Coloplast Urostomy Pouch Assura® 12991 One-Piece System 10-3/4 Inch Length Convex, Pre-Cut 5/8 Inch Stoma Drainable Barriers Manufacturer # 37-2802 Country of

Manufacturer # 37-2802 Country of Origin Unknown Additive Without Additive Application Urinary Drain Bag Drain Tube Type Slide Tap Fastening Type Handle / Hanger Graduations Graduated HCPCS A4357 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device Y Lot_Tracking_Flag N Material Vinyl On_Allocation N Privacy Option Without Privacy Cover Sample Port Type Blunt Cannula Sterility Sterile Supplier_ID 488035 Tubing Length 48 Inch Tubing UNSPSC Code 42142704 Valve Type Anti-Reflux Valve Volume 2000 mL Latex Free Indicator Not Made with Natural Rubber Latex

Extended Wear Color Beige Flange Size 50 mm Flange HCPCS A4409 Opening Size 1-3/16 Inch Opening System Match Red Code System UNSPSC Code 42312105

Manufacturer # 82130 Brand Premier™ Manufacturer Hollister Country of Origin Unknown Application Ostomy Pouch Barrier Style Flat

Pre-Cut Barrier Type MicroSkin Adhesive Color Beige Drain Type Drainable Length 11 Inch Length Stoma Opening Size 1-1/4 Inch Stoma System Match Not Coded System Type One-Piece System UNSPSC Code 42312108

with Acrylic Collar

Coloplast Urostomy Pouch Assura® 12991 One-Piece System 10-3/4 Inch Length Convex, Pre-Cut 5/8 Inch Stoma Drainable Barriers Manufacturer # 37-2802 Country ofUOM BOX 10 UNITS PER BOX Features Urostomy pouch with belt loops Standard wear adhesive Convex skin barrier for retracted stomas Odor proof film Anti Reflux Valve Manufacturer # 12991 Brand Assura Manufacturer Coloplast Country of Origin Hungary Application Urostomy Pouch Barrier Style Convex, Pre Cut Barrier Type Standard Wear Color Transparent Drain Type Drainable FSA Eligible Buy UOM Yes FSA Eligible Primary UOM Yes FSA Eligible Sell UOM Yes HCPCS