Moisturizer
Specific Coverage Policy: Supplies used in the management of incontinence, including creams, salves, lotions, barriers (liquid, spray, wipes, powder, paste) or other skin care products are non-covered by the DMERC.
| Product # | Description | Tubes/Case | HCPCS Code |
| 59431900 | 3 oz. Flip-Top Tube | 24 | A6250 |
| 59432000 | 6.5 oz. Flip-Top Tube | 12 | A6250 |