Yes, you will need a prescription from a physician in order to deduct incontinence products used in a nursing home.
"You can't include in medical expenses the amount you pay for diapers or diaper services, unless they are needed to relieve the effects of a particular disease." (Pg. 15)
"...you can't include in medical expenses amounts you pay for a drug that isn't prescribed. A prescribed drug is one that requires a prescription by a doctor for its use by an individual." (Pg. 16)
For Medicaid to cover the costs of these products in a facility, they often require a prescription, a diagnosis, or a Letter of Medical Necessity (LMN) from a doctor.
IRS Pub. 502 - Medical and Dental Expenses
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