FSA & HSA Eligible Supplies
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            495229_BX Ostomy Pouch Premier One-Piece System 7 Inch Length Closed End Flat, Pre-Cut 30/BX
HOLLISTER
$92.56Premier One-Piece Closed End Beige Colostomy Pouch, 7 Inch Length, 1 Inch StomaThese pouches are pre-sized at 1 inch and have an integrated filter that reduces odorHollister 82125 ComfortWear panels provide extra comfortThe SoftFlex barrier enables...495229_BX$92.56 - 
            
            Ostomy Barrier Assura Xpro Trim to Fit, Extra Extended Wear Silicone Based Adhesive 60 mm Flange Blue Code System Synthetic Resin 3/4 to 1-3/4 Inch Opening 5/BX
Coloplast
$50.25Assura Colostomy Barrier With ¾-1¾ Inch Stoma OpeningConvex, trim-to-fit barrier for standard wearSpiral silicone based adhesive provides secure, long-lasting, skin-friendly wearWith belt loopsBlue code551013_BX$50.25 - 
            
            Ostomy Barrier Assura Xpro Trim to Fit, Extra Extended Wear Silicone Based Adhesive 50 mm Flange Red Code System Synthetic Resin 3/4 to 1-1/4 Inch Opening 5/BX
Coloplast
$48.44Assura Colostomy Barrier With ¾-1¼ Inch Stoma OpeningConvex, trim-ti-fit barrier for standard wearSpiral silicone based adhesive provides secure, long-lasting, skin-friendly wearWith belt loopsRed code542830_BX$48.44 - 
            
            Hydrocolloid Dressing DuoDERM Signal 6 X 7 Inch Triangle 5/BX
CONVATEC
$53.75DuoDerm Signal Hydrocolloid Dressing, 6 x 7 Inch TriangleAdhesive hydrocolloid matrix and the outer film on DuoDerm Signal dressing is permeable by moisture vaporProvides an occlusive barrier against bacteria, viruses, dirt and water14.7 x 17.7...426731_BX$53.75 - 
            
            943712_BX Blood Glucose Test Strips Contour 50 Strips per Pack 50/BX
Ascensia Diabetes Care
$103.76Contour Blood Glucose Test StripsNo coding requiredFor use with Bayer's Contour Blood Glucose meter943712_BX$103.76 - 
            
            Urostomy Pouch ActiveLife One-Piece System 11 Inch Length 1-1/2 Inch Stoma Drainable 10/BX
CONVATEC
$84.44ActiveLife One-Piece Drainable Transparent Urostomy Pouch, 11 Inch Length, 1½ Inch Stoma11 inch lengthTransparentA lightweight, flexible, one-piece systemActiveLife combines the Durahesive skin barrier and the pouch into one simple, easy-to-manage...305687_BX$84.44 - 
            
            Urostomy Pouch ActiveLife One-Piece System 11 Inch Length 1-1/4 Inch Stoma Drainable 10/BX
CONVATEC
$84.44ActiveLife One-Piece Drainable Transparent Urostomy Pouch, 11 Inch Length, 1¼ Inch StomaThe Accuseal tap is designed for easy manipulation and rapid emptyingAn Accuseal adapter is supplied for connection to night drainage305686_BX$84.44 - 
            
            Urostomy Pouch ActiveLife One-Piece System 11 Inch Length 1-1/8 Inch Stoma Drainable 10/BX
CONVATEC
$84.44ActiveLife One-Piece Drainable Transparent Urostomy Pouch, 11 Inch Length, 1-1/8 Inch StomaThe Accuseal tap is designed for easy manipulation and rapid emptyingAn Accuseal adapter is supplied for connection to night drainage305685_BX$84.44 - 
            
            Urostomy Pouch ActiveLife One-Piece System 11 Inch Length 1 Inch Stoma Drainable 10/BX
CONVATEC
$84.44ActiveLife One-Piece Drainable Transparent Urostomy Pouch, 11 Inch Length, 1 Inch Stoma11 inch lengthTransparentA lightweight, flexible, one-piece systemActiveLife combines the Durahesive skin barrier and the pouch into one simple, easy-to-manage...305684_BX$84.44 - 
            
                                
            Gauze Sponge Dynarex 4 X 4 Inch 20 per Pack NonSterile 8-Ply Square 20/CS
Dynarex
$94.76Dynarex Gauze Sponge, 4 x 4 InchEight plyCut edges folded in so there are no exposed raw edges100% cotton gauze4 x 4 inches575161_CS$94.76 - 
            
            Ostomy Pouch ActiveLife One-Piece System 12 Inch Length 19 to 64 mm Stoma Drainable Flat, Trim To Fit, Flexible 20/BX
CONVATEC
$83.38ActiveLife One-Piece Drainable Transparent Ostomy Pouch, 12 Inch Length, 19 to 64 mm StomaOffered with a Stomahesive Technology Skin Barrier which helps to protect the skinDurable comfort panel is designed to be odor-proof and quiet Traditional tail clip...526053_BX$83.38 - 
            
                                
            Gauze Sponge Dynarex 4 X 4 Inch 200 per Pack NonSterile 12-Ply Square 10/CS
Dynarex
$66.04Dynarex Gauze Sponge, 4 x 4 InchTwelve ply100% cotton gauzeCut edges folded in so there are no exposed raw edges4 x 4 inches575162_CS$66.04