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$102.00
1-1/8 in · FSA/HSA
Marlen Manufacturing Co
Ultramax Drainable Pouch Shallow Opaque 5 Count
SKU: 53529
Ultramax Drainable Pouch Shallow Opaque 5 Count
Marlen UltraMax Ileo pouch, shallow convex, opaque, pre-cut in 1-1/8", 1-1/4" or 1-1/2". 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
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$102.00
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Product Details
Specifications
TypeOstomy pouch
Dimensions1-1/8 in, 1-1/4 in, or 1-1/2 in
Ostomy SystemOne-piece
Pouch DrainDrainable
Barrier ProfileConvex
HCPCS CodeA4390
Opening1-1/8" (53529), 1-1/4" (53532) or 1-1/2" (53538)
ColorOpaque
ProfileShallow convex
In the box
- Marlen UltraMax shallow convex drainable pouch, opaque (5)
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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 |
| Dimensions | 1-1/8 in, 1-1/4 in, or 1-1/2 in | — | 1" or 1-1/4" | 7/8", 1-1/8", or 1-1/4" |
| Ostomy System | One-piece | — | One-piece | One-piece |
| Pouch Drain | Drainable | — | Urostomy (tap) | — |
| Barrier Profile | Convex | — | Convex | Convex |
| Opening | 1-1/8" (53529), 1-1/4" (53532) or 1-1/2" (53538) | — | 1-1/4 inch | 1-1/8 inch |
| Profile | Shallow convex | — | Shallow convex | Shallow convex |