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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