FSA and HSA cards work on eligible items
Respiratory
Mobility
Urology
Ostomy
Wound Care
Incontinence
Diabetes
Maternity
Orthopedics
Home Safety
$48.35
5 Count · FSA/HSA
Hollister
Premier Convex Flextend Urostomy Pouch With Belt Tabs 3/4" (19mm) Pre-Cut Ultra Clear
SKU: 84892
Premier Convex Flextend Urostomy Pouch With Belt Tabs 3/4" (19mm) Pre-Cut Ultra Clear
A Hollister one-piece urostomy pouch with a convex barrier.
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
$48.35
Regular price
Sale price
$48.35
Save $10 monthly
Skip, change, or cancel anytime
Email me when it’s back
We’ll email you when is back in stock.
Quantity
Free shipping over $50
Ships in 1 - 2 business days
FSA / HSA accepted
Pay with your benefit card at checkout
Easy returns
View return policy
Talk to a specialist
Contact Us
Product Details
Specifications
TypeOne-piece urostomy pouch
Pack Size5 Count or 10 Count
Ostomy SystemOne-piece
Pouch DrainUrostomy (tap)
Barrier ProfileConvex
HCPCS CodeA4430
BarrierFlexTend
Fitpre-cut
ColorUltra-clear
How it compares
Top sellers in One-Piece Systems
Swipe to compare →
| Product | This item 
Hollister
Premier Convex Flextend Urostomy Pouch With Belt Tabs 3/4" (19mm) Pre-Cut Ultra Clear
$48.352 options | 
Schena Ostomy Technologies
EZ Clean Drainable One-Piece Pouch with Attached Wafer Clear 10 Count
$298.00View → | 
Marlen Manufacturing Co
Ultramax Urostomy Shallow Transparent Aquatack 5 Count
$110.002 optionsView → | 
Marlen Manufacturing Co
Ultramax Drainable Pouch Shallow Opaque 5 Count
$102.003 optionsView → |
|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4430 | A4375 | A4393 | A4390 |
| Type | One-piece urostomy pouch | One-piece ostomy pouch | Ostomy pouch | Ostomy pouch |
| Ostomy System | One-piece | — | One-piece | One-piece |
| Pouch Drain | Urostomy (tap) | — | Urostomy (tap) | Drainable |
| Barrier Profile | Convex | — | Convex | Convex |
| Fit | pre-cut | — | Pre-cut | — |
| Color | Ultra-clear | — | — | Opaque |
| Dimensions | — | — | 1" or 1-1/4" | 1-1/8 in, 1-1/4 in, or 1-1/2 in |
| Profile | — | — | Shallow convex | Shallow convex |
| Opening | — | — | 1-1/4 inch | 1-1/8" (53529), 1-1/4" (53532) or 1-1/2" (53538) |