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$70.24
FSA/HSA
Hollister
New Image™ 19054 Two-Piece Clear Ileostomy/Colostomy Pouch Kit, 70 mm Flange
SKU: 19054
New Image™ 19054 Two-Piece Clear Ileostomy/Colostomy Pouch Kit, 70 mm Flange
This Hollister New Image two-piece drainable kit includes a FlexWear flat skin barrier and an ultra-clear Lock 'n Roll microseal drainable pouch. It is a sterile kit.
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
$70.24
Regular price
Sale price
$70.24
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Product Details
Specifications
TypeTwo-piece drainable kit
Ostomy SystemTwo-piece
Pouch DrainDrainable
HCPCS CodeA5063, A4414
BarrierFlexWear
FitCut-to-fit
Flange70 mm (Blue code)
ColorUltra-clear
Length12" (30 cm)
ClosureLock 'n Roll microseal
In the box
- New Image two-piece drainable kit (5 kits per box)
- FlexWear flat skin barrier, 1420x (1 per kit)
- New Image drainable pouch, 1800x (1 per kit)
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A5063, A4414 | A4361 | — | — |
| Type | Two-piece drainable kit | 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 |