FSA and HSA cards work on eligible items
Respiratory
Mobility
Urology
Ostomy
Wound Care
Incontinence
Diabetes
Maternity
Orthopedics
Home Safety
$133.00
FSA/HSA
Coloplast
Assura One-Piece Convex Extra-Extended Wear Drainable Pouch Cut-to-Fit 3/4" - 1-3/4" 10 Count Opaque
SKU: 12419
Assura One-Piece Convex Extra-Extended Wear Drainable Pouch Cut-to-Fit 3/4" - 1-3/4" 10 Count Opaque
A Coloplast one-piece convex drainable ostomy pouch, cut-to-fit, for a 3/4" - 1-3/4" stoma.
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
$133.00
Regular price
Sale price
$133.00
Save $10 monthly
Skip, change, or cancel anytime
Email me when it’s back
We’ll email you when is back in stock.
Quantity
Free shipping over $50
Ships in 1 - 2 business days
FSA / HSA accepted
Pay with your benefit card at checkout
Easy returns
View return policy
Talk to a specialist
Contact Us
Product Details
Specifications
TypeOne-Piece Convex Drainable Ostomy Pouch
SystemOne-piece
SizingCut To Fit
Stoma Opening3/4" - 1-3/4"
Capacity530 mL
Pouch Length11"
ColorOpaque
Wear TimeExtra Extended Wear
HCPCS CodeA4390
How it compares
Top sellers in One-Piece Systems
Swipe to compare →
| Product | This item 
Coloplast
Assura One-Piece Convex Extra-Extended Wear Drainable Pouch Cut-to-Fit 3/4" - 1-3/4" 10 Count Opaque
$133.00 | 
Schena Ostomy Technologies
EZ Clean Drainable One-Piece Pouch with Attached Wafer Clear 10 Count
$298.00View → | 
Marlen Manufacturing Co
Ultramax Urostomy Shallow Transparent Aquatack 5 Count
$110.002 optionsView → | 
Marlen Manufacturing Co
Ultramax Drainable Pouch Shallow Opaque 5 Count
$102.003 optionsView → |
|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4390 | A4375 | A4393 | A4390 |
| Type | One-Piece Convex Drainable Ostomy Pouch | One-piece ostomy pouch | Ostomy pouch | Ostomy pouch |
| Drain | — | — | Urinary | Drainable |
| Pieces | — | — | One-piece | One-piece |
| Profile | — | — | Shallow convex | Shallow convex |