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$46.00
3/4 x 1-1/8 in · FSA/HSA
ConvaTec
Esteem + Moldable One-Piece Drainable Pouch with InvisiClose Stomahesive Transparent (30/ ) 10 Count
SKU: 413518
Esteem + Moldable One-Piece Drainable Pouch with InvisiClose Stomahesive Transparent (30/ ) 10 Count
A Convatec Esteem+ one-piece drainable pouch with a moldable (30/40 mm) Stomahesive (moldable) skin barrier, 1-3/16" x 1-9/16" (30/40 mm), transparent, 12 inch.
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
$46.00
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$46.00
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Product Details
Specifications
TypeOstomy pouch (one-piece)
Dimensions3/4 x 1-1/8 in or 1-1/8 x 1-1/2 in
Pouch DrainDrainable
HCPCS CodeA5061
BarrierStomahesive (moldable)
Fitmoldable (30/40 mm)
Opening1-3/16" x 1-9/16" (30/40 mm)
Colortransparent
Length12 inch
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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 | Ostomy pouch (one-piece) | One-piece ostomy pouch | Ostomy pouch | Ostomy pouch |
| Dimensions | 3/4 x 1-1/8 in or 1-1/8 x 1-1/2 in | — | 1" or 1-1/4" | 1-1/8 in, 1-1/4 in, or 1-1/2 in |
| Pouch Drain | Drainable | — | Urostomy (tap) | Drainable |
| Fit | moldable (30/40 mm) | — | Pre-cut | — |
| Opening | 1-3/16" x 1-9/16" (30/40 mm) | — | 1-1/4 inch | 1-1/8" (53529), 1-1/4" (53532) or 1-1/2" (53538) |
| Color | transparent | — | — | Opaque |
| Ostomy System | — | — | One-piece | One-piece |
| Barrier Profile | — | — | Convex | Convex |
| Profile | — | — | Shallow convex | Shallow convex |