Pennsylvania 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!

Pennsylvania Maximum Number Allowed per Calendar Month

Ages 3 and Older

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

Pennsylvania Maximum Number Allowed per Calendar Month

Ages 3 and Older

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

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*

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*

Adult Liner

One Size

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

15.5 oz/458 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*

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*

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

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.

SPECIALTY

Swimmates

S-2XL

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