Coloplast Ostomy Pouch 18180 SenSura® Mio Concave One-Piece System 8-1/2 Inch Length, Maxi Concave, Trim to Fit 3/8 to 2-3/8 Inch Stoma Closed End Ostomy Pouches AND LESS THAN 2% OF

AND LESS THAN 2% OF VITAMINS AND MINERALS‡

Manufacturer # 23401-001 Country of Origin Vietnam Application AC Adapter / Charger For Use With For EnteraLite® Infinity® Feeding Pump HCPCS B9002 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device N Lot_Tracking_Flag N On_Allocation N Specifications With Power Cord Supplier_ID 488213 UNSPSC Code 42231505

Manufacturer # DYND15405 Country of Origin Unknown Additive Without Additive Application Urinary Drain Bag Drain Tube Type Clamp Fastening Type Reinforced Hanger Graduations Graduated HCPCS A4357 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device Y Lot_Tracking_Flag N Material Vinyl On_Allocation N Privacy Option Without Privacy Cover Sample Port Type Blunt Cannula Sterility Sterile Supplier_ID 488074 Tubing Length 50 Inch Tubing UNSPSC Code 42142704 Valve Type Anti-Reflux Valve Volume 4000 mL Latex Free Indicator Not Made with Natural Rubber Latex

Manufacturer # 8509 Country of Origin United States Additive Without Additive Application Urinary Leg Bag Drain Tube Type Twist Valve FSA Eligible - Sell UOM Yes Fastening Type Button Latex Straps Graduations Without Graduations HCPCS A4357 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device Y Lot_Tracking_Flag N Material Latex On_Allocation N Privacy Option Without Privacy Cover Sample Port Type Without Sample Port Sterility NonSterile Supplier_ID 4012033 Tubing Length Without Tubing UNSPSC Code 42142704 Valve Type Anti-Reflux Valve Volume 266 mL Latex Free Indicator Contains Latex

(2) Compressed Krinkle Gauze

Coloplast Ostomy Pouch 18180 SenSura® Mio Concave One-Piece System 8-1/2 Inch Length, Maxi Concave, Trim to Fit 3/8 to 2-3/8 Inch Stoma Closed End Ostomy Pouches AND LESS THAN 2% OFUOM BOX 10 UNITS PER BOX Features Window Curved, star shaped barrier conforms to outward areas with less creasing and folding Flip to Fit design allows for easy application Manufacturer # 18180 Brand SenSura Mio Concave Manufacturer Coloplast Country of Origin Hungary Application Ostomy Pouch Barrier Style Convex, Trim to Fit Barrier Type Standard Wear Capacity 550 mL Color Opaque Drain Type Closed End FSA Eligible Sell UOM Yes HCPCS A4417 Length 8 1