Hollister Colostomy Pouch New Image™ 18162 Two-Piece System 12 Inch Length Drainable Nutritionals and Feeding Supplies Manufacturer # 12274 Brand SenSura®

Manufacturer # 12274 Brand SenSura® Mio Flex EasiClose™ Manufacturer Coloplast Country of Origin Hungary Application Ostomy Pouch Color Transparent Drain Type Drainable FSA Eligible - Buy UOM Yes FSA Eligible - Sell UOM Yes Filtered Pouch Yes Flange Size 50 mm Flange HCPCS A5063 Length 11 Inch Length

Manufacturer # 12844 Brand Assura® Manufacturer Coloplast Country of Origin Hungary Adhesive Type Silicone Based Adhesive Application Ostomy Barrier Barrier Depth Flat Depth Barrier Material Synthetic Resin Barrier Shape Flat Shape Barrier Type Precut

Manufacturer # 4A5108 Country of Origin Unknown Application Intermittent Catheter Tray Collection Type 1100 mL Collection Chamber Contents 1 3 PVP Swabs

Fabric Backing and Velcro™ Closure Supplier_ID 487683 UNSPSC Code 42142705 Latex Free Indicator Not Made with Natural Rubber Latex

Manufacturer # 401542 Brand Sur-Fit Natura® Manufacturer ConvaTec Country of Origin Dominican Republic Application Urostomy Pouch Capacity Standard Color Transparent Drain Type Drainable FSA Eligible - Buy UOM Yes FSA Eligible - Primary UOM Yes FSA Eligible - Sell UOM Yes Flange Size 1-1/4 Inch Flange HCPCS A4432 Length 10 Inch Length Sterility NonSterile System Match Not Coded System Type Two-Piece System UNSPSC Code 42312104

Hollister Colostomy Pouch New Image™ 18162 Two-Piece System 12 Inch Length Drainable Nutritionals and Feeding Supplies Manufacturer # 12274 Brand SenSura®UOM BOX 10 UNITS PER BOX Features 2 Sided Comfort Panel Integrated filter helps eliminate gas build up (pouch bulging) ComfortWear panels provide a soft, cloth like covering between the pouch and the skin Manufacturer # 18162 Brand New Image Manufacturer Hollister Country of Origin Unknown Application Colostomy Pouch Color Transparent Drain Type Drainable FSA Eligible Buy UOM Yes FSA Eligible Primary UOM Yes FSA Eligible Sell UOM Yes HCPCS A4425