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$124.00
1-3/8" · FSA/HSA
Coloplast
Assura One-Piece Closed Pouch Oval Pre-Cut Opaque 30 Count 350
SKU: 12146
Assura One-Piece Closed Pouch Oval Pre-Cut Opaque 30 Count 350
Coloplast Assura one-piece closed pouch: opaque, pre-cut, with a filter. Box of 30.
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
$124.00
Regular price
Sale price
$124.00
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Product Details
Specifications
TypeClosed pouch
Dimensions1-3/8" or 1-5/8"
Ostomy SystemOne-piece
Pouch DrainClosed
Barrier ProfileFlat
HCPCS CodeA4416
SizingPre Cut
Stoma Opening1-3/8"
Capacity350 mL
Pouch Length7"
ColorOpaque
In the box
- Coloplast Assura one-piece closed pouch (30)
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4416 | A4375 | A4393 | A4390 |
| Type | Closed pouch | One-piece ostomy pouch | Ostomy pouch | Ostomy pouch |
| Dimensions | 1-3/8" or 1-5/8" | — | 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 | Closed | — | Urostomy (tap) | Drainable |
| Barrier Profile | Flat | — | Convex | Convex |
| Color | Opaque | — | — | Opaque |
| Profile | — | — | Shallow convex | Shallow convex |
| Opening | — | — | 1-1/4 inch | 1-1/8" (53529), 1-1/4" (53532) or 1-1/2" (53538) |