$37.00
3/4 in / 5 Count · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeOstomy skin barrier wafer
Dimensions3/4 in, 7/8 in, 1-1/8 in, 1-1/4 in, or 1-3/8 in
Pack Size5 Count, Box of 5, or Case of 40
Barrier ProfileConvex
HCPCS CodeA4408
WearExtended
ProfileConvex
Flange57 mm (2-1/4")
FitPre-cut 1-1/8"
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4408 | A4361 | A4425 | A4434 |
| Type | Ostomy skin barrier wafer | Ostomy faceplate | Flat Drainable Ostomy Pouch | Ostomy pouch |
| Dimensions | 3/4 in, 7/8 in, 1-1/8 in, 1-1/4 in, or 1-3/8 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") |


Respiratory
Mobility
Urology
Ostomy
Wound Care
Incontinence
Diabetes
Maternity
Orthopedics
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