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$110.00
1" · FSA/HSA
Marlen Manufacturing Co
Ultramax Urostomy Shallow Transparent Aquatack 5 Count
SKU: 72525
Ultramax Urostomy Shallow Transparent Aquatack 5 Count
Marlen UltraMax Uro pouch, shallow convex, transparent, with an AquaTack barrier. 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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FSA / HSA accepted
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Product Details
Specifications
TypeOstomy pouch
Dimensions1" or 1-1/4"
Ostomy SystemOne-piece
Pouch DrainUrostomy (tap)
Barrier ProfileConvex
HCPCS CodeA4393
ProfileShallow convex
FitPre-cut
Opening1-1/4 inch
In the box
- Marlen UltraMax shallow convex urostomy pouch (5)
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4393 | A4375 | A4390 | A4390 |
| Type | Ostomy pouch | One-piece ostomy pouch | Ostomy pouch | Ostomy pouch |
| Dimensions | 1" or 1-1/4" | — | 1-1/8 in, 1-1/4 in, or 1-1/2 in | 7/8", 1-1/8", or 1-1/4" |
| Ostomy System | One-piece | — | One-piece | One-piece |
| Pouch Drain | Urostomy (tap) | — | Drainable | — |
| Barrier Profile | Convex | — | Convex | Convex |
| Profile | Shallow convex | — | Shallow convex | Shallow convex |
| Opening | 1-1/4 inch | — | 1-1/8" (53529), 1-1/4" (53532) or 1-1/2" (53538) | 1-1/8 inch |