Colorado 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!

Colorado Maximum Number Allowed per Calendar Month

Medicaid benefits for ages 4 and older
Requires physician’s prescription

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

Colorado Maximum Number Allowed per Calendar Month

Those who qualify for Medicaid incontinence supplies benefits may be eligible to receive a specific amount of products* at no cost to them.

Primary Garment

MODERATE

Essential Breathable Briefs – Moderate

M-XL

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

13.6 oz/ 403 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*

Bariatric Briefs

3XL

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

34 oz/1005 mL*

MODERATE

Essential Breathable Briefs – Moderate

M-XL

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

13.6 oz/ 403 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*

Bariatric Briefs

3XL

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

34 oz/1005 mL*

Added Protection

MODERATE

Essential® Underpads

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

18.5 oz / 550 mL*

Essential® Booster Pads – Moderate

Regular

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

5.3 oz / 157 mL*

HEAVY

Essential® Booster Pads – Heavy

Youth-Long

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

8.0 oz / 256 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*

MODERATE

Essential® Underpads

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

18.5 oz / 550 mL*

Essential® Booster Pads – Moderate

Regular

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

5.3 oz / 157 mL*

HEAVY

Essential® Booster Pads – Heavy

Youth-Long

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

8.0 oz / 256 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.