32
Part III (e) Appliances - Lymphoedema Garments February 2013 1 Part III (e) Lymphoedema Garments Contents: ActiLymph ................................................................................................................................................ 2 ActiLymph MTM Dura Stiffer Fabric for Lower Extremities .................................................................. 3 ActiLymph MTM Ease Soft Fabric for Lower Extremities ..................................................................... 3 Altiven ...................................................................................................................................................... 4 Altiven Armsleeves .................................................................................................................................. 4 Altiven Made to Measure ......................................................................................................................... 5 Altiven Made to Measure Arm Sleeves ................................................................................................... 6 Carolon .................................................................................................................................................... 6 Comfy Care (formerly CareS) .................................................................................................................. 6 Haddenham Custom Goldpunkt - a firmer fabric for the lower limb ........................................................ 7 Haddenham Custom Goldpunkt - a firmer fabric for the upper limb........................................................ 7 Haddenham Custom Pertex - a softer fabric for the lower limb .............................................................. 8 Haddenham Custom Pertex - a softer fabric for the upper limb .............................................................. 8 Haddenham Doktus ................................................................................................................................. 9 Haddenham FarrowWrap ........................................................................................................................ 9 Haddenham Microfine ............................................................................................................................. 9 Haddenham Star Cotton for lower extremities ................................................................................... 10 Haddenham Star Cotton for upper extremities ................................................................................... 10 Haddenham Venex ................................................................................................................................ 11 Haddenham Veni ................................................................................................................................... 12 Jobskin Alleviant .................................................................................................................................... 13 Jobskin Alleviant Armsleeves ................................................................................................................ 13 Jobst Bella Lite ...................................................................................................................................... 13 Jobst Bellavar ........................................................................................................................................ 14 Jobst Elvarex Custom Fit - For lower extemities ................................................................................... 14 Jobst Elvarex Custom Fit - For upper extemities .................................................................................. 15 Jobst Elvarex Soft Custom Fit For lower extremities ......................................................................... 16 Jobst Elvarex Soft Custom Fit For upper extremities ......................................................................... 16 Jobst Opaque ........................................................................................................................................ 17 Juxta-Fit (formerly Juxta-Fit Adjust to Fit) ............................................................................................. 18 Juzo Classic .......................................................................................................................................... 18 Juzo Dynamic ........................................................................................................................................ 18 Juzo Hostess ......................................................................................................................................... 18 Juzo Soft ................................................................................................................................................ 19 Mediven 95 ............................................................................................................................................ 19 Mediven 95 Whitaker Pouch.................................................................................................................. 19 Mediven Active see Medicen for men ................................................................................................... 20 Mediven Elegance ................................................................................................................................. 20 Mediven for men .................................................................................................................................... 20 Mediven Mondi MTM ............................................................................................................................. 20 Mediven Plus ......................................................................................................................................... 21 ReadyWrap Quick-Fit ............................................................................................................................ 21 Sigvaris Arm Sleeves ......................................................................................................................... 22 Sigvaris Advance ................................................................................................................................... 22 Sigvaris 500 ........................................................................................................................................... 22 Sigvaris Comfort .................................................................................................................................... 23 Sigvaris Coton ....................................................................................................................................... 24 Sigvaris Coton Instinct ........................................................................................................................... 24 Sigvaris Cotton ...................................................................................................................................... 25

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Page 1: Part III (e) Lymphoedema Garments  · PDF fileArmsleeve With Top Band Standard S, M, L, ... Oblique Toe ALO-OBT 6.50 ... (Extra Wide) Open Toe Short,

Part III (e) Appliances - Lymphoedema Garments

February 2013 1

Part III (e)

Lymphoedema Garments

Contents:

ActiLymph ................................................................................................................................................ 2 ActiLymph MTM Dura – Stiffer Fabric for Lower Extremities .................................................................. 3 ActiLymph MTM Ease – Soft Fabric for Lower Extremities ..................................................................... 3 Altiven ...................................................................................................................................................... 4 Altiven Armsleeves .................................................................................................................................. 4 Altiven Made to Measure ......................................................................................................................... 5 Altiven Made to Measure Arm Sleeves ................................................................................................... 6 Carolon .................................................................................................................................................... 6 Comfy Care (formerly CareS) .................................................................................................................. 6 Haddenham Custom Goldpunkt - a firmer fabric for the lower limb ........................................................ 7 Haddenham Custom Goldpunkt - a firmer fabric for the upper limb........................................................ 7 Haddenham Custom Pertex - a softer fabric for the lower limb .............................................................. 8 Haddenham Custom Pertex - a softer fabric for the upper limb .............................................................. 8 Haddenham Doktus ................................................................................................................................. 9 Haddenham FarrowWrap ........................................................................................................................ 9 Haddenham Microfine ............................................................................................................................. 9 Haddenham Star Cotton – for lower extremities ................................................................................... 10 Haddenham Star Cotton – for upper extremities ................................................................................... 10 Haddenham Venex ................................................................................................................................ 11 Haddenham Veni ................................................................................................................................... 12 Jobskin Alleviant .................................................................................................................................... 13 Jobskin Alleviant Armsleeves ................................................................................................................ 13 Jobst Bella Lite ...................................................................................................................................... 13 Jobst Bellavar ........................................................................................................................................ 14 Jobst Elvarex Custom Fit - For lower extemities ................................................................................... 14 Jobst Elvarex Custom Fit - For upper extemities .................................................................................. 15 Jobst Elvarex Soft Custom Fit – For lower extremities ......................................................................... 16 Jobst Elvarex Soft Custom Fit – For upper extremities ......................................................................... 16 Jobst Opaque ........................................................................................................................................ 17 Juxta-Fit (formerly Juxta-Fit Adjust to Fit) ............................................................................................. 18 Juzo Classic .......................................................................................................................................... 18 Juzo Dynamic ........................................................................................................................................ 18 Juzo Hostess ......................................................................................................................................... 18 Juzo Soft ................................................................................................................................................ 19 Mediven 95 ............................................................................................................................................ 19 Mediven 95 Whitaker Pouch.................................................................................................................. 19 Mediven Active see Medicen for men ................................................................................................... 20 Mediven Elegance ................................................................................................................................. 20 Mediven for men .................................................................................................................................... 20 Mediven Mondi MTM ............................................................................................................................. 20 Mediven Plus ......................................................................................................................................... 21 ReadyWrap Quick-Fit ............................................................................................................................ 21 Sigvaris – Arm Sleeves ......................................................................................................................... 22 Sigvaris Advance ................................................................................................................................... 22 Sigvaris 500 ........................................................................................................................................... 22 Sigvaris Comfort .................................................................................................................................... 23 Sigvaris Coton ....................................................................................................................................... 24 Sigvaris Coton Instinct ........................................................................................................................... 24 Sigvaris Cotton ...................................................................................................................................... 25

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Part III (e) Appliances - Lymphoedema Garments

February 2013 2

Sigvaris Diaphane ................................................................................................................................. 26 Sigvaris Lymphoedema Glove............................................................................................................... 26 Sigvaris Magic ....................................................................................................................................... 26 Sigvaris Microfibre see Sigvaris Microfibre 3 Expert ............................................................................. 26 Sigvaris Microfibre 3 Expert................................................................................................................... 26 Sigvaris MTM ......................................................................................................................................... 27 Sigvaris MTM Comfort ........................................................................................................................... 28 Sigvaris MTM Cotton ............................................................................................................................. 29 Sigvaris MTM Magic .............................................................................................................................. 30 Sigvaris Opalis ....................................................................................................................................... 30 Sigvaris Urban 2 .................................................................................................................................... 30 Venosan 5000 ....................................................................................................................................... 30 Venosan 7000 ....................................................................................................................................... 31 Venotrain Micro ..................................................................................................................................... 31 Venotrain Soft ........................................................................................................................................ 32

ActiLymph

Style Lengths Sizes

Class 1 (18-21mmHg) Price per pair

Below Knee Closed Toe No Top Band Standard S, M, L, XL, XXL 27.67

Petite S, M, L, XL 27.67

Below Knee Open Toe No Top Band Standard S, M, L, XL, XXL 27.67

Thigh Closed Toe With Wide Top Band Standard S, M, L, XL 53.18

Thigh Open Toe With Regular Top Band Standard S, M, L, XL ,XXL 52.13

Thigh Closed Toe With Regular Top Band Standard S, M, L, XL 52.03

Price per piece

Armsleeve No Top Band Standard S, M, L, XL 14.65

Armsleeve With Top Band Standard S, M, L, XL 19.53

Armsleeve With Top Band Long S, M, L, XL 19.15

Combined Armsleeve No Top Band Standard S, M, L 26.59

Combined Armsleeve With Top Band Standard S, M, L 31.47

Combined Armsleeve With Top Band Long S, M, L 30.85 Class 2 (23-32mmHg) Price per

pair

Below Knee Closed Toe No Top Band Standard S, M, L, XL 27.67

Petite S, M, L, XL 27.67

Below Knee Open Toe No Top Band Standard S, M, L, XL, XXL 27.67

Petite S, M, L, XL 27.67

Thigh Closed Toe With Wide Top Band Standard S, M, L, XL 53.18

Thigh Open Toe With Wide Top Band Standard S, M, L, XL 53.18

Thigh Open Toe With Regular Top Band Standard S, M, L, XL, XXL 52.13

Thigh Closed Toe With Regular Top Band Standard S, M, L, XL 52.03

Price per piece

Armsleeve No Top Band Standard S, M, L, XL 15.74

Armsleeve With Top Band Standard S, M, L, XL 20.62

Long S, M, L, XL 20.21

Combined Armsleeve No Top Band Standard S, M, L 27.67

Combined Armsleeve With Top Band Standard S, M, L 32.56

Long S, M, L 31.92 Class 3 (34-46mmHg) Price per

pair

Below Knee Open Toe No Top Band Standard S, M, L, XL 30.39

Thigh Open Toe With Wide Top Band Standard S, M, L, XL 55.35

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Part III (e) Appliances - Lymphoedema Garments

February 2013 3

ActiLymph MTM Dura – Stiffer Fabric for Lower Extremities

Style Product Code

Class 2 (23-32mmHg) Price Per Piece

Below Knee A-D AL-DURA C2-AD 33.58

Thigh Length A-G AL-DURAC2-AG 41.41

Thigh with Waist Attachment A-GT AL-DURAC2-AGT 58.51

2 Legged Panty A-T (includes cycle style pants) AL-DURAC2-AT 153.64

Class 3 (34-46mmHg)

Below Knee A-D AL-DURAC3-AD 35.61

Thigh Length A-G AL-DURAC3-AG 44.57

Thigh with Waist Attachment A-GT AL-DURAC3-AGT 60.03

2 Legged Panty A-T (includes cycle style pants) AL-DURAC3-AT 162.80

NB: The above garments are available with optional extras. These are priced separately. See below

Closed Toe ALO-CT 1.02

Oblique Toe ALO-OBT 6.50

2 Ankle Pads ALO-PAD 20.35

Silicone Band ALO-BAND 7.53

Slip Form ALO-FORM 6.61

T Heel Ankle Seam ALO-SEAM 6.61

Full Compression Body Part (in AT) ALO-FCBODY 24.42

ActiLymph MTM Ease – Soft Fabric for Lower Extremities

Style Product Code

Class 1 (18-21mmHg) Price Per Piece

Below Knee A-D AL-EASE C1-AD 32.20

Thigh Length A-G AL-EASEC1-AG 38.46

Thigh with Waist Attachment A-GT AL-EASEC1-AGT 54.44

2 Legged Panty A-T (includes cycle style pants) AL-EASEC1-AT 139.19

Class 2 (23-32mmHg)

Below Knee A-D AL-EASEC2-AD 33.58

Thigh Length A-G AL-EASEC2-AG 41.41

Thigh with Waist Attachment A-GT AL-EASEC2-AGT 58.51

2 Legged Panty A-T (includes cycle style pants) AL-EASEC2-AT 153.64

Class 3 (34-46mmHg)

Below Knee A-D AL-EASEC3-AD 35.61

Thigh Length A-G AL-EASEC3-AG 44.57

Thigh with Waist Attachment A-GT AL-EASEC3-AGT 60.03

2 Legged Panty A-T (includes cycle style pants) AL-EASEC3-AT 162.80

NB: The above garments are available with optional extras. These are priced separately. See below

Closed Toe ALO-CT 1.02

Oblique Toe ALO-OBT 6.50

Silicone Band ALO-BAND 7.53

Slip Form ALO-FORM 6.61

T Heel Ankle Seam ALO-SEAM 6.61

Full Compression Body Part (in A-T) (only available in Class 2 (only available in Class 2 and 3)

ALO-FCBODY 24.42

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Part III (e) Appliances - Lymphoedema Garments

February 2013 4

Altiven

Style Lengths Sizes

Class 1 (18-21mmHg) Price per Pair

Below Knee Open Toe Short, Regular I,II,III,IV,V,VI,VII 20.87

Below Knee Closed Toe Short, Regular I,II,III,IV,V,VI,VII 20.87

Hold Up Open Toe Short, Regular I,II,III,IV,V,VI,VII 40.12

Hold Up Closed Toe Short, Regular I,II,III,IV,V,VI,VII 40.12

Hold Up (Extra Wide) Open Toe Short, Regular I,II,III,IV,V,VI,VII 40.12

Hold Up (Extra Wide) Closed Toe Short, Regular I,II,III,IV,V,VI,VII 40.12

Tights Open Toe Short, Regular I,II,III,IV,V,VI,VII 41.46

Tights Closed Toe Short, Regular I,II,III,IV,V,VI,VII 41.46

Price per Piece

Thigh with Waist Attachment Open Toe Short, Regular I,II,III,IV,V,VI,VII 21.52

Thigh with Waist Attachment Closed Toe Short, Regular I,II,III,IV,V,VI,VII 21.52 Class 2 (23-32mmHg) Price per Pair

Below Knee Open Toe Short, Regular I,II,III,IV,V,VI,VII 20.87

Below Knee Closed Toe Short, Regular I,II,III,IV,V,VI,VII 20.87

Hold Up Open Toe Short, Regular I,II,III,IV,V,VI,VII 40.12

Hold Up Closed Toe Short, Regular I,II,III,IV,V,VI,VII 40.12

Hold Up (Extra Wide) Open Toe Short, Regular I,II,III,IV,V,VI,VII 40.12

Hold Up (Extra Wide) Closed Toe Short, Regular I,II,III,IV,V,VI,VII 40.12

Tights Open Toe Short, Regular I,II,III,IV,V,VI,VII 45.54

Tights Closed Toe Short, Regular I,II,III,IV,V,VI,VII 45.54

Price per Piece

Thigh with Waist Attachment Open Toe Short, Regular I,II,III,IV,V,VI,VII 21.52

Thigh with Waist Attachment Closed Toe Short, Regular I,II,III,IV,V,VI,VII 21.52 Class 3 (34-46mmHg) Price per Pair

Below Knee Open Toe Short, Regular I,II,III,IV,V,VI,VII 20.87

Below Knee Closed Toe Short, Regular I,II,III,IV,V,VI,VII 20.87

Hold Up Open Toe Short, Regular I,II,III,IV,V,VI,VII 40.12

Hold Up Closed Toe Short, Regular I,II,III,IV,V,VI,VII 40.12

Hold Up (Extra Wide) Open Toe Short, Regular I,II,III,IV,V,VI,VII 40.12

Hold Up (Extra Wide) Closed Toe Short, Regular I,II,III,IV,V,VI,VII 40.12

Tights Open Toe Short, Regular I,II,III,IV,V,VI,VII 48.54

Tights Closed Toe Short, Regular I,II,III,IV,V,VI,VII 48.54

Price per Piece

Thigh with Waist Attachment Open Toe Short, Regular I,II,III,IV,V,VI,VII 23.69

Thigh with Waist Attachment Closed Toe Short, Regular I,II,III,IV,V,VI,VII 23.69

Altiven Armsleeves

Style Lengths Sizes

Class 1 (18-21mmHg) Price per Piece

Axilla – Wrist Regular I, II, III, IV, V 11.05

Axilla – Wrist with Grip Top Regular I, II, III, IV, V 14.74

Axilla – Mitten Regular I, II, III, IV, V 20.05

Axilla – Mitten with Grip Top Regular I, II, III, IV, V 23.74

Axilla – Wrist with Elbow Pouch Regular I, II, III, IV, V 11.05

Axilla – Wrist with Grip Top and Elbow Pouch Regular I, II, III, IV, V 14.74

Axilla – Mitten with Elbow Pouch Regular I, II, III, IV, V 20.05

Axilla – Mitten with Grip Top and Elbow Pouch Regular I, II, III, IV, V 23.74

Class 2 (23-32mmHg) Price per Piece

Axilla – Wrist Regular I, II, III, IV, V 11.87

Axilla – Wrist with Grip Top Regular I, II, III, IV, V 15.56

Axilla – Mitten Regular I, II, III, IV, V 20.87

Axilla – Mitten with Grip Top Regular I, II, III, IV, V 24.56

Axilla – Wrist with Elbow Pouch Regular I, II, III, IV, V 11.87

Axilla – Wrist with Grip Top and Elbow Pouch Regular I, II, III, IV, V 15.56

Axilla – Mitten with Elbow Pouch Regular I, II, III, IV, V 20.87

Axilla – Mitten with Grip Top and Elbow Pouch Regular I, II, III, IV, V 24.56

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Part III (e) Appliances - Lymphoedema Garments

February 2013 5

Altiven Made to Measure

Style

Low Compression (14-18mmHg) Price per pair

Below Knee Open Toe 26.47 Below Knee Closed Toe 26.47 Thigh High Hold-up Open Toe 45.79 Thigh High Hold-up Closed Toe 45.79 Tights Open Toe 48.84 Tights Closed Toe 48.84 Price per piece

Thigh with Waist Attachment Open Toe 26.70 Thigh with Waist Attachment Closed Toe 26.70 Class 1 (18-21mmHg) Price per pair

Below Knee Open Toe 26.47 Below Knee Closed Toe 26.47 Thigh High Hold-up Open Toe 45.79 Thigh High Hold-up Closed Toe 45.79 Tights Open Toe 48.84 Tights Closed Toe 48.84 Price per piece

Thigh with Waist Attachment Open Toe 26.70 Thigh with Waist Attachment Closed Toe 26.70 Class 2 (23-32mmHg) Price per pair

Below Knee Open Toe 26.47 Below Knee Closed Toe 26.47 Thigh High Hold-up Open Toe 45.79 Thigh High Hold-up Closed Toe 45.79 Tights Open Toe 48.84 Tights Closed Toe 48.84 Price per piece

Thigh with Waist Attachment Open Toe 26.70 Thigh with Waist Attachment Closed Toe 26.70 Class 3 (34-46mmHg) Price per pair

Below Knee Open Toe 29.15 Below Knee Closed Toe 29.15 Thigh High Hold-up Open Toe 49.86 Thigh High Hold-up Closed Toe 49.86 Tights Open Toe 48.84 Tights Closed Toe 48.84 Price per piece

Thigh with Waist Attachment Open Toe 29.40 Thigh with Waist Attachment Closed Toe 29.40

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Part III (e) Appliances - Lymphoedema Garments

February 2013 6

Altiven Made to Measure Arm Sleeves

Style

Low Compression (12-16mmHg) Price per piece

Armsleeve Axilla-Wrist with elbow pocket 14.01

Armsleeve Axilla-Wrist 14.01

Armsleeve Axilla-Wrist with Top Band and elbow pocket 18.68

Armsleeve Axilla-Wrist with Top Band 18.68

Armsleeve Axilla-Mitten with elbow pocket 25.43

Armsleeve Axilla-Mitten 25.43

Armsleeve Axilla-Mitten with Top Band and elbow pocket 30.10

Armsleeve Axilla-Mitten with Top Band 30.10

Class 1 (18-21mmHg) Price per piece

Armsleeve Axilla-Wrist with elbow pocket 14.01

Armsleeve Axilla-Wrist 14.01

Armsleeve Axilla-Wrist with Top Band and elbow pocket 18.68

Armsleeve Axilla-Wrist with Top Band 18.68

Armsleeve Axilla-Mitten with elbow pocket 25.43

Armsleeve Axilla-Mitten 25.43

Armsleeve Axilla-Mitten with Top Band and elbow pocket 30.10

Armsleeve Axilla-Mitten with Top Band 30.10

Class 2 (23-32mmHg) Price per piece

Armsleeve Axilla-Wrist with elbow pocket 15.05

Armsleeve Axilla-Wrist 15.05

Armsleeve Axilla-Wrist with Top Band and elbow pocket 19.72

Armsleeve Axilla-Wrist with Top Band 19.72

Armsleeve Axilla-Mitten with elbow pocket 26.47

Armsleeve Axilla-Mitten 26.47

Armsleeve Axilla-Mitten with Top Band and elbow pocket 31.14

Armsleeve Axilla-Mitten with Top Band 31.14

CareS see Comfy Care

Comfy Care (formerly CareS)

Style Lengths Sizes

Class 1 (18-21mmHg) Price per pair

Below knee Closed Toe 38-44cm, 45-50cm S, M, L, XL 21.00

Below knee Open Toe 38-44cm, 45-50cm S, M, L, XL 21.00

Thigh High Closed Toe 65-73cm, 74-82cm S, M, L, XL 21.00 Class 2 (23-32mmHg)

Below knee Closed Toe 38-44cm, 45-50cm S, M, L, XL 21.00

Below knee Open Toe 38-44cm, 45-50cm S, M, L, XL 21.00

Thigh High Closed Toe 65-73cm, 74-82cm S, M, L, XL 21.00

Thigh High Open Toe 65-73cm, 74-82cm S, M, L, XL 21.00

Carolon

Style Lengths Sizes

Class 1 (14-17mmHg) Price per pair Below Knee Short, Regular A-G 19.95

Cushion Sock Short, Regular A-E 19.95

Class 2 (18-24mmHg)

Below Knee Short, Regular A-G 19.95

Thigh with silicone band Closed Toe Short, Regular A-C 39.95

Regular D-E 39.95

Thigh with silicone band Open Toe Regular A-E 39.95

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Part III (e) Appliances - Lymphoedema Garments

February 2013 7

Haddenham Custom Goldpunkt - a firmer fabric for the lower limb

Garment Type Code

Class 2 (23-32mmHg) Price per piece

Toe Cap GP-12 43.00

Below Knee GP-22 34.00

Thigh High GP-32 41.50

Thigh High with Waist Attachment GP-42 57.00

Pantyhose GP-52 157.84

Class 3 (34-46mmHg)

Toe Cap GP-13 45.00

Below Knee GP-23 37.00

Thigh High GP-33 45.00

Thigh High with Waist Attachment GP-43 61.00

Pantyhose GP-53 167.78

Class 4 (49-70mmHg)

Below Knee GP-24 39.00

Thigh High GP-34 50.50

Thigh High with Waist Attachment GP-44 66.50

Pantyhose GP-54 182.43

NB: The garments are available with additional options. These are priced separately. See below

Silicone Grip Top CM-90 7.50

2 Malleolus pads CM-91 20.00

Zip CM-92 21.00

Velcro Fastening CM-93 20.00

Velcro Strap CM-94 3.00

Haddenham Custom Goldpunkt - a firmer fabric for the upper limb

Garment Type Code

Class 2 (23-32mmHg) Price per piece

Glove no Fingers (gauntlet) GP-62 35.50

Glove with Fingers GP-65 60.00

Armsleeve - Wrist to Axilla GP-72 36.50

Armsleeve - with Glove no Fingers GP-75 67.50

Armsleeve - with Glove and Fingers GP-78 92.00

Class 3 (34-46mmHg)

Glove no Fingers (gauntlet) GP-63 36.50

Glove with Fingers GP-66 61.50

Armsleeve - Wrist to Axilla GP-73 37.00

Armsleeve - with Glove no Fingers GP-76 68.00

Armsleeve - with Glove and Fingers GP-79 93.00

NB: The garments are available with additional options. These are priced separately. See below

Silicone Grip Top CM-80 4.00

Zip CM-81 21.00

Shoulder Cap CM-83 12.50

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Part III (e) Appliances - Lymphoedema Garments

February 2013 8

Haddenham Custom Pertex - a softer fabric for the lower limb

Garment Type Code

Class 1 (18-21mmHg) Price per piece

Toe Cap PX-11 41.00

Below Knee PX-21 31.50

Thigh High PX-31 37.50

Thigh High with Waist Attachment PX-41 58.50

Pantyhose PX-51 136.50

Class 2 (23-32mmHg)

Toe Cap PX-12 42.00

Below Knee PX-22 33.50

Thigh High PX-32 41.00

Thigh High with Waist Attachment PX-42 57.00

Pantyhose PX-52 151.00

Class 3 (34-46mmHg)

Toe Cap PX-13 44.00

Below Knee PX-23 36.50

Thigh High PX-33 44.00

Thigh High with Waist Attachment PX-43 60.00

Pantyhose PX-53 160.00

NB: The garments are available with additional options. These are priced separately. See below

Silicone Grip Top CM-90 7.50

2 Malleolus pads CM-91 20.00

Zip CM-92 21.00

Velcro Fastening CM-93 20.00

Velcro Strap CM-94 3.00

Haddenham Custom Pertex - a softer fabric for the upper limb

Garment Type Code

Class 1 (18-21mmHg) Price per piece

Glove no Fingers (gauntlet) PX-61 33.50

Glove with Fingers PX-64 52.00

Armsleeve - Wrist to Axilla PX-71 33.00

Armsleeve - with Glove no Fingers PX-74 65.00

Armsleeve - with Glove and Fingers PX-77 83.50

Class 2 (23-32mmHg)

Glove no Fingers (gauntlet) PX-62 35.00

Glove with Fingers PX-65 59.00

Armsleeve - Wrist to Axilla PX-72 34.00

Armsleeve - with Glove no Fingers PX-75 66.00

Armsleeve - with Glove and Fingers PX-78 90.00

Class 3 (34-46mmHg)

Glove no Fingers (gauntlet) PX-63 36.50

Glove with Fingers PX-66 61.00

Armsleeve - Wrist to Axilla PX-73 35.00

Armsleeve - with Glove no Fingers PX-76 67.00

Armsleeve - with Glove and Fingers PX-79 92.00

NB: The garments are available with additional options. These are priced separately. See below

Silicone Grip Top CM-80 4.00

Zip CM-81 21.00

Shoulder Cap CM-83 12.50

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Part III (e) Appliances - Lymphoedema Garments

February 2013 9

Haddenham Doktus

Style Length Sizes

Class 2 (23-32mmHg) Price per piece Armsleeve Regular, Long XS, S, M, L 14.50 Armsleeve Extra Wide Regular, Long XS, S, M, L 15.50 Armsleeve with Mitten Regular, Long XS, S, M, L 26.00 Armsleeve with Mitten Extra Wide Regular, Long XS, S, M, L 27.00 Armsleeve with Grip Top Regular, Long XS, S, M, L 17.50 Armsleeve with Grip Top Extra Wide Regular, Long XS, S, M, L 18.50 Armsleeve with Grip Top with Mitten Regular, Long XS, S, M, L 29.00 Armsleeve with Grip Top with Mitten Extra Wide

Regular, Long XS, S, M, L 30.00

Class 3 (34-46mmHg) Armsleeve Regular, Long XS, S, M, L 14.50 Armsleeve Extra Wide Regular, Long XS, S, M, L 15.50 Armsleeve with Mitten Regular, Long XS, S, M, L 26.00 Armsleeve with Mitten Extra Wide Regular, Long XS, S, M, L 27.00 Armsleeve with Grip Top Regular, Long XS, S, M, L 17.50 Armsleeve with Grip Top Extra Wide Regular, Long XS, S, M, L 18.50 Armsleeve with Grip Top with Mitten Regular, Long XS, S, M, L 29.00 Armsleeve with Grip Top with Mitten Extra Wide

Regular, Long XS, S, M, L 30.00

Haddenham FarrowWrap

Style Lengths Sizes

Lite (20-30mmHg) Price per piece

Footpiece Regular,Long XS, S, M, L,XL 35.51

Legpiece Regular,Long XS, S, M, L,XL 126.83

Thighpiece Short,Regular,Long XS, S, M, L,XL 126.83 Classic (30-40mmHg)

Footpiece Regular,Long XS, S, M, L,XL 35.51

Legpiece Regular,Long XS, S, M, L,XL 126.83

Thighpiece Short,Regular,Long XS, S, M, L,XL 126.83

Haddenham Microfine

Style Length Sizes

(20-36mmHg) Price per piece Glove with compressive fingers XS, S, M, L 40.80 Toe Cap with compressive toes XS, S, M, L 26.00

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Part III (e) Appliances - Lymphoedema Garments

February 2013 10

Haddenham Star Cotton – for lower extremities

Style Length Sizes

Class 1 (18-21mmHg) Price per pair

Below Knee Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 26.00

Below Knee Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 26.00

Below Knee Extra Wide Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 29.00

Below Knee Extra Wide Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 29.00

Thigh High with Grip Top Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII 48.00

Thigh High with Grip Top Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII 48.00

Thigh High with Grip Top Extra Wide Open Toe

Short, Regular, Long I,II,III,IV,V,VI,VII 51.00

Thigh High with Grip Top Extra Wide Closed Toe

Short, Regular, Long I,II,III,IV,V,VI,VII 51.00

Tights Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII 48.00

Tights Extra Wide Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII 49.00

Class 2 (23-32mmHg)

Below Knee Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 26.00

Below Knee Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 26.00

Below Knee Extra Wide Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 29.00

Below Knee Extra Wide Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 29.00

Thigh High with Grip Top Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII 48.00

Thigh High with Grip Top Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII 48.00

Thigh High with Grip Top Extra Wide Open Toe

Short, Regular, Long I,II,III,IV,V,VI,VII 51.00

Thigh High with Grip Top Extra Wide Closed Toe

Short, Regular, Long I,II,III,IV,V,VI,VII 51.00

Tights Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII 48.00

Tights Extra Wide Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII 51.00

Haddenham Star Cotton – for upper extremities

Style Length Sizes

Class 1 (18-21mmHg) Price per piece

Armsleeve Regular, Long XS, S, M, L 14.50

Armsleeve Extra Wide Regular, Long XS, S, M, L 15.50

Armsleeve with Mitten Regular, Long XS, S, M, L 26.00

Armsleeve with Mitten Extra Wide Regular, Long XS, S, M, L 27.00

Armsleeve with Grip Top Regular, Long XS, S, M, L 17.50

Armsleeve with Grip Top Extra Wide Regular, Long XS, S, M, L 18.50

Armsleeve with Grip Top with Mitten Regular, Long XS, S, M, L 29.00

Armsleeve with Grip Top with Mitten Extra Wide

Regular, Long XS, S, M, L 30.00

Class 2 (23-32mmHg)

Armsleeve Regular, Long XS, S, M, L 14.50

Armsleeve Extra Wide Regular, Long XS, S, M, L 15.50

Armsleeve with Mitten Regular, Long XS, S, M, L 26.00

Armsleeve with Mitten Extra Wide Regular, Long XS, S, M, L 27.00

Armsleeve with Grip Top Regular, Long XS, S, M, L 17.50

Armsleeve with Grip Top Extra Wide Regular, Long XS, S, M, L 18.50

Armsleeve with Grip Top with Mitten Regular, Long XS, S, M, L 29.00

Armsleeve with Grip Top with Mitten Extra Wide

Regular, Long XS, S, M, L 30.00

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Part III (e) Appliances - Lymphoedema Garments

February 2013 11

Haddenham Venex

Style Length Sizes Price per piece

Class 1 (18-21mmHg) Armsleeve Regular, Long XS, S, M, L 13.50 Armsleeve Extra Wide Regular, Long XS, S, M, L 14.50 Armsleeve with Mitten Regular, Long XS, S, M, L 25.00 Armsleeve with Mitten Extra Wide Regular, Long XS, S, M, L 26.00 Armsleeve with Grip Top Regular, Long XS, S, M, L 16.50 Armsleeve with Grip Top Extra Wide Regular, Long XS, S, M, L 17.50 Armsleeve with Grip Top with Mitten Regular, Long XS, S, M, L 28.00 Armsleeve with Grip Top with Mitten Extra Wide

Regular, Long XS, S, M, L 29.00

Class 2 (23-32mmHg) Armsleeve Regular, Long XS, S, M, L 13.50 Armsleeve Extra Wide Regular, Long XS, S, M, L 14.50 Armsleeve with Mitten Regular, Long XS, S, M, L 25.00 Armsleeve with Mitten Extra Wide Regular, Long XS, S, M, L 26.00 Armsleeve with Grip Top Regular, Long XS, S, M, L 16.50 Armsleeve with Grip Top Extra Wide Regular, Long XS, S, M, L 17.50 Armsleeve with Grip Top with Mitten Regular, Long XS, S, M, L 28.00 Armsleeve with Grip Top with Mitten Extra Wide

Regular, Long XS, S, M, L 29.00

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February 2013 12

Haddenham Veni

Style Length Sizes Price per pair

Class 1 (18-21mmHg)

Below Knee Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 26.00

Below Knee Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 26.00

Below Knee Extra Wide Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 29.00

Below Knee Extra Wide Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 29.00

Thigh High with Grip Top Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 48.00

Thigh High with Grip Top Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 48.00

Thigh High with Grip Top Extra Wide Open Toe

Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 51.00

Thigh High with Grip Top Extra Wide Closed Toe

Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 51.00

Tights Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 48.00

Tights Extra Wide Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 49.00

Class 2(23-32mmHg)

Below Knee Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 26.00

Below Knee Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 26.00

Below Knee Extra Wide Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 29.00

Below Knee Extra Wide Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 29.00

Thigh High with Grip Top Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 48.00

Thigh High with Grip Top Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 48.00

Thigh High with Grip Top Extra Wide Open Toe

Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 51.00

Thigh High with Grip Top Extra Wide Closed Toe

Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 51.00

Tights Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 48.00

Tights Extra Wide Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 49.00 Class 3(34-46mmHg) Below Knee Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 26.00 Below Knee Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 26.00 Below Knee Extra Wide Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 29.00 Below Knee Extra Wide Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 29.00 Thigh High with Grip Top Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 48.00 Thigh High with Grip Top Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 48.00 Thigh High with Grip Top Extra Wide Open Toe

Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 51.00

Thigh High with Grip Top Extra Wide Closed Toe

Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 51.00

Tights Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 48.00 Tights Extra Wide Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 51.00

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Part III (e) Appliances - Lymphoedema Garments

February 2013 13

Jobskin Alleviant

Style Length Sizes

Class 1 (18-21mmHg) Price per pair

Below Knee Open Toe Short, Normal I,II,III,IV,V,VI,VII 20.00

Below Knee Closed Toe Short, Normal I,II,III,IV,V,VI,VII 20.00

Thigh Length Silicone Top Open Toe Short, Normal I,II,III,IV,V,VI,VII 30.00

Thigh Length Silicone Top Closed Toe Short, Normal I,II,III,IV,V,VI,VII 30.00

Panty Hose Open Toe Short, Normal I,II,III,IV,V,VI,VII 28.00

Panty Hose Closed Toe Short, Normal I,II,III,IV,V,VI,VII 28.00

Class 2 (23-32mmHg)

Below Knee Open Toe Short, Normal I,II,III,IV,V,VI,VII 22.00

Below Knee Closed Toe Short, Normal I,II,III,IV,V,VI,VII 22.00

Thigh Length Silicone Top Open Toe Short, Normal I,II,III,IV,V,VI,VII 30.00

Thigh Length Silicone Top Closed Toe Short, Normal I,II,III,IV,V,VI,VII 30.00

Panty Hose Open Toe Short, Normal I,II,III,IV,V,VI,VII 28.00

Panty Hose Closed Toe Short, Normal I,II,III,IV,V,VI,VII 28.00

Class 3 (34-46mmHg)

Below Knee Open Toe Short, Normal I,II,III,IV,V,VI,VII 23.00

Thigh Length Silicone Top Open Toe Short, Normal I,II,III,IV,V,VI,VII 35.00

Panty Hose Open Toe Short, Normal I,II,III,IV,V,VI,VII 30.00

Jobskin Alleviant Armsleeves

Style Length Sizes

Class 1 (18-21mmHg) Price per piece

with Hand Short, Normal I,II,III,IV,V,VI,VII 20.00

without Hand Short, Normal I,II,III,IV,V,VI,VII 13.50

Class 2 (23-32mmHg)

with Hand Short, Normal I,II,III,IV,V,VI,VII 20.00

without Hand Short, Normal I,II,III,IV,V,VI,VII 13.50

with Hand/Shouldercap/Belt Short, Normal I,II,III,IV,V,VI,VII 25.00

without Hand/Shouldercap/Belt Short, Normal I,II,III,IV,V,VI,VII 15.00

with Hand/Silicone Topband Short, Normal I,II,III,IV,V,VI,VII 25.00

without Hand/Silicone Topband Short, Normal I,II,III,IV,V,VI,VII 15.00

Class 3 (34-46mmHg)

with Hand Short, Normal I,II,III,IV,V,VI,VII 20.00

without Hand Short, Normal I,II,III,IV,V,VI,VII 13.50

with Hand/Shouldercap/Belt Short, Normal I,II,III,IV,V,VI,VII 25.00

without Hand/Shouldercap/Belt Short, Normal I,II,III,IV,V,VI,VII 15.00

with Hand/Silicone Topband Short, Normal I,II,III,IV,V,VI,VII 25.00

without Hand/Silicone Topband Short, Normal I,II,III,IV,V,VI,VII 15.00

Jobst Bella Lite

Garment Type Sizes Price per piece

Class 1 (15-20mmHg) Armsleeve with Knitted Band S, M, L 13.74 Armsleeve with Silicone Band S, M, L 18.32 Gauntlet with Thumb S, M, L 12.72 Class 2 (20-30mmHg) Armsleeve with Knitted Band S, M, L 14.75 Armsleeve with Silicone Band S, M, L 19.33 Gauntlet with Thumb S, M, L 13.23

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Part III (e) Appliances - Lymphoedema Garments

February 2013 14

Jobst Bellavar

Style Lengths Sizes

Class 2 (23-32mmHg) Price Per Pair

Knee High, Open Toe Short, Long I - VI 26.00 Thigh High, Open Toe With knitted Band Standard I - VI 49.96 Thigh High, Open Toe With Silicone Band Standard I - VI 49.96 Tights Open Toe Short, Long I - VI 45.27

Class 3 (34-46mmHg) Price Per Pair

Knee High, Open Toe Sahara I - VI 28.54 Thigh High, Open Toe with Knitted Band I - VI 54.02 Thigh High, Open Toe with Silicone Band Standard I – VI 54.02 Tights, Open Toe Short, Long I – VI 48.94

NB: The above garments are available with additional options. These are priced seperately. See below

Code Price per piece

2 Ankle Pads L-A002 20.82 Adjustable Waistband L-A013 8.99

Closed Toe L-A001 0.10 Fly for Men L-A012 11.10

Zipper L-A003 21.39 Silicone band L-A004 7.72 Waist attachment with garter belt L-A005 16.51 Leg Extension L-A007 5.92 Non-standard colour L-A008 3.09 Slipform L-A009 6.49 T-Heel L-A010 6.49

Jobst Elvarex Custom Fit - For lower extemities

Garment Type Code Price per piece

Class 1 (18-21mmHg)

Foot Cap with Toes L1-01-02 42.49

Knee High L1-01-04 33.14

Thigh High L1-01-06 38.58

Body Bandage L1-01-08 68.14

Class 2 (23-32mmHg)

Foot Cap with Toes L2-02-02 44.23

Knee High L2-02-04 34.70

Thigh High L2-02-06 42.61

Body Bandage L2-02-08 75.38

Class 3 (34-46mmHg)

Foot Cap with Toes L3-03-02 46.10

Knee High L3-03-04 37.80

Thigh High L3-03-06 45.91

Body Bandage L3-03-08 78.40

Class 3 forte (34-46mmHg)

Knee High L3-04-04 38.89

Thigh High L3-04-06 47.93

Body Bandage L3-04-08 78.90

Class 4 (49-70mmHg)

Knee High L4-05-04 40.49

Thigh High L4-05-06 51.78

Body Bandage L4-05-08 82.06

Class 4 Super (60-90mmHg)

Knee High L5-06-04 42.37

Thigh High L5-06-06 53.43

Body Bandage L5-06-08 84.71

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Part III (e) Appliances - Lymphoedema Garments

February 2013 15

Jobst Elvarex Custom Fit - For upper extemities

Garment Type Code Price per piece

Class 1 (15-21mmHg) Gauntlet to Wrist U1-01-01 34.87 Gauntlet to Elbow U1-01-03 39.54 Armsleeve to Axilla with Gauntlet U1-01-05 67.75 Armsleeve from Wrist to Axilla U1-01-07 31.35 Class 2 (23-32mmHg) Gauntlet to Wrist U2-02-01 36.52 Soft Gauntlet to Wrist – see Jobst Elvarex Soft Custom Fit – For upper extremities, Soft Seamless Gauntlet to Wrist

Gauntlet to Elbow U2-02-03 39.84 Armsleeve to Axilla with Gauntlet U2-02-05 68.95 Armsleeve from Wrist to Axilla U2-02-07 37.39 Class 2 forte (23-32mmHg) Gauntlet to Wrist U3-03-01 37.26 Gauntlet to Elbow U3-03-03 40.81 Armsleeve to Axilla with Gauntlet U3-03-05 69.44 Armsleeve from Wrist to Axilla U3-03-07 37.76

NB: The above garments are available with additional options. These are priced seperately. See below

Code Price per piece

Zipper U-A001 21.39 Silicone Band U-A002 4.58 Shoulder Cap U-A003 13.17 Non-Standard colour U-A007 3.09 1 finger (Class 1 15-21mmHg) U1-A009 3.90 1 finger (Class 2 23-32mmHg) U2-A011 5.03 1 finger (Class 2 forte 23-32mmHg) U3-A013 5.18

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Part III (e) Appliances - Lymphoedema Garments

February 2013 16

Jobst Elvarex Soft Custom Fit – For lower extremities

Garment Type Code Price per piece

Class 1 (18-21mmHg)

Soft Seamless Foot Cap with Toes L1-11-02 41.04

Soft Knee High L1-10-04 32.57

Soft Thigh High L1-10-06 37.92

Soft Body Bandage L1-10-08 66.97 Class 2 (23-32mmHg)

Soft Seamless Foot Cap with Toes L2-07-02 43.47 Soft Knee High L2-08-04 34.17

Soft Thigh High L2-08-06 41.96 Soft Body Bandage L2-08-08 74.23 Class 3 (34-46mmHg)

Soft Knee High L3-09-04 36.52

Soft Thigh High L3-09-06 44.34

Soft Body Bandage L3-08-08 75.73

NB: The above garments are available with additional options. These are priced separately. See below.

Adjustable Waistband L-A013S 8.99

Closed Toe Soft L-A001S 0.10

Non-Standard colour L-A008S 2.98

Slipform Soft L-A011S 6.39

Silicone Band Soft L-A004S 7.60

T-Heel L-A010S 6.38

NB: The above garments are available with additional options. These are priced separately. See below

Non-Standard colour U-A007S 2.98

Silicone Band Soft U-A002S 4.51 1 Soft Seamless Finger (Class 1 15-21mmHg) U1-A015 3.76 1 Soft Seamless Finger (Class 2 23-32mmHg) U2-A014 4.94

Jobst Elvarex Soft Custom Fit – For upper extremities

Garment Type Code Price per piece

Class 1 (15-21mmHg)

Soft Armsleeve from Wrist to Axilla U1-10-07 30.87

Soft Seamless Gauntlet to Wrist U1-11-01 33.68

Soft Seamless Gauntlet to Elbow U1-11-03 38.19 Class 2 (23-32mmHg)

Soft Armsleeve from Wrist to Axilla U2-08-07 36.81

Soft Seamless Gauntlet to Wrist AC1-WF-WT 35.89

Soft Seamless Gauntlet to Elbow U2-07-03 39.15

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Part III (e) Appliances - Lymphoedema Garments

February 2013 17

Jobst Opaque

Lengths Sizes Price per pair

Class 1 (18-21mmHg) Knee High Closed Toe Short, Long I - VI 26.00 Knee High Open Toe Short, Long I - VI 26.00 Thigh High Closed Toe Standard Width with Dotted Silicone Band

Short, Long I - VI 49.96

Thigh High Closed Toe Standard Width with Lace Silicone Band

Short, Long I – VI 49.96

Thigh High Closed Toe Standard Width with Soft Silicone Band

Short, Long I – VI 49.96

Thigh High Closed Toe Wide Width With Dotted Silicone Band

Short, Long I – VI 49.96

Thigh High Closed Toe Wide Width with Lace Silicone Band

Short, Long I – VI 49.96

Thigh High Closed Toe Wide Width with Soft Silicone Band

Short, Long I – VI 49.96

Thigh High Open Toe Standard Width With Dotted Silicone Band

Short, Long I – VI 49.96

Thigh High Open Toe Standard Width with Lace Silicone Band

Short, Long I - VI 49.96

Thigh High Open Toe with Silicone Band Standard Width Short, Long I - VI 49.96

Thigh High Open Toe Wide Width With Dotted Silicone Band

Short, Long I - VI 49.96

Thigh High Open Toe Wide Width with Lace Silicone Band

Short, Long I – VI 49.96

Thigh High Open Toe with Silicone Band Wide Width Short, Long I – VI 49.96

Tights Closed Toe Short, Long I – VI 45.27

Tights Open Toe Short, Long I – VI 45.27

Class 2 (23-32mmHg)

Knee High Closed Toe Short, Long I - VI 26.00 Knee High Open Toe Short, Long I - VI 26.00 Thigh High Closed Toe Standard Width with Soft Silicone Band

Short, Long I - VI 49.96

Thigh High Closed Toe Wide Width with Soft Silicone Band

Short, Long I - VI 49.96

Thigh High Closed Toe Standard Width with Lace Silicone Band

Short, Long I - VI 49.96

Thigh High Closed Toe Wide Width with Lace Silicone Band

Short, Long I - VI 49.96

Thigh High Closed Toe Standard Width with Dotted Silicone Band

Short, Long I - VI 49.96

Thigh High Closed Toe with Wide Width Dotted Silicone Band

Short, Long I - VI 49.96

Thigh High Open Toe with Silicone Band Standard Width Short, Long I - VI 49.96 Thigh High Open Toe Standard Width with Lace Silicone Band

Short, Long I - VI 49.96

Thigh High Open Toe with Silicone Band Wide Width Short, Long I – VI 49.96 Thigh High Open Toe Wide Width With Lace Silicone Band

Short, Long I - VI 49.96

Thigh High Open Toe Standard Width with Dotted Silicone Band

Short, Long I – VI 49.96

Thigh High Open Toe Wide Width with Dotted Silicone Band

Short, Long I - VI 49.96

Tights Closed Toe Short, Long I - VI 45.27

Tights Open Toe Short, Long I - VI 45.27

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Part III (e) Appliances - Lymphoedema Garments

February 2013 18

Juzo Classic

Garment Type Sizes Code Price per piece

Class 1(18-21mmHg) Armsleeve wrist to axilla I, II, III, IV, V, VI CG2301 15.00

Armsleeve wrist to axilla max I, II, III, IV, V, VI CG2301-Max 15.00 Armsleeve wrist to axilla with Silicone Border I, II, III, IV, V, VI CG2301 – Sil 18.50

Armsleeve wrist to axilla with Silicone Border max I, II, III, IV, V, VI CG2301-Max-Sil 18.50

Gauntlet 2, 3, 4, 5 HDA2301 12.50 Class 2(23-32mmHg)

Armsleeve wrist to axilla I, II, III, IV, V, VI CG2302 15.00

Armsleeve wrist to axilla max I, II, III, IV, V, VI CG2302-Max 15.00

Armsleeve wrist to axilla with Silicone Border I, II, III, IV, V, VI CG2302 – Sil 18.50

Armsleeve wrist to axilla with Silicone Border max I, II, III, IV, V, VI CG2302-Max-Sil 18.50

Gauntlet 2, 3, 4, 5 HDA2302 12.50

Juzo Dynamic

Style Lengths Sizes Price per pair

Class 1(18-21mmHg) Below Knee Open Toe Standard/Short I, II, III, IV, V, VI 24.51 Thigh High Open Toe Standard/Short I, II, III, IV, V, VI 36.16 Thigh High Open Toe with Silicone Border Standard/Short I, II, III, IV, V, VI 45.34 Class 2(23-32mmHg)

Below Knee Open Toe Standard/Short I, II, III, IV, V, VI 24.51 Thigh High Open Toe Standard/Short I, II, III, IV, V, VI 36.16 Thigh High Open Toe with Silicone Border Standard/Short I, II, III, IV, V, VI 45.34 Class 3(34-46mmHg)

Below Knee Open Toe Standard/Short I, II, III, IV, V, VI 25.45 Thigh High Open Toe Standard/Short I, II, III, IV, V, VI 39.21 Thigh High Open Toe with Silicone Border Standard/Short I, II, III, IV, V, VI 48.40

Juzo Hostess

Style Lengths Sizes Price per pair

Class 1(18-21mmHg) Below Knee Closed Toe Standard, Short I, II, III, IV, V, VI 25.42 Thigh High Closed Toe Standard, Short I, II, III, IV, V, VI 36.76 Thigh High Closed Toe with Silicone Border Standard, Short I, II, III, IV, V, VI 46.93 Class 2(23-32mmHg) Below Knee Closed Toe Standard, Short I, II, III, IV, V, VI 25.42 Thigh High Closed Toe Standard, Short I, II, III, IV, V, VI 36.76 Thigh High Closed Toe with Silicone Border Standard, Short I, II, III, IV, V, VI 46.93

Juxta-Fit (formerly Juxta-Fit Adjust to Fit)

Style Lengths Sizes Price per piece

Armsleeve (Right, Left) Standard, Long 1,2,3,4,5,6 167.00

Hand Wrap (Right, Left) XS, S, M, L, XL 23.00

Lower Legging 28cm S, M, L, XL, XXL 129.04 36cm S, M, L, XL, XXL 129.04 Lower Legging Extra Wide Calf 28cm M, L, XL 126.83

36cm M, L, XL 126.83

Ankle Foot Wrap, Interlocking S, M, L 36.13 Ankle Foot Wrap, Closed Heal S, M, L 36.13

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February 2013 19

Juzo Soft

Class 1 (18-21mmHg) Lengths Sizes Price per pair

Below Knee Open Toe Standard, Short I, II, III, IV, V, VI 25.42 Below Knee Closed Toe Standard, Short I, II, III, IV, V, VI 25.42 Thigh High Open Toe Standard, Short I, II, III, IV, V, VI 36.76 Thigh High Closed Toe Standard, Short I, II, III, IV, V, VI 36.76 Thigh High Open Toe with Silicone Border Standard, Short I, II, III, IV, V, VI 46.93 Thigh High Closed Toe with Silicone Border Standard, Short I, II, III, IV, V, VI 46.93 Class 2 (23-32mmHg) Below Knee Open Toe Standard, Short I, II, III, IV, V, VI 25.42 Below Knee Closed Toe Standard, Short I, II, III, IV, V, VI 25.42 Thigh High Open Toe Standard, Short I, II, III, IV, V, VI 36.76 Thigh High Closed Toe Standard, Short I, II, III, IV, V, VI 36.76 Thigh High Open Toe with Silicone Border Standard, Short I, II, III, IV, V, VI 46.93 Thigh High Closed Toe with Silicone Border Standard, Short I, II, III, IV, V, VI 46.93

Mediven 95

Style Lengths Sizes Price per Piece

Class 1(18-21mmHg) Armsleeve Standard, Long II, III, IV, V, VI, VII 14.58 Combined Armsleeve Standard, Long II, III, IV, V, VI, VII 26.46 Armsleeve With Silicone Top Standard, Long II, III, IV, V, VI, VII 19.44 Combined Armsleeve With Silicone Top Standard, Long II, III, IV, V, VI, VII 31.32 Glove With Compressive Fingers II, III, IV, V, VI, VII 40.83 Class 2(23-32mmHg) Armsleeve Standard, Long II, III, IV, V, VI, VII 15.66 Combined Armsleeve Standard, Long II, III, IV, V, VI, VII 27.54 Armsleeve With Silicone Top Standard, Long II, III, IV, V, VI, VII 20.52 Combined Armsleeve With Silicone Top Standard, Long II, III, IV, V, VI, VII 32.40 Glove With Compressive Fingers II, III, IV, V, VI, VII 42.99

Mediven 95 Whitaker Pouch

Style Sizes Price per Piece

Whitaker Pouch II,III,IV 33.50

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February 2013 20

Mediven Active see Medicen for men

Mediven Elegance

Style Sizes Price per Pair

Class 1(18-21mmHg)

Below Knee Closed Toe I, II, III, IV, V, VI, VII 26.87 Below Knee Closed Toe Petite I, II, III, IV, V, VI, VII 26.87 Thigh Length with Top Band Closed Toe I, II, III, IV, V, VI, VII 51.62 Thigh Length Petite Top Band Closed Toe I, II, III, IV, V, VI, VII 48.14 Thigh Length Extra Wide Closed Toe Top Band I, II, III, IV, V, VI, VII 51.62 Thigh Length Extra Wide Petite Closed Toe Top Band I, II, III, IV, V, VI, VII 48.14 Tights Closed Toe I, II, III, IV, V, VI, VII 52.32 Tights Closed Toe Petite I, II, III, IV, V, VI, VII 52.32 Class 2(23-32mmHg) Price per

Pair

Below Knee Closed Toe I, II, III, IV, V, VI, VII 26.87 Below Knee Closed Toe Petite I, II, III, IV, V, VI, VII 26.87 Thigh Length with Top Band Closed Toe I, II, III, IV, V, VI, VII 51.62 Thigh Length Petite Top Band Closed Toe I, II, III, IV, V, VI, VII 48.14 Thigh Length Extra Wide Closed Toe Top Band I, II, III, IV, V, VI, VII 51.62 Thigh Length Extra Wide Petite Closed Toe Top Band I, II, III, IV, V, VI, VII 48.14 Tights Closed Toe I, II, III, IV, V, VI, VII 52.32 Tights Closed Toe Petite I, II, III, IV, V, VI, VII 52.42

Mediven for men

Style Sizes Price per pair

Class 1(18-21mmHg)

Below Knee Closed Toe I, II, III, IV, V, VI, VII 27.14

Below Knee Closed Toe Petite I, II, III, IV, V, VI, VII 27.14

Class 2(23-32mmHg) Price per

pair

Below Knee Closed Toe I, II, III, IV, V, VI, VII 27.44 Below Knee Closed Toe Petite I, II, III, IV, V, VI, VII 27.44

Mediven Mondi MTM

Style Code Price per piece

Class 1 (18-21mmHg)

Below Knee DTMK1 32.57

Thigh Length DTMT1 37.92

Thigh Length with Waist Attachment DTMW1 53.50

Class 2 (23-32mmHg)

Below Knee DTMK2 34.11

Thigh Length DTMT2 41.88

Thigh Length with Waist Attachment DTMW2 57.50

Class 3 (34-46mmHg)

Below Knee DTMK3 38.22

Thigh Length DTMT3 47.11

Thigh Length with Waist Attachment DTMW3 59.00

NB: The above garments are available with optional extras, These are priced seperately. See Below

Closed Toe DTTOE 1.00

Silicone Topband DTTB 7.59

Zip DTZIP 21.03

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February 2013 21

Mediven Plus

Style Sizes Price per Pair

Class 1(18-21mmHg) Below Knee Open Toe I, II, III, IV, V, VI, VII 27.54 Below Knee Open Toe Petite I, II, III, IV, V, VI, VII 27.54 Below Knee Open Toe Extra Wide I, II, III, IV, V, VI, VII 31.42 Below Knee Open Toe Petite Extra Wide I, II, III, IV, V, VI, VII 31.42 Thigh Length Petite Silicone Top Open Toe I, II, III, IV, V, VI, VII 49.35 Thigh Length Silicone Top Open Toe I, II, III, IV, V, VI, VII 52.91 Thigh Length Extra Wide Open Toe Silicone Top I, II, III, IV, V, VI, VII 52.72 Thigh Length Extra Wide Petite Open Toe Silicone Top I, II, III, IV, V, VI, VII 49.17

Price Each Thigh Length Waist Attachment Right Open Toe I, II, III, IV, V, VI, VII 27.65 Thigh Length Petite Waist Attachment Right Open Toe I, II, III, IV, V, VI, VII 27.65 Thigh Length Waist Attachment Left Open Toe I, II, III, IV, V, VI, VII 27.65 Thigh Length Petite Waist Attachment Left Open Toe I, II, III, IV, V, VI, VII 27.65

Class 2(23-32mmHg) Price per

Pair

Below Knee Open Toe I, II, III, IV, V, VI, VII 27.54 Below Knee Open Toe Petite I, II, III, IV, V, VI, VII 27.54 Below Knee Open Toe Extra Wide I, II, III, IV, V, VI, VII 31.42 Below Knee Open Toe Petite Extra Wide I, II, III, IV, V, VI, VII 31.42 Thigh Length Petite Silicone Top Open Toe I, II, III, IV, V, VI, VII 49.35 Thigh Length Silicone Top Open Toe I, II, III, IV, V, VI, VII 52.91 Thigh Length Extra Wide Open Toe Silicone Top I, II, III, IV, V, VI, VII 52.72 Thigh Length Extra Wide Petite Open Toe Silicone Top I, II, III, IV, V, VI, VII 49.17

Price Each Thigh Length Waist Attachment Right Open Toe I, II, III, IV, V, VI, VII 27.65 Thigh Length Petite Waist Attachment Right Open Toe I, II, III, IV, V, VI, VII 27.65 Thigh Length Waist Attachment Left Open Toe I, II, III, IV, V, VI, VII 27.65 Thigh Length Petite Waist Attachment Left Open Toe I, II, III, IV, V, VI, VII 27.65 Class 3(34-46mmHg) Price per

Pair

Below Knee Open Toe I, II, III, IV, V, VI, VII 30.24 Below Knee Open Toe Petite I, II, III, IV, V, VI, VII 30.24 Below Knee Open Toe Extra Wide I, II, III, IV, V, VI, VII 34.34 Thigh Length Petite Silicone Top Open Toe I, II, III, IV, V, VI, VII 55.07 Thigh Length Silicone Top Open Toe I, II, III, IV, V, VI, VII 55.07 Thigh Length Extra Wide Open Toe Silicone Top I, II, III, IV, V, VI, VII 54.87 Thigh Length Extra Wide Petite Open Toe Silicone Top I, II, III, IV, V, VI, VII 54.87

Price Each Thigh Length Waist Attachment Right Open Toe I, II, III, IV, V, VI, VII 30.43 Thigh Length Petite Waist Attachment Right Open Toe I, II, III, IV, V, VI, VII 30.43 Thigh Length Waist Attachment Left Open Toe I, II, III, IV, V, VI, VII 30.43 Thigh Length Petite Waist Attachment Left Open Toe I, II, III, IV, V, VI, VII 30.43

ReadyWrap Quick-Fit

Style Lengths Sizes Price per piece

Calf 30cm, 35cm S, M, L, XL 55.00

Foot (Left or Right) S, M, L, XL 35.00 Knee S, M, L, XL 45.00

Thigh 25cm, 30cm S, M, L, XL 95.00

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February 2013 22

Sigvaris – Arm Sleeves

Code Lengths Sizes Price per Piece

(23-32mmHg) With Grip Top/no Hand Piece 503 Short, Long S,M,L 20.17

With Grip Top/with Hand Piece 503 Short, Long S,M,L 31.84

With Shoulder Cap/no Hand Piece 503 Short, Long S,M,L 19.22

With Shoulder Cap/with Hand Piece 503 Short, Long S,M,L 30.34

Sigvaris Advance

Arm Sleeves Lengths Sizes Price per Piece

Advance 1 Low Compression (14-18mmHg) With Grip Top /no Hand Piece Long, Normal XS,S,M,L,XL 17.67 With Hand Piece and Grip Top Long, Normal XS,S,M,L,XL 27.51

With Hand Piece and Grip Top Plus Size Long, Normal XS,S,M,L,XL 27.51

With Hand Piece without Grip Top Long, Normal XS,S,M,L,XL 27.51

Without Hand Piece + Grip Top Plus Size Long, Normal XS,S,M,L,XL 17.67

Without Hand Piece without Grip Top Long, Normal XS,S,M,L,XL 17.67

Advance 2 Medium Compression (20-25mmHg) With Grip Top /no Hand Piece Long, Normal XS,S,M,L,XL 17.67 With Hand Piece and Grip Top Long, Normal XS,S,M,L,XL 27.51

With Hand Piece and Grip Top Plus Size Long, Normal XS,S,M,L,XL 27.51

With Hand Piece without Grip Top Long, Normal XS,S,M,L,XL 27.51

Without Hand Piece + Grip Top Plus Size Long, Normal XS,S,M,L,XL 17.67

Without Hand Piece without Grip Top Long, Normal XS,S,M,L,XL 17.67

Sigvaris 500

Style Length Sizes Price per Pair

Class 2 (23-32mmHg)

Below Knee Open Toe Short, Long XS,S,M,L,XL 26.77 Below Knee Open Toe Plus Short, Long S, M, L, XL 26.77 Thigh High Open Toe Short S,M,L 51.44 Thigh High Open Toe Long XS,S,M,L,XL 51.44 Thigh High Open Toe Plus Short S,M,L 51.44 Thigh High Open Toe Plus Long S, M, L, XL 51.44 Thigh High Open Toe with Grip Top Short, Long S, M, L 51.44 Thigh High Open Toe with Grip Top Plus Short, Long S, M, L 51.44 Price per

Piece

Thigh High with Waist Attachment (left or right) Short, Long S, M, L 34.59 Thigh High Open Toe with Waist Attachment (Left or Right) Plus

Short, Long S, M, L 34.59

Price per Pair

Class 3(34-46mmHg) Below Knee Open Toe Short, Long S, M, L 29.39 Below Knee Open Toe Plus Short, Long S, M, L 29.39 Thigh High Open Toe Short, Long S, M, L 52.49 Thigh High Open Toe Plus Short, Long S, M, L 52.49 Thigh High Open Toe with Grip Top Short, Long S, M, L 52.49 Thigh High Open Toe with Grip Top Plus Short, Long S, M, L 52.49 Price per

Piece

Thigh High with Waist Attachment (left or right) Plus Short, Long S, M, L 37.11

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February 2013 23

Sigvaris Comfort

Style Length Sizes Price per Pair

Class 1 (18-21mmHg)

Below Knee Open Toe Normal, Long XS,S,M,L 26.77 Below Knee Open Toe Plus Normal, Long XS,S,M,L 26.77 Below Knee Closed Toe Normal, Long XS,S,M,L 26.77 Below Knee Closed Toe Plus Normal, Long XS,S,M,L 26.77 Thigh High Open Toe Short, Normal, Long XS,S,M,L 51.43 Thigh High Open Toe Plus Short, Normal, Long XS,S,M,L 51.43 Thigh High Closed Toe Short, Normal, Long XS,S,M,L 51.43 Thigh High Closed Toe Plus Short, Normal, Long XS,S,M,L 51.43 Thigh High Open Toe with Grip Top Short, Normal, Long XS,S,M,L 51.43 Thigh High Plus Open Toe with Grip Top Short, Normal, Long XS,S,M,L 51.43 Thigh High Closed Toe with Grip Top Short, Normal, Long XS,S,M,L 51.43 Thigh High Closed Toe with Grip Top Plus Short, Normal, Long XS,S,M,L 51.43 Panty Open Toe Normal, Long XS,S,M,L 51.43 Panty Open Toe Plus Normal, Long XS,S,M,L 51.43 Panty Closed Toe Normal, Long XS,S,M,L 51.43 Panty Closed Toe Plus Normal, Long XS,S,M,L 51.43 Panty Extra Open Toe Normal, Long XS,S,M,L 51.43 Panty Extra Open Toe Plus Normal, Long XS,S,M,L 51.43 Panty Extra Closed Toe Normal, Long XS,S,M,L 51.43 Panty Extra Closed Toe Plus Normal, Long XS,S,M,L 51.43 Price per piece Thigh High Open Toe with Waist Attachment (Left or Right)

Short, Normal, Long XS,S,M,L 30.39

Thigh High Open Toe with Waist Attachment (Left or Right) Plus

Short, Normal, Long XS,S,M,L 30.39

Thigh High Closed Toe with Waist Attachment (Left or Right)

Short, Normal, Long XS,S,M,L 30.39

Thigh High Closed Toe with Waist Attachment (Left or Right) Plus

Short, Normal, Long XS,S,M,L 30.39

Class 2 (23-32mmHg) Price per pair

Below Knee Open Toe Normal, Long XS,S,M,L 26.77

Below Knee Open Toe Plus Normal, Long XS,S,M,L 26.77

Below Knee Closed Toe Normal, Long XS,S,M,L 26.77

Below Knee Closed Toe Plus Normal, Long XS,S,M,L 26.77

Thigh High Open Toe Short, Normal, Long XS,S,M,L 51.43

Thigh High Open Toe Plus Short, Normal, Long XS,S,M,L 51.43

Thigh High Closed Toe Short, Normal, Long XS,S,M,L 51.43

Thigh High Closed Toe Plus Short, Normal, Long XS,S,M,L 51.43

Thigh High Open Toe with Grip Top Short, Normal, Long XS,S,M,L 51.43

Thigh High Plus Open Toe with Grip Top Short, Normal, Long XS,S,M,L 51.43

Thigh High Closed Toe with Grip Top Short, Normal, Long XS,S,M,L 51.43

Thigh High Closed Toe with Grip Top Plus Short, Normal, Long XS,S,M,L 51.43

Panty Open Toe Normal, Long XS,S,M,L 51.43

Panty Open Toe Plus Normal, Long XS,S,M,L 51.43

Panty Closed Toe Normal, Long XS,S,M,L 51.43

Panty Closed Toe Plus Normal, Long XS,S,M,L 51.43

Panty Extra Open Toe Normal, Long XS,S,M,L 51.43

Panty Extra Open Toe Plus Normal, Long XS,S,M,L 51.43

Panty Extra Closed Toe Normal, Long XS,S,M,L 51.43

Panty Extra Closed Toe Plus Normal, Long XS,S,M,L 51.43

Price per piece Thigh High Open Toe with Waist Attachment (Left or Right)

Short, Normal, Long XS,S,M,L 30.39

Thigh High Open Toe with Waist Attachment (Left or Right) Plus

Short, Normal, Long XS,S,M,L 30.39

Thigh High Closed Toe with Waist Attachment (Left or Right)

Short, Normal, Long XS,S,M,L 30.39

Thigh High Closed Toe with Waist Attachment (Left or Right) Plus

Short, Normal, Long XS,S,M,L 30.39

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February 2013 24

Sigvaris Coton

Style Length Sizes Price per Pair

(15-20mmHg) Below Knee Closed Toe Female Long, Normal S,M,L,XL 26.77

Thigh High Hold Up Closed Toe Female Long, Normal S,M,L,XL 51.44

(20-36mmHg)

Below Knee Closed Toe Female Long, Normal S,M,L,XL 26.77

Thigh High Hold Up Closed Toe Female Long, Normal S,M,L,XL 51.44

Sigvaris Coton Instinct

Style Length Sizes Price per Pair

(15-20mmHg)

Below Knee Closed Toe Male Long, Normal S,M,L,XL,XXL 26.77

Below Knee Open Toe Male Long, Normal S,M,L,XL,XXL 26.77

Thigh High Grip Top Closed Toe Male Long, Normal S,M,L,XL,XXL 51.43

Thigh High Grip Top Open Toe Male Long, Normal S,M,L,XL,XXL 51.43

(20-36mmHg)

Below Knee Closed Toe Male Long, Normal S,M,L,XL,XXL 26.77

Thigh High Grip Top Closed Toe Male Long, Normal S,M,L,XL,XXL 51.43

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February 2013 25

Sigvaris Cotton

Style Length Sizes Price per Pair

Class 1 (18-21mmHg)

Below Knee Open Toe Normal, Long XS, S, M, L, XL 26.77

Below Knee Open Toe Plus Normal, Long XS, S, M, L, XL 26.77

Below Knee Xtra Closed Toe Normal, Long XS, S, M, L, XL 26.77

Below Knee Xtra Closed Toe Plus Normal, Long XS, S, M, L, XL 26.77

Below Knee Xtra Maxi Closed Toe Normal, Long XS, S, M, L, XL 26.77

Below Knee Xtra Maxi Closed Toe Plus Normal, Long XS, S, M, L, XL 26.77

Thigh High Open Toe with Grip Top Short, Normal, Long XS, S, M, L, XL 51.43

Thigh High Open Toe with Grip Top Plus Short, Normal, Long XS, S, M, L, XL 51.43

Price per piece

Thigh High Open Toe with Waist Attachment (Left or Right)

Short, Normal, Long XS, S, M, L 30.39

Thigh High Open Toe with Waist Attachment (Left or Right) Plus

Short, Normal, Long XS, S, M, L 30.39

Class 2 (23-32mmHg) Price per pair

Below Knee Open Toe Normal, Long XS, S, M, L, XL 26.77

Below Knee Open Toe Plus Normal, Long XS, S, M, L, XL 26.77

Below Knee Xtra Closed Toe Normal, Long XS, S, M, L, XL 26.77

Below Knee Xtra Closed Toe Plus Normal, Long XS, S, M, L, XL 26.77

Below Knee Xtra Maxi Closed Toe Normal, Long XS, S, M, L, XL 26.77

Below Knee Xtra Maxi Closed Toe Plus Normal, Long XS, S, M, L, XL 26.77

Below Knee Open Toe with Grip Top Normal, Long XS, S, M, L, XL 26.77

Below Knee Open Toe Plus with Grip Top Normal, Long XS, S, M, L, XL 26.77

Below Knee Closed Toe with Grip Top Normal, Long XS, S, M, L, XL 26.77

Below Knee Closed Toe Plus with Grip Top Normal, Long XS, S, M, L, XL 26.77

Thigh High Open Toe with Grip Top Short, Normal, Long XS, S, M, L, XL 51.43

Thigh High Open Toe with Grip Top Plus Short, Normal, Long XS, S, M, L, XL 51.43

Thigh High Closed Tie with Grip Top Short, Normal, Long XS, S, M, L, XL 51.43

Thigh High Closed Toe with Grip Top Plus Short, Normal, Long XS, S, M, L, XL 51.43

Price per piece

Thigh High Open Toe with Waist Attachment (Left or Right)

Short, Normal, Long XS, S, M, L 30.39

Thigh High Open Toe with Waist Attachment (Left or Right) Plus

Short, Normal, Long XS, S, M, L 30.39

Price per pair

Panty Open Toe Normal, Long XS, S, M, L, XL 51.43

Panty Open Toe Plus Normal, Long XS, S, M, L, XL 51.43

Panty Closed Toe Normal, Long XS, S, M, L, XL 51.43

Panty Closed Toe Plus Normal, Long XS, S, M, L, XL 51.43

Style Length Sizes

Class 3 (33-44mmHg) Price per Pair

Below Knee Open Toe Normal, Long XS, S, M, L 26.77

Below Knee Open Toe Plus Normal, Long XS, S, M, L 26.77

Below Knee Xtra Closed Toe Normal, Long XS, S, M, L 26.77

Below Knee Xtra Closed Toe Plus Normal, Long XS, S, M, L 26.77

Below Knee Xtra Maxi Closed Toe Normal, Long XS, S, M, L 26.77

Below Knee Xtra Maxi Closed Toe Plus Normal, Long XS, S, M, L 26.77

Price per piece

Thigh High Open Toe with Waist Attachment (Left or Right)

Short, Normal, Long XS, S, M, L 30.39

Thigh High Open Toe with Waist Attachment (Left or Right) Plus

Short, Normal, Long XS, S, M, L 30.39

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February 2013 26

Sigvaris Diaphane

Style Lengths Sizes Price per pair

(15-21mmHg )

Below Knee Closed Toe Female Normal, Long XS - XXL 26.31

Thigh High Grip Top Closed Toe Female Normal, Long XS - XXL 50.55

Panty Female Normal, Long S – XL 50.55

(22-32mmHg )

Below Knee Closed Toe Female Normal, Long XS - XXL 26.31

Thigh High Grip Top Closed Toe Female Normal, Long XS - XXL 50.55

Panty Female Normal, Long S – XL 50.55

Sigvaris Lymphoedema Glove

Style Length Sizes Price per piece

Class 1 ( 18-21mmHg )

Glove (Left or Right) with compressive fingers Standard S, M, L 30.88

Sigvaris Magic

Style Length Sizes Price per pair

Class 1 ( 18-21mmHg )

Below Knee Open Toe Normal, Long XS, S, M, L 26.77

Below Knee Open Toe Plus Normal, Long XS, S, M, L 26.77

Below Knee Closed Toe Normal, Long XS, S, M, L 26.77

Below Knee Closed Toe Plus Normal, Long XS, S, M, L 26.77

Thigh High Grip Top Open Toe Female Short, Normal, Long XS, S, M, L 51.44

Thigh High Grip Top Open Toe Plus Female Short, Normal, Long XS, S, M, L 51.44

Thigh High Grip Top Closed Toe Female Short, Normal, Long XS, S, M, L 51.44

Thigh High Grip Top Closed Toe Plus Female Short, Normal, Long XS, S, M, L 51.44

Tights Open Toe Normal, Long XS, S, M, L 51.44

Tights Closed Toe Normal, Long XS, S, M, L 51.44

Tights Open Toe Plus Normal, Long XS, S, M, L 51.44

Tights Closed Toe Plus Normal, Long XS, S, M, L 51.44

Class 2( 23-32mmHg )

Below Knee Open Toe Normal, Long XS, S, M, L 26.77

Below Knee Open Toe Plus Normal, Long XS, S, M, L 26.77

Below Knee Closed Toe Normal, Long XS, S, M, L 26.77

Below Knee Closed Toe Plus Normal, Long XS, S, M, L 26.77

Thigh High Grip Top Open Toe Female Short, Normal, Long XS, S, M, L 51.44

Thigh High Grip Top Open Toe Plus Female Short, Normal, Long XS, S, M, L 51.44

Thigh High Grip Top Closed Toe Female Short, Normal, Long XS, S, M, L 51.44

Thigh High Grip Top Closed Toe Plus Female Short, Normal, Long XS, S, M, L 51.44

Tights Open Toe Normal, Long XS, S, M, L 51.44

Tights Closed Toe Normal, Long XS, S, M, L 51.44

Tights Open Toe Plus Normal, Long XS, S, M, L 51.44

Tights Closed Toe Plus Normal, Long XS, S, M, L 51.44

Sigvaris Microfibre see Sigvaris Microfibre 3 Expert

Sigvaris Microfibre 3 Expert

Style Length Sizes Price per pair

(20-36mmHg)

Below Knee Closed Toe Male Long, Normal S,M,L,XL 26.77

Below Knee Closed Toe Female Long, Normal S,M,L,XL 26.77

Thigh High Grip Top Closed Toe Male Long, Normal S,M,L,XL 51.44

Thigh High Hold Up Closed Toe Female Long, Normal S,M,L,XL 51.44

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Part III (e) Appliances - Lymphoedema Garments

February 2013 27

Sigvaris MTM

Style Code Price per Piece

(23-32mmHg) Below Knee Open Toe 503 33.00

Below Knee Closed Toe 503 33.00

Below Knee Open Toe with Grip Top 503 40.00

Below Knee Closed Toe with Grip Top 503 40.00

Thigh High Open Toe 503 40.70

Thigh High Closed Toe 503 40.70

Thigh High Open Toe Full Compression 503 40.70

Thigh High Closed Toe Full Compression 503 40.70

Thigh High Open Toe with Grip Top 503 47.70

Thigh High Closed Toe with Grip Top 503 47.70

Thigh High Open Toe with Grip Top Full Compression 503 47.70

Thigh High Closed Toe with Grip Top Full Compression 503 47.70

Thigh High Open Toe with Waist Attachment (Left or Right) 503 57.50

Thigh High Closed Toe with Waist Attachment (Left or Right) 503 57.50

Thigh High Open Toe with Waist Attachment Full Compression (Left or Right)

503 57.50

Thigh High Closed Toe with Waist Attachment Full Compression (Left or Right)

503 57.50

Armsleeve 503 43.00

Armsleeve with Grip Top 503 43.00

Armsleeve with Mitten (Left or Right) 503 49.00

Armsleeve with Mitten with Grip Top (Left or Right) 503 49.00

Price per pair

Panty Open Toe 503 151.00

Panty Open Toe Full Compression 503 151.00

Panty Closed Toe 503 151.00

Panty Closed Toe Full Compression 503 151.00 (34-46mmHg) Price per

piece

Below Knee Open Toe 504 33.00

Below Knee Closed Toe 504 33.00

Below Knee Open Toe with Grip Top 504 40.00

Below Knee Closed Toe with Grip Top 504 40.00

Thigh High Open Toe 504 40.70

Thigh High Closed Toe 504 40.70

Thigh High Open Toe Full Compression 504 40.70

Thigh High Closed Toe Full Compression 504 40.70

Thigh High Open Toe with Grip Top 504 47.70

Thigh High Closed Toe with Grip Top 504 47.70

Thigh High Open Toe with Grip Top Full Compression 504 47.70

Thigh High Closed Toe with Grip Top Full Compression 504 47.70

Thigh High Open Toe with Waist Attachment (Left or Right) 504 57.50

Thigh High Closed Toe with Waist Attachment (Left or Right) 504 57.50

Thigh High Open Toe with Waist Attachment Full Compression (Left or Right)

504 57.50

Thigh High Closed Toe with Waist Attachment Full Compression (Left or Right)

504 57.50

Armsleeve 504 43.00

Armsleeve with Grip Top 504 43.00

Armsleeve with Mitten (Left or Right) 504 49.00

Armsleeve with Mitten with Grip Top (Left or Right) 504 49.00

Price per pair

Panty Open Toe 504 151.00

Panty Open Toe Full Compression 504 151.00

Panty Closed Toe 504 151.00

Panty Closed Toe Full Compression 504 151.00

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Part III (e) Appliances - Lymphoedema Garments

February 2013 28

Sigvaris MTM cont

(49-59mmHg) Price per piece

Below Knee Open Toe with Grip Top 505 40.00

Below Knee Closed Toe with Grip Top 505 40.00

Thigh High Open Toe 505 40.70

Thigh High Closed Toe 505 40.70

Thigh High Open Toe Full Compression 505 40.70

Thigh High Closed Toe Full Compression 505 40.70

Thigh High Open Toe with Grip Top 505 47.70

Thigh High Closed Toe with Grip Top 505 47.70

Thigh High Open Toe with Grip Top Full Compression 505 47.70

Thigh High Closed Toe with Grip Top Full Compression 505 47.70

Thigh High Open Toe with Waist Attachment (Left or Right) 505 57.50

Thigh High Closed Toe with Waist Attachment (Left or Right) 505 57.50

Thigh High Open Toe with Waist Attachment Full Compression (Left or Right)

505 57.50

Thigh High Closed Toe with Waist Attachment Full Compression (Left or Right)

505 57.50

Price per pair

Panty Open Toe 505 151.00

Panty Open Toe Full Compression 505 151.00

Panty Closed Toe 505 151.00

Panty Closed Toe Full Compression 505 151.00

Sigvaris MTM Comfort

Class 1 (18-21mmHg) Price per Piece

Below Knee Open Toe 32.00

Below Knee Closed Toe 32.00

Below Knee Open Toe with Grip Top 39.00

Below Knee Closed Toe with Grip Top 39.00

Thigh High Open Toe 37.45

Thigh High Closed Toe 37.45

Thigh High Open Toe with Grip Top 44.00

Thigh High Closed Toe with Grip Top 44.00

Panty Open Toe 140.00

Panty Closed Toe 140.00

Thigh High Open Toe with Waist Attachment (Left or Right) 53.00

Thigh High Closed Toe with Waist Attachment (Left or Right) 53.00

Class 2 (23-32mmHg) Price per Piece

Below Knee Open Toe 33.00

Below Knee Closed Toe 33.00

Below Knee Open Toe with Grip Top 40.00

Below Knee Closed Toe with Grip Top 40.00

Thigh High Open Toe 40.95

Thigh High Closed Toe 40.95

Thigh High Open Toe with Grip Top 47.50

Thigh High Closed Toe with Grip Top 47.50

Panty Open Toe 151.00

Panty Closed Toe 151.00

Thigh High Open Toe with Waist Attachment (Left or Right) 57.50

Thigh High Closed Toe with Waist Attachment (Left or Right) 57.50

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Part III (e) Appliances - Lymphoedema Garments

February 2013 29

Sigvaris MTM Cotton

Class 1 (18-21mmHg) Price per Piece

Below Knee Open Toe 32.00

Below Knee Closed Toe 32.00

Below Knee Open Toe with Grip Top 39.00

Below Knee Closed Toe with Grip Top 39.00

Thigh High Open Toe with Grip Top 44.00

Thigh High Closed Toe with Grip Top 44.00

Panty Open Toe 140.00

Panty Closed Toe 140.00

Thigh High Open Toe with Waist Attachment (Left or Right) 53.00

Thigh High Closed Toe with Waist Attachment (Left or Right) 53.00 Class 2 (23-32mmHg) Below Knee Open Toe 33.00

Below Knee Closed Toe 33.00

Below Knee Open Toe with Grip Top 39.00

Below Knee Closed Toe with Grip Top 39.00

Thigh High Open Toe with Grip Top 47.70

Thigh High Closed Toe with Grip Top 47.70

Panty Open Toe 151.00

Panty Closed Toe 151.00

Thigh High Open Toe with Waist Attachment (Left or Right) 57.50

Thigh High Closed Toe with Waist Attachment (Left or Right) 57.50

Class 3 (34-46mmHg) Price per Piece

Below Knee Open Toe 33.00

Below Knee Closed Toe 33.00

Below Knee Open Toe with Grip Top 40.00

Below Knee Closed Toe with Grip Top 40.00

Thigh High Open Toe with Grip Top 47.70

Thigh High Closed Toe with Grip Top 47.70

Panty Open Toe 151.00

Panty Closed Toe 151.00

Thigh High Open Toe with Waist Attachment (Left or Right) 57.50

Thigh High Closed Toe with Waist Attachment (Left or Right) 57.50

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Part III (e) Appliances - Lymphoedema Garments

February 2013 30

Sigvaris MTM Magic

Class 1 (18-21mmHg) Price per Piece

Below Knee Open Toe Female 32.00

Below Knee Closed Toe Female 32.00

Below Knee Open Toe with Grip Top Female 39.00

Below Knee Closed Toe with Grip Top Female 39.00

Thigh High Open Toe with Grip Top Female 44.00

Thigh High Closed Toe with Grip Top Female 44.00

Panty Open Toe Female 140.00

Panty Closed Toe Female 140.00 Class 2 (23-32mmHg) Below Knee Open Toe Female 33.00

Below Knee Closed Toe Female 33.00

Below Knee Open Toe with Grip Top Female 40.00

Below Knee Closed Toe with Grip Top Female 40.00

Thigh High Open Toe with Grip Top Female 47.50

Thigh High Closed Toe with Grip Top Female 47.50

Panty Open Toe Female 151.00

Panty Closed Toe Female 151.00

Sigvaris Opalis

Style Length Sizes Price per pair

(15-21mmHg) Below Knee Closed Toe Female Long, Normal XS - XXL 26.31 Below Knee Open Toe Female Long, Normal XS - XXL 26.31

Thigh High Hold Up Closed Toe Female Long, Normal XS - XXL 50.55 Thigh High Plus Grip Top Open Toe Female

Long, Normal XS - XXL 50.55

Sigvaris Urban 2

Style Length Sizes Price per pair

(15-20mmHg) Below Knee Closed Toe Male Long, Normal S,M,L,XL,XXL 26.77 Thigh High Grip Top Closed Toe Male Long, Normal S,M,L,XL,XXL 51.44

Venosan 5000

Style Size Price per pair

Class 1 (5001)(18-21mmHg)

Below Knee S, M, L, XL 25.41 Thigh High with Self Supporting Silicone Top Band S, M, L, XL 48.57 Class 2 (5002)(23-32mmHg) Price per

pair

Below Knee S, M, L, XL 25.41 Thigh High with Self Supporting Silicone Top Band S, M, L, XL 48.57 Class 3 (5003)(34-46mmHg) Price per

pair

Below Knee S, M, L, XL 25.41

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Part III (e) Appliances - Lymphoedema Garments

February 2013 31

Venosan 7000

Style Size Length Price per pair

Class 2 (7002) (23-32mmHg) Below Knee Open Toe S,M,L,XL Long/Short 26.56

Below Knee Closed Toe S,M,L,XL Long/Short 26.56

Thigh High with Self Supporting Plain Top Open Toe

S,M,L,XL Long/Short 36.27

Thigh High with Self Supporting Plain Top Closed Toe

S,M,L,XL Long/Short 36.27

Class 3 (7003) (34-46mmHg) Price per pair

Below Knee Open Toe S,M,L,XL Long/Short 26.56

Below Knee Closed Toe S,M,L,XL Long/Short 26.56

Thigh High with Self Supporting Plain Top Open Toe

S,M,L,XL Long/Short 36.27

Thigh High with Self Supporting Plain Top Closed Toe

S,M,L,XL Long/Short 36.27

Venotrain Micro

Style Lengths Sizes Price per pair

Class 1(18-21mmHg)

Below Knee Closed Toe Short, Long S, M, L, XL 21.24 Below Knee Open Toe Short, Long S, M, L, XL 21.24

Below Knee Plus Closed Toe Short, Long S, M, L, XL 21.24 Below Knee Plus Open Toe Short, Long S, M, L, XL 21.24

Thigh High Closed Toe with Top Band Short, Long S, M, L, XL 25.74 Thigh High Open Toe with Top Band Short, Long S, M, L, XL 25.74

Thigh High Plus Closed Toe with Top Band Short, Long S, M, L, XL 25.74 Thigh High Plus Open Toe with Top Band Short, Long S, M, L, XL 25.74

Price each

Tights Closed Toe Short, Long S, M, L, XL 35.64 Tights Open Toe Short, Long S, M, L, XL 35.64

Tights Plus Closed Toe Short, Long S, M, L, XL 35.64 Tights Plus Open Toe Short, Long S, M, L, XL 35.64 Class 2(23-32mmHg) Price per

pair

Below Knee Closed Toe Short, Long S, M, L, XL 21.69 Below Knee Open Toe Short, Long S, M, L, XL 21.69

Below Knee Plus Closed Toe Short, Long S, M, L, XL 21.69 Below Knee Plus Open Toe Short, Long S, M, L, XL 21.69

Thigh High Closed Toe with Top Band Short, Long S, M, L, XL 27.36 Thigh High Open Toe with Top Band Short, Long S, M, L, XL 27.36

Thigh High Plus Closed Toe with Top Band Short, Long S, M, L, XL 27.36 Thigh High Plus Open Toe with Top Band Short, Long S, M, L, XL 27.36

Price each

Tights Closed Toe Short, Long S, M, L, XL 40.14 Tights Open Toe Short, Long S, M, L, XL 40.14

Tights Plus Closed Toe Short, Long S, M, L, XL 40.14 Tights Plus Open Toe Short, Long S, M, L, XL 40.14

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Part III (e) Appliances - Lymphoedema Garments

February 2013 32

Venotrain Soft

Style Lengths Sizes Price per pair

Class 1(18-21mmHg)

Below Knee Closed Toe Short, Long S, M, L, XL 20.34

Below Knee Open Toe Short, Long S, M, L, XL 20.34 Below Knee Plus Closed Toe Short, Long S, M, L, XL 20.34

Below Knee Plus Open Toe Short, Long S, M, L, XL 20.34 Thigh High Closed Toe with Top Band Short, Long S, M, L, XL 25.92

Thigh High Open Toe with Top Band Short, Long S, M, L, XL 25.92 Thigh High Plus Closed Toe with Top Band Short, Long S, M, L, XL 25.92

Thigh High Plus Open Toe with Top Band Short, Long S, M, L, XL 25.92 Price each

Thigh High with Waist Attachment Right Closed Toe Short, Long S, M, L, XL 17.64

Thigh High with Waist Attachment Right Open Toe Short, Long S, M, L, XL 17.64 Thigh High with Waist Attachment Left Closed Toe Short, Long S, M, L, XL 17.64

Thigh High with Waist Attachment Left Open Toe Short, Long S, M, L, XL 17.64 Thigh High Plus with Waist Attachment Right Closed Toe Short, Long S, M, L, XL 17.64

Thigh High Plus with Waist Attachment Right Open Toe Short, Long S, M, L, XL 17.64 Thigh High Plus with Waist Attachment Left Closed Toe Short, Long S, M, L, XL 17.64

Thigh High Plus with Waist Attachment Left Open Toe Short, Long S, M, L, XL 17.64 Class 2(23-32mmHg) Price per

pair

Below Knee Closed Toe Short, Long S, M, L, XL 20.34

Below Knee Open Toe Short, Long S, M, L, XL 20.34 Below Knee Plus Closed Toe Short, Long S, M, L, XL 20.34

Below Knee Plus Open Toe Short, Long S, M, L, XL 20.34 Thigh High Open Toe with Top Band Short, Long S, M, L, XL 25.92

Thigh High Open Toe with Top Band Short, Long S, M, L, XL 25.92 Thigh High Plus Closed Toe with Top Band Short, Long S, M, L, XL 25.92

Thigh High Plus Open Toe with Top Band Short, Long S, M, L, XL 25.92 Price each

Thigh High with Waist Attachment Right Closed Toe Short, Long S, M, L, XL 17.64

Thigh High with Waist Attachment Right Open Toe Short, Long S, M, L, XL 17.64 Thigh High with Waist Attachment Left Closed Toe Short, Long S, M, L, XL 17.64

Thigh High with Waist Attachment Left Open Toe Short, Long S, M, L, XL 17.64 Thigh High Plus with Waist Attachment Right Closed Toe Short, Long S, M, L, XL 17.64

Thigh High Plus with Waist Attachment Right Open Toe Short, Long S, M, L, XL 17.64 Thigh High Plus with Waist Attachment Left Closed Toe Short, Long S, M, L, XL 17.64

Thigh High Plus with Waist Attachment Left Open Toe Short, Long S, M, L, XL 17.64