Coloplast Colostomy Pouch Assura® 15879 One-Piece System 11-1/2 Inch Length Flat, Trim to Fit 3/8 to 2-1/4 Inch Stoma Drainable Urinals Manufacturer # SF101 Country of

Manufacturer # SF101 Country of Origin United States Administration Method Oral Application Oral Electrolyte Solution Calories per Serving 30 Calories Calories per Serving Range 0 to 100 Calories Container Type Canister Container Type Range Canisters Flavor Lemon Lime Flavor Flavor Range Fruit Flavor Ingredients Taurine

Manufacturer # 10043900365005 Country of Origin Unknown Administration Method Tube Application Tube Feeding Formula Calories per Serving 300 Calories Calories per Serving Range 201 to 300 Calories Container Type Carton Container Type Range Cartons & Pouches Flavor Unflavored Flavor Range Unflavored HCPCS B4154 (Disclaimer) Health Condition Kidney Health Ingredients WATER

Manufacturer # 2116IC Brand Dover™ IC Manufacturer Cardinal Country of Origin Mexico Application Indwelling Catheter Tray Collection Type Graduated Basin Contents 1 PCSR Wrap

HCPCS A4353 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device Y Length 16 Inch Lot_Tracking_Flag N Material Silicone Coated PVC On_Allocation N Securing Method Without Balloon Sterility Sterile Style Coude Tip Supplier_ID 487920 UNSPSC Code 42142702

1 - Fenestrated Drape 18 x 26 Inch Cloth

Coloplast Colostomy Pouch Assura® 15879 One-Piece System 11-1/2 Inch Length Flat, Trim to Fit 3/8 to 2-1/4 Inch Stoma Drainable Urinals Manufacturer # SF101 Country ofUOM BOX 10 UNITS PER BOX Features Large size pouch Extra extended wear wide outlet pouch Without Filter Plastic Material Manufacturer # 15879 Brand Assura Manufacturer Coloplast Country of Origin Hungary Application Colostomy Pouch Barrier Style Flat, Trim to Fit Color Opaque Drain Type Drainable FSA Eligible Buy UOM Yes FSA Eligible Primary UOM Yes FSA Eligible Sell UOM Yes HCPCS A4388 Length 11 1 2 Inch Length Sterility NonSterile Stoma Opening Size