Page 4 - Drew Shoe 2021
P. 4

96-black metallic foil-   roSe 14375
                                      siZe grid 1                                                     3y-bone metallic foil-
                                                                                                       siZe grid 1
                                                     leather












                                                                                                            3p-blue multi
                                                                                                            siZe grid 1
                                                74-navy metallic
                                                foil- siZe grid 1
                                                                                                           99-black- siZe grid 3







                                       1p-black croc patent-
                                       siZe grid 3




                                                           6y-broWn metallic
                                                           foil= siZe grid 1
      9q-copper
      metallic - siZe grid 4

                                                                                                       96-black metallic
                                                                                                       foil-  siZe grid 2
        1p-black croc                         tuliP  10202
        patent-
        siZe grid 3                           leather







                                                                                                          3y-bone metallic
                                                                                                          foil- siZe grid 1





          12-black-
          siZe grid 3

                                                         6y-broWn metallic
                                                         foil- siZe grid 1
         ROSE, ORCHID, MAGNOLIA, BOUQUET, BUTTERCUP, TULIP

           Pf      DD        ri       SS                          N  (AA)............6-12  N  (AA)............6-12  siZe grid 3
                                                                  siZe grid 1
                                                                                     siZe grid 2
                                                                                                       S (4A).............6-12
                                                                  M (B).........5-12,13  M (B)..............5-13  N  (AA)............6-12
            » HCPCS Code A5500 excludes Bouquet                   W (D).........5-12,13                M (B)..............5-13
            » HCPCS Code A5500 Pending (Bouquet)                  WW (EE)...5-12,13  W (D)..............5-13  W (D)..............5-13
            » Plus Fitting System® - Two Removable Footbeds for Added and            WW (EE)........5-13  WW (EE)........5-13
           Double Depth
            » Removable, Moldable, Dual-density Insert with Drilex® Topcover  siZe grid 4  siZe grid 5  siZe grid 6
            » Ultra Lighweight and Dual-density, Slip-resistant Outsole  S (4A).............6-12  M (B).........5-12,13  M (B).........6-12,13
            » Extended Medial Heel Stabilizer                     N  (AA)............6-12  W (D).........5-12,13  W (D).........6-12,13
            » Stretch Fabric Lining                        221    M (B)..............5-12  WW (EE)...5-12,13  WW (EE)...6-12,13
            » Tempered Steel Shank                                W (D)..............5-12
    4       » Accommodates Prescribed Orthotics                   WW (EE)........5-12
   1   2   3   4   5   6   7   8   9