| 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 | 00818323026870 | INS1012 | Toe separator with bunion protector | VIVE | VIVE HEALTH LLC | |
| 2 | 00818323026856 | INS1010S | Heel Cup Small | Vivesole | VIVE HEALTH LLC | |
| 3 | 00818323026849 | INS1010L | Heel Cup Large | Vivesole | VIVE HEALTH LLC | |
| 4 | 00810077212172 | HEP2 | HEP2 | Knit Heel And Elbow Protector 2 PAIR | Avaline Medical NJ LLC | AVALINE MEDICAL NJ LIMITED LIABILITY COMPANY |
| 5 | 00810077212165 | HEP1.2 | HEP1.2 | Knit Heel And Elbow Protector 1 PAIR | Avaline Medical NJ LLC | AVALINE MEDICAL NJ LIMITED LIABILITY COMPANY |
| 6 | 00810077210192 | vkfhp01 | vkfhp01 | Foam Heel Protectors | Avaline Medical NJ LLC | AVALINE MEDICAL NJ LIMITED LIABILITY COMPANY |
| 7 | 00810075280593 | 925.PF-SSP-BX6 | 925.PF-SSP-BX6 | Prone Foam - Superior Support Pad - Box of 6 | Bone Foam | BONE FOAM, INC. |
| 8 | 00810055882137 | 39001473 | 39001473 | FOAM BOLSTER EXT, 84 IN MATT, 28X12.5X7 | Accessories | JOERNS HEALTHCARE, LLC |
| 9 | 00810055882113 | 39001472 | 39001472 | FOAM BOLSTER EXT, 80 IN MATT, 28X16.5X7 | Accessories | JOERNS HEALTHCARE, LLC |
| 10 | 00810041981967 | INS1044 | 3-Loop Hammer Toe Splint | VIVE | VIVE HEALTH LLC | |
| 11 | 00810006684124 | AF2822P | AF2822P | AirFloat Static Air Seat Cushion Bariatric (28"x22") with pump | AirFloat Static Air Seat Cushion | PRIMO INC |
| 12 | 00810006684117 | AF1919P | AF1919P | AirFloat Static Air Seat Cushion (19"x19") with pump | AirFloat Static Air Seat Cushion | PRIMO INC |
| 13 | 00810006684025 | HB100B | HB100B | Defender - Bariatric | Defender - Bariatric | PRIMO INC |
| 14 | 00810006684018 | HB100S | HB100S | Defender - Small | Defender - Small | PRIMO INC |
| 15 | 00810006684001 | BABBS | BABBS | PRIMOBoot, Black/Gray - Small | PRIMOBoot, Black/Gray - Small | PRIMO INC |
| 16 | 00810006683998 | HB100 | HB100 | Defender - Standard | Defender - Standard | PRIMO INC |
| 17 | 00810006683912 | BABBSW | BABBSW | PRIMOBoot w/wedge, Black/Gray - Small | PRIMOBoot, Black/Gray - Small | PRIMO INC |
| 18 | 00810006683851 | BPW11R | BPW11R | Wipe Down Body Wedge Set, Rounded (2 each - BPW04R) 10 ST/CA | Wipe Down Body Wedge Set, Rounded | PRIMO INC |
| 19 | 00810006683844 | BPW10R | BPW10R | Wipe Down Body Wedge Set, Rounded (1 each-BPW04R/ 1 each-BPW04LR) - 10/ST/CA | Wipe Down Body Wedge Set, Rounded | PRIMO INC |
| 20 | 00810006683776 | BPW04LR | BPW04LR | Wipe Down Body Wedge w/Handle, Rounded - 19" Long | Wipe Down Body Wedge, Rounded | PRIMO INC |
| 21 | 00810006683769 | BPW04R | BPW04R | Wipe Down Body Wedge w/Handle, Rounded - 15" Long | Wipe Down Body Wedge, Rounded | PRIMO INC |
| 22 | 00810006683752 | BPW11F | BPW11F | Wipe Down Body Wedge Set (2 each - BPW04F) 12 ST/CA | Wipe Down Body Wedge Set | PRIMO INC |
| 23 | 00810006683745 | BPW10F | BPW10F | Wipe Down Body Wedge Set (1 each-BPW04F/ 1 each-BPW04FL) - 12/ST/CA | Wipe Down Body Wedge Set | PRIMO INC |
| 24 | 00810006683646 | PPWD381445 | PPWD381445 | Preventive Pad - (38" x 14" x 4.5") - Wipe Down | Preventive Pad | PRIMO INC |
| 25 | 00810006683622 | PPWD381645 | PPWD381645 | Preventive Pad - (38" x 16" x 4.5") - Wipe Down | Preventive Pad | PRIMO INC |
| 26 | 00810006683615 | PBIIBW | PBIIBW | PBIIBW PRIMOBoot II w/wedge - Bariatric 8/each | PRIMOBoot II w/wedge - Bariatric | PRIMO INC |
| 27 | 00810006683608 | PBIIW | PBIIW | PBIIW PRIMOBoot II w/wedge - Standard 8/each | PRIMOBoot II w/wedge - Standard | PRIMO INC |
| 28 | 00810006683592 | PBIISW | PBIISW | PBIISW PRIMOBoot II w/wedge - Small 8/each | PRIMOBoot II w/wedge - Small | PRIMO INC |
| 29 | 00810006683585 | PBIIB | PBIIB | PBIIB PRIMOBoot II - Bariatric 10/each | PRIMOBoot II - Bariatric | PRIMO INC |
| 30 | 00810006683578 | PBII | PBII | PBII PRIMOBoot II - Standard 13/each | PRIMOBoot II - Standard | PRIMO INC |
| 31 | 00810006683561 | PBIIS | PBIIS | PBIIS PRIMOBoot II - Small 13/each | PRIMOBoot II - Small | PRIMO INC |
| 32 | 00810006683530 | AF1717P | AF1717P | AirFloat Static Air Seat Cushion (17"x17") with pump | AirFloat Static Air Seat Cushion | PRIMO INC |
| 33 | 00810006683523 | AF1717 | AF1717 | AirFloat Static Air Seat Cushion (17"x17") | AirFloat Static Air Seat Cushion | PRIMO INC |
| 34 | 00810006683486 | BABFR01-BW | BABFR01-BW | PRIMOBoot, Fall Risk with Anti-Rotational Wedge - Bariatric | PRIMOBoot, Fall Risk w/wedge - Bariatric | PRIMO INC |
| 35 | 00810006683479 | BABFR01-W | BABFR01-W | PRIMOBoot, Fall Risk with Anti-Rotational Wedge - Standard | PRIMOBoot, Fall Risk w/wedge - Standard | PRIMO INC |
| 36 | 00810006683462 | BABFR01-SW | BABFR01-SW | PRIMOBoot, Fall Risk with Anti-Rotational Wedge - Small | PRIMOBoot, Fall Risk w/wedge - Small | PRIMO INC |
| 37 | 00810006682458 | WCC18184 | WCC18184 | Foam Wheelchair Cushion (18" x 18" x 4") | Wheelchair Cushion | PRIMO INC |
| 38 | 00810006682441 | WCC16184 | WCC16184 | Foam Wheelchair Cushion (16" x 18" x 4") | Wheelchair Cushion | PRIMO INC |
| 39 | 00810006682151 | PPWD281645 | PPWD281645 | Preventive Pad - (28" x 16" x 4.5") - Wipe Down | Preventive Pad | PRIMO INC |
| 40 | 00810006682144 | PPWD281445 | PPWD281445 | Preventive Pad - Short (28" x 14" x 4.5") - Wipe Down | Preventive Pad | PRIMO INC |
| 41 | 00810006682137 | PPSS281445 | PPSS281445 | Preventive Pad - Short (28" x 14" x 4.5") - Sheepskin | Preventive Pad | PRIMO INC |
| 42 | 00810006682120 | PP281445 | PP281445 | Preventive Pad - Short (28" x 14" x 4.5") | Preventive Pad | PRIMO INC |
| 43 | 00810006682113 | LFE01S | LFE01S | Leg & Foot Elevator -Short (27.5"L x 14.75"W x 8.5"H) | Leg & Foot Elevator | PRIMO INC |
| 44 | 00810006682106 | LFE01 | LFE01 | Leg & Foot Elevator -Standard (31.5"L x 14.75"W x 10.5"H) | Leg & Foot Elevator | PRIMO INC |
| 45 | 00810006682090 | KP02 | KP02 | Knee Pillow - Wipe Down | Knee Pillow | PRIMO INC |
| 46 | 00810006682045 | HPSS04-1 | HPSS04-1 | Heel Protector, Sheepskin - Universal (w/padded strap) | Sheepskin Heel Protector | PRIMO INC |
| 47 | 00810006682038 | HPSS04 | HPSS04 | Heel Protector, Sheepskin - Universal (w/padded strap) | Sheepskin Heel Protector | PRIMO INC |
| 48 | 00810006682021 | HPSS03-1 | HPSS03-1 | Double Ply Sheepskin Heel Protector (w/Fiber Filled) | Sheepskin Heel Protector | PRIMO INC |
| 49 | 00810006682014 | HPSS03 | HPSS03 | Double Ply Sheepskin Heel Protector (w/Fiber Filled) | Sheepskin Heel Protector | PRIMO INC |
| 50 | 00810006682007 | HPSS02P-1 | HPSS02P-1 | Double Ply Sheepskin Economy Heel Protector | Sheepskin Heel Protector | PRIMO INC |