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$107.00
FSA/HSA
Marlen Manufacturing Co
Ultramax Deep Large Flange on Standard Size Drainable Pouch Cut-to-Fit Starter Hole 1/2"-2-1/2" Opaque 5 Count
SKU: 53699
Ultramax Deep Large Flange on Standard Size Drainable Pouch Cut-to-Fit Starter Hole 1/2"-2-1/2" Opaque 5 Count
Marlen UltraMax one-piece drainable pouch with deep convexity, opaque, cut-to-fit (12-64 mm flange). Box of 5.
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
$107.00
Regular price
Sale price
$107.00
Out of stock
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Product Details
Specifications
TypeOstomy pouch
Ostomy SystemOne-piece
Pouch DrainDrainable
HCPCS CodeA4390
FitCut-to-fit
Opening1/2 to 2-1/2 inch
ColorOpaque
PiecesOne-piece
ProfileDeep convex
In the box
- Marlen UltraMax one-piece drainable pouch, cut-to-fit (5)
How it compares
Top sellers in One-Piece Systems
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| Product | This item
Marlen Manufacturing Co
Ultramax Deep Large Flange on Standard Size Drainable Pouch Cut-to-Fit Starter Hole 1/2"-2-1/2" Opaque 5 Count
$107.00 | 
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 | 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 | Cut-to-fit | — | Pre-cut | — |
| Opening | 1/2 to 2-1/2 inch | — | 1-1/4 inch | 1-1/8" (53529), 1-1/4" (53532) or 1-1/2" (53538) |
| Color | Opaque | — | — | 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 |