FSA and HSA cards work on eligible items
Respiratory
Mobility
Urology
Ostomy
Wound Care
Incontinence
Diabetes
Maternity
Orthopedics
Home Safety
$152.00
FSA/HSA
Marlen Manufacturing Co
UltraMax Deep Convex Closed-End Pouch Pre-Cut 7/8" (22mm) With AquaTack Hydrocolloid Barrier Transparent 15 Count
SKU: 82622
UltraMax Deep Convex Closed-End Pouch Pre-Cut 7/8" (22mm) With AquaTack Hydrocolloid Barrier Transparent 15 Count
Marlen UltraMax one-piece closed-end pouch with deep convexity, transparent, pre-cut 7/8" (22 mm). Box of 15.
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
$152.00
Regular price
Sale price
$152.00
Out of stock
In stock now in One-Piece SystemsShop all
EZ Clean Drainable One-Piece Pouch with Attached Wafer Clear 10 Count
$298.00Schena Ostomy Technologies
Ultramax Urostomy Shallow Transparent Aquatack 5 Count
Options$110.00Marlen Manufacturing Co
Ultramax Drainable Pouch Shallow Opaque 5 Count
Options$102.00Marlen Manufacturing Co
Want this one? Get an email when it’s back.
Free shipping over $50
Ships in 1 - 2 business days
FSA / HSA accepted
Pay with your benefit card at checkout
Easy returns
View return policy
Talk to a specialist
Contact Us
Product Details
Specifications
TypeOstomy pouch
Ostomy SystemOne-piece
Pouch DrainClosed
HCPCS CodeA4417
FitPre-cut
Opening7/8 inch (22 mm)
ColorTransparent
PiecesOne-piece
ProfileDeep convex
In the box
- Marlen UltraMax one-piece closed-end pouch, 7/8" (15)
How it compares
Top sellers in One-Piece Systems
Swipe to compare →
| Product | This item 
Marlen Manufacturing Co
UltraMax Deep Convex Closed-End Pouch Pre-Cut 7/8" (22mm) With AquaTack Hydrocolloid Barrier Transparent 15 Count
$152.00 | 
Schena Ostomy Technologies
EZ Clean Drainable One-Piece Pouch with Attached Wafer Clear 10 Count
$298.00View → | 
Marlen Manufacturing Co
Ultramax Urostomy Shallow Transparent Aquatack 5 Count
$110.002 optionsView → | 
Marlen Manufacturing Co
Ultramax Drainable Pouch Shallow Opaque 5 Count
$102.003 optionsView → |
|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4417 | A4375 | A4393 | A4390 |
| Type | Ostomy pouch | One-piece ostomy pouch | Ostomy pouch | Ostomy pouch |
| Ostomy System | One-piece | — | One-piece | One-piece |
| Pouch Drain | Closed | — | Urostomy (tap) | Drainable |
| Fit | Pre-cut | — | Pre-cut | — |
| Opening | 7/8 inch (22 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 |