Brooks Adrenaline GTS 22 。* APMA Approved: The American Podiatric Medical Association Seal of Acceptance is awarded to products that promote good foot health and are substantiated by a committee of discerning podiatrists by wear-testing and review of the application and supporting documentation. APMA Acceptance must be applied for and is not automatically available to styles that meet its criteria. * PDAC A5500 Approved: Pricing, Data Analysis and Coding A5500 Diabetic Medicare Coding is awarded to footwear that is available in three or more widths, with a removable insole (sock-liner). These attributes may allow a footwear style to be deemed an extra-depth shoe. It also allows individuals to pay for their footwear through their Medicare. PDAC must be applied for on a yearly basis and is not automatically available to styles that meet its criteria. * Heel pull tab. * Round toe silhouette. * Rubber outsole.