natural, Reg 035664010751 102430 Armsleeve 30-40-Size 10 Natural, Reg 035664010768 102441 Armsleeve 30-40-Size 1 Natural, Long 035664010874 102442 Armsleeve 30-40-Size 2 Natural, Long 035664010881 102443 Armsleeve 30-40-Size 3 Natural, Long 035664010898 102444 Armsleeve 30-40-Size 4 Natural, Long 035664010904 102445 Armsleeve 30-40-Size 5 Natural, Long 035664010911 102446 Armsleeve 30-40-Size 6 Natural, Long 035664010928 102447 Armsleeve 30-40-Size 7 Natural, Long 035664010935 102448 Armsleeve 30-40-Size 8 Natural, Long 035664010942 102449 Armsleeve 30-40-Size 9 Natural, Long 035664010959 102450 Armsleeve 30-40-Size 10 Natural, Long 035664010966 102381 Armsleeve 30-40-Size 1 Black, Reg 035664010256 102382 Armsleeve 30-40-Size 2 Black, Reg 035664010263 102383 Armsleeve 30-40-Size 3 Black, Reg 035664010270 102384 Armsleeve 30-40-Size 4 Black, Reg 035664010287 102385 Armsleeve 30-40-Size 5 Black, Reg 035664010294 102386 Armsleeve 30-40-Size 6 Black, Reg 035664010300 102387 Armsleeve 30-40-Size 7 Black, Reg 035664010317 102388 Armsleeve 30-40-Size 8 Black, Reg 035664010324 102389 Armsleeve 30-40-Size 9 Black, Reg 035664010331 102390 Armsleeve 30-40-Size 10 Black, Reg 035664010348 102401 Armsleeve 30-40-Size 1 Black, Long 035664010454 102402 Armsleeve 30-40-Size 2 Black, Long 035664010461 102403 Armsleeve 30-40-Size 3 Black, Long 035664010478 102404 Armsleeve 30-40-Size 4 Black, Long 035664010485 102405 Armsleeve 30-40-Size 5 Black, Long 035664010492 § The mean compression for an average forearm size §§ The mean compression for an average palm size *See sizing charts page 57. (Cont. next page) Page 50 Medical Armsleeves ECONO # PRODUCT DESCRIPTION CAT # UPC JOBST® BELLA™ STRONG§* READY-TO-WEAR ARMSLEEVE 30-40 without Silicone Band Includes Donning Device with every Armsleeve (Cont.) 102406 Armsleeve 30-40-Size 6 Black, Long 035664010508 102407 Armsleeve 30-40-Size 7 Black, Long 035664010515 102408 Armsleeve 30-40-Size 8 Black, Long 035664010546 102409 Armsleeve 30-40-Size 9 Black, Long 035664010553 102410 Armsleeve 30-40-Size 10 Black, Long 035664010560 ® §§ JOBST BELLA™ STRONG READY-TO-WEAR GAUNTLET 15-20, 20-30mmHg 101661 Gauntlet 15-20 Natural Size 1 035664010973 101662 Gauntlet 15-20 Natural Size 2 035664010980 101663 Gauntlet 15-20 Natural Size 3 035664010997 101664 Gauntlet 15-20 Natural Size 4 035664011000 101665 Gauntlet 15-20 Natural Size 5 035664011017 101666 Gauntlet 15-20 Natural Size 6 035664011024 101667 Gauntlet 15-20 Natural Size 7 035664011031 101668 Gauntlet 15-20 Natural Size 8 035664011048 101653 Gauntlet 15-20 Black Size 1 035664009274 101654 Gauntlet 15-20 Black Size 2 035664009281 101655 Gauntlet 15-20 Black Size 3 035664009298 101656 Gauntlet 15-20 Black Size 4 035664009304 101657 Gauntlet 15-20 Black Size 5 035664009311 101658 Gauntlet 15-20 Black Size 6 035664009328 101659 Gauntlet 15-20 Black Size 7 035664009335 101660 Gauntlet 15-20 Black Size 8 035664009342 101677 Gauntlet 20-30 Natural Size 1 035664012335 101678 Gauntlet 20-30 Natural Size 2 035664012342 101679 Gauntlet 20-30 Natural Size 3 035664012359 101680 Gauntlet 20-30 Natural Size 4 035664012366 101681 Gauntlet 20-30 Natural Size 5 035664012373 101682 Gauntlet 20-30 Natural Size 6 035664012380 101683 Gauntlet 20-30 Natural Size 7 035664012397 101684 Gauntlet 20-30 Natural Size 8 035664012403 101669 Gauntlet 20-30 Black Size 1 035664012250 101670 Gauntlet 20-30 Black Size 2 035664012267 101671 Gauntlet 20-30 Black Size 3 035664012274 101672 Gauntlet 20-30 Black Size 4 035664012281 101673 Gauntlet 20-30 Black Size 5 035664012298 101674 Gauntlet 20-30 Black Size 6 035664012304 101675 Gauntlet 20-30 Black Size 7 035664012311 101676 Gauntlet 20-30 Black Size 8 035664012328 ® JOBST MEDICALWEAR GLOVE STANDARD STYLE 100580 Glove, Small Regular 035664005801 100581 Glove, Small Long 035664005818 100582 Glove, Medium Regular 035664005825 100583 Glove, Medium Long 035664005832 100584 Glove, Large Regular 035664005849 100585 Glove, Large Long 035664005856 100586 Glove, Small Regular 035664005863 100587 Glove, Small Long 035664005870 100588 Glove, Medium Regular 035664005887 100589 Glove, Medium Long 035664005894 100590 Glove, Large Regular 035664005900 100591 Glove, Large Long 035664005917 WRAP AROUND CLOSURE § The mean compression for an average forearm size *See sizing charts page 57. §§ The mean compression for an average palm size Page 51 Accessories ECONO # PRODUCT DESCRIPTION CAT # UPC JOBST® FOOT REST 110912 Foot Rest for measuring convenience 035664109127 GARTER BELTS STANDARD SIZES, ADJUSTABLE GARTERS 111319 111320 111321 111322 111323 111324 111325 111326 111327 111328 111329 111333 Waist Measurement 21"-23" (53-58 cm) Waist Measurement 24"-26" (61-66 cm) Waist Measurement 27"-29" (69-74 cm) Waist Measurement 30"-32" (76-81 cm) Waist Measurement 33"-35" (84-89 cm) Waist Measurement 36"-38" (92-97 cm) Waist Measurement 39"-41" (99-104 cm) Waist Measurement 42"-44" (107-112 cm) Waist Measurement 45"-47" (115-120 cm) Waist Measurement 48"-50" (123-125 cm) Waist Measurement 51"-53" (130-135 cm) Waist Measurement 54"-56" (137-142 cm) 035664113193 035664113209 035664113216 035664113223 035664113230 035664113247 035664113254 035664113261 035664113278 035664113285 035664113292 035664113339 GARTER BELTS ADJUSTABLE GARTERS, VELCRO® BRAND FASTENER 111351 111352 111353 111354 111355 111356 111357 111358 111359 111361 111362 Waist Measurement 24"-27" (61-69 cm) Waist Measurement 28"-31" (71-79 cm) Waist Measurement 32"-35" (81-89 cm) Waist Measurement 36"-39" (92-99 cm) Waist Measurement 40"-43" (102-109 cm) Waist Measurement 44"-47" (112-120 cm) Waist Measurement 48"-51" (122-130 cm) Waist Measurement 52"-55" (132-140 cm) Waist Measurement 56"-59" (143-150 cm) Waist Measurement 60"-63" (152-160 cm) Waist Measurement 64"-67" (163-170 cm) 035664113513 035664113520 035664113537 035664113544 035664113551 035664113568 035664113575 035664113582 035664113599 035664113612 035664113629 111330 111332 111331 110006 110007 Over-the-Shoulder Garter Belt-Single (Left) Over-the-Shoulder Garter Belt-Single (Right) Over-the-Shoulder Garter Belt-Double Extra Garters/Velcro Belt (10" Long) Extra Garters/Standard Belt (8" Long) 035664113308 035664113322 035664113315 035664100063 035664100070 Compliance Aids ECONO # PRODUCT DESCRIPTION CAT # UPC JOBST® DONNING GLOVES ∆ 131202 Donning Gloves, 100% Cotton with Blue Latex with JOBST, Small 035664312022 131203 Donning Gloves, 100% Cotton with Blue Latex with JOBST, Medium 035664312039 ® JOBST STOCKING DONNER 1708403 110913 110910 Stocking donning device for aiding in the application of vascular stockings - REGULAR Stocking donning device for aiding in the application of vascular stockings - LARGE CALF 035664109134 035664004033 JOBST® EASY WASH AND WEAR KIT 112004 1 pr. JOBST Donning Gloves, 4 fl. Oz Jolalstic, 1 hosiery wash bag 1 Donning Brochure (#52400) 112018 Stocking Slips-for ease of application of vascular stockings, 6 per package 035664120047 STOCKING SLIPS 035664120184 IT STAYS® ROLL-ON BODY ADHESIVE 1872910 1872910 112013 112014 2 fl. oz. (59 ml) Plastic Bottle 2 fl. oz. (59 ml) Plastic Bottle, 12 bottles per case 035664120139 035664120146 JOLASTIC® SPECIAL WASHING SOLUTION 130999 112001 112003 ∆ 4 fl. oz . (118 ml) Plastic Bottle, 12 bottles per case 12 fl. oz . (355 ml) Plastic Bottle 1 qt. (946 ml) Plastic Bottle Caution: These products contain natural rubber latex which may cause allergic reactions. Page 52 035664309992 035664120016 035664120030 Plastic Surgery Products ECONO # PRODUCT DESCRIPTION CAT # UPC EPSTEIN™ Facioplasty Support for Neck and Chin 110542 One Size Fits All 035664105426 FACIOPLASTY Elastic Support for Ears, Cheek and Chin Measurements determined by circumference from tip of chin to crown of head 2196731 2196855 111825 Small, under 25" (64 cm) 035664118259 111826 Medium, 25"-26 7/8" (64-68 cm) 035664118266 111827 Large, 27" or more (69 cm) 035664118273 JOBST® Surgical Vest* WITH RIGHT AND LEFT CUPS Order by Cup Size 111901 Size 1: 30C, 32B, 32C, 34A, 34B, 36A 035664119010 111902 Size 2: 34C, 34D, 36B, 36C, 38A, 38B 035664119027 111903 Size 3: 34DD, 36D, 36DD, 38C, 38D, 40C 035664119034 111904 Size 4: 38DD, 40D, 40DD, 42C, 42D, 44C 035664119041 111905 Size 5: 42DD, 44D, 44DD, 46C, 46D, 48C 035664119058 WITHOUT CUPS Order by Chest Circumference (under arm measurement) 111906 Size 1: 31" - 35" (79-89 cm) 035664119065 111907 Size 2: 35 1/8" - 39" (89-99 cm) 035664119072 111908 Size 3: 39 1/8" - 43" (99-109 cm) 035664119089 111909 Size 4: 43 1/8" - 47" (109-119 cm) 035664119096 111910 Size 5: 47 1/8" - 51" (120-130 cm) 035664119102 WITH LEFT CUP Order by Cup Size 111911 Size 1: 30C, 32B, 32C, 34A, 34B, 36A 035664119119 111912 Size 2: 34C, 34D, 36B, 36C, 38A, 38B 035664119126 111913 Size 3: 34DD, 36D, 36DD, 38C, 38D, 40C 035664119133 111914 Size 4: 38DD, 40D, 40DD, 42C, 42D, 44C 035664119140 111915 Size 5: 42DD, 44D, 44DD, 46C, 46D, 48C 035664119157 WITH RIGHT CUP Order by Cup Size 111916 Size 1: 30C, 32B, 32C, 34A, 34B, 36A 035664119164 111917 Size 2: 34C, 34D, 36B, 36C, 38A, 38B 035664119171 111918 Size 3: 34DD, 36D, 36DD, 38C, 38D, 40C 035664119188 111919 Size 4: 38DD, 40D, 40DD, 42C, 42D, 44C 035664119195 111920 Size 5: 42DD, 44D, 44DD, 46C, 46D, 48C 035664119201 PLASTIC SURGERY GIRDLE MID-THIGH (FEMALE) Fits Hips 8"-11" (20-28 cm) Larger Than Waist 110661 Small, Waist measurement 24"-26" (61-66 cm) 035664106614 110662 Medium, Waist measurement 27"-28" (69-71 cm) 035664106621 110663 Large, Waist measurement 29"-30" (74-76 cm) 035664106638 110664 Extra Large, Waist measurement 31"-32" (79-81 cm) 035664106645 110670 2X-Large, Waist measurement 33"-34" (84-86 cm) 035664106706 110672 3X-Large, Waist measurement 35"-36" (89-91 cm) 035664106720 *See sizing charts page 58. (Cont. next page) Page 53 Plastic Surgery Products ECONO # PRODUCT DESCRIPTION CAT # UPC PLASTIC SURGERY GIRDLE LONG-LEG (FEMALE) Fits Hips 8"-11" (20-28 cm) Larger Than Waist 110666 Small, Waist measurement 24"-26" (61-66 cm) 035664106669 110667 Medium, Waist measurement 27"-28" (69-71 cm) 035664106676 110668 Large, Waist measurement 29"-30" (74-76 cm) 035664106683 110669 Extra Large, Waist measurement 31"-32" (79-81 cm) 035664106690 110671 2X-Large, Waist measurement 33"-34" (84-86 cm) 035664106713 110673 3X-Large, Waist measurement 35"-36" (89-91 cm) 035664106737 PLASTIC SURGERY GIRDLE MID-THIGH (MALE) Fits Hips 4"-7" (10-18 cm) Larger Than Waist 110680 Small, Waist measurement 30"-32" (76-81 cm) 035664106805 110681 Medium, Waist measurement 34"-36" (86-91 cm) 035664106812 110682 Large, Waist measurement 38"-40" (96-102 cm) 035664106829 110683 Extra Large, Waist measurement 42"-44" (107-112 cm) 035664106836 110684 2X-Large, Waist measurement 46"-48" (117-122 cm) 035664106843 110685 3X-Large, Waist measurement 50"-52" (127-132 cm) 035664106850 Page 54 JOBST® Sizing Charts (8-15 mmHg) JOBST® Travel Socks (15-20 mmHg) Page 55 JOBST® Sizing Charts (15-20, 20-30, 30-40 mmHg) Page 56 Armsleeves and Gauntlets Bella™ Strong Armsleeve and Gauntlet Page 57 ™ Anti-Embolism Stockings RETAIL and Anti-EmGP ™ Surgical Vests Page 58 Wound Care Products ECONO # PRODUCT DESCRIPTION CAT # UPC - 12 / EAN - 13 COVERLET® FABRIC STRIP Latex-Free Adhesive Dressing 1244672 00230 3/4" x 3", 100 per box, 12 boxes per case 035664002305 1244680 00231 1" x 3", 100 per box, 12 boxes per case 035664002312 COVERLET® FABRIC STRIP 300 COUNT Latex-Free Adhesive Dressing 1177336 76448000 1" x 3", 300 per box, 6 boxes per case 035664764487 COVERLET® FABRIC SPOTS Latex-Free Adhesive Dressing 1244524 00301 7/8" Round, 100 per box, 12 boxes per case 035664003012 1244540 00303 1 ¼" Oval, 100 per box, 12 boxes per case 035664003036 COVERLET® FABRIC PATCHES Latex-Free Adhesive Dressing 1813229 00330 1½" x 2", 100 per box, 12 boxes per case 2435568 035664003302 00340000 2" x 3", 50 per box, 12 boxes per case 035664003401 7801000 4" x 2 ¾", 50 per box, 12 boxes per case 035664002633 COVERLET® FABRIC KNUCKLES 1244755 01390 Latex-Free Adhesive Dressing 1 1/2" x 3", 100 per box, 12 boxes per case 035664013905 COVERLET® FABRIC TOE SHIELD 00801 Latex-Free Adhesive Dressing 2½" x 1 3/8", 100 per box, 12 boxes per case 035664008017 COVERLET® FABRIC DIGITS Latex-Free Adhesive Dressing 1244748 01306 01307 Small Finger Tip, 100 per box, 12 boxes per case Large Finger Tip, 50 per box, 12 boxes per case 035664013066 035664013073 COVERLET® FABRIC 4-WING 2121150 00385 Latex-Free Adhesive Dressing 3" x 3", 50 per box, 12 boxes per case 035664003852 COVERLET® CABINET 70550168 70550167 Coverlet Cabinet with 1 box of each Coverlet fabric latex-free product included Coverlet Cabinet without Coverlet included 4042809224085 4042809224092 COVERLET® FABRIC EYE OCCLUSORS ** 1244722 1244714 46429 46430 Junior size, 1 7/8" x 2 1/2", 20 per box, 12 boxes per case Regular size, 2" x 3", 20 per box, 12 boxes per case CUTIMED® SORBACT® Bacteria-Binding Dressing 035664002695 035664002718 HCPCS* 7216101 Absorbent core, light exudate management Pad 2.75" x 3.5" (5) per box A6251 4042809151558 7216100 Pad 2.75" x 3.5" (40) per box A6251 4042809104417 7216201 Pad 4" x 4" (5) per box A6251 4042809151572 7216200 Pad 4" x 4" (40) per box A6251 4042809104530 7216300 Pad 4" x 8" (20) per box A6252 4042809104554 7216600 Impregnated ribbon gauze for all cavity wounds Ribbon Gauze 0.8" x 19.7" (20) per box A6266 4042809104653 7216700 Ribbon Gauze 2" x 78.7" (10) per box A6266 4042809104684 7216401 Flat folded dressing, for deep or superficial wounds Gauze Swabs 1.5" x 2.4" (5) per box A6222 4042809151596 7216400 Gauze Swabs 1.5" x 2.4" (40) per box A6222 4042809104585 7216501 Gauze Swabs 2.75" x 3.5" (5) per box A6222 4042809151619 7216500 Gauze Swabs 2.75" x 3.5" (40) per box A6222 4042809104622 7216800 Impregnated acetate round swabs, for deep or superficial wounds Round Swabs Walnuts (70) per box A6222 4042809104707 7266200 Impregnated acetate fabric, for shallow wounds under compression WCL 2" x 3" (10) per box A6206 035664005726 7266201 WCL 4" x 4" (10) per box A6206 035664005788 7266202 WCL 4" x 5" (10) per box A6207 035664005795 7266203 WCL 4" x 8" (10) per box A6207 035664005924 7266204 WCL 6" x 6" (10) per box A6207 035664005931 7266205 WCL 8" x 8" (10) per box A6208 035664005948 7261100 Combines WCL with preservative-free hydrogel, promotes autolytic debridement GEL 3" x 3" (10) per box A6231 GEL 3" x 6" (10) per box A6232 035664008352 7261101 *HCPCS codes - see page 60 more information 035664008369 ** These products contain dry natural rubber which may cause allergic reactions Page 59 Wound Care Products ECONO # CAT # PRODUCT DESCRIPTION CUTIMED® SILTEC® Super Absorbent, Silicone Foam Dressing UPC - 12 / EAN - 13 HCPCS* H6209 H6209 H6210 H6210 H6211 4042809287363 4042809287400 4042809287424 4042809287448 4042809287462 7263200 7263201 7263202 7263203 7263204 Siltec Sterile 2" x 2.5", 10 per box Siltec Sterile 4" x 4", 10 per box Siltec Sterile 4" x 8", 10 per box Siltec Sterile 6" x 6", 10 per box Siltec Sterile 8" x 8", 5 per box 7263000 7263001 7263002 Siltec L Sterile 2" x 2.5", 10 per box Siltec L Sterile 4" x 4", 10 per box Siltec L Sterile 6" x 6", 10 per box H6209 H6209 H6210 4042809287486 4042809287509 4042809287523 7263100 7263101 7263102 7263103 7263104 Siltec B Sterile 3" x 3", 10 per box Siltec B Sterile 5" x 5", 10 per box Siltec B Sterile 6" x 6", 10 per box Siltec B Sterile 7" x 7", 5 per box Siltec B Sterile 9" x 9", 5 per box H6212 H6212 H6212 H6213 H6213 4042809287547 4042809287561 4042809381368 4042809287608 4042809287622 7264700 7264701 Siltec SAC Sterile 7" x 7", 5 per box Siltec SAC Sterile 9" x 9", 5 per box H6210 H6210 035664015930 4042809285994 7264800 7264801 Siltec HEEL Sterile 2D 6.5" x 9.5", 5 per box Siltec HEEL Sterile 3D 6.5" x 9.5", 5 per box H6210 H6210 4042809190748 035664015770 7263900 7263901 7263902 7263903 Ultra 4" x 4", 20 per box Ultra 4" x 8", 20 per box Ultra 8" x 8", 20 per box Ultra 8" x 12", 20 per box 7263400 7263401 7263402 7263403 CUTIMED ALGINATE Calcium Alginate Dressing Sterile 2" x 2", 10 per box Sterile 4" x 4", 10 per box Sterile 4" x 8", 10 per box Sterile Flat Rope 1" x 12" , 5 per box 7263600 7263601 7263602 7263603 7263500 7263501 7263502 7263503 CUTIMED HYDRO Hydrocolloid Dressing L STE 2" x 10", 12 per box L STE 3" x 3", 10 per box L STE 4" x 4", 10 per box L STE 6" x 6", 5 per box B STE 3" x 3", 5 per box B STE 4" x 4", 5 per box B STE 6" x 6", 5 per box B SAC STE 6" x 7", 3 per box 7262100 7262101 7262103 Sterile 2" x 2.5", 10 per box Sterile 4" x 4", 10 per box Sterile 6" x 6", 5 per box 7261000 7261001 7261002 0.3 oz / 8 g, 10 per box 0.5 oz / 15 g, 10 per box 0.8 oz / 25 g, 10 per box 7265300 7265301 7265400 7265401 7265402 7265403 SPRAY 28 ml / 0.95 oz (1 per box) SPRAY 28 ml / 0.95 oz (12 per box) FOAM APPLICATOR 1 ml / 0.03 oz (5 per box) FOAM APPLICATOR 1 ml / 0.03 oz (25 per box) FOAM APPLICATOR 3 ml / 1.1 oz (5 per box) FOAM APPLICATOR 3 ml / 1.1 oz (25 per box) 7264122 7264123 5% UREA 125 ml 10% UREA 125 ml CUTISORB® ULTRA Super Absorbent Wound Dressing 4042809307245 4042809307276 4042809307290 4042809307313 ® 035664015657 4042809125375 4042809125467 4042809032512 ® 4042809293128 4042809293142 4042809293166 4042809293180 4042809293043 035664015701 4042809293081 4042809293104 CUTIMED® CAVITY FOAM Cavity Foam Dressing 4042809269260 4042809269284 4042809269321 CUTIMED® GEL 4042809261592 4042809261615 4042809261639 CUTIMED® PROTECT 4042809386349 4042809386370 4042809386387 4042809386400 4042809386424 4042809386448 CUTIMED® ACUTE 035664002664 035664002671 CUTICELL® STERILE 7253900 7253901 7253902 7253903 OINTMENT OINTMENT OINTMENT OINTMENT DRESSING 3INX3IN 10/B0X DRESSING 3INX3IN 50/B0X DRESSING 3INX8IN 10/B0X DRESSING 3INX8IN 50/B0X 4042809224207 4042809224221 4042809224245 4042809224269 *HCPCS Codes listed are suggested only; other codes may be more applicable depending on intended product use. Consult your your DMERC Supplier for verifications, allowances and fees. Codes are subject to change without notice. Your individual DMERC can provide you with the most accurate and current information. Page 60 Wound Care Products ECONO # CAT # PRODUCT DESCRIPTION CUTICELL® CONTACT® STERILE 7268000 7268001 7268002 7268003 SILICONE CONTACT SILICONE CONTACT SILICONE CONTACT SILICONE CONTACT 7238001 7238002 7238003 7238004 7238005 7238006 3" x 4", 50 per box 3" x 6", 50 per box 4" x 8", 50 per box 4" x 10", 50 per box 4" x 12", 50 per box 4" x 14", 50 per box 7238200 7238201 7238202 7238214 7238203 7238204 7238205 3" x 2", 50 per box 3" x 4", 50 per box 3" x 6", 50 per box 4" x 8", 50 per box 4" x 10", 50 per box 4" x 12", 50 per box 4" x 14", 50 per box 7238100 7238101 7238108 7238102 7238109 7238110 3" x 2", 50 per box 3" x 4", 50 per box 4" x 5", 50 per box 4" x 6", 50 per box 6" x 8", 50 per box 6" x 10", 50 per box 7221600 7221601 7221602 2" x 11 yd, 12/case 4" x 11 yd, 12/case 6" x 11 yd, 12/case WOUND DRESSING 2INX3IN, 5/BOX WOUND DRESSING 3INX4IN, 5/BOX WOUND DRESSING 4INX6IN, 5/BOX WOUND DRESSING 6INX10IN, 5/BOX UPC - 12 / EAN - 13 HCPCS* 4042809122169 4042809122282 4042809122343 4042809122527 LEUKOMED® COMPOSITE DRESSING 4042809199284 4042809199314 4042809199345 4042809199376 4042809199406 4042809199437 LEUKOMED® T PLUS POST-OP DRESSING 4042809436655 4042809199765 4042809199796 4042809234589 4042809199826 4042809199857 4042809199888 LEUKOMED® T TRANSPARENT FILM DRESSING 4042809199536 4042809199581 4042809234602 4042809199611 4042809234626 4042809234640 FIXOMULL® TRANSPARENT FIXATION DRESSING 4042809177015 4042809177039 4042809177053 COVER-ROLL® Adhesive Gauze 1231646 02034 2" x 10 yds., 1 roll per box, 12 boxes per case 4042809021004 3667409 02035 4" x 10 yds., 1 roll per box, 12 boxes per case 4042809021035 1231851 02041 6" x 10 yds., 1 roll per box, 12 boxes per case 4042809021066 02042 8" x 10 yds., 1 roll per box, 12 boxes per case 4042809021097 ® COVER-ROLL STRETCH Non-Woven Bandage 45547 2" x 2 yds., 1 roll per box, 12 boxes per case 035664455477 1262567 45548 4" x 2 yds., 1 roll per box, 12 boxes per case 4042809020199 3632312 45549 6" x 2 yds., 1 roll per box, 12 boxes per case 4042809020229 45550 8" x 2 yds., 1 roll per box, 12 boxes per case 4042809020250 45551 12" x 2 yds., 1 roll per box, 12 boxes per case 4042809020281 3666914 45552 2" x 10 yds., 1 roll per box, 12 boxes per case 4042809020311 3667037 45553 4" x 10 yds., 1 roll per box, 12 boxes per case 4042809020342 2148799 45554 6" x 10 yds., 1 roll per box, 12 boxes per case 035664455545 1176585 45555 8" x 10 yds., 1 roll per box, 12 boxes per case 4042809020403 45556 12" x 10 yds., 1 roll per box, 12 boxes per case 4042809020434 CUTIMED® OFF-LOADER 7800900 7800901 TCC System (plaster & fiberglass) 1 KIT SELECT TCC System (fiberglass) 1 KIT 4042809433128 4042809433135 CANVAS ROCKER BOTTOM CAST SHOE 43-101408 43-101505 43-101602 43-101709 Blue, SM Blue, MD Blue, LG Blue, XL 719869510642 719869510659 719869510666 719869510673 GELOCAST® The Original Unna's Boot 1244862 1244854 01052 01053 3" x 10 yds., 1 per box, 12 boxes per case 4" x 10 yds., 1 per box, 12 boxes per case Page 61 035664010522 035664010539 Bandage Products ECONO # CAT # PRODUCT DESCRIPTION JOBST® COMPRIFORE® BANDAGE 7266100 7266101 7266102 7266103 JOBST ® Comprifore® FOUR LAYER BANDAGE JOBST ® Comprifore® FOUR LAYER BANDAGE - LATEX FREE JOBST ® Comprifore® LITE THREE LAYER BANDAGE JOBST ® Comprifore® LITE THREE LAYER BANDAGE - LATEX FREE UPC - 12 / EAN - 13 HCPCS* 035664005740 035664005757 035664005764 035664005771 ARTIFLEX® Non-Woven Padding Bandage 1178318 0904600 0904700 10 cm x 3 m (3.9" x 3.3 yds.), 30 rolls per case 15 cm x 3 m (5.9" x 3.3 yds.), 20 rolls per case COMPRILAN® 072140090463 072140090470 ∆∆ 100% Cotton Short Stretch Compression Bandage 1187335 1187137 1186923 1187566 77187 01026000 01027000 01028000 01029000 77188 77189 4 cm x 5 m (1.6" x 5.5 yds.), 1 roll per box, 24 boxes per case 6 cm x 5 m (2.4" x 5.5 yds.), 1 roll per box, 20 boxes per case 8 cm x 5 m (3.1" x 5.5 yds.), 1 roll per box, 20 boxes per case 10 cm x 5 m (3.9" x 5.5 yds.), 1 roll per box, 20 boxes per case 12 cm x 5 m (4.7" x 5.5 yds.), 1 roll per box, 20 boxes per case 10 cm x 10 m (3.9" x 10.9 yds.), 1 roll per box, 20 boxes per case 12 cm x 10 m (4.7" x 10.9 yds.), 1 roll per box, 20 boxes per case 035664771874 4042809200300 4042809200331 4042809200317 4042809200324 035664771881 035664771898 ELASTOMULL® Sterile Elastic Gauze Bandage 1183953 02075001 02076001 02070001 02071001 1" x 4.1 yds., 12 rolls per inner pack, 8 bags per case 2" x 4.1 yds., 12 rolls per inner pack, 8 bags per case 3" x 4.1 yds., 12 rolls per inner pack, 8 bags per case 4" x 4.1 yds., 12 rolls per inner pack, 8 bags per case 035664020750 035664020767 035664020705 035664020712 ELASTOMULL® Non-Sterile Elastic Gauze Bandage 02088000 02089000 02101000 02102000 1" x 4.1 yds., 24 rolls per inner pack, 8 bags per case 2" x 4.1 yds., 12 rolls per inner pack, 8 bags per case 3" x 4.1 yds., 12 rolls per inner pack, 8 bags per case 4" x 4.1 yds., 12 rolls per inner pack, 8 bags per case 035664020880 035664020897 035664021016 035664021023 ISOBAND® Finished Edge Bandage 01958 01959 15 cm x 5 m (5.9" x 5.5 yds), 1 roll per box, 50 boxes per case 20 cm x 5 m (7.9" x 5.5 yds), 1 roll per box, 35 boxes per case 4042809268386 4042809268409 TRICOFIX® Lightweight, Absorbent Tubular Bandages 02195 02197 02198 02199 6 cm x 20 m (2.4" x 22 yds.), 1 roll per box, 10 boxes per case 8 cm x 20 m (3.2" x 22 yds.), 1 roll per box, 10 boxes per case 10 cm x 20 m (3.9" x 22 yds.), 1 roll per box, 10 boxes per case 12 cm x 20 m (4.7" x 22 yds.), 1 roll per box, 10 boxes per case 4042809268423 4042809268447 4042809268461 4042809268485 JOBST® FOAM 78496 Foam Rubber Pad (Kidney) 9 cm x 1 cm, 1 pad per box, 75 boxes per case 035664784966 ® COMPRIFOAM 7529400 7529500 Open cell foam bandage evenly distributing for effective compression therapy. 10cm x 2.5m x 0.4cm, White, 1 roll per box, 24 rolls per case 12cm x 2.5m x 0.4cm, White, 1 roll per box, 16 rolls per case 4042809231816 4042809231854 TENSOPLAST ® WHITE** (formerly Elastoplast) ELASTIC ADHESIVE BANDAGE 1244300 1244318 1697655 1244334 02593002 02594002 02595002 02596002 02597002 1" x 5 yds., 1 roll per box, 36 boxes per case 2" x 5 yds., 1 roll per box, 36 boxes per case 3" x 5 yds., 1 roll per box, 36 boxes per case 4" x 5 yds., 1 roll per box, 36 boxes per case 6" x 5 yds., 1 roll per box, 12 boxes per case 4042809005431 4042809005462 4042809005493 4042809006063 4042809005554 TENSOPLAST® TAN** (formerly Elastoplast) ELASTIC ADHESIVE BANDAGE 1143882 1174200 02598002 02599002 02600002 02601002 02602002 1" x 5 yds., 1 roll per box, 36 boxes per case 2" x 5 yds., 1 roll per box, 36 boxes per case 3" x 5 yds., 1 roll per box, 36 boxes per case 4" x 5 yds., 1 roll per box, 36 boxes per case 6" x 5 yds., 1 roll per box, 12 boxes per case ∆∆ Caution: Fixation clip contains natural rubber latex which may cause allergic reactions. ** These products contain dry natural rubber which may cause allergic reactions Page 62 4042809005585 4042809005615 4042809005646 4042809005677 4042809005707 Sports Medicine Products ECONO # PRODUCT DESCRIPTION CAT # UPC - 12 / EAN - 13 LIGHTPLAST® PRO WHITE** Tearable Elastic Adhesive Stretch Tape 76952 1" x 5 yds., 48 rolls per case 4042809009781 76953 1 1/2" x 5 yds., 32 rolls per case 4042809009811 76954 2" x 5 yds., 24 rolls per case 4042809009842 76955 76956 3" x 5 yds., 16 rolls per case 2" x 7 1/2 yds., 24 rolls per case 4042809009873 4042809009903 76957 3" x 7 1/2 yds., 16 rolls per case 4042809009934 LIGHTPLAST® PRO BLACK** Tearable Elastic Adhesive Stretch Tape 72880 72881 2" x 5 yds., 24 rolls per case 3" x 5 yds., 16 rolls per case 4042809120028 4042809120059 72883 3" x 7 ½ yds., 16 rolls per case 4042809120110 ® TENSOPLAST TAN ATHLETIC TAPE** (formerly Elastoplast) Elastic Adhesive Bandage 1175728 04410001 1" x 5 yds., 32 rolls per case 4042809006124 04412001 2" x 5 yds., 24 rolls per case 4042809005769 04413001 3" x 5 yds., 16 rolls per case 4042809005790 04414001 04415001 4" x 5 yds., 16 rolls per case 2" x 5 yds., 6 rolls per box, 12 boxes per case 4042809005820 4042809005738 04416001 3" x 5 yds., 4 rolls per box, 12 boxes per case 4042809006094 LEUKOTAPE® P** Rigid Strapping Tape 1498336 76168 1 1/2" x 15 yds., 1 roll per box, 30 boxes per case 4042809042214 ® TENSOGRIP BANDAGE ELASTIC TUBULAR 7579 7580 7581 7582 7583 7584 7585 7586 7587 7588 7580FL 7581FL 7582FL 7583FL 7584FL 7585FL 1.75" x 11 yd WHITE SIZE A 2.5" x 11 yd WHITE SIZE B 2.75" x 11 yd WHITE SIZE C 3" x 11 yd WHITE SIZE D 3.5" x 11 yd WHITE SIZE E 4" x 11 yd WHITE SIZE F 4.5" x 11 yd WHITE SIZE G 7" x 11 yd WHITE SIZE J 8.5" x 11 yd WHITE SIZE K 12.75" x 11 yd WHITE SIZE L 4042809055566 4042809055597 4042809055658 4042809055719 4042809055771 4042809055832 4042809055894 4042809055955 4042809055986 4042809056013 2.5" x 11 yd 2.75" x 11 yd 3" X 11 yd 3.5" X 11 yd 4" x 11 yd 4.5" x 11 yd 4042809055627 4042809055689 4042809055740 4042809055801 4042809055863 4042809055924 BEIGE SIZE B BEIGE SIZE C BEIGE SIZE D BEIGE SIZE E BEIGE SIZE F BEIGE SIZE G TENSOSHAPE® BANDAGE ELASTIC TUBULAR 7589 7590 7591 7592 7593 7594 7595 BELOW KNEE SM BELOW KNEE MD BELOW KNEE LG FULL LEG SM FULL LEG MD FULL LEG LG FULL LEG XL 4042809056105 4042809056075 4042809056044 4042809056228 4042809056198 4042809056167 4042809056136 ** These products contain dry natural rubber which may cause allergic reactions *HCPCS Codes listed are suggested only; other codes may be more applicable depending on intended product use. Consult your your DMERC Supplier for verifications, allowances and fees. Codes are subject to change without notice. Your individual DMERC can provide you with the most accurate and current information. Page 63 FLA® Orthopedic Products ECONO # CAT # PRODUCT DESCRIPTION UPC Cervical Collars 2156990 HCPCS* 10-121033 Cervical Collar, Reg. Dens. Narrow Width, 2½" UN Beige - Non Retail L0120 719869500001 10-121431 Cervical Collar, Reg. Dens. Narrow Width, 2½" SM Beige - Non Retail L0120 719869500032 10-121538 Cervical Collar, Reg. Dens. Narrow Width, 2½" MD Beige - Non Retail L0120 719869500049 10-121635 Cervical Collar, Reg. Dens. Narrow Width, 2½" LG Beige- Non Retail L0120 719869500056 10-131UNBEG Cervical Collar, Regular Density, Regular Width, 3¼" UN Beige L0120 719869530008 10-131SMBEG Cervical Collar, Regular Density, Regular Width, 3¼" SM Beige L0120 719869530015 10-131MDBEG Cervical Collar, Regular Density, Regular Width, 3¼" MD Beige L0120 719869530022 10-131LGBEG Cervical Collar, Regular Density, Regular Width, 3¼" LG Beige L0120 719869530039 10-1311LBEG Cervical Collar, Regular Density, Regular Width, 3¼" XL Beige L0120 719869530046 10-622435 Philadelphia Collar®, 2¼" SM Beige - Non Retail L0172 719869500674 10-622532 Philadelphia Collar®, 2¼" MD Beige - Non Retail L0172 719869500681 10-622639 Philadelphia Collar®, 2¼" LG Beige - Non Retail L0172 719869500698 10-632432 Philadelphia Collar®, 3¼" SM Beige - Non Retail L0172 719869500704 10-632539 Philadelphia Collar®, 3¼" MD Beige - Non Retail L0172 719869500711 10-632636 Philadelphia Collar®, 3¼" LG Beige - Non Retail L0172 719869500728 10-642439 Philadelphia Collar®, 4¼" SM Beige - Non Retail L0172 719869500735 10-642536 Philadelphia Collar®, 4¼" MD Beige - Non Retail L0172 719869500742 10-642633 Philadelphia Collar®, 4¼" LG Beige - Non Retail L0172 719869500759 719869544777 ® 11-111101 Microban Cervical Collar, 2" Infant White - Pediatric Pkg L0120 11-121202 Microban® Cervical Collar, 2.5" Pediatric White - Pediatric Pkg L0120 719869544784 11-131306 Microban® Cervical Collar, 2.5" Youth White - Pediatric Pkg L0120 719869544753 16-101106 Clavicle Support, Infant White - Pediatric Pkg L3660 719869544760 16-101307 Clavicle Support, Ped White - Pediatric Pkg L3660 719869501350 16-101404 Clavicle Support, SM White - Non Retail L3660 719869501367 Clavicle / Shoulder Supports / Posture Control ® 7623300 7623301 7623302 7623303 7623304 Pro-Lite Clavicle Support Deluxe Blue XS Pro-Lite® Clavicle Support Deluxe Blue SM Pro-Lite® Clavicle Support Deluxe Blue MD Pro-Lite® Clavicle Support Deluxe Blue LG Pro-Lite® Clavicle Support Deluxe Blue XL L3650 L3650 L3650 L3650 L3650 719869004929 719869004936 719869004943 719869004950 719869004967 16-4201SSTD Posture Control Shoulder Brace, XS White L3650 719869527848 16-420SMSTD Posture Control Shoulder Brace, SM White L3650 719869530053 16-420MDSTD Posture Control Shoulder Brace, MD White L3650 719869530060 16-420LGSTD Posture Control Shoulder Brace, LG White L3650 719869530077 16-4201LSTD L3650 719869530084 16-500SMBLK Safe-T-Sport Neoprene Shoulder Support, SM Black A4466 719869559597 16-500MDBLK Safe-T-Sport® Neoprene Shoulder Support, MD Black A4466 719869559603 16-500LGBLK Safe-T-Sport® Neoprene Shoulder Support, LG Black A4466 719869559610 7556506 7556507 7556508 Pro-Lite® Deluxe Sling and Swathe Blue SM Pro-Lite® Deluxe Sling and Swathe Blue MD Pro-Lite® Deluxe Sling and Swathe Blue LG L3660 L3660 L3660 719869004899 719869004905 719869004912 16-701104 16-701301 16-701408 Elastic Shoulder Immobilizer, Infant White - Pediatric Pkg Elastic Shoulder Immobilizer, Ped/XS White - Pediatric Pkg Elastic Shoulder Immobilizer, SM White A4565 A4565 A4565 719869544715 719869501756 719869501763 16-900SMBEG 16-900MDBEG 16-900LGBEG 16-9001LBEG 16-9002LBEG Soft Form® Posture Control Brace, SM Beige Soft Form® Posture Control Brace, MD Beige Soft Form® Posture Control Brace, LG Beige Soft Form® Posture Control Brace, XL Beige Soft Form® Posture Control Brace, XXL Beige A4466 A4466 A4466 A4466 A4466 719869542629 719869542636 719869542643 719869542650 719869542995 A4465 719869530404 Posture Control Shoulder Brace, XL White ® Elbow / Forearm Supports and Braces 19-201UNSTD Canvas Tennis Elbow Strap, UN White ® 2158715 19-400SMBEG Pro•Lite Elbow Support, Knitted Pullover, SM Beige A4466 719869539766 2158251 19-400MDBEG Pro•Lite® Elbow Support, Knitted Pullover, MD Beige A4466 719869539773 2157816 19-400LGBEG Pro•Lite® Elbow Support, Knitted Pullover, LG Beige A4466 719869539780 2157428 19-4001LBEG Pro•Lite® Elbow Support, Knitted Pullover, XL Beige A4466 719869539797 (Cont. next page) *HCPCS codes - see page 77 for more information Page 64 FLA® Orthopedic Products ECONO # CAT # PRODUCT DESCRIPTION UPC Elbow / Forearm Supports and Braces (Con't) HCPCS* Pro•Lite® Compressive Elbow Support w/Viscoelastic Insert, XS White A4466 19-450SMSTD Pro•Lite® Compressive Elbow Support w/Viscoelastic Insert, SM White A4466 719869527930 19-450MDSTD Pro•Lite® Compressive Elbow Support w/Viscoelastic Insert, MD White A4466 719869527947 19-450LGSTD Pro•Lite® Compressive Elbow Support w/Viscoelastic Insert, LG White A4466 719869527954 Pro•Lite® Compressive Elbow Support w/Viscoelastic Insert, XL White A4466 719869527961 19-4501SSTD 19-4501LSTD ® 719869527978 7589000 Pro•Lite 3D Elbow Support, XXS White/Gray A4466 719869001553 7589001 Pro•Lite® 3D Elbow Support, XS White/Gray A4466 719869001560 7589002 Pro•Lite® 3D Elbow Support, SM White/Gray A4466 719869001577 7589003 Pro•Lite® 3D Elbow Support, MD White/Gray A4466 719869001584 7589004 Pro•Lite® 3D Elbow Support, LG White/Gray A4466 719869001591 7589005 Pro•Lite® 3D Elbow Support, XL White/Gray A4466 719869001607 7589006 Pro•Lite® 3D Elbow Support, XXL White/Gray A4466 719869001614 19-5001SBEG Gel•Band® Arm Band, XS Beige A4466 719869533580 19-5001SBLK Gel•Band® Arm Band, XS Black A4466 719869533566 2161008 19-500UNBEG Gel•Band® Arm Band, UN Beige A4466 719869533597 2159283 19-500UNBLK Gel•Band® Arm Band, UN Black A4466 719869533573 2160026 19-501SMSTD Elastic Pullover Elbow Support, SM White A4466 719869530367 2159663 19-501MDSTD Elastic Pullover Elbow Support, MD White A4466 719869530374 2161412 19-501LGSTD Elastic Pullover Elbow Support, LG White A4466 719869530381 19-5011LSTD A4466 719869530398 719869533658 19-6001SBLK Elastic Pullover Elbow Support, XL White ® Epi•Sport Epicondylitis Clasp, XS Black A4465 19-600SMBLK Epi•Sport® Epicondylitis Clasp, SM Black A4465 719869533665 19-600MDBLK Epi•Sport® Epicondylitis Clasp, MD Black A4465 719869533672 19-600LGBLK Epi•Sport® Epicondylitis Clasp, LG Black A4465 719869533689 19-6001LBLK Epi•Sport® Epicondylitis Clasp, XL Black A4465 719869533696 19-601304 Safe-T-Sport® Neoprene Tennis Elbow Sleeve, Ped/LG Navy - Pediatric A4466 719869544852 19-601SMNVY Safe-T-Sport® Neoprene Tennis Elbow Sleeve, SM Navy A4466 719869531043 19-601MDNVY Safe-T-Sport® Neoprene Tennis Elbow Sleeve, MD Navy A4466 719869531050 19-601LGNVY Safe-T-Sport® Neoprene Tennis Elbow Sleeve, LG Navy A4466 719869531067 Safe-T-Sport® Neoprene Tennis Elbow Sleeve, XL Navy A4466 719869531074 19-6011LNVY 19-601SMBLK Safe-T-Sport® Neoprene Tennis Elbow Sleeve, SM Black A4466 719869531081 19-601MDBLK Safe-T-Sport® Neoprene Tennis Elbow Sleeve, MD Black A4466 719869531098 19-601LGBLK Safe-T-Sport® Neoprene Tennis Elbow Sleeve, LG Black A4466 719869531104 19-6011LBLK Safe-T-Sport® Neoprene Tennis Elbow Sleeve, XL Black A4466 719869531111 2162709 2162253 2161859 2160463 22-103SMSTD 22-103MDSTD 22-103LGSTD 22-1031LSTD Elastic Pullover Wristlet, SM Beige Elastic Pullover Wristlet, MD Beige Elastic Pullover Wristlet, LG Beige Elastic Pullover Wristlet, XL Beige A4466 A4466 A4466 A4466 719869530428 719869530435 719869530442 719869530459 2041648 22-109UNBLK Safe-T-Sport® Neoprene Wrist Wrap, UN Black 22-109UNNVY Safe-T-Sport® Neoprene Wrist Wrap, UN Navy A4466 A4466 719869530954 719869530947 22-140UNBLK CarpalMate® Wrist Support, UN Black 22-140UNBEG CarpalMate® Wrist Support, UN Beige L3908 L3908 719869538141 719869538158 2164127 2163616 2163194 22-1501SBEG 22-150SMBEG 22-150MDBEG 22-150LGBEG 22-1501LBEG Soft Fit Suede Finish Wrist Brace, Right XS Beige Soft Fit Suede Finish Wrist Brace, Right SM Beige Soft Fit Suede Finish Wrist Brace, Right MD Beige Soft Fit Suede Finish Wrist Brace, Right LG Beige Soft Fit Suede Finish Wrist Brace, Right XL Beige L3908 L3908 L3908 L3908 L3908 719869536000 719869536017 719869536024 719869536031 719869536048 2165199 2165694 2164630 22-1511SBEG 22-151SMBEG 22-151MDBEG 22-151LGBEG 22-1511LBEG Soft Fit Suede Finish Wrist Brace, Left XS Beige Soft Fit Suede Finish Wrist Brace, Left SM Beige Soft Fit Suede Finish Wrist Brace, Left MD Beige Soft Fit Suede Finish Wrist Brace, Left LG Beige Soft Fit Suede Finish Wrist Brace, Left XL Beige L3908 L3908 L3908 L3908 L3908 719869536055 719869536062 719869536079 719869536086 719869536093 Wrist Supports and Braces 2041655 (Cont. next page) *HCPCS codes - see page 77 for more information Page 65 FLA® Orthopedic Products ECONO # CAT # UPC PRODUCT DESCRIPTION Wrist Supports and Braces (Con't.) 22-1501SBLK HCPCS* Soft Fit Suede Finish Wrist Brace, Right XS Black L3908 22-150SMBLK Soft Fit Suede Finish Wrist Brace, Right SM Black L3908 719869544135 719869544142 22-150MDBLK Soft Fit Suede Finish Wrist Brace, Right MD Black L3908 719869544159 22-150LGBLK Soft Fit Suede Finish Wrist Brace, Right LG Black L3908 719869544166 22-1501LBLK Soft Fit Suede Finish Wrist Brace, Right XL Black L3908 719869544173 22-1511SBLK Soft Fit Suede Finish Wrist Brace, Left XS Black L3908 719869544180 22-151SMBLK Soft Fit Suede Finish Wrist Brace, Left SM Black L3908 719869544197 22-151MDBLK Soft Fit Suede Finish Wrist Brace, Left MD Black L3908 719869544203 22-151LGBLK L3908 719869544210 Soft Fit Suede Finish Wrist Brace, Left LG Black 22-1511LBLK Soft Fit Suede Finish Wrist Brace, Left XL Black L3908 719869544227 22-2001SSTD 6" Elastic Cock-Up Wrist Brace, Right XS Beige L3908 719869527459 22-200SMSTD 6" Elastic Cock-Up Wrist Brace, Right SM Beige L3908 719869527466 22-200MDSTD 6" Elastic Cock-Up Wrist Brace, Right MD Beige L3908 719869527473 22-200LGSTD 6" Elastic Cock-Up Wrist Brace, Right LG Beige L3908 719869527480 22-2001LSTD 6" Elastic Cock-Up Wrist Brace, Right XL Beige L3908 719869527497 22-2011SSTD 719869527503 6" Elastic Cock-Up Wrist Brace, Left XS Beige L3908 22-201SMSTD 6" Elastic Cock-Up Wrist Brace, Left SM Beige L3908 719869527510 22-201MDSTD 6" Elastic Cock-Up Wrist Brace, Left MD Beige L3908 719869527527 22-201LGSTD 6" Elastic Cock-Up Wrist Brace, Left LG Beige L3908 719869527534 22-2011LSTD 6" Elastic Cock-Up Wrist Brace, Left XL Beige L3908 719869527541 22-300110 Microban® Wrist Splint, Right Infant Blue - Pediatric Pkg L3908 719869544791 22-300120 Microban® Wrist Splint, Left Infant Blue - Pediatric Pkg L3908 719869544807 22-300210 Microban® Wrist Splint, Right Ped Blue - Pediatric Pkg L3908 719869544814 22-300220 Microban® Wrist Splint, Left Ped Blue - Pediatric Pkg L3908 719869544821 22-300310 Microban® Wrist Splint, Right Youth Blue - Pediatric Pkg L3908 719869544838 22-300320 Microban® Wrist Splint, Left Youth Blue - Pediatric Pkg L3908 719869544845 ® 22-400SMBEG Pro•Lite Wrist Support, Knitted Pullover, SM Beige A4466 719869539803 22-400MDBEG Pro•Lite® Wrist Support, Knitted Pullover, MD Beige A4466 719869539810 22-400LGBEG Pro•Lite® Wrist Support, Knitted Pullover, LG Beige A4466 719869539827 22-4001LBEG Pro•Lite® Wrist Support, Knitted Pullover, XL Beige A4466 719869539834 22-441419 10" Perforated Suede Wrist/Forearm Splint, Right SM Beige - Non Retail L3908 719869503842 22-441428 10" Perforated Suede Wrist/Forearm Splint, Left SM Beige - Non Retail L3908 719869503859 22-441516 10" Perforated Suede Wrist/Forearm Splint, Right MD Beige - Non Retail L3908 719869503866 22-441525 10" Perforated Suede Wrist/Forearm Splint, Left MD Beige - Non Retail L3908 719869503873 22-441613 10" Perforated Suede Wrist/Forearm Splint, Right LG Beige - Non Retail L3908 719869503880 22-441622 10" Perforated Suede Wrist/Forearm Splint, Left LG Beige - Non Retail L3908 719869503897 22-441710 10" Perforated Suede Wrist/Forearm Splint, Right XL Beige - Non Retail L3908 719869503903 22-441729 10" Perforated Suede Wrist/Forearm Splint, Left XL Beige - Non Retail L3908 719869503910 22-4501SBLK Pro•Lite® 8" Wrist Splint, Right XS Black L3908 719869532774 2167153 22-450SMBLK Pro•Lite® 8" Wrist Splint, Right SM Black L3908 719869532781 2166791 22-450MDBLK Pro•Lite® 8" Wrist Splint, Right MD Black L3908 719869532798 2166304 22-450LGBLK Pro•Lite® 8" Wrist Splint, Right LG Black L3908 719869532804 22-4501LBLK Pro•Lite® 8" Wrist Splint, Right XL Black L3908 719869532811 22-4511SBLK Pro•Lite® 8" Wrist Splint, Left XS Black L3908 719869532828 2168458 22-451SMBLK Pro•Lite® 8" Wrist Splint, Left SM Black L3908 719869532835 2168128 22-451MDBLK Pro•Lite® 8" Wrist Splint, Left MD Black L3908 719869532842 2167682 22-451LGBLK Pro•Lite® 8" Wrist Splint, Left LG Black L3908 719869532859 22-4511LBLK Pro•Lite® 8" Wrist Splint, Left XL Black L3908 719869532866 2093763 7589110 Pro•Lite® Airflow 8" Wrist Splint, Right SM/MD Black L3908 719869570202 2093771 7589111 Pro•Lite® Airflow 8" Wrist Splint, Left SM/MD Black L3908 719869570219 2093789 7589112 Pro•Lite® Airflow 8" Wrist Splint, Right LG/XL Black L3908 719869570226 2093797 7589113 Pro•Lite® Airflow 8" Wrist Splint, Left LG/XL Black L3908 719869570233 (Cont. next page) *HCPCS codes - see page 77 for more information Page 66 FLA® Orthopedic Products ECONO # CAT # PRODUCT DESCRIPTION UPC Wrist Supports and Braces (Cont.) HCPCS* Pro•Lite® Wrist Splint w/Abducted Thumb, Right XS Black L3908 719869535805 22-460SMBLK Pro•Lite® Wrist Splint w/Abducted Thumb, Right SM Black L3908 719869535812 22-460MDBLK Pro•Lite® Wrist Splint w/Abducted Thumb, Right MD Black L3908 719869535829 22-460LGBLK Pro•Lite® Wrist Splint w/Abducted Thumb, Right LG Black L3908 719869535836 22-4601LBLK Pro•Lite® Wrist Splint w/Abducted Thumb, Right XL Black L3908 719869535843 719869535850 22-4601SBLK 22-4611SBLK ® Pro•Lite Wrist Splint w/Abducted Thumb, Left XS Black L3908 22-461SMBLK Pro•Lite® Wrist Splint w/Abducted Thumb, Left SM Black L3908 719869535867 22-461MDBLK Pro•Lite® Wrist Splint w/Abducted Thumb, Left MD Black L3908 719869535874 22-461LGBLK Pro•Lite® Wrist Splint w/Abducted Thumb, Left LG Black L3908 719869535881 22-4611LBLK Pro•Lite® Wrist Splint w/Abducted Thumb, Left XL Black L3908 719869535898 1485911 7571850 Pro•Lite® Airflow 8" Wrist Splint w/Abducted Thumb, Right SM/MD Black L3809 719869001621 1487495 7571851 Pro•Lite® Airflow 8" Wrist Splint w/Abducted Thumb, Right LG/XL Black L3809 719869001638 1465665 7571852 Pro•Lite® Airflow 8" Wrist Splint w/Abducted Thumb, Left SM/MD Black L3809 719869001645 1472364 7571853 Pro•Lite® Airflow 8" Wrist Splint w/Abducted Thumb, Left LG/XL Black L3809 719869001652 2041663 ® 22-470SMBLK 22-470MDBLK 22-470LGBLK 22-4701LBLK Pro•Lite 6" Low Profile Wrist Splint, Right SM Black Pro•Lite® 6" Low Profile Wrist Splint, Right MD Black Pro•Lite® 6" Low Profile Wrist Splint, Right LG Black Pro•Lite® 6" Low Profile Wrist Splint, Right XL Black L3908 L3908 L3908 L3908 719869544579 719869544586 719869544593 719869544609 22-471SMBLK 22-471MDBLK 22-471LGBLK 22-4711LBLK Pro•Lite® 6" Low Profile Wrist Splint, Left SM Black Pro•Lite® 6" Low Profile Wrist Splint, Left MD Black Pro•Lite® 6" Low Profile Wrist Splint, Left LG Black Pro•Lite® 6" Low Profile Wrist Splint, Left XL Black L3908 L3908 L3908 L3908 719869544616 719869544623 719869544630 719869544647 22-5601SBEG 22-560SMBEG 22-560MDBEG 22-560LGBEG 22-5601LBEG Soft Form® Elegant Wrist Support, Right XS Beige Soft Form® Elegant Wrist Support, Right SM Beige Soft Form® Elegant Wrist Support, Right MD Beige Soft Form® Elegant Wrist Support, Right LG Beige Soft Form® Elegant Wrist Support, Right XL Beige L3908 L3908 L3908 L3908 L3908 719869537410 719869537434 719869537458 719869537359 719869537373 22-5611SBEG 22-561SMBEG 22-561MDBEG 22-561LGBEG 22-5611LBEG Soft Form® Elegant Wrist Support, Left XS Beige Soft Form® Elegant Wrist Support, Left SM Beige Soft Form® Elegant Wrist Support, Left MD Beige Soft Form® Elegant Wrist Support, Left LG Beige Soft Form® Elegant Wrist Support, Left XL Beige L3908 L3908 L3908 L3908 L3908 719869537427 719869537441 719869537465 719869537366 719869537380 L3908 719869530602 L3809 719869546177 L3999 719869535607 22-602UNBLK Uni•Fit® 8" Wrist Splint, UN Black 25-800000 HealWell® Grip Splint WHFO, Right/Left UN Blue Thumb Supports and Braces 2168912 2170892 2170439 2169944 2169456 25-120UNNVY Soft Fit Thumb Spica, UN Navy ® 25-130SMBEG 25-130MDBEG 25-130LGBEG 25-1301LBEG Pro•Lite Pull-On Thumb Support, SM Beige Pro•Lite® Pull-On Thumb Support, MD Beige Pro•Lite® Pull-On Thumb Support, LG Beige Pro•Lite® Pull-On Thumb Support, XL Beige A4466 A4466 A4466 A4466 719869545019 719869545026 719869545033 719869545040 25-130SMBLK 25-130MDBLK 25-130LGBLK 25-1301LBLK Pro•Lite® Pull-On Thumb Support, SM Black Pro•Lite® Pull-On Thumb Support, MD Black Pro•Lite® Pull-On Thumb Support, LG Black Pro•Lite® Pull-On Thumb Support, XL Black A4466 A4466 A4466 A4466 719869544975 719869544982 719869544999 719869545002 25-160SMBLK Tether® Thumb Stabilizer, Right SM Black 25-160MDBLK Tether® Thumb Stabilizer, Right MD Black 25-160LGBLK Tether® Thumb Stabilizer, Right LG Black L3999 L3999 L3999 719869534310 719869534327 719869534334 25-161SMBLK Tether® Thumb Stabilizer, Left SM Black 25-161MDBLK Tether® Thumb Stabilizer, Left MD Black 25-161LGBLK Tether® Thumb Stabilizer, Left LG Black L3999 L3999 L3999 719869534341 719869534358 719869534365 25-170002 C3™ Deluxe Thumb Splint, Right/Left UN Black L3923 719869538110 28-3011SDEN Cradle Arm Sling, XS Denim A4565 719869525257 28-301SMDEN Cradle Arm Sling, SM Denim A4565 719869530329 28-301MDDEN Cradle Arm Sling, MD Denim A4565 719869530336 28-301LGDEN Cradle Arm Sling, LG Denim A4565 719869530343 28-3011LDEN A4565 719869530350 Arm Slings Cradle Arm Sling, XL Denim (Cont. next page) *HCPCS codes - see page 77 for more information Page 67 FLA® Orthopedic Products ECONO # CAT # PRODUCT DESCRIPTION Arm Slings 2171544 (Cont.) UPC HCPCS* 28-402UNBLK Pro•Lite® Universal Arm Sling, UN Black A4565 719869546283 28-502102 Cradle Arm Sling, Infant, Ped Print - Pediatric Pkg A4565 719869544722 28-502204 Cradle Arm Sling, UN/Ped, Ped Print - Pediatric Pkg A4565 719869544746 28-502307 Cradle Arm Sling, UN/Youth, Navy - Pediatric Pkg A4565 719869544739 A4565 719869530312 28-502UNNVY Universal Cradle Arm Sling, UN Navy Back / Lumbar Sacral Supports 2172088 2000TXS Original Cincher™ Back Support, XS Tan L0625 719869554943 2000TS Original Cincher™ Back Support, SM Tan L0625 719869554950 2000TM Original Cincher™ Back Support, MD Tan L0625 719869554967 2000TL Original Cincher™ Back Support, LG Tan L0625 719869554974 2000TX Original Cincher™ Back Support, XL Tan L0625 719869554981 2000TXX Original Cincher™ Back Support, XXL Tan L0625 719869554998 2000TXXX Original Cincher™ Back Support, XXXL Tan L0625 719869555001 2000BS Original Cincher™ Back Support, SM Black L0625 719869555025 2000BM Original Cincher™ Back Support, MD Black L0625 719869555032 2000BL Original Cincher™ Back Support, LG Black L0625 719869555049 2000BX Original Cincher™ Back Support, XL Black L0625 719869555056 2000BXX Original Cincher™ Back Support, XXL Black L0625 719869555063 2000BXXX Original Cincher™ Back Support, XXXL Black L0625 719869555070 2000WS Original Cincher™ Back Support, SM White L0625 719869555094 2000WM Original Cincher™ Back Support, MD White L0625 719869555100 2000WL Original Cincher™ Back Support, LG White L0625 719869555117 2000WX Original Cincher™ Back Support, XL White L0625 719869555124 2000WXX Original Cincher™ Back Support, XXL White L0625 719869555131 2000WXXX Original Cincher™ Back Support, XXXL White L0625 719869555148 31-101SMSTD Deluxe Lumbar Sacral Support, 11" Height SM White L0625 719869530282 31-101MDSTD Deluxe Lumbar Sacral Support, 11" Height MD White L0625 719869530299 31-101LGSTD Deluxe Lumbar Sacral Support, 11" Height LG White L0625 719869530305 31-1011LSTD Deluxe Lumbar Sacral Support, 11" Height XL White L0625 719869506188 31-103401 Lumbar Support w/Moldable Thermo Insert, 9" SM White - Non Retail L0626 719869525158 31-103503 Lumbar Support w/Moldable Thermo Insert, 9" MD White - Non Retail L0626 719869525165 31-103605 Lumbar Support w/Moldable Thermo Insert, 9" LG White - Non Retail L0626 719869525172 31-103702 Lumbar Support w/Moldable Thermo Insert, 9" XL White - Non Retail L0626 719869525189 31-205SMSTD Ventilated Lumbar Support w/Abdominal Belt, SM White L0625 719869545132 31-205MDSTD Ventilated Lumbar Support w/Abdominal Belt, MD White L0625 719869545149 31-205LGSTD Ventilated Lumbar Support w/Abdominal Belt, LG White L0625 719869545156 31-2051LSTD Ventilated Lumbar Support w/Abdominal Belt, XL White L0625 719869545163 31-2052LSTD Ventilated Lumbar Support w/Abdominal Belt, XXL White L0625 719869545170 31-208UNSTD Lumbar Sacral Support w/Abdominal Belt, 10" Height UN White A4466 719869530275 31-208SMSTD Lumbar Sacral Support w/Abdominal Belt, 10" Height SM White A4466 719869528746 31-208MDSTD Lumbar Sacral Support w/Abdominal Belt, 10" Height MD White A4466 719869528753 31-208LGSTD Lumbar Sacral Support w/Abdominal Belt, 10" Height LG White A4466 719869528760 31-2081LSTD Lumbar Sacral Support w/Abdominal Belt, 10" Height XL White A4466 719869528777 31-2082LSTD Lumbar Sacral Support w/Abdominal Belt, 10" Height XXL White A4466 719869528784 31-2083LSTD Lumbar Sacral Support w/Abdominal Belt, 10" Height XXXL White A4466 719869554905 31-2084LSTD Lumbar Sacral Support w/Abdominal Belt, 10" Height XXXXL White A4466 719869554912 ® FLA for WOMEN Maternity Belt 7278900 Pro•Lite® Maternity Belt Lavender SM A9270 719869000013 7278901 Pro•Lite® Maternity Belt Lavender MD A9270 719869000037 7278902 Pro•Lite® Maternity Belt Lavender LG A9270 719869000051 ® FLA for WOMEN Posture Control Brace 7279000 Pro•Lite® Posture Control Brace WOMEN Rose SM A4466 719869000075 7279001 Pro•Lite® Posture Control Brace WOMEN Rose MD A4466 719869000112 7279002 Pro•Lite® Posture Control Brace WOMEN Rose LG A4466 719869000099 7279003 Pro•Lite® Posture Control Brace WOMEN Rose XL A4466 719869000136 7279004 Pro•Lite® Posture Control Brace WOMEN Rose 2XL A4466 719869000150 *HCPCS codes - see page 77 for more information Page 68 FLA® Orthopedic Products ECONO # CAT # PRODUCT DESCRIPTION FLA® for WOMEN Lumbar Support UPC HCPCS* 7279100 Pro•Lite® Lumbar Support Rigid Panel WOMEN Rose SM L0641 719869000174 7279101 Pro•Lite® Lumbar Support Rigid Panel WOMEN Rose MD L0641 719869000198 7279102 Pro•Lite® Lumbar Support Rigid Panel WOMEN Rose LG L0641 719869000310 7279103 Pro•Lite® Lumbar Support Rigid Panel WOMEN Rose XL L0641 719869000334 7279104 Pro•Lite® Lumbar Support Rigid Panel WOMEN Rose 2XL L0641 719869000358 7279105 Pro•Lite® Lumbar Support Rigid Panel WOMEN Rose 3XL L0641 719869000372 7279106 Pro•Lite® Lumbar Support Rigid Panel WOMEN Rose 4XL L0641 719869000396 7279107 Pro•Lite® Lumbar Support Rigid Panel WOMEN Rose 5XL L0641 719869000419 7279200 Pro•Lite® Lumbar Support Rigid Panel WOMEN Lavender SM L0641 719869000433 7279201 Pro•Lite® Lumbar Support Rigid Panel WOMEN Lavender MD L0641 719869000457 7279202 Pro•Lite® Lumbar Support Rigid Panel WOMEN Lavender LG L0641 719869000471 7279203 Pro•Lite® Lumbar Support Rigid Panel WOMEN Lavender XL L0641 719869000495 7279204 Pro•Lite® Lumbar Support Rigid Panel WOMEN Lavender 2XL L0641 719869000518 7279205 Pro•Lite® Lumbar Support Rigid Panel WOMEN Lavender 3XL L0641 719869000532 7279206 Pro•Lite® Lumbar Support Rigid Panel WOMEN Lavender 4XL L0641 719869000556 7279207 Pro•Lite® Lumbar Support Rigid Panel WOMEN Lavender 5XL L0641 719869000570 2176014 31-701SMSTD Cool-Lightweight 7" Lumbar Sacral Support, SM White L0625 719869536499 2176931 31-701MDSTD Cool-Lightweight 7" Lumbar Sacral Support, MD White L0625 719869536505 2177699 31-701LGSTD Cool-Lightweight 7" Lumbar Sacral Support, LG White L0625 719869536512 2179174 31-7011LSTD L0625 719869536529 31-722SMBLK Pro•Lite® Neoprene Lumbar Support, SM Black L0625 719869554103 31-722MDBLK Pro•Lite® Neoprene Lumbar Support, MD Black L0625 719869554110 31-722LGBLK Pro•Lite® Neoprene Lumbar Support, LG Black L0625 719869554127 31-7221LBLK Pro•Lite® Neoprene Lumbar Support, XL Black L0625 719869554134 31-7222LBLK Pro•Lite® Neoprene Lumbar Support, XXL Black L0625 719869554141 31-7504 Thermal Lumbar Support, SM Black L0625 719869542308 31-7505 Thermal Lumbar Support, MD Black L0625 719869542315 31-7506 Thermal Lumbar Support, LG Black L0625 719869542322 31-7507 Thermal Lumbar Support, XL Black L0625 719869542339 7456300 Pro•Lite® LO-Plus™ Lumbar Support, SM Black L0641 719869003649 7456301 Pro•Lite® LO-Plus™ Lumbar Support, MD Black L0641 719869003656 7456302 Pro•Lite® LO-Plus™ Lumbar Support, LG Black L0641 719869003663 7456303 Pro•Lite® LO-Plus™ Lumbar Support, XL Black L0641 719869003670 7456304 Pro•Lite® LO-Plus™ Lumbar Support, XXL Black L0641 719869003687 7456305 Pro•Lite® LO-Plus™ Lumbar Support, XXXL Black L0641 719869003694 31-801008 Sacral Iliac Support w/Compression Pad, 6" UN White - Non Retail L0621 719869507154 31-801406 Sacral Iliac Support w/Compression Pad, 6" SM White - Non Retail L0621 719869507161 31-801503 Sacral Iliac Support w/Compression Pad, 6" MD White - Non Retail L0621 719869507178 31-801600 Sacral Iliac Support w/Compression Pad, 6" LG White - Non Retail L0621 719869507185 31-801707 Sacral Iliac Support w/Compression Pad, 6" XL White - Non Retail L0621 719869507192 31-801804 Sacral Iliac Support w/Compression Pad, 6" XXL White - Non Retail L0621 719869507208 Cool-Lightweight 7" Lumbar Sacral Support, XL White Rib Support Belts 2041671 34-201UNSTD All Elastic Rib Belt, Male, UN White A4466 719869530152 2041689 34-202UNSTD All Elastic Rib Belt, Female, UN White A4466 719869530213 34-301SMSTD All Elastic Rib Belt, Male, SM White A4466 719869530169 34-301MDSTD All Elastic Rib Belt, Male, MD White A4466 719869530176 34-301LGSTD All Elastic Rib Belt, Male, LG White A4466 719869530183 34-3011LSTD All Elastic Rib Belt, Male, XL White A4466 719869530190 34-3012LSTD All Elastic Rib Belt, Male, XXL White A4466 719869530206 34-302SMSTD All Elastic Rib Belt, Female, SM White A4466 719869530220 34-302MDSTD All Elastic Rib Belt, Female, MD White A4466 719869530237 34-302LGSTD All Elastic Rib Belt, Female, LG White A4466 719869530244 2175297 34-4100 Two-Panel Premium Rib Belt, Male, UN White A4466 719869539254 2174613 34-4200 Two-Panel Premium Rib Belt, Female, UN White A4466 719869539261 2041697 34-710UNSTD Abdominal Binder 10" Elastic, UN White L0625 719869530091 34-510SMSTD Abdominal Binder 10" Elastic, SM White L0625 719869530107 34-510MDSTD Abdominal Binder 10" Elastic, MD White L0625 719869530114 34-510LGSTD Abdominal Binder 10" Elastic, LG White L0625 719869530121 34-5101LSTD Abdominal Binder 10" Elastic, XL White L0625 719869530138 34-5102LSTD Abdominal Binder 10" Elastic, XXL White L0625 719869530145 Abdominal Binders (Cont. next page) *HCPCS codes - see page 77 for more information Page 69 FLA® Orthopedic Products ECONO # CAT # PRODUCT DESCRIPTION Abdominal Binders UPC (Cont.) HCPCS* 2173524 34-6304 Three-Panel Premium Abdominal Binder, 9" SM White L0625 719869539278 2172526 34-6305 Three-Panel Premium Abdominal Binder, 9" MD White L0625 719869539285 2172062 34-6306 Three-Panel Premium Abdominal Binder, 9" LG White L0625 719869539292 34-6404 Four-Panel Premium Abdominal Binder, 12" SM White L0625 719869539308 2171528 34-6405 Four-Panel Premium Abdominal Binder, 12" MD White L0625 719869539315 2170868 34-6406 Four-Panel Premium Abdominal Binder, 12" LG White L0625 719869539322 37-0170 37-0174 37-0176 Specter® ROM Standard, UN Gray - Non Retail Specter® ROM Cool, UN Gray - Non Retail Specter® ROM Short, UN Gray - Non Retail L1833 L1833 L1833 719869533825 719869533849 719869533832 37-1031SBLK 37-103SMBLK 37-103MDBLK 37-103LGBLK 37-1031LBLK 37-1032LBLK 37-1033LBLK Safe-T-Sport® Stabilizing Knee Support, XS Black Safe-T-Sport® Stabilizing Knee Support, SM Black Safe-T-Sport® Stabilizing Knee Support, MD Black Safe-T-Sport® Stabilizing Knee Support, LG Black Safe-T-Sport® Stabilizing Knee Support, XL Black Safe-T-Sport® Stabilizing Knee Support, XXL Black Safe-T-Sport® Stabilizing Knee Support, XXXL Black A4466 A4466 A4466 A4466 A4466 A4466 A4466 719869531258 719869531265 719869531272 719869531289 719869531296 719869541523 719869541530 37-103207 37-1031SNVY 37-103SMNVY 37-103MDNVY 37-103LGNVY 37-1031LNVY 37-1032LNVY 37-1033LNVY Safe-T-Sport® Stabilizing Knee Support, Ped/LG Navy - Pediatric Pkg Safe-T-Sport® Stabilizing Knee Support, XS Navy Safe-T-Sport® Stabilizing Knee Support, SM Navy Safe-T-Sport® Stabilizing Knee Support, MD Navy Safe-T-Sport® Stabilizing Knee Support, LG Navy Safe-T-Sport® Stabilizing Knee Support, XL Navy Safe-T-Sport® Stabilizing Knee Support, XXL Navy Safe-T-Sport® Stabilizing Knee Support, XXXL Navy A4466 A4466 A4466 A4466 A4466 A4466 A4466 A4466 719869544654 719869531203 719869531210 719869531227 719869531234 719869531241 719869541509 719869541417 37-1041SBLK 37-104SMBLK 37-104MDBLK 37-104LGBLK 37-1041LBLK 37-1042LBLK 37-1043LBLK Safe-T-Sport® Hinged Stabilizing Knee Brace, XS Black Safe-T-Sport® Hinged Stabilizing Knee Brace, SM Black Safe-T-Sport® Hinged Stabilizing Knee Brace, MD Black Safe-T-Sport® Hinged Stabilizing Knee Brace, LG Black Safe-T-Sport® Hinged Stabilizing Knee Brace, XL Black Safe-T-Sport® Hinged Stabilizing Knee Brace, XXL Black Safe-T-Sport® Hinged Stabilizing Knee Brace, XXXL Black L1812 L1812 L1812 L1812 L1812 L1812 L1812 719869531357 719869531364 719869531371 719869531388 719869531395 719869541486 719869541493 37-1041SNVY 37-104SMNVY 37-104MDNVY 37-104LGNVY 37-1041LNVY 37-1042LNVY 37-1043LNVY Safe-T-Sport® Hinged Stabilizing Knee Brace, XS Navy Safe-T-Sport® Hinged Stabilizing Knee Brace, SM Navy Safe-T-Sport® Hinged Stabilizing Knee Brace, MD Navy Safe-T-Sport® Hinged Stabilizing Knee Brace, LG Navy Safe-T-Sport® Hinged Stabilizing Knee Brace, XL Navy Safe-T-Sport® Hinged Stabilizing Knee Brace, XXL Navy Safe-T-Sport® Hinged Stabilizing Knee Brace, XXXL Navy L1812 L1812 L1812 L1812 L1812 L1812 L1812 719869531302 719869531319 719869531326 719869531333 719869531340 719869541462 719869541479 37-1071SBEG 37-107SMBEG 37-107MDBEG 37-107LGBEG 37-1071LBEG 37-1072LBEG Neoprene Stabilizing Knee Brace w/Composite Hinges, XS Beige Neoprene Stabilizing Knee Brace w/Composite Hinges, SM Beige Neoprene Stabilizing Knee Brace w/Composite Hinges, MD Beige Neoprene Stabilizing Knee Brace w/Composite Hinges, LG Beige Neoprene Stabilizing Knee Brace w/Composite Hinges, XL Beige Neoprene Stabilizing Knee Brace w/Composite Hinges, XXL Beige A4466 A4466 A4466 A4466 A4466 A4466 719869535416 719869535423 719869535430 719869535447 719869535454 719869535461 37-108SMBLK FlexLite® Hinged Knee Brace, SM Black L1812 719869534419 37-108MDBLK FlexLite® Hinged Knee Brace, MD Black L1812 719869534426 37-108LGBLK FlexLite® Hinged Knee Brace, LG Black L1812 719869534433 37-1081LBLK FlexLite® Hinged Knee Brace, XL Black L1812 719869534440 37-1082LBLK FlexLite® Hinged Knee Brace, XXL Black L1812 719869535317 37-109SMBLK PowerCentric™ Composite Hinged Knee Brace, SM Black 37-109MDBLK PowerCentric™ Composite Hinged Knee Brace, MD Black L1820 719869540434 L1820 719869540441 37-109LGBLK PowerCentric™ Composite Hinged Knee Brace, LG Black L1820 719869540458 37-1091LBLK PowerCentric™ Composite Hinged Knee Brace, XL Black L1820 719869540465 37-1092LBLK PowerCentric™ Composite Hinged Knee Brace, XXL Black L1820 719869540472 Knee Supports and Braces Knee Supports and Braces / Stabilizers 2168896 2169431 2169936 2170405 Knee Supports and Braces / Stabilizers - Hinged (Cont. next page) *HCPCS codes - see page 77 for more information Page 70 FLA® Orthopedic Products ECONO # CAT # PRODUCT DESCRIPTION UPC Knee Supports and Braces / Stabilizers - Hinged (Cont.) 37-1501SBEG OA/Arthritis Knee Brace, Medial Left/Lateral Right, XS Beige 37-150SMBEG OA/Arthritis Knee Brace, Medial Left/Lateral Right, SM Beige 37-150MDBEG OA/Arthritis Knee Brace, Medial Left/Lateral Right, MD Beige HCPCS* L2999 719869554363 L2999 719869554370 L2999 719869554387 37-150LGBEG OA/Arthritis Knee Brace, Medial Left/Lateral Right, LG Beige 37-1501LBEG OA/Arthritis Knee Brace, Medial Left/Lateral Right, XL Beige L2999 719869554394 L2999 719869554400 37-1502LBEG OA/Arthritis Knee Brace, Medial Left/Lateral Right, XXL Beige L2999 719869554417 37-1503LBEG OA/Arthritis Knee Brace, Medial Left/Lateral Right, XXXL Beige L2999 719869554424 L2999 719869554431 37-1511SBEG OA/Arthritis Knee Brace, Medial Right/Lateral Left, XS Beige 37-151SMBEG OA/Arthritis Knee Brace, Medial Right/Lateral Left, SM Beige 37-151MDBEG OA/Arthritis Knee Brace, Medial Right/Lateral Left, MD Beige 37-151LGBEG OA/Arthritis Knee Brace, Medial Right/Lateral Left, LG Beige 37-1511LBEG OA/Arthritis Knee Brace, Medial Right/Lateral Left, XL Beige L2999 719869554448 L2999 719869554455 L2999 719869554462 L2999 719869554479 37-1512LBEG OA/Arthritis Knee Brace, Medial Right/Lateral Left, XXL Beige L2999 719869554486 37-1513LBEG OA/Arthritis Knee Brace, Medial Right/Lateral Left, XXXL Beige L2999 719869554493 A4466 719869542025 37-2501SBLK Safe-T-Sport® Lateral Knee Stabilizer, Right XS Black 37-250SMBLK Safe-T-Sport® Lateral Knee Stabilizer, Right SM Black 37-250MDBLK Safe-T-Sport® Lateral Knee Stabilizer, Right MD Black A4466 719869542032 A4466 719869542049 37-250LGBLK Safe-T-Sport® Lateral Knee Stabilizer, Right LG Black A4466 719869542056 37-2501LBLK Safe-T-Sport® Lateral Knee Stabilizer, Right XL Black A4466 719869542063 37-2502LBLK Safe-T-Sport® Lateral Knee Stabilizer, Right XXL Black A4466 719869542070 37-2503LBLK Safe-T-Sport® Lateral Knee Stabilizer, Right XXXL Black A4466 719869542087 ® 37-2511SBLK Safe-T-Sport Lateral Knee Stabilizer, Left XS Black 37-251SMBLK Safe-T-Sport® Lateral Knee Stabilizer, Left SM Black 37-251MDBLK Safe-T-Sport® Lateral Knee Stabilizer, Left MD Black A4466 719869542094 A4466 719869542100 A4466 719869542117 37-251LGBLK Safe-T-Sport® Lateral Knee Stabilizer, Left LG Black A4466 719869542124 37-2511LBLK Safe-T-Sport® Lateral Knee Stabilizer, Left XL Black A4466 719869542131 37-2512LBLK Safe-T-Sport® Lateral Knee Stabilizer, Left XXL Black A4466 719869542148 37-2513LBLK Safe-T-Sport® Lateral Knee Stabilizer, Left XXXL Black A4466 719869542155 37-300SMBLK Safe-T-Sport Patella Support, SM Black A4466 719869544319 37-300MDBLK Safe-T-Sport® Patella Support, MD Black A4466 719869544326 37-300LGBLK Safe-T-Sport® Patella Support, LG Black A4466 719869544333 37-3001LBLK Safe-T-Sport® Patella Support, XL Black A4466 719869544340 ® ® Soft Form Wrap-Around Stabilizing Knee Support, XS Beige A4466 719869545729 37-303SMBEG Soft Form® Wrap-Around Stabilizing Knee Support, SM Beige A4466 719869545668 37-303MDBEG Soft Form® Wrap-Around Stabilizing Knee Support, MD Beige A4466 719869545675 37-303LGBEG Soft Form® Wrap-Around Stabilizing Knee Support, LG Beige A4466 719869545682 37-3031LBEG Soft Form® Wrap-Around Stabilizing Knee Support, XL Beige A4466 719869545699 37-3032LBEG Soft Form® Wrap-Around Stabilizing Knee Support, XXL Beige A4466 719869545705 37-3033LBEG Soft Form® Wrap-Around Stabilizing Knee Support, XXXL Beige A4466 719869545712 A4466 719869527435 37-3031SBEG 37-307UNNVY EZ-ON® Neoprene Knee Wrap, UN Navy 37-3071LNVY EZ-ON® Neoprene Knee Wrap, Plus Navy A4466 719869541455 1326628 37-3501SBLK Safe-T-Sport® Wrap-Around Hinged Knee Brace, XS Black L1812 719869542773 1326651 37-350SMBLK Safe-T-Sport® Wrap-Around Hinged Knee Brace, SM Black L1812 719869542780 1326677 37-350MDBLK Safe-T-Sport® Wrap-Around Hinged Knee Brace, MD Black L1812 719869542797 1326735 37-350LGBLK Safe-T-Sport® Wrap-Around Hinged Knee Brace, LG Black L1812 719869542803 1326776 37-3501LBLK Safe-T-Sport® Wrap-Around Hinged Knee Brace, XL Black L1812 719869542810 37-3502LBLK Safe-T-Sport® Wrap-Around Hinged Knee Brace, XXL Black L1812 719869542827 37-3503LBLK Safe-T-Sport® Wrap-Around Hinged Knee Brace, XXXL Black L1812 719869542834 7568925 Pro•Lite® Airflow Wrap-Around Hinged Knee Brace, XS Black L1812 719869570097 1482348 7568926 Pro•Lite® Airflow Wrap-Around Hinged Knee Brace, SM Black L1812 719869570103 1483726 7568927 Pro•Lite® Airflow Wrap-Around Hinged Knee Brace, MD Black L1812 719869570110 1484690 7568928 Pro•Lite® Airflow Wrap-Around Hinged Knee Brace, LG Black L1812 719869570127 1485382 7568929 Pro•Lite® Airflow Wrap-Around Hinged Knee Brace, XL Black L1812 719869570134 7568930 Pro•Lite® Airflow Wrap-Around Hinged Knee Brace, XXL Black L1812 719869570141 7568931 Pro•Lite® Airflow Wrap-Around Hinged Knee Brace, XXXL Black L1812 719869570158 (Cont. next page) *HCPCS codes - see page 77 for more information Page 71 FLA® Orthopedic Products ECONO # CAT # PRODUCT DESCRIPTION UPC Knee Supports and Braces HCPCS* Safe-T-Sport® Neoprene Knee Sleeve Open Patella, XS Black A4466 37-373SMBLK Safe-T-Sport® Neoprene Knee Sleeve Open Patella, SM Black A4466 719869527794 37-373MDBLK Safe-T-Sport® Neoprene Knee Sleeve Open Patella, MD Black A4466 719869527800 37-3731SBLK 719869527787 37-373LGBLK Safe-T-Sport® Neoprene Knee Sleeve Open Patella, LG Black A4466 719869527817 37-3731LBLK Safe-T-Sport® Neoprene Knee Sleeve Open Patella, XL Black A4466 719869527824 719869545866 37-3732LBLK Safe-T-Sport® Neoprene Knee Sleeve Open Patella, XXL Black A4466 37-3733LBLK Safe-T-Sport® Neoprene Knee Sleeve Open Patella, XXXL Black A4466 719869545873 37-373225 Safe-T-Sport® Neoprene Knee Sleeve Open, Ped/SM Navy - Pediatric Pkg A4466 719869544661 37-373250 Safe-T-Sport® Neoprene Knee Sleeve Open, Ped/MD Navy - Pediatric Pkg A4466 719869544678 37-373275 Safe-T-Sport® Neoprene Knee Sleeve Open, Ped/LG Navy- Pediatric Pkg A4466 719869544685 37-3731SNVY Safe-T-Sport® Neoprene Knee Sleeve Open Patella, XS Navy A4466 719869527732 2167138 37-373SMNVY Safe-T-Sport® Neoprene Knee Sleeve Open Patella, SM Navy A4466 719869527749 2167641 37-373MDNVY Safe-T-Sport® Neoprene Knee Sleeve Open Patella, MD Navy A4466 719869527756 2168110 37-373LGNVY Safe-T-Sport® Neoprene Knee Sleeve Open Patella, LG Navy A4466 719869527763 2168441 37-3731LNVY Safe-T-Sport® Neoprene Knee Sleeve Open Patella, XL Navy A4466 719869527770 37-3732LNVY Safe-T-Sport® Neoprene Knee Sleeve Open Patella, XXL Navy A4466 719869545804 37-3733LNVY Safe-T-Sport® Neoprene Knee Sleeve Open Patella, XXXL Navy A4466 719869545811 37-3741SBLK Safe-T-Sport® Neoprene Knee Sleeve Closed Patella, XS Black A4466 719869527176 37-374SMBLK Safe-T-Sport® Neoprene Knee Sleeve Closed Patella, SM Black A4466 719869531166 37-374MDBLK Safe-T-Sport® Neoprene Knee Sleeve Closed Patella, MD Black A4466 719869531173 37-374LGBLK Safe-T-Sport® Neoprene Knee Sleeve Closed Patella, LG Black A4466 719869531180 37-3741LBLK Safe-T-Sport® Neoprene Knee Sleeve Closed Patella, XL Black A4466 719869531197 37-3742LBLK Safe-T-Sport® Neoprene Knee Sleeve Closed Patella, XXL Black A4466 719869545903 37-3743LBLK Safe-T-Sport® Neoprene Knee Sleeve Closed Patella, XXXL Black A4466 719869545910 37-3741SNVY Safe-T-Sport® Neoprene Knee Sleeve Closed Patella, XS Navy A4466 719869527169 37-374SMNVY Safe-T-Sport® Neoprene Knee Sleeve Closed Patella, SM Navy A4466 719869531128 37-374MDNVY Safe-T-Sport® Neoprene Knee Sleeve Closed Patella, MD Navy A4466 719869531135 37-374LGNVY Safe-T-Sport® Neoprene Knee Sleeve Closed Patella, LG Navy A4466 719869531142 37-3741LNVY Safe-T-Sport® Neoprene Knee Sleeve Closed Patella, XL Navy A4466 719869531159 37-3742LNVY Safe-T-Sport® Neoprene Knee Sleeve Closed Patella, XXL Navy A4466 719869545880 37-3743LNVY Safe-T-Sport® Neoprene Knee Sleeve Closed Patella, XXXL Navy A4466 719869545897 A4466 719869539841 2165173 37-400SMBEG Pro•Lite® Knee Support, Knitted Pullover, SM Beige 2165686 37-400MDBEG Pro•Lite® Knee Support, Knitted Pullover, MD Beige A4466 719869539858 2166296 37-400LGBEG Pro•Lite® Knee Support, Knitted Pullover, LG Beige A4466 719869539865 2166775 37-4001LBEG Pro•Lite® Knee Support, Knitted Pullover, XL Beige A4466 719869539872 37-4002LBEG Pro•Lite® Knee Support, Knitted Pullover, XXL Beige A4466 719869543053 #N/A A4466 719869528586 37-400SMSTD Pro•Lite® Knee Support, Knitted Pullover, SM Blue 37-400MDSTD Pro•Lite® Knee Support, Knitted Pullover, MD Blue A4466 719869528593 37-400LGSTD Pro•Lite® Knee Support, Knitted Pullover, LG Blue A4466 719869528609 Pro•Lite® Knee Support, Knitted Pullover, XL Blue 37-4001LSTD A4466 719869528616 37-450UNBLK Adjustable ROM Knee Brace, UN Black L1833 719869554769 37-4501LBLK L1833 719869554776 Adjustable ROM Knee Brace, Plus Black 2164622 37-500UNBEG Gel•Band® Patella Strap, UN Beige A4465 719869533542 2164119 37-500UNBLK Gel•Band® Patella Strap, UN Black A4465 719869533559 37-614008 Tri-Panel Foam Knee Immobilizer, 14" UN Blue - Non Retail L1830 719869508939 37-616006 Tri-Panel Foam Knee Immobilizer, 16" UN Blue - Non Retail L1830 719869508946 37-618004 Tri-Panel Foam Knee Immobilizer, 18" UN Blue - Non Retail L1830 719869508953 37-620009 Tri-Panel Foam Knee Immobilizer, 20" UN Blue - Non Retail L1830 719869508960 37-622007 Tri-Panel Foam Knee Immobilizer, 22" UN Blue - Non Retail L1830 719869508977 37-624005 Tri-Panel Foam Knee Immobilizer, 24" UN Blue - Non Retail L1830 719869508984 2162691 37-701SMSTD Elastic Pullover Knee Support Closed Patella, White SM A4466 719869530763 2163186 37-701MDSTD Elastic Pullover Knee Support Closed Patella, White MD A4466 719869530770 2163608 37-701LGSTD Elastic Pullover Knee Support Closed Patella, White LG A4466 719869530787 37-7011LSTD Elastic Pullover Knee Support Closed Patella, White XL A4466 719869530794 37-714007 Cutaway Knee Immobilizer, 14" UN Blue - Non Retail L1830 719869509172 37-716005 Cutaway Knee Immobilizer, 16" UN Blue - Non Retail L1830 719869509189 37-718003 Cutaway Knee Immobilizer, 18" UN Blue - Non Retail L1830 719869509196 37-720008 Cutaway Knee Immobilizer, 20" UN Blue - Non Retail L1830 719869509202 37-724004 Cutaway Knee Immobilizer, 22" UN Blue - Non Retail L1830 719869509226 37-850SMSTD Pro•Lite® Compressive Knee Support w/Viscoelastic Insert, SM White A4466 719869527893 37-850MDSTD Pro•Lite® Compressive Knee Support w/Viscoelastic Insert, MD White A4466 719869527909 37-850LGSTD Pro•Lite® Compressive Knee Support w/Viscoelastic Insert, LG White A4466 719869527916 Pro•Lite® Compressive Knee Support w/Viscoelastic Insert, XL White A4466 719869527923 37-8501LSTD (Cont. next page) *HCPCS codes - see page 77 for more information Page 72 FLA® Orthopedic Products ECONO # CAT # PRODUCT DESCRIPTION Knee Supports and Braces (Cont.) UPC HCPCS* 7588800 Pro•Lite® 3D Knee Support, XXS White A4466 719869001362 7588801 Pro•Lite® 3D Knee Support, XS White A4466 719869001379 2093847 7588802 Pro•Lite® 3D Knee Support, SM White A4466 719869001386 2093854 7588803 Pro•Lite® 3D Knee Support, MD White A4466 719869001393 2093862 7588804 Pro•Lite® 3D Knee Support, LG White A4466 719869001409 2093870 7588805 Pro•Lite® 3D Knee Support, XL White A4466 719869001416 7588806 Pro•Lite® 3D Knee Support, XXL White A4466 719869001423 7588810 Pro•Lite® 3D Knee Support, X-Wide MD White A4466 719869003328 7588811 Pro•Lite® 3D Knee Support, X-Wide LG White A4466 719869003335 7588812 Pro•Lite® 3D Knee Support, X-Wide XL White A4466 719869003342 7588813 Pro•Lite® 3D Knee Support, X-Wide XXL White A4466 719869003359 7588814 Pro•Lite® 3D Knee Support, XXS Caramel A4466 719869003366 7588815 Pro•Lite® 3D Knee Support, XS Caramel A4466 719869003373 7588816 Pro•Lite® 3D Knee Support, SM Caramel A4466 719869003380 7588817 Pro•Lite® 3D Knee Support, MD Caramel A4466 719869003397 7588818 Pro•Lite® 3D Knee Support, LG Caramel A4466 719869003403 7588819 Pro•Lite® 3D Knee Support, XL Caramel A4466 719869003410 7588820 Pro•Lite® 3D Knee Support, XXL Caramel A4466 719869003427 7588824 Pro•Lite® 3D Knee Support, XXS Charcoal A4466 719869003434 7588825 Pro•Lite® 3D Knee Support, XS Charcoal A4466 719869003441 7588826 Pro•Lite® 3D Knee Support, SM Charcoal A4466 719869003458 7588827 Pro•Lite® 3D Knee Support, MD Charcoal A4466 719869003465 7588828 Pro•Lite® 3D Knee Support, LG Charcoal A4466 719869003472 7588829 Pro•Lite® 3D Knee Support, XL Charcoal A4466 719869003489 7588830 Pro•Lite® 3D Knee Support, XXL Charcoal A4466 719869003496 L1830 719869526261 38-140002 ® Microban Tri-Panel Knee Immobilizer, 12" UN White Calf / Thigh Supports 37-105UNNVY Safe-T-Sport® EZ-ON® Neoprene Thigh Wrap, UN Navy A4466 719869538271 7624200 Pro•Lite® 3D Calf Support SM A4466 719869000730 7624201 Pro•Lite® 3D Calf Support MD A4466 719869000747 7624202 Pro•Lite® 3D Calf Support LG A4466 719869000754 ® 7624300 Pro•Lite 3D Thigh Support SM A4466 719869000723 7624301 Pro•Lite® 3D Thigh Support MD A4466 719869000761 7624302 Pro•Lite® 3D Thigh Support LG A4466 719869000778 7624303 Pro•Lite® 3D Thigh Support XL A4466 719869000785 7624304 Pro•Lite® 3D Thigh Support XXL A4466 719869000792 Ankle Supports and Braces 2161396 40-101SMSTD Elastic Pullover Anklet, SM White A4466 719869530657 2161842 40-101MDSTD Elastic Pullover Anklet, MD White A4466 719869530664 2162246 40-101LGSTD Elastic Pullover Anklet, LG White A4466 719869530671 40-1011LSTD Elastic Pullover Anklet, XL White A4466 719869530688 40-3111SSTD 2159630 Canvas Lace-Up Ankle Brace, XS White L1902 719869534204 40-311SMSTD Canvas Lace-Up Ankle Brace, SM White L1902 719869534211 40-311MDSTD Canvas Lace-Up Ankle Brace, MD White L1902 719869534228 40-311LGSTD Canvas Lace-Up Ankle Brace, LG White L1902 719869534235 40-3111LSTD L1902 719869534242 A4466 719869539889 Canvas Lace-Up Ankle Brace, XL White 40-400SMBEG Pro•Lite® Ankle Support, Knitted Pullover, SM Beige 2160018 40-400MDBEG Pro•Lite® Ankle Support, Knitted Pullover, MD Beige A4466 719869539896 2160455 40-400LGBEG Pro•Lite® Ankle Support, Knitted Pullover, LG Beige A4466 719869539902 2160893 40-4001LBEG Pro•Lite® Ankle Support, Knitted Pullover, XL Beige 40-400SMSTD Pro•Lite® Ankle Support, Knitted Pullover, SM Blue A4466 719869539919 A4466 719869528623 40-400MDSTD Pro•Lite® Ankle Support, Knitted Pullover, MD Blue A4466 719869528630 40-400LGSTD Pro•Lite® Ankle Support, Knitted Pullover, LG Blue A4466 719869528647 Pro•Lite® Ankle Support, Knitted Pullover, XL Blue A4466 719869528654 40-4001LSTD (Cont. next page) *HCPCS codes - see page 77 for more information Page 73 FLA® Orthopedic Products ECONO # PRODUCT DESCRIPTION CAT # Ankle Supports and Braces UPC (Cont.) HCPCS* 40-4112SSTD McDavid™ Ankle Guard w/Optional Inserts, XXS White L1902 719869534143 40-4111SSTD McDavid™ Ankle Guard w/Optional Inserts, XS White L1902 719869534150 40-411SMSTD McDavid™ Ankle Guard w/Optional Inserts, SM White L1902 719869534167 40-411MDSTD McDavid™ Ankle Guard w/Optional Inserts, MD White L1902 719869534174 40-411LGSTD McDavid™ Ankle Guard w/Optional Inserts, LG White L1902 719869534181 40-4111LSTD McDavid™ Ankle Guard w/Optional Inserts, XL White L1902 719869534198 40-4501SSTD 719869527985 Pro•Lite® Compressive Ankle Support w/Viscoelastic Insert, XS White A4466 40-450SMSTD Pro•Lite® Compressive Ankle Support w/Viscoelastic Insert, SM White A4466 719869527992 40-450MDSTD Pro•Lite® Compressive Ankle Support w/Viscoelastic Insert, MD White A4466 719869528005 40-450LGSTD Pro•Lite® Compressive Ankle Support w/Viscoelastic Insert, LG White A4466 719869528012 40-4501LSTD Pro•Lite® Compressive Ankle Support w/Viscoelastic Insert, XL White A4466 719869528029 7588900 Pro•Lite® 3D Ankle Support, Right XS White/Gray A4466 719869001430 7588901 Pro•Lite® 3D Ankle Support, Left XS White/Gray A4466 719869001447 2093888 7588902 Pro•Lite® 3D Ankle Support, Right SM White/Gray A4466 719869001454 2093896 7588903 Pro•Lite® 3D Ankle Support, Left SM White/Gray A4466 719869001461 2093904 7588904 Pro•Lite® 3D Ankle Support, Right MD White/Gray A4466 719869001478 2093912 7588905 Pro•Lite® 3D Ankle Support, Left MD White/Gray A4466 719869001485 2093920 7588906 Pro•Lite® 3D Ankle Support, Right LG White/Gray A4466 719869001492 2093938 7588907 Pro•Lite® 3D Ankle Support, Left LG White/Gray A4466 719869001508 2093946 7588908 Pro•Lite® 3D Ankle Support, Right XL White/Gray A4466 719869001515 2093953 7588909 Pro•Lite® 3D Ankle Support, Left XL White/Gray A4466 719869001522 7588910 Pro•Lite® 3D Ankle Support, Right XXL White/Gray A4466 719869001539 7588911 Pro•Lite® 3D Ankle Support, Left XXL White/Gray A4466 719869001546 7588912 Pro•Lite® 3D Ankle Support, Right XS Charcoal A4466 719869003700 7588913 Pro•Lite® 3D Ankle Support, Left XS Charcoal A4466 719869003717 7588914 Pro•Lite® 3D Ankle Support, Right SM Charcoal A4466 719869003724 7588915 Pro•Lite® 3D Ankle Support, Left SM Charcoal A4466 719869003731 7588916 Pro•Lite® 3D Ankle Support, Right MD Charcoal A4466 719869003748 7588917 Pro•Lite® 3D Ankle Support, Left MD Charcoal A4466 719869003755 7588918 Pro•Lite® 3D Ankle Support, Right LG Charcoal A4466 719869003762 7588919 Pro•Lite® 3D Ankle Support, Left LG Charcoal A4466 719869003779 7588920 Pro•Lite® 3D Ankle Support, Right XL Charcoal A4466 719869003786 7588921 Pro•Lite® 3D Ankle Support, Left XL Charcoal A4466 719869003793 7588922 Pro•Lite® 3D Ankle Support, Right XXL Charcoal A4466 719869003809 7588923 Pro•Lite® 3D Ankle Support, Left XXL Charcoal A4466 719869003816 A4466 A4466 A4466 A4466 A4466 719869005582 719869005575 719869005568 719869005544 719869005551 7623431 7623432 7623433 7623434 7623435 ® Pro•Lite 3D Achilles Tendon Support Charcoal SM Pro•Lite® 3D Achilles Tendon Support Charcoal MD Pro•Lite® 3D Achilles Tendon Support Charcoal LG Pro•Lite® 3D Achilles Tendon Support Charcoal XL Pro•Lite® 3D Achilles Tendon Support Charcoal XXL 2157808 40-511SMBLK Swede-O® Inner Lok 8™ Ankle Brace, SM Black L1902 719869539681 2158244 40-511MDBLK Swede-O® Inner Lok 8™ Ankle Brace, MD Black L1902 719869539698 2158707 40-511LGBLK Swede-O® Inner Lok 8™ Ankle Brace, LG Black L1902 719869539704 2159275 40-5111LBLK Swede-O® Inner Lok 8™ Ankle Brace, XL Black L1902 719869539711 40-550SMBLK EZ-ON Wrap-Around Ankle Support, SM Black A4466 719869543350 40-550MDBLK EZ-ON® Wrap-Around Ankle Support, MD Black A4466 719869543367 40-550LGBLK EZ-ON® Wrap-Around Ankle Support, LG Black A4466 719869543374 40-5501LBLK EZ-ON® Wrap-Around Ankle Support, XL Black A4466 719869543381 40-5502LBLK EZ-ON® Wrap-Around Ankle Support, XXL Black A4466 719869546269 40-5503LBLK EZ-ON® Wrap-Around Ankle Support, XXXL Black A4466 719869546276 ® 40-701SMBLK Safe-T-Sport® Neoprene Ankle Support, SM Black A4466 719869531449 40-701MDBLK Safe-T-Sport® Neoprene Ankle Support, MD Black A4466 719869531456 40-701LGBLK Safe-T-Sport® Neoprene Ankle Support, LG Black A4466 719869531463 40-7011LBLK Safe-T-Sport® Neoprene Ankle Support, XL Black A4466 719869531470 #N/A (Cont. next page) *HCPCS codes - see page 77 for more information Page 74 FLA® Orthopedic Products ECONO # CAT # PRODUCT DESCRIPTION Ankle Supports and Braces (Cont.) UPC HCPCS* 40-701204 Safe-T-Sport® Neoprene Ankle Support, Ped/LG Navy - Pediatric Pkg A4466 719869544692 40-701307 Safe-T-Sport® Neoprene Ankle Support, Youth Navy - Pediatric Pkg A4466 719869544708 40-701SMNVY Safe-T-Sport® Neoprene Ankle Support, SM Navy A4466 719869531401 40-701MDNVY Safe-T-Sport® Neoprene Ankle Support, MD Navy A4466 719869531418 40-701LGNVY Safe-T-Sport® Neoprene Ankle Support, LG Navy A4466 719869531425 40-7011LNVY Safe-T-Sport® Neoprene Ankle Support, XL Navy A4466 719869531432 7992700 Pro•Lite® Dynamic Ankle Brace, Right XS/SM Gray L1902 719869003823 7992701 Pro•Lite® Dynamic Ankle Brace, Left XS/SM Gray L1902 719869003830 2093979 7992702 Pro•Lite® Dynamic Ankle Brace, Right MD/LG Gray L1902 719869003847 2093987 7992703 Pro•Lite® Dynamic Ankle Brace, Left MD/LG Gray L1902 719869003854 2093995 7992704 Pro•Lite® Dynamic Ankle Brace, Right XL/XXL Gray L1902 719869003861 2094001 #N/A 7992705 Pro•Lite® Dynamic Ankle Brace, Left XL/XXL Gray L1902 719869003878 40-800SMBLK FlexLite® Sport Articulating Hinged Ankle Brace, SM Black L1906 719869542568 40-800MDBLK FlexLite® Sport Articulating Hinged Ankle Brace, MD Black L1906 719869542575 FlexLite® Sport Articulating Hinged Ankle Brace, LG Black L1906 719869542582 L4350 719869535539 40-800LGBLK Ankle Stirrup Braces 40-907UNBLK Gel•Band® Slim Gel Liner Ankle Stirrup Brace, UN Black ® 2157410 40-908UNSTD Pro•Lite Ankle Stirrup Brace w/Air Liners, UN White 1471614 7588500 1472935 L4350 719869540625 Pro•Lite® Easy Air Pneumatic Ankle Stirrup Brace, Right Std Black L4350 719869570011 7588501 Pro•Lite® Easy Air Pneumatic Ankle Stirrup Brace, Left Std Black L4350 719869570028 7588502 Pro•Lite® Easy Air Pneumatic Ankle Stirrup Brace, Right Trainer Black L4350 719869570035 7588503 Pro•Lite® Easy Air Pneumatic Ankle Stirrup Brace, Left Trainer Black L4350 719869570042 7588510 Pro•Lite® Easy Air Pneumatic Ankle Stirrup Brace w/Gel, Right Std Black L4350 719869570059 7588511 Pro•Lite® Easy Air Pneumatic Ankle Stirrup Brace w/Gel, Left Std Black L4350 719869570066 7588512 Pro•Lite® Easy Air Pneumatic Ankle Stirrup Brace w/Gel, Right Trainer Black L4350 719869570073 7588513 Pro•Lite® Easy Air Pneumatic Ankle Stirrup Brace w/Gel, Left Trainer Black L4350 719869570080 7570814 7570811 7570812 7570813 7570815 7570905 7570906 7570907 7570908 7570909 FLA Ankle Walker Low Gray XS FLA Ankle Walker Low Gray S FLA Ankle Walker Low Gray M FLA Ankle Walker Low Gray L FLA Ankle Walker Low Gray XL FLA Ankle Walker High Gray XS FLA Ankle Walker High Gray S FLA Ankle Walker High Gray M FLA Ankle Walker High Gray L FLA Ankle Walker High Gray XL L4387 L4387 L4387 L4387 L4387 L4387 L4387 L4387 L4387 L4387 719869008088 719869008057 719869008064 719869008071 719869008095 719869008101 719869008118 719869008125 719869008132 719869008149 7571006 7571007 7571008 7571009 7571010 7571106 7571107 7571108 7571109 7571110 FLA Adjustable AIR Ankle Walker Low Gray XS FLA Adjustable AIR Ankle Walker Low Gray S FLA Adjustable AIR Ankle Walker Low Gray M FLA Adjustable AIR Ankle Walker Low Gray L FLA Adjustable AIR Ankle Walker Low Gray XL FLA Adjustable AIR Ankle Walker High Gray XS FLA Adjustable AIR Ankle Walker High Gray S FLA Adjustable AIR Ankle Walker High Gray M FLA Adjustable AIR Ankle Walker High Gray L FLA Adjustable AIR Ankle Walker High Gray XL L4361 L4361 L4361 L4361 L4361 L4361 L4361 L4361 L4361 L4361 719869007913 719869007920 719869007937 719869007944 719869007951 719869007968 719869007975 719869007982 719869007999 719869008002 43-101107 Canvas Cast Shoe, Infant, Ped Print - Pediatric Pkg L3260 719869510628 43-101204 Canvas Cast Shoe, Ped Navy - Pediatric Pkg L3260 719869510635 43-101408 Canvas Cast Shoe, SM Blue - Non Retail L3260 719869510642 43-101505 Canvas Cast Shoe, MD Blue - Non Retail L3260 719869510659 43-101602 Canvas Cast Shoe, LG Blue - Non Retail L3260 719869510666 43-101709 Canvas Cast Shoe, XL Blue - Non Retail L3260 719869510673 43-820400 C3™ Post Op Shoe w/Microban®, Women's SM Black L3260 719869532996 43-820500 C3™ Post Op Shoe w/Microban®, Women's MD Black L3260 719869533009 43-820600 C3™ Post Op Shoe w/Microban®, Women's LG Black L3260 719869533016 Ankle Walkers Cast and Post Op Shoes ® 43-821400 C3™ Post Op Shoe w/Microban , Men's SM Black L3260 719869533023 43-821500 C3™ Post Op Shoe w/Microban®, Men's MD Black L3260 719869533030 43-821600 C3™ Post Op Shoe w/Microban®, Men's LG Black L3260 719869533047 43-821700 C3™ Post Op Shoe w/Microban®, Men's XL Black L3260 719869533054 *HCPCS codes - see page 77 for more information Page 75 FLA® Orthopedic Products ECONO # CAT # PRODUCT DESCRIPTION Patient Care UPC HCPCS* 46-501003 Standard Overdoor Cervical Traction Kit, UN White - Non Retail E0860 719869512561 49-170004 Economy Limb Holder, One Pair, UN Blue - Non Retail E0710 719869513520 52-150005 Patient Walker Belt, UN Navy - Non Retail E0700 719869525899 52-1004PK Hot/Cold Gel Pack, 10" x 13" 4 Pack A9273 719869534686 53-1005PK Hot/Cold Gel Pack, 4" x 15" 4 Pack A9273 719869534693 53-1006PK Hot/Cold Gel Pack, 6" x 10" 4 Pack A9273 719869534709 53-1007PK Hot/Cold Gel Pack, 10" x 15" 4 Pack A9273 719869534716 53-120UNSTD Thermal Wrap, Neck Size 4" x 15" UN Blue A9273 719869527367 53-121UNSTD Thermal Wrap, Back/Shoulder Size 6" x 10" UN Blue A9273 719869527374 Hot / Cold Gel Packs Hot / Cold Thermal Wraps Cast Protectors 2156974 55-310ADULT Cast Protector, Short Arm Adult A9270 719869527381 2179125 55-310CHILD Cast Protector, Short Arm Child A9270 719869527398 #N/A 2177608 55-320ADULT Cast Protector, Short Leg Adult A9270 719869527404 2176923 #N/A 55-320CHILD Cast Protector, Short Leg Child A9270 719869527411 #N/A 55-330ADULT Cast Protector, Full Arm Adult A9270 719869533481 55-330CHILD Cast Protector, Full Arm Child A9270 719869533498 #N/A 55-340ADULT Cast Protector, Full Leg Adult A9270 719869533504 55-340CHILD Cast Protector, Full Leg Child A9270 719869533511 61-126UNSTD Heel and Elbow Protector, Open Mesh, UN White E0191 719869525875 61-130008 E0191 719869515142 Heel and Elbow Protector Flotation Heel and Elbow Protector, UN Blue - Non Retail Ankle Foot Orthoses (AFOs) 58-100409 58-100506 58-100603 58-100700 Multi AFO Contracture Splint, SM White - Non Retail Multi AFO Contracture Splint, MD White - Non Retail Multi AFO Contracture Splint, LG White - Non Retail Multi AFO Contracture Splint, XL White - Non Retail L4398 L4398 L4398 L4398 719869536338 719869536345 719869536352 719869536369 58-120400 58-120507 58-120604 58-120701 Multi AFO Contracture Splint w/Transfer Pad, SM White - Non Retail Multi AFO Contracture Splint w/Transfer Pad, MD White - Non Retail Multi AFO Contracture Splint w/Transfer Pad, LG White - NonCXZ Retail Multi AFO Contracture Splint w/Transfer Pad, XL White - Non Retail L4396 L4396 L4396 L4396 719869536413 719869536420 719869536437 719869536444 58-240400 58-240600 HealWell® Soft Ease™ Multi AFO/Heel Suspender, SM/MD Blue HealWell® Soft Ease™ Multi AFO/Heel Suspender, LG/XL Blue L4398 L4398 719869545057 719869545064 58-320412 58-320421 58-320519 58-320528 58-320616 58-320625 Ankle Foot Orthosis/Foot Drop Splint, Right SM White - Non Retail Ankle Foot Orthosis/Foot Drop Splint, Left SM White - Non Retail Ankle Foot Orthosis/Foot Drop Splint, Right MD White - Non Retail Ankle Foot Orthosis/Foot Drop Splint, Left MD White - Non Retail Ankle Foot Orthosis/Foot Drop Splint, Right LG White - Non Retail Ankle Foot Orthosis/Foot Drop Splint, Left LG White - Non Retail L1930 L1930 L1930 L1930 L1930 L1930 719869514985 719869514992 719869515005 719869515012 719869515029 719869515036 58-409400 58-409500 58-409600 58-409700 58-409800 HealWell® Plantar Fasciitis Night Splint, SM Black - Non Retail HealWell® Plantar Fasciitis Night Splint, MD Black - Non Retail HealWell® Plantar Fasciitis Night Splint, LG Black - Non Retail HealWell® Plantar Fasciitis Night Splint, XL Black - Non Retail HealWell® Plantar Fasciitis Night Splint, XXL Black - Non Retail L4396 L4396 L4396 L4396 L4396 719869534020 719869534037 719869534044 719869534051 719869534068 58-5004 58-5005 58-5006 58-5014 58-5015 58-5016 HealWell® Cub™ Plantar Fasciitis Night Splint, Right SM Black HealWell® Cub™ Plantar Fasciitis Night Splint, Right MD Black HealWell® Cub™ Plantar Fasciitis Night Splint, Right LG Black HealWell® Cub™ Plantar Fasciitis Night Splint, Left SM Black HealWell® Cub™ Plantar Fasciitis Night Splint, Left MD Black HealWell® Cub™ Plantar Fasciitis Night Splint, Left LG Black L4396 L4396 L4396 L4396 L4396 L4396 719869541769 719869541776 719869541783 719869541790 719869541806 719869541813 58-6004 HealWell® AFO Night Wrap, SM/MD Black L4396 719869544296 58-6006 HealWell® AFO Night Wrap, LG/XL Black L4396 719869544302 Plantar Fasciitis Night Splints *HCPCS codes - see page 77 for more information Page 76 FLA® Orthopedic Products ECONO # CAT # PRODUCT DESCRIPTION Athletic Supporter UPC HCPCS* 67-1004 Sport Athletic Supporter, SM White A9270 719869541691 67-1005 Sport Athletic Supporter, MD White A9270 719869541707 67-1006 Sport Athletic Supporter, LG White A9270 719869541714 67-1007 Sport Athletic Supporter, XL White A9270 719869541721 Hernia Aids 2174548 67-350SMBEG Soft Form® Hernia Belt, SM Beige L8300/L8310 719869537885 2175289 67-350MDBEG Soft Form® Hernia Belt, MD Beige L8300/L8310 719869537892 2176006 67-350LGBEG Soft Form® Hernia Belt, LG Beige L8300/L8310 719869537908 67-500SMSTD Soft Form® Hernia Brief, SM White L8310 719869540717 67-500MDSTD Soft Form® Hernia Brief, MD White L8310 719869540724 67-500LGSTD Soft Form® Hernia Brief, LG White L8310 719869540731 67-5001LSTD Soft Form® Hernia Brief, XL White L8310 719869540748 67-5002LSTD Soft Form® Hernia Brief, XXL White L8310 719869540755 70-1101SBLK 70-110SMBLK 70-110MDBLK 70-110LGBLK 70-1101LBLK 70-1102LBLK 70-1103LBLK Safe-T-Lift® LX Occupational Back Support, XS Black Safe-T-Lift® LX Occupational Back Support, SM Black Safe-T-Lift® LX Occupational Back Support, MD Black Safe-T-Lift® LX Occupational Back Support, LG Black Safe-T-Lift® LX Occupational Back Support, XL Black Safe-T-Lift® LX Occupational Back Support, XXL Black Safe-T-Lift® LX Occupational Back Support, XXXL Black A4466 A4466 A4466 A4466 A4466 A4466 A4466 719869531487 719869531494 719869531500 719869531517 719869531524 719869531531 719869531548 70-160344 70-160441 70-160548 70-160645 70-160742 70-160849 70-160946 CustomFit® Occupational Back Support, XS Black CustomFit® Occupational Back Support, SM Black CustomFit® Occupational Back Support, MD Black CustomFit® Occupational Back Support, LG Black CustomFit® Occupational Back Support, XL Black CustomFit® Occupational Back Support, XXL Black CustomFit® Occupational Back Support, XXXL Black A4466 A4466 A4466 A4466 A4466 A4466 A4466 719869516231 719869516293 719869516354 719869516415 719869516477 719869516538 719869516590 70-910341 70-910448 70-910545 70-910642 70-910749 70-910846 Safe-T-Belt® Working Lumbar Belt, XS Black Safe-T-Belt® Working Lumbar Belt, SM Black Safe-T-Belt® Working Lumbar Belt, MD Black Safe-T-Belt® Working Lumbar Belt, LG Black Safe-T-Belt® Working Lumbar Belt, XL Black Safe-T-Belt® Working Lumbar Belt, XXL Black A4466 A4466 A4466 A4466 A4466 A4466 719869517771 719869517801 719869517832 719869517863 719869517894 719869517924 71-111SMBLK 71-111MDBLK 71-111LGBLK 71-1111LBLK Safe-T-Wrist® HD Wrist Support, Right SM Black Safe-T-Wrist® HD Wrist Support, Right MD Black Safe-T-Wrist® HD Wrist Support, Right LG Black Safe-T-Wrist® HD Wrist Support, Right XL Black L3908 L3908 L3908 L3908 719869531753 719869531760 719869531777 719869531784 71-112SMBLK 71-112MDBLK 71-112LGBLK 71-1121LBLK Safe-T-Wrist® HD Wrist Support, Left SM Black Safe-T-Wrist® HD Wrist Support, Left MD Black Safe-T-Wrist® HD Wrist Support, Left LG Black Safe-T-Wrist® HD Wrist Support, Left XL Black L3908 L3908 L3908 L3908 719869531906 719869531913 719869531920 719869531937 71-210SMBLK 71-210MDBLK 71-210LGBLK 71-2101LBLK Safe-T-Wrist® SD Wrist Support, SM Black Safe-T-Wrist® SD Wrist Support, MD Black Safe-T-Wrist® SD Wrist Support, LG Black Safe-T-Wrist® SD Wrist Support, XL Black A4466 A4466 A4466 A4466 719869532040 719869532057 719869532064 719869532071 71-410UNBLK Safe-T-Wrist® Lite Wrist Support, UN Black A4466 719869532163 A9270 A9270 A9270 A9270 719869532194 719869532200 719869532217 719869532224 L1499 719869538677 Occupational Support Products 71-610SMBLK 71-610MDBLK 71-610LGBLK 71-6101LBLK ® Safe-T-Glove Vibration Dampening Gloves, SM Black Safe-T-Glove® Vibration Dampening Gloves, MD Black Safe-T-Glove® Vibration Dampening Gloves, LG Black Safe-T-Glove® Vibration Dampening Gloves, XL Black HCPCS* Back Support 73-130UNBLK DynaBack® Occupational Back Support, UN Black *HCPCS Codes listed are suggested only; other codes may be more applicable depending on intended product use. Consult your your DMERC Supplier for verifications, allowances and fees. Codes are subject to change without notice. Your individual DMERC can provide you with the most accurate and current information. Page 77 Therall™ Premium Arthritis Care Products ECONO # CAT # PRODUCT DESCRIPTION UPC HCPCS* 2551604 53-1500 Therall™ Moist Heat Pad, 9" x 12" UN White A9270 719869559283 2551612 53-2000 Therall™ Moist Heat Therapy Mitt, UN White A9270 719869559290 2551620 53-2024 Therall™ Joint Warming Elbow Support, SM Beige A4466 719869559306 2551646 53-2025 Therall™ Joint Warming Elbow Support, MD Beige A4466 719869559313 2551653 53-2026 Therall™ Joint Warming Elbow Support, LG Beige A4466 719869559320 2551661 53-2027 Therall™ Joint Warming Elbow Support, XL Beige A4466 719869559337 2551679 53-3504 Therall™ Arthritis Gloves, SM Beige A9270 719869559344 2551687 53-3505 Therall™ Arthritis Gloves, MD Beige A9270 719869559351 2551695 53-3506 Therall™ Arthritis Gloves, LG Beige A9270 719869559368 2551703 53-3507 Therall™ Arthritis Gloves, XL Beige A9270 719869559375 2551711 53-4024 Therall™ Joint Warming Wrist Support, SM Beige A4466 719869559382 2551729 53-4025 Therall™ Joint Warming Wrist Support, MD Beige A4466 719869559399 2551737 53-4026 Therall™ Joint Warming Wrist Support, LG Beige A4466 719869559405 2551745 53-4027 Therall™ Joint Warming Wrist Support, XL Beige A4466 719869559412 2551752 53-4254 Therall™ Foot Warmers, SM Black A9270 719869559429 2551760 53-4255 Therall™ Foot Warmers, MD Black A9270 719869559436 2551778 53-4256 Therall™ Foot Warmers, LG Black A9270 719869559443 2553162 53-4257 Therall™ Foot Warmers, XL Black A9270 719869559450 2553170 53-5374 Therall™ Heat Retaining Back Support, SM Beige A4466 719869559467 2553188 53-5375 Therall™ Heat Retaining Back Support, MD Beige A4466 719869559474 2553196 53-5376 Therall™ Heat Retaining Back Support, LG Beige A4466 719869559481 2553204 53-5377 Therall™ Heat Retaining Back Support, XL Beige A4466 719869559498 2553212 53-7024 Therall™ Joint Warming Knee Support, SM Beige A4466 719869559504 2553220 53-7025 Therall™ Joint Warming Knee Support, MD Beige A4466 719869559511 2553238 53-7026 Therall™ Joint Warming Knee Support, LG Beige A4466 719869559528 2553246 53-7027 Therall™ Joint Warming Knee Support, XL Beige A4466 719869559535 53-7028 Therall™ Joint Warming Knee Support, XXL Beige A4466 719869559658 1100148 53-9024 Therall™ Joint Warming Ankle Support, SM Beige A4466 719869559542 1102532 53-9025 Therall™ Joint Warming Ankle Support, MD Beige A4466 719869559559 1104058 53-9026 Therall™ Joint Warming Ankle Support, LG Beige A4466 719869559566 1105113 53-9027 Therall™ Joint Warming Ankle Support, XL Beige A4466 719869559573 53-9028 Therall™ Joint Warming Ankle Support, XXL Beige A4466 719869559665 POSTURA® Seating and Positioning Products ECONO # PRODUCT DESCRIPTION CAT # POSTURA® Pillows UPC HCPCS* 13-121PK Double Lobe Cervical Pillow, Reg Density, 3 Pack White A9270 719869534952 13-123PK Double Lobe Cervical Pillow, Soft Density, 3 Pack White A9270 719869534945 13-124PK Double Lobe Cervical Pillow, Dual Density, 3 Pack White A9270 719869534938 #N/A 13-127PK Donut Cushion w/Cover, 5 Pack White A9270 719869534976 #N/A 13-701PK Lumbar Sacral Support Pillow, 4 Pack Demin A9270 719869534914 13-702PK Lumbar Sacral Support Pillow, 4 Pack Corduroy/Multi A9270 719869534907 13-702NVYPK Lumbar Sacral Support Pillow, 4 Pack Corduroy Navy A9270 719869538011 ® POSTURA Wheelchair Cushions C1350PK Postura® Economy Lite 3" Cushion, 18 x 16 x 3", 4 Pack Blue/Gray E2601 719869539582 C1450PK Postura® Economy Lite 4" Cushion, 18 x 16 x 4", 3 Pack Blue/Gray E2603 719869539599 #N/A C1359PK Postura® Standard Economy 3" Cushion, 18 x 16 x 3", 4 Pack Blue/Gray E2601 719869540632 C1459PK Postura® Standard Economy 4" Cushion, 18 x 16 x 4", 3 Pack Blue/Gray E2603 719869540649 #N/A C2335PK Postura® GelFoam™ Viscoelastic Cushion, 16 x 16 x 3.5", 3 Pack Black E2603 719869540489 C2355PK Postura® GelFoam™ Viscoelastic Cushion, 18 x 16 x 3.5", 3 Pack Black E2603 719869539629 C2375PK Postura® GelFoam™ Viscoelastic Cushion, 20 x 16 x 3.5", 3 Pack Black E2603 719869540496 ® C3410PK Postura GelCell™ Contour Cushion, 16 x 16 x 4", 2 Pack Black E2607 719869541745 C3450PK Postura® GelCell™ Contour Cushion, 18 x 16 x 4", 3 Pack Black E2607 719869539643 C3480PK Postura® GelCell™ Contour Cushion, 20 x 18 x 4", 2 Pack Black E2607 719869541752 *HCPCS Codes listed are suggested only; other codes may be more applicable depending on intended product use. Consult your your DMERC Supplier for verifications, allowances and fees. Codes are subject to change without notice. Your individual DMERC can provide you with the most accurate and current information. Page 78 POWERSTEP ® Foot Orthotics ECONO # CAT # PRODUCT DESCRIPTION Original Thin profile, full length support and comfort from heel to toe. UPC HCPCS* 5001-01AS 5001-01A 5001-01B 5001-01C 5001-01D 5001-01E 5001-01F 5001-01G 5001-01H 5001-01I 5001-01K Original Full ASM - Mens 3-3.5 Womens 5-5.5 Original Full A - Mens 4-4.5 Womens 6-6.5 Original Full B - Mens 5-5.5 Womens 7-7.5 Original Full C - Mens 6-6.5 Womens 8-8.5 Original Full D - Mens 7-7.5 Womens 9-9.5 Original Full E - Mens 8-8.5 Womens 10-10.5 Original Full F - Mens 9-9.5 Womens 11-11.5 Original Full G - Mens 10-10.5 Womens 12-12.5 Original Full H - Mens 11-11.5 Womens 13-13.5 Original Full I/J - Mens 12-13.5 Womens 14-14.5 Original Full K - Mens 14-14.5 L3040 L3040 L3040 L3040 L3040 L3040 L3040 L3040 L3040 L3040 L3040 749852100109 749852100116 749852100215 749852100314 749852100413 749852100512 749852100611 749852100710 749852100819 749852101113 749852101014 5002-011 5002-012 5002-013 5002-014 5002-015 5002-016 ComfortLast Combines shock-absorbing gel technology and slow-recovery foam for maximum comfort. ComfortLast™ INSOLE SZ 1 - Mens 3-4.5 Womens 5-6.5 719869007852 ComfortLast™ INSOLE SZ 2 - Mens 5-6.5 Womens 7-8.5 719869007869 ComfortLast™ INSOLE SZ 3 - Mens 7-8.5 Womens 9-10.5 719869007876 ComfortLast™ INSOLE SZ 4 - Mens 9-10.5 Womens 11-12.5 719869007883 ComfortLast™ INSOLE SZ 5 - Mens 11-12.5 Womens 13-14.5 719869007890 ComfortLast™ INSOLE SZ 6 - Mens 13-14.5 719869007906 ™ Pinnacle® Full length, perfect blend of foot control, spring, and long-lasting cushion. 5005-01AS 5005-01A 5005-01B 5005-01C 5005-01D 5005-01E 5005-01F 5005-01G 5005-01H 5005-01I 5005-01K Pinnacle ASM - Mens 3-3.5 Womens 5-5.5 Pinnacle A - Mens 4-4.5 Womens 6-6.5 Pinnacle B - Mens 5-5.5 Womens 7-7.5 Pinnacle C - Mens 6-6.5 Womens 8-8.5 Pinnacle D - Mens 7-7.5 Womens 9-9.5 Pinnacle E - Mens 8-8.5 Womens 10-10.5 Pinnacle F - Mens 9-9.5 Womens 11-11.5 Pinnacle G - Mens 10-10.5 Womens 12-12.5 Pinnacle H - Mens 11-11.5 Womens 13-13.5 Pinnacle I/J - Mens 12-13.5 Womens 14-14.5 Pinnacle K - Mens 14-14.5 L3040 L3040 L3040 L3040 L3040 L3040 L3040 L3040 L3040 L3040 L3040 749852100154 749852100253 749852100352 749852100451 749852100550 749852100659 749852100758 749852100857 749852100956 749852101052 749852101151 L3040 L3040 L3040 L3040 L3040 L3040 L3040 L3040 L3040 L3040 L3040 749852100161 749852100260 749852100369 749852100468 749852100567 749852100666 749852100765 749852100864 749852100963 749852110160 749852110269 Pinnacle® Maxx Full length, offers pain relief for mild to severe over-pronation. 5015-01AS 5015-01A 5015-01B 5015-01C 5015-01D 5015-01E 5015-01F 5015-01G 5015-01H 5015-01I 5015-01K Pinnacle Maxx ASM - Mens 3-3.5 Womens 5-5.5 Pinnacle Maxx A - Mens 4-4.5 Womens 6-6.5 Pinnacle Maxx B - Mens 5-5.5 Womens 7-7.5 Pinnacle Maxx C - Mens 6-6.5 Womens 8-8.5 Pinnacle Maxx D - Mens 7-7.5 Womens 9-9.5 Pinnacle Maxx E - Mens 8-8.5 Womens 10-10.5 Pinnacle Maxx F - Mens 9-9.5 Womens 11-11.5 Pinnacle Maxx G - Mens 10-10.5 Womens 12-12.5 Pinnacle Maxx H - Mens 11-11.5 Womens 13-13.5 Pinnacle Maxx I/J - Mens 12-13.5 Womens 14-14.5 Pinnacle Maxx K - Mens 14-14.5 SlenderFit® Ultra-slim design is ideal for use with women's fashion footwear. 5010-03XS 5010-03S 5010-03M 5010-03L SlenderFit Womens Orthotic XS - Womens 5-6 SlenderFit Womens Orthotic SM - Womens 6.5-7.5 SlenderFit Womens Orthotic MD - Womens 8-9 SlenderFit Womens Orthotic LG - Womens 9.5-10.5 *Order by Shoe Size 749852100895 749852100901 749852100918 749852100925 *HCPCS codes - see page 80 more information Page 79 POWERSTEP ® Foot Orthotics ECONO # CAT # PRODUCT DESCRIPTION Signature Leather Premium leather orthotic for dress and casual shoes. UPC HCPCS* 5020-01A 5020-01B 5020-01C 5020-01D 5020-01E 5020-01F 5020-01G 5020-01H 5020-01I Signature Leather Full A - Mens 4-4.5 Womens 6-6.5 Signature Leather Full B - Mens 5-5.5 Womens 7-7.5 Signature Leather Full C - Mens 6-6.5 Womens 8-8.5 Signature Leather Full D - Mens 7-7.5 Womens 9-9.5 Signature Leather Full E - Mens 8-8.5 Womens 10-10.5 Signature Leather Full F - Mens 9-9.5 Womens 11-11.5 Signature Leather Full G - Mens 10-10.5 Womens 12-12.5 Signature Leather Full H - Mens 11-11.5 Womens 13-13.5 Signature Leather Full I/J - Mens 12-13.5 Womens 14-14.5 749852110290 749852110306 749852110313 749852110320 749852110337 749852110344 749852110351 749852110368 749852110375 5020-03AS 5020-03A 5020-03B 5020-03C 5020-03D 5020-03E 5020-03F Signature Leather Signature Leather Signature Leather Signature Leather Signature Leather Signature Leather Signature Leather 719869007722 719869007739 719869007746 719869007753 719869007760 719869007777 719869007784 3/4 ASM - Mens 4-4.5 Womens 6-6.5 3/4 A - Mens 5-6.5 Womens 7-8.5 3/4 B - Mens 7-8.5 Womens 9-10.5 3/4 C - Mens 9-9.5 Womens 11-11.5 3/4 D - Mens 10-10.5 Womens 12-12.5 3/4 E - Mens 11-11.5 Womens 13-13.5 3/4 F - Mens 12-13 Womens 14-15 SlimTech® 3/4 Versatile fit for a broad range of shoes. 5012-03AS 5012-03A 5012-03B 5012-03C 5012-03D 5012-03E 5012-03F SlimTech ASM - Mens 4-4.5 Womens 6-6.5 SlimTech A - Mens 5-6.5 Womens 7-8.5 SlimTech B - Mens 7-8.5 Womens 9-10.5 SlimTech C - Mens 9-9.5 Womens 11-11.5 SlimTech D - Mens 10-10.5 Womens 12-12.5 SlimTech E - Mens 11-11.5 Womens 13-13.5 SlimTech F - Mens 12-13 Womens 14-15 L3040 L3040 L3040 L3040 L3040 L3040 L3040 749852100123 749852100222 749852100321 749852100420 749852100529 749852100628 749852100727 Powerstep® Wide Fit Full length, maximum cushioning and support in a wider profile orthotic. 5017-01A 5017-01AS 5017-01B 5017-01C 5017-01D 5017-01E 5017-01F 5017-01G 5017-01H 5017-01I 5017-01K Wide Fit ASM - Mens 3-3.5, Womens 5-5.5 Wide Fit A - Mens 4-4.5, Womens 6-6.5 Wide Fit B - Mens 5-5.5, Womens 7-7.5 Wide Fit C - Mens 6-6.5, Womens 8-8.5 Wide Fit D - Mens 7-7.5, Womens 9-9.5 Wide Fit E - Mens 8-8.5, Womens 10-10.5 Wide Fit F - Mens 9-9.5, Womens 11-11.5 Wide Fit G - Mens 10-10.5, Womens 12-12.5 Wide Fit H - Mens 11-11.5, Womens 13-13.5 Wide Fit I/J - Mens 12-13.5, Womens 14-15.5 Wide Fit K - Mens 14-14.5, Womens 16-16.5 5040-03KB 5040-03KC 5040-03KD 5040-03KE 5040-03KF 5040-03KG Powerstep PowerKids Affordable, easy-to-use orthotics specifically designed for children PowerKids® Pediatric 3/4 KB, TOD 8.5-9.5 PowerKids® Pediatric 3/4 KC, TOD 10-11 PowerKids® Pediatric 3/4 KD, TOD 11.5-12.5 PowerKids® Pediatric 3/4 KE, TOD 13-YOUTH PowerKids® Pediatric 3/4 KF, YOUTH 1.5-2.5 PowerKids® Pediatric 3/4 KG, YOUTH 3-4 ® 719869007616 719869007647 719869007654 719869007661 719869007678 719869007685 719869007623 719869007630 719869007692 719869007708 719869007715 ® 719869007791 719869007807 719869007814 719869007821 719869007838 719869007845 *Order by Shoe Size *HCPCS Codes listed are suggested only; other codes may be more applicable depending on intended product use. Consult your your DMERC Supplier for verifications, allowances and fees. Codes are subject to change without notice. Your individual DMERC can provide you with the most accurate and current information. Page 80 ACTIVA® Compression Hosiery ECONO # CAT # PRODUCT DESCRIPTION ULTRA SHEER 9-12 mmHg § UPC HCPCS* H1101 Ultra Sheer 9-12 mmHg Pantyhose w/Control Top, Suntan A A9270 719869528876 H1102 Ultra Sheer 9-12 mmHg Pantyhose w/Control Top, Suntan B A9270 719869528883 H1103 Ultra Sheer 9-12 mmHg Pantyhose w/Control Top, Suntan C A9270 719869528890 H1104 Ultra Sheer 9-12 mmHg Pantyhose w/Control Top, Suntan D A9270 719869528906 H1161 Ultra Sheer 9-12 mmHg Pantyhose w/Control Top, Black A A9270 719869528999 H1162 Ultra Sheer 9-12 mmHg Pantyhose w/Control Top, Black B A9270 719869529002 H1163 Ultra Sheer 9-12 mmHg Pantyhose w/Control Top, Black C A9270 719869529019 H1164 Ultra Sheer 9-12 mmHg Pantyhose w/Control Top, Black D A9270 719869529026 H1201 Ultra Sheer, 9-12 mmHg Thigh High w/Lace Top, Suntan A A9270 719869529033 H1202 Ultra Sheer, 9-12 mmHg Thigh High w/Lace Top, Suntan B A9270 719869529040 H1203 Ultra Sheer, 9-12 mmHg Thigh High w/Lace Top, Suntan C A9270 719869529057 H1204 Ultra Sheer, 9-12 mmHg Thigh High w/Lace Top, Suntan D A9270 719869529064 H1261 Ultra Sheer, 9-12 mmHg Thigh High w/Lace Top, Black A A9270 719869529279 H1262 Ultra Sheer, 9-12 mmHg Thigh High w/Lace Top, Black B A9270 719869529286 H1263 Ultra Sheer, 9-12 mmHg Thigh High w/Lace Top, Black C A9270 719869529293 H1264 Ultra Sheer, 9-12 mmHg Thigh High w/Lace Top, Black D A9270 719869529309 H1301 Ultra Sheer, 9-12 mmHg Knee High, Suntan A A9270 719869545583 H1302 Ultra Sheer, 9-12 mmHg Knee High, Suntan B A9270 719869545590 H1303 Ultra Sheer, 9-12 mmHg Knee High, Suntan C A9270 719869545606 H1304 Ultra Sheer, 9-12 mmHg Knee High, Suntan D A9270 719869545613 #N/A H1361 Ultra Sheer, 9-12 mmHg Knee High, Black A A9270 719869545620 H1362 Ultra Sheer, 9-12 mmHg Knee High, Black B A9270 719869545637 H1363 Ultra Sheer, 9-12 mmHg Knee High, Black C A9270 719869545644 H1364 Ultra Sheer, 9-12 mmHg Knee High, Black D A9270 719869545651 719869529316 ® SHEER THERAPY 15-20 mmHg § 1667328 H2101 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, Nude A A6539 1667617 H2102 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, Nude B A6539 719869529323 1668011 H2103 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, Nude C A6539 719869529330 1668201 H2104 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, Nude D A6539 719869529347 1668490 #N/A H2105 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, Nude Q A6539 719869535379 1668532 1669613 1670264 1670280 #N/A ® H2111 Sheer Therapy 15-20 mmHg Pantyhose w/Control Top, White A A6539 719869529118 H2112 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, White B A6539 719869529125 H2113 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, White C A6539 719869529132 H2114 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, White D A6539 719869529149 H2151 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, Smoke A A6539 719869529156 H2152 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, Smoke B A6539 719869529163 H2153 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, Smoke C A6539 719869529170 H2154 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, Smoke D A6539 719869529187 H2161 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, Black A A6539 719869529354 H2162 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, Black B A6539 719869529361 H2163 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, Black C A6539 719869529378 H2164 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, Black D A6539 719869529385 H2165 Sheer Therapy® 15-20 mmHg Pantyhose w/Control Top, Black Q A6539 719869535386 ® H2201 H2202 H2203 H2204 H2205 Sheer Therapy 15-20 mmHg Thigh High w/Lace Top, Closed Toe, Nude A Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Closed Toe, Nude B Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Closed Toe, Nude C Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Closed Toe, Nude D Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Closed Toe, Nude Q A6533 A6533 A6533 A6533 A6533 719869529392 719869529408 719869529415 719869529422 719869535355 #N/A H2251 H2252 H2253 H2254 Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Smoke A Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Smoke B Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Smoke C Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Smoke D A6533 A6533 A6533 A6533 719869529194 719869529200 719869529217 719869529224 #N/A H2261 H2262 H2263 H2264 H2265 Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Black A Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Black B Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Black C Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Black D Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Black Q A6533 A6533 A6533 A6533 A6533 719869529231 719869529248 719869529255 719869529262 719869535362 H20201 H20202 H20203 H20204 H20205 Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Open Toe, Nude A Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Open Toe, Nude B Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Open Toe, Nude C Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Open Toe, Nude D Sheer Therapy® 15-20 mmHg Thigh High w/Lace Top, Open Toe, Nude Q A6533 A6533 A6533 A6533 A6533 719869559153 719869559160 719869559177 719869559184 719869559191 § See sizing charts on page 87. (see next page) Page 81 *HCPCS codes - see page 86 for more information ACTIVA® Compression Hosiery ECONO # CAT # PRODUCT DESCRIPTION SHEER THERAPY® 15-20 mmHg § (Cont.) UPC HCPCS* H2301 H2302 H2303 H2304 H2305 Sheer Therapy® 15-20 mmHg Knee High Closed Toe, Nude A Sheer Therapy® 15-20 mmHg Knee High Closed Toe, Nude B Sheer Therapy® 15-20 mmHg Knee High Closed Toe, Nude C Sheer Therapy® 15-20 mmHg Knee High Closed Toe, Nude D Sheer Therapy® 15-20 mmHg Knee High Closed Toe, Nude Q A6530 A6530 A6530 A6530 A6530 719869529439 719869529446 719869529453 719869529460 719869535393 #N/A H2311 H2312 H2313 H2314 Sheer Therapy® 15-20 mmHg Knee High Closed Toe, White A Sheer Therapy® 15-20 mmHg Knee High Closed Toe, White B Sheer Therapy® 15-20 mmHg Knee High Closed Toe, White C Sheer Therapy® 15-20 mmHg Knee High Closed Toe, White D A6530 A6530 A6530 A6530 719869532583 719869532590 719869532606 719869532613 #N/A H2361 H2362 H2363 H2364 H2365 Sheer Therapy® 15-20 mmHg Knee High Closed Toe, Black A Sheer Therapy® 15-20 mmHg Knee High Closed Toe, Black B Sheer Therapy® 15-20 mmHg Knee High Closed Toe, Black C Sheer Therapy® 15-20 mmHg Knee High Closed Toe, Black D Sheer Therapy® 15-20 mmHg Knee High Closed Toe, Black Q A6530 A6530 A6530 A6530 A6530 719869529477 719869529484 719869529491 719869529507 719869535409 #N/A H20401 H20402 H20403 H20404 H20405 Sheer Therapy® 15-20 mmHg Knee High w/Open Toe, Nude A Sheer Therapy® 15-20 mmHg Knee High w/Open Toe, Nude B Sheer Therapy® 15-20 mmHg Knee High w/Open Toe, Nude C Sheer Therapy® 15-20 mmHg Knee High w/Open Toe, Nude D Sheer Therapy® 15-20 mmHg Knee High w/Open Toe, Nude Q A6530 A6530 A6530 A6530 A6530 719869554806 719869554813 719869554820 719869554837 719869554844 H2901 H2902 H2903 H2904 H2905 Sheer Therapy® 15-20 mmHg Maternity Pantyhose, Nude, Size A Sheer Therapy® 15-20 mmHg Maternity Pantyhose, Nude, Size B Sheer Therapy® 15-20 mmHg Maternity Pantyhose, Nude, Size C Sheer Therapy® 15-20 mmHg Maternity Pantyhose, Nude, Size D Sheer Therapy® 15-20 mmHg Maternity Pantyhose, Nude, Size Q A6539 A6539 A6539 A6539 A6539 719869554851 719869554868 719869554875 719869554882 719869554899 H2441 H2442 H2443 H2444 Activa® Patterned Men's Casual Socks 15-20 mmHg, Navy SM Activa® Patterned Men's Casual Socks 15-20 mmHg, Navy MD Activa® Patterned Men's Casual Socks 15-20 mmHg, Navy LG Activa® Patterned Men's Casual Socks 15-20 mmHg, Navy XL A6530 A6530 A6530 A6530 719869541820 719869541837 719869541844 719869541851 H2461 H2462 H2463 H2464 Activa® Patterned Men's Casual Socks 15-20 mmHg, Black SM Activa® Patterned Men's Casual Socks 15-20 mmHg, Black MD Activa® Patterned Men's Casual Socks 15-20 mmHg, Black LG Activa® Patterned Men's Casual Socks 15-20 mmHg, Black XL A6530 A6530 A6530 A6530 719869541868 719869541875 719869541882 719869541899 H2501 Activa® Men's Dress Socks 15-20 mmHg , Tan SM A6530 719869546306 H2502 Activa® Men's Dress Socks 15-20 mmHg , Tan MD A6530 719869546313 H2503 Activa® Men's Dress Socks 15-20 mmHg , Tan LG A6530 719869546320 H2504 Activa® Men's Dress Socks 15-20 mmHg , Tan XL A6530 719869546337 H2511 Activa® Men's Dress Socks 15-20 mmHg , White SM A6530 719869535102 H2512 Activa® Men's Dress Socks 15-20 mmHg , White MD A6530 719869535119 H2513 H2514 Activa® Men's Dress Socks 15-20 mmHg , White LG Activa® Men's Dress Socks 15-20 mmHg , White XL A6530 A6530 719869535126 719869535133 #N/A 2240216 2240224 2240232 2240240 H2541 H2542 H2543 H2544 Activa® Men's Dress Socks 15-20 mmHg , Navy SM Activa® Men's Dress Socks 15-20 mmHg , Navy MD Activa® Men's Dress Socks 15-20 mmHg , Navy LG Activa® Men's Dress Socks 15-20 mmHg , Navy XL A6530 A6530 A6530 A6530 719869535140 719869535157 719869535164 719869535171 2240109 2240117 2240190 2240208 H2561 H2562 H2563 H2564 Activa® Men's Dress Socks 15-20 mmHg , Black SM Activa® Men's Dress Socks 15-20 mmHg , Black MD Activa® Men's Dress Socks 15-20 mmHg , Black LG Activa® Men's Dress Socks 15-20 mmHg , Black XL A6530 A6530 A6530 A6530 719869535188 719869535195 719869535201 719869535218 H2571 H2572 H2573 H2574 Activa® Men's Dress Socks 15-20 mmHg , Brown SM Activa® Men's Dress Socks 15-20 mmHg , Brown MD Activa® Men's Dress Socks 15-20 mmHg , Brown LG Activa® Men's Dress Socks 15-20 mmHg , Brown XL A6530 A6530 A6530 A6530 719869535225 719869535232 719869535249 719869535256 H3401 H3402 H3403 H3404 Men's Microfiber Dress Socks 20-30 mmHg, Tan SM Men's Microfiber Dress Socks 20-30 mmHg, Tan MD Men's Microfiber Dress Socks 20-30 mmHg, Tan LG Men's Microfiber Dress Socks 20-30 mmHg, Tan XL A6530 A6530 A6530 A6530 719869543060 719869543077 719869543084 719869543091 2240299 2240315 2240356 2240364 H3451 H3452 H3453 H3454 Men's Microfiber Dress Socks 20-30 mmHg, Gray SM Men's Microfiber Dress Socks 20-30 mmHg, Gray MD Men's Microfiber Dress Socks 20-30 mmHg, Gray LG Men's Microfiber Dress Socks 20-30 mmHg, Gray XL A6530 A6530 A6530 A6530 719869543107 719869543114 719869543121 719869543138 2240372 2240380 2240398 2240448 H3461 H3462 H3463 H3464 Men's Microfiber Dress Socks 20-30 mmHg, Black SM Men's Microfiber Dress Socks 20-30 mmHg, Black MD Men's Microfiber Dress Socks 20-30 mmHg, Black LG Men's Microfiber Dress Socks 20-30 mmHg, Black XL A6530 A6530 A6530 A6530 719869543145 719869543152 719869543169 719869543176 MEN'S SOCKS § § See sizing charts on page 87. (see next page) Page 82 *HCPCS codes - see page 86 for more information ACTIVA® Compression Hosiery ECONO # CAT # PRODUCT DESCRIPTION MEN'S SOCKS § (Cont.) UPC HCPCS* H3501 H3502 H3503 H3504 Men's Dress Socks Firm Men's Dress Socks Firm Men's Dress Socks Firm Men's Dress Socks Firm Support 20-30 mmHg, Tan SM Support 20-30 mmHg, Tan MD Support 20-30 mmHg, Tan LG Support 20-30 mmHg, Tan XL A6530 A6530 A6530 A6530 719869533122 719869533139 719869533146 719869533153 H3511 H3512 H3513 H3514 Men's Dress Socks Firm Men's Dress Socks Firm Men's Dress Socks Firm Men's Dress Socks Firm Support 20-30 mmHg, White SM Support 20-30 mmHg, White MD Support 20-30 mmHg, White LG Support 20-30 mmHg, White XL A6530 A6530 A6530 A6530 719869533702 719869533719 719869533726 719869533733 2240257 2240265 2240273 2240281 H3541 H3542 H3543 H3544 Men's Dress Socks Firm Men's Dress Socks Firm Men's Dress Socks Firm Men's Dress Socks Firm Support 20-30 mmHg, Navy SM Support 20-30 mmHg, Navy MD Support 20-30 mmHg, Navy LG Support 20-30 mmHg, Navy XL A6530 A6530 A6530 A6530 719869529750 719869529767 719869529774 719869529781 1680073 1680081 1681048 1681170 H3561 H3562 H3563 H3564 Men's Dress Socks Firm Men's Dress Socks Firm Men's Dress Socks Firm Men's Dress Socks Firm Support 20-30 mmHg, Black SM Support 20-30 mmHg, Black MD Support 20-30 mmHg, Black LG Support 20-30 mmHg, Black XL A6530 A6530 A6530 A6530 719869529798 719869529804 719869529811 719869529828 H3571 H3572 H3573 H3574 Men's Dress Socks Firm Men's Dress Socks Firm Men's Dress Socks Firm Men's Dress Socks Firm Support 20-30 mmHg, Brown SM Support 20-30 mmHg, Brown MD Support 20-30 mmHg, Brown LG Support 20-30 mmHg, Brown XL A6530 A6530 A6530 A6530 719869529835 719869529842 719869529859 719869529866 H2601 H2602 H2603 H2604 Sheer Therapy® 15-20 mmHg Women's Socks, Tan SM Sheer Therapy® 15-20 mmHg Women's Socks, Tan MD Sheer Therapy® 15-20 mmHg Women's Socks, Tan LG Sheer Therapy® 15-20 mmHg Women's Socks, Tan XL A6530 A6530 A6530 A6530 719869535263 719869535270 719869535287 719869535294 H2611 H2612 H2613 H2614 Sheer Therapy® 15-20 mmHg Women's Socks, White SM Sheer Therapy® 15-20 mmHg Women's Socks, White MD Sheer Therapy® 15-20 mmHg Women's Socks, White LG Sheer Therapy® 15-20 mmHg Women's Socks, White XL A6530 A6530 A6530 A6530 719869534983 719869534990 719869535003 719869535010 H2641 H2642 H2643 H2644 Sheer Therapy® 15-20 mmHg Women's Socks, Navy SM Sheer Therapy® 15-20 mmHg Women's Socks, Navy MD Sheer Therapy® 15-20 mmHg Women's Socks, Navy LG Sheer Therapy® 15-20 mmHg Women's Socks, Navy XL A6530 A6530 A6530 A6530 719869535027 719869535034 719869535041 719869535058 2240455 2240463 2240471 2240489 H2661 H2662 H2663 H2664 Sheer Therapy® 15-20 mmHg Women's Socks, Black SM Sheer Therapy® 15-20 mmHg Women's Socks, Black MD Sheer Therapy® 15-20 mmHg Women's Socks, Black LG Sheer Therapy® 15-20 mmHg Women's Socks, Black XL A6530 A6530 A6530 A6530 719869535065 719869535072 719869535089 719869535096 2240497 2240505 2240521 2240539 H2701 H2702 H2703 H2704 Women's Dress Trouser Socks 15-20 mmHg, Diamond Pattern, Tan, SM Women's Dress Trouser Socks 15-20 mmHg, Diamond Pattern, Tan, MD Women's Dress Trouser Socks 15-20 mmHg, Diamond Pattern, Tan, LG Women's Dress Trouser Socks 15-20 mmHg, Diamond Pattern, Tan, XL A6530 A6530 A6530 A6530 719869540847 719869540854 719869540861 719869540878 H2741 H2742 H2743 H2744 Women's Dress Trouser Socks 15-20 mmHg, Diamond Pattern, Navy, SM Women's Dress Trouser Socks 15-20 mmHg, Diamond Pattern, Navy, MD Women's Dress Trouser Socks 15-20 mmHg, Diamond Pattern, Navy, LG Women's Dress Trouser Socks 15-20 mmHg, Diamond Pattern, Navy, XL A6530 A6530 A6530 A6530 719869540885 719869540892 719869540908 719869540915 H2761 H2762 H2763 H2764 Women's Dress Trouser Socks 15-20 mmHg, Diamond Pattern, Black, SM Women's Dress Trouser Socks 15-20 mmHg, Diamond Pattern, Black, MD Women's Dress Trouser Socks 15-20 mmHg, Diamond Pattern, Black, LG Women's Dress Trouser Socks 15-20 mmHg, Diamond Pattern, Black, XL A6530 A6530 A6530 A6530 719869540922 719869540939 719869540946 719869540953 H2801 H2802 H2803 H2804 Women's Dress Trouser Socks 15-20 mmHg, Cross Hatch Pattern, Tan, SM Women's Dress Trouser Socks 15-20 mmHg, Cross Hatch Pattern, Tan, MD Women's Dress Trouser Socks 15-20 mmHg, Cross Hatch Pattern, Tan, LG Women's Dress Trouser Socks 15-20 mmHg, Cross Hatch Pattern, Tan, XL A6530 A6530 A6530 A6530 719869540762 719869540779 719869540786 719869540793 H2841 H2842 H2843 H2844 Women's Dress Trouser Socks 15-20 mmHg, Cross Hatch Pattern, Navy, SM Women's Dress Trouser Socks 15-20 mmHg, Cross Hatch Pattern, Navy, MD Women's Dress Trouser Socks 15-20 mmHg, Cross Hatch Pattern, Navy, LG Women's Dress Trouser Socks 15-20 mmHg, Cross Hatch Pattern, Navy, XL A6530 A6530 A6530 A6530 719869540809 719869540816 719869540823 719869540830 H2861 H2862 H2863 H2864 Women's Dress Trouser Socks 15-20 mmHg, Cross Hatch Pattern, Blk, SM Women's Dress Trouser Socks 15-20 mmHg, Cross Hatch Pattern, Blk, MD Women's Dress Trouser Socks 15-20 mmHg, Cross Hatch Pattern, Blk, LG Women's Dress Trouser Socks 15-20 mmHg, Cross Hatch Pattern, Blk, XL A6530 A6530 A6530 A6530 719869540960 719869540977 719869540984 719869540991 H3601 Women's Microfiber Dress Socks Firm Support, 20-30 mmHg, Tan SM A6530 719869001720 H3602 Women's Microfiber Dress Socks Firm Support, 20-30 mmHg, Tan MD A6530 719869001737 H3603 Women's Microfiber Dress Socks Firm Support, 20-30 mmHg, Tan LG A6530 719869001744 H3604 Women's Microfiber Dress Socks Firm Support, 20-30 mmHg, Tan XL A6530 719869001751 WOMEN'S SOCKS § 1671890 1672211 1672245 1672617 1672682 1673433 1673474 1673516 § See sizing charts on page 87. (see next page) Page 83 *HCPCS codes - see page 86 for more information ACTIVA® Compression Hosiery ECONO # CAT # PRODUCT DESCRIPTION WOMEN'S SOCKS § (Cont.) UPC HCPCS* H3611 Women's Microfiber Dress Socks Firm Support, 20-30 mmHg, White SM A6530 H3612 Women's Microfiber Dress Socks Firm Support, 20-30 mmHg, White MD A6530 719869001805 719869001812 H3613 Women's Microfiber Dress Socks Firm Support, 20-30 mmHg, White LG A6530 719869001829 H3614 Women's Microfiber Dress Socks Firm Support, 20-30 mmHg, White XL A6530 719869001836 H3641 Women's Microfiber Dress Socks Firm Support, 20-30 mmHg, Navy SM A6530 719869001768 H3642 Women's Microfiber Dress Socks Firm Support, 20-30 mmHg, Navy MD A6530 719869001775 H3643 Women's Microfiber Dress Socks Firm Support, 20-30 mmHg, Navy LG A6530 719869001782 H3644 Women's Microfiber Dress Socks Firm Support, 20-30 mmHg, Navy XL A6530 719869001799 H3661 Women's Microfiber Dress Socks Firm Support, 20-30 mmHg, Black SM A6530 719869001843 H3662 Women's Microfiber Dress Socks Firm Support, 20-30 mmHg, Black MD A6530 719869001850 H3663 Women's Microfiber Dress Socks Firm Support, 20-30 mmHg, Black LG A6530 719869001867 H3664 Women's Microfiber Dress Socks Firm Support, 20-30 mmHg, Black XL A6530 719869001874 719869538486 COOLMAX® ATHLETIC SOCKS § 2240661 H31211 CoolMax® Athletic Socks 20-30 mmHg, Over-The- Calf, White SM A6530 2240679 H31212 CoolMax® Athletic Socks 20-30 mmHg, Over-The- Calf, White MD A6530 719869538493 2240687 H31213 CoolMax® Athletic Socks 20-30 mmHg, Over-The- Calf, White LG A6530 719869538509 2240703 H31214 CoolMax® Athletic Socks 20-30 mmHg, Over-The- Calf, White XL A6530 719869538516 2240711 H31311 CoolMax® Athletic Socks 20-30 mmHg, Crew, White SM A6530 719869538523 2240729 H31312 CoolMax® Athletic Socks 20-30 mmHg, Crew, White MD A6530 719869538530 2240737 H31313 CoolMax® Athletic Socks 20-30 mmHg, Crew, White LG A6530 719869538547 2240745 H31314 CoolMax® Athletic Socks 20-30 mmHg, Crew, White XL A6530 719869538554 1677012 1677038 1678184 1678283 H3001 H3002 H3003 H3004 H3005 H3006 H3007 Soft Fit 20-30 mmHg Knee High, Closed Toe, Barely Beige SM Soft Fit 20-30 mmHg Knee High, Closed Toe, Barely Beige MD Soft Fit 20-30 mmHg Knee High, Closed Toe, Barely Beige LG Soft Fit 20-30 mmHg Knee High, Closed Toe, Barely Beige XL Soft Fit 20-30 mmHg Knee High, Closed Toe, Barely Beige XXL Soft Fit 20-30 mmHg Knee High, Closed Toe, Barely Beige XXXL Soft Fit 20-30 mmHg Knee High, Closed Toe, Barely Beige XXXXL A6530 A6530 A6530 A6530 A6530 A6530 A6530 719869536994 719869537007 719869537014 719869537021 719869537038 719869545330 719869545347 #N/A H3011 H3012 H3013 H3014 H3015 Soft Fit 20-30 mmHg Knee High, Closed Toe, Ivory SM Soft Fit 20-30 mmHg Knee High, Closed Toe, Ivory MD Soft Fit 20-30 mmHg Knee High, Closed Toe, Ivory LG Soft Fit 20-30 mmHg Knee High, Closed Toe, Ivory XL Soft Fit 20-30 mmHg Knee High, Closed Toe, Ivory XXL A6530 A6530 A6530 A6530 A6530 719869537045 719869537052 719869537069 719869537076 719869537083 #N/A H3061 H3062 H3063 H3064 H3065 Soft Fit 20-30 mmHg Knee High, Closed Toe, Black SM Soft Fit 20-30 mmHg Knee High, Closed Toe, Black MD Soft Fit 20-30 mmHg Knee High, Closed Toe, Black LG Soft Fit 20-30 mmHg Knee High, Closed Toe, Black XL Soft Fit 20-30 mmHg Knee High, Closed Toe, Black XXL A6530 A6530 A6530 A6530 A6530 719869537090 719869537106 719869537113 719869537120 719869537137 #N/A H30401 H30402 H30403 H30404 H30405 H30406 H30407 Soft Fit 20-30 mmHg Knee High w/Open Toe, Beige SM Soft Fit 20-30 mmHg Knee High w/Open Toe, Beige MD Soft Fit 20-30 mmHg Knee High w/Open Toe, Beige LG Soft Fit 20-30 mmHg Knee High w/Open Toe, Beige XL Soft Fit 20-30 mmHg Knee High w/Open Toe, Beige XXL Soft Fit 20-30 mmHg Knee High w/Open Toe, Beige XXXL Soft Fit 20-30 mmHg Knee High w/Open Toe, Beige XXXXL A6530 A6530 A6530 A6530 A6530 A6530 A6530 719869545439 719869545446 719869545453 719869545460 719869545477 719869545484 719869545491 #N/A H3701 H3702 H3703 H3704 H3705 Soft Fit 20-30 mmHg Pantyhose, Barely Beige SM Soft Fit 20-30 mmHg Pantyhose, Barely Beige MD Soft Fit 20-30 mmHg Pantyhose, Barely Beige LG Soft Fit 20-30 mmHg Pantyhose, Barely Beige XL Soft Fit 20-30 mmHg Pantyhose, Barely Beige Q A6539 A6539 A6539 A6539 A6539 719869536598 719869536604 719869536611 719869536628 719869536635 #N/A H3711 H3712 H3713 H3714 H3715 Soft Fit 20-30 mmHg Pantyhose, Ivory SM Soft Fit 20-30 mmHg Pantyhose, Ivory MD Soft Fit 20-30 mmHg Pantyhose, Ivory LG Soft Fit 20-30 mmHg Pantyhose, Ivory XL Soft Fit 20-30 mmHg Pantyhose, Ivory Q A6539 A6539 A6539 A6539 A6539 719869536642 719869536659 719869536666 719869536673 719869536680 #N/A H3761 H3762 H3763 H3764 H3765 Soft Fit 20-30 mmHg Pantyhose, Black SM Soft Fit 20-30 mmHg Pantyhose, Black MD Soft Fit 20-30 mmHg Pantyhose, Black LG Soft Fit 20-30 mmHg Pantyhose, Black XL Soft Fit 20-30 mmHg Pantyhose, Black Q A6539 A6539 A6539 A6539 A6539 719869536697 719869536703 719869536710 719869536727 719869536734 SOFT FIT 20-30 mmHg § 1678721 1678754 #N/A #N/A 1681220 1681394 1681493 1681535 1681576 #N/A § See sizing charts on page 87. (see next page) Page 84 *HCPCS codes - see page 86 for more information ACTIVA® Compression Hosiery ECONO # CAT # PRODUCT DESCRIPTION SOFT FIT 20-30 mmHg § (Cont.) 1681626 1681642 1681758 1681790 1682178 UPC HCPCS* H3801 H3802 H3803 H3804 H3805 Soft Fit 20-30 mmHg Thigh High w/Lace Top, Barely Beige SM Soft Fit 20-30 mmHg Thigh High w/Lace Top, Barely Beige MD Soft Fit 20-30 mmHg Thigh High w/Lace Top, Barely Beige LG Soft Fit 20-30 mmHg Thigh High w/Lace Top, Barely Beige XL Soft Fit 20-30 mmHg Thigh High w/Lace Top, Barely Beige Q A6533 A6533 A6533 A6533 A6533 719869536741 719869536758 719869536765 719869536772 719869536789 #N/A H3811 H3812 H3813 H3814 H3815 Soft Fit 20-30 mmHg Thigh High w/Lace Top, Ivory SM Soft Fit 20-30 mmHg Thigh High w/Lace Top, Ivory MD Soft Fit 20-30 mmHg Thigh High w/Lace Top, Ivory LG Soft Fit 20-30 mmHg Thigh High w/Lace Top, Ivory XL Soft Fit 20-30 mmHg Thigh High w/Lace Top, Ivory Q A6533 A6533 A6533 A6533 A6533 719869536796 719869536802 719869536819 719869536826 719869536833 #N/A H3861 H3862 H3863 H3864 H3865 Soft Fit 20-30 mmHg Thigh High w/Lace Top, Black SM Soft Fit 20-30 mmHg Thigh High w/Lace Top, Black MD Soft Fit 20-30 mmHg Thigh High w/Lace Top, Black LG Soft Fit 20-30 mmHg Thigh High w/Lace Top, Black XL Soft Fit 20-30 mmHg Thigh High w/Lace Top, Black Q A6533 A6533 A6533 A6533 A6533 719869536840 719869536857 719869536864 719869536871 719869536888 #N/A H3901 H3902 H3903 H3904 H3905 Soft Fit 20-30 mmHg Mid Thigh High w/UNI-Band Top, Beige SM Soft Fit 20-30 mmHg Mid Thigh High w/UNI-Band Top, Beige MD Soft Fit 20-30 mmHg Mid Thigh High w/UNI-Band Top, Beige LG Soft Fit 20-30 mmHg Mid Thigh High w/UNI-Band Top, Beige XL Soft Fit 20-30 mmHg Mid Thigh High w/UNI-Band Top, Beige XXL A6533 A6533 A6533 A6533 A6533 719869536895 719869536901 719869536918 719869536925 719869536932 H3961 Soft Fit 20-30 mmHg Mid Thigh High w/UNI-Band Top, Black SM A6533 719869536949 H3962 Soft Fit 20-30 mmHg Mid Thigh High w/UNI-Band Top, Black MD A6533 719869536956 H3963 Soft Fit 20-30 mmHg Mid Thigh High w/UNI-Band Top, Black LG A6533 719869536963 H3964 Soft Fit 20-30 mmHg Mid Thigh High w/UNI-Band Top, Black XL A6533 719869536970 H3965 Soft Fit 20-30 mmHg Mid Thigh High w/UNI-Band Top, Black XXL A6533 719869536987 H3101 H3102 H3103 H3104 Graduated Therapy 20-30 mmHg Pantyhose, Beige SM Graduated Therapy 20-30 mmHg Pantyhose, Beige MD Graduated Therapy 20-30 mmHg Pantyhose, Beige LG Graduated Therapy 20-30 mmHg Pantyhose, Beige XL A6539 A6539 A6539 A6539 719869529514 719869529521 719869529538 719869529545 H3161 H3162 H3163 H3164 Graduated Therapy 20-30 mmHg Pantyhose, Black SM Graduated Therapy 20-30 mmHg Pantyhose, Black MD Graduated Therapy 20-30 mmHg Pantyhose, Black LG Graduated Therapy 20-30 mmHg Pantyhose, Black XL A6539 A6539 A6539 A6539 719869529552 719869529569 719869529576 719869529583 H3201 H3202 H3203 H3204 Graduated Therapy 20-30 mmHg Thigh High, Beige SM Graduated Therapy 20-30 mmHg Thigh High, Beige MD Graduated Therapy 20-30 mmHg Thigh High, Beige LG Graduated Therapy 20-30 mmHg Thigh High, Beige XL A6533 A6533 A6533 A6533 719869529590 719869529606 719869529616 719869529620 H3261 H3262 H3263 H3264 Graduated Therapy 20-30 mmHg Thigh High, Black SM Graduated Therapy 20-30 mmHg Thigh High, Black MD Graduated Therapy 20-30 mmHg Thigh High, Black LG Graduated Therapy 20-30 mmHg Thigh High, Black XL A6533 A6533 A6533 A6533 719869529637 719869529644 719869529651 719869529668 H3301 H3302 H3303 H3304 Graduated Therapy 20-30 mmHg Knee High, Beige SM Graduated Therapy 20-30 mmHg Knee High, Beige MD Graduated Therapy 20-30 mmHg Knee High, Beige LG Graduated Therapy 20-30 mmHg Knee High, Beige XL A6530 A6530 A6530 A6530 719869529675 719869529682 719869529699 719869529705 H3361 H3362 H3363 H3364 Graduated Therapy 20-30 mmHg Knee High, Black SM Graduated Therapy 20-30 mmHg Knee High, Black MD Graduated Therapy 20-30 mmHg Knee High, Black LG Graduated Therapy 20-30 mmHg Knee High, Black XL A6530 A6530 A6530 A6530 719869529712 719869529729 719869529736 719869529743 H4201 Surgical Weight 30-40 mmHg Thigh High w/Band, Beige SM A6534 719869535546 H4202 Surgical Weight 30-40 mmHg Thigh High w/Band, Beige MD A6534 719869535553 H4203 Surgical Weight 30-40 mmHg Thigh High w/Band, Beige LG A6534 719869535560 H4204 Surgical Weight 30-40 mmHg Thigh High w/Band, Beige XL A6534 719869535577 719869529873 GRADUATED THERAPY 20-30 mmHg § SURGICAL WEIGHT 30-40 mmHg § 1682939 1682301 H4301 Surgical Weight 30-40 mmHg Knee High, Closed Toe, Beige SM A6531 H4302 Surgical Weight 30-40 mmHg Knee High, Closed Toe, Beige MD A6531 719869529880 H4303 Surgical Weight 30-40 mmHg Knee High, Closed Toe, Beige LG A6531 719869529897 H4304 Surgical Weight 30-40 mmHg Knee High, Closed Toe, Beige XL A6531 719869529903 H4401 Surgical Weight 30-40 mmHg Knee High, Open Toe, Beige SM A6531 719869529958 H4402 Surgical Weight 30-40 mmHg Knee High, Open Toe, Beige MD A6531 719869529965 H4403 Surgical Weight 30-40 mmHg Knee High, Open Toe, Beige LG A6531 719869529972 H4404 Surgical Weight 30-40 mmHg Knee High, Open Toe, Beige XL A6531 719869529989 § See sizing charts on page 87. *HCPCS codes - see page 86 for more information Page 85 ACTIVA® Compression Hosiery ECONO # CAT # PRODUCT DESCRIPTION ANTI-EMBOLISM 18 mmHg § UPC HCPCS* H5201 Anti-Emb Stocking 18 mmHg Thigh High, Closed Toe, Beige SM A4495 H5202 Anti-Emb Stocking 18 mmHg Thigh High, Closed Toe, Beige MD A4495 719869538165 719869538172 H5203 Anti-Emb Stocking 18 mmHg Thigh High, Closed Toe, Beige LG A4495 719869538189 H5204 Anti-Emb Stocking 18 mmHg Thigh High, Closed Toe, Beige XL A4495 719869538196 H5211 Anti-Emb Stocking 18 mmHg Thigh High, Inspection Toe, White SM A4495 719869529996 H5212 Anti-Emb Stocking 18 mmHg Thigh High, Inspection Toe, White MD A4495 719869532507 H5213 Anti-Emb Stocking 18 mmHg Thigh High, Inspection Toe, White LG A4495 719869532514 H5214 Anti-Emb Stocking 18 mmHg Thigh High, Inspection Toe, White XL A4495 719869532521 H5301 Anti-Emb Stocking 18 mmHg Knee High, Closed Toe, Beige SM A4500 719869538219 H5302 Anti-Emb Stocking 18 mmHg Knee High, Closed Toe, Beige MD A4500 719869538226 H5303 Anti-Emb Stocking 18 mmHg Knee High, Closed Toe, Beige LG A4500 719869538233 H5304 Anti-Emb Stocking 18 mmHg Knee High, Closed Toe, Beige XL A4500 719869538240 H5305 Anti-Emb Stocking 18 mmHg Knee High, Closed Toe, Beige XXL A4500 719869538257 H5311 Anti-Emb Stocking 18 mmHg Knee High, Closed Toe, White SM A4500 719869535485 H5312 Anti-Emb Stocking 18 mmHg Knee High, Closed Toe, White MD A4500 719869535492 H5313 Anti-Emb Stocking 18 mmHg Knee High, Closed Toe, White LG A4500 719869535508 H5314 Anti-Emb Stocking 18 mmHg Knee High, Closed Toe, White XL A4500 719869535515 H50401 Anti-Emb Stocking 18 mmHg Knee High, Open Toe, Beige, SM A4500 719869554325 H50402 Anti-Emb Stocking 18 mmHg Knee High, Open Toe, Beige, MD A4500 719869554332 H50403 Anti-Emb Stocking 18 mmHg Knee High, Open Toe, Beige, LG A4500 719869554349 H50404 Anti-Emb Stocking 18 mmHg Knee High, Open Toe, Beige, XL A4500 719869554356 #N/A H5411 Anti-Emb Stocking 18 mmHg Thigh High, Closed Toe, White, SM A4495 719869543015 H5412 Anti-Emb Stocking 18 mmHg Thigh High, Closed Toe, White, MD A4495 719869543022 H5413 Anti-Emb Stocking 18 mmHg Thigh High, Closed Toe, White, LG A4495 719869543039 H5414 Anti-Emb Stocking 18 mmHg Thigh High, Closed Toe, White, XL A4495 719869543046 #N/A H5901 Anti-Emb Stocking 18 mmHg Thigh High, Open Toe, Beige, SM A4495 719869554288 H5902 Anti-Emb Stocking 18 mmHg Thigh High, Open Toe, Beige, MD A4495 719869554295 H5903 Anti-Emb Stocking 18 mmHg Thigh High, Open Toe, Beige, LG A4495 719869554301 H5904 Anti-Emb Stocking 18 mmHg Thigh High, Open Toe, Beige, XL A4495 719869554318 ® PRESSURE LITE DIABETIC FOOTCARE PRODUCTS § H6111 PressureLite® Light Energizing Diabetic Socks, Crew, White SM A9270 719869539452 H6112 PressureLite® Light Energizing Diabetic Socks, Crew, White MD A9270 719869539469 H6113 PressureLite® Light Energizing Diabetic Socks, Crew, White LG A9270 719869539476 H6114 PressureLite® Light Energizing Diabetic Socks, Crew, White XL A9270 719869539483 #N/A H6161 PressureLite® Light Energizing Diabetic Socks, Crew, Black SM A9270 719869545354 H6162 PressureLite® Light Energizing Diabetic Socks, Crew, Black MD A9270 719869545361 H6163 PressureLite® Light Energizing Diabetic Socks, Crew, Black LG A9270 719869545378 H6164 PressureLite® Light Energizing Diabetic Socks, Crew, Black XL A9270 719869545385 #N/A H6211 PressureLite® Light Energizing Diabetic Socks, Calf, White SM A9270 719869539490 H6212 PressureLite® Light Energizing Diabetic Socks, Calf, White MD A9270 719869539506 H6213 PressureLite® Light Energizing Diabetic Socks, Calf, White LG A9270 719869539513 H6214 PressureLite® Light Energizing Diabetic Socks, Calf, White XL A9270 719869539520 #N/A H6261 PressureLite® Light Energizing Diabetic Socks, Calf, Black SM A9270 719869545392 H6262 PressureLite® Light Energizing Diabetic Socks, Calf, Black MD A9270 719869545408 H6263 PressureLite® Light Energizing Diabetic Socks, Calf, Black LG A9270 719869545415 H6264 PressureLite® Light Energizing Diabetic Socks, Calf, Black XL A9270 719869545422 § See sizing charts on page 87. *HCPCS Codes listed are suggested only; other codes may be more applicable depending on intended product use. Consult your your DMERC Supplier for verifications, allowances and fees. Codes are subject to change without notice. Your individual DMERC can provide you with the most accurate and current information. Page 86 Page 87 INDEX FLA® JOBST® JOBST® JOBST® JOBST® FLA® FLA® FLA® FLA® JOBST® JOBST® JOBST® FLA® BSN medical JOBST® FLA® FLA® BSN medical FLA® BSN medical FLA® FLA® FLA® FLA® JOBST® JOBST® JOBST® ACTIVA® BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical JOBST® JOBST® BSN medical FLA® JOBST® JOBST® ACTIVA® BSN medical JOBST® JOBST® BSN medical FLA® FLA® FLA® FLA® BSN medical JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® Abdominal Binders……………………………………………………………………………………………………….. 69-70 ACCESSORIES……………………………………………………………………………………………………………. 52 ActiveWear 15-20 mmHg, Knee High………..…………………………………………………………..…………………….…...………………………………………… 30 ActiveWear 20-30 mmHg, Knee High………..……………………………...……………………….......…………………….…...………………………………………… 31 ActiveWear 30-40 mmHg, Knee High………..……………………………...……………………….......…………………….…...………………………………………… 31 Ankle Foot Orthosis (AFOs)…………………………………………………………………………………………… 76 Ankle Stirrup Braces…………………………………………………………………………………………………….. 75 Ankle Supports……………………………………………………………………………………………………………. 73-75 Ankle Walkers……………………………………………………………………………………………………………. 75 44 Anti-EM/GP™ Seamless Anti-Embolism Elastic Stockings Knee High……………………………………………………...………..…….……………………………… ™ 45 Anti-EM/GP Seamless Anti-Embolism Elastic Stockings Thigh High……………………………………………………...………..…….……………………………… 45 Anti-EM/GP™ Seamless Anti-Embolism Elastic Stockings Waist High……………………………………………………...………..…….……………………………… Arm Slings……………………………………………………………………………………………………………….... 67-68 62 Artiflex®………..……..………..…………….……………..……………………………………………………….………...….…….………………………………………… Athletic for Men and Women 8-15 mmHg, Knee High Socks……………………….…………....…………….…….…………………………………………………… 9 Athletic Supporter………………………………………………………………………………………………………… 77 Back Supports / Lumbar Sacral………………………………………………………………………………………… 68-69, 77 BANDAGE PRODUCTS………………………………………………………………………………………………….. 61-62 Calf / Thigh Supports……………………………………………………………………………………………………… 73 61 CANVAS ROCKER BOTTOM CAST SHOE……………………………………………………………………………. Cast Protectors…………………………………………………………………………………………………………… 76 Cast Shoes……………………………………………………………………………………………………………….. 75 Cervical Collars…………………………………………………………………………………………………………….. 64 Clavicle / Shoulder Supports / Posture Control……………………………………………………………………………… 64 COLOR AND STYLE GUIDE……………………………………………………………………………………………. 6 COMPLIANCE AIDS……………………………………………………………………………………………………... 52 COMPRESSION HOSIERY SIZING CHARTS…………………………………………………………………………. 55-58 COMPRESSION HOSIERY………………………………………………………………………………………………. 81-86 62 CompriFoam®………..……..………..………………………………...………….……………..…………………………….…….…………………………………………… 62 Comprilan®………..……..………..…………….……………..……………………………………...……………………..….…….………………………………………… 59 Coverlet® Cabinet………..……..……………….……………..…………………….…………………………………...…….…….………………………………………… 59 Coverlet® Fabric Eye Occlusors………..…………………...…..………………………………………………...………...…….…………………………………………… 59 Coverlet® Fabric 4-Wings, Latex-Free Adhesive Dressing………..……..………………….………..………………………….…….…………………………………… 59 Coverlet® Fabric Digits, Latex-Free Adhesive Dressing………………………...……..…………..…………………………….…….…………………………………… 59 Coverlet® Fabric Knuckles, Latex-Free Adhesive Dressing………..….…..……………………………..…………………………….…………………………………… ® 59 Coverlet Fabric Patches, Latex-Free Adhesive Dressing………………………...……..…………..………………………….…….…………………………………… 59 Coverlet® Fabric Spots, Latex-Free Adhesive Dressing………..…………………….…..…………………………………………….…………………………………… 59 Coverlet® Fabric Strip 300 Count, Latex-Free Adhesive Dressing……………………………………...…………………………….……………………………………… 59 Coverlet® Fabric Strip, Latex-Free Adhesive Dressing………..……..………………………………………………………..……….…………………………………… 59 Coverlet® Fabric Toe Shield, Latex-Free Adhesive Dressing…………………..……..……………………………………………………………………………………… 61 Cover-Roll® Adhesive Gauze……..……..………..…………….……………..…………………………….…….…… 61 Cover-Roll® Stretch Non-Woven Bandage……..……..………..…………….……………..…………………………….…….…………………………………………… 60 CUTICELL® STERILE OINTMENT DRESSING……………………………………………………………………………………………………….. 61 CUTICELL® CONTACT ® STERILE SILICONE CONTACT WOUND DRESSING……………………………………… 60 CUTIMED® ACUTE……………………………………………………………………………………………………….. 60 CUTIMED® ALGINATE Calcium Alginate Dressing…………………………………………………………………… ® 60 CUTIMED CAVITY FOAM Cavity Foam Dressing……………………………………………………………………. 60 CUTIMED® GEL……………………………………………………………………………………………………………. 60 CUTIMED® HYDRO Hydrocolloid Dressing……………………………………………………………………………. 61 CUTIMED® OFF-LOADER………………………………………………………………………………………………… 60 CUTIMED® PROTECT…………………………………………………………………………………………………….. 60 CUTIMED® SILTEC® Super Absorbent, Silicone Foam Dressing………………………………………………….. 59 CUTIMED® SORBACT ® Bacteria-Binding Dressing………………………………………………………………….. ® 60 CUTISORB ULTRA Super Absorbent Wound Dressing……………………………………………………………. D.V.T./P.E. PREVENTION……………………………………………………………………………………………….. 44-45 DIABETIC SOCK………………………………………………………………………………………………………….. 7 62 Elastomull®………..……..………..…………….………………………………………………....…………………………….…….………………………………………… Elbow / Forearm Supports……………………………………………………………………………………………….. 64-65 53 EpsteinTM Facioplasty Support for Neck and Chin……………………………………………………………...…………………………………………………………… Facioplasty Elastic Support for Ears, Cheek and Chin……………………………………………………………………………………………………………………… 53 FIT AND MEASURE GUIDE…………………………………………………………………………………………….. 87 61 FIXOMULL® TRANSPARENT FIXATION DRESSING…………………………………………………………………. Foot Rest………………......………………………………………………………..…………...……………………………….…….………………………………………… 52 Garter Belts………………......………………………………...…..…………………………………………….…………………….………………………………………… 52 61 Gelocast®, The Original Unna's Boot……..……..………..…………….……………..……………………………....…….………………………………………………… Heal & Elbow Protector………………………………………………………………………………………………….. 76 Hernia Aids………………………………………………………………………………………………………………… 77 Hot/Cold Gel Packs……………………………………………………………………………………………………….. 76 Hot/Cold Thermal Wraps………………………………………………………………………………………………… 76 INDEX………………………………………………………………………………………………………………………. 88-90 62 Isoband®………..……..………..…………….………………………………………………...……………………...………...…….………………………………………… ® 52 It Stays Roll-On Body Adhesive……………………………………………………………....…………………………………….………………………………………… 45 JOBST Anti-Embolism™ Stockings RETAIL Knee High (Closed Toe)……………………………………….. 45 JOBST Anti-Embolism™ Stockings RETAIL Thigh High (Closed Toe)………………………………………. 46 JOBST ® Bella™ Lite Armsleeve 15-20 mmHg…………………………………………………………………………. ® 46 JOBST Bella™ Lite Armsleeve 20-30 mmHg………....……………………………………………….…………………….....……….…………………………………… 46 JOBST ® Bella™ Lite Gauntlet 15-20 mmHg………....……………………………………………….………………. 46 JOBST ® Bella™ Lite Gauntlet 20-30 mmHg………....………………………………………………….……………….…...……….……………………………………… Page 88 INDEX JOBST® JOBST® JOBST® JOBST® JOBST® BSN medical JOBST® JOBST® BSN medical JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® FLA® FLA® FLA® BSN medical BSN medical BSN medical BSN medical BSN medical BSN medical FLA® JOBST® JOBST® JOBST® JOBST® FLA® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® FLA® FLA® FLA® JOBST® JOBST® FLA® POWERSTEP ® THERALL™ JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® 47-48 JOBST ® Bella™ Strong Armsleeve 15-20 mmHg…………………………………………………………………….. 48-49 JOBST ® Bella™ Strong Armsleeve 20-30 mmHg……...………..…………………………………………………………………………………… 49-51 JOBST ® Bella™ Strong Armsleeve 30-40 mmHg……...………..…………………………………………………………………………………… ® 51 JOBST Bella™ Strong Gauntlet 15-20 mmHg………………………………………………………………………. 51 JOBST ® Bella™ Strong Gauntlet 20-30 mmHg……...………..…………………………………………………………………………………… 62 JOBST ® COMPRIFORE® BANDAGE…………………………………………………………………………………… 52 JOBST ® Donning Gloves………………………...……..………………………………………………………...……………….…………………………………………… 52 JOBST ® Easy Wash and Wear Kit……………………………………………………………………………………………………………………………………………… 62 JOBST ® Foam………..……..………..…………….………………………………….…………..…………………………….…….………………………………………… 32 JOBST ® forMen 15-20 mmHg, Ribbed Style, Knee High………....………..………………….………………………....……….………………………………………… ® 32 JOBST forMen 15-20 mmHg, Ribbed Style, Thigh High………....………………………..…………………………....……….………………………………………… 32 JOBST ® forMen 20-30 mmHg, Ribbed Style, Knee High………....………………………..…………………………….………………………………………………… 32 JOBST ® forMen 20-30 mmHg, Ribbed Style, Thigh High………....…………………..………………………………....……….………………………………………… 33 JOBST ® forMen 30-40 mmHg, Ribbed Style, Knee High………....………………….………………………………….…………………………………………………… 33 JOBST ® forMen 30-40 mmHg, Ribbed Style, Thigh High………....………………..…………………………………....……….………………………………………… 10 JOBST ® forMen 8-15 mmHg, Knee High Socks…………………………………………….……………...……..………………………………………………………… 34 JOBST ® forMen AMBITION 15-20 mmHg, Knee High………....………..………………….………………………… 34-35 JOBST ® forMen AMBITION 20-30 mmHg, Knee High………....………..………………….………………………… 35-36 JOBST ® forMen AMBITION 30-40 mmHg, Knee High………....………..………………….………………………… 37 JOBST ® forMen Casual, 15-20 mmHg, Knee High………....………………..…………………………………....……….………………………………………………… 37 JOBST ® forMen Casual, 20-30 mmHg, Knee High………....………………..…………………………………....……….………………………………………………… ® 37-38 JOBST forMen Casual, 30-40 mmHg, Knee High………....………………..…………………………………....……….………………………………………………… 52 JOBST ® Stocking Donner………………………...……..………………………………………………………...……………….…………………………………………… 53 JOBST ® Surgical Vest……..…………………………...…..………..…………….……………..…………………………….…….………………………………………… 52 Jolastic® Special Washing Solution……..………………..……………………………………….……………………….……….………………………………………… Knee Supports / Stabilizers - Hinged………………………………………………………………………………….. 70-71 Knee Supports / Stabilizers…………………………………………………………………………………………….. 70 Knee Supports……………………………………………………………………………………………………………. 70-73 60 LEUKOMED® COMPOSITE DRESSING……………………………………………………………………………….. 61 LEUKOMED® T PLUS POST-OP DRESSING…………………………………………………………………………. 61 LEUKOMED® T TRANSPARENT FILM DRESSING…………………………………………………………………… 63 Leukotape® P……..……..………..…………….……………..…...……………………………………………………...…….…….………………………………………… 63 Lightplast® ProBlack…..……..………..………..……………………..…..……………………………………..…………….…….………………………………………… 63 Lightplast® Pro……..……..………..………..……………………..…..……………………………………………….……….…….………………………………………… Maternity Support Belt………………………………………………………………………………………………….. 68 MEDICAL ARMSLEEVES & GAUNTLETS…………………………………………………………………………….. 46-51 MEDICAL LEGWEAR 15-20, 20-30, & 30-40 mmHg……………………………………………………………….. 11-43 MedicalWear Glove……………………………...………....………………………………………..…………...……………...…….………………………………………… 51 Men's Dress 8-15 mmHg, Knee High Socks……………………………………………….……....…...……………..……………………………………………………… 10 Occupational Support Products………………………………………………………………………………………… 77 Opaque 15-20 mmHg, Knee High - Petite………..………………………...…….………………………..………………….…...………………………………………… 23 Opaque 15-20 mmHg, Knee High………..………………………………………….....………………………...…………….…...………………………………………… 22-23 Opaque 15-20 mmHg, Pantyhose……………………….……………………....…………………………………..….…………...………………………………………… 24 Opaque 15-20 mmHg, Thigh High - Petite……………………….………….………………………………….…….…………...………………………………………… 24 Opaque 15-20 mmHg, Thigh High………..…..………………………………....…………………………….……….…………...………………………………………… 23-24 Opaque 20-30 mmHg, Knee High - Petite………..………………….…….………………………………………...……….…...…………………………………………… 25 Opaque 20-30 mmHg, Knee High………..………………………………………...…..……………………………..……….…...………………………………………… 25 Opaque 20-30 mmHg, Pantyhose……………………….………….……………….………………………...……….…………...………………………………………… 27 Opaque 20-30 mmHg, Thigh High - Petite……………………….………….…………………………………….….…………...………………………………………… 26-27 Opaque 20-30 mmHg, Thigh High………..…..………………………………...…………………………………..….…………...………………………………………… 25-26 Opaque 30-40 mmHg, Knee High - Petite………..…………………….………………………….………………………….…...………………………………………… 27-28 Opaque 30-40 mmHg, Knee High………..…………………………………………....……………………………...……….…...………………………………………… 27 Opaque 30-40 mmHg, Pantyhose……………………….………….……………...……………………...………….…………...…………………………………………… 29 Opaque 30-40 mmHg, Thigh High - Petite……………………….………….……………………………….……….…………...………………………………………… 28-29 Opaque 30-40 mmHg, Thigh High………..…..…………………….……………….……………………..………….…………...………………………………………… 28 ORTHOPEDICS - ORTHOPEDIC SOFT GOODS…………………………………………………………………….. 64-77 PATIENT CARE……………………………………………………………………………………………………………. 76 Plantar Fasciitis Night Splints………………………………………………………………………………………….. 76 Plastic Surgery Girdles……..……………....………..………..………………………………………………....……………….…….……………………………………… 53-54 PLASTIC SURGERY PRODUCTS……………………………………………………………………………………... 53-54 Post Op Shoes……………………………………………………………………………………………………………. 75 79-80 Powerstep ® Foot Orthotics …………………………………………………………………………………………… PREMIUM ARTHRITIS CARE PRODUCTS 78 PRODUCT SELECTION AND THERAPY GUIDE…………………………………………………………………….. 5 38-39 Relief® 15-20 mmHg, Knee High………………………………………………………..…………...……………...……….………………………………………………… 39 Relief® 15-20 mmHg, Thigh High………………….……….………………………..………………………….……………………………………………………………… 41 Relief® 20-30 mmHg, Chaps Style…………………………….……….……….……………………………………………………………………………………………… 39-40 Relief® 20-30 mmHg, Knee High with Silicone Band………………………………………………………..…………...……………...……….…………………………… 39-40 Relief® 20-30 mmHg, Knee High………………………………………………………..…………...……………...……….………………………………………………… 40 Relief® 20-30 mmHg, Thigh High………………….……….………………………..………………………….……………………………………………………………… 41 Relief® 20-30 mmHg, Waist High……………………………………………………..………..….……….…………………………………………………………………… 43 Relief® 30-40 mmHg, Chaps Style……………………..……………….…………………………………………..……..….………………………………………………… 41 Relief® 30-40 mmHg, Knee High with Silicone Band……………………………...……….…………………………….…………………..….…………………………… 41-42 Relief® 30-40 mmHg, Knee High……………………………...……….…………………………….…………………..….………………………………………………… 42 Relief® 30-40 mmHg, Thigh High……………………………...……….……………………………………………...…….………………………………………………… 42 Relief® 30-40 mmHg, Waist High…………………………….………….………………………………………….……...….……………………………………………… Page 89 INDEX FLA® POSTURA® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® BSN medical JOBST® JOBST® BSN medical BSN medical BSN medical BSN medical BSN medical THERALL™ THERALL™ THERALL™ THERALL™ THERALL™ THERALL™ THERALL™ THERALL™ THERALL™ FLA® JOBST® BSN medical JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® JOBST® Rib Support Belts………………………………………………………………………………………………………… 69 Seating and Positioning Products……………………………………………………………………………………….. 78 7 SensiFootTM Crew Length Diabetic Socks for Men and Women…...…….………………....………………………………....…………………………………………… 7 SensiFootTM Knee Length Diabetic Socks for Men and Women…..……………….…………..……..……….…………………………………………………………… 8 SensiFootTM Mini-Crew Length Diabetic Socks for Men and Women.……...…..…………..…………………...………….…........................................................... soSoft 15-20 mmHg, Brocade Knee High………..……………………………………....……………………...…… 29 soSoft 15-20 mmHg, Ribbed Knee High………..……………………………………....……………………...…… 29 soSoft 20-30 mmHg, Brocade Knee High………..……………………………………....……………………...…… 29 soSoft 20-30 mmHg, Ribbed Knee High………..……………………………………....……………………...…… 30 soSoft 30-40 mmHg, Brocade Knee High………..……………………………………....……………………...…… 30 soSoft 30-40 mmHg, Ribbed Knee High………..……………………………………....……………………...…… 30 soSoft 8-15 mmHg, Brocade Knee High Socks……………………….………………………...…...…...………………………………………………………………… 9 soSoft 8-15 mmHg, Ribbed Knee High Socks……………………………………………....………….…………………………………………………………………… 9 Sport Socks 15-20 mmHg, Knee High………..……………………………...……………………….......………… 31 Sport Socks 20-30 mmHg, Knee High………..……………………………...……………………….......………… 31 SPORTS MEDICINE PRODUCTS……………………………………………………………………………………... 63 Stocking Slips………………………...……..……………………………………..…………………………………......……….……………………………………………… 52 SUPPORTWEAR 8-15 mmHg…………………………………………………………………………………………. 8-10 TABLE OF CONTENTS……………………………………………………………………………………………………………………… 2-4 63 TENSOGRIP® BANDAGE ELASTIC TUBULAR……………………………………………………………………….. 62 Tensoplast® Tan (formerly Elastoplast)……..……..………..………..………………..…………….…….………………………………………………………………… 63 Tensoplast® Tan Athletic Tape (formerly Elastoplast)……..…….………..………………….……………………….…….……………………………………………… 62 Tensoplast® White (formerly Elastoplast)……..……..………..…………………………..………………..…………….…….…………………………………………… 63 TENSOSHAPE® BANDAGE ELASTIC TUBULAR……………………………………………………………………. 78 Therall™ Foot Warmers…………………………………………………………………………………………………… 78 Therall™ Heat Retaining Back Supports……………………………………………………………………………….. 78 Therall™ Joint Warming Ankle Supports……………………………………………………………………………….. 78 Therall™ Joint Warming Arthritis Gloves……………………………………………………………………………….. 78 Therall™ Joint Warming Elbow Supports……………………………………………………………………………… 78 Therall™ Joint Warming Knee Supports……………………………………………………………………………….. 78 Therall™ Joint Warming Wrist Supports……………………………………………………………………………….. 78 Therall™ Moist Heat Pad…………………………………………………………………………………………………. 78 Therall™ Moist Heat Therapy Heat Mitt………………………………………………………………………………… Thumb Supports…………………………………………………………………………………………………………… 67 Travel Socks 15-20 mmHg, Knee High………………………………………………………………………………… 38 62 Tricofix®………..……..………..…………….………………………………………………...……………………….……...….…….………………………………………… UlcerCARE 2-Part System For Venous Stasis Ulcers Stockings………………..……………………………………………………...………………….……………… 44 UlcerCARE Compression Liners for use with 2-Part System………………......……………………………………………..………………………….………………… 44 UltraSheer 8-15 mmHg, Knee High………………………….………….…...….……………………………………………...……………………………………………… 8 UltraSheer 8-15 mmHg, Maternity Pantyhose…………………………………………….....……………………………….….….………………………………………… 9 UltraSheer 8-15 mmHg, Pantyhose……………………...........................................................................…….………………………………………………………… 8 UltraSheer 8-15 mmHg, Thigh High………………………………………………………….....……………………….………….………………………………………… 8 UltraSheer 15-20 mmHg, Knee High - Petite………..…..……………………………………………………….……………...…………………………………………… 12 12 JOBST® UltraSheer 15-20 mmHg, Knee High DIAMOND PATTERN…………….……………………………………………. 11 JOBST® UltraSheer 15-20 mmHg, Knee High…………….…………………………………………………………....……………….…...………………………………………… 14 JOBST® UltraSheer 15-20 mmHg, Maternity Pantyhose……………..………………...…………………………….…….………………………………………………………… 14 JOBST® UltraSheer 15-20 mmHg, Pantyhose DIAMOND PATTERN……………..…………………….……………………. 14 JOBST® UltraSheer 15-20 mmHg, Pantyhose……………..…………………….……………………………………….…………………………………………………………… 13-14 JOBST® UltraSheer 15-20 mmHg, Thigh High - Petite………..…..………………………………………………………...……………...………………………………………… 13 JOBST® UltraSheer 15-20 mmHg, Thigh High DIAMOND PATTERN………..…..………………………………...……….… 12-13 JOBST® UltraSheer 15-20 mmHg, Thigh High………..…..………………………………...……… ….………………………...………...………………………………………… 16 JOBST® UltraSheer 20-30 mmHg, Knee High - Petite………..…..…………………………………………………….…….……………...………………………………………… 16 JOBST® UltraSheer 20-30 mmHg, Knee High DIAMOND PATTERN…………….…………………………..………………. 15-16 JOBST® UltraSheer 20-30 mmHg, Knee High…………….…………………………..……………………………..………………….…...………………………………………… 19 JOBST® UltraSheer 20-30 mmHg, Maternity Pantyhose……………..……………………………...……………………….………………………………………………………… 19 JOBST® UltraSheer 20-30 mmHg, Pantyhose DIAMOND PATTERN……………..……………………………………...…. 18-19 JOBST® UltraSheer 20-30 mmHg, Pantyhose……………..……………………………………...….………………………….……………………………………………………… 18 JOBST® UltraSheer 20-30 mmHg, Thigh High - Petite………..…..………………………………….…………………………..………...………………………………………… 18 JOBST® UltraSheer 20-30 mmHg, Thigh High DIAMOND PATTERN………..…..…………………………...………………. 17-18 JOBST® UltraSheer 20-30 mmHg, Thigh High………..…..…………………………...……………….…………………………….……...………………………………………… 20 JOBST® UltraSheer 30-40 mmHg, Knee High - Petite………..…..………………………………………………………...……………...…………………………………………… 19-20 JOBST® UltraSheer 30-40 mmHg, Knee High…………….……………………………………...…………………………….……….…...………………………………………… 22 JOBST® UltraSheer 30-40 mmHg, Pantyhose……………..…………………….…………………………………..………………….……………………………………………… 21-22 JOBST® UltraSheer 30-40 mmHg, Thigh High - Petite………..…..………………………………………………………..……………...…………………………………………… 21 JOBST® UltraSheer 30-40 mmHg, Thigh High………..…..……………………………………..……………………..…….……………...………………………………………… 43 JOBST® Vairox® 30-40 mmHg - Knee High with Zipper………………………………………………………………………… 44 JOBST® VENOUS LEG ULCER MANAGEMENT SYSTEM…………………………………………………………………….. BSN medical WOUND CARE PRODUCTS…………………………………………………………………………………………….. 59-63 FLA® Wrist Supports…………………………………………………………………………………………………………….. 65-67 It Stays® is a registered trademark of New Horizons Diversified Interests. Velcro® is a registered trademark of Velcro U.S.A., Inc. Page 90 BSN medical Inc. 5825 Carnegie Blvd. Charlotte, NC 28209-4633 Tel. 704-554-9933 JOBST ® and FLA® Customer Service: 1-800-537-1063 Fax: 1-800-835-4325 Web sites: www.bsnmedical.com www.jobst.com www.flaorthopedics.com 51985M R5 ©2015 BSN medical Inc. REV 09/15 Page 91
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