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$48.00
FSA/HSA
Hollister
New Image™ 18003 Two-Piece Ultra Clear Ostomy Pouch, 57 mm Flange (Red Code)
SKU: 18003
New Image™ 18003 Two-Piece Ultra Clear Ostomy Pouch, 57 mm Flange (Red Code)
This Hollister New Image two-piece drainable pouch has a Lock 'n Roll microseal closure and belt tabs. It attaches to a New Image skin barrier with the same flange size.
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
$48.00
Regular price
Sale price
$48.00
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Product Details
Specifications
TypeTwo-piece drainable pouch
Ostomy SystemTwo-piece
Pouch DrainDrainable
HCPCS CodeA5063
Flange57 mm (Red code)
ColorUltra-clear
Length12" (30 cm)
ClosureLock 'n Roll microseal
FilterNone
Belt tabsYes
In the box
- New Image two-piece drainable pouch (10)
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A5063 | A4361 | — | — |
| Type | Two-piece drainable pouch | Ostomy faceplate | Drainage bag | Urostomy pouch |
| Ostomy System | Two-piece | — | — | Two-piece |
| Color | Ultra-clear | — | — | Transparent |
| Pack Size | — | — | 1 Each or Box of 20 | 1 Each |