May be reimbursable by Medicare Part B The Medicare symbol indicates that this product, or group of products, may be reimbursable under Medicare Part B. Please contact the SADMERC at 877.735.1326 to obtain the specific HCPCS codes and modifiers necessary for billing, as this information changes frequently. Further information regarding Medicare Part B Reimbursement can be found by visiting the Centers for Medicare and Medicaid Services web site at www.cms.hhs.gov.
 
Consult your pharmacist regarding product availability and delivery time This symbol indicates that this product is either available through Drop Ship Program or might not be available in all locations. Consult your pharmacist regarding product availability and delivery time.
Ostomy Care Solutions
Ostomy Care
Ostomy Accessories

Hollister

Medical Adhesive

  • Medical-grade silicone adhesive is unaffected by moisture
  • Can be used on sensitive skin and allows skin to breathe
  • Remains flexible and comfortable and provides a secure and reliable seal
  • Easy-to-use spray allows application directly to appliance prior to application to skin
CIN Mfr. No. Description Size Qty.
3278199 7730 Adhesive 3.2 oz. 1/ea
HCPC Code: A4364
May be reimbursable by Medicare Part B

ConvaTec®

Stomahesive® Paste

  • Hydrocolloid-based protective skin barrier
  • Use as a filler in uneven skin surfaces to help increase ostomy system wear-time and protect skin
CIN Mfr. No. Description Size Qty.
1019124 183910 Paste 2 oz. 1/ea
HCPC Code: A4406
May be reimbursable by Medicare Part B

ConvaTec®

Stomahesive® Protective Powder

  • Helps form a protective barrier for excoriated or weeping skin
CIN Mfr. No. Description Size Qty.
1022003 25510 Powder 1 oz. 1/ea
HCPC Code: A4371
May be reimbursable by Medicare Part B

Hollister

Adapt® Paste

  • Used to caulk and fill skin crevices to improve the fit of a skin barrier
  • Low-alcohol paste helps to minimize stinging
CIN Mfr. No. Description Size Qty.
3406469 79300 Paste 2 oz. 1/ea
HCPC Code: A4406
May be reimbursable by Medicare Part B

Hollister

Adapt® Stoma Powder

  • Protects raw and weeping skin by creating a sticky gel
  • Use sparingly to absorb moisture or exudate from skin prior to placing a skin barrier on peristomal skin
  • Convenient to use; squeeze bottle allows aeration of powder onto skin; bottle has window for visualizing contents
CIN Mfr. No. Description Size Qty.
2982098 7906 Powder 1 oz. 1/ea
HCPC Code: A4371
May be reimbursable by Medicare Part B

Hollister

Adapt® Flat Barrier Ring

  • Sting-free alternative to paste
  • Can be stretched and molded to create custom shapes
  • Can be cut, bent and stacked together to improve the fit of the skin barrier
  • For individuals with sensitive skin or limited dexterity
  • Prolongs skin barrier wear time when used under a pouch or two-piece skin barrier
CIN Mfr. No. Description Size (outer) Qty.
3088036 7805 Barrier ring 2 in. 10/ct
HCPC Code: A4385
May be reimbursable by Medicare Part B
Ostomy Accessories

ConvaTec®

Eakin Cohesive® Seals

  • Can be molded to a variety of shapes to help prevent leakage around the stoma by acting as filler for uneven skin surfaces
CIN Mfr. No. Description Size Qty.
2572642 839002 Small 2 in. 20/ct
HCPC Code: A4385
May be reimbursable by Medicare Part B

ConvaTec®

Stomahesive® Skin Barrier

  • A multi-purpose skin barrier designed to help protect peristomal skin
  • Gentle on skin yet holds firmly to skin surface
CIN Mfr. No. Description Size Qty.
1191105 21712 Nonsterile, no starter hole 4 x 4 in. 5/ct
HCPC Code: A4362
May be reimbursable by Medicare Part B

ConvaTec®

AllKare® Adhesive Remover Wipes

  • Gently removes all adhesives including skin barriers, tapes and hydrocolloid dressings
CIN Mfr. No. Description Qty.
2827244 37436 Wipes 50/ct
1678804 37443 Wipes 100/ct
HCPC Code: A4365
May be reimbursable by Medicare Part B

ConvaTec®

AllKare® Protective Barrier Wipes

  • Provides a barrier film layer on skin used under tapes, skin barriers, adhesive and hydrocolloid dressings
  • Helps protect against irritation, excoriation and adhesive build-up
CIN Mfr. No. Description Qty.
2827228 37439 Wipes 50/ct
1678788 37444 Wipes 100/ct
HCPC Code: A5120
May be reimbursable by Medicare Part B

Hollister

Universal Remover Wipes for Adhesives and Barriers

  • Gentle solvent removes adhesives and cements
  • Effective for most adhesives and safe to use on adult skin
  • Easy to use in a convenient wipe package
CIN Mfr. No. Description Qty.
2881183 7760 Remover wipes 50/ct
HCPC Code: A4456
May be reimbursable by Medicare Part B

Hollister

Adapt® Lubricating Deodorant

  • Enables a new level of confidence and security with a proven odor-neutralizer and pouch lubricant that helps keep the pouch interior clean
  • Lubrication eases emptying and helps prevent pouch static and sticking
  • Deodorant works by neutralizing the odor; not a perfume or masking agent


CIN Mfr. No. Description Size Qty.
3593571 78500 Deodorant 8 oz. 1/ea
HCPC Code: A4394
May be reimbursable by Medicare Part B
ConvaTec® - One-Piece Systems

ConvaTec®

ActiveLife® One-Piece Drainable Pouch Cut-to-Fit Stomahesive® with Tape Collar

  • A lightweight, flexible, one-piece system
  • Combines the skin barrier and the pouch into one simple, easy-to-manage system
  • Pouch allows for draining
  • One-sided comfort panel
  • Can accommodate 3/4 to 21/2 in.
CIN Mfr. No. Color Barrier Opening Size Qty.
1039015 22771 Transparent Cut to fit 12 in. 10/ct
HCPC Code: A5061
May be reimbursable by Medicare Part B

ConvaTec®

ActiveLife® One-Piece Drainable Pouch Pre-Cut Stomahesive®
with Tape Collar

  • A lightweight, flexible, one-piece system
  • Combines the skin barrier and the pouch into one simple, easy-to-manage system
  • Pouch allows for draining
CIN Mfr. No. Barrier Opening Size Qty.
1-sided comfort panel, opaque
1046630 22750 ¾ in. 10 in. 10/ct
1046648 22751 1 in. 10 in. 10/ct
1038561 22752 1¼ in. 10 in. 10/ct
1038579 22753 1½ in. 10 in. 10/ct
1-sided comfort panel, opaque
1038637 22757 ¾ in. 12 in. 10/ct
1038652 22758 1 in. 12 in. 10/ct
1038686 22759 1¼ in. 12 in. 10/ct
1038777 22760 1½ in. 12 in. 10/ct
1038793 22761 1¾ in. 12 in. 10/ct
1-sided comfort panel, transparent
1038884 22765 1 in. 12 in. 10/ct
1038900 22766 1¼ in. 12 in. 10/ct
1038934 22767 1½ in. 12 in. 10/ct
1038967 22768 1¾ in. 12 in. 10/ct
HCPC Code: A5061
May be reimbursable by Medicare Part B

ConvaTec®

ActiveLife® One-Piece Convex Drainable Pouch Pre-Cut Durahesive® with Tape Collar

  • A lightweight, flexible, one-piece system
  • Combines the skin barrier and the pouch into one simple, easy-to-manage system
  • Convex barrier is good for people with a recessed or flat stoma
  • Pouch allows for draining
CIN Mfr. No. Barrier Opening Size Qty.
1-sided comfort panel, transparent
1129873 175777 ¾ in. 12 in. 5/ct
1129964 175778 7/8 in. 12 in. 5/ct
1130129 175779 1 in. 12 in. 5/ct
1130152 175780 11/8 in. 12 in. 5/ct
1130178 175781 1¼ in. 12 in. 5/ct
1130194 175782 13/8 in. 12 in. 5/ct
3581410 125352 ¾ in. 12 in. 10/ct
3581444 125354 1 in. 12 in. 10/ct
3581451 125355 11/8 in. 12 in. 10/ct
HCPC Code: A4390
May be reimbursable by Medicare Part B

ConvaTec®

ActiveLife® Convex One-Piece Urostomy Pouch Pre-Cut Durahesive®

  • A lightweight, flexible, one-piece system
  • Combines the skin barrier and the pouch into one simple, easy-to-manage system
  • Convex barrier is good for people with a recessed or flat stoma
  • Tap at bottom allows for easy draining of urine
CIN Mfr. No. Color Barrier Opening Qty.
1835594 175792 Transparent ¾ in. 5/ct
1835602 175793 Transparent 7/8 in. 5/ct
1835610 175794 Transparent 1 in. 5/ct
1835628 175795 Transparent 11/8 in. 5/ct
1835636 175796 Transparent 1¼ in. 5/ct
HCPC Code: A4393
May be reimbursable by Medicare Part B
ConvaTec® - Barriers/Flanges

ConvaTec®

SUR-FIT Natura® Two-Piece
Cut-to-Fit Stomahesive®
Skin Barrier with Flange

  • A comprehensive product line with the latest skin barrier technologies
  • Plastic coupling ring allows the pouch and skin barrier to snap together for audible security
  • Stomahesive® skin barriers are ideal for people whose stoma output is semi-formed to formed
  • Reliable skin barrier provides a unique formula that enables it to adhere to dry and moist skin
  • Gentle on skin yet holds firmly
CIN Mfr. No. Flange Size Size Qty.
No tape collar
2846830 401573 1¼ in. 4 x 4 in. 10/ct
2848166 401574 1½ in. 4 x 4 in. 10/ct
2847499 401575 1¾ in. 4 x 4 in. 10/ct
2848158 401576 2¼ in. 4 x 4 in. 10/ct
2846954 401577 2¾ in. 5 x 5 in. 10/ct
2847481 401906 4 in. 6 x 6 in. 5/ct
HCPC Code: A4415
May be reimbursable by Medicare Part B

ConvaTec®

SUR-FIT Natura® Two-Piece Durahesive® Skin Barrier
with CONVEX-IT® Pre-Cut

  • A comprehensive product line with the latest skin barrier technologies
  • Plastic coupling ring allows the pouch and skin barrier to snap together for audible security
  • Designed for people whose stoma output is mostly liquid
  • Durahesive® skin barriers swell up or “turtleneck” to further protect the stoma and peristomal skin
CIN Mfr. No. Stoma Size Flange Size Qty.
With flexible tape collar
3490737 413179 ¾ in. 13/4 in. 10/ct
3490745 413180 7/8 in. 13/4 in. 10/ct
3490752 413181 1 in. 13/4 in. 10/ct
3490760 413182 11/8 in. 13/4 in. 10/ct
3490778 413183 1¼ in. 13/4 in. 10/ct
3490786 413184 13/8 in. 13/4 in. 10/ct
3490794 413185 1½ in. 21/4 in. 10/ct
HCPC Code: A4407
May be reimbursable by Medicare Part B

ConvaTec®

SUR-FIT Natura® Two-Piece Durahesive® Skin Barrier Cut-to-Fit

  • A comprehensive product line with the latest skin barrier technologies
  • Plastic coupling ring allows the pouch and skin barrier to snap together for audible security
  • Designed for people whose stoma output is mostly liquid
  • Durahesive® skin barriers swell up or “turtleneck” to further protect the stoma and peristomal skin
CIN Mfr. No. Flange Size Size Qty.
No tape collar
3490141 413154 1½ in. 4 x 4 in. 10/ct
3490182 413155 1¾ in. 4 x 4 in. 10/ct
3490190 413156 2¼ in. 4 x 4 in. 10/ct
3490216 413157 2¾ in. 5 x 5 in. 10/ct
2848364 401905 4 in. 6 x 6 in. 5/ct
HCPC Code: A4409, A4410
May be reimbursable by Medicare Part B

ConvaTec®

SUR-FIT Natura® Two-Piece Durahesive® Skin Barrier
Cut-to-Fit

  • A comprehensive product line with the latest skin barrier technologies
  • Plastic coupling ring allows the pouch and skin barrier to snap together for audible security
  • Designed for people whose stoma output is mostly liquid
CIN Mfr. No. Flange Size Barrier Opening Qty.
With flexible tape collar, white
3490232 413160 1½ in. 4 x 4 in. 10/ct
3490240 413161 1¾ in. 4 x 4 in. 10/ct
3490257 413162 2¼ in. 5 x 5 in. 10/ct
3490265 413163 2¾ in. 5 x 5 in. 10/ct
With flexible tape collar, tan
3490281 413165 1½ in. 4 x 4 in. 10/ct
3490299 413166 1¾ in. 4 x 4 in. 10/ct
3490315 413167 2¼ in. 5 x 5 in. 10/ct
HCPC Code: A4409
May be reimbursable by Medicare Part B
ConvaTec® - Barriers/Flanges

ConvaTec®

SUR-FIT Natura® Durahesive®
Skin Barrier Moldable Convex

  • A comprehensive product line with the latest skin barrier technologies
  • Plastic coupling ring allows the pouch and skin barrier to snap together for audible security
  • Designed for people whose stoma output is mostly liquid
  • Durahesive® skin barriers swell up or “turtleneck” to further protect the stoma and peristomal skin
  • Convex is good for people with a retracted or flush stoma and moldable for improved skin protection over traditional barriers—provides ease of use and versatility
CIN Mfr. No. Flange Size Stoma Size Size Qty.
With flexible tape collar, white
3462298 404592 1¾ in. ½–7/8 in. Small 10/ct
3462637 404593 1¾ in. 7/8–1¼ in. Medium 10/ct
3462645 404594 2¼ in. 1¼–1¾ in. Large 10/ct
HCPC Code: A4407
May be reimbursable by Medicare Part B

ConvaTec®

SUR-FIT Natura® Durahesive®
Skin Barrier Moldable

  • A comprehensive product line with the latest skin barrier technologies
  • Plastic coupling ring allows the pouch and skin barrier to snap together for audible security
  • Designed for people whose stoma output is mostly liquid
  • Durahesive® skin barriers swell up or “turtleneck” to further protect the stoma and peristomal skin
CIN Mfr. No. Flange Size Stoma Size Size Qty.
With hydrocolloid flexible collar, white
4007522 411802 1¾ in. 7/8–1¼ in. Medium 10/ct
4021416 411804 2¼ in. 1¼–1¾ in. Large 10/ct
4022612 411806 2¾ in. 1¾–21/8 in. X-large 10/ct
HCPC Code: A4409
May be reimbursable by Medicare Part B

ConvaTec®

SUR-FIT Natura® Two-Piece Stomahesive® Skin Barrier Pre-Cut

  • A comprehensive product line with the latest skin barrier technologies
  • Plastic coupling ring allows the pouch and skin barrier to snap together for audible security
  • Ideal for people whose stoma output is semi-formed to formed
  • Reliable skin barrier provides a unique formula that enables the skin barrier to adhere to both dry and moist skin
  • Gentle on skin yet holds firmly
CIN Mfr. No. Stoma Size Flange Size Qty.
With flexible tape collar, tan
2848117 125269 ¾ in. 13/4 in. 10/ct
2847903 125270 7/8 in. 13/4 in. 10/ct
2847721 125271 1 in. 13/4 in. 10/ct
2847648 125272 11/8 in. 13/4 in. 10/ct
2847622 125273 1¼ in. 13/4 in. 10/ct
2847614 125274 13/8 in. 13/4 in. 10/ct
2848349 125275 1½ in. 21/4 in. 10/ct
2847606 125276 15/8 in. 21/4 in. 10/ct
2847598 125277 1¾ in. 21/4 in. 10/ct
HCPC Code: A4414
May be reimbursable by Medicare Part B

ConvaTec®

SUR-FIT Natura® Two-Piece Stomahesive® Skin Barrier
Cut-to-Fit

  • A comprehensive product line with the latest skin barrier technologies
  • Plastic coupling ring allows the pouch and skin barrier to snap together for audible security
  • Ideal for people whose stoma output is semi-formed to formed
  • Reliable skin barrier provides a unique formula that enables the skin barrier to adhere to both dry and moist skin
  • Gentle on skin yet holds firmly
CIN Mfr. No. Flange Size Size Qty.
With flexible tape collar, white
2551158 125258 1½ in. 4 x 4 in. 10/ct
2551166 125259 1¾ in. 4 x 4 in. 10/ct
2551174 125260 2¼ in. 5 x 5 in. 10/ct
2551182 125261 2¾ in. 5 x 5 in. 10/ct
With flexible tape collar, tan
2551091 125262 1¼ in. 4 x 4 in. 10/ct
2551109 125263 1½ in. 4 x 4 in. 10/ct
2551117 125264 1¾ in. 4 x 4 in. 10/ct
2551125 125265 2¼ in. 5 x 5 in. 10/ct
HCPC Code: A4414
May be reimbursable by Medicare Part B
ConvaTec® - Two-Piece Systems

ConvaTec®

SUR-FIT Natura®
Closed-End Pouch

  • Designed for one-time usage
  • No draining or uncomfortable clip to worry about
  • Simply remove the pouch and place it into a disposable bag to discard
  • Compatible with Stomahesive® and Durahesive® skin barriers
CIN Mfr. No. Color Flange Size Qty.
2-sided comfort panel
3556263 413170 Opaque 1¾ in. 60/ct
3556313 413171 Opaque 2¼ in. 60/ct
3581642 413172 Opaque 2¾ in. 60/ct
2551349 401521 Opaque 1½ in. 30/ct
2551356 401522 Opaque 1¾ in. 30/ct
2551364 401523 Opaque 2¼ in. 30/ct
2551372 401524 Opaque 2¾ in. 30/ct
HCPC Code: A5054
May be reimbursable by Medicare Part B

ConvaTec®

SUR-FIT Natura® Closed-End Pouch with Filter

  • Designed for one-time usage
  • Filter is designed to reduce odor and gas buildup
  • No draining or uncomfortable clip to worry about
  • Simply remove the pouch and place it into a disposable bag to discard
  • Compatible with Stomahesive® and Durahesive® skin barriers
CIN Mfr. No. Color Flange Size Qty.
2-sided comfort panel
3556347 413174 Opaque 1¾ in. 60/ct
3556370 413175 Opaque 2¼ in. 60/ct
2551380 401525 Opaque 1½ in. 30/ct
2551406 401526 Opaque 1¾ in. 30/ct
2551414 401527 Opaque 2¼ in. 30/ct
2551422 401528 Opaque 2¾ in. 30/ct
HCPC Code: A4419
May be reimbursable by Medicare Part B

ConvaTec®

SUR-FIT Natura® Two-Piece
Drainable Pouch

  • A comprehensive product line with the latest skin barrier technologies
  • Plastic coupling ring allows the pouch and skin barrier to snap together for audible security
  • Only the SUR-FIT Natura® ostomy system is available with ConvaTec® Moldable Technology™ skin barriers
  • These barriers hug the individual contours of the stoma to allow for a secure, personalized fit without the need for scissors
  • Pouch allows for draining
CIN Mfr. No. Flange Size Pouch Size Qty.
1-sided comfort panel, transparent
2551307 401511 1½ in. 12 in. 10/ct
2551315 401512 1¾ in. 12 in. 10/ct
2551323 401513 2¼ in. 12 in. 10/ct
2551331 401514 2¾ in. 12 in. 10/ct
2847333 401515 4 in. 14 in. 10/ct
1-sided comfort panel, opaque
2847234 401932 1¼ in. 12 in. 10/ct
2848174 401933 1½ in. 12 in. 10/ct
2847283 401934 1¾ in. 12 in. 10/ct
2848141 401935 2¼ in. 12 in. 10/ct
2847309 401936 2¾ in. 12 in. 10/ct
2-sided comfort panel, opaque
2551240 401500 1¼ in. 12 in. 10/ct
2551257 401501 1½ in. 12 in. 10/ct
2551265 401502 1¾ in. 12 in. 10/ct
2551273 401503 2¼ in. 12 in. 10/ct
2551281 401504 2¾ in. 12 in. 10/ct
2551190 401505 1¼ in. 10 in. 10/ct
2551208 401506 1½ in. 10 in. 10/ct
2551216 401507 1¾ in. 10 in. 10/ct
2551224 401508 2¼ in. 10 in. 10/ct
2551232 401509 2¾ in. 10 in. 10/ct
HCPC Code: A5063
May be reimbursable by Medicare Part B
ConvaTec® - Two-Piece Systems

ConvaTec®

SUR-FIT Natura® Two-Piece Urostomy Pouch Accuseal®
Tap with Valve

  • A comprehensive product line with the latest skin barrier technologies
  • Plastic coupling ring allows the pouch and skin barrier to snap together for audible security
  • Extended anti-reflux valve, comfort panels and a choice of two types of drainage taps
CIN Mfr. No. Flange Size Size Qty.
1-sided comfort panel, transparent
2551430 401542 1¼ in. Standard 10/ct
2551448 401543 1½ in. Standard 10/ct
2551455 401544 1¾ in. Standard 10/ct
2551463 401545 2¼ in. Standard 10/ct
2551471 401546 2¾ in. Standard 10/ct
1-sided comfort panel, opaque
2551505 401549 1¾ in. Small 10/ct
2551539 401552 1½ in. Standard 10/ct
2551547 401553 1¾ in. Standard 10/ct
2551554 401554 2¼ in. Standard 10/ct
HCPC Code: A4432
May be reimbursable by Medicare Part B
Hollister - One-Piece Systems

Hollister

Premier™ Drainable Pouch with
Flextend® Cut-to-Fit, Flat Barrier
and Pouch Clamp Closure

  • Protects the skin over extended wearing time from irritating discharge
  • ComfortWear panels provide a soft, cloth-like covering between the pouch and the skin
  • Ultimate in confidence and discreetness with odor-barrier, rustle-free film and anatomically-shaped pouches
CIN Mfr. No. Color Barrier Opening Pouch Size Qty.
2316008 8631 Transparent Up to 2½ in. 12 in. 10/ct
HCPC Code: A4388
May be reimbursable by Medicare Part B

Hollister

Premier™ Drainable Pouch with Flextend® Skin Barrier Convex Pre-Sized and Pouch Clamp Closure

CIN Mfr. No. Barrier Opening Pouch Size Qty.
Transparent
3025814 8610 ¾ in. 12 in. 5/ct
2080679 8611 7/8 in. 12 in. 5/ct
2696359 8612 1 in. 12 in. 5/ct
2487197 8613 11/8 in. 12 in. 5/ct
2360691 8614 1¼ in. 12 in. 5/ct
HCPC Code: A4390
May be reimbursable by Medicare Part B

Hollister

Premier™ Urostomy Pouch with
Convex Barrier Pre-Sized

  • Built-in convexity means added security and skin protection for recessed, retracted and flush stomas
  • Protects the skin over extended wearing time from irritating discharge
  • Security and confidence assured with internal non-reflux valves and a drain valve that allows regulation of flow rate
CIN Mfr. No. Stoma Size Pouch Size Qty.
Transparent
2193696 8481 5/8 in. 9 in. 5/ct
2590263 8482 ¾ in. 9 in. 5/ct
2294965 8483 7/8 in. 9 in. 5/ct
2561884 8484 1 in. 9 in. 5/ct
2181915 8485 11/8 in. 9 in. 5/ct
2431864 8486 1¼ in. 9 in. 5/ct
2570455 8487 13/8 in. 9 in. 5/ct
3233343 8488 1½ in. 9 in. 5/ct
2982106 8489 1¾ in. 9 in. 5/ct
HCPC Code: A4430
May be reimbursable by Medicare Part B
Hollister - Barriers/Flanges

Hollister

CenterPointLock™ FlexWear® Flat Skin Barrier with Floating Flange and Tape Border Filter

  • Protects skin from corrosive drainage with the standard wear FlexWear® skin barrier
  • Eliminates pressure on tender post-operative abdomens with the exclusive Floating Flange
  • Confidence and security with the unique CenterPointLock™ feature—prevents unintentional pouch/skin barrier separation
CIN Mfr. No. Flange Size Barrier Opening Qty.
3041498 3727 1½ in. Up to 1 in. 5/ct
1948322 3722 1¾ in. Up to 1¼ in. 5/ct
2539526 3723 2¼ in. Up to 1¾ in. 5/ct
2288884 3724 2¾ in. Up to 2¼ in. 5/ct
2342012 3726 4 in. Up to 3½ in. 5/ct
HCPC Code: A4414
May be reimbursable by Medicare Part B

Hollister

CenterPointLock™ Convex Skin Barrier
with Floating Flange

  • Built-in convexity means added security and skin protection for recessed, retracted and flush stomas—cut-to-fit openings
  • Protects the skin from irritating discharge over extended wearing time
  • Security assured with patented CenterPointLock™ feature—prevents accidental separation of pouch from skin barrier
  • With tape border, porous cloth adhesive
CIN Mfr. No. Barrier Opening Flange Size Qty.
2538353 8778 Up to 1 in. 2¼ in. 5/ct
HCPC Code: A4407
May be reimbursable by Medicare Part B

Hollister

CenterPointLock™ Hollihesive Skin Barrier
Cut-to-Fit with Floating Flange

  • Eliminates pressure on tender post-operative abdomens with the exclusive Floating Flange
  • Confidence and security with the unique CenterPointLock™ feature—prevents unintentional pouch/skin barrier separation
  • With tape border, porous paper adhesive
CIN Mfr. No. Barrier Opening Size Qty.
1919075 3702 Up to 1 in. 1¾ in. 5/ct
1948462 3703 Up to 11/2 in. 2¼ in. 5/ct
1919091 3704 Up to 2 in. 2¾ in. 5/ct
1919109 3706 Up to 31/2 in. 4 in. 5/ct
HCPC Code: A4414, A4415
May be reimbursable by Medicare Part B

Hollister

New Image® Flextend® Convex Skin Barrier Cut-to-Fit with Floating Flange

  • Built-in convexity means added security and skin protection for recessed, retracted and flush stomas—cut-to-fit openings
  • Eliminates pressure on tender post-operative abdomens with the exclusive Floating Flange
  • Protects the skin over extended wearing time from irritating discharge
CIN Mfr. No. Flange Size Barrier Opening Qty.
With tape border
3674769 14802 1¾ in. Up to 1 in. 5/ct
3638343 14803 2¼ in. Up to 1½ in. 5/ct
3651346 14804 2¾ in. Up to 2 in. 5/ct
HCPC Code: A4407
May be reimbursable by Medicare Part B

Hollister

New Image® Flextend® Convex Skin Barrier
Pre-Sized with Floating Flange

  • Built-in convexity means added security and skin protection for recessed, retracted and flush stomas—pre-cut openings
  • Eliminates pressure on tender post-operative abdomens with the exclusive Floating Flange
  • Protects the skin over extended wearing time from irritating discharge
  • Flextend skin barrier is the barrier of choice for urostomies and ileostomies
CIN Mfr. No. Flange Size Barrier Opening Qty.
With tape border
3571825 14903 1¾ in. 7/8 in. 5/ct
3586393 14904 1¾ in. 1 in. 5/ct
3895471 14906 21/4 in. 2¼ in. 5/ct
HCPC Code: A4407
May be reimbursable by Medicare Part B
Hollister - Barriers/Flanges

Hollister

New Image® Flextend®
Skin Barrier Cut-to-Fit
Flat with Integrated
Floating Flange

  • Confidence assured with the Floating Flange—provides utmost security with the patented locking system that audibly “clicks” into place
  • Protects the skin over extended wearing time from irritating discharge
  • Eliminates pressure on tender post-operative abdomens with the exclusive Floating Flange
CIN Mfr. No. Flange Size Barrier Opening Qty.
With tape border
3461894 14602 1¾ in. Up to 1¼ in. 5/ct
3461902 14603 2¼ in. Up to 1¾ in. 5/ct
3461928 14604 2¾ in. Up to 2¼ in. 5/ct
HCPC Code: A4409
May be reimbursable by Medicare Part B
Hollister - Two-Piece Systems

Hollister

CenterPointLock™ Closed Pouch with Filter

  • Security assured with patented CenterPointLock™ feature—prevents accidental separation of pouch from skin barrier
  • Four layer odor-barrier, rustle-free film is soft and silent
  • Security and confidence achieved by highly effective deodorizing and venting filter made of activated carbon granules
CIN Mfr. No. Flange Size Pouch Size Qty.
White
2539534 3343 2¼ in. 9 in. 15/ct
2538296 3344 2¾ in. 9 in. 15/ct
HCPC Code: A4419
May be reimbursable by Medicare Part B

Hollister

New Image® FlexWear®
Skin Barrier Cut-to-Fit
with Floating Flange

  • Confidence assured with the Floating Flange—provides utmost security with the patented locking system that audibly “clicks” into place
  • Protects the skin over extended wearing time from irritating discharge
  • Eliminates pressure on tender post-operative abdomens with the exclusive Floating Flange
CIN Mfr. No. Flange Size Barrier Opening Qty.
With tape border
3461837 14202 1¾ in. Up to 1¼ in. 5/ct
3461852 14203 2¼ in. Up to 1¾ in. 5/ct
1313295 14204 2¾ in. Up to 2¼ in. 5/ct
Without tape border
3136900 15202 1¾ in. Up to 1¼ in. 5/ct
3037553 15203 2¼ in. Up to 1¾ in. 5/ct
3036530 15204 2¾ in. Up to 2¼ in. 5/ct
HCPC Code: A4414, A4415
May be reimbursable by Medicare Part B

Hollister

CenterPointLock™ Drainable Pouch
with Pouch Clamp Closure Filter

  • Security assured with patented CenterPointLock™ feature—prevents accidental separation of pouch from skin barrier
  • Four layer odor-barrier, rustle-free film is soft and silent
  • Peace of mind knowing that the pouch is discreet and made of the highest quality materials
CIN Mfr. No. Color Flange Size Pouch Size Qty.
1919174 3807 Transparent 1½ in. 11 in. 10/ct
1919133 3802 Transparent 1¾ in. 11 in. 10/ct
1919141 3803 Transparent 2¼ in. 11 in. 10/ct
1919158 3804 Transparent 2¾ in. 11 in. 10/ct
1919166 3806 Transparent 4 in. 11 in. 10/ct
1919182 3812 Beige 1¾ in. 11 in. 10/ct
1919190 3813 Beige 2¼ in. 11 in. 10/ct
1919208 3814 Beige 2¾ in. 11 in. 10/ct
HCPC Code: A5063
May be reimbursable by Medicare Part B
Hollister - Two-Piece Systems

Hollister

CenterPointLock™ Urostomy Pouch

  • Security and confidence assured with internal non-reflux valves and a drain valve that allows regulation of flow rate
  • Confidence and security with the unique CenterPointLock™ feature—prevents unintentional pouch/skin barrier separation
  • Ultimate in confidence with odor-barrier, rustle-free film—four layer odor-barrier, rustle-free film is soft and silent
  • Includes belt tabs, anti-reflux valve and adjustable drain valve
CIN Mfr. No. Flange Size Pouch Size Qty.
Transparent
1919257 3902 1¾ in. 9 in. 10/ct
1919265 3903 2¼ in. 9 in. 10/ct
1919273 3904 2¾ in. 9 in. 10/ct
HCPC Code: A4432
May be reimbursable by Medicare Part B
Ostomy Care

Hollister

New Image® Drainable Pouch with Pouch
Clamp Closure

  • ComfortWear panels provide a soft, cloth-like covering between the pouch and the skin
  • Confidence and security with the unique CenterPointLock™ feature—prevents unintentional pouch/skin barrier separation
  • Provides maximum protection, utilizes an odor-barrier material and are rustle-free
CIN Mfr. No. Flange Size Pouch Size Qty.
Panel on body side only, transparent
3146461 18102 1¾ in. 12 in. 10/ct
3105822 18103 2¼ in. 12 in. 10/ct
3036563 18104 2¾ in. 12 in. 10/ct
Panel on both sides, beige
3337979 18122 1¾ in. 12 in. 10/ct
3260353 18123 2¼ in. 12 in. 10/ct
3149242 18124 2¾ in. 12 in. 10/ct
HCPC Code: A5063
May be reimbursable by Medicare Part B

Hollister

New Image® Drainable Pouch with Lock ‘n Roll® Closure without Filter

  • Easy to close—simply roll it three times in the same direction, press from the middle out and feel the seal
  • Easy to empty—lightly pinch the sides of the leak-proof outlet for easy control of content flow; firm reinforcing strips shut as soon as you stop pinching
  • Easy to clean—simply clean the inside of the pouch tail by wiping it with a damp tissue
CIN Mfr. No. Color Pouch Size Flange Size Qty.
Panel on body side only
3571833 18132 Transparent 12 in. 1¾ in. 10/ct
3571841 18133 Transparent 12 in. 2¼ in. 10/ct
3571858 18134 Transparent 12 in. 2¾ in. 10/ct
HCPC Code: A5063
May be reimbursable by Medicare Part B

Hollister

New Image®
Drainable Pouch with Lock ‘n Roll® Closure

  • Easy to close—simply roll it three times in the same direction, press from the middle out and feel the seal
  • Easy to empty—lightly pinch the sides of the leak-proof outlet for easy control of content flow; firm reinforcing strips shut as soon as you stop pinching
  • Easy to clean—simply clean the inside of the pouch tail by wiping it with a damp tissue
CIN Mfr. No. Flange Size Pouch Size Qty.
Panel on body side only, transparent
3525441 18192 1¾ in. 12 in. 10/ct
3525458 18193 2¼ in. 12 in. 10/ct
3525466 18194 2¾ in. 12 in. 10/ct
Panel on both sides, beige
3551777 18182 1¾ in. 12 in. 10/ct
3551793 18183 2¼ in. 12 in. 10/ct
3548021 18184 2¾ in. 12 in. 10/ct
HCPC Code: A4425
May be reimbursable by Medicare Part B
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