$18.00
1 Each · FSA/HSA

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Product Details
Specifications
TypeOstomy skin barrier sheet
Pack Size1 Each or Box of 3
HCPCS CodeA5122
Size8 x 8"
In the box
- ConvaTec Stomahesive skin barrier sheet, 8" x 8"
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A5122 | A4385 | A4385 | A4385 |
| Type | Ostomy skin barrier sheet | Seal | Skin barrier | Moldable barrier ring (thin) |
| Pack Size | 1 Each or Box of 3 | 1 Each or Box of 10 | Box of 5 or Box of 3 | 1 Each or Box of 10 |
| Size | 8 x 8" | Small, Medium (1-1.25 in), or Large (1.25-1.5 in) | 4 x 4" | — |
| Dimensions | — | — | 4 x 4 in or 8 x 8 in | 3/4 in or 1-1/8 in |


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