Arizona Medicaid

Tranquility incontinence supplies may be available at no cost to you through traditional state Medicaid benefits. You may also qualify for waiver-covered products listed below. Review your options and request free product samples!

Arizona Maximum Number Allowed per Calendar Month

*Applies to Traditional Medicaid limits for state at time of publishing. Coverage for Managed Care and other plans may differ.

Arizona Maximum Number Allowed per Calendar Month

*Applies to Traditional Medicaid limits for state at time of publishing. Coverage for Managed Care and other plans may differ.

Primary Garment


HEAVY

Essential Underwear – Heavy

XS-3XL

Soft, pull-on product offers discreet and reliable protection.

19.0 oz / 562 mL

Essential Breathable Briefs – Heavy

XS-2XL

Clothlike, breathable, tab-style brief offers reliable protection.

23.0 oz / 680 mL

SUPER

Premium DayTime™ Underwear

M-2XL

Discreet, 100% breathable, daytime protection for active individuals with heavier urine voids.

25 oz/740 mL*

SlimLine® Original Briefs

Youth-XL

Classic full-fit, poly-backed brief with a slimmer profile makes it versatile for everyday use.

23.7 oz / 702 mL*

MAXIMUM

Premium OverNight™ Underwear

XS-3XL

100% breathability with maximum absorbency provides extended wear time for a full night of uninterrupted sleep.

34 oz/1005 mL*

SmartCore® Briefs

S-2XL

Breathable sides help eliminate heat and moisture, providing the ideal microclimate for skin integrity.

34 oz/1005 mL*

ATN™ (All-Through-the-Night) Briefs

XS-XL

A full-fit, poly-backed brief with expanded surface area providing longer wear time by absorbing multiple voids.

34 oz/1005 mL*

AIR-Plus™ Bariatric Briefs

4-5XL

100% breathable allowing heat and moisture vapor to escape, enhancing skin integrity. Fits up to a 108” waist.

34 oz/1005 mL*

HI-Rise™ Bariatric Briefs

3XL

Full-fit brief with higher coverage in the front and back for a secure fit. Fits up to a 96″ waist. Breathable, stretchy side panels.

34 oz/1005 mL*

Bariatric Briefs

3XL

Full-fit brief with breathable, stretchy side panels comfortably fits up to a 96″ waist.

34 oz/1005 mL*

Adult Liner

One Size

Thin, moisture-proof, backed liner is worn in regular underwear for a discreet appearance.

15.5 oz/458 mL*

HEAVY

Essential Underwear – Heavy

XS-3XL

Soft, pull-on product offers discreet and reliable protection.

19.0 oz / 562 mL

Essential Breathable Briefs – Heavy

XS-2XL

Clothlike, breathable, tab-style brief offers reliable protection.

23.0 oz / 680 mL

SUPER

Premium DayTime™ Underwear

M-2XL

Discreet, 100% breathable, daytime protection for active individuals with heavier urine voids.

25 oz/740 mL*

SlimLine® Original Briefs

Youth-XL

Classic full-fit, poly-backed brief with a slimmer profile makes it versatile for everyday use.

23.7 oz / 702 mL*

MAXIMUM

Premium OverNight™ Underwear

XS-3XL

100% breathability with maximum absorbency provides extended wear time for a full night of uninterrupted sleep.

34 oz/1005 mL*

SmartCore® Briefs

S-2XL

Breathable sides help eliminate heat and moisture, providing the ideal microclimate for skin integrity.

34 oz/1005 mL*

ATN™ (All-Through-the-Night) Briefs

XS-XL

A full-fit, poly-backed brief with expanded surface area providing longer wear time by absorbing multiple voids.

34 oz/1005 mL*

AIR-Plus™ Bariatric Briefs

4-5XL

100% breathable allowing heat and moisture vapor to escape, enhancing skin integrity. Fits up to a 108” waist.

34 oz/1005 mL*

HI-Rise™ Bariatric Briefs

3XL

Full-fit brief with higher coverage in the front and back for a secure fit. Fits up to a 96″ waist. Breathable, stretchy side panels.

34 oz/1005 mL*

Bariatric Briefs

3XL

Full-fit brief with breathable, stretchy side panels comfortably fits up to a 96″ waist.

34 oz/1005 mL*

Adult Liner

One Size

Thin, moisture-proof, backed liner is worn in regular underwear for a discreet appearance.

15.5 oz/458 mL*

Added Protection


HEAVY

Essential® Booster Pads

Youth-Long

Flow-through pad designed to add capacity to any disposable incontinence product.

8.0 oz / 256 mL*

MODERATE

Essential® Underpads

Soft and smooth underpad is comfortable against skin and protects surfaces from leakage and odor.

18.5 oz / 550 mL*

MAXIMUM

TopLiner® Booster Pads

Mini-Super

Thin design allows for placement in target areas where additional absorption is needed.

14.2 oz / 420 mL*

TopLiner® Booster Contour Pads

Contour – Super-Plus

Wide hourglass shape helps contain bowel. Soft texture and no adhesive strip makes cleanup easier.

27.5 oz / 813 mL*

HEAVY

Essential® Booster Pads

Youth-Long

Flow-through pad designed to add capacity to any disposable incontinence product.

8.0 oz / 256 mL*

MODERATE

Essential® Underpads

Soft and smooth underpad is comfortable against skin and protects surfaces from leakage and odor.

18.5 oz / 550 mL*

MAXIMUM

TopLiner® Booster Pads

Mini-Super

Thin design allows for placement in target areas where additional absorption is needed.

14.2 oz / 420 mL*

TopLiner® Booster Contour Pads

Contour – Super-Plus

Wide hourglass shape helps contain bowel. Soft texture and no adhesive strip makes cleanup easier.

27.5 oz / 813 mL*

Waiver-Covered Products


SPECIALTY

Swimmates

S-2XL

This discreet unisex disposable Underwear is designed for minimal swelling and does not break apart when wet.

EXTRA CARE ITEMS

Cleansing Wipes

Paraben free and alcohol free, hypoallergenic with a mild scent. Generous 9” x 13” size allows for quicker cleanup.

SPECIALTY

Swimmates

S-2XL

This discreet unisex disposable Underwear is designed for minimal swelling and does not break apart when wet.

EXTRA CARE ITEMS

Cleansing Wipes

Paraben free and alcohol free, hypoallergenic with a mild scent. Generous 9” x 13” size allows for quicker cleanup.