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$100.00
3/4 in · FSA/HSA
ConvaTec
ActiveLife One-Piece Drainable Pouch Pre-Cut with Stomahesive Barrier 20 Count
SKU: 125331
ActiveLife One-Piece Drainable Pouch Pre-Cut with Stomahesive Barrier 20 Count
A ConvaTec ActiveLife one-piece drainable pouch with a pre-cut Stomahesive skin barrier, tape collar and tail clip.
FSA/HSA Eligible
This item can typically be purchased with an FSA or HSA card at checkout. Eligibility can vary by plan, so check with your plan administrator if you are unsure.
Regular price
$100.00
Regular price
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$100.00
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Product Details
Specifications
TypeDrainable pouch
Dimensions3/4 in or 1-1/4 in
Ostomy SystemOne-piece
Pouch DrainDrainable
HCPCS CodeA5061
BarrierStomahesive
Fitpre-cut (1-1/4")
Coloropaque
Length12 inch
In the box
- ConvaTec ActiveLife one-piece drainable pouch (20)
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A5061 | A4375 | A4393 | A4390 |
| Type | Drainable pouch | One-piece ostomy pouch | Ostomy pouch | Ostomy pouch |
| Dimensions | 3/4 in or 1-1/4 in | — | 1" or 1-1/4" | 1-1/8 in, 1-1/4 in, or 1-1/2 in |
| Ostomy System | One-piece | — | One-piece | One-piece |
| Pouch Drain | Drainable | — | Urostomy (tap) | Drainable |
| Fit | pre-cut (1-1/4") | — | Pre-cut | — |
| Color | opaque | — | — | Opaque |
| Barrier Profile | — | — | Convex | Convex |
| Profile | — | — | Shallow convex | Shallow convex |
| Opening | — | — | 1-1/4 inch | 1-1/8" (53529), 1-1/4" (53532) or 1-1/2" (53538) |