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$102.00
FSA/HSA
Marlen Manufacturing Co
Ultramax Drainable Convex Cut-to-Fit Transparent Back 5 Count
SKU: 52500
Ultramax Drainable Convex Cut-to-Fit Transparent Back 5 Count
Marlen UltraMax one-piece drainable pouch with shallow convexity, transparent, cut-to-fit. 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
$102.00
Regular price
Sale price
$102.00
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Product Details
Specifications
TypeOstomy pouch
Ostomy SystemOne-piece
Pouch DrainDrainable
Barrier ProfileConvex
HCPCS CodeA4390
FitCut-to-fit
Opening1/2 to 1-1/2 inch
ColorTransparent
PiecesOne-piece
ProfileConvex
In the box
- Marlen UltraMax one-piece drainable pouch, cut-to-fit (5)
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 |
| Barrier Profile | Convex | — | Convex | Convex |
| Fit | Cut-to-fit | — | Pre-cut | — |
| Opening | 1/2 to 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 | Convex | — | Shallow convex | Shallow convex |
| Dimensions | — | — | 1" or 1-1/4" | 1-1/8 in, 1-1/4 in, or 1-1/2 in |