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$158.00
FSA/HSA
Marlen Manufacturing Co
Ultralite One-Piece Drainable Pouch 5/8" Deep Convex Transparent Aquatack 10 Count
SKU: 57616
Ultralite One-Piece Drainable Pouch 5/8" Deep Convex Transparent Aquatack 10 Count
Marlen UltraLite one-piece drainable pouch with deep convexity, transparent, pre-cut 5/8" (16 mm), with an AquaTack barrier and a Kwick-Klose II fastener. 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
$158.00
Regular price
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$158.00
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Product Details
Specifications
TypeOstomy pouch
Ostomy SystemOne-piece
Pouch DrainDrainable
HCPCS CodeA4390
BarrierAquaTack
FitPre-cut
Opening5/8 inch (16 mm)
ColorTransparent
ClosureKwick-Klose II fastener
PiecesOne-piece
ProfileDeep convex
In the box
- Marlen UltraLite one-piece drainable pouch, 5/8" (10)
How it compares
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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 | 5/8 inch (16 mm) | — | 1-1/4 inch | 1-1/8" (53529), 1-1/4" (53532) or 1-1/2" (53538) |
| Color | Transparent | — | — | Opaque |
| Profile | Deep 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 |