$28.00
Box of 10 · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeOstomy pouch
DrainDrainable
Flange57 mm (2-1/4")
HCPCS CodeA4426
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Safe N Simple 12" Drainable Two-Piece Pouch Transparent 57mm 2-1/4" Flange With Belt Tabs and One Curved Tail Closure
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4426 | A4361 | A4425 | A4434 |
| Type | Ostomy pouch | Ostomy faceplate | Flat Drainable Ostomy Pouch | Ostomy pouch |
| Drain | Drainable | — | — | Urinary |
| Flange | 57 mm (2-1/4") | — | — | 45 mm (1-3/4") |


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