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Page 1: Comprehensive solutions for incontinence care Incontinence · • Protecting • Helping to prevent skin breakdown • Treating ... 1 Incontinence (urinary and bowel) policy and procedures

Inco

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ceComprehensive solutions for incontinence care

Page 2: Comprehensive solutions for incontinence care Incontinence · • Protecting • Helping to prevent skin breakdown • Treating ... 1 Incontinence (urinary and bowel) policy and procedures
Page 3: Comprehensive solutions for incontinence care Incontinence · • Protecting • Helping to prevent skin breakdown • Treating ... 1 Incontinence (urinary and bowel) policy and procedures

Contents

Incontinence care solutions overview 3

Clinical and business support

Clinical and business support overview 4Incontinence management 5F315 Incontinence management tools 6Spend evaluation tool and utilization reports 7

Incontinence care

Product selection guide for incontinence care 11Industry cross reference 12Sizing guide 13Application guide for briefs 14Briefs and underwear sizing chart 15Stretch briefs sizing chart 16Incontinence care product formulary 17-18Incontinence product details

Bladder control pads 19-20Pant liners 21-22Briefs 23-28Protective underwear 29-32Underpads 33-37Disposable washcloths 38-40

Contact information 41

Skin care

Product selection guide for skin care 8Skin care product formulary 9-10

Page 4: Comprehensive solutions for incontinence care Incontinence · • Protecting • Helping to prevent skin breakdown • Treating ... 1 Incontinence (urinary and bowel) policy and procedures

MCKESSON INCONTINENCE CARE SOLUTIONS3

Incontinence care can be costly and complicated. Our incontinence products can help you make the challenges of managing incontinence easier on your staff and your business.

McKesson offers:• Products that are the same or better quality as leading

national brands• Complimentary clinical support and other resources

and services• Competitive prices

We can help you provide the care your residents deserve while saving you money.

» For more details, see pages 11-40

Clinical supportMcKesson Medical-Surgical’s Clinical Resource Team is available to help with the challenges you encounter every day. Our engaged and experienced clinicians are focused on providing:

• Clinical support and educational resources• Assistance with sizing and application• In-servicing• Webinars• Assistance as you create product formularies

» For more details, see page 4

Business supportWe can help you evaluate your business performance on an individualized basis so you can reduce costs and increase efficiencies. We have tools to help you improve your business:

• F315 Incontinence management tools• Spend evaluation tool

• Utilization reports

» For more details, see pages 4-7

Healthier skin means healthier residents and improved clinical outcomes. Our skin care products provide a first line of defense against skin issues caused by incontinence.

Choose from our:• McKesson Brands portfolio of shampoos and body

washes, cleansers, moisturizers and barrier creams• THERA™ Advanced Skin Care product line enriched

with an all-in-one proprietary blend of vitamins and nourishing ingredients

Our products can help you address a variety of skin care needs by:• Cleansing• Moisturizing• Protecting• Helping to prevent skin breakdown

• Treating

» For more details, see pages 8-10

Incontinence careClinical and business support Skin care

Incontinence care solutions

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4

We can help you overcome the challenges of care

Clinical and business support

McKesson Clinical ConnectionSM

At McKesson Medical-Surgical, we work to understand your daily challenges so that, together, we can develop a customized plan to address your clinical support needs. Now we’ve made an even stronger commitment by giving you more support through the McKesson Clinical ConnectionSM – the one source for your education, clinical support and regulatory needs.

The McKesson Clinical ConnectionSM offers:

Clinical Resource Team• Our engaged and experienced clinicians are just a phone call away. Contact the

Clinical Resource Team at 877.611.0081.

Online education• Our online education portal provides access to courses for CNAs and licensed

professionals.

Webinars• Phone and/or computer presentations provide educational training and can be

tailored to meet your needs.

Product selection guides• We offer product selection guides that provide information on selecting products

to meet your incontinence care needs. See pages 8 and 11 for more details.

In-servicing• We can provide face-to-face educational training to address specific needs/issues

your staff is facing.

Clinical consulting• We’ve teamed up with Pathway Health to bring our

customers clinical consulting and education services to help you manage your business and stay prepared for regulatory requirements.

Business supportMcKesson Brands is pleased to offer a variety of comprehensive business support tools to assist you in creating the right solution for your facility. These complimentary tools will help you properly evaluate your business performance on an individualized basis to reduce costs, increase efficiencies and provide the quality of care your residents deserve.

The business tools below are complimentary to help you improve your business:

F315 Incontinence management tools• We've teamed up with Pathway Health to offer complimentary access to the F315

Incontinence QuickPath to assist you in reviewing your current incontinence management program. See page 6 for more details.

Spend evaluation tool• We offer a tool that proactively provides product, sizing and ordering

recommendations specific to your residents’ needs. See page 7 for more details.

Utilization reports• You can review utilization data and

trends, track PPD costs and compare your usage and spend against benchmarks specific to your facility. See page 7 for more details.

Call 877.611.0081 or ask your McKesson Medical-Surgical Account Manager about taking advantage of these opportunities today.

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MCKESSON INCONTINENCE CARE SOLUTIONS5

Clinical and business support

Situation:

Goal:

Solution:

Incontinence is common and complex:Opportunities exist to improve resident outcomes and increase quality of life and care focus related to the management of incontinence. Many residents in skilled nursing facilities have some level of incontinence, which, if not thoroughly managed, may lead to negative outcomes, including unnecessary hospitalizations and heightened regulatory oversight.

Revised CMS regulations:CMS reviewed and revised the federal guidelines as well as survey guidance for incontinence management a few years ago (F315) and related F-Tags, with a heightened focus right now on:

• Quality measures

• Readmissions to the hospital

• Facility protocols

• Response and implementation of incontinence management

Enhanced facility management: The CMS interpretive guidance for incontinence management indicates that a skilled nursing facility must ensure that they have updated policies, procedures, processes, education and monitoring activities around an individual’s right regarding the management of incontinence. This includes treatment options, risks/benefits, advanced care planning, as well as the person's individual advance directives related to the management of incontinence.

Skilled nursing facilities strive toward an environment in which every resident remains continent for as long as possible.

Effective incontinence management requires an ongoing facility-wide commitment to preventing incontinence-associated skin breakdown, providing resident comfort, identifying and addressing barriers to continence, and addressing any misconceptions that residents, families and staff may have about incontinence. McKesson has a variety of business tools to help create the right solution for your facility. See pages 6-7 for more details.

Incontinence management

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6

The F315 Incontinence QuickPath provides the following streamlined tools to quickly assist leaders in reviewing their internal incontinence management program:

For customers who need a more robust approach to building their incontinence management program, Pathway Health offers an Incontinence Resource Manual. This manual is available for a nominal fee.

For more information, contact your McKesson Medical-Surgical Account Manager or the Clinical Resource Team today!

Clinical and business support

F315 Incontinence management tools

McKesson Brands is pleased to offer our customers complimentary access to the F315 Incontinence QuickPath from Pathway Health.

1 Incontinence (urinary and bowel) policy and procedures

2 Assessment components and samples

3 Incontinence care plan

4 Identification of types of incontinence

5 Monitoring tools

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MCKESSON INCONTINENCE CARE SOLUTIONS7

Clinical and business support

We will help you evaluate your business performance on an individualized basis – helping you reduce costs and increase efficiencies. We have two tools to help you manage and monitor spend:

Managing incontinence may be 30-40% of your medical supply spend. McKesson understands the pressure you are under to decrease costs and improve efficiency at your facility while continuing to enhance the quality of resident care.

Get the insight and knowledge you need with our financial, clinical time and resource benefits.

Financial benefits• Track supply spending by month, by quarter or

by year• Quickly identify over- or under-utilization of

supplies• Compare and contrast spending per facility by

product or category• See a breakdown of products by category and/or

clinical condition

Clinical benefits• Built-in alerts let you know if patient supply

needs aren’t being met properly• Identify problem areas within individual

subcategories• Compare your actual usage to your expected

usage based on industry standards and facility protocols

Time and resource benefits• Access all your reports in one place• No additional data entry required - retrieve

information to assist you in making decisions to effectively manage staff behavior

• Quickly and easily monitor per-patient day costs

Spend evaluation tool Proactively provides product, sizing and ordering recommendations specific to your residents’ needs

Utilization reportsReviews utilization data and trends, tracks PPD costs and compares your usage and spend against benchmarks specific to your facility

Situation:

Solution:

Tools:

Spend evaluation tool and utilization reports

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8

Skin care

PRODUCT SELECTION GUIDE FOR SKIN CAREStep 1 Step 2 Step 3 Step 4

ASSESS THE SKIN CONDITIONStep 5 DETERMINE GOALS OF CARE

Step 6 CHOOSE A SKIN CARE PRODUCT

Bathe as usual with McKesson shampoo and body wash

Cleanse as needed at the bedside with a THERA™ no-rinse cleanser:

– THERA™ Foaming Body Cleanser

– THERA™ Antimicrobial Body Cleanser

– THERA™ Moisturizing Body Cleanser

Assess skin for any signs of redness, rash or open areas

Intact, dry – Moisturize the skin– Protect from moisture related

urinary or fecal incontinence or wound drainage

– THERA™ Moisturizing Body Cream– McKesson Skin Lotion, scent of choice– THERA™ Moisturizing Body Shield– THERA™ Dimethicone Body Shield – McKesson Moisturizing Perineal Cream

Dry, flaky, cracked

– Moisturize the skin

– Protect from moisture related urinary and/or fecal incontinence or wound drainage

– THERA™ Moisturizing Body Cream– McKesson Skin Lotion, scent of choice – THERA™ Moisturizing Body Shield – THERA™ Dimethicone Body Shield– McKesson Moisturizing Perineal Cream

Erythema* – Moisturize the skin– Protect from moisture related

urinary and/or fecal incontinence or wound drainage

– THERA™ Moisturizing Body Cream – THERA™ Moisturizing Body Shield – THERA™ Dimethicone Body Shield– McKesson Moisturizing Perineal Cream– McKesson Skin Protectant Ointment

Wet, cracked, raw

– Protect from moisture related urinary and/or fecal incontinence or wound drainage

– THERA™ Calazinc Body Shield

Folds/intertriginous areas

– Manage moisture – THERA™ Antifungal Body Powder

Fungal rash – Address rash– Manage moisture– Protect from moisture related

urinary and/or fecal incontinence or wound drainage

– THERA™ Antifungal Body Powder If incontinence or wound drainage is an issue, cover powder with – THERA™ Moisturizing Body Shield – THERA™ Dimethicone Body Shield – THERA™ Calazinc Body Shield– McKesson Moisturizing Perineal Cream– McKesson Skin Protectant Ointment

McKesson’s skin care options will help you take care of your residents’ advanced and basic skin care needs. These products will provide a first line of defense to help prevent against skin issues caused by incontinence.

McKesson suggests utilizing a cleanser, moisturizer, barrier cream and antifungal treatment powder to prevent, address, protect and treat skin breakdown and irritations caused by wetness and urine and/or stool.

* Erythema: The presence of bright or dark red skin or darkening of normal skin.

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MCKESSON INCONTINENCE CARE SOLUTIONS9

SHAMPOO AND BODY WASHES CLEANSERS

No Rinse Shampoo and Body Wash, Light Floral Scent

Shampoo and Body Wash, Summer Rain Scent

Shampoo and Body Wash, Apricot Scent

Shampoo and Body Wash, Cucumber Melon Scent

Tearless Shampoo and Body Wash, Lavender Scent

No Rinse Foaming Cleanser, Cucumber Melon Scent

Foaming Body Cleanser

Antimicrobial Body Cleanser

Moisturizing Body Cleanser

No Rinse Perineal and Skin Cleanser, Fresh Scent

OR

DE

RIN

G IN

FOR

MA

TIO

N

Active Ingredients

0.13% Benzalkonium Chloride

1.75% Dimethicone

Cleanses l l l l l l l l l l

Moisturizes l l

Protects l l

Treats

SIZE 8 oz. bottle 8 oz. bottle 8 oz. bottle 8 oz. bottle 8 oz. bottle 9 oz. bottle with pump

5 fl. oz. (148 mL) with pump 4 fl. oz. (118 mL) 8 fl. oz. (237 mL) 8 oz. bottle with

pump

Qty 1/ea, 48/cs 1/ea, 48/cs 1/ea, 48/cs 1/ea, 48/cs 1/ea, 48/cs 1/ea, 12/cs 1/ea, 12/cs 1/ea, 24/cs 1/ea, 12/cs 1/ea, 48/cs

ITEM # 27391800 53431800 82301800 79301800 53291800 22591800 11651800 11641800 11861800 80311800

MFR # 53-27913-8 53-1354-8 53-28023-8 53-27903-8 53-29003-8 53-22952-9 116-BCLF5OZ 116-BCLA4OZ 116-BCLM8OZ 53-28013-8

SIZE 1 gallon jug 1 gallon jug 1 gallon jug 12 oz. bottle 9 fl. oz. (266 mL) with pump 8 fl. oz. (237 mL) 32 fl. oz. (946 mL)

with pump 1 gallon jug

QTY 1/ea, 4/cs 1/ea, 4/cs 1/ea/4/cs 1/ea, 24/cs 1/ea, 12/cs 1/ea, 12/cs 1/ea, 12/cs 1/ea, 4/cs

ITEM # 53131800 80121800 79101800 94041800 11691800 11681800 11321800 83101800

MFR # 53-1355-GL 53-28021-GL 53-27901-GL 53-29004-12 116-BCLF9OZ 116-BCLA8OZ 116-BCLM32OZ 53-28011-GL

SIZE1000 mL dispenser refill

1000 mL dispenser refill

1000 mL dispenser refill 1 gallon jug

QTY 10/cs 10/cs 10/cs 1/ea, 4/cs

ITEM # 53561800 28211800 27261800 90031800

MFR # 53-1356-1000 53-28026-1000 53-27906-1000 53-29001-GL

SIZE2000 mL dispenser refill

2000 mL dispenser refill

2000 mL dispenser refill

2000 mL dispenser refill

QTY 4/cs 4/cs 4/cs 4/cs

ITEM # 53171800 28221800 27961800 90061800

MFR # 53-1357-2000 53-28026-2000 53-27906-2000 53-29006-2000

Skin careProduct formulary

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START ORDERING TODAY! VISIT MMS.MCKESSON.COM OR CALL OUR CLINICAL RESOURCE TEAM AT 877.611.0081. 10

MOISTURIZERS BARRIER CREAMSANTIFUNGAL TREATMENT

Moisturizing Body Cream

Moisturizing Body Lotion, Summer Rain Scent

Moisturizing Body Lotion, Cucumber Melon Scent

Moisturizing Body Shield

Dimethicone Body Shield

Calazinc Body Shield

Skin Protectant Cream

Skin Protectant Ointment Antifungal Body Powder

OR

DE

RIN

G IN

FOR

MA

TIO

N

Active Ingredients1.75% Dimethicone 1.5% Dimethicone 5.0% Dimethicone 20.0% Zinc Oxide

(3.0% Calamine) 2.0% Miconazole Nitrate

Cleanses

Moisturizes l l l l l l l

Protects l l l l l l l

Treats l l l l

SIZE4 fl. oz. (118 mL) 4 oz. bottle 4 oz. bottle 4 g packet 4 oz. tube 4 g packet 6 oz. tube 5 g packet 3 oz. bottle

QTY 1/ea, 12/cs 1/ea, 48/cs 1/ea, 48/cs 144/bx, 6bx/cs 1/ea, 12/cs 144/bx, 6bx/cs 1/ea, 24/cs 144/bx, 6bx/cs 1/ea, 12/cs

ITEM # 66141400 53131500 80231500 46111400 16641400 44611400 23101400 18441400 31161600

MFR # 116-BCRM4OZ 53-1351-4 53-28002-4 116-BSM4G 116-BSD4OZ 116-BSC4G 53-23103 118-8744 116-BPA3OZ

SIZE32 fl.oz. (946 mL) with pump 8 oz. bottle 8 oz. bottle 4 oz. tube 4 oz. tube 4 oz. tube

QTY 1/ea, 12/cs 1/ea, 48/cs 1/ea, 48/cs 1/ea, 12/cs 1/ea, 12/cs 1/ea, 12/bx, 6bx/cs

ITEM # 16321400 80321500 80351500 16411400 46161400 18191400

MFR # 116-BCRM32OZ 53-1352-8 53-28003-8 116-BSM4OZ 116-BSC4OZ 118-8719

SIZE 18 oz. bottle 13 oz. jar

QTY 1/ea, 48/cs 1/ea, 12/cs

ITEM # 80731500 11881400

MFR # 53-28007-18 118-8712

SIZE 1 gallon jug

QTY 1/ea, 4/cs

ITEM # 80531500

MFR # 53-28001-GL

Skin careProduct formulary

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MCKESSON INCONTINENCE CARE SOLUTIONS11

Urinary Incontinence: Occasionally – Less than 7 episodesFrequently – 7 or more episodes, but at least one episode of continent voidingAlways – No episodes of continent voiding

Bowel Incontinence:Occasionally – One episodeFrequently – 2 or more episodes, but at least one continent bowel movementAlways – No episodes of continent bowel movements

PRODUCT SELECTION GUIDE FOR INCONTINENCE CARE

Bladder Control Pads Pant Liners Briefs

Protective Underwear Underpads

Breathable Underpads

ABSORBENCY Regular – Ultra Lite – Ultra Lite – Ultra Lite – Ultra Lite – Ultra Ultra

UR

INA

RY

IN

CO

NTI

NE

NC

E URINARY INCONTINENCE

Occasionally l l l l

Frequently l l l l l

Always l l l l l l

BO

WE

L

INC

ON

TIN

EN

CE BOWEL INCONTINENCE

Occasionally l l l

Frequently l l l

Always l l l

MO

BIL

ITY

MOBILITY

Can walk with/without assistance l l l l

Bedridden l l l

Limited l

OT

HE

R OTHER

Bed and furniture protection Low air-loss therapy

Incontinence care

Our incontinence products can help you make the challenges of managing incontinence easier on your staff and your residents. We offer the same or better quality as leading national brands at competitive prices that can help you provide the care your residents deserve while saving you money.

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12

PRODUCT SELECTION GUIDE FOR INCONTINENCE CARE

Bladder Control Pads Pant Liners Briefs

Protective Underwear Underpads

Breathable Underpads

ABSORBENCY Regular – Ultra Lite – Ultra Lite – Ultra Lite – Ultra Lite – Ultra Ultra

UR

INA

RY

IN

CO

NTI

NE

NC

E URINARY INCONTINENCE

Occasionally l l l l

Frequently l l l l l

Always l l l l l l

BO

WE

L

INC

ON

TIN

EN

CE BOWEL INCONTINENCE

Occasionally l l l

Frequently l l l

Always l l l

MO

BIL

ITY

MOBILITY

Can walk with/without assistance l l l l

Bedridden l l l

Limited l

OT

HE

R OTHER

Bed and furniture protection Low air-loss therapy

INDUSTRY CROSS REFERENCEDESCRIPTION McKesson StayDry® NIGHTINGALE® Attends® Covidien First Quality® Medline SCA

BRIEFSLite Briefs | Lite

(clear bag)StayDry® Poly(clear bag)

NIGHTINGALE® Regular Poly Attends® Poly BriefsAttends® Value Tier

Simplicity™ Adult Poly ProCare™ FitRight® BasicFitRight® Extra ValueProtect Protection Plus® Contour

Dry Comfort™ Extra

Regular Briefs | Regular StayDry® Breathable Briefs

Cool Comfort® Balance Breathable NIGHTINGALE® Extra Poly

Attends® Briefs Classic Poly BriefsAttends® Value Tier Breathable

Simplicity™ Adult QuiltedWings™ Hook and Loop

Nu-Fit® FitRight® Plus Ultra-Soft Classic Molicare® Classic Plus ProtectAsorbs®

Dry Comfort™ ExtraTENA® Classic

Ultra Briefs | Ultra StayDry® Ultra Briefs Cool Comfort® BreathableNIGHTINGALE® Extra Poly

Attends® BreathableAttends® Breathable Extra Absorb

Wings Poly™Wings™ Adult QuiltedWings™ Hook and Loop 3D

Per-Fit®

Per-Fit® 360˚™Prevail® Breezers

FitRight® UltraFitRight® SuperUltra CareComfortaireUltraSoft Plus

TENA® ClassicTENA® Ultra

Ultra Plus Briefs | Ultra Plus Stretch

Prevail® Simply StretchFit®

Prevail® StretchFit®

Prevail® Breezers 360˚™

FitRight® Stretch Ultra TENA® Stretch Ultra

Bariatric Briefs | Ultra Plus Bariatric

StayDry® Bariatric Briefs

Attends® Bariatric Wings™ Bariatric Prevail® Bariatric BariBrief® TENA® Bariatric Brief

PROTECTIVE UNDERWEARLite Underwear | Lite Attends® Regular Simplicity™ ProCare™ Protect Extra

Regular Underwear | Regular

StayDry® Underwear Cool Comfort® Balance Breathable

Attends® Extra Per-Fit® FitRight® Ultra TENA® Regular

Ultra Underwear | Ultra StayDry® Ultra Underwear

Cool Comfort® PM Breathable

Attends® Super Plus SureCare™ RegularSureCare™ Super

Prevail® ExtraPrevail® Super Plus

Protection Plus® ClassicFitRight® SuperProtection Plus Super

TENA® PlusTENA® Extra

UNDERPADSLite Underpads | Lite StayDry® Underpads

LightEZ-Sorb® Simplicity™ Fluff Prevail® Fluff Protection Plus® Standard TENA® Regular

Regular Underpads | Regular

StayDry® Underpads Medium

NIGHTINGALE® Moderate Underpads

Dri-Sorb® Wings™ Fluff Prevail® Fluff Protection Plus® TENA® Extra

Ultra Underpads | Ultra StayDry® Underpads Heavy

NIGHTINGALE® Super Underpads

Attends® Night Preserver®

Wings™ Fluff and Polymer

Prevail® Super Absorbent

Protection Plus® with Polymer

TENA® Ultra Plus

Breathable Underpads | Breathable

StayDry® Underpads Breathable

Attends® Air Dri® Breathables®

Wings™ Fluff and Polymer

Prevail® Air Permeable Ultrasorbs® Protection Plus® TENA® Air Flow

PADS & LINERSPads Pads | Lite,

Regular, UltraNIGHTINGALE® Protective Pads

Attends® Bladder Control Pads

SureCare™ Bladder Control Pads

Prevail® Bladder Control Pads

Capri® Bladder Control Pads TENA® Serenity® Bladder Control Pads

Liners Liners | Lite, Ultra NIGHTINGALE® Protective Liners

Attends® Shaped Pads

Wings™ Contoured Insert Pads

Prevail® Pant Liners Ultra-Soft Clothlike Liners TENA® Pad Night/Super TENA® Pad Day Plus

WASHCLOTHSWashcloths with Aloe

StayDry® Washcloths with Aloe

NIGHTINGALE® Premium Adult Washcloths

Attends® Washcloths Wings™ Personal Cleansing Washcloths

Prevail® Washcloths Aloetouch® Wipes TENA® Classic Washcloths

Incontinence care

-

-

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MCKESSON INCONTINENCE CARE SOLUTIONS13

Contact your McKesson Medical-Surgical Account Manager or the Clinical Resource Team for a complimentary sizing and application kit or for assistance with sizing.

Incontinence care

Using a measuring tape: 1 Measure the resident from hip to hip and multiply

by 2 and add 2 inches.

2 Once you have the total hip measurement, you will want to use the McKesson sizing chart and determine the proper size based on the product you are using.

OR

In order to help provide resident comfort and maximum absorbency, selecting the right size is important. You can determine the proper size by either using a measuring tape or using the residents’ height and weight.

McKesson provides complimentary sizing and application kits that contain:

- Measuring tape color coded by size - Sizing charts- Application video and written guide

Using the residents' height and weight: You will need to use the McKesson sizing chart. For example, if the resident is 5'5" and 140 pounds, then you would select a size Medium. See sizing charts on pages 15-16.

Hip bone to hip bone = 19" (49 cm)19" x 2 (49 cm x 2) = 38" (96.5 cm)

38" + 2" (97 cm + 5 cm) = 40" (102 cm)

40" (102 cm) = Medium or Regular brief

Sizing guide

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14

After the soiled product has been removed and the skin cleansed, assessed and protected, you are ready to apply the new brief, per facility policy.

Standing:

1 Completely unfold the new brief lengthwise, including the side panels.

2 Hold brief at each end and gently pull, activating the leg gathers to create a "cupped" shape for optimal fit and performance.

3 Place the product between the thighs from the front with tape tabs to the rear.

Lying down:

1 Completely unfold the new brief lengthwise, including the side panels.

2 Hold brief at each end and gently pull, activating the leg gathers to create a "cupped" shape for optimal fit and performance.

3 Roll resident to one side and spread out the brief, including side panels, underneath resident’s buttocks with tape tabs facing the head of the bed.

4 Roll the resident back over.

5 Pull the front of the product up into the perineal area. Center it front to back, making sure the product is symmetrically positioned on the body.

Incontinence care

Application guide for briefs

Remaining application steps:

1 Spread the front side panels against the hips toward the back of the body.

2 Then overlap the rear side panels on top of these toward the front of the body. Use the hook and loop tabs to secure the brief. The tape tabs always go on the front of the body.

The bottom two tabs should be angled slightly upward. The top two tabs should point straight across, or be angled slightly downward.

3 Press down on the tabs to secure them to the outside.

4 Smooth out all wrinkles and folds and check the fit of the product. Make any adjustments as necessary.

Remember, the closure tabs can be unfastened and fastened again, if needed.

5 Gently pull the skin of each inner thigh downward and away from the perineal area. This allows the leg cuffs inside the brief to move into place.

Adapt these suggestions to meet the specific needs of your residents and the facility policies.

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MCKESSON INCONTINENCE CARE SOLUTIONS15

BRIEFS AND UNDERWEAR SIZING CHARTWeight in pounds

Hei

ght

95 100 105 110 115 120 125 130 135 140 145 150 155 160 165 170 175 180 185 190 195 200 205 210 215 220 225 230 235 240 245 250 250-300 300+

4’10”

4’11”

5’0”

5’1”

5’2”

5’3”

5’4”

5’5”

5’6”

5’7”

5’8”

5’9”

5’10”

5’11”

6’0”

6’1”

6’2”

Brief/Underwear Sizes Hip Measurement Color

Small 25" - 32"

Medium 32" - 44"

Large 44" - 58"

X-Large 58" - 64"

XX-Large 63" - 69"

Bariatric Up to 95"

S M L XL

XX

LB

aria

tric

Using the sizing chart: Using the residents’ height and weight, you will need to use the McKesson sizing chart. For example, if the resident is 5'5" and 140 pounds, then you would select a size Medium.

Incontinence care

Briefs and underwear sizing chart

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16

STRETCH BRIEFS SIZING CHARTWeight in pounds

Hei

ght

95 100 105 110 115 120 125 130 135 140 145 150 155 160 165 170 175 180 185 190 195 200 205 210 215 220 225 230 235 240 245 250 250-300 300+

4’10”

4’11”

5’0”

5’1”

5’2”

5’3”

5’4”

5’5”

5’6”

5’7”

5’8”

5’9”

5’10”

5’11”

6’0”

6’1”

6’2”

Brief/Underwear Sizes Hip Measurement Color

Medium/Regular 32" - 54"

Large/X-Large 48" - 66"

M/R L/XLUNAV

AILABLE

UNAVAILA

BLE

Incontinence care

Using the sizing chart: Using the residents’ height and weight, you will need to use the McKesson sizing chart. For example, if the resident is 5'5" and 140 pounds, then you would select a size Medium/Regular.

Stretch briefs sizing chart

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MCKESSON INCONTINENCE CARE SOLUTIONS17

ABSORBENCY DESCRIPTION ITEM # MFR # SIZE QTY HCPCS

BLADDER CONTROL PADS

Regular 22603100 PADLT 8.5" 22/bg, 6 bg/cs T4535

Ultra 44213100 PADHV 14.5" 42/bg, 4 bg/cs T4335

PANT LINERS

Lite 19713100 LINERLT 24.5" 24/bg, 4bg/cs T4535

Regular 72163100 LINERMD 24.5" 24/bg, 4bg/cs T4535

Ultra 62813100 LINERHV 24.5" 18/bg, 4bg/cs T4535

MESH UNDERPANTS

Available for pant liners

78303100 PANTMESHLG Large 50/bg

83703100 PANTMESHXL X-Large 50/bg

37803100 PANTMESHXXL XX-Large 50/bg

BRIEFS

Lite

72273100 BRPLMD Medium (32"−44") 24/bg, 4bg/cs T4522

72773100 BRPLLG Large (45"−58") 18/bg, 4bg/cs T4523

15403100 BRPLXL X-Large (59"−64") 15/bg, 4bg/cs T4524

Regular

27743100 BRCLMD Medium (32"−44") 24/bg, 4bg/cs T4522

27753100 BRCLLG Large (44"−58") 24/bg, 3bg/cs T4523

27783100 BRCLXL X-Large (58"−63") 20/bg, 3bg/cs T4524

Ultra

22363100 BRULSM Small (22"−36") 24/bg, 4bg/cs T4521

83383100 BRULMD Medium (32"−44") 16/bg, 6bg/cs T4522

73383100 BRULLG Large (45"−58") 18/bg, 4bg/cs T4523

30783100 BRULXL X-Large (59"−64") 15/bg, 4bg/cs T4524

87773100 BRULXXL XX-Large (63"−69") 12/bg, 4bg/cs T4543

Ultra Plus Stretch32543100 BRSTRMR Medium/Regular (32"−54") 20/bg, 4bg/cs T4522

48663100 BRSTRLXL Large/X-Large (48"−66") 20/bg, 4bg/cs T4523/T4524

Ultra Plus Bariatric 78323100 BRBAR XXX-Large (Up to 95") 8/bg, 4bg/cs T4543

Product formulary

Incontinence care

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ABSORBENCY DESCRIPTION ITEM # MFR # SIZE QTY HCPCS

PROTECTIVE UNDERWEAR

Lite

44323100 UWEMD Medium (32"−44") 20/bg, 4bg/cs T4526

44583100 UWELG Large (44"−58") 18/bg, 4bg/cs T4527

58683100 UWEXL X-Large (58"−68") 14/bg, 4bg/cs T4528

Regular

78333100 UWGMD Medium (34"−44") 20/bg, 4bg/cs T4526

78363100 UWGLG Large (44"−58") 18/bg, 4bg/cs T4527

83833100 UWGXL X-Large (58"−68") 14/bg, 4bg/cs T4528

Ultra

62243100 UWBSM Small (25"−32") 22/bg, 4bg/cs T4525

83873100 UWBMD Medium (32"−44") 20/bg, 4bg/cs T4526

83883100 UWBLG Large (44"−58") 18/bg, 4bg/cs T4527

83733100 UWBXL X-Large (58"−68") 14/bg, 4bg/cs T4528

38773100 UWBXXL XX-Large (68"−80") 12/bg, 4bg/cs T4528

UNDERPADS

Lite

42713100 UPLT1724 17" x 24" 300/bg, 1bg/cs T4541

73423100 UPLT2324 23" x 24" 25/bg, 8bg/cs T4541

73433100 UPLT2336 23" x 36" 10/bg, 15bg/cs T4541

43723110 UPLT2336V120 23" x 36" 10/bg, 12bg/cs T4541

Regular

73463100 UPMD2336 23" x 36" 10/bg, 15bg/cs T4541

33733110 UPMD2336V120 23" x 36" 10/bg, 12bg/cs T4541

73403100 UPMD3030 30" x 30" 10/bg, 15bg/cs T4541

74303100 UPMD3036 30" x 36" 10/bg, 10bg/cs T4541

Ultra

73033100 UPHV3030 30" x 30" 10/bg, 10bg/cs T4541

74063100 UPHV3036 30" x 36" 10/bg, 10bg/cs T4541

73633100 UPHV3636 36" x 36" 5/bg, 10bg/cs T4541

Breathable 74363100 UPHV2336 23" x 36" 10/bg, 6bg/cs T4541

WASHCLOTHS

Disposable washcloths with aloe47343100 WPW50 12.5" x 7.5" 50/pk, 12pk/cs A4335

15653100 WPW100 12.5" x 7.5" 100/pk, 6pk/cs A4335

Disposable washcloths 15631100 50-15632 12" x 9" 48/pk, 16pk/cs A4335

Incontinence careProduct formulary

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MCKESSON INCONTINENCE CARE SOLUTIONS19

Bladder control pads

Indications:

• Urinary Incontinence • Frequently

• Always

• Mobility • Can walk with/without assistance

Regular bladder control pads Ultra bladder control pads

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ABSORBENCY DESCRIPTION ITEM # MFR # QTY COLOR HCPCS

Regular (8.5") 22603100 PADLT 22/bg, 6 bg/cs White T4535

Ultra (14.5") 44213100 PADHV 42/bg, 4 bg/cs White T4535

ORDERING INFORMATION

Bladder control pads

• Contoured shape for form-fitting comfort

• Soft, cloth-like inner and outer material

• Leg gathers provide added leak protection

• Full length, secure-fit, adhesive peel strip

• Individually wrapped in quiet, cloth-like packaging for on-the-go convenience

Ultra absorbent polymer core: Locks wetness away and reduces pH of urine for improved odor control and skin wellness

Unisex

Acquisition layer:Absorbs fluid into the core

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MCKESSON INCONTINENCE CARE SOLUTIONS21

Pant liners

Indications:

• Urinary Incontinence • Occasionally • Frequently

• Always

• Mobility • Can walk with/without assistance • Bedridden

Lite pant liners Regular pant liners Ultra pant liners

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ABSORBENCY DESCRIPTION ITEM # MFR # QTY COLOR HCPCS

Lite (24.5") 19713100 LINERLT 24/bg, 4 bg/cs White T4535

Regular (24.5") 72163100 LINERMD 24/bg, 4 bg/cs White T4535

Ultra (24.5") 62813100 LINERHV 18/bg, 4 bg/cs White T4535

ORDERING INFORMATION

Pant liners

• Leg gathers and contoured shape provide added leak protection and form-fitting comfort

• Soft, cloth-like inner and outer material

• Adhesive patch to hold in place

HCPCS

Ultra absorbent polymer core: Locks wetness away and reduces pH of urine for improved odor control and skin wellness

Unisex

Acquisition layer:Absorbs fluid into the core

Mesh underpants are available. See page 17 for ordering information.Disclosure Notice: This purchase may reflect a discount or other promotional consideration, which may be in the form of a free product

and which may require customer to report the discount under Medicare or Medicaid or other applicable health benefit program.

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MCKESSON INCONTINENCE CARE SOLUTIONS23

Indications:

• Urinary Incontinence • Occasionally • Frequently

• Always

• Bowel Incontinence • Occasionally • Frequently

• Always

• Mobility • Bedridden • Limited

Briefs

Lite Briefs Regular Briefs Ultra Briefs

Ultra Plus Stretch Briefs

Ultra Plus Bariatric Briefs

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Unisex

Acquisition layer:Absorbs fluid into the core

Four adhesive tabs

Advanced dual-core performance: Locks wetness away and reduces pH of urine for improved odor control and skin wellness

ABSORBENCY DESCRIPTION ITEM # MFR # QTY COLOR HCPCS

Medium (32"−44") 72273100 BRPLMD 24/bg, 4 bg/cs White T4522

Large (45"−58") 72773100 BRPLLG 18/bg, 4 bg/cs Blue T4523

X-Large (59"−64") 15403100 BRPLXL 15/bg, 4 bg/cs Beige T4524

ORDERING INFORMATIONProduct is packaged in a clear bag.

Briefs | Lite

• Lite absorbency

• Poly backsheet with soft, non-woven topsheet

• Clear bag packaging

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MCKESSON INCONTINENCE CARE SOLUTIONS25

Briefs | Regular

ABSORBENCY DESCRIPTION ITEM # MFR # QTY COLOR HCPCS

Medium (32"−44") 27743100 BRCLMD 24/bg, 4 bg/cs White T4522

Large (44"−58") 27753100 BRCLLG 24/bg, 3 bg/cs Blue T4523

X-Large (58"−63") 27783100 BRCLXL 20/bg, 3 bg/cs Beige T4524

ORDERING INFORMATION

• Regular absorbency

• Soft, cloth-like inner and outer material with enhanced fit

Unisex

Four soft, flexible hook and loop tabs: Can refasten anywhere on the brief

Advanced dual-core performance: Locks wetness away and reduces pH of urine for improved odor control and skin wellness

Premium acquisition layer:Rapidly absorbs fluid into the core

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Briefs | Ultra

ABSORBENCY DESCRIPTION ITEM # MFR # QTY COLOR HCPCS

Small (22"−36") 22363100 BRULSM 24/bg, 4 bg/cs Green T4521

Medium (32"−44") 83383100 BRULMD 16/bg, 6 bg/cs White T4522

Large (45"−58") 73383100 BRULLG 18/bg, 4 bg/cs Blue T4523

X-Large (59"−64") 30783100 BRULXL 15/bg, 4 bg/cs Beige T4524

XX-Large (63"−69") 87773100 BRULXXL 12/bg, 4 bg/cs Green T4543

ORDERING INFORMATION

• Ultra absorbency

• Soft, cloth-like inner and outer material

• Gentle outer leg gathers provide comfort and added protection

Unisex

Hi-loft premium, non-woven acquisition layer: Rapidly absorbs fluid into the core

Soft, wide and flexible hook and loop tabs: Can refasten anywhere on the brief

Advanced dual-core performance: Locks wetness away and reduces pH of urine for improved odor control and skin wellness

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ABSORBENCY DESCRIPTION ITEM # MFR # QTY COLOR HCPCS

Medium/Regular (32"−54") 32543100 BRSTRMR 20/bg, 4 bg/cs Lavender T4522

Large/X-Large (48"−66") 48663100 BRSTRLXL 20/bg, 4 bg/cs Beige T4523/T4524

ORDERING INFORMATION

Briefs | Ultra Plus Stretch

• Ultra absorbency

• Soft, cloth-like inner and outer material

• Gentle outer leg gathers provide comfort and added protection

• Inner leg cuffs provide added leak protection

Unisex

Advanced dual-core performance: Locks wetness away and reduces pH of urine for improved odor control and skin wellness

Hi-loft premium, non-woven acquisition layer: Rapidly absorbs fluid into the core

Advanced stretch side panels: Refastenable full-length hook strips

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ABSORBENCY DESCRIPTION ITEM # MFR # QTY COLOR HCPCS

XXX-Large (Up to 95") 78323100 BRBAR 8/bg, 4 bg/cs White T4543

ORDERING INFORMATION

Briefs | Ultra Plus Bariatric

• Ultra absorbency

• Soft, cloth-like inner and outer material

• Gentle outer leg gathers provide comfort and added protection

Unisex

Hi-loft premium, non-woven acquisition layer: Rapidly absorbs fluid into the core

Advanced stretch side panels: Refastenable hook and loop tabs

Advanced dual-core performance: Locks wetness away and reduces pH of urine for improved odor control and skin wellness

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MCKESSON INCONTINENCE CARE SOLUTIONS29

Protective underwear

Indications:

• Urinary Incontinence • Occasionally • Frequently

• Always

• Bowel Incontinence • Occasionally • Frequently

• Always

• Mobility • Can walk with/without

assistance

Lite protective underwear Regular protective underwear Ultra protective underwear

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ABSORBENCY DESCRIPTION ITEM # MFR # QTY COLOR HCPCS

Medium (32"−44") 44323100 UWEMD 20/bg, 4 bg/cs White T4526

Large (44"−58") 44583100 UWELG 18/bg, 4 bg/cs White T4527

X-Large (58"−68") 58683100 UWEXL 14/bg, 4 bg/cs White T4528

ORDERING INFORMATION

Protective Underwear | Lite

• Lite absorbency

• Soft, cloth-like breathable material provides discreet comfort and promotes drier, healthier skin

Comfort stretch waist: Helps obtain the perfect fit

Unisex

Advanced dual-core performance: Lockswetness away and reduces pH of urine for improved odor control and skin wellness

Easy on/off functionality: Pulls on and off like regular underwear

Premium acquisition layer: Rapidly absorbs fluid into the core

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MCKESSON INCONTINENCE CARE SOLUTIONS31

ABSORBENCY DESCRIPTION ITEM # MFR # QTY COLOR HCPCS

Medium (34"−44") 78333100 UWGMD 20/bg, 4 bg/cs White T4526

Large (44"−58") 78363100 UWGLG 18/bg, 4 bg/cs White T4527

X-Large (58"−68") 83833100 UWGXL 14/bg, 4 bg/cs White T4528

ORDERING INFORMATION

Protective Underwear | Regular

• Regular absorbency

• Soft, cloth-like breathable material provides discreet comfort and promotes drier, healthier skin

Comfort stretch waist: Helps obtain the perfect fit

Unisex

Advanced dual-core performance: Lockswetness away and reduces pH of urine for improved odor control and skin wellness

Easy on/off functionality: Pulls on and off like regular underwear

Premium acquisition layer: Rapidly absorbs fluid into the core

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Protective Underwear | Ultra

• Ultra absorbency

• Soft, cloth-like breathable material provides discreet comfort and promotes drier, healthier skin

• Inner leg cuffs provide added leak protection

ABSORBENCY DESCRIPTION ITEM # MFR # QTY COLOR HCPCS

Small (25"−32") 62243100 UWBSM 22/bg, 4 bg/cs White T4525

Medium (32"−44") 83873100 UWBMD 20/bg, 4 bg/cs White T4526

Large (44"−58") 83883100 UWBLG 18/bg, 4 bg/cs White T4527

X-Large (58"−68") 83733100 UWBXL 14/bg, 4 bg/cs White T4528

XX-Large (68"−80") 38773100 UWBXXL 12/bg, 4 bg/cs White T4528

ORDERING INFORMATION

Comfort stretch waist: Helps obtain the perfect fit

Unisex

Advanced dual-core performance: Lockswetness away and reduces pH of urine for improved odor control and skin wellness

Easy on/off functionality: Pulls on and off like regular underwear

Premium acquisition layer: Rapidly absorbs fluid into the core

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MCKESSON INCONTINENCE CARE SOLUTIONS33

Underpads

Indications:

• Urinary Incontinence • Occasionally • Frequently

• Always

• Bowel Incontinence • Occasionally • Frequently

• Always

Lite underpads Regular underpads Ultra underpads

Breathable underpads

• Mobility • Can walk with/without assistance • Bedridden

• Other • Bed and furniture protection • Low air-loss therapy

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ABSORBENCY DESCRIPTION ITEM # MFR # QTY COLOR HCPCS

17" x 24" 42713100 UPLT1724 300/bg, 1 bg/cs Blue T4541

23" x 24" 73423100 UPLT2324 25/bg, 8 bg/cs Blue T4541

23" x 36" 73433100 UPLT2336 10/bg, 15 bg/cs Blue T4541

23" x 36" 43723110 UPLT2336V120 10/bg, 12 bg/cs Blue T4541

ORDERING INFORMATION

Unisex

Soft, non-woven, bonded topsheet: Promotes rapid fluid acquisition

Underpads | Lite

• Lite absorbency

• Fluff core with superior mat configuration

• Heat-sealed, non-woven edges are gentle on skin

• Blue backsheet

• Great protection for general procedures and wound care

HCPCS

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MCKESSON INCONTINENCE CARE SOLUTIONS35

ABSORBENCY DESCRIPTION ITEM # MFR # QTY COLOR HCPCS

23" x 36" 73463100 UPMD2336 10/bg, 15 bg/cs Green T4541

23" x 36" 33733110 UPMD2336V120 10/bg, 12 bg/cs Green T4541

30" x 30" 73403100 UPMD3030 10/bg, 15 bg/cs Green T4541

30" x 36" 74303100 UPMD3036 10/bg, 10 bg/cs Green T4541

ORDERING INFORMATION

Underpads | Regular

• Regular absorbency

• Fluff core with superior mat configuration

• Heat-sealed, non-woven edges are gentle on skin

• Green backsheet

Unisex

Soft, non-woven, bonded topsheet: Promotes rapid fluid acquisition

Super absorbent polymer: Locks wetness away and reduces pH of urine for advanced odor control and skin wellness

HCPCS

T4541

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ABSORBENCY DESCRIPTION ITEM # MFR # QTY COLOR HCPCS

30" x 30" 73033100 UPHV3030 10/bg, 10 bg/cs Peach T4541

30" x 36" 74063100 UPHV3036 10/bg, 10 bg/cs Peach T4541

36" x 36" 73633100 UPHV3636 5/bg, 10 bg/cs Peach T4541

ORDERING INFORMATION

Underpads | Ultra

• Ultra absorbency

• Fluff core with superior mat configuration

• Heat-sealed, non-woven edges are gentle on skin

• Peach backsheet

HCPCS

T4541

T4541

Unisex

Soft, non-woven, bonded topsheet: Promotes rapid fluid acquisition

Super absorbent polymer: Locks wetness away and reduces pH of urine for advanced odor control and skin wellness

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MCKESSON INCONTINENCE CARE SOLUTIONS37

ABSORBENCY DESCRIPTION ITEM # MFR # QTY COLOR HCPCS

23" x 36" 74363100 UPHV2336 10/bg, 6 bg/cs Blue T4541

ORDERING INFORMATION

Underpads | Breathable

• Ultra absorbency

• Designed for airflow therapy beds

• Fluff core with superior mat configuration

• Heat-sealed, non-woven edges are gentle on skin

• Blue, breathable backsheet

Unisex

Soft, non-woven, bonded topsheet: Promotes rapid fluid acquisition

Super absorbent polymer: Locks wetness away and reduces pH of urine for advanced odor control and skin wellness

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38

Disposable washcloths

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MCKESSON INCONTINENCE CARE SOLUTIONS39

Unisex

DESCRIPTION ITEM # MFR # QTY HCPCS

12.5" x 7.5" 47343100 WPW50 50/pk, 12pk/cs A4335

12.5" x 7.5" 15653100 WPW100 100/pk, 6pk/cs A4335

ORDERING INFORMATION

Disposable washcloths with aloe

• Lid conveniently stays open and firmly snaps closed

• Dispenses easily with one hand, minimizing cross-contamination

• Moist, pleasantly fragranced, clinically tested on skin to be mild

• Alcohol and rinse free, yet sanitary

• Strong, but gentle to the touch

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DESCRIPTION ITEM # MFR # QTY HCPCS

12" x 9" 15631100 50-15632 48/pk, 16pk/cs A4335

ORDERING INFORMATION

Disposable washcloths

• Unscented and alcohol free

• Strong and absorbent, yet soft enough to handle personal cleaning

• Sanitary replacement for reusable washcloths and a great alternative to terry washcloths

• Excellent for use with ointments, cleaning personal care items or for use in laboratory settings

Unisex

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MCKESSON INCONTINENCE CARE SOLUTIONS41

To order, visit mms.mckesson.com or contact your McKesson Medical-Surgical Account Manager.

Contact our Clinical Resource Team for clinical and business [email protected]

Visit theraskincare.com to learn more about THERA™ Advanced Skin Care.

START ORDERING TODAY!

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McKesson Medical-Surgical8741 Landmark RoadRichmond, VA 23228

Long Term CareEastern Region Service Center800.654.7240Western Region Service Center800.654.0418ltcsolutions.mckesson.com Clinical Resource Team877.611.0081Call our toll-free support line for answers to questions about incontinence care and skin and wound care. Our line is managed by Board-Certified Wound, Ostomy and Continence Nurses.

theraskincare.com