| No | Primary DI | Version or Model | Catalog Number | Device Description | Product Code | Product Code Name | Device Class | Brand Name |
|---|---|---|---|---|---|---|---|---|
| 1 | 10603354400952 | REV00 | FH10SMGR010 | FOOTHOLD - SMALL W/GAIT ROCKER - SNGL | FMP | Protector, Skin Pressure | 1 | FOOTHOLD |
| 2 | 10603354400907 | REV00 | FH10XLGR010 | FOOTHOLD - XLARGE W/GAIT ROCKER - SNGL | FMP | Protector, Skin Pressure | 1 | FOOTHOLD |
| 3 | 10603354400891 | REV00 | FH10LGGR010 | FOOTHOLD - LARGE W/GAIT ROCKER - SNGL | FMP | Protector, Skin Pressure | 1 | FOOTHOLD |
| 4 | 10603354400884 | REV00 | FH10MDGR010 | FOOTHOLD - MEDIUM W/ GAIT ROCKER - SNGL | FMP | Protector, Skin Pressure | 1 | FOOTHOLD |
| 5 | 10603354400860 | REV00 | FH10SMDA010 | SMALL DIABETIC FOOTHOLD - SINGLE | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 6 | 10603354400570 | REV00 | FH20XLXX010 | FOOTHOLD - XLARGE PLUS - SNGL | FMP | Protector, Skin Pressure | 1 | FOOTHOLD |
| 7 | 10603354400563 | REV00 | FH20SMXX010 | FOOTHOLD - SMALL PLUS - SNGL | FMP | Protector, Skin Pressure | 1 | FOOTHOLD |
| 8 | 10603354400556 | REV00 | FH20MDXX010 | FOOTHOLD - MEDIUM PLUS - SNGL | FMP | Protector, Skin Pressure | 1 | FOOTHOLD |
| 9 | 10603354400549 | REV00 | FH20LGXX010 | FOOTHOLD - LARGE PLUS - SNGL | FMP | Protector, Skin Pressure | 1 | FOOTHOLD |
| 10 | 10603354400532 | REV00 | FH10XPWS010 | FOOTHOLD - XP W/SPLINT - SNGL | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 11 | 10603354400525 | REV00 | FH10XPEX010 | FOOTHOLD - XP W/SPLINT & SECURE STICK - SNGL | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 12 | 10603354400518 | REV00 | FH10XLXX010 | FOOTHOLD - XLARGE - SNGL | FMP | Protector, Skin Pressure | 1 | FOOTHOLD |
| 13 | 10603354400501 | REV00 | FH10XLWS010 | FOOTHOLD - XLARGE W/SPLINT - SNGL | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 14 | 10603354400495 | REV00 | FH10XLSS010 | FOOTHOLD - XLARGE W/SECURE STICK SOLE - SNGL | FMP | Protector, Skin Pressure | 1 | FOOTHOLD |
| 15 | 10603354400488 | REV00 | FH10XLEX010 | FOOTHOLD - XLARGE W/SPLINT & SECURE STICK - SNGL | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 16 | 10603354400464 | REV00 | FH10XLEX010 | FOOTHOLD - XLARGE W/SPLINT & GAIT ROCKER - SNGL | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 17 | 10603354400426 | REV00 | FH10SMXX010 | FOOTHOLD - SMALL - SNGL | FMP | Protector, Skin Pressure | 1 | FOOTHOLD |
| 18 | 10603354400419 | REV00 | FH10SMWS010 | FOOTHOLD - SMALL W/SPLINT - SNGL | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 19 | 10603354400402 | REV00 | FH10SMSS010 | FOOTHOLD - SMALL W/SECURE STICK SOLE - SNGL | FMP | Protector, Skin Pressure | 1 | FOOTHOLD |
| 20 | 10603354400365 | REV00 | FH10SMEX010 | FOOTHOLD - SMALL W/SPLINT & SECURE STICK - SNGL | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 21 | 10603354400341 | REV00 | FH10SMEX01G | FOOTHOLD - SMALL W/SPLINT & GAIT ROCKER - SNGL | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 22 | 10603354400297 | REV00 | FH10MDXX010 | FOOTHOLD - MEDIUM - SNGL | FMP | Protector, Skin Pressure | 1 | FOOTHOLD |
| 23 | 10603354400280 | REV00 | FH10MDWS010 | FOOTHOLD - MEDIUM W/SPLINT - SNGL | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 24 | 10603354400273 | REV00 | FH10MDSS010 | FOOTHOLD - MEDIUM W/SECURE STICK SOLE - SNGL | FMP | Protector, Skin Pressure | 1 | FOOTHOLD |
| 25 | 10603354400242 | REV00 | FH10MDEX010 | FOOTHOLD- MEDIUM W/SPLINT & SECURE STICK SOLE - SNGL | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 26 | 10603354400228 | REV00 | FH10MDEX01G | FOOTHOLD - MEDIUM W/SPLINT & GAIT ROCKER - SNGL | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 27 | 10603354400211 | REV00 | FH10MDDA010 | MEDIUM DIABETIC FOOTHOLD - SNGL | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 28 | 10603354400167 | REV00 | FH10LGXX010 | FOOTHOLD - LARGE - SNGL | FMP | Protector, Skin Pressure | 1 | FOOTHOLD |
| 29 | 10603354400136 | REV00 | FH10LGWS010 | FOOTHOLD - LARGE W/SPLINT - SNGL | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 30 | 10603354400129 | REV00 | FH10LGSS010 | FOOTHOLD - LARGE W/SECURE STICK SOLE - SNGL | FMP | Protector, Skin Pressure | 1 | FOOTHOLD |
| 31 | 10603354400099 | REV00 | FH10LGEX010 | FOOTHOLD - LARGE W/SPLINT & SECURE STICK SOLE - SNGL | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 32 | 10603354400075 | REV00 | FH10LGEX01G | FOOTHOLD - LARGE W/SPLINT & GAIT ROCKER - SNGL | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 33 | 10603354400068 | REV00 | FH10LGDA010 | FOOTHOLD LARGE DIABETIC FOOTHOLD - SNGL | IQI | Orthosis, Limb Brace | 1 | FOOTHOLD |
| 34 | 10603354500591 | REV00 | DC400208010 | SINGLE 21 X 11 X 8 WEDGE | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| 35 | 10603354500942 | REV00 | DC305005010 | 20X72X2 W/.25 CONV. PAD - SINGLE | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| 36 | 10603354500690 | REV00 | DC300001010 | 8x16x2 CONVOLUTED PAD - SINGLE | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| 37 | 10603354500652 | REV00 | DC400304010 | SINGLE 6X18X25 LARGE ABDUCTION PILL | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| 38 | 10603354500645 | REV00 | DC400303010 | SINGLE 6 X 15 X 22 ABDUCTION PILLOW | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| 39 | 10603354500638 | REV00 | DC400302010 | SINGLE 6X12X18 SMALL ABDUCTION PILL | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| 40 | 10603354500621 | REV00 | DC400232010 | SINGLE 24X24X12.5 WEDGE | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| 41 | 10603354500614 | REV00 | DC400217010 | SINGLE LAMINECTOMY ARM CRADLE | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| 42 | 10603354500607 | REV00 | DC400211010 | SINGLE POSITIONING ROLL | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| 43 | 10603354500584 | REV00 | DC400203010 | SINGLE CAST & LIMB ELEVATOR | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| 44 | 10603354500577 | REV00 | DC400114W10 | SINGLE 20 X 3 X 4 POPLITEAL SUPPORT | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| 45 | 10603354500560 | REV00 | DC400112010 | SINGLE HEEL PROTECTOR | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| 46 | 10603354500553 | REV00 | DC400111010 | SINGLE ULNER NERVE PAD | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| 47 | 10603354500546 | REV00 | DC400110010 | SINGLE LARGE ENT POSITIONER | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| 48 | 10603354500539 | REV00 | DC400107010 | 18X9X2 CONV. SINGLE ARM CUSHION | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| 49 | 10603354500522 | REV00 | DC400105010 | SINGLE HEAD POSITIONER | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| 50 | 10603354500515 | REV00 | DC400102010 | SINGLE 7 X 1.75 RING CUSHION | FMP | Protector, Skin Pressure | 1 | DERMACARE |
| No | Primary DI | Version or Model | Catalog Number | Device Description | Brand Name | Organization Name |
|---|---|---|---|---|---|---|
| 1 | 10603354201627 | REV00 | 2250WCIX010 | WAFFLE Cushion, Medium, High Altitude - SNGL | WAFFLE | EHOB INC |
| 2 | 10603354201603 | REV00 | 2050TPUP010 | 205TPUP WAFFLE EXTENDED CARE MULTI-CARE PAD W/LAD - SNGL | WAFFLE | EHOB INC |
| 3 | 10603354201573 | REV00 | 2050TPUI010 | 205TPU WAFFLE PREINFLATED EXTENDED CARE MULTI-CARE PAD - SNGL | WAFFLE | EHOB INC |
| 4 | 10603354201542 | REV00 | 2050TPUX010 | 205TPU WAFFLE EXTENDED CARE MULTI-CARE PAD - SNGL | WAFFLE | EHOB INC |
| 5 | 10603354201511 | REV00 | 2050WPPX010 | 205WP WAFFLE MULTI-CARE PAD W/LAD - SNGL | WAFFLE | EHOB INC |
| 6 | 10603354201481 | REV00 | 2050WPIX010 | 205WP WAFFLE PREINFLATED MULTI-CARE PAD - SNGL | WAFFLE | EHOB INC |
| 7 | 10603354201450 | REV00 | 2050WPXX010 | 205WP WAFFLE MULTI-CARE PAD - SNGL | WAFFLE | EHOB INC |
| 8 | 10603354201429 | REV00 | 2010TPUP010 | 201TPU WAFFLE EXTENDED CARE MULTI-CARE PAD W/LAD - SNGL | WAFFLE | EHOB INC |
| 9 | 10603354201399 | REV00 | 2010TPUI010 | 201TPU WAFFLE PREINFLATED EXTENDED CARE MULTI-CARE PAD - SNGL | WAFFLE | EHOB INC |
| 10 | 10603354201368 | REV00 | 2010TPUX010 | 201TPU WAFFLE EXTENDED CARE MULTI-CARE PAD - SNGL | WAFFLE | EHOB INC |
| 11 | 10603354201344 | REV00 | 2400WCVLCOV | 240WC WAFFLE VALVELESS EXTENDED CARE BARIATRIC CUSHION COVER- SINGLE | WAFFLE | EHOB INC |
| 12 | 10603354201306 | REV00 | 2280WCVLCOV | 228WC WAFFLE VALVELESS EXTENDED CARE CUSHION COVER - SNGL | WAFFLE | EHOB INC |
| 13 | 10603354201269 | REV00 | 2100WCVLCOV | 210WC WAFFLE VALVELESS EXTENDED CARE CUSHION COVER - SNGL | WAFFLE | EHOB INC |
| 14 | 10603354201207 | REV00 | 2400WCVL010 | WAFFLE Cushion, X-Large EC, Valveless - SNGL | WAFFLE | EHOB INC |
| 15 | 10603354201177 | REV00 | 2280WCVL010 | WAFFLE Cushion, Large EC, Valveless - SNGL | WAFFLE | EHOB INC |
| 16 | 10603354201146 | REV00 | 2100WCVL010 | WAFFLE Cushion, Medium EC, Valveless - SNGL | WAFFLE | EHOB INC |
| 17 | 10603354200910 | REV00 | 2280WCIX010 | WAFFLE Cushion, Large EC, Preinflated - SNGL | WAFFLE | EHOB INC |
| 18 | 10603354200644 | REV00 | 2100WCXXCOV | 2100WCXXCOV | WAFFLE | EHOB INC |
| 19 | 10603354200637 | REV00 | 2100WCIC010 | WAFFLE Cushion, Medium EC, Preinflated, w/Cover - SNGL | WAFFLE | EHOB INC |
| 20 | 10603354200620 | REV00 | 2100WCIX010 | WAFFLE Cushion, Medium EC, Preinflated - SNGL | WAFFLE | EHOB INC |
| 21 | 10603354200606 | REV00 | 2010WPIX010 | 201WP WAFFLE PREINFLATED MULTI-CARE PAD - SNGL | WAFFLE | EHOB INC |
| 22 | 10603354200545 | REV00 | 2400WCXXCOV | 240WC WAFFLE EXTENDED CARE BARIATRIC CUSHION COVER - SNGL | WAFFLE | EHOB INC |
| 23 | 10603354200538 | REV00 | 2280WCXXCOV | 228WC WAFFLE EXTENDED CARE CUSHION COVER - SNGL | WAFFLE | EHOB INC |
| 24 | 10603354200521 | REV00 | 2180WCXXCOV | 218WC WAFFLE STANDARD ADULT CUSHION COVER - SNGL | WAFFLE | EHOB INC |
| 25 | 10603354200514 | REV00 | 2010WPXXCOV | 201WP WAFFLE MULTI-CARE PAD COVER - SNGL | WAFFLE | EHOB INC |
| 26 | 10603354200507 | REV00 | 2000WCXXCOV | 200WC WAFFLE ORIGINAL CUSHION W/COVER - SNGL | WAFFLE | EHOB INC |
| 27 | 10603354200194 | REV00 | 2400WCIC010 | WAFFLE Cushion, X-Large EC, Preinflated, w/Cover - SNGL | WAFFLE | EHOB INC |
| 28 | 10603354200187 | REV00 | 2400WCIX010 | WAFFLE Cushion, X-Large EC, Preinflated - SNGL | WAFFLE | EHOB INC |
| 29 | 10603354200170 | REV00 | 2300WCIX010 | WAFFLE Cushion, X-Large, Preinflated - SNGL | WAFFLE | EHOB INC |
| 30 | 10603354200163 | REV00 | 2280WCIC010 | WAFFLE Cushion, Large EC, Preinflated, w/Cover - SNGL | WAFFLE | EHOB INC |
| 31 | 10603354200149 | REV00 | 2280WCXX010 | WAFFLE Cushion, Large EC - SNGL | WAFFLE | EHOB INC |
| 32 | 10603354200132 | REV00 | 2200WCIX010 | WAFFLE Cushion, Medium, Preinflated - SNGL | WAFFLE | EHOB INC |
| 33 | 10603354200125 | REV00 | 2180WCIC010 | WAFFLE Cushion, Large, Preinflated, w/Cover - SNGL | WAFFLE | EHOB INC |
| 34 | 10603354200118 | REV00 | 2180WCIX010 | WAFFLE Cushion, Large, Preinflated - SNGL | WAFFLE | EHOB INC |
| 35 | 10603354200101 | REV00 | 2180WCXX010 | WAFFLE Cushion, Large - SNGL | WAFFLE | EHOB INC |
| 36 | 10603354200095 | REV00 | 2140PCIX010 | WAFFLE Cushion, Small, Preinflated - SNGL | WAFFLE | EHOB INC |
| 37 | 10603354200088 | REV00 | 2100WCXX010 | WAFFLE Cushion. Medium EC - SNGL | WAFFLE | EHOB INC |
| 38 | 10603354200071 | REV00 | 2010WPPX010 | 201WP WAFFLE MULTI-CARE PAD W/LAD - SNGL | WAFFLE | EHOB INC |
| 39 | 10603354200064 | REV00 | 2010WPXX010 | 201WP WAFFLE MULTI-CARE PAD - SNGL | WAFFLE | EHOB INC |
| 40 | 10603354200057 | REV00 | 2000WCIC010 | WAFFLE Cushion, Medium, Preinflated, w/Cover - SNGL | WAFFLE | EHOB INC |
| 41 | 10603354200040 | REV00 | 2000WCIX010 | WAFFLE Cushion, Medium, Preinflated - SNGL | WAFFLE | EHOB INC |
| 42 | 10603354200033 | REV00 | 2000WCXX010 | WAFFLE Cushion, Medium - SNGL | WAFFLE | EHOB INC |
| 43 | 10311917171347 | 369356 | WRX369356V1 | Walgreens Foam Cushion. 18 in x 16 in x 3 in. | Walgreens | WALGREEN CO. |
| 44 | 10311917171330 | 369355 | WRX369355V1 | Wheelchair Gel-Foam Cushion 18 in X 16 in (45.7 cm x 40.6 cm). | Walgreens | WALGREEN CO. |
| 45 | M36885652281 | 8565228 | 8565228 | W/C CUSHNGENERAL USE 22X18X3 | Everest & Jennings | GF HEALTH PRODUCTS, INC. |
| 46 | M368DM81R1 | DM81R | DM81R | RING CUSHION RED PLAID | LUMEX | GF HEALTH PRODUCTS, INC. |
| 47 | M368DM81G1 | DM81G | DM81G | RING CUSHION GREEN PLAID | Lumex | GF HEALTH PRODUCTS, INC. |
| 48 | M368DM811 | DM81 | DM81 | RING CUSHION NAVY | LUMEX | GF HEALTH PRODUCTS, INC. |
| 49 | M36889402481 | 8940248 | 8940248 | DURA-GEL SPP-AT | Everest & Jennings | GF HEALTH PRODUCTS, INC. |
| 50 | M36889402401 | 8940240 | 8940240 | DURA-GEL SPP-AT | Everest & Jennings | GF HEALTH PRODUCTS, INC. |