Arizona 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!
Arizona Maximum Number Allowed per Calendar Month
*Applies to Traditional Medicaid limits for state at time of publishing. Coverage for Managed Care and other plans may differ.
Arizona Maximum Number Allowed per Calendar Month
*Applies to Traditional Medicaid limits for state at time of publishing. Coverage for Managed Care and other plans may differ.
Primary Garment
HEAVY
Essential Underwear – Heavy
XS-3XLSoft, pull-on product offers discreet and reliable protection.
19.0 oz / 562 mL
Essential Breathable Briefs – Heavy
XS-2XLClothlike, breathable, tab-style brief offers reliable protection.
23.0 oz / 680 mL
SUPER
Premium DayTime™ Underwear
M-2XLDiscreet, 100% breathable, daytime protection for active individuals with heavier urine voids.
25 oz/740 mL*
SlimLine® Original Briefs
Youth-XLClassic 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-3XL100% breathability with maximum absorbency provides extended wear time for a full night of uninterrupted sleep.
34 oz/1005 mL*
SmartCore® Briefs
S-2XLBreathable sides help eliminate heat and moisture, providing the ideal microclimate for skin integrity.
34 oz/1005 mL*
ATN™ (All-Through-the-Night) Briefs
XS-XLA full-fit, poly-backed brief with expanded surface area providing longer wear time by absorbing multiple voids.
34 oz/1005 mL*
AIR-Plus™ Bariatric Briefs
4-5XL100% breathable allowing heat and moisture vapor to escape, enhancing skin integrity. Fits up to a 108” waist.
34 oz/1005 mL*
HI-Rise™ Bariatric Briefs
3XLFull-fit brief with higher coverage in the front and back for a secure fit. Fits up to a 96″ waist. Breathable, stretchy side panels.
34 oz/1005 mL*
Bariatric Briefs
3XLFull-fit brief with breathable, stretchy side panels comfortably fits up to a 96″ waist.
34 oz/1005 mL*
Adult Liner
One SizeThin, moisture-proof, backed liner is worn in regular underwear for a discreet appearance.
15.5 oz/458 mL*
HEAVY
Essential Underwear – Heavy
XS-3XLSoft, pull-on product offers discreet and reliable protection.
19.0 oz / 562 mL
Essential Breathable Briefs – Heavy
XS-2XLClothlike, breathable, tab-style brief offers reliable protection.
23.0 oz / 680 mL
SUPER
Premium DayTime™ Underwear
M-2XLDiscreet, 100% breathable, daytime protection for active individuals with heavier urine voids.
25 oz/740 mL*
SlimLine® Original Briefs
Youth-XLClassic 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-3XL100% breathability with maximum absorbency provides extended wear time for a full night of uninterrupted sleep.
34 oz/1005 mL*
SmartCore® Briefs
S-2XLBreathable sides help eliminate heat and moisture, providing the ideal microclimate for skin integrity.
34 oz/1005 mL*
ATN™ (All-Through-the-Night) Briefs
XS-XLA full-fit, poly-backed brief with expanded surface area providing longer wear time by absorbing multiple voids.
34 oz/1005 mL*
AIR-Plus™ Bariatric Briefs
4-5XL100% breathable allowing heat and moisture vapor to escape, enhancing skin integrity. Fits up to a 108” waist.
34 oz/1005 mL*
HI-Rise™ Bariatric Briefs
3XLFull-fit brief with higher coverage in the front and back for a secure fit. Fits up to a 96″ waist. Breathable, stretchy side panels.
34 oz/1005 mL*
Bariatric Briefs
3XLFull-fit brief with breathable, stretchy side panels comfortably fits up to a 96″ waist.
34 oz/1005 mL*
Adult Liner
One SizeThin, moisture-proof, backed liner is worn in regular underwear for a discreet appearance.
15.5 oz/458 mL*
Added Protection
HEAVY
Essential® Booster Pads
Youth-LongFlow-through pad designed to add capacity to any disposable incontinence product.
8.0 oz / 256 mL*
MODERATE
Essential® Underpads
Soft and smooth underpad is comfortable against skin and protects surfaces from leakage and odor.
18.5 oz / 550 mL*
MAXIMUM
TopLiner® Booster Pads
Mini-SuperThin design allows for placement in target areas where additional absorption is needed.
14.2 oz / 420 mL*
TopLiner® Booster Contour Pads
Contour – Super-PlusWide hourglass shape helps contain bowel. Soft texture and no adhesive strip makes cleanup easier.
27.5 oz / 813 mL*
HEAVY
Essential® Booster Pads
Youth-LongFlow-through pad designed to add capacity to any disposable incontinence product.
8.0 oz / 256 mL*
MODERATE
Essential® Underpads
Soft and smooth underpad is comfortable against skin and protects surfaces from leakage and odor.
18.5 oz / 550 mL*
MAXIMUM
TopLiner® Booster Pads
Mini-SuperThin design allows for placement in target areas where additional absorption is needed.
14.2 oz / 420 mL*
TopLiner® Booster Contour Pads
Contour – Super-PlusWide 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-2XLThis discreet unisex disposable Underwear is designed for minimal swelling and does not break apart when wet.
EXTRA CARE ITEMS
Cleansing Wipes
Paraben free and alcohol free, hypoallergenic with a mild scent. Generous 9” x 13” size allows for quicker cleanup.
SPECIALTY
Swimmates
S-2XLThis discreet unisex disposable Underwear is designed for minimal swelling and does not break apart when wet.
EXTRA CARE ITEMS
Cleansing Wipes
Paraben free and alcohol free, hypoallergenic with a mild scent. Generous 9” x 13” size allows for quicker cleanup.
*Product absorbency listed is for largest respective size.