ConvaTec Urostomy Pouch ActiveLife® 175790 One-Piece System 9 Inch Length Convex, Pre-Cut 1/2 Inch Stoma Drainable Nutritionals and Feeding Supplies Manufacturer # 42012403 Country of

Manufacturer # 42012403 Country of Origin Sweden Application Intermittent Closed System Catheter Tray Collection Type 1000 mL Collection Bag Contents 1 Sterile Salt Solution Packet French Size 12 Fr

1 - 2 X 2 Inch Non Adherent Pad

Measure around waist

Pre-Cut Barrier Type Stomahesive Standard Wear with Tape Color Opaque Drain Type Drainable FSA Eligible - Buy UOM Yes FSA Eligible - Primary UOM Yes FSA Eligible - Sell UOM Yes HCPCS A5061 Length 12 Inch Length Stoma Opening Size 3/4 Inch Stoma System Type One-Piece System UNSPSC Code 42312104

PEA POWDER

ConvaTec Urostomy Pouch ActiveLife® 175790 One-Piece System 9 Inch Length Convex, Pre-Cut 1/2 Inch Stoma Drainable Nutritionals and Feeding Supplies Manufacturer # 42012403 Country ofUOM BOX 5 UNITS PER BOX Features A lightweight, flexible, one piece system, ActiveLife 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. Vinyl Material Manufacturer # 175790 Brand ActiveLife Manufacturer ConvaTec Country of Origin Dominican Republic Application Urostomy Pouch Barrier Style Convex, Pre Cut