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$6.27
1 Each · FSA/HSA
Hollister
New Image™ 18013 2-Piece Ultra Clear Ostomy Pouch, 57 mm Flange (Red Code)
SKU: 18013
New Image™ 18013 2-Piece Ultra Clear Ostomy Pouch, 57 mm Flange (Red Code)
This Hollister New Image two-piece high output drainable pouch has a 2-1/4" flange, a soft drain tap, and belt tabs. No adapter is needed to connect it to the Hollister 9839 bedside collector.
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
$6.27
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$6.27
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Product Details
Specifications
TypeTwo-piece high-output pouch
Pack Size1 Each or Box of 10
Ostomy SystemTwo-piece
Pouch DrainDrainable
HCPCS CodeA4412
Flange2-1/4" (57 mm)
ColorUltra-clear
Length12" (30 cm)
FilterNone
Belt tabsYes
TapSoft drain tap
Compatible collectorHollister 9839 bedside drainage collector (no adapter needed)
In the box
- New Image two-piece high output drainable pouch (1 for the 1 Each option; 10 for the Box of 10 option)
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4412 | A4361 | — | — |
| Type | Two-piece high-output pouch | Ostomy faceplate | Drainage bag | Urostomy pouch |
| Pack Size | 1 Each or Box of 10 | — | 1 Each or Box of 20 | 1 Each |
| Ostomy System | Two-piece | — | — | Two-piece |
| Color | Ultra-clear | — | — | Transparent |