$188.00
Case of 80 · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeOstomy pouch
Pack SizeBox of 10 or Case of 80
HCPCS CodeA5063
DrainDrainable
Flange50 mm (2")
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A5063 | A4361 | A4425 | A4434 |
| Type | Ostomy pouch | Ostomy faceplate | Flat Drainable Ostomy Pouch | Ostomy pouch |
| Pack Size | Box of 10 or Case of 80 | — | — | 10 Count, Box of 10, or Case of 80 |
| Drain | Drainable | — | — | Urinary |
| Flange | 50 mm (2") | — | — | 45 mm (1-3/4") |


Respiratory
Mobility
Urology
Ostomy
Wound Care
Incontinence
Diabetes
Maternity
Orthopedics
Home Safety

