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-XL

Pull-on product with breathable sides offers discreet and reliable protection

13.5 oz/ 400 mL*

Essential Breathable Briefs – Moderate

M-XL

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

13.5 oz/ 400 mL*

HEAVY

Essential Underwear – Heavy

XS-2XL

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

MODERATE

Essential Underwear – Moderate

S-XL

Pull-on product with breathable sides offers discreet and reliable protection

13.5 oz/ 400 mL*

Essential Breathable Briefs – Moderate

M-XL

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

13.5 oz/ 400 mL*

HEAVY

Essential Underwear – Heavy

XS-2XL

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

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.

6.7 oz / 198 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.

6.7 oz / 198 mL*