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$31.00
2-1/4 in / 5 Count · FSA/HSA
Safe N Simple
Safe N Simple LLC Diameter Two-Piece Round Convex Wafer Standard Wear White Flange Cut-to-Fit
SKU: SNS7238214
Safe N Simple LLC Diameter Two-Piece Round Convex Wafer Standard Wear White Flange Cut-to-Fit
A Safe n Simple convex, standard wear, cut-to-fit solid hydrocolloid two-piece wafer, the baseplate for a Safe n Simple pouch.
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
$31.00
Regular price
Sale price
$31.00
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FSA / HSA accepted
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Product Details
Specifications
TypeOstomy skin barrier wafer
Dimensions2-1/4 in or 2-3/4 in
Pack Size5 Count, Box of 5, or Case of 40
Barrier ProfileConvex
HCPCS CodeA4373
WearStandard
ProfileConvex
Flange57 mm (2-1/4")
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4373 | 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 | 5 Count, 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") |