Ostomy Catalog - Byram Healthcare · 2020-04-06 · resume a normal lifestyle. Our ostomy specialists are well trained on the latest ostomy products, stoma management techniques,

2020

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Ostomy Catalog

Convenience · Affordability · Choice TM

ConvenienceOstomy Center of Excellence (COE): Our Ostomy COE consists of a team of dedicated people that are 100% focused on ostomy care. Their goal is to ensure people with ostomies resume a normal lifestyle. Our ostomy specialists are well trained on the latest ostomy products, stoma management techniques, insurance reimbursement and coverage issues.

Custom Cutting for Ostomy Skin Barriers:At Byram Healthcare Centers, we provide the unique service of customizing ostomy skin barriers to the proper stomal opening for Byram customers. Byram can provide custom cutting on most types of two-piece ostomy skin barriers.

Multi-Lingual Support:Our goal is to make it easy for our customers to work with us, eliminating language barriers that can often get in the way of accessing quality care and outstanding service. Byram Customer Service representatives can access our language line at any time and translate up to 250 languages.

Ostomy Clinical Support:The Byram Healthcare Ostomy Clinical CareLine is designed to support the needs of our current ostomy patients. Closely monitored by our contracted WOCN (Wound, Ostomy, and Continence Nurse), this CareLine is a great resource for anyone experiencing clinical trouble in regard to an ostomy. Our specialized Ostomy CareLine is a resource that can be used for clinical questions or concerns that pop up post discharge or between regular visits to your physician or hospital WOCN. For Ostomy support, please contact:

Clinical Support CareLine: 1-877-902-9726 ext. 43312 Clinical Support CareMail: [email protected]

AffordabilityReduce Patient Costs: Byram can service the majority of Americans with health insurance, including Medicare, most Medicaid and private insurances. Byram Healthcare is a Medicare participating provider. Our reimbursement experts will exhaust all available insurances to lower or eliminate your out of pocket costs. Should you not have insurance that covers ostomy supplies, we understand the financial burden this places on you. Byram is pleased to offer a discount off the cash purchase.

ChoiceExtensive Inventory: Byram has one of the largest inventories of ostomy products in the country. We only carry brand name ostomy products from trusted manufacturers.

Brand Loyal: We fill the order as prescribed and require patient approval for any product changes.

Byram Healthcare’s Caring Touch at Home™Ostomy Program offers you:

Ostomy 1-800-308-9445

Byram is a Medicare participating provider. You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 1

Medicare Allowable Supplies ................................................................................3

Ostomy Manufacturer Programs ...........................................................................4

Ordering Guide .....................................................................................................5

Pouching System Quiz...........................................................................................6

Getting to Know your Ostomy ...............................................................................8

Custom Cutting Program .....................................................................................11

Problem Solving .................................................................................................13

Foods and Stoma Function .................................................................................16

Travel Tips ..........................................................................................................18

UOAA Patient Bill of RIghts .................................................................................20

Ostomy Information Sheet .................................................................................21

Ostomy Products

COLOPLAST .........................................................................................................22

CONVATEC ..........................................................................................................79

HOLLISTER ........................................................................................................115

NU-HOPE ..........................................................................................................147

Accessories

Ostomy Care Accessories ..................................................................................163

Disclaimer: The reimbursement information provided by Byram Healthcare is intended to provide general information relevant to coding and reimbursement of Byram Healthcare’s products only. Coverage and payment policies for the same insurer can vary from one region to another and may change from time to time because of ongoing changes in government and insurance industry rules and regulations. Therefore, please confirm HCPCS Codes with your local DME-MAC, private insurer, or Medicaid agency before processing claims. Byram Healthcare does not guarantee coverage or payment of its products listed herein.

Ostomy

CAN’T WHAT YOU’RE LOOKING FOR? Byram carries thousands of quality brand-name products. If you can’tfind it in our catalog, contact one of our friendly Customer Service representatives by calling toll-free 1-800-308-9445.2

Medicare Assignment*No up-front out-of-pocket expense. If you have Medicare, Byram is a Medicare participating provider.

Byram will also bill your secondary insurance for the remaining 20%. You can relax, knowing our reimbursement experts will handle all of the paperwork and obtain prescriptions from your physician.*On assigned items when billing co-payment to secondary insurance for full payment.

Private Insurance and Managed CareByram will work directly with your insurance company to ensure that you receive your full benefits. Since medical supply coverage and reimbursement varies by health plan, we will be happy to investigate your supply coverage with your insurance company.

MedicaidByram participates in many state Medicaid programs. Our customer service representatives will be happy to discuss your particular state’s coverage of medical supplies.

Customer ServiceOur ostomy specialists are committed to your satisfaction. Our representatives have extensive product and reimburse-ment knowledge to make ordering easy and convenient. If you do not see the product you are looking for in the catalog, or have any questions, contact our customer service department for assistance toll-free at 1-800-308-9445.

ShippingThere is no charge for shipping on insurance covered orders. Most orders will ship the same day by FedEx Ground or through local regional couriers. This provides you with prompt, reliable nationwide delivery. Express shipping options are available. Privacy PolicyByram adheres to state and federal laws complying with the confidentiality of business and customer privacy, including the federal HIPAA (Health Insurance Portability and Accountability Act) regulations. If you would like a copy of our Privacy Policy, please visit our website or contact us and we will gladly mail you your policy.

Call us toll free! 1-800-308-9445

Ostomy 1-800-308-9445


How many supplies will my insurance company pay for?The table below outlines the quantity of supplies that Medicare will reimburse for in a given amount of time. Many health plans also follow Medicare’s guidelines. Higher quantities may be available, depending on specific medical reasons documented by your physician. Please contact your Byram Healthcare ostomy specialist at 1-800-308-9445 for questions specific to your insurance.

Item UnitAllowable Amount

30 Days 90 DaysWafer with Flange Ea 20 60Pouches-Drainable Ea 20 60Pouches-Closed End Ea 60 180Stoma Cap Ea 31 93Paste Oz 4 oz 12 ozBarrier Wipes Ea 25 75Skin Barrier Sheets Ea 20 60Skin Barrier Rings Ea AMNSkin Barrier Spray Oz 2 oz 6 ozSkin Barrier Strips Ea 20 60Liquid Adhesive Oz 4 12Adhesive Remover Wipes Box/50 AMNTape 1" X 10 yards Ea 2 6Tape 2" X 10 yards Ea 1 3Deodorant, Liquid Oz AMNDeodorant, Tablet Ea AMNOstomy Belt Ea 1 3Convex Inserts Ea 10 30Irrigation Sleeves Ea 4 12Irrigation Bags Ea - 1Irrigation Cone Ea - 1Irrigation Catheter Ea - 1Lubricant Oz AMN

AMN=As Medically Necessary. Byram Healthcare has interpreted Medicare policy in order to create the above reference information and assumes no responsibility for inconsistencies in the policy. All medical and claims determinations will be made by Medicare or your insurance plan.

4 Reorder your supplies online at www.mybyramhealthcare.com

Ostomy

Ostomy Manufacturer ProgramsBefore you left the hospital, your ostomy nurse may have enrolled you in a program to receive product samples and ongoing clinical support from one of the following manufacturers: ■ Coloplast Care Program ■ ConvaTec me+ Program ■ Hollister Secure Start Program

Byram Healthcare participates in all of these programs. Even if you are enrolled in one of these programs, you still have the right to choose your own supplier like Byram Healthcare to provide and bill your ostomy supplies to your insurance.

To do so, just tell your ostomy product manufacturer when they call that you would like Byram Healthcare as your provider and they will transfer you directly to one of our ostomy specialists to place your order!

How Manufacturer Support Programs Work1. Your stoma care nurse enrolls you in a manufacturer support program.

2. The manufacturer ships a sample kit to you within a few days and contacts you about their program.

3. You can specify Byram Healthcare as your medical supplier and they will transfer you directly to an ostomy specialist to place your order.

4. Byram Healthcare will ship supplies directly to your door and bill your insurance.

Caring Touch at Home™ Ostomy

FOUR EASY WAYS TO ORDER:

1. CALL Byram Healthcare: 1-800-308-9445 Monday - Friday, 8:30 am to 7:00 pm Local Time Saturday, 9:00 am to 1:00 pm Local Time

2. ONLINE – Reorder your supplies at: www.mybyramhealthcare.com 24 hours a day, 7 days a week

3. FAX us your order: 1-866-811-45004. MAIL your order form: Byram Healthcare Centers, Inc. Attention: Customer Service 3010 Woodcreek Drive - Suite A Downers Grove, IL 60515 Please be sure to indicate your method of payment, if applicable, and your daytime phone number.


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Pouching System Quiz

This quiz will help reinforce what you have learned about your pouching system. Please answer true or false for each statement.

Closed

T/F: Convenient because they can be thrown away when it’s about half filled

T/F: Good option for colostomies of the lower intestinal region, where output is thicker

T/F: Can be used along with drainable pouches

Drainable

T/F: Opened at one end, can be emptied, rinsed, securely closed and reused

T/F: Best used for ileostomies and colostomies of the higher intestinal regions, which produce a more frequent, liquid or paste-like output

T/F: Available in different lengths

T/F: May have a built-in or separate tail closure

Urostomy

T/F: Designed for urinary stomas

T/F: Have a valve opening for faster, more convenient draining of urine and mucus

T/F: Can be attached to a drainage container at night

Disclaimer: The recommendations and information above should not be considered a substitute for personal medical advice or diagnosis. Before making any changes, consult your health care professional.

Ostomy 1-800-308-9445


Opaque/Transparent PouchesT/F: An opaque pouch is more discreetT/F: Transparent material in a one-piece system can help

you center the wafer onto the stoma

Cut-to-Fit/Precut BarriersT/F: Cut-to-fit barriers allow you to customize the skin

barrier opening to fit your stomaT/F: Pre-cut barriers provide a consistent fit around the

stomaT/F: Pre-cut barriers perform best when used after your

stoma has stabilized in shape

FilteredT/F: Releases gas, but not odorT/F: Prevents the pouch from ballooning and the need

to “burp” the pouchT/F: Good choice for colostomies with thicker output

or when eating gas-causing foods

One-Piece SystemT/F: Skin barrier and pouch are attached to

skin togetherT/F: No assembly and fewer steps to apply; generally more

flexibleT/F: One connection point means fewer places for possible

leakage

Two-Piece SystemsT/F: The barrier is attached to the skin, and the pouch

connects to the barrierT/F: Easier to switch to a different type of pouchT/F: Easier to clean pouchT/F: Less skin irritation from changing barriersT/F: Allows stoma to be visible, making it easier to center

the skin barrier

If you answered True to all of these statements, you are correct!


Ostomy

Getting to Know Your Ostomy

STOMAColostomy: Your large intestine has been re-routed so that your body wastes now exit through a stoma on your abdominal wall.

Urostomy: A small segment of your small intestine has been used to re-route urine through a stoma on your abdominal wall.

Ileostomy: Your large intestine has been removed and your small intestine re-routed so that your body wastes now exit through a stoma on your abdominal wall.

All stomas are basically the same, with the exception of size and shape. Your stoma should be red or pink. It is full of blood vessels, which are right on the surface. Your stoma should always be moist, similar to the inside lining of your mouth. It is a mucus membrane that has its own natural lubrication. Your stoma may bleed as it contains many blood vessels. At times when changing the appliance, you may see some blood; do not worry. Your stoma will mend itself, very much the same as when you bite the inside lining of your cheek or mouth. Your stoma has no feeling because it doesn’t have nerve endings. The slight movement of the stoma is called peristaltic action. Your stoma will be swollen following surgery and may take from six to eight weeks to shrink. Measure your stoma at each appliance change during this initial period. The appliance must fit properly to protect the skin and to ensure a leak-proof seal.

LIFESTYLE TIPSGenerally, the best time to change your appliance is in the morning before breakfast. Examine the peristomal skin (skin surrounding the stoma). It should be the same color and texture as the rest of the abdominal skin. Avoiding skin irritation is much better than treating it.

You may take a bath or shower with your appliance on or off. Exposure to air, warm water and gentle soap is good for your skin. If you shower with your appliance on, the tape portion of the appliance will get wet. As the tape dries (you can blow dry with cool air or pat with a towel), it will remain secure on the skin.


Ostomy 1-800-308-9445


Colostomy: Discharge from your colostomy can vary from a formed stool, pasty-like consistency or just liquid depending on where the stoma was fashioned in the large colon; ascending, transverse, or descending. Some stomas can be controlled through irrigation; some can be managed with a closed-end pouch while others require the use of a drainable-style appliance.

There are no definite diet restrictions for colostomies, however some foods will cause excessive gas such as broccoli, cabbage, eggs, fish, beans. Other foods may be constipating and still others may produce odor while emptying. Experiment with one food at a time so problem foods can be identified easily.

Urostomy: Using a night drainage system will assure a good night sleep! While some prefer to get up periodically throughout the night to empty, it is more convenient to hook up to bedside drainage. The pouch remains empty and you can rest without worry.

There are no specific dietary restrictions for urostomates, but certain food such as asparagus will cause the urine to have more odor. Certain juices such as grapefruit and orange go into your system acidic but exit the body in an alkaline state. Too much alkalinity can cause crystals to build up around the stoma. Cranberry juice is very beneficial in keeping alkaline levels in check.

Ileostomy: Chew all food thoroughly. Popcorn, peanuts, coconut and food with seeds or kernels should be eaten with discretion. Onions, cabbage, spicy foods, fish, garlic and beans may cause an odor when emptying the appliance. Green beans, broccoli, spinach, raw fruits and beer may cause diarrhea. Add one new food at a time so you can identify problems.

Know what medications you are taking; avoid enteric coated pills and time release capsules. These medications are usually not absorbed due to their outer coating. They may exit into the pouch in their original state. Remind your physician that you have an Ileostomy, which may necessitate a different choice of drug. You may discuss this with your pharmacist as well.



My Ostomy InformationBe prepared. Use this form to ensure you have all your ostomy information in one place.

Surgery information:I have a: ____temporary ____permanent ____colostomy

____ileostomy ____urostomy ____other Surgery was performed at: ___________________________________________Date of surgery: _____ /_____ /______ Surgeon’s name: ___________________________________________________Phone # ( ) _______-___________WOC /Ostomy nurse’s name: _________________________________________Phone # ( ) _______-___________

Home Health Agency information:I was discharged to: ________________________ Home Health Agency phone # ( ) _____- _______________________________Home Health Agency nurse: ________________ Date of Home Health discharge: ______ /______ / ________

Insurance information:Primary insurance: _________________________________________________ID # ____________________Secondary insurance: _______________________________________________ID # ____________________Primary Doctor is: __________________________________________________Phone # ( ) _______-___________

Ostomy product information: I use a: _____ 1-piece appliance _____ 2-piece appliance



Ostomy 1-800-308-9445


Custom Cutting Program

What is custom cutting?Custom cutting is die-cutting the center opening of a wafer to fit the exact shape and size of your stoma.

When is custom cutting recommended?Custom cutting is most beneficial six to eight weeks after surgery, once your stoma has shrunk and stabilized in size.

Benefits of Byram’s custom cutting service:■ Provides accurate sizing and proper fit so less time is spent changing

the appliance.■ A better fit translates into longer wear time.■ Decrease leakage issues and skin irritation.■ Less skin breakdown translates to fewer physician visits.■ Assists persons with arthritis, vision impairment, or finger/hand

dexterity problems.



Call our Ostomy Clinical Support CareLine:

1-877-902-9726 ext. 43312

12 www.byramhealthcare.com

Custom Cutting Program

How to measure a stoma:1. For oval stomas, the nurse/ostomate must provide the horizontal

measurement.2. The nurse/ostomate must also provide the vertical measurement.3. The size now becomes, for example: ⅞” v x 1¼”h

Measure across(horizontal)

Measure down(vertical)

To have your skin barriers custom cut,please contact Byram customer service: 1-800-308-9445

CUSTOM CUTTING ORDER GUIDE*

ITEMS TO BE CUT: ___________________________ CUTTING SIZEShape to be cut: ROUND Size to be cut: ________________

(check one) OVAL Size to be cut: _______ X _______ vertical horizontal

*Custom cut supplies are not returnable. Please allow an extra day for delivery. One-piece ostomy appliances, pre-cut skin barriers and some two-piece systems cannot be custom cut.

1 ¼”

⅞”



Ostomy 1-800-308-9445


Problem Solving: Colostomy and IleostomyMany problems can be solved with simple home remedies or accessory products.Are you experiencing problems with excess gas?■ Be careful with foods that are gaseous in nature: beans, cabbage, beer, etc. ■ If possible, select a pouch with a filter (most closed-end and some drainable

models incorporate a filter) or add a filter to your current appliance. ■ Never puncture the material on the pouch, this destroys the odor-proof film

and allows odor to seep out at will. You can also add a gas vent tab to the top of your bag to release air.

Are you experiencing problems with odor?■ Everyone using the bathroom creates an odor. However, stool or fecal

material that is contained in an appliance for several hours builds up bacteria and may be more offensive when emptying.

■ There are many good appliance deodorants on the market that can help neutralize odors within the pouch.

■ Certain foods may cause more odor. You may want to avoid these if you’ll be using a bathroom away from home.

■ Please refer to the section in this book labeled “Food Which May Influence Stoma Function.”

■ To order or inquire about appliance deodorant, please call a Byram Representative at 1-800-308-9445 .

Do you have difficulty in emptying or disposing of your pouch?■ Always place some bathroom tissue in toilet prior to emptying pouch

contents. This will eliminate back splash. ■ Place clip on the pouch so the end of the tail spout is facing upward (rather

than under), this will allow easier emptying and directing into the toilet. ■ Clean tail spout inside and out with tissue prior to applying the clip or

securing the “Velcro-like” closure.



Problem Solving: Colostomy and Ileostomy

Do you have difficulty with stool or fecal material not dropping down in pouch?■ Leave a small amount of air in

pouch when emptying; do not flatten pouch.

■ Before applying the clip or securing “Velcro-like” closure, pull walls of pouch apart to trap a small bubble of air. This will prevent clothing from pressing down on the appliance.

■ A lubricating deodorant can ease pouch emptying and help prevent pouch static and sticking. For more information regarding lubricating deodorant, please call Byram at 1-800-308-9445.

■ You may also want to talk to your doctor about using a stool softener to help thin out your stool. This may help stool fall into the bag more easily.

Are you experiencing problems with liquid drainage?■ Use a jelling agent to solidify drainage - contents will slide out easily. A Byram

Representative can assist you in choosing a jelling agent to help thicken liquid stool. This will decrease noise and allow the contents to slide out more easily.

■ Single use packets make gelling agents easy to use with each pouch change. You may want to wear an ostomy belt to help hold the wafer on more securely.

■ Remember to place toilet paper into the toilet first to decrease splashing.



Ostomy 1-800-308-9445


Problem Solving: Urostomy

Do you have problems with mucous clogging the valves?■ Mucous cannot be avoided since the urostomy is fashioned from the small

intestine. Call Byram customer service for assistance at __1-800-308-9445 .

Are you experiencing problems with your night drainage tube?■ Always keep a small amount of urine in your pouch prior to connecting to

night drainage. This will give an immediate flow of urine down the tube and break any air pockets.

■ Be sure that the tubing is straight down the bed, or with a curl if placed on the side of the bed. Using a leg strap will prevent twisting and kinking of tube.

How can you wash pouches and night bag?■ There are a variety of appliance cleaners available for urinary systems. For

ordering information, call Byram at 1-800-308-9445 . ■ In a pinch, white vinegar and water can also be used to rinse out urinary

pouches, and a baking soda and water solution is effective in night bags.Does your tubing become discolored?■ Most night drainage bottles or bags are disposable in nature because they are

very difficult to clean with long usage. ■ To discuss available urinary appliance cleaners and decrystalizers call Byram

custom service today for assistance at 1-800-308-9445.

Byram has the ostomy accessories you may need to manage your ostomy easily and effectively.


To reach our Ostomy Center of Excellence, please call: 1-800-308-9445


Ostomy

AlcoholBeansBeerBroccoliCabbageCoffeeCucumbersFigs

Fried FoodsFruit, RawFruit JuiceIced BeveragesMilk, FreshOnionsPrunesPlums

RhubarbSpicy FoodsVegetables, Leafy

Foods Which May Thicken StoolMay decrease stomal output and help in managing diarrhea.

ApplesauceBananasMilk, BoiledCheeseChocolatePeanut Butter

Potatoes RiceTapiocaWhole wheat bread

Foods Which May Increase Stomal OutputMay cause an increase in peristalsis and may also be used as a means to relieve constipation.

Foods Which May Discolor Fecal OutputIf you notice a discoloration of the stool, think back to what you have eaten to note if food may be the cause. Call your doctor when stool discoloration is not food related.

BeetsFood DyeIron PillKool-Aid

LicoriceRed JelloSpinachStrawberries

Tomato JuiceVitamins w/IronWatermelon

Food Which May Influence Stoma Function


Ostomy 1-800-308-9445


Food Which May Influence Stoma Function

Apple JuiceAsparagusBeansBeerBroccoliBrussel SproutsCabbage FamilyCarbonated BeveragesCauliflower

Cheese, StrongChewing GumCucumbersEggsFishFruit JuiceMelonMushroomNutsOnions

PeasRadishesSpicesSpinachSproutsSweet PotatoVegetableJuiceYeast

Foods Which May Produce Gas

Foods Which May Inhibit Gas

Apple JuiceButtermilk

Cranberry JuiceYogurt

Foods Which May Produce OdorIleostomyAlcoholBeveragesAsparagusBaked BeansBroccoliCabbage CheeseEggs

FishGarlicMushroomsNutsOnionsPearsVitamins

UrostomyAsparagusFishOnions

ColostomyAsparagusBaked BeansBroccoliFishOnionsPears

Foods Which May Inhibit Odor

ButtermilkCranberry JuiceLettuce

ParsleySpinach

Tomato JuiceYogurt


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Travel Tips Travel plans do not need any special attention other than careful preparation. However you travel, be sure to anticipate your needs. Here are some travel tips to keep your journey relaxing.3 Create a detailed list of all the supplies you use; catalog numbers, sizes,

description, cut size (a copy of your last Byram invoice will do the trick). Pack extra supplies but do not overload.

3 While traveling, should an emergency arise, simply call us at 1-800-308-9445 for assistance. You can also look in the yellow pages under “Surgical Supplies.” Do not panic if you cannot find the model of appliance you are currently using; many brands are similar and can get you through this time.

3 Always pack your supplies in a separate suitcase or carry-on and never allow this bag to leave your side. When traveling by car, avoid leaving supplies in your trunk, as excessive heat may cause wafers or other items to melt.

3 Appliance wear-time may shorten in hot climates, so be prepared to change more frequently if needed.

3 When traveling on planes, remember the restrictions on liquids for carry-on luggage. Put liquid deodorants or adhesives in your checked baggage or put some into less than 3 oz. travel containers.

3 If you are going to be swimming, you may need to change your wafer more frequently. You may secure your wafer by “window framing” it with waterproof tape.

3 The Transportation Security Administration offers a helpline to assist travelers with disabilities and medical conditions. TSA Cares can be reached toll free at 1-855-787-2227 prior to traveling with questions about screening policies, procedures and what to expect at the security checkpoint.

The most common complaint of all travelers is a change in bowel habits due to different foods, unfamiliar water, schedule and time changes. Ask your physician for a prescription for diarrhea before leaving home. Drink only bottled water if possible and try new foods one day at a time.



Ostomy 1-800-308-9445


Travel Communication CardCompliments of the United Ostomy Associations of America, Inc.

This is provided to travelers in order to simplify communication with federal Transportation Security personnel and airline flight attendants, at those times when you wish or need to communicate in a non-verbal way, as is your legal right. This is not a “certificate” and it is not a “pass” to help you avoid screening.Please trim to wallet-size and laminate if desired. The blue color is important, as it is a “flash-card” developed by the TSA so their own officers will recognize it and be guided to treat the traveler with discretion and sensitivity.If laminated in a double-side manner, it can be used ‘blue side out’ during security screening, and the white side out when communicating non-verbally with airline personnel.NEWS: ■ You may always have a travel companion with you during a private screening ■ TSA officers should NOT ask you to show your pouch—you may be asked to rub over your pouch outside your clothing so they can test your hand to rule out explosive residue. ■ To file a complaint, send an email to [email protected] (with a copy to [email protected], please)

Cut, fold and place with your travel documents

TRAVEL COMMUNICATION CARDCOMPLIMENTS OF THE UNITED OSTOMY ASSOCIATIONS OF AMERICA, INC.

This is provided to travelers in order to simplify communication with federal Transportation Security personnel and airline flight attendants, at those times when you wish or need to communicate in a non-verbal way, as is your legal right.

This is not a certificate and it is not a pass to help you avoid screening. Please print out on any weight of paper you wish, trim to wallet-size and laminate if desired. The blue color is important, as it is a “flash-card” developed by the TSA so their own officers will

recognize it and be guided to treat the traveler with discretion and sensitivity. If laminated in a double-side manner, it can be used ‘blue side out’ during security screening, and the white side out when communicating non-verbally with airline personnel.

JUST PRINT IN COLOR, CUT OUT, FOLD, AND PUT WITH TRAVEL DOCUMENTS

TSA NOTIFICATION CARD: INDIVIDUALS WITH DISABILITIES AND MEDICAL CONDITIONS

I have the following health condition, disability or medical device that may affect my screening:

I understand that alternate procedures providing an equivalent level of security screening are available and

can be done in private. I also understand that presenting this card does not exempt me from screening.

FOLD LINE

FOLD LINE

SHOW THIS SIDE - for use during screening before boarding. Intended for the passenger to inform the TSO at the beginning of personal screening - before being patted-down or entering a full-body scanner.

SHOW THIS SIDE - this is designed to show in the event it is needed while in flight and the pilot has chosen to limit restroom access—or when passengers are supposed to be belted in during turbulence. It is the flight crews discretion whether bathroom access is granted as passenger safety is their main consideration. You might wish to show it to a flight attendant during boarding and/or getting settled, so he or she will be mindful of your situation.

NOTES: You may always have a travel companion with you during a private screening.• TSA officers should NOT ask you to show your pouch—you may be asked to rub over your pouch outside your clothing so they can test your hand to rule out

explosive residue.• To file a complaint, send email to [email protected] (with copy to [email protected], please).

RESTROOM COMMUNICATION CARD

**RESTROOM ACCESS NEEDED NOW**

The cardholder contains body waste in anOSTOMY POUCH (stool/urine) and/or carries

pouches and related supplies and/or a catheter to manage personal hygiene.

S/he needs access to the restroom now in order to empty the pouch — this is critical for the cardholder’s

well-being and for public sanitation.

Provided by UOAA which promotes quality of life for people with ostomies and continent diversions through information,

support, advocacy and collaboration.

United Ostomy Associations of Americawww.ostomy.org 1-800-826-0826

RESTROOMCOMMUNICATION

CARD

Information • Assistance Requests • Compliments • Complaints

TSA Cares 1-855-787-2227 (Federal Relay 711)Weekdays: 8 a.m. to 11 p.m. ET

[email protected]

Weekends/Holidays: 9 a.m. to 8 p.m. ET Hablamos EspañolAutomated information offered in 12 languages

Call 72 hours prior to traveling to request the assistance of a Passenger Support Specialist (PSS) at the checkpoint. If a PSS

is not available, you may ask for a Supervisory TSA Officer at the checkpoint.

TRAVEL COMMUNICATION CARDCOMPLIMENTS OF THE UNITED OSTOMY ASSOCIATIONS OF AMERICA, INC.

This is provided to travelers in order to simplify communication with federal Transportation Security personnel and airline flight attendants, at those times when you wish or need to communicate in a non-verbal way, as is your legal right.

This is not a certificate and it is not a pass to help you avoid screening. Please print out on any weight of paper you wish, trim to wallet-size and laminate if desired. The blue color is important, as it is a “flash-card” developed by the TSA so their own officers will

recognize it and be guided to treat the traveler with discretion and sensitivity. If laminated in a double-side manner, it can be used ‘blue side out’ during security screening, and the white side out when communicating non-verbally with airline personnel.

JUST PRINT IN COLOR, CUT OUT, FOLD, AND PUT WITH TRAVEL DOCUMENTS

TSA NOTIFICATION CARD: INDIVIDUALS WITH DISABILITIES AND MEDICAL CONDITIONS

I have the following health condition, disability or medical device that may affect my screening:

I understand that alternate procedures providing an equivalent level of security screening are available and

can be done in private. I also understand that presenting this card does not exempt me from screening.

FOLD LINE

FOLD LINE

SHOW THIS SIDE - for use during screening before boarding. Intended for the passenger to inform the TSO at the beginning of personal screening - before being patted-down or entering a full-body scanner.

SHOW THIS SIDE - this is designed to show in the event it is needed while in flight and the pilot has chosen to limit restroom access—or when passengers are supposed to be belted in during turbulence. It is the flight crews discretion whether bathroom access is granted as passenger safety is their main consideration. You might wish to show it to a flight attendant during boarding and/or getting settled, so he or she will be mindful of your situation.

NOTES: You may always have a travel companion with you during a private screening.• TSA officers should NOT ask you to show your pouch—you may be asked to rub over your pouch outside your clothing so they can test your hand to rule out

explosive residue.• To file a complaint, send email to [email protected] (with copy to [email protected], please).

RESTROOM COMMUNICATION CARD

**RESTROOM ACCESS NEEDED NOW**

The cardholder contains body waste in anOSTOMY POUCH (stool/urine) and/or carries

pouches and related supplies and/or a catheter to manage personal hygiene.

S/he needs access to the restroom now in order to empty the pouch — this is critical for the cardholder’s

well-being and for public sanitation.

Provided by UOAA which promotes quality of life for people with ostomies and continent diversions through information,

support, advocacy and collaboration.

United Ostomy Associations of Americawww.ostomy.org 1-800-826-0826

RESTROOMCOMMUNICATION

CARD

Information • Assistance Requests • Compliments • Complaints

TSA Cares 1-855-787-2227 (Federal Relay 711)Weekdays: 8 a.m. to 11 p.m. ET

[email protected]

Weekends/Holidays: 9 a.m. to 8 p.m. ET Hablamos EspañolAutomated information offered in 12 languages

Call 72 hours prior to traveling to request the assistance of a Passenger Support Specialist (PSS) at the checkpoint. If a PSS

is not available, you may ask for a Supervisory TSA Officer at the checkpoint.

YOU MATTER!Know what to Expect and Know your Rights

Ostomy and Continent Diversion Patient Bill of Rights:

THE OSTOMY AND CONTINENT DIVERSION PATIENT BILL OF RIGHTS

This Patient Bill of Rights is a tool produced by United Ostomy Associations of America for patients to advocate for their own

care. To achieve a desirable quality of life, a person needing ostomy or continent diversion surgery must have access to high-quality

care in all healthcare settings and should receive appropriate education and support to promote optimal adjustment to surgery.

Counseling and Care in the patient bill of rights should be provided by a trained medical professional such as a Certified

WOC/OstomyNurse/OMS/OCA .

FOLD LINE

SIDE ONE SIDE TWO

Those needing ostomy/continent diversion surgery shall be involved in all phases of the surgical experience except in emergent situations and shall:

Receive preoperative counseling to include:

• Stoma site marking• Discussion of care and impact

on activities of daily living• Emotional support

Receive during the operative phase• A stoma that can be fit with a

quality functioning pouching system

Receive post-operative specialized nursing care to include:

• Education on self-care of specific ostomy/continent type (i.e., emptying/changing pouch,

care of skin, troubleshooting, dietary and fluid guidelines)

• Resources for obtaining supplies and connecting to community and industry support

Receive for lifetime care ongoing support including:

• Access to a medical professional trained in ostomy and continent diversion care in the outpatient setting

• Re-evaluation as needed from changes caused by aging and change of medical status

For more details about these rights visit www.ostomy.org

CHANGE!

If you believe your rights are not being met, speak up.

BE A FORCE FOR

Details: www.ostomy.org

Ostomy


My Ostomy Supplies

Product Type

Qty.Needed Brand / Item # / Description

Drain Pouches

Wafers/ Flanges

Closed PouchesBarriers/

Rings

Paste

Skin Barrier Strips

Skin Barrier Wipes

Adh. Remover Wipes

Deodorant, Liquid

Ostomy Belt

Ostomy Powder

Other

Other



Ostomy

This flexible adhesive coupling fits to individual body contours and maintains a secure seal over uneven abdomens caused by scarring, skin folds, hernias, and other pouching challenges. The system features an elastic barrier to fit real body shapes and a full-circle filter to reduce ballooning. This product has a neutral gray textile for discretion.

After selecting the appropriate barrier, select the matching pouch by color i.e., “red” barrier matches a “red” pouch.

SENSURA® MIO FLEX TWO-PIECE SYSTEM

SENSURA® MIO FLEX SKIN BARRIERS

Item Order # Cut-to-Fit Color Code5/Box CT10551 3/8”–1 5/16”HCPCS: A4414 CT10561 3/8”-1 7/8” HCPCS: A4415 CT10571 3/8”-2 11/16”

Item Order # Pre-Cut Color Code5/Box HCPCS: A4414 CT10562 1” HCPCS: A4414 CT10566 1 1/8” HCPCS: A4414 CT10563 1 3/16”HCPCS: A4414 CT10567 1 ¼” HCPCS: A4414 CT10564 1 3/8” HCPCS: A4414 CT10568 1 ½” HCPCS: A4414 CT10565 1 9/16” HCPCS: A4415 CT10572 1 ¾”HCPCS: A4415 CT10573 2”

Item Order # Cut-to-Fit Color Code 5/Box CT16471 3/8”– ¾” HCPCS: A4373 CT16481 5/8”- 1 3/16” CT16483 5/8” – 1 9/16” CT16491 5/8”-2 1/16”

Item Order # Pre-Cut Color Code 5/Box CT16472 11/16” HCPCS: A4373 CT16484 13/16” CT16485 1” CT16486 1 1/8” CT16487 1 1/4” CT16488 1 3/8” CT16493 1 1/2” CT16494 1 5/8”

SenSura® Mio Flex Standard Wear Barrier Flat.

SenSura® Mio Flex Convex Light Barrier Standard wear. Convex with belt tabs.

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COLOPLAST

Ostomy 1-800-308-9445


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SENSURA® MIO FLEX DRAINABLE POUCHES

Item Order # Style Color CodeMAXI 11” CT12262 Opaque 10/Box CT12272 Opaque HCPCS: A4425 CT12282 Opaque CT12273 Transparent CT12283 Transparent

Without filter. Neutral gray, water-resistant textile.Item Order # Style Color CodeMAXI 11” CT12274 Transparent10/Box CT12284 TransparentHCPCS: A5063

Full-circle filter. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application.Item Order # Style Color CodeMIDI 10 ¼” CT12281 Opaque10/Box HCPCS: A4425

SenSura® Mio Flex EasiClose™ WIDE Outlet Drainable Pouch Full-circle filter. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application.

Item Order # Style Color Code1080 mL CT18655 Transparent 10/box CT18656 Transparent HCPCS: A4413 CT18650 Opaque CT18651 Opaque

SenSura® Mio Flex High Output Pouch with Tap OutletFull circle filter. Neutral gray, water-resistant textile. Scale on transparent bags for visual indication of output volume. Peek-a-boo inspection window for easy application

COLOPLAST

•• •• Item Order # Style Color Code1080 mL CT18657 Transparent 10/box CT18658 Transparent HCPCS: A4413 CT18652 Opaque CT18653 Opaque

SenSura® Mio Flex High Output Pouch with Soft OutletFull circle filter. Neutral gray, water-resistant textile. Scale on transparent bags for visual indication of output volume. Peek-a-boo inspection window for easy application. Soft outlet connects easily to a drain bag.

Ostomy


COLOPLAST

SENSURA® MIO FLEX MAXI UROSTOMY POUCHES

SenSura® Mio Flex Maxi Urostomy PouchMulti-chambers minimize sloshing. Wider anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag. Neutral gray water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application.

Item Order # Style Color CodeMAXI 10 ½” CT12291 Opaque10/Box CT12292 Transparent HCPCS: A5073 CT12297 Opaque CT12298 Transparent

• •••

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SENSURA® MIO FLEX CLOSED POUCHES

Item Order # Style Color CodeMAXI 8 ¼ ” CT12202 Opaque30/Box CT12213 OpaqueHCPCS: A4419 CT12222 Opaque CT12203 Transparent CT12216 Transparent CT12223 Transparent

SenSura® Mio Flex MAXI Closed Pouch Full-circle filter. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application.

25

SENSURA® FLEX TWO-PIECE SYSTEMSenSura® Flex is a unique combination of security and flexibility. A reinforced adhesive ring maintains a secure seal across the entire coupling surface. Integrated security channel offers extra protection against leakage. Complete conformability allows freedom of movement. Minimal application pressure provides for an excellent post-op solution.

After selecting the appropriate barrier, select the matching pouch by color i.e., “red” barrier matches a “red” pouch.

Item Order # Cut-to-Fit Color Code5/Box CT11301 5/8” – 15/16” HCPCS: A4373 CT11302 5/8” – 1 5/16” CT11303 5/8” – 1 11/16” CT11307 5/8” – 2 1/16”

Item Order # Cut-to-Fit Color Code5/Box HCPCS: A4407 CT11304 5/8” – 15/16” HCPCS: A4407 CT11305 5/8” – 1 5/16” HCPCS: A4407 CT11306 5/8” – 1 11/16” HCPCS: A4408 CT11308 5/8” – 2 1/16”

•• ••Item Order # Pre-Cut Color Code5/Box CT11312 7/8” HCPCS: A4373 CT11313 1” CT11314 1 1/8” CT11315 1 ¼”

SenSura® Flex Convex Light Barrier with Belt Tabs Standard wear barrier. Match barrier and pouch color codes for proper fit.

SenSura® Flex Xpro Convex Light Barrier with Belt Tabs Extended wear barrier. Match barrier and pouch color codes for proper fit.

•• ••

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SENSURA® FLEX SKIN BARRIERS

SENSURA® FLEX SKIN BARRIERS

SenSura® Flex Flat Skin BarrierStandard wear barrier. Match barrier and pouch color codes for proper fit.

Item Order # Cut-to-Fit Color Code10/Box HCPCS: A4414 CT10101 3/8” - 1 5/16"HCPCS: A4414 CT10102 3/8” - 1 7/8"HCPCS: A4415 CT10103 3/8” - 2 3/4"HCPCS: A4415 CT10108 3/8” - 3 ½”

••• •

Item Order # Cut-to-Fit Color Code10/Box HCPCS: A4409 CT10104 3/8” – 1 5/16” HCPCS: A4409 CT10105 3/8” – 1 7/8” HCPCS: A4410 CT10106 3/8” – 2 3/4”

SenSura® Flex Xpro Flat Skin BarrierExtended wear barrier. Match barrier and pouch color codes for proper fit.

•••

Ostomy


COLOPLAST

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SENSURA® FLEX CLOSED POUCHES

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SenSura® Flex Closed PouchSoft, moisture-absorbent backing, filter for odor control. Match barrier and pouch color codes for proper fit.

Item Order # Style Color CodeMaxi CT10911 Transparent8 ½” Length CT10912 Transparent30/Box CT10917 Transparent HCPCS: A4419

Item Order # Style Color CodeMaxi CT10914 Opaque8 ½” Length CT10915 Opaque30/Box CT10918 Opaque HCPCS: A4419

SenSura® Flex EasiClose™ WIDE Outlet Drainable PouchDrainable pouch with and without filter. Soft cloth on back (and front of opaque). Match barrier and pouch color codes for proper fit.

With filter. Maxi, 11½” Length.Item Order # Style Color Code20/Box CT11512 TransparentHCPCS: A4425 CT11517 Transparent CT11590 Transparent

With filter. Maxi, 11½” Length.Item Order # Style Color Code20/Box CT11514 OpaqueHCPCS: A4425 CT11515 Opaque CT11518 Opaque CT11591 Opaque

Without filter. Maxi, 11½” Length.Item Order # Style Color Code20/Box CT11612 TransparentHCPCS: A5063 CT11690 Transparent

•••••• • ••

SENSURA® FLEX DRAINABLE POUCHES

Ostomy 1-800-308-9445


COLOPLAST

SenSura® Mio is based on our human-centered approach to innovation; it’s designed with individual bodies in mind. The system features an elastic barrier to fit real body shapes, flexible coupling for security and a full-circle filter to reduce ballooning. This product has a neutral gray textile for discretion.

After selecting the appropriate barrier, select the matching pouch by color i.e., “blue” barrier matches a “blue” pouch.

SENSURA® MIO CLICK TWO-PIECE SYSTEM

Item Order # Cut-to-Fit Color Code5/Box HCPCS: A4414 CT10502 3/8” – 1 3/8” HCPCS: A4414 CT10512 3/8” – 1 3/4” HCPCS: A4414 CT10522 3/8” – 2 1/8” HCPCS: A4415 CT10531 3/8” – 2 9/16”

Item Order # Pre-Cut Color Code5/Box CT10503 3/4” HCPCS: A4414 CT10506 7/8” CT10504 1” CT10505 1 1/8” CT10513 1 3/16” CT10514 1 ¼” CT10515 1 3/8” CT10516 1 ½” CT10523 1 9/16” CT10524 1 3/4” CT10525 2”

Item Order # Cut-to-Fit Color Code5/Box CT16901 3/8” – 3/4” HCPCS: A4373 CT16911 5/8” – 1 3/16” CT16921 5/8” – 1 9/16” CT16931 5/8” – 2 1/16”

SenSura® Mio Click Standard Wear Barrier Flat with belt tabs.

SenSura® Mio Click Convex Light BarrierStandard wear. Convex with belt tabs.

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•••••••••••

SENSURA® MIO SKIN BARRIERS


Ostomy

SENSURA® MIO SKIN BARRIERS

Item Order # Pre-Cut Color Code5/Box CT16903 11/16” HCPCS: A4373 CT16913 13/16” CT16914 1” CT16915 1 1/8” CT16923 1 ¼” CT16924 1 3/8” CT16933 1 ½” CT16934 1 5/8”

Item Order # Cut-to-Fit Color Code5/Box CT16941 3/8” – 3/4”HCPCS: A4373 CT16951 5/8” – 1 3/16” CT16961 5/8” – 1 9/16” CT16971 5/8” – 2 1/16”

Item Order # Pre-Cut Color Code5/Box CT16942 11/16” HCPCS: A4373 CT16953 13/16” CT16954 1” CT16955 1 1/8” CT16963 1 ¼” CT16964 1 3/8” CT16973 1 ½” CT16974 1 5/8”

SenSura® Mio Click Convex Flip 2-Piece BarrierDesigned for curves, bulges and hernias. Curved, star-shaped barrier conforms to outward areas with less creasing and folding. "Flip to fit" design allows for easy application. Belt tabs for use with CT4237 and CT4247.

Item Order # Cut-to-Fit Barrier Size Color Code5/Box CT18500 3/8-1 3/8" (10-35 mm) Small HCPCS: A4373 CT18510 3/8-1 3/4" (10-45 mm) Medium CT18520 3/8- 2 1/8" (10-55 mm) Large CT18530 3/8- 2 9/16" (10-66 mm) XL

SenSura® Mio Click Convex Light Barrier (cont)Standard wear. Convex with belt tabs.

SenSura® Mio Click Deep Convex BarrierStandard wear. Convex with belt tabs.

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COLOPLAST

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Ostomy 1-800-308-9445

29

COLOPLAST

Full-circle filterItem Order # Style Color CodeMAXI 11” CT11462 Opaque 10/Box CT11472 Opaque HCPCS: A4427 CT11482 Opaque CT11486 Opaque CT11463 Transparent CT11473 Transparent CT11483 Transparent CT11487 Transparent Without filterItem Order # Style Color CodeMAXI 11” CT11474 Transparent 10/Box CT11484 Transparent HCPCS: A4426 CT11488 Transparent

Full-circle filterItem Order # Style Color CodeMIDI 10 ¼” CT11461 Opaque 10/Box CT11471 Opaque HCPCS: A4427

SenSura® Mio Click EasiClose™ WIDE Outlet Drainable Pouch Neutral gray water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application.

•••• •••• •• •••

SENSURA® MIO DRAINABLE POUCHES

SenSura® Mio Click Drainable Pouch with Tap OutletFull circle filter. Neutral gray, water-resistant textile. Peek-a-boo inspection window for easy application. Tap outlet accommodates liquid output in a standard pouch length.

Item Order # Style Color Code650 mL CT18620 Transparent 10/box CT18621 Transparent HCPCS: A4427 CT18622 Transparent

•••

Item Order # Pre-Cut Max Cut Barrier Size Color Code5/box CT18510 3/4" (20 mm) 1 3/8" (35 mm) Small HCPCS: A4373 CT18511 1" (25 mm) 1 3/4” (45 mm) Medium CT18512 1 3/16" (30 mm) 1 3/4” (45 mm) Medium CT18513 1 3/8” (35 mm) 1 3/4” (45 mm) Medium CT18521 1 3/16” (30 mm) 2 1/8” (55 mm) Large CT18522 1 3/8” (35 mm) 2 1/8” (55 mm) Large CT18523 1 9/16” (40 mm) 2 1/8” (55 mm) Large CT18524 1 3/4” (45 mm) 2 1/8” (55 mm) Large CT18531 1 3/4” (45 mm) 2 9/16” (66 mm) Xtra Large CT18532 2” (50 mm) 2 9/16” (66 mm) Xtra Large

••••••• •••

Ostomy


COLOPLAST

Item Order # Style Color CodeMAXI 8 ¼” CT11402 Opaque 30/Box CT11413 Opaque HCPCS: A4423 CT11422 Opaque CT11425 Opaque CT11426 Transparent

Item Order # Style Color CodeMIDI 7 ¼” CT11401 Opaque 30/Box CT11412 Opaque HCPCS: A4423 CT11421 Opaque

SenSura® Mio Click Closed Pouch Full-circle filter. Neutral gray water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application.

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SENSURA® MIO CLOSED POUCHES

Item Order # Style Color Code1080 mL CT18640 Transparent 10/box CT18641 Transparent HCPCS: A4413 CT18642 Transparent CT18630 Opaque CT18631 Opaque CT18632 Opaque

SenSura® Mio Click High Output Pouch with Soft OutletFull circle filter. Neutral gray, water-resistant textile. Scale on transparent bags for visual indication of output volume. Peek-a-boo inspection window for easy application.

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Item Order # Style Color Code1080 mL CT18610 Transparent 10/box CT18611 Transparent HCPCS: A4413 CT18612 Transparent CT18613 Transparent CT18600 Opaque CT18601 Opaque CT18602 Opaque CT18603 Opaque

SenSura® Mio Click High Output Pouch with Tap OutletFull circle filter. Neutral gray, water-resistant textile. Scale on transparent bags for visual indication of output volume. Peek-a-boo inspection window for easy application.

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Ostomy 1-800-308-9445


The SenSura® Click combines the revolutionary double-layer adhesive with our secure click-lock technology. Patented click-lock coupling is leak-proof and secure. Audible click reassures that the system is locked in place. Easy-to-use coupling ring can be turned while unlocked. While unlocked, the pouch can be repositioned as well as the locking system. Application requires minimal pressure and can be removed with an “up and over” motion.

After selecting the appropriate barrier, select the matching pouch by color i.e., “blue” barrier matches a “blue” pouch.

SENSURA® CLICK TWO-PIECE SYSTEM

COLOPLAST

Item Order # Cut-to-Fit Color Code5/Box HCPC A4414 CT10011 3/8” - 1 3/8” HCPC A4414 CT10021 3/8” - 1 3/4” HCPC A4414 CT10031 3/8” - 2 ¼” HCPC A4415 CT10041 3/8” - 2 ½”

Item Order # Pre-Cut Color Code5/Box CT10012 13/16" HCPC: A4414 CT10013 1" CT10022 1 13/16" CT10023 1 3/8” CT10032 1 9/16"

SenSura® Click Flat Skin Barrier with Belt TabsStandard wear barrier.

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SENSURA® SKIN BARRIERS

Item Order # Style Color CodeMAXI 10 ½” CT11491 Opaque 10/Box CT11492 Transparent HCPCS: A4433 CT11497 Opaque CT11498 Transparent

SenSura® Mio Click MAXI Urostomy PouchMulti-chambers minimize sloshing. Wider anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag. Neutral gray water-resistant textile.

••••

SENSURA® MIO UROSTOMY POUCHES


OstomyCOLOPLAST

Item Order # Cut-to-Fit Color Code5/Box CT11011 5/8” – 7/8” HCPCS: A4373 CT11021 5/8” – 1 5/16" CT11031 5/8” – 111/16" CT11041 5/8” – 21/16”

Item Order # Pre-Cut Color Code5/Box HCPCS: A4372 CT11012 7/8” HCPCS: A4373 CT11022 1"HCPCS: A4373 CT11023 1 1/8”HCPCS: A4373 CT11024 1 ¼”HCPCS: A4373 CT11032 1 3/8”

Item Order # Cut-to-Fit Color Code5/Box HCPCS: A4409 CT10015 3/8” – 1 3/8” HCPCS: A4409 CT10025 3/8” – 1 3/4” HCPCS: A4409 CT10035 3/8” – 2 ¼” HCPCS: A4410 CT10045 3/8” – 2 ½”

Item Order # Pre-Cut Color Code5/Box CT10016 13/16” HCPCS: A4409 CT10017 1” CT10026 1 3/16” CT10027 1 3/8” CT10036 1 9/16”

SenSura® Click Convex Light Skin Barrier with Belt TabsStandard wear barrier.

SenSura® Click Xpro Flat Barrier with Belt Tabs Extended wear barrier.

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•••••


Ostomy 1-800-308-9445


COLOPLAST

Item Order # Color Color CodeMaxi CT11124 Opaque 11 ½” Length CT11125 Opaque 20/Box CT11126 OpaqueHCPCS: A4427 CT11127 Opaque

One-sided comfort panel.Item Order # Color Color CodeMaxi CT11194 Transparent 11 ½” Length CT11195 Transparent 20/Box CT11196 Transparent HCPCS: A4427 CT11197 Transparent

Item Order # Color Color CodeMidi CT11114 Opaque 10 ½” Length CT11115 Opaque 20/Box HCPCS: A4427

SenSura® Click Drainable EasiClose™ WIDE Outlet Midi Pouch with Filter Two-sided comfort panels. Opaque.

••SenSura® Click EasiClose™ Drainable WIDE Outlet Maxi Pouch with FilterTwo-sided comfort panels. Choose opaque or transparent.

••• •••• •

SENSURA® CLICK TWO-PIECE DRAINABLE POUCHES

Item Order # Cut-to-Fit Color Code5/Box HCPCS: A4407 CT11015 5/8 “ – 7/8” HCPCS: A4407 CT11025 5/8 “ – 1 5/16” HCPCS: A4407 CT11035 5/8 “ – 1 11/16” HCPCS: A4408 CT11045 5/8 “ – 2 1/16” Item Order # Pre-Cut Color Code5/Box CT11016 7/8” HCPCS: A4407 CT11026 1” CT11027 1 1/8” CT11028 1 ¼” CT11036 1 3/8”

SenSura® Click Xpro Convex-Light Convex Light Barrier with Belt Tabs Extended wear barrier.

••• ••••••


Ostomy


Item Order # Color Color Code12 ½” Length CT19040 Opaque 10/Box CT19041 OpaqueHCPCS: A4413 CT19042 Opaque CT19050 Transparent CT19051 Transparent CT19052 Transparent

SenSura® Click Magnum High Output Drainable Pouch with FilterSoft cloth on back (and front of opaque).


Item Order # Color Color CodeMidi CT10154 Opaque 7" Length CT10155 Opaque 30/Box CT10156 Opaque HCPCS: A4423 Two-sided.Item Order # Color Color CodeMaxi, 8½" Length, 30/Box HCPCS: A4423 CT10164 Opaque CT10165 Opaque CT10166 Opaque CT10167 Opaque One sided comfort panel.Item Order # Color Color CodeMaxi, 8½” Length, 30/Box HCPCS: A4423 CT10187 Transparent

SenSura® Click Closed End Pouches with FilterTwo-sided comfort panels. Opaque.

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Item Order # Color Color CodeMaxi CT11135 Opaque 11½” Length CT11136 Opaque 20/Box HCPCS: A4426

One-sided comfort panel.Item Order # Color Color CodeMaxi CT11185 Transparent 11½” Length CT11186 Transparent 20/Box HCPCS: A4426

SenSura® Click EasiClose™ WIDE Outlet Drainable Maxi Pouch. No filterTwo-sided comfort panels. Choose opaque or transparent.

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COLOPLAST

Ostomy 1-800-308-9445


Soft cloth on back , opaque front. Item Order # Color Color CodeMIDI 9 ½” Length CT11851 Transparent 10/Box CT11841 Opaque HCPCS: A4433

Soft cloth on back.Item Order # Color Color CodeMAXI 10 3/8” Length 10/Box CT11854 Transparent HCPCS: A4433 CT11855 Transparent CT11856 Transparent

Soft cloth on front and back.Item Order # Color Color CodeMAXI 10 3/8” Length 10/Box CT11844 Opaque HCPCS: A4433 CT11845 Opaque CT11846 Opaque

SenSura® Multi-Chamber Click Urostomy PouchMulti-chambers minimize sloshing. Wider anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag.

••••••

••


COLOPLAST

Ostomy


The SenSura® Mio one-piece pouch is an innovative product from Coloplast, designed to fit the body’s shape, providing a comfortable and secure experience. This product offers three brand new features:• Elastic Barrier: SenSura® Mio was created using BodyFit Technology®, and features an elastic barrier that fits to the shape of the body, providing a secure fit. The SenSura® Mio one-piece product allows for movement, because the barrier is able to stretch and move with the body without lifting from the skin or digging in to the skin.• Neutral Gray Textile: The pouch material is made of a real woven textile, providing a comfortable feel against the body. This textile was designed in a neutral gray color, which is very discreet under clothing – even under a white shirt. • Full-Circle Filter: The specially designed filter includes a full-circle shape with a large “pre-filter”. This pre-filter reduces clogging of the filter, and allows consistent air-flow to prevent “ballooning” of the pouch.

SENSURA® MIO ONE-PIECE POUCH

Transparent, Full-circle filter.Item Order # Cut Stoma SizeMAXI 11” CT10481 Cut-to-fit 3/8” – 2 1/8” 10/Box CT10482 Pre-cut 1” HCPCS: A4424 CT10488 Pre-cut 1 1/8” CT10483 Pre-cut 1 3/16” CT10490 Pre-cut 1 ¼” CT10484 Pre-cut 1 3/8” CT10491 Pre-cut 1 ½” CT10487 Pre-cut 1 9/16” CT10485 Pre-cut 1 3/4” CT10486 Pre-cut 2”

Opaque, Full circle filter.Item Order # Cut Stoma SizeMAXI 11” CT10471 Cut-to-fit 3/8” – 2 1/8”10/Box CT10472 Pre-cut 1”HCPCS: A4424 CT10473 Pre-cut 1 1/8” CT10474 Pre-cut 1 3/16” CT10475 Pre-cut 1 ¼” CT10476 Pre-cut 1 3/8” CT10480 Pre-cut 1 ½” CT10479 Pre-cut 1 9/16” CT10477 Pre-cut 1 3/4” CT10478 Pre-cut 2”

SenSura® Mio EasiClose™ WIDE Outlet Standard Wear Drainable Pouch Flat. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application.


COLOPLAST

Ostomy 1-800-308-9445


Opaque, Full-circle filter.Item Order # Cut Stoma SizeMIDI 10 ¼” CT10461 Cut-to-fit 3/8” – 1 3/4”10/BoxHCPCS: A4424

Transparent, without filter. Item Order # Cut Stoma SizeMAXI 11” CT10489 Cut-to-fit 3/8” – 2 1/8”10/Box CT10492 Pre-cut 1”HCPCS: A5061 CT10493 Pre-cut 1 1/8” CT10494 Pre-cut 1 ¼” CT10495 Pre-cut 1 3/8” CT10496 Pre-cut 1 ½”

Opaque, Full-circle filter.Item Order # Style Cut Stoma SizeMAXI 11” CT16715 Transparent Cut-to-fit 5/8” – 1 5/16” 10/Box CT16716 Transparent Cut-to-fit 3/8” – 2” HCPCS: A4389 CT16705 Opaque Cut-to-fit 5/8” – 1 5/16” CT16706 Opaque Cut-to-fit 3/8” – 2”

Opaque, Full-circle filter.Item Order # Style Cut Stoma SizeMAXI 11” CT16737 Transparent Cut-to-fit 3/8” – 7/8” 10/Box CT16738 Transparent Cut-to-fit 5/8” – 1 5/16” HCPCS: A4389 CT16739 Transparent Cut-to-fit 3/8” – 1 11/16” CT16740 Transparent Pre-cut 13/16” CT16741 Transparent Pre-cut 1” CT16742 Transparent Pre-cut 1 1/8” CT16725 Opaque Cut-to-fit 3/8” – 7/8”

SenSura® Mio EasiClose™ WIDE Outlet Standard Wear Drainable Pouch (Cont.)Flat. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application.

SenSura® Mio EasiClose™ Soft Convex MAXI Standard Wear Drainable Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter.

SenSura® Mio EasiClose™ Convex Light MAXI Standard Wear Drainable Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter.


COLOPLAST

Ostomy


Opaque, Full-circle filter.Item Order # Style Cut Stoma SizeMAXI 11” CT16726 Opaque Cut-to-fit 5/8” – 1 5/16” 10/Box CT16730 Opaque Pre-cut 13/16”HCPCS: A4389 CT16731 Opaque Pre-cut 1” CT16732 Opaque Pre-cut 1 1/8” CT16727 Opaque Pre-cut 1 ¼” CT16734 Opaque Pre-cut 1 3/8” CT16735 Opaque Pre-cut 1 ½”

Opaque, Full-circle filter.Item Order # Style Cut Stoma SizeMAXI 11” CT16748 Transparent Cut-to-fit 3/8” – 1 11/16” 10/Box HCPCS: A4389

Opaque, Full-circle filter.Item Order # Style Cut Stoma SizeMAXI 11” CT16765 Transparent Cut-to-fit 3/8” – 7/8” 10/Box CT16766 Transparent Cut-to-fit 5/8” – 1 5/16” HCPCS: A4389 CT16767 Transparent Cut-to-fit 3/8” – 1 11/16” CT16770 Transparent Pre-cut 13/16” CT16771 Transparent Pre-cut 1” CT16772 Transparent Pre-cut 1 1/8” CT16773 Transparent Pre-cut 1 ¼” CT16755 Opaque Cut-to-fit 3/8” – 7/8” CT16756 Opaque Cut-to-fit 5/8” – 1 5/16” CT16760 Opaque Pre-cut 13/16” CT16761 Opaque Pre-cut 1” CT16762 Opaque Pre-cut 1 1/8” CT16757 Opaque Pre-cut 1 ¼” CT16763 Opaque Pre-cut 1 3/8” CT16764 Opaque Pre-cut 1 ½”

SenSura® Mio EasiClose™ Convex Light MAXI Standard Wear Drainable Pouch (Cont.)Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter.

SenSura® Mio EasiClose™ Convex Light MAXI Standard Wear Drainable Pouch Belt tabs. Neutral gray, water-resistant textile. Without filter.

SenSura® Mio EasiClose™ Deep Convex MAXI Standard Wear Drainable Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter.


COLOPLAST

Ostomy 1-800-308-9445


Opaque, Full-circle filter.Item Order # Style Cut Stoma SizeMAXI 11” CT16778 Transparent Cut-to-fit 3/8” – 1 11/16” 10/Box HCPCS: A4389

Item Order # Style Cut Stoma Size630 mL CT18665 Transparent Cut-to-fit 3/8” - 2 3/4” 10/box CT18666 Transparent Cut-to-fit 3/8” – 4”HCPCS: A4424 CT18660 Opaque Cut-to-fit 3/8” – 2 3/4” CT18661 Opaque Cut-to-fit 3/8” – 4”

Item Order # Style Cut Stoma Size630 mL CT18671 Transparent Cut-to-fit 3/8” – 2”10/box CT18670 Opaque Cut-to-fit 3/8” – 2”HCPCS: A4389

Item Order # Style Cut Stoma Size630 mL CT18676 Transparent Cut-to-fit 3/8” – 1 11/16”10/box CT18675 Opaque Cut-to-fit 3/8” – 1 11/16”HCPCS: A4389

SenSura® Mio EasiClose™ Deep Convex MAXI Standard Wear Drainable Pouch Belt tabs. Neutral gray, water-resistant textile. Without filter.

SenSura® Mio Maxi Drainable Pouch with Soft OutletFull circle filter. Neutral gray, water-resistant textile. Scale on transparent pouches for visual indication of output volume. Peek-a-boo inspection window for easy application.

SenSura® Mio Soft Convex Maxi Drainable Pouch with Soft OutletFull circle filter. Neutral gray, water-resistant textile. Scale on transparent pouches for visual indication of output volume. Peek-a-boo inspection window for easy application.

SenSura® Mio Light Convex Maxi Drainable Pouch with Soft OutletFull circle filter. Neutral gray, water-resistant textile. Scale on transparent pouches for visual indication of output volume. Peek-a-boo inspection window for easy application.


COLOPLAST

Ostomy


COLOPLAST

SenSura® Mio Convex Flip MAXI Drainable PouchDesigned for curves, bulges and hernias. Curved, star-shaped barrier conforms to outward areas with less creasing and folding. "Flip to fit" design allows for easy application. Opaque pouches feature a peek-a-boo inspection window for easy application. Full-circle filter.

TransparentItem Order# Cut Stoma Size Max Cut Barrier SizeMAXI 11” CT18305 Cut-to-fit 3/8” – 1 9/16” (10-40 mm) 1 9/16” (40 mm) Small 10/Box CT18321 Cut-to-fit 3/8” – 2” (10-50 mm) 2” (50 mm) MediumHCPCS: A4389 CT18322 Pre-Cut 1” (25 mm) 2” (50 mm) Medium CT18323 Pre-Cut 1 3/16” (30 mm) 2” (50 mm) Medium CT18324 Pre-Cut 1 3/8” (35 mm) 2” (50 mm) Medium CT18341 Cut-to-fit 3/8” – 2 3/8” (10-60 mm) 2 3/8” (60 mm) Large CT18342 Pre-Cut 1 9/16” (40 mm) 2 3/8” (60 mm) Large CT18343 Pre-Cut 1 3/4” (45 mm) 2 3/8” (60 mm) Large CT18344 Pre-Cut 2” (50 mm) 2 3/8” (60 mm) Large

Opaque Item Order# Cut Stoma Size Max Cut Barrier SizeMAXI 11” CT18301 Pre-Cut 1” (25 mm) 1 9/16” (40 mm) Small10/Box CT18302 Pre-Cut 1 3/16” (30 mm) 1 9/16” (40 mm) SmallHCPCS: A4389 CT18312 Cut-to-fit 3/8” – 2” (10-50 mm) 2” (50 mm) Medium CT18313 Pre-Cut 1” (25 mm) 2” (50 mm) Medium CT18314 Pre-Cut 1 3/16” (30 mm) 2” (50 mm) Medium CT18315 Pre-Cut 1 3/8” (35 mm) 2” (50 mm) Medium CT18330 Cut-to-fit 3/8” – 2 3/8” (10-60 mm) 2 3/8” (60 mm) Large CT18331 Pre-Cut 1 9/16” (40 mm) 2 3/8” (60 mm) Large CT18332 Pre-Cut 1 3/4” (45 mm) 2 3/8” (60 mm) Large CT18333 Pre-Cut 2” (50 mm) 2 3/8” (60 mm) Large

SenSura® Mio Convex Flip MAXI Drainable Pouch Without filter. Designed for curves, bulges and hernias. Curved, star-shaped barrier conforms to outward areas with less creasing and folding. "Flip to fit" design allows for easy application.

TransparentItem Order# Cut Stoma Size Max Cut Barrier SizeMAXI 11” CT18320 Cut-to-fit 3/8” – 2” (10-50 mm) 2 “ (50 mm) Medium10/Box CT18340 Cut-to-fit 3/8” – 2 3/8” (10-60 mm) 2 3/8” (60 mm) LargeHCPCS: A4389

Ostomy 1-800-308-9445


Item Order # Style Cut Stoma SizeMAXI 8 ¼” CT16315 Transparent Cut-to-fit 3/8” – 2” 10/Box CT16305 Opaque Cut-to-fit 5/8” – 1 5/16”HCPCS: A4417 CT16306 Opaque Cut-to-fit 3/8” – 2” CT16310 Opaque Pre-cut 1” CT16311 Opaque Pre-cut 1 1/8” CT16312 Opaque Pre-cut 1 ¼” CT16313 Opaque Pre-cut 1 3/8”

Item Order # Style Cut Stoma SizeMIDI 7 ¼” CT16301 Opaque Cut-to-fit 5/8” – 1 5/16” 10/Box HCPCS: A4417

SenSura® Mio Soft Convex MAXI Standard Wear Closed Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter.

SenSura® Mio Soft Convex MIDI Standard Wear Closed Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter.

SENSURA MIO ONE-PIECE CLOSED POUCHES

COLOPLAST

Item Order # Cut Stoma SizeMAXI 8 ¼” CT10881 Cut-to-fit 5/8” – 1 3/4”30/Box CT10885* Cut-to-fit 1 9/16” – 2 1/8” HCPCS: A4416 CT10883 Pre-cut 1 3/16” CT10884 Pre-cut 1 3/8” CT10885* Pre-cut 1 9/16”

Item Order # Cut Stoma SizeMIDI 7 ¼” CT10871 Cut-to-fit 5/8” – 1 3/4”30/Box CT10872 Pre-cut 1”HCPCS: A4416 CT10873 Pre-cut 1 3/16” CT10874 Pre-cut 1 3/8”

Comfortable and discreet stoma cap alternative.Item Order # Cut Stoma SizeMINI 5 ¼” CT10870 Cut-to-fit 5/8” – 1 3/4”30/BoxHCPCS: A4416

*Because of its larger starter hole, 10885 functions as both a pre-cut and cut-to-fit solution.

SenSura® Mio Standard Wear Closed PouchFlat. Full-circle filter. Neutral gray, water-resistant textile. Peek-a-boo inspection window for easy application. Opaque.



Ostomy

Item Order # Style Cut Stoma SizeMAXI 8 ¼” CT16355 Transparent Cut-to-fit 3/8” – 1 11/16” 10/Box CT16345 Opaque Cut-to-fit 3/8” – 7/8”HCPCS: A4417 CT16346 Opaque Cut-to-fit 5/8” – 1 5/16” CT16350 Opaque Pre-cut 1” CT16351 Opaque Pre-cut 1 1/8” CT16347 Opaque Pre-cut 1 ¼” CT16353 Opaque Pre-cut 1 3/8” CT16354 Opaque Pre-cut 1 ½”

Item Order # Style Cut Stoma SizeMIDI 7 ¼” CT16341 Opaque Cut-to-fit 3/8” – 7/8”10/Box CT16342 Opaque Cut-to-fit 5/8” – 1 5/16”HCPCS: A4417 CT16343* Opaque Cut-to-fit 1 ¼” – 1 11/16”

SenSura® Mio Deep Convex MAXI Standard Wear Closed Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter.

SenSura® Mio Deep Convex MIDI Standard Wear Closed Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter.


COLOPLAST

*Because of its larger starter hole, CT16343 functions as both a pre-cut and cut-to-fit solution.

Item Order # Style Cut Stoma SizeMAXI 8 ¼” CT16335 Transparent Pre-cut 3/8” – 1 11/16” 10/Box CT16325 Opaque Cut-to-fit 3/8” – 7/8”HCPCS: A4417 CT16326 Opaque Cut-to-fit 5/8” – 1 5/16” CT16330 Opaque Pre-cut 1” CT16331 Opaque Pre-cut 1 1/8” CT16327 Opaque Pre-cut 1 ¼” CT16333 Opaque Pre-cut 1 3/8” CT16334 Opaque Pre-cut 1 ½”

Item Order # Style Cut Stoma SizeMIDI 7 ¼” CT16321 Opaque Cut-to-fit 3/8” – 7/8”10/Box CT16322 Opaque Cut-to-fit 5/8” – 1 5/16”HCPCS: A4417 CT16323 Opaque Cut-to-fit 1 ¼” – 1 11/16”

SenSura® Mio Convex Light MAXI Standard Wear Closed Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter.

SenSura® Mio Convex Light MIDI Standard Wear Closed Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter.

Ostomy 1-800-308-9445


Item Order # Cut Stoma Size10 ½” CT10586 Cut-to-fit 3/8” – 1 3/4”10/BoxHCPCS: A5071

SenSura® Mio Original Closed Pouch with Filter“Peek-a-boo” inspection window for easy placement. Soft cloth on front and back.

SenSura® Mio Standard Wear MAXI Urostomy Pouch Neutral gray, water-resistant textile on back. Flat. Multi-chambers minimize sloshing. Anti-reflux valves prevent urine from washing over the stoma. Soft outlet can be connected to urostomy night bag. Transparent.

SENSURA MIO ORIGINAL ONE-PIECE CLOSED POUCHES

COLOPLAST

Item Order # Style Cut Stoma SizeMAXI 8 ½” CT10831 Opaque Cut-to-fit 5/8” – 1 3/4”30/Box CT10835* Opaque Cut-to-fit 1 9/16” – 2 ¼”HCPCS: A4416 CT10833 Opaque Pre-cut 1 3/16” CT10834 Opaque Pre-cut 1 3/8” CT10835* Opaque Pre-cut 1 9/16”

Item Order # Style Cut Stoma SizeMIDI 7” CT10821 Opaque Cut-to-fit 5/8” – 1 3/4”30/Box CT10822 Opaque Pre-cut 1”HCPCS: A4416 CT10823 Opaque Pre-cut 1 3/16” CT10824 Opaque Pre-cut 1 3/8” Item Order # Style Cut Stoma SizeMINI 5 1/2” CT10811 Opaque Cut-to-fit 5/8” – 1 3/4”30/Box HCPCS: A4416

*Because of its larger starter hole, 10835 functions as both a pre-cut and cut-to-fit solution.

SenSura® Mio Convex Flip MAXI Closed PouchDesigned for curves, bulges and hernias. Curved, star-shaped barrier conforms to outward areas with less creasing and folding. "Flip to fit" design allows for easy application. Peek-a-boo-inspection window for easy application.

Item Order # Cut Stoma Size Max Cut Barrier Size8 ¼” Length CT18152 Cut-to-fit 3/8” – 1 9/16” (10-40 mm) 1 9/16” (40 mm) Small10/Box CT18170 Cut-to-fit 3/8” – 2” (10-50 mm) 2” (50 mm) MediumHCPCS: A4417 CT18171 Pre-cut 1” (25 mm) 2 “ (50 mm) Medium CT18172 Pre-cut 1 3/16” (30 mm) 2” (50 mm) Medium CT18173 Pre-cut 1 3/8” (35 mm) 2” (50 mm) Medium CT18180 Cut-to-fit 3/8” – 2 3/8” (10-60 mm) 2 3/8” (60 mm) Large CT18181 Pre-cut 1 9/16” (40 mm) 2 3/8” (60 mm) Large CT18182 Pre-cut 1 3/4” (45 mm) 2 3/8” (60 mm) Large


Ostomy


Item Order # Style Cut Stoma SizeMAXI 10 ½" CT16810 Transparent Cut-to-fit 3/8” – 2”10/Box CT16805 Opaque Cut-to-fit 3/8” – 1 5/16”HCPCS: A4392

Item Order # Style Cut Stoma SizeMAXI 9 ½" CT16801 Opaque Cut-to-fit 3/8” – 1 5/16”10/Box HCPCS: A4392

Item Order # Style Cut Stoma SizeMAXI 10 ½" CT16835 Transparent Cut-to-fit 3/8” –7/8”10/Box CT16837 Transparent Cut-to-fit 3/8” – 1 11/16”HCPCS: A4392 CT16836 Transparent Cut-to-fit 5/8” – 1 5/16” CT16840 Transparent Pre-cut 13/16” CT16841 Transparent Pre-cut 1” CT16842 Transparent Pre-cut 1 1/8” CT16825 Opaque Cut-to-fit 3/8” – 7/8” CT16826 Opaque Cut-to-fit 5/8” – 1 5/16” CT16830 Opaque Pre-cut 11/16” CT16831 Opaque Pre-cut 13/16” CT16832 Opaque Pre-cut 1” CT16833 Opaque Pre-cut 1 1/8” CT16827 Opaque Pre-cut 1 ¼”

SenSura® Mio Soft Convex MAXI Urostomy Pouch Standard wear. Multi-chambers minimize sloshing. Wider anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag. Neutral gray water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application.

SenSura® Mio Soft Convex MIDI Urostomy Pouch Standard wear. Belt tabs. Multi-chambers minimize sloshing. Wider anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag. Neutral gray water-resistant textile.

SenSura® Mio Convex Light MAXI Urostomy Pouch Standard wear. Belt tabs. Multi-chambers minimize sloshing. Wider anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag. Neutral gray water-resistant textile.

COLOPLAST

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Item Order # Style Cut Stoma SizeMAXI 9 ½" CT16821 Opaque Cut-to-fit 3/8” –7/8”10/Box CT16822 Opaque Cut-to-fit 5/8” – 1 5/16”HCPCS: A4392 CT16823 Opaque Pre-cut 1 ¼”

Item Order # Style Cut Stoma SizeMAXI 10 ½" CT16865 Transparent Cut-to-fit 3/8” –7/8”10/Box CT16866 Transparent Cut-to-fit 5/8” – 1 5/16”HCPCS: A4392 CT16867 Transparent Cut-to-fit 3/8” – 1 11/16” CT16870 Transparent Pre-cut 13/16” CT16871 Transparent Pre-cut 1” CT16872 Transparent Pre-cut 1 1/8” CT16855 Opaque Cut-to-fit 3/8” – 7/8” CT16856 Opaque Cut-to-fit 5/8” – 1 5/16” CT16860 Opaque Pre-cut 11/16” CT16861 Opaque Pre-cut 13/16” CT16862 Opaque Pre-cut 1” CT16863 Opaque Pre-cut 1 1/8” CT16857 Opaque Pre-cut 1 ¼”

SenSura® Mio Convex Light MIDI Urostomy Pouch Standard wear. Belt tabs. Multi-chambers minimize sloshing. Wider anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag. Neutral gray water-resistant textile.

SenSura® Mio Deep Convex MAXI Urostomy Pouch Standard wear. Belt tabs. Multi-chambers minimize sloshing. Wider anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag. Neutral gray water-resistant textile.

COLOPLAST

SenSura® Mio Convex MAXI Urostomy Pouch Designed for curves, bulges and hernias. Curved, star-shaped barrier conforms to outward areas with less creasing and folding. "Flip to fit" design allows for easy application. Soft outlet can be connected to urostomy night bag #CT21365 or any standard night bag. .

Item Order # Cut Stoma Size Max Cut Barrier Size8 ¼” Length CT18401 Cut-to-fit 3/8” – 1 9/16” (10-40 mm) 1 9/16” (40 mm) Small10/Box CT18402 Pre-cut 3/4” (20 mm) 1 9/16” (40 mm) SmallHCPCS: A4392 CT18403 Pre-cut 1” (25 mm) 1 9/16” (40 mm) Small CT18404 Pre-cut 1 3/16” (25 mm) 1 9/16” (40 mm) Small

8 ¼” Length CT18405 Cut-to-fit 3/8” – 1 9/16” (10-40 mm) 1 9/16” (40 mm) Small10/Box HCPCS: A4392

Ostomy 1-800-308-9445

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Reorder your medical supplies online! It’s easy with myByram.

■ Place reorders online■ View your order history■ Update your account information and change health insurance information.■ Securely make a payment ■ Chat live with a customer service representative■ Add ostomy accessories to your order■ Select expedited shipping and track packages online

Enroll online today! www.mybyramhealthcare.com

Ostomy 1-800-308-9445


Item Order # Cut-to-Fit Style 11½" Length CT15521 ⅜"-3" Transparent20/Box HCPCS: A4424

Item Order # Pre-Cut Style11½" Length CT15522 1" Transparent20/Box CT15523 13/16" TransparentHCPCS: A4424 CT15524 1⅜" Transparent

SenSura® EasiClose™ WIDE Outlet Maxi Pouch with Integrated Filter, Flat Skin Barrier EasiClose™ WIDE outlet drainable pouch with integrated filter. One-sided comfort panel. Standard wear, flat skin barrier. Cut-to-Fit or Pre-Cut.

Item Order # Cut-to-Fit Style 11½” Length CT15821 ⅜”-3” Transparent20/Box HCPCS: A5061

SenSura® EasiClose™ WIDE Outlet Maxi Pouch without Filter, Flat Skin Barrier EasiClose™ WIDE outlet drainable pouch. No Filter. One-sided comfort panel. Standard wear, flat skin barrier. Cut-to-Fit or Pre-Cut.

SENSURA® ONE-PIECE DRAINABLE POUCHES

Item Order # Cut-to-Fit Style 8½" Length CT15480 ⅜"-3" Opaque 30/Box HCPCS: A4416

Item Order # Pre-Cut Style 8½" Length CT15484 1⅜" Opaque 30/Box HCPCS: A4416

SenSura® Closed End Maxi Pouch with Integrated Filter, Flat Skin Barrier Closed-end maxi pouch with integrated filter. Two-sided comfort panels. Standard wear, flat skin barrier. Cut-to-Fit or Pre-Cut.

SENSURA® ONE-PIECE CLOSED END POUCHES

COLOPLAST

SenSura® One-Piece Systems offer a unique double-layer adhesive. The lower layer provides absorption and moisture balance. The upper layer provides erosion resistance. SenSura® also provides optimal adhesion, flexibility and ease of removal. All SenSura® products are latex free.


Ostomy

Item Order # Cut-to-Fit Style 11 ½” Length CT15531 3/8” - 3" Opaque 20/Box HCPCS: A4424

Item Order # Pre-Cut Style11 ½” Length CT15532 1" Opaque20/Box CT15533 1 3/16" OpaqueHCPCS: A4424 CT15534 1 3/8” Opaque

SenSura® EasiClose™ WIDE Outlet Maxi Pouch with Integrated Filter, Flat Skin Barrier EasiClose™ WIDE outlet drainable pouch with integrated filter. Soft cloth on front and back. Standard wear, flat skin barrier. Cut-to-Fit or Pre-Cut.

Soft cloth on back.Item Order # Cut-to-Fit Style 11 ½” Length CT15981 3/8” – 3” Transparent 10/BoxHCPCS: A5056

Soft cloth on front and back.Item Order # Pre-Cut Style 11 ½” Length CT15991 1” Opaque 10/Box CT15992 1 3/16” OpaqueHCPCS: A5056 CT15993 1 ¼” Opaque CT15994 1 ½” Opaque

SenSura® Xpro EasiClose™ WIDE Outlet Maxi Pouch with Integrated Filter, Flat Skin Barrier Filter EasiClose™ WIDE outlet drainable pouch with integrated filter. Soft cloth front and back. Extended wear, flat skin barrier.


COLOPLAST

Our Multi-Lingual Support Program is designed to provide our customers with a comfortable communication environment

and access to customized support for ostomy management

Call: 1-844-208-1499

Ostomy 1-800-308-9445


Soft cloth on back.Item Order # Cut-to-Fit Style 11 ½” Length CT15606 5/8” - 1 11/16" Transparent10/Box HCPCS: A4389

Item Order # Pre-Cut Style 11 ½” Length CT15623 1" Transparent 10/Box CT15624 1 1/8” Transparent HCPCS: A4389

Soft cloth front and back. Item Order # Cut-to-Fit Style 11 ½” Length CT15608 5/8” - 1 11/16" Opaque 10/Box HCPCS: A4389

Item Order # Pre-Cut Style 11 ½” Length CT15633 1" Opaque 10/Box CT15634 1 1/8” Opaque HCPCS: A4389

SenSura® EasiClose™ WIDE Outlet Maxi Pouch with Intergrated Filter, Convex Light Skin Barrier with Belt Tabs EasiClose™ WIDE outlet drainable pouch with integrated filter. Belt tabs and comfort panel. Standard wear convex light skin barrier. Cut-to-Fit or Pre-Cut.

COLOPLAST

Soft cloth on back.Item Order # Cut-to-Fit Style 11 ½” Length CT15695 5/8” – 1 5/16” Transparent10/Box CT15696 5/8” – 1 11/16” TransparentHCPCS: A5057

Soft cloth on front and back.Item Order # Pre-Cut Style 11 ½” Length CT15697 7/8” Opaque10/Box CT15698 1” Opaque HCPCS:A5057

SenSura® Xpro EasiClose™ WIDE Outlet Maxi Pouch with Intergrated Filter, Convex Light Skin Barrier with Belt Tabs



Ostomy

Standard wear. Soft cloth on back.Item Order # Cut-to-Fit Style MIDI 9 ½” Length CT11803 3/8” – 2 ½” Transparent 10/Box HCPCS: A5071

Standard wear. Soft cloth on back.Item Order # Cut-to-Fit Style MAXI 10 3/8” Length CT11804 3/8” – 3” Transparent10/BoxHCPCS: A5071

Xpro Extended Wear, Soft cloth on backItem Order # Cut-to-Fit Style MAXI 10 3/8” Length CT11809 3/8” – 3” Transparent10/BoxHCPCS: A4391

Xpro Extended Wear, Soft cloth on front and back.Item Order # Pre-Cut Style MAXI 10 3/8” Length CT11805 7/8” Opaque10/Box CT11806 1” OpaqueHCPCS: A4391 CT11807 1 3/16” Opaque CT11808 1 ¼” Opaque

Item Order # Cut Stoma Size12 ½” Length CT19004 Cut-to-fit 3/8” – 3”30/BoxHCPCS: A4424

SenSura® Multi-Chamber Urostomy PouchMulti-chambers minimize sloshing. Anti-reflux valve prevents urine from washing over stoma. Soft outlet can be connected to urostomy night bag.

SenSura® Standard Wear MAXI Drainable PouchFlat. Soft outlet for liquid stool can connect to a drain bag. Filter. Soft cloth on front and back. Peek-a-boo inspection window allows easy application. Opaque.

COLOPLAST

Our ostomy specialists are commited to your satisfaction. Please call us with any questions.

1-800-308-9445


Ostomy 1-800-308-9445


Easy-to-open and -close access window attached to pouch.Item Order # Cut-to-Fit Style13” Length CT19020 3/8” – 3” Transparent5/Box CT19021 3/8” – 4 ½” Transparent HCPCS: A6154

STERILE. Easy-to-open and -close access window attached to pouch.Item Order # Cut-to-Fit Style 13” Length CT19010 3/8” – 3” Transparent5/Box CT19011 3/8” – 4 ½” TransparentHCPCS: A6154

Effective for small fistulas. No access window.Item Order # Cut-to-Fit Style 12 ¼” Length CT19030 3/8” – 3” Transparent5/BoxHCPCS: A6154

SenSura® Drainable Post-Op Pouch with WindowSoft outlet can be connected to bed drain bag. Soft cloth on back.

SENSURA® ONE-PIECE POST-OP DRAINABLE POUCHES

COLOPLAST

Standard wear, soft cloth on back.Item Order # Cut-to-Fit Style MAXI 10 3/8” Length CT11814 5/8” – 1 5/16” Transparent10/BoxHCPCS: A4392

Xpro extended wear, soft cloth on back.Item Order # Cut-to-Fit Style MAXI 10 3/8” Length CT11819 5/8” – 1 5/16” Transparent10/BoxHCPCS: A4393

Xpro extended wear, soft cloth on front and back.Item Order # Pre-Cut Style MAXI 10 3/8” Length CT11816 7/8” Opaque 10/Box CT11817 1” OpaqueHCPCS: A4393 CT11818 1 ¼” Opaque

SenSura® Convex Light Multi-Chamber Urostomy Pouch with Belt TabsMulti-chambers minimizes sloshing. Anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag.

SenSura® Xpro Convex Light Multi-Chamber Urostomy Pouch with Belt TabsMulti-chambers minimizes sloshing. Anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag.

Ostomy

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The Assura® Two-Piece Ostomy System can be applied with minimal pressure to the barrier, and easily removed with just an "up and over" motion. When the system is locked, the pouch is safely and securely fastened to the barrier.

Assura® skin barrier flanges come in three types: Flat, Convex Light and Convex. They are available in either cut-to-fit or pre-cut. Match the color code of the barrier you select to the color code of the pouch you will use.

ASSURA® TWO-PIECE OSTOMY SYSTEM

ASSURA® SKIN BARRIERS

COLOPLAST

Item Order # Cut-to-Fit Color Code5/Box CT2881 3/8" – 13/8" HCPCS: A4414 CT2882 3/8" – 1 3/4” CT2883 3/8" – 2 ¼”

Item Order # Pre-Cut Size Color Code5/Box CT12841 13/16" HCPCS: A4414 CT12842 1" CT12844 13/16" CT12845 13/8" CT12847 19/16" CT12848 13/4"

Assura® Flat, Standard Wear Skin Barrier with Belt Tabs Flat, flexible, spiral skin barrier, standard wear adhesive contains moisture-absorbing hydrocolloid. Lock-ring flange with attached belt tabs. Match barrier and pouch color codes for proper fit.

•••••••••

COLOPLAST

Ostomy 1-800-308-9445



Item Order # Cut-to-Fit Color Code5/Box CT14261 5/8” to 15/16” HCPCS: A4373 CT14262 5/8” to 1 5/16” CT14263 5/8” to 1 11/16”

Item Order # Pre-Cut Size Color Code5/Box CT14271 3/4" HCPCS: A4373 CT14272 7/8" CT14273 1" CT14274 1 1/8" CT14275 1 ¼" CT14276 1 3/8" CT14277 1 ½" CT14278 1 5/8"

Assura® Convex Light, Standard Wear Skin Barrier with Belt TabsShallow convexity skin barrier for flush or slightly retracted stomas. Standard wear adhesive with moisture absorbing hydrocolloid. Locking-ring flange with attached belt tabs. Match barrier and pouch color codes for proper fit.

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COLOPLAST

Reordering supplies online is simple! Visit www.mybyramhealthcare.com

and sign up today!

Item Order # Cut-to-Fit Color Code5/Box CT2831 3/8" – 13/8" HCPCS: A4409 CT2832 3/8" – 1 3/4” CT2833 3/8" – 2 ¼” Item Order# Pre-Cut Size Color Code5/Box CT14250 5/8" HCPCS: A4409 CT14251 13/16" CT14252 1" CT14254 1 3/16" CT14255 1 3/8" CT14257 1 9/16" CT14258 1 3/4"

Assura® Flat, Extra-Extended Wear Skin Barrier FlangeFlat, flexible barrier. Extra extended wear adhesive with moisture absorbent hydrocolloid. Locking-ring flange with attached belt tabs. Match barrier and pouch color codes for proper fit.

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Ostomy

Item Order# Cut- to-Fit Color Code5/Box CT14281 5/8” – 15/16” HCPCS: A4407 CT14282 5/8” – 15/16” CT14283 5/8” – 111/16”

Item Order# Pre-Cut Size Color Code5/Box CT14291 3/4” HCPCS: A4407 CT14292 7/8” CT14293 1" CT14294 1 1/8” CT14295 1 ¼” CT14296 1 3/8” CT14297 1 ½” CT14298 1 5/8”

Assura® Convex Light, Extra-Extended Wear, Skin Barrier with Belt Tabs Shallow convexity skin barrier for flush or slightly retracted stomas. Extra-extended wear adhesive with moisture absorbing hydrocolloid. Locking-ring flange with attached belt tabs. Match barrier and pouch color codes for proper fit.

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COLOPLAST

Item Order # Cut-to-Fit Color Code5/Box CT12716 5/8” – 1 5/16” HCPCS: A4373 CT12719 5/8” – 1 11/16”

Item Order # Pre-Cut Size Color Code5/Box HCPCS: A4373 CT12701 5/8” CT12702 3/4” CT12703 7/8” CT12704 1" CT12705 1 1/8” CT12706 1 ¼” CT12707 1 3/8” CT12708 1 ½” CT12709 1 5/8”

Assura® Convex, Standard Wear Skin Barrier FlangeConvex, flexible, spiral skin barrier. Adhesive contains moisture-absorbing hydrocolloid. Lock-ring flange with attached belt tabs. Match barrier and pouch color codes for proper fit. Cut-to-Fit or Pre-Cut.

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Ostomy 1-800-308-9445



COLOPLAST

Item Order # Cut-to-Fit Color Code5/Box CT14243 5/8” – 15/16" HCPCS: A4407 CT14246 5/8” – 15/16” CT14249 5/8” – 111/16”

Item Order # Pre-Cut Size Color Code5/Box HCPCS: A4407 CT14232 3/4” CT14233 7/8” CT14234 1" CT14235 1 1/8” CT14236 1 ¼” CT14237 1 3/8” CT14238 1 ½” CT14239 1 5/8”

Assura® Convex, Extra-Extended Wear Skin Barrier Flange Convex, flexible spiral skin barrier. Extra-extended wear adhesive with moisture-absorbent hydrocolloid. Locking-ring flange with attached belt loops. Match barrier and pouch color codes for proper fit. Cut-to-Fit or Pre-Cut.

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Ostomy

Assura® Drainable Pouch with EasiClose™ WIDE Outlet and Filter The EasiClose WIDE outlet pouch is extremely hygienic and secure for those with colostomies and ileostomies. The WIDE outlet makes emptying easier for those with thicker output. Filter option enhances discretion while controlling odor. New slick interior pouch film also makes emptying easier and faster. Velcro® dots on outlet creates a hygienic pouching system.

Two-sided comfort panels, filter.Item Order # Style Color Code10 ½” Length CT15954 OpaqueMidi CT15955 Opaque10/Box CT15956 Opaque HCPCS: A4427

One-sided comfort panel, filter.Item Order # Style Color Code11 ½” Length CT15974 Transparent Maxi CT15975 Transparent10/Box CT15976 Transparent HCPCS: A4427

Two-sided comfort panels, filter.Item Order # Style Color Code11 ½” Length CT15984 OpaqueMaxi CT15985 Opaque10/Box CT15986 Opaque HCPCS: A4427

Two-sided comfort panels, no filter.Item Order # Style Color Code11 ½” Length CT15982 OpaqueMaxi CT15983 Opaque10/Box HCPCS: A4426

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ASSURA® CLOSED POUCHES

Coloplast Assura® Fit Tip To assure your system components will all fit together correctly, just match the colors on boxes of barriers, pouches, stoma caps and irrigation sleeves.

COLOPLAST

Ostomy 1-800-308-9445


ASSURA® DRAINABLE POUCHES

Assura® Drainable Pouch with EasiClose™ OutletExtremely hygienic and secure pouch for those with colostomies or ileostomies. Unique integrated Velcro® closure system and integrated charcoal filter. Low profile for maximum discretion. Odor barrier film. Secure locking mechanism. No clips or clamps required. Match pouch and barrier code colors for proper fit.

Mini Classic. Item Order # Style Color Code9 ¼” Length CT13924 Opaque 10/Box CT13925 Opaque HCPCS: A4427

Midi Graphic Design.Item Order # Style Color Code 10 ½” Length CT13964 Opaque10/Box CT13965 OpaqueHCPCS: A4427 CT13966 Opaque

Maxi Classic.Item Order # Style Color Code11 ½” Length CT13984 Opaque10/Box CT13985 Opaque HCPCS: A4427 CT13986 Opaque

Maxi Transparent.Item Order # Style Color Code11 ½” Length CT13974 Transparent10/Box CT13975 TransparentHCPCS: A4427 CT13976 Transparent

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COLOPLAST

Item Order # Style Color CodeMidi CT12527 Opaque9 3/4” Length CT12528 Opaque10/Box CT12529 Opaque HCPCS: A4426

Item Order # Style Color CodeMaxi CT12577 Opaque11 ¼” Length CT12578 Opaque10/Box CT12579 Opaque HCPCS: A4426

Assura® Drainable PouchPouch with soft, moisture-absorbent backing and twist-tie or clip closure. Lock-ring attachment system produces an audible "click" when connection has been secured. 5 pouch clamps and 5 twist ties included. Match color code of skin barrier and pouch for proper fit.

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Ostomy


Item Order # Style Color code 12 ½” Length CT8114 Transparent 10/Box CT8115 TransparentHCPCS:A4413 CT8116 Transparent CT2846 Opaque CT2847 Opaque

Assura® High Output Drainable Pouch with FilterSoft outlet attaches to drain bag. Soft cloth on back (and front of opaque).

COLOPLAST

Item Order # Style Color CodeMini CT12344 Transparent7" Length CT12345 Transparent30/Box CT12346 Transparent HCPCS: A4423

Item Order # Style Color CodeMini CT12354 Opaque7" Length CT12355 Opaque30/Box CT12356 Opaque HCPCS: A4423

Item Order # Style Color CodeMaxi, CT12374 Transparent8 ½” Length CT12375 Transparent30/Box CT12376 Transparent HCPCS: A4423

Item Order # Style Color CodeMaxi 8 ½” Length 30/Box HCPCS: A4423 CT12384 Opaque CT12385 Opaque CT12386 Opaque

Assura® Closed Pouch with FilterClosed pouch has a soft cloth on front and back for comfort, odor-proof film, and secure lock-ring system that produces an audible "click" sound when pouch is securely attached to flange. Match pouch and barrier color codes for proper fit. Includes filter for odor control. Latex-free.

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Ostomy 1-800-308-9445


Item Order # Style Color Code30/Box CT2801 Opaque HCPCS: A5055 CT2802 Opaque CT2803 Opaque

Assura® Stoma Cap with FilterStoma Cap has a soft, moisture-absorbent wicking material with odor-proof film and integrated filter. Match to system color codes for proper fit.

Item Order # Style Color Code10 ½” length CT14224 Opaque10/Box CT14225 OpaqueHCPCS: A4433 CT14226 Opaque

Item Order # Style Color Code10 ½” length CT14227 Transparent10/Box CT14228 TransparentHCPCS: A4433 CT14229 Transparent

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Assura® Multi-Chamber Urostomy PouchSoft, absorbent backing with anti-reflux valve. Pouch is divided into chambers for a more discreet and quiet pouch. Simple locking connector for night drainage attachment. Includes 3 adaptors.

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ASSURA® STOMA CAPS

ASSURA® UROSTOMY POUCHES

COLOPLAST


Ostomy

Item Order # Style Color Code9 ½” Length CT1751 Transparent 10/Box CT1752 Transparent HCPCS: A4433 Item Order # Style Color Code10 3/4” Length CT1757 Transparent 10/Box CT1758 Transparent HCPCS: A4433 CT1759 Transparent

Item Order # Style Color Code10 3/4” Length CT1754 Opaque 10/Box CT1755 Opaque HCPCS: A4433 CT1756 Opaque

Assura® Urostomy PouchUrostomy pouch with soft, moisture-absorbent backing, odor-proof film and lock-ring attachment system which produces audible "click" when pouch is correctly attached. Match pouch and barrier color code for proper fit. Includes anti-reflux valve and 5 adaptors for night drainage bag attachment. Latex-free.

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ASSURA® UROSTOMY POUCHES

COLOPLAST

Item Order # Style Color Code6" Length CT14204 Transparent10/Box CT14205 TransparentHCPCS: A4433 CT14206 Transparent

Assura® Urostomy Micro-PouchSoft, absorbent backing with anti-reflux valve. Pouch is small enough so it doesn’t twist like a standard urostomy pouch. Can be easily connected to the Assura® Urostomy Night Bag. No adaptors needed.

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Clinical CareMailHave a question? E-mail one of our clinicians at

[email protected]

Item Order # Style Color Code30/Box CT2807 OpaqueHCPCS: A5055 CT2808 Opaque

Assura® Urostomy MinicapStoma Cap has ultra-absorbent wicking material inside and can hold 100 mL. Match to system color codes for proper fit.

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Ostomy 1-800-308-9445


Assura® AC features a flexible, adhesive two-piece coupling system that conforms to the body and is easy to apply. This product offers the flexibility of a one-piece system and the convenience of a two-piece. To ensure the correct combination of two-piece barrier and pouches, match the baseplate color code to the color code of the pouch that will be used.

ASSURA® AC 2-PIECE SYSTEM

NOTE: Items marked * have custom peel rings.

ASSURA® AC TWO-PIECE SYSTEM

Important: Patients with a clinical need for convexity, those with fistulas or skin folds that must be accommodated, and those who use an ostomy belt for support may not find this system to be appropriate for them.

Standard Wear Adhesive.Item Order # Cut-to-Fit Size Color Code10/Box HCPCS: A4414 CT14301 3/8” - 1 5/16" Small HCPCS: A4414 CT14302 3/8” - 1 7/8” MediumHCPCS: A4415 CT14303 3/8” - 2 3/4” Large

Standard Wear Adhesive.Item Order # Cut-to-Fit Size Color Code5/Box CT14309 3/8” - 3 ½” Extra Large HCPCS: A4415

Extra-Extended Wear Adhesive.Item Order # Cut-to-Fit Size Color Code10/Box HCPCS: A4409 CT14304 3/8” -15/16" SmallHCPCS: A4409 CT14305 3/8” -1 7/8” MediumHCPCS: A4410 CT14306 3/8” -2 3/4” Large

Assura® AC Flat Barrier Adhesive coupling offers the convenience of a 2-piece with greater flexibility. Cut-to-Fit ensures exact fit around stoma.

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ASSURA® AC BASEPLATES

COLOPLAST

Our Multi-Lingual Support Program is designed to provide our customers with a comfortable communication environment and access to customized support for ostomy management

Call: 1-844-208-1499


Ostomy

Assura® AC Convex Light Barrier with Belt TabsAssura® AC baseplates are now available in the flexible convex light style. Adhesive baseplate, instead of a flange, eliminates locking problems. Choose Pre-cut or Cut-to-Fit. Attached belt tabs.

Standard Wear Adhesive. Cut-to-FitItem Order # Cut-to-Fit Size Color Code5/Box CT14401 5/8” - 15/16” SmallHCPCS: A4373 CT14403 5/8” - 111/16" Medium CT14406 5/8” - 23/8" Large

Standard Wear Adhesive. Pre-CutItem Order # Pre-Cut Size Color Code5/Box CT14642 7/8” Small HCPCS: A4373 CT14643 1" Medium CT14644 1 1/8” Medium CT14645 1 ¼” Medium CT14646 1 3/8” Medium

Extra-Extended Wear Adhesive. Cut-to-FitItem Order # Cut-to-Fit Size Color Code5/Box CT14601 5/8” - 15/16” Small HCPCS: A4407 CT14602 5/8” - 1 5/16” Medium CT14603 5/8” - 1 11/16” Medium

HCPCS: A4408 CT14408 5/8” - 2 3/8” Large

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ASSURA® AC BASEPLATES

Opaque, two-sided comfort panels, filter.Item Order# Color Code Midi CT14346 10 ¼” Length CT14347 20/Box CT14349 HCPCS: A4425 Transparent, one-sided comfort panel, filter.Item Order# Color CodeMidi CT14342* 10 ¼”Length CT14344 20/Box HCPCS:A4425

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Assura® AC Easiclose™ Drainable Pouches with FilterAssura® AC drainable pouches attach to Assura AC barriers with an adhesive coupling system instead of the locking mechanism of a standard flange. Match color code of pouch to color code of selected barrier.

••* Includes perforated rings providing the option of an exact fit around the stoma.

ASSURA® AC DRAINABLE POUCHES

COLOPLAST

Ostomy 1-800-308-9445


Opaque, two-sided cloth panels, filter.Item Order# Color CodeMaxi CT14361 11 ¼” Length CT14362 20/Box CT14364 HCPCS: A4425 Transparent, one-sided comfort panel, filter.Item Order# Color CodeMaxi CT14356 11 ¼” Length CT14357 20/Box CT14359HCPCS: A4425 Opaque, two-sided cloth panels, no filter. Item Order# Color CodeMaxi CT14525 11 ¼” Length 20/Box HCPCS: A5063

Transparent, one-sided cloth panels, no filter. Item Order# Color CodeMaxi CT14521 11 ¼” Length 20/Box HCPCS: A5063

Opaque, two-sided cloth panels, filter. Item Order# Color CodeXXL CT14379 12 ½” Length, 20/Box HCPCS: A4425

Transparent, one-sided comfort panel, no filter. Item Order# Color CodeXL CT14527 12 ½” Length, 20/Box HCPCS: A5063

Assura® AC Easiclose™ Drainable Pouches with Filter (Cont.)Assura® AC drainable pouches attach to Assura AC barriers with an adhesive coupling system instead of the locking mechanism of a standard flange. Match color code of pouch to color code of selected barrier.

*Includes perforated rings

providing the option of an exact

fit around the stoma.

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ASSURA® AC DRAINABLE POUCHES

COLOPLAST


Ostomy

64

Item Order # Style Color CodeMidi CT14316 Opaque7" Length CT14317 Opaque30/box CT14319 OpaqueHCPCS: A4419

Item Order # Style Color CodeMaxi CT14331 Opaque8 ½” Length CT14332 Opaque30/Box CT14333* Opaque HCPCS: A4419 CT14334 Opaque

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Assura® AC Closed End Pouches with FilterAssura® AC Closed End Pouches adhere to the Assura® AC Barrier without the locking mechanism of a standard flange for easy application.

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ASSURA® AC CLOSED END POUCHES

Item Order # Style Color Code Extra Large CT14355 Opaque10 ½” Length 30/Box HCPCS: A4419 Item Order # Style Color Code Maxi CT14326 Transparent8 ½” Length CT14327 Transparent30/Box CT14328* Transparent HCPCS: A4419 CT14329 Transparent

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* Includes perforated rings providing the option for an exact fit around the stoma.

COLOPLAST

Ostomy 1-800-308-9445



Standard wear adhesive, one-sided comfort panel, filter.Item Order # Cut-to-Fit Style10/Box CT15860 3/8” - 3" Transparent HCPCS: A4424

Standard wear adhesive, two-sided comfort panels, filter. Item Order # Cut-to-Fit Style 10/Box CT15870 3/8” - 3" Opaque HCPCS: A4424

Standard wear adhesive, two-sided comfort panels, filter.Item Order # Pre-Cut Size Style10/Box CT15874 1" Opaque HCPCS: A4424 CT15875 1 3/16" Opaque CT15876 1 3/8" Opaque

Standard wear adhesive, two-sided comfort panels, no filter. Item Order # Cut-to-Fit Style10/Box CT15871 3/8” - 3" Opaque HCPCS: A5061

Extra-Extended wear adhesive, one-sided comfort panel, no filter.Item Order # Cut-to-Fit Style10/Box CT15869 3/8” - 3" Transparent HCPCS: A4388

Extra-Extended wear adhesive, two-sided comfort panels, no filter.Item Order # Cut-to-Fit Style10/Box CT15879 3/8” - 3" Opaque HCPCS: A4388

Assura® Flat Drainable Pouch with EasiClose™ WIDE OutletWide outlet pouch with EasiClose™ feature. Recommended for people with thicker output. Maxi pouch with slimline filter or without filter. Slick interior pouch film makes emptying easier and faster. Velcro closure on back. Choose Standard wear adhesive or Extra-Extended wear adhesive. Bag length: 11 ½”.

COLOPLAST

Experience the Byram DifferenceByram offers reliable, accurate service nationwide to

home care agencies, managed care organizations, healthcare professionals and the patient at home.


Ostomy


Two-sided comfort panels, filter.Item Order# Cut-to-Fit StyleMidi CT13840 3/8"-2 ½" Opaque10 ¼” Length10/Box HCPCS: A4424

Two-sided comfort panel, filter. Item Order# Pre-Cut Size StyleMidi, 10 ¼” Length, 10/Box HCPCS: A4424 CT13844 1" OpaqueHCPCS: A4424 CT13845 1 3/16" OpaqueHCPCS: A4424 CT13846 1 3/8" Opaque

One-sided comfort panel, filter.Item Order # Cut-to-Fit Style Maxi CT13860 3/8"-3" Transparent11 ¼” Length 10/Box HCPCS: A4424

Assura® Flat Drainable Pouch with EasiClose™ OutletEasiClose™ Outlet. No clips or clamps required. Standard wear adhesive. Pouch with odor barrier film and charcoal filter. Cut-to-Fit or Pre-Cut.

Two-sided comfort panel, filter.Item Order # Cut-to-Fit StyleMaxi CT13870 3/8"-3" Opaque 11 ¼” Length, 10/Box HCPCS: A4424

Two-sided comfort panel, filter.Item Order # Pre-Cut Size StyleMaxi CT13874 1" Opaque11 ¼” Length CT13875 1 3/16" Opaque 10/Box CT13876 1 3/8" Opaque HCPCS: A4424

When you call to place an order, please have the following information ready:• Your insurance information• Your doctor’s information (name and phone number)• Items you wish to order

COLOPLAST

Ostomy 1-800-308-9445



Two-sided comfort panels, filter.Item Order # Cut-to-Fit StyleMidi CT14404 5/8"-15/16" Opaque10 ¼” Length CT14405 5/8"-111/16" Opaque10/Box HCPCS: A4389 One-sided comfort panel, belt loops, filter.Item Order# Cut-to-Fit StyleMaxi CT14411 5/8"-15/16" Transparent11 ¼” Length CT14412 5/8"-111/16" Transparent10/Box HCPCS: A4389 Two-sided comfort panels, belt loops, filter.Item Order # Cut-to-Fit StyleMaxi CT14414 5/8"-15/16" Opaque11 ¼” Length CT14415 5/8"-111/16" Opaque10/Box HCPCS: A4389 Two-sided comfort panels, belt loops, filter.Item Order # Pre-Cut StyleMaxi CT14421 7/8” Opaque11 ¼” Length CT14422 1" Opaque10/Box CT14423 1 1/8” OpaqueHCPCS: A4389 CT14424 1 ¼” Opaque

Assura® Convex Light Drainable Pouch with EasiClose™ OutletEasiClose™ feature. No clips or clamps required. Standard wear adhesive. Pouch with odor barrier film and charcoal filter.Cut-to-Fit or Pre-Cut.

Assura® Convex Light Drainable Pouch with EasiClose™WIDE OutletExtra-Extended wear with WIDE outlet. No clips or clamps required. Pouch with belt tabs, odor barrier film, no filter.

Extra-Extended wear, one-sided comfort panel, no filter.Item Order# Cut-to-Fit StyleMaxi CT14413 5/8"-15/16" Transparent11 ¼” Length CT14416 5/8"-111/16" Transparent10/Box HCPCS: A4390

Extra-Extended wear two-sided cloth comfort panels, no filter.Item Order# Cut-to-Fit StyleMaxi CT14419 5/8"-111/16" Opaque11 ¼” Length10/Box HCPCS: A4390

COLOPLAST


Ostomy


Assura Convex Drainable Pouch with EasiClose™ Outlet and Belt TabsEasiClose™ feature. No clips or clamps required. Standard wear adhesive. Pouch with odor barrier film and charcoal filter. Cut-to-Fit or Pre-Cut.

One-sided comfort panel, filter.Item Order# Cut-to-Fit StyleMaxi CT14103 5/8” - 1 11/16” Transparent11 ¼” Length 10/Box HCPCS: A4389

One-sided comfort panel, filter.Item Order# Pre-Cut StyleMaxi CT14163 7/8” Transparent11 ¼” Length CT14164 1” Transparent10/Box CT14165 1 1/8” TransparentHCPCS: A4389 CT14166 1 ¼” Transparent

Two-sided comfort panels, filter.Item Order# Cut-to-Fit StyleMaxi CT14106 5/8” - 1 11/16” Opaque11 ¼” Length 10/Box HCPCS: A4389

Two-sided comfort panels, filter.Item Order# Pre-Cut StyleMaxi CT14173 7/8” Opaque11 ¼” Length CT14174 1” Opaque10/Box CT14175 1 1/8” OpaqueHCPCS: A4389 CT14176 1 ¼” Opaque

Two-sided comfort panels, filter.Item Order# Cut-to-Fit StyleMidi CT14196 5/8” - 1 11/16” Opaque10 ¼” Length 10/Box HCPCS: A4389


COLOPLAST

Ostomy 1-800-308-9445


Item Order # Cut-to-Fit StyleMaxi CT12170 13/16"-3" Opaque8 ½" Length, 30/Box HCPCS: A4416

Item Order # Pre-Cut StyleMaxi CT12174 1" Opaque8 ½” Length CT12175 1 3/16" Opaque30/Box CT12176 1 3/8" Opaque HCPCS: A4416 CT12177 1 9/16" Opaque

Item Order # Cut-to-Fit StyleMidi CT12140 13/16"-2 ½" Opaque7" Length, 30/Box HCPCS: A4416

Item Order # Pre-Cut StyleMidi, 7" Length, 30/Box HCPCS: A4416 CT12144 1" Opaque HCPCS: A4416 CT12145 1 3/16" OpaqueHCPCS: A4416 CT12146 1 3/8" OpaqueHCPCS: A4416 CT12147 1 9/16" Opaque HCPCS: A4416 CT12149 2" Opaque

Item Order # Cut-to-Fit StyleMidi CT12130 13/16"-2 ½" Transparent7" Length, 30/Box HCPCS: A4416

Assura® Flat Closed End PouchSpiral, standard wear adhesive with charcoal filter and odor-proof film. Two-sided comfort panels. Cut-to-Fit or Pre-Cut.

Item Order # Pre-Cut StyleMidi CT12134 1" Transparent 7" Length CT12135 1 3/16" Transparent30/Box CT12136 1 3/8" TransparentHCPCS: A4416

Item Order # Cut-to-Fit StyleMini CT12110 13/16”-2 ½” Opaque5” Length, 30/Box HCPCS: A4416


COLOPLAST

PM-09544 10.19

Coloplast Corp. Minneapolis, MN 55411 / 1-800-533-0464

www.coloplast.us The Coloplast logo is a registered trademark of Coloplast A/S. © 2019 Coloplast Corp. All rights reserved.

A comfortable and reliable support for curves, bulges AND hernia prevention

Got curves? This belt is for you!

The Brava® Ostomy Support Belt from Coloplast brings you support and comfort by relieving the heavy sensation of hernias, and may help prevent hernias post-operatively, in combination with exercise.

The Ostomy Support Belt is a great addition to SenSura® Mio Convex Flip, the first pouching system for curves, bulges and hernias.

Can’t think of anything needing to be improved!

– User of Brava Ostomy Support Belt

+

It just fits better! It hugs the curve of my hernia.

– Steve, SenSura Mio Convex Flip user

Ostomy 1-800-308-9445



Item Order # Cut-to-Fit StyleMini CT14434 5/8” -15/16” Opaque7” Length CT14435 5/8”- 111/16” Opaque10/Box HCPCS: A4417

Item Order # Cut-to-Fit StyleMini CT14431 5/8”- 15/16” Transparent7” Length CT14432 5/8”-111/16” Transparent10/Box HCPCS: A4417 Item Order # Pre-Cut Style Mini CT14451 7/8” Opaque7” Length CT14452 1” Opaque10/Box CT14453 1 1/8” OpaqueHCPCS: A4417 CT14454 1 ¼” Opaque

Item Order # Cut-to-Fit StyleMaxi CT14444 5/8"-15/16" Opaque8 ½” Length CT14445 5/8"- 111/16" Opaque10/Box HCPCS: A4417

Item Order # Cut-to-Fit StyleMaxi CT14441 5/8"-15/16" Transparent8 ½” Length CT14442 5/8"-111/16" Transparent10/Box HCPCS: A4417

Assura® Convex Light Closed End PouchSpiral, standard wear adhesive. Shallow convexity for flush or slightly retracted stomas. Charcoal filter and odor-proof film. Two-sided comfort panels. Cut-to-Fit or Pre-Cut. Belt tabs.

COLOPLAST

Why Select a Closed-End Pouch?Closed-end pouches can enhance the quality of your life. Discard after use for easier self-care and improved cleanliness. There is no need for tail closures. They are covered by Medicare and most private insurance plans.


Ostomy

ASSURA® ONE-PIECE UROSTOMY SYSTEM

Assura Flat Urostomy PouchAdhesive features an erosion-resistant barrier and provides increased absorption. Includes 3 adaptors.

Maxi, Standard wear.Item Order# Cut-to-Fit Style10 3/4” Length CT5585 3/8” - 2 ¼” Transparent10/Box CT5580 3/8” - 2 ¼” OpaqueHCPCS: A5071 Midi, Standard wear. Item Order # Cut-to-Fit Style7” Length CT5575 3/8” - 2 ¼” Transparent10/Box CT5570 3/8” - 2 ¼” OpaqueHCPCS: A5071 Maxi. Extended wear. Item Order # Cut-to-Fit Style9 ½” Length CT12474 3/8” - 2 ¼” Transparent10/Box HCPCS: A4391 Midi, Extended wear. Item Order # Cut-to-Fit Style9 ½” Length CT12472 3/8” - 2 ¼” Transparent10/Box CT12471 3/8” - 2 ¼” OpaqueHCPCS: A4391

COLOPLAST

FlatItem Order # Cut-to-Fit Style 10 3/4” Length CT14222 3/8” - 2 ¼” Transparent10/Box HCPCS: A5071

Convex Light, with Belt TabsItem Order # Cut-to-Fit Style 10 3/4” Length CT14717 5/8” - 1 11/16” Transparent 10/Box HCPCS: A4392

Assura® Multi-Chamber Urostomy PouchPouch divided into chambers for a more discreet, quiet pouch. Standard wear adhesive features an erosion-resistant barrier and provides increased absorption. Includes 3 adaptors.

Ostomy 1-800-308-9445


Assura Convex Urostomy PouchAdhesive features an erosion-resistant barrier and provides increased absorption. Includes 3 adaptors.

Standard wear, Cut-to-FitItem Order# Cut-to-Fit Style10 3/4” Length CT12595 5/8” - 1 5/16” Transparent10/Box CT12596 5/8” - 1 11/16” TransparentHCPCS: A4392 Standard wear, Pre-Cut Item Order # Pre-Cut Size Style10 3/4” Length CT12991 5/8” Transparent10/Box CT12992 3/4” TransparentHCPCS: A4392 CT12993 7/8” Transparent CT12994 1” Transparent CT12995 1 1/8” Transparent CT12996 1 ¼” Transparent CT12997 1 3/8” Transparent

Extra-Extended wear, Cut-to-Fit Item Order # Cut-to-Fit Style10 3/4” Length CT12432 5/8” - 1 5/16” Transparent10/Box CT12433 5/8” - 1 11/16” TransparentHCPCS: A4393

Non-sterile.Item Order # Cut-to-Fit Style5/Box CT12805 ½” - 2 3/4” Transparent12¼" Length HCPCS: A6154

Sterile.Item Order # Cut-to-Fit Style5/Box CT12818 ½” - 2 3/4” Transparent12¼” Length HCPCS: A6154

Assura® Drainable Post-Op Pouch without Window Large, drainable pouch for post-op and draining wounds. Soft, moisture-absorbent backing. Odor-proof film. Includes plastic clamp and 5 twist-tie closures. Cut-to-fit. Choose sterile or non-sterile.

ASSURA® POST-OP DRAINABLE POUCHES

ASSURA® ONE-PIECE UROSTOMY SYSTEM

COLOPLAST


Ostomy

Assura® Pediatric Skin BarrierPediatric, Flat, Cut-to-Fit. Flexible flange allows pouch to be secured with minimal pressure. Can be used with pediatric drainable pouch or any green color-coded adult pouch.

Assura® Pediatric Closed PouchSoft backing for comfort, odor-proof film. Locking system reduces pressure to abdomen. Filter for odor control.

Item Order # Cut-to-Fit Color Code5/Box CT2182 3/8” - 1 3/8" HCPCS: A4414

Item Order # Style Color Code5 3/4” Length CT2161 Opaque30/Box HCPCS: A4423

COLOKIDS™ ASSURA® TWO-PIECE PEDIATRIC SYSTEMS

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Assura® Pediatric Drainable PouchSoft backing for comfort, odor-proof film. Locking system reduces pressure to abdomen.

Item Order # Style Color Code8 ½” Length CT2156 Transparent20/Box HCPCS: A4426

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ASSURA® POST-OP DRAINABLE POUCHES

Non-sterile.Item Order # Cut-to-Fit Style5/Box CT12800 ½” - 2 3/4” Transparent13" Length CT12802 ½” - 4" Transparent HCPCS: A6154

Sterile.Item Order # Cut-to-Fit Style5/Box CT12808 ½” - 2 3/4” Transparent13" Length CT12810 ½” - 4” Transparent HCPCS: A6154

Assura® Drainable Post-Op Pouch with WindowLarge, drainable pouch for post-op and draining wounds. Soft, moisture-absorbent backing. Odor-proof film. Detachable window. Includes plastic clamp and 5 twist-tie closures. Cut-to-Fit. Transparent. Choose sterile or non-sterile.

COLOPLAST

Ostomy 1-800-308-9445


Assura® Pediatric Urostomy PouchSoft backing for comfort, odor-proof film. Locking system reduces pressure to abdomen.

Item Order # Style Color Code8 ½” Length CT1789 Transparent 10/Box HCPCS: A4433

COLOKIDS™ ASSURA® TWO-PIECE PEDIATRIC SYSTEMS

ASSURA® AC TWO-PIECE PEDIATRIC SYSTEMS

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Assura® Flat AC Pediatric Skin Barrier Adhesive coupling system for kids! The adhesive coupling pouching system is based on adhesives that makes it easy to apply the pouch to the barrier - and easy to remove. This system is hygienic and easy to clean. Standard wear barrier. No starter hole.

Item Order # Size Color Code 10/Box CT14307 0 -5/8” HCPCS: A4414 CT14308 0 - 1"

••Assura® AC EasiClose™ Pediatric Pouches with Filter The Assura AC with Filter system is available with an integrated closure, providing maximum comfort for children with ostomies. The EasiClose outlet makes emptying easier for parents (no clips or clamps to worry about.)

Transparent.Item Order # Style Color Code5 ½” Length CT14681 Transparent6 ½” Length CT14682 Transparent 10/Box HCPCS: A4425 Opaque (teddy bear design).Item Order # Style Color Code5 ½” Length CT14691 Opaque6 ½” Length CT14692 Opaque10/Box HCPCS: A4425

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COLOPLAST


Ostomy

Item Order # Cut-to-Fit Style 8 ½” Length CT2115 3/8”-13/8” Transparent10/Box HCPCS: A5061

Item Order # Cut-to-Fit Style 5 3/4” Length CT2125 3/8"-13/8" Transparent 30/Box HCPCS: A4416

Item Order # Cut-to-Fit Style 8 ½” Length CT8009 3/8”-13/8” Transparent10/Box HCPCS: A5071

Assura® ColoKids™ Pediatric Drainable PouchFlat, spiral adhesive is secure and gentle on skin. Soft backing for comfort, odor-proof film. Clamp closure.

Assura® ColoKids™ Flat Pediatric Drainable PouchStandard wear, soft backing for comfort, odor-proof film. Filter.

Assura® ColoKids™ Pediatric Urostomy PouchFlat, spiral adhesive is secure and gentle on skin. Soft backing for comfort, odor-proof film.

COLOKIDS® OSTOMY SYSTEM

COLOKIDS™ ASSURA® ONE-PIECE PEDIATRIC SYSTEMS

COLOPLAST

Item Order # Set CT1500

Economy Irrigation SetEconomy Irrigation Set includes water bag/regulator thermometer and cone (CT1110). Use with either Assura® or Sensura® One- and Two-Piece Systems.

COLOPLAST® IRRIGATION PRODUCTS


Ostomy 1-800-308-9445


Item Order # 1/Box CT12820 HCPCS: A4361

SenSura® Irrigation FaceplateUse with blue Irrigation Sleeve (CT12836) and ostomy belt.

Item Order # 1/Box CT1110HCPCS: A4399

Item Order # Color Code 5/Box CT12834 HCPCS: A4397 CT12835 CT12836

Coloplast® Stoma ConeSoft and flexible stoma cone with tubing.

Coloplast® Irrigation SleevesIrrigation sleeves for use with SenSura Click® or Assura® barriers or faceplate - simply match the sleeve color code to your barrier’s color code.

Disposable.Item Order # 10/Box CT1003 HCPCS: A4397

SenSura® 1-Piece Irrigation SleeveAdhesive-backed and transparent.

COLOPLAST

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Byram Healthcare has one of the largest inventories of ostomy products in the country. We only carry brand

name ostomy products from trusted manufacturers.

COLOPLASTHave you seen our new and improvedreorder website, myByramhealthcare.com?

Reorder your medical supplies online! It’s easy with myByram.

■ Place reorders online■ View your order history■ Update your account information and change health insurance information.■ Securely make a payment ■ Chat live with a customer service representative■ Add ostomy accessories to your order■ Select expedited shipping and track packages online

Enroll online today! www.mybyramhealthcare.com

Ostomy 1-800-308-9445


SUR-FIT Natura® Ostomy System features a low-profile locking closure system with security that patients can both feel and hear and many options that help patients to feel comfortable and confident. Options include: drainable or closed-end pouches with or without filters, Cut-to-Fit, Mold to fit or pre-cut skin barriers. Stomahesive® for effective adhesion on wet or dry skin, Durahesive® for extended wear and for those with liquid or semi-liquid output. For correct application, the barrier’s color code must match the pouch color code.

SUR-FIT Natura® TWO-PIECE OSTOMY SYSTEM

Item Order # Flange Color Code8" Length SQ413169 1 ½” Opaque SQ413170 1 3/4” 60/Box SQ413171 2 ¼” HCPCS: A5054 SQ413172 2 3/4”

Item Order # Flange Color Code8” Length SQ401521 1 ½” Opaque SQ401522 1 3/4” 30/Box SQ401523 2 ¼” HCPCS: A5054 SQ401524 2 3/4”

Includes FilterItem Order # Flange Color Code8" Length SQ413173 1 ½” Opaque SQ413174 1 3/4” 60/Box SQ413175 2 ¼” HCPCS: A4419 SQ413176 2 3/4”

Includes FilterItem Order # Flange Color Code8” Length SQ401525 1 ½” Opaque SQ401526 1 3/4” 30/Box SQ401527 2 ¼” HCPCS: A4419 SQ401528 2 3/4”

SUR-FIT Natura® Closed-End PouchClosed Pouch with flange is made of quiet, odor-proof film with soft, two-sided comfort panels. Flange features pouch tab and belt loops.

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SUR-FIT Natura® CLOSED END POUCHES

Our ostomy specialists are committed to your satisfaction. Please call us with any questions.

1-800-308-9445

At ConvaTec we drive for excellence in all we do—anticipating and addressing our customers’ needs with advanced technologies and best-in-class products and services.


Ostomy

SUR-FIT Natura® Drainable PouchDrainable pouch with flange is made of quiet, odor-proof film with soft, flocked comfort panels. Flange features pouch tab and belt loops. Includes 2 tail closures per box.

Opaque with two-sided comfort panel.Item Order # Flange Color Code10" Length SQ404030 1 ¼” 20/Box SQ404031 1 ½” HCPCS: A5063 SQ404032 1 3/4” SQ404033 2 ¼” SQ404034 2 3/4”

Item Order # Flange Color Code10” Length SQ401505 1 ¼” 10/Box SQ401506 1 ½”HCPCS: A5063 SQ401507 1 3/4” SQ401508 2 ¼” SQ401509 2 3/4”

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SUR-FIT Natura® DRAINABLE POUCHES

Item Order # Flange Color Code25/Box SQ401909 1 3/4”HCPCS: A5055

SUR-FIT Natura® Disposable Flange CapOpaque, one-sided comfort panel and filter.

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SUR-FIT Natura® Closed-End Mini PouchOpaque, one-sided comfort panel

Item Order # Flange Color Code5" Length SQ401529 1 ¼” Opaque SQ401530 1 ½” 20/Box SQ401531 1 3/4” HCPCS: A5054 SQ401532 2 ¼”

••• •

CONVATEC


and sign up today!

SUR-FIT Natura® CLOSED END POUCHES

Ostomy 1-800-308-9445


Opaque with two-sided comfort panel.Item Order # Flange Color Code12" Length SQ404025 1 ¼” 20/Box SQ404026 1 ½” HCPCS: A5063 SQ404027 1 3/4” SQ404028 2 ¼” SQ404029 2 3/4”

Item Order # Flange Color Code12” Length SQ401500 1 ¼” 10/Box SQ401501 1 ½” HCPCS: A5063 SQ401502 1 3/4” SQ401503 2 ¼” SQ401504 2 3/4”

Opaque with one-sided comfort panel.Item Order # Flange Color Code12" Length SQ404014 1 ¼” 20/Box SQ404015 1 ½” HCPCS: A5063 SQ404016 1 3/4” SQ404017 2 ¼” SQ404018 2 3/4”

Item Order # Flange Color Code12” Length SQ401932 1 ¼” 10/Box SQ401933 1 ½” HCPCS: A5063 SQ401934 1 3/4” SQ401935 2 ¼” SQ401936 2 3/4”

SUR-FIT Natura® Drainable Pouch Drainable pouch with flange is made of quiet, odor-proof film with soft, flocked comfort panels. Flange features pouch tab and belt loops. Includes 2 tail closures per box.

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Transparent with one-sided comfort panel.Item Order # Flange Color Code12" Length SQ401510 1 ¼” 10/Box SQ401511 1 ½” HCPCS: A5063 SQ401512 1 3/4” SQ401513 2 ¼” SQ401514 2 3/4”

Transparent with one-sided comfort panel.Item Order # Flange Color Code14"Length SQ401515 4" 10/BoxHCPCS: A5063

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CONVATEC


Ostomy


SUR-FIT Natura® Drainable PouchDrainable pouch with odor barrier and activated charcoal filter. Flange includes pouch tab and belt loops. 2 tail closures per box.

Filter, opaque with two-sided comfort panel.Item Order # Flange Color Code10" Length SQ411288 1 ¼” 20/Box SQ411289 1 ½” HCPCS: A4425 SQ411290 1 3/4” SQ411291 2 ¼” SQ411292 2 3/4”

•••••Filter, opaque with two-sided comfort panel.Item Order # Flange Color Code12" Length SQ411489 1 ¼” 20/Box SQ411490 1 ½” HCPCS: A4425 SQ411491 1 3/4” SQ411492 2 ¼” SQ411493 2 3/4”

•••••Filter, transparent with one-sided comfort panel.Item Order # Flange Color Code12" Length SQ411264 1 ½” 10/Box SQ411265 1 3/4” HCPCS: A4425 SQ411266 2 ¼” SQ411267 2 3/4”

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SUR-FIT Natura® Drainable Pouch with InvisiClose™ Tail Closure SystemDrainable pouch with clipless tail closure. Easy to open outlet with strips and tail design helps control flow and reduces splashing. Enhanced locking mechanism includes additional security flap.

Filter, Transparent with 1-sided comfort panel.Item Order # Flange Color Code12” Length SQ411360 1 3/4” 10/Box SQ411361 2 ¼” HCPCS: A4425 SQ411362 2 3/4”

Filter, Opaque with 2-sided comfort panel. Item Order # Flange Color Code12” Length SQ411309 1 ½” 20/Box SQ411310 1 3/4” HCPCS: A4425 SQ411311 2 ¼” SQ411312 2 3/4”

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CONVATEC

Ostomy 1-800-308-9445



SUR-FIT Natura® Drainable Pouch with InvisiClose™ Tail Closure System Drainable pouch with clipless tail closure. Easy to open outlet with strips and tail design helps control flow and reduces splashing. Enhanced locking mechanism includes additional security flap.

Opaque with one-sided comfort panel.Item Order # Flange Color Code12” Length SQ413334 1 3/4” 20/Box SQ413335 2 ¼” HCPCS: A5063 SQ413336 2 3/4”

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Transparent with one-sided comfort panel.Item Order # Flange Color Code12" Length SQ413312 1 3/4” 10/Box SQ413313 2 ¼” HCPCS: A5063 SQ413314 2 3/4”

SUR-FIT Natura® Drainable Pouch for High OutputDrainable Pouch for High Output holds an extra 100 cc. of fluid. Flange features pouch tab and belt loops. Includes 1 DuoLock® tail closure, a night drainage interconnector, and 5 replaceable charcoal filters per box.

Opaque one-sided comfort panel with filter.Item Order # Flange Color Code14" Length SQ401557 1 3/4” 5/Box SQ401558 2 ¼” HCPCS: A4413 SQ401559 2 3/4”

Transparent one-sided comfort panel with filter.Item Order # Flange Color Code14” Length SQ420695 1 3/4” 5/Box SQ420696 2 ¼” HCPCS: A4413 SQ420697 2 3/4”

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CONVATEC


Ostomy

Transparent. One-sided comfort panel. Bendable tap.Item Order # Flange Color Code9" Length SQ401538 1 ¼” 10/Box SQ401539 1 ½” HCPCS: A5073 SQ401540 1 3/4” SQ401541 2 ¼”

10" Length SQ401533 1 ¼” 10/Box SQ401534 1 ½” HCPCS: A5073 SQ401535 1 3/4” SQ401536 2 ¼” SQ401537 2 3/4”

Transparent. One-sided comfort panel. Accuseal® tap with valve.Item Order # Flange Color Code10" Length SQ401542 1 ¼” 10/Box SQ401543 1 ½” HCPCS: A4432 SQ401544 1 3/4” SQ401545 2 ¼” SQ401546 2 3/4”

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SUR-FIT Natura® Urostomy Pouch with Bendable Tap

SUR-FIT Natura® Urostomy Pouch with Accuseal® Tap with ValveEach box contains 2 Accuseal® night drainage adapters.

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SUR-FIT Natura® UROSTOMY POUCHES

Opaque. One-sided comfort panel. Accuseal® tap with valve.Item Order # Flange Color Code 9" Length SQ401547 1 ¼” 10/Box SQ401548 1 ½” HCPCS: A4432 SQ401549 1 3/4” SQ401550 2 ¼”

10" Length SQ401551 1 ¼” 10/Box SQ401552 1 ½” HCPCS: A4432 SQ401553 1 3/4” SQ401554 2 ¼” SQ401555 2 3/4”

SUR-FIT Natura® Urostomy Pouch with Accuseal® Tap with ValveEach box contains 2 Accuseal® night drainage adapters.

CONVATEC

Ostomy 1-800-308-9445


Natura® + Drainable Pouch with InvisiClose® Tail Closure System

Transparent with 1-sided comfort panel.Item Order # Flange Color Code12” Length SQ416418 1 3/4” 10/Box SQ416421 2 ¼” HCPCS: A5063 SQ416424 2 3/4” 14” Length SQ416472 4”

Opaque with 1-sided comfort panel.Item Order# Flange Color Code12” Length SQ421738 1 3/4” 10/Box SQ421739 2 ¼” HCPCS: A5063 SQ421740 2 3/4”

Filter, Transparent with 1-sided comfort panel.Item Order # Flange Color Code12” Length SQ416414 1 ½” 10/Box SQ416416 1 3/4” HCPCS: A4425 SQ416419 2 ¼” SQ416422 2 3/4”

Filter, Opaque with 1-sided comfort panel and Easy-View Window.Item Order# Flange Color Code12” Length SQ421746 1 ½” 10/Box SQ421747 1 3/4” HCPCS: A4425 SQ421748 2 ¼” SQ421749 2 3/4”

Filter, Opaque with 2-sided comfort panel.Item Order # Flange Color Code12” Length SQ416415 1 ½” 10/Box SQ416417 1 3/4” HCPCS: A4425 SQ416420 2 ¼” SQ416423 2 3/4”

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CONVATEC

NATURA® + POUCHESThese pouches were developed to be noticeably more comfortable and discreet. Compatible with SUR-FIT Natura® Skin Barriers.

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OstomyCONVATEC

Natura® + Closed End Pouch

Opaque with 2-sided comfort panel.Item Order # Flange Color Code8” Length SQ416401 1 ¼” 30/Box SQ416404 1 ½” HCPCS: A5054 SQ416407 1 3/4” SQ416410 2 ¼” SQ416413 2 3/4”

Opaque with 2-sided comfort panel and Easy-View Window.Item Order# Flange Color Co8” Length SQ421677 1 ¼” 30/Box SQ421679 1 ½” HCPCS: A5054 SQ421681 1 3/4” SQ421683 2 ¼” SQ421893 2 3/4”

Opaque with 2-sided comfort panel.Item Order # Flange Color Code6” Mini Length SQ416402 1 ¼” 30/Box SQ416405 1 ½” HCPCS: A5054 SQ416408 1 3/4” SQ416411 2 ¼”

Filter, Opaque with 2-sided comfort panel and Easy-View Window.Item Order# Flange Color Code6” Mini Length SQ421796 1 3/4” 30/Box SQ421797 2 ¼” HCPCS: A4419

Filter, Opaque with 2-sided comfort panel and Easy-View WindowItem Order# Flange Color Code8” Length SQ421676 1 ¼” 30/Box SQ421678 1 ½” HCPCS: A4419 SQ421680 1 3/4” SQ421682 2 ¼” SQ421798 2 3/4”

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NATURA® + POUCHES

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Ostomy 1-800-308-9445


SUR-FIT Natura® SKIN BARRIERS

SUR-FIT Natura® Disposable Convex InsertConvex Insert for retracted stomas for use with SUR-FIT Natura® skin barriers only. Not for use with ConvaTec Moldable Technology™ skin barriers. Select an insert that is at least 1/4” larger than the maximum diameter of the stoma.

Item Order # Stoma Color CodeFits 1 ½” Natura® SQ404006 3/4” Flange 5/Box SQ404007 7/8” HCPCS: A5093 SQ404008 1"

Fits 1 3/4” Natura® SQ404009 1 1/8” Flange 5/Box SQ404010 1 ¼” HCPCS: A5093 SQ404011 1 3/8”

Fits 2 ¼” Natura® SQ404012 1 ½” Flange 5/Box SQ404013 1 5/8” HCPCS: A5093

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Natura® + Closed End Pouch (Cont.)

Filter, Opaque with 2-sided comfort panel.Item Order # Flange Color Code8” Length SQ416400 1 ¼” 30/Box SQ416403 1 ½” HCPCS: A4419 SQ416406 1 3/4” SQ416409 2 ¼” SQ416412 2 3/4”

Natura® + Urostomy Pouch with Soft-Tap

Transparent with 1-sided comfort panel.Item Order # Flange Color Code10” Length SQ413435 1 ¼” 10/Box SQ413436 1 ½” HCPCS: A5073 SQ413437 1 3/4” SQ413438 2 ¼” SQ413439 2 3/4”

Transparent with 1-sided comfort panel.Item Order # Flange Color Code9” Length SQ421074 1 ¼” 10/Box SQ421075 1 ½” HCPCS: A5073 SQ421076 1 3/4”

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NATURA® + POUCHES

CONVATEC


CONVATEC

Item Order # Flange Color Code10/Box SQ401993 1 3/4” HCPCS: A4421 SQ401994 2 ¼” SQ401995 2 3/4” SQ401996 4”


Item Order # Flange Stoma Color Code4.5" x 4.5" SQ404592 1 3/4” 1/2” - 7/8” 10/Box SQ404593 1 3/4” 7/8” - 1 ¼” HCPCS: A4407 SQ404594 2 ¼” 1 ¼”- 13/4”

SUR-FIT Natura® Durahesive® Moldable Convex Skin Barrier with Flange SUR-FIT Natura® Durahesive® Moldable Convex Barrier with a white flexible tape collar molds to fit the shape and size of the stoma. Provides deep convexity. Eliminates the need to trim the opening. Compatible with SUR-FIT Natura® pouches. Mold to fit.

The Natura® + and SUR-FIT® Natura® Two-Piece Ostomy System is ConvaTec’s most extensive two-piece product line. The SUR-FIT® Natura® Flange System signals a secure, accurate closure with a series of audible “clicks.” A simple snap-off, snap-on design allows users to change the pouch quickly to match activities without removing the skin barrier from the skin.

The Natura® ostomy system offers special ConvaTec Moldable Technology™ skin barriers for a personalized, custom fit around the stoma to help protect skin. Another Natura® skin barrier option available is the Natura® Accordion Flange™ which lifts easily to provide generous finger room so coupling is easy and comfortable.

SUR-FIT Natura Low Pressure Adaptor

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Item Order # Pre-cut Color Code4.5" x 4.5" SQ413177 ½” 1 3/4” Flange SQ413178 5/8” 10/Box SQ413179 3/4” HCPCS: A4407 SQ413180 7/8”” SQ413181 1" SQ413182 1 1/8” SQ413183 1 ¼” SQ413184 1 3/8”

5" x 5" SQ413185 1 ½” 2 ¼” Flange SQ413186 1 5/8” 10/Box SQ413187 1 3/4” HCPCS: A4407 SQ413188 2"

SUR-FIT Natura® Durahesive® Skin Barrier with Convex-IT®Durahesive® skin barrier with audible-click flange, white tape collar and pre-cut opening. Convexity provides extra skin protection for flush or retracted stomas, or stomas located in skin folds.

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Ostomy 1-800-308-9445




SUR-FIT Natura® Durahesive® Skin Barrier with FlangeDurahesive® skin barrier with low-profile, audible-click flange without tape collar. Cut-to-fit.

Item Order # Flange Stoma Color Code4" x 4" Tan SQ413153 1 ¼” ½” - 3/4” 10/Box SQ413154 1 ½” 7/8”-1” HCPCS: A4409 SQ413155 1 3/4” 11/8”-1¼” SQ413156 2 ¼” 13/8”-13/4” 5" x 5" Tan SQ413157 2 3/4” 17/8”-2¼”10/BoxHCPCS: A4410

6" x 6" Tan SQ401905 4" 23/8”-3½”5/BoxHCPCS: A4410

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Item Order # Flange Stoma Color Code4" x 4" White SQ413159 1 ¼” ½”-3/4” 10/Box SQ413160 1 ½” 7/8”-1” HCPCS: A4409 SQ413161 1 3/4” 11/8”-1¼” 5" x 5" White SQ413162 2 ¼” 13/8”-13/4”10/Box SQ413163 2 3/4” 17/8”-2¼” HCPCS: A4409 4" x 4" Tan SQ413164 1 ¼” ½”-3/4” 10/Box SQ413165 1 ½” 7/8”-1”HCPCS: A4409 SQ413166 1 3/4” 11/8”-1¼” 5" x 5" Tan SQ413167 2 ¼” 13/8”-13/4”10/Box SQ413168 2 3/4” 17/8”-2¼”HCPCS: A4409

SUR-FIT Natura® Durahesive® Skin Barrier with Flange Durahesive® skin barrier with low-profile, audible-click flange and acrylic tape collar. Cut-to-fit.

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CONVATEC


Ostomy


Natura® Durahesive® Cut-to-Fit Accordion Flange Skin Barrier with Acrylic Collar and white acrylic tape collar, white

Item Order # Flange Stoma Color Code10/Box SQ421454 1 3/4” ½” – 13/16” HCPCS: A4409 SQ421458 2 ¼” ½” – 15/16”” SQ421462 2 3/4” ½” – 1 3/4”

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Natura® Durahesive® Convex Cut-to-Fit Accordion Flange Skin Barrier with Acrylic Tape Collar, tan

Natura® Durahesive® Convex Cut-to-Fit Accordion Flange Skin Barrier with Hydrocolloid Tape Collar, tan

Item Order # Flange Stoma Color Code Tan SQ421638 1 3/4” ½” - 7/8” 10/Box SQ421640 2 ¼” ½” - 1 HCPCS: A4407 SQ421642 2 3/4” ½” - 1 7/8”

Item Order # Flange Stoma Color Code Tan SQ421639 1 3/4” ½” - 7/8” 10/Box SQ421641 2 ¼” ½” - 1 3/8” HCPCS: A4407 SQ421643 2 3/4” ½” - 1 7/8”

Natura® Moldable Durahesive® Skin Barrier with Accordion Flange and Hydrocolloid flexible collar, tan

Item Order # Flange Stoma Color Code 10/Box SQ421039 2 ¼” ½” – 7/8” HCPCS: A4409 SQ421040 2 ¼” 7/8” – 1 ¼” SQ421041 2 3/4” 1 ¼” – 1 3/4”

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CONVATEC

Clinical CareMailHave a question? E-mail one of our clinicians at

[email protected]

There are three types of Accordion Flange™ skin barriers available:flat cut-to-fit, convex cut-to-fit, and flat ConvaTec Moldable Technology™. The Accordion Flange™ helpsminimize pressure on the abdomen and comes in an intuitive and easy-to-use design.

Ostomy 1-800-308-9445



CONVATEC

SUR-FIT Natura® Moldable Durahesive® Skin Barrier with Hydrocolloid Flexible Collar, whiteExtended wear barrier. Soft, pliable adhesive rolls to fit stoma size and shape. Mold-to-fit. No cutting necessary. Flexibility of the adhesive permits the skin barrier to adapt to changing stoma size. Will maintain a contoured fit during wear. Recommended for those with more liquid type output.

Item Order # Flange Stoma Color Code 10/Box SQ411800 1 3/4” ½” – 7/8” HCPCS: A4409 SQ411802 1 3/4” 7/8” – 1 ¼” SQ411804 2 ¼” 1 ¼” – 1 3/4” SQ411806 2 3/4”" 1 ¼” – 1 3/4” by

1 3/4” – 2 1/8”

••••SUR-FIT Natura® Moldable Durahesive® Skin Barrier with acrylic tape collar, white

Item Order # Flange Stoma Color Code 10/Box SQ413417 1 3/4” ½” – 7/8” HCPCS: A4409 SQ413418 1 3/4” 7/8” – 1 ¼” SQ413419 2 ¼” 1 ¼” – 1 3/4” SQ413420 2 3/4” 1 ¼” – 1 3/4” By 1 3/4” – 2 1/8”

••••SUR-FIT Natura® Moldable Stomahesive® Skin Barrier with Hydrocolloid Flexible Collar, whiteStomahesive® skin barrier rolls to open and fit stoma size and shape. Mold-to-fit. No cutting necessary. ConvaTec Moldable Technology™ eliminates gaps that can compromise skin protection.

Item Order # Flange Stoma Color Code 10/Box SQ411801 1 3/4” ½” – 7/8”HCPCS: A4414 SQ411803 1 3/4” 7/8” – 1 ¼” SQ411805 2 ¼” 1 ¼” – 1 3/4” SQ411807 2 3/4” 1 ¼” – 1 3/4” by 1 3/4” – 2 1/8”

••••


Ostomy

Natura® Moldable Stomahesive® Skin Barrier with Accordion Flange and Hydrocolloid tape collar, tan

Item Order # Flange Stoma Color Code 10/Box SQ421033 2 ¼” ½” – 7/8” HCPCS: A4414 SQ421034 2 ¼” 7/8” – 1 ¼” SQ421035 2 3/4” 1 ¼” – 1 3/4”

•••

SUR-FIT Natura® Moldable Stomahesive Skin Barrier with white acrylic tape collar, white

Item Order # Flange Stoma Color Code 10/Box SQ413421 1 3/4” ½” – 7/8” HCPCS: A4414 SQ413422 1 3/4” 7/8” – 1 ¼” SQ413423 2 ¼” 1 ¼” – 1 3/4” SQ413424 2 3/4” 1 ¼” – 1 3/4” By 1 3/4” – 2 1/8”


CONVATEC

••••Natura® Stomahesive® Cut-to-Fit Accordion Flange Skin Barrier with white acrylic tape collar, white

Item Order # Flange Stoma Color Code10/Box SQ421456 1 3/4” Sm ½” – 13/16”HCPCS: A4414 SQ421460 2 ¼” Md ½” –15/16” SQ421464 2 3/4” Lg ½” – 1 3/4”

•••

Ostomy 1-800-308-9445


SUR-FIT Natura® SKIN BARRIERSSUR-FIT Natura® Stomahesive® Flexible Skin Barrier, Cut-to-FitStomahesive® skin barrier with low-profile, audible-click flange and acrylic tape collar. Cut-to-fit.

Item Order # Flange Stoma Color Code4" x 4" White SQ125257 1 ¼” ½”-3/4” 10/Box SQ125258 1 ½” 7/8”-1” HCPCS: A4414 SQ125259 1 3/4” 11/8”-1¼” 5” x 5” White SQ125260 2 ¼” 13/8”-13/4” 10/Box SQ125261 2 3/4” 17/8”-2¼” HCPCS: A4414

4" x 4" Tan SQ125262 1 ¼” ½”-3/4” 10/Box SQ125263 1 ½” 7/8”-1”HCPCS: A4414 SQ125264 1 3/4 11/8”-1¼” 5" x 5" Tan SQ125265 2 ¼” 13/8”-13/4” 10/Box SQ125266 1 3/4” 17/8”-2¼” HCPCS: A4414

•••••••• ••

SUR-FIT Natura® Stomahesive® Flexible Skin Barrier,Pre-CutStomahesive® skin barrier with low-profile, audible-click flange, acrylic tape collar and pre-cut opening.

Item Order # Pre-Cut Color Code4" x 4" Tan SQ125267 ½” 1 3/4” Flange SQ125268 5/8” 10/Box SQ125269 3/4” HCPCS: A4414 SQ125270 7/8” SQ125271 1" SQ125272 1 1/8” SQ125273 1 ¼” SQ125274 1 3/8”

5" x 5" Tan SQ125275 1 ½” 2 ¼” Flange SQ125276 1 5/8” 10/Box SQ125277 1 3/4” HCPCS: A4414

•••••••••••

CONVATEC


Ostomy

SUR-FIT Natura® OSTOMY SYSTEMS


Item Order # Flange Stoma Color Code4" x 4” SQ401573 1¼" ½”-3/4” 10/Box SQ401574 1½" 7/8”-1” HCPCS: A4414 SQ401575 13/4" 1 1/8”-1 ¼” SQ401576 2¼" 13/8”-13/4 5" x 5" 10/Box SQ401577 23/4" 17/8”-2¼HCPCS: A4415

6" x 6" 5/Box SQ401906 4" 23/8”-3 ½”HCPCS: A4415

SUR-FIT Natura® Stomahesive®Skin Barrier with FlangeStomahesive® skin barrier with low-profile, audible-click flange without tape collar. Cut-to-fit.

••••••

CONVATEC

To reach our Ostomy Center of Excellence,

please call: 1-800-308-9445

Ostomy 1-800-308-9445


Esteem synergy® OSTOMY SYSTEMThe Esteem synergy® system utilizes innovative Adhesive Coupling Technology™ to connect the pouch with the skin barrier. It eliminates use of a plastic ring that must be snapped or locked together. This revolutionary two-piece product not only provides the versatility of a two-piece system, skin friendliness and low profile comfort but it also provides the flexibility of a conventional one-piece system. The flat, flexible adhesive foam ring on the pouch, securely connects with a clear, flat, flexible plastic "Landing Zone" flange.

For correct application, the barrier color code must match the pouch color code.

ESTEEM synergy® TWO-PIECE OSTOMY SYSTEM

CONVATEC

ESTEEM synergy® TWO-PIECE UROSTOMY POUCHES

Esteem synergy® Urostomy Pouch with Accuseal® Tap with ValveDesigned for easy manipulation and rapid emptying. The built-in anti-reflux valve resists the back flow of urine. Each box contains 2 Accuseal® night drainage adaptors.

Opaque with 1-sided comfort panel.Item Order # Stoma Color Code10” Length SQ405448 Small 10/Box SQ405449 Medium HCPCS: A4432 SQ405450 Large

Transparent with 1-sided comfort panel.Item Order # Stoma Color Code10” Length SQ405451 Small 10/Box SQ405452 Medium HCPCS: A4432 SQ405453 Large

Transparent with 1-sided comfort panel. Item Order # Stoma Color Code9” Length SQ405446 Small 10/Box SQ405447 Medium HCPCS: A4432

••••••••


Ostomy

ESTEEM synergy® + TWO-PIECE CLOSED END POUCHES

ESTEEM synergy® + TWO-PIECE CLOSED END POUCHESConvaTec’s Esteem synergy® pouches with Adhesive Coupling Technology™ provide security, comfort and discretion.

Filter, Transparent with 1-sided comfort panel.Item Order # Stoma Color Code8” Length SQ416774 Small 30/Box SQ416778 MediumHCPCS: A4419 SQ416782 Large

Filter, Opaque with 2-sided comfort panel.Item Order # Stoma Color Code8” Length SQ416775 Small 30/Box SQ416779 Medium HCPCS: A4419 SQ416783 Large

Filter, “Mini” Transparent with 1-sided comfort panel.Item Order # Stoma Color Code6” Length SQ416776 Small 30/Box SQ416780 Medium HCPCS: A4419

Filter, “Mini” Opaque with 2-sided comfort panel.Item Order # Stoma Color Code6” Length SQ416777 Small 30/Box SQ416781 Medium HCPCS: A4419

••••••••

CONVATEC

••

Ostomy 1-800-308-9445


Esteem synergy® + Drainable Pouch with InvisiClose® Tail Closure System

Transparent with 1-sided comfort panel.Item Order # Stoma Color Code12” Length SQ416797 Small 10/Box SQ416900 Medium HCPCS: A5063 SQ416903 Large

Filter, Transparent with 1-sided comfort panel.Item Order # Stoma Color Code12” Length SQ416795 Small 10/Box SQ416798 Medium HCPCS: A4425 SQ416901 Large

Filter, Opaque with 2-sided comfort panel.Item Order # Stoma Color Code12” Length SQ416796 Small 10/Box SQ416799 Medium HCPCS: A4425 SQ416902 Large

•••••••••

ESTEEM synergy® + TWO-PIECE DRAINABLE POUCHESConvaTec’s Esteem synergy® pouches with Adhesive Coupling Technology™ provide security, comfort and discretion. Soft and quiet materials and streamlined rounded shape. Tail of opening securely hides away.

CONVATEC

Esteem synergy® Drainable Pouch, StraightTransparent straight pouch. One-sided comfort panel. 2 tail closures.

Item Order # Stoma Color Code14" Length SQ405406 Extra Large 10/BoxHCPCS: A5063

•

Esteem synergy® TWO-PIECE SYSTEM

ESTEEM synergy® TWO-PIECE SYSTEM

Esteem synergy® Moldable Durahesive® Convex Skin Barrier ConvaTec Moldable Technology™. Acrylic tape collar, white. Match color code of barrier with that of Esteem synergy® pouch.

ConvaTec Moldable Technology™. Acrylic tape collar, white. Item Order # Size Stoma Color Code10/Box SQ409268 Small ½” to 7/8” HCPCS: A4407 SQ409269 Medium 7/8” to 1 ¼” SQ409270 Large 1 ¼” to 1 3/4”

•••


Ostomy

Esteem synergy® TWO-PIECE SYSTEM

Esteem synergy® Moldable Stomahesive® Skin BarrierConvaTec Moldable Technology™ Hydrocolloid tape collar, white

Item Order # Size Stoma Color Code10/Box HCPCS: A4414 SQ411657 Small ½” to 7/8” HCPCS: A4415 SQ411658 Medium 7/8” to 1 ¼” HCPCS: A4415 SQ411659 Large 1 ¼” to 1 3/4”

•••

CONVATEC

Cut-to-Fit. Acrylic tape collar, white.Item Order # Size Stoma Color Code10/Box HCPCS: A4414 SQ405456 Small up to 1 3/8” HCPCS: A4415 SQ405457 Medium up to 1 7/8” HCPCS: A4415 SQ405458 Large up to 2 3/8” Cut-to-Fit. No tape collar.Item Order # Size Stoma Color Code10/Box HCPCS: A4414 SQ405467 Small up to 1 3/8” HCPCS: A4415 SQ405468 Medium up to 1 7/8” SQ403948 Large up to 2 3/8” SQ405483 Extra-Large up to 3 ½”

Pre-Cut. Acrylic tape collar, white.Item Order # Size Stoma Color Code10/Box SQ405473 Small 5/8” HCPCS: A4414 SQ405474 Small 3/4” SQ405475 Small 7/8” SQ405476 Small 1" SQ405477 Small 1 1/8” SQ405478 Small 1 ¼” SQ405479 Small 1 3/8” HCPCS: A4415 SQ405480 Medium 1 ½” SQ405481 Medium 1 5/8” SQ405482 Medium 1 3/4”

Esteem synergy® Stomahesive® Skin Barrier Landing Zone flange. Choose acrylic tape or no-tape collar. Match color code of barrier with that of Esteem synergy® pouch.

••• •••••••••• ••••

Ostomy 1-800-308-9445


ESTEEM® + ONE-PIECE DRAINABLE POUCHES

The one-piece system that’s gentle on the skin, while remaining secure and easy to use! Flexible and discreet, the Esteem® + one-piece system is the all-in-one solution that combines the skin barrier and pouch in a single unit, allowing for a simple, secure, and comfortable experience.

The Esteem® + one piece pouching system offers:

• A state-of-the art filter with an anti-clogging film layer, keeping the pouch flat while virtually eliminating odor

• InvisiClose® clipless tail closure with a strong hook and hook fastener

• The Lock-It Pocket™ which securely hides away the tail to provide the comfort of a closed end pouch

• Comfort panel pouch material that is soft and smooth against the skin, nearly rustle-free and resists water and dries quickly.

Esteem® + Drainable Pouch with InvisiClose® Tail Closure

Moldable Stomahesive® Skin Barrier. Filter, Transparent, 1-sided comfort panel.Item Order # Stoma size opening 12” Length SQ413515 13/16” – 1 3/16” 10/Box SQ413516 1 3/16” – 1 9/16” HCPCS: A4424 SQ413517 1 9/16” – 1 15/16”

Moldable Stomahesive® Skin Barrier. Filter, Opaque, 2-sided comfort panel.Item Order # Stoma size opening 12” Length SQ413521 13/16” – 1 3/16” 10/Box SQ413522 1 3/16” – 1 9/16” HCPCS: A4424 SQ413523 1 9/16” – 1 15/16” Moldable Stomahesive® Skin Barrier. Transparent, 1-sided comfort panel.Item Order # Stoma size opening 12” Length SQ413518 13/16” – 1 3/16” 10/Box SQ413519 1 3/16” – 1 9/16” HCPCS: A5061 SQ413520 1 9/16” – 1 15/16”

CONVATEC




Ostomy


Esteem® + Drainable Pouch with InvisiClose® Tail Closure

Durahesive Plus® Skin Barrier, Acrylic Tape Collar. Filter, Opaque, 2-sided comfort panel.Item Order # Cut-to-Fit 12” Length SQ416975 3/4” - 2 ½ “ 10/Box, HCPCS: A5056

Durahesive Plus® Skin Barrier, Acrylic Tape Collar. Filter, Transparent, 1-sided comfort panel.Item Order # Cut-to-Fit 12” Length SQ416976 3/4” - 2 ½” 10/Box, HCPCS: A5056

CONVATEC

Esteem® + Drainable Pouch with InvisiClose® Tail Closure The one-piece system that’s gentle on the skin, while remaining secure and easy to use. Flexible and discreet.

Filter, Modified Stomahesive® Skin Barrier.Item Order # Cut-to-Fit Style12” Length SQ416718 3/4” – 2 3/4” Transparent, 1-sided 10/Box comfort panelHCPCS: A4424 SQ416719 3/4” – 2 3/4” Opaque, 2-sided comfort panel

Filter, Easy-View Window.Item Order # Cut-to-Fit Style12” Length SQ421858 3/4" - 2 3/4" Opaque Stomahesive® Skin Barrier. Acrylic Tape Collar.Item Order # Cut-to-Fit Style14” Length SQ416908 4" Transparent, 10/Box 1-sided comfort panel HCPCS: A5061

Esteem® + Drainable Pouch with Clipped ClosureFilter, Modified Stomahesive® Skin Barrier.Item Order # Cut-to-Fit Style12” Length SQ421848 4” Transparent, 10/Box 1-sided comfort panel HCPCS: A4424

Ostomy 1-800-308-9445

Byram is a Medicare participating provider. You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.101

Esteem® + Drainable Pouch with Durahesive® Convex Skin Barrier, InvisiClose® Tail Closure

Filter, Transparent, 1-sided comfort panel. Acrylic Tape Collar.Item Order # Pre-Cut 12” Length SQ416738 3/4” 10/Box SQ416740 7/8” HCPCS: A5057 SQ416742 1” SQ416744 1 1/8” SQ416746 1 ¼” SQ416748 1 3/8” SQ416750 1 ½”


CONVATEC

Filter, Modified Stomahesive® Skin Barrier.Item Order # Pre-Cut Style12” Length SQ416724 1” Transparent, 1-sided comfort panel 10/Box SQ416728 1 3/16” Transparent, 1-sided comfort panel HCPCS: A4424 SQ416732 1 3/8” Transparent, 1-sided comfort panel SQ416736 1 9/16” Transparent, 1-sided comfort panel SQ416725 1” Opaque, 1-sided comfort panel SQ416729 1 3/16” Opaque, 1-sided comfort panel SQ416733 1 3/8” Opaque, 1-sided comfort panel SQ416737 1 9/16” Opaque, 1-sided comfort panel

Modified Stomahesive® Skin Barrier. Transparent, 1-sided comfort panel.Item Order # Cut-to-Fit 12” Length SQ421853 13/16” – 2 3/4” 10/BoxHCPCS: A5061

Filter, Modified Stomahesive® Skin Barrier. Easy-View WindowItem Order # Pre-Cut Style12” Length SQ421859 1” Transparent, 1-sided comfort panel 10/Box SQ421860 1 3/16” Transparent, 1-sided comfort panelHCPCS: A4424 SQ421861 1 3/8” Transparent, 1-sided comfort panel SQ421862 1 9/16” Transparent, 1-sided comfort panel Modified Stomahesive® Skin Barrier. Easy-View WindowItem Order # Pre-Cut Style12” Length SQ421854 1” Transparent 10/Box SQ421855 1 3/16” TransparentHCPCS: A5061 SQ421856 1 3/8” Transparent SQ421857 1 9/16” Transparent

Modified Stomahesive® Skin Barrier. Opaque with Easy-View Window. 1-sided comfort panel.Item Order # Cut-to-Fit 12” Length SQ416721 3/4” – 2 3/4” 10/BoxHCPCS: A5061


Esteem® + Drainable Pouch with Durahesive® Convex Skin Barrier, InvisiClose® Tail Closure (cont)

Filter, Opaque, 1-sided comfort panel. Acrylic Tape Collar.Item Order # Pre-Cut 12” Length SQ416739 3/4”10/Box SQ416741 7/8”HCPCS: A5057 SQ416743 1” SQ416745 1 1/8” SQ416747 1 ¼” SQ416749 1 3/8” SQ416751 1 ½”


ESTEEM + ONE-PIECE CLOSED-END POUCHES

CONVATEC

Esteem® + One-Piece Closed-End Pouch with Modified Stomahesive® Skin Barrier and Filter

Item Order # Cut-to-Fit Style8” Length SQ416700 3/4” – 2 3/4” Transparent, 1-sided comfort panel 30/Box SQ416701 3/4” – 2 3/4” Opaque, 2-sided, comfort panelHCPCS: A4416

Easy-View WindowItem Order # Cut-to-Fit Style8” Length SQ421821 13/16” – 2 3/4” Opaque, 2-sided comfort panel 30/Box HCPCS: A4416

Item Order # Moldable Style8” Length SQ413509 13/16” – 1 13/16” Opaque, 2-sided comfort panel 30/Box SQ413510 1 3/16” – 1 9/16” Opaque, 2-sided comfort panel HCPCS: A4416 SQ413511 1 9/16” – 1 15/16” Opaque, 2-sided comfort panel Item Order # Cut-to-Fit Style6” Length SQ416702 3/4” – 2 3/4” Opaque, 2-sided comfort panel 30/Box HCPCS: A4416

Easy-View WindowItem Order # Cut-to-Fit Style6” Length SQ421816 13/16” – 2 3/4” Opaque, 2-sided comfort panel 30/Box HCPCS: A4416

Item Order # Pre-Cut Style8” Length SQ416704 1” Opaque, 2-sided comfort panel 30/Box HCPCS: A4416 SQ416707 1 3/16” Opaque, 2-sided comfort panel SQ416710 1 3/8” Opaque, 2-sided comfort panel SQ416713 1 9/16” Opaque, 2-sided comfort panel SQ416715 2” Opaque, 2-sided comfort panel

Ostomy 1-800-308-9445


CONVATEC

Item Order # Cut-to-Fit Style SQ416703 1” Transparent, 1-sided comfort panel SQ416706 1 3/16” Transparent, 1-sided comfort panel SQ416709 1 3/8” Transparent, 1-sided comfort panel SQ416712 1 9/16” Transparent, 1-sided comfort panel

Easy-View WindowItem Order # Cut-to-Fit Style8” Length SQ421687 1” Opaque, 2-sided comfort panel 30/Box SQ421688 1 3/16” Opaque, 2-sided comfort panel HCPCS: A4416 SQ421689 1 3/8” Opaque, 2-sided comfort panel SQ421822 1 9/16” Opaque, 2-sided comfort panel SQ421823 2”

Esteem® + One-Piece Urostomy Pouch with Durahesive® Skin Barrier and Accuseal® Tap with ValveTransparent with 1-sided comfort panel.

Acrylic Tape Collar.Item Order # Pre-Cut 10” Length SQ421631 ½” - 1 3/4””10/BoxHCPCS: A4428

Esteem + One-Piece Urostomy Pouch

ESTEEM®+ FLEX CONVEX ONE-PIECE SYSTEM

Combines the comfort and freedom of flexibility with the firmness of convexity. It fits the contours of the body, moving with the wearer to provide confidence.

Four Plateau Sizes: The Esteem® + Flex Convex system is available in 4 plateau sizes to accommodate a range of stomas.

Plateau Size

Convexity Depth

Convexity Width

V0 7mm (2/7”) 60mm (2 1/3”)

V1 7mm (2/7”) 50mm (2")

V2 7mm (2/7”) 40mm (1 4/7”)

V3 7mm (2/7”) 30mm (1 1/16”)


CONVATEC

Esteem® + Flex Convex Urostomy Pouches

Cut-to-Fit, Opaque, 2-sided comfort panel; Pouch Size 5 1/8 x 7 2/3”Item Order # Plateau Size Cutting Range10/Box SQ421623 V1 10-43mm (3/8 - 1 2/3”)HCPCS: A4392 SQ421626 V2 10-35mm (3/8 - 1 3/8”) SQ421628 V3 10-25mm (3/8 - 1”)

Pre-Cut, Opaque, 2-sided comfort panel; Pouch Size 5 1/8 x 7 2/3”Item Order # Plateau Size Stoma Size Opening10/Box SQ421624 V1 15mm (9/16”)HCPCS: A4392 SQ421625 V1 20mm (4/5”) SQ421627 V2 15mm (9/16”) SQ421629 V3 15mm (9/16”)

Esteem® + Flex Convex Drainable Pouches

Cut-to-fit, Filter, Opaque, 2-sided comfort panel; Pouch Size 5 7/8 x 8 2/3”Item Order # Plateau Size Cutting Range10/Box SQ422159 V0 20-57m (4/5 - 2 1/4”)HCPCS: A4389 SQ421615 V1 20-43mm (4/5 - 1 2/3”) SQ421619 V2 20-35mm (4/5 - 1 3/8”) SQ421622 V3 20-25mm (4/5 - 1”)

Pre-cut, Filter, Opaque, 2-sided comfort panel; Pouch Size 5 7/8 x 8 2/3”Item Order # Plateau Size Stoma Size Opening10/Box SQ421616 V1 25mm (1”)HCPCS: A4389 SQ421617 V1 30mm (1 1/6”) SQ421618 V1 35mm (1 3/8”) SQ421620 V2 25mm (1”) SQ421621 V2 30mm (1 1/6”)


Esteem® + Flex Convex Closed-End Pouches

Cut-to-fit, Filter, Opaque, 2-sided comfort panel; Pouch Size 5 11/16” x 8 1/16”Item Order # Plateau Size Cutting Range30/Box SQ421612 V1 20-43mm (4/5” - 1 2/3”)HCPCS: A4417 SQ421613 V2 20-35mm (4/5” - 1 3/8”) SQ421614 V3 20-25mm (4/5” - 1”)


Ostomy 1-800-308-9445


ESTEEM +™ SOFT CONVEX ONE-PIECE SYSTEM

The latest addition to the range of ConvaTec one-piece ostomy solutions. The Esteem+™ Soft Convex system combines flexibility with shallow convexity and is designed to conform well to the body and be comfortable to wear.

The Esteem® + Soft Convex system is available in 3 plateau sizes to accommodate a range of stomas with a convexity depth of 4mm.

Esteem® + Soft Convex Drainable Pouch

Item Order # Plateau Size Cutting Range10/Box SQ422363 V1 20-47mm (3/4” – 1 7/8”)HCPCS: SQ422364 V2 15-40mm (3/5” – 1 3/5”) SQ422365 V3 10-28mm (3/8” – 1 1/8")

Byram is committed to helping people with ostomies We have been helping improve the quality of life for people with ostomies since 1968. Our goal in providing Ostomy care is to ensure people with ostomies resume a healthy, normal lifestyle.

YOU HAVE OPTIONSfor your ostomy

ConvaTec Moldable Technology™ can help simplify your ostomy routine by eliminating the need for scissors and cutting. Our Rebounding Memory Technology™ makes life with an ostomy easier by creating a custom � t just for you, helping to protect against leaks.

Not sure if a moldable product is right for you? Speak to an ostomy nurse or product specialist for a free assessment and sample today.

convatec.com/ostomy 1-800-422-8811

From a day at the beach to a day at the o� ce, we have products that � t your lifestyle.

©2019 ConvaTec Inc. ™/® indicates a trademark of ConvaTec Inc. AP-020613-US

Ostomy 1-800-308-9445


Item Order # Pre-Cut 10" Length SQ125331 3/4” Opaque SQ125333 1 ¼” 20/Box SQ125334 1 ½” HCPCS: A5061 SQ125335 1 3/8" SQ125336 2" SQ125337 2 ½” 12" Length SQ125338 3/4” Opaque SQ125339 1" 20/Box SQ125340 1 ¼" HCPCS: A5061 SQ125341 1 ½” SQ125342 1 3/4” SQ125343 2" SQ125344 2 ½”

12" Length SQ22764 3/4” Transparent SQ22765 1" 10/Box SQ22766 1 ¼” HCPCS: A5061 SQ22767 1 ½” SQ22768 1 3/4” SQ22769 2" SQ22770 2 ½”

Item Order # Cut-to-Fit12" Length SQ22771 3/4” to 2 ½” Transparent10/BoxHCPCS: A5061

ActiveLife® Drainable Pouch with Stomahesive® Skin BarrierQuiet, odor-proof film with a durable, cloth-like backing with 1-sided comfort panel. Includes 1 tail closure per box. Stomahesive® barrier with pre-cut opening and acrylic tape collar provides optimal skin protection and minimizes irritation.

ActiveLife ® DRAINABLE POUCHES

ACTIVELIFE® ONE-PIECE OSTOMY SYSTEM

CONVATEC


and sign up today!


Ostomy


ActiveLife® Drainable Pouch with Convex Durahesive® Skin BarrierDrainable Pre-cut Pouch with convex Durahesive® barrier for retracted stomas. Quiet, odor-proof film with one-sided comfort panel. The microporous adhesive collar and adhesive around the skin barrier eliminate the need for taping. Includes convenient belt loops and 1 tail closure.

Item Order # Pre-Cut 12" Length SQ125352 3/4” Transparent SQ125353 7/8” 10/Box SQ125354 1" HCPCS: A4390 SQ125355 1 1/8” SQ125356 1 ¼” SQ125357 1 3/8” SQ125358 1 ½” SQ125359 1 3/4”

ActiveLife ® DRAINABLE POUCHES

ActiveLife® Drainable Pouch with Durahesive® Plus™ Skin BarrierQuiet, odor-proof film with a durable, cloth-like backing. Includes 1 tail closure. Cut-to-fit opening with acrylic tape collar.

Item Order # Cut-to-Fit 12" Length SQ400598 3/4” to 2 ½” Transparent Stoma Opening10/BoxHCPCS: A4388 12" Length SQ400599 3/4” to 2 ½” Opaque Stoma Opening10/BoxHCPCS: A4388

CONVATEC

Ostomy 1-800-308-9445


Item Order # Cut-to-Fit 8" Length SQ413141 3/4” to 2 ½” Opaque 60/Box Order # Pre-Cut HCPCS: A4416 SQ413142 1" SQ413143 1 ¼” SQ413144 1 ½” SQ413145 1 3/4” SQ413146 2"

Item Order # Cut-to-Fit 8" Length SQ413147 3/4"- 2 ½” Transparent 60/Box Order # Pre-Cut HCPCS: A4416 SQ413148 1" SQ413149 1 ¼” SQ413150 1 ½” SQ413151 1 3/4” SQ413152 2"

ActiveLife® Closed-End Pouch with FilterQuiet, odor-proof film with a durable, cloth-like backing. Includes 60 filter covers. Closed Pouch with special Stomahesive® skin barrier allows frequent removal (up to 5 times daily) with optimal skin protection. Cut-to-Fit or Pre-cut with 1-sided comfort panel.

ActiveLife® Closed-End Pouch with FilterQuiet, odor-proof film with a durable, cloth-like backing with 1-sided comfort panel. Closed Cut-to-Fit Pouch with Stomahesive® skin barrier that allows frequent removal (up to 5 times daily) with optimal skin protection. 30 filter covers.

Item Order # Cut-to-Fit Transparent SQ650422 3/4” to 2" 30/BoxHCPCS: A4416 Opaque SQ650408 3/4” to 2" 30/BoxHCPCS: A4416

ActiveLife ® CLOSED-END POUCHES

Item Order # Cut-to-Fit Color30/Box SQ175611 3/4” - 2 " OpaqueHCPCS: A5055

ActiveLife® Stoma Cap with Skin Barrier with FilterQuiet, odor-proof film with a durable, cloth-like backing.

CONVATEC


Ostomy

ActiveLife® Convex Urostomy Pouch with Durahesive® Skin BarrierLight-weight, flexible one-piece system. Pre-cut openingwith acrylic tape collar. Transparent pouch has one-sided comfort panel and bendable tap.

Item Order # Stoma Color 10" Length SQ125361 ½” Transparent10/Box SQ125362 5/8” HCPCS: A4393 SQ125363 3/4” SQ125364 7/8” SQ125365 1" SQ125366 1 1/8” SQ125367 1 ¼” SQ125368 1 3/8” SQ125369 1 ½”

ActiveLife ® UROSTOMY POUCHES

Item Order # Stoma Color10" Length SQ650828 3/4” Transparent10/Box SQ650829 7/8” HCPCS: A4428 SQ650830 1" SQ650831 1 1/8” SQ650832 1 ¼” SQ650833 1 ½”

ActiveLife® Urostomy Pouch with Durahesive® Skin Barrier and Accuseal® Tap with ValveLight-weight, flexible one-piece system. Pre-cut opening. Microporous adhesive. Transparent pouch has one-sided comfort panel. Accuseal® Tap with valve.

Want a better night sleep? Urostomy care can be so much easier when you use a night drainage bag. These larger capacity bags lessen the chance of accidental leakage and ensure a better night sleep.

CONVATEC

Ostomy 1-800-308-9445


Visi-Flow® Irrigation Starter Set Includes Visi-Flow® Irrigator with stoma cone, 2 SUR-FIT Natura® Stomahesive® skin barriers with Flange, 2 Visi-Flow® Irrigation Sleeves, 2 SUR-FIT® Natura® Closed Pouches, stoma lubricant, ostomy belt, tail closure, brush and convenient carrying case.

Item Order # Flange 1/Box SQ401916 1 3/4” SQ401917 2 3/4”

Visi-Flow® Irrigator with Stoma Cone

Item Order # 1/Box SQ401989 HCPCS: A4398/A4399

IRRIGATION PRODUCTS

VISI-FLOW® IRRIGATION PRODUCTS

Visi-Flow® Irrigation Adapter FaceplateAllows use of Irrigation Sleeve with one-piece pouch.

Item Order # Flange Each SQ401918 1 3/4” HCPCS: A4361 SQ401919 2 3/4”

Visi-Flow® Irrigation SleevesIncludes 1 tail closure.

Item Order # Flange Color Color Code5/Box SQ401911 1 ½” TransparentHCPCS: A4397 SQ401912 1 3/4” SQ401913 2 ¼” SQ401914 2 3/4”

Item Order # 10/Box SQ175650 HCPCS: A4363

Visi-Flow® Irrigation Sleeve Tail Closure

CONVATEC

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Ostomy

Little Ones® Urostomy Pouch with Skin BarrierCustom Urostomy Pouch with Stomahesive® Cut-to-Fit barrier and 2 universal night drain adapters. Transparent with comfort panel. Quiet odor barrier film.

Item Order # Cut-to-Fit 5" Length SQ20917 5/16” to 1" 15/BoxHCPCS: A5071

PEDIATRIC OSTOMY SYSTEMS

Little Ones® ONE-PIECE PEDIATRIC POUCHES

Little Ones® Flexible Skin BarrierStomahesive® Cut-to-Fit wafer with low-profile, audible click flange and acrylic tape collar, white.

Item Order # Flange Stoma Color Code3" x 3" SQ401925 1 ¼” ½” - 3/4”White 5/BoxHCPCS: A4414

4" x 4" SQ401926 1 3/4” 1 1/8”-1 ¼”White 5/Box HCPCS: A4414

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Little Ones® SKIN BARRIERS

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CONVATEC

Little Ones® Drainable One-Piece Pouch with Skin BarrierCustom Drainable Pouch with Stomahesive® Cut-to-Fit skin barrier provides optimal skin protection and minimizes irritation. Transparent with comfort panel with 15 individual pediatric tail closures per box. Quiet odor barrier film.

Item Order # Cut-to-Fit 6" Length SQ20922 5/16”" to 2" 15/BoxHCPCS: A5061

Ostomy 1-800-308-9445


Item Order # Flange Color Code6” Length SQ401929 1 ¼” Transparent10/BoxHCPCS: A5073

Little Ones® Urostomy PouchUrostomy Pouch features nonreturn valve and secure tap. Made of quiet, odor-proof film with soft, one-sided comfort panel. Flange features pouch tab and belt loops. Includes 2 drainage adapters per box.

Little Ones® Closed-End PouchClosed Pouch with flange is made of quiet, odor-proof film with two-sided comfort panels. Flange features pouch tab and belt loops.

Item Order # Flange Color Code5” Length SQ401930 1 ¼” Opaque SQ401931 1 3/4” 20/BoxHCPCS: A5054

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Little Ones® TWO-PIECE PEDIATRIC POUCHES

CONVATEC

Little Ones® Drainable PouchDrainable Pouch with flange is made of quiet, odor-proof film. Flange features pouch tab and belt loops. Transparent with one-sided comfort panel. Includes 10 pediatric tail closures per box.

Item Order # Flange Color Code6" Length SQ401927 1 ¼” 10/Box SQ401928 1 3/4” HCPCS: A5063

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Trap a Little Air!When emptying a pouch, before you replace the clip, pull the pouch walls apart to trap a small amount of air. It will help drainage to drop down into the pouch.

Ostomy


The New Image™ Two- Piece Ostomy System features a “floating flange” which permits theflange and skin barrier to move independently of each other. This mechanism enables an exceptionally secure attachment between the skin barrier and the pouch without causing pressure on the abdomen. An audible click confirms that the connection has been completed.

Choose the skin barrier according to the wearing time appropriate for you: FlexWear™ for standard wearing time, FlexTend™ for extended wearing time or CeraPlus™ also for extended wearing times. The CeraPlus skin barrier is designed to maintain adhesive properties, and features a proprietary formulation designed to help protect the skin’s own moisture barrier.

Be sure to match the color code of the New Image™ skin barrier with the color code of the New Image™ pouch.

NEW IMAGE™ TWO-PIECE OSTOMY SYSTEM

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New Image™ CeraPlus™ (extended wear) Convex Skin Barrier with Floating Flange

New Image™ CeraPlus™ (extended wear) Convex Skin Barrier with Floating Flange

Cut-to-fit. Convex. Tape.Item Order # Flange Pre-Cut Color Code5/Box HO11503 1 3/4” 7/8” HCPCS: A4407 HO11504 1 3/4” 1” HO11505 2 ¼” 1 1/8” HO11506 2 ¼” 1 ¼”

Cut-to-fit. Convex. Tape.Item Order # Flange Pre-Cut Color Code5/Box HO11402 1 3/4” up to 1” HCPCS: A4407 HO11403 2 ¼” up to 1 ½” HO11404 2 3/4” up to 2”

Cut-to-fit without tape.Item Order # Flange Pre-Cut Color Code5/Box HCPCS: A4407 HO15302 1 3/4” up to 1” HCPCS: A4407 HO15303 2 ¼” up to 1 ½” HCPCS: A4408 HO15304 2 3/4” up to 2”

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Hollister®

Ostomy 1-800-308-9445


Hollister®

Pre-Cut. Convex. Tape. Beige.Item Order # Flange Pre-Cut Color Code5/Box HO11903 1 3/4” 7/8” HCPCS: A4407 HO11904 2 3/4” 1” HO11905 2 ¼” 1 1/8” HO11906 2 ¼” 1 ¼”

New Image™ CeraPlus™ (extended wear) Soft Convex Skin Barrier with Floating Flange A soft and flexible convex design to help minimize leakage with the added benefit of CeraPlus to help keep your skin healthy. Audible click confirms connection. Choose Cut-to-Fit or Pre-Cut. Convex. Tape. Beige.

Cut-to-Fit. Convex. Tape. Beige.Item Order # Flange Pre-Cut Color Code5/Box HO11702 1 3/4” 7/8” HCPCS: A4407 HO11703 2 ¼” 1” HO11704 2 3/4” 1 1/8”

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Ostomy

Pre-Cut. Flat. Tapeless.Item Order # Flange Pre-Cut Color Code5/Box HO16101 1 3/4” 5/8” HCPCS: A4409 HO16102 1 3/4” 3/4” HO16103 1 3/4” 7/8” HO16104 1 3/4” 1" HO16105 1 3/4” 1 1/8” HO16106 1 3/4” 1 ¼” HO16107 2 ¼” 1 3/8” HO16108 2 ¼” 1 ½”

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Hollister®

Cut-to-Fit. Flat. Tape.Item Order # Flange Cut-to-Fit Color Code5/Box HCPCS: A4409 HO14602 1 3/4” up to 1 ¼” HCPCS: A4409 HO14603 2 ¼” up to 1 3/4” HCPCS: A4409 HO14604 2 3/4” up to 2 ¼” HCPCS: A4410 HO14606 4" up to 3 ½”

Cut-to-Fit. Flat.Tapeless.Item Order # Flange Cut-to-Fit Color Code5/BoxHCPCS: A4409 HO15602 1 3/4” up to 1 ¼” HCPCS: A4409 HO15603 2 ¼” up to 1 3/4” HCPCS: A4410 HO15604 2 3/4” up to 2 ¼”

Pre-Cut. Flat. Tape.Item Order # Flange Pre-Cut Color Code5/Box HO14701 1 3/4” 5/8” HCPCS: A4409 HO14702 1 3/4” 3/4” HO14703 1 3/4” 7/8” HO14704 1 3/4” 1" HO14705 1 3/4” 1 1/8” HO14706 1 3/4” 1 ¼” HO14707 2 ¼” 1 3/8” HO14708 2 ¼” 1 ½” HO14709 2 ¼” 1 3/4”

New Image™ Flextend™ Skin Barrier with Floating FlangeExtended wear flat skin barrier. Tapered with cloth backing. Audible click confirms connection. Choose tape or tapeless. Beige.

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NEW IMAGE™ SKIN BARRIERS

Ostomy 1-800-308-9445



Cut-to-Fit. Flat. Tape.Item Order # Flange Cut-to-Fit Color Code5/BoxHCPCS: A4414 HO14202 1 3/4” up to 1 ¼”HCPCS: A4414 HO14203 2 ¼” up to 1 3/4” HCPCS: A4414 HO14204 2 3/4” up to 2 ¼” HCPCS: A4415 HO14206 4" up to 3 ½"

Cut-to-Fit. Flat. Tapeless.Item Order # Flange Cut-to-Fit Color Code5/BoxHCPCS: A4414 HO15202 1 3/4” up to 1 ¼” HCPCS: A4414 HO15203 2 ¼” up to 1 3/4” HCPCS: A4415 HO15204 2 3/4” up to 2 ¼”

Pre-Cut. Flat. Tape.Item Order # Flange Pre-Cut Color Code5/Box HO14301 1 3/4”" 5/8” HCPCS: A4414 HO14302 1 3/4” 3/4” HO14303 1 3/4” 7/8” HO14304 1 3/4” 1" HO14305 1 3/4” 1 1/8” HO14306 1 3/4” 1 ¼” HO14307 2 ¼” 1 3/8” HO14308 2 ¼” 1 ½” HO14309 2 ¼” 1 3/4”

New Image™ FlexWear™ Skin Barrier with Floating FlangeStandard wear flat skin barrier. Tapered with cloth backing. Choose Cut-to-Fit or Pre-Cut. Choose tape or tapeless attachment. Beige.

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Hollister®

Pre-Cut. Flat. Tapeless. Item Order # Flange Pre-Cut Color Code5/Box HO16402 1 3/4” 3/4” HCPCS: A4414 HO16403 1 3/4” 7/8” HO16404 1 3/4” 1" HO16405 1 3/4” 1 1/8” HO16406 1 3/4” 1 ¼” HO16407 2 ¼” 1 3/8” HO16408 2 ¼” 1 ½”

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OstomyHollister®


Cut-to-Fit. Convex. With tape. Item Order # Flange Cut-to-Fit Color Code 5/Box HO14802 1 3/4” up to 1" HCPCS: A4407 HO14803 2 ¼” up to 1 ½” HO14804 2 3/4” up to 2"

Cut-to-Fit. Convex. Tapeless. Item Order # Flange Cut-to-Fit Color Code 5/Box HO15802 1 3/4” up to 1" HCPCS: A4407 HO15803 2 ¼” up to 1 ½” HO15804 2 3/4” up to 2" Pre-Cut. Convex. Tapeless. Item Order # Flange Pre-Cut Color Code5/Box HO15903 1 3/4” 7/8” HCPCS: A4407 HO15904 1 3/4” 1" HO15905 2 ¼” 1 1/8” HO15906 2 ¼” 1 ¼”

Pre-Cut. Convex with tape.Item Order # Flange Pre-Cut Color Code5/Box HO14901 1 3/4” 5/8”HCPCS: A4407 HO14902 1 3/4” 3/4” HO14903 1 3/4” 7/8” HO14904 1 3/4” 1” HO14905 2 ¼” 1 1/8” HO14906 2 ¼” 1 ¼” HO14907 2 ¼” 1 3/8” HO14908 2 ¼”” 1 ½” HO14909 2 3/4” 1 5/8” HO14910 2 3/4” 1 3/4” HO14911 2 3/4” 2”

New Image™ Flextend™ Convex Skin Barrier with Floating FlangeConvex extended wear skin barrier. Tapered with cloth backing. Audible click confirms connection. Choose Cut-to-Fit or Pre-Cut. Choose tape or tapeless. Beige.

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Prior to use, be sure to read the Instructions for Use for information regarding Intended Use, Contraindications, Warnings, Precautions, and Instructions. † Consumer Survey of Pruritus, Hollister Incorporated, 2016. Data on file. The Hollister logo, Adapt CeraRing, CeraPlus, and “Healthy skin. Positive outcomes.” are trademarks of Hollister Incorporated. All other trademarks and copyrights are the property of their respective owners © 2019 Hollister Incorporated.

Feel the sunshine,

not the itch

*Remois is a technology of Alcare Co., Ltd.

The ceramide-infused CeraPlus skin barrier and Adapt CeraRing barrier rings come in a range of fit options.

87% of people experience itchy skin around the stoma†, which is commonly caused by dryness. When your skin is itching, it may be hard to think of anything else.

The CeraPlus skin barrier with Remois Technology* may help. It is infused with ceramide, the skin’s naturally occurring protection against dryness, to help maintain healthy skin.

Try the CeraPlus skin barrier today!

Ostomy



Pre-cut. Convex. Tape.Item Order # Flange Pre-Cut Color Code5/Box HO13901 1 3/4” 5/8” HCPCS: A4407 HO13902 1 3/4” 3/4” HO13903 1 3/4” 7/8” HO13904 1 3/4” 1” HO13905 2 ¼” 1 1/8” HO13906 2 ¼” 1 ¼” HO13907 2 ¼” 1 3/8” HO13908 2 ¼” 1 ½” HO13909 2 3/4” 1 5/8” HO13910 2 3/4” 1 3/4” HO13911 2 3/4” 2”

New Image™ Flextend™ Convex Skin Barrier with Floating Flange (Cont.)Convex extended wear skin barrier. Tapered with cloth backing. Audible click confirms connection. Choose Cut-to-Fit or Pre-Cut. Tape. Beige.

Hollister®

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Cut-to-fit. Tape. Item Order # Flange Cut-to-Fit Color Code5/Box HO11202 1 3/4” up to 1 ¼” HCPCS: A4409 HO11203 2 ¼” up to 1 3/4” HO11204 2 3/4” up to 2 ¼”

Item Order # Flange Cut-to-Fit Color Code5/Box HCPCS: A4409 HO15102 1 3/4” up to 1 ¼” HCPCS: A4409 HO15103 2 ¼” up to 1 3/4”HCPCS: A4410 HO15104 2 3/4” up to 2 ¼”

New Image™ CeraPlus™ (extended wear) Skin Barrier with Floating Flange

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Ostomy 1-800-308-9445


Cut-to-Fit. Convex. Tape.Item Order # Flange Cut-to-Fit Color Code5/Box HO14402 1 3/4” up to 1" HCPCS: A4373 HO14403 2 ¼” up to 1 ½” HO14404 2 3/4” up to 2" Cut-to-fit. Convex. Tapeless.Item Order # Flange Cut-to-Fit Color Code5/Box HO13402 1 3/4” up to 1” HCPCS: A4373 HO13403 2 ¼” up to 1 ½” HO13404 2 3/4” up to 2”

Cut-to-Fit. Convex. Tapeless.Item Order # Flange Cut-to-Fit Color Code5/Box HO15402 1 3/4” up to 1" HCPCS: A4373 HO15403 2 ¼” up to 1 ½” HO15404 2 3/4” up to 2"

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New Image™ FlexWear™ Convex Skin Barrier with Floating FlangeConvex standard wear skin barrier. Tapered cloth backing. Audible click confirms connection. Choose Cut-to-Fit or Pre-Cut. Choose tape or tapeless. Beige.

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New Image™ FlexWear™ Convex Skin Barrier with Floating Flange (cont.)


Pre-Cut. Convex. Tape.Item Order # Flange Pre-Cut Color Code5/Box HO14503 1 3/4” 7/8” HCPCS: A4373 HO14504 1 3/4” 1” HO14505 2 ¼” 1 1/8” HO14506 2 ¼” 1 ¼”

Pre-cut. Convex. Tape.Item Order # Flange Pre-Cut Color Code5/Box HO13503 1 3/4” 7/8” HCPCS: A4373 HO13504 1 3/4” 1” HO13505 2 ¼” 1 1/8” HO13506 2 ¼” 1 ¼”

Pre-Cut. Convex. Tapeless.Item Order # Flange Pre-Cut Color Code5/Box HO15503 1 3/4” 7/8” HCPCS: HO15504 1 3/4” 1" A4373 HO15505 2 ¼” 1 1/8” HO15506 2 ¼” 1 ¼”

Hollister®

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Ultra-Clear, one sided ComfortWear™ panel. 12" Length.Item Order # Flange Color Code10/Box HO18172 1 3/4”"HCPCS: A5063 HO18173 2 ¼” HO18174 2 3/4” HO18176 4"

New Image™ Drainable Pouch with Clamp ClosureDrainable pouch without integrated filter. Odor-barrier film. Pouch clamp closure. ComfortWear™ panel. For correct fit match color code of barrier with color code of pouch. Belt tabs.

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NEW IMAGE™ DRAINABLE POUCHES

Hollister®

One-sided comfort panel. Transparent. Item Order # Flange Color Code12" Length HO18102 1 3/4” 10/Box HO18103 2 ¼” HCPCS: A5063 HO18104 2 3/4”

Two-sided comfort panel. Beige.Item Order # Flange Color Code12" Length HO18122 1 3/4” 10/Box HO18123 2 ¼” HCPCS: A5063 HO18124 2 3/4” Two-sided comfort panel. Beige.Item Order # Flange Color Code9"Length HO18202 1 3/4” 10/Box HO18203 2 ¼” HCPCS: A5063 HO18204 2 3/4”

New Image™ Drainable Pouch Drainable pouch with odor barrier. Choose one or two-sided comfort panel. Match pouch with color code of selected New Image™ skin barrier. Belt tabs.

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Ostomy 1-800-308-9445


Beige. Two-sided comfort panels.Item Order # Flange Color Code12" Pouch HO18142 1 3/4” 10/Box HO18143 2 ¼” HCPCS: A4425 HO18144 2 3/4”

New Image™ Drainable Pouch with Integrated Filter Pouch has upgraded AF300 filter and odor barrier. Match color code of pouch to color code of New Image™ Skin Barrier. Choose one or two-sided comfort panels. Beige or Transparent. Belt tabs.

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Two-sided comfort panel. Beige.Item Order # Flange Color Code12" Length HO18182 1 3/4” 10/Box HO18183 2 ¼” HCPCS: A4425 HO18184 2 3/4” One-sided comfort panel. Transparent.Item Order # Flange Color Code12" Length HO18192 1 3/4” 10/Box HO18193 2 ¼” HCPCS: A4425 HO18194 2 3/4”

New Image™ Lock ‘n Roll™ Drainable Pouch with Integrated Filter Drainable pouch with odor barrier and upgraded filter. Extra security of "Lock ‘n Roll"™ closure system. Choose one or two-sided comfort panel. Match pouch with color code of selected New Image™ skin barrier. Belt tabs.

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NEW IMAGE™ DRAINABLE POUCHES

NEW IMAGE™ LOCK ’N ROLL™ DRAINABLE POUCHES

Hollister®

Transparent. One-sided comfort panel. Item Order # Flange Color Code12" Pouch HO18162 1 3/4” 10/Box HO18163 2 ¼” HCPCS: A4425 HO18164 2 3/4”

New Image™ Drainable Pouch with Integrated Filter (Cont.) Pouch has upgraded AF300 filter and odor barrier. Match color code of pouch to color code of New Image™ Skin Barrier. Choose one or two-sided comfort panels. Beige or Transparent. Belt tabs.

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Ostomy

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One-sided comfort panel. Ultra-Clear.Item Order # Flange Color Code12" Length HO18002 1 3/4”10/Box HO18003 2 ¼”HCPCS: A5063 HO18004 2 3/4” HO18006 4"

One-sided comfort panel. Transparent.Item Order # Flange Color Code12" Length HO18132 1 3/4” 10/Box HO18133 2 ¼” HCPCS: A5063 HO18134 2 3/4”

Two-sided comfort panel. Beige.Item Order # Flange Color Code12" Length HO18112 1 3/4” 10/Box HO18113 2 ¼”" HCPCS: A5063 HO18114 2 3/4”

New Image™ Lock ‘n Roll™ Drainable Pouch without Filter Drainable pouch with odor barrier. No Filter. Extra security of "Lock ‘n Roll" closure system. Choose one or two-sided comfort panel. Match pouch with color code of selected New Image™ skin barrier. Belt tabs.

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Two-sided comfort panel. Beige.Item Order # Flange Color Code7" Length HO18282 1 3/4” 20/Box HO18283 2 ¼” HCPCS: A4425 HO18284 2 3/4” One-sided comfort panel. Transparent.Item Order # Flange Color Code7" Length HO18292 1 3/4”20/Box HO18293 2 ¼” HCPCS: A4425 HO18294 2 3/4”

New Image™ Lock ‘n Roll™ Drainable Mini-Pouch with Integrated Filter Drainable Mini pouch with odor barrier and integrated filter. Extra security of "Lock ‘n Roll"™ closure system. Choose one or two-sided comfort panel. Match pouch with color code of selected New Image™ skin barrier. Belt tabs.

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NEW IMAGE™ LOCK ’N ROLL™ DRAINABLE POUCHES

Hollister®

Ostomy 1-800-308-9445


NEW IMAGE™ TWO-PIECE OSTOMY SYSTEM

NEW IMAGE™ CLOSED POUCHESNew Image™ Closed Pouch with Integrated AF300 FilterQuietWear pouch material, odor-barrier rustle-free film, with belt tabs. With ComfortWear panels. Match color code of pouch with color code of New Image™ skin barrier.

Two-sided comfort panel. Beige.Item Order # Flange Color Code9" Length HO18322 1 3/4” 60/Box HO18323 2 ¼” HCPCS: A4419 HO18324 2 3/4”

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One-sided comfort panel. Transparent.Item Order # Flange Color Code7" Length HO18382 1 3/4” 60/Box HO18383 2 ¼” HCPCS: A4419 HO18384 2 3/4”

Two-sided comfort panels. Beige. Item Order # Flange Color Code7" Length HO18392 1 3/4” 60/Box HO18393 2 ¼” HCPCS: A4419 HO18394 2 3/4”

One-sided comfort panel. Transparent.Item Order # Flange Color Code9" Length HO18362 1 3/4” 30/Box HO18363 2 ¼”HCPCS: A4419 HO18364 2 3/4”

Two-sided comfort panel. Beige.Item Order # Flange Color Code9" Length HO18372 1 3/4” 30/Box HO18373 2 ¼”HCPCS: A4419 HO18374 2 3/4”

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New Image™ Closed Pouch with AF300 FilterClosed pouch with odor barrier and upgraded filter. Choose one or two-sided comfort panels. Match color code of pouch with color code of New Image™ skin barrier. Belt tabs.

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Hollister®


Ostomy

New Image™ Urostomy Pouch Urostomy pouch with odor barrier and drain tube adapter. One or two sided comfort panel. Match color code with selected New Image™ skin barrier. Belt tabs. Includes 2 adapters.

Transparent. One-sided comfort panel.Item Order # Flange Color Code9” Length HO18902 1 3/4” 10/Box HO18903 2 ¼” HCPCS: A4432 HO18904 2 3/4”

Beige. Two-sided comfort panel.Item Order # Flange Color Code9” Length HO18912 1 3/4” 10/Box HO18913 2 ¼” HCPCS: A4432 HO18914 2 3/4”

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Two-sided comfort panel. Beige. Item Order # Flange Color Code7" Length HO18352 1 3/4” 30/Box HO18353 2 ¼” HCPCS: A5054 HO18354 2 3/4”




New Image™ Closed Pouch without FilterClosed pouch with odor barrier, no filter. Choose one or two-sided comfort panels. Match color code of pouch to color code of selected New Image™ skin barrier. Belt tabs.

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NEW IMAGE™ CLOSED POUCHES

•••NEW IMAGE™ UROSTOMY POUCHES

Hollister®

Ostomy 1-800-308-9445


Helpful Tips

• Always have extra pouches handy.• Keep extra pouches and wafers

assembled.• Keep all supplies together or in one central location.• Don't leave pouches and wafers in the

car during hot or freezing weather.

Our ostomy specialists are commited to your satisfaction. Please call us with any questions.

1-800-308-9445

New Image™ Urostomy Pouch (Cont.) Urostomy pouch with odor barrier and drain tube adapter. One or two sided comfort panel. Match color code with selected New Image™ skin barrier. Belt tabs. Includes 2 adapters.

Ultra-clear. One-sided comfort panel. Item Order # Flange Color Code9” Length HO18922 1 3/4” 10/Box HO18923 2 ¼” HCPCS: A4432 HO18924 2 3/4”

Transparent. One-sided comfort panel.Item Order # Flange Color Code9" Length HO18402 1 3/4” 9" Length HO18403 2 ¼” 10/Box HO18404 2 3/4” HCPCS: A4432

Beige. Two-sided comfort panel.Item Order # Flange Color Code9" Length HO18412 1 3/4” 10/Box HO18413 2 ¼” HCPCS: A4432 HO18414 2 3/4”

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NEW IMAGE™ UROSTOMY POUCHES

Hollister®


Ostomy

Cone Irrigator KitIncludes 1 Irrigator Bag, 1 Stoma Cone with Connector, and 1 Cleaning Brush.

Item Order # Each HO7721 HCPCS: A4398 + A4399

Replacement Stoma Cone with Connector

Item Order # 10/Box HO7723 HCPCS:A4399

OSTOMY IRRIGATION PRODUCTS

Hollister® Irrigation Products

Stoma Irrigator DrainWith attached closure and belt tabs. Clear.

Item Order # Size 20/Box HO7728 2" HCPCS: A4397 HO7724 3"

Hollister®

Item Order # Cut-to-Fit Color4.5" Length HO3777 up to 5/8” UC15/Box HCPCS: A5052 + A4362

Pouchkins™ Premie One-Piece System with SoftFlex™ Barrier, No Filter Pouch has soft wire closure. Can be used as closed end or drainable. No filter. Odor barrier film. Standard wear flat barrier without tape border. No starter hole. No comfort panels.

ONE-PIECE PEDIATRIC SYSTEMS

PEDIATRIC OSTOMY SYSTEMS

Ostomy 1-800-308-9445


Item Order # Cut-to-Fit Color6.5" Length HO3778 up to 1 3/8”x 7/8” UC15/BoxHCPCS: A5052 + A4362

Pouchkins™ Newborn One-Piece System with SoftFlex™ Barrier. No Filter. Pouch has soft wire closure. Can be used with or without the drain valve. No filter. Odor barrier film. Standard wear flat barrier without tape border. No starter hole. No comfort panels.

Pouchkins™ Urostomy Pouch with SoftFlex™ Skin BarrierUrostomy pouch with odor barrier film. Standard wear flat skin barrier without starter hole. No tape border. One sided comfort panel.

Item Order # Cut-to-Fit Color8 3/4” Length HO3797 up to 1 ½” T10/Box HCPCS:A5071

ONE-PIECE PEDIATRIC SYSTEMS

Hollister®

Pouchkins™ Drainable Pouch with SoftFlex™ Barrier. No FilterDrainable pouch with odor barrier film. Standard wear, flat skin barrier without starter hole. Lock ‘n Roll® closure. One-sided comfort panel.

Item Order # Cut-to-Fit Color 6.5" Length HO3796 up to 1 ½” T10/Box HCPCS:A5061

Pouchkins™ Drainable Pouch with SoftFlex™ Skin Barrier with Integrated FilterDrainable pouch with integrated filter and odor barrier film. Standard wear, flat skin barrier without starter hole. Lock ‘n Roll® closure. One-sided comfort panel.

Item Order # Cut-to-Fit Color7" Length HO3795 up to 2" T10/Box HCPCS:A4425


Ostomy

Pouchkins™ Drainable Pouch, No Filter, Lock ‘n Roll® ClosurePouch with odor barrier but no filter. Belt tabs. One-sided comfort panel.

Item Order # Flange Color /Match6.5" Length HO3799 1 3/4” 10/BoxHCPCS:A5063

Pouchkins™ SoftFlex™ Skin Barrier Standard wear, flat barrier. No starter hole. No tape.

Item Order # Flange Color /Match5/Box HO3761 1 3/4” HCPCS: A4414

Pouchkins™ Drainable Pouch with Integrated Filter and Lock’n Roll® ClosurePouch with integrated filter and odor barrier. Belt Tabs. One-sided comfort panel: TransparentTwo-sided comfort panel: Beige

Item Order # Flange Color /Match7" Length HO18292 1 3/4” T20/Box HO18282 1 3/4” BHCPCS:A4425

Pouchkins™ Closed Mini Pouch with Integrated Filter Closed pouch with filter and odor barier. Belt tabs. One-sided comfort panel: Transparent. Two-sided comfort panel: Beige.

Item Order # Flange Color /Match7" Length HO18382 1 3/4” T 60/Box HO18392 1 3/4” BHCPCS:A4419

Pouchkins™ Urostomy Pouch Urostomy pouch with odor barrier and flexible tap. Belt tabs. One-sided comfort panel: TransparentTwo-sided comfort panel: Beige

Item Order # Flange Color /Match6 ½” Length HO18402 1 3/4” T10/Box HO18412 1 3/4” BHCPCS:A4432

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TWO-PIECE PEDIATRIC SYSTEM

HOLLISTER

Ostomy 1-800-308-9445


PREMIER™ ONE-PIECE OSTOMY SYSTEM

PREMIER™ CLOSED POUCHES

HOLLISTER

Item Order # Cut-to-Fit Color7" Length HO82100 up to 2 1/8” Beige30/Box HO82500 up to 2 1/8” TransparentHCPCS:A4416

Item Order # Pre-Cut Color7" Length HO82125 1" Beige30/Box HO82130 1 3/16" BeigeHCPCS:A4416 HO82135 1 3/8” Beige

Item Order # Cut-to-Fit Color 9" Length HO82300 up to 2 1/8” Beige30/Box HO82400 up to 2 1/8” TransparentHCPCS:A4416

Oval.Item Order # Cut-to-Fit Color 9” HO82402 Up to 3 x 2.5” Transparent 30/Box HO82302 Up to 3 x 2.5” BeigeHCPCS: A4416

Item Order # Pre-Cut Color9” Length HO82325 1” Beige30/Box HO82330 13/16” BeigeHCPCS:A4416 HO82335 1 3/8” Beige

Premier™ Closed Mini Pouch with SoftFlex™ Skin BarrierClosed mini pouch with integrated filter and odor barrier. Beige has two-sided comfort panels. Transparent has one-sided comfort panel. Tapeless, standard wear skin barrier.


Ostomy

PREMIER™ DRAINABLE POUCHES

One-sided ComfortWear Panel Item Order # Cut-to-Fit Color12” HO8931 Up to 2 ½” Ultra-Clear10/BoxHCPCS: A4388

Two-sided ComfortWear Panels and Integrated AF300 Filter.Item Order # Type Stoma Fit Color12” HO8901 Cut-to-Fit Up to 2 ½” Beige w/Viewing Option10/Box HO8925 Pre-cut 1” Beige w/Viewing OptionHCPCS: A5056 HO8930 Pre-cut 1 3/16” Beige w/Viewing Option HO8935 Pre-cut 1 3/8” Beige w/Viewing Option HO8940 Pre-cut 1 9/16” Beige w/Viewing Option

Item Order # Type Stoma Fit Color12” HO8954 Cut-to-Fit Up to 1” Beige w/Viewing Option5/Box HO8958 Cut-to-Fit Up to 1 ½” Beige w/Viewing OptionHCPCS: A5057 HO89511 Cut-to-Fit Up to 2 1/8” Beige w/Viewing Option HO8960 Pre-cut 3/4” Beige w/Viewing Option HO8961 Pre-cut 7/8” Beige w/Viewing Option HO8962 Pre-cut 1” Beige w/Viewing Option HO8963 Pre-cut 1 1/8” Beige w/Viewing Option

Premier™ Drainable Pouch with CeraPlus™ Flat Skin BarrierTape border, Lock ‘n Roll Microseal closure, Odor-Barrier Rustle Free Film.

Premier™ Drainable Pouch with CeraPlus™ Soft Convex Skin BarrierTape border, Integrated AF300 Filter, Lock ‘n Roll Microseal closure, Odor-Barrier Rustle Free Film, Belt Tabs and Two-sided ComfortWear Panels.

Hollister®

Ostomy 1-800-308-9445


Our Multi-Lingual Support is designed to provide our customers with a comfortable communication environment

and access to customized support for ostomy management.

Call: 1-844-208-1499


12”Item Order # Stoma Fit Color 10/Box HO8531 2 ½” Ultra-Clear –Body Side OnlyHCPCS: A4388 HO8551 2 ½” Beige HO8552 1” Beige HO8538 1 ¼” Transparent-Body Side Only HO8558 1 ¼” Beige

Premier™ Drainable Pouch with Flextend™ Flat Skin BarrierTape border, Lock ‘n Roll Microseal closure, Without Integrated Filter, with ComfortWear Panels.

One-sided ComfortWear Panel Item Order # Cut-to-Fit Color12” HO8984 Up to 1” Ultra-Clear5/Box HO8988 Up to 1 ½” Ultra-ClearHCPCS: A4390 HO89811 Up to 2” Utra-Clear

Two-sided ComfortWear Panels and Integrated AF300 Filter.Item Order # Type Stoma Fit Color12” HO8914 Cut-to-Fit Up to 1” Beige w/Viewing Option5/Box HO8918 Cut-to-Fit Up to 1 ½” Beige w/Viewing OptionHCPCS: A5057 HO89111 Cut-to-Fit Up to 2” Beige w/Viewing Option HO8990 Pre-cut 3/4” Beige w/Viewing Option HO8991 Pre-cut 7/8” Beige w/Viewing Option HO8992 Pre-cut 1” Beige w/Viewing Option HO8993 Pre-cut 1 1/8” Beige w/Viewing Option

Premier™ Drainable Pouch with CeraPlus™ Convex Skin BarrierTape border, Lock ‘n Roll Microseal closure, Odor-Barrier Rustle Free Film and Belt Tabs.

Hollister®


Ostomy


Cut-to-Fit. One-sided comfort panel. Item Order # Stoma Fit Color 7" Length HO88800 up to 2 1/8” Transparent20/Box HCPCS:A4424

Cut-to-Fit. Two-sided comfort panel. Item Order # Stoma Fit Color 7" Length HO88700 up to 2 1/8” Beige20/Box HCPCS:A4424

Oval. Cut-to-fit. One-sided comfort panel. Item Order # Stoma Fit Color 12” HO88402 Up to 3 x 2.5” Transparent 10/Box HCPCS: A4424

Premier™ Drainable Mini-Pouch with SoftFlex™ Flat Skin BarrierFlat, standard wear, tapeless skin barrier. Choose Cut-to-Fit or Pre-Cut. Drainable pouch with odor barrier. Choose one or two-sided comfort panels.

Hollister®

Ostomy 1-800-308-9445


Oval. Cut-to-fit. Two-sided comfort panel. Item Order # Stoma Fit Color 12” HO88302 Up to 3 x 2.5” Beige 10/Box HCPCS: A4424

Pre-Cut. Two-sided comfort panel. Item Order # Pre-Cut Size Color 7" Length HO88725 1" Beige20/Box HO88730 13/16" BeigeHCPCS:A4424 HO88735 1 3/8” Beige HO88740 19/16" Beige

Premier™ Drainable Mini-Pouch with SoftFlex™ Flat Skin Barrier (Cont.)Flat, standard wear, tapeless skin barrier. Choose Cut-to-Fit or Pre-Cut. Drainable pouch with odor barrier. Choose one or two-sided comfort panels.


Hollister®

Premier™ Drainable Pouch with Flextend™ Convex Skin BarrierTape. Filter. Belt Tabs. Cut-to-fit. One-sided comfort panel.

Item Order # Stoma Fit Color 12” HO8584 Up to 1” Transparent 5/Box HO8588 Up to 1 ½” TransparentHCPCS: A5057 HO85811 Up to 2” Transparent HO8274 Up to 1” Transparent HO8278 Up to 1 ½” Transparent HO82711 Up to 2” Transparent

Cut-to-Fit. One-sided comfort panel. Item Order # Cut-to-Fit Color12" Length HO88501 up to 2 ½" Ultra-Clear10/Box HCPCS:A5061

Premier™ Drainable Pouch with Clamp Closure, SoftFlex™ Flat Skin BarrierFlat, standard wear, tapeless skin barrier. Cut-to-Fit. Drainable pouch with clamp closure. No filter. One-sided comfort panel.


Ostomy

Premier™ Drainable Pouch with Flextend™Convex Skin BarrierConvex, extended wear skin barrier with cloth tape. Choose Cut-to-Fit or Pre-Cut. Drainable pouch with odor barrier. One-sided comfort panel. Belt tabs.

Cut-to-Fit. Item Order # Cut-to-Fit Color 12" Length. HO8624 up to 1" Transparent5/Box HO8628 up to 1 ½” TransparentHCPCS:A4390 HO86211 up to 2" Transparent

Cut-to-fit. Item Order # Cut-to-Fit Color 12” HO82624 Up to 1” Transparent 5/Box HO82628 Up to 1 ½” TransparentHCPCS: A4390 HO826211 Up to 2” Transparent

Pre-Cut.Item Order # Pre-Cut Size Color 12” Length HO8610 3/4” Transparent5/Box HO8611 7/8” TransparentHCPCS:A4390 HO8612 1” Transparent HO8613 1 1/8” Transparent HO8614 1 ¼” Transparent HO8615 1 3/8” Transparent HO8616 1 ½” Transparent HO8617 1 5/8” Transparent HO8618 1 3/4” Transparent HO8619 2” Transparent


HOLLISTER

Item Order # Type Stoma Fit ColorMAXI 12” HO8674 Cut-to-fit 5/8” to 1“ Beige5/Box HO8678 Cut-to-fit 5/8” to 1 ½” BeigeHCPCS: A5057 HO86711 Cut-to-fit 5/8” to 2 1/8” Beige HO8661 Pre-cut 7/8” Beige HO8662 Pre-cut 1” Beige HO8663 Pre-cut 1 1/8” Beige HO8664 Pre-cut 1 ¼” Beige HO8665 Pre-cut 1 ½” Beige HO8666 Pre-cut 1 3/4” Beige HO8574 Cut-to-fit 5/8” to 1” Ultra clear HO8578 Cut-to-fit 5/8” to 1 ½” Ultra clear H085711 Cut-to-fit 5/8” to 2 1/8” Ultra clear

Premier™ Soft Convex Drainable Pouch with Flextend™ Tape. Belt tabs. Beige with viewing option, and ultra clear.

Ostomy 1-800-308-9445


Premier™ Drainable Pouch with Flextend™Convex Skin Barrier (Cont.)Convex, extended wear skin barrier with cloth tape. Choose Cut-to-Fit or Pre-Cut. Drainable pouch with odor barrier. One-sided comfort panel. Belt tabs.

Pre-cut. Belt tabs.Item Order # Pre-Cut Size Color 12” HO82610 3/4” Transparent 5/Box HO82611 7/8” TransparentHCPCS: A4390 HO82612 1” Transparent HO82613 1 1/8” Transparent HO82614 1 ¼” Transparent HO82615 1 3/8” Transparent HO82616 1 ½” Transparent HO82617 1 5/8” Transparent HO82619 2” Transparent


HOLLISTER

Cut-to-Fit. One-sided comfort panel. Item Order # Cut-to-Fit Color 9" Length HO8641 up to 2 ½” Beige10/Box HCPCS:A4388 Cut-to-Fit. One-sided comfort panel. Item Order # Cut-to-Fit Color 12" Length HO8651 up to 2" Ultra-clear10/Box HO8631 up to 2 ½” TransparentHCPCS:A4388Pre-Cut. One-sided comfort panel. Item Order # Pre-Cut Size Color 12" Length HO8637 3/4” Transparent10/Box HO8632 1" TransparentHCPCS:A4388 HO8638 1 ¼” Transparent HO8633 1 ½” Transparent HO8639 1 3/4” Transparent HO8634 2" Transparent HO8635 2 ½” Transparent

Premier™ Drainable Pouch with Flextend™ Flat Skin BarrierFlat, extended wear skin barrier with cloth tape. Choose Cut-to-Fit or Pre-Cut. Drainable pouch with odor barrier. Choose one or two-sided comfort panels. Includes 1 clamp.


Ostomy


Hollister®

Premier™ Drainable Pouch with FlexWear™ Skin BarrierFlat, with tape border, with Integrated AF300 Filter, Lock ‘n Roll™ closure, Odor-Barrier Rustle Free Film with ComfortWear™ panels. Cut-to-Fit. One-sided comfort panel. FlexWear™ (standard wear).

12” LengthItem Order # Cut-to-Fit Color HCPCS:A4424 HO8081 Up to 2 ½” Transparent10/Box

Cut-to-Fit. Two-sided comfort panel. FlexWear™ (standard wear). 12” LengthItem Order # Cut-to-Fit Color 10/Box HO8181 Up to 2 ½” Beige HO8381 Up to 2-1/2” Beige w/Viewing Option

Pre-Cut. Two-sided comfort panel. Item Order # Pre-Cut Size Color 9” Length HO8647 3/4” Beige10/Box HO8642 1” BeigeHCPCS:A4388 HO8648 1 ¼” Beige HO8643 1 ½” Beige HO8649 1 3/4” Beige

Premier™ Drainable Pouch with Flextend™ Flat Skin Barrier (Cont.)Flat, extended wear skin barrier with cloth tape. Choose Cut-to-Fit or Pre-Cut. Drainable pouch with odor barrier. Choose one or two-sided comfort panels. Includes 1 clamp.

Ostomy 1-800-308-9445



Premier™ Drainable Pouch with FlexWear™ Skin Barrier (Cont.)Flat, with tape border, with Integrated AF300 Filter, Lock ‘n Roll™ closure, Odor-Barrier Rustle Free Film with ComfortWear™ panels. Cut-to-Fit. One-sided comfort panel. FlexWear™ (standard wear).

Cut-to-Fit. One-sided comfort panel. FlexWear™ (standard wear). 12” LengthItem Order # Cut-to-Fit Color 10/Box HO8031 Up to 2 ½” Ultra ClearHCPCS: A5061 HO8131 Up to 2 ½” Ultra Clear

Hollister®

Cut-to-Fit. One-sided comfort panel. Item Order # Cut-to-Fit Color 12" Length HO8524 up to 1" Transparent5/Box HO8528 up to 1 ½” TransparentHCPCS:A4390 HO85211 up to 2" Transparent

Premier™ Lock ‘n Roll™ Drainable Pouch with Flextend™ Convex Skin Barrier (Cut-to-Fit)Convex, extended wear skin barrier with cloth tape. Cut-to-Fit barrier. Drainable pouch with odor barrier. Choose one or two-sided comfort panels. Belt tabs.


and sign up today!


Ostomy

Cut-to-Fit. Two-sided comfort panel. Item Order # Cut-to-Fit Color 12" Length HO8504 up to 1" Beige5/Box HO8508 up to 1 ½” BeigeHCPCS:A4390 HO85011 up to 2" Beige

Cut-to-fit. One-sided comfort panel. Item Order # Stoma Fit Color 12” HO8244 Up to 1” Transparent 5/Box HO8248 Up to 1 ½” TransparentHCPCS: A4390 HO82411 Up to 2” Transparent

Premier™ Lock ‘n Roll™ Drainable Pouch with Flextend™ Convex Skin Barrier (Cut-to-Fit)Convex, extended wear skin barrier with cloth tape. Cut-to-Fit barrier. Drainable pouch with odor barrier. Choose one or two-sided comfort panels. Belt tabs.


Hollister®

Ostomy 1-800-308-9445



Hollister®

Pre-Cut. One-sided comfort panel. Item Order # Pre-Cut Size Color 12" Length HO8510 3/4” Transparent5/Box HO8511 7/8” TransparentHCPCS:A4390 HO8512 1" Transparent HO8513 1 1/8” Transparent HO8514 1 ¼” Transparent HO8515 1 3/8” Transparent HO85116 1 ½” Transparent HO85118 1 3/4” Transparent HO85119 2" Transparent

Pre-Cut. Two-sided comfort panel. Item Order # Pre-Cut Size Color 12" Length HO8590 3/4” Beige5/Box HO8591 7/8” BeigeHCPCS:A4390 HO8592 1” Beige HO8593 1 1/8” Beige HO8594 1 ¼” Beige HO8595 1 3/8” Beige HO8596 1 ½” Beige HO8597 1 5/8” Beige

Premier™ Lock ‘n Roll™ Drainable Pouch with Flextend™ Convex Skin Barrier (Pre-Cut)Convex, extended wear skin barrier with cloth tape. Pre-cut barrier. Drainable with odor barrier. Choose one or two-sided comfort panels. Belt tabs.





Ostomy


Hollister®

Pre-cut. One-sided comfort panel. Belt tabs.Item Order # Pre-Cut Size Color 12” HO8280 3/4” Transparent 5/Box HO8281 7/8” TransparentHCPCS: A4390 HO8282 1” Transparent HO8283 1 1/8” Transparent HO8284 1 ¼” Transparent HO8285 1 3/8” Transparent HO8286 1 ½” Transparent HO8288 1 3/4” Transparent

Pre-cut. Two-sided comfort panel. Belt tabs.Item Order # Pre-Cut Size Color 12” HO8290 3/4” Beige 5/Box HO8291 7/8” BeigeHCPCS: A4390 HO8292 1” Beige HO8294 1 ¼” Beige HO8295 1 3/8” Beige

Premier™ Lock ‘n Roll™ Drainable Pouch with Flextend™ Convex Skin Barrier (Pre-Cut) (Cont.)Convex, extended wear skin barrier with cloth tape. Pre-cut barrier. Drainable with odor barrier. Choose one or two-sided comfort panels. Belt tabs.

Ostomy 1-800-308-9445


Cut-to-Fit.Item Order # Cut-to-Fit Color 12" Length HO88300 up to 2 1/8” Beige10/Box HCPCS:A4424

Cut-to-Fit.Item Order # Cut-to-Fit Color12" Length, 10/Box HCPCS:A4424 HO88400 up to 2" TransparentHCPCS:A5061 HO88401 up to 2 ½” Ultra-Clear

Pre-Cut. Item Order # Pre-Cut Size Color 12" Length HO88325 1" Beige10/Box HO88330 1 3/16" BeigeHCPCS:A4424 HO88335 1 3/8” Beige HO88340 1 9/16" Beige

Pre-Cut.Item Order # Pre-Cut Size Color 12" Length HO88425 1" Transparent10/Box HO88430 13/16" TransparentHCPCS:A4424 HO88435 13/8” Transparent HO88440 19/16" Transparent

Premier™ Lock ‘n Roll™ Drainable Pouch with SoftFlex™ Skin BarrierFlat, standard wear tapeless skin barrier. Choose Cut-to-Fit or Pre-Cut. Drainable pouch with odor barrier and upgraded filter. Beige has two-sided comfort panels. Transparent has one-sided comfort panel. Transparent and ultra-clear have one-sided comfort panels.


Hollister®

9”Item Order # Cut-to-Fit Color 5/Box HO84134 Up to 1” Ultra-Clear-Body Side OnlyHCPCS: A4430 HO84138 Up to 2 ½” Ultra-Clear-Body Side Only HO841311 Up to 2 1/8” Ultra-Clear-Body Side Only

9”Item Order # Pre-Cut Color 5/Box HO8412 3/4” Beige with Viewing OptionHCPCS: A4430 HO8413 7/8” Beige with Viewing Option HO8414 1” Beige with Viewing Option HO8415 1 1/8” Beige with Viewing Option

Premier™ Urostomy Pouch with Soft Convex CeraPlus™ Skin Barrier


Ostomy

9”Item Order # Cut-to-Fit Color 5/Box HO84794 Up to 1” Ultra-Clear-Body Side OnlyHCPCS: A4430 HO84798 Up to 1 ½” Ultra-Clear-Body Side Only HO847911 Up to 2” Ultra-Clear-Body Side Only HO8439111 Up to 2” Beige

Item Order # Pre-Cut Color 5/Box HO84890 ½” Ultra-Clear-Body Side OnlyHCPCS: A4430 HO84991 5/8” Beige HO84892 3/4” Ultra-Clear-Body Side Only HO84992 3/4” Beige HO84893 7/8” Ultra-Clear-Body Side Only HO84993 7/8” Beige HO84894 1” Ultra-Clear-Body Side Only HO84994 1” Beige HO84895 1 1/8” Ultra-Clear-Body Side Only HO84896 1 ¼” Ultra-Clear-Body Side Only HO84897 1 3/8” Ultra-Clear-Body Side Only HO84997 1 3/8” Beige HO84998 1 ½” Beige HO84999 1 3/4” Beige

Premier™ Urostomy Pouch with Convex Flextend ™ Skin Barrier Recommended replacement for HO847x/843x series. Upgraded Design w/Multi-Chamber, Softer, Streamlined Tap. Anti-Reflux Valve, Tape Border, Belt Tabs, ComfortWear Panels. Includes 1 Adapter.

9”Item Order # Cut-to-Fit Color 10/Box HO84590 Up to 2 ½” Ultra-Clear-Body Side OnlyHCPCS: A4428 HO84690 Up to 2 ½” Transparent-Body Side Only

Item Order # Pre-Cut Color 10/Box HO84497 3/4” Beige HCPCS: A4428 HO84692 1” Transparent-Body Side Only HO84498 1 ¼” Beige HO84693 1 ½” Transparent-Body Side Only HO84499 1 3/4” Beige HO84694 2” Transparent-Body Side Only HO84494 2” Beige

Premier™ Urostomy Pouch with Flat Flextend ™ Skin BarrierRecommended replacement for HO8440/8450/8460. Upgraded Design w/Multi-Chamber, Softer, Streamlined Tap. Anti-Reflux Valve, Tape Border, ComfortWear Panels. Includes 2 Adapters.


Hollister®

Ostomy 1-800-308-9445


Item Order # Cut-to-Fit Color9" Length HO8474 up to 1" Transparent5/Box HO8478 up to 1 ½” TransparentHCPCS:A4430 HO84711 up to 2" Transparent

Item Order # Pre-Cut Color9" Length HO8491 5/8” Beige5/Box HO8492 3/4” BeigeHCPCS:A4430 HO8493 7/8” Beige HO8494 1" Beige HO8495 1 1/8” Beige HO8496 1 ¼” Beige HO8497 1 3/8” Beige HO8498 1 ½” Beige

Premier™ Urostomy Pouch with Convex Flextend™ Skin BarrierUrostomy pouch with odor barrier. Beige has two-sided comfort panels. Transparent has one-sided comfort panel. Convex extended wear skin barrier with cloth tape. Choose Cut-to-Fit or Pre-Cut. Belt tabs. Includes 2 adapters.

PREMIER™ UROSTOMY POUCHES

Item Order # Pre-Cut Color9" Length HO8480 ½” Transparent5/Box HO8481 5/8” TransparentHCPCS:A4430 HO8482 3/4” Transparent HO8483 7/8” Transparent HO8484 1" Transparent HO8485 1 1/8” Transparent HO8486 1 ¼” Transparent HO8487 1 3/8” Transparent HO8488 1 ½” Transparent HO8489 1 3/4” Transparent

We value your opinion and would like to hear from you.Please email your comments or suggestions to:

[email protected]

Hollister®


Ostomy

Item Order # Cut-to-Fit Color9" Length HO8440 up to 2 ½” Beige10/Box HO8450 up to 2 ½” Ultra-ClearHCPCS:A4428 HO8460 up to 2 ½” Transparent

Item Order # Pre-Cut Color9" Length HO8447 3/4” Beige10/Box HO8442 1" Beige HCPCS:A4428 HO8448 1 ¼” Beige HO8443 1 ½” Beige HO8449 1 3/4” Beige

Item Order # Pre-Cut Color9" Length HO8467 3/4” Transparent10/Box HO8462 1" Transparent HCPCS:A4428 HO8468 1 ¼” Transparent HO8463 1 ½” Transparent HO8469 1 3/4” Transparent HO8464 2" Transparent

Premier™ Urostomy Pouch with Flat Flextend™ Skin BarrierUrostomy pouch with odor barrier. Beige has two-sided comfort panels. Transparent has one-sided comfort panel. Extended wear, flat skin barrier with cloth tape. Choose Cut-to-Fit or Pre-Cut. Includes 2 adapters.

PREMIER™ UROSTOMY POUCHES

Hollister®

Hollister® Stoma Cap with FilterStoma cap with odor-barrier film. Microporous, cloth tape and integrated, deodorizing filter.

Item Order # Opening Color4 ¼” HO3184 2" White30/Box HO3186 3" WhiteHCPCS:A5055

MISCELLANEOUS CLOSED POUCHES

Ostomy 1-800-308-9445


DRAINABLE POUCHES

Nu-Flex™ Trim-to-Fit Oval Drainable Pouches, 24 oz., Nu-Flex Shield• Oval, pre-coated waterproof adhesive foam pad• Nu-Flex shield is a flexible and lighter weight shield• Odor-proof drainable pouch with belt tabs, clear or opaque• Available in Flat, Convex (-C) or Deep Convex (-DC)• Box of 10 includes clamp closure. To order Roll-Up closure add R to the end of the catalog number (e.g., NH7235R)• Box of 10 w/Closure ClampUse alone or with Barrier* recommended for Ileostomates

Adult - Trim-to-Fit, 24 oz., 11” PouchItem Clear Opaque Size HCPCS: NH7534 NH7034 3/8” x 1 ½” A4388 Flat NH7544 NH7044 1 1/8” x 2" A4390 Convex NH7554 NH7054 13/16" x 2 ¼” NH7564 NH7064 1 ½” x 2 3/4” NH7574 NH7074 1 3/4”" x 3 ¼” Adult - Trim-to-Fit, 40 oz., 11” Pouch NH7584 NH7084 2 ¼” – 3 3/4”

Adult - Pre-Cut, 24 oz., 11” PouchItem Clear Opaque Size HCPCS: NH7535 NH7035 3/4” x 1 ½”A4388 Flat NH7545 NH7045 1 1/8”" x 2"A4390 Convex NH7555 NH7055 13/16" x 2 ¼” NH7565 NH7065 1 ½” x 2 3/4” NH7575 NH7075 1 3/4” x 3 ¼”Adult - Pre-Cut, 40 oz., 11” Pouch NH7585 NH7085 2 ¼” – 3 3/4”

Nu-Flex™ OVAL DRAINABLE POUCHES

NU-HOPE

Drainable Pouch OptionsTo add Hydrocolloid Disc add: “40” prior to catalog # (ie 407208).For regular convexity add “C” after catalog # (ie 7208C).For deep convexity add “DC” after catalog # (ie 7208DC).Roll-up Closure add “R” after catalog # (ie 7204R or 7204R-C)


Ostomy

Nu-Flex™ Round Drainable Pouch• Odor-proof drainable pouch with belt tabs*, and comfort panel (one side)• 3 1/2" pre-coated water-proof adhesive foam pad*• Trim-to-Fit or Pre-Cut stoma opening• Available in Flat, Convex, & Deep Convex• Box of 10 w/Closure Clamp or Pouch Roll-up add the letter “R” to the end of the catalog number• Nu-Flex shield is flexible and bendableUse alone or with Barrier* recommended for Ileostomates

Adult - Trim-to-Fit, 24 oz., 11” PouchItem Clear Opaque Size HCPCS: NH7801 NH7501 ½” to 7/8” A4388 Flat NH7802 NH7502 1" to 1 3/8” A4390 Convex NH7803 NH7503 1 ½” to 1 3/4”

Adult - Pre-Cut, 24 oz., 11” PouchItem Clear Opaque Size HCPCS: NH7804 NH7504 ½” A4388 Flat NH7805 NH7505 5/8” A4390 Convex NH7806 NH7506 3/4” NH7807 NH7507 7/8” NH7808 NH7508 1" NH7809 NH7509 1 1/8” NH7810 NH7510 1 ¼” NH7811 NH7511 1 3/8” NH7812 NH7512 1 ½” NH7813 NH7513 1 5/8” NH7814 NH7514 1 3/4” NH7816 NH7516 2"

Nu-Flex™ ROUND DRAINABLE POUCHES

NU-HOPE

Ostomy 1-800-308-9445


POST-OP ROUND DRAINABLE POUCHES

Adult & Brief Post-Op Clear Drainable Pouch (Cont.)• Odor-Proof Drainable pouch with belt tabs, and comfort panel (one side)• 3 ½" pre-coated water-proof adhesive foam pad*• Trim to Fit or Pre-Cut stoma opening• Available in Flat, Convex, & Deep Convex• Box of 10 w/Closure Clamp or Pouch Roll-up add the letter “R” to the end of the catalog numberUse alone or with Barrier* recommended for Ileostomates

Adult - Pre-Cut, 24 oz., 11” PouchItem Clear Opaque Size HCPCS: NH7204 NH7404 ½” A4388 Flat NH7205 NH7405 5/8” A4390 Convex NH7206 NH7406 3/4” NH7207 NH7407 7/8” NH7208 NH7408 1" NH7209 NH7409 1 1/8” NH7210 NH7410 1 ¼” NH7211 NH7411 1 3/8” NH7212 NH7412 1 ½” NH7213* NH7413 1 5/8” NH7214* NH7414 1 3/4” NH7216* NH7416 2"

NU-HOPE

Adult & Brief Post-Op Clear Drainable Pouch• Trim-to-Fit Round Drainable Pouches, 24 oz., Standard Shield• 3-1/2” pre-coated water proof adhesive foam pad• Odor-proof drainable pouch with belt tabs, clear or opaque • Available in Flat, Convex and Deep Convex• Standard shield is firm and stands up under pressure and skinfolds• Box of 10 includes clamp closure. To order Roll-Up closure, add R to the end of the catalog number (e.g., NH7204R)

Adult - Trim-to-Fit, 24 oz.Item Clear Opaque SizeHCPCS: NH7201 NH7401 ½” to 7/8” A4388 Flat NH7202 NH7402 1” to 1 3/8” A4390 Convex NH7203 NH7403 1 ½” to 1 3/4”


Ostomy

POST-OP OVAL DRAINABLE POUCHESOval Drainable Pouches, 24 oz., Standard Shield· Oval, pre-coated waterproof adhesive foam pad· Odor-proof drainable pouch with belt tabs, clear or opaque · Available in Flat, Convex (-C) or Deep Convex (-DC)· Box of 10 includes clamp closure. To order Roll-Up closure add R to the end of the catalog number (e.g., NH7235R)

Adult - Trim-to-Fit , 11” Pouch Item Order# Opaque Size 24 oz. NH7234 NH7434 3/4” x 1 ½” HCPCS NH7244 NH7444 1 1/8” x 2" A4388 Flat NH7254 NH7454 1 3/16" x 2 ¼” A4390 Convex NH7264 NH7464 1 ½” x 2 3/4” NH7274 NH7474 1 3/4” x 3 ¼” NH7284 NH7484 2 ¼” x 3 3/4”

Adult - Pre-Cut, 11” Pouch Item Clear Opaque Size 24 oz. NH7235 NH7435 3/4” x 1 ½” HCPCS NH7245 NH7445 1 1/8” x 2” A4388 Flat NH7255 NH7455 13/16" x 2 ¼” A4390 Convex NH7265 NH7465 1 ½” x 2 3/4” NH7275 NH7475 1 3/4” x 3 ¼” NH7285 NH7485 2 ¼” x 3 3/4”

DRAINABLE & URINARY POUCHES

NU-HOPE

Urinary Pouch OptionsFlutter Valve (Anti-Reflux) add: “FV” after catalog # (ie 8257FV).For regular convexity add: “C” after catalog # (ie 8257C).For deep convexity add: “DC” after catalog # (ie 8257DC).

Ostomy 1-800-308-9445


POST-OP ROUND URINARY POUCHESRound Adult Post-Op Urinary Pouch, 24 oz, Standard Shield· 3-1/2” pre-coated water proof adhesive foam pad· Odor-resistant pouch with belt tabs, clear · Available in Flat, Convex (-C) and Deep Convex (-DC)· Standard shield is firm and stands up to creases and folds· Durable vinyl material is strong and quiet· Add a Flutter Valve/anti-reflux valve to keep urine from flowing back to stoma (-FV)· Box of 10 includes 10 caps and 1 night adapter

Adult - Trim-to-Fit, 11” Pouch Item Order# Size 24 oz. NH8291 ½” to 7/8” HCPCS NH8292 1" to 1 3/8” A4391 Flat NH8293 1 ½” to 1 3/4” A4393 Convex

Adult - Pre-Cut, 11” Pouch Item Order# Size 24 oz. NH8254 ½” HCPCS NH8255 5/8” A4391 Flat NH8256 3/4” A4393 Convex NH8257 7/8” NH8258 1" NH8259 1 1/8” NH8260 1 ¼” NH8261 1 3/8” NH8262 1 ½” NH8263* 1 5/8” NH8264* 1 3/4” NH8266* 2"

NU-HOPE


Ostomy

Oval Urinary Pouches, 24 oz., Standard Shield· 3-1/2” pre-coated water proof adhesive foam pad· Multi-use: apply Nu-Hope adhesive to re-use this pouch· Odor-resistant pouch with belt tabs, clear · Available in Flat, Convex (-C) and Deep Convex (-DC)· Standard shield is firm and stands up to creases and folds· Durable vinyl material is strong and quiet· Add a Flutter Valve/anti-reflux valve to keep urine from flowing back to stoma (-FV)· Box of 10 includes 10 caps and 1 night adapter

Adult - Trim-to-Fit Item Order# Size NH8634 A 3/4” x 1 ½” HCPCS NH8644 B 1 1/8” x 2” A4391 Flat NH8654 C 1 3/16” x 2 ¼” A4393 Convex NH8664 D 1 ½” x 2 3/4” NH8674 E 1 3/4” x 3 ¼”

Adult - Pre-Cut Item Order# Size NH8635 A 3/4” x 1 ½” HCPCS NH8645 B 1 1/8” x 2” A4391 Flat NH8655 C 1 3/16” x 2 ¼” A4393 Convex NH8665 D 1 ½” x 2 3/4” NH8675 E 1 3/4” x 3 ¼”

POST-OP OVAL URINARY POUCHES

Urinary Pouch OptionsFlutter Valve (Anti-Reflux) add: “FV” after catalog # (ie 8257FV).For regular convexity add “C” after catalog # (ie 8257C).For deep convexity add “DC” after catalog # (ie 8257DC).

NU-HOPE

Ostomy 1-800-308-9445

153

Nu-Flex Trim-to-Fit Round Urinary Pouches, 24 oz, Nu-Flex Shield· 3-1/2” pre-coated water proof adhesive foam pad· Odor-resistant pouch with belt tabs, clear · Available in Flat, Convex (-C) and Deep Convex (-DC)· Nu-Flex shield is a flexible and lighter weight shield· Durable vinyl material is strong and quiet· Add a Flutter Valve/anti-reflux valve to keep urine from flowing back to stoma (-FV)· Box of 10 includes 10 caps and 1 night adapter

Item Order# Size HCPCS NH7991 ½” to 7/8” A4391 Flat NH7992 1" to 1 3/8” A4393 Convex NH7993 1 ½” x 1 3/4”

Nu-Flex™ OVAL URINARY POUCHES

Nu-Flex™ ROUND URINARY POUCHES

Nu-Flex Oval Urinary Pouches, 24 oz., Nu-Flex Shield· 3-1/2” pre-coated water proof adhesive foam pad· Multi-use: apply Nu-Hope adhesive to re-use this pouch· Odor-resistant pouch with belt tabs, clear · Available in Flat, Convex (-C) and Deep Convex (-DC)· Nu-Flex shield is a flexible and lighter weight shield· Durable vinyl material is strong and quiet· Add a Flutter Valve/anti-reflux valve to keep urine from flowing back to stoma (-FV)· Box of 10 includes 10 caps and 1 night adapter

Adult - Trim-to-Fit Item Order# Size HCPCS NH8834 A 3/4” x 1 ½” A4391 Flat NH8844 B 1 1/8” x 2” A4390 Convex NH8854 C 1 3/16” x 2 ¼” NH8864 D 1 ½” x 2 3/4” NH8874 E 1 3/4” x 3 ¼”

Adult - Pre-Cut Item Order# Size HCPCS NH8835 A 3/4” x 1 ½” A4391 Flat NH8845 B 1 1/8” x 2” A4390 Convex NH8855 C 1 3/16” x 2 ¼” NH8865 D 1 ½” x 2 3/4” NH8875 E 1 3/4” x 3 ¼”

Large Oval - Trim-to-Fit - FLAT only

Item Order# Size HCPCS NH7974 1 ½” x 2 3/4” A4391 Flat NH7975 1 3/4” x 3 ¼”

NU-HOPE


Ostomy

Nu-Flex Pre-Cut Round Urinary Pouches, 24, 20 and 12 oz, Nu-Flex Shield· 3-1/2” pre-coated water proof adhesive foam pad· Odor-resistant pouch with belt tabs, clear · Available in Flat, Convex (-C) and Deep Convex (-DC)· Nu-Flex shield is a flexible and lighter weight shield· Durable vinyl material is strong and quiet· Add a Flutter Valve/anti-reflux valve to keep urine from flowing back to stoma (-FV)· Box of 10 includes 10 caps and 1 night adapter

Item 24 oz. 20 oz. 12 oz. Size HCPCS NH7954 NH7654 NH7754 ½”A4391 Flat NH7955 NH7655 NH7755 5/8”A4393 Convex NH7956 NH7656 NH7756 3/4” NH7957 NH7657 NH7757 7/8” NH7958 NH7658 NH7758 1" NH7959 NH7659 NH7759 1 1/8” NH7960 NH7660 NH7760 1 ¼” NH7961 NH7661 NH7761 1 3/8” NH7962 NH7662 NH7762 1 ½” NH7963 NH7663 1 5/8” NH7964 NH7664 1 3/4” NH7966 NH7666 2" NH7668 2 ¼” with 4" adhesive foam pad

Nu-Flex™ OVAL URINARY POUCHES

NU-HOPE

Never miss the momentYou can live at the speed of life with the help of Nu-Hope’s

Ostomy and Hernia Support Belts. Never miss the moment.

LABORATORIES, INC.

®

•S-XXL lengths available•Support Rings to fit most ostomy appliances on the market•Available in beige or white, Regular or Cool Comfort elastic


OstomyNU-HOPE

For large hernias and/or bulges that no longer reduce flat we recommend the Nu-Form belt. For hernia prevention, pouch support and smaller reducible hernias, we recommend the Flat Panel belt. In a lying position, measure the circumference of the body inline with the stoma. Select the belt that matches the length determined by your measurement. Belt width is determined based on area that needs support.Belt openings are sized to the style or flange size of the pouch being worn. Add the corresponding letter to the end of the #.

Example: 6594-A would be a Small, 3" belt with a 23/4" opening.

HOW TO MEASURE FOR THE NU-HOPE OSTOMY SUPPORT BELTS

Nu-Hope™ SUPPORT BELTS

2” E 2 1/8” L 2 ¼” F 2 3/8” 2 ½” G 2 5/8” I 25/8” x 31/8” W 2 3/4” A 2 7/8” DC 2 7/8” x 3 3/8” Q 3” B 3 1/8”” U

3 ¼” C 3 ½” T 3 3/4” M 4 ½” R 33/8” V 4” O MED Oval H XLG Oval K LRG Oval J NO HOLE NH SPECIAL SP**

Belt Opening Sizes / Add letter to #

Belt opening size is dependent on the pouching system worn.

**Can be customized, please include description.

Ostomy 1-800-308-9445

157

Nu-Hope™ Nu-Form Support Belts for Hernias

2-3/8" center openingItem Regular Cool Comfort HCPCS:A4396 Order # Order# Size Fits NH6300 NH6400 Sm 28" - 32" NH6301 NH6401 Med 32" - 36" NH6302 NH6402 Lg 36" - 41" NH6303 NH6403 X-Lg 41" - 47" NH6304 NH6404 XX-Lg 47" - 52"

2-3/8" center openingItem Regular Cool Comfort HCPCS:A4396 Order# Order# Size Fits NH6310 NH6410 Sm 28" - 32" NH6311 NH6411 Med 32" - 36" NH6312 NH6412 Lg 36" - 41" NH6313 NH6413 X-Lg 41" - 47" NH6314 NH6414 XX-Lg 47" - 52"

2-3/8" center openingItem Regular Cool Comfort HCPCS:A4396 Order # Order# Size Fits NH6320 NH6420 Sm 28" - 32" NH6321 NH6421 Med 32" - 36" NH6322 NH6422 Lg 36" - 41" NH6323 NH6423 X-Lg 41" - 47" NH6324 NH6424 XX-Lg 47" - 52"

2-3/8" center openingItem Regular Cool Comfort HCPCS:A4396 Order# Order# Size Fits NH6330 NH6430 Sm 28" - 32" NH6331 NH6431 Med 32" - 36" NH6332 NH6432 Lg 36" - 41" NH6333 NH6433 X-Lg 41" - 47" NH6334 NH6434 XX-Lg 47" - 52"

3"

4"

5"

6"

NU-HOPE

The Nu-Form belt is an all elastic belt designed to allow the elastic to support bulges and other body shapes naturally and comfortably. · The belt comes in two types of elastic material: regular elastic and breathable Cool Comfort. · Openings are available to fit most ostomy pouches on the market. The standard opening size is 2-3/8". To create an order number, simply add the letter of the opening to the end of the catalog number. · Openings are centered vertically on belts 3" thru 6" wide so the belt can be worn for either a left or right sided stoma. Openings are placed 1-1/2" from the bottom for belt widths 7", 8", and 9". · All belts can be modified; hole size, hole placement, belt length, etc. · To add a Prolapse Overbelt add "P" to the item#, ie 2667-P. Prolapse overbelts are designed to supportprolapsing stomas.

Regular elastic is plush on the inside against the skin and smooth on the outside against clothing. It’s soft and recommended for sensitive skin.Cool Comfort elastic is a lightweight breathable mesh elastic.


OstomyNU-HOPE

Nu-Form™ SUPPORT BELTS

9" 9"

LEFT/2-3/8" center opening & 1-1/2" from bottomItem Regular Cool Comfort HCPCS:A4396 Order# Order# Size Fits NH6340 NH6440 Sm 28" - 32" NH6341 NH6441 Med 32" - 36" NH6342 NH6442 Lg 36" - 41" NH6343 NH6443 X-Lg 41" - 47" NH6344 NH6444 XX-Lg 47" - 52"

LEFT/2-3/8” center opening & 1-1/2” from bottomItem Regular Cool Comfort HCPCS:A4396 Order# Order# Size Fits NH6350 NH6450 Sm 28” - 32” NH6351 NH6451 Med 32” - 36” NH6352 NH6452 Lg 36” - 41” NH6353 NH6453 X-Lg 41” - 47” NH6354 NH6454 XX-Lg 47” - 52”

LEFT/2-3/8” center opening & 1-1/2” from bottomItem Regular Cool Comfort HCPCS:A4396 Order# Order# Size Fits NH6360 NH6460 Sm 28” - 32” NH6361 NH6461 Med 32” - 36” NH6362 NH6462 Lg 36” - 41” NH6363 NH6463 X-Lg 41” - 47” NH6364 NH6464 XX-Lg 47” - 52”

RIGHT/2-3/8" center opening & 1-1/2" from bottom Item Regular Cool Comfort HCPCS:A4396 Order# Order# Size Fits NH6345 NH6445 Sm 28" - 32" NH6346 NH6446 Med 32" - 36" NH6347 NH6447 Lg 36" - 41” NH6348 NH6448 X-Lg 41" - 47" NH6349 NH6449 XX-Lg 47" - 52"

RIGHT/2-3/8" center opening & 1-1/2" from bottom Item Regular Cool Comfort HCPCS:A4396 Order# Order# Size Fits NH6355 NH6455 Sm 28" - 32" NH6356 NH6456 Med 32" - 36" NH6357 NH6457 Lg 36" - 41" NH6358 NH6458 X-Lg 41" - 47" NH6359 NH6459 XX-Lg 47" - 52"

RIGHT/2-3/8” center opening & 1-1/2” from bottom Item Regular Cool Comfort HCPCS:A4396 Order# Order# Size Fits NH6365 NH6465 Sm 28” - 32” NH6366 NH6466 Med 32” - 36” NH6367 NH6467 Lg 36” - 41” NH6368 NH6468 X-Lg 41” - 47” NH6369 NH6469 XX-Lg 47” - 52”

7" 7"

8" 8"

Ostomy 1-800-308-9445


3" wide, 2 3/8” center opening. Item Regular Cool Comfort Size HCPCS:A4396 NH6591 NH6691 16” to 19” Petite/Youth S NH6592 NH6692 20” to 23” Petite/Youth M NH6593 NH6693 24” to 27” Petite/Youth L NH6594 NH6694 28" to 32" Small NH6595 NH6695 32" to 36" Medium NH6596 NH6696 36" to 41" Large NH6597 NH6697 41" to 47" XLarge NH6598 NH6698 47" to 52" XXLarge

4" wide, 2 3/8” center opening. Item Regular Cool Comfort Size HCPCS:A4396 NH2660 NH2665 28" to 32" Small NH2661 NH2666 32" to 36" Medium NH2662 NH2667 36" to 41" Large NH2663 NH2668 41" to 47" XLarge NH2664 NH2669 47" to 52" XXLarge

6" wide, 2 3/8” opening located 1" from bottom. Right-side stoma.Item Regular Cool Comfort Size HCPCS:A4396 NH6610 NH6710 28" to 32" Small NH6611 NH6711 32" to 36" Medium NH6612 NH6712 36" to 41" Large NH6613 NH6713 41" to 47" XLarge NH6614 NH6714 47" to 52" XXLarge

Nu-Hope™ Flat Panel Support Belts for Pouch Support andReducible Hernias Supportive and flexible panel around opening of belt provides support and aids in hernia prevention. · The belt comes in two types of elastic material: regular elastic and breathable Cool Comfort. · Openings are available to fit most ostomy pouches on the market. The standard opening size is 2-3/8". To create an order number, simply add the letter of the opening to the end of the catalog number. · Belt widths of 3" or 4" come with centered openings. Belt widths of 6" and wider come with opening located 1" from the bottom of the belt.· All belts can be modified; hole size, hole placement, belt length, etc. · To add a Prolapse Overbelt add "P" to the item#, ie 2667-P. Prolapse overbelts are designed to support prolapsing stomas.

Regular elastic is plush on the inside against the skin and smooth on the outside against clothing. It’s soft and recommended for sensitive skin.Cool Comfort elastic is a lightweight breathable mesh elastic.

Nu-Hope™ Flat Panel Support Belts

NU-HOPE


Ostomy

9” wide, 2 3/8” opening located 1” from bottom. Left-side stoma.Item Regular Cool Comfort Size HCPCS: A4396 NH6630 NH6730 28” to 32” Small NH6631 NH6731 32” to 36” Medium NH6632 NH6732 36” to 41” Large NH6633 NH6733 41” to 47” XLarge NH6634 NH6734 47” to 52” XXLarge

Nu-Hope™ SUPPORT BELTS

NU-HOPE

9” wide, 2 3/8” opening located 1” from bottom. Right-side stoma.Item Regular Cool Comfort Size HCPCS: A4396 NH6640 NH6740 28” to 32” Small NH6641 NH6741 32” to 36” Medium NH6642 NH6742 36” to 41” Large NH6643 NH6743 41” to 47” XLarge NH6644 NH6744 47” to 52” XXLarge

6" wide, 2 3/8” opening located 1" from bottom. Left-side stoma.Item Regular Cool Comfort Size HCPCS:A4396 NH6600 NH6700 28" to 32" Small NH6601 NH6701 32" to 36" Medium NH6602 NH6702 36" to 41" Large NH6603 NH6703 41" to 47" XLarge NH6604 NH6704 47" to 52" XXLarge

Ostomy 1-800-308-9445


NU-HOPE

Belt Elastic.Item Order # Size HCPS:A4396 NHBG2620 28”- 32” SMALL NHBG2622 32”- 36” MEDIUM NHBG2624 36”- 41” LARGE NHBG2626 41”- 47” X-LARGE NHBG2628 47”- 52” XX-LARGE

Ring Size.F = 2 ¼” A = 2 3/4” C = 3 ¼”G = 2 ½” DC = 2 7/8” V = 3 3/8”S = 2 3/8” B = 3” H = Med Oval**I = 2 5/8” U = 3 1/8” J = Large Oval**W = 2 5/8”x 3 1/8” Q = 2 7/8”x 3 3/8”** Fits Nu-Hope Oval Pouches Only

Nu-Comfort Belt

Nu-Comfort SUPPORT BELTS

Twice the width of standard ostomy belts. Easy Velcro adjustment on left & right. 360° of support to entire wafer. Extra support to the peristomal area. In addition, supports small peristomal hernias Latex Free.

How to Find the Right Size & Generate a Catalog NumberFold the sides of the pouch inward as shown, take measurement across the center and + 1/8” or ¼” depending on pouch.

Find the Ring Plate that matches your measurement and add its letter after the chosen belt elastic.

Example: NHBG2622B (2”Wide, Med, w/ 3” Ring Plate )


Ostomy

ACCESSORIESCOLOPLASTCONVATEC

Do you have concerns about traveling with a disability or medical condition?

The Transportation Security Administration (TSA) announced the launch of TSA Cares. TSA Cares is a helpline to assist travelers with disabilities and medical conditions.

Travelers may call TSA Cares toll free at 1-855-787-2227 prior to traveling with questions about screening policies, procedures and what to expect at the security checkpoint. Helpline operates: Monday - Friday, 8 am – 11 pm est

Weekends and Holidays, 9 am – 8 pm est

Safe Travels!

Ostomy 1-800-308-9445


SKIN ADHESIVE REMOVER WIPES & LIQUIDS

ACCESSORIES

Item Order # Size Wipes SQ413500 30/BoxHCPCS: A4456

Item Order # Size 30/Box CT120115 WipesHCPCS: A4456

Item Order # Size Wipes SQ37436 50/BoxHCPCS: A4456 SQ37443 100/Box ConvaTec® Sensi-Care™ Sting-Free Adhesive Remover WipeNon-alcohol, silicone based formula that offers fast, painless removal of adhesive residue.

Coloplast Brava® Adhesive Remover WipesSting-free, silicone-based adhesive remover wipes quickly dissolve and wipe away adhesive residue from the skin.

ConvaTec AllKare® Adhesive Remover WipeFor the gentle removal of all adhesives, including skin barriers, tapes, and hydrocolloid dressings.

ACCESSORIES


Ostomy


Item Order # 50 Wipes/Box HO7760HCPCS:A4456

Item Order # Size Wipes SNS00650 50/BoxHCPCS: A4456

Hollister® Adhesive RemoverUniversal adhesive remover is gentle on skin.

Safe n Simple™ Adhesive RemoverEffectively removes adhesive residue from tapes, wafers and appliances from the skin that can reduce wear time. Leaves no greasy residue on the skin surface.

Safe n Simple™ Peri-Stoma Cleanser & Adhesive Remover Use these large soft wipes to emulsify and remove adhesives, dirt and oils from peri-stoma skin. Does not leave an oily residue. No-sting, alcohol-free skin cleanser and adhesive remover in a rinse free product. Gentle, convenient and scent-free. Convenient re-sealable pouch.

Item Order # 50 Large individual wipes/pk SNS00525A50 Box SNS00550 HCPCS:A4456

Smith & Nephew® Remove® Adhesive RemoverUniversal adhesive remover for tapes, adhesives and hydrocolloid skin barriers. Environmentally-friendly formula contains aloe to soothe skin and has a pleasant fragrance.

Item Order # Size50 Wipes/Box UN403100 50 Wipes/Box UN402300HCPCS:A4456

ACCESSORIES

Ostomy 1-800-308-9445


Smith & Nephew® Uni-Solve® Adhesive RemoverEnvironmentally-friendly formula with soothing aloe and a pleasant fragrance for tape or dressing removal.

Item Order # SizeBottle UN59402500 8 oz. Bottle UN403300 8 oz.HCPCS:A4455

Hollister® m9™ Cleanser/DecrystalizerCleans and aids in deodorizing urinary collection systems. Non-caustic formula is pH balanced and non-acidic. Includes free wash bottle.

Item Order # Size Bottle HO7736 16 oz.HCPCS:A5131

APPLIANCE CLEANSERS


SKIN BARRIER SHEETS

Coloplast Brava® Protective SheetHydrocolloid skin barrier that protects the skin from stoma output. Offers effective protection for peristomal skin. Provides a ready surface for good adhesion. Adheres to moist skin.

Item Order # Size 10/Box CT32105 4x4” HCPCS: A43625/Box CT32155 6x6” HCPCS: A5121 5/Box CT32205 8x8”HCPCS: A5122

ACCESSORIES


Ostomy

SKIN BARRIER SHEETS

ACCESSORIES

ConvaTec® Stomahesive® Skin Barrier SheetsNon-sterile.

Eakin Cohesive® Skin BarrierMoldable and moisture-absorbing. It is designed to help protect the skin from contact with body fluids. It is used whenever the skin is damaged, excoriated or vulnerable.

Item Order # Size 5/Box SQ21712 4" x 4" HCPCS:A43623/Box SQ21715 8" x 8"HCPCS:A5122

Item Order # Size 5/Box SQ839004 4” x 4” 5/Box SQ839003 4” x 8” HCPCS: A4385

Item Order # Size 5/Box HO7700 4" x 4" HCPCS:A4362

HolliHesive™ Skin Barrier SheetsSynthetic skin barrier provides good adhesion for wear times of more than one day. Peelable tape on both sides. No starter hole. Non-sterile.

Item Order # Size 5/Box HCPCS: A4385 HO8800 4" x 4" 3/Box HCPCS: A5122 HO8801 8" x 8"

Hollister® Flextend™ Skin Barrier SheetsExtended wear skin barrier with ElastaFlex Skin Barrier backing. Superior resistance to erosion. Cut-to-Fit. No starter hole. Recommended for both post-op and home use.

Ostomy 1-800-308-9445


SKIN BARRIER SHEETS

ACCESSORIES

Hollister® Premium Skin Barrier SheetsSynthetic skin barrier provides aggressive adhesion for longer wear times. No starter hole. Non-sterile.

Safe n Simple™ Skin Barrier SheetA thin hydrocolloid sheet that protects the skin from stoma output.Highly absorbent. Cut to fit - no starter hole. Non-sterile.

Item Order # Size 5/Box HO7800 4"x 4"HCPCS:A4362

Item Order # Size 5/box SNS21605 4”x4”HCPCS: A4362

Coloplast Brava® Ostomy BeltComfortable, adjustable belt offers extra security for people with a flush or retracted stoma by supporting a convex barrier and allowing the stoma to protrude. Neutral color won’t show under clothing.

Item Order # Size 15/box CT04215 43 1/3“ lengthHCPCS: A4367 CT04220 49” length

Byram Adjustable Ostomy Belt with HooksLight, airy mesh belt with stainless steel hooks. Will fit belt loops of most manufacturers. Easy to attach, adjustable. 1" wide.

Coloplast Brava® Belt for SenSura® Mio Neutral gray color was designed to blend in under clothing; adjustable plastic tab is encased in fabric to prevent it from digging into your skin. Designed specifically for use with SenSura® Mio barriers with belt tabs (e.g. Click or convex products).

Item Order # Size Ea BS2510 24" - 40" Ea BS2510XL up to 50" HCPCS:A4367

Item Order # Size 15/box CT4237 40“ lengthHCPCS: A4367 CT4247 61” length

BELTS & RETAINER RINGS


OstomyACCESSORIES

ConvaTec® Ostomy Appliance BeltAdjustable up to 42”. Belt fits all ConvaTec® pouches with belt loops.

Item Order # Size Ea SQ175507 1"W x 42"L HCPCS:A4367

BELTS & RETAINER RINGS

Hollister® Adult Ostomy BeltAdjustable.

Item Order # Size Medium HO7300 26" to 43" Large HO7299 29" to 49" EaHCPCS:A4367

Hollister® Pouchkins™ Pediatric Belt

Item Order # Size Adjustable HO3774 Up to 17" EaHCPCS:A4367

Brava® Ostomy Support BeltThis belt relieves the heavy sensation of hernias and may help prevent hernias post-operatively. Comfortable and breathable fabric, stretchable to fit body contours, intuitive pocket closure, and includes a silicone grip to prevent sliding and rolling. All sizes are an 8" width.

Item Order # Size 1/box CT12003 S (29" – 32") HCPCS:A4396 CT12004 M (31" – 35") CT12005 L (34" – 39") CT12006 XL (37" – 42") CT12007 2XL (40" – 46") CT12008 3XL (44" – 51")

Ostomy 1-800-308-9445


POWDERS

ACCESSORIES

Item Order # Size Squeeze Bottle SQ25510 1 oz. HCPCS:A4371

ConvaTec® Stomahesive® Protective PowderConvenient, highly effective formula helps form a protective barrier against discharge on open or weeping areas of peristomal skin. Natural, non-sensitizing powder soothes skin and helps prevent skin irritation.

Coloplast Brava® Ostomy PowderNon-sterile protective powder for moisture absorption.

Item Order # SizeBottle CT19075 1 oz.HCPCS: A4371

Item Order # Size Puff Bottle HO7906 1 oz. HCPCS:A4371

Hollister® Adapt™ Stoma PowderPremium synthetic powder offers soothing skin protection and helps prevent skin irritation by drying the skin surface and making it adherent.

Item Order # Size Puff Bottle HO7905 2.5 oz.HCPCS:A4371

Hollister® Karaya 5 PowderOffers soothing skin protection and helps prevent skin irritation. Combines with moisture from eroded or weeping skin to form a paste. To use on normal skin, moisten the skin with water and apply powder to form a paste.

Experience the Byram DifferenceByram offers reliable, accurate service nationwide

to home care agencies, managed care organizations, healthcare professionals and the patient at home.


Ostomy

DEODORANTS

ACCESSORIES

Coloplast Brava® Lubricating DeodorantA pouch lubricant and deodorizer in one. Powder-fresh liquid neutralizes odor and allows output to slide to the bottom of the pouch for easier emptying. Available in single-use sachets for convenient use on the go, or an 8 oz bottle.

Item Order # SizeSachets CT12060 20/.25 fl. oz. Bottle CT12061 8 oz. HCPCS: A4394

Devrom® Chewable TabletsDEVROM® is an FDA approved internal deodorant taken orally (chewed or swallowed) to eliminate odor from flatulence and stool. 200 mg. No prescription needed.

Fortis Entrust Lubricating Odor EliminatorSpecially formulated to be gentle to the stoma and tissue. Eliminates odor, does not cover it up. No smell, no added scents. Lubricates pouch for easy draining.

Item Order # SizeBottle PN100M 100 TabletsHCPCS:A9270

Item Order # Size/TypeBottle FT6400 8 oz.HCPCS: A4394 FT6401 1 oz.

Hollister® Adapt™ Lubricating DeodorizerOdor neutralizer, not a perfume or masking agent. Eases pouch emptying. Helps prevent pouch static and sticking.

Item Order # Size Bottle HO78500 8 oz.HCPCS:A4394

Packets HO78501 50/.27oz.HCPCS:A4394

Hollister® m9™ Odor Eliminator Drops Just 4-12 drops safely destroys odors in pouches, bed pans, commodes etc.

Item Order # Size6/Box HO7717 8 oz. Drop Bottle12/Box HO7715 1 oz. Drop BottleHCPCS:A4394

Ostomy 1-800-308-9445


DEODORANTS

Hollister® m9™ Odor Eliminator SprayConvenient pump spray safely destroys odors in bathrooms, bed pans, commodes, etc. Unscented.

Item Order # Size 12/Box HO7732 2 oz. Spray Bottle 6/Box HO7733 8 oz. Spray Bottle HCPCS:A9270

Safe n Simple™ Ostomy Appliance DeodorantEfficient odor control with no perfumes or artificial scents added for discreet protection. Convenient tilt tip dispenser bottle and slick consistency helps to empty pouch content.

Item Order # Size Bottle SNS40208 8 oz.HCPCS:A4394

Safe n Simple™ Assure C Odor Eliminator & LubricantIs a clear formulation that eliminates the fear or concern of staining associated with the blue color deodorant formulations. Delivers outstanding odor control with no perfumes or artificial scents added and contains a lubricant to help empty pouch contents. Convenient tilt tip dispenser bottle.

Item Order # Size Bottle SNS41408 8 oz. Bottle SNS41404 4 oz.Packet SNS41425 ¼ oz. eaHCPCS: A4394

ACCESSORIES

Na’Scent Ostomy Odor EliminatorEliminates odor by creating an oxygen-rich environment in your pouch that removes odor-causing microbes. A water-based, fragrance-free clear odor eliminator for use in colostomy, ileostomy and urostomy pouches. 100% made in the USA.

Item Order # Size Bottle BT01 12 oz.HCPCS:A4394


Ostomy


SKIN BARRIER FILM WIPES & SPRAYS

ACCESSORIES

Item Order # 50 Wipes/Box 3M3342 HCPCS:A5120

3M™ Cavilon™ No-Sting Barrier FilmAn alcohol-free, quick-drying, non-cytotoxic liquid film that forms a breathable, transparent protective coating on the skin. Protects intact or damaged skin from urine, feces, and other bodily fluids and adheres for up to 72 hours.

Item Order # Size12/Box CT0925 2 oz. Dabber12 pks/Case SW2041 54 Wipes/Box HCPCS:A5120

Coloplast® Prep™ Protective Barrier FilmClear film forms a breathable barrier, protecting against skin irritants such as adhesives, urine and feces. No need to remove between applications.

ConvaTec® AllKare® Protective Barrier WipesProvides a barrier film layer on skin used under tapes, skin barriers, adhesive, and hydrocolloid dressings to help protect against irritation, excoriation and adhesive build-up.

Item Order # 50/Box SQ37439 100/Box SQ37444 HCPCS:A5120

Coloplast Brava® Skin Barrier WipesLarge, silicone-based wipes leave a thin protective layer on the skin without affecting adhesion of the ostomy barrier to the skin. Alcohol-free and sting-free.

Item Order # Size30/Box CT120215 WipesHCPCS: A5120

Ostomy 1-800-308-9445


ACCESSORIES


ConvaTec® Sensi-Care™ Sting-Free Skin Barrier WipeNon-alcohol, silicone based formula for skin protection. Provides a barrier film layer on the skin that protects it from the damaging effects of adhesives, body waste and enzyme attack.

Item Order # SizeWipes SQ413501 30/box HCPCS: A5120

Item Order # 50 Wipes/Box HO7917 HCPCS:A5120

Hollister® No Sting Skin Protective WipesAqueous-based formulation provides effective skin protection, without the potential for irritation and pain associated with astringent wipes that contain alcohol.

Item Order # SizeBottle SNS80792 2 oz. HCPCS:A4369

Safe n Simple™ Skin Barrier Alcohol Free Spray FilmApply this no-sting spray to create a transparent film barrier on peri-stomal skin. Protects against friction and body fluids. Increases adhesion of tapes and wafers. Gentle, convenient and scent-free. Perfect item to assist with crusting technique.

Safe n Simple™ No-Sting Skin Barrier FilmAn Alcohol free – Sting Free wipe. The wipe has no offensive odor. The 1 gram of liquid in each safe n simple wipe is used to place a synthetic & transparent film on the skin. This film is intended to provide a protective barrier between skin and adhesives and/or liquids. This film is intended to reduce skin damage in the areas the film is applied when removing adhesives from the skin. These wet wipes are cost effective and ideal for crusting around a stoma.

Safe n Simple™ Skin Barrier Film with AlcoholFast drying skin barrier help protect skin by forming a breathable transparent coating over the skin. Apply to intact skin before applying tape, ostomy pouch or products with adhesives.

Item Order # 25 large individual wipe/pk SNS00807 HCPCS:A5120 100 wipes/box SNS80744 HCPCS:A5120

Item Order # 50 individual wipes per box SNS81850 HCPCS:A5120


Ostomy


ACCESSORIES

Item Order # SizePump Bottle UN420200 4.5 oz.50 Wipes/Box UN420400 HCPCS:A6250

Smith & Nephew® Skin Prep™ Protective Barrier FilmWater-resistant, protective coating protects skin from irritants such as adhesives, urine and feces. Helps to increase the adhesive of tapes and wafers and reduces skin trauma that can occur with their subsequent removal.

POUCH ACCESSORIES

Hollister® Stoma LubricantProvides lubrication to the stoma during an irrigation procedure.

Item Order # Size 10/Box HO7740 4 oz. BottleHCPCS:A4402

Nu-Hope™ Skin Barrier Hole CutterCircular steel blade mounted in a comfortable plastic handle for cutting holes in skin barriers and tapes.

Item Order # Diameter Ea NH2524 ½” cut Ea NH2525 5/8” cut Ea NH2526 3/4” cut Ea NH2527 7/8” cut Ea NH2528 1" cut Ea NH2529 1 1/8” cut Ea NH2530 1 ¼” cut Ea NH2531 1 3/8” cut HCPCS:A9270

Ostomy 1-800-308-9445


POUCH ACCESSORIES

ACCESSORIES

Item Order # 10/Pk KEM01 HCPCS:A4366

Osto-EZ-Vent® An air release device that attaches to any manufacturer’s pouch. Easy to install, bonds permanently, waterproof and lasts as long as the user wears the pouch. Pinch down on the OEV™ Glides to quickly release air buildup. Can also be used on preemie, infant and fistula pouches, and wound drainage bags.



Ostomy

Item Order # SizeTube CT2650 2 oz. HCPCS:A4405

Item Order # SizeTube CT12050 2 oz.HCPCS: A4406

Coloplast Ostomy PasteUsed to fill in uneven skin surfaces to create a flat pouching surface. Provides tight sealing around the stoma. Protects against stoma output. Minimizes risk of maceration. Non-pectin.

Coloplast Brava® Sting-Free PasteDurable, moldable alcohol-free ostomy paste protects peristomal skin from stoma output without stinging the skin. Minimizes risk of maceration. Used to fill in uneven skin surfaces. Pectin-based.

SKIN BARRIER PASTES

Ostomy 1-800-308-9445


ACCESSORIES

SKIN BARRIER PASTES

Item Order # Size10 strips/box CT26555 2 oz. total (.2 oz per strip)HCPCS: A4406

Coloplast Brava® Strip PastePectin-based product, molded like putty, that protects peristomal skin from stoma output. Used to fill uneven skin surfaces to create a flat pouching surface. Alcohol-free and sting free.

Item Order # Size Tube SQ183910 2 oz.HCPCS:A4406

Item Order # Size Tube SQ839010 2.1 ozHCPCS: A4405

Item Order # Size/Type Tube FT6300F 2 oz with FortaguardHCPCS: A4406 FT6300 2 oz FT6301 2 oz No Sting

ConvaTec® Stomahesive® PasteConvenient, highly effective filler, sealant and protective skin barrier for colostomy, ileostomy or urinary stomas. Protects exposed skin around fistula sites and can be used as a filler for skin folds, uneven skin surfaces and scars. Natural, non-sensitizing ingredients help prevent skin irritation.

Eakin® Cohesive® PasteAlcohol-free adhesive stoma paste used to fill all crevices, skin folds and scars in order to create an even pouching surface. Helps form a waterproof barrier around the stoma. Can be used in conjunction with all Eakin Cohesive® Seals.

Fortis Entrust Skin Pastes with Pectin and FortaguardThe Fortis Entrust Skin Pastes with Pectin and Fortaguard are formulated to handle high, liquid output as well as thick, heavy output. It is thick, yet pliable for ease in “caulking” around the stoma or filling in gaps, scars, folds and uneven skin surfaces. Can be used to hug the stoma and create a seal that expands to fill the empty space between the appliance and the stoma that can create leaks. Because stoma size changes even throughout the day, the paste helps maintain the seal for added security and user confidence. Specially created to be less sticky but tackier to create a good seal without unnecessary mess and residue on fingers and gloves.


OstomyACCESSORIES

Item Order # Size12/Box HO7910 4.5 oz. TubeHCPCS:A4405

Hollister® Karaya 5 PasteProtects skin from irritating fluids. M

SKIN BARRIER PASTES

We value your opinion and would like to hear from you.Please email your comments or suggestions to:

[email protected]

Item Order # Size Tube HO79300 2 oz. HCPCS: A4406

Hollister® Adapt™ PasteA paste tube you can empty down to the last drop! Soft, easy to squeeze tube. Easy to see red cap. Caulk and fill skin crevices to improve the fit of your barrier. Low alcohol paste minimizes stinging. M

Ostomy 1-800-308-9445


Item Order # SizeTube TO1070 60gHCPCS: A4406

Trio Silken® Silicone Stoma GelInnovative use of silicone technology to produce a soft silicone stoma gel that fills surgical scars, skin folds, creases and uneven surfaces, removing in one piece when fully cured. Allows the skin to breathe and remains soft and flexible to ensure comfort.

SKIN BARRIER PASTES

Item Order # SizeTube SNS90502 2 oz. HCPCS:A4406

Safe n Simple™ Skin Barrier PasteSkin Barrier Paste in an easy to squeeze tube. This pectin based skin barrier paste is used as a caulk or filler for the skin surface.

SKIN BARRIER RINGS, SEALS & STRIPS

Coloplast Brava® Moldable RingUsed to fill in uneven skin surfaces and protect the skin. Absorbs moisture without breaking down. Easy to handle, mold and apply. Alcohol-free and sting-free.

Coloplast Brava Protective SealMoldable barrier ring designed to adhere securely and protect the skin around the stoma. Absorbs moisture without breaking down; removes cleanly. Available in multiple starter hole sizes for ease of handling - pick the one closest to your stoma size. Not made with natural rubber latex.

Item Order # Size 10/box CT120307 2 mmHCPCS: A4385 CT120427 4.2 mm

Item Order # Size 10/bx CT12035 3/4” (18mm) Thin 2.5mmHCPCS: A4385 CT12036 3/4” Thin 2.5mm CT12037 1 1/8” (27mm) Thin 2.5mm CT12038 7/8” Thin 2.5mm CT12039 1 3/8” (34mm) Thin 2.5mm CT12045 3/4” (18mm) Thick 4.2mm CT12046 3/4” Thick 4.2mm CT12047 1 1/8” (27mm) Thick 4.2mm CT12048 7/8” Thick 4.2mm CT12049 1 3/8” (34mm) Thick 4.2mm

ACCESSORIES


OstomyACCESSORIES

Coloplast Brava® Elastic Barrier Strips – CurvedSkin-friendly strips are used to “picture frame” around an ostomy barrier, providing extra security and peace of mind that the edges won’t roll up. For round or oval barriers.

Item Order # Size 20 strips/box CT120700 5 ½ “ longHCPCS: A4362


Coloplast Brava® Elastic Barrier Strips – StraightSkin-friendly strips are used to “picture frame” around an ostomy barrier, providing extra security and peace of mind that the edges won’t roll up. For square or rectangular barrier shapes.

Item Order # Size 20 strips/box CT120740 5 ¼ ” longHCPCS: A4362

Coloplast Brava® Elastic Barrier Strips – Y-ShapeSkin-friendly strips are used to “picture frame” around an ostomy barrier, providing extra security and peace of mind that the edges won’t roll up. Extra-wide strips designed for users with varying body shapes, e.g. hernias or skin folds.

Item Order # Size 30 strips/box CT120721 5 3/4” longHCPCS: A5121

Coloplast® Skin Barrier Rings Soft, flexible, ring-shaped barrier provides skin protection for stomas, fistulas and draining wounds. Can be used for patients with sensitive skin. Non-pectin based.

Item Order # Size Flat CT2310 3/8”30/Box CT2315 5/8”HCPCS:A4404 CT2320 3/4” CT2325 1" CT2330 1 1/8” CT2340 1 3/5” CT2350 2"

Coloplast Brava® Elastic Barrier Strips-XLA larger version of the original curved Elastic Barrier Strips, providing an increased feeling of security - even while being active.

Item Order # Size 30 strips/box CT12076 6 3/4” longHCPCS: A5121

Ostomy 1-800-308-9445



ACCESSORIES

Eakin Cohesive® SealsMoldable hydrocolloid rings protect stomas and fistulas of all sizes. Forms a gel that helps prevent skin damage by sealing the area between the skin and ostomy appliance. Requires no cutting. Compatible with most ostomy devices.

Item Order # Size 10/Box SQ839001 4" 20/Box SQ839002 2" HCPCS:A4385

Eakin Cohesive® Slims™ SealsMoldable to fit all shape and size stomas. This hydrocolloid barrier forms a gel that helps prevent skin damage by sealing the area between the skin and ostomy appliance. Low profile for added comfort and discretion. Easy to remove for multiple pouch changes.

Item Order # Size 10/Box SQ839005 2" HCPCS:A4385

Eakin Cohesive® StomaWrap™Unique wrap shape makes it quick and easy to fit on the stoma. Ideal for large or oval shaped stomas.

Item Order # Size 10/box SQ839006 3 1/3” HCPCS: A4385

ease™ Stripsease™ Strips help keep your skin barrier in place.

Item Order # Size 80 strips/box SQ422163 1 1/5” x 3 ½” HCPCS: A4362

ConvaTec® Stomahesive® StripsMoldable, Standard Wear, two-sided adhesive strips.

Item Order # 15/Box SQ25542 3 cards of 5 strips eachHCPCS:A4362

Secure Skin friendly Water resistant

Flexible and thin

Easy application

Are you always checking your ostomy system? ease™ strips help keep your skin barrier in place.

Designed for both swimming and bathing

Curved for use with any ostomy system

Introducing

Strips

Not sure which products are right for you? Speak to an ostomy nurse or product specialist for a free assessment and sample today. 1-800-422-8811 or visit convatec.com/ostomy

REQUESTFREESAMPLE

5of ease™ StripsFEATURES

swimming and bathing

Curved for use with

©2018 ConvaTec Inc. All trademarks are property of their respective owners. AP-019354-US

AP-019354-US_2564_easeStripsConsumer_ByramCatalogAd_MECH.indd 1 11/1/18 11:27 AM

Ostomy 1-800-308-9445


ACCESSORIES

Fortis Entrust Conforming Adhesive Seal Skin Barrier Rings Fortaguard is a patented process that utilizes sequestered hydrogen peroxide, a well-known antibacterial agent. Formulated to handle high, liquid output as well as thick, heavy output. It gently hugs the stoma and creates a seal that expands when exposed to moisture to fill the empty space between the appliance and the stoma that can create leaks. Because stoma size changes even throughout the day, the rings help maintain the seal for added security and user confidence. Specially created to be less sticky but tackier to create a good seal without unnecessary mess and residue on fingers or gloves. Three sizes to meet changing needs of ostomate.

Item Order # Size Type20/Box 2” FT6101F 2” Standard with Fortaguard10/Box 4” FT6101 2” StandardHCPCS: A4385 FT6100F 2” Thin with Fortaguard FT6100 2” Thin FT6000F 4” with Fortaguard FT6000 4”


Ostomy


Item Order # Outside Diameter 10/Box HO7805N 2" HCPCS:A4385 HO7806N 4"

Item Order# Outside Diameter Thickness10/Box HO8805 2” 4.5mmHCPCS: A4385 HO8815 2” 2.3mm

Hollister® Adapt™ Skin Barrier RingsFlexible, Extended Wear skin barrier provides gentle adhesive attachment to the skin. Cut, bend, stretch and stack together to improve the fit of your barrier.

Hollister® Adapt™ CeraRing™ with Flextend Skin Barrier RingInfused with ceramide – a natural component of the skin – Adapt CeraRing is designed to support healthy peristomal skin. Easy to use extended wear rings. Cut, bend, stretch and stack together to improve the fit of your barrier.

Hollister® Adapt™ Convex Skin Barrier RingsEasy to use Extended Wear Convex Rings! Cut, bend, stretch and stack together to improve the fit of your barrier. Use on oval, flush, or irregular shaped stoma openings.

Fortis Entrust Crescent Barrier Extension StripsFortaguard is a patented process that utilizes sequestered hydrogen peroxide, a well-known antibacterial agent. Specially designed to have a strong adhesive but still be gentle to the skin. Three strips placed around the barrier in place of tape to “picture frame” the appliance will give the users additional security and possibly less leaks. Those with hernias may find it helps keep the appliance in place better for longer wear time. Heat from the skin activates the hydrocolloid for an even, secure fit.

Item Order # Opening 10/Box HO79520 13/16" HCPCS:A4411 HO79530 13/16" HO79540 19/16"

Item Order # Type30/Box FT6200F with Fortaguard HCPCS: A4362 FT6200

ACCESSORIES

Ostomy 1-800-308-9445


ACCESSORIES

Item Order # Outside Diameter 10/Box HO89601 7/8” x 1 ½”HCPCS: A4411 HO89602 1 3/16” x 1 7/8” HO89603 1 ½” x 2 3/16”

Hollister® Adapt™ CeraRing™ Oval Convex with Flextend Skin Barrier RingInfused with ceramide – a natural component of the skin – Adapt CeraRing is designed to support healthy peristomal skin. Easy to use extended wear Oval Convex Rings. Cut, bend, stretch and stack together to improve the fit of your barrier. Use on oval, flush, or irregular shaped stoma openings.


Item Order # Size 10/Box HO79601 7/8” x 1 ½ “HCPCS: A4411 HO79602 1 3/16” x 1 7/8” HO79603 1 ½” x 2 3/16”

Hollister® Adapt™ Oval Convex Skin Barrier Rings Easy to use extended wear Oval Convex Rings. Cut, bend, stretch and stack together to improve the fit of your barrier. Use on oval, flush, or irregular shaped stoma openings.

Item Order # Outside Diameter 10/Box HO89520 13/16”HCPCS: A4411 HO89530 1 3/16” HO89540 1 9/16”

Hollister® Adapt™ CeraRing™ Convex with Flextend Skin Barrier RingInfused with ceramide – a natural component of the skin – Adapt CeraRing is designed to support healthy peristomal skin. Easy to use extended wear convex rings. Cut, bend, stretch and stack together to improve the fit of your barrier. Use on oval, flush, or irregular shaped stoma openings.

Item Order # 30/Box HO79402HCPCS: A4362

Hollister® Adapt™ Barrier Extenders Easily frames the skin barrier, and the thin, flexible hydrocolloid formulation helps conform to uneven body folds and contours. This may help increase wear time, by reducing barrier edge lifting and increasing the adhesive coverage area. These may be beneficial for users who require an additional layer of security.


OstomyACCESSORIES


Item Order # Size 10 /Box SNS684U2 2”HCPCS: A4385 SNS684U4 4”

Item Order # Size 30/Tray SNS20630 1” HCPCS: A4362 SNS21130 2”

Item Order# Stoma Size Inner Diameter Outer Diameter 10/Box TO102010 20-28mm 18.0mm 50mm HCPCS: A4385 TO102810 28-35mm 25.2mm 58mm TO103510 35-44mm 31.5mm 65mm

Safe n Simple™ Conforming Skin Barrier RingsCreates a secure and comfortable “turtleneck” seal around the stoma to protect the skin from leakage and irritation. This highly absorbent ring is easy to mold and stays stable during hydration.

Safe n Simple™ Skin Barrier ArcUse as a skin-friendly alternative to tape. Picture frame around the border of the barrier, providing additional security and increasing pouch wear time.

Trio Siltac® - Silicone ostomy sealInnovative use of soft silicone technology to produce an ostomy seal that allows the skin to breathe, stretches to shape and lightly hugs the stoma. Maintains integrity & shape to provide a good seal and could extend wear time of ostomy appliances.


Hollister® Adapt™ Barrier StripsEasy to use Extended Wear barrier strips! Cut, bend, stretch and stack together to improve the fit of your barrier.



Ostomy 1-800-308-9445


ACCESSORIES


Item Order# Stoma Size Inner Diameter Outer Diameter 10/Box TO1020CX 20-28mm 18mm 50mmHCPCS: A4411 TO1030CX 30-40mm 27mm 65mm

Item Order # 20/Box TO1060 HCPCS: A4362

Trio Silvex® - Silicone Convex sealInnovative use of soft silicone technology to produce a convex seal that allows the skin to breathe, stretches to shape and lightly hugs the stoma. Giving mild convexity, perfect to fill skin folds, Silvex® maintains integrity & shape to provide a good seal and extend wear time of ostomy appliances.

Trio Silex® - Silicone Flange ExtenderAdvanced, soft silicone gel flange extender that provides instant, high-tack adhesion to skin. Can improve security & increase wear time, allowing greater freedom of body movement. Allows skin to breathe, reducing risk of maceration and removes in one piece leaving no residue.

ConvaTec® Tail Closures

Item Order # Type 10/Box SQ175635 Straight10/Box SQ175652 DuoLock™, Curved HCPCS:A4363

Item Order # Beige HO8770 20/BoxHCPCS:A4363

Hollister® Drainable Pouch ClampFor use with all Hollister® pouches. Beige.

Item Order # 20 units CT9500 HCPCS:A4363

Coloplast® Drainable Pouch ClampSimple-closure clamp for extra security with drainable pouches is especially helpful for those with limited dexterity.

TAIL CLOSURES & CLAMPS


Ostomy

Item Order # Size 10/Box CT21365 2 liters HCPCS:A4357

Coloplast Urostomy Night Drainage BagIncludes a fixed connector that fits directly to a SenSura® or Assura® Urostomy Pouch. The bag holds up to 2 liters and has a 120cm long flexible tube which can be cut with scissors. Anti-reflux valve. Transparent.

Item Order # Each SQ27060 HCPCS:A5102

ConvaTec® Night Drainage Container SetSet contains: 1 Night Drainage Container with tubing, 1 Night Drainage Container Cover and 1 Universal Adapter.

URINARY DRAINAGE CONTAINERS & ACCESSORIES

Item Order # Size Each SQ27062 5 Ft. HCPCS:A4331

ConvaTec® Night Drainage Container TubingExtra night drainage container tubing.

Hollister® Urostomy Drain Tube AdapterUse with HO84xx, HO14xx, HO390x and HO890x urostomy pouches.


Item Order # Size 10/Box CT14010 2 liters HCPCS:A5102

Coloplast Bed Drainage BagBag tubing specifically designed for fecaloutput. Holds up to 2000 mL. Long tubing can be cut easily, allowing nurses to find the right length for bed drainage.

Ostomy 1-800-308-9445


Supply Order Form

Phone: 1-800-308-9445 Fax: 1-866-811-4500For CA orders: Phone: 1-800-213-0890 Fax: 1-800-238-9252

Patient Information Physician Information

If you are a prescriber, please complete the following:

Patient Insurance Information

Patient Secondary Insurance Information (if applicable)

q Checking this box attests the prescriber signature below corresponds to the prescriber name and NPI detailed above.

Customer Name: Dr. Name:

Prescriber Name:

q Medicare q Medicaid q Private Insurance

City, State, Zip: City, State, Zip:

Insurance Policy #:

Insurance Policy #:

DOB: q M q F

Ship-To Address: Dr. Address:

Secure Fax #:

NPI:

Prescriber Signature:

Is patient being seen by a home health nurse? q Yes q No

Tel # Daytime: ( ) Dr. Tel #: ( )

Dr. Fax #: ( )

Group #:

Group #:

Insurance Tel #: ( )

Insurance Tel #: ( )

Payment Method (if ordering non-covered items)

q Check or money order, payable to Byram Healthcare

q MasterCard q VISA q AMEX q Discover

Card #:

Signature:

Exp Date (mm/dd/yr):

Tel # Evening: ( )

I need to order (check all that apply):q Diabetes Supplies q Ostomy Supplies q Wound Care Suppliesq Urology Supplies q Incontinence Supplies q Enteral Supplies

Product Number Product Description Quantity

*Medicare allows a 90 day order for many supplies.

Ostomy


Keep in touch with Byram Healthcare!

Byram Healthcare Clinical Support ServicesWe provide ongoing clinical and product support for all of our customers.

We're here for you!

Wound, Ostomy and Continence Clinical CareLine & Clinical CareMail1-800-902-9726 ext. [email protected] Clinical CareLine is designed to support the needs of our ostomy, wound and continence patients, new referrals and healthcare professionals. Our CareLine WOCN is a great resource for anyone with clinical questions or concerns that come up post discharge or between regular visits to the physician or hospital WOCN.

Byram patients are able to call or email questions. Simply leave a message by phone or email, and we will respond to your question within 24 hours.

Multi-Lingual Support Program1-844-208-1499Our goal is to make it easy for our customers to work with us, eliminating language barriers that can often get in the way of accessing quality care and outstanding service. Byram Customer Service representatives can access our language line at any time and translate up to 250 languages. We offer a direct connection to our bilingual customer service team.

Ostomy 1-800-308-9445

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Ostomy


Continuing Education Programs

Byram Healthcare provides clinical education programs to support ongoing needs for healthcare professionals. Our educational courses consist of 1-hour of continuing education credit. Programs are geared towards nurses, WOCNs, CDEs, case managers, social workers*, and dietitians.

Hi-R-Ed Online, an accredited provider of continuing education, developed these courses for Byram Healthcare.

Ask your local sales representative about our monthly webinar.

*in most states


FOUR EASY WAYS TO ORDER:

1. CALL Byram Healthcare: 1-800-308-9445 Monday - Friday, 8:30 am to 7:00 pm Local Time Saturday, 9:00 am to 1:00 pm Local Time

2. ONLINE – Reorder your supplies at: www.mybyramhealthcare.com 24 hours a day, 7 days a week

3. FAX us your order: 1-866-811-45004. MAIL your order form: Byram Healthcare Centers, Inc. Attention: Customer Service 3010 Woodcreek Drive - Suite A Downers Grove, IL 60515 Please be sure to indicate your method

of payment, if applicable, and your daytime phone number.

Our MissionBe the partner of choice to help improve health outcomes and affordability of care for people living with chronic diseases.

■ Diabetes ■ Ostomy ■ Wound Care ■ Urology ■ Incontinence ■ Enteral Nutrition ■ Breast Pumps©2020 Byram Healthcare Centers, Inc. All rights reserved.

Visit us online: www.byramhealthcare.com

Wound Care | Diabetes | Urology | Ostomy | Incontinence | Enteral Nutrition | Breast Pumps

Order by phone: 1-800-308-9445Order by fax: 1-866-992-6331

Referral number:

Documents

Ostomy Catalog - Byram Healthcare · 2020-04-06 · resume a normal lifestyle. Our ostomy specialists are well trained on the latest ostomy products, stoma management techniques,