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$4.00
1 Each · FSA/HSA
Hollister
New Image™ 18122 Beige Colostomy Pouch, 44 mm Flange (Green Code)
SKU: 18122
New Image™ 18122 Beige Colostomy Pouch, 44 mm Flange (Green Code)
This Hollister New Image two-piece drainable pouch has a clamp closure, an integrated AF300 filter, and belt tabs. It has a 1-3/4" flange and 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
$4.00
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Product Details
Specifications
TypeTwo-piece drainable pouch
Pack Size1 Each or Box of 10
Ostomy SystemTwo-piece
Pouch DrainDrainable
HCPCS CodeA5063
Flange1-3/4" (44 mm)
ColorBeige
Length12" (30 cm)
ClosureClamp
FilterAF300 (integrated)
Belt tabsYes
In the box
- New Image two-piece drainable pouch (1 for the 1 Each option; 10 for the Box of 10 option)
- Pouch clamp (1 per box)
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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 |
| Pack Size | 1 Each or Box of 10 | — | 1 Each or Box of 20 | 1 Each |
| Ostomy System | Two-piece | — | — | Two-piece |
| Color | Beige | — | — | Transparent |