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| SLI Medical# | 221987 |
| Manufacturer # | 175784 |
| Brand | ActiveLife® |
| Manufacturer | ConvaTec |
| Country of Origin | Dominican Republic |
| Application | Colostomy Pouch |
| Barrier Style | Flat |
| Barrier Type | Pre-Cut |
| Color | Stomahesive Standard Wear with Tape |
| Drain Type | Transparent |
| FSA Eligible - Buy UOM | Drainable |
| FSA Eligible - Primary UOM | A4390 |
| FSA Eligible - Sell UOM | 12 Inch Length |
| HCPCS | NonSterile |
| Length | 1-3/4 Inch Stoma |
| Sterility | One-Piece System |
| Stoma Opening Size | 42312104 |
| System Type | |
| UNSPSC Code |
| Product Name | Colostomy Pouch ActiveLife® One-Piece System 12 Inch Length Flat, Pre-Cut 1-3/4 Inch Stoma Drainable |
|---|---|
| SKU | 100221987 |
| Price | $71.63 |
| Weight | 1.00 |
| Featured Product | No |
| Manufacturer Sku | 175784 |
| UOM | BX |
| Manufacturer | Convatec |
| Short Description | POUCH, DRAIN 12" (5/BX) |
