Washington 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!

Washington Maximum Number Allowed per Calendar Month
Ages 3+
*Applies to Traditional Medicaid limits for state at time of printing. Coverage for Managed Care and other plans may differ.
Other product options not shown may be available under Waiver programs.

Washington Maximum Number Allowed per Calendar Month
Ages 3+
*Applies to Traditional Medicaid limits for state at time of printing. Coverage for Managed Care and other plans may differ.
Other product options not shown may be available under Waiver programs.

Primary Garment
MODERATE
Essential Underwear – Moderate
S-XLPull-on product with breathable sides offers discreet and reliable protection

Essential Breathable Briefs – Moderate
M-XLClothlike, breathable, tab-style brief offers reliable protection.

HEAVY
Essential Underwear – Heavy
XS-2XLSoft, pull-on product offers discreet and reliable protection.

Essential Breathable Briefs – Heavy
XS-2XLClothlike, breathable, tab-style brief offers reliable protection.

MODERATE
Essential Underwear – Moderate
S-XLPull-on product with breathable sides offers discreet and reliable protection

Essential Breathable Briefs – Moderate
M-XLClothlike, breathable, tab-style brief offers reliable protection.

HEAVY
Essential Underwear – Heavy
XS-2XLSoft, pull-on product offers discreet and reliable protection.

Essential Breathable Briefs – Heavy
XS-2XLClothlike, breathable, tab-style brief offers reliable protection.

Added Protection
MODERATE
Essential® Underpads
Soft and smooth underpad is comfortable against skin and protects surfaces from leakage and odor.

Essential® Booster Pads – Moderate
RegularFlow-through pad designed to add capacity to any disposable incontinence product.

HEAVY
Essential® Booster Pads – Heavy
Youth-LongFlow-through pad designed to add capacity to any disposable incontinence product.

MODERATE
Essential® Underpads
Soft and smooth underpad is comfortable against skin and protects surfaces from leakage and odor.

Essential® Booster Pads – Moderate
RegularFlow-through pad designed to add capacity to any disposable incontinence product.

HEAVY
Essential® Booster Pads – Heavy
Youth-LongFlow-through pad designed to add capacity to any disposable incontinence product.

*Product absorbency listed is for largest respective size.