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Ostomy Care

Ostomy Care

General Information

HCPCS Codes Disclaimer

The reimbursement information provided herein is intended to provide general information concerning coding of Hollister products only. Hollister does not guarantee coverage or payment for any products. The ultimate responsibility for proper coding, satisfying reimbursement requirements, and obtaining reimbursement remains with the provider. Coding and coverage policies and guidelines are complex, can vary from one carrier or region to another, and are updated frequently. Providers should check with their local carriers or intermediaries often and should consult with counsel, a reimbursement specialist, and/or the DMECS website for any coding, coverage, reimbursement, or billing questions. HCPCS codes shown in this Product Catalog are current as of 1-6-12.

Explanation of Third Party Code Reimbursement System (National Health Related Items Code)

To facilitate reimbursement of Hollister products, some Third Party Payment Programs require the use of an eleven-digit reimbursement number. Every Hollister manufactured product can be identified by an eleven-digit number. In general, the first five numbers identify the manufacturer's labeler code, and the last six numbers represent the product stock number. The labeler code for Hollister Incorporated is 08380. The labeler code for Hollister Wound Care LLC is 08567, and the labeler code for the Apogee product line is 08598. In order to utilize this coding system, follow these examples. To code a four-digit stock number: The Third Party Reimbursement Number for the Apogee 12 Fr Intermittent Catheter, Stock Number 1048 listed in the catalog on page 92, is: 08598-0010-48 08598 identifies Apogee. 0010-48 identifies the product Stock Number. To code a five-digit stock number: The Third Party Reimbursement Number for the New Image Drainable Pouch, Stock Number 18113 listed in the catalog on page 30, is: 08380-0181-13 08380 identifies Hollister Incorporated. 0181-13 identifies the product Stock Number. To code a six-digit stock number: The Third Party Reimbursement Number for the Restore Contact Layer Dressing with TRIACT Technology, Stock Number 509338 listed in the catalog on page 130, is: 08567-5093-38 08567 identifies Hollister Wound Care LLC. 5093-38 identifies the product Stock Number. Additionally, three products in the Hollister Wound Care line require an NDC number due to their Dimethicone-based nature. The labeler code for their OTC drug products is 42828. The three NDC numbers are listed below. NDC 42828-9977-02 42828-9978-03 42828-9979-01 2 Stock No. 529977 529978 529979 Description Restore Cleanser & Moisturizer, 7.5 oz Restore Cleanser & Moisturizer, 11.5 oz Restore Dimethicreme Skin Protectant, 4 oz

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Latex Statement

The specifications for the Hollister Continence Care products listed below include natural rubber latex as a component; our suppliers add natural rubber latex as part of the production process. If a Hollister product(s) found in this catalog is not listed below, the specification for that product(s) and packaging does not include natural rubber latex as a component, and our component suppliers do not add natural rubber as part of their production process.

Current Stock Numbers:

1051 1067 1084 9106 9107 9108 9109 9206 9207 9208 9209 9834 § 9835 § B12R B14R B16R B12RB B14RB B16RB

Discontinued Stock Numbers:

9606 * 9607 * 9608 * 9609 * 9626 * 9627 * 9628 * 9629 * 9636 9637 9638 9639 9656 9657 9658 9659 9803 9806 * 9807 * 9808 * 9809 * 9813 9816 9817 9818 9824 9825 9826 * 9827 * 9828 * 9829 * 9897 9898

How to Use The Hollister Products Catalog

Hollister has created this simplified Product Catalog to help our customers find what they need in a quick and efficient manner. If you... know the stock number (or stock series number) Go to the numeric index at the back of the catalog on pages 162­163 to find the page number where it appears. If you... know the product brand or series name Go to the Table of Contents on pages 9-10, 86, 106, 114 and 120 to find the page number where it appears or reference the Product Name Index on pages 164­166. If you... know the HCPCS code Go to the HCPCS Code Index at the back of the catalog on page 167.

Product Discontinued as of July 2007 Product Discontinued as of January 2009 * Product Discontinued as of September 2009 § As of February 2009, this product has been redesigned to exclude natural rubber latex either as a component or from the production process. The packaging/insert of the new non-latex version of the product will not contain a latex statement. Please verify the latex status of the individual product prior to use by reviewing the packaging and product insert for a latex statement. A latex statement indicates the product is from the previous latex version.

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Table of Contents · Ostomy Care Contents

Quick Reference for Product Selection .........................................11­16 New Image Two-Piece Pouching System Skin Barriers ....................11 New Image Two-Piece Pouching System Pouches ..........................12 New Image Two-Piece Pouching System Single-Use Kits ................13 Premier One-Piece Pouching System ........................................14­16 Premier One-Piece Pouching System Single-Use Kits ......................16 Medicare Utilization Chart ............................................................17­20 New Image Two-Piece Pouching System....................................25­35 Flat Skin Barriers with Integrated Floating Flanges ......................25­27 Convex Skin Barriers with Integrated Floating Flanges.................28­29 Drainable Pouches.....................................................................30­31 High Output Drainable Pouches........................................................32 Closed Pouches.........................................................................32­33 Irrigator Sleeve ................................................................................33 Urostomy Pouches...........................................................................33 Non Sterile Kits -- Drainable ...........................................................34 Non Sterile Kits -- Urostomy ...........................................................34 Sterile Kits -- Drainable ..................................................................35 Sterile Kits -- Urostomy ..................................................................35 Premier One-Piece Pouching System..........................................41­53 Drainable Pouches with Flat Barriers ..........................................41­46 Drainable Pouches with Convex Barriers.....................................46­47 High Output Drainable Pouches........................................................48 Hollister Universal Catheter Access Port ...........................................49 Wound Drainage Collectors ..............................................................49 Closed Pouches.........................................................................50­51 Stoma Cap ......................................................................................51 Urostomy Pouches with Flat Barriers ................................................51 Urostomy Pouches with Convex Barriers...........................................52 Non Sterile Kits -- Drainable .....................................................52­53 Non Sterile Kits -- Urostomy ...........................................................53

Secure Start services are here for your patients every step of the way.

Learn more on page 145

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Pouchkins Pediatric Pouching System ..............................................59 Premie Pouch..................................................................................59 Newborn Pouch ...............................................................................59 One-Piece Pouches ...................................................................59­60 Two-Piece Skin Barrier ....................................................................60 Two-Piece Pouches ...................................................................60­61 Pediatric Ostomy Belt ......................................................................61 Ostomy Accessories ....................................................................67­71 Adapt Skin Barrier Accessories........................................................67 Adapt Skin Barrier Paste .................................................................67 Adapt Stoma Powder ......................................................................67 Adapt Odor Eliminator and Lubricant ...............................................67 Adapt Ostomy Belts ........................................................................68 Skin Barrier .....................................................................................68 Skin Prepping Product .....................................................................68 Adhesives and Removers .................................................................68 Odor Eliminators ..............................................................................69 Cleaner/Decrystallizer ......................................................................69 Drainable Pouch Clamp ...................................................................69 Urostomy Drain Tube Adapter ..........................................................69 Skin Care Products ....................................................................69­70 Irrigation Products ...........................................................................70 Loop Ostomy Bridge ........................................................................70 Replacement Filters .........................................................................71 Bedside Drainage Collection System with Anti-Reflux Valve...............71 Skin Barrier Pastes and Powders .....................................................71 Skin Barriers....................................................................................71 CenterPointLock Two-Piece Pouching System ...........................72­76 Flat Skin Barriers with Floating Flanges ......................................72­73 Convex Skin Barriers with Floating Flanges .................................73­74 Drainable Pouches.....................................................................74­75 Closed Pouches...............................................................................75 Urostomy Pouches.....................................................................75­76 Stoma Cap ......................................................................................76 Irrigator Sleeve ................................................................................76 Karaya 5 One-Piece Pouching System ........................................77­79 Drainable Pouches.....................................................................77­78 Closed Pouches...............................................................................78 Urostomy Pouches...........................................................................78 Other One-Piece Pouching System ....................................................79 Closed Pouches...............................................................................79 Stoma Cap ......................................................................................79 Glossary · Ostomy .............................................................................80

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Quick Reference for Product Selection

New Image Two-Piece Flat Skin Barriers with Integrated Floating Flanges (see pages 25 ­ 27)

New Image Flat Barriers

Cut-to-Fit Flextend A4409 Pre-Sized With Tape Without Tape With Tape Without Tape With Tape Without Tape With Tape Without Tape With Tape

1-3/4" (44 mm)

up to 1-1/4" (32 mm) up to 1-1/4" (32 mm)

2-1/4" (57 mm)

up to 1-3/4" (44 mm) up to 1-3/4" (44 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) up to 1-3/4" (44 mm) up to 1-3/4" (44 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1-3/8" (35 mm) 1-1/2" (38 mm)

2-3/4" (70 mm)

up to 2-1/4" (57 mm) up to 2-1/4" (57 mm)

4" (102 mm)

up to 3-1/2" (89 mm)

14602

14603 15603 14708 16108 14203 15203 14308 16408 14103

14604

14606 (A4410) -- -- --

15602 1470x 1610x

15604 (A4410) -- --

14707

14709

16107

Cut-to-Fit FlexWear A4414 Pre-Sized

up to 1-1/4" (32 mm) up to 1-1/4" (32 mm)

14202

up to 2-1/4" (57 mm) up to 2-1/4" (57 mm)

14204

up to 3-1/2" (89 mm)

14206 (A4415) -- -- -- --

15202 1430x 1640x

15204 (A4415) -- -- 14104

14307

14309

16407

FormaFlex A4409

Shapeto-Fit

up to 1-1/4" (32 mm)

14102

up to 1-11/16" (43 mm)

up to 2-1/4" (57 mm)

New Image Two-Piece Convex Skin Barriers with Integrated Floating Flange (see pages 28 ­ 29)

New Image Convex Barriers

Cut-to-Fit Flextend A4407 Pre-Sized Without Tape With Tape Without Tape With Tape Without Tape With Tape Without Tape With Tape

5/8" (16 mm)

1-3/4" (44 mm)

up to 1" (25 mm) up to 1" (25 mm)

2-1/4" (57 mm)

up to 1-1/2" (38 mm) up to 1-1/2" (38 mm) 1" (25 mm) 1" (25 mm)

2-3/4" (70 mm)

up to 2" (51 mm)

14802

14803 15803

14804

15802

15804 (A4408)

up to 2" (51 mm) 1-3/4" (44 mm)

14901

3/4" (19 mm)

14902

7/8" (22 mm) 7/8" (22 mm)

14903

14904 15904

1-1/8" (29 mm) 1-1/8" (29 mm)

14905 15905

1-1/4" (32 mm) 1-1/4" (32 mm)

14906 15906

1-3/8" (35 mm)

14907

1-1/2" (38 mm)

14908

1-5/8" (41 mm)

14909

14910

2" (51 mm)

14911

15903

-- 14404 15404 -- --

convex product

Cut-to-Fit FlexWear A4373 Pre-Sized

up to 1" (25 mm) up to 1" (25 mm) 7/8" (22 mm) 7/8" (22 mm)

14402

up to 1-1/2" (38 mm) up to 1-1/2" (38 mm) 1-1/8" (29 mm) 1-1/8" (29 mm)

14403 15403

up to 2" (51 mm) up to 2" (51 mm)

15402

14503

1" (25 mm) 1" (25 mm)

14504

14505 15505

1-1/4" (32 mm) 1-1/4" (32 mm)

14506 15506

15503

15504

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Quick Reference for Product Selection

New Image Two-Piece Drainable Pouches (see pages 30 ­ 32)

New Image Drainable Pouches

Filter A4425 Lock 'n Roll No Filter A5063 Filter A4425 Pouch Clamp No Filter A5063 No Filter A4412 Transparent Beige Transparent Ultra-Clear Beige Transparent Beige Transparent Ultra-Clear Beige Ultra-Clear

1-3/4" (44 mm) 18192 18182 18292 18282

2-1/4" (57 mm) 18193 18183 18293 18283

2-3/4" (70 mm) 18194 18184 18294 18284

4" (102 mm) -- -- -- 18006 -- -- -- -- 18176 -- 18016

18132 18002 18112 18162 18142 18102 18172 18122 18202

18133 18003 18113 18163 18143 18103 18173 18123 18203

18134 18004 18114 18164 18144 18104 18174 18124 18204

High Output With Soft Tap

18012

18013

18014

New Image Two-Piece Closed Pouches (see pages 32 ­ 33)

New Image Closed Pouches

Filter A4419 9" (23 cm) Filter QuietWear A4419 No Filter QuietWear A5054 Filter A4419 No Filter A5054 Transparent Beige Beige

1-3/4" (44 mm) 18362 18372 18322 18332 (box of 60) 18382 18392 18352 (box of 60) 18752 (box of 30) 18732 (box of 30)

2-1/4" (57 mm) 18363 18373 18323 18333 (box of 60) 18383 18393 18353 (box of 60) 18753 (box of 30) 18733 (box of 30)

2-3/4" (70 mm) 18364 18374 18324 18334 (box of 60) 18384 18394 18354 (box of 60) 18754 (box of 30) 18734 (box of 30)

Beige Transparent Beige Beige

7" (18 cm)

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Quick Reference for Product Selection

New Image Two-Piece Urostomy Pouches and Single Use Kits (see pages 33 ­ 35)

New Image Urostomy Pouches

Transparent 9" (23 cm) A4432 Ultra-Clear Beige

1-3/4" (44 mm) 18402 18422 18412

2-1/4" (57 mm) 18403 18423 18413

2-3/4" (70 mm) 18404 18424 18414

New Image Single-Use Kits

Non Sterile Sterile Non Sterile Sterile Non Sterile -- Sterile Ultra-Clear Ultra-Clear

1-3/4" (44 mm) 19002

2-1/4" (57 mm) 19003

2-3/4" (70 mm) 19004

4" (102 mm) 19006 (A5063 + A4415) 19056 (A5063 + A4415) 19106 (A5063 + A4415) 19156 (A5063 + A4415) --

Drainable, No Filter, FlexWear, With Tape A5063 + A4414

Lock 'n Roll

Ultra-Clear

19052

19053

19054

Ultra-Clear

19102

19103

19104

Pouch Clamp

Ultra-Clear

19152

19153

19154

Urostomy, Flextend, With Tape A4432 + A4409

Ultra-Clear

19202

19203

19204

19252

19253

19254

--

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Quick Reference for Product Selection

Premier One-Piece Drainable Pouches with Flat Barriers (see pages 41­ 46)

Premier Pouches Drainable with Flat Barriers

Flextend, Filter, With Tape A5056 Lock 'n Roll 12" (30 cm)

Cut-to-Fit up to 2-1/2" (64 mm)

Pre-Sized 3/4" 1" 1-3/16" 1-1/4" 1-3/8" 1-1/2" 1-9/16" 1-3/4" 2" 2-1/2" (19 mm) (25 mm) (30 mm) (32 mm) (35 mm) (38 mm) (40 mm) (44 mm) (51 mm) (64 mm)

Transparent

8331

--

--

--

--

--

--

--

--

--

--

Transparent Lock 'n Roll Flextend, No Filter, With Tape A4388 Pouch Clamp 12" (30 cm) FlexWear, Filter, With Tape A4424 FlexWear, No Filter, With Tape A5061 12" (30 cm) Ultra-Clear Beige Transparent Beige Transparent Ultra-Clear Transparent Beige Ultra-Clear Ultra-Clear Transparent Beige

-- 8531 8551 8641 -- 8631 8651 8081 8181 8031 8131 88800* 88700*

-- -- -- -- 8647 8637 -- -- -- -- -- -- -- -- -- -- --

8532 -- 8552 -- 8642 8632 -- 8025 8125 -- -- -- 88725 88425 88325 -- --

-- -- -- -- -- -- -- 8030 8130 -- -- -- 88730 88430 88330 -- --

8538 -- 8558 -- 8648 8638 -- -- -- -- -- -- -- -- -- -- --

-- -- -- -- -- -- -- 8035 8135 -- -- -- 88735 88435 88335 -- --

8533 -- 8553 -- 8643 8633 -- -- -- -- -- -- -- -- -- -- --

-- -- -- -- -- -- -- 8040 8140 -- -- -- 88740 88440 88340 -- --

8539 -- 8559 -- 8649 8639 -- -- -- -- -- -- -- -- -- -- --

-- -- -- -- 8644 8634 -- -- -- -- -- -- -- -- -- -- --

-- -- -- -- -- 8635 -- -- -- -- -- -- -- -- -- -- --

9" (23 cm)

Lock 'n Roll Lock 'n Roll Pouch Clamp

12" (30 cm) 12" (30 cm) 12" (30 cm) 7" (18 cm)

SoftFlex, Filter, Lock 'n Without Tape Roll A4424

12" (30 cm) 12" (30 cm) 12" (30 cm)

Transparent 88400*, 88402** Beige Ultra-Clear Ultra-Clear 88300*, 88302** 88401 88501

Lock 'n SoftFlex, Roll No Filter, Without Tape Pouch A5061 Clamp

*Cut-to-fit up to 2-1/8" (55 mm) **Oval cut-to-fit 3 x 2.5" (75 mm x 65 mm)

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Quick Reference for Product Selection

Premier One-Piece Drainable Pouches with Convex Barriers (see pages 46 ­ 47)

convex product

Premier Pouches Drainable with Convex Barriers

Flextend, With Filter, Lock With Tape 'n Roll A5057 12" (30 cm) Lock Flextend, 'n Roll No Filter, With Tape A4390 Pouch Clamp

Cut-to-Fit

Pre-Sized

up to 1" up to 1-1/2" up to 2" 3/4" 7/8" 1" 1-1/8" 1-1/4" 1-3/8" 1-1/2" 1-5/8" 1-3/4" 2" (25 mm) (38 mm) (51 mm) (19 mm) (22 mm) (25 mm) (29 mm) (32 mm) (35 mm) (38 mm) (41 mm) (44 mm) (51 mm)

Transparent 8584

8588

85811

--

--

--

--

--

--

--

--

--

--

Transparent 8524 Beige 8504

8528 8508 8628

85211 8510 85011 8590 86211 8610

8511 8591 8611

8512 8592 8612

8513 8593 8613

8514 8594 8614

8515 85116 8595 8615 8596 8616

-- 8597 8617

85118 85119 -- 8618 8599 8619

Transparent 8624

Premier High Output Drainable Pouches (see page 48)

Premier Pouches High Output Drainable with Flat Barriers

Flextend, No Filter, Without Tape A6154 Non Sterile With Soft Tap 12" (30 cm) Sterile

Cut-to-Fit up to 2-3/4" (70 mm) 80070 up to 4-1/3" (110 mm) 80110

81070

81110

Premier One-Piece Closed Pouches (see pages 50 ­ 51) Cut-to-Fit Pre-Sized 1" (25 mm) -- 82325 -- 82125 1-3/16" (30 mm) -- 82330 -- 82130 1-3/8" (35 mm) -- 82335 -- 82135

Premier Closed Pouches

Transparent 9" (23 cm) SoftFlex, Filter, Without Tape A4416 7" (18 cm) Beige Beige Transparent

up to 2-1/8" (55 mm) 82400, 82402* 82300, 82302* 82500 82100

*Oval cut-to-fit 3 x 2.5" (75 mm x 65 mm)

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Quick Reference for Product Selection

Premier One-Piece Urostomy Pouches (see pages 51­ 52) Premier Urostomy Pouches

Transparent Flat A4428 Flat A4428 Ultra-Clear Beige Convex Convex A4430 Cut-to-Fit Pre-Sized

up to 1" up to 1-1/2" up to 2" up to 2-1/2" 1/2" 5/8" 3/4" 7/8" 1" 1-1/8" 1-1/4" 1-3/8" 1-1/2" 1-3/4" 2" (25 mm) (38 mm) (51 mm) (64 mm) (13 mm) (15 mm) (19 mm) (22 mm) (25 mm) (29 mm) (32 mm) (35 mm) (38 mm) (44 mm) (51 mm)

-- -- --

-- -- -- 8478 8438

-- -- -- 84711 84311

8460 8450 8440 -- --

-- -- --

-- -- --

8467 -- 8447

-- -- --

8462 -- 8442

-- -- --

8468 -- 8448

-- -- --

8463 8469 8464 -- -- --

Flextend

8443 8449 8444 -- --

Transparent 8474 Beige 8434

8480 8481 8482 8483 8484 8485 8486 8487 8488 8489 8490 8491 8492 8493 8494 8495 8496 8497 8498 8499

convex product

Premier Single Use Kits (see pages 52­ 53) Premier Single-Use Kits--Non Sterile

Lock 'n Roll Without Tape Ultra-Clear up to 2-1/2" (64 mm) 89001

Drainable (SoftFlex) A5061

Pouch Clamp

Without Tape

Ultra-Clear

89002

Drainable (Flextend) A4388

Lock 'n Roll

With Tape

Ultra-Clear

89004

Pouch Clamp

With Tape

Ultra-Clear

89003

Urostomy (Flextend) A4428

With Tape

Ultra-Clear

89005

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Medicare Utilization Chart

Medicare's Usual Maximum Quantity for Ostomy Supplies

The quantity of ostomy supplies needed by a patient is determined primarily by the type of ostomy, its location, its construction, and the condition of the skin surface surrounding the stoma. There will be variation according to individual patient need and their needs may vary over time. The table below lists the maximum number of items/units of service that are usually medically necessary. The actual quantity needed for a particular patient may be more or less than the amount listed depending on the factors that affect the frequency of barrier and pouch change. The medical necessity for use of a greater quantity of supplies than the amounts listed must be clearly documented in the patient's medical record, and must be available upon request. If adequate documentation is not provided when requested, the excess quantities will be denied as not medically necessary. Per LCD for Ostomy Supplies (L11502), NHIC effective 1-1-2011. New Ostomy Codes added effective 1-1-2012.

HCPCS Long Description Quantity

A4331 Extension drainage tubing, any type, any length, with connector/adapter, for use with urinary leg bag or urostomy pouch, each A4357 Bedside drainage bag, day or night, with or without 2 ea /mo anti-reflux device, with or without tube, each A4361 Ostomy faceplate, each 3 ea/6 mo A4362 Skin barrier, solid, 4 x 4 or equivalent, each 20 ea/mo A4363 Ostomy clamp, any type, replacement only, each A4364 Adhesive, liquid or equal, any type, per ounce 4 oz/mo A4366 Ostomy vent, any type, each A4367 Ostomy belt, each 1 ea/mo A4368 Ostomy filter, any type, each A4369 Ostomy skin barrier, liquid (spray, brush, etc.), per ounce 2 oz/mo A4371 Ostomy skin barrier, powder, per ounce 10 oz/6 mo A4372 Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear with built-in convexity, each A4373 Ostomy skin barrier, with flange (solid, flexible, or accordion), with built-in convexity, any size, each A4375 Ostomy pouch, drainable, with faceplate attached, plastic, each A4376 Ostomy pouch, drainable, with faceplate attached, rubber, each A4377 Ostomy pouch drainable for use on faceplate, 10 ea/mo plastic, each A4378 Ostomy pouch, drainable, for use on faceplate, rubber, each A4379 Ostomy pouch, urinary, with faceplate attached, plastic, each A4380 Ostomy pouch, urinary, with faceplate attached, rubber, each A4381 Ostomy pouch, urinary, for use with faceplate, plastic, each 10 ea/mo A4382 Ostomy pouch, urinary, for use on faceplate, heavy plastic, each A4383 Ostomy pouch, urinary, for use on faceplate, rubber, each A4384 Ostomy faceplate equivalent, silicone ring, each A4385 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4387 Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each A4388 Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each A4389 Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each No

established usual maximum, refer to Medicare Utilization Guidelines.

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Medicare Utilization Chart

HCPCS Long Description A4390 Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each A4391 Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each A4392 Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each A4393 Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4394 Ostomy deodorant, with or without lubricant, for use in ostomy pouch, liquid, per fluid ounce A4395 Ostomy deodorant for use in ostomy pouch, solid, per tablet A4396 Ostomy belt with peristomal hernia support A4397 Irrigation supply, sleeve, each A4398 Ostomy irrigation supply, bag, each A4399 Ostomy irrigation supply, cone/catheter, with or without brush A4402 Lubricant, per ounce A4404 Ostomy ring, each A4405 Ostomy skin barrier, non-pectin based, paste, per ounce A4406 Ostomy skin barrier, pectin-based, paste, per ounce A4407 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4408 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each A4409 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4410 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each A4411 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each A4412 Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each A4413 Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each A4414 Ostomy skin barrier, with flange (solid, flexible, or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4415 Ostomy skin barrier, with flange (solid, flexible, or accordion), without built-in convexity, larger than 4 x 4 inches, each A4416 Ostomy pouch, closed, with barrier attached, with filter (1 piece), each A4417 Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each A4418 Ostomy pouch, closed, without barrier attached, with filter (1 piece), each A4419 Ostomy pouch, closed, for use on barrier with non-locking flange, with filter (2 piece), each A4420 Ostomy pouch, closed, for use on barrier with locking flange (2 piece), each A4421 Ostomy supply; miscellaneous A4422 Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each

No

Quantity

4 ea/mo 2 ea/6 mo 2 ea/6 mo 4 oz/mo 10 ea/mo 4 oz/mo 4 oz/mo

20 ea/mo 20 ea/mo 60 ea/mo 60 ea/mo 60 ea/mo 60 ea/mo 60 ea/mo

established usual maximum, refer to Medicare Utilization Guidelines.

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HCPCS Long Description

Quantity

A4423 Ostomy pouch, closed, for use on barrier with locking 60 ea/mo flange, with filter (2 piece), each A4424 Ostomy pouch, drainable, with barrier attached, with filter 20 ea/mo (1 piece), each A4425 Ostomy pouch, drainable, for use on barrier with 20 ea/mo non-locking flange, with filter (2 piece system), each A4426 Ostomy pouch, drainable, for use on barrier with 20 ea/mo locking flange (2 piece system), each A4427 Ostomy pouch, drainable, for use on barrier with 20 ea/mo locking flange, with filter (2 piece system) each A4428 Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each A4429 Ostomy pouch, urinary, with barrier attached, with built-in 20 ea/mo convexity, with faucet-type tap with valve (1 piece), each A4430 Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each A4431 Ostomy pouch, urinary, with barrier attached, with 20 ea/mo faucet-type tap, with valve (1 piece), each A4432 Ostomy pouch, urinary, for use on barrier with 20 ea/mo non-locking flange, with faucet-type tap with valve (2 piece), each A4433 Ostomy pouch, urinary, for use on barrier with 20 ea/mo locking flange (2 piece), each A4434 Ostomy pouch, urinary, for use on barrier with 20 ea/mo locking flange, with faucet-type tap with valve (2 piece), each A4450 Tape, non-waterproof, per 18 square inches 40 ea (18 sq in)/mo A4452 Tape, waterproof, per 18 square inches 40 ea (18 sq in)/mo A4455 Adhesive remover or solvent (for tape, cement, or other 16 oz/6 mo adhesive), per ounce A4456 Adhesive remover, wipes, any type, each A5051 Ostomy pouch, closed, with barrier attached 60 ea/mo (1 piece), each A5052 Ostomy pouch, closed, without barrier attached, 60 ea/mo (1 piece), each A5053 Ostomy pouch, closed, for use on faceplate, each 60 ea/mo A5054 Ostomy pouch, closed, for use on barrier with flange 60 ea/mo (2 piece), each A5055 Stoma Cap 31 ea/mo A5056 Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each A5057 Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity, with filter, (1 piece), each A5061 Ostomy pouch, drainable, with barrier attached 20 ea/mo (1 piece), each A5062 Ostomy pouch, drainable, without barrier attached 20 ea/mo (1 piece), each A5063 Ostomy pouch, drainable, for use on barrier with flange 20 ea/mo (2 piece system), each A5071 Ostomy pouch, urinary, with barrier attached 20 ea/mo (1 piece), each A5072 Ostomy pouch, urinary, without barrier attached 20 ea/mo (1 piece), each A5073 Ostomy pouch, urinary, for use on barrier with flange 20 ea/mo (2 piece), each

No

established usual maximum, refer to Medicare Utilization Guidelines.

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Hollister Incorporated

19

Medicare Utilization Chart

HCPCS Long Description A5081 A5082 A5083 A5093 A5102 A5120 A5121 A5122 A5126 A5131 A6216 A9270

No

Quantity

Continent device, plug for continent stoma 31 ea/mo Continent device, catheter for continent stoma 1 ea/mo Continent device, stoma absorptive cover for continent stoma 150 ea/mo Ostomy accessory, convex insert 10 ea/mo Bedside drainage bottle with or without tubing, rigid or 2 ea/6 mo expandable, each Skin barrier, wipes or swabs, each 150 ea/6 mo Skin barrier, solid, 6 x 6 or equivalent, each 20 ea/mo Skin barrier, solid, 8 x 8 or equivalent, each 20 ea/mo Adhesive or non-adhesive, disk or foam pad 20 ea/mo Appliance cleaner, incontinence and ostomy 1 ea (16 oz btl)/mo appliances, per 16 ounce Gauze, non-impregnated, non sterile, pad size 16 sq in 60 ea/mo or less, without adhesive border, each dressing Non-covered item or service

established usual maximum, refer to Medicare Utilization Guidelines.

Did you know...

How to Size Hollister Ostomy Pouches

A properly fitted pouch is essential to minimize stomal and skin irritation and to obtain optimum pouch wear time. A stoma measuring guide allows correct measurement of the stoma. Measure the stoma accurately. Select the smallest barrier opening which fits comfortably around the stoma without actually touching it. Too large an opening will leave skin exposed and could lead to skin irritation or erosion.

20

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New Image Two-Piece Pouching System

New Image Two-Piece Pouching System

New Image

Two-Piece Pouching System

Hollister Ostomy. Details Matter.

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New Image Two-Piece Pouching System

Color Matching System To help you select compatible New Image components, every box label is color-coded. First, select the proper skin barrier; then select a matching color-coded pouch ("red" skin barrier box label is compatible to "red" pouch box label).

(44 mm)

1-3/4"

(57 mm)

2-1/4"

(70 mm)

2-3/4"

(102 mm)

4"

Flat Skin Barriers with Integrated Floating Flanges

1460x (CUT-TO-FIT) Flextend (extended wear) Skin Barrier With Tape Border

Box of 5

HCPCS for 14602, 14603 & 14604: A4409 HCPCS for 14606: A4410

Stock No 14602 14603 14604 14606 Flange Size Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm) c 4" (102 mm)

1560x (CUT-TO-FIT) Flextend (extended wear) Skin Barrier Without Tape Border HCPCS for 15602 & 15603: A4409 HCPCS for 15604: A4410

Stock No 15602 15603 15604 Flange Size

Box of 5

Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

1420x (CUT-TO-FIT) FlexWear (standard wear) Skin Barrier With Tape Border HCPCS for 14202, 14203 & 14204: A4414 HCPCS for 14206: A4415

Stock No 14202 14203 14204 14206 Flange Size

Box of 5

Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm) c 4" (102 mm)

1520x (CUT-TO-FIT) FlexWear (standard wear) Skin Barrier Without Tape Border HCPCS for 15202 & 15203: A4414 HCPCS for 15204: A4415

Stock No 15202 15203 15204 Flange Size

Box of 5

Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

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New Image Two-Piece Pouching System

Flat Skin Barriers with Integrated Floating Flanges (continued)

1470x (PRE-SIZED) Flextend (extended wear) Skin Barrier With Tape Border

Box of 5

HCPCS: A4409

Stock No 14701 14702 14703 14704 14705 14706 14707 14708 14709 Flange Size Barrier Opening 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm)

c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm)

1610x (PRE-SIZED) Flextend (extended wear) Skin Barrier Without Tape Border

Box of 5

HCPCS: A4409

Stock No 16101 16102 16103 16104 16105 16106 16107 16108 Flange Size Barrier Opening 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm)

c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm)

1430x (PRE-SIZED) FlexWear (standard wear) Skin Barrier With Tape Border

Box of 5

HCPCS: A4414

Stock No 14301 14302 14303 14304 14305 14306 14307 14308 14309 Flange Size Barrier Opening 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm)

c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm)

1640x (PRE-SIZED) FlexWear (standard wear) Skin Barrier Without Tape Border

Box of 5

HCPCS: A4414

Stock No 16401 16402 16403 16404 16405 16406 16407 16408 Flange Size Barrier Opening 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm)

c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm)

26

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Flat Skin Barriers with Integrated Floating Flanges (continued)

1410x (SHAPE-TO-FIT) FormaFlex (extended wear) Skin Barrier With Tape Border

Box of 5

HCPCS: A4409

Stock No 14102 14103 14104 Flange Size Barrier Opening Up to 1-1/4" (32 mm) Up to 1-11/16" (43 mm) Up to 2-1/4" (57 mm)

c 1-3/4" (44 mm) 2-1/4" (57 mm) c 2-3/4" (70 mm) c

FormaFlex Shape-to-Fit Skin Barrier (Part of the New Image product line)

This convenient, versatile skin barrier is simple to shape and reshape by hand for a customized fit around various stoma sizes. No measuring, no tracing, no cutting. The barrier is specially formulated to be soft and flexible enough for users to attain just the right fit, and strong and gentle enough to firmly adhere around the stoma. All FormaFlex Shape-to-Fit Skin Barriers have a 5/8" starter hole.

FormaFlex Skin Barrier --

Simple to shape.

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New Image Two-Piece Pouching System

Convex Skin Barriers with Integrated Floating Flanges

1480x (CUT-TO-FIT) Flextend (extended wear) Skin Barrier With Tape Border

Box of 5

HCPCS: A4407

Stock No 14802 14803 14804 Flange Size Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

1580x (CUT-TO-FIT) Flextend (extended wear) Skin Barrier Without Tape Border HCPCS for 15802 & 15803: A4407 HCPCS for 15804: A4408

Stock No 15802 15803 15804 Flange Size

Box of 5

Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

1440x (CUT-TO-FIT) FlexWear (standard wear) Skin Barrier With Tape Border HCPCS: A4373

Stock No 14402 14403 14404 Flange Size

Box of 5

Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

1540x (CUT-TO-FIT) FlexWear (standard wear) Skin Barrier Without Tape Border HCPCS: A4373

Stock No 15402 15403 15404 Flange Size

Box of 5

Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

convex producT

Did you know...

Hollister Skin Barrier Packaging

· Individually packaged · Product name, stock number, and color coding clearly indicated · Discreet · Easy-to-open · Less shelf space required

28

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Convex Skin Barriers with Integrated Floating Flanges (continued)

149xx (PRE-SIZED) Flextend (extended wear) Skin Barrier With Tape Border

Box of 5

HCPCS: A4407

Stock No 14901 14902 14903 14904 14905 14906 14907 14908 14909 14910 14911 Flange Size Barrier Opening 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-5/8" (41 mm) 1-3/4" (44 mm) 2" (51 mm)

c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm) c 2-3/4" (70 mm) c 2-3/4" (70 mm)

1590x (PRE-SIZED) Flextend (extended wear) Skin Barrier Without Tape Border

Box of 5

HCPCS: A4407

Stock No 15903 15904 15905 15906 Flange Size Barrier Opening 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm)

c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm)

1450x (PRE-SIZED) FlexWear (standard wear) Skin Barrier With Tape Border

Box of 5

HCPCS: A4373

Stock No 14503 14504 14505 14506 Flange Size Barrier Opening 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm)

c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm)

1550x (PRE-SIZED) FlexWear (standard wear) Skin Barrier Without Tape Border

Box of 5

HCPCS: A4373

Stock No 15503 15504 15505 15506 Flange Size Barrier Opening 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm)

c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm)

convex producT

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29

New Image Two-Piece Pouching System

Drainable Pouches

1818x/1819x Drainable Pouch With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4425

Transparent Stock No 18192 18193 18194 Beige Stock No 18182 18183 18184 Flange Size Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

1828x/1829x Drainable Mini-Pouch With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 20

HCPCS: A4425

Transparent Stock No 18292 18293 18294 Beige Stock No 18282 18283 18284 Flange Size Pouch Length 7" (18 cm) 7" (18 cm) 7" (18 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

1811x/1813x/1800x Box of 10 Drainable Pouch Without Integrated Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film -- Transparent and Beige Odor-Barrier Film -- Ultra-Clear With Belt Tabs With ComfortWear Panels - Transparent and Ultra-Clear -- Body Side Only - Beige -- Both Sides

HCPCS: A5063

Transparent Beige Stock No Stock No 18132 18133 18134 -- 18112 18113 18114 -- Ultra-Clear Stock No 18002 18003 18004 18006 Flange Size Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) (70 c 2-3/4" (102mm) c 4" mm)

Did you know...

Instructions for Use

Improved product instructions include large images that show step-by-step application.

30

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Drainable Pouches (continued)

1814x/1816x Drainable Pouch With Integrated AF300 Filter Clamp Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4425

Transparent Stock No 18162 18163 18164 Beige Stock No 18142 18143 18144 Flange Size Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm)

c 1-3/4" (44 mm) 2-1/4" (57 mm) c 2-3/4" (70 mm) c

1810x/1812x/1817x Box of 10 Drainable Pouch Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film -- Transparent and Beige Odor-Barrier Film -- Ultra-Clear With Belt Tabs With ComfortWear Panels - Transparent and Ultra-Clear -- Body Side Only - Beige -- Both Sides

HCPCS: A5063

Transparent Beige Stock No Stock No 18102 18103 18104 -- 18122 18123 18124 -- Ultra-Clear Stock No 18172 18173 18174 18176 Flange Size Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) (70 c 2-3/4" (102mm) c 4" mm)

1820x Drainable Mini-Pouch Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels -- Both Sides

Box of 10

HCPCS: A5063

Beige Stock No 18202 18203 18204 Flange Size Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm)

c 1-3/4" (44 mm) 2-1/4" (57 mm) c 2-3/4" (70 mm) c Did you know...

· Each box of New Image Pouches includes one disposal bag per every pouch for discreet disposal · Each box of urostomy pouches includes one urostomy tube adapter and ten (10) caps · Cutting guides are on all cut-to-fit barriers

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31

New Image Two-Piece Pouching System

High Output Drainable Pouches

1801x Box of 10 Drainable Pouch Without Integrated Filter Soft Tap Odor-Barrier Film With Belt Tabs With ComfortWear Panel -- Body Side Only

HCPCS: A4412

Ultra-Clear Stock No 18012 18013 18014 18016 Flange Size 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm) c 4" (102 mm) c Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

Closed Pouches

1836x/1837x Closed Pouch With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 60

HCPCS: A4419

Transparent Stock No 18362 18363 18364 Beige Stock No 18372 18373 18374 Flange Size 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm) c Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm)

1832x Closed Pouch With Integrated AF300 Filter With Belt Tabs With QuietWear Pouch Material HCPCS: A4419

Box of 30

Beige Stock No 18322 18323 18324

Flange Size 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm) c

Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm)

1838x/1839x Closed Mini-Pouch With Integrated AF300 Filter With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 60

HCPCS: A4419

Transparent Stock No 18382 18383 18384 Beige Stock No 18392 18393 18394 Flange Size Pouch Length 7" (18 cm) 7" (18 cm) 7" (18 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

32

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Closed Pouches (continued)

1833x 1873x Closed Pouch Without Integrated Filter With Belt Tabs With QuietWear Pouch Material HCPCS: A5054

Box of 30 Box of 60

Stock No Box of 30 18332 18333 18334

Stock No Box of 60 18732 18733 18734

Flange Size

Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

1835x 1875x Closed Mini-Pouch Without Integrated Filter Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels -- Both Sides

Box of 30 Box of 60

HCPCS: A5054

Stock No Box of 30 18352 18353 18354 Stock No Box of 60 18752 18753 18754 Flange Size Pouch Length 7" (18 cm) 7" (18 cm) 7" (18 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

Irrigator Sleeve

1815x Drainable Irrigator Sleeve Odor-Barrier Film With Belt Tabs Includes Clamp

Box of 5

HCPCS: A4397

Transparent Stock No 18152 18153 18154 Flange Size Pouch Length 30" (76 cm) 30" (76 cm) 30" (76 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

Urostomy Pouches

1840x/1841x/1842x Box of 10 Urostomy Pouch Odor-Barrier Rustle-Free Film Odor-Barrier Film -- Ultra-Clear With Belt Tabs With ComfortWear Panels - Transparent and Ultra-Clear -- Body Side Only - Beige -- Both Sides

HCPCS: A4432

Transparent Beige Stock No Stock No 18402 18403 18404 18412 18413 18414 Ultra-Clear Stock No 18422 18423 18424 Flange Size Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

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33

New Image Two-Piece Pouching System

Non Sterile Kits -- Drainable

1900x Box of 5 Colostomy/Ileostomy Kit includes: (1) 1420x (FlexWear) with Tape Border (1) 1800x (Lock 'n Roll Microseal Closure) Ultra-Clear (1) 7767 Loop Ostomy Bridge (in 19006 only) Single-Use Package

HCPCS for 19002, 19003 & 19004: A5063 + A4414 HCPCS for 19006: A5063 + A4415

Ultra-Clear Stock No 19002 19003 19004 19006 Flange Size Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm)

c 1-3/4" (44 mm) 2-1/4" (57 mm) c 2-3/4" (70 mm) c 4" (102 mm) c

1910x Box of 5 Colostomy/Ileostomy Kit includes: (1) 1420x (FlexWear) with Tape Border (1) 1817x (Clamp Closure) Ultra-Clear (1) 7767 Loop Ostomy Bridge (in 19106 only) Single-Use Package

HCPCS for 19102, 19103 & 19104: A5063 + A4414 HCPCS for 19106: A5063 + A4415

Ultra-Clear Stock No 19102 19103 19104 19106 Flange Size Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm)

c 1-3/4" (44 mm) 2-1/4" (57 mm) c 2-3/4" (70 mm) c 4" (102 mm) c

Non Sterile Kits -- Urostomy

1920x Urostomy Kit includes: (1) 1460x (Flextend) with Tape Border (1) 1842x (Ultra-Clear Pouch Film) (1) 7331 Single-Use Package

Box of 5

HCPCS: A4432 + A4409

Ultra-Clear Stock No 19202 19203 19204 Flange Size Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm)

c 1-3/4" (44 mm) 2-1/4" (57 mm) c 2-3/4" (70 mm) c

34

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Sterile Kits -- Drainable

1905x Box of 5 Colostomy/Ileostomy Kit includes: (1) 1420x (FlexWear) with Tape Border (1) 1800x (Lock 'n Roll Microseal Closure) Ultra-Clear (1) 7767 Loop Ostomy Bridge (in 19056 only) Single-Use Package

HCPCS for 19052, 19053 & 19054: A5063 + A4414 HCPCS for 19056: A5063 + A4415

Ultra-Clear Stock No 19052 19053 19054 19056 Flange Size Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) (70 c 2-3/4" (102mm) c 4" mm)

1915x Box of 5 Colostomy/Ileostomy Kit includes: (1) 1420x (FlexWear) with Tape Border (1) 1817x (Clamp Closure) Ultra-Clear (1) 7767 Loop Ostomy Bridge (in 19156 only) Single-Use Package

HCPCS for 19152, 19153 & 19154: A5063 + A4414 HCPCS for 19156: A5063 + A4415

Ultra-Clear Stock No 19152 19153 19154 19156 Flange Size Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) (70 c 2-3/4" (102mm) c 4" mm)

Sterile Kits -- Urostomy

1925x Urostomy Kit includes: (1) 1460x (Flextend) with Tape Border (1) 1842x (Ultra-Clear Pouch Film) (1) 7331 Single-Use Package

Box of 5

HCPCS: A4432 + A4409

Ultra-Clear Stock No 19252 19253 19254 Flange Size Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm)

c 1-3/4" (44 mm) 2-1/4" (57 mm) c 2-3/4" (70 mm) c

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Hollister Incorporated

35

Premier One-Piece Pouching System

Premier One-Piece Pouching System

Premier

One-Piece Pouching System

Hollister Ostomy. Details Matter.

www.hollister.com

Premier One-Piece Pouching System

Drainable Pouches with Flat Barriers

8331 (CUT-TO-FIT) Box of 10 Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border With Integrated AF300 Filter Lock 'n Roll Closure Odor-Barrier Rustle-Free Film With ComfortWear Panel -- Body Side Only

HCPCS: A5056

Transparent Stock No 8331 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

8531/8551 (CUT-TO-FIT) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Lock 'n Roll Closure Odor-Barrier Rustle-Free Film -- Beige Odor-Barrier Film -- Ultra-Clear With ComfortWear Panels - Ultra-Clear -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4388

Ultra-Clear Stock No 8531 Beige Stock No 8551 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

8631/8651 (CUT-TO-FIT) Box of 10 Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film -- Transparent Odor-Barrier Film -- Ultra-Clear With ComfortWear Panel -- Body Side Only

HCPCS: A4388

Transparent Stock No 8631 Ultra-Clear Stock No 8651 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

8641 (CUT-TO-FIT) Box of 10 Drainable Mini-Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With ComfortWear Panel -- Body Side Only

HCPCS: A4388

Transparent Stock No 8641 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 9" (23 cm)

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41

Premier One-Piece Pouching System

Drainable Pouches with Flat Barriers (continued)

8081/8181 (CUT-TO-FIT) Drainable Pouch FlexWear (standard wear) Skin Barrier With Tape Border With Integrated AF300 Filter Lock 'n Roll Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4424

Transparent Stock No 8081 Beige Stock No 8181 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

8031 (CUT-TO-FIT) Drainable Pouch FlexWear (standard wear) Skin Barrier With Tape Border Without Integrated AF300 Filter Lock 'n Roll Closure Odor-Barrier Film With ComfortWear Panel -- Body Side Only

Box of 10

HCPCS: A5061

Ultra-Clear Stock No 8031 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

8131 (CUT-TO-FIT) Box of 10 Drainable Pouch FlexWear (standard wear) Skin Barrier With Tape Border Without Integrated AF300 Filter Clamp Closure Odor-Barrier Film With ComfortWear Panel -- Body Side Only

HCPCS: A5061

Ultra-Clear Stock No 8131 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

88300/88400 (CUT-TO-FIT) Drainable Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4424

Transparent Stock No 88400 Beige Stock No 88300 Barrier Opening up to 2-1/8" (55 mm) Pouch Length 12" (30 cm)

42

Hollister Incorporated

1.888.740.8999

Drainable Pouches with Flat Barriers (continued)

88800/88700 (CUT-TO-FIT) Drainable Mini-Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 20

HCPCS: A4424

Transparent Stock No 88800 Beige Stock No 88700 Barrier Opening up to 2-1/8" (55 mm) Pouch Length 7" (18 cm)

88302/88402 (OVAL CUT-TO-FIT) Drainable Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4424

Transparent Stock No 88402 Beige Stock No 88302 Barrier Opening 3 x 2.5" (75 mm x 65 mm) Pouch Length 12" (30 cm)

88401 (CUT-TO-FIT) Box of 10 Drainable Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border Without Integrated Filter Lock 'n Roll Microseal Closure Odor-Barrier Film With ComfortWear Panel -- Body Side Only

HCPCS: A5061

Ultra-Clear Stock No 88401 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

Did you know...

· Cut-to-fit products have a 1/2" (13 mm) starter hole and can be used as a pre-sized product for some small stomas (excludes Pouchkins products) · Cutting guides are provided on all cut-to-fit barriers · Drainable pouches without the Lock 'n Roll Closure include one pouch clamp per box · We do not recommend the use of Skin Gel Wipes (Stock No 7917) or other brands of skin preps with Flextend Skin Barriers as they may decrease wear time

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Hollister Incorporated

43

Premier One-Piece Pouching System

Drainable Pouches with Flat Barriers (continued)

88501 (CUT-TO-FIT) Box of 10 Drainable Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Film With ComfortWear Panel -- Body Side Only

HCPCS: A5061

Ultra-Clear Stock No 88501 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

853x/855x (PRE-SIZED) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Lock 'n Roll Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4388

Transparent Stock No 8532 8538 8533 8539 Beige Stock No 8552 8558 8553 8559 Barrier Opening 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

863x (PRE-SIZED) Box of 10 Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With ComfortWear Panel -- Body Side Only

HCPCS: A4388

Transparent Stock No 8637 8632 8638 8633 8639 8634 8635 Barrier Opening 3/4" (19 mm) 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

44

Hollister Incorporated

1.888.740.8999

Drainable Pouches with Flat Barriers (continued)

864x (PRE-SIZED) Drainable Mini-Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels -- Both Sides

Box of 10

HCPCS: A4388

Beige Stock No 8647 8642 8648 8643 8649 8644 Barrier Opening 3/4" (19 mm) 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

80xx/81xx (PRE-SIZED) Drainable Pouch FlexWear (standard wear) Skin Barrier With Tape Border With Integrated AF300 Filter Lock 'n Roll Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4424

Transparent Stock No 8025 8030 8035 8040 Beige Stock No 8125 8130 8135 8140 Barrier Opening 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm) 1-9/16" (40 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

883xx/884xx (PRE-SIZED) Drainable Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4424

Transparent Stock No 88425 88430 88435 88440 Beige Stock No 88325 88330 88335 88340 Barrier Opening 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm) 1-9/16" (40 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

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Hollister Incorporated

45

Premier One-Piece Pouching System

Drainable Pouches with Flat Barriers (continued)

887xx (PRE-SIZED) Drainable Mini-Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Beige -- Both Sides

Box of 20

HCPCS: A4424

Beige Stock No 88725 88730 88735 88740 Barrier Opening 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm) 1-9/16" (40 mm) Pouch Length 7" (18 cm) 7" (18 cm) 7" (18 cm) 7" (18 cm)

Drainable Pouches with Convex Barriers

858x (CUT-TO-FIT) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Integrated AF300 Filter Lock 'n Roll Closure Odor-Barrier Rustle-Free Film With ComfortWear Panel -- Body Side Only

Box of 5

HCPCS Code: A5057

Transparent Stock No 8584 8588 85811 Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm)

852x/850x (CUT-TO-FIT) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Lock 'n Roll Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 5

HCPCS: A4390

Transparent Stock No 8524 8528 85211 Beige Stock No 8504 8508 85011 Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm)

46

Hollister Incorporated

1.888.740.8999

Drainable Pouches with Convex Barriers (continued)

862x (CUT-TO-FIT) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panel -- Body Side Only

Box of 5

HCPCS: A4390

Transparent Stock No 8624 8628 86211 Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm)

851x/859x (PRE-SIZED) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Lock 'n Roll Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 5

HCPCS: A4390

Transparent Stock No 8510 8511 8512 8513 8514 8515 85116 -- 85118 85119 Beige Stock No 8590 8591 8592 8593 8594 8595 8596 8597 -- 8599 Barrier Opening 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-5/8" (41 mm) 1-3/4" (44 mm) 2" (51 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

861x (PRE-SIZED) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panel -- Body Side Only

Box of 5

HCPCS: A4390

Transparent Stock No 8610 8611 8612 8613 8614 8615 8616 8617 8618 8619 Barrier Opening 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-5/8" (41 mm) 1-3/4" (44 mm) 2" (51 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

convex producT www.hollister.com Hollister Incorporated

47

Premier One-Piece Pouching System

High Output Drainable Pouches

80070/80110 (CUT-TO-FIT) Box of 10 Non Sterile, Drainable Pouch Flextend (extended wear) Skin Barrier -- Flat With Soft Tap With Access Window Odor-Barrier Film With ComfortWear Panel -- Body Side Only

HCPCS: A6154

Ultra-Clear Stock No 80070 80110 Barrier Opening up to 2-3/4" (70 mm) up to 4-1/3" (110 mm) Pouch Length 12" (30 cm) 12" (30 cm)

81070/81110 (CUT-TO-FIT) Box of 5 Sterile, Drainable Pouch Flextend (extended wear) Skin Barrier -- Flat With Soft Tap With Access Window Odor-Barrier Film With ComfortWear Panel -- Body Side Only

HCPCS: A6154

Ultra-Clear Stock No 81070 81110 Barrier Opening up to 2-3/4" (70 mm) up to 4-1/3" (110 mm) Pouch Length 12" (30 cm) 12" (30 cm)

48

Hollister Incorporated

1.888.740.8999

Hollister Universal Catheter Access Port

9779 Graduated nipple and punch allows introduction of catheter or drain through pouch Sterile

Stock No 9779

Quantity/Box 8

Wound Drainage Collectors

970x/977x For Management of Draining Wounds, Fistulae, or Draining Tube Sites Available With and Without FlexWear (standard wear) Skin Barriers -- Flat Sterile and Non Sterile Drainable Pouches Odor-Barrier Film With Access Window Reclosable Cap Without Starter Hole

HCPCS: A6154

With Barrier: Non Sterile Stock No 9773 9776 9778 With Barrier: Sterile Stock No 9701 9702 9703 Without Barrier: Sterile Stock No 9772 9775 9777 Description Small (for wounds up to 3") Medium (for wounds up to 3-3/4") Large (for wounds up to 4" x 8") Quantity/ Box 10 10 3 Quantity/ Box 5 5 3 Quantity/ Box 10 10 3

Description Small (for wounds up to 3") Medium (for wounds up to 3-3/4") Large (for wounds up to 4" x 8")

Description Small (for wounds up to 3") Medium (for wounds up to 3-3/4") Large (for wounds up to 4" x 8")

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Hollister Incorporated

49

Premier One-Piece Pouching System

Closed Pouches

82300/82400 (CUT-TO-FIT) Box of 30 Closed Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Tape Border With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

HCPCS: A4416

Transparent Stock No 82400 Beige Stock No 82300 Barrier Opening up to 2-1/8" (55 mm) Pouch Length 9" (23 cm)

82302/82402 (OVAL CUT-TO-FIT) Box of 30 Closed Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Tape Border With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

HCPCS: A4416

Transparent Stock No 82402 Beige Stock No 82302 Barrier Opening 3 x 2.5" (75 mm x 65 mm) Pouch Length 9" (23 cm)

82100/82500 (CUT-TO-FIT) Box of 30 Closed Mini-Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Tape Border With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

HCPCS: A4416

Transparent Stock No 82500 Beige Stock No 82100 Barrier Opening up to 2-1/8" (55 mm) Pouch Length 7" (18 cm)

823xx (PRE-SIZED) Box of 30 Closed Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Tape Border With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With ComfortWear Panels -- Both Sides

HCPCS: A4416

Beige Stock No 82325 82330 82335 Barrier Opening 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm)

50

Hollister Incorporated

1.888.740.8999

Closed Pouches (continued)

821xx (PRE-SIZED) Box of 30 Closed Mini-Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Tape Border With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With ComfortWear Panels -- Both Sides

HCPCS: A4416

Beige Stock No 82125 82130 82135 Barrier Opening 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm) Pouch Length 7" (18 cm) 7" (18 cm) 7" (18 cm)

Stoma Cap

1796 (PRE-SIZED) Box of 30 Stoma Cap SoftFlex (standard wear) Skin Barrier -- Flat Without Tape Border With Integrated Filter Odor-Barrier Film

HCPCS: A5055

Beige Stock No 1796 Barrier Opening 1-15/16" (50 mm) Size 4" (102 mm)

Urostomy Pouches with Flat Barriers

8450/8460/8440 (CUT-TO-FIT) Urostomy Pouch Flextend (extended wear) Skin Barrier With Tape Border Odor-Barrier Rustle-Free Film Odor-Barrier Film -- Ultra-Clear With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4428

Transparent Ultra-Clear Stock No Stock No 8460 8450 Beige Stock No 8440 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 9" (23 cm)

846x/844x (PRE-SIZED) Urostomy Pouch Flextend (extended wear) Skin Barrier With Tape Border Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4428

Transparent Stock No 8467 8462 8468 8463 8469 8464 Beige Stock No 8447 8442 8448 8443 8449 8444 Barrier Opening 3/4" (19 mm) 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

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Hollister Incorporated

51

Premier One-Piece Pouching System

Urostomy Pouches with Convex Barriers

847x/843x (CUT-TO-FIT) Urostomy Pouch Flextend (extended wear) Skin Barrier With Tape Border Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 5

HCPCS: A4430

Transparent Stock No 8474 8478 84711 Beige Stock No 8434 8438 84311 Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm)

848x/849x (PRE-SIZED) Urostomy Pouch Flextend (extended wear) Skin Barrier With Tape Border Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 5

HCPCS: A4430

Transparent Stock No 8480 8481 8482 8483 8484 8485 8486 8487 8488 8489 Beige Stock No 8490 8491 8492 8493 8494 8495 8496 8497 8498 8499 Barrier Opening 1/2" (13 mm) 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

Non Sterile Kits -- Drainable

89001 (CUT-TO-FIT) Box of 5 Kits Colostomy/Ileostomy Kit Includes: (1) 88401 SoftFlex (standard wear) Skin Barrier Without Tape Border Without Integrated Filter Lock 'n Roll Closure Single-Use Package

HCPCS: A5061

Ultra-Clear Stock No 89001 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

convex producT

52

Hollister Incorporated

1.888.740.8999

Non Sterile Kits -- Drainable (continued)

89002 (CUT-TO-FIT) Box of 5 Kits Colostomy/Ileostomy Kit Includes: (1) 88501 SoftFlex (standard wear) Skin Barrier Without Tape Border Without Integrated Filter Clamp Closure Single-Use Package

HCPCS: A5061

Ultra-Clear Stock No 89002 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

89003 (CUT-TO-FIT) Box of 5 Kits Colostomy/Ileostomy Kit Includes: (1) 8651 Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Single-Use Package

HCPCS: A4388

Ultra-Clear Stock No 89003 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

89004 (CUT-TO-FIT) Box of 5 Kits Colostomy/Ileostomy Kit Includes: (1) 8531 Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Lock 'n Roll Closure Single-Use Package

HCPCS: A4388

Ultra-Clear Stock No 89004 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

Non Sterile Kits -- Urostomy

89005 (CUT-TO-FIT) Box of 5 Kits Urostomy Kit Includes: (1) 8450 Flextend (extended wear) Skin Barrier With Tape Border (1) 7331 Single-Use Package

HCPCS: A4428

Ultra-Clear Stock No 89005 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 9" (23 cm)

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Hollister Incorporated

53

Pouchkins Pediatric Pouching System

Pouchkins Pediatric Pouching System

Pouchkins

Pediatric Pouching System

Hollister Ostomy. Details Matter.

www.hollister.com

Pouchkins Pediatric Pouching System

Premie Pouch

3777 (CUT-TO-FIT) Box of 15 Use as a Premie Closed or Drainable Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Tape Border Without Starter Hole Without Integrated Filter Odor-Barrier Film Soft Wire Closure Without ComfortWear Panels

HCPCS: A5052 + A4362

Ultra-Clear Stock No 3777 Barrier Opening up to 5/8" (15 mm) Pouch Length 4-1/2" (11.5 cm)

Newborn Pouch

3778 (CUT-TO-FIT) Box of 15 Newborn Pouch; Use With or Without the Drain Valve SoftFlex (standard wear) Skin Barrier -- Flat Without Tape Border Without Integrated Filter Soft Wire Closure Odor-Barrier Film Without ComfortWear Panels

HCPCS: A5062 + A4362

Ultra-Clear Stock No 3778 Barrier Opening up to 1-3/8" x 7/8" (35 mm x 22 mm) Pouch Length 6-1/2" (16 cm)

One-Piece Pouches

3796 (CUT-TO-FIT) Box of 10 Drainable Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Starter Hole Without Tape Border Without Integrated Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels -- Body Side Only

HCPCS: A5061

Transparent Stock No 3796 Barrier Opening up to 1-1/2" (38 mm) Pouch Length 6-1/2" (16 cm)

3795 (CUT-TO-FIT) Box of 10 Drainable Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Starter Hole Without Tape Border With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels -- Body Side Only

HCPCS: A4424

Transparent Stock No 3795 Barrier Opening up to 2" (51 mm) Pouch Length 7" (18 cm)

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Hollister Incorporated

59

Pouchkins Pediatric Pouching System

One-Piece Pouches (continued)

3797 (CUT-TO-FIT) Box of 10 Urostomy Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Starter Hole Without Tape Border Odor-Barrier Rustle-Free Film With ComfortWear Panels -- Body Side Only

HCPCS: A5071

Transparent Stock No 3797 Barrier Opening up to 1-1/2" (38 mm) Pouch Length 8-3/4" (22 cm)

Two-Piece Skin Barrier

3761 (CUT-TO-FIT) Box of 5 SoftFlex (standard wear) Skin Barrier -- Flat Without Starter Hole Without Tape Border

HCPCS: A4414

Transparent Stock No 3761 Flange Size Barrier Opening up to 1-1/4" (32 mm)

c 1-3/4" (44 mm)

Two-Piece Pouches

3799 Box of 10 Drainable Pouch Without Integrated Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panel -- Body Side Only

HCPCS: A5063

Transparent Stock No 3799 Flange Size Pouch Length 6-1/2" (16 cm)

c 1-3/4" (44 mm)

18292/18282 Drainable Pouch With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panel - Transparent -- Body Side Only - Beige -- Both Sides

Box of 20

HCPCS: A4425

Transparent Stock No 18292 Beige Stock No 18282 Flange Size Pouch Length 7" (18 cm)

c 1-3/4" (44 mm)

60

Hollister Incorporated

1.888.740.8999

Two-Piece Pouches (continued)

18382/18392 Closed Mini-Pouch With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 60

HCPCS: A4419

Transparent Stock No 18382 Beige Stock No 18392 Flange Size Pouch Length 7" (18 cm)

c 1-3/4" (44 mm)

18402/18412 Urostomy Pouch Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4432

Transparent Stock No 18402 Beige Stock No 18412 Flange Size Pouch Length 9" (23 cm)

c 1-3/4" (44 mm)

Pediatric Ostomy Belt

3774 Ostomy Belt - White Color

Single Unit

HCPCS: A4367

Stock No 3774 Length 10"- 17" (25 cm-43 cm)

Did you know...

Pouchkins Product Features:

· SoftFlex Skin Barrier with no starter hole · Integrated Floating Flange · No tape borders · Integrated Lock 'n Roll Closure · ComfortWear Panel

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Ostomy Accessories

Ostomy Accessories

Adapt

Ostomy Accessories

Hollister Ostomy. Details Matter.

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Ostomy Accessories

Adapt Skin Barrier Accessories

780x Adapt Barrier Rings (Flat) Flextend M (extended wear) Material

Box of 10

HCPCS: A4385

Stock No 7805 7806 Outer Diameter 2" (48 mm) 4" (98 mm)

795xx Adapt Convex Barrier Rings Flextend (extended wear) Material

Box of 10

HCPCS: A4411

Stock No 79520 79530 79540 Inner Diameter 13/16" (20 mm) -- can be stretched to 1" (25 mm) 1-3/16" (30 mm) -- can be stretched to 1-3/8" (35 mm) 1-9/16" (40 mm) -- can be stretched to 1-3/4" (45 mm)

796xx Adapt Oval Convex Barrier Rings Flextend (extended wear) Material

Box of 10

HCPCS: A4411

Stock No 79601 79602 79603 Inner Diameter

NEW!

7/8" x 1-1/2" (22 mm x 38 mm) -- can be stretched to 1-1/8" x 1-3/4" (27 mm x 43 mm) 1-3/16" x 1-7/8 (30 mm x 48 mm) -- can be stretched to 1-3/8" x 2-1/8" (35 mm x 53 mm) 1-1/2" x 2-3/16" (38 mm x 56 mm) -- can be stretched to 1-3/4" x 2-3/8" (43 mm x 61 mm)

79400 Adapt Barrier Strips Flextend (extended wear) Material

Box of 10

HCPCS: A4385

Stock No 79400 Size 60 g Length 5-1/8" (13 cm)

Adapt Skin Barrier Paste

79300/79301 Adapt Paste

HCPCS: A4406

Stock No 79300 79301 Description 2 oz (57 g) tube 0.5 oz (14 g) tube Quantity Box of 1 Box of 20

Adapt Stoma Powder

7906 Adapt Stoma Powder

Box of 1

HCPCS: A4371

Stock No 7906 Description 1 oz (28.3 g) puff bottle

Adapt Odor Eliminator and Lubricant

78500/78501 Adapt Lubricating Deodorant

HCPCS Code: A4394

Stock No 78500 78501 Description 8 oz (236 mL) bottle 0.27 oz (8 mL) packet Quantity Box of 1 50 Packets/Box

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Ostomy Accessories

Adapt Ostomy Belts

7300/7299 Ostomy Belts Beige Color

Box of 10

HCPCS: A4367

Stock No 7300 7299 Size 23"-43" (58 cm-109 cm) Medium 34"-65" (86 cm-165 cm) Large

Skin Barrier

8800 8801 Flextend (extended wear) Skin Barrier

HCPCS for 8800: A4385 HCPCS for 8801: A5122

Stock No 8800 8801 Size 4 x 4" (10 cm x 10 cm) 8 x 8" (20 cm x 20 cm) Box of 5 Box of 3

Skin Prepping Product

7917 Skin Gel Protective Dressing Wipes

12 Cartons of 50 Wipes Each

HCPCS: A5120

Stock No 7917

Adhesives and Removers

7760 Universal Remover Wipes For Adhesives and Barriers

12 Cartons of 50 Wipes Each

HCPCS: A4456

Stock No 7760

7730 Box of 4 Medical Adhesive Improves Adhesive Contact Between Skin and Barrier

HCPCS: A4364

Stock No 7730 Description 3.2 oz (90 g) spray can

7731 Medical Adhesive Remover

Box of 4

HCPCS: A4455

Stock No 7731 Description 2.7 oz (76 g) spray can

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Odor Eliminators

773x m9 Odor Eliminator Spray

HCPCS: No Code

Stock No (unscented) 7732 7733 Description 2 oz (60 mL) pump spray 8 oz (240 mL) pump spray (Green Apple Scented) Description 2 oz (60 mL) pump spray 8 oz (240 mL) pump spray Quantity Box of 12 Box of 6

Stock No 7734 7735

Quantity Box of 12 Box of 6

771x m9 Odor Eliminator Drops

HCPCS: A4394

Stock No 7715 7717 Description 1 oz (30 mL) bottle 8 oz (240 mL) bottle Quantity Box of 12 Box of 6

Cleaner/Decrystallizer

7736 m9 Cleaner/Decrystallizer Cleans Urinary Drainage Systems pH Balanced and Non-Acidic Free Wash Bottle Included

Box of 12

HCPCS: A5131

Stock No 7736 Description 16 oz (480 mL) bottle

Drainable Pouch Clamp

8770 Drainable Pouch Clamp

Box of 20

HCPCS: A4363

Stock No 8770 Color Beige

Urostomy Drain Tube Adapter

7331 Urostomy Drain Tube Adapter

Box of 10

HCPCS: A4421

Stock No 7331

Skin Care Products

517210 Restore Skin Cleanser

Box of 12

HCPCS: A9270

Stock No 517210 Description 8 oz (237 mL) pump spray

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Ostomy Accessories

Skin Care Products (continued)

517220 Restore Skin Conditioning Creme

Box of 12

HCPCS: A6250

Stock No 517220 Description 4 oz (120 mL) bottle

Irrigation Products

7721 Cone Irrigator Kit Includes: (1) Irrigator (1) Stoma Cone with Connector (1) Cleaning Brush

Box 1

HCPCS: A4398 + A4399

Stock No 7721

7723 Stoma Cone with Connector Replacement Unit

Box of 10

HCPCS: A4399

Stock No 7723

7740 Adapt Stoma Lubricant For Stoma Irrigation

Box of 10

HCPCS: A4402

Stock No 7740 Description 4 oz (120 mL) bottle

7728/7724 Irrigator Sleeve with Belt Tabs Includes Clamp

Box of 20

HCPCS: A4397

Stock No 7728 7724 Opening Size 2" (51 mm) 3" (76 mm) Length 22" (56 cm) 22" (56 cm)

Loop Ostomy Bridge

7767 Loop Ostomy Bridge -- Sterile

Box of 20

HCPCS: A4421

Stock No 7767

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Replacement Filters

7766 Box of 5 Packs Hollister Replacement Filters For use with 366x, 383x and 389x 1 pack contains 20 Filters and 2 Plugs

HCPCS: A4368

Stock No 7766

Bedside Drainage Collection System with Anti-Reflux Valve

9839 Sample Port Sterile Fluid Pathway

Box of 20

HCPCS: A4357

Stock No 9839 Description 68 oz (2000 mL) Capacity

Skin Barrier Pastes and Powders

7910 Karaya 5 Paste

Box of 12

HCPCS: A4405

Stock No 7910 Description 4.5 oz (135 mL) tube

7905 Karaya 5 Powder

Box of 12

HCPCS: A4371

Stock No 7905 Description 2.5 oz (75 mL) puff bottle

Skin Barriers

7800 Premium (standard wear) Skin Barrier

Box of 5

HCPCS: A4362

Stock No 7800 Size 4 x 4" (10 cm x 10 cm)

7700 HolliHesive (standard wear) Skin Barrier

Box of 5

HCPCS: A4362

Stock No 7700 Size 4 x 4" (10 cm x 10 cm)

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CenterPointLock Two-Piece Pouching System

Letter Matching System

To help you select compatible CenterPointLock Two-Piece System components, every CenterPointLock System product box label features a letter designation: H, I, J, K, or L. Once you've selected a CenterPointLock Two-Piece System Skin Barrier, select a pouch, irrigator drain, or stoma cap with a matching letter on the box label. Flat Skin Barriers with Floating Flanges

872x (CUT-TO-FIT) Box of 5 Flextend (extended wear) Skin Barrier, Flat, Tape Border

HCPCS: A4409

Stock No 8727 8722 8723 8724 Letter Match H I J K Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Barrier Opening up to 1" (25 mm) up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm)

875x (CUT-TO-FIT) Flextend (extended wear) Skin Barrier, Flat, Without Tape Border

Box of 5

HCPCS FOR 8752, 8753 & 8757: A4409 HCPCS FOR 8754: A4410

Stock No 8752 8753 8754 Letter Match I J K Flange Size 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm)

372x (CUT-TO-FIT) Box of 5 FlexWear (standard wear) Skin Barrier, Flat, Tape Border

HCPCS FOR 3722-3724 & 3727: A4414 HCPCS FOR 3726: A4415

Stock No 3727 3722 3723 3724 3726 Letter Match H I J K L Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Barrier Opening up to 1" (25 mm) up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm)

376x (CUT-TO-FIT) SoftFlex (standard wear) Skin Barrier, Flat, Without Tape Border

Box of 5

HCPCS FOR 3762, 3763 & 3767: A4414 HCPCS FOR 3764 & 3766: A4415

Stock No 3767 3762 3763 3764 3766 Letter Match H I J K L Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Barrier Opening up to 1" (25 mm) up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm)

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Flat Skin Barriers with Floating Flanges (continued)

370x (CUT-TO-FIT) Box of 5 HolliHesive (standard wear) Skin Barrier, Flat, Tape Border

HCPCS FOR 3702-3704 & 3707: A4414 HCPCS FOR 3706: A4415

Stock No 3707 3702 3703 3704 3706 Letter Match H I J K L Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Barrier Opening up to 3/4" (19 mm) up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) up to 3-1/4" (82 mm)

874x (PRE-SIZED) Box of 5 Flextend (extended wear) Skin Barrier, Flat, Tape Border

HCPCS: A4409

Stock No 8743 8744 8745 8746 8747 8748 Letter Match H H I I J J Flange Size 1-1/2" (38 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) Barrier Opening 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm)

374x (PRE-SIZED) Box of 5 FlexWear (standard wear) Skin Barrier, Flat, Tape Border

HCPCS: A4414

Stock No 3747 3742 3748 3743 3749 Letter Match H H I J J Flange Size 1-1/2" (38 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) Barrier Opening 3/4" (19 mm) 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm)

Convex Skin Barriers with Floating Flanges

877x (CUT-TO-FIT) Box of 5 Flextend (extended wear) Skin Barrier, Convex, Tape Border

HCPCS: A4407

Stock No 8774 8778 87711 Letter Match I J K Flange Size 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm)

873x (PRE-SIZED) Box of 5 Flextend (extended wear) Skin Barrier, Convex, Tape Border

HCPCS: A4407

Stock No 8731 8732 8733 8734 8735 8736 8737 8738 Letter Match H H I I J J J J Flange Size 1-1/2" (38 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) Barrier Opening 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm)

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CenterPointLock Two-Piece Pouching System

Convex Skin Barriers with Floating Flanges (continued)

373x (PRE-SIZED) Box of 5 FlexWear (standard wear) Skin Barrier, Convex, Tape Border

HCPCS: A4373

Stock No 3730 3731 3732 3733 3734 3735 3736 3737 3738 3739 37310 37311 Letter Match H H H I I J J J J K K K Flange Size 1-1/2" (38 mm) 1-1/2" (38 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 2-3/4" (70 mm) 2-3/4" (70 mm) Barrier Opening 1/2" (13 mm) 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-5/8" (41 mm) 1-3/4" (44 mm) 2" (51 mm)

Drainable Pouches

389x/383x Box of 10 Drainable Pouch, Replaceable Filter, Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels. Includes 1 Bag of 20 Hollister Replacement Filters and 2 Plugs, #7766

HCPCS: A4425 + A4368

Transparent Stock No 3897 3892 3893 3894 Beige Stock No 3837 3832 3833 3834 Letter Match H I J K Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

881x Box of 10 Drainable Pouch, Without Integrated Filter, Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, ComfortWear Panels -- Both Sides

HCPCS: A5063

Beige Stock No 8817 8812 8813 8814 Letter Match H I J K Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

380x/381x Box of 10 Drainable Pouch, Without Integrated Filter, Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A5063

Transparent Stock No 3807 3802 3803 3804 3806 Beige Stock No 3817 3812 3813 3814 -- Letter Match H I J K L Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Pouch Length 11" (28 cm) 11" (28 cm) 11" (28 cm) 11" (28 cm) 11" (28 cm)

convex producT

74

Hollister Incorporated

1.888.740.8999

Drainable Pouches (continued)

387x Box of 10 High Output Drainable Pouch, Without Integrated Filter, Clamp Closure, Odor-Barrier Film, Belt Tabs Without ComfortWear Panels

HCPCS: A4412

Transparent Stock No 3872 3873 3874 Letter Match I J K Flange Size 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 16" (40 cm) 16" (40 cm) 16" (40 cm)

384x Box of 10 Drainable Mini-Pouch, Without Integrated Filter, Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A5063

Beige Stock No 3847 3842 3843 3844 Letter Match H I J K Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

Closed Pouches

834x Box of 15 Closed Pouch, Integrated Filter, Odor-Barrier Rustle-Free Film, Belt Tabs, ComfortWear Panels -- Both Sides

HCPCS: A4419

Beige Stock No 8347 8342 8343 8344 Letter Match H I J K Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 7-1/2" (19 cm) 7-1/2" (19 cm) 7-1/2" (19 cm) 7-1/2" (19 cm)

334x Box of 15 Closed Pouch, Integrated Filter, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4419

Beige Stock No 3347 3342 3343 3344 Letter Match H I J K Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

Urostomy Pouches

890x Box of 10 Urostomy Pouch, Odor-Barrier Rustle-Free Film, Belt Tabs, ComfortWear Panels -- Both Sides

HCPCS: A4432

Beige Stock No 8902 8903 Letter Match I J Flange Size 1-3/4" (44 mm) 2-1/4" (57 mm) Pouch Length 9" (23 cm) 9" (23 cm)

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CenterPointLock Two-Piece Pouching System

Urostomy Pouches (continued)

390x Box of 10 Urostomy Pouch, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4432

Transparent Stock No 3907 3902 3903 3904 Letter Match H I J K Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

Stoma Cap

340x Box of 25 Stoma Cap, Integrated Filter, Odor-Barrier Rustle-Free Film Without ComfortWear Panels

HCPCS: A5055

Beige Stock No 3407 3402 3403 3404 Letter Match H I J K Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 4-1/2" (11 cm) 4-1/2" (11 cm) 4-1/2" (11 cm) 4-1/2" (11 cm)

Irrigator Sleeve

382x Irrigator Sleeve, Belt Tabs Includes clamp

Box of 5

HCPCS: A4397

Transparent Stock No 3827 3822 3823 3824 3826 Letter Match H I J K L Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Pouch Length 30" (76 cm) 30" (76 cm) 30" (76 cm) 30" (76 cm) 30" (76 cm)

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Hollister Incorporated

1.888.740.8999

Karaya 5 One-Piece Pouching System

Drainable Pouches

366x (PRE-SIZED) Box of 10 Drainable Pouch, Karaya 5 (standard wear) Skin Barrier -- Convex, Tape Border, Replaceable Filter, Pouch Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels. Includes 1 Bag of 20 Hollister Replacement Filters and 2 Plugs, #7766

HCPCS: A4389 + A4368

Transparent Stock No 3662 3668 3663 3669 3664 3665 Pouch Size 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) Barrier Opening 5/8" (16 mm) 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

360x (PRE-SIZED) Box of 10 Drainable Pouch, Karaya 5 (standard wear) Skin Barrier -- Convex, Tape Border, Without Integrated Filter, Pouch Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4389

Transparent Stock No 3608 3603 3609 3604 3605 3606 Pouch Size 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) 3" (76 mm) Barrier Opening 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

323x (PRE-SIZED) Box of 30 Drainable Mini-Pouch, Karaya 5 (standard wear) Skin Barrier -- Convex, Tape Border, Without Integrated Filter, Pouch Clamp Closure, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4389

Transparent Stock No 3232 3238 3233 3239 3234 Pouch Size 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) Barrier Opening 5/8" (16 mm) 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

322x (PRE-SIZED) Box of 30 Drainable Pouch, Karaya 5 (standard wear) Skin Barrier -- Convex, Tape Border, Without Integrated Filter, Pouch Clamp Closure, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4389

Transparent Stock No 3222 3228 3223 3229 3224 3225 3226 Pouch Size 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) 3" (76 mm) Barrier Opening 5/8" (16 mm) 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

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77

Karaya 5 One-Piece Pouching System

Drainable Pouches (continued)

327x (PRE-SIZED) Box of 30 Drainable Pouch, Karaya 5 (standard wear) Skin Barrier -- Convex, Tape Border, Without Integrated Filter, Pouch Clamp Closure, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4389

Transparent Stock No 3278 3273 3279 3274 3275 3276 Pouch Size 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) 3" (76 mm) Barrier Opening 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 16" (40 cm) 16" (40 cm) 16" (40 cm) 16" (40 cm) 16" (40 cm) 16" (40 cm)

Closed Pouches

332x (PRE-SIZED) Box of 30 Closed Pouch, Karaya 5 (standard wear) Skin Barrier -- Convex, Tape Border, Integrated Filter, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4417

Transparent Stock No 3328 3323 3329 3324 3325 3326 Pouch Size 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) 3" (76 mm) Barrier Opening 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

716x (PRE-SIZED) Box of 30 Closed Pouch, Karaya 5 (standard wear) Skin Barrier -- Convex, Without Tape Border, Without Integrated Filter, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4387

Transparent Stock No 7168 7163 7169 7164 7165 7166 Pouch Size 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) 3" (76 mm) Barrier Opening 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

Urostomy Pouches

143x (PRE-SIZED) Box of 10 Urostomy Pouch, Karaya 5 (standard wear) Skin Barrier -- Convex, Tape Border, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4429

Transparent Stock No 1432 1438 1433 1439 1434 Pouch Size 1"(25 mm) 1-1/4"(32 mm) 1-1/2"(38 mm) 1-3/4"(44 mm) 2"(51 mm) Barrier Opening 5/8"(16 mm) 7/8"(22 mm) 1-1/8"(29 mm) 1-3/8"(35 mm) 1-1/2"(38 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

convex producT

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Other One-Piece Pouching System

Closed Pouches

314x (PRE-SIZED) Box of 30 Closed Mini-Pouch, Tape Adhesive, Integrated Filter, Odor-Barrier Film, Without ComfortWear Panels

HCPCS: A4418

Transparent Stock No 3142 3148 3143 3149 3144 Barrier Opening 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) Pouch Length 7" (18 cm) 7" (18 cm) 7" (18 cm) 7" (18 cm) 7" (18 cm)

Stoma Cap

318x (PRE-SIZED) Box of 30 Stoma Cap, Tape Adhesive, Integrated Filter, Odor-Barrier Film, Without ComfortWear Panels

HCPCS: A5055

Beige Stock No 3184 3186 Opening 2" (51 mm) 3" (76 mm) Size 4-1/4" (11 cm) 4-1/4" (11 cm)

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Glossary · Ostomy Care

AF300 Filter: "AF" stands for Air Flow and "300" represents the 300 mm2 air flow surface area on every AF300 Filter Closed Pouch: A pouch without a spout or a clamp. Quick and easy to discard. It must be removed to be emptied Colostomy: An ostomy (surgical opening) created in the colon, part of the large intestine ComfortWear Pouch Panels: Lining over the plastic of the pouch to enhance comfort and discretion. The soft pouch panels may be on one or both sides of the pouch Convex Skin Barrier: May be used when the stoma does not protrude from the abdomen. The skin barrier is shaped to press more deeply around the stoma Cut-to-Fit Skin Barrier: A skin barrier that can be cut to the right size and shape for the stoma by using a scissors Drainable Pouch: A pouch with an opening at the bottom. An integrated closure or clamp is used to keep the pouch closed until it's time to empty it Extended Wear Skin Barrier: Skin barriers with special additives that achieve a stronger adhesive seal and are more resistant to breakdown. Skin barrier of choice for urostomies and ileostomies. Flextend and FormaFlex are examples. It is not recommended to use skin-prepping agents under extended wear skin barriers Filter: Lets gas but not odor out of pouch. The key performance factors of any filter are air flow, deodorization, and liquid protection Flange: The plastic ring in a two-piece ostomy system that is used to connect the two parts together Flat Skin Barrier: May be used when the stoma does protrude from the abdomen Flextend Skin Barrier: Flextend is an extended wear skin barrier that is durable and offers high resistance to erosion. It swells when it comes in contact with liquid to help form a seal between the skin and the stoma. It offers strong adhesion and flexibility FlexWear Skin Barrier: FlexWear is a standard wear skin barrier that provides moderate adhesion, and offers a good balance of durability and gentleness. It is designed to be worn more than one day and tends to hold its shape in the presence of fluids Floating Flange: Allows for fingers to be put under the flange for support while attaching the pouch to the barrier on a two-piece pouching system. The New Image system has an integrated floating flange FormaFlex Skin Barrier: An extended wear skin barrier which is resistant to discharge. It has the ability to be stretched to fit the size and shape of the stoma without the use of a scissors. Found as an option in the New Image two-piece system Ileostomy: An ostomy (surgical opening) created in the small intestine

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Irrigation: A procedure used to control the time of elimination from colostomy. It is not for everyone and requires special equipment and teaching Karaya 5 Skin Barrier: Karaya is a natural skin barrier that is well-suited for thin, fragile, and sensitive skin or in some cases where irritant dermatitis has occurred. It is mildly adhesive and needs a belt or tape to secure the pouching system Lock 'n Roll Microseal Closure: An integrated system for closing the bottom of drainable pouches. This system utilizes plastic interlocking microseals to create a secure closure. Found on New Image, Premier, and Pouchkins drainable pouches Odor-Barrier Pouch: Odor-Barrier Pouch is highly resistant in allowing odors to pass through the pouch film. The Odor-Barrier quality increases confidence when wearing a pouch Pre-Sized Skin Barrier: A skin barrier that is already cut to the proper size if stoma is round QuietWear Pouch Material: A Hollister Technology that is comprised of a pouch film and ComfortWear panel that are laminated together. This special design results in the reduction of the pouch rustling noise Rustle-Free Pouch: Rustle-Free Pouch provides for ultimate discretion since the pouch does not make noise during normal wear Shape-To-Fit: A skin barrier that can be stretched to the shape and size of the stoma. This skin barrier does not require use of a scissors. A possible choice when the stoma is not round or still changing sizes Skin Barrier: Portion of the pouching system that protects the skin from contact with the discharge. It also provides an adhesive attachment for the pouching system to the body. Examples include Flextend, FlexWear, SoftFlex, and FormaFlex SoftFlex Skin Barrier: SoftFlex is a standard wear skin barrier, which has an adhesive that is gentle to the skin, and allows for frequent pouch changes. It offers lower erosion resistance, and is thin and flexible without compromising security Standard Wear Skin Barrier: Provides a gentle adhesive attachment to the skin. These skin barriers absorb less and disintegrate faster than extended wear skin barriers. Examples include FlexWear and SoftFlex Stoma: The place where the drainage comes out of the body when you have an ostomy. The stoma is red and moist and doesn't have feeling Urostomy: An ostomy (surgical opening) created to drain urine Urostomy Pouch: Pouch with a drain tap at the bottom so urine can be emptied quickly and easily Wear Time: Wear time is the length of time a product can be worn before failure. Wear time varies widely based upon a variety of factors

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Educational Resources

Educational Resources

Secure Start services are here for your patients every step of the way offering: Dedicated Support Education & Resources Insurance Matching Ostomy Products To learn more call 1.888.808.7456, or visit www.hollister.com/us/ostomy/ss

Educational Resources · Ostomy

All of the Hollister educational materials listed below are available on our website: www.hollister.com Educational DVDs Ostomy Educational Theatre Online Education Program Living with a Stoma Secure Start Video Diaries Case Studies (also available online)

For a complete description and current listing, visit the Nursing Education section found in the Healthcare Professional portion of our website, www.hollister.com.

Literature No 921901 available at www.hollister.com available at www.hollister.com available at www.hollister.com

Accessories Literature No Adapt Lubricating Deodorant: A Novel Pouch Additive 907247a Adapt Lubricating Deodorant: Assessment of Performance 907247b Laboratory Measurements & User Appreciation of Adapt 907623 Barrier Rings Never Say No to Change: Making a Product Conversion 908802 A Ring is Not Just a Ring: Creative Uses of Ostomy Accessories 910704 Using the Adapt Barrier Ring for Stomal Bridges/Rods 910701 (online only) Using Adapt Barrier Rings for Mucocutaneous Separation 910702 (online only) C3Life.com Literature No Online Solutions: Closing the Gap in the Continuum of Care 910676 (online only) Convexity Literature No A Case for Soft Convexity (online only) 907022 Making Sense of Convexity (online only) 907502 Case Studies in Convexity (online only) 907526 Principles and Techniques in the Use of Convexity 907634 Cost Impact of Convexity on Ostomy Management (online only) 907655 Using Convexity in the Management of 910314 Complex Clinical Challenges Nursing Issues Literature No Study of Factors Affecting Pre-and Postoperative 907649 Health Self-Assessments in Ostomates (online only) Study of the Effect of WOC Nurse Care on Ostomate 907650 Adaptation and Perception of Life with Stoma (online only) Clinical Challenges Require Creative Solutions 911098 Evaluation of an Existing Ostomy Product Formulary: 921708 A Pilot Study Ostomy Filters Advanced Materials and Design for Improved Filter Performance (online only) Literature No 910293

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Pediatrics Product Adaptations in Pediatric Ostomy Care

Literature No 908803

Psychosocial Adaptation Literature No Overcoming Life Discontinuity Following Ileostomy Surgery 908804 (online only) Associations between Financial Responsibility for Ostomy 910291 Pouching Systems, Pouching System Change Habits and Peristomal Skin Condition (online only) Post-Surgery Return to Sexual Activity (online only) 910296 Post-Surgery Social Isolation (online only) 910298 Ostomate Recollections of What They Really Needed to 910301 Know After Surgery (online only) Body Image Perception and Peristomal Skin Condition as 910741 Quality of Life Issues (online only) Quality of Life and Influencing Factors in Ostomates Less 910777 Than 24 Months Post-Surgery (online only) Social Isolation: The Association Between Low Life 910778 Satisfaction and Social Connectivity (online only) An Association Between Continuing Treatment and 910779 Adaptation in Ostomates (online only) An Association Between Peristomal Skin Condition 910780 and Life Satisfaction in New Ostomates (online only) Secure Start Services Literature No Partnering to Improve Ostomy Patient Outcomes (online only) 908801 Excellence in Care: Partnerships for Better Outcomes 910327 Providing Ostomy Care Across the Continuum 910672 The Secure Start Program: Making a Difference in the 911138 Continuum of Care The Continuum of Care: Demonstrating Positive 911095 Outcomes through the Hollister Secure Start Program Skin Barriers Literature No Formulating Hydrocolloid Skin Barriers for 907661 pH Control (online only) Preliminary Studies on the Skin Biophysics and Ostomy Skin 910286 Barriers. Part 2 ­ Feasibility of Measuring Peel Force and Skin Properties Comparing Peristomal to Normal Surround Skin (online only) Preliminary Studies on the Skin Biophysics and Ostomy Skin 910288 Barriers. Part 1 ­ Relationship between Peel Force, Quantitative Measures of Skin Damage and Subjective Discomfort using the Abdomen as the Test Site (online only) Studies on Skin Biophysics and Ostomy Skin Barriers: 910776 Comparison of Peel Force Measurements and Skin Structure Between Peristomal and Normal Surrounding Skin (online only) The Shape of Things to Come: An Alternative to 921705 Cut-to-Fit Barriers Peristomal Skin and Tape: Stick to the Facts 921714 Stoma Sizing Guide 903515

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Educational Resources · Ostomy

Instructional Materials Literature No Understanding Your Colostomy Booklet 907411 Understanding Your Ileostomy Booklet 907412 Understanding Your Urostomy Booklet 907413 Understanding Your Colostomy/Ileostomy/ 909961 Urostomy Booklet (English) (online only) Understanding Your Colostomy/Ileostomy/ 910130 Urostomy Booklet (Spanish) (online only) Understanding Your Colostomy/Ileostomy/ 910813 Urostomy Booklet (Russian) (online only) 921793 NEW! Understanding Your Colostomy/Ileostomy/ Urostomy Booklet (Vietnamese) (online only) What's Right? ­ Colostomy (English) (online only) 907590 What's Right? ­ Colostomy (Spanish) (online only) 907242 What's Right? ­ Ileostomy (English) (online only) 907602 What's Right? ­ Ileostomy (Spanish) (online only) 907243 What's Right? ­ Urostomy (English) (online only) 907603 What's Right? ­ Urostomy (Spanish) (online only) 907244 Can They Still Wiggle and Giggle? Coloring Book 907617 The Day I Got My Stoma (online only) 910497 Caring for Your Child With an Ostomy ­ Pediatric (English) 907778 Caring for Your Child With an Ostomy ­ Pediatric (Spanish) 907809 Caring for Your Child With an Ostomy ­ Pediatric 907809 (French Canadian) (online only) Caring for your Loved One with an Ostomy 911085 Ostomy Care Tips (Pads of 25) Adapt Barrier Rings Adapt Oval Convex Barrier Rings and NEW! Adapt Convex Barrier Rings Adapt Lubricating Deodorant Adapt Ostomy Belt Adapt Paste Adapt Stoma Powder Colostomy Irrigation Using Convexity Fistula Management Ileostomy Dietary Guidelines Lock 'n Roll Microseal Closure (English) Lock 'n Roll Microseal Closure (Spanish) Medicare Reimbursement Guide One-Piece Pouching System One-Piece Pouching System (Spanish) Oval Cut-to-Fit Skin Barriers (online only) Patient Anatomy Guide Peristomal Skin Care/Complications Literature No 910395 910801 907428 911082 907249 907255 907254 907608 910398 910974 911126 911209 911046 910401 911172 910707 910396 907253

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Ostomy Care Tips (Pads of 25) (continued) Literature No Pouchkins One-Piece Pouching System 907874 Pouchkins Premie & Newborn Pouching System 907876 Pouchkins Two-Piece Pouching System 907875 Routine Care of Your Ostomy 910399 Routine Care of Your Ostomy (Spanish) 910800 Skin Barriers 906756 Skin Gel Wipes 907250 Stoma Complications 907252 Stoma Site Selection 910134 Two-Piece Pouching System 910402 Two-Piece Pouching System (Spanish) 911173 Two-Piece Pouching System with FormaFlex Skin Barrier 911296 Types of Ostomies 905756 Universal Catheter Access Port (UCAP) 921709 Lifestyle Booklets Skin Care for your Stoma: 3 Easy Steps to Maintaining Healthy Skin Good Eating Habits and Good Health with an Ostomy Sports and Fitness with an Ostomy Travel with an Ostomy Love and Sex for People with an Ostomy Maintaining Personal and Professional Relationships with an Ostomy Pregnancy and Childbirth with an Ostomy Secure Start Services Secure Start Newsletter Secure Start Preoperative Kit Secure Start Kit Shadow Buddies Light Skin Tone Girl Light Skin Tone Boy Medium Skin Tone Girl Medium Skin Tone Boy Dark Skin Tone Girl Dark Skin Tone Boy Additional Resources Choosing your Ostomy Products Stoma Model (White Plastic) Consumer Support Groups American Cancer Society (ACS) www.cancer.org Brenda Elsagher's Website: www.livingandlaughing.com Literature No 907530 907531 907532 907533 907534 907535 907536

subscribe on www.hollister.com ask your Sales Specialist ask your Sales Specialist Item No 905439 905440 905441 905442 905443 905444 Item No 921853 858674

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Educational Resources · Ostomy

Consumer Support Groups (continued) United Ostomy Associations of America, Inc. (UOAA) www.uoaa.org 1.800.826.0826 Crohn's and Colitis Foundation of America (CCFA) www.ccfa.org 1.800.932.2423 C3Life www.C3Life.com Get Your Guts In Gear www.ibdride.org 1.866.9iGOTGUTS (944.6848) Shadow Buddies www.shadowbuddies.org 1.913.642.4646 Youth Rally Committee www.rally4youth.org Professional Organizations: Wound, Ostomy and Continence Nurses Society (WOCN) www.wocn.org 1.888.224.9626

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Index · Stock Number

Stock No Page(s) Stock No Page(s) Stock No 509349 509372 509373 509374 509375 509376 509377 509378 509379 509380 509381 509382 509384 509387 509388 509389 509390 509393 509394 509395 509396 517210 517220 519904 519906 519921 519923 519925 519930 519932 519935 519953 519954 519955 519956 519957 519958 519959 519963 519965 529300 529301 529302 529303 529304 529305 529306 529937 529938 529939 529940 529967 529968 529969 529972 529973 Page(s) 10xx . . . . . . . . . . . . .92 1410x . . . . . . . . . . . .27 1420x . . . . . . . . . . . .25 143x . . . . . . . . . . . . .78 1430x . . . . . . . . . . . .26 1440x . . . . . . . . . . . .28 1450x . . . . . . . . . . . .29 1460x . . . . . . . . . . . .25 1470x . . . . . . . . . . . .26 1480x . . . . . . . . . . . .28 149xx . . . . . . . . . . . .29 1520x . . . . . . . . . . . .25 1540x . . . . . . . . . . . .28 1550x . . . . . . . . . . . .29 1560x . . . . . . . . . . . .25 1580x . . . . . . . . . . . .28 1590x . . . . . . . . . . . .29 1610x . . . . . . . . . . . .26 1640x . . . . . . . . . . . .26 1796 . . . . . . . . . . . .51 1800x . . . . . . . . . . . .30 1801x . . . . . . . . . . . .32 1810x . . . . . . . . . . . .31 1811x . . . . . . . . . . . .30 1812x . . . . . . . . . . . .31 1813x . . . . . . . . . . . .30 1814x . . . . . . . . . . . .31 1815x . . . . . . . . . . . .33 1816x . . . . . . . . . . . .31 1817x . . . . . . . . . . . .31 1818x . . . . . . . . . . . .30 1819x . . . . . . . . . . . .30 1820x . . . . . . . . . . . .31 1828x . . . . . . . . . . . .30 18282 . . . . . . . . . . .60 1829x . . . . . . . . . . . .30 18292 . . . . . . . . . . .60 1832x . . . . . . . . . . . .32 1833x . . . . . . . . . . . .33 1835x . . . . . . . . . . . .33 1836x . . . . . . . . . . . .32 1837x . . . . . . . . . . . .32 1838x . . . . . . . . . . . .32 18382 . . . . . . . . . . .61 1839x . . . . . . . . . . . .32 18392 . . . . . . . . . . .61 1840x . . . . . . . . . . . .33 18402 . . . . . . . . . . .61 1841x . . . . . . . . . . . .33 18412 . . . . . . . . . . .61 1842x . . . . . . . . . . . .33 1873x . . . . . . . . . . . .33 1875x . . . . . . . . . . . .33 1900x . . . . . . . . . . . .34 1905x . . . . . . . . . . . .35 1910x . . . . . . . . . . . .34 1915x . . . . . . . . . . . .35 1920x . . . . . . . . . . . .34 1925x . . . . . . . . . . . .35 31003 . . . . . . . . . .109 31005 . . . . . . . . . .109 31008 . . . . . . . . . .109 31009 . . . . . . . . . .109 314x . . . . . . . . . . . . .79 318x . . . . . . . . . . . . .79 32004 . . . . . . . . . .108 32005 . . . . . . . . . .108 32006 . . . . . . . . . .108 32007 . . . . . . . . . .108 322x . . . . . . . . . . . . .77 323x . . . . . . . . . . . . .77 327x . . . . . . . . . . . . .78 33004 . . . . . . . . . .108 332x . . . . . . . . . . . . .78 334x . . . . . . . . . . . . .75 340x . . . . . . . . . . . . .76 360x . . . . . . . . . . . . .77 366x . . . . . . . . . . . . .77 370x . . . . . . . . . . . . .73 372x . . . . . . . . . . . . .72 373x . . . . . . . . . . . . .74 374x . . . . . . . . . . . . .73 376x . . . . . . . . . . . . .72 3761 . . . . . . . . . . . .60 3774 . . . . . . . . . . . .61 3777 . . . . . . . . . . . .59 3778 . . . . . . . . . . . .59 3795 . . . . . . . . . . . .59 3796 . . . . . . . . . . . .59 3797 . . . . . . . . . . . .60 3799 . . . . . . . . . . . .60 380x . . . . . . . . . . . . .74 381x . . . . . . . . . . . . .74 382x . . . . . . . . . . . . .76 383x . . . . . . . . . . . . .74 384x . . . . . . . . . . . . .75 387x . . . . . . . . . . . . .75 389x . . . . . . . . . . . . .74 390x . . . . . . . . . . . . .76 506487 . . . . . . . . .130 506488 . . . . . . . . .130 506489 . . . . . . . . .130 509338 . . . . . . . . .130 509339 . . . . . . . . .130 509341 . . . . . . . . .130 509342 . . . . . . . . .130 509343 . . . . . . . . .131 509344 . . . . . . . . .131 509345 . . . . . . . . .131 509346 . . . . . . . . .131 509347 . . . . . . . . .131 509348 . . . . . . . . .131 . . . . . . . . .131 . . . . . . . . .132 . . . . . . . . .132 . . . . . . . . .132 . . . . . . . . .131 . . . . . . . . .131 . . . . . . . . .131 . . . . . . . . .130 . . . . . . . . .130 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . .69, 138 . . . . . .70, 138 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .134 . . . . . . . . .134 . . . . . . . . .134 . . . . . . . . .134 . . . . . . . . .134 . . . . . . . . .134 . . . . . . . . .134 . . . . . . . . .135 . . . . . . . . .135 . . . . . . . . .135 . . . . . . . . .135 . . . . . . . . .135 . . . . . . . . .135 . . . . . . . . .135 . . . . . . . . .135 . . . . . . . . .135

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Stock No

Page(s)

Stock No

Page(s)

Stock No

Page(s)

529974 . . . . . . . . .135 529975 . . . . . . . . .137 529976 . . . . . . . . .137 529977 . . . . . . . . .138 529978 . . . . . . . . .138 529979 . . . . . . . . .138 716x . . . . . . . . . . . . .78 7299 . . . . . . . . . . . .68 7300 . . . . . . . . . . . .68 7331 . . . . . . . . . . . .69 7700 . . . . . . . . . . . .71 771x . . . . . . . . . . . . .69 7721 . . . . . . . . . . . .70 7723 . . . . . . . . . . . .70 7724 . . . . . . . . . . . .70 7728 . . . . . . . . . . . .70 773x . . . . . . . . . . . . .69 7730 . . . . . . . . . . . .68 7731 . . . . . . . . . . . .68 7736 . . . . . . . . . . . .69 7740 . . . . . . . . . . . .70 7760 . . . . . . . . . . . .68 7766 . . . . . . . . . . . .71 7767 . . . . . . . . . . . .70 780x . . . . . . . . . . . . .67 7800 . . . . . . . . . . . .71 78500 . . . . . . . . . . .67 78501 . . . . . . . . . . .67 7905 . . . . . . . . . . . .71 7906 . . . . . . . . . . . .67 7910 . . . . . . . . . . . .71 7917 . . . . . . . . . . . .68 79300 . . . . . . . . . . .67 79301 . . . . . . . . . . .67 79400 . . . . . . . . . . .67 795xx . . . . . . . . . . . .67 796xx . . . . . . . . . . . .67 80xx . . . . . . . . . . . . .45 8031 . . . . . . . . . . . .42 8081 . . . . . . . . . . . .42 81xx . . . . . . . . . . . . .45 8131 . . . . . . . . . . . .42 8181 . . . . . . . . . . . .42 80110 . . . . . . . . . . .48 80070 . . . . . . . . . . .48 81070 . . . . . . . . . . .48 81110 . . . . . . . . . . .48 821xx . . . . . . . . . . . .51 82100 . . . . . . . . . . .50 823xx . . . . . . . . . . . .50 82300 . . . . . . . . . . .50 82302 . . . . . . . . . . .50 82400 . . . . . . . . . . .50 82402 . . . . . . . . . . .50 82500 . . . . . . . . . . .50 8331 . . . . . . . . . . . .41 www.hollister.com

834x . . . . . . . . . . . . .75 843x . . . . . . . . . . . . .52 844x . . . . . . . . . . . . .51 8440 . . . . . . . . . . . .51 8450 . . . . . . . . . . . .51 8460 . . . . . . . . . . . .51 846x . . . . . . . . . . . . .51 847x . . . . . . . . . . . . .52 848x . . . . . . . . . . . . .52 849x . . . . . . . . . . . . .52 850x . . . . . . . . . . . . .46 851x . . . . . . . . . . . . .47 852x . . . . . . . . . . . . .46 853x . . . . . . . . . . . . .44 8531 . . . . . . . . . . . .41 855x . . . . . . . . . . . . .44 8551 . . . . . . . . . . . .41 858x . . . . . . . . . . . . .46 859x . . . . . . . . . . . . .47 861x . . . . . . . . . . . . .47 862x . . . . . . . . . . . . .47 8631 . . . . . . . . . . . .41 863x . . . . . . . . . . . . .44 8641 . . . . . . . . . . . .41 864x . . . . . . . . . . . . .45 8651 . . . . . . . . . . . .41 872x . . . . . . . . . . . . .72 873x . . . . . . . . . . . . .73 874x . . . . . . . . . . . . .73 875x . . . . . . . . . . . . .72 877x . . . . . . . . . . . . .73 8770 . . . . . . . . . . . .69 8800 . . . . . . . . . . . .68 8801 . . . . . . . . . . . .68 881x . . . . . . . . . . . . .74 883xx . . . . . . . . . . . .45 88300 . . . . . . . . . . .42 88302 . . . . . . . . . . .43 884xx . . . . . . . . . . . .45 88400 . . . . . . . . . . .42 88401 . . . . . . . . . . .43 88402 . . . . . . . . . . .43 88501 . . . . . . . . . . .44 887xx . . . . . . . . . . . .46 88700 . . . . . . . . . . .43 88800 . . . . . . . . . . .43 890x . . . . . . . . . . . . .75 89001 . . . . . . . . . . .52 89002 . . . . . . . . . . .53 89003 . . . . . . . . . . .53 89004 . . . . . . . . . . .53 89005 . . . . . . . . . . .53 910x . . . . . . . . . . . . .95 920x . . . . . . . . . . . . .95 931xx . . . . . . . . . . . .94 9342 . . . . . . . . . . . .97

9343 . . . . . . . . . . . .97 9345 . . . . . . . . . . . .97 9346 . . . . . . . . . . . .97 9348 . . . . . . . . . . . .96 9349 . . . . . . . . . . . .96 940xx . . . . . . . . . . . .94 941xx . . . . . . . . . . . .94 951xx . . . . . . . . . . . .94 960xx . . . . . . . . . . . .94 961xx . . . . . . . . . . . .94 9645 . . . . . . . . . . . .96 9655 . . . . . . . . . . . .96 970x . . . . . . . . . . . . .49 971xx . . . . . . . . . . . .94 974xx . . . . . . . . . . . .95 975xx . . . . . . . . . . . .95 976xx . . . . . . . . . . . .95 977x . . . . . . . . . . . . .49 977xx . . . . . . . . . . . .95 9779 . . . . . . . . . . . .49 978xx . . . . . . . . . . . .95 9780 . . . . . . . . . . .116 9781 . . . . . . . . . . .115 9782 . . . . . . . . . . .115 9785 . . . . . . . . . . .116 9786 . . . . . . . . . . .116 9788 . . . . . . . . . . .115 979xx . . . . . . . . . . . .95 9799 . . . . . . . . . . .115 9805 . . . . . . . . . . . .96 9811 . . . . . . . . . . . .98 9814 . . . . . . . . . . . .96 9821 . . . . . . . . . . .110 9822 . . . . . . . . . . .110 9823 . . . . . . . . . . .110 9839 . . . . . . . . .71, 98 9840 . . . . . . . . . . . .98 9873 . . . . . . . . . . . .98 9880 . . . . . . . . . . .110 Bxxx . . . . . . . . . . . . .93 BxxxB . . . . . . . . . . . .93 HB2214 . . . . . . . . .129 HB4414 . . . . . . . . .129 HB6614 . . . . . . . . .129 HBT0906 . . . . . . . .129 HBHD4450 . . . . . . .129 HBHD6675 . . . . . . .129 HBRF4414 . . . . . . .129 HBRF2258 . . . . . . .129 HBRF4475 . . . . . . .129 HBRF2650 . . . . . . .129

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Index · Product Name

Name Page(s)

ActiFlo Accessories...........................................................................................109 ActiFlo Catheter Kits with Disposable Odor-Barrier Collection Bags......................108 ActiFlo Catheter Kits with Drainable Odor-Barrier Collection Bag .........................108 Adapt Odor Eliminator and Lubricant ....................................................................67 Adapt Ostomy Belts .............................................................................................68 Adapt Skin Barrier Accessories ............................................................................67 Adapt Skin Barrier Paste ......................................................................................67 Adapt Stoma Powder ...........................................................................................67 Adhesives and Removers .....................................................................................68 Advance Plus Touch Free Intermittent Catheter ....................................................94 Advance Plus Touch Free Intermittent Catheter System ........................................94 Anchor Fast Oral Endotracheal Tube Fastener ....................................................115 Apogee Plus System............................................................................................93 Apogee Plus System Kit .......................................................................................93 Apogee Intermittent Catheter ...............................................................................92 Bedside Drainage Collection System with Anti-Reflux Valve........................... 71, 98 CenterPointLock Closed Pouches ........................................................................75

CenterPointLock Drainable Pouches .............................................................. 74­75 CenterPointLock Flat Skin Barriers with Floating Flanges................................ 72­73 CenterPointLock Stoma Cap ................................................................................76 CenterPointLock Urostomy Pouches .............................................................. 75­76 Convex Skin Barriers with Floating Flanges.................................................... 73­74

Drainable Pouch Clamp ......................................................................................69 Drain Tube Attachment Device...........................................................................116 Everyday Male External Catheter .........................................................................95 Extended Wear Male External Catheter.................................................................95 Fabric Leg Bag Straps ........................................................................................97 Fecal Collectors .................................................................................................110 Feeding Tube Attachment Device .......................................................................116 Female Urinary Pouch External Collection Device ..................................................98 Hollister Universal Catheter Access Port ..............................................................49

Horizontal Tube Attachment Device ....................................................................115 Hydrofera Blue Foam Dressings .........................................................................129

InstaFlo Catheter Kit..........................................................................................108 InView Male External Catheters ............................................................................95 Irrigation Products ...............................................................................................70 Irrigator Sleeve ....................................................................................................76 Karaya 5 Closed Pouches ...................................................................................78 Karaya 5 Drainable Pouches ......................................................................... 77­78 Karaya 5 Urostomy Pouches ................................................................................78 Latex-Free Extension Tubing ...............................................................................97 Loop Ostomy Bridge ............................................................................................70 m9 Cleaner/Decrystallizer ...................................................................................69 m9 Odor Eliminators............................................................................................68 Male Urinary Pouch External Collection Device......................................................98

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Name

Page(s)

New Image Closed Pouches......................................................................... 32­33 New Image Convex Skin Barriers with Integrated Floating Flanges ................. 28­29 New Image Drainable Pouches ..................................................................... 30­31 New Image Flat Skin Barriers with Integrated Floating Flanges ....................... 25­27 New Image High Output Drainable Pouches .........................................................32 New Image Irrigator Sleeve ..................................................................................33 New Image Non Sterile Kits -- Drainable .............................................................34 New Image Non Sterile Kits -- Urostomy .............................................................34 New Image Sterile Kits -- Drainable ....................................................................35 New Image Sterile Kits -- Urostomy ....................................................................35 New Image Urostomy Pouches.............................................................................33 Other Closed Pouches ........................................................................................79 Other Stoma Cap.................................................................................................79 Pouchkins Newborn Pouch..................................................................................59 Pouchkins One-Piece Pouches...................................................................... 59­60 Pouchkins Pediatric Ostomy Belt ..........................................................................61 Pouchkins Premie Pouch .....................................................................................59 Pouchkins Two-Piece Pouches ..................................................................... 60­61 Pouchkins Two-Piece Skin Barrier........................................................................60 Premier Closed Pouches ............................................................................... 50­51 Premier Drainable Pouches with Convex Barriers........................................... 46­47 Premier Drainable Pouches with Flat Barriers ................................................ 41­46 Premier High Output Drainable Pouches...............................................................48 Premier Non Sterile Kits -- Drainable ........................................................... 52­53 Premier Non Sterile Kits -- Urostomy ..................................................................53 Premier Stoma Cap .............................................................................................51 Premier Urostomy Pouches with Convex Barriers ..................................................52 Premier Urostomy Pouches with Flat Barriers .......................................................51 Premier Wound Drainage Collectors .....................................................................49 Replacement Filters ............................................................................................71 Restore Adhesive Foam Dressing with TRIACT Technology .................................131 Restore Calcium Alginate Dressing Silver ...........................................................135 Restore Calcium Alginate Dressing.....................................................................135 Restore Cleanser & Moisturizer ..........................................................................138 Restore Contact Layer Dressing with Silver and TRIACT Technology ....................130 Restore Contact Layer Dressing with TRIACT Technology....................................130 Restore Contact Layer FLEX Dressing with TRIACT Technology ...........................130 Restore DimethiCreme Skin Protectant ...............................................................138 Restore DUO Absorbent Dressing with TRIACT Technology .................................131 Restore Extra Thin Hydrocolloid Dressing............................................................136 Restore Foam Border Dressing Featuring TRIACT ADVANCED Technology ...........133 Restore Foam Dressing without Border ..............................................................133 Featuring TRIACT ADVANCED Technology Restore Heel Dressing without Border ..............................................................133 Restore Hydrocolloid Dressing ............................................................................136 Restore Hydrocolloid Dressing with Foam Backing ..............................................136 Restore Hydrogel Dressing .................................................................................135

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Index · Product Name

Name Page(s) Restore Hydro-Shield Foam Dressing .................................................................134 Restore Hydro-Shield Foam Dressing without Border ..........................................134 Restore LITE Foam Dressing without Border .......................................................133 Featuring TRIACT ADVANCED Technology Restore Non-Adhesive Foam Dressing with Silver and ........................................131 TRIACT Technology Restore Non-Adhesive Foam Dressing with TRIACT Technology ..........................131 Restore Odor-Absorbent Dressing ......................................................................136 Restore Skin Care Products .................................................................................69 Restore Skin Cleanser ................................................................................ 69, 138 Restore Skin Conditioning Creme .......................................................................138 Restore TRIO Absorbent Dressing, Adhesive, with TRIACT Technology ................132 Restore Wound Cleanser ...................................................................................137

Skin Barriers (Other) .................................................................................... 68, 71 Skin Barrier Pastes and Powders (Other) ..............................................................71 Skin Prepping Product .........................................................................................68 Suction Tube Attachment Device........................................................................116 Urinary Leg Bag..................................................................................................96

Urinary Leg Bag Combination Pack ......................................................................96 Urostomy Drain Tube Adapter ..............................................................................69

Vented Urinary Leg Bag Combination Pack ..........................................................96

Vertical Tube Attachment Device........................................................................115

166

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Index · HCPCS Codes

HCPCS A4326 A4328 A4330 A4331 A4349 A4351 A4352 A4353 A4357 A4358 A4362 A4363 A4364 A4367 A4368 A4371 A4373 A4385 A4387 A4388 A4389 A4390 A4394 A4397 A4398 A4399 A4402 A4405 A4406 A4407 A4408 A4409 A4410 A4411 A4412 A4414 A4415 A4416 A4417 A4418 A4419 A4421 A4424 A4425 A4428 A4429 A4430 A4432 A4455 A4456 A5052 A5054 Page(s) . . . . . . . . . . . . . . . . . . . . . . 98 . . . . . . . . . . . . . . . . . . . . . . 98 . . . . . . . . . . . . . . . . . . . . . 110 . . . . . . . . . . . . . . . . . . . . . . 97 . . . . . . . . . . . . . . . . . . . . . . 95 . . . . . . . . . . . . . . . . . . . . . . 92 . . . . . . . . . . . . . . . . . . . . . . 92 . . . . . . . . . . . . . . . . . . .93, 94 . . . . . . . . . . . . . . . . . . .71, 98 . . . . . . . . . . . . . . . . . . . . . . 96 . . . . . . . . . . . . . . . . . . .59, 71 . . . . . . . . . . . . . . . . . . . . . . 69 . . . . . . . . . . . . . . . . . . . . . . 68 . . . . . . . . . . . . . . . . . . .61, 68 . . . . . . . . . . . . . . . .71, 74, 77 . . . . . . . . . . . . . . . . . . .67, 71 . . . . . . . . . . . . . . . .28, 29, 74 . . . . . . . . . . . . . . . . . . .67, 68 . . . . . . . . . . . . . . . . . . . . . . 78 . . . . . . . . . . . . .41, 44, 45, 53 . . . . . . . . . . . . . . . . . . .77, 78 . . . . . . . . . . . . . . . . . . .46, 47 . . . . . . . . . . . . . . . . . . .67, 69 . . . . . . . . . . . . . . . .33, 70, 76 . . . . . . . . . . . . . . . . . . . . . . 70 . . . . . . . . . . . . . . . . . . . . . . 70 . . . . . . . . . . . . . . . . . . . . . . 70 . . . . . . . . . . . . . . . . . . . . . . 71 . . . . . . . . . . . . . . . . . . . . . . 67 . . . . . . . . . . . . . . . .28, 29, 73 . . . . . . . . . . . . . . . . . . . . . . 28 . . . 25, 26, 27, 34, 35, 72, 73 . . . . . . . . . . . . . . . . . . .25, 72 . . . . . . . . . . . . . . . . . . . . . . 67 . . . . . . . . . . . . . . . . . . .32, 75 . . . 25, 26, 34, 35, 60, 72, 73 . . . . . . . . . 25, 34, 35, 72, 73 . . . . . . . . . . . . . . . . . . .50, 51 . . . . . . . . . . . . . . . . . . . . . . 78 . . . . . . . . . . . . . . . . . . . . . . 79 . . . . . . . . . . . . . . . .32, 61, 75 . . . . . . . . . . . . . . . . . . .69, 70 . . . . . . . . . 42, 43, 45, 46, 59 . . . . . . . . . . . . .30, 31, 60, 74 . . . . . . . . . . . . . . . . . . .51, 53 . . . . . . . . . . . . . . . . . . . . . . 78 . . . . . . . . . . . . . . . . . . . . . . 52 . . . . . . 33, 34, 35, 61, 75, 76 . . . . . . . . . . . . . . . . . . . . . . 68 . . . . . . . . . . . . . . . . . . . . . . 68 . . . . . . . . . . . . . . . . . . . . . . 59 . . . . . . . . . . . . . . . . . . . . . . 33 HCPCS A5055 A5056 A5057 A5061 A5062 A5063 A5071 A5114 A5120 A5122 A5131 A5200 A6154 A6196 A6197 A6199 A6206 A6207 A6208 A6209 A6210 A6211 A6212 A6213 A6215 A6231 A6234 A6235 A6236 A6237 A6238 A6248 A6250 A6260 A6266 A9270 A9900 A9999 B9998 Page(s) . . . . . . . . . . . . . . . .51, 76, 79 . . . . . . . . . . . . . . . . . . . . . . 41 . . . . . . . . . . . . . . . . . . . . . . 46 . . . . . . 42, 43, 44, 52, 53, 59 . . . . . . . . . . . . . . . . . . . . . . 59 . . . 30, 31, 34, 35, 60, 74, 75 . . . . . . . . . . . . . . . . . . . . . . 60 . . . . . . . . . . . . . . . . . . . . . . 97 . . . . . . . . . . . . . . . . . . . . . . 68 . . . . . . . . . . . . . . . . . . . . . . 68 . . . . . . . . . . . . . . . . . . . . . . 69 . . . . . . . . . . . . . . . . .115, 116 . . . . . . . . . . . . . . . . . . .48, 49 . . . . . . . . . . . . . . . . . . . . . 135 . . . . . . . . . . . . . . . . . . . . . 135 . . . . . . . . . . . . . . . . . . . . . 135 . . . . . . . . . . . . . . . . . . . . . 130 . . . . . . . . . . . . . . . . . . . . . 130 . . . . . . . . . . . . . . . . . . . . . 130 . . . . 129, 131, 133, 134, 136 . . . . . . . . 129, 131, 133, 134 . . . . . . . . . . . . . . . . .134, 136 . . . . . . . . 129, 131, 133, 134 . . . . . . . . . . . . .131, 133, 134 . . . . . . . . . . . . . . . . . . . . . 129 . . . . . . . . . . . . . . . . . . . . . 135 . . . . . . . . . . . . . . . . .131, 136 . . . . . . . . . . . . . . . . .131, 136 . . . . . . . . . . . . . . . . . . . . . 136 . . . . . . . . . . . . . . . . . . . . . 132 . . . . . . . . . . . . . . . . . . . . . 132 . . . . . . . . . . . . . . . . . . . . . 135 . . . . . . . . . . . . . . . . . .70, 138 . . . . . . . . . . . . . . . . . . . . . 137 . . . . . . . . . . . . . . . . . . . . . 135 . . . . . . . . . . . . . . .69, 96, 138 . . . . . . . . . . . . . . . . . . . . . 115 . . . . . . . . . . . . . . . . .115, 116 . . . . . . . . . . . . . . . . . . . . . 116

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Hollister and logo, Hollister, ActiFlo, Adapt, Advance Plus, AF300, Anchor Fast, Apogee, Apogee Plus, CenterPointLock, ComfortWear, Extended Wear, Everyday, Flextend, FlexWear, FormaFlex, HolliHesive, InstaFlo, InView, Karaya 5, Lock 'n Roll, m9, New Image, Pouchkins, Premier, Premium, QuietWear, and SoftFlex are trademarks of Hollister Incorporated. C3Life, Secure Start, and "Hollister Ostomy. Details Matter." are service marks of Hollister Incorporated. Hollisterwoundcare and wave logo are trademarks of Hollister Incorporated. Restore, Hydro-Shield and graphic, Restore DUO, Restore TRIO, TRIACT, TRIACT ADVANCED and graphic are trademarks of Hollister Wound Care LLC. ConnectEd is a service mark of Hollister Wound Care LLC. Hydrofera Blue is a trademark of Hydrofera, LLC. Shadow Buddies is a trademark of Shadow Buddies. Teflon is a trademark of E.I. du Pont de Nemours and Company. Coloplast and SenSura are trademarks of Coloplast A/S. ConvaTec and SUR-FIT Natura are trademarks of ConvaTec, LLC. Zassi is a trademark of Zassi Medical Evolutions, Inc. © 2012 Hollister Incorporated. Printed in USA.

Hollister Consumer Programs

For consumer and healthcare professional product questions and sampling needs:

1.888.740.8999

For dealers, distributors, institutions, and pharmacy questions or orders:

1.800.323.4060 fax 1.847.680.1017

For helping new patients adjust to life with an ostomy or bladder management: Secure Start Services

1.888.808.7456

For additional information on Hollister Wound Care:

www.hollisterwoundcare.com

For helping patients and families dealing with Epidermolysis Bullosa (EB) contact our EB Resources Hotline:

1.888.EB AID4U (1.888.322.4348)

Hollister Incorporated 2000 Hollister Drive Libertyville, Illinois 60048 USA www.hollister.com

© 2012 Hollister Incorporated. Printed in USA. 921867-112

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