Missed your last question the first time sorry ,you have your choice of any distributor that carries diapers, the Cadillac of diapers available under insurance is the Tranquility ATN ,provided your state will pay for that level of quality,I only know a couple of states that pay for those left,most places you will find prevail, wings, or first quality, depends are also a choice,now in my case I get my diapers shipped to me from the last distributor in the US that will even bill for ATN'S that is for all intents and purpose on the other side of the country. Your local brick and mortar medical supply will have an exclusive contract to provide 2 different brands of low quality diapers they will not make an exception no matter what because the contracts they sign have among other things a non compete Clause that if caught violating will cost them a bundle. Like my local supplier that I have bought my two power chairs bed recliners etc are over at my house all the time and even though they sell other products made by MEDLINE they can't supply my diapers because of there exclusive contracts with two other companies. Basicly the more money they can save giving you lousy protection goes in there pocket.