$29.00
2-1/4 in / Box of 5 · FSA/HSA

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Product Details
Specifications
TypeOstomy skin barrier wafer
Dimensions2-1/4 in or 2-3/4 in
Pack SizeBox of 5 or Case of 40
HCPCS CodeA4409
WearExtended
Flange57 mm (2-1/4")
FitCut-to-fit
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4409 | A4361 | A4425 | A4434 |
| Type | Ostomy skin barrier wafer | Ostomy faceplate | Flat Drainable Ostomy Pouch | Ostomy pouch |
| Dimensions | 2-1/4 in or 2-3/4 in | — | — | 1-3/4 in or 2-1/4 in |
| Pack Size | Box of 5 or Case of 40 | — | — | 10 Count, Box of 10, or Case of 80 |
| Flange | 57 mm (2-1/4") | — | — | 45 mm (1-3/4") |


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Ostomy
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