$162.03
2-3/4 in · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeOne-piece high-output pouch
Dimensions2-3/4 in or 4-1/3 in
Ostomy SystemOne-piece
Pouch DrainDrainable
Barrier ProfileFlat
HCPCS CodeA4435
BarrierFlextend
FitCut-to-fit, no starter hole
Openingup to 2-3/4" (70 mm) for 80070; up to 4-1/3" (110 mm) for 80110
ColorUltra-clear
Length12" (30 cm)
Tape borderNo
TapSoft tap
Compatible collectorHollister 9839 bedside drainage collector (no adapter needed)
In the box
- Premier one-piece high output pouch (10)
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4435 | A4375 | A4393 | A4390 |
| Type | One-piece high-output pouch | One-piece ostomy pouch | Ostomy pouch | Ostomy pouch |
| Dimensions | 2-3/4 in or 4-1/3 in | — | 1" or 1-1/4" | 1-1/8 in, 1-1/4 in, or 1-1/2 in |
| Ostomy System | One-piece | — | One-piece | One-piece |
| Pouch Drain | Drainable | — | Urostomy (tap) | Drainable |
| Barrier Profile | Flat | — | Convex | Convex |
| Fit | Cut-to-fit, no starter hole | — | Pre-cut | — |
| Opening | up to 2-3/4" (70 mm) for 80070; up to 4-1/3" (110 mm) for 80110 | — | 1-1/4 inch | 1-1/8" (53529), 1-1/4" (53532) or 1-1/2" (53538) |
| Color | Ultra-clear | — | — | Opaque |
| Profile | — | — | Shallow convex | Shallow convex |


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