Medline MoliForm Soft Incontinence Liners

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MoliForm Soft Incontinence Liners

• MoliForm premium soft liners feature a cloth-like backing for increased comfort and discretion
• Anti-leak guards for maximum containment
• Advanced Dry Zone for superior skin dryness
• Wetness indicator displays when change is needed
• Four absorbency levels for individualized care

• Adhesive Strip: No
• Bag Appearance: Printed
• Packaging: 32 per Bag
• Product Type: Incontinence Liner
• Reusable or Disposable: Disposable
• Size Group: Unisex
• UNSPSC: 53131639

MoliForm Soft Incontinence Liners, 13" x 24.5"

SKU: PHT1684040

Case Packaging: 128/CS

• Absorbency Level: Extra
• Absorbency Scale: 4 of 10
• Manufacturer: HARTMANN USA, INC.
• Latex Info: Made With Latex
• Manufacturer Product Number: 1684040
• HCPC Code: NOT COVERED BY MEDICARE - CHECK REIMBURSEMENT WITH MEDICAID

• Dimensions: 15.5x10.6"x23.7"
• Gross Weight: 17.9
• Unit Weight: LB

MoliForm Soft Incontinence Liners, 13" x 24.5", Plus

SKU: PHT1684050

Case Packaging: 128/CS

• Absorbency Level: Heavy
• Absorbency Scale: 5 of 10
• Manufacturer: HARTMANN USA, INC.
• Latex Info: Made With Latex
• Manufacturer Product Number: 1684040
• HCPC Code: NOT COVERED BY MEDICARE - CHECK REIMBURSEMENT WITH MEDICAID
• EAN/UPC Code: 4052199582665

• Dimensions: 15.5x10.0"x23.5"
• Gross Weight: 19.9
• Unit Weight: LB

MoliForm Soft Incontinence Liners, 13" x 27", Extra

SKU: PHT1684060

Case Packaging: 128/CS

• Absorbency Level: Super
• Absorbency Scale: 6 of 10
• Manufacturer: HARTMANN USA, INC.
• Latex Info: Made With Latex
• Manufacturer Product Number: 1684040
• HCPC Code: NOT COVERED BY MEDICARE - CHECK REIMBURSEMENT WITH MEDICAID
• EAN/UPC Code: 4052199582672

• Dimensions: 15.7x17.6"x21.7"
• Gross Weight: 28.1
• Unit Weight: LB

MoliForm Soft Incontinence Liners, 13" x 27", Overnight

SKU: PHT1684080

Case Packaging: 128/CS

• Absorbency Level: Overnight
• Absorbency Scale: 8 of 10
• Manufacturer: HARTMANN USA, INC.
• Latex Info: Made With Latex
• Manufacturer Product Number: 1684040
• HCPC Code: NOT COVERED BY MEDICARE - CHECK REIMBURSEMENT WITH MEDICAID
• EAN/UPC Code: 4052199582689

• Dimensions: 15.6x19.5"x21.7"
• Gross Weight: 33.85
• Unit Weight: LB

MoliForm Soft Incontinence Liners, 13" x 27", Overnight

SKU: PHT1684080H

Case Packaging: 32/BG

• Absorbency Level: Overnight
• Absorbency Scale: 8 of 10
• Manufacturer: HARTMANN USA, INC.
• Latex Info: Made With Latex
• Manufacturer Product Number: 1684040
• HCPC Code: NOT COVERED BY MEDICARE - CHECK REIMBURSEMENT WITH MEDICAID
• EAN/UPC Code: 4052199582719

• Dimensions: 10.8x8.0"x14.7"
• Gross Weight: 7.95
• Unit Weight: LB

Disclaimer: HCPCS codes and HSA/FSA eligibility information provided by Medline are intended as general guidelines only. Medline does not guarantee coverage or reimbursement of any products. You must address all coverage and reimbursement concerns with your individual payer(s) and/or plan administrator.