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$40.41
1-3/4 in · FSA/HSA
Hollister
New Image Two-Piece Urostomy Pouch Ultra Clear 10 Count
SKU: 18922
New Image Two-Piece Urostomy Pouch Ultra Clear 10 Count
This Hollister New Image two-piece urostomy pouch has a drain tap, an anti-reflux feature, 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
$40.41
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$40.41
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Product Details
Specifications
TypeTwo-piece urostomy pouch
Dimensions1-3/4 in, 2-1/4 in, or 2-3/4 in
Ostomy SystemTwo-piece
Pouch DrainUrostomy (tap)
HCPCS CodeA4432
ColorUltra-clear
Length9"
Belt tabsYes
ValveAnti-reflux
In the box
- New Image two-piece urostomy pouch (10)
- Urostomy adapter (2 per box)
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4432 | A4361 | A4425 | A4434 |
| Type | Two-piece urostomy pouch | Ostomy faceplate | Flat Drainable Ostomy Pouch | Ostomy pouch |
| Dimensions | 1-3/4 in, 2-1/4 in, or 2-3/4 in | — | — | 1-3/4 in or 2-1/4 in |
| Ostomy System | Two-piece | — | Two-piece | — |
| Pouch Drain | Urostomy (tap) | — | — | Urostomy (tap) |
| Color | Ultra-clear | — | Black | — |