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$187.00
FSA/HSA
Marlen Manufacturing Co
Ultra Extra 1" x 1-1/2" Shallow Cvx Med Transparent Skin 10 Count
SKU: 55315
Ultra Extra 1" x 1-1/2" Shallow Cvx Med Transparent Skin 10 Count
Marlen UltraExtra one-piece drainable pouch with shallow convexity, transparent, pre-cut 1" x 1-1/2" oval (25 x 38 mm), with a Skin Shield barrier. Box of 10.
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
$187.00
Regular price
Sale price
$187.00
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Product Details
Specifications
TypeOstomy pouch
Ostomy SystemOne-piece
Pouch DrainDrainable
HCPCS CodeA4390
BarrierSkin Shield
FitPre-cut
Opening1 x 1-1/2 inch
ColorTransparent
PiecesOne-piece
ProfileShallow convex
In the box
- Marlen UltraExtra one-piece drainable pouch, 1" x 1-1/2" oval (10)
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4390 | A4375 | A4393 | A4390 |
| Type | Ostomy pouch | One-piece ostomy pouch | Ostomy pouch | Ostomy pouch |
| Ostomy System | One-piece | — | One-piece | One-piece |
| Pouch Drain | Drainable | — | Urostomy (tap) | Drainable |
| Fit | Pre-cut | — | Pre-cut | — |
| Opening | 1 x 1-1/2 inch | — | 1-1/4 inch | 1-1/8" (53529), 1-1/4" (53532) or 1-1/2" (53538) |
| Color | Transparent | — | — | Opaque |
| Profile | Shallow convex | — | Shallow convex | Shallow convex |
| Dimensions | — | — | 1" or 1-1/4" | 1-1/8 in, 1-1/4 in, or 1-1/2 in |
| Barrier Profile | — | — | Convex | Convex |