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$110.00
FSA/HSA
Marlen Manufacturing Co
Ultramax Urostomy Shallow 3/4" Transparent with Aquatack 5 Count
SKU: 72519
Ultramax Urostomy Shallow 3/4" Transparent with Aquatack 5 Count
Marlen UltraMax one-piece urostomy pouch with shallow convexity, pre-cut 3/4" (19 mm). 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
$110.00
Regular price
Sale price
$110.00
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Product Details
Specifications
TypeOstomy pouch
Ostomy SystemOne-piece
Pouch DrainUrostomy (tap)
HCPCS CodeA4393
FitPre-cut
Opening3/4 inch
PiecesOne-piece
ProfileShallow convex
In the box
- Marlen UltraMax one-piece urostomy pouch, 3/4" (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 | A4393 | A4375 | A4393 | A4390 |
| Type | Ostomy pouch | One-piece ostomy pouch | Ostomy pouch | Ostomy pouch |
| Ostomy System | One-piece | — | One-piece | One-piece |
| Pouch Drain | Urostomy (tap) | — | Urostomy (tap) | Drainable |
| Fit | Pre-cut | — | Pre-cut | — |
| Opening | 3/4 inch | — | 1-1/4 inch | 1-1/8" (53529), 1-1/4" (53532) or 1-1/2" (53538) |
| Profile | Shallow 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 |