ConvaTec Urostomy Pouch Sur-Fit Natura® 401536 Two-Piece System 10 Inch Length Drainable General Wound Care Manufacturer # 05485951516 Country of

Manufacturer # 05485951516 Country of Origin Unknown Administration Method Oral Application Oral Supplement Calories per Serving 72 Calories Calories per Serving Range 0 to 100 Calories Container Type Bottle Container Type Range Bottles Flavor Lemon-Lime Flavor Flavor Range Citrus Flavor Ingredients L-Arginine (1

9 m) HCPCS A6457 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_ECAT N Is_GSA N Is_Medical_Device N Is_VA Y Lot_Tracking_Flag N Material Elastic On_Allocation N Size Size 2 Sterility NonSterile Supplier_ID 487959 Target Area Small Hand / X-Small Arm / Leg / Foot Type Tubular UNSPSC Code 42311543 Latex Free Indicator Not Made with Natural Rubber Latex

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Manufacturer # 416715 Brand Esteem®+ Manufacturer ConvaTec Country of Origin Dominican Republic Application Ostomy Pouch Barrier Style Pre-cut Barrier Type Stomahesive Standard Wear Color Opaque Drain Type Closed End FSA Eligible - Buy UOM Yes FSA Eligible - Primary UOM Yes FSA Eligible - Sell UOM Yes Filtered Pouch Filtered HCPCS A4416 Length 8 Inch Length Stoma Opening Size 2 Inch Stoma System Type One-Piece System UNSPSC Code 42312104

ConvaTec Urostomy Pouch Sur-Fit Natura® 401536 Two-Piece System 10 Inch Length Drainable General Wound Care Manufacturer # 05485951516 Country ofUOM BOX 10 UNITS PER BOX Features 1 Sided Comfort Panel Odor barrier quiet film Each box contains 2 Accuseal night drainage adapters Vinyl Material Manufacturer # 401536 Brand Sur Fit Natura Manufacturer ConvaTec Country of Origin Dominican Republic Application Urostomy Pouch Color Transparent Drain Type Drainable FSA Eligible Buy UOM Yes FSA Eligible Primary UOM Yes FSA Eligible Sell UOM Yes Flange Size 2 1 4 Inch Flange HCPCS A5073 Length 10 Inch