TOTAL WOUND CARE SOLUTIONStws.net/tws-catalog-8-5.pdfDiscover the TWS Difference, call 888-858-9988...

TOTAL WOUND CARE SOLUTIONSBridging the Gap between Clinic and Home

EXPRESS

HOME

DELIVERY!

Discover the TWS Difference, call 888-858-9988 or visit tws.net

Total Wound Care Solutions offers the

highest quality wound care products

available and delivers them faster than

anyone. Our excellent customer service

and express delivery options means

wounds can heal faster. Patients and

healthcare professionals rely on Total

Wound Care Solutions to expedite

wound care management, so you can

enjoy life and family to the fullest.

A market leader since 1999, Total

Wound Care Solutions is a division

of Tidewater Medical in Mount

Pleasant, South Carolina. Offering a

comprehensive catalogue of durable

medical equipment, TWS provides

wound care, ostomy and urology

supplies that patients need in the home

setting. We serve as a liaison between

healthcare professional and patient to

help improve outcomes and manage

each patient’s personal needs. We

make life easier, and healing faster, for

patients and healthcare providers.

TABLE OF CONTENTS

OSTOMY .................................................. 1

OSTOMY TABLE OF CONTENTS .................... 2

OSTOMY ORDER FORM ............................ 53

UROLOGY .............................................. 55

UROLOGY TABLE OF CONTENTS ................ 56

UROLOGY ORDER FORM .......................... 83

WOUND CARE ........................................ 85

WOUND CARE TABLE OF CONTENTS .......... 86

WOUND CARE ORDER FORM .................. 153

COMPRESSION ..................................... 155

COMPRESSION TABLE OF CONTENTS ....... 156

COMPRESSION ORDER FORM ................. 169

INDEX ................................................. 171

All wounds are not alike – each type of wound or ostomy needs unique care and attention—and all medical supply companies are not alike either. The Total Wound Care Solutions difference is that we offer the largest and most comprehensive selection of durable medical products with the fastest and most customer-friendly delivery options.

Our goal is for patients to heal faster, and with our express delivery service, the healing process begins sooner. We know the healing and recovery process can be painful enough, so with TWS there are NO headaches of paperwork – we save you time, money and offer peace of mind.

Count on Total Wound Care Solutions for:. Exceptional, personal customer service —

the best in the industry. Expedited delivery, with patient privacy

protected and easy tracking. Easy no-hassle ordering, with online or

printed catalogue options. Extensive product selection. Excellent insurance coverage and direct

billing

WE’RE DIFFERENTThe Total Wound Care Solutions Difference

Insurance concerns? Total Wound Care Solutions offers total insurance solutions as well, with contracts with a vast array of private insurance providers, as well as Medicare, Medicaid and Worker’s Comp.

Call us today for a no-cost, no-obligation insurance benefits verification. We are happy to help!

1-888-858-9988Visit us online for the full list of insurance providers: http://www.tws.net/insurance/

Our goal is to make wound care as painless as possible, so let Total Wound Care Solutions:

. Handle all the paperwork for you

. Verify and coordinate with your insurance provider

. Help you receive the maximum benefit and lowest out-of-pocket cost

80% MEDICARE’S SHARE 20% YOUR SHAREHow Much Will I Pay for Supplies from TWS?

Here’s a breakdown.

I | Discover the TWS Difference, call 888-858-9988 or visit tws.net Discover the TWS Difference, call 888-858-9988 or visit tws.net | II

OSTOMY

Discover the TWS Difference, call 888-858-9988 or visit tws.net | 1

. Fast and convenient online ordering

. Manage existing patients or set up new accounts

. Search through past orders from your facility

Visit us at tws.net

Online Ordering Made Easy!

547 Long Point Road #100

Mount Pleasant, SC 29464

888-858-9988


OSTO

MY OSTOM

YOSTOMY

2 | Discover the TWS Difference, call 888-858-9988 or visit tws.net Discover the TWS Difference, call 888-858-9988 or visit tws.net | 3

CONTENTSSkin Barriers/Baseplates/FaceplatesColoplast Assura® ...................................................................... 34Coloplast Assura® AC ................................................................. 34Coloplast SenSura® Click ......................................................32-33Coloplast SenSura® Flex .......................................................31-32Coloplast SenSura® Xpro Click ................................................... 32Coloplast SenSura® Xpro Flex .................................................... 31ConvaTec® Esteem synergy® ....................................................... 4ConvaTec® SUR-FIT Natura® .....................................................6-8Genairex Securi-T ® .................................................................... 41Hollister Incorporated CenterPointLock™ ............................25-26Hollister Incorporated New Image® ....................................21-23STOMOCUR® .............................................................................. 43

One-Piece Closed-End PouchesColoplast Assura® .................................................................37-38Coloplast SenSura® .................................................................... 31Coloplast SenSura® Mio ............................................................ 30ConvaTec ActiveLife® ................................................................. 12ConvaTec Esteem® + ................................................................... 6Genairex Securi-T ® .................................................................... 42Hollister Incorporated Karaya 5™ .............................................. 19Hollister Incorporated Premier™ ............................................... 18

One-Piece Drainable PouchesColoplast Assura® ...................................................................... 35Coloplast Assura® EasiClose .................................................36-37Coloplast SenSura® .................................................................... 30Coloplast SenSura® Xpro ......................................................30-31ConvaTec ActiveLife® ............................................................11-12ConvaTec Esteem® + ................................................................5-6Cymed ........................................................................................ 47Genairex Securi-T® ..................................................................... 42Hollister Incorporated Karaya 5™ .............................................. 19Hollister Incorporated Premier™ ..........................................16-18Montreal Ostomy ....................................................................... 48Nu-Hope .........................................................................................

Two-Piece Closed-End PouchesColoplast Assura® ...................................................................... 35Coloplast Assura® AC ................................................................. 35Coloplast SenSura® Click ........................................................... 33Coloplast SenSura® Flex ............................................................ 32ConvaTec Esteem synergy® ......................................................... 5ConvaTec Esteem synergy® + ..................................................4-5ConvaTec SUR-FIT Natura® ........................................................ 10ConvaTec SUR-FIT Natura® + ...................................................... 9Genairex Securi-T ® .................................................................... 42Hollister Incorporated CenterPointLock™ ................................. 26Hollister Incorporated New Image® ......................................... 24STOMOCUR® .............................................................................. 43

Two-Piece Drainable PouchesColoplast Assura® ...................................................................... 35Coloplast Assura® AC ................................................................. 35Coloplast SenSura® Click ........................................................... 33Coloplast SenSura® Flex ............................................................ 32ConvaTec Esteem synergy® ......................................................... 5ConvaTec Esteem synergy® + ..................................................... 4ConvaTec SUR-FIT Natura® .....................................................9-10ConvaTec SUR-FIT Natura® + ...................................................8-9Genairex Securi-T ® .................................................................... 41Hollister Incorporated CenterPointLock™ ................................. 26Hollister Incorporated New Image® ....................................23-24STOMOCUR® .............................................................................. 44

Mini-PouchesColoplast Assura® ...................................................................... 36ConvaTec Esteem synergy® ......................................................... 5ConvaTec SUR-FIT Natura® ........................................................ 10ConvaTec SUR-FIT Natura® + ...................................................... 9Hollister Incorporated CenterPointLock™ ................................ 26Hollister Incorporated Karaya 5™ .............................................. 20Hollister Incorporated New Image® ......................................... 24Hollister Incorporated Premier™ ............................................... 17

Postoperative SystemsColoplast Assura® ...................................................................... 36Coloplast SenSura® Click ........................................................... 33

Irrigation ProductsColoplast Assura® ...................................................................... 39ConvaTec Visi-Flow® ................................................................... 14Hollister Incorporated ................................................................ 27

One-Piece Urostomy PouchesColoplast Assura® ...........................................................35, 38-39Coloplast SenSura® .................................................................... 31Coloplast SenSura® Xpro ........................................................... 30ConvaTec ActiveLife® ............................................................12-13Genairex Securi-T ® .................................................................... 42Hollister Incorporated Karaya 5™ .............................................. 20Hollister Incorporated Premier™ ............................................... 18Montreal Ostomy ....................................................................... 48

Two-Piece Urostomy PouchesColoplast Assura® ...................................................................... 35Coloplast Assura® AC ................................................................. 35Coloplast SenSura® Click ........................................................... 33ConvaTec Esteem synergy® ......................................................... 5ConvaTec SUR-FIT Natura® ........................................................ 11Genairex Securi-T ® .................................................................... 42Hollister Incorporated CenterPointLock™ ................................ 27Hollister Incorporated New Image® ....................................24-25

Urostomy AccessoriesBard® .......................................................................................... 52C&S Ostomy Pouch Covers....................................................51-52Montreal Ostomy ....................................................................... 48ReliaMed® .................................................................................. 46

OSTOMY ACCESSORIES

AbsorbentsMontreal Ostomy ....................................................................... 49ReliaMed® .................................................................................. 46Secure Health Products ............................................................. 50

Adhesive Remover ProductsConvaTec..................................................................................... 15Montreal Ostomy ....................................................................... 49ReliaMed® .................................................................................. 46Safe n’ Simple™ .......................................................................... 50Smith & Nephew ....................................................................... 44

Appliance CleanersHollister Incorporated ................................................................ 29Montreal Ostomy ....................................................................... 49ReliaMed® .................................................................................. 46

Barrier/Tape StripsColoplast .................................................................................... 40Genairex ..................................................................................... 42Montreal Ostomy ....................................................................... 48Safe n’ Simple™ .......................................................................... 51

Barriers/Cleansers/Moisturizers3M Health Care .......................................................................... 45Hollister Incorporated ................................................................ 28Smith & Nephew ..................................................................44-45

BeltsColoplast .................................................................................... 40ConvaTec..................................................................................... 15Hollister Incorporated ................................................................ 29ReliaMed® .................................................................................. 46

Bonding Cement/Liquid AdhesivesMontreal Ostomy ....................................................................... 49

DeodorantsAnacapa Technologies, Inc. ....................................................... 52Coloplast .................................................................................... 40Genairex ..................................................................................... 43Hollister Incorporated ................................................................ 29Montreal Ostomy ....................................................................... 49NB Products ............................................................................... 51Nullo.com ................................................................................... 51ReliaMed® .................................................................................. 46Safe n’ Simple™ .......................................................................... 50Smith & Nephew ....................................................................... 44Triad Medical, LLC ...................................................................... 52

LubricantsHollister Incorporated ................................................................ 27

No-Sting Wipes/Spray3M Health Care .......................................................................... 45Genairex ..................................................................................... 43Montreal Ostomy ....................................................................... 49ReliaMed® .................................................................................. 46Safe n’ Simple™ .......................................................................... 50

Paste and StripsColoplast .................................................................................... 40ConvaTec..................................................................................... 15Genairex ..................................................................................... 43Hollister Incorporated ................................................................ 28Montreal Ostomy ....................................................................... 49Safe n’ Simple™ .......................................................................... 51STOMOCUR® .............................................................................. 44

Pouch ClampsColoplast .................................................................................... 40ConvaTec..................................................................................... 15Hollister Incorporated ................................................................ 29Montreal Ostomy ....................................................................... 49ReliaMed® .................................................................................. 46

Pouch CoversC&S Ostomy Pouch Covers....................................................51-52

Pouch Disposal BagsReliaMed® .................................................................................. 47

PowderConvaTec..................................................................................... 15Hollister Incorporated ...........................................................28-29Montreal Ostomy ....................................................................... 49ReliaMed® .................................................................................. 45

Skin Barriers/SealsColoplast ...............................................................................39-40ConvaTec................................................................................14-15Genairex ..................................................................................... 42Hollister Incorporated ................................................................ 28Montreal Ostomy ....................................................................... 48ReliaMed® .................................................................................. 45Safe n’ Simple™ .....................................................................50-51STOMOCUR® .............................................................................. 44

Skin Protective Wipes/SprayConvaTec..................................................................................... 15Genairex ..................................................................................... 43Hollister Incorporated ................................................................ 29Montreal Ostomy ....................................................................... 49ReliaMed® .................................................................................. 46Safe n’ Simple™ .......................................................................... 50Smith & Nephew ..................................................................44-45

Support BeltsPhoenix Ostomy ........................................................................ 43

Tapes3M Health Care .......................................................................... 45Hy•Tape® International ............................................................. 51

Stoma CapsColoplast Assura® ................................................................ 35, 38ConvaTec® ActiveLife® ............................................................... 12ConvaTec® SUR-FIT Natura® ...................................................... 10Hollister Incorporated ................................................................ 18Hollister Incorporated CenterPointLock™ ................................. 26Hollister Incorporated Karaya 5™ .............................................. 20Secure Health Products Kontiba ............................................... 50

Pediatric ProductsColoplast Colokids® Assura® ...................................................... 39ConvaTec® Little Ones® .........................................................13-14Genairex Securi-T ® .................................................................... 42Hollister Incorporated Pouchkins™ ......................................20-21Montreal Ostomy ....................................................................... 48

Ostomy Order Form ......................................................... 53

Esteem synergy® Stomahesive® Precut Skin Barriers with Landing Zone FlangeWHITE, FLEXIBLE TAPE COLLAR.

ITEM # HCPCS SOLD BY

Small (5/8”) 405473 A4414 10/bxSmall (3/4”) 405474 A4414 10/bxSmall (7/8”) 405475 A4414 10/bxSmall (1”) 405476 A4414 10/bxSmall (1-1/8”) 405477 A4414 10/bxSmall (1-1/4”) 405478 A4414 10/bxSmall (1-3/8”) 405479 A4414 10/bxMedium (1-1/2”) 405480 A4414 10/bxMedium (1-5/8”) 405481 A4414 10/bxMedium (1-3/4”) 405482 A4414 10/bx

ESTEEM SYNERGY® + POUCHES

Drainable Pouches

12” Esteem synergy® + Drainable Pouches with InvisiClose® Closure System, without Filter, Transparent Features one-sided comfort panel.


Small 416797 A5063 10/bxMedium 416900 A5063 10/bxLarge 416903 A5063 10/bx

12” Esteem synergy® + Drainable Pouches with InvisiClose® Closure System and FilterFeatures one-sided comfort panel.

ITEM # ITEM # HCPCS SOLD BY

Transparent Opaque

Small 416795 416796 A4425 10/bxMedium 416798 416799 A4425 10/bxLarge 416901 416902 A4425 10/bx

Closed-End Pouches

8” Esteem synergy® + Closed-End Pouches with FilterFeatures one-sided comfort panel.


Transparent Opaque


6” Esteem synergy® + Closed-End Mini Pouches with FilterFeatures one-sided comfort panel.


Transparent Opaque

Small 416776 416777 A4419 30/bxMedium 416780 416781 A4419 30/bx

ESTEEM SYNERGY® POUCHES

12” Esteem synergy® Professional Kits, TransparentNonsterile, with one-sided comfort panel, includes five Stomahesive® skin barriers with tape collar, five drainable pouches and one tail closure.


Large 409276 A4421 5/bxX-Large 409275 A4421 5/bx

12” Esteem synergy® Drainable Pouches with Filter, TransparentOne-sided comfort panel. Right side.


Medium 405404 A4425 10/bx

12” Esteem synergy® Drainable Pouches with InvisiClose® Tail Closure System and FilterFeatures one-sided comfort panel and filter. Right side.


TransparentMedium 413353 A4425 10/bxLarge 413354 A4425 10/bx

OpaqueSmall 410810 A4425 20/bxMedium 410811 A4425 20/bxLarge 410812 A4425 20/bx

12” Esteem synergy® Drainable Pouches, TransparentStraight, with one-sided comfort panel.


X-large 405406 A5063 10/bx

Closed-End Pouches

9” Esteem synergy® Standard Closed-End Pouches with Filter, OpaqueTwo-sided comfort panel.

ITEM # ITEM # HCPCS 30/BX 60/BX

Small 405436 409282 A4419Medium 405437 409283 A4419Large 403946 409284 A4419

6” Esteem synergy® Closed-End Mini-Pouches without Filter, OpaqueOne-sided comfort panel.


Small 405441 A45054 20/bx

10” Esteem synergy® Urostomy Pouches with Accuseal® Tap with ValveOne-sided comfort panel.


Transparent Opaque


9” Esteem synergy® Urostomy Pouches with Accuseal® Tap with Valve, TransparentFeatures one-sided comfort panel.


Small 405446 A4432 10/bxMedium 405447 A4432 10/bx

ESTEEM® + ONE-PIECE OSTOMY SYSTEMS

Drainable Pouches

14” Esteem® + One-Piece Drainable Pouches with Stomahesive® Cut-to-Fit Skin Barrier and InvisiClose® Tail Closure, without FilterWith one-sided comfort panel. Up to 4” (100 mm)


416908 A5061 10/bx

12” Esteem® + One-Piece Drainable Pouches with Modified Stomahesive® Cut-to-Fit Skin Barrier and InvisiClose® Tail ClosureTwo options: transparent has a one-sided comfort panel; opaque has two-sided comfort panel. Can be adjusted to accommodate stoma sizes 3/4” (19 mm) to 2-3/4” (70 mm).


TransparentWithout filter 416721 A5061 10/bx

OpaqueWith filter 416718 A4424 10/bxWithout filter 416719 A4424 10/bx

ConvaTecAll ConvaTec ostomy products are latex-free.

ESTEEM SYNERGY® TWO-PIECE OSTOMY SYSTEMSConvaTec’s lowest profile two-piece ostomy system with innovative Adhesive Coupling Technology™, is easy to use, just peel back the release liner and stick the pouch to the transparent landing zone on the skin barrier. This flexible ostomy system offers a secure, discreet hold.

Color-Coded Size Chart: Esteem synergy® Ostomy Systems Up to 1-3/8” LIGHT BLUE Up to 1-7/8” GREEN

Up to 2-3/8” YELLOW Up to 3-1/2” PEACH

Skin Barriers

Esteem synergy® Moldable Duraheslve® Convex Skin Barriers with Landing Zone Flange

With flexible, white tape collar and mold-to-fit opening. ITEM # HCPCS SOLD BY

Small (1/2” – 7/8” stomas) 409268 A4407 10/bxMedium (7/8” – 1-1/4” stomas) 409269 A4407 10/bxLarge (1-1/4” – 1-3/4” stomas) 409270 A4407 10/bx

Esteem synergy® Moldable Stomahesive® Skin BarriersSoft, pliable adhesive rolls open to fit desired stoma size and shape. Adhesive hugs individual stoma contours, creating a secure, personalized fit that adapts to changing stomas—no cutting needed. Adhesive expands up the stoma wall, eliminating gaps and reducing leaks that can irritate skin. Hydrocolloid Flexible Collar provides additional security, but is gentle on skin. Mold-to-fit opening.


Small (1/2” – 7/8” stomas) 411657 A4414 10/bxMedium (7/8” – 1-1/4” stomas) 411658 A4414 10/bxLarge (1-1/4” – 1-3/4” stomas) 411659 A4414 10/bx

Esteem synergy® Stomahesive® Cut-to-Fit Skin Barriers with Landing Zone Flange


Small (up to 1-3/8”) 405467 A4414 10/bxMedium (up to 1-7/8”) 405468 A4415 10/bxLarge (up to 2-3/8”) 403948 A4415 10/bxX-Large (up to 3-1/2”) 405483 A4415 10/bx

Small (up to 1-3/8”) 405456 A4414 10/bxMedium (up to 1-7/8”) 405457 A4414 10/bxLarge (up to 2-3/8”) 405458 A4414 10/bx

WITHOUT COLLAR

WITH WHITE, FLEXIBLE TAPE COLLAR

LATEX FREE

OSTO

MY OSTOM

Y


ConvaTecAll ConvaTec ostomy products are latex-free.

12” Esteem® + One-Piece Drainable Pouches with Modified Stomahesive® Precut Skin Barrier, Invisiclose® Tail Closure and FilterTwo options: Transparent (with one-sided comfort panel) and Opaque (two-sided comfort panel).

ITEM # ITEM # HCPCS SOLD BY TRANSPARENT OPAQUE

1” (25 mm) flange 416724 416725 A4424 10/bx1-3/16” (30 mm) flange 416728 416729 A4424 10/bx1-3/8” (35 mm) flange 416732 416733 A4424 10/bx1-9/16” (40 mm) flange 416736 416737 A4424 10/bx

12” Esteem® + One-Piece Drainable Pouches with Modified Durahesive® Precut Convex Skin Barrier, Invisiclose® Tail Closure and FilterTwo options: Transparent (with one-sided comfort panel); Opaque (two-sided comfort panel).

ITEM # ITEM # HCPCS SOLD BY TRANSPARENT OPAQUE

3/4” (19 mm) flange 416738 416739 A5057 10/bx7/8” (22 mm) flange 416740 416741 A5057 10/bx1” (25 mm) flange 416742 416743 A5057 10/bx1-1/8” (28 mm) flange 416744 416745 A5057 10/bx1-1/4” (32 mm) flange 416746 416747 A5057 10/bx1-3/8 (35 mm) flange 416748 416749 A5057 10/bx1-1/2” (38 mm) flange 416750 416751 A5057 10/bx

9” Esteem® + One-Piece Drainable Pouches with Cut-to-Fit Durahesive Plus® Precut Skin Barrier, Invisiclose® Tail Closure and FilterA two-sided comfort panel that can accommodate stoma sizes 3/4” (19 mm) to 2-1/4” (64 mm).


Transparent 416976 A5056 10/bxOpaque 416975 A5056 10/bx

Closed-End Pouches

8” Esteem® + One-Piece Closed-End Pouches with Modified Stomahesive® Cut-to-Fit Skin Barrier and FilterTwo options: transparent (one-sided comfort panel); opaque (two-sided comfort panel). Both can be enlarged to accommodate stoma sizes 3/4” (20 mm) to 2-3/4” (70 mm).



SUR-FIT Natura® Moldable Stomahesive® Skin BarriersThis Stomahesive® barrier material accommodates people whose stoma output is semi-formed to formed stool. Soft, pliable adhesive rolls open with a mold-to-fit opening for desired stoma size and shape, with no cutting necessary. Adhere to both dry and moist skin.


WITH HYDROCOLLOID FLEXIBLE COLLAR1-3/4” (45 mm) flange, small, (1/2” – 7/8”) 411801 A4414 10/bx1-3/4” (45 mm) flange, medium, (7/8” – 1-1/4”) 411803 A4414 10/bx2-1/4” (57 mm) flange, large, (1-1/4” – 1-3/4”) 411805 A4414 10/bx2-3/4” (70 mm) flange, x-large, 411807 A4414 10/bx(1-1/4” – 1-3/4” (L) x 1-3/4” – 2-1/8” (W))

WITH ACRYLIC FLEXIBLE COLLAR1-3/4” (45 mm) flange, small, (1/2” – 7/8”) 413421 A4414 10/bx1-3/4” (45 mm) flange, medium, (7/8” – 1-1/4”) 413422 A4414 10/bx2-1/4” (57 mm) flange, large, (1-1/4” – 1-3/4”) 413423 A4414 10/bx2-3/4” (70 mm) flange, x-large, 413424 A4414 10/bx(1-1/4” – 1-3/4” (L) x 1-3/4” – 2-1/8” (W))

SUR-FIT Natura® Moldable Durahesive® Skin BarriersDurahesive® barrier material is created for those with mostly liquid stoma output, with a barrier that swells up to protect stoma instead of breaking down. Soft, pliable adhesive fits desired stoma size and shape. No cutting necessary and adhesive embraces individual stoma contours, creating a secure, personalized fit that adapts if stomas change. Adhesive turtlenecks (swells) up stoma wall, protecting against leaks and gaps that can compromise skin protection. Mold-to-fit opening.


WITH HYDROCOLLOID FLEXIBLE COLLAR1-3/4” (45 mm) flange, small, (1/2” – 7/8”) 411800 A4409 10/bx1-3/4” (45 mm) flange, medium, (7/8” – 1-1/4”) 411802 A4409 10/bx2-1/4” (57 mm) flange, large, (1-1/4” – 1-3/4”) 411804 A4409 10/bxOval, 2-3/4” (70 mm) flange, x-large, 411806 A4409 10/bx(1-1/4” – 1-3/4” (L) x 1-3/4” – 2-1/8” (W))

WITH ACRYLIC FLEXIBLE COLLAR1-3/4” (45 mm) flange, small, (1/2” – 7/8”) 413417 A4409 10/bx1-3/4” (45 mm) flange, medium, (7/8” – 1-1/4”) 413418 A4409 10/bx2-1/4” (57 mm) flange, large, (1-1/4” – 1-3/4”) 413419 A4409 10/bx2-3/4” (70 mm) flange, x-large, 413420 A4409 10/bx(1-1/4” – 1-3/4” (L) x 1-3/4” – 2-1/8” (W))

SUR-FIT Natura® Durahesive® Cut-to-Fit Skin Barriers with FlangeUnlike skin barriers/wafers that can break down around liquid output, Durahesive® skin barriers/wafers swell up (or “turtleneck”) to protect the stoma and create a more secure seal to protect

the skin. Easy to fit, apply and remove, and adheres securely to the skin while showering, bathing and swimming.

ITEM # ITEM # HCPCS SOLD BY WHITE TAN

1-1/4” flange, up to 3/4” (4” x 4”) 413159 413164 A4409 10/bx1-1/2” flange, up to 1” (4”x 4”) 413160 413165 A4409 10/bx1-3/4” flange, up to 1-1/4” (4” x 4”) 413161 413166 A4409 10/bx2-1/4” flange, up to 1-3/4” (5” x 5” 413162 413167 A4409 10/bx2-3/4” flange, up to 2-1/4” (5” x 5”) 413163 413168 A4409 10/bx

SUR-FIT Natura® Durahesive® Precut Skin Barriers with CONVEX-IT® Ostomy System

With white tape collar. ITEM # HCPCS SOLD BY

1-3/4” FLANGE (45 MM), 4-1/2” X 4-1/2”1/2” opening 413177 A4407 10/bx5/8” opening 413178 A4407 10/bx3/4” opening 413179 A4407 10/bx7/8” opening 413180 A4407 10/bx1” opening 413181 A4407 10/bx1-1/8” opening 413182 A4407 10/bx1-1/4” opening 413183 A4407 10/bx1-3/8” opening 413184 A4407 10/bx

2-1/4” FLANGE (57 MM), 5” X 5” 1-1/2” opening 413185 A4407 10/bx1-5/8” opening 413186 A4407 10/bx1-3/4” opening 413187 A4407 10/bx2” opening 413188 A4407 10/bx

SUR-FIT Natura® Durahesive® Moldable Convex Skin BarriersConvex, mold-to-fit skin barrier can accommodate customized stoma openings. Includes white tape collar.


1-3/4” FLANGESmall (1/2” – 7/8”) 404592 A4407 10/bxMedium (7/8” – 1-1/4”) 404593 A4407 10/bx

2-1/4” FLANGELarge (1-1/4” – 1-3/4”) 404594 A4407 10/bx

LATEX FREE

8” Esteem® + One-Piece Closed-End Pouches with Modified Stomahesive® Precut Skin Barrier and Filter, OpaqueTwo-sided comfort panel.


1” (25 mm) flange 416704 A4416 30/bx1-3/16” (30 mm) flange 416707 A4416 30/bx1-3/8” (35 mm) flange 416710 A4416 30/bx1-9/16” (40 mm) flange 416713 A4416 30/bx2” (50 mm) flange 416715 A4416 30/bx

6” Esteem® + One-Piece Mini Closed-End Pouches with Modified Stomahesive® Cut-to-Fit Skin Barrier and Filter, OpaqueFeatures two-sided comfort panel; flexible to accommodate stoma sizes 3/4” (20 mm) to 2-3/4” (70 mm).


416702 A4416 30/bx

SUR-FIT NATURA® TWO-PIECE OSTOMY SYSTEMS

This two-piece system with secure snap-on, snap-off design offers patients versatility and confidence.

Color-Coded Size Chart: SUR-FIT Natura® Ostomy Systems

Up to 1-1/4” BROWN Up to 1-1/2” ORANGE Up to 1-3/4” LIGHT GREEN

Up to 2-1/4” RED Up to 2-3/4” BLUE Up to 4” PURPLE Skin Barriers

SUR-FIT Natura® Low-Pressure Adaptors, TransparentProvides ample finger space and eliminates contact with the abdomen when attaching the pouch. Attach to the skin barrier for postoperative tenderness.


1-3/4” (45 mm) flange 401993 A4421 10/bx2-1/4” (57 mm) flange 401994 A4421 10/bx2-3/4” (70 mm) flange 401995 A4421 10/bx4” (100 mm) flange 401996 A4421 10/bx

OSTO

MY OSTOM

Y


SUR-FIT Natura® Durahesive® Cut-to-Fit Skin Barriers With tape collar, low-profile flange.


1-1/4” flange (4” x 4”) 413153 A4409 10/bx1-1/2” flange (4” x 4”) 413154 A4409 10/bx1-3/4” flange (4” x 4”) 413155 A4409 10/bx2-1/4” flange (4” x4”) 413156 A4409 10/bx2-3/4” flange (5” x 5”) 413157 A4410 10/bx4” flange (6” x 6”) 401905 A4410 5/bx

SUR-FIT Natura® Stomahesive® Flexible Cut-to-Fit Skin Barriers with Flange

Designed for patients whose stoma output is semi-formed to formed stool, this special formula enables the skin barrier/wafer to adhere to both dry and moist skin. Holds firmly to skin while helping to protect against irritating output. Outer protective coating helps keep it in place, maintaining skin adhesion when showering, bathing and swimming. Easy to fit, apply and remove.


WHITE TAN

1-1/4” flange, up to 3/4” (4” x 4”) 125257 125262 A4414 10/bx1-1/2” flange, up to 1” (4” x 4”) 125258 125263 A4414 10/bx1-3/4” flange, up to 1-1/4” (4” x 4”) 125259 125264 A4414 10/bx2-1/4” flange, up to 1-3/4” (5” x5”) 125260 125265 A4414 10/bx2-3/4” flange, up to 2-1/4” (5” x 5”) 125261 125266 A4414 10/bx

SUR-FIT Natura Stomahesive® Flexible Precut Skin BarriersSoft, adhesive tan collar for maximum comfort. Low-profile flange with excellent skin protection.


1-3/4” FLANGE (45 MM), 5” X 5”1/2” stoma 125267 A4414 10/bx5/8” stoma 125268 A4414 10/bx3/4” stoma 125269 A4414 10/bx7/8” stoma 125270 A4414 10/bx1” stoma 125271 A4414 10/bx1-1/8” stoma 125272 A4414 10/bx1-1/4” stoma 125273 A4414 10/bx1-3/8” stoma 125274 A4414 10/bx

2-1/4” FLANGE (57 MM), 5” X 5”1-1/2” stoma 125275 A4414 10/bx1-5/8” stoma 125276 A4414 10/bx1-3/4” stoma 125277 A4414 10/bx

SUR-FIT Natura® Stomahesive® Cut-to-Fit Skin Barriers with FlangeWithout tape collar.


1-1/4” flange (4” x 4”) 401573 A4414 10/bx1-1/2” flange (4” x 4”) 401574 A4414 10/bx1-3/4” flange (4” x 4”) 401575 A4414 10/bx2-1/4” flange (4” x 4”) 401576 A4414 10/bx2-3/4” flange (5” x 5”) 401577 A4415 10/bx4” flange (6” x 6”) 401906 A4415 5/bx

SUR-FIT Natura® Disposable Convex InsertsFor use with SUR-FIT Natura® skin barriers only. Select an insert that is at least 1/4” larger than the maximum diameter of stoma.


1-1/2” (38 MM) FLANGE3/4” inner diameter opening 404006 A5093 5/bx7/8” inner diameter opening 404007 A5093 5/bx1” inner diameter opening 404008 A5093 5/bx

1-3/4” (45 MM) FLANGE1-1/8” inner diameter opening 404009 A5093 5/bx1-1/4” inner diameter opening 404010 A5093 5/bx1-3/8” inner diameter opening 404011 A5093 5/bx

2-1/4” (57 MM) FLANGE1-1/2” inner diameter opening 404012 A5093 5/bx1-5/8” inner diameter opening 404013 A5093 5/bx

SUR-FIT NATURA® POUCHES

Drainable Pouches

12” SUR-FIT Natura® + Drainable Pouch with Invisiclose® Tail Closure System, without Filter, Transparent

One-sided comfort panel. ITEM # HCPCS SOLD BY

1-3/4” (45 mm) flange 416418 A5063 30/bx2-1/4” (57 mm) flange 418421 A5063 30/bx2-3/4” (70 mm) flange, 416424 A5063 30/bx4” (100 mm) flange 416472 A5063 30/bx

12” SUR-FIT Natura® + Drainable Pouch with Invisiclose® Tail Closure System and Filter

Transparent features one-sided comfort panel; opaque features two-sided comfort panel.


TRANSPARENT OPAQUE

1-1/2” (38 mm) flange 416414 416415 A4425 10/bx1-3/4” (45 mm) flange 416416 416417 A4425 10/bx2-1/4” (57 mm) flange 416419 416420 A4425 10/bx2-3/4” (70 mm) flange 416422 416423 A4425 10/bx

Closed-End Pouches

8” SUR-FIT Natura® + Closed-End Pouch with Filter, OpaqueTwo-sided comfort panel.


WITHOUT WITH FILTER FILTER

1-1/4” (32 mm) flange 416401 416400 A4425 30/bx1-1/2” (38 mm) flange 416404 416403 A4425 30/bx1-3/4” (45 mm) flange 416407 416406 A4425 30/bx2-1/4” (57 mm) flange 416410 416409 A4425 30/bx2-3/4” (70 mm) flange 416413 416412 A4425 30/bx

6” SUR-FIT Natura® + Mini Closed-End Pouch without Filter, OpaqueTwo-sided comfort panel.


1-1/4” (32 mm) flange 416402 A5054 30/bx1-1/2” (38 mm) flange 416405 A5054 30/bx1-3/4” (45 mm) flange 416408 A5054 30/bx2-1/4” (57 mm) flange 416411 A5054 30/bx

SUR-FIT NATURA® POUCHES

Drainable Pouches

12” SUR-FIT Natura® Drainable Pouches with InvisiClose® Tail Closure System and Filter

InvisiClose® Tail Closure System features an integrated locking mechanism with additional security flap that offers comfort and protects skin and clothing from locking material. Outlet end strips and interlocking closure are easy to open and clean, and control flow and reduce splashing. Transparent has one-sided comfort panel, and opaque has two-sided comfort panel.


1-1/2” flange N/A 411309 A4425 20/bx1-3/4” flange 411360 411310 A4425 20/bx2-1/4” flange 411361 411311 A4425 20/bx2-3/4” flange 411362 411312 A4425 20/bx

12” SUR-FIT Natura® Drainable Pouches with InvisiClose® Tail Closure System, without Filter

Clipless tail closure is easy to drain; offers double security, comfort and cleanliness.


TRANSPARENT1-3/4” flange 413312 A5063 10/bx2-1/4” flange 413313 A5063 10/bx2-3/4” flange 413314 A5063 10/bx

OPAQUE1-3/4” flange 413334 A5063 20/bx2-1/4” flange 413335 A5063 20/bx2-3/4” flange 413336 A5063 20/bx

12” SUR-FIT Natura® Drainable Pouches with FilterSpecially engineered filter vents automatically which helps reduce ballooning. Filter membrane maintains airflow, even when soiled, and helps prevent leakage. Charcoal filter deodorizes air as it passes through. In transparent (one-sided comfort panel); and opaque (two-sided comfort panel).


TRANSPARENT1-1/2” (38 mm) flange 411264 A4425 10/bx 1-3/4” (45 mm) flange 411265 A4425 10/bx2-1/4” (57 mm) flange 411266 A4425 10/bx2-3/4” (70 mm) flange 411267 A4425 10/bx

OPAQUE1-1/4” (32 mm) flange 411489 A4425 20/bx1-1/2” (38 mm) flange 411490 A4425 20/bx1-3/4” (45 mm) flange, 411491 A4425 20/bx2-1/4” (57 mm) flange 411492 A4425 20/bx2-3/4” (70 mm) flange 411493 A4425 20/bx

SUR-FIT Natura® Standard Drainable Pouches without Filter, Transparent

With one-sided comfort panel and two tail closures per box. ITEM # HCPCS SOLD BY

12”1-1/4” flange 401510 A5063 10/bx1-1/2” flange 401511 A5063 10/bx1-3/4” flange 401512 A5063 10/bx2-1/4” flange 401513 A5063 10/bx2-3/4” flange 401514 A5063 10/bx

14”4” flange 401515 A5063 10/bx

ConvaTecAll ConvaTec ostomy products are latex-free. LATEX FREE

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Urostomy Pouches

SUR-FIT Natura® Urostomy Pouches, TransparentDesigned for easy handling, comfort and a more discreet appearance, these feature bendable tap and one-sided comfort panel. Each box contains two universal night drainage adapters.

ITEM # ITEM # HCPCS SOLD BY 9” SMALL 10” STANDARD

1-1/4” flange 401538 401533 A5073 10/bx1-1/2” flange 401539 401534 A5073 10/bx1-3/4” flange 401540 401535 A5073 10/bx2-1/4” flange 401541 401536 A5073 10/bx2-3/4” flange N/A 401537 A5073 10/bx

SUR-FIT Natura® Urostomy Pouches with Accuseal® Tap with ValveWith a swivel valve with a stem plug, the Accuseal® adapter facilitates connection to a night drainage system. Contoured for quick and easy emptying, and designed for use with any SUR-FIT Natura® Stomahesive® or Durahesive® skin barrier/wafer. Comfort panel on the body side only.


9” SMALL TRANSPARENT OPAQUE

1-1/4” flange N/A 401547 A4432 10/bx1-1/2” flange N/A 401548 A4432 10/bx1-3/4” flange N/A 401549 A4432 10/bx2-1/4” flange N/A 401550 A4432 10/bx

10” STANDARD TRANSPARENT OPAQUE

1-1/4” flang 401542 401551 A4432 10/bx1-1/2” flange 401543 401552 A4432 10/bx1-3/4” flange 401544 401553 A4432 10/bx2-1/4” flange 401545 401554 A4432 10/bx2-3/4” flange 401546 401555 A4432 10/bx

SUR-FIT NATURA® UNIT DOSE KITS

12” SUR-FIT Natura® Flexible Drainable Pouches without Filter, Transparent

With Stomahesive® flexible skin barrier with flange, one-sided comfort panel, white tape collar (except item # 401922) and drainable pouch/tail closure.


1-3/4” flange 401920 A4414/A5063 5 sets/bx2-1/4” flange 402239 A4414/A5063 5 sets/bx2-3/4” flange 401921 A4414/A5063 5 sets/bx4” flange 401922 A4415/A5063 5 sets/bx

12” SUR-FIT Natura® Standard Drainable Pouches without Filter, Opaque

Two tail closures per box. ITEM # ITEM # HCPCS

ONE-SIDED COMFORT PANEL 10/BX 20/BX

1-1/4” flange 401932 404014 A50631-1/2” flange 401933 404015 A50631-3/4” flange 401934 404016 A50632-1/4” flange 401935 404017 A50632-3/4” flange 401936 404018 A5063

TWO-SIDED COMFORT PANEL1-1/4” flange 401500 404025 A50631-1/2” flange 401501 404026 A50631-3/4” flange 401502 404027 A50632-1/4” flange 401503 404028 A50632-3/4” flange 401504 404029 A5603

10” SUR-FIT Natura® Drainable Pouches with Filter, OpaqueSpecially engineered filter vents automatically to help lessen ballooning. Filter membrane maintains airflow, even when soiled, to prevent leakage. With two-sided comfort panel and two tail closures.


1-1/4” (32-mm) flange 411288 A4425 20/bx1-1/2” (38-mm) flange 411289 A4425 20/bx1-3/4” (45-mm) flange 411290 A4425 20/bx2-1/4” (57-mm) flange 411291 A4425 20/bx2-3/4” (70-mm) flange 411292 A4425 20/bx

10” SUR-FIT Natura® Small Drainable Pouches without Filter, OpaqueWith two-sided comfort panel and two tail closures.


1-1/4” flange 401505 404030 A50631-1/2” flange 401506 404031 A50631-3/4” flange 401507 404032 A50632-1/4” flange 401508 404033 A50632-3/4” flange 401509 404034 A5603

14” SUR-FIT Natura® Drainable Pouches for High Output, OpaqueWith one-sided comfort panel, anti-reflux valve, replaceable filter and outlet with spout and cap. Holds 100 cc additional drainage.


TRANSPARENT OPAQUE

1-3/4” (45-mm) flange 420695 401557 A4413 5/bx2-1/4” (57-mm) flange 420696 401558 A4413 5/bx2-3/4” (70-mm) flange 420697 401559 A4413 5/bx

Closed-End Pouches

5” SUR-FIT Natura® Mini-Pouches without Filter, OpaqueThese closed-end pouches may be used everyday, are designed for one-time usage, especially special occasions or intimate moments (no draining or uncomfortable clip to worry about). Simply remove the pouch, and discard in a disposable bag. With one-sided comfort panel.


1-1/4” flange 401529 A5054 20/bx1-1/2” flange 401530 A5054 20/bx1-3/4” flange 401531 A5054 20/bx2-1/4” flange 401532 A5054 20/bx

8” SUR-FIT Natura® Closed End Pouches without Filter, OpaqueWith two-sided comfort panel.


1-1/2” flange 401521 413169 A50541-3/4” flange 401522 413170 A50542-1/4” flange 401523 413171 A50542-3/4” flange 401524 413172 A5054

8” SUR-FIT Natura® Closed End Pouches with Filter, OpaqueWith two-sided comfort panel.


1-1/2” flange 401525 413173 A44191-3/4” flange 401526 413174 A44192-1/4” flange 401527 413175 A44192-3/4” flange 401528 413176 A4419

Stoma Caps

SUR-FIT Natura® Flange Caps with Filter, OpaqueOne-sided comfort panel.


1-3/4” 401909 A5055 25/bx

SUR-FIT Natura® Urostomy Pouches, TransparentDurahesive® flexible skin barrier with flange and white tape collar. Each kit contains an Accuseal® night drainage adapter.


1-3/4” flange 401923 A4409/A4432 5 sets/bx2-1/4” flange 401924 A4409/A4432 5 sets/bx

ACTIVELIFE® ONE-PIECE OSTOMY SYSTEMS

The only one-piece system available with both Stomahesive® and Durahesive® skin barriers. Flexible, integrated skin barrier enables molding to body contours.

Drainable Pouches

12” ActiveLife® One-Piece Cut-to-Fit Drainable Pouches with Stomahesive® Skin Barrier without Filter, Transparent

Designed for patient comfort with one-sided comfort panel, and can accommodate stoma sizes 3/4” (19) – 2-1/2” (64 mm). Includes tape collar and one tape closure. ITEM # HCPCS SOLD BY

22771 A5061 10/bx 125330 A5061 20/bx

12” ActiveLife® One-Piece Cut-to-Fit Drainable Pouches with Durahesive Plus® Skin Barrier, without Filter

Allows patients to enjoy the benefits of ActiveLife® drainable pouches with Durahesive Plus® skin barriers for extended wear time. One-sided comfort panel and tape collar 3/4” (19 mm) – 2-1/2” (64 mm).



10” ActiveLife® One-Piece Precut Drainable Pouches with Stomahesive® Skin Barrier, without Filter, Opaque

With a one-sided comfort panel and tape collar. One tail closure per box. ITEM # ITEM # HCPCS 10/BX 20/BX

3/4” 22750 125331 A50611” 22751 N/A A50611-1/4” 22752 125333 A50611-1/2” 22753 125334 A50611-3/4” 22754 125335 A50612” 22755 125336 A50612-1/2” 22756 125337 A5061


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12” ActiveLife® One-Piece Precut Drainable Pouches with Stomahesive® Skin Barrier, without Filter

One-sided comfort panel and tape collar. ITEM # ITEM # HCPCS SOLD BY TRANSPARENT OPAQUE

3/4” 22764 22757 A5061 10/bx3/4” N/A 125338 A5061 20/bx1” 22765 22758 A5061 10/bx1” N/A 125339 A5061 20/bx1-1/4” 22766 22759 A5061 10/bx1-1/4” N/A 125340 A5061 20/bx1-1/2” 22767 22760 A5061 10/bx1-1/2” N/A 125341 A5061 20/bx1-3/4” 22768 22761 A5061 10/bx1-3/4” N/A 125342 A5061 20/bx2” 22769 22762 A5061 10/bx2” N/A 125343 A5061 20/bx2-1/2” 22770 22763 A5061 10/bx2-1/2” N/A 125344 A5061 20/bx

12” ActiveLife® Convex Precut Drainable Pouches with Durahesive® Skin Barrier, without Filter, Transparent

One-sided comfort panel and tape collar. ITEM # ITEM # HCPCS 5/BX 10/BX

3/4” 175777 125352 A43907/8” 175778 125353 A43901” 175779 125354 A43901-1/8” 175780 125355 A43901-1/4” 175781 125356 A43901-3/8” 175782 125357 A43901-1/2” 175783 125358 A43901-3/4” 175784 125359 A43902” 175785 N/A A4390

Stoma Caps

ActiveLife® One-Piece Stoma Cap with FilterA flexible, one-piece, lightweight system that combines the skin barrier and pouch into one easy-to-manage system.


175611 A5055 30/bx

Closed-End Pouches

8” ActiveLife® One-Piece Closed-End Pouches with Stomahesive® Skin Barrier and Filter

With one-sided comfort panel and filter; no tape collar. ITEM # ITEM # HCPCS SOLD BY TRANSPARENT OPAQUE

Cut-to-fit, 3/4” – 2-1/2” 175761 175768 A4416 15/bxCut-to-fit, 3/4” – 2-1/2” 413147 413141 A4416 60/bx

Precut, 1” opening 175762 175769 A4416 15/bxPrecut, 1” opening 413148 413142 A4416 60/bxPrecut, 1-1/4” opening 175763 175770 A4416 15/bxPrecut, 1-1/4” opening 413149 413143 A4416 60/bxPrecut, 1-1/2” opening 175764 175771 A4416 15/bxPrecut, 1-1/2” opening 413150 413144 A4416 60/bxPrecut, 1-3/4” opening 175765 175772 A4416 15/bxPrecut, 1-3/4” opening 413151 413145 A4416 60/bxPrecut, 2” opening 175766 175773 A4416 15/bxPrecut, 2” opening 413152 413146 A4416 60/bx

ActiveLife® One-Piece Cut-to-Fit Closed-End Pouches with Stomahesive® Skin Barrier and Filter

With one-sided comfort panel and tape collar. Can accommodate stoma sizes 3/4” (19 mm) – 2” (50 mm); includes 30 filter covers / box. ITEM # HCPCS SOLD BY


Urostomy Pouches

8” ActiveLife® One-Piece Precut Urostomy Pouches with Durahesive® Skin Barrier and Accuseal® Tap with Valve, Transparent

With one-sided comfort panel. Each box contains one Accuseal® night drainage adapter.


3/4” opening 650828 A4428 10/bx7/8” opening 650829 A4428 10/bx1” opening 650830 A4428 10/bx1-1/8” opening 650831 A4428 10/bx1-1/4” opening 650832 A4428 10/bx1-1/2” opening 650833 A4428 10/bx

8” ActiveLife® Convex One-Piece Precut Urostomy Pouches with Durahesive® Skin Barrier, Transparent

Each box contains one universal night drainage adapter. ITEM # ITEM # HCPCS 5/BX 10/BX

1/2” opening 175790 125361 A43935/8” opening 175791 125362 A43933/4” opening 175792 125363 A43937/8” opening 175793 125364 A43931” opening 175794 125365 A43931-1/8” opening 175795 125366 A43931-1/4” opening 175796 125367 A43931-3/8” opening 175797 125368 A43931-1/2” opening 175798 125369 A4393

LITTLE ONES® SUR-FIT NATURA® PEDIATRIC

TWO-PIECE OSTOMY SYSTEMS

Color-Coded Size Chart: SUR-FIT Natura® Ostomy Systems

Up to 1-1/4” BROWN Up to 1-3/4” LIGHT GREEN

Little Ones® SUR-FIT Natura® Flexible Stomahesive® Skin BarriersDesigned to fit a young child’s body, emphasizing comfort and flexible movement. Soft, pliable adhesive white tape collar applies easily and anchors securely, offering exceptional skin protection. Quick to dry after bathing.


1-1/4” flange (3” x 3”) 401925 A4414 5/pk1-3/4” flange (4” x 4”) 401926 A4414 5/pk

6” Little Ones® SUR-FIT Natura® Standard Drainable Pouches without Filter, Transparent

For infants and children, a specially designed two-piece system permits easy pouch removal and repositioning to ensure unobstructed draining, even while child sleeps. Wide-tail opening for faster, easier emptying. 6” long pouch with one-sided comfort panel.


1-1/4” flange 401927 A5063 10/pk1-3/4” flange 401928 A5063 10/pk

6” Little Ones® SUR-FIT Natura® Standard Closed Pouches without Filter, Opaque

For parents and children who want the convenience and security of a two-piece, closed-end system with a two-sided comfort panel. This child-friendly design eliminates the need for a tail clip and allows for disposal after one-time use.


1-1/4” flange 401930 A5054 20/pk1-3/4” flange 401931 A5054 20/pk

6” Little Ones® SUR-FIT Natura® Urostomy Pouches, TransparentDesigned to fit comfortably on a child’s body, protect sensitive skin and offer a secure coupling. Anti-reflux valve keeps urine from pooling at base of stoma and secure drainage tap provides leak-proof dependability. Pouches can be easily repositioned for unobstructed drainage, even while a child sleeps. Drainage adapter easily attaches to night drainage container; with one-sided comfort panel.


1-1/4” flange 401929 A5073 10/pk

LITTLE ONES® ADHESIVE COUPLING TECHNOLOGYTM

PEDIATRIC OSTOMY SYSTEMS

Color-Coded Size Chart: Adhesive Coupling TechnologyTM

Up to 9/10” YELLOW Up to 1/5” – 1-1/4” PEACHLittle Ones® Two-Piece Adhesive Coupling TechnologyTM Cut-to-Fit Skin Barriers

ITEM # HCPCS SOLD BYROUND

X-Small, up to 9/10” (23 mm) 411632 A4414 5/bxSQUARE

Standard, 1/5” – 1-1/4 411641 A4414 5/bx(4.8 mm – 31 mm) Standard flexible, 1/5” – 1-1/4” 411642 A4414 5/bx(4.8 mm – 31 mm)

8” Little Ones® Two-Piece Adhesive Coupling TechnologyTM Standard Closed-End Pouches with Filter


1/5” – 1-1/4” 411640 411639 A4419 10/bx (4.8 mm – 31 mm)

8” Little Ones® Two-Piece Adhesive Coupling TechnologyTM Standard Drainable Pouches with InvisiClose® Tail Closure System and Filter


1/5” – 1-1/4” 411637 411638 A4425 10/bx(4.8 mm – 31 mm)


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LITTLE ONES® ACTIVELIFE® POUCHES

6” Little Ones® One-Piece Extra Small Drainable Pouches with Stomahesive® Skin Barrier and InvisiClose® Tail Closure System, without Filter, Transparent

One-sided comfort panel. ITEM # HCPCS SOLD BY

Up to 9/10” (23 mm) 411633 A5061 10/bx

6” Little Ones® ActiveLife® One-Piece Cut-to-Fit Drainable Pouches with Stomahesive® Skin Barrier, without Filter, Transparent

One-sided comfort panel; does not include tape collar. Each box has 16 individual tail closures. ITEM # HCPCS SOLD BY

5/16” – 2” opening 20922 A5061 15/pk

5” Little Ones® One-Piece Cut-to-Fit Urostomy Pouches with Stomahesive® Skin Barrier, Transparent

Does not include tape collar or comfort panels. Each box has two night drainage adapters. ITEM # HCPCS SOLD BY

20917 A5071 15/pk

ConvaTec® Night Drainage Container SetContains one night drainage container with tubing, one container cover and one universal adapter. ITEM # HCPCS SOLD BY

27060 A5102 ea

ConvaTec® Night Drainage Container TubingFor use with night drainage container. Approximately 58” long.


27062 A4331 ea

IRRIGATION SUPPLIES

Visi-Flow® Irrigation Starter SetIncludes one Visi-Flow® irrigator with stoma cone, two SUR-FIT Natura® Stomahesive® Skin Barriers with Flange, two Visi-Flow® Irrigation Sleeves, two SUR-FIT Natura® Closed-End pouches, stoma lubricant, ostomy belt, tail closure, brush and carrying case. ITEM # HCPCS SOLD BY

1-3/4” flange 401916 A4400 ea2-3/4” flange 401917 A4400 ea

Visi-Flow® Irrigation Adapter FaceplateFor use with all Visi-Flow® irrigation products. ITEM # HCPCS SOLD BY

1-3/4” flange 401918 A4361 ea2-3/4” flange 401919 A4361 ea

Visi-Flow® Irrigation with Stoma ConeFor people with colostomies for whom irrigation is indicated. Designed for flexibility, softness on the outside while tough on the inside to prevent premature collapse.


401989 A4398/A4399 ea

Visi-Flow® Stoma ConeFor people with colostomies for whom irrigation is indicated. Designed for flexibility; soft on the outside and tough on the inside to prevent premature collapse. ITEM # HCPCS SOLD BY

22736 A4399 ea

SUR-FIT Natura® Visi-Flow® Two-Piece Irrigation Sleeves, TransparentOne tail closure per box. Refer to the color-coded size chart on page 6 for the following products.


1-1/2” flange 401911 A4397 5/bx1-3/4” flange 401912 A4397 5/bx2-1/4” flange 401913 A4397 5/bx2-3/4” flange 401914 A4397 5/bx

ACCESSORIES Skin Barriers/Seals

Eakin Cohesive® SealsA donut-shaped ostomy accessory moldable to numerous shapes, acting as a gasket or barrier to provide enhanced protection for hard-to-fit stomas. Moldable hydrocolloid barrier forms a gel to seal between skin and ostomy appliance. ITEM # HCPCS SOLD BY

Small (2” diameter) 839002 A4385 20/bxLarge (4” diameter) 839001 A4385 10/bx

Eakin Cohesive® SLIMS®Moldable, moisture-absorbing ostomy barrier seals help protect the skin from bodily fluids. By filling in uneven skin surfaces to create a leak-resistant level base, it offers the same benefits as the current Eakin Cohesive® Seals, while also offering gentle skin protection, leakage mitigation with a lower profile and less residue. 1/8” thick. 2” diameter. ITEM # HCPCS SOLD BY

839005 A4385 10/bx

Eakin Cohesive® Skin BarriersMoldable and moisture absorbing, protecting skin from contact with bodily fluids. For use where skin is vulnerable, damaged or excoriated. ITEM # HCPCS SOLD BY

Small (4” x 4”) 839004 A4385 5/bxLarge (4” x 8”) 839003 A4385 5/bx

Stomahesive® Skin BarriersMultipurpose skin barriers help protect peristomal skin and designed to assist in managing difficult stomas. No starter hole. ITEM # HCPCS SOLD BY

4” x 4”, nonsterile 21712 A4362 5/bx4” x 4”, sterile 21901 A4362 5/bx8” x 8”, nonsterile 21715 A5122 3/bx

Stomahesive® Strips (Moldable Adhesive)Double-sided, designed for use as a filler to protect uneven skin surfaces by an ostomy, fistula or wound. Three cards of five strips each. ITEM # HCPCS SOLD BY

25542 A4362 15/bx

Paste/Powder/Wipes

Stomahesive® PastePectin-based; ideal for use as a filler for uneven skin surfaces. Extend wear time by absorbing moisture, while helping to prevent skin irritation. 2-oz. tube.


183910 A4406 ea

Stomahesive® Protective PowderPowder creates a protective barrier against excoriated or weeping skin. 1-oz. bottle. ITEM # HCPCS SOLD BY

25510 A4371 ea

AllKare® Adhesive Remover WipesEffectively removes tape, skin barrier/wafer and adhesive residue that when left on skin can reduce wear time. ITEM # HCPCS SOLD BY

37436 A4456 50/bx 37443 A4456 100/bx

AllKare® Protective Barrier WipesCreate a barrier film layer on the skin beneath tapes, skin barriers/wafers, adhesives and hydrocolloid dressings; protects against adhesive buildup and irritation. ITEM # HCPCS SOLD BY

37439 A5120 50/bx 37444 A5120 100/bx

Belts

Ostomy Appliance BeltFor use with all ConvaTec pouches to offer added sense of security. Adjustable up to 42”.


175507 A4367 ea

Pouch Clamps

ConvaTec® Tail ClosuresA clicking noise signals tail closure, offering added security. Compatible with ActiveLife®, SUR-FIT Natura® and Esteem synergy® drainable pouches.


175635 A4363 ea

DuoLock® Curved Tail ClosureUniquely curved tail closure conforms to body contours. For use with SUR-FIT Natura®, Esteem synergy® and ActiveLife® drainable pouches.


175652 A4363 ea


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Hollister Incorporated

PREMIER™ ONE-PIECE POUCHING SYSTEMS

Drainable Pouches

12” Premier™ Drainable Pouches with Flat Skin Barriers and Tape, Transparent

ComfortWear™ panels provide a soft, cloth-like covering between the pouch and the skin, offering discreetness and confidence with odor-barrier, rustle-free film and anatomically shaped pouches. Clamp closure with Flextend® (extended wear) Skin Barrier. ITEM # HCPCS SOLD BY

Cut-to-fit, up to 2-1/2” 8631 A4388 10/bx3/4” opening 8637 A4388 10/bx1” opening 8632 A4388 10/bx1-1/4” opening 8638 A4388 10/bx1-12” opening 8633 A4388 10/bx1-3/4” opening 8639 A4388 10/bx2” opening 8634 A4388 10/bx2-1/2” opening 8635 A4388 10/bx

12” Premier™ Drainable Pouches with Convex Skin Barriers and Tape, Transparent

Built-in convexity provides security and skin protection for recessed, retracted or flush stomas. Body-side ComfortWear™ panels create soft, cloth-like covering between the pouch and the skin. Clamp closure with Flextend® (extended wear) Skin Barrier. With belt tabs. ITEM # HCPCS SOLD BY

Cut-to-fit, up to 1” 8624 A4390 5/bxCut-to-fit, up to 1-1/2” 8628 A4390 5/bx

Cut-to-fit, up to 2” 86211 A4390 5/bx3/4”opening 8610 A4390 5/bx7/8” opening 8611 A4390 5/bx1” opening 8612 A4390 5/bx1-1/8” opening 8613 A4390 5/bx1-1/4” opening 8614 A4390 5/bx1-3/8” opening 8615 A4390 5/bx1-1/2” opening 8616 A4390 5/bx1-5/8” opening 8617 A4390 5/bx1-3/4” opening 8618 A4390 5/bx2” opening 8619 A4390 5/bx

12” Premier™ Cut-to-Fit Drainable Pouches without Integrated Filter with SoftFlex® (Standard Wear) Skin Barriers, Ultra Clear

Tape border not included. Up to 2-1/2” ITEM # HCPCS SOLD BY

Lock ‘n Roll® Microseal Closure 88401 A5061 10/bxPouch Clamp Closure 88501 A5061 10/bx

12” Premier™ Cut-to-Fit Drainable Pouches without Integrated Filter with Flat Skin Barriers, Ultra Clear, Clamp Closure

Pouch clamp and Flextend® (extended wear) skin barrier with tape border. ITEM # HCPCS SOLD BY

Up to 2-1/2” 8651 A4388 10/bx

12” Premier™ Lock ‘n Roll® Microseal Closure Drainable Pouches with Convex Skin Barriers

Odor-barrier, rustle-free pouch with Flextend® (extended wear) skin barrier with tape and ComfortWear™ panels. With belt tabs. ITEM # ITEM # HCPCS SOLD BY BEIGE TRANSPARENT

Cut-to-fit, up to 1” 8504 8524 A4390 5/bxCut-to-fit, up to 1-1/2” 8508 8528 A4390 5/bxCut-to-fit, up to 2” 85011 85211 A4390 5/bx3/4” opening 8590 8510 A4390 5/bx7/8” opening 8591 8511 A4390 5/bx1” opening 8592 8512 A4390 5/bx1-1/8” opening 8593 8513 A4390 5/bx1-1/4” opening 8594 8514 A4390 5/bx1-3/8” opening 8595 8515 A4390 5/bx1-1/2” opening 8596 85116 A4390 5/bx1-5/8” opening 8597 N/A A4390 5/bx1-3/4” opening N/A 85118 A4390 5/bx2” opening 8599 85119 A4390 5/bx

12” Premier™ Lock ‘n Roll® Microseal Closure Drainable Pouches with Flat Skin Barriers

Odor-barrier, rustle-free pouch with Flextend® skin barrier (extended wear) with tape and ComfortWear™ panels. ITEM # ITEM # HCPCS SOLD BY BEIGE TRANSPARENT

Cut-to-fit, up to 2-1/2” 8551 N/A A4388 10/bx1” opening 8552 8532 A4388 10/bx1-1/4” opening 8558 8538 A4388 10/bx1-1/2” opening 8553 8533 A4388 10/bx1-3/4” opening 8559 8539 A4388 10/bxULTRA CLEAR

Cut-to-fit, up to 2-1/2” N/A 8531 A4388 10/bx

12” Premier™ Drainable Pouches with Flat Skin Barriers, Ultra ClearOdor-barrier, rustle-free pouch with Flexwear® skin barrier (standard wear) with tape and ComfortWear™ panels. Up to 2-1/2”. ITEM # HCPCS SOLD BY

Lock ‘n Roll® Microseal Closure 8031 A5061 10/bxPouch Clamp Closure 8131 A5061 10/bx

12” Premier™ Lock ‘n Roll® Microseal Closure Cut-to-Fit Drainable Pouches with Convex Skin Barriers and Integrated Waterproof AF300™ Filter, Transparent

Odor-barrier, rustle-free pouch with Flextend® (extended wear) skin barrier with tape and ComfortWear™ panels on body side. ITEM # HCPCS SOLD BY

Up to 1” 8584 A5057 5/bxUp to 1-1/2” 8588 A5057 5/bxUp to 2” 85811 A5057 5/bx

12” Premier™ Lock ‘n Roll® Microseal Closure Cut-to-Fit DrainablePouches with Flat Skin Barriers and Integrated WaterproofAF300™ Filter, Transparent

Odor-barrier, rustle-free pouch with Flextend® (extended wear) skin barrier with tape and ComfortWear™ panels. AF300™ filter promotes enhanced airflow, reducing gas buildup and ballooning and improving odor control. ITEM # HCPCS SOLD BY

Up to 2-1/2” 8331 A5056 10/bx

12” Premier™ Lock ‘n Roll® Microseal Closure Drainable Pouches with SoftFlex® Flat Skin Barriers and Integrated Waterproof AF300™ Filter

Odor-barrier, rustle-free pouch with SoftFlex® (standard wear) skin barrier with ComfortWear™ panels. AF300™ filter enhances airflow, reduces gas buildup and ballooning, and improves odor control. Without tape border. ITEM # ITEM # HCPCS SOLD BY BEIGE TRANSPARENT

Cut-to-fit, up to 2-1/8” 88300 88400 A4424 10/bx1” opening 88325 88425 A4424 10/bx1-3/16” opening 88330 88430 A4424 10/bx1-3/8” opening 88335 88435 A4424 10/bx1-9/16” opening 88340 88440 A4424 10/bx

12” Premier™ Lock ‘n Roll® Microseal Closure Drainable Pouches with Flexwear® Flat Skin Barriers and Integrated Waterproof AF300™ Filter

Odor-barrier, rustle-free pouch with Flexwear® (standard wear) skin barrier with tape and ComfortWear™ panels. The AF300™ Filter improves airflow to reduce gas buildup and ballooning, and reduce odor. ITEM # ITEM # HCPCS SOLD BY

BEIGE TRANSPARENT

Cut-to-fit, up to 2-1/2” 8181 8081 A4424 10/bx1” opening 8125 8025 A4424 10/bx1-3/16” opening 8130 8030 A4424 10/bx1-3/8” opening 8135 8035 A4424 10/bx1-9/16” opening 8140 8040 A4424 10/bx

9” Premier™ Mini Drainable Pouches with Flat Skin Barriers without Filter

Odor-barrier, rustle-free pouch with Flextend® (extended wear) skin barrier with tape and ComfortWear™ panels on both sides. Clamp closure. ITEM # HCPCS SOLD BYBEIGE

3/4” opening 8647 A4388 10/bx1” opening 8642 A4388 10/bx1-1/4” opening 8648 A4388 10/bx1-1/2” opening 8643 A4388 10/bx1-3/4” opening 8649 A4388 10/bx2” opening 8644 A4388 10/bx

TRANSPARENT

Cut-to-fit, up to 2-1/2” 8641 A4388 10/bx

7” Premier™ Lock ‘n Roll® Microseal Closure Mini Drainable Pouches with Flat Skin Barriers

Odor-barrier, rustle-free pouch with SoftFlex® (standard wear) skin barrier with ComfortWear™ panels. The AF300™ Filter enhances airflow which reduces gas buildup and ballooning, and improves odor control. Without tape border. ITEM # HCPCS SOLD BYBEIGE

Cut-to-fit, up to 2-1/8” 88700 A4424 20/bx(includes filter)1” opening 88725 A4424 20/bx1-3/16” opening 88730 A4424 20/bx1-3/8” opening 88735 A4424 20/bx1-9/16” opening 88740 A4424 20/bx

TRANSPARENT

Cut-to-fit, up to 2-1/8” 88800 A4424 20/bx(includes filter)

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12” Premier™ Cut-to-Fit High-Output with Soft Tap, without Filter, Ultra Clear

Includes all Premier™ features in a high-volume capacity pouch for better handling high-output situations. Features odor-barrier pouch with Flextend® (extended wear) skin barrier and Soft Tap—a wide bore opening and facilitates easy attachment to a variety of draining options. Body-side ComfortWear™ Panel offers a soft, cloth-like cover between the pouch and skin. Non-sterile, with access window. ITEM # HCPCS SOLD BY

Up to 2-3/4” 80070 A6154 10/bxUp to 4-1/3” 80110 A6154 10/bx

Urostomy Pouches

9” Premier™ Urostomy Pouches with Flat BarriersOdor-barrier film with Flextend® (extended wear) skin barrier, internal nonreflux valves and a drain valve for better regulation of flow rate. ComfortWear™ panels offer quiet and comfort. Includes tape and adjustable drain valve. ITEM # ITEM # HCPCS SOLD BY BEIGE TRANSPARENT

Cut-to-fit, up to 2-1/2” 8440 8460 A4428 10/bx3/4” opening 8447 8467 A4428 10/bx1” opening 8442 8462 A4428 10/bx1-1/4” opening 8448 8468 A4428 10/bx1-1/2” opening 8443 8463 A4428 10/bx1-3/4” opening 8449 8469 A4428 10/bx2” opening 8444 8464 A4428 10/bx

9” Premier™ Presized Urostomy Pouches with Convex Skin Barriers and Belt Tabs

Built-in convexity offers enhanced security and skin protection for recessed, retracted and flush stomas. Flextend® (extended wear) skin barrier with tape. ITEM # ITEM # HCPCS SOLD BY BEIGE TRANSPARENT

1/2” opening 8490 8480 A4430 5/bx5/8” opening 8491 8481 A4430 5/bx3/4” opening 8492 8482 A4430 5/bx7/8” opening 8493 8483 A4430 5/bx1” opening 8494 8484 A4430 5/bx1-1/8” opening 8495 8485 A4430 5/bx1-1/4” opening 8496 8486 A4430 5/bx1-3/8” opening 8497 8487 A4430 5/bx1-1/2” opening 8498 8488 A4430 5/bx1-3/4” opening 8499 8489 A4430 5/bx

9” Premier™ Cut-to-Fit Urostomy Pouches with Convex Skin Barriers and Belt Tabs

Built-in convexity enhances security and skin protection for recessed, retracted and flush stomas. Flextend® (extended wear) skin barrier with tape. ITEM # ITEM # HCPCS SOLD BY BEIGE TRANSPARENT

Up to 1” 8434 8474 A4430 5/bxUp to 1-1/2” 8438 8478 A4430 5/bxUp to 2” 84311 84711 A4430 5/bx

9” Premier™ Cut-to-Fit Urostomy Pouches with Flat Skin Barriers, without Filter, Ultra Clear

With Flextend® (extended wear) skin barrier; features tape border, but no filter. ITEM# HCPCS SOLD BY

Up to 2-1/2” 8450 A4428 10/bx

Closed-End Pouches

Premier™ Closed Pouches with Flat Skin Barriers and Integrated Waterproof AF300™ Filter

The AF300™ Filter enhances airflow, reducing gas buildup and ballooning, and improving odor control. SoftFlex® (standard wear) skin barrier. ITEM # HCPCS SOLD BY7” BEIGE

Cut-to-fit, up to 2-1/8” 82100 A4416 30/bx1” opening 82125 A4416 30/bx1-3/16” opening 82130 A4416 30/bx1-3/8” opening 82135 A4416 30/bx9” BEIGE

Cut-to-fit, up to 2-1/8” 82300 A4416 30/bx1” opening 82325 A4416 30/bx1-3/16” opening 82330 A4416 30/bx1-3/8” opening 82335 A4416 30/bxTRANSPARENT

7” pouch, cut-to-fit, up to 2-1/8” 82500 A4416 30/bx9” pouch, cut-to-fit, up to 2-1/8” 82400 A4416 30/bx

Stoma Caps

4” Stoma Caps with FilterOdor-barrier, rustle-free film is silent and soft, as if no pouch at all. Cap protects the skin but is gentle on removal. SoftFlex® (standard wear) skin barrier with tapered edges.


1-15/16” 1796 A5055 30/bx

KARAYA 5™ ONE-PIECE OSTOMY SYSTEMS

A natural skin barrier well-suited for skin problems or sensitive skin, Karaya 5™ seal rings have unique chemical properties that prevent the growth of organisms and resulting skin damage. These slightly convex (approximately 2 mm) seal rings are especially good for stomas that are flush, recessed or retracted.

Drainable Pouches

12” Karaya 5™ Drainable Pouches, Transparent with Belt TabsA convex skin barrier with porous tape and odor-barrier; its rustle-free film is soft and silent. Sold-by quantity is 10/bx. Clamp closure.

ITEM # HCPCS

1-1/4” pouch size (7/8” barrier opening) 3608 A43891-1/2” pouch size (1-1/8” barrier opening) 3603 A43891-3/4” pouch size (1-3/8” barrier opening) 3609 A43892” pouch size (1-1/2” barrier opening) 3604 A43892-1/2” pouch size (2” barrier opening) 3605 A43893” pouch size (2-1/2” barrier opening) 3606 A4389

INCLUDES ONE BAG OF 20 HOLLISTER REPLACEMENT FILTERS AND TWO PLUGS (ITEM # 7766)

ITEM # HCPCS

1” pouch size (5/8” barrier opening) 3662 A4389/A43681-1/4” pouch size (7/8” barrier opening) 3668 A4389/A43681-1/2” pouch size (1-1/8” barrier opening) 3663 A4389/A43681-3/4” pouch size (1-3/8” barrier opening) 3669 A4389/A4368

2” pouch size (1-1/2” barrier opening) 3664 A4389/A43682-1/2” pouch size (2” barrier opening) 3665 A4389/A4368

9” Karaya 5™ Drainable Pouches without Filter, Transparent with Belt Tabs ·

Convex skin barrier, excellent materials and odor-barrier film, with clamp closure and porous tape.


1” pouch size (5/8” barrier opening) 3232 A4389 30/bx1-1/4” pouch size (7/8” barrier opening) 3238 A4389 30/bx1-1/2” pouch size (1-1/8” barrier opening) 3233 A4389 30/bx1-3/4” pouch size (1-3/8” barrier opening) 3239 A4389 30/bx2” pouch size (1-1/2” barrier opening) 3234 A4389 30/bx

12” Karaya 5™ Drainable Pouches without Filter, Transparent with Belt Tabs

Odor-barrier film and convex skin barrier. With clamp closure and porous tape.


1” pouch size (5/8” barrier opening) 3222 A4389 30/bx1-1/4” pouch size (7/8” barrier opening) 3228 A4389 30/bx1-1/2” pouch size (1-1/8” barrier opening) 3223 A4389 30/bx1-3/4” pouch size (1-3/8” barrier opening) 3229 A4389 30/bx2” pouch size (1-1/2” barrier opening) 3224 A4389 30/bx2-1/2” pouch size (2” barrier opening) 3225 A4389 30/bx3” pouch size (2-1/2” barrier opening) 3226 A4389 30/bx

16” Karaya 5™ Drainable Pouches without Filter, Transparent with Belt Tabs

Superior pouch materials; odor-barrier film. With clamp closure and porous tape. ITEM # HCPCS SOLD BY

1-1/4” pouch size (7/8” barrier opening) 3278 A4389 30/bx1-1/2” pouch size (1-1/8” barrier opening) 3273 A4389 30/bx1-3/4” pouch size (1-3/8” barrier opening) 3279 A4389 30/bx2” pouch size (1-1/2” barrier opening) 3274 A4389 30/bx2-1/2” pouch size (2” barrier opening) 3275 A4389 30/bx3” pouch size (2-1/2” barrier opening) 3276 A4389 30/bx

Closed-End Pouches

9” Karaya 5™ Closed Pouches with Belt Tabs without Filter, Transparent

Convex skin barrier and odor-barrier film. ITEM # HCPCS SOLD BY

1-1/4” pouch size (7/8” barrier opening) 7168 A4387 30/bx1-1/2” pouch size (1-1/8” barrier opening) 7163 A4387 30/bx

2” pouch size (1-1/2” barrier opening) 7164 A4387 30/bx2-1/2” pouch size (2” barrier opening) 7165 A4387 30/bx3” pouch size (2-1/2” barrier opening) 7166 A4387 30/bx

9” Karaya 5™ Closed Pouches with Belt Tabs and Filter, Transparent ITEM # HCPCS SOLD BY

1-1/4” pouch size (7/8” barrier opening) 3328 A4417 30/bx1-1/2” pouch size (1-1/8” barrier opening) 3323 A4417 30/bx1-3/4” pouch size (1-3/8” barrier opening) 3329 A4417 30/bx2” pouch size (1-1/2” barrier opening) 3324 A4417 30/bx2-1/2” pouch size (2” barrier opening) 3325 A4417 30/bx3” pouch size (2-1/2” barrier opening) 3326 A4417 30/bx

OSTO

MY OSTOM

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7” Karaya 5™ Closed Mini-Pouches with Belt Tabs and Filter, Transparent

Porous tape, integrated filter and transparent, odor-barrier film and convex skin barrier. ITEM # HCPCS SOLD BY

1” barrier opening 3142 A4418 30/bx1-1/4” barrier opening 3148 A4418 30/bx1-1/2” barrier opening 3143 A4418 30/bx1-3/4” barrier opening 3149 A4418 30/bx2” barrier opening 3144 A4418 30/bx

Urostomy Pouches

9” Karaya 5™ Pouches, Transparent with Belt Tabs Porous tape and convex skin barrier. Internal non-reflux valves offer convenient drain valve and odor-barrier film.


1” pouch size (5/8” barrier opening) 1432 A4429 10/bx1-1/4” pouch size (7/8” barrier opening) 1438 A4429 10/bx1-1/2” pouch size (1-1/8” barrier opening) 1433 A4429 10/bx1-3/4” pouch size (1-3/8” barrier opening) 1439 A4429 10/bx2” pouch size (1-3/4” barrier opening) 1434 A4429 10/bx

Stoma Caps

4-1/4” Karaya 5™ Stoma Caps with Filter, WhiteWith porous tape and integrated filter. Absorbent pad protects the stoma and is nonadherent, lightweight and convenient.


2” barrier opening 3184 A5055 30/bx3” barrier opening 3186 A5055 30/bx

POUCHKINS™ ONE-PIECE PEDIATRIC OSTOMY SYSTEMS

The Pouchkins™ Pediatric Ostomy System, including both one- and two-piece products, is designed for premature babies, infants or children. Pouchkins™ incorporates the latest technology andmaterials, reflecting an advancement in pediatric ostomy care, with the finest selection of high-quality products available today.

Drainable Pouches

6-1/2” Pouchkins™ One-Piece Cut-to-Fit Infant Ostomy Drainable Pouches without Filter

With flat SoftFlex® (standard wear) skin barrier; odor-barrier, rustle-free film; Lock ‘n Roll® Microseal closure; and ComfortWear™ panels (body side only). No starter hole, integrated filter or tape border. ITEM # HCPCS SOLD BY

Up to 1-1/2” 3796 A5061 10/bx

7” Pouchkins™ One-Piece Cut-to-Fit Child Ostomy Drainable Pouches with Integrated Waterproof AF300™ Filter

Features flat SoftFlex® (standard wear) skin barrier; integrated AF300™ filter; odor-barrier, rustle-free film; Lock ‘n Roll® Microseal closure; and ComfortWear™ panels (body side only). No starter hole or tape border.


Up to 2” 3795 A4424 10/bx

Urostomy Pouches

8-3/4” Pouchkins™ One-Piece Cut-to-Fit Infant Urostomy PouchesFeatures flat SoftFlex® (standard wear) skin barrier; odor-barrier, rustle-free film; and ComfortWear™ panels (body side only). Do not contain starter hole, integrated filter or tape border. ITEM # HCPCS SOLD BY

Up to 1-1/2” 3797 A5071 10/bx

POUCHKINS™ TWO-PIECE PEDIATRIC OSTOMY SYSTEMS

Skin Barriers

Pouchkins™ Infant/Child Ostomy Two-Piece BarriersWith flat SoftFlex® (standard wear) skin barrier. Does not contain starter hole or tape border. 1-3/4” flange size. Barrier opening up to 1-1/4”.


3761 A4414 5/bx

Closed-End Pouches

4-1/2” Pouchkins™ Cut-to-Fit Premie PouchesClosed pouch can be cut at bottom to use as a drainable pouch. Use only with SoftFlex® (standard wear) skin barrier. Flexible and gentle to baby’s sensitive skin. Designed for comfort, with odor-barrier film and soft-wire closures. Does not include starter hole, integrated filter or tape border.


Up to 5/8” 3777 A5052 15/bx

6-1/2” Pouchkins™ Cut-to-Fit Newborn PouchesFlexible and gentle to baby’s sensitive skin; comfortable, with odor-barrier film. Features a closed pouch, which can be cut at bottom and used as a drainable pouch. Use only with SoftFlex® (standard wear) skin barrier. Packaged with soft-wire closures. ITEM # HCPCS SOLD BY

Up to 1-3/8” 3778 A5062 15/bx

Drainable Pouches

6-1/2” Pouchkins™ Two-Piece Infant Ostomy Drainable Pouches without Filter

Odor-barrier, rustle-free film; Lock ‘n Roll® Microseal closure; ComfortWear™ panels (body side only); and belt tabs. Does not have starter hole, integrated filter or tape border. 1-3/4” flange size. ITEM # HCPCS SOLD BY

3799 A5063 10/bx

7” Pouchkins™ Two-Piece Child Ostomy Pouches with Integrated Waterproof AF300™ Filter, Transparent

With integrated AF300™ filter and Lock ‘n Roll® Microseal Closure; odor-barrier, rustle-free film; belt tabs; and ComfortWear™ panels (body side only). 1-3/4” flange size. ITEM # HCPCS SOLD BY

18292 A4425 20/bx

Urostomy Pouches

9” Pouchkins™ Two-Piece Child Urostomy Pouches, TransparentOdor-barrier, rustle-free film, belt tabs and ComfortWear™ panels (body side only). 1-3/4” flange size. ITEM # HCPCS SOLD BY

18402 A4432 10/bx

PEDIATRIC ACCESSORIES

Pouchkins™ Pediatric Adjustable BeltFor active children, providing comfort and security. High-quality materials enable washing without special precautions. Fits most sizes; is reusable and continuously adjustable. Sold as a single unit. 10” – 17” length. ITEM # HCPCS SOLD BY

3774 A4367 ea

NEW IMAGE® TWO-PIECE OSTOMY SYSTEMS

New Image® Two-Piece Ostomy Systems offer a range of cut-to-fit, shape-to-fit, presized or convex skin barriers formulated for gentleness and durability, for hospital or home use. Featuring an integrated floating flange, with pouches available in various styles, lengths and materials amenable to lifestyle choices. All New Image® pouches feature highly effective, odor-barrier quiet film to minimize noise.

Color-Coded Size Chart: New Image® Two-Piece Systems

Up to 1-3/4” (44 mm) GREEN Up to 2-14” (57 mm) RED

Up to 2-3/4” (70 mm) BLUE Up to 4: (102 mm) YELLOW

Skin Barriers

New Image® FormaFlex Shape-to-Fit Skin BarriersThe FormaFlex barrier can be customized to the shape and size of the stoma, without requiring scissors, measuring or tracing. Designed to move and bend with the body while maintaining its shape and protecting the skin, it’s a good choice when the stoma is not round or still changing sizes. For use with the New Image® two-piece closed-end, drainable and urostomy pouches. Integrated floating flange reduces pressure on tender, postoperative abdomens, with the security of an audible locking system.


1-3/4” (44 mm) flange, 14102 A4409 5/bxup to 1-1/4” (32 mm) opening2-1/4” (57 mm) flange, 14103 A4409 5/bxup to 1-11/16” (43 mm) opening2-3/4” (70 mm) flange, 14104 A4409 5/bxup to 2-1/4” (57 mm) opening

OSTO

MY OSTOM

Y


New Image® Flexwear® (Standard Wear) Flat Skin BarriersFlexwear® skin barrier is designed to be worn more than one day and be more resistant to breakdown. It offers security and confidence with an audible (clicking into place) locking system. Barriers without tape have tapered edges. Integrated floating flange reduces pressure on tender, postoperative abdomens. Optional tape border adds security to the attachment of the skin barrier.

ITEM # ITEM # HCPCS SOLD BY WITH WITHOUT

CUT-TO-FIT TAPE TAPE

1-3/4” (44 mm) flange, 14202 15202 A4414 5/bxup to 1-1/4” (32 mm) opening 2-1/4” (57 mm) flange, 14203 15203 A4414 5/bxup to 1-3/4” (44 mm) opening2-3/4” (70 mm) flange, 14204 N/A A4414 5/bxup to 2-1/4” (57 mm) opening2-3/4” (70 mm) flange, N/A 15204 A4415 5/bxup to 2-1/4” (57 mm) opening4” (102 mm) flange, 14206 N/A A4415 5/bxup to 3-1/2” (89 mm) opening

CUT-TO-FIT

1-3/4” (44 mm) flange, 14301 16401 A4414 5/bx5/8” (16 mm) opening1-3/4” (44 mm) flange, 14302 16402 A4414 5/bx3/4” (19 mm) opening1-3/4” (44 mm) flange, 14303 16403 A4414 5/bx7/8” (22 mm) opening1-3/4” (44 mm) flange, 14304 16404 A4414 5/bx1” (25 mm) opening1-3/4” (44 mm) flange, 14305 16405 A4414 5/bx1-1/8” (29 mm) opening1-3/4” (44 mm) flange, 14306 16406 A4414 5/bx1-1/4” (32 mm) opening2-1/4” (57 mm) flange, 14307 16407 A4414 5/bx1-3/8” (35 mm) opening2-1/4” (57 mm) flange, 14308 16408 A4414 5/bx1-1/2” (38 mm) opening2-1/4” (57 mm) flange, 14309 N/A A4414 5/bx1-3/4” (44 mm) opening

New Image® Flexwear® (Standard Wear) Convex Skin BarriersFlexwear® skin barrier is more resistant to breakdown and provides enhanced security with an audible locking system (“clicks” into place). Barriers without tape feature tapered edges. Floating flange eliminates pressure on tender, postoperative abdomens; built-in convexity for recessed, retracted and flush stomas. Optional tape border adds security to the attachment of the barrier to skin.



1-3/4” (44 mm) flange, 14402 15402 A4373 5/bxup to 1” (25 mm) opening2-1/4” (57 mm) flange, 14403 15403 A4373 5/bxup to 1-1/2” (38 mm) opening2-3/4” (70 mm) flange, 14404 15404 A4373 5/bxup to 2” (51 mm) opening

PRECUT

1-3/4” (44 mm) flange, 14503 15503 A4373 5/bx7/8” (22 mm) opening1-3/4” (44 mm) flange, 14504 15504 A4373 5/bx1” (25 mm) opening2-1/4” (57 mm) flange, 14505 15505 A4373 5/bx1-1/8” (29 mm) opening2-1/4” (57 mm) flange, 14506 15506 A4373 5/bx1-1/4” (32 mm) opening

New Image® Flextend® (Extended Wear) Flat Skin BarriersWith the locking system that audibly “clicks” into place, the Flextend® is an extended wear skin barrier, with floating flange to reduce pressure on tender, postoperative abdomens. Barriers without tape feature tapered edges. Tape border adds security to the attachment of the barrier to skin.

ITEM # ITEM # HCPCS SOLD BY WITH WITHOUTCUT-TO-FIT TAPE TAPE

1-3/4” (44 mm) flange, opening 14602 15602 A4409 5/bxup to 1-1/4” (32 mm) 2-1/4” (57 mm) flange, 14603 15603 A4409 5/bxup to 1-3/4” (44 mm) opening2-3/4” (70 mm) flange, 14604 N/A A4409 5/bxup to 2-1/4” (57 mm) opening2-3/4” (70 mm) flange, N/A 15604 A4410 5/bxup to 2-1/4” (57 mm) opening4” (102 mm) flange, 14606 N/A A4410 5/bxup to 3-1/2” (89 mm) opening

New Image® Flextend® (Extended Wear) Flat Skin Barriers continued


PRECUT TAPE TAPE

1-3/4” (44 mm) flange, 14701 16101 A4409 5/bx5/8” (16 mm) opening1-3/4” (44 mm) flange, 14702 16102 A4409 5/bx3/4” (19 mm) opening1-3/4” (44 mm) flange, 14703 16103 A4409 5/bx7/8” (22 mm) opening1-3/4” (44 mm) flange, 14704 16104 A4409 5/bx1” (25 mm) opening1-3/4” (44 mm) flange, 14705 16105 A4409 5/bx1-1/8” (29 mm) opening1-3/4” (44 mm) flange, 14706 16106 A4409 5/bx1-1/4” (32 mm) opening2-1/4” (57 mm) flange, 14707 16107 A4409 5/bx1-3/8” (35 mm) opening2-1/4” (57 mm) flange, 14708 16108 A4409 5/bx1-1/2” (38 mm) opening2-1/4” (57 mm) flange, 14709 N/A A4409 5/bx1-3/4” (44 mm) opening

New Image® Flextend® (Extended Wear) Convex Skin BarriersWith the locking system that audibly “clicks” into place, the Flextend® is an extended wear skin barrier, with floating flange to reduce pressure on tender, postoperative abdomens. Barriers without tape feature tapered edges. Tape border adds security to the attachment of the barrier to skin. Built-in convexity for recessed, retracted and flush stomas. Tape border adds security to the attachment of the barrier to skin.



1-3/4” (44 mm) flange, 14802 15802 A4407 5/bxup to 1” (25 mm) opening2-1/4” (57 mm) flange, 14803 15803 A4407 5/bxup to 1-1/2” (38 mm) opening2-3/4” (70 mm) flange, 14804 15804 A4407 5/bxup to 2” (51 mm) opening

New Image® Flextend® (Extended Wear) Convex Skin Barriers continued


PRECUT TAPE TAPE

1-3/4” (44 mm) flange, 14901 N/A A4407 5/bx5/8” (16 mm) opening1-3/4” (44 mm) flange, 14902 N/A A4407 5/bx3/4” (19 mm) opening1-3/4” (44 mm) flange, 14903 15903 A4407 5/bx7/8” (22 mm) opening1-3/4” (44 mm) flange, 14904 15904 A4407 5/bx1” (25 mm) opening2-1/4” (57 mm) flange, 14905 15905 A4407 5/bx1-1/8” (29 mm) opening2-1/4” (57 mm) flange, 14906 15906 A4407 5/bx1-1/4” (32 mm) opening2-1/4” (57 mm) flange, 14907 N/A A4407 5/bx1-3/8” (35 mm) opening2-1/4” (57 mm) flange, 14908 N/A A4407 5/bx1-1/2” (38 mm) opening2-3/4” (70 mm) flange, 14909 N/A A4407 5/bx1-5/8” (41 mm) opening2-3/4” (70 mm) flange, 14910 N/A A4407 5/bx1-3/4” (44 mm) opening2-3/4” (70 mm) flange, 14911 N/A A4407 5/bx2” (51 mm) opening

Drainable Pouches

12” New Image® Lock ‘n Roll® Microseal Closure Drainable Pouches without Filter with Belt Tabs

Integrated closure system provides security. Odor barrier, rustle-free film with ComfortWear™ panels.

ITEM # ITEM # HCPCS SOLD BY BEIGE TRANSPARENT

1-3/4” flange 18112 18132 A5063 10/bx2-1/4” flange 18113 18133 A5063 10/bx2-3/4” flange 18114 18134 A5063 10/bx

12” New Image® Lock ‘n Roll® Microseal Closure Drainable Pouches with Integrated Waterproof AF300TM Filter and Belt Tabs

Integrated closure system provides security and AF300™ Filter enhances airflow to reduce gas buildup and ballooning, and improve odor control. Odor barrier, rustle-free film with ComfortWear™ panels.




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12” New Image® Drainable Pouches with Integrated Waterproof AF300™ Filter and Belt Tabs

Soft ComfortWear™ panels provide a cloth-like covering between pouch and skin and feature a rustle-free odor-barrier material. With an integrated AF300™ Filter providing enhanced airflow to reduce gas buildup and ballooning, and improve odor control. Clamp closure.


BEIGE TRANSPARENT


12” New Image® Drainable Pouches without Filter with Belt TabsComfortWear™ panels feature soft, cloth-like covering between the pouch and the skin, an odor-barrier material. Protective and rustle-free. Clamp closure.



9” New Image® Drainable Mini-Pouches without Filter, Beige with Belt Tabs

With an odor-barrier material, maximum rustle-free protection, ComfortWear™ panels provide a soft, cloth-like covering between pouch and the skin. Clamp closure.


1-3/4” flange 18202 A5063 10/bx2-1/4” flange 18203 A5063 10/bx2-3/4” flange 18204 A5063 10/bx

7” New Image® Lock ‘n Roll® Microseal Closure Drainable Mini-Pouches with Integrated Waterproof AF300 TM Filter and Belt Tabs

With odor-barrier, rustle-free film and ComfortWear™ panels (body side only for transparent pouches). An integrated AF300™ Filter enhances airflow reducing gas buildup and ballooning, and improving odor control.



Closed-End Pouches

9” New Image® Closed Pouches with Belt TabsOdor-barrier, rustle-free film and ComfortWear™ panels.

ITEM # ITEM # HCPCS SOLD BYWITHOUT INTEGRATED FILTER BEIGE TRANSPARENT

1-3/4” (44 mm) flange 18332 N/A A5054 30/bx2-1/4” (57 mm) flange 18333 N/A A5054 30/bx2-3/4” (70 mm) flange 18334 N/A A5054 30/bx

WITH INTEGRATED WATERPROOF AF300™ FILTER

1-3/4” (44 mm) flange 18372 18362 A4419 60/bx2-1/4” (57 mm) flange 18373 18363 A4419 60/bx2-3/4” (70 mm) flange 18374 18364 A4419 60/bx

9” New Image® Closed Pouches with Integrated Waterproof AF300™ Filter, Beige with Belt Tabs

With QuietWear Pouch Material and integrated AF300™ Filter.


1-3/4” (44 mm) flange 18322 A4419 30/bx2-1/4” (57 mm) flange 18323 A4419 30/bx2-3/4” (70 mm) flange 18324 A4419 30/bx

7” New Image® Mini Closed Pouches with Belt TabsWith odor-barrier, rustle-free film and ComfortWear™ panels on both sides.


WITHOUT INTEGRATED FILTER BEIGE TRANSPARENT

1-3/4” (44 mm) flange 18352 N/A A5054 30/bx2-1/4” (57 mm) flange 18353 N/A A5054 30/bx2-3/4” (70 mm) flange 18354 N/A A5054 30/bxWITH INTEGRATED WATERPROOF AF300™ FILTER

1-3/4” (44 mm) flange 18392 18382 A4419 60/bx2-1/4” (57 mm) flange 18393 18383 A4419 60/bx2-3/4” (70 mm) flange 18394 18384 A4419 60/bx

Urostomy Pouches

9” New Image® Pouches with Belt TabsInternal, non-reflux valves and a drain valve help regulate flow rate. Soft ComfortWear™ panels provide comfort against the skin and the odor-barrier, rustle-free film and anatomically shaped pouches offer confidence.

ITEM # ITEM # ITEM # HCPCS SOLD BY ULTRA CLEAR BEIGE TRANSPARENT

1-3/4” flange 18422 18412 18402 A4432 10/bx2-1/4” flange 18423 18413 18403 A4432 10/bx2-3/4” flange 18424 18414 18404 A4432 10/bx

High Output Drainable Pouches

12” New Image® High Output Drainable Pouches without Filter, Ultra Clear

With odor-barrier, rustle-free film, belt tabs and ComfortWear™ panels (body side only). Integrated floating flange is gentle on postoperative abdomens. No integrated filter. Patented locking system provides security with audible “clicking” into place. Soft-tap closure.


1-3/4” flange, GREEN 18012 A4412 10/bx2-1/4” flange, RED 18013 A4412 10/bx2-3/4” flange, BLUE 18014 A4412 10/bx4” flange, YELLOW 18016 A4412 10/bx

CENTERPOINTLOCK™ TWO-PIECE OSTOMY SYSTEMS

Letter Matching System: CenterPointLock™ Ostomy SystemsTo insure compatible CenterPointLock™ Two-Piece System components, each 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, irrigation drain or stoma cap with the matching letter on the box label.

Skin Barriers

CenterPointLock™ Flexwear® (Standard Wear) Skin Barriers with Tape Border

Protect skin from drainage and be gentle on tender, postoperative abdomens with this exclusive floating flange. Unique CenterPointLock™ provides confidence and security.

ITEM # ITEM # HCPCS SOLD BY CUT-TO-FIT PRECUT

1-1/2” flange (3/4” opening), H N/A 3747 A4414 5/bx1-1/2” flange, up to 1” opening, H 3727 3742 A4414 5/bx1-3/4” flange (1-1/4” opening), I 3722 3748 A4414 5/bx2-1/4” flange (1-1/2” opening), J N/A 3743 A4414 5/bx2-1/4” flange, up to 1-3/4” opening, J 3723 N/A A4414 5/bx2-1/4” flange (1-3/4” opening), J N/A 3749 A4414 5/bx2-3/4” flange, up to 2-1/4” opening, K 3724 N/A A4414 5/bx4” flange, up to 3-1/2” opening, L 3726 N/A A4415 5/bx

CenterPointLock™ Flextend® (Extended Wear) Flat Skin Barriers with Tape Border

Flextend® skin barrier with CenterPointLock™ feature provides confidence and security. Exclusive floating flange reduces pressure on tender, postoperative abdomens.

ITEM # ITEM # HCPCS SOLD BY CUT-TO-FIT PRECUT

1-1/2” flange (7/8” opening), H N/A 8743 A4409 5/bx1-1/2” flange (1” opening), H 8727 8744 A4409 5/bx1-3/4” flange (1-1/8” opening), I N/A 8745 A4409 5/bx1-3/4” flange (1-1/4” opening), I 8722 8746 A4409 5/bx2-1/4” flange (1-3/8” opening), J N/A 8747 A4409 5/bx2-1/4” flange (1-1/2” opening), J N/A 8748 A4409 5/bx2-1/4” flange, up to 1-3/4” opening, J 8723 N/A A4409 5/bx2-3/4” flange, up to 2-1/4” opening, K 8724 N/A A4409 5/bx

CenterPointLock™ Flextend® (Extended Wear) Cut-to-Fit Flat Skin Barriers without Tape

Flextend® skin barrier with CenterPointLock™ offers security and comfort, as floating flange reduces pressure and irritation on postoperative abdomens.


1-3/4” flange, up to 1-1/4” opening, I 8752 A4409 5/bx2-1/4” flange, up to 1-3/4” opening, J 8753 A4409 5/bx2-3/4” flange, up to 2-1/4” opening, K 8754 A4409 5/bx

CenterPointLock™ (Standard Wear) Cut-to-Fit Flat Skin BarriersSoftFlex® is formulated for gentle, superior skin care. Exclusive floating flange reduces pressure on postoperative abdomens.

ITEM # HCPCS SOLD BYHOLLIHESIVE® WITH TAPE BORDER

1-1/2” flange, up to 3/4” opening, H 3707 A4414 5/bx1-3/4” flange, up to 1” opening, I 3702 A4414 5/bx2-1/4” flange, up to 1-1/2” opening, J 3703 A4414 5/bx2-3/4” flange, up to 2” opening, K 3704 A4414 5/bx4” flange, up to 3-1/4” opening, L 3706 A4415 5/bxSOFTFLEX® (STANDARD WEAR) SKIN BARRIER WITHOUT TAPE

1-1/2” flange, up to 1” opening, H 3767 A4414 5/bx1-3/4” flange, up to 1-1/4” opening, I 3762 A4414 5/bx2-1/4” flange, up to 1-3/4” opening, J 3763 A4414 5/bx2-3/4” flange, up to 2-1/4” opening, K 3764 A4415 5/bx4” flange, up to 3-1/2” opening, L 3766 A4415 5/bx


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CenterPointLock™ Flexwear® (Standard Wear) Convex Skin Barriers with Tape Border

Long-wearing, cross-linked Flexwear® skin barrier protects skin and floating flange reduces pressure on tender, postoperative abdomens.

ITEM# HCPCS SOLD BY

1-1/2” flange (1/2” opening), H 3730 A4373 5/bx1-1/2” flange (5/8” opening), H 3731 A4373 5/bx1-1/2” flange (3/4” opening), H 3732 A4373 5/bx1-3/4” flange (7/8” opening), I 3733 A4373 5/bx1-3/4” flange (1” opening), I 3734 A4373 5/bx2-1/4” flange (1-1/8” opening), J 3735 A4373 5/bx2-1/4” flange (1-1/4” opening), J 3736 A4373 5/bx2-1/4” flange (1-3/8” opening), J 3737 A4373 5/bx2-1/4” flange (1-1/2” opening), J 3738 A4373 5/bx2-3/4” flange (1-5/8” opening), K 3739 A4373 5/bx

CenterPointLock™ Flextend® (Extended Wear) Convex Skin Barriers with Tape Border

Built-in convexity and skin protection for range of stomas (recessed, retracted or flush). Porous cloth adhesive is gentle to skin and floating flange allows fingers to support while attaching pouch to barrier, reducing pressure on postoperative abdomens. Tape border provides additional security.

ITEM # HCPCS SOLD BYCUT-TO-FIT

1-3/4” flange, up to 1” opening, I 8774 A4407 5/bx2-1/4” flange, up to 1-1/2” opening, J 8778 A4407 5/bx2-3/4” flange, up to 2” opening, K 87711 A4407 5/bxPRECUT

1-1/2” flange (5/8” opening), H 8731 A4407 5/bx1-1/2” flange (3/4” opening), H 8732 A4407 5/bx1-3/4” flange (7/8” opening), I 8733 A4407 5/bx1-3/4” flange (1” opening), I 8734 A4407 5/bx2-1/4” flange (1-1/8” opening), J 8735 A4407 5/bx2-1/4” flange (1-1/4” opening), J 8736 A4407 5/bx2-1/4” flange (1-1/2” opening), J 8738 A4407 5/bx

Drainable Pouches

9” CenterPointLock™ Drainable Mini-Pouches without Filter, Beige with Tape Border

Unique CenterPointLock™ enhances confidence and security. Discreet pouch. ITEM # HCPCS SOLD BY

1-1/2” flange, 3847 A5063 10/bx1-3/4” flange, I 3842 A5063 10/bx2-1/4” flange, J 3843 A5063 10/bx2-3/4” flange, K 3844 A5063 10/bx

11” CenterPointLock™ Drainable Pouches without Filter with Tape Border

Rustle-free, odor-barrier film promotes confidence; sturdy, four-layer construction provides security. ITEM # ITEM # HCPCS SOLD BY BEIGE TRANSPARENT

1-1/2” flange, H 3817 3807 A5063 10/bx1-3/4” flange, I 3812 3802 A5063 10/bx2-1/4” flange, J 3813 3803 A5063 10/bx2-3/4” flange, K 3814 3804 A5063 10/bx4” flange, L N/A 3806 A5063 10/bx

12” CenterPointLock™ Drainable Pouches with Replacement FilterUnique, replaceable gas filter deodorizes and vents gas from double-chambered pouch that features odor-barrier material, providing rustle-free, maximum protection. Includes one bag of 20 Hollister Replacement Filters and two plugs (Item # 7766).


1-1/2” flange, H 3837 3897 A4425/A4368 10/bx1-3/4” flange, I 3832 3892 A4425/A4368 10/bx2-1/4” flange, J 3833 3893 A4425/A4368 10/bx2-3/4” flange, K 3834 3894 A4425/A4368 10/bx

12” CenterPointLockTM Drainable Pouches without Filter, Beige with Belt Tabs

ComfortWear™ panels provide soft, cloth-like covering between pouch and skin. Pouches feature odor-barrier material, are rustle-free and provide maximum protection.


1-1/2” flange, H 8817 A5063 10/bx1-3/4” flange, I 8812 A5063 10/bx2-1/4” flange, J 8813 A5063 10/bx2-3/4” flange, K 8814 A5063 10/bx

Closed-End Pouches

CenterPointLock™ Closed Pouches with Integrated Filter, BeigeDeodorizing venting filter made of activated carbon granules offers effective odor protection. Four-layer, odor-barrier, rustle-free film is soft and silent. With belt tabs, can be used during bathing/swimming. Beige pouches have ComfortWear™ panel on both sides.


1-1/2” flange, H 8347 3347 A4419 15/bx1-3/4” flange, I 8342 3342 A4419 15/bx2-1/4” flange, J 8343 3343 A4419 15/bx2-3/4” flange, K 8344 3344 A4419 15/bx

Stoma Caps

4-1/2” CenterPointLock™ Stoma Caps with Integrated FilterSoft and silent, with odor-barrier, rustle-free film. Highly absorbent, nonadherent inner pad collects mucus and provides comfort and security. Belt tabs permit easy attachment for additional security. White.


1-1/2” (38 mm) opening, H 3407 A5055 25/bx1-3/4” (44 mm) opening, I 3402 A5055 25/bx2-1/4” (57 mm) opening, J 3403 A5055 25/bx2-3/4” (70 mm) opening, K 3404 A5055 25/bx

Urostomy Pouches

9” CenterPointLock™ Urostomy PouchesInternal, anti-reflux valves and a drain promoting flow rate regulation promotes comfort and security. Four-layer, odor-barrier, rustle-free film is soft and silent. With adjustable drain valve and belt tabs, can be used during bathing/swimming. Teardrop drain valve indicator visibly indicates whether valve is open or closed. Beige pouches have ComfortWear™ panel on body side.


1-1/2” flange, H N/A 3907 A4432 10/bx1-3/4” flange, I 8902 3902 A4432 10/bx2-1/4” flange, J 8903 3903 A4432 10/bx2-3/4” flange, K N/A 3904 A4432 10/bx

Irrigation Supplies

Cone Irrigation KitKit includes drains made with reliable, nonstick, easy-to-clean materials. Top opening (sealed with pre-attached closure) permits easy access for stoma cone. Hollister’s signature pouch clamp securely seals drain bottom.


7721 A4398/A4399 ea

30” CenterPointLock™ Stoma Irrigator Sleeves with Belt TabsEasy-open top accommodates a stoma cone; easy closing wire clamp top of pouch. With nonstick, odor-barrier film and convenient long drain that directs waste into toilet. ITEM # HCPCS SOLD BY

1-1/2” opening, H 3827 A4397 5/bx1-3/4” opening, I 3822 A4397 5/bx2-1/4” opening, J 3823 A4397 5/bx2-3/4” opening, K 3824 A4397 5/bx4” opening, L 3826 A4397 5/bx

30” New Image® Irrigator Sleeves, Transparent with Belt TabsOdor-barrier pouch with convenient long drain directs effluent into the toilet. Easy-open top accommodates stoma cone; top of pouch seals with easy closing wire tie. Flange ensures confidence and security with audible locking system (“clicks” into place). For size, refer to color-code chart on page 21.


1-3/4” flange 18152 A4397 5/bx2-1/4” flange 18153 A4397 5/bx2-3/4” flange 18154 A4397 5/bx

22” Stoma Irrigation Sleeves with Belt TabsStrong, easy-to-clean, nonstick polyethylene, with a top opening for easy stoma cone access. The top is sealed with a preattached closure, and Hollister’s pouch clamp securely seals the drain bottom. 2” opening. ITEM # HCPCS SOLD BY

7728 A4397 20/bx

Adapt® Stoma LubricantGuard against friction with safe and effective insertion of stoma cone into stoma for irrigation. Convenient bottle dispenses lubricant without mess. Clean easily with soap and water. 4-oz. bottle. Case quantity is 10/bx. ITEM # HCPCS SOLD BY

7740 A4402 ea


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ACCESSORIES

Skin Barriers/Seals

Adapt® Convex and Oval Convex Barrier RingsFor stomas that do not protrude the abdomen, convexity helps support peristomal skin. For deeper convexity, this can be cut, bent and stacked to adjust barrier thickness. Features extended wear skin

barrier technology for durability and erosion prevention. Ideal for oval-shaped stomas to create an even more customized fit. ITEM # HCPCS SOLD BYSTANDARD

13/16”, stretches to 1” 79520 A4411 10/bx1-3/16”, stretches to 1-3/8” 79530 A4411 10/bx1-9/16”, stretches to 1-3/4” 79540 A4411 10/bxOVAL

7/8” x 1-1/2”, stretches to 1-1/8” x 1-3/4” 79601 A4411 10/bx1-3/16” x 1-7/8”, stretches to 1-3/8” x 2-1/8” 79602 A4411 10/bx1-1/2” x 2-3/16”, stretches to 1-3/4” x 2-3/8” 79603 A4411 10/bx

Adapt® Flat Barrier RingsAvoid the sting of paste with flat barrier rings that can be stretched and molded for custom shapes. Cut, bend or stack together to improve the fit of the skin barrier. Prolong skin barrier wear time when used under a pouch or two-piece skin barrier.


2” (48 mm) outer diameter 7805 A4385 10/bx4” (98 mm) outer diameter 7806 A4385 10/bx

Adapt® Barrier StripsCan be cut, bent and stacked together to the perfect skin barrier fit, or stretch and mold to create custom shapes. Conforms to irregular skin folds and prevents skin erosion. 60 g. 5-1/8” in length.


79400 A4385 10/bx

Flextend™ Skin Barrier, SterileUnique formulation of cross-linked molecules absorb and retain fluids, enhancing durability and superior resistance to erosion. Extended wear. ITEM # HCPCS SOLD BY

4” x 4” 8800 A4385 5/bx

Premium Skin Barriers, NonsterileSuperior skin care is provided by the Premium (standard wear) skin barrier, protecting skin from irritating urinary or fecal discharge and/or wound drainage. Formulated for gentleness and flexibility with secure skin attachment. ITEM # HCPCS SOLD BY

4” x 4” 7800 A4362 5/bx

HolliHesive™ Skin Barriers, Nonsterile (Standard Wear)Easy to use and comfortable, with flexible materials that conform to body contours and sticky barrier on both sides for better custom fit. Protects the skin from irritating stomal discharge; durable in the presence of heat and moisture. ITEM # HCPCS SOLD BY

4” x 4” 7700 A4362 5/bx

Paste/Powder/Wipes

Adapt® PasteCaulks and fills skin crevices. Squeeze tube easy-to-use for those with limited dexterity. Visible red cap 2-oz. tube. ITEM # HCPCS SOLD BY

2-oz. tube 79300 A4406 ea

Karaya 5™ PasteKaraya is a natural material offering unique chemical properties to prolong skin barrier/stoma seal wear time. ITEM # HCPCS SOLD BY

4.5-oz. tube 7910 A4405 ea

Adapt® Stoma PowderProtects raw, weeping skin. Use sparingly to absorb moisture or exudate from skin prior to placing a barrier on peristomal skin. Convenient to use; squeeze bottle with see-through window allows aeration of powder onto skin. ITEM # HCPCS SOLD BY

1-oz. puff bottle 7906 A4371 ea

Karaya 5™ PowderKaraya (all natural) has unique skin care properties to protect raw and weeping skin. Use sparingly to absorb moisture or exudate from skin prior to placing a skin barrier on peristomal skin. Easy-to-use squeeze bottle allows aeration of powder onto skin. ITEM # HCPCS SOLD BY

2.5-oz. puff bottle 7905 A4371 ea

Skin Gel Protective Dressing WipesBefore applying tapes or skin barriers, protect skin by forming a thin, semipermeable polymer coating. Convenient wipe package is easy to use. ITEM # HCPCS SOLD BY

7917 A5120 50/bx

Belts

Ostomy BeltAttaches securely to an ostomy pouch, holding it in place. Belt attaches easily to the pouch belt adapter. High-quality elastic material is washable; wide belt is soft and comfortable and prevents rolling. Continuously adjustable to fit all sizes. Beige. ITEM # HCPCS SOLD BY

Medium (23” – 43”) 7300 A4367 eaLarge (34” – 65”) 7299 A4367 ea

Odor Eliminators/Cleaners/Lubricants

m9® Odor Eliminator DropsEffective, convenient and safe to use as proven over many years. A few drops into pouch adequately eliminates odor. 8 oz. (240 ml). ITEM # HCPCS SOLD BY

8 oz. (240 mL) 7717 A4394 ea

m9® Odor Eliminator SprayEffectively and safely eliminates odors. Available unscented or apple scent. ITEM# ITEM # HCPCS SOLD BY UNSCENTED LIGHT APPLE SCENT

2-oz. Spray 7732 7734 N/A ea8-oz. Spray 7733 7735 N/A ea

m9® Cleaner/DecrystallizerSpecially formulated for use with urinary drainage system; pH balanced and nonacidic. Effectively and safely cleans urinary drainage systems; includes free wash bottle. ITEM # HCPCS SOLD BY

16-oz. bottle 7736 A5131 ea

Adapt® Lubricating DeodorantProven odor-neutralizer (not a perfume or masking agent) and lubricant helps keep the pouch interior clean and eases emptying. Helps prevent pouch static and sticking. ITEM # HCPCS SOLD BY

0.27-oz. (8-mL packs) 78501 A4394 50/bx8-oz. bottle 78500 A4394 1/bx

Pouch Clamps

Drainable Pouch ClampPrecision-molded plastic pouch clamp locks securely. Curved clamp fits body contours and is easy to use. Included in every box of drainable pouches and also can be purchased separately. Beige. Box quantity is 20 clamps. ITEM # HCPCS SOLD BY

8770 A4363 ea


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Coloplast

All Coloplast ostomy products are latex-free.

SENSURA® MIO ONE-PIECE CLOSED POUCHESA new one-piece, closed ostomy pouch designed with a barrier formulated to enhance elasticity and fitting performance, with an elastic barrier based on BodyFit Technology. SenSura® Mio’s secure fit responds to natural body movements and contours, enhancing comfort and security.

SenSura® Mio Flat Standard Wear Closed Pouch with Filter, Opaque with Inspection Window

ITEM # ITEM # HCPCS SOLD BY5-1⁄2” MINI (110 mL)

Cut-to-fit, 5⁄8” – 1-3⁄4” N/A 10811 A4416 30/bx(15 – 45 mm) 7” MIDI 8-1⁄2” MAXI (340 mL) (550 mL)

Cut-to-fit, 5/8” – 1-3⁄4” 10821 10831 A4416 30/bx(15 – 45 mm)Cut-to-fit, 1-5⁄8” – 2-1⁄4” N/A 10835 A4416 30/bx(40 – 55 mm)*Precut, 1” (25 mm) 10822 N/A A4416 30/bxPrecut, 1-3⁄16” (30 mm) 10823 10833 A4416 30/bxPrecut, 1-3⁄8” (35 mm) 10824 10834 A4416 30/bxPrecut, 1-5⁄8” (40 mm)* N/A 10835 A4416 30/bx*Due to its larger starter hole, 10835 functions as both a precut and cut-to-fit solution.

SENSURA® XPRO ONE-PIECE OSTOMY SYSTEMSSenSura® Xpro adhesive features the same double-layer adhesive as SenSura® plus two extra ingredients to provide better protection from aggressive ileostomy or urostomy output.

11-1⁄2” SenSura® Xpro One-Piece Extended Wear EasiClose™ WIDE Outlet Drainable Pouches with Filter

Feature soft cloth on front and back. 655 mL. ITEM # ITEM # HCPCS SOLD BYFLAT TRANSPARENT OPAQUE

Cut-to-fit, 3/8” – 3” (10 – 76 mm) 15981 N/A A5056 10/bxPrecut, 1” (25 mm) N/A 15991 A5056 10/bxPrecut, 1-3⁄16” (30 mm) N/A 15992 A505 10/bxPrecut, 1-1⁄4” (32 mm) N/A 15993 A5056 10/bxPrecut, 1-1⁄2” (38 mm) N/A 15994 A5056 10/bxCONVEX LIGHT

Cut-to-fit, 5⁄8” – 1-5⁄16” 15695 N/A A5057 10/bx(15 – 33 mm)Cut-to-fit, 5⁄8” – 1-11⁄16” 15696 N/A A5057 10/bx(15 – 43 mm)Precut, 7⁄8” (22 mm) N/A 15697 A5057 10/bxPrecut, 1” (25 mm) N/A 15698 A5057 10/bx

10-3 ⁄8” SenSura® Xpro Uro Extended Wear Urostomy Pouches, Transparent

Anti-reflux valves keep urine from washing over the stoma and multi-chambers keep the pouch flat to prevent sloshing. 400 mL. ITEM # HCPCS SOLD BYFLAT

Cut-to-fit, 3⁄8” – 3” (10 – 76 mm) 11809 A4391 10/bxCONVEX LIGHT

Cut-to-fit, 5⁄8” – 1-5⁄16” (15 – 33 mm) 11819 A4393 10/bx

10-3 ⁄8” SenSura® Xpro Uro Extended Wear Urostomy Pouches, Opaque

Anti-reflux valves keep urine from washing over the stoma and multi-chambers keep the pouch flat to prevent sloshing. 400 mL. ITEM # ITEM # HCPCS SOLD BY FLAT CONVEX LIGHT

Precut, 7⁄8” (22 mm) 11805 11816 A4391 10/bxPrecut, 1” (25 mm) 11806 11817 A4391 10/bxPrecut, 1-3⁄16” (30 mm) 11807 N/A A4391 10/bxPrecut, 1-1⁄4” (32 mm) 11808 11818 A4391 10/bx

SENSURA® ONE-PIECE OSTOMY SYSTEMSThis unique, double-layer adhesive features a lower layer to absorb and balance moisture, while the upper layer is erosion resistant. With optimal adhesion, flexibility and removal ease.

Drainable Pouches

11-1⁄2” SenSura® Flat Standard Wear EasiClose™ WIDE Outlet Drainable Pouches

Soft cloth back. 655 mL. ITEM # ITEM # HCPCS SOLD BY TRANSPARENT OPAQUE WITH FILTER WITH FILTER

Cut-to-fit, 3⁄8” – 3” 15521 15531 A4424 20/bx(10 – 76 mm)Precut, 1” (25 mm) 15522 15532 A4424 20/bxPrecut, 1-1⁄4” (30 mm) 15523 15533 A4424 20/bxPrecut, 1-3⁄8” (35 mm) 15524 15534 A4424 20/bxTRANSPARENT, WITHOUT FILTER

Cut-to-fit, 3⁄8” – 3” 15821 N/A A5061 20/bx(10 – 76 mm)

11-1⁄2 ̋SenSura® Convex Light Standard Wear EasiClose™ WIDE Outlet Drainable Pouches with Filter

With belt loops and soft cloth back. 655 mL. ITEM # ITEM # HCPCS SOLD BY TRANSPARENT OPAQUE

Cut-to-fit, 5⁄8” – 1-11⁄16” 15606 15608 A4389 10/bx(15 – 43 mm)Precut, 1” (25 mm) 15623 15633 A4389 10/bxPrecut, 1-1⁄8” (28 mm) 15624 15634 A4389 10/bx

Closed-End Pouches

8-1⁄2” SenSura® Flat Standard Wear Closed Pouches with Filter, Opaque

With soft cloth on front and back. 550 mL. ITEM # HCPCS SOLD

Cut-to-fit, 3⁄8” – 3” (10 – 76 mm) 15480 A4416 30/bxPrecut, 1-3⁄8” (35 mm) 15484 A4416 30/bx

Urostomy Pouches

10-3 ⁄8” SenSura® Uro One-Piece PouchesRedesigned anti-reflux valves offer varying methods of stent management, while multi-chamber construction keeps the pouch from ballooning. 400 mL. ITEM # HCPCS SOLDFLAT

Midi, 3⁄8” – 2-1/2” (10 – 66 mm) 11803 A5071 10/bxMaxi, 3⁄8” – 3” (10 – 76 mm) 11804 A5071 10/bxCONVEX LIGHT

Maxi, 5⁄8” – 1-5⁄16” (15 – 33 mm) 11814 A4392 10/bx

SENSURA® FLEX TWO-PIECE OSTOMY SYSTEMS

With unique security and flexibility, these feature a reinforced ring to ensure a tight seal across the entire coupling surface. Protect against leakage with the integrated security channel on the adhesive ring. Flexible, low-profile coupling system offers complete conformability and allows for ready contour and freedom of movement. Minimal pressure required for application and “floating” baseplate can be lifted during application to ensure a good seal and prevent direct pressure against the abdomen. The only adhesive coupling system available in the EasiClose™ WIDE outlet, for faster, easier and more hygienic emptying process.

LATEX FREE

Color-Coded Size Chart: Sensura® Flex (Adhesive Coupling) Flat Systems

3/8” – 1-5/16” (10 – 33 mm) 3/8” – 1-7/8” (10 – 48 mm) GREEN: Small Coupling RED: Medium Coupling 3/8” – 2-3/4” (10 – 68 mm) 3/8” – 3-1/2” (10 – 88 mm) YELLOW: Large Coupling GRAY: X-Large Coupling

Color-Coded Size Chart: SenSura® Flex (Adhesive Coupling) Convex Light Systems

5/8” – 15/16” (15 – 23 mm) 5/8” – 1-5/16” (15 – 43 mm) GREEN: Small Coupling RED: Medium Coupling

5/8” – 2” (15 – 53 mm) YELLOW: Large Coupling

SenSura® Xpro Flex Barriers

SenSura® Xpro Flex Cut-to-Fit Flat Extended Wear Barriers ITEM # HCPCS SOLD

3⁄8” – 1-5⁄16” (10 – 33 mm) 10104 A4409 10/bx3⁄8” – 1-7⁄8” (10 – 48 mm) 10105 A4409 10/bx3⁄8” – 2-3⁄4” (10 – 68 mm) 10106 A4410 10/bx

SenSura® Xpro Flex Cut-to-Fit Convex Light Extended Wear Barriers with Belt Tabs

ITEM # HCPCS SOLD

5⁄8” – 5⁄16” (15 – 23 mm) 11304 A4407 5/bx5⁄8” – 1-5⁄16” (15 – 33 mm) 11305 A4407 5/bx5⁄8” – 1-11⁄16” (15 – 43 mm) 11306 A4407 5/bx5⁄8” – 2” (15 – 53 mm) 11308 A4408 5/bx

SenSura® Flex Barriers

SenSura® Flex Cut-to-Fit Flat Standard Wear Barriers ITEM # HCPCS SOLD

3⁄8” – 1-5⁄16” (10 – 33 mm) 10101 A4414 10/bx3⁄8” – 1-7⁄8” (10 – 48 mm) 10102 A4414 10/bx3⁄8” – 2-3⁄4” (10 – 68 mm) 10103 A4415 10/bx3⁄8” – 3-1⁄2” (10 – 88 mm) 10108 A4415 5/bx

OSTO

MY OSTOM

Y


SenSura® Flex Convex Light Standard Wear Barriers with Belt Tabs ITEM # HCPCS SOLD

CUT-TO-FIT

5⁄8” – 5⁄16” (15 – 23 mm) 11301 A4373 5/bx5⁄8” – 1-5⁄16” (15 – 33 mm) 11302 A4373 5/bx5⁄8” – 1-11⁄16” (15 – 43 mm) 11303 A4373 5/bxPRECUT

7⁄8” (22 mm) 11312 A4373 5/bx1” (25 mm) 11313 A4373 5/bx1-1⁄8” (28 mm 11314 A4373 5/bx1-1⁄4” (31 mm) 11315 A4373 5/bx

SenSura® Flex Pouches

11-1⁄2” SenSura® Flex EasiClose™ WIDE Outlet Drainable PouchesSoft cloth on front and back. 655 mL.

ITEM # ITEM # HCPCS SOLDWITH FILTER, MAXI TRANSPARENT OPAQUE

N/A 11514 A4425 20/bx 11512 11515 A4425 20/bx 11517 11518 A4425 20/bx 11590 11591 A4425 20/bxWITHOUT FILTER, MAXI

11612 N/A A5063 20/bx 11690 N/A A5063 20/bx

8-1⁄2” SenSura® Flex Closed Pouches with Filter, MaxiSoft cloth on front and back. 570 mL. ITEM # ITEM # HCPCS SOLD TRANSPARENT OPAQUE

10911 10914 A4419 30/bx 10912 10915 A4419 30/bx 10917 10918 A4419 30/bx

SENSURA® CLICK TWO-PIECE OSTOMY SYSTEMS

The SenSura® revolutionary double-layer adhesive for optimal skin friendliness and protection combined with secure, click-lock technology. Upper layer provides erosion-resistant protection for stoma output and flexibility while lower layer ensures absorption, moisture balance and ease of removal. The click-lock security ring provides a leak-proof coupling system, while safely and securely fastening the pouch to the barrier. With security ring unlocked, the pouch can be turned in either direction while still fastened to the barrier. Pouch can be applied to barrier with minimal pressure and easily removed with an “up and over” motion.

SenSura® Click Two-Piece Skin BarriersSenSura® Click Flat Standard Wear Barriers with Belt Tabs


3⁄8” – 1-3⁄8” (10 – 35 mm) 10011 A4414 5/bx3⁄8” – 1-3⁄4” (10 – 45 mm) 10021 A4414 5/bx3⁄8” – 2-1⁄4” (10 – 55 mm) 10031 A4414 5/bx3⁄8” – 2-1⁄2” (10 – 65 mm) 10041 A4415 5/bxPRECUT

13⁄16” (20 mm) 10012 A4414 5/bx1” (25 mm) 10013 A4414 5/bx1-3⁄16” (30 mm) 10022 A4414 5/bx1-3⁄8” (35 mm) 10023 A4414 5/bx1-9⁄16” (40 mm) 100321 A4414 5/bx

SenSura® Click Convex Light Standard Wear Barriers with Belt Tabs ITEM # HCPCS SOLD BYCUT-TO-FIT

5⁄8” – 15⁄16” (15 – 22 mm) 11011 A4373 5/bx5⁄8” – 1-5⁄16” (15 – 33 mm) 11021 A4373 5/bx5⁄8” – 1-11⁄16” (15 – 43 mm) 11031 A4373 5/bx5⁄8” – 2-1⁄16” (15 – 53 mm) 11041 A4373 5/bxPRECUT


SenSura® Click Pouches

SenSura® Click EasiClose™ WIDE Outlet Drainable Pouches ITEM # ITEM # HCPCS SOLD BY10-1⁄2” WITH FILTER, MIDI (485 mL) TRANSPARENT OPAQUE

N/A 11114 A4427 20/bx N/A 11115 A4427 20/bx11-1⁄2” WITH FILTER, MAXI (655 mL)

11194 11124 A4427 20/bx 11195 11125 A4427 20/bx 11196 11126 A4427 20/bx 11197 11127 A4427 20/bx

11-1⁄2” WITHOUT FILTER, MAXI (655 mL)

11185 11135 A4426 20/bx 11186 11136 A4426 20/bx

SenSura® Click Two-Piece Closed Pouches with Filter ITEM # ITEM # HCPCS SOLD BYOPAQUE 7” MIDI 8-1⁄2” MAXI

10154 10164 A4423 30/bx 10155 10165 A4423 30/bx 10156 10166 A4423 30/bx N/A 10167 A4423 30/bxTRANSPARENT

N/A 10187 A4423 30/bx

SenSura® Click Urostomy PouchesRedesigned anti-reflux valves provide different methods of stent management; multi-chamber construction keeps the pouch from ballooning. ITEM # ITEM # HCPCS SOLD BY9-1⁄2” MIDI TRANSPARENT OPAQUE

11851 11841 A4433 10/bx10-3⁄8” MAXI

11854 11844 A4433 10/bx 11855 11845 A4433 10/bx 11856 11846 A4433 10/bx

Sensura® Two-Piece Post-Operative Products

12-1⁄2” SenSura® Click Magnum High Output Drainable PouchesOffering the benefits of a standard SenSura® pouch for increased comfort and greater discretion, along with a funnel-shaped, wider outlet for improved drainage. External connector can hook up to a night bag. 1160 mL. ITEM # ITEM # HCPCS SOLD BY TRANSPARENT OPAQUE

19050 19040 A4413 10/bx 19051 19041 A4413 10/bx 19052 19042 A4413 10/bx

ASSURA® AC TWO-PIECE OSTOMY SYSTEMS

Assura® AC Two-Piece Ostomy SystemsWith a pouching system based on adhesives that are flexible and easy on the skin, this simple system’s barrier adheres to the skin, and the pouch adheres to the barrier, with a soft, flexible, two-piece adhesive coupling system for easy conformation to the body.

Coloplast

All Coloplast ostomy products are latex-free. LATEX FREE

Color-Coded Size Chart: SenSura® Click (Flat) Two-Piece Systems

3/8” – 1-3/8” (10 – 35 mm) 3/8” – 1-3/4” (10 – 45 mm) GREEN: Small Coupling RED: Medium Coupling

3/8” – 2-1/4” (10 –55 mm) 3/8” – 2-1/2” (10 – 65 mm) BLUE: Large Coupling YELLOW: X-Large Coupling

Color-Coded Size Chart: SenSura® Click (Convex Light) Two-Piece Systems


5/8” – 1-11/16” (15 – 43 mm) 5/8” – 2-1/16”(15 – 53 mm) BLUE: Large Coupling YELLOW: X-Large Coupling

SenSura® Xpro Click Two-Piece Skin Barriers

SenSura® Xpro Click Flat Extended Wear Barriers with Belt Tabs ITEM # HCPCS SOLDCUT-TO-FIT

3⁄8” – 1-3⁄8” (10 – 35 mm) 10015 A4409 5/bx3⁄8” – 1-3⁄4” (10 – 45 mm) 10025 A4409 5/bx3⁄8” – 2-1⁄4” (10 – 55 mm) 10035 A4409 5/bx3⁄8” – 2-1/2” (10 – 65 mm) 10045 A4410 5/bxPRECUT


SenSura® Xpro Click Convex Light Extended Wear Barrierswith Belt Tabs


5⁄8” – 7⁄8” (15 – 23 mm) 11015 A4407 5/bx5⁄8” – 1-5⁄16” (15 – 33 mm) 11025 A4407 5/bx5⁄8” – 1-11⁄16” (15 – 43 mm) 11035 A4407 5/bx5⁄8” – 2-1⁄16” (15 – 53 mm) 11045 A4408 5/bxPRECUT



OSTO

MY OSTOM

Y

Color-Coded Size Chart: Assura® AC (Adhesive Coupling) Flat Two-Piece Systems

3/8” – 1-5/16” (10 – 33 mm) 3/8” – 1-7/8” (10 – 48 mm) GREEN: Small Coupling RED: Medium Coupling

3/8” – 2-3/4” (10 – 68 mm) 3/8” – 3-1/2: (10 – 88 mm) YELLOW: Large Coupling GRAY: X-Large Coupling

Color-Coded Size Chart: Assura® AC (Adhesive Coupling) Convex Light Systems


5/8” – 2-3/8” (15 – 61 mm) YELLOW: Large Coupling Skin Barriers

Assura® AC Cut-to-Fit Flat Barriers ITEM # HCPCS SOLD BY

STANDARD WEAR

3⁄8” – 1-5⁄16” (10 – 33 mm) 14301 A4414 10/bx3⁄8” – 1-7⁄8” (10 – 48 mm) 14302 A4414 10/bx3⁄8” – 2-3⁄4” (10 – 68 mm) 14303 A4415 10/bx3⁄8” – 3-1⁄2” (10 – 88 mm) 14309 A4415 5/bx

EXTRA-EXTENDED WEAR

3⁄8” – 1-5⁄16” (10 – 33 mm) 14304 A4409 10/bx3⁄8” – 1-7⁄8” (10 – 48 mm) 14305 A4409 10/bx3⁄8” – 2-3⁄4” (10 – 68 mm) 14306 A4410 10/bx

Assura® Convex Light Extra-Extended Wear Barriers with Belt TabsFeature shallow convexity for flush or slightly retracted stomas, providing flexibility, security and low pressure to abdomen. Extra-extended wear offers superior erosion resistance compared to traditional systems. Unique, transparent adhesive provides security and flexibility, while preserving integrity of surrounding skin.


5⁄8” – 15⁄16” (15 – 23 mm) 14281 A4407 5/bx5⁄8” – 1-5⁄16” (15 – 33 mm) 14282 A4407 5/bx5⁄8” – 1-11⁄16” (15 – 43 mm)14283 A4407 5/bx


PRECUT

3⁄4” (18 mm) 14291 A4407 5/bx7⁄8” (22 mm) 14292 A4407 5/bx1” (25 mm) 14293 A4407 5/bx1-1⁄8” (28 mm) 14294 A4407 5/bx1-1⁄4” (31 mm) 14295 A4407 5/bx1-3⁄8” (35 mm) 14296 A4407 5/bx1-1⁄2” (38 mm) 14297 A4407 5/bx1-5⁄8” (41 mm) 14298 A4407 5/bx

Assura® Convex Standard Wear Barriers with Belt TabsFlexible, spiral skin barrier with deep convexity for secure, long-lasting wear.


5⁄8” – 1-5⁄16” (15 – 33 mm) 12716 A4373 5/bx5⁄8” – 1-11⁄16” (15 – 43 mm) 12719 A4373 5/bx

PRECUT

5⁄8” (15 mm) 12701 A4373 5/bx3⁄4” (18 mm) 12702 A4373 5/bx7⁄8” (22 mm) 12703 A4373 5/bx1” (25 mm) 12704 A4373 5/bx1-1⁄8” (28 mm) 12705 A4373 5/bx1-1⁄4” (31 mm) 12706 A4373 5/bx1-3⁄8” (35 mm) 12707 A4373 5/bx1-1⁄2” (38 mm) 12708 A4373 5/bx1-5⁄8” (41 mm) 12709 A4373 5/bx

Assura® Convex Extra-Extended Wear Barriers with Belt TabsWith superior erosion resistance compared to traditional systems and a unique, transparent adhesive that provides security and flexibility while preserving integrity of the surrounding skin. Barrier is highly absorbent and erosion resistant.


5⁄8” – 15⁄16” (15 – 23 mm) 14243 A4407 5/bx5⁄8” – 1-5⁄16” (15 – 33 mm) 14246 A4407 5/bx5⁄8” – 1-11⁄16” (15 – 43 mm) 14249 A4407 5/bx

PRECUT

3⁄4” (18 mm) 14232 A4407 5/bx7⁄8” (22 mm) 14233 A4407 5/bx1” (25 mm) 14234 A4407 5/bx1-1⁄8” (28 mm) 14235 A4407 5/bx1-1⁄4” (31 mm) 14236 A4407 5/bx1-3⁄8” (35 mm) 14237 A4407 5/bx1-1⁄2” (38 mm) 14238 A4407 5/bx1-5⁄8” (41 mm) 14239 A4407 5/bx

Drainable Pouches

Assura® EasiClose™ WIDE Outlet Two-Piece Drainable PouchesEasier to empty and clean than any other integrated closure drainable systems. ITEM # ITEM # HCPCS SOLD BY

10-1⁄2” MIDI, WITH FILTER (485 mL) TRANSPARENT OPAQUE

N/A 15954 A4427 10/bx N/A 15955 A4427 10/bx N/A 15956 A4427 10/bx11-1⁄2” MAXI, WITH FILTER (655 mL)

15974 15984 A4427 10/bx 15975 15985 A4427 10/bx 15976 15986 A4427 10/bx11-1⁄2” MAXI, WITHOUT FILTER (655 mL)

N/A 15982 A4426 10/bx N/A 15983 A4426 10/bx

Assura® EasiClose™ Two-Piece Drainable Pouches with FilterLow-profile for maximum discretion with unique EasiClose™ outlet, and integrated closure system creates extremely hygienic and secure pouch for ileostomy or colostomy patients. Odor-control filter.9-1⁄4” MINI, OPAQUE (280 mL) ITEM # HCPCS SOLD BY

13924 A4427 10/bx 13925 A4427 10/bx

10-1⁄4” MIDI, GRAPHIC (485 mL)


13964 A4427 10/bx 13965 A4427 10/bx 13966 A4427 10/bx

11-1⁄4” MAXI (655 mL) ITEM # ITEM # HCPCS SOLD BY TRANSPARENT OPAQUE

13974 13984 A4427 10/bx 13975 13985 A4427 10/bx 13976 13986 A4427 10/bx

Assura® Two-Piece Drainable Pouches without Filter, OpaqueSoft, moisture-absorbent backing; simple twist-tie or clip closure. Secure locking system; includes five pouch clamps. ITEM # ITEM # HCPCS SOLD BY 9-3⁄4” MIDI 11-1⁄4” MAXI (400 mL) (760 mL)

12527 12577 A4426 10/bx 12528 12578 A4426 10/bx 12529 12579 A4426 10/bx

Closed-End Pouches

Assura® Closed Pouches with FilterSoft, moisture-absorbent panels on back. ITEM # ITEM # HCPCS SOLD BY7” MINI (275 mL) TRANSPARENT OPAQUE

12344 12354 A4423 30/bx 12345 12355 A4423 30/bx 12346 12356 A4423 30/bx8-1⁄2” MAXI (570 mL) TRANSPARENT OPAQUE

12374 12384 A4423 30/bx 12375 12385 A4423 30/bx 12376 12386 A4423 30/bx

Stoma Caps

Assura® Two-Piece Ostomy Stoma Caps with Filter, OpaqueMini security pouch with secure locking system. ITEM # HCPCS SOLD BY

2801 A5055 30/bx 2802 A5055 30/bx

Urostomy Pouches

10-1⁄2” Assura® Two-Piece Urostomy Multi-Chamber Pouches, MaxiSoft, absorbent backing, with anti-reflux valve. Chambers provide for a more discreet and quiet pouch. Simple locking connector for night drainage bag attachment. 488 mL. ITEM # ITEM # HCPCS SOLD BY TRANSPARENT OPAQUE

14227 14224 A4433 10/bx 14228 14225 A4433 10/bx 14229 14226 A4433 10/bx

Assura® Urostomy PouchesAnti-reflux valve, absorbent backing, secure outlet closure and simple locking connector for night drainage bag attachment. Secure locking system. ITEM # ITEM # HCPCS SOLD BY9-1⁄2” SMALL TRANSPARENT OPAQUE

1751 N/A A4433 10/bx 1752 N/A A4433 10/bx10-3⁄4” STANDARD

1757 1754 A4433 10/bx 1758 1755 A4433 10/bx 1759 1756 A4433 10/bx

Coloplast


OSTO

MY OSTOM

Y


Urostomy Stoma Caps

Assura® Two-Piece Urostomy Stoma Caps, OpaqueMini security pouch with secure locking system. ITEM # HCPCS SOLD BY

2807 A5055 10/bx 2808 A5055 10/bx

Assura® Two-Piece Urostomy Micro-PouchesMiniature size prevents twisting and soft outlet can be connected to a drain bag/leg bag for nighttime or wheelchair use. ITEM # HCPCS SOLD BY

14204 A4433 10/bx 14205 A4433 10/bx 14206 A4433 10/bx

ASSURA® TWO-PIECE POSTOPERATIVE PRODUCTS

Color-Coded Size Chart: Assura® Two-Piece Systems

3/8” – 1-3/8” GREEN 3/8” – 1-3/4” RED 3/8” – 2-1/4” BLUE

Assura® High Output Drainable Systems with FilterTwo-piece system for the first post-ostomy surgery days when output is high. Longer wear-time allows for fewer nighttime disturbances. Available in a 2-L ileo night pouch for initial use, and high output versions to “step down” as effluence diminshes. Compatible with SenSura® Click and Assura® barriers. ITEM # ITEM # HCPCS SOLD BYHIGH OUTPUT POUCHES, 750 mL TRANSPARENT OPAQUE

8114 N/A A4413 10/bx 8115 2846 A4413 10/bx 8116 2847 A4413 10/bxILEO NIGHT POUCHES, 2 L

N/A 2836 A4413 5/bx N/A 2837 A4413 5/bx

ASSURA® ONE-PIECE POSTOPERATIVE PRODUCTS12” Assura® One-Piece Post-Op and Wound Management Drainable Pouches without Filter, Transparent

Easy-to-remove window allows quick access to wounds, good for most postsurgical ostomy, fistula and draining wound management. Unique, spiral adhesive protects sensitive skin and adheres securely, yet removes easily. Easy to open and close drainage outlet can be attached to drainage collector. 830 mL.

ITEM # ITEM # HCPCS SOLD BYNONSTERILE WITH WINDOW WITHOUT WINDOW

1⁄2” – 2-3⁄4” (13 – 70 mm) 12800 12805 A6154 5/bx1⁄2” – 4” (13 – 100 mm) 12802 N/A A6154 5/bxSTERILE

1⁄2” – 2-3⁄4” (13 – 70 mm) 12808 12818 A6154 5/bx1⁄2” – 4” (13 – 100 mm) 12810 N/A A6154 5/bx

ASSURA® ONE-PIECE POUCHING SYSTEMS

Drainable Pouches

11-1⁄2” Assura® EasiClose™ WIDE Outlet Flat Drainable PouchesWide outlets improves ease for emptying and cleaning compared to other integrated closure or clamp drainable systems. 530 mL. ITEM # ITEM # HCPCS SOLD BY

CUT-TO-FIT, MAXI, WITH FILTER TRANSPARENT OPAQUE

3⁄8” – 3” (10 – 75 mm) 15860 15870 A4424 10/bxCUT-TO-FIT, MAXI, WITHOUT FILTER

3⁄8” – 3” (10 – 75 mm) N/A 15871 A5061 10/bxPRECUT, MAXI, WITH FILTER

1” (25 mm) N/A 15874 A4424 10/bx1-3⁄16” (30 mm) N/A 15875 A4424 10/bx1-3⁄8” (35 mm) N/A 15876 A4424 10/bx

11-1⁄2 ̋Assura® EasiClose™ WIDE Outlet One-Piece Cut-to-Fit Extra-Extended Wear Pouches without Filter

EasiClose™ WIDE outlet creates an easier, cleaner emptying process. Extra-extended wear pouch offers superior wear time and slicker interior film improves empting ease and speed for those with thicker output. Unique, transparent adhesive provides security and flexibility while safeguarding surrounding skin. Barrier is highly absorptive and erosion resistant. 530 mL. ITEM # ITEM # HCPCS SOLD BYFLAT TRANSPARENT OPAQUE

3⁄8” – 3” (10 – 75 mm) 15869 15879 A4388 10/bxCONVEX LIGHT 5⁄8” – 1-5⁄16” (15 – 33 mm) 14413 N/A A4390 10/bx5⁄8” – 1-11⁄16” (15 – 43 mm) 14416 14419 A4390 10/bx

11-1⁄2 ̋Assura® EasiClose™ WIDE Outlet One-Piece Cut-to-Fit Convex Light Standard Wear Pouches with Filter, Transparent

Large-size, drainable pouches with filter. Soft cloth on front and back. ITEM # HCPCS SOLD BY

5⁄8” – 1-5⁄16” (15 – 33 mm) 14511 A4389 10/bx5⁄8” – 1-11⁄16” (15 – 43 mm) 14512 A4389 10/bx

Assura® One-Piece Pouches with EasiClose™ Outlet and Filter ITEM # HCPCS SOLD BY10-1⁄4” MIDI OPAQUE POUCHES, FLAT (390 mL)

Cut-to-fit, 3⁄8” – 2-1⁄2” (10 – 65 mm) 13840 A4424 10/bxPrecut, 1” (25 mm) 13844 A4424 10/bxPrecut, 1-3⁄16” (30 mm) 13845 A4424 10/bxPrecut, 1-3⁄8” (35 mm) 13846 A4424 10/bx

10-1⁄4” MIDI OPAQUE POUCHES, CONVEX LIGHT (390 mL)

Cut-to-fit, 5⁄8” – 1-5⁄16” (15 – 33 mm) 14404 A4389 10/bxCut-to-fit, 5⁄8” – 1-11⁄16” (15 – 43 mm) 14405 A4389 10/bx10-1⁄4” MIDI OPAQUE POUCHES, CONVEX (390 mL)

Cut-to-fit, 5⁄8” – 1-11⁄16” (15 – 43 mm) 14196 A4389 10/bx11-1⁄4” MAXI TRANSPARENT POUCHES, FLAT (530 mL)

Cut-to-fit, 3⁄8” – 3” (10 – 75 mm) 13860 A4424 10/bx

11-1⁄4” MAXI TRANSPARENT POUCHES, CONVEX LIGHT (530 mL)

Cut-to-fit, 5⁄8” – 1-5⁄16” (15 – 33 mm) 14411 A4389 10/bxCut-to-fit, 5⁄8” – 1-11⁄16” (15 – 43 mm) 14412 A4389 10/bx11-1⁄4” MAXI TRANSPARENT POUCHES, CONVEX (530 mL)

Cut-to-fit, 5⁄8” – 1-11⁄16” (15 – 43 mm) 14103 A4389 10/bxPrecut, 7⁄8”, (22 mm) 14163 A4389 10/bxPrecut, 1” (25 mm) 14164 A4389 10/bxPrecut, 1-1⁄8” (28 mm) 14165 A4389 10/bxPrecut, 1-1⁄4” (31 mm) 14166 A4389 10/bx11-1⁄4 ̋MAXI OPAQUE POUCHES, FLAT (530 mL)

Cut-to-fit, 3⁄8” – 2-3⁄4 ̋(10 – 70 mm) 13870 A4424 10/bxPrecut, 1” (25 mm) 13874 A4424 10/bxPrecut, 1-3⁄16” (30 mm) 13875 A4424 10/bxPrecut, 1-3⁄8” (35 mm) 13876 A4424 10/bx

11-1⁄4 ̋MAXI OPAQUE POUCHES (530 mL) CONVEX CONVEX LIGHT

Cut-to-fit, 5⁄8” – 1-5⁄16” (15 – 33 mm) N/A 14414 A4389 10/bxCut-to-fit, 5⁄8” – 1-11⁄16” (15 – 43 mm) 14106 14415 A4389 10/bxPrecut, 7⁄8” (22 mm) 14173 14421 A4389 10/bxPrecut, 1” (25 mm) 14174 14422 A4389 10/bxPrecut, 1-1⁄8” (28 mm) 14175 14423 A4389 10/bxPrecut, 1-1⁄4” (31 mm) 14176 14424 A4389 10/bx

11-1⁄4” Assura® Cut-to-Fit Flat Standard Wear One-Piece Drainable Pouches without Filter

Soft fabric backing leaves skin cool and dry and spiral adhesive stays on securely, with gentle removal. Rustle-free pouch provides ultimate discretion. Includes five pouch clamps and 10 twist-tie closures. 3⁄8” – 2-3⁄4” (10 – 70 mm). 530 mL. ITEM # HCPCS SOLD BY


11-1⁄4” Assura® Cut-to-Fit Convex Standard Wear One-PieceDrainable Pouches without Filter

With odor-proof film. Includes five clamps. 5⁄8” – 1-11⁄16” (15 – 43 mm). 530 mL. ITEM # HCPCS SOLD BY


11” Assura® Convex Cut-to-Fit Extra-Extended Wear Drainable Pouches without Filter

Includes five clamps and 10 twist-tie closures. 5⁄8” – 1-11⁄16” (15 – 43 mm). 530 mL. ITEM # HCPCS SOLD BY


9-3 ⁄4” Assura® Cut-to-Fit Convex Standard Wear One-Piece Drainable Pouches without Filter, Transparent

With odor-proof film. Includes five clamps. 5⁄8” – 1-11⁄16” (15 – 43 mm). 230 mL. ITEM # HCPCS SOLD BY

13703 A4389 10/bx

Closed-End Pouches

8-1⁄2” Assura® Flat Standard Wear Closed Maxi Pouches with Filter, Opaque

Assura’s spiral adhesive stays on securely yet removes gently; soft fabric backing leaves skin cool and dry. Quiet rustle-free pouch material enhances discretion. 530 mL. ITEM # HCPCS SOLD BY

Cut-to-fit, 13⁄16” – 3” (20 – 75 mm) 12170 A4416 30/bxPrecut, 1” (25 mm) 12174 A4416 30/bxPrecut, 1-3⁄16” (30 mm) 12175 A4416 30/bxPrecut, 1-3⁄8” (35 mm) 12176 A4416 30/bxPrecut, 1-9⁄16” (40 mm) 12177 A4416 30/bx

Coloplast


OSTO

MY OSTOM

Y


8-1⁄2” Assura® Cut-to-Fit Convex Light Standard Wear Closed Maxi Pouches with Filter

Shallow convexity for flush or slightly retracted stomas. Moisture absorbent backing. 560 mL. ITEM # ITEM # HCPCS SOLD BY TRANSPARENT OPAQUE

5⁄8” – 1-5⁄16” (15 – 33 mm) 14441 14444 A4417 10/bx5⁄8” – 1-11⁄16” (15 – 43 mm) 14442 14445 A4417 10/bx

7” Assura® Flat Standard Wear Closed Midi Pouches with FilterWith charcoal filter and odor-proof film. Moisture-absorbent backing. 350 mL. ITEM # ITEM # HCPCS SOLD BY TRANSPARENT OPAQUE

Cut-to-fit, 13⁄16” – 2-1⁄2” 12130 12140 A4416 30/bx(20 – 65 mm)Precut, 1” (25 mm) 12134 12144 A4416 30/bxPrecut, 1-3⁄16” (30 mm) 12135 12145 A4416 30/bxPrecut, 1-3⁄8” (35 mm) 12136 12146 A4416 30/bxPrecut, 1-9⁄16” (40 mm) N/A 12147 A4416 30/bxPrecut, 2” (50 mm) N/A 12149 A4416 30/bx

7” Assura® Convex Light Standard Wear Closed Midi Pouches with Filter

Shallow convexity for flush or slightly retracted stomas; moisture-absorbent backing. 350 mL. ITEM # HCPCS SOLD BYTRANSPARENT

Cut-to-fit, 5⁄8” – 1-5⁄16 ̋(15 – 33 mm) 14431 A4417 10/bxCut-to-fit, 5⁄8” – 1-11⁄16 ̋(15 – 43 mm) 14432 A4417 10/bxOPAQUE

Cut-to-fit, 5⁄8” – 1-5⁄16 ̋(15 – 33 mm) 14434 A4417 10/bxCut-to-fit, 5⁄8” – 1-11⁄16 ̋(15 – 43 mm) 14435 A4417 10/bxPrecut, 7⁄8” (22 mm) 14451 A4417 10/bxPrecut,1” (25 mm) 14452 A4417 10/bxPrecut, 1-1⁄8” (28 mm) 14453 A4417 10/bxPrecut, 1-1⁄4” (31 mm) 14454 A4417 10/bx

Stoma Caps

Assura® One-Piece Ostomy Stoma Caps with Filter, OpaqueMini security pouches; secure locking system.


13⁄16” – 2-1⁄4” (20 – 55 mm) 2501 A5055 30/bx

Urostomy Pouches

10-3⁄4” Assura® One-Piece Cut-to-Fit Urostomy Multi-Chamber Pouches, Transparent

Unique chambers help disperse urine throughout the pouch to prevent “ballooning.” With a standard wear adhesive specifically designed for people with urostomies and an adhesive featuring an erosion-resistant ring that provides increased absorption and more secure solution. 470 mL. ITEM # HCPCS SOLD BYFLAT

3⁄8” – 2-1⁄4” (10 – 55 mm) 14222 A5071 10/bxCONVEX LIGHT

5⁄8” – 1-11⁄16” (15 – 43 mm) 14717 A4392 10/bx

10-3⁄4” Assura® One-Piece Convex Standard Wear Urostomy Pouches, Transparent

465 mL with anti-reflux valve, odor-proof film and closure with five adapters for night drainage. ITEM # HCPCS SOLD BY

Cut-to-fit, 5⁄8” – 1-5⁄16” (15 – 33 mm) 12595 A4392 10/bxCut-to-fit, 5⁄8” – 1-11⁄16” (15 – 43 mm) 12596 A4392 10/bxPrecut, 5⁄8” (15 mm) 12991 A4392 10/bxPrecut, 3⁄4” (18 mm) 12992 A4392 10/bxPrecut, 7⁄8” (22 mm) 12993 A4392 10/bxPrecut, 1” (25 mm) 12994 A4392 10/bxPrecut, 1-1⁄8” (28 mm) 12995 A4392 10/bxPrecut, 1-1⁄4” (31 mm) 12996 A4392 10/bxPrecut, 1-3⁄8” (35 mm) 12997 A4392 10/bx

9-1⁄2” Assura® Cut-to-Fit Extra-Extended Wear Urostomy PouchesOne-piece users get superior wear time compared to traditional system with a unique transparent adhesive that enhances security and flexibility, while preserving integrity of the surrounding skin. Barrier is highly absorbent and resists erosion. Box includes 5 adapters.

ITEM # ITEM # HCPCS SOLD BYFLAT TRANSPARENT OPAQUE

3⁄8” – 2-1⁄4” (265 mL) 12472 12471 A4391 10/bx3⁄8” – 2-1⁄4” (375 mL) 12474 N/A A4391 10/bx

CONVEX, TRANSPARENT (465 mL)

5⁄8” – 1-5⁄16” (15 – 33 mm) 12432 N/A A4393 10/bx5⁄8” – 1-11⁄16” (15 – 43 mm) 12433 N/A A4393 10/bx

7” Assura® Cut-to-Fit Urostomy PouchesCustom cut with soft backing, anti-reflux valve, outlet closure and locking connector for night drainage. 3⁄8” – 2-1⁄4” (10 – 55 mm). ITEM # ITEM # HCPCS SOLD BY TRANSPARENT OPAQUE

265 mL / 7” long 5575 5570 A5071 30/bx465 mL / 10-3⁄4” long 5585 5580 A5071 10/bx

COLOKIDS™ PEDIATRIC OSTOMY PRODUCTS

Assura® Cut-to-Fit Flat Pediatric Skin BarriersFlexible skin barrier for secure, long-lasting wear and flexible flange allows pouch to be secured with minimal pressure. A gentle, one-of-a-kind adhesive offers excellent peristomal protection. Please refer to page 36 for color-coded chart.


3⁄8” – 1-3⁄8” (10 – 35 mm) 2182 A4414 5/bx

5-3⁄4”Assura® Cut-to-Fit Pediatric Two-Piece Closed-End Pouches with Filter, Opaque

Soft cloth backing on pouches keeps skin dry, cool, and free from irritation. Please refer to page ??? for color-coded chart. ITEM # HCPCS SOLD BY

2161 A4423 30/bx

Assura® Cut-to-Fit Pediatric One-Piece Pouches, TransparentProvides excellent peristomal protection with one-of-a-kind, gentle adhesive. Soft cloth backing on pouches keeps skin cool, dry and irritation free.


8-1⁄2” DRAINABLE POUCH, WITHOUT FILTER

3⁄8” – 1-3⁄8” (10 – 35 mm) 2115 A5061 10/bx

8-1⁄2” UROSTOMY POUCH (150 mL)

3⁄8” – 1-3⁄8” (10 – 35 mm) 8009 A5071 10/bx

ASSURA® IRRIGATION PRODUCTS

Assura® Irrigation SetSet includes durable water bag/regulator with integrated thermometer, large opening and bold print; stoma cone, four irrigation sleeves and two closure clips. For one- or two-piece systems. ITEM # HCPCS SOLD BY

1500H A4400 ea

Assura® Deluxe Irrigation SetDeluxe set includes water bag/regulator, cone, irrigation faceplate, belt, two irrigation sleeves and two closure clips, with components in a travel bag. ITEM # HCPCS SOLD BY

12830 A4400 ea

Assura® Irrigation Sleeves ITEM # HCPCS SOLD BY

DISPOSABLE, TRANSPARENT, ADHESIVE-BACKED

1003 A4397 10/bxFOR USE WITH SENSURA® CLICK OR ASSURA® BARRIERS(PLEASE SEE PAGES ??? AND ??? FOR COLOR CHART)

12834 A4397 5/bx 12835 A4397 5/bx 12836 A4397 5/bx

Assura® Irrigation FaceplateFor use with ostomy belt and Item #12836 irrigation sleeve. ITEM # HCPCS SOLD BY

12820 A4361 ea

Stoma Cone with Tubing ITEM # HCPCS SOLD BY

1110 A4399 ea

ACCESSORIES

Skin Barriers/Seals

Brava™ Moldable RingsFill uneven skin surfaces, absorb moisture and protect the skin from leakage with a tight, durable seal. Easy to handle, mold and apply. Alcohol- and sting-free. ITEM # HCPCS SOLD BY

2-mm thick 120307 A4385 10/bx4.2-mm thick 120427 A4385 10/bx

Brava™ Strip PastePectin-based paste protects peristomal skin from stomal output. Used to fill uneven skin surfaces to create a flat pouching surface. Alcohol- and sting-free. ITEM # HCPCS SOLD BY

2 oz. 26555 A4406 10/bx

Coloplast


OSTO

MY OSTOM

Y


Brava™ Elastic Barrier StripsGet extra security and longer wear time with this skin-friendly tape alternative. Elastic follows body contours. Design ensures the position of the barrier and minimizes roll-up. ITEM # HCPCS SOLD BY

120700 A4362 20/bx

Brava™ Protective SheetsEasy-to-apply hydrocolloid skin barriers protects peristomal skin from stomal output. Provides a ready surface for good adhesion. ITEM # HCPCS SOLD BY

4” x 4” (10 x 10 cm) 32105 A4362 10/bx6” x 6” (15 x 15 cm) 32155 A5121 5/bx8” x 8” (20 x 20 cm) 32205 A5122 5/bx

Coloplast® Skin Barrier RingsSoft and flexible skin protection for stomas, fistulae and draining wounds. ITEM # HCPCS SOLD BY

3⁄8” (10 mm) 2310 A4404 30/bx3⁄5” (15 mm) 2315 A4404 30/bx3⁄4” (20 mm) 2320 A4404 30/bx1” (25 mm) 2325 A4404 30/bx1-1⁄8” (30 mm) 2330 A4404 30/bx1-3⁄5” (40 mm) 2340 A4404 30/bx2” (50 mm) 2350 A4404 30/bx

Paste/Wipes

Coloplast® PasteProtects peristomal skin (like “caulking”). Low alcohol content. ITEM # HCPCS SOLD BY

2-oz. tube 2650 A4405 ea2-oz. tube with pectin 2651 A4406 ea

Brava™ PasteAlcohol-free (no stinging) ostomy paste protects peristomal skin from stomal output; fills in uneven skin surfaces. Pectin-based. ITEM # HCPCS SOLD BY

2-oz. tube 12050 A4406 ea

Prep™ WipesClear film forms a breathable barrier against skin irritants, such as adhesives, urine and feces. No need to remove between applications. ITEM # HCPCS SOLD BY

2041 A5120 54/bx

Prep™Protective skin barrier. ITEM # HCPCS SOLD BY

2-fl. oz. (59-mL) bottle 0925 A4369 ea

Odor Eliminators

Brava™ Lubricating DeodorantPouch lubricant and deodorizer. Helps ensure content remains at the bottom of the pouch and not around the stoma. Powder-fresh scent. ITEM # HCPCS SOLD BY

0.25-oz. sachets 12060 A4394 20/bx8-oz. bottle 12061 A4394 ea

Filters/Pouch Clamps

Filtrodor® Pouch FiltersCharcoal-activated deodorizing filters with self-sealing foam center, adheres to pouch.


0509 A4368 50/bx

Pouch ClampFor drainable pouches.


9500 A4363 ea

Belts

Brava™ Ostomy Belt (Adjustable)Discreet and comfortable to wear. ITEM # HCPCS SOLD BY

43-1⁄3” length 4215 A4367 ea49” length 4220 A4367 ea

Genairex

All Genairex ostomy products are latex-free unless otherwise noted.

Securi-T ® TWO-PIECE OSTOMY SYSTEMS

Discreet, low profile, easy to use. Flanges connect with a gentle smoothing motion and feature top-quality hydrocolloids and flexible flange attachments producing greater performance and wear time. In standard or extended wear.

Securi-T® Standard Wear Skin Barriers

Flexible Cut-to-Fit Wafers with Tape Collar ITEM # ITEM # HCPCS SOLD BY WHITE TAN

1-1⁄4” (32 mm) flange, 4” collar 204114 304114 A4414 10/bx1-1⁄2” (38 mm) flange, 4” collar 204112 304112 A4414 10/bx1-3⁄4” (45 mm) flange, 4” collar 204134 304134 A4414 10/bx2-1⁄4” (57 mm) flange, 5” collar 205214 305214 A4414 10/bx2-3⁄4” (70 mm) flange, 5” collar 205234 305234 A4414 10/bx

Solid Hydrocolloid, Cut-to-Fit, without Tape Collar ITEM # HCPCS SOLD BY4” COLLAR

1-1⁄4” (32 mm) flange 404114 A4414 10/bx1-1⁄2” (38 mm) flange 404112 A4414 10/bx1-3⁄4” (45 mm) flange 404134 A4414 10/bx2-1⁄4” (57 mm) flange 404214 A4414 10/bx5” COLLAR

2-3⁄4” (70 mm) flange 405234 A4415 10/bx

Securi-T ® Extended Wear Skin Barriers

Cut-to-Fit Flexible Wafers with Tape Collar, White ITEM # HCPCS SOLD BY4” COLLAR

1-1⁄4” (32 mm) flange, 4” x 4” 804114 A4409 5/bx1-1⁄2” (38 mm) flange, 4” x 4” 804112 A4409 5/bx1-3⁄4” (45 mm) flange, 4” x 4” 804134 A4409 5/bx5” COLLAR

2-1⁄4” (57 mm) flange, 5” x 5” 805214 A4409 5/bx2-3⁄4” (70 mm) flange, 5” x 5” 805234 A4409 5/bx

Solid Hydrocolloid, Cut-to-Fit, without Tape Collar ITEM # HCPCS SOLD BY4” COLLAR

1-1⁄4” (32 mm) flange 814114 A4409 5/bx1-1⁄2” (38 mm) flange 814112 A4409 5/bx1-3⁄4” (45 mm) flange 814134 A4409 5/bx2-1⁄4” (57 mm) flange 814214 A4409 5/bx5” COLLAR

2-3⁄4” (70 mm) flange 815234 A4410 5/bx

Precut Wafers with Built-In Convexity and Flexible Tape Collar ITEM # HCPCS SOLD BY

3⁄4” (19 mm) stoma opening 819134 A4407 5/bx7⁄8” (22 mm) stoma opening 822134 A4407 5/bx1” (25 mm) stoma opening 825134 A4407 5/bx1-1⁄8” (29 mm) stoma opening 829134 A4407 5/bx1-1⁄4” (32 mm) stoma opening 832134 A4407 5/bx

Securi-T ® Drainable Pouches

10” Drainable OpaqueTwo-sided comfort panel, one curved tail closure. ITEM # HCPCS SOLD BY

1-1⁄4” (32 mm) 210114 A5063 10/bx1-1⁄2” (38 mm) 210112 A5063 10/bx1-3⁄4” (45 mm) 210134 A5063 10/bx2-1⁄4” (57 mm) 210214 A5063 10/bx2-3⁄4” (70 mm) 210234 A5063 10/bx

12” OpaqueTwo-sided comfort panel, one curved tail closure. Includes 10 filter covers.


TRANSPARENT OPAQUE

1-1⁄4” (32 mm) 312114 212114 A5063 10/bx1-1⁄2” (38 mm) 312112 212112 A5063 10/bx1-3⁄4” (45 mm) 312134 212134 A5063 10/bx2-1⁄4” (57 mm) 312214 212214 A5063 10/bx2-3⁄4” (70 mm) 312234 212234 A5063 10/bx

12” Drainable Opaque with FilterOne-sided comfort panel, one transparent curved tail closure. Includes 10 filter covers. ITEM # HCPCS SOLD BY

1-1⁄2” (38 mm) 308112 A4425 10/bx1-3⁄4” (45 mm) 308134 A4425 10/bx2-1⁄4” (57 mm) 308214 A4425 10/bx2-3⁄4” (70 mm) 308234 A4425 10/bx

Coloplast

All Coloplast ostomy products are latex-free. LATEX FREE LATEX FREE

OSTO

MY OSTOM

Y


Securi-T ® Closed-End Pouches

8” Opaque Closed-End PouchesTwo-sided comfort panel. ITEM # HCPCS SOLD BYWITHOUT FILTER

1-1⁄2 ̋(38 mm) 400112 A5054 30/bx1-3⁄4 ̋(45 mm) 400134 A5054 30/bx2-1⁄4 ̋(57 mm) 400214 A5054 30/bx2-3⁄4 ̋(70 mm) 400234 A5054 30/bxWITH FILTER AND FILTER COVERS

1-1⁄2 ̋(38 mm) 408112 A4419 30/bx1-3⁄4 ̋(45 mm) 408134 A4419 30/bx2-1⁄4 ̋(57 mm) 408214 A4419 30/bx2-3⁄4 ̋(70 mm) 408234 A4419 30/bx

Securi-T ® Urostomy Pouches

10” Urostomy Pouches for Two-Piece SystemsOne-sided comfort film. Flip-flow valve with cap and night drain adapter. ITEM # ITEM # HCPCS SOLD BY TRANSPARENT OPAQUE

1-1⁄4” (32 mm) flange 502114 N/A A4432 10/bx1-1⁄2” (38 mm) flange 502112 501112 A4432 10/bx1-3⁄4” (45 mm) flange 502134 501134 A4432 10/bx2-1⁄4” (57 mm) flange 502214 501214 A4432 10/bx

SECURI-T ® ONE-PIECE OSTOMY SYSTEMS

Securi-T ® Drainable Pouches

6” Small Pediatric Cut-to-Fit Standard Drainable Pouches, TransparentOne-sided comfort panel with 10 soft tail closures. ITEM # HCPCS SOLD BY

606002 A5061 10/bx

12” Standard Wear Cut-to-Fit Drainable Pouches, TransparentWith tape collar. Fit stomas up to 2-1⁄2”. One-sided comfort panel andreusable tail closure. ITEM # HCPCS SOLD BY

600002 A5061 10/bx

12” Extended Wear Cut-to-Fit Drainable Pouches, OpaqueFor stoma sizes 1⁄2” – 2-1⁄2”. One-sided comfort panel and reusable tail closure. ITEM # HCPCS SOLD BY

612008 A4388 10/bx

Securi-T® Closed Pouches

8” Standard Wear Cut-to-Fit Closed Pouches with FilterWith tape collar. Fits stomas up to 2-3⁄8”. Includes waterproof filter covers. ITEM # HCPCS SOLD BY


Securi-T® Urostomy Pouches

10” One-Piece Extended Precut Wear Urostomy System with Built-In Convexity

With one-sided comfort film. Flip-flow valve with cap and night drain adapter. ITEM # HCPCS SOLD BY

3⁄4” (19 mm) stoma opening 610198 A4430 10/bx7⁄8” (22 mm) stoma opening 610228 A4430 10/bx1” (25 mm) stoma opening 610258 A4430 10/bx1-1⁄8” (29 mm) stoma opening 610298 A4430 10/bx1-1⁄4” (32 mm) stoma opening 610328 A4430 10/bx

SKIN BARRIERS/SEALS

Securi-T® Conformable SealsMoldable seal can be stretched to fit a variety of stoma sizes. Use to fill in uneven areas to prevent leakage and reduce moisture penetration. ITEM # HCPCS SOLD BY

2” diameter 900222 A4385 20/bx4” diameter 900444 A4385 10/bx

Securi-T® Hydrocolloid Skin Barrier StripsSkin-friendly hydrocolloid strips used to picture frame around appliances (alternative to tape). Can be used under or on top of wafers or dressings to protect adhesive edges. Precut and preshaped strips do not cause skin irritation or trauma.


200344 A4362 30/bx

Securi-T® Solid Skin BarriersCan be used under ostomy appliances; cut into strips to provide extra protection around the stoma; or used to fill in uneven areas of the skin before applying an appliance. ITEM # HCPCS SOLD BY

4” x 4” 200444 A4362 10/bx

PASTE/WIPES/LUBRICATING DEODORANT

Securi-T® Stoma PastePectin-based protective paste for use as a “caulk” to protect the skin or fill in uneven skin surfaces where leakage around an appliance may occur. Contains alcohol—not for use on open wounds or skin ulcers.


2-oz. tube 200000 A4406 ea

Securi-T® No Sting Wipe Barrier Protective DressingsFor protection between skin and tape and to help tape and film adhesion. No sting, nonirritating. ITEM # HCPCS SOLD BY

202400 A5120 50/bx

Securi-T® Lubricating Gel Deodorant8-oz. bottle. ITEM # HCPCS SOLD BY

108008 A4394 ea

Phoenix Ostomy

Phoenix Ostomy Support SystemReclaim your life—swim, dance, exercise, sleep, enjoy intimacy with this discreet supportive belt. Can be used with right- or left-side stomas with one- or two-piece pouch systems. For size, measure around body at stoma level.


X-Small/Small (20” – 26”) PS100 A4396 eaMedium/Large (26” – 36”) PS300 A4396 eaX-Large/2X-Large (36” – 47”) PS500 A4396 ea

STOMOCUR®

All STOMOCUR® ostomy products are latex-free.

TWO-PIECE POUCHING SYSTEMS

Color-Codes Size Chart: STOMOCUR® Two-Piece Systems

Up to 1-1/2” (38 mm) YELLOW Up to 1-3/4” (45 mm) RED

Up to 2-1/4” (57 mm) ORANGE Up to 2-3/4” (70 mm) GREEN

STOMOCUR® Clic Baseplate, Gelatin FreeGelatin-free adhesive, ideal in warm climates and for those with skin sensitivities.


5⁄8” – 1-1⁄8” (15 – 30 mm) CD3815N A4414 5/bx5⁄8” – 1-3⁄4” (15 – 45 mm) CD4515N A4414 5/bx5⁄8” – 2” (15 – 50 mm) CD5715N A4414 5/bx

PRECUT

3⁄4” (20 mm) CD3820N A4414 5/bx3⁄4” (20 mm) CD4520N A4414 5/bx1” (25 mm) CD4525N A4414 5/bx1-3⁄8” (35 mm) CD4535N A4414 5/bx

STOMOCUR® Clic Baseplates, Cut-to-Fit Combination FlangeSkin-protecting baseplates with locking ring. Skin protection consists of thick hydrocolloid wafer with high absorption capacity. Wafer has tapered edge. Needs very low pressure, yet fits securely. Easy to use.


15 – 38 mm UD3815 A4409 5/bx15 – 45 mm UD4515 A4409 5/bx15 – 57 mm UD5715 A4409 5/bx15 – 70 mm UD7015 A4409 5/bx

8” STOMOCUR® Clic ColoClosed colostomy pouches with locking ring, odor-tight laminated film and protected filter. ITEM # ITEM # HCPCS SOLD BY TAN CLEAR

CD4545S CD4545C A4423 30/bx CD5757S N/A A4423 30/bx CD7070S N/A A4423 30/bx

Genairex

All Genairex ostomy products are latex-free unless otherwise noted.

LATEX FREE LATEX FREE

OSTO

MY OSTOM

Y


8-1 ⁄2” STOMOCUR® Clic Ileo Safe SealDrainable pouch with locking ring, available with or without MPC® Filter (completely new filter system with a Moisture Protected Composition). Window in the fabric on the side away from the body allows for stoma inspection. With safe-seal Velcro® closure. ITEM # HCPCS SOLD BYWITH FILTER

Up to 1-3⁄4 ̋(45 mm) VIDF4545CW A4427 30/bxUp to 2-1⁄4 ̋(57 mm) VIDF5757CW A4427 30/bxUp to 2-3⁄4 ̋(70 mm) VIDF7070CW A4427 30/bx

WITHOUT FILTER

Up to 1-3⁄4 ̋(45 mm) VID4545CW A4426 30/bxUp to 2-1⁄4 ̋(57 mm) VID5757CW A4426 30/bxUp to 2-3⁄4 ̋(70 mm) VID7070CW A4426 30/bx

ACCESSORIES

STOMOCUR® Skin Protection Rings, Cut-to-FitMade from hydrocolloid material; well tolerated by the skin; moldable, used to cover stomas and in case of stoma retractions. ITEM # HCPCS SOLD BY

3⁄8” – 1-5⁄8” (10 – 40 mm) CT6010 A4385 10/bx

STOMOCUR® Skin Protection PasteProtects uncovered skin from feces. Easily moldable, fills in uneven skin areas and covers skin folds well. ITEM # HCPCS SOLD BY

2-oz. tube (56 g) CP2050 A4406 ea

Smith & Nephew

ADHESIVE REMOVERS AND SKIN PREPS

REMOVE® Adhesive RemoversGently wipes clean hydrocolloid-, acrylic- and rubber-based adhesive residues, with aloe to moisturize and condition the skin without greasiness. Environmentally friendly; no ozone-depleting CFCs (chlorofluorocarbons).


Wipes 403100 A4456 50/pk8-oz. bottle 403300 A4455 ea

UNI-SOLVE® Adhesive RemoversFormulated to reduce adhesive trauma to the skin by thoroughly dissolving dressing tape or ostomy appliance adhesives. Ideal for removing acrylic-, rubber- and hydrocolloid-based residue from the skin, with aloe for non-greasy skin soothing and moisturizing. Environmentally friendly, without ozone-depleting CFCs (chlorofluorocarbons). ITEM # HCPCS SOLD BY

Wipes 402300 A4456 50/bx8-oz. bottle 59402500 A4455 ea

SKIN-PREP® Protective DressingsProtective liquid dressing, may reduce adhesive removal trauma during removal of tapes or film so allows skin to “breathe” for better adhesion. Pediatrician tested.


Wipes 420400 A5120 50/bx4-oz. pump spray 420200 A4369 ea

DEODORANTS

URIKLEEN® Deodorizing DetergentEffectively cleans/deodorizes plastic and rubber urinary appliances; quick-acting (10 mins). 16-oz. concentrate. ITEM # HCPCS SOLD BY

405000 A5131 ea

SKIN CARE PRODUCTS

SECURA® Total Body Foam CleanserpH-balanced foam gently and thoroughly removes oil, dirt and grease for no-rinse cleansing for all external areas of the body. Moisturizes, conditions and deodorizes, also aids in removal of urine and feces. Pediatrician tested. ITEM # HCPCS SOLD BY

4.5-oz. dispenser 59430200 A9270 ea8.5-oz. dispenser 59430300 A9270 ea

UNICARE® Moisturizing LotionSoothes, conditions and moisturizes dry skin without disturbing

the skin’s natural acid mantle. Nonirritating lotion can be applied easily and is quickly absorbed. Contains allantoin, dimethicone and aloe vera. Can be used as a moisturizer after radiation treatment. pH-balanced.


8-fl. oz. bottle. 445000 A6250 ea

UNIDERM® Moisturizing CreamWater-based cream effectively moisturizes,lubricates and conditions dry, scaling or cracked skin. Gentle and nonirritating, nonsensitizing pH-balanced formula will not disturb the skin’s natural mantle or stain the skin. Proven safe, hypoallergenic and nontoxic. Useful in many affected areas, such as heels, elbows, hands, and peristomal or perineal areas. ITEM # HCPCS SOLD BY

3-oz. tube 443500 A6250 ea

3M Health Care

3M™ Cavilon™ No Sting Barrier FilmFast-drying, non-sticky, alcohol-free liquid barrier film that forms a breathable, transparent coating on the skin. Protects damaged or intact skin from body fluids, adhesive trauma and friction. Hypoallergenic, non-cytotoxic and non-stinging, even when applied to damaged or denuded skin. ITEM # HCPCS SOLD BY

3342 A5120 50/bx

3M™ Cavilon™ Bathing & Cleansing WipesLarge no-rinse bathing and cleansing wipes with aloe and moisturizers can be warmed in a microwave for soft, comfortable daily bathing and perineal cleansing. Resealable package. Standard weight, 7.8” x 11.8’ (20 cm x 30 cm). ITEM # HCPCS SOLD BY

9280 A9270 8/pk 9281 A9270 24/pk

3M™ Kind Removal Silicone TapeProvides reliable and constant adhesion; removes cleanly and painlessly, without disrupting fragile skin layers. Can be repositioned and neatly torn by hand. Economical; offered in single-patient roll sizes. Ideal for patients with sensitive, compromised or at-risk skin, when repeated taping is necessary.


1” x 1.5 yds. 2770S1 A4452 ea1” x 5.5 yds. 27701 A4452 ea2” x 1.5 yds. 2770S2 A4452 ea2” x 5.5 yds. 27702 A4452 ea

3M™ Cavilon™ Creams and CleansersDurable barrier cream is a concentrated cream that provides soothing, moisturizing relief for vulnerable skin and long-lasting protection from bodily fluids. Antifungal cream effectively relieves redness, irritation,

scaling, itching, discomfort and burning. No-Rinse Skin Cleanser gently cleans urine and stool, conditioning the skin as it cleans. Extra Dry Skin Cream softens rough, cracked or scaly skin, and lasts 24 hours. ITEM # HCPCS SOLD BY3M™ CAVILON™ DURABLE BARRIER CREAM

2-g. packet 3353 A6250 ea1-oz. tube 3354 A6250 ea3.25-oz. Tube 3355 A6250 eaOTHER 3M™ CAVILON™ CREAMS AND CLEANSERS

Antifungal Cream, 5-oz. tube 3390 A6250 eaNo-Rinse Skin Cleanser, 8-oz. bottle 3380 A6250 eaExtra Dry Skin Cream, 4-oz. tube 3386 A6250 ea

ReliaMed®

Indicates this product is NOT manufactured with natural latex components.

SKIN BARRIERS/SEALS

ReliaMed® Ostomy Barrier SealsWith a hydrocolloid, doughnut-shaped seal that can be stretched to fit varying stoma sizes, this molds easily (without warming) to fill in body crevices and irregularities and seal the area between the skin and ostomy. Matches the skin’s natural pH level; alcohol-free. Made in the USA.


2” diameter ZROS22 A4385 10/bx4” diameter ZROS44 A4385 10/bx

POWDER/WIPES AND SPRAY

ReliaMed® Ostomy Protective PowderPectin-based powder protects irritated peristoma skin, absorbs moisture and extends appliance wear time. Easy puffing of powder to skin with squeeze bottle. Use sparingly. ITEM # HCPCS SOLD BY

1-oz. bottle ZR1OZOPA A4371 ea

STOMOCUR®

All STOMOCUR® ostomy products are latex-free. LATEX FREE

LATEX FREE

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ReliaMed® I.V. Antiseptic WipesFor skin prep prior to injection or venipuncture, also protects skin from adhesives. Nonirritating to intact skin. Thick, soft 1-1⁄4” x 3” pad. ITEM # HCPCS SOLD BY

1-1⁄4” x 3” wipes ZA50050 A5120 50/bx

ReliaMed® Protective Barrier WipesProtects skin from dressing tape and damage caused by adhesives. Nonirritating to intact skin. ITEM # HCPCS SOLD BY

1-1⁄4” x 3” wipes ZA40050 A5120 50/bx

ReliaMed® Adhesive Remover WipesWith a thicker, more durable pad for removing adhesive residue from tapes, bandages, ostomy appliances and paste. Larger size is ideal for tough-to-remove adhesives, such as ostomy pastes and appliance cements. Fresh scent. For external use only. Nonirritating to intact skin. ITEM # HCPCS SOLD BY

1-1⁄4” x 3” wipes ZA30050 A4456 50/bx4” x 4” wipes ZA30050XL A4456 50/bx

ReliaMed® Stingless Protective Barrier WipesProtects skin without stinging and creates a protective barrier for 72 hours, helps to prevent skin maceration. Alcohol-free. ITEM # HCPCS SOLD BY

1” x 1-3⁄8” wipes ZA00237A A5120 50/bx

ODOR ELIMINATORS/APPLIANCE CLEANERS

ReliaMed® Ostomy Odor Eliminator DropsPowerful formula provides hours of odor elimination (not a masking agent). Blue color provides a visual indication of surface coverage. Convenient and easy to use; place a few drops into the pouch prior to attachment. ITEM # HCPCS SOLD BY

1-oz. bottle ZR1OZEDA A4394 ea4-oz. bottle ZR4OZEDA A4394 ea8-oz. bottle ZR8OZEDA A4394 ea

ReliaMed® Ostomy Odor Eliminator SprayUnique air freshener designed specifically for ostomy patients safely and effectively eliminates odors with a light, fresh scent. Convenient 8-oz. pump sprayer; antibacterial, non-toxic, eco-friendly. External use only. ITEM # HCPCS SOLD BY

8-oz. spray bottle ZR8OZSPD A4421 ea

ReliaMed® Lubricating Deodorant DropsSimilar to ReliaMed® Ostomy Odor Eliminator Drops, but with a lubricant to facilitate drainable pouch cleaning. Blue color indicates surface coverage. ITEM # HCPCS SOLD BY

8-oz. bottle ZR8OZLD A4394 ea

ReliaMed® Ostomy and Urostomy Appliance CleanerCleans and deodorizes. Add a tablespoon in appliance or a container; add warm water and soak for 20 – 30 minutes; then, rinse with water. ITEM # HCPCS SOLD BY

16-oz. bottle ZR16OZACA A5131 ea

ABSORBENTS

ReliaMed® Ostomy Pouch Absorbent Tablets with DeodorantEasy to use: simple tablet dropped into pouch turns liquid waste into a gel that remains at the bottom of the pouch (away from stoma) for healthier peristomal skin. Reduces pouch profile, noise and leakage; neutralizes odor. Non-toxic; 100% biodegradable and eco-friendly. ITEM # HCPCS SOLD BY

180 gel tablets ZROGT180 A4422 btl

BELTS/POUCH CLAMPS

ReliaMed® Ostomy Appliance BeltsSecures ostomy appliances in place. Constructed of high-quality, elastic material and features a plastic buckle. Adjustable; washable. ITEM # HCPCS SOLD BY

FOR USE WITH CONVATEC POUCHES

Adjusts up to 42” ZR9300 A4367 eaFOR USE WITH HOLLISTER INCORPORATED POUCHES

Medium (26” – 43”) ZR8300 A4367 eaLarge (29” – 49”) ZR8299 A4367 ea

ReliaMed® Closure Clamps for Drainable PouchesEasy-to-close curved clamp fits body contours and securely seals the end of a drainable pouch. Reusable.


ZRCLAMPS20 A4363 ea

DISPOSAL BAGS/DRAINAGE BAGS

ReliaMed® Ostomy Pouch Disposal BagsFor discreet, leakproof and odor-reducing disposal of ostomy bags and appliances. Charcoal-colored exterior conceals contents. Secure, zip-close seal.


8” x 8” bags ZR97239 A9270 60/bag

ReliaMed® Night Drainage BagsPackaged in convenient, peel-open pouches. Sterile, diamond-shaped, vented drain bags feature needleless sample ports and an SBR drain tube. 2,000-mL capacity. NOTE: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.

ITEM # HCPCS SOLD BYStandard with Double Hanger, Plastic Thumb Clamp and Drip Chamber

ZRND2000R A4357 eaPremium with Double Hanger, 48” Tubing, Anti-reflux Drip Chamber,Tube Clamp, Sheet Clip and Metal Thumb Clamp

ZRND2000H A4357 ea

Cymed

All Cymed ostomy products are latex-free.

ONE-PIECE OSTOMY SYSTEMS

Drainable Pouches

11” Cut-to-Fit Drainable Colostomy Pouches with Thin Hydrocolloid Washer and Filter

With MicroSkin® Adhesive Barrier, integrated GORE-TEX® Charcoal Filter, odor-proof film and comfort backing. ITEM # ITEM # HCPCS SOLD BY CLEAR OPAQUE

Cut-to-fit, up to 1-1⁄2” 81300F 81400F A4424 10/bx(38 mm)Precut, 7⁄8” 81322F 81422F A4424 10/bxPrecut, 1” 81325F 81425F A4424 10/bxPrecut, 1-1⁄8” 81329F 81429F A4424 10/bxPrecut, 1-1⁄4” 81332F 81432F A4424 10/bxPrecut, 1-3⁄8” 81335F 81435F A4424 10/bxPrecut, 1-1⁄2” 81338F 81438F A4424 10/bx

11” Cut-to-Fit Drainable Colostomy Pouches with Plain BarrierMicroSkin® Adhesive Barrier is elastic, durable, waterproof, breathable, thin. Does not contain filter. Up to 1-3⁄4” (45 mm). ITEM # HCPCS SOLD BY

Clear 81100 A4388 10/bxWith Press ’n Seal Drainable Pouch 81100V A4388 10/bxOpaque 81120 A4388 10/bx

11” Drainable Colostomy Pouches without FilterWith MicroSkin® Adhesive Barrier, thin hydrocolloid washer, odor-proof film and comfort backing. ITEM # ITEM # HCPCS SOLD BY CLEAR OPAQUE

Cut-to-fit, up to 1-1⁄2” (38 mm) 81300 81400 A4388 10/bxPrecut, 7⁄8” (22 mm) 81322 81422 A4388 10/bxPrecut, 1” (25 mm) 81325 81425 A4388 10/bxPrecut, 1-1⁄8” (29 mm) 81329 81429 A4388 10/bxPrecut, 1-1⁄4” (32 mm) 81332 81432 A4388 10/bxPrecut, 1-3⁄8” (35 mm) 81335 81435 A4388 10/bxPrecut, 1-1⁄2” (38 mm) 81338 81438 A4388 10/bx

11” Drainable Pouches with Thin Hydrocolloid Washer and Press ’n Seal Closure

MicroSkin® Adhesive Barrier is breathable, durable, waterproof, elastic and thin. With Press ’n Seal closure for easy, secure seeling. ITEM # HCPCS SOLD BYWITHOUT FILTER

Cut-to-fit, up to 1-1⁄2” (38 mm) 81300V A4388 10/bxPrecut, 7⁄8” 81322V A4388 10/bxPrecut, 1” 81325V A4388 10/bxPrecut, 1-1⁄8” 81329V A4388 10/bxPrecut, 1-1⁄4” 81332V A4388 10/bxPrecut, 1-3⁄8” 81335V A4388 10/bxPrecut, 1-1⁄2” 81338V A4388 10/bx

WITH FILTER

Cut-to-fit, up to 1-1⁄2” (38 mm) 81400V A4424 10/bxPrecut, 7⁄8” 81422V A4424 10/bxPrecut, 1” 81425V A4424 10/bxPrecut, 1-1⁄8” 81429V A4424 10/bxPrecut, 1-1⁄4” 81432V A4424 10/bxPrecut, 1-3⁄8” 81435V A4424 10/bxPrecut, 1-1⁄2” 81438V A4424 10/bx

ReliaMed®

Indicates this product is NOT manufactured with natural latex components.

LATEX FREE

LATEX FREE

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MY OSTOM

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Welland One-Piece Adult Urostomy Pouches with Soft Comfort PanelWelland’s Hyperflex® hydrocolloid flange helps manage sore and excoriated skin that can result form urostomies. Integral non-return valve prevents urine reflux and minimizes infection risk. Clear plastic window above the pouch outlet allows infection detection. The soft urostomy outlet tap is soft and pliable yet secure and easy to use. ITEM # HCPCS SOLD BY

WELWUR913 A5071 30/bx

Welland One-Piece Cut-to-Fit Drainable Poucheswith Soft Comfort Panels

Welland’s Hyperflex® hydrocolloid flange helps in management of sore and excoriated skin and offers discretion and confidence. Easy pouch removal with non-adhesive tab incorporated into the hydrocolloid. Teardrop shape helps reduce the likelihood of pancaking and soft back material offers additional comfort. ITEM # HCPCS SOLD BY

WELWFD819 A5061 10/bx

One-Piece Pediatric Urostomy PouchesWelland’s Dual-Carb® filter eliminates odor and reduces excess gas produced by infants. With body-side, soft backing for additional comfort, this hydrocolloid flange shape is flexible and its no-hole design is ideal for

customized hole placement of babies with multiple stomas. Outlet tap is exceptionally secure, yet soft and pliable, ideal for controlling output flow. Pouch can be drained at the tap, or the soft tap can be cut off if required for thicker output, and a tie or clip used instead.


WELPFV700 A5071 10/bx

SKIN BARRIERS/SEALS

OSTO-SEAL “XTRA” Regular Profile Extended Wear Barrier RingsThicker barrier rings give a regular standard thickness profile, while the stretchable, moldable seal creates a durable, leak-free barrier to extend appliance wear time. Thicker seal is beneficial for more pronounced stomas. Alcohol-free, skin-friendly and helps soothe and prevent irritated skin. ITEM # HCPCS SOLD BY

2” diameter S400 A4385 20/bx

OSTO-SEAL “THINS” Low Profile Extended Wear Barrier RingsGood for flush stomas, these thin, highly moldable rings form a low-profile seal that stretches and molds around the stoma, creating a long-lasting, leak-free barrier, retaining their form once shaped to size. Skin-friendly, do not sting and help cure and prevent sore or irritated skin. ITEM # HCPCS SOLD BY

2” diameter S350 A4385 20/bx4” diameter L350 A4385 10/bx

OSTO-STRIPS “THINS ”These create a low-profile seal that stretches and molds around the stoma, resulting in a leak-free barrier that can extend wear-time; beneficial for flush stomas. Thin, sticky and highly moldable, retaining their form once shaped to size. Skin-friendly, do not sting and help cure and prevent sore or irritated skin. ITEM # HCPCS SOLD BY

4” x 5⁄8” OSTOSTRIPS A4385 15/bx

Osto-BarriersProtect and prevent skin breakdown with thin and comfortable barriers. ITEM # HCPCS SOLD BY

4” x 4” WAFER4 A4362 5/bx

HydroFrame®Achieve comfort, flexibility and security with thin, hydrocolloid flange extensions with soft, beveled edges and finger grips allowing for accurate placement. Easy to apply semicircle design extends pouch wear time, reduce skin maceration and provides extra adhesion where most needed. ITEM # HCPCS SOLD BY

(BE)WAFH33 A4362 20/pk

PASTE/WIPES

Osto-Hesive Skin Barrier Paste, Low Alcohol, Anti-bacterial and Anti-fungal

Pectin-based paste for sealing around stoma and filling crevices and fistulas. ITEM # HCPCS SOLD BY

2-oz. tube CSTOMAPASTE A4406 ea

OSTO-PASTEThe first alcohol-free, pectin-based ostomy paste for use between and around appliance and skin to guard against skin breakdown. No sting (ideal for sore and excoriated skin). Stays soft and sticky; washes off with warm water and mild soap. ITEM # HCPCS SOLD BY

4-oz. tube OSTOPASTE A4406 ea

Welland Adhesive Remover WipesDiscreet and easy-to-carry sachets, fits conveniently in a purse, wallet or pocket. Six times the size of traditional wipes. No-sting; alcohol-free.


WAD050 A4456 50/bx

Skin Barrier WipesExtra-large wipes feature silicone technology; six times larger than regular wipes. No-sting and alcohol-free. ITEM # HCPCS SOLD BY

WBF050 A5120 50/bx

ODOR ELIMINATORS/APPLIANCE CLEANERS

Stop-Odor PlusPowerful pouch odor eliminator, simply place a few drops into the new pouch and after emptying for hours of odor freedom. ITEM # HCPCS SOLD BY

1.25-oz. bottle STOP125 A4394 ea4-oz. bottle STOP4 A4394 ea8-oz. bottle STOP8 A4394 ea

Sea-Breeze Appliance Cleaner/DeodorizerRemoves fecal and urinary deposits from appliances and deodorizes. Concentrate (a teaspoon (5 mL) per pint of warm water) and soak for 10 minutes. ITEM # HCPCS SOLD BY

16-oz. bottle SEABRZ A5131 ea

Gel-PlusMixture of Stop-Odor and Osto-Gel deodorizes, lubricates and thickens liquid stool. ITEM # HCPCS SOLD BY

8-oz. bottle GELPLUS8 A4394 ea

POUCH CLAMPS

Welland Pouch Clamps ITEM # HCPCS SOLD BY

Reusable plastic WELFSA500 A4363 eaFoam-covered wire tie WELFSA700 A4363 ea

ADDITIONAL ACCESSORIES

ND2-KitFits all leading ostomy and urinary appliances. Contains a 2-L capacity, see-through plastic bottle, three connectors and 5’ of plastic tubing. ITEM # HCPCS SOLD BY

CND2C A5102 ea

Osto-Bond Skin Bond AdhesiveEasy application with lid brush-cap. Contains pure latex and zinc oxide. ITEM # HCPCS SOLD BY

4 oz. OSTOBOND A4364 ea

Osto-Gel Super-AbsorbentAdd one packet or tablet to ileostomy pouch turns liquid stool into a gel, reduces odor and prevents leakage. Outer plastic dissolves on contact, releasing granules that form a gel with the liquid fecal output. Simplifies pouch cleaning. Also available as quick dissolve tablets.


Gel packets OSTOGEL A4422 100/pk180 Gel tablets OSTOGEL180T A4422 bt

Pectin PowderPectin-based stoma powder protects skin; easy application with puffer bottle. ITEM # HCPCS SOLD BY

1-oz. bottle CPOWDER A4371 ea

Montreal Ostomy

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Secure Health Products

Gel-X Absorbent (Now with Unscented Deodorizer)For healthier peristomal skin, insert one or more tablets in pouch after each emptying. Solidifies liquid waste into a gel, to help keep stoma clear of waste. Starts absorbing immediately; helps prevent and/or manage leaks. ITEM # HCPCS SOLD BY

140 tablets 1060 A4422 btl140 capsules 960 A4422 btl

Kontiba Stoma CapsMade from airtight, odor-proof plastic film, with non-abrasive, hypoallergenic adhesive and superabsorbent interior pads. ITEM # HCPCS SOLD BY

Mini (20 mm) 274720 A5055 30/bxMidi (25 mm) 274811 A5055 30/bxMaxi (20 mm) 287747 A5055 30/bxMaxi (30 mm) 287748 A5055 30/bxCut-to-fit, (20 – 50 mm) 475174 A5055 30/bxCut-to-fit, (20 – 50 mm) with filter 475179 A5055 30/bx

Kontiba Stoma Cap SquaresMade from airtight, odor-proof plastic film, with non-abrasive, hypoallergenic adhesive and superabsorbent interior pads, with 40-mL absorbent capacity. ITEM # HCPCS SOLD BY

Mini (20 mm) 204621 A5055 30/bxMidi (25 mm) 204532 A5055 30/bxMaxi (30 mm) 204622 A5055 30/bx

Safe n’ Simple™

DEODORANTS

Ostomy Appliance DeodorantExcellent odor control with no perfumes or artificial scents, allows for discreet protection. Leak prevention seal and convenient tilt-tip dispenser bottle. ITEM # HCPCS SOLD BY

1⁄2-oz. travel packets SNS40201 A4394 ea8-oz. bottle SNS40208 A4394 ea

WIPES/SPRAY

Peri-STOMA & Adhesive Remover Wipes™Convenient skin cleanser wipes are gentle, easy to use and scent-free without oily residue. Alcohol-free, no-sting adhesive-removing liquid, with no rinsing required. Convenient, resealable pouch. ITEM # HCPCS SOLD BY

SNS00525 A4456 50/pk

Skin Barrier No-Sting WipesLarge, gentle, alcohol- and scent-free wipes create a transparent film and protective barrier on skin; helps increase adhesion of tapes and wafers. Convenient, resealable pouch. ITEM # HCPCS SOLD BY

SNS00807 A5120 25/pk

Skin Barrier No-Sting Wipes–SachetsImprove adhesion of tapes and wafers and protect skin. 1 g of liquid in each wipe. Gentle, alcohol- and scent-free. ITEM # HCPCS SOLD BY

SNS80725 A5120 25/bx SNS80744 A5120 100/bx

Skin Barrier SprayNo-sting, alcohol-free spray makes a transparent, synthetic skin barrier to protective from adhesives, friction and body fluids. Increases adhesion of tapes and wafers. Gentle, convenient and scent-free; good for use in the crusting technique. ITEM # HCPCS SOLD BY

SNS80792 A4369 ea

SKIN BARRIER RINGS/ARCS/PASTE

Conforming Adhesive SealsThis high-absorbency seal prevents leakage with a classic “turtleneck” around the stoma. Ideal for patients with an ileostomy or urostomy. Moldable, stretchable and requires no cutting, excellent in lieu of pastes. Made in the USA. ITEM # HCPCS SOLD BY

2” ring SNS684U2 A4385 10/bx

INTEGRITY Skin Barrier RingsDurable rings maintain integrity even with excessive moisture absorption or body heat and make a comfortable and protective seal to prevent leakage. Stretch and mold easily to fit around any stoma. Made in the USA. Individually packaged. ITEM # HCPCS SOLD BY

2” SNS68002 A4385 20/bx4” SNS68004 A4385 20/bx

Skin Barrier ArcsFor use under or over the ostomy appliance to create a smooth platform that allows the pouch to be changed without removal from the skin. The X-tra Wide Skin Barrier Arcs protect the skin from trauma caused by repetitive tape/

adhesive removal. User can apply wafer or tapes directly over them, or they can be placed around the wafer to secure the edges from lifting up, creasing or loosening. An excellent, skin-friendly alternative to waterproof tapes for a waterproof seal around wafer when bathing. ITEM # HCPCS SOLD BY

2” Width (X-tra Wide) SNS21120 A4362 20/bx1” Width SNS20630 A4362 30/bx

Skin Barrier PasteHelps prevent leakage and skin irritation for an optimum seal, better fit and longer wear time. Easy-to-squeeze tube. Made in the USA. ITEM # HCPCS SOLD BY

2 oz. SNS90502 A4406 ea

Hy•Tape® International

Hy•Tape® Latex-Free Adhesive Pink TapeWaterproof, zinc oxide-based tape soothes and protects delicate skin and is perfect for extended wear. Resists moisture, molds to body contours and adheres firmly to oily and hairy skin. ITEM # HCPCS SOLD BY

1⁄2” x 5 yds. 105B A4452 roll1” x 5 yds. 110B A4452 roll1-1⁄2” x 5 yds. 115B A4452 roll2” x 5 yds. 120BLF A4452 roll3” x 5 yds. 130BLF A4452 roll

Nullo.com

Nullo Internal Deodorant TabletsAn internal deodorant for body odors that neutralizes odors rather than mask the problem. Also controls strong personal body odors, such as halitosis (bad breath), underarm odor and foot odor. ITEM # HCPCS SOLD BY

60 tablets per bottle NULLO60 A4421 ea135 tablets per bottle NULLO135 A4421 ea

NB Products

Na ‘Scent Odor EliminatorEliminates odor by creating an oxygen-rich environment that reduces odor-causing microbes in the pouch. One or two squirts in the ostomy pouch (depending on the need) eliminates odors. For use in colostomy, ileostomy and urostomy pouches and stoma caps, allowing user to enjoy favorite foods and socialize with confidence. Safe, effective, non-toxic and easy to use. ITEM # HCPCS SOLD BY

1-oz. bottle 01NOOES A4394 ea2-oz. bottle 02NOOEWS A4394 ea8-oz. bottle 9901NOOEWS A4394 ea12-oz. bottle 0112NOOEWS A4394 ea

C&S Ostomy Pouch Covers

Quick Dry Pouch CoversFor use after bath, shower or any water activity. Quick Dry cover fits most sizes, styles and brands of ostomy pouches with a flange size up to 2-1⁄4” and overall pouch length of up to 12”. Made of absorbent terry cloth and cotton/blend fabric, easy to slip on and off. Machine washable. ITEM # HCPCS SOLD BY

White 72749 A9270 eaNavy 72750 A9270 ea

Urine Leg Bag CoverThis durable cotton/poly blend cover is 100% machine washable/ driable, providing convenient access to the urine bag. The Velcro® closing system allows the cover to wrap around the urine bag, while the elastic straps support the bag and cover. ITEM # ITEM# HCPCS SOLD BY DENIM TAN

Small 6421S 6424S A4335 eaLarge 6421L 6424L A4335 ea

OSTO

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C&S Ostomy Pouch Covers

Daily Wear Pouch CoversCompatible with all major brands of ostomy pouching systems. Easy access with open-end cover, designed for those with a urostomy but can be used by anyone with an ostomy with a drainable pouch.Cotton/poly blend of soft, durable fabric available in four

solid colors for the front (back is white). 100% machine wash and dry. 3” back opening will fit on pouching systems with a flange size of 1-3⁄4” – 2-1⁄2” in diameter (for two-piece systems) and skin barrier precut or cut-to-fit openings up to 2-1⁄2” (for one-piece systems). ITEM # ITEM # HCPCS SOLD BY CLOSED END, 9” OPEN END, 10”

Pink 58277 582771 A9270 eaTan 58280 582801 A9270 eaWhite 58281 582811 A9270 eaGray 58283 582831 A9270 ea

Triad Medical, LLC

Ostofresh™ Liquid DeodorantClear, preservative-free, patented liquid deodorant destroys odors. Place a few drops into pouch before applying to quickly and economically eliminate (not mask) odors. ITEM # HCPCS SOLD BY

8-oz. bottle TM68002 A4394 ea

Bard®

Bedside Drainage BagsSterile; feature an antireflux valve, vented drip chamber, urine sample port on catheter and connector tubing. ITEM # HCPCS SOLD BYSINGLE-HOOK HANGER AND STRING

2,000 mL 154002 A4357 eaTWO-HOOK HANGER AND STRING

2,000 mL 153504 A4357 ea4,000 mL 153509 A4357 ea

Bardia® Closed System Drain BagsFeature antireflux chamber and sample port; sterile. 2,000 mL. ITEM # HCPCS SOLD BY

Living Hinge Hanger 802001 A4357 eaAdjustable 802002 A4357 eaHook-and-Loop Hanger

Anacapa Technologies, Inc.

Sani-Zone™ Ostomy Appliance DeodorantPowerful, quick-acting against the strongest odors. Just five drops in an ostomy pouch stops odors for hours. Safe and nontoxic; dropper bottle with convenient flip-up spout. ITEM # HCPCS SOLD BY

2-oz. bottle 1002OD A4394 ea8-oz. bottle 1008OD A4394 ea

OSTO

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52 | Discover the TWS Difference, call 888-858-9988 or visit tws.net

Ph

Patient Name:

Facility:

Date: ______________________________________

ASSIGNMENT OF BENEFITS

Other: ___________________________

Patient Signature: _________________________________________________________

I request that all payments from any insurance carrier, including Medicare, Medicaid or private insurance company be made on my behalf to Tidewater Medical Inc (TWM) for any equipment, supplies or services provided to me by TWM. I authorize the release of my medical information to HCFA and/or my insurance carrier and its

agencies for the purpose of review of healthcare benefits for the determination of payment. This authorization will remain in effect until written notification by myself or my legal representative has been received.

Diag

nosi

s

NPI: ______________________________________

Date: _____________________________________

Prod

ucts

Quantity

Patie

nt

Fax:

Phone:

Length of Need:

BY SIGNING BELOW, I AUTHORIZE the use of this document as an order, and I certify that the above prescribed supplies are medically necessary and reasonable.

Physician Name: _________________________________________________________

Signature: __________________________________________________________

Doct

or

(Please include the Patient Information Sheet with the order form.)

□ Ileostomy V44.2 □ Urostomy V44.6

Primary Diagnosis:

Phone: (888) 858-9988 Fax: (866) 991-6282

www.tws.net OSTOMY ORDER FORM

□ Colostomy V55.3□ Colostomy V44.3

□ Ileostomy V55.2Diagnosis Required

□ Urostomy V55.6

MANUFACTURER □ Hollister □ Convatec □ Coloplast □ Genairex □ Other______________

Is the patient currently being seen by Home Health? YES / NO

Products

Item #Please Choose Size and Type Where Necessary

□ Skin Barrier □ Paste (2oz) □ Wipes (box of 25)

□ Skin Barrier Wafer □ 4x4 □ 6x6

□ Tape 1" 2" 3" □ Paper □ Cloth □ Waterproof

□ Night Urinary Drainage Collector

□ Bedside Urinary Drainage Bag 2000ccOther:

□ One Piece Pouch □ Closed □ Drainable

□ Barrier Ring □ 2" □ 4"

□ Two Piece Pouch □ Closed □ Drainable

□ Flange w/ Skin Barrier (to use with the Two Piece Pouch)

UROLOGY


UROLOGYCONTENTSUR

OLOG

Y UROLOGY


INTERMITTENT CATHETERS

STRAIGHT – RED RUBBERApogee® Red Rubber ............................................................Hollister Incorporated ........................... 58Bard® Clean-Cath® Vinyl Intermittent Catheters .................Bard® ..................................................... 58Clean-Cath® Vinyl Catheters .................................................Bard® ..................................................... 58Clean-Cath® Ultra Vinyl Catheters ........................................Bard® ..................................................... 59Red Rubber Catheter, Sterile, 16” .........................................Bard® ..................................................... 58Red Rubber Robinson/Nelaton Catheter .............................Teleflex® Rüsch® Brand Urologicals ..... 58Self-Cath® ..............................................................................Coloplast ................................................ 58Self-Cath® Soft Catheters, 16”, Funnel End ..........................Coloplast ................................................ 58Self-Cath® Straight-Tip, 16”, Funnel End ..............................Coloplast ................................................ 58Util-Cath™ Vinyl Catheters with Whistle Tip, Sterile, 14 fr...Bard® ..................................................... 58

STRAIGHT – PVC/VINYLApogee® Intermittent Catheters ..........................................Hollister Incorporated ........................... 59EasyCath™ Soft Eye™ Straight-Tipped Intermittent Catheters ......Teleflex® Rüsch® Brand Urologicals 59Dover™ Rob-Nel™ Latex-Free Catheter ...............................Covidien ................................................. 60Robinson/Nelaton Catheter..................................................Teleflex® Rüsch® Brand Urologicals ..... 59Robinson Urethral Catheter ..................................................Covidien ................................................. 60

STRAIGHT – SILICONEAntibacterial Hydro Personal Catheter® ..............................Rochester Medical................................. 61Antibacterial Personal Catheter® .........................................Rochester Medical................................. 60Magic3® All-Silicone Intermittent Catheters .......................Rochester Medical................................. 60Magic3® Antibacterial Intermittent Catheters ....................Rochester Medical................................. 60Personal Catheter® ................................................................Rochester Medical................................. 60

STRAIGHT – HYDROPHILICFloCath™ Intermittent Catheters, Sterile .............................Teleflex® Rüsch® Brand Urologicals ..... 61FloCath Quick™ Intermittent Catheters ...............................Teleflex® Rüsch® Brand Urologicals ..... 62Hydrophilic Personal Catheter® ............................................Rochester Medical................................. 62Magic3® Antibacterial Hydrophilic Intermittent Catheters Rochester Medical................................. 62Magic3® Antibacterial Hydrophilic Intermittent Catheters Rochester Medical................................. 62with Sure-GripMagic3® Hydrophilic Intermittent Catheters .......................Rochester Medical................................. 62Magic3® Hydrophilic Intermittent Catheters .......................Rochester Medical................................. 62with Sure-Grip™SpeediCath® Compact ..........................................................Coloplast ................................................ 61SpeediCath® Intermittent Catheters ....................................Coloplast ................................................ 61Self-Cath® Plus Hydrophilic-Coated Catheters ....................Coloplast ................................................ 61Self-Cath® Plus 10” Pediatric Hydrophilic-Coated Catheter Coloplast ................................................ 61

URETHRAL INSERTSFemSoft® Insert .....................................................................Rochester Medical................................. 63

COUDÉ – PVC/VINYLApogee® Intermittent Catheters ..........................................Hollister Incorporated ........................... 64Clean-Cath® Vinyl Coudé Tip Catheter, 16” ...........................Bard® ..................................................... 63Cure Catheter® .......................................................................Cure Medical .......................................... 64Curity™ ULTRAMER™ Urethral Red ......................................Covidien ................................................. 64Rubber Coudé CatheterEasyCath™ Coudé Tip Intermittent Catheter ........................Teleflex® Rüsch® Brand Urologicals ..... 63Self-Cath® Olive Tip Coudé with Guide Stripe®, ..................Coloplast ................................................ 6316”, Funnel End

COUDÉ – HYDROPHILICFloCath™ Intermittent Catheters, Sterile .............................Teleflex® Rüsch® Brand Urologicals ..... 64Magic3® Hydrophilic Intermittent Cathether ......................Rochester Medical................................. 64SpeediCath® Intermittent Catheters, Coudé ........................Coloplast ................................................ 64

CATHETER KITS/CLOSED SYSTEM – RED RUBBERFemale Catheter Kit...............................................................Bard® ..................................................... 65Rüsch MMG™ Closed System Intermittent ..........................Teleflex® Rüsch® Brand Urologicals ..... 65Urinary Catheter KitsTouchless® Plus Unisex Intermittent Catheter Kits ..............Bard® ..................................................... 65

CATHETER KITS/CLOSED SYSTEM – PVC/VINYLAdvance Plus Touch Free Intermittent Catheters ................Hollister Incorporated ........................... 66Apogee® Plus Closed System Intermittent ..........................Hollister Incorporated ........................... 66Catheters and KitsEasyCath™ Kits.......................................................................Teleflex® Rüsch® Brand Urologicals ..... 65Rüsch MMG™ Closed System Intermittent ..........................Teleflex® Rüsch® Brand Urologicals ..... 65Urinary CatheterSelf-Cath® Closed System Straight-Tip Kits .........................Coloplast ................................................ 65

CATHETER KITS/CLOSED SYSTEM – HYDROPHILICAntibacterial Hydro Personal Catheter® Closed System Kit Rochester Medical................................. 68FloCath Quick™ Kit ................................................................Teleflex® Rüsch® Brand Urologicals ..... 67Hydrophilic Personal Catheter® ............................................Rochester Medical................................. 67Intermittent Closed SystemIntermittent Catheter Extension Tube .................................Coloplast ................................................ 66Magic3® All-Silicone Preconnected Urethral Tray ...............Rochester Medical................................. 68Magic3® Antibacterial Hydrophilic Intermittent .................Rochester Medical................................. 67Catheter Closed SystemMagic3® Antibacterial Preconnected Urethral Tray ............Rochester Medical................................. 67Magic3® Hydrophilic Intermittent .......................................Rochester Medical................................. 67Catheter Closed SystemMMG H20™ ...........................................................................Teleflex® Rüsch® Brand Urologicals ..... 67SpeediCath® Compact Set ....................................................Coloplast ................................................ 66SureCath Set® Intermittent Catheter ...................................Coloplast ................................................ 66Sets with Accessories

EXTERNAL CATHETERS

SILICONE – SELF-ADHESIVEClear Advantage® with Aloe Male External Catheter..........Coloplast ................................................ 69Conveen® Optima Male External Catheters .........................Coloplast ................................................ 68Conveen® Security+ Self-Sealing Male External Catheter .Coloplast ................................................ 68Freedom Clear® LS Male External Catheter .........................Coloplast ................................................ 69Freedom Clear® SS Male External Catheter .........................Coloplast ................................................ 68Freedom Clear® with Kink-Resistant Nozzle .......................Coloplast ................................................ 68Pop-On® Male External Catheter .........................................Rochester Medical................................. 70Spirit™ Male External Catheters ...........................................Rochester Medical................................. 69UltraFlex® Male External Catheter .......................................Rochester Medical................................. 70WideBand® Male External Catheter ....................................Rochester Medical................................. 69

LATEX – SELF-ADHESIVEActive Cath® Male External Catheter....................................Coloplast ................................................ 70Extended Wear Male External Catheter ...............................Hollister Incorporated ........................... 70Freedom Cath® Male External Catheter ...............................Coloplast ................................................ 70

LATEX – STRAPSCondom Catheter ..................................................................Teleflex® Rüsch® Brand Urologicals ..... 71Gizmo™ ..................................................................................Coloplast ................................................ 70Golden-Drain One-Piece External Catheter .........................Teleflex® Rüsch® Brand Urologicals ..... 70Texas Catheter™ External Male Catheter .............................Covidien ................................................. 71Uri-Drain™ Standard Male External Catheter ......................Covidien ................................................. 71

ACCESSORIESAdditional Latex-Free Foam Straps ......................................Rochester Medical................................. 71with Hook-and-Loop ClosureCunningham Penile Clamp ..................................................Bard® ..................................................... 71

FOLEY CATHETERS

TWO-WAY – LATEXBard® Silicone Elastomer-Coated Latex Foley Catheters.....Bard® ..................................................... 72Bardex® Infection Control Latex Catheter ............................Bard® ..................................................... 72Bardex® Lubricath® Coudé Catheters ...................................Bard® ..................................................... 71Bardex® Lubricath® Latex Foley Catheters ...........................Bard® ..................................................... 71Bardex® Lubricath® Latex Pediatric Foley Catheter .............Bard® ..................................................... 71Bardia® Coated Latex Foley Catheters ..................................Bard® ..................................................... 72Coudé Bardex® Lubricath® Latex Foley Catheters ...............Bard® ..................................................... 72(Carson Model)Economy Lubricath® Catheters.............................................Bard® ..................................................... 72Silastic® Catheters .................................................................Bard® ..................................................... 72

TWO-WAY – SILICONE COATED100% Silicone Foley Catheters .............................................Teleflex® Rüsch® Brand Urologicals ..... 73Bardex® All-Silicone Foley Catheters ....................................Bard® ..................................................... 73Kenguard™ Silicone-Coated Foley Catheter ........................Covidien ................................................. 72Rüsch GOLD™ Two-Way Silicone-Coated .............................Teleflex® Rüsch® Brand Urologicals ..... 72Latex Foley Catheters

TWO-WAY – ALL SILICONEDover™ 100% All-Silicone Foley Catheter ...........................Covidien ................................................. 73

THREE-WAY – LATEXBardex® Tri-Way® Lubricath® Catheters ...............................Bard® ..................................................... 73

ACCESSORIESBardia® Closed System Foley Tray ........................................Bard® ..................................................... 73Bardia® Foley Insertion Trays without Catheter ..................Bard® ..................................................... 73Catheter Strap and Tube Holder ...........................................Bard® ..................................................... 73Foley Catheter Accessories ....................................................Covidien ................................................. 74Foley Catheterization Procedure Trays .................................Teleflex® Rüsch® Brand Urologicals ..... 74Foley Insertion Tray ...............................................................Bard® ..................................................... 73Kenguard™ Foley Catheterization Trays ...............................Covidien ................................................. 74

DRAINAGE BAGS

LEG/DRAINAGE BAGSBardia® Closed System Drain Bags .......................................Bard® ..................................................... 75Bedside Drainage Bags .........................................................Bard® ..................................................... 75Bedside Urinary Drainage Bags ...........................................Teleflex® Rüsch® Brand Urologicals ..... 76Conveen® Active Leg Bag .....................................................Coloplast ................................................ 74Conveen® Security+ Contoured Leg Bags ...........................Coloplast ................................................ 74Curity™ Bedside Drainage Bags ...........................................Covidien ................................................. 76Curity™ Mono-Flo™ Bedside Drainage Bag.........................Covidien ................................................. 76Curity™ Urinary Leg Bags .....................................................Covidien ................................................. 76Dispoz-a-Bag® Leg Bags .......................................................Bard® ..................................................... 75Dover™ Urine Leg Bags with Sterile Fluid Path ...................Covidien ................................................. 76Easy Tap® Leg Bags ................................................................Teleflex® Rüsch® Brand Urologicals ..... 76Economy Drain Bag ...............................................................Bard® ..................................................... 75Freedom® Fas-Tap® Drainage Port Leg Bag.........................Coloplast ................................................ 75Freedom® Fas-Tap® Drainage Port Leg Bag Kits..................Coloplast ................................................ 75Freedom® Flocked Back Fas-Tap® Drainage ........................Coloplast ................................................ 75Port Leg Bag KitsFreedom® Flocked Back Fas-Tap® Drainage .......................Coloplast ................................................ 75Port Leg Bags.........................................................................Freedom® T-Tap Leg Bag Kits ...............................................Coloplast ................................................ 75Freedom® T-Tap Leg Bags .....................................................Coloplast ................................................ 74Infection Control Urine Drainage Bags ................................Bard® ..................................................... 75with Anti-Reflux ChamberKenguard™ Urinary Drainage Bags .....................................Covidien ................................................. 76Security+ Extra-Large Leg Bag/Bedside Drainage Bag .....Coloplast ................................................ 74Security+ Urine Leg Bags .....................................................Coloplast ................................................ 74The Belly Bag® .......................................................................Teleflex® Rüsch® Brand Urologicals ..... 75Uri-Drain™ Reusable/Deluxe Leg Bags ................................Covidien ................................................. 76Urinary Leg Bags with Secure Glide™ Drainage Valve ........Rochester Medical................................. 76

LEG/DRAINAGE KITSBedside Collection System ...................................................Hollister Incorporated ........................... 77Leg Bag Combination Packs .................................................Hollister Incorporated ........................... 77Urinary Leg Bag Kits ..............................................................Rochester Medical................................. 77Vented Urinary Leg Bag Systems, Combo Pack ...................Hollister Incorporated ........................... 77

ACCESSORIESDrainage Bag Hanger ...........................................................Coloplast ................................................ 77Extension Tubing ...................................................................Rochester Medical................................. 77Fabric Leg Bag Holders ..........................................................Rochester Medical................................. 77Fabric Leg Bag Straps ............................................................Coloplast ................................................ 77

IRRIGATION TRAYS

ACCESSORIESBardia® Catheter Tray ............................................................Bard® ..................................................... 78Bardia® Piston Irrigation Syringe .........................................Bard® ..................................................... 78Bardia® Red Rubber Catheter Tray .......................................Bard® ..................................................... 78Bi-Level Urethral Catheterization Procedure Trays ..............Bard® ..................................................... 78Foley Catheter Irrigation Trays ..............................................Bard® ..................................................... 78Irrigation Trays and Syringes.................................................Covidien ................................................. 78Magic3® All-Silicone Preconnected Urethral Tray ...............Rochester Medical................................. 78Magic3® Antibacterial Preconnected Urethral Tray ............Rochester Medical................................. 77Piston Irrigation Syringe Tray ................................................Covidien ................................................. 79

ACCESSORIES

Alpine Fresh™ Appliance Cleaner, Non-Toxic .......................Coloplast ................................................ 79Baza® Antifungal Cream, Antifungal Barrier .......................Coloplast ................................................ 79Baza® Clear Moisture Barrier Ointment ...............................Coloplast ................................................ 79Bedside-Care® Perineal Wash ..............................................Coloplast ................................................ 79Benzalkonium Chloride Swabstick ......................................Aplicare, Inc. .......................................... 80CATH-SECURE Dual Tab® .......................................................M.C. Johnson ......................................... 80CATH-SECURE® Plus Tube Holder .........................................M.C. Johnson ......................................... 80CATH-SECURE® Tube Holder .................................................M.C. Johnson ......................................... 80Clear Tube and Connector Kit ................................................Coloplast ................................................ 79Dale® Hold-n-Place® Foley Catheter Holders ......................Dale® Medical........................................ 80Enema Bags ...........................................................................Covidien ................................................. 80Hex-On Odor Antagonist ......................................................Coloplast ................................................ 79m9® Cleaner/Decrystallizer ..................................................Hollister Incorporated ........................... 79ManHood® Absorbent Pouches ...........................................Coloplast ................................................ 79Micro-Guard® Antifungal Powder........................................Coloplast ................................................ 79ReliaMed® Adhesive Remover Wipes ..................................ReliaMed® ............................................. 79ReliaMed® Ostomy and Urostomy Appliance Cleaner ........ReliaMed® ............................................. 80

CATHETER INSERTION TRAYS

ACCESSORIESBardex® Lubricath® Closed System Insertion Trays .............Bard® ..................................................... 81Bardia® Catheter Insertion Trays with Drainage Bags .........Bard® ..................................................... 81Bardia® Urethral Catheter Tray .............................................Bard® ..................................................... 81Curity™ Universal Catheter Trays ..........................................Covidien ................................................. 81Kenguard™ Universal Catheter Insertion Trays ....................Covidien ................................................. 81Kenguard™ Urethral Catheterization Trays (Open) .............Covidien ................................................. 81Universal Catheter Insertion Trays ........................................Bard® ..................................................... 81


CAUTION: Federal Law restricts these devices to sale by or on the order of a physician or licensed practitioner.

STRAIGHT – RED RUBBER

Bard®

Red Rubber Catheter, Sterile, 16”Unisex catheter with funnel end. Use as a Robinson or Nelaton catheter. Two opposing eyes. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr would be 8024 0 8.


8 fr – 18 fr (even numbers) 8024_ _ A4351 ea

Teleflex® Rüsch® Brand Urologicals

Red Rubber Robinson/Nelaton CatheterDisposable latex catheter has two opposed eyes; soft, comfortable and economical with X-ray opaque, 40 cm (16”) long. For single use only; sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr would be 3510 0 8. ITEM # HCPCS SOLD BY



Apogee® Red RubberUltrasmooth catheter eyelets formed with radio frequency technology make insertion and removal more comfort-able. Contains latex. ITEM # HCPCS SOLD BY

12 fr, 16” 1051 A4351 ea14 fr, 16” 1067 A4351 ea16 fr, 16” 1084 A4351 ea

Coloplast

With fire-polished eyelets and a siliconized surface, the Self-Cath® Female is designed for the shorter female urethra. The Self-Cath® Soft offers comfort, but is firmer than red rubber for easy insertion. The Self-Cath® Olive Tip Coudé and Tapered Tip Coudé have a Guide Stripe® for monitoring catheter tip position during insertion and removal. All Self-Cath® products are not made with natural rubber latex, including Self-Cath® Plus Cathe-ters and Self-Cath® Closed System Kits.

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Self-Cath® Straight-Tip, 16”, Funnel EndNote: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr would be 4 0 8. ITEM # HCPCS SOLD BY

8 fr – 18 fr (even numbers) 4_ _ A4351 ea12 fr, curved package 460 A4351 ea14 fr, curved package 450 A4351 ea

Self-Cath®Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr would be 2 0 8. ITEM # HCPCS SOLD BY

Funnel End, 6” female, 8 fr – 14 fr 2_ _ A4351 ea(even numbers)Luer End, 6” female, 14 fr 240 A4351 eaFunnel End, 10” Pediatric, 6 fr 306 A4351 eaLuer End, 10” Pediatric, 8 fr 308 A4351 eaLuer End, 10” Pediatric, 10 fr 310 A4351 ea

Self-Cath® Soft Catheters, 16”, Funnel EndNote: Replace the _ _ with the desired French size when ordering. For example, the item num-ber for a 10 fr would be 1 1 0.



Bard®Util-Cath™ Vinyl Catheters with Whistle Tip, Sterile, 14 fr


6”, female 015914 A4351 ea16”, unisex 277514 A4351 ea

Clean-Cath® Vinyl CathetersSmooth eyes for comfort; safety spherical tip mini-mizes discomfort; good for those who need a rigid catheter. Sterile. ITEM # HCPCS SOLD BY

10”, 10 fr, pediatric 421010 A4351 ea6”, 14 fr, female 420614 A4351 ea16”, 14 fr, unisex 421614 A4351 ea

Bard® Clean-Cath® Vinyl Intermittent CathetersSmooth, round tip for easy insertion. Available with convenient, color-coded funnels. Individually pack-aged in an easy-to-open, peel-strip package. Sterile, single-use intermittent catheter with connector end.

ITEM # HCPCS SOLD BYSTRAIGHT TIP, 6 “

6 fr, green 420706 A4351 ea8 fr, blue 420708 A4351 ea10 fr, black 420710 A4351 ea12 fr, white 420712 A4351 ea14 fr, green 420714 A4351 ea16 fr, orange 420716 A4351 ea18 fr, red 420718 A4351 eaSTRAIGHT TIP, 10”

8 fr, blue 421108 A4351 ea10 fr, black 421110 A4351 eaSTRAIGHT TIP, 16”

8 fr, blue 421708 A4351 ea10 fr, black 421710 A4351 ea12 fr, white 421712 A4351 ea14 fr, green 421714 A4351 ea16 fr, orange 421716 A4351 ea18 fr, red 421718 A4351 ea

Clean-Cath® Ultra Vinyl CathetersPackaged in a unique, touchless sleeve allowing for insertion without needing to touch the catheter. Sterile. 14 fr. ITEM # HCPCS SOLD BY

6”, female 4A4286 A4351 ea16”, unisex 4A4287 A4351 ea

STRAIGHT – PVC/VINYL


EasyCath™ Soft Eye™ Straight-Tipped Intermittent Catheters

For intermittent self-catheterization. Funnel end; sterile. DEHP-free.

ITEM # HCPCS SOLD BYADOLESCENT CATHETER, 10” LENGTH

10 fr EC100 A4351 eaFEMALE CATHETER, 7” LENGTH

14 fr, without funnel EC144 A4351 ea14 fr, with funnel EC145 A4351 eaSTRAIGHT CATHETER, 16” LENGTH

12 fr EC121 A4351 ea14 fr EC141 A4351 ea14 fr, soft ECS140 A4351 ea16 fr EC161 A4351 ea

CURVED CATHETER, 16” LENGTH

14 fr EC140 A4351 ea16 fr EC160 A4351 ea

Robinson/Nelaton Catheter16” all-purpose PVC catheter with two staggered eyes. Color-coded funnel. For single use only; sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr would be 238500 1 0. ITEM # HCPCS SOLD BY

10 fr – 24 fr 238500_ _ A4351 ea(even numbers)


Apogee® Intermittent CathetersUltrasmooth catheter eyelets formed with radio frequency provide comfort on insertion and removal. ITEM # HCPCS SOLD BYFIRM

6 fr, 16” 1007 A4351 ea8 fr, 6” 1016 A4351 ea8 fr, 10” Luer End 1020 A4351 ea8 fr, 16” 1018 A4351 ea10 fr, 6” 1033 A4351 ea10 fr, 10” Luer End 1040 A4351 ea10 fr, 16” 1034 A4351 ea12 fr, 6” 1047 A4351 ea12 fr, 16” 1048 A4351 ea14 fr, 6” 1062 A4351 ea14 fr, no funnel, 6” 1063 A4351 ea14 fr, 16” 1064 A4351 ea16 fr, 16” 1082 A4351 ea18 fr, 16” 1096 A4351 eaSOFT

10 fr, 16” 1036 A4351 ea12 fr, 16” 1046 A4351 ea14 fr, 16” 1061 A4351 ea16 fr, 16” 1083 A4351 eaCURVED PACKAGE

12 fr, 16” 1049 A4351 ea14 fr, 16” 1065 A4351 ea14 fr, soft, 16” 1074A A4351 ea

LATEX FREE

LATEX FREE




STRAIGHT – PVC/VINYL

Covidien

Dover™ Rob-Nel™ Latex-Free CatheterMade of thermosensitive poly/vinyl (PVC) material, this sterile, 16” catheter is radiopaque with a smooth, rounded tip, two staggered eyes, and an integral, tapered funnel end. For single use only. ITEM # HCPCS SOLD BY

8 fr 492017 A4351 ea10 fr 492025 A4351 ea12 fr 492033 A4351 ea14 fr 492041 A4351 ea16 fr 492058 A4351 ea18 fr 492066 A4351 ea

Robinson Urethral CatheterClear PVC material allows for easy visualization of contents. Vinyl; sterile, with staggered eyes. 16”. Note: Replace the _ _ with the desired French size when ordering. For example, the item num-ber for an 8 fr catheter would be 4006 0 8. ITEM # HCPCS SOLD BY

8 fr – 18 fr 4006 _ _ A4351 ea(even numbers)

STRAIGHT – SILICONE

Rochester Medical

All Rochester Medical urological products are latex-free.

Magic3® All-Silicone Intermittent CathetersEasy handling and comfort with these exclusive, three-layer designs, featuring all-silicone design that is DEHP-free, eliminating exposure to potential risks that may be associated with latex and PVC catheters. Ensure smooth passage and comfort at the interface of urethra and catheter, with four well-sized drainage eyes. Made in the USA. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr catheter would be 523 0 6.

LATEX FREE

LATEX FREE

LATEX FREE


10” Pediatric, 6 fr – 10 fr (even numbers) 523_ _ A4351 ea6” Female, 10 fr – 20 fr (even numbers) 513_ _ A4351 ea16” Male, 10 fr – 20 fr (even numbers) 533_ _ A4351 ea

Magic3® Antibacterial Intermittent CathetersProvide all the benefits of Magic3® plus nitrofurazone, an antibacterial agent which is matrixed into the catheter’s outer surface and proven effective against a

variety known causes of UTIs. A DEHP-free all-silicone catheter is designed for enhanced comfort and elimination of concerns regarding potential health risks that may be associated with repeated exposure to latex and PVC-containing devices. Made in the USA. Note: Replace the _ _ with the desired French size when ordering. For example, the item num-ber for a 12 fr Female catheter would be 519 1 2. ITEM # HCPCS SOLD BY

6” Female, 12 fr – 20 fr (even numbers) 519_ _ A4351 ea16” Male, 12 fr – 20 fr (even numbers) 539_ _ A4351 ea

Personal Catheter®Firm enough for easy insertion but gentle on soft and sensitive urethral tissue, this catheter is excellent for intermittent, daily, or repetitive

catheter use. Four comfort-sized drainage eyes help ensure smooth passage through the urethra and maximize drainage. Sterile; made in the USA. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr Pediatric catheter would be 623 0 8. ITEM # HCPCS SOLD BY


Antibacterial Personal Catheter®This all-silicone catheter delivers an antibac-terial agent to the urethral-catheter boundary during catheterization, and enhances comfort

while reducing concerns associated with repeated exposure to latex- and PVC-containing devices. Made in the USA. Note: Replace the _ _ with the desired French size when ordering. For example, the item num-ber for a 12 fr Female catheter would be 619 1 2. ITEM # HCPCS SOLD BY

6” Female 12 fr – 18 fr (even numbers) 619_ _ A4351 ea16” Male, 12 fr – 18 fr (even numbers) 639_ _ A4351 ea

Antibacterial Hydro Personal Catheter®Combines the delivery of an antibacterial agent with virtually friction-free movement of a hydrophil-ic-coated intermittent catheter. Packaged with its own sterile water packet. ITEM # HCPCS SOLD BY6” FEMALE

12 fr 61512 A4351 ea

16” MALE

12 fr 63512 A4351 ea18 fr 63518 A4351 ea

STRAIGHT – HYDROPHILIC

Coloplast

SpeediCath® CompactConvenient, discreet catheter (the size of a lipstick tube) is designed specifically for the female body, featuring the same low-friction coating as other SpeediCath® products. This

coating makes catheterization more comfortable and reduces the risk of urethral microtrauma – even for those who have to self-catheterize for a lifetime. Ready to use right out of the pack, these prehydrated catheters have easy-grip handles, allowing for hygienic, non-touch insertion and better control. No PVC or phthalates. Not made with natural rubber latex.


8 fr 285780 A4351 ea10 fr 285800 A4351 ea12 fr 285820 A4351 ea14 fr 285840 A4351 ea

SpeediCath® Intermittent CathetersWith polished eyelets for enhanced comfort, these are exceptionally convenient, with three “pre’s”: pre-hy-drated and ready to use right out of the package; pre-packed in sterile saline solution and in an easy-to-open portable foil container; and pre-lubricated—with coating always optimally hydrated right away. Not made with natural rubber latex. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be 284 0 8. ITEM # HCPCS SOLD BY

MALE, 14” LENGTH8 fr – 18 fr (even numbers) 284_ _ A4351 ea

Self-Cath® Plus Hydrophilic-Coated CathetersUpon water exposure this hydrophilic coating activates immediately for fast, clean lubrication and maximum ease of use. With a unique, uncoated GripZone™ area for total control in handling. Not made with natural rubber latex. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr would be 42 1 0.


Female, 6”, 10 fr – 14 fr (even numbers) 42_ _ A4351 eaMale, 16”, 8 fr – 16 fr (even numbers) 44_ _ A4351 ea

Self-Cath® Plus 10” Pediatric Hydrophilic-Coated CatheterHydrophilic coating activates immediately upon exposure to water, providing maximum ease of use and fast, clean lubrication. Has a unique, uncoated GripZone™ area for total control in handling. Not made with natural rubber latex. ITEM # HCPCS SOLD BY

6 fr 4306 A4351 ea8 fr 4308 A4351 ea10 fr 4310 A4351 ea


FloCath™ Intermittent Catheters, SterileWill help reduce tissue irritation and friction through the hydrophilic coating and smooth, polished, staggered eyes. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr would be 220800 1 0.

ITEM # HCPCS SOLD BYUNISEX STRAIGHT TIP

6 fr 22080060 A4351 ea8 fr 22080080 A4351 ea10 fr – 16 fr (even numbers) 220800_ _ A4351 ea

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OGY UROLOGY



STRAIGHT – HYDROPHILIC

FloCath Quick™ Intermittent CathetersWith an integrated hydrophilic-coated, flexible PVC catheter and sterile saline solution pouch, this glides easily into the urethra after being activated by the 0.9% sterile saline solution.

Patented sheath maintains and protects the sterile catheter during inser-tion and facilitates sterile catheterization technique without additional gloves or gels. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr would be 220500 0 6 0. ITEM # HCPCS SOLD BY

Female, 7”, 6 fr – 16 fr (even numbers) 220500_ _0 A4351 30/bxStandard, 16”, 6 fr – 16 fr (even numbers) 220400_ _0 A4351 30/bx

Rochester Medical


Magic3® Hydrophilic Intermittent CathetersEnjoy easy handling, convenience and comfort with this three-layer design that comes packaged in sterile water packet, featuring virtually friction-free insertion and removal. Innovative packaging with secure grip area makes it quick and easy to prep while maintaining sterility. DEHP- and PVC-free. Made in the USA. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr catheter would be 526 0 6.



Magic3® Hydrophilic Intermittent Catheters with Sure-Grip™Unique design, with composite of three distinct all-silicone layers combined with a flared gripping device allows

the catheter to be firmly held without touching the surface, minimizing contamination risk. Latex and phthalate-free. Packaged with individual sterile water packet. Made in the USA. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr catheter would be 526 0 6 G.


10” Pediatric, 6 fr – 10 fr (even numbers) 526 _ _ G A4351 ea16” Male, 10 fr – 20 fr (even numbers) 536 _ _ G A4351 ea

Magic3® Antibacterial Hydrophilic Intermittent CathetersCombines all-silicone design, antibacterial agent nitrofurazone and virtually friction-free movement of a hydrophilic coating. Made in the USA. Note: Re-place the _ _ with the desired French size when ordering. For example, the item number for a 12 fr Female would be 515 1 2.


6” Female, 12 fr – 20 fr (even numbers) 515_ _ A4351 ea16” Male, 12 fr – 20 fr (even numbers) 535_ _ A4351 ea

Hydrophilic Personal Catheter®With easy prep with the provided sterile water, catheter becomes extremely slippery for virtually friction-free insertion and withdrawal. Features a secure-grip area for added ease of handling. PVC-free. Made in the USA. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr Pediatric catheter would be 626 0 8.



Magic3® Antibacterial Hydrophilic Intermittent Catheters with Sure-Grip

With a flared gripping device that allows the catheter to be firmly held, risk of contamination is minimized. This unique

composite features three distinct all-silicone layers plus nitrofurazone, an antibacterial agent. Latex and phthalate-free. Packaged with its own sterile water packet. Made in the USA. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be 535 1 2 G. ITEM # HCPCS SOLD BY

16” Male, 12 fr – 20 fr (even numbers) 535 _ _ G A4351 ea

URETHRAL INSERTS

Rochester Medical


FemSoft® InsertSelf-inserted, single-use, intra-urethral insert provides immediate control to women with stress urinary incontinence. Made in the USA.

ITEM # HCPCS SOLD BYSTANDARD, 3.5 CM LENGTH

Size 1 71201 A4336 eaSize 2 71202 A4336 eaSize 3 71203 A4336 ea

LONG, 4.5 CM LENGTH

Size 1 72201 A4336 eaSize 2 72202 A4336 eaSize 3 72203 A4336 ea

COUDÉ – PVC/VINYL

Coloplast

Self-Cath® Olive Tip Coudé with Guide Stripe®, 16”, Funnel End Not made with natural rubber latex. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr catheter would be 8 0 6. ITEM # HCPCS SOLD BY


Self-Cath® Tapered Tip Coudé, 16”, Funnel EndWith Guide Stripe®. Not made with natural rubber latex. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr would be 6 0 8. ITEM # HCPCS SOLD BY


Bard®

Clean-Cath® Vinyl Coudé Tip Catheter, 16”Olive coudé tip catheter makes it easier to thread the catheter past the prostatic curve, which helps minimize insertion difficulties due to narrowing of the urethra and blockages in the urethral pathway. Available with conve-nient, color-coded funnels. Individually packed in an easy-to-open, peel-strip package. Sterile, single-use intermittent catheter. ITEM # HCPCS SOLD BY

10 fr, black 423710 A4352 ea12 fr, white 423712 A4352 ea14 fr, green 423714 A4352 ea16 fr, orange 423716 A4352 ea18 fr, red 423718 A4352 ea


EasyCath™ Coudé Tip Intermittent CatheterSterile, urethral catheters used for intermittent self-catheterization. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr would be EC 1 0 3. ITEM # HCPCS SOLD BY

10 fr – 16 fr (even numbers) EC_ _3 A4352 ea

Tiemann ERU® Coudé CatheterSterile; latex-free. ERU® siliconized PVC, two staggered eyes, single-use catheter. Solid tip is color coded for size. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr would be 221800 1 2.



LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

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OGY UROLOGY



COUDÉ – PVC/VINYL


Apogee® Intermittent CathetersUltrasmooth catheter eyelets formed with ultra-sonic technology provide comfort on insertion and removal. ITEM # HCPCS SOLD BY

COUDÉ, 16” LENGTH

8 fr, olive tip 1021 A4352 ea10 fr, olive tip 1035 A4352 ea12 fr 1050 A4352 ea14 fr 1066 A4352 ea16 fr 1086 A4352 ea16 fr, curved package 1087 A4352 ea18 fr, olive tip 1097 A4352 ea

Covidien

Curity™ ULTRAMER™ Urethral Red Rubber Coudé CatheterSterile, latex, red rubber catheters feature hydro-philic, lubricious coating and two opposing eyes. For single use only. 12”. Contains latex. ITEM # HCPCS SOLD BY

14 fr 8403 A4352 ea16 fr 8404 A4352 ea

Cure Medical

All Cure Catheters feature smooth, fire-polished eyes to ensure comfortable catheterization and are DEHP- and latex-free.

Cure Catheter®Sterile, single-use catheters feature fire-polished eyelets and funnel ends for both male and female. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr catheter would be M 1 0 C.


16”, coudé, 10 fr – 18 fr (even numbers) M_ _C A4352 ea

COUDÉ – HYDROPHILIC


FloCath™ Intermittent Catheters, SterileHydrophilic coating and smooth, polished, staggered eyes help reduce friction and tissue irritation. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr would be 220850 1 0.

ITEM # HCPCS SOLD BYUNISEX COUDÉ TIP


Coloplast

SpeediCath® Intermittent Catheters, CoudéThe three “pre’s” make these exceptionally conve-nient: pre-hydrated and ready to use right out of the package; pre-packed in sterile saline solution and in an easy-to-open foil container users can take any-where; pre-lubricated, with coating always optimally hydrated right away. Features polished eyelets for even greater comfort. Coudé, 14” length. ITEM # HCPCS SOLD BY

10 fr 28490 A4352 ea12 fr 28492 A4352 ea14 fr 28494 A4352 ea

Rochester Medical


Magic3® Hydrophilic Intermittent CathetherNow available with Sure-Grip, a unique flared gripping device, and with a coudé tip. All-silicone construction with a ready-to-use hydrophilic coating. 16” length. ITEM # HCPCS SOLD BY


CATHETER KITS/CLOSED SYSTEM – RED RUBBER

Bard®

Touchless® Plus Unisex Intermittent Catheter KitsThis pre-lubricated catheter in Touchless® sheath with insertion tip features 1,100-cc seamless collection chamber with built-in sample/drainage port. Kit includes latex gloves, three povidone-io-dine swabs, waterproof underpad and instructions for use. Sterile. Gloves contain latex. ITEM # HCPCS SOLD BYRED RUBBER CATHETER

12 fr 4A5042 A4353 ea14 fr 4A5044 A4353 ea14 fr, coudé 4A7044 A4353 eaVINYL CATHETER

8 fr 4A5108 A4353 ea10 fr 4A5110 A4353 ea12 fr 4A5142 A4353 ea14 fr 4A5144 A4353 ea

Female Catheter KitReduce the risk of specimen contamination and associated false readings with this closed system, featuring a 15-mL collection tube that is centri-fuge-ready. Includes a pair of vinyl gloves, towel, three iodophor swabsticks, 3-g lubricant packet and label. For single use only; sterile. ITEM # HCPCS SOLD BY

6”, 8 fr 0035380 A4353 ea


Rüsch MMG™ Closed System Intermittent Urinary Catheter KitsThe original pre-lubricated closed-system intermit-tent catheter kit, with the unique protective guardian introducer includes a self-contained, pre-lubricated catheter, tissue, three povidone iodine swab sticks and latex-free gloves. Clinically proven to reduce UTIs. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr would be RLA 1 2 23R.


12 fr – 16 fr (even numbers) RLA_ _23R A4353 eaCoudé Tip, 12 fr – 16 fr (even numbers) RLA_ _23C A4353 eaStandard, 10 fr – 18 fr (even numbers) RLA_ _23 A4353 eaSoft Catheter Kit RLA14230 A4353 ea

CATHETER KITS/CLOSED SYSTEM – PVC/VINYL

Coloplast

Self-Cath® Closed System Straight-Tip KitsDesigned to reduce the risk of UTIs, this unisex system provides a method for safe, simple catheterization. In-cludes a 100% latex-free Self-Cath® catheter and the new Easyoff™ tear tab makes it easy to use, even with limited dexterity. Kits include Self-Cath® prelubricated catheter,

gloves, 1,100-mL seamless collection bag, antiseptic solution, underpad and instructions for use. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr would be 10 0 8. ITEM # HCPCS SOLD BY



EasyCath™ KitsAll-in-one kit containing the EasyCath™ catheter with Soft Eye™ and insertion supplies, including underpad, latex-free gloves, PVP and BZK towelettes, 5-g wa-ter-soluble lubrication, urine collection bag and refuse bag. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr female would be ECK 0 6 5.


Female, 6”, 6 fr – 16 fr (even numbers) ECK _ _ 5 A4353 eaPediatric, 10”, 6 fr – 10 fr (even numbers) ECK _ _ 0 A4353 eaStandard, 16”, 12 fr – 16 fr (even numbers) ECK _ _ 0 A4353 eaCoudé, 10 fr – 16 fr (even numbers) ECK _ _ 3 A4353 ea

Rüsch MMG™ Closed System Intermittent Urinary CatheterThe original pre-lubricated Closed System Intermittent Catheter includes a pre-lubricated catheter self-contained in its own collection bag. ITEM # HCPCS SOLD BY

MMG CATHETER STANDARD

8 fr ONC8 A4353 ea10 fr ONC10 A4353 ea12 fr ONC12 A4353 ea14 fr ONC14 A4353 ea16 fr ONC16 A4353 eaMMG CATHETER SOFT

14 fr SONC14 A4353 eaMMG COUDÉ CATHETER

12 fr ONC12C A4353 ea14 fr ONC14C A4353 ea16 fr ONC16C A4353 ea

DEHP &LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

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CATHETER KITS/CLOSED SYSTEM – PVC/VINYL


Apogee® Plus Closed System Intermittent Catheters and KitsPrelubricated, closed-system intermittent catheter with unique protective tip helps reduce UTI risk. Ultrasmooth eyelets provide comfort upon insertion and removal and 1,500-mL collection bag allows discreet, secure catheterization, with clearly defined calibrations for easy monitoring. Kits contain gloves, underpad drape, gauze and PVP swabsticks. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 10 fr firm catheter would be B 1 0 F.

ITEM # HCPCS SOLD BYFIRM (NO INSERTION SUPPLIES)

6 fr B6F A4353 ea8 fr B8F A4353 ea10 fr – 18 fr (even numbers) B_ _ F A4353 ea14 fr, female B14FFEMALE A4353 eaSOFT (NO INSERTION SUPPLIES)

12 fr – 14 fr (even numbers) B_ _ S A4353 eaCOUDÉ (NO INSERTION SUPPLIES)

12 fr – 16 fr (even numbers), B_ _ C A4353 eawith insertion stripeFIRM KITS

6 fr B6FB A4353 ea8 fr B8FB A4353 ea10 fr – 18 fr (even numbers) B_ _ FB A4353 ea14 fr, 6˝, female B14FBFEMALE A4353 eaSOFT KITS

12 fr – 14 fr (even numbers) B_ _ SB A4353 eaRED RUBBER LATEX KITS – CAUTION: THIS PRODUCT CONTAINS LATEX, WHICH MAY CAUSE ALLERGIC REACTIONS.

12 fr – 16 fr (even numbers) B_ _ RB A4353 eaCOUDÉ KITS

12 fr – 16 fr (even numbers), B_ _ CB A4353 eawith insertion stripe

Advance Plus Touch Free Intermittent CathetersUltrasmooth catheter eyelets provide maximum comfort on inser-tion and removal.* Protective ring cap maintains sterility of catheter tip while being easy to remove and hold. 16” length; protective tip helps reduce the risk of urinary tract infections; 1,500-mL urine col-lection bag with built-in handle allows for secure, discreet catheter-ization. Advance® Pocket Plus comes with 60% smaller packaging.

Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr straight kit would be 96 0 6 4.*Patented gel reservoir pre-lubricates catheter for convenience.

ITEM # HCPCS SOLD BYADVANCE PLUS CLOSED (NO SUPPLIES)

6 fr – 18 fr (even numbers) 94_ _4 A4353 ea

ADVANCE PLUS STRAIGHT KIT

Includes one pair of gloves, three BZK swabsticks, drape and waterproof underpad.6 fr – 18 fr (even numbers) 96_ _4 A4353 eaADVANCE PLUS COUDÉ CLOSED (NO SUPPLIES)

12 fr – 16 fr (even numbers) 95_ _4 A4353 eaADVANCE PLUS COUDÉ KIT

Includes one pair of gloves, three BZK swabsticks, drape and waterproof underpad.12 fr – 16 fr (even numbers) 97_ _4 A4353 eaADVANCE® PLUS POCKET™


CATHETER KITS/CLOSED SYSTEM – HYDROPHILIC

Coloplast

SpeediCath® Compact SetSmall enough to tuck in a pocket or handbag and intuitive to use, this all-in-one catheter and bag set with a unique hydrophilic coating is instantly ready to use. The integrated and sterile bag is designed for no-touch insertion. Only available in a 12 fr size. ITEM # HCPCS SOLD BY

Male 28422 A4353 eaFemale 28522 A4353 ea

SureCath Set® Intermittent Catheter Sets with AccessoriesHydrophilic-coated sterile solution, all enclosed in a col-lection bag. Accessories include one pair of exam gloves, one CSR wrap and two povidone-iodine prep pads. Not made with natural rubber latex. ITEM # HCPCS SOLD BY14” MALE, 700 ML

12 fr, male 28024S A4353 ea14 fr, male 28032 A4353 ea14” MALE, 1,200 ML

14 fr, male 28036 A4353 ea16 fr, male 28037 A4353 ea

Intermittent Catheter Extension TubeNot made with natural rubber latex. ITEM # HCPCS SOLD BY

24” 475 A4331 ea


FloCath Quick™ KitThis all-in-one kit includes the FloCath Quick™ hydrophilic catheter and insertion supplies, underpad, latex-free gloves, PVP and BZK towelettes, 5-g water soluble lubricant, urine collection bag and refuse bag. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 6 fr kit would be 221400 0 6 0.


Male, 6 fr – 16 fr (even numbers) 221400_ _0 A4353 ea

MMG H20™A closed-system catheter with unique, hydrophilic coating to help the catheter glide easily into the urethra. Kit contains a sterile saline pouch; sterile, la-tex-free gloves; underpad; BZK towelette; gauze; and refuse bag. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr kit would be 20096 0 8 0.



Rochester Medical


Magic3® Hydrophilic Intermittent Catheter Closed SystemPackaged with its own sterile water packet inside an 1,100-mL collection bag with a prelubricated introducer tip that offers touch-free catheterization. Closed system is available as single unit or part of

a latex- and PVC-free kit, including one pair of gloves, two BZK wipes and an underpad. Made in the USA. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for an 8 fr catheter would be 557 0 8. ITEM # HCPCS SOLD BY

16” Single unit, 8 fr – 18 fr (even numbers) 557_ _ A4353 ea16” Kit, 8 fr – 18 fr (even numbers) 537_ _ A4353 ea

Magic3® Antibacterial Hydrophilic Intermittent Catheter Closed System

Closed system combines all-silicone design, antibacterial agent nitrofurazone and virtually friction-free movement of a hydrophilic coating. Latex- and PVC-free and packaged with its own sterile water

packet inside an 1,100-mL collection bag with prelubricated introducer tip, enabling touch-free catheterization. Kit contains one pair of gloves, two BZK wipes and an underpad. 16” kit. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be 554 1 2. Additional sizes are available through custom order. ITEM # HCPCS SOLD BY

16” Single, 12 fr – 18 fr (even numbers) 554_ _ A4353 ea16” Kit, 12 fr – 18 fr (even numbers) 534_ _ A4353 ea

Magic3® Antibacterial Preconnected Urethral TrayGet superior performance, easy handling and unsurpassed comfort with this exclusive three-layer construction of the Magic3®. Urethral tray features the only intermittent catheter that provides a release of nitrofura-

zone into the urethral-catheter boundary to produce localized antibacte-rial activity. Packaged as a pre-connected urethral tray with standard tray components. ITEM # HCPCS SOLD BY

53814 A4353 ea

Hydrophilic Personal Catheter® Intermittent Closed SystemAll-silicone catheters feature a hydrophilic coating that becomes slippery when wet to provide nearly friction-free movement, no need for messy lubricating gels. Firm enough for comfortable, easy movement

but with gentle handling characteristics that minimize potential trauma from stiffer catheters. Seamless tip and four comfort-designed drainage eyes enhance movement over sensitive urethral tissue. Packaged with a sterile water packet inside a 1,100-mL collection bag with a prelubricated insertion tip. Kit includes gloves, BZK wipes and an underpad. ITEM # HCPCS SOLD BYHYDROPHILIC PERSONAL CATHETER® CLOSED SYSTEM SINGLE UNIT

12 fr 65712 A4353 ea14 fr 65714 A4353 eaHYDROPHILIC PERSONAL CATHETER® CLOSED SYSTEM KIT

Kit includes gloves, BZK wipes and an underpad.12 fr 63712 A4353 ea14 fr 63714 A4353 ea

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

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CATHETER KITS/CLOSED SYSTEM – HYDROPHILIC

Rochester Medical

Antibacterial Hydro Personal Catheter® Closed System KitEnjoy friction-free movement of all-sili-cone catheters with hydrophilic coating and the addition of the antibacterial

agent nitrofurazone, which is matrixed to the catheter’s outer layer to provide localized antibacterial activity. Nitrofurazone has been proven safe and effective against a broad spectrum of UTI-causing bacterial patho-gens. Packaged with a sterile water packet inside a 1,100-mL collection bag with a prelubricated insertion tip. Kit includes gloves, BZK wipes and an underpad.


12 fr 63412 A4353 ea

Magic3® All-Silicone Preconnected Urethral TrayExclusive, three-layer construction of the Magic3® provides superior performance, easy handling and unsurpassed comfort. Features 100% silicone intermittent catheter that is firm enough for easy

insertion but gentle on soft and sensitive urethral tissue, making it ideal for daily, repetitive catheter use. Packaged as a preconnected urethral tray with standard tray components.


14 fr, 16” long 53214 A4353 ea

EXTERNAL CATHETERS


SILICONE – SELF-ADHESIVE

Coloplast

All Coloplast® urological products are latex-free unless otherwise noted.

Conveen® Optima Male External CathetersDiscreet and easy to slip into a pocket. Easy-on ap-plication is both simple and trouble-free. Triple-ac-tion, anti-leak system ensures maximum security. Comfortable wear PSX silicone is soft and breath-

able, and balanced adhesive provides reliability and skin friendliness.


SHORT LENGTH, 50 MM

X-Small (21 mm) 22121EA A4349 eaSmall (25 mm) 22125EA A4349 eaMedium (30 mm) 22130EA A4349 eaLarge (35 mm) 22135EA A4349 eaSTANDARD LENGTH, 80 MM

Small (25 mm) 22025EA A4349 eaMedium (30 mm) 22030EA A4349 eaLarge (35 mm) 22035EA A4349 eaX-Large (40 mm) 22040EA A4349 ea

Conveen® Security+ Self-Sealing Male External CatheterFeatures push ring for easier connection to a leg bag and anti-kink bulb for added security. Pull tab enables easy application. Skin-friendly adhesive. ITEM # HCPCS SOLD BY

Small (25 mm) 5225H A4349 eaMedium (30 mm) 5230H A4349 eaLarge (35 mm) 5235H A4349 eaX-Large (40 mm) 5240H A4349 ea

Freedom Clear® with Kink-Resistant NozzleFeatures an ultrathin sheath designed for comfortable, everyday wear. ITEM # HCPCS SOLD BY

Small (23 mm) 5100 A4349 eaMedium (28 mm) 5200 A4349 eaIntermediate (31 mm) 5300 A4349 eaLarge (35 mm) 5400 A4349 eaX-Large (40 mm) 5500 A4349 ea

Freedom Clear® SS Male External CatheterThe thin, brief sheath helps reduce rolling at the base of the catheter, making this a good choice for individuals with penis retractions. Kink-resistant nozzle is designed to eliminate catheter blow-offs. ITEM # HCPCS SOLD BY

Small (23 mm) 5110 A4349 eaMedium (28 mm) 5210 A4349 eaIntermediate (31 mm) 5310 A4349 eaLarge (35 mm) 5410 A4349 ea

Freedom Clear® LS Male External CatheterGet added security and comfort with this catheter designed with a longer-length adhesive seal on a thin sheath. Features a kink-resistant nozzle designed to eliminate catheter blow-offs. ITEM # HCPCS SOLD BY

Small (23 mm) 5190 A4349 eaMedium (28 mm) 5290 A4349 eaIntermediate (31mm) 5390 A4349 eaLarge (35 mm) 5490 A4349 eaX-Large (40 mm) 5590 A4349 ea

Clear Advantage® with Aloe Male External CatheterPremium, self-adhering, one-piece catheter designed for maximum wear time. Features aloe in the adhesive and a kink-resistant nozzle designed to eliminate catheter blow-offs. ITEM # HCPCS SOLD BY

Small (23 mm) 6100 A4349 eaMedium (28 mm) 6200 A4349 eaIntermediate (31 mm) 6300 A4349 eaLarge (35 mm) 6400 A4349 eaX-Large (40 mm) 6500 A4349 eaLarge (35 mm) 8500 A4349 ea

Rochester Medical


Spirit™ Male External CathetersGet the breathability and flexibility of silicone with the adhesive, mois-ture-wicking properties of hydrocolloid, along with enhanced comfort and skin integrity due to superior breathability. Soft silicone and uniform adhesive for secure placement. Clear sheath for easy visual inspection of skin, and kink-resistant design ensures continuous urine flow. Made in the USA.

STYLE 1Adhesive in a length and placement found with traditional male external catheters.



STYLE 2Combines forward adhesive technology with a 1.5” sheath. The maximum adhesive area on a short sheath provides men with a catheter for their specific needs.



STYLE 3Features 70% more adhesive area than traditional self-adhering designs. Combined with patented forward placement of the adhesive to prevent accidental catheter detachment.



WideBand® Male External CatheterPatented, forward placement of adhesive prevents urine migration and buildup. Designed to stay on, with 70% more adhesive area than traditional self-adhering catheters, the nonsen-sitizing adhesive provides a reliable bond to the skin for extra confidence and maximum wear time. Kink-proof funnel helps ensure uninter-rupted urine flow. All-silicone material is clear and breathable. Made in the USA.



LATEX FREE

LATEX FREE

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EXTERNAL CATHETERS

SILICONE – SELF-ADHESIVE

Rochester Medical

Pop-On® Male External CatheterSelf-adhering; 1-1⁄2” sheath with the same ad-hesive area as a normal-length catheter works especially well with a short or retracted penis. Nonsensitizing adhesive provides a reliable skin bond for maximum wear time and confidence. All-silicone material is clear and breathable. Made in the USA.



UltraFlex® Male External CatheterAll-silicone, self-adhering male external cathe-ters with nonsensitizing adhesive for reliable skin bond, providing extra confidence and maximum wear time. Kink-proof funnel helps ensure uninterrupted urine flow. All-silicone material is clear and breathable. Made in the USA.



LATEX – SELF-ADHESIVE

Coloplast

Freedom Cath® Male External CatheterSelf-adhering, one-piece catheters for secure, everyday use. Combines a comfortable latex sheath with a wide, watertight adhesive seal. Contains latex. ITEM # HCPCS SOLD BY

Small (23 mm) 8000 A4349 eaMedium (28 mm) 8200 A4349 eaIntermediate (31 mm) 8205 A4349 eaLarge (35 mm) 8400 A4349 ea

Active Cath® Male External CatheterSelf-adhering, extended wear, one-piece catheters com-bine a comfortable latex sheath with a wide, watertight adhesive seal. Contains latex. ITEM # HCPCS SOLD BY

Small (23 mm) 8100 A4349 eaMedium (28 mm) 8300 A4349 eaIntermediate (31 mm) 8305 A4349 ea


Extended Wear Male External CatheterFeatures unique inner flap to minimize urine backflow; reduces skin irritation and keeps adhesive from being compromised. Plastic collar makes it easy to apply, and it securely attaches and seals to the skin by its integral adhesive. Double convolutions resist kinking and twisting, so urine is safely conducted through open fluid pathways. ITEM # HCPCS SOLD BY

22 mm – 25 mm 9206 A4349 ea26 mm – 30 mm 9207 A4349 ea31 mm – 35 mm 9208 A4349 ea36 mm – 39 mm 9209 A4349 ea

LATEX – STRAPS

Coloplast

Gizmo™Pure, soft, natural latex external catheter with reinforced funnel end. Single-sided adhesive strip, so no adhesive comes into contact with the skin. Contains latex. ITEM # HCPCS SOLD BY

Small 7275 A4349 eaMedium 7250 A4349 eaLarge 7200 A4349 ea


Golden-Drain One-Piece External CatheterSoft construction ensures comfort and supportive cup prevents twisting. Single-sided foam strap. Individ-ually packaged with 6” long, 1” wide straps. Contains latex. ITEM # HCPCS SOLD BY

Small A1000S A4349 eaGeriatric/Medium A1000M A4349 eaRegular/Large A1000 A4349 ea

Condom CatheterExternal male catheter made of latex. One size fits most. Available with a foam strip. ITEM # HCPCS SOLD BY

E7000 A4349 ea

Covidien

Uri-Drain™ Standard Male External CatheterOffers a large-diameter connector and large, reinforced funnel area, with one-piece, molded construction and natural, latex-rolled sheath. Individually packaged. Includes foam strap. Standard (1.3” diameter). ITEM # HCPCS SOLD BY

732300 A4349 ea

Texas Catheter™ External Male CatheterMade of soft, lightweight latex with a drainage connector that allows attachment to both connective tubing or a collection bag. Features a hard plastic tip. Catheter with-out foam strap; requires a method of attachment. ITEM # HCPCS SOLD BY

730200 A4349 ea

ACCESSORIES

Rochester Medical

All Rochester Medical urological products are latex-free unless otherwise noted.

Additional Latex-Free Foam Straps with Hook-and-Loop ClosureReusable, adjustable strap provides a comfortable fit. For use with Natural Male External Catheters. One size fits most. ITEM # HCPCS SOLD BY

48170 A4335 ea

Bard®

Cunningham Penile ClampConstructed of soft sponge rubber and adjustable for comfortable fit, these clamps control stress inconti-nence or urine dribbling. Reusable and nonsterile. ITEM # HCPCS SOLD BY

Regular, 2” 004053 A4356 eaLarge, 3” 004054 A4356 ea

FOLEY CATHETERS


TWO-WAY – LATEX

Bard®

Bardex® Lubricath® Latex Pediatric Foley CatheterShort-length, round tip with two opposing eyes. Permanent hydrophilic gel coating facilitates insertion and removal. Sterile. 3 cc. Contains latex. ITEM # HCPCS SOLD BY

8 fr 0165PL08 A4338 ea10 fr 0165PL10 A4338 ea

Bardex® Lubricath® Coudé CathetersSterile, red latex, Tiemann olive-tip coudé with a single drainage eye. Hydrophilic coating; two-way design. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr 5-cc catheter would be 0102L 1 2.


5 cc, 12 fr – 24 fr (even numbers) 0102L_ _ A4340 ea30 cc, 14 fr – 20 fr (even numbers) 0103L_ _ A4340 ea

Bardex® Lubricath® Latex Foley CathetersLubricath® hydrophilic polymer coating helps minimize encrustation and reduce irritation of the urethral mucosa. High-quality construction; short-length, round tip with two opposing eyes. For single use only; sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr 5-cc catheter would be 0165L 1 2. Contains latex.


3 cc, 8 fr 0165PL08 A4338 ea5 cc, 12 fr – 30 fr (even numbers) 0165L_ _ A4338 ea30 cc, 12 fr – 30 fr (even numbers) 0166L_ _ A4338 ea

LATEX FREE

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70 | Discover the TWS Difference, call 888-858-9988 Discover the TWS Difference, call 888-858-9988 | 71

FOLEY CATHETERS

TWO-WAY – LATEX

Bard®

Coudé Bardex® Lubricath® Latex Foley Catheters (Carson Model)Coudé tip design facilitates negotiation of the prostatic urethra and Lubricath® hydrophilic polymer coating helps to reduce irritation of the urethral mucosa and minimize encrustation. High-quality con-

struction. Single use; sterile. Medium length; olive coudé tip with single drainage eye. 5 cc. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 14 fr catheter would be 0168L 1 4. Contains latex. ITEM # HCPCS SOLD BY

14 fr – 18 fr (even numbers) 0168L_ _ A4340 ea

Bardex® Infection Control Latex CatheterTwo-way infection control catheter with 5-cc balloon. For single use only; sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr catheter would be 0165SI 1 2. Contains latex.


12 fr – 30 fr (even numbers) 0165SI_ _ A4338 ea

Bardia® Coated Latex Foley CathetersSilicone elastomer-coated, two-way, latex Foley catheter with coating that protects against urethral ir-ritation. Peel pouch. For single use only; sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr 5-cc catheter would be 1235 1 2 A. Contains latex.


5 cc, 12 fr – 30 fr (even numbers) 1235_ _A A4338 ea30 cc, 12 fr – 30 fr (even numbers) 1236_ _A A4338 ea

Economy Lubricath® CathetersNote: Replace the _ _ with the desired French size when ordering. For example, the item num-ber for a 12 fr catheter would be 3657 1 2.


5 cc, 12 fr – 26 fr 3657_ _ A4338 ea

Bard® Silicone Elastomer-Coated Latex Foley CathetersProtect against urethral irritation with sterile, short-length catheter featuring two opposing eyes. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr 5-cc catheter would be 2657 1 2.


5 cc, 12 fr – 30 fr (even numbers) 2657_ _ A4338 ea30 cc, 16 fr – 28 fr (even numbers) 2667_ _ A4338 ea

Silastic® CathetersSmooth, nonstick silicone exterior coating reduces calcium buildup. Flexible but firm latex-based construction with large drainage lumen. Round tip; sterile. Note: Replace the _ _ with the desired French size when ordering. For exam-ple, the item number for a 14 fr 5-cc catheter would be 336 1 4. Contains latex.

ITEM # HCPCS SOLD BYWITH TWO OPPOSING EYES, 5 CC

14 fr – 24 fr (even numbers) 336_ _ A4338 eaWITH TWO STAGGERED EYES, 30 CC


TWO-WAY – SILICONE COATED


Rüsch GOLD™ Two-Way Silicone-Coated Latex Foley CathetersFor single use only; sterile. Two-way, two opposed eyes. 40 cm (16”) long. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr 5-cc catheter would be 180705 1 2. Contains latex.



Covidien

Kenguard™ Silicone-Coated Foley CatheterSilicone coating provides a smooth exterior shaft and facilitates insertion. 17”, 5 cc, two-way, silicone coated. ITEM # HCPCS SOLD BY

16 fr 3560 A4338 ea18 fr 3563 A4338 ea

Bard®

Bardex® All-Silicone Foley CathetersShort-length, round tip with two opposing eyes. 100% silicone construction; for single use only; sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr 5-cc catheter would be 1658 1 2.




100% Silicone Foley CathetersTwo-way, two opposed eyes. 40 cm (16”) long. Color-coded tip. For single use only; sterile. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 12 fr 5-cc catheter would be 170605 1 2.



TWO-WAY – ALL SILICONE

Covidien

Dover™ 100% All-Silicone Foley CatheterNonreactive, nonadherent material reduces incidence of encrustation, urethritis and urethral stricture. Sterile, 100% silicone catheters are ideal for users who are allergic to latex products. Packaged in an outer peel-back pouch and easy-to-open inner sheath. Color-coded inflation valve accepts Luer lock and Luer slip syringes. 5-cc balloon, 17”. ITEM # HCPCS SOLD BY


THREE-WAY – LATEX

Bard®

Bardex® Tri-Way® Lubricath® CathetersThree-way design permits continuous irrigation. Sterile, short-length catheter with two opposing eyes. Note: Replace the _ _ with the desired French size when ordering. For example, the item number for a 16 fr 5-cc catheter would be 0119L 1 6.


5 cc, 16 fr – 26 fr (even numbers) 0119L_ _ A4346 ea30 cc, 16 fr – 26 fr (even numbers) 0167V_ _S A4346 ea

ACCESSORIES

Bard®

Catheter Strap and Tube HolderHolds catheter or extension tubing to leg with Velcro® fasteners. ITEM # HCPCS SOLD BY

000025 A4334 ea

Foley Insertion Tray10 cc with BZK swabs. Without catheter and bag. ITEM # HCPCS SOLD BY

802110 A4310 ea

Bardia® Foley Insertion Trays without CatheterSterile; includes underpad, latex gloves, lubricant, inflation syringe, swabs and graduated peel-top tray. Gloves contain latex. ITEM # HCPCS SOLD BYWITH PVP SWABS

10 cc 802010 A4310 ea30 cc 802030 A4310 ea

WITH PVI SWABS

10 cc 802011 A4310 ea30 cc 802031 A4310 ea

Bardia® Closed System Foley TrayWith drainable bag, PVI swabs, 10-cc syringe and CSR wrap. ITEM # HCPCS SOLD BY

16 fr 802016 A4314 ea18 fr 802018 A4314 ea

LATEX FREE

LATEX FREE

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FOLEY CATHETERS

ACCESSORIES

Covidien

Foley Catheter AccessoriesAdjustable foam strap prevents premature catheter removal and features a hook-and-loop closure. Plug occludes catheter drainage lumen. ITEM # HCPCS SOLD BY

Curity™ catheter plugs 1600 A9270 eaDover™ catheter leg strap 600149 A4334 ea


Foley Catheterization Procedure TraysTrays include povidone-iodine swab, fenestrated drape, moisture-proof under-buttocks drape, lubri-cating jelly, two vinyl gloves, 1,100-mL collection tray and either a 10-cc or 30-cc prefilled syringe. Sterile packed and recommended for single use. Does not include catheter (allows proper size and type to be chosen). ITEM # HCPCS SOLD BY

10 cc 76710 A4310 ea30 cc 76700 A4310 ea

Covidien

Kenguard™ Foley Catheterization TraysTrays contain CSR wrap, 2,000-mL drain bag; absorbent underpad; latex-free gloves; fenestrated drape; three PVI swab sticks; lubricating jelly; 5-g pouch; specimen container with cap; and a 10-cc prefilled syringe.

ITEM # HCPCS SOLD BYADD-A-CATH™ WITH ITEM # 3502 DRAIN BAG

3515 A4354 ea5-CC SILICONE-COATED LATEX FOLEY CATHETER, ANTIREFLUX CHAMBER

16 fr 3716 A4314 ea18 fr 3718 A4314 ea

DRAINAGE BAGS

LEG/DRAINAGE BAGS

Coloplast

Security+ Extra-Large Leg Bag/Bedside Drainage BagAnti-reflux valve, volume markings, preattached, 36”, anti-kink tube and soft cloth backing. ITEM # HCPCS SOLD BY

51 oz (1,500 mL) 5062 A4357 ea

Security+ Urine Leg BagsBags include preattached, adjustable, anti-kink tubing; soft cloth backing; anti-reflux valve; and center weld for even urine distribution. 20” tube. ITEM # HCPCS SOLD BY

Medium (17 oz) 5161 A4358 eaLarge (25 oz) 5167 A4358 ea

Conveen® Security+ Contoured Leg BagsDeluxe leg bags with preattached, adjustable, anti-kink tubing; secure, user-friendly closure; anti-reflux valve; soft cloth backing; fabric leg straps; and low-profile contours. 18” tube. ITEM # HCPCS SOLD BY

Medium (21 oz) 5170 A4358 eaMedium (21 oz), sterile 5171 A4358 eaLarge (28 oz) 5174 A4358 ea

Conveen® Active Leg BagAdjustable, short tube ensures optimal fit for improved mobility and minimal visibility, with integrated comfortable elastic band for ease of use and discretion. Wraps around the thigh with the bag facing inward for minimal visibility – wear shorts with confidence. Burr fabric fastening system enables hassle-free fitting and keeps the bag in place, even during sport activities. Smaller, 250-mL bag ensures discretion. ITEM # HCPCS SOLD BY

250 mL (8.5 oz) 255020 A4358 ea

Freedom® T-Tap Leg BagsWith flutter valve and Velcro® straps. ITEM # HCPCS SOLD BY

500 mL (17 oz) 7077 A4358 ea1,000 mL (34 oz) 7087 A4358 ea

Freedom® T-Tap Leg Bag KitsLeg bag with flutter valve, 18” clear tubing, connector and Velcro® straps.


500 mL (17 oz) 7078 A4358 ea1,000 mL (34 oz) 7088 A4358 ea

Freedom® Fas-Tap® Drainage Port Leg BagFeatures flutter valve and Velcro® straps. ITEM # HCPCS SOLD BY

1,000 mL (34 oz) 9002 A4358 ea

Freedom® Fas-Tap® Drainage Port Leg Bag KitsWith flutter valve, 18” clear tubing, connector and Velcro® straps.


500 mL (17 oz) 9001 A4358 ea1,000 mL (34 oz) 9003 A4358 ea

Freedom® Flocked Back Fas-Tap® Drainage Port Leg BagsWith flutter valve and Velcro® straps. ITEM # HCPCS SOLD BY

500 mL (17 oz) 9004 A4358 ea1,000 mL (34 oz) 9006 A4358 ea

Freedom® Flocked Back Fas-Tap® Drainage Port Leg Bag KitsWith flutter valve, clear 18” tubing, connector and Velcro® straps.


500 mL (17 oz) 9005 A4358 ea1,000 mL (34 oz) 9007 A4358 ea

Bard®

Bedside Drainage BagsFeatures an anti-reflux valve, vented drip chamber, urine sample port on catheter and connector tubing. Sterile. ITEM # HCPCS SOLD BYSINGLE-HOOK HANGER AND STRING

2,000 mL 154002 A4357 eaTWO-HOOK HANGER AND STRING

2,000 mL 153504 A4357 ea4,000 mL 153509 A4357 ea

Economy Drain BagLarge-volume capacity ensures efficient drainage. 2,000 cc. Convenient to use. ITEM # HCPCS SOLD BY

154003 A4357 ea

Bardia® Closed System Drain BagsWith anti-reflux chamber and sample port; sterile.


Living Hinge Hanger, 2,000 cc 802001 A4357 eaAdjustable Hook-and-Loop Hanger, 2,000 cc 802002 A4357 ea

Infection Control Urine Drainage Bags with Anti-Reflux ChamberSafe sampling port allows for needle-free aspi-ration. Single-hook design with string hanger. For single use only; sterile. ITEM # HCPCS SOLD BY

Latex-free 154102 A4357 eaLatex 154004 A4357 ea

Dispoz-a-Bag® Leg BagsHeavy-duty vinyl supports extended wear, odor containment and leak resistance, with an anti-reflux valve. Flip-Flo™ drainage valve opens and closes with a simple flip. Reusable and sterile.

ITEM # HCPCS SOLD BYWITH FLIP-FLO™ VALVE AND LEG STRAPS

19 oz 150319 A4358 ea19 oz 150419 A4358 4/bx32 oz 150332 A4358 ea32 oz; latex-free 150732 A4358 ea32 oz 150432 A4358 4/bxWITH BOTTOM CAP AND LATEX LEG STRAPS

Medium (9-3⁄4”, 19 oz) 150107 A4358 eaWITH DRAINAGE AND LATEX-FREE EXTENSION TUBE, FLIP-FLO™ VALVE AND LATEX LEG STRAPS

Medium (9-3⁄4”, 19 oz) 151919 A4358 eaLarge (12”, 32 oz) 151932 A4358 eaWITH 18” LATEX-FREE EXTENSION TUBING, FLIP-FLO™ VALVE AND ONE PAIR FABRIC LEG STRAPS

Large (12”, 32 oz) 150832 A4358 ea


The Belly Bag®Designed to be worn at the waist by males or females who have an indwelling Foley or supra-pubic catheter, urine bag has a 1,000-mL capacity and anti-reflux valve. Can be worn day and night. Empties via drain tube with twist valve.


With hip belt B1000 A4358 eaWith attached, coiled drain tube B1000CT A4358 eaWith sample port B1000P A4358 ea

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

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DRAINAGE BAGS

LEG/DRAINAGE BAGS


Easy Tap® Leg BagsSingle-use leg bags feature anti-reflux valve, two latex-free straps with buttons, sterile fluid path and high-grade PVC construction with easy-open, flip drain valve. ITEM # HCPCS SOLD BY

Medium (19 oz) 452919 A4358 eaMedium (19 oz), 453919 A4358 eawith 18” extension tubingLarge (32 oz) 452932 A4358 eaLarge (32 oz), 453932 A4358 eawith 18” extension tubing

Bedside Urinary Drainage BagsMade with anti-reflux valve, sample port, plastic hook hanger and latex-free bottom outlet. 2,000-cc capacity; vented. Made of high-grade PVC. For single use only; sterile. ITEM # HCPCS SOLD BY

Bedside bag 390000 A4357 eaEconomy bag 390060 A4357 ea

Rochester Medical


Urinary Leg Bags with Secure Glide™ Drainage ValveEasy-to-operate Secure Glide™ drainage valve provides security, discreet urine management and a sterile fluid pathway. Constructed with high-quali-ty, welded, vinyl seams and anti-reflux flutter valve. ITEM # HCPCS SOLD BY

Medium (600 mL) 49165 A4358 4/bxLarge (800 mL) 49161 A4358 4/bx

Covidien

Curity™ Bedside Drainage Bags2,000-mL drainage bag with Anti-Reflux Chamber; Splashguard II™ Drain Spout prevents urine back-splash. CSR wrapped. ITEM # HCPCS SOLD BY

6206 A4357 ea

Curity™ Mono-Flo™ Bedside Drainage BagCSR-wrapped drainage bag holds 2,000 mL. Mo-no-Flo™ Anti-Reflux Valve closes automatically when bag is lifted, tilted or laid on its side. Splashguard II™ Drain Spout prevents urine backsplash. Safeguard™ Needleless Sampling Port prevents needlesticks. ITEM # HCPCS SOLD BY

6208 A4357 ea

Curity™ Urinary Leg BagsWith Anti-Reflux Valve and longer catheter adapter for greater security with all types of catheters. Twist valve for easier emptying and less spill; no bottom cap to lose or misplace. ITEM # HCPCS SOLD BY

500 mL (17 oz) 145514 A4358 ea730 mL (25 oz) 145516 A4358 ea

Kenguard™ Urinary Drainage BagsContoured design for even filling and complete emptying, with 11⁄32” drainage tube for quick drainage, eliminating standing column of urine. Universal hanger fits securely on bedrails and wheelchairs. Convenient carrying handle for ambu-latory users. 2,000 cc.


With anti-reflux chamber 3512 A4357 eaWith port without anti-reflux chamber 3502 A4357 ea

Dover™ Urine Leg Bags with Sterile Fluid PathWith an Anti-Reflux Valve, twist valve at the bottom, sterile fluid pathway and latex-free leg straps. ITEM # HCPCS SOLD BY


Uri-Drain™ Reusable/Deluxe Leg BagsWith an Anti-Reflux Valve, heat-welded seams, a tapered design with flocked vinyl backing and a 5” draining tube with thumb-release clamp. Short, permanently bonded connector has backing flap. Large bag has expandable, pleated sides. ITEM # HCPCS SOLD BY

Small (9 oz) 733100 A4358 eaMedium (17 oz) 733200 A4358 eaLarge (25 oz) 733900 A4358 ea

LEG/DRAINAGE KITS


Bedside Collection System2,000-mL capacity. Includes sterile fluid path-way, sample port, hinged hanger, bed linen security clamp and anti-reflux valve. ITEM # HCPCS SOLD BY

9839 A4357 ea

Leg Bag Combination PacksSoft, comfortable, durable bags with pleated sides that increase the volume but not the length and protect skin from pressure points by placing leg strap connectors and drain valve away from direct contact with leg. Safely and easily conduct urine through drain valve, which is easy to open and closes securely even with limited dexterity. Contains leg bag, latex-free 18” extension tubing with connector and one pair of 23” fabric leg bag straps. ITEM # HCPCS SOLD BY


Vented Urinary Leg Bag Systems, Combo PackIncludes one vented urinary leg bag, one extension tubing and one pair of 23” fabric leg bag straps.



Rochester Medical


Urinary Leg Bag KitsAll supplies combined in one kit for max-imum convenience, each containing one leg bag, one extension tube and one pair of standard button-closure straps. ITEM # HCPCS SOLD BY

Medium (600 mL) 49405 A4358 eaLarge (800 mL) 49401 A4358 ea

ACCESSORIES

Rochester Medical

Fabric Leg Bag HoldersA convenient and comfortable alternative to leg bag straps. Made of soft 80% polyester and 20% Spandex® for durability. Washable and reusable. ITEM # HCPCS SOLD BY

Small 47151 A4335 eaMedium 47152 A4335 eaLarge 47153 A4335 eaX-Large 47154 A4335 ea

Extension TubingIndividually packaged. Sterile. ITEM # HCPCS SOLD BY

18” 46161 A4331 ea

Coloplast

Fabric Leg Bag StrapsElastic and reusable. ITEM # HCPCS SOLD BY

5050 A5114 pr

Drainage Bag HangerReusable, sturdy plastic drainage bag hanger secures tubing and ensures bag stability. ITEM # HCPCS SOLD BY

15” 5070 A4649 ea

IRRIGATION TRAYS

ACCESSORIES

Rochester Medical

Magic3® Antibacterial Preconnected Urethral TrayGet superior performance, exceptional comfort and easy handling with this exclusive three-layer construction of the Magic3® urethral tray, featuring the only intermit-tent catheter that provides a release of nitrofurazone into the urethral-catheter boundary, resulting in localized antibacterial activity. Packaged as a pre-connected urethral tray with standard tray components. ITEM # HCPCS SOLD BY

53814 A4353 ea

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

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IRRIGATION TRAYS

ACCESSORIES

Rochester Medical

Magic3® All-Silicone Preconnected Urethral TrayExclusive, three-layer construction of the Magic3® provides superior performance, exceptional com-fort and easy handling. Features 100% silicone intermittent catheter that’s firm for insertion yet gentle on urethral tissue, thus ideal for daily, re-petitive catheter use. Packaged as a preconnected urethral tray with standard tray components. ITEM # HCPCS SOLD BY

14 fr, 16” long 53214 A4353 ea

Bard®

Bardia® Red Rubber Catheter TraySterile. Contains waterproof underpad, drape, gloves, lubricant, BZK swabs, collection tray and specimen container with label. ITEM # HCPCS SOLD BY

15 fr 802115 A4353 ea

Bardia® Piston Irrigation SyringeSterile. ITEM # HCPCS SOLD BY

60 cc 802065 A4322 ea

Foley Catheter Irrigation TraysSterile; with 500-cc solution container, underpad, irrigation syringe, alcohol wipes, tip protection sheath and 1,200-cc collection tray. ITEM # HCPCS SOLD BYBASIC IRRIGATION TRAY

Two-piece bulb syringe, 50 cc 750107 A4320 eaPiston syringe, 60 cc 750307 A4320 eaCSR WRAP

Two-piece bulb syringe, 50 cc 750101 A4320 eaPiston syringe, 70 cc 750301 A4320 ea

Bardia® Catheter TrayBARDIA® URETHRAL PLASTIC CATHETER TRAY

Contains catheter, vinyl gloves, BZK swabs, drape, lubricant, specimen jar, Tyvek™ lid and basin. ITEM # HCPCS SOLD BY

14 fr 802214 A4353 ea

BARDIA® RED RUBBER CATHETER TRAY

Contains waterproof underpad, drape, gloves, lubricant, BZK swabs, collection tray and specimen container with label. Sterile. ITEM # HCPCS SOLD BY

15 fr 802115 A4353 ea

Bi-Level Urethral Catheterization Procedure TraysPrepping components include drape, underpad, latex gloves, forceps, rayon balls, 5-g lubricant package and label. Se-quence-packaged in a bilevel configura-tion that separates prepping components from catheterization components. Sterile; for single use only. Gloves contain latex.

ITEM # HCPCS SOLD BYWITHOUT CATHETER

772100 A4310 ea

WITH CATHETER

15 fr, red rubber, contains latex 772415 A4353 ea16 fr, plastic, latex-free 772416 A4353 ea

Covidien

Irrigation Trays and SyringesIrrigation trays utilized for bladder and/or wound irrigation. ITEM # HCPCS SOLD BY60-CC BULB IRRIGATION TRAYS

1,200-cc tray, lidded 67800 A4320 ea1,200-cc tray with iodophor 67803 A4320 eaPVP prep pad, CSR wrapped 60-CC PISTON SYRINGE IRRIGATION TRAYS

1,200-cc tray, lidded 68800 A4320 ea1,200-cc tray with iodophor 68803 A4320 eaPVP prep pad, CSR wrapped 1,200-cc tray with 100-mL 68820 A4320 easterile saline, liddedMini tray 3685 A4320 eaSTERILE 60-CC SYRINGES WITH PROTECTOR CAP, INDIVIDUALLY WRAPPED

Bulb 67000 A4322 eaPiston 68000 A4322 ea

Piston Irrigation Syringe TrayIncludes 1,200-cc tray with lid, 500-cc graduated container, waterproof drape, 60-cc plastic syringe, alcohol prep wipe and protector cap. ITEM # HCPCS SOLD BY

68800 A4320 ea

ACCESSORIES

Coloplast

ManHood® Absorbent PouchesUsing a superabsorbent polymer, pouch can hold 250 cc of liquid, keeping the skin dry. Designed for light to moderate incontinence. One size fits most. ITEM # HCPCS SOLD BY

4200B A4335 30/bx

Baza® Antifungal Cream, Antifungal BarrierZinc oxide-based formulation with 2% miconazole nitrate inhibits fungal growth and treats candidiasis (yeast or monilia), jock itch, ringworm and athlete’s foot. Provides a moisture barrier against urine and feces. ITEM # HCPCS SOLD BY

2-oz. tube 1611 A6250 ea5-oz. tube 1607 A6250 ea

Baza® Clear Moisture Barrier OintmentFormulated with a soothing petrolatum base and essential vitamins A and D to reliably protect against damaging enzymes in urine and feces. ITEM # HCPCS SOLD BY

5-oz. tube 1006 A6250 ea

Clear Tube and Connector Kit ITEM # HCPCS SOLD BY

18” 7092 A4331 ea

Hex-On Odor AntagonistFor more than 30 years, this concentrated formula has proven effective in health care facilities to control airborne odors. In an average-sized room, the nonaerosol formula encapsulates and eliminates odors for hours. Fresh Linen scent.


2 fl. oz. 7583 A4649 ea

Alpine Fresh™ Appliance Cleaner, Non-ToxicFor use with Alpine® reusable leg bags. ITEM # HCPCS SOLD BY

16 fl. oz. 90000 A5131 ea

Micro-Guard® Antifungal Powder2% miconazole nitrate in a noncaking corn starch base for the treatment of superficial skin infections caused by yeast (candi-diasis), jock itch, ringworm and athlete’s foot. Pours easily.



Bedside-Care® Perineal WashNo-rinse spray. Soothing, deodorizing bathing procedure in a bottle; suitable for incontinent cleanup.


4-fl. oz. bottle 1452 A4335 ea8-fl. oz. bottle 1453 A4335 eaGallon bottle 1455 A4335 ea


m9® Cleaner/DecrystallizerNonacidic, pH-balanced concentrated formula eliminates odors and cleans urinary collection systems, and is eco-nomical (more than 40 cleanings per 16-oz. bottle). Free wash bottle included.



ReliaMed®

This product is NOT manufactured with natural latex components.

ReliaMed® Adhesive Remover WipesWith a more durable, thicker pad to dissolve and remove adhesive residue from skin. Now available in a larger, 4” x 4” size. Fresh scent. For external use only. ITEM # HCPCS SOLD BY

1-1⁄4” x 3” ZA30050 A4456 50/bx4” x 4” ZA30050XL A4456 50/bx

LATEX FREE

LATEX FREE

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ACCESSORIES

ReliaMed®

ReliaMed® Ostomy and Urostomy Appliance CleanerAdd a tablespoon in appliance or a container to clean and deodorize. Made in the USA. ITEM # HCPCS SOLD BY

16-oz. bottle ZR16OZACA A5131 ea

M.C. Johnson

CATH-SECURE® Tube HolderAn efficient, standardized system for securing catheters and medical tubing that is easily adjusted and may remain in place for approximately one week without altering skin integrity. Made with alco-hol-soluble adhesive. ITEM # HCPCS SOLD BY

Standard Lumen 54452 A4333 eaLarge Lumen 54453 A4333 ea

CATH-SECURE Dual Tab®Designed to extend from the center, wrap around the tubing and anchor it tightly to the tape using a press-on, hook-and-loop fastening system. Lightweight and flexible, it improves patient comfort and mobility. ITEM # HCPCS SOLD BY

54454 A4333 ea

CATH-SECURE® Plus Tube HolderImproves overall clinical outcomes, increases nursing productivity and lowers health care costs—all while providing a better quality of care for patients. Made using breathable, water-resistant and hypoallergenic material featuring a butterfly design. DEHP- and latex-free. 2-1⁄2” long tab and butterfly base. ITEM # HCPCS SOLD BY

54456 A4333 ea

Dale® Medical

Dale® Hold-n-Place® Foley Catheter HoldersBy stabilizing the indwelling catheter, reduce the likeli-hood of traumatic removal without restricting patient’s movement or irritating the skin. Saves time for nurse or caregiver. ITEM # HCPCS SOLD BY

Legband, fits up to 20” 316 A4334 10/bxLegband/Waistband, fits up to 56” 330 A4335 10/bx

Covidien

Enema Bags1,500-cc polyethylene bags feature flip-top, slide-lock closure. Nonsterile with attached 24 fr, 60” enema tube and depth mark 5” from prelubricated tip. ITEM # HCPCS SOLD BY

Enema bag 145541 A4458 50/csWith Castile soap 145540 A4458 50/csand underpad

Aplicare, Inc.

Benzalkonium Chloride SwabstickBZK (benzalkonium chloride) is non-toxic, non-irritating, non-volatile and non-bleaching; may be used whenever a gentle cleansing solution is needed. Typically, this product is used in a triple packaging configuration. Can be used during Foley catheterization, straight urethral catheteriza-tion and self-catheterization. Three per package ITEM # HCPCS SOLD BY

S30095S A4247 500/bx

CATHETER INSERTION TRAYS

ACCESSORIES

Bard®

Universal Catheter Insertion TraysSterile; contain fenestrated drape, underpad, plastic forceps, 5-cc lubricant, specimen container and label, prefilled syringe with sterile water, PVP cleansing solution, five rayon balls, precuffed gloves and a graduated tray. ITEM # HCPCS SOLD BY

10 cc 782100 A4310 ea30 cc 782102 A4310 ea

Bardia® Catheter Insertion Trays with Drainage BagsWith 2,000-cc Davol® urine drainage bag (Item # 802001) and syringe. ITEM # HCPCS SOLD BY

10 cc 802015 A4354 ea30 cc 802130 A4310 ea

Bardex® Lubricath® Closed System Insertion TraysSterile; contain prefilled sterile water syringe, five rayon balls, specimen container and label, PVP cleansing solution, plastic forceps, walleted latex gloves, 10-cc lubricant in syringe, drape and underpad. Contains latex.


WITH LUBRICATH® 5-CC CATHETER CONNECTED TO DRAINAGE BAG (ITEM # 154002)

16 fr 899616 A4314 ea18 fr 899618 A4314 ea

WITHOUT CATHETER AND WITH DRAINAGE BAG - LATEX FREE

896300 A4354 ea

Bardia® Urethral Catheter TrayContains BZK swabs, gloves, drapes and specimen jar; does not include catheter. ITEM # HCPCS SOLD BY

802100 A4310 ea

Covidien

Curity™ Universal Catheter TraysTrays contain CSR wrap, underpad, Safeskin™ Purple Nitrile™ gloves, fenestrated drape, 10% PVP solution, prepping balls, forceps, lubricating jelly, prefilled water syringe, specimen container and graduated basin.


With 10-cc prefilled syringe 5029 A4310 eaWith 10-cc prefilled syringe 7100 A4310 eaand three BZK swab sticksWith 30-cc prefilled syringe 5027 A4310 ea

Kenguard™ Urethral Catheterization Trays (Open)Trays feature peel-back lid, underpad, waterproof drape, lubricating jelly, safeskin™ Purple Nitrile™ exam gloves and specimen container. ITEM # HCPCS SOLD BY

14 fr, clear vinyl catheter with BZK swabsticks 75000 A4353 ea14 fr, red rubber latex catheter with BZK swabsticks 75005 A4353 ea14 fr, clear vinyl catheter with PVP swabsticks 75030 A4353 ea14 fr, red rubber latex catheter with PVP swabsticks 75035 A4353 eaAdd-a-catheter™ with PVP swabsticks 75010 A4310 eaAdd-a-catheter™ with BZK swabsticks 75020 A4310 ea

Kenguard™ Universal Catheter Insertion TraysContain underpad, latex-free gloves, fenestrated drape, lubricating jelly, three PVI swab sticks and graduated basin. ITEM # HCPCS SOLD BY

10-cc syringe 76010 A4310 ea30-cc syringe 76000 A4310 ea

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

UROL

OGY UROLOGY


Type: Straight □ 5 Fr □ 12 Fr □ 5cc □

Coude □ 6 Fr □ 14 Fr □ 30cc □

Closed system □ 8Fr □ 16 Fr □Red Rubber □ 10 Fr □ 18 Fr □

Patient Name:

Facility:

For additional information call us at (888) 858-9988 or visit www.tws.net

Other Items:

Additional Notes:

Physician Signature Date

Physician Name NPI #

Primary Diagnosis/ICD-9 Code: □ 788.30 Permanent Urinary Incontinence □ 788.20 Permanent Urinary Retention □ 344 Quadriplegia □ 344.1 Paraplegia □ 599.60 Urinary Retention □ V13.12 Personal History of UTI □ 344.61 Neurogenic Bladder □ 741.90 Spina Bifida □ 340 Multiple Sclerosis □ V44.6 Urostomy □ Other:

LengthPediatric (10" long) □

Adult (16" long) □

Female (6" long) □

Type:

Patient/Caregiver Signature Date

Intermed: 31mm □

Quantity:

Other: _________________________

Brand:

18Fr □

Phone:

Fax:

UROLOGY SUPPLY ORDER FORM


Frequency/Quantity:

2,000ml Bedside Drainage Bags □

Phone: (888) 858-9988 Fax: (866) 991-6282 www.tws.net

Patient Currently Being Seen by Home Health □ Yes □ No

ASSIGNMENT OF BENEFITS I request that all payments from any insurance carrier, including Medicare,

Medicaid or private insurance company be made on my behalf to Tidewater Medical Inc (TWM) for any equipment, supplies or services provided to me by TWM. I authorize the release of my medical information to HCFA and/or my

insurance carrier and its agencies for the purpose of review of healthcare benefits for the determination of payment. This authorization will remain in

effect until written notification by myself or my legal representative has been received.

SizeDrainage Bags Foley Catheter

Does patient have latex allergy? □ Yes □ No Length of Need: □ Lifetime □ Other: ____________

UROLOGY SUPPLIES NEEDED

Large: 35mm □X-Large: 40mm □

Brand:

Size

Quantity:Brand:

Small: 23mm □

Medium: 28mm □

Intermittent Catheters Male Externals

500ml Leg Bag with tubing straps □

1,000ml Leg bag with tubing, straps □

5Fr □ 12Fr □

Quantity:

6Fr □ 14Fr □

8Fr □ 16Fr □10Fr □

TO RECEIVE EMAIL CONFIRMATIONS, PLEASE LIST PREFERRED EMAIL HERE:

Brand:

Size/Type Frequency of UseBrand Quantity

. Fast and convenient online ordering

. Manage existing patients or set up new accounts

. Search through past orders from your facility

Visit us at tws.net

Online Ordering Made Easy!



888-858-9988


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ALGINATES3M™ Tegaderm™ High Gelling Alginate Dressings ......................................... 3M Health Care .............................913M™ Tegaderm™ High Integrity Alginate Dressings ....................................... 3M Health Care .............................91ALGICELL™ Ag Silver Alginate Dressings .......................................................... Derma Sciences ............................91ALGICELL™ Calcium Alginate Dressings ........................................................... Derma Sciences ............................91ALGISITE® M Calcium Alginate Dressings ......................................................... Smith & Nephew ..........................93AQUACEL® Ag EXTRA™ Hydrofiber Wound Dressing with Ionic ..................... Silver ConvaTec ..............................90AQUACEL® EXTRA™ Hydrofiber Wound Dressing ............................................ ConvaTec ........................................90Biatain® Alginate Ag Dressing with Silver ........................................................ Coloplast .......................................93Biatain® Alginate Dressings .............................................................................. Coloplast .......................................92CarboFLEX® Odor Control Dressings ................................................................. ConvaTec ........................................90Kendall™ Calcium Alginate Dressings .............................................................. Covidien ........................................93MEDIHONEY™ Calcium Alginate Dressings ...................................................... Derma Sciences ............................91Melgisorb® Ag Antimicrobial Alginate Dressings ............................................ Mölnlycke Health Care .................91Melgisorb® Calcium Alginate Dressings ........................................................... Mölnlycke Health Care .................91NU-DERM® Alginate Wound Dressings ............................................................ Systagenix .....................................92ReliaMed® Alginate/CMC Dressings ................................................................. ReliaMed® .....................................90ReliaMed® Silver Alginate/CMC Dressings ....................................................... ReliaMed® .....................................90Restore® Calcium Alginate Dressings ............................................................... Hollister Wound Care ....................92Restore® Calcium Alginate Dressings with Silver ............................................ Hollister Wound Care ....................92SILVERCEL® Antimicrobial Alginate Dressings ................................................. Systagenix .....................................92SILVERCEL® Non-Adherent Antimicrobial Alginate Dressings ........................ Systagenix .....................................92Silverlon® Antimicrobial Calcium Alginate Dressings ..................................... Argentum Medical .......................93Sorbalgon® Ag Silver Containing Calcium Dressings ...................................... HARTMANN USA ..........................93Sorbalgon® Calcium Alginate Dressings .......................................................... HARTMANN USA ..........................93Suprasorb® A Calcium Alginate Dressings ....................................................... Lohmann & Rauscher...................94

COLLAGEN DRESSINGSBIOSTEP® Collagen Matrix Dressings ................................................................ Smith & Nephew .........................95BIOSTEP® Ag Collagen Matrix Dressings ........................................................... Smith & Nephew ..........................96ColActive® Plus .................................................................................................. Covalon Technologies Ltd. ...........94ColActive® Plus Ag ............................................................................................. Covalon Technologies Ltd. ............94CollaSorb® Collagen Dressings ......................................................................... HARTMANN USA ..........................95Endoform Dermal Template ............................................................................. Hollister Wound Care ...................96FIBRACOL® PLUS Collagen/Alginate Dressings ................................................ Systagenix ....................................94Kendall™ Hydrogel Wound Dressings ............................................................... Covidien ........................................95PROMOGRAN® Matrix ORC/Collagen ............................................................... Systagenix ....................................94PROMOGRAN PRISMA® Matrix ORC/COLLAGEN/SILVER ................................. Systagenix ....................................95Stimulen™ Collagen Powder ............................................................................ Southwest Technologies, Inc. ......95Stimulen™ Enhanced Collagen Gel .................................................................. Southwest Technologies, Inc. ......95Triple Helix Collagen ........................................................................................... MPM Medical, Inc. ........................96

FOAMS3M™ Tegaderm™ Foam Adhesive Dressing Mini Wrap ................................... 3M Health Care .............................993M™ Tegaderm™ Foam Dressings (Nonadhesive) .......................................... 3M Health Care .............................993M™ Tegaderm™ High Performance Foam Adhesive Dressings .................... 3M Health Care .............................993M™ Tegaderm™ High Performance Foam Adhesive Dressings – ................. 3M Health Care .............................99Heel/Elbow DesignALLEVYN® Adhesive Dressings ......................................................................... Smith & Nephew ..........................98ALLEVYN® Ag Adhesive Dressings .................................................................... Smith & Nephew ..........................98ALLEVYN® Gentle Border Lite Wound Dressings ............................................. Smith & Nephew ..........................97ALLEVYN® Gentle Border Silicone Gel Adhesive .............................................. Smith & Nephew ..........................97Hydrocellular Dressings – HeelALLEVYN® Gentle Border Silicone Gel Adhesive Hydrocellular Dressings – .. Smith & Nephew ..........................97MultisiteALLEVYN® Gentle Border Silicone Gel Adhesive Hydrocellular Dressings – .. Smith & Nephew ..........................97Sacrum

ALLEVYN® Gentle Hydrocellular Foam Dressings ............................................ Smith & Nephew ..........................98ALLEVYN® Heel .................................................................................................. Smith & Nephew ..........................98ALLEVYN® Life .................................................................................................... Smith & Nephew ..........................97ALLEVYN® Non-Adhesive Hydrocellular Foam Dressings ............................... Smith & Nephew ..........................98ALLEVYN® Non-Adhesive Tracheostomy Hydrocellular Foam Dressings ....... Smith & Nephew ..........................98ALLEVYN® Sacrum Dressings ............................................................................ Smith & Nephew ..........................98ALLEVYN® Thin .................................................................................................. Smith & Nephew ..........................98AQUACEL® Ag Foam Dressings ......................................................................... ConvaTec ........................................96AQUACEL® Foam Dressings ............................................................................... ConvaTec ........................................96Biatain® Ag Foam Dressings ............................................................................. Coloplast .....................................103Biatain® Foam Dressings ................................................................................... Coloplast .....................................103Biatain® Heel Foam Dressing ............................................................................ Coloplast .....................................104Biatain® Sacral Foam Dressings ........................................................................ Coloplast .....................................104Biatain® Silicone ................................................................................................ Coloplast .....................................103Biatain® Silicone Ag Foam Dressing ................................................................. Coloplast .....................................104Biatain® Silicone Lite ......................................................................................... Coloplast .....................................104Biatain® Soft-Hold Foam Dressing ................................................................... Coloplast .....................................104Hydrofera Blue Foam Dressing ......................................................................... Hollister Wound Care ..................102Hydrofera Blue Ready ........................................................................................ Hollister Wound Care ..................102Hydrofera Blue Tunneling Dressing .................................................................. Hollister Wound Care ..................102HydroTac® ........................................................................................................... HARTMANN USA ........................105Kendall™ AMD Antimicrobial Foam Dressings ................................................ Covidien ......................................104Kendall™ Gentle Adhesion Border Foam Dressings ........................................ Covidien ......................................105Kendall™ Ultra-Soft Foam Dressings ............................................................... Covidien ......................................104Kendall™ Ultra-Soft Foam Dressings with Topsheet ....................................... Covidien ......................................105LYOFOAM A Adhesive Polyurethane Foam Sterile Dressings .......................... Mölnlycke Health Care ...............101LYOFOAM Max Polyurethane Foam Dressing .................................................. Mölnlycke Health Care ...............101LYOFOAM T Polyurethane Foam Sterile Dressings ........................................... Mölnlycke Health Care ...............101Mepilex® ............................................................................................................ Mölnlycke Health Care ...............100Mepilex® Ag ....................................................................................................... Mölnlycke Health Care ...............101Mepilex® Border ................................................................................................ Mölnlycke Health Care ...............100Mepilex® Border Ag ........................................................................................... Mölnlycke Health Care ...............100Mepilex® Border Lite ......................................................................................... Mölnlycke Health Care ...............100Mepilex® Border Sacrum Self-Adherent Foam Dressings ............................... Mölnlycke Health Care ...............100Mepilex® Lite ..................................................................................................... Mölnlycke Health Care ...............100Mepilex® Transfer .............................................................................................. Mölnlycke Health Care ...............100Mepilex® Transfer Ag.......................................................................................... Mölnlycke Health Care ...............101PermaFoam® Foam Dressings .......................................................................... HARTMANN USA ........................105PolyMem® Adhesive Cloth-Backed Dressings ................................................. Ferris ............................................101PolyMem® Adhesive Film Dressings ................................................................ Ferris ............................................102PolyMem Max® Wound Care Dressings ........................................................... Ferris ............................................102PolyMem® Non-Adhesive Dressings ................................................................ Ferris ............................................102PolyMem Silver Dressings ................................................................................. Ferris ............................................101PolyMem Wic Silver® Dressings ........................................................................ Ferris ............................................101PolyMem Wic® Wound Cavity Fillers ................................................................ Ferris ............................................102ReliaMed® Foam Dressings .............................................................................. ReliaMed® ...................................106Restore® Foam Border Dressings with TRIACT ADVANCED® Technology ....... Hollister Wound Care ..................103Restore® Foam Dressings without Border ........................................................ Hollister Wound Care .................103 with TRIACT ADVANCED® TechnologyRestore® LITE Foam Dressings without Border ................................................ Hollister Wound Care .................103with TRIACT ADVANCED® TechnologyRestore® Odor-Absorbent Dressings ................................................................ Hollister Wound Care ..................103Shapes® by PolyMem® ..................................................................................... Ferris ............................................102Shapes® by PolyMem® Tube-Site Dressings .................................................... Ferris ............................................102TIELLE® Hydropolymer Adhesive Dressings ..................................................... Systagenix ...................................106Versiva® XC® Gelling Foam Dressings ............................................................... aConvaTec......................................97XTRASORB™ Foam Dressings ........................................................................... Derma Sciences ............................99

SUPER ABSORBANT DRESSINGSSofsorb Absorbent Wound Dressing .................................................................DeRoyal .......................................107XTRASORB™ Superabsorbent Dressings ...........................................................Derma Sciences ..........................107EXU-DRY* Dressings with Anti-Shear Layer .....................................................Smith and Nephew ....................107Abdominal Pads .................................................................................................Medline .......................................107Optilock ...............................................................................................................Medline .......................................108Combine ABD Pad ..............................................................................................Dukal ...........................................108

HYDROGEL DRESSINGS AND HYDROGELSAmerigel® Wound Dressing............................................................................... Oakin ...........................................112Anasept® Antimicrobial Skin & Wound Gel ..................................................... Anacapa Technologies, Inc. .......112 AquaClear® Gel Sheet Dressings ....................................................................... HARTMANN USA ........................108Dermagran® B Hydrophilic Wound Filler ......................................................... Derma Sciences ..........................108Dermagran® Hydrogel Zinc Saline Wound Dressing ....................................... Derma Sciences ..........................108DuoDERM® Hydroactive® Gel ........................................................................... ConvaTec ......................................109Elasto-Gel™ Hydrogel Dressings ....................................................................... Southwest Technologies, Inc. ....109Elasto-Gel™ Plus Wound Dressings .................................................................. Southwest Technologies, Inc. ....109Excel-Gel™ Hydrogel Dressing .......................................................................... MPM Medical, Inc. ......................109Horseshoe Shaped Dressings ............................................................................ Southwest Technologies, Inc. ....109HydroGel Wound Dressing ................................................................................ Dynarex ......................................109Hypergel® .......................................................................................................... Mölnlycke Health Care ...............108INTRASITE® Gel Amorphous Hydrogel Dressings ............................................ Smith & Nephew .......................108Kendall™ Hydrogel Wound Dressings .............................................................. Covidien ......................................109MEDIHONEY® Gel .............................................................................................. Derma Sciences ..........................113MEDIHONEY® Paste ........................................................................................... Derma Sciences ..........................108Microcyn® Skin & Wound HydroGel™ .............................................................. Oculus .........................................109Normlgel® .......................................................................................................... Mölnlycke Health Care ...............103Normlgel® Ag ..................................................................................................... Mölnlycke Health Care ...............103Purilon® Gel ....................................................................................................... Coloplast .....................................113Regenecare® Wound Care Gel with 2% Lidocaine .......................................... MPM Medical, Inc. ......................109ReliaMed® Amorphous Hydrogel ..................................................................... ReliaMed® ..................................113ReliaMed® Hydrogel Sheet Dressings .............................................................. ReliaMed® ..................................112ReliaMed® Silver Hydrogel ................................................................................ ReliaMed® ..................................113Restore® Hydrogel Dressings ............................................................................ Hollister Wound Care .................109SAF-Gel® Hydrating Dermal Wound Dressing Gel with Alginate ................... ConvaTec ......................................108SilvaGel® ............................................................................................................. Elta...............................................110SilvaSorb® Gel ..................................................................................................... Medline .......................................109Silver-Sept® Antimicrobial Skin & Wound Gel ................................................. Anacapa Technologies, Inc. ........120SOLOSITE® Wound Gel ....................................................................................... Smith & Nephew .......................108Spenco® 2nd Skin AquaHeal™ .......................................................................... Spenco® ......................................109TenderWet® ....................................................................................................... Medline ......................................109Toe-Aid™ ............................................................................................................ Southwest Technologies, Inc. ....109Woun’Dres® Collagen Hydrogel ........................................................................ Coloplast .....................................113

IMPREGNATED GAUZEADAPTIC® Non-Adhering Dressings ................................................................. Systagenix ...................................114BIOGUARD® Barrier Dressings .......................................................................... Derma Sciences ..........................115Curity™ Non-Adherent Strips ............................................................................ Covidien ......................................116Curity™ Sodium Chloride Dressings ................................................................. Covidien ......................................113CUTICERIN® Gauze ............................................................................................. Smith & Nephew ........................114Cutimed® Sorbact® Gel ..................................................................................... BSN medical Inc. .........................115Dermagran® Hydrophilic Gauze Dressings ...................................................... Derma Sciences ..........................116Kendall™ Hydrogel Impregnated Gauze .......................................................... Covidien ......................................114Kerlix® AMD Rolls .............................................................................................. Covidien ......................................113Mesalt® .............................................................................................................. Mölnlycke Health Care ...............114Petrolatum Gauze Non-Adhering Dressings .................................................... Derma Sciences ..........................115ReliaMed® Medicated Petrolatum Dressings .................................................. ReliaMed® ...................................115ReliaMed® Oil Emulsion Dressings ................................................................... ReliaMed® ...................................115

ReliaMed® Petrolatum Impregnated Gauze Non-Adhering Dressings .......... ReliaMed® ...................................115Shur-Conform® Oil Emulsion Non-Adhering Dressings .................................. Derma Sciences ..........................115SOLOSITE® Gel Conformable Wound Dressings ............................................... Smith & Nephew ........................114Telfa® AMD Dressings ......................................................................................... Covidien ......................................114

HYDROCOLLOIDS3M™ Tegaderm™ Hydrocolloid Dressings ........................................................ 3M Health Care ..........................1173M™ Tegaderm™ Hydrocolloid Thin Dressings ................................................ 3M Health Care ...........................117CombiDERM® ACD® Dressings .......................................................................... ConvaTec .....................................117CombiDERM® Non-Adhesive Dressings ........................................................... ConvaTec ......................................117Comfeel® Plus Contour Dressings ..................................................................... Coloplast .....................................118Comfeel® Plus Pressure Relief Dressings .......................................................... Coloplast .....................................119Comfeel® Plus Sacral Dressings ........................................................................ Coloplast .....................................118Comfeel® Plus Transparent Dressings .............................................................. Coloplast .....................................119Comfeel® Plus Ulcer Dressings .......................................................................... Coloplast .....................................118Comfeel® Ulcer Care Dressings ......................................................................... Coloplast .....................................119DuoDERM® CGF® Border Dressings .................................................................. ConvaTec ......................................115DuoDERM® CGF® Sterile Dressings ................................................................... ConvaTec ......................................116DuoDERM® Extra Thin Dressings ...................................................................... ConvaTec ......................................116DuoDERM® Signal® Dressings .......................................................................... ConvaTec ......................................117DuoDERM® Sterile Hydroactive® Dressings ..................................................... ConvaTec ......................................117Kendall™ Alginate Hydrocolloid Dressings ...................................................... Covidien ......................................120MEDIHONEY® HCS ............................................................................................. Derma Sciences ..........................118MEDIHONEY® Honeycolloid™ Dressings .......................................................... Derma Sciences ..........................118NU-DERM® Hydrocolloid Wound Dressings ..................................................... Systagenix ...................................120ReliaMed® Hydrocolloid Dressings ................................................................... ReliaMed® ...................................120REPLICARE® Hydrocolloid Dressings ................................................................. Smith & Nephew ........................120REPLICARE® Thin Hydrocolloid Dressings ......................................................... Smith & Nephew ........................120Restore® Extra Thin Hydrocolloid Dressings ..................................................... Hollister Wound Care ..................119Restore® Hydrocolloid Dressings ...................................................................... Hollister Wound Care ..................119Restore® Hydrocolloid Dressings with Foam Backing, Sterile ......................... Hollister Wound Care ..................119XTRASORB™ HCS Dressings .............................................................................. Derma Sciences ..........................118

CONTACT LAYERACTISORB® Silver 220 Antimicrobial Binding Dressings ................................. Systagenix ...................................122ADAPTIC TOUCH® Non-Adhering Silicone Dressings ....................................... Systagenix ...................................122CONFORMANT 2® Wound Veils ......................................................................... Smith & Nephew ........................121Cutimed® Sorbact® WCL ................................................................................... BSN medical Inc. .........................123Cutisorb® Ultra Super-Absorbent Dressing ...................................................... BSN medical Inc. .........................123Mepitel® ............................................................................................................. Mölnlycke Health Care ...............122Mepitel® One ..................................................................................................... Mölnlycke Health Care ...............122PROFORE® Wound Contact Layers (WCL) ........................................................ Smith & Nephew ........................122Restore® Contact Layer Dressings with TRIACT® Technology .......................... Hollister Wound Care ..................121Restore® Contact Layer FLEX Dressing with TRIACT® Technology .................. Hollister Wound Care ..................121Silverlon® Antimicrobial Wound Contact Dressings ........................................ Argentum Medical .....................121Silverlon® Burn Contact Dressings .................................................................... Argentum Medical .....................121Silverlon® Antimicrobial Negative Pressure Dressings (NPD) ......................... Argentum Medical .....................121

BURN DRESSINGSACTICOAT® 7 with SILCRYST™ Nanocrystalline Silver ...................................... Smith & Nephew ........................123ACTICOAT® Absorbent Dressings with SILCRYST™ Nanocrystalline Silver ...... Smith & Nephew .......................124ACTICOAT® with SILCRYST™ Nanocrystalline Silver ......................................... Smith & Nephew .......................123Moist Burn Pads ................................................................................................. Spenco® ......................................123

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COMPOSITE DRESSINGS3M™ Tegaderm™ +Pad Film Dressings with Non-Adherent Pad .................. 3M Health Care ...........................1243M™ Tegaderm™ Absorbent Clear Acrylic Dressings ...................................... 3M Health Care ...........................124Alldress® ............................................................................................................. Mölnlycke Health Care ...............125COVRSITE® Plus Composite Dressings .............................................................. Smith & Nephew ........................124Dudress® Film Top Island Dressings .................................................................. Derma Sciences ..........................124Mepore® ............................................................................................................. Mölnlycke Health Care ...............125Mepore® Pro ...................................................................................................... Mölnlycke Health Care ...............125ReliaMed® Composite Barrier Dressings .......................................................... ReliaMed® ..................................125Repel™ Waterproof Composite Wound Dressings ........................................... MPM Medical, Inc. ......................124

THIN FILM DRESSINGS3M™ Tegaderm™ HP Transparent Film Dressings, Frame Style ...................... 3M Health Care ...........................1273M™ Tegaderm™ IV Advanced Securement Dressings.................................... 3M Health Care ...........................128with Comfort Adhesive Technology3M™ Tegaderm™ Transparent Film Dressings, Frame Style ............................ 3M Health Care ...........................128BIOCLUSIVE® Select Transparent Sterile Dressings .......................................... Systagenix ...................................126Hydrofilm® Transparent Film Dressings ........................................................... HARTMANN USA ........................127IV3000® Transparent Adhesive Film Dressings ................................................ Smith & Nephew ........................125Kendall™ Window Transparent Film Dressings ............................................... Covidien ......................................126Mepore® Film .................................................................................................... Mölnlycke Health Care ...............127OPSITE® FLEXIFIX® Transparent Film Roll ......................................................... Smith & Nephew ........................126OPSITE® FLEXIGRID® Transparent Adhesive Film Dressings ............................ Smith & Nephew ........................126OPSITE® Transparent Adhesive Dressings ........................................................ Smith & Nephew ........................126ReliaMed® Transparent Thin Film Dressings .................................................... ReliaMed® ...................................127

NON-IMPREGNATED GAUZE3M™ Medipore™ +Pad Soft Cloth Adhesive Wound Dressings ..................... 3M Health Care ...........................132Conform® Stretch Bandages ............................................................................. Covidien ......................................131COVRSITE® Cover Dressings ............................................................................... Smith & Nephew ........................131Curity™ AMD™ Packing Strips ........................................................................... Covidien ......................................131Curity™ Cover Sponges ...................................................................................... Covidien ......................................130Curity™ Gauze Sponges .................................................................................... Covidien ......................................130Curity™ Nonwoven All-Purpose Sponges ........................................................ Covidien ......................................130Curity™ Packing Strips ....................................................................................... Covidien ......................................131Dermacea™ Drain Sponge ................................................................................ Covidien ......................................129Dermacea™ Low Ply Gauze Rolls ...................................................................... Covidien ......................................129Dermacea™ Nonwoven All-Purpose Sponges ................................................. Covidien .....................................12 9DuCare® Gauze Sponges ................................................................................... Derma Sciences ..........................132DuForm® Synthetic Conforming Bandages ..................................................... Derma Sciences ..........................132Excilon® Drain and IV Sponges ......................................................................... Covidien ......................................131Kerlix® Bandage Rolls ....................................................................................... Covidien ......................................129Kerlix® Super Sponges ...................................................................................... Covidien ......................................129PRIMAPORE® Adhesive Nonwoven Wound Dressings .................................... Smith & Nephew ........................131ReliaMed® Conforming Bandages ................................................................... ReliaMed® ...................................132ReliaMed® Gauze Sponges ............................................................................... ReliaMed® ...................................128ReliaMed® Non-Adherent Sterile Wound Dressings ....................................... ReliaMed® ...................................132ReliaMed® Nonsterile Gauze Bandage Roll ..................................................... ReliaMed® ...................................128ReliaMed® Packing Strips ................................................................................. ReliaMed® ...................................128ReliaMed® Sterile Fluff Sponges ...................................................................... ReliaMed® ...................................128ReliaMed® Sterile Gauze Bandage Roll ............................................................ ReliaMed® ...................................128Telfa® Island Dressings ...................................................................................... Covidien ......................................130Telfa® “Ouchless” Adhesive Dressings ............................................................... Covidien ......................................130Telfa® “Ouchless” Non-Adherent Dressings ...................................................... Covidien ......................................130WoundGard® Bordered Gauze Dressings ......................................................... MPM Medical, Inc. ......................132

COMPRESSION AND UNNA BOOT3M™ Coban™ Latex-Free Self-Adherent Wraps ............................................... 3M Health Care ...........................1333M™ Coban™ Self-Adherent Wraps ................................................................. 3M Health Care ...........................134Cellona® Synthetic Padding .............................................................................. Lohmann & Rauscher.................136Comprilan® Short Stretch Compression Bandage ........................................... BSN medical Inc. .........................135DuBan® Cohesive Elastic Bandage ................................................................... Derma Sciences ..........................135DuFore® Four-Layer Compression Bandaging System ................................... Derma Sciences ..........................135Econo-Paste® Conforming Zinc-Oxide Paste Bandages .................................. HARTMANN USA ........................135 FourPress® Compression Bandaging System .................................................. HARTMANN USA ........................136 PROFORE® Four-Layer Bandaging System ...................................................... Smith & Nephew ........................134PROFORE® LF Multi-Layer Compression Bandaging System .......................... Smith & Nephew ........................134PROFORE® Lite ................................................................................................... Smith & Nephew ........................134ReliaMed® 4-Layer Compression Bandage System ........................................ ReliaMed® ...................................133ReliaMed® Easy-Tear Cohesive Bandages ........................................................ ReliaMed® ...................................133ReliaMed® Easy Wrap Elastic Bandage ............................................................ ReliaMed® ...................................133ReliaMed® Unna Boot Dressings ...................................................................... ReliaMed® ...................................133Rosidal® K Short Stretch Compression Bandage ............................................. Lohmann & Rauscher.................136Setopress® ......................................................................................................... Mölnlycke Health Care ...............137SorBan® Padding Bandages ............................................................................. Derma Sciences ..........................135SurePress® High Compression Bandage .......................................................... ConvaTec ......................................134tg® Tubular Bandage ......................................................................................... Lohmann & Rauscher.................136ThreePress® Compression Bandaging System ................................................ HARTMANN USA ........................136Tubigrip® Multi-Purpose Tubular Bandages, 10M Rolls .................................. Mölnlycke Health Care ...............137UNNA-FLEX® Convenience Pack ....................................................................... ConvaTec ......................................134UNNA-FLEX® Elastic Unna Boot ........................................................................ ConvaTec ......................................135Unna’s Boot ........................................................................................................ Lohmann & Rauscher.................137VISCOPASTE® PB7 Zinc Paste Bandage ............................................................ Smith & Nephew ........................134

TAPES AND DRESSING FIXATION3M™ Blenderm™ Surgical Tape ........................................................................ 3M Health Care ...........................1413M™ Kind Removal Silicone Tape ..................................................................... 3M Health Care ...........................1413M™ Medipore™ H Soft Cloth Surgical Tape .................................................... 3M Health Care ...........................1413M™ Medipore™ Soft Cloth Surgical Tape ....................................................... 3M Health Care ...........................1413M™ Microfoam™ Surgical Tape ...................................................................... 3M Health Care ...........................1413M™ Micropore™ Surgical Tape ........................................................................ 3M Health Care ...........................1413M™ Transpore™ Surgical Tape ......................................................................... 3M Health Care ...........................141Artiflex Nonwoven Padding Bandage ............................................................. BSN medical Inc. .........................141Cover-Roll® Adhesive Gauze Bandage ............................................................. BSN medical Inc. .........................140 Hy•Tape® Latex-Free Adhesive Pink Tape ........................................................ Hy•Tape® International ..............142HYPAFIX® Dressing Retention Rolls .................................................................. Smith & Nephew ........................140Isoband® Finished Edge Bandage .................................................................... BSN medical Inc. .........................139Kendall™ Standard Porous Tape ....................................................................... Covidien ......................................142Kendall™ Waterproof Tape ................................................................................ Covidien ......................................142Mefix® ................................................................................................................ Mölnlycke Health Care ...............140ReliaMed® Clear Surgical Tape .......................................................................... ReliaMed® ...................................138ReliaMed® Cloth Surgical Tape ......................................................................... ReliaMed® ...................................138ReliaMed® Elastic Adhesive Tape ...................................................................... ReliaMed® ...................................138ReliaMed® Elastic Tubular Support Bandages ................................................. ReliaMed® ...................................137ReliaMed® Paper Surgical Tape ........................................................................ ReliaMed® ...................................139ReliaMed® Self-Adhesive Dressing Retention Sheet ....................................... ReliaMed® ...................................139ReliaMed® Soft Cloth Surgical Tape .................................................................. ReliaMed® ...................................139ReliaMed® Tubular Elastic Stretch Net Dressings ............................................. ReliaMed® ...................................138Surgilast® Tubular Elastic Dressing Retainers ................................................... Derma Sciences ..........................140Tubifast® Retention Bandage ........................................................................... Mölnlycke Health Care ...............140ZinO Zinc Oxide Tape .......................................................................................... Kosma-Kare, Inc..........................142

WOUND CLEANERS AND DEBRIDERS, FILLERSAnasept® Antimicrobial Skin and Wound Cleanser ......................................... Anacapa Technologies, Inc. ........143Arglaes Powder (Antimicrobial Barrier Powder Dressing) .............................. Medline .......................................144CarraScent™ ....................................................................................................... Carrington ...................................144Dermagran® Wound Cleanser with Zinc .......................................................... Derma Sciences ..........................144Dermal Wound Cleanser ................................................................................... Smith & Nephew ........................143Gold Dust™ Hydrophilic Polymer Powder ........................................................ Southwest Technologies, Inc. ....143Kendall™ Sterile Saline Wound Solution .......................................................... Covidien ......................................143Microcyn® Skin & Wound Care with Preservatives .......................................... Oculus..........................................143ReliaMed® Wound and Skin Cleanser .............................................................. ReliaMed® ...................................144Restore® Cleanser & Moisturizer ....................................................................... Hollister Wound Care ..................144Restore® Skin Cleanser ...................................................................................... Hollister Wound Care ..................144Restore® Wound Cleanser ................................................................................. Hollister Wound Care ..................145SAF-Clens® AF Dermal Wound Cleanser .......................................................... ConvaTec ......................................144Sea-Clens® Wound Cleanser ............................................................................. Coloplast .....................................143Shur-Clens® Sterile Wound Cleanser ................................................................ ConvaTec ......................................144Simply Saline® 3 in 1 Wound Wash .................................................................. Church & Dwight Co., Inc. ...........143Triad™ Hydrophilic Dressings ............................................................................ Southwest Technologies, Inc. ....143Wound Wash with Saline ................................................................................. Church & Dwight Co., Inc. ...........143

BANDAGES/MISCELLANEOUS SUPPLIES3M™ Nexcare™ Stomaseal™ Colostomy Dressings ......................................... 3M Health Care ...........................148Cotton Tipped Applicator with Polystyrene Handle ........................................ Puritan® Medical Products .........147Cotton Tipped Applicator with Wood Handle .................................................. Puritan® Medical Products .........147Coverlet® Flexible Fabric Adhesive Dressings ................................................... BSN medical Inc. .........................148Curity™ Flexible Fabric Bandages ..................................................................... Covidien ......................................145Cuticle/Orange Stick .......................................................................................... Puritan® Medical Products .........147Cutimed® ACUTE ................................................................................................ BSN medical Inc. .........................145Dale® Nasal Dressing Holder ............................................................................. Dale® Medical .............................146Elasto-Gel™ Cast/Splint Padding ...................................................................... Southwest Technologies, Inc. ....146Hydrogen Peroxide ............................................................................................ Medline .......................................146Hydrogen Peroxide Popule ............................................................................... Puritan® Medical Products .........147Irrigation Piston Syringe ................................................................................... Covidien ......................................145JOBST® Comprifore® .......................................................................................... BSN medical, Inc. ........................145JOBST® Comprifore® LF ..................................................................................... BSN medical, Inc. ........................145JOBST® Comprifore® lite .................................................................................... BSN medical, Inc. ........................145JOBST® Comprifore® lite LF ............................................................................... BSN medical, Inc. ........................145Mepiform® ......................................................................................................... Mölnlycke Health Care ...............146Non-Sterile Cotton Tipped Applicators ............................................................. Puritan® Medical Products .........147Plain Wood Applicator ...................................................................................... Puritan® Medical Products .........147PolyMem® Finger/Toe Dressings ...................................................................... Ferris ............................................145Povidone Iodine Popule .................................................................................... Puritan® Medical Products .........147Povidone/Iodine Solution ................................................................................. Medline .......................................146ReliaMed® Adhesive Bandages ........................................................................ ReliaMed® ...................................146ReliaMed® Cotton Tip Applicators .................................................................... ReliaMed® ...................................145ReliaMed® Shower-Guard®—Moisture Barrier .............................................. ReliaMed® ...................................146ReliaMed® Tongue Depressors ......................................................................... ReliaMed® ...................................146Scar Gel .............................................................................................................. Spenco® ......................................147Sterile Cotton Tip Applicators ............................................................................ Puritan® Medical Products .........147SurePress® Absorbent Padding ........................................................................ ConvaTec ......................................148Tongue Depressors ............................................................................................ Puritan® Medical Products .........147Wound Measurement Device ........................................................................... Puritan® Medical Products .........147

PREPS, WIPES, SKIN CAREAntifungal Cream .............................................................................................. MPM Medical, Inc. ......................149Compound Benzoin Tincture Swabsticks ......................................................... Aplicare, Inc. ................................149Dermagran® Ointment and Moisturizing Spray .............................................. Derma Sciences ..........................149Natural Care™ Gel .............................................................................................. Bard® ...........................................148NormlShield™ Skin Protectant ......................................................................... MPM Medical, Inc. ......................149ReliaMed® I.V. Antiseptic Wipes ....................................................................... ReliaMed® ...................................148ReliaMed® Adhesive Remover Wipes .............................................................. ReliaMed® ...................................149ReliaMed® Protective Barrier Wipes ................................................................. ReliaMed® ...................................149ReliaMed® Stingless Protective Barrier Wipes ................................................. ReliaMed® ...................................149Restore® DimethiCreme Skin Protectant ......................................................... Hollister Wound Care ..................149Webcol™ Skin Barrier Wipes ............................................................................. Covidien ......................................149

WOUND PROTECTORSGlen-Sleeve® II Arm and Leg Protectors .......................................................... Derma Sciences ..........................150ReliaMed® Heel and Elbow Protectors ............................................................. ReliaMed® ...................................150SNaP® Bridge Dressing ...................................................................................... Spiracur, Inc. ................................150SNaP® Strap ....................................................................................................... Spiracur, Inc. ................................151SNaP® Wound Care Cartridge ........................................................................... Spiracur, Inc. ................................150SNaP® Wound Dressing Kit ............................................................................... Spiracur, Inc. ................................150

SKIN CLOSURES3M™ Steri-Strip™ Adhesive Skin Closures (Reinforced) .................................. 3M Health Care ...........................1513M™ Steri-Strip™ Antimicrobial Skin Closures ................................................ 3M Health Care ...........................151Curity™ Suture Removal Kit .............................................................................. Covidien ......................................151

WOUND DRAINAGE COLLECTORSEakin® Fistula and Wound Care Pouches with Fold and Tuck Closure ............ ConvaTec ......................................151Eakin® Fistula and Wound Care Pouches ......................................................... ConvaTec ......................................151with Remote Drainage AttachmentEakin® Fistula and Wound Pouch Access Window .......................................... ConvaTec ......................................151Eakin® Fistula and Wound Pouches with New Tap Closure ............................. ConvaTec ......................................151Wound Drainage Collectors .............................................................................. Hollister Wound Care ..................151

Wound Care Order Form .............................................................................................................................153

ALGINATES

ReliaMed®


ReliaMed® Silver Alginate/CMC Dressings

Highly absorbent dressing wicks vertically, minimizing periwound skin maceration, while being both sterile and soft. Calcium promotes hemostasis, and blend of calcium alginate and CMC (carboxymethyl cellulose) creates excel-lent gelling and wet strength for nontraumatic removal. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.


2” x 2” pads ZSCA22 A6196 10/bx4” x 4.75” pads ZSCA4475 A6197 10/bx4” x 8” pads ZSCA48 A6197 5/bx6” x 6” pads ZSCA66 A6197 5/bx8” x 12” pads ZSCA812 A6198 5/bx12” ropes ZSCA12R A6199 5/bx18” ropes ZSCA18R A6199 10/bx

ReliaMed® Alginate/CMC DressingsVertical fluid wicking to minimize possibility of periwound skin maceration; soft, comfort-able and highly absorbent. Calcium promotes hemostasis, and blend of calcium alginate and CMC (carboxymethyl cellulose) creates excellent gelling and wet strength for one-piece, nontrau-matic removal. Sterile.


2” x 2” pads ZCA22 A6196 10/bx4” x 4” pads ZCA44 A6196 10/bx6” x 6” pads ZCA66 A6197 5/bx4” x 8” pads ZCA48 A6197 5/bx12” ropes ZCA12R A6199 5/bx18” ropes ZCA18R A6199 10/bx

ConvaTec

AQUACEL® Ag EXTRA™ Hydrofiber® Wound Dressing with lonic Silver

A combination of the favorable gelling characteristics of Hydrofiber® Technology with the broad-spectrum antimicrobial properties of ionic silver (Ag+), this versatile primary dressing is designed for moderate to highly exuding chronic and acute wounds where there is an infection* or an increased risk of infection.Incorporates unique Hydrofiber® Technology with 1.2% (w/w) silver. *When used in a comprehensive protocol of care. ITEM # HCPCS SOLD BY

2” x 2” 420675 A6196 10/bx4” x 5” 420677 A6197 10/bx

AQUACEL® EXTRA™ Hydrofiber® Wound DressingTwo layers of Hydrofiber® Technology stitched together, with the same gelling benefits of the original AQUACEL® dressing, but nine times stronger and 39% more absorbent1. Approved for the same indications as original AQUACEL® dressing, AQUACEL® EXTRA™ wound dressing is specifically suitable when managing moderately to highly exuding wounds.1Assessment of the Physical Properties of AQUACEL® EX-TRA & AQUACEL Dressings. Scientific Background Report WHRI3461 TA214. 2011 Data on File, ConvaTec.


0.39” x 18” ribbons with strengthening fiber 420128 A6199 5/bx0.75” x 18” ribbons with strengthening fiber 403771 A6199 5/bx2” x 2” 420671 A6196 10/bx4” x 5” 420674 A6197 10/bx6” x 6” 420673 A6197 5/bx

CarboFLEX® Odor Control DressingsSterile, multilayer construction includes a comfort-able, soft, non-adhesive wound contact layer that offers caregivers an effective alternative for managing draining and malodorous wounds. With a fibrous layer that turns into a gel as it interacts with/absorbs wound exudate, and an active carbon layer that helps reduce odor. Used as a primary or secondary dressing. ITEM # HCPCS SOLD BY

3” x 6” 403203 A6197 5/bx4” x 4” 403202 A6196 10/bx6” x 8” 403204 A6197 5/bx

Derma Sciences

MEDIHONEY® Calcium Alginate DressingsPatented formulation (95% active leptospermum honey impregnated in the calcium alginate dressing) releases honey as wound fluid enters the dressing, to form a gel, for easy removal without impacting wound bed. Indicated for moderate to heavily exuding wounds. ITEM # HCPCS SOLD BY

.75” x 12” 31012 A6199 5/bx2” x 2” 31022 A6196 10/bx4” x 5” 31045 A6197 10/bx

ALGICELL™ Calcium Alginate DressingsSoft, white and sterile dressings absorb moderate to large drainage amounts and help control minor bleeding. Alginate ropes can be used to fill or pack the dead space in a wound; secondary dressing required to hold alginates in place and protect the wound from outside contaminants. ITEM # HCPCS SOLD BY

0.75” x 36” rope 88100 A6199 ea2” x 2” 88022 A6196 10/bx4” x 4” 88044 A6196 10/bx4” x 8” 88048 A6197 10/bx

ALGICELL™ Ag Silver Alginate DressingsOptimal gelling profile keeps dressing from sticking to the wound bed and allows enough physical integrity for removal from the wound in one piece. Antimicrobial silver alginate dressings rely on 1.4% ionic silver for seven-day broad-spectrum antimicrobial effectiveness.


3⁄4” x 12” 88512 A6199 20/cs2” x 2” 88522 A6196 10/bx4-1⁄4” x 4-1⁄4” 88544 A6197 10/bx4” x 5” 88545 A6197 10/bx4” x 8” 88548 A6197 5/bx8” x 12” 88582 A6198 5/bx

Mölnlycke Health Care

Melgisorb® Ag Antimicrobial Alginate DressingsThe 14-day sustained silver release in Melgisorb® Ag kills bacteria, and the superb, high-fiber strength allows removal in one piece for highly absorbent antimicrobial alginate dressings. ITEM # HCPCS SOLD BY

1-1⁄5” x 18” rope 255600 A6199 10/bx2” x 2” 255050 A6196 10/bx4” x 4” 55100 A6197 10/bx8” x 12” 255200 A6198 5/bx

Melgisorb® Calcium Alginate DressingsSterile, absorbent, calcium-alginate dressings for moder-ate to heavily exuding, partial- to full-thickness wounds. On contact with wound exudate it creates a hydrophilic gel to reduce horizontal wicking of exudate and re-duce periwound maceration while allowing for moist environment conducive to wound healing. Appropriate for surface and cavity wounds. ITEM # HCPCS SOLD BY

2” x 2” 250600 A6196 10/bx4” x 4” 251100 A6196 10/bx4” x 8” 251500 A6197 10/bx12-1⁄2” ropes 253000 A6199 5/bx

3M Health Care

All 3M Health Care wound care products are latex-free unless otherwise noted.

3M™ Tegaderm™ High Integrity Alginate DressingsA highly conformable primary wound dressing that allows for a moist wound-healing environment. Absorbent, use on moderate to heavily exudating wounds; compatible with 3M™ cover dressings.


4” x 4” 90112 A6196 10/bx12” ropes 90120 A6199 5/bx

3M™ Tegaderm™ High Gelling Alginate DressingsGel forming, highly conformable primary wound dressing. Absorbent, use on moderate to heavily exuding wounds; compatible with 3M™ cover dressings. 12” ropes.


90220 A6199 5/bx

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CONTAINS SILVER LATEX FREE

LATEX FREE

LATEX FREE

CONTAINS SILVERCONTAINS HONEY CONTAINS SILVER

LATEX FREE


ALGINATES

Systagenix

SILVERCEL® Non-Adherent Antimicrobial Alginate Dressings

Combines antimicrobial strength of silver with the enhanced exudate management properties of alginate technology; SILVERCEL™ Non-Adherent Dressings reduces trauma to the wound bed during dressing changes and create an effective barrier to bacterial penetration. With a unique, perforated design for free flow of exudate into the dressing while staying strong for removal, even when wet. ITEM # HCPCS SOLD BY

1” x 12” ropes 900112 A6199 5/bx2” x 2” 900202 A6196 10/bx4-1⁄4” x 4-1⁄4” 900404 A6197 10/bx4” x 8” 900408 A6197 5/bx

SILVERCEL® Antimicrobial Alginate DressingsPrimary dressing that creates an effective barrier to bacterial penetration to reduce infection in moderately to heavily exuding, partial- and full-thickness wounds. Combines the broad-spectrum, antimicrobial action of silver with the enhanced exudate management properties of alginate technology to protect the healing environment and provide superior tensile strength for easy removal. ITEM # HCPCS SOLD BY

1” x 12” ropes 800112 A6199 5/bx2” x 2” 800202 A6196 10/bx4-1⁄4” x 4-1⁄4” 800404 A6197 10/bx4” x 8” 800408 A6197 5/bx

NU-DERM® Alginate Wound DressingsNon-woven, sterile pad consists of a high G (guluronic acid) alginate (85%) and a CMC (carboxymethyl cellulose) fiber (15%) with spin finish, for use as primary dressing for exuding wounds, including leg ulcers (venous, arterial and diabetic), pressure sores or postsurgical sites. ITEM # HCPCS SOLD BY

1” x 12” ropes AWD112 A6199 5/bx2” x 2” AWD202 A6196 10/bx4” x 8” AWD408 A6197 5/bx

Hollister Wound Care

Restore® Calcium Alginate Dressings with SilverSterile dressings are an effective antimicrobial agent against a broad spectrum of microorganisms as they release silver ions in presence of wound fluid. Indicated for moderately to heavily exuding, partial- to full-thickness wounds. Help maintain a moist environ-ment and allow for intact removal.


2” x 2” 529967 A6196 10/bx4” x 4.75” 529968 A6197 10/bx

Restore® Calcium Alginate DressingsHighly absorbent; made from calcium sodium alginate to create conformable protective gel when in contact with exudate and form moist wound interface. Remains intact when wet for easy one-piece removal.


2” x 2” 529938 A6196 10/bx4” x 4” 529937 A6196 10/bx4” x 8” 529939 A6197 5/bx12” rope 529969 A6199 5/bx

Coloplast

All Coloplast wound care products are latex-free unless otherwise noted.

Biatain® Alginate DressingsUnique combination of calcium alginate and CMC forms a soft cohesive gel, ensuring one-piece removal. Use with secondary dressing.


2” x 2” (5 cm x 5 cm) 3705 A6196 30/bx4” x 4” (10 cm x 10 cm) 3710 A6196 10/bx6” x 6” (15 cm x 15 cm) 3715 A6197 10/bx1” x 17-1⁄2” Rope (44 cm) 3740 A6199 6/bx

Biatain® Alginate Ag Dressing with Silver

Highly absorbent CMC (carboxymethyl cellulose) and mix of calcium alginate along with an ionic silver complex that releases silver ions in the presence of wound exudate. Dressing forms a soft, cohesive gel as exudate is absorbed to conform to wound surface, and silver ions protect dress-ing from a broad spectrum of microorganisms—up to 4 days. Indicated for the management of pressure, leg and diabetic ulcers; second-degree burns; grafts; donor sites; and trauma and cavity wounds. One-piece removal. ITEM # HCPCS SOLD BY

2” x 2” (5 cm x 5 cm) 3755 A6196 30/bx4” x 4” (10 cm x 10 cm) 3760 A6196 10/bx6” x 6” (15 cm x 15 cm) 3765 A6197 10/bx1” x 17-1⁄2” rope (44 cm) 3780 A6199 10/bx

Smith & Nephew

ALGISITE* M Calcium Alginate DressingsDressing is made of fast-gelling, high-mannuronic acid fibers from calcium alginate, extracted and purified from seaweed. When exudate comes into contact with ALGISITE* M, it forms a hydrophilic gel that remains in intimate contact with the wound surface, helping to create and maintain a moist wound environment. ITEM # HCPCS SOLD BY

3⁄4” x 12” ropes 59480400 A6199 10/bx2” x 2” 59480100 A6196 10/bx4” x 4” 59480200 A6196 10/bx6” x 8” 59480300 A6197 10/bx*Trademark of Smith & Nephew

Covidien

Kendall™ Calcium Alginate DressingsAbsorbs exudate and creates a protective cushioning gel, creating optimal moist healing environment. Protective gel binds exudate and helps prevent skin maceration. Easy, painless dressing removal minimizes tissue trauma and maximizes comfort. Absorb approximately 20 times the dressing’s weight. ITEM # HCPCS SOLD BY

4” x 8” 9238 A6197 5/bx12” ropes 9231 A6199 5/bx24” ropes 9243 A6199 5/bx36” ropes 9244 A6199 5/bx

HARTMANN USA

All HARTMANN USA wound care products are latex-free.

Sorbalgon® Calcium Alginate DressingsNeedled alginate fibers hold together firmly, even when dressing is saturated and gelled, and provide excellent dry and wet strength, making dressing changes easier and cleaner. Dressing comes out in one piece, with virtually no residue left in the wound. ITEM # HCPCS SOLD BY

2” x 2” 49200000 A6196 10/bx4” x 4” 49210000 A6196 10/bx4” x 8” 49230000 A6197 5/bx

Sorbalgon® Ag Silver Containing Calcium Dressings

Latex-free, sterile, silver-containing calcium alginate dressing composed of soft, alginate textile fibers, CMC (carboxymethylcellulose) and ionic silver complex (silver carbonate) re-lease silver ions in the presence of wound fluid

and protect dressings from microorganisms. As wound fluids absorb into the dressing, it forms a soft, non-adhering gel to help promote the healing process while maintaining a moist environment for optimal wound man-agement. Highly absorbent and remain intact during the removal process with no residue left in the wound. ITEM # HCPCS SOLD BY

1” x 12”, Ribbon 999609 A6199 5/bx2” x 2” 999612 A6196 10/bx4” x 4” 999611 A6196 10/bx6” x 6” 999610 A6197 5/bx

Argentum Medical Silverlon® Antimicrobial Calcium Alginate Dressings

Highly absorbent calcium alginate and pure metallic silver-plat-ed mesh core offer benefits of superior silver ion antimicrobial protection with extra absorbency and exuding management for moderately to heavily exuding wounds. Unique design assures one-piece removal for up to seven days of antimicrobial protection because of its high integrity and tensile strength.


3⁄4” x 12” ropes CA7512 A6199 5/bx2” x 2” CA22 A6196 10/bx4” x 4-3⁄4” CA475 A6197 10/bx4” x 8” CA48 A6197 5/bx8” x 12” CA812 A6198 5/bx

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CONTAINS SILVER

CONTAINS SILVER

LATEX FREE

LATEX FREE

CONTAINS SILVER

CONTAINS SILVER

CONTAINS SILVER


ALGINATES

Lohmann & Rauscher

Suprasorb® A Calcium Alginate DressingsThe absorptive capacity of calcium alginate from natural brown algae provides clean wound conditions in heavily exuding wounds. A gel that binds exudate and encloses bacteria as well as detritus forms from the exchange of calcium ions from the wound dressing with the sodium ions from the wound exudate. These are removed with the alginate fibers when the dressing is changed. Available in dressing and rope form. ITEM # HCPCS SOLD BY

2” x 2” 24440 A6196 10/bx4” x 4” 24441 A6196 10/bx4” x 5” 30990 A6197 10/bx4” x 8” 20442 A6197 10/bx12” Rope 20445 A6199 5/bx

COLLAGEN DRESSINGS

Covalon Technologies Ltd.

ColActive® PlusThe collagen matrix dressings quickly aid in the formation of granulation tissue and epitheli-azation by providing a proper environment for wound healing. Advanced dual MMP-inhibition action targets and deactivates excess MMPs

for prolonged control of the wound environment. Conformable, highly absorbent dressings are easy to apply, and gelling actions provide cooling, soothing effect for enhanced patient comfort. Contain alginate and CMC for effective maintenance of moisture balance. Absorb up to 40 times their weight. ITEM # HCPCS SOLD BY

2” x 2” TWBC1016 A6021 10/bx4” x 4” TWBC1018 A6021 10/bx7” x 7” TWBC1035 A6022 10/bx

ColActive® Plus Ag

Along with the features of ColActive® Plus, to prevent colonization of the dressing it contains ionic silver chloride as a highly effective antimicrobial. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner. ITEM # HCPCS SOLD BY

2” x 2” TWBC1033 A6021 10/bx4” x 4” TWBC1034 A6021 10/bx7” x 7” TWBC1032 A6023 10/bx

Systagenix

FIBRACOL® PLUS Collagen/Alginate DressingsStructural support and strength of collagen and gel-forming properties of alginate combine into a soft, highly absorbent and conformable topical wound dress-ing. Maintains a physiologically moist microenvironment at wound surface that is conducive to granulation tissue formation and epithelialization, allowing rapid healing.


3⁄8” x 3⁄8” x 15-3⁄4” long 2984 A6024 6/bx2” x 2” 2981 A6021 12/bx4” x 4” 2982 A6022 12/bx4” x 8” 2983 A6022 6/bx

PROMOGRAN® Matrix ORC/CollagenA unique combination of 45% ORC (oxidized regenerated cellulose) and 55% collagen. Such a unique combination binds matrix metalloproteases in the dressing, creating an environment that attracts cells and is conducive to granu-lation tissue formation, epithelialization and rapid wound healing. Primary wound dressings that are appropriate for many wound types and easy to use.


4.34” hexagon PG004 A6021 10/bx19.1” hexagon PG019 A6022 10/bx

PROMOGRAN PRISMA® Matrix ORC/COLLAGEN/SILVER

Strong protection and growth are supported by a unique combination that addresses the continuous changes in the wound microenvironment. The formulation of 55% collagen, 44% ORC and 1% silver-ORC absorbs destructive components of chronic wound fluid and creates the optimal environment for cellular growth. Bacterial bioburden is lessened as clinically relevant bacteria is killed, and thus may result in reduced risk of infection. This is a simple-to-use primary dressing that should be considered early as part of good ulcer care.


4.34” hexagon MA028 A6021 10/bx

Southwest Technologies, Inc.

All Southwest Technologies, Inc. wound care products are latex-free and are made in the USA.

Stimulen™ Collagen PowderComposed of modified collagens. Powder dissolves in wound fluid to provide a protective gel for supporting growing skin and tissue. Just sprinkle on wound to give a covering up to 1⁄8” thick. ITEM # HCPCS SOLD BY

10 g bottle ST9515 A6010 ea1 g packet ST9501 A6010 10/bx20 g bottle ST9520 A6010 ea

Stimulen™ Enhanced Collagen GelFormulated to produce a highly concentrated dispersion of modified collagen. An ideal method of high-level collagen application when powder is too difficult. ITEM # HCPCS SOLD BY

0.5 oz. tube ST9502 A6011 ea1 oz. tube ST9503 A6011 ea5 g powder ST9506 A6011 10/bx

HARTMANN USA


CollaSorb® Collagen DressingsSterile collagen wound dressing is ideal for the management of acute and chronic wounds, with MMP (matrix metalloprotease) binding improved with collagen. Creates and maintains a moist wound environment and promotes optimal healing, and extracellular matrix formation. Can absorb up to 30 times their weight. Remains in contact with wound bed when saturated, easy to apply. ITEM # HCPCS SOLD BY

2” x 2” 49750000 A6021 10/bx4” x 4” 49760000 A6021 10/bx

Covidien

Kendall™ Hydrogel Wound DressingsOptimal environment for natural wound heal-ing provided by clear wound dressings. Devised for the management of Stages I – IV pressure ulcers, stasis ulcers, first- and second-degree burns, cuts, abrasions and minor skin irritations.


0.5-oz. tube 9250 A6248 ea1-oz. tube 9251 A6248 ea3-oz. tube 9252 A6261 ea

Smith & Nephew

BIOSTEP* Collagen Matrix DressingsFor hard-to-heal wounds, as well to enhance the rate of wound closure: a unique collagen. Excess protein-degrading enzymes are that are barriers to wound closure are deactivated, while maintaining moisture balance with a secondary dressing. Cut to shape or place in pieces into the wound, and will biodegrade over time. For best results, use on exuding wounds and treat the wound with a bactericidal product such as ACTICOAT* for about two weeks before moving to BIOSTEP*. ITEM # HCPCS SOLD BY

2” x 2” 66800124 A6021 10/bx4” x 4” 66800125 A6021 10/bx

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LATEX FREE CONTAINS SILVER

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COLLAGEN DRESSINGS

Smith & NephewBIOSTEP* Ag Collagen Matrix Dressings

BIOSTEP* is a unique collagen matrix dressing that al-lows you to overcome barriers to wound closure while maintaining an optimal moist wound environment. It targets and deactivates excess MMPs and has a 6-day wear time for prolonged control of the wound envi-ronment. The highly conformable dressing is easy to apply, and its gelling actions provide a cooling, sooth-ing effect for enhanced patient comfort. BIOSTEP* Ag combines the anti-MMP activity and functionality of BIOSTEP* with the antibacterial activity of silver to help maintain bacterial balance for contaminated and colonized wounds. ITEM # HCPCS SOLD BY

2” x 2” 66800125 A6021 10/bx4” x 4” 66800122 A6021 10/bx*Trademark of Smith & Nephew


Endoform Dermal TemplateThe simplicity of collagen with the strength of a dermal plate. 90% collagen and 10% intact, native ECM components that provide broad-spectrum MMP reduction. Accessible to all clini-cians and cost efficient with one weekly applications. Sterile. ITEM # HCPCS SOLD BY

2” x 2” 529311 A6021 10/bx2” x 2”, Fenestrated 529312 A6021 10/bx

MPM Medical, Inc.

Triple Helix Collagen100% type-1 bovine. Biodegradable – removal of product is not needed, instead more can simply be applied. Triple Helix forms a matrix in the wound bed, encouraging granulation tissue formation. Use with light to heavily exuding wounds.


1-g powder MP00311 A6010 ea2” x 2” dressing sheet MP00310 A6021 ea

FOAMSConvaTec

AQUACEL® Foam DressingsComfort and simplicity, with the healing benefits of an AQUACEL® interface. User can shower and bathe as excess moisture is able to evaporate, with wa-terproof barrier against viral/bacterial penetration. Soft, absorbent foam pad enhances user comfort and absorbs excess fluid. AQUACEL® interface gels on

contact with wound exudate, maintaining a moist environment. Locks in wound exudate, including harmful components. Maceration risk is reduced through vertical wicking that prevents lateral spread of fluid. Micro-con-tours to the wound bed, minimizing dead space where bacteria can grow. Skin-friendly adhesive adheres well to surrounding skin, not to the wound bed by a gentle silicone border and supports simple application and remov-al and low potential for dermal irritation or allergic contact sensitization. ITEM # HCPCS SOLD BY

ADHESIVE

3.2” x 3.2”, square 420804 A6212 10/bx4” x 4”, square 420680 A6212 10/bx5” x 5”, square 420619 A6213 10/bx7” x 7”, square 420621 A6213 10/bx8” x 5.5”, heel 420625 A6213 5/bx8” x 7”, sacral 420626 A6213 5/bxNONADHESIVE

4” x 4”, square 420633 A6209 10/bx6” x 6”, square 420635 A6210 5/bx6” x 8”, rectangle 420637 A6210 5/bx

AQUACEL® Ag Foam DressingsExclusive silver foam dressing that offers the moist wound healing benefits of an AQUACEL® Ag interface, the comfort of foam and the bacteria-killing power of ionic silver. Wound exudate and harmful bacteria locked in with proprietary Hy-drofiber® Technology, which gels on contact with the wound “dead space” where bacteria can thrive is minimized through micro-contours of a simulated wound bed. ITEM # HCPCS SOLD BADHESIVE

3.2” x 3.2” 420805 A6212 10/bx4” x 4” 420681 A6212 10/bx7” x 7” 420628 A6213 10/bx8” x 5.5”, heel 420647 A6213 5/bx8” x 7”, sacral 420648 A6213 5/bxNONADHESIVE

2” x 2” 420639 A6209 10/bx4” x 4” 420642 A6209 10/bx

Versiva® XC® Gelling Foam DressingsThe simplicity of foam and the benefits of Hydrofiber® Technology combined in a gelling foam dressing. Design works to reduce risk of maceration and protect periwound skin. Provides more than just a moist wound environment to wound management. Gel cushions in a way exclusive to a gelling foam dressing. ITEM # HCPCS SOLD BYNONADHESIVE SQUARE DRESSINGS

3” x 3” 410606 A6209 10/bx4.3” x 4.3” 410607 A6210 10/bx6” x 6” 410608 A6210 5/bx8” x 8” 410614 A6211 5/bxADHESIVE SQUARE DRESSINGS

4” x 4” 410609 A6212 10/bx5.5” x 5.5” 410610 A6212 10/bx7.5” x 7.5” 410615 A6213 5/bxADHESIVE HEEL DRESSINGS

8” x 7” 410612 A6213 5/bxADHESIVE SACRAL DRESSINGS

10” x 8” 410613 A6213 5/bx

Smith & Nephew

ALLEVYN* Gentle Border Silicone Gel Adhesive Hydrocellular Dressings – Heel

Provides coverage of the malleolus, offers extra cushioning and protection. Conforms to the complex contours of the heel and fits easily, requiring no secondary retention. Pressure relieving.


66800506 A6213 5/bx

ALLEVYN* LifeHigh absorption and locks in fluid to minimize leakage. Maintains a moist wound environment with minimal risk of skin damage. Unique design contours closely to the body, and wide adhesive border fits securely, with minimal pain on removal. Provides sacrum wear time up to five days, and seven days for other wound locations, depending on the nature of the wound and exudate level1. ITEM # HCPCS SOLD BY

4” x 4” 66801067 A6212 10/bx5-1/16” x 5-1/16” 66801068 A6212 10/bx6-1⁄16” x 6-1⁄16” 66801069 A6212 10/bx7” x 7”, sacrum 66801306 A6213 10/bx8-1⁄4” x 8-1⁄4” 66801070 A6213 10/bx8-1⁄2” x 9”, sacrum 66801307 A6213 10/bx1Smith & Nephew data on file.

ALLEVYN* Gentle Border Lite Wound DressingsIdeal for hard-to-dress areas, a light and conformable dressing that is also shower-proof. Contains a thinner foam core with minimal pain upon removal. ITEM # HCPCS SOLD BY

2 ̋x 2” 66800833 A6212 10/bx2-1⁄8” x 4-3⁄4” 66800836 A6212 10/bx3” x 3” 66800834 A6212 10/bx4” x 4” 66800835 A6212 10/bx6” x 6” 66800840 A6213 10/bx

ALLEVYN* Gentle Border Silicone Gel AdhesiveHydrocellular Dressings – Multisite

Tri-lobe design closely fits to difficult-to-dress areas on the body. Easy to apply; can be lifted and repositioned. Fits to curved or flat body areas. Minimal pain on removal for patients with fragile skin. ITEM # HCPCS SOLD BY

66800959 A6212 10/bx

ALLEVYN* Gentle Border Silicone Gel Adhesive Hydrocellular Dressings – Sacrum

Design and fit to stay in place on most wound sites and minimize pain during dressing changes. Have the potential for more efficient wound care through dressing standardization. ITEM # HCPCS SOLD BY

66800898 A6212 10/bx

ALLEVYN* Ag Adhesive DressingsEasy-to-use and offers both optimal fluid management plus antibacterial protection in a single dressing. Adhesive borders to secure in place with a wear time and antibac-terial activity of seven days. Ideal for exuding wounds that are infected or at risk at becoming infected. Waterproof, bacterial-proof top film. ITEM # HCPCS SOLD BY

3” x 3” 66020970 A6212 10/bx5” X 5” 66020973 A6212 10/bx7” x 7” 66020976 A6213 10/bx

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Smith & Nephew

ALLEVYN* Gentle Hydrocellular Foam DressingsComposed of a highly breathable polyurethane top film containing unique tri-laminate structure. Bacteria-proof and waterproof. Top film is a highly absorbent hydrocel-lular foam layer and a perforated wound contact layer. Ensure minimal mess as it absorbs and retains exudate and cellular debris. Stays in place during application of secondary retention. ITEM # HCPCS SOLD BY

2” x 2” 66800255 A6209 10/bx4” x 4” 66800256 A6209 10/bx6” x 6” 66800257 A6210 10/bx8’ x 8” 66800258 A6211 10/bx

ALLEVYN* Adhesive DressingsUnique, porous wound contact layer allows absorption and gaseous exchange. Will not stick to the wound surface or irritate periwound skin. Remain in place, even on difficult-to-dress areas of the body. May absorb up to four times more exudate than hydrocolloids. Ideal for moder-ately to heavily exuding wounds; aid in the prevention of bacterial contamination. Waterproof. ITEM # HCPCS SOLD BY

3” x 3” 66020043 A6212 10/bx5” x 5” 66020044 A6212 10/bx7” x 7” 66020045 A6213 10/bx

ALLEVYN* HeelProvides anatomically better fit with design that fits snugly around the back of the foot. Secured in place with tape or a lightly conforming bandage. ITEM # HCPCS SOLD BY

4-1/2” x 5-1/2” 66007630 A6210 5/bx

ALLEVYN* Non-Adhesive Hydrocellular Foam DressingsNon-adherent wound contact layer comprised of a tri-laminate structure with waterproof outer layer that prevents bacterial contamination and highly absorbent central layers. This structure helps produce a moist wound environment for those wounds that have traditionally proven difficult because the exudate is hard to manage. Often can be left unchanged for up to four days.


2” x 2” 66027643 A6209 10/bx4” x 4” 66927637 A6209 10/bx6” x 6” 66020093 A6210 10/bx8” x 8” 66927638 A6211 10/bx

ALLEVYN* Sacrum DressingsDesigned to adhere to the sacrum region, a highly conformable dressing not sticking to the wound surface or irritating the periwound skin. Perfect for lightly to heavily exuding wounds as dressing absorbs up to four times more exudate than hydrocolloids. ITEM # HCPCS SOLD BY

6-3⁄4” x 6-3⁄4” 66000700 A6213 10/bx

ALLEVYN* ThinPolyurethane matrix and a top film compose a sterile, waterproof wound dressing. Highly con-formable, self-adhesive, flexible dressing maintains a moist environment that helps prevent bacterial contamination. For management of surface wounds

with low to moderate exudate, such as minor burns, abrasions, leg ulcers, Stages I and II pressure ulcers, donor sites, partial-thickness wounds, and postoperative wounds. Both water-vapor and oxygen permeable. ITEM # HCPCS SOLD BY

2” x 2-3⁄8” 47576 A6209 10/bx4” x 4” 66047578 A6209 5/bx6” x 8” 47579 A6210 3/bx

ALLEVYN* Non-Adhesive Tracheostomy Hydrocellular Foam Dressings

Absorb large amounts of secretions, which may help maintain the condition of the skin in the peristomal area and prevent maceration. Unique structure allowing high absorbency requires fewer dressing changes, therefore cost-effective while minimizing discomfort. ITEM # HCPCS SOLD BY

3-1⁄2” x 3-1⁄2” 66027640 A6209 10/bx*Trademark of Smith & Nephew

Derma Sciences

XTRASORB™ Foam Dressings

Superabsorbent foam dressing comprises a standard, highly absorptive, hydrophilic, polyurethane foam dressing. Fused to back side of the foam is a patented, superabsorbent polymer sheet, allowing the dressing to handle

significantly more fluid. This fluid is locked within the superabsorbent sheet, distancing it from the wound and surrounding tissue, to help reduce maceration and exposure to the harmful components of wound fluid. Preventative of maceration and harmful exposure by components of wound fluids. ITEM # HCPCS SOLD BYNONADHESIVE

2” x 2” 86122 A6209 10/bx4” x 4-3/4” 86144 A6210 10/bx8” x 8” 86188 A6211 5/bxADHESIVE

3.2” x 3.2” (with adhesive border) 86233 A6212 10/bx4.5” x 4.5” (with adhesive border) 86244 A6212 10/bx6” x 6” (with adhesive border) 86266 A6213 10/bx

3M Health Care


3M™ Tegaderm™ High Performance Foam Adhesive DressingsProblem solver for low- to highly-exuding wounds. Su-perior fluid handling reduces the risk of desiccation and maceration. The watertight seal provides a waterproof liquid, bacterial and viral barrier. Longer wear times reduce disruption to users’ daily lives. Patented spoke delivery system for easy, one-handed application.


2-3⁄4” x 3”, mini oval (1-1⁄4” x 1-1⁄2” foam pad size) 90614 A6212 10/bx3-1⁄2” x 3-1⁄2”, square (2” x 2” foam pad size) 90610 A6212 10/bx4” x 4-1⁄2”, oval (2-1⁄2” x 3” foam pad size) 90611 A6212 10/bx5-5⁄8” x 5-5⁄8”, square (4” x 4” foam pad size) 90612 A6212 10/bx5-5⁄8” x 6-1⁄8”, oval (4” x 4-1⁄2” foam pad size) 90613 A6212 5/bx7-1⁄2” x 8-3⁄4”, oval (5-1⁄2” x 6-3⁄4” foam pad size) 90616 A6213 15/cs

3M Health Care


3M™ Tegaderm™ Foam Dressings (Nonadhesive)Available in a variety of sizes the quick absorbency with a breathable film barrier means complete fluid manage-ment. Ease of use, periwound skin maceration has low incidence. Nonswelling; barrier to strike-through. ITEM # HCPCS SOLD BY

2” x 2” 90600 A6209 10/bx3-1⁄2” x 31⁄2˝, fenestrated 90604 A6209 10/bx4” x 4” 90601 A6209 ea4” x 8” 90602 A6210 5/bx4” x 24” 90605 A6211 ea8” x 8” 90603 A6211 30/cs

3M™ Tegaderm™ High Performance Foam Adhesive Dressings — Heel/Elbow Design

For low- to highly exudating wounds; watertight seal provides a waterproof liquid, bacterial and viral barrier and spoke delivery system makes one-handed application easy. The risk of desiccation and maceration is reduced through strong fluid handling, even over the longer wear-time. Applied easily and convenient long wear-time benefits the user. ITEM # HCPCS SOLD BY

5-1⁄2” x 5-1⁄2” 90619 A6212 5/bx

3M™ Tegaderm™ Foam Adhesive Dressing Mini WrapDressing structured with a polyurethane foam pad. Dressing is secured with soft cloth tape over with a highly breathable, nonwaterproof film backing


2-3⁄4” x 2-3⁄4” 90615 A6212 10/bx(1” x 1” foam pad size)

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FOAMS


Mepilex® Border LiteA thin, comfortable foam dressing featuring Safetac® soft silicone technology. Minimizes threat of periwound skin maceration and erosion with bacterial barrier provided by film backing the dressing; moisture-vapor permeable, mois-ture-proof. Effective absorption of low amounts of exudate. ITEM # HCPCS SOLD BY

1-3⁄5” x 2” 281000 A6212 10/bx2” x 5” 281100 A6212 5/bx3” x 3” 281200 A6212 5/bx4” x 4” 281300 A6212 5/bx6” x 6” 281500 A6213 5/bx

Mepilex® Border AgSafetac® soft silicone technology layer allows reduced pain in changes. Adheres exclusively to dry skin and seals wound margins. Moisture proof Polyurethane backing film is also moisture vapor permeable, acts as barrier: bacterial and viral. Multi-layered, absorbent foam pad spreads, wicks and retains exudate. Long lasting, for up to seven days and Silver offers antimicrobial activity within 30 minutes. ITEM # HCPCS SOLD BY

3” x 3” 395290 A6212 5/bx4” x 4” 395390 A6212 5/bx4” x 8”, Post-Op 395890 A6213 5/bx4” x 12”, Post-Op 395990 A6213 5/bx6” x 6” 395490 A6213 5/bx6” x 8” 395690 A6213 5/bx7.2” x 7.2”, Sacrum Ag 382090 A6213 5/bx9.2” x 9.2”, Sacrum Ag 382490 A6213 5/bx

Mepilex® Border Sacrum Self-Adherent Foam Dressings

Self-adherent, bordered foam dressing featuring Safetac® soft silicone technology in sizes ideal for the sacral area. Minimize the risk of periwound skin maceration, erosion, and absorbs exudate effectively. The film backing provides a bacterial barrier and is moisture vapor permeable, moisture proof. Suggested for pressure ulcers and diabetic ulcers as de-signed for exuding wounds, wounds with fragile periwound skin and painful wounds. ITEM # HCPCS SOLD BY

7.2” x 7.2” 282000 A6213 5/bx9.2” x 9.2” 282400 A6213 5/bx

Mepilex® BorderSelf-adherent, bordered foam dressings featuring Safetac® soft silicone technology. Absorbs moderate to high amounts of exudate effectively, and minimizes the risk of periwound skin maceration and erosion. Film backing is moisture-vapor permeable, moisture-proof and provides a bacterial barrier. ITEM # HCPCS SOLD BY

3” x 3” 295200 A6212 5/bx4” x 4” 295300 A6212 5/bx6”x 6” 295400 A6213 5/bx6” x 8” 295600 A6213 5/bx4” x 8” 295800 A6212 5/bx4” x 10” 295850 A6213 5/bx4” x 12” 295900 A6213 5/bx

Mepilex®Highly absorbent foam dressing featuring Safetac® soft silicone technology. Absorbs exudate effectively, even under com-pression bandages, and minimizes the risk of periwound skin

maceration and erosion. Conforms well to body contours and can be cut. ITEM # HCPCS SOLD BY

4” x 4” 294199 A6209 5/bx4” x 5” 294090 A6210 5/bx4” x 8” 294299 A6210 5/bx6” x 6” 294399 A6210 5/bx8” x 8” 294499 A6211 5/bx

Mepilex® LiteThin, conformable foam dressings featuring Safetac® soft silicone technology that absorb low to moderate exudate. Helps maintain a moist environment while minimizing the risk of

periwound skin maceration. Usable under compression bandages. ITEM # HCPCS SOLD BY

2-2⁄5” x 3-2⁄5” 284090 A6209 5/bx4” x 4” 284190 A6209 5/bx6” x 6” 284390 A6210 5/bx8” x 20” 284599 A6211 4/bx

Mepilex® TransferExudate transfer dressing with Safetac® soft silicone technology that is designed to be thin and conformable for a wide range of exuding wounds, including hard-to-dress wounds. Larger sizes allow coverage of large areas and may be used as a protective

layer on minimally or lightly exuding wounds. ITEM # HCPCS SOLD BY

6” x 8” 294899 A6210 5/bx8” x 20” 294599 A6211 4/bx

Mepilex® Ag

Foam dressing featuring Safetac® soft silicone tech-nology, high absorbency and addition of silver. Rapid silver release begins inactivating pathogens within 30

minutes, and for up to seven days there is a sustained release of silver. Absorbs exudate well even when under compression bandages.


4” x 4” 287090 A6210 5/bx

Mepilex Transfer AgThe world’s first antimicrobial wound contact layer with Safetac technology for less painful dressing changes. The body heals a wound and a dressing can either disturb or support. Mepilex® Transfer Ag

with Safetac® technology is a “multi-benefit” transfer dressing designed for low to high exuding wounds and with the patient as a central mind. Safetac is clinically proven to minimise stress and pain for the patient. Mepilex Transfer Ag effectively transfers exudate to a 2nd layer whilst preventing microbial growth. It all adds up to undisturbed healing.


4’ x 5” 394190 A6209 5/bx6” x 8” 394890 A6210 4/bx

LYOFOAM® Max Polyurethane Foam DressingDressing consisting of a polyurethane foam with a moisture- proof backing film. Highly absorbent and high permeability, allowing for exudate manage-ment of moderate to greatly exuding wounds.


3” x 3.4” 603200 A6209 10/bx4” x 4” 603201 A6209 10/bx4” x 8” 603203 A6210 10/bx6” x 6” 603204 A6210 10/bx6” x 8” 603205 A6210 10/bx8” x 8” 603206 A6211 10/bx

LYOFOAM® A Adhesive Polyurethane Foam Sterile DressingsFor treatment of lightly to moderately exuding wounds, with sterile, polyurethane foam dressings with adhesive border. Maceration is minimized and strike through of blood and exudate curtailed by hydrophilic, smooth contact surface and hydrophobic properties. Easily and precisely applied with adhesive border. ITEM # HCPCS SOLD BY

3-1⁄2” x 3-1⁄2” (2” x 2” pad) 603020 A6212 10/bx6” x 6” (4” x 4” pad) 603021 A6212 10/bx

LYOFOAM® T Polyurethane Foam Sterile DressingsAll the benefits of LYOFOAM® and provides protection, absorption over the intubation site. Sterile, fenestered polyurethane foam dressings designed for use treating wounds associated with intubation and cannula insertion sites, like tracheostomy. ITEM # HCPCS SOLD BY

3-1⁄2” x 2-1⁄2” 603207 A6209 10/bx

Ferris

All Ferris wound care products are latex-free.

PolyMem Silver® DressingsFormula of PolyMem® with a small-particle silver added. This will protect against microbial contam-ination. Used both as a combined primary and secondary dressing, or secondary dressing. ITEM # HCPCS SOLD BYADHESIVE

6” x 6” island (3.5” x 3.5” pad) 1766 A6212 15/bxNONADHESIVE

4.25” x 4.25” pad 1044 A6210 15/bx6.5” x 7.5” pad 1077 A6211 15/bx

PolyMem Wic Silver® DressingsSame formulation as PolyMem Wic® with added small-particle silver. Designed to protect against microbial contamination. Does not have thin film backing and wound filler is to be used solely as a primary dressing. ITEM # HCPCS SOLD BY

0.4” x 14”, rope, 3 g 1814 A6215 6/bx3” x 3” 1333 A6215 10/bx

PolyMem® Adhesive Cloth-Backed DressingsComfortable, breathable, adhesive-coated cloth back-ing may be used as a primary or secondary dressing.


1” x 3” strip (1” x 1” pad) 7031A A6212 100/cs2” x 2” dot (1” x 1” pad) 7203A A6212 100/cs2” x 4” strip (2” x 1.5” pad) 7042 A6212 100/cs4” x 5” island (2” x 3” pad) 7405 A6212 15/bx6” x 6” island (3.5” x 3.5” pad) 7606 A6212 ea

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Ferris

PolyMem® Adhesive Film DressingsUltrathin, adhesive-coated urethane film doesn’t require tape or secondary dressing. Provides a breath-able, versatile but protective, tough water-resistant dressing. The patented tab system is deigned for main-taining membrane sterility as well as easy application.


4” x 5” island (2” x 3” pad) 405 A6212 15/bx6” x 6” island (3.5” x 3.5” pad) 606 A6212 15/bx4” x 12.5” island (2” x 10” pad) 3412 A6213 12/cs

PolyMem Max® Wound Care DressingsFor wounds with heavier drainage or when longer wear time is desired. Thick formulation, also available with silver and can be used in the combined primary and secondary dressing, or as a secondary dressing. Also available with silver. ITEM # HCPCS SOLD BY

4.5” x 4.5” pad 5045 A6210 10/bx8” x 8” pad 5088 A6211 5/bx

PolyMem® Non-Adhesive DressingsIdeal option for applications in which taping and cut-ting dressing to size is the favored and most appropri-ate method of application. Use as a combined primary and secondary dressing, or as a secondary dressing. ITEM # HCPCS SOLD BY

3” x 3” pad 5033 A6209 15/bx4” x 4” pad 5044 A6209 15/bx4” x 12.5” pad 5124 A6210 12/bx4” x 24” roll 5244 A6211 4/bx5” x 5” pad 5055 A6210 15/bx6.5” x 7.5” pad 5077 A6210 15/bx

Shapes® by PolyMem®The convenience of Shapes are dressings already contoured to fit common wounds. Primary or secondary dressing. ITEM # HCPCS SOLD BY

WITHOUT SILVER

#3 Oval (2” x 3”; pad is 1” x 2”) 8023 A6212 20/bx#5 Oval (5” x 3.5”; pad is 3” x 2”) 8053 A6212 15/bx#8 Oval (6.5” x 8.2”; pad is 4” x 5.7”) 8086 A6213 10/bxWITH SILVER

#3 Oval (2” x 3”; pad is 1” x 2”) 1823 A6212 20/bx#5 Oval (5” x 3.5”; pad is 3” x 2”) 1853 A6212 15/bx

Shapes® by PolyMem® Tube-Site DressingsDressings designed and cut specifically to ensure maximum comfort with tube sites. 3.5” x 3.5”. ITEM # HCPCS SOLD BY

5335 A6209 15/bx

PolyMem Wic® Wound Cavity FillersDesigned for cavity wounds to expand within the wound cavity to fill dead space. This does not adhere to the wound, or fragment, but the expansion keeps the wound bed clean and moisturized while absorbing excess fluid, keeping the wound bed clean and moisturized while absorbing excess fluid. Only used as primary dressing and does not have thin film backing. ITEM # HCPCS SOLD BY

3” x 3”, 4 g 5733 A6215 ea3” x 12”, 16 g 5712 A6215 12/cs


Hydrofera Blue Foam DressingBroad spectrum bacteriostatic activity against microor-ganisms commonly found in wounds. Such as MRSA and VRE and yeasts. Sterile, and will not inhibit growth factor activity. Functions with enzymatic debridement products. ITEM # HCPCS SOLD BY

2” x 2” HB2214 A6209 10/bx4” x 4” HB4414 A6209 10/bx6” x 6” HB6614 A6210 10/bx

Hydrofera Blue ReadySeven-day wear time with a waterproof backing that acts as a moisture and bacterial barrier. Does not require hydration before application. ITEM # HCPCS SOLD BY

2-1/2” x 2-1/2” HBRS2520 A6209 10/bx4” x 5” HBRS4520 A6210 10/bx

Hydrofera Blue Tunneling DressingBroad spectrum bacteriostatic antimicrobial action against microorganisms often found in wounds, including, but limited to, MRSA,VRE, yeasts. Highly absorptive, without inhibiting growth factor activity. May be functionally used with enzymatic debridement products. ITEM # HCPCS SOLD BY

9 mm x 6” HBT0906 A6215 10/pr

Restore® Foam Border Dressings with TRIACT ADVANCED® TechnologyAbsorbent dressing for moderate to moderately heavy exuding acute and chronic wounds. Sterile, adhesive border with non-adherent layer. ITEM # HCPCS SOLD BY

4” x 4” (2” x 2” pad) 509387 A6212 10/bx6” x 6” (4” x 4” pad) 509388 A6212 10/bx6” x 8” (3.3” x 5.8” pad) 509389 A6213 10/bx8” x 8” (5” x 5” pad) 509390 A6213 10/bx

Restore® Foam Dressings without Border with TRIACT ADVANCED® Technology

Nonadhesive, absorbent dressing with nonadherent layer. Sterile, for moderate to moderately heavily exuding acute and chronic wounds. ITEM # HCPCS SOLD BY

2.5” x 2.5” 509380 A6209 10/bx4” x 4” 509381 A6209 10/bx4.7” x 7.5”, heel 509384 A6210 10/bx6” x 6” 509382 A6210 10/bx

Restore® LITE Foam Dressings without Border with TRIACT ADVANCED® Technology

Non-adhesive, absorbent dressing with a thinner non-ad-herent layer. Sterile and designed for lightly to moderately exuding acute and chronic wounds ITEM # HCPCS SOLD BY

2.5” x 2.5” 509393 A6209 10/bx 4” x 5” 509394 A6210 10/bx6” x 6” 509395 A6210 10/bx6” x 8” 509396 A6210 10/bx

Restore® Odor-Absorbent DressingsImpregnated foam dressings, sterile and covered with soft non-woven cloth for malodorous wounds by infection, necrosis or bacterial contamination, with activated carbon that offsets offensive odors. Primary or secondary dressing. ITEM # HCPCS SOLD BY

4” x 4” 519904 A6209 10/bx6” x 10” 519906 A6211 10/bx

Coloplast

All Coloplast wound care products are latex free unless otherwise noted.

Biatain® Ag Foam DressingsFoam dressing that utilizes silver technology with moist wound healing to aid in the preparation of problem wounds.

ITEM # HCPCS SOLD BYNONADHESIVE

4” x 4” (10 cm x 10 cm) 9622 A6209 5/bx6” x 6” (15 cm x 15 cm) 9625 A6210 5/bxADHESIVE

5” x 5” (12 cm x 12 cm) 9632 A6212 5/bx7” x 7” (18 cm x 18cm) 9635 A6213 5/bx9” x 9” (sacral) 9641 A6213 5/bx

Biatain® Foam DressingsEnsuring long wear, sterile, foam dressing for a wide range of exuding wounds that offers a soft, protective cushioning effect. ITEM # HCPCS SOLD BYNONADHESIVE

2” x 2-3⁄4” (5 cm x 7 cm) 6105 A6209 10/bx4” x 4” (10 cm x 10 cm) 3410 A6209 10/bx6” x 6” (15 cm x 15 cm) 3413 A6210 5/bx8” x 8” (20 cm x 20 cm) 3416 A6211 5/bxADHESIVE

4 ̋x 4 ̋(10 cm x 10 cm) 3430 A6212 10/bx5 ̋x 5 ̋(12.5 cm x 12.5 cm) 3420 A6212 10/bx7 ̋x 7 ̋(18 cm x 18 cm) 3423 A6213 5/bx

Biatain® SiliconeSoft and flexible, absorbent foam dressing with a gentle silicone adhesive. When in contact with exudate, the Biatain Foam swells to conform to the wound bed. This repositionable and easy-to-apply dressing also features a 3-piece applicator, allowing for both gloved hands during application. ITEM # HCPCS SOLD BY


LATEX FREE

CONTAINS SILVERWOU

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CONTAINS SILICONE

FOAMS

Coloplast

Biatain® Silicone LiteThis repositionable and easy-to-apply dressing is thin and ultra flexible, with a gentle silicone adhesive border that can be used for hard-to-dress areas or wounds with low to moderate drainage. When in contact with exudate the foam swells to conform to the wound bed. Features a 3-piece applicator, allowing for both gloved hands during application. ITEM # HCPCS SOLD BY

3” x 3” 33444 A6212 10/bx4” x 4” 33445 A6212 10/bx5” x 5” 33446 A6212 10/bx

Biatain® Silicone Ag Foam Dressing

Sustained release of silver during the entire wear time (up to 7 days) and unique 3-D foam conforms to the wound bed for superior absorption and continuous release of silver to the wound. Silicone adhesive for easy removal. ITEM # HCPCS SOLD BY

3” x 3” (7.5 x 7.5 cm) 39636 A6212 5/bx

Biatain® Soft-Hold Foam DressingSterile, foam dressing for a wide range of exuding wounds. Includes a skin-friendly adherent that minimiz-es adhesive trauma. Acts as a third hand during dressing change. ITEM # HCPCS SOLD BY

2” x 2-3/4” (5 x 7 cm) 3473 A6209 5/bx4” x 4” (10 x 10 cm) 3470 A6209 5/bx6” x 6” (15 x 15 cm) 3475 A6210 5/bx

Biatain® Sacral Foam DressingsSterile, foam dressing for a wide range of exuding wounds. Designed specifically for the sacral area and includes a hydrocolloid adhesive border. ITEM # HCPCS SOLD BY

9” x 9” (23 cm x 23 cm) 3485 A6213 5/bx

Biatain® Heel Foam DressingSterile, foam dressing for a wide range of exuding wounds. Includes a hydrocolloid adhesive border and is designed specifically for the heel. ITEM # HCPCS SOLD BY

7-1/2” x 8” 3488 A6212 5/bx

Covidien

Kendall™ AMD Antimicrobial Foam DressingsPolyurethane foam dressing is saturated with 0.5% PHMB (polyhexamethylene biguanide), an effective, low-toxicity antiseptic. Manage both moisture and bacterial balance; Effective against gram-positive and gram-negative bacteria, and also work against fungi and yeast. AMD Bordered dressings prevent complications.

ITEM # HCPCS SOLD BYFOAM DRESSINGS

2” x 2” (5 cm x 5 cm) 55522AMD A6209 25/bx3.5” x 3” (8.8 cm x 7.5 cm), fenestrated 55535AMD A6209 10/bx3.5” x 3” (8.8 cm x 7.5 cm), fenestrated, 55535PAMD A6209 10/bxwith topsheet4” x 4” (10 cm x 10 cm), with topsheet 55544PAMD A6209 10/bx4” x 4” (10 cm x 10 cm) 55544AMD A6209 10/bx8” x 8” (20 cm x 20 cm) 55588AMD A6211 10/bx

FOAM BORDER DRESSINGS

1.75” x 3.25” (4.4 cm x 8.3 cm); 1” x 1.75” 55523BAMD A6212 10/bx (2.5 cm x 4.4 cm) pad3.5” x 3.5” (8.9 cm x 8.9 cm); 2” x 2” 55544BAMD A6212 10/bx(5.0 cm x 5.0 cm) pad3.5” x 5.5” (8.9 cm x 14.0 cm); 2” x 4” 55546BAMD A6212 10/bx(5.0 cm x 10 cm) pad7.5” x 7.5” (15 cm x 15 cm); 6” x 6” 55588BAMD A6213 10/bx (19 cm x 19 cm) padFOAM DISC

1” (2.5-cm) diameter, 4-mm hole 55511AMD A4649 10/bx1” (2.5-cm) diameter, 7-mm hole 55512AMD A4649 10/bx

Kendall™ Ultra-Soft Foam DressingsHydrophilic foam that protects and cushions wounds, ultra soft. Small pores protect against any tissue migration into foam dressings. ITEM # HCPCS SOLD BY

2” x 2” 55522 A6209 25/bx3.5” x 3”, fenestrated 55535 A6209 10/bx4” x 4” 55544 A6209 10/bx4” x 8” 55548 A6210 10/bx6” x 6” 55566 A6210 10/bx8” x 8” 55588 A6211 10/bx

Kendall™ Gentle Adhesion Border Foam Dressings

Kendall™ Foam’s comfort and superior absorbency of is now offered with a silicone adhesive that remains adherent after lifting or adjusting the dressing. High MVTR (moisture vapor transmission rate), low friction top sheet provides a waterproof microbial barrier. Comfort and pressure relief comes with the absorbent foam with small pored to prevent any ingrowth (cell or microbe).


1.75” x 3.25” (1” x 1.75” pad) 55523BG A6212 10/bx3.5” x 3.5” (2” x 2” pad) 55544BG A6212 10/bx3.5” x 5.5” (2” x 4” pad) 55546BG A6212 10/bx5.5” x 5.5” (4” x 4” pad) 55566BG A6212 10/bx7.5” x 7.5” (6” x 6” pad) 55588BG A6213 10/bx

Kendall™ Ultra-Soft Foam Dressings with TopsheetAn ultra-soft, hydrophilic foam that protects and cushions wounds. Topsheet of polyurethane allows for moisture vapor to transfer, and prevents strike through and maceration. Small pores decrease the chance of tissue migration into the foam dressing.ITEM # HCPCS SOLD BY

2” x 2” 55522P A6209 25/bx6” x 6” 55566P A6210 10/bx

HARTMANN USA

PermaFoam® Foam DressingsDrainage dressings will have unique foam structure to wick away fluid from wound bed. Exceptional absorption capacity alongside a high MVTR (moisture vapor transmission rate) creates a dressing unequaled in fluid handling. Provides trusting performance in absorbing wound drainage under compression bandage systems, as well as secure adhesion and conformity to difficult-to-dress areas. Waterproof, safe and comfortable. The outer, waterproof layer protects from contaminants and bacteria. Denoted for the management of chronic draining wounds such as ulcers, leg ulcers and diabetic foot ulcers.

ITEM # HCPCS SOLD BYPermafoam® NON-ADHESIVE FOAM DRESSING

3.2” x 3.2”, tracheostomy 409426 A6209 10/bx

Permafoam® COMFORT ADHESIVE FOAM DRESSING

4-3/8” x 4-3/8” 409408 A6213 10/bx6” x 6” 409412 A6213 5/bx7” x 7”, sacral 409422 A6213 3/bx8” x 8” 409413 A6214 3/bx

HARTMANN USA

HydroTac®HydroTac® with “Initial Tack” feature makes application easy for dry, exuding wounds. AquaClear® technology promotes the wound environment through superior absorption and the prevention of maceration. Adaptable soft foam and a thin adhesive film make a comfort-able dressing with a no-pain removal. Long wear time makes it an economical choice.

ITEM # HCPCS SOLD BYHYDROTAC® NON-ADHESIVE FOAM DRESSING IMPREGNATED WITH GEL


HYDROTAC® ADHESIVE FOAM DRESSING IMPREGNATED WITH GEL


CONTAINS SILICONE

CONTAINS SILVERCONTAINS SILICONE

CONTAINS SILICONE

CONTAINS SILICONE

LATEX FREE

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LATEX FREE

FOAMS

ReliaMed®


ReliaMed® Foam DressingsHighly absorptive to manage high levels of exudate. Available with an adhesive border for ease of appli-cation. Nonadherent pads are suitable for patients with sensitivity to adhesives. High moisture vapor transmission rate and breathability lead to longer

wear time between dressing changes. Extra-soft, small-pore foam minimizes lateral wicking of wound exudate. Conforms to awkward sites. Features excel-lent elasticity. Contraindicated for third-degree burns. Foam heel fits snugly around the heel to provide cushioning and wound exudate absorption. Can be secured with bandage or tape. ITEM # HCPCS SOLD BYNONADHESIVE

4” x 4” nonadherent ZDF44 A6209 10/bx6” x 6” nonadherent ZDF66 A6210 10/bxADHESIVE

2” x 2” pad with 3” x 3” adhesive border ZDF33B A6212 10/bx3” x 3” pad with 5” x 5” adhesive border ZDF55B A6212 10/bx4” x 4” pad with 6” x 6” adhesive border ZDF66B A6212 10/bxs

LATEX FREE

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Systagenix FOAMS

TIELLE® Hydropolymer Adhesive Dressings

TIELLE® Family LIQUA LOCK Exudate level Adhesive Cut-table

TIELLE® 3 —

TIELLE® Lite 3 —

TIELLE® Sacrum 3 —

TIELLE® Packing —

TIELLE® Plus 3 —

TIELLE® Plus Sacrum 3 —

TIELLE® Plus Heel 3 —

TIELLE® Max —

Dressings are fluid-handling systems. Throughout the wear time, the dressing will adapt so as the dressing absorbs exudate, the hydropolymer central island swells and will fill any irregular contours of the wound. Process minimizes

exudate build up. Excess moisture is held in the wicking layer next to the polyurethane backing. The backing is vapor permeable and allows excess moisture to evaporate while the dressing manages additional exudate. ITEM # HCPCS SOLD BY

TIELLE® LITE

2-3⁄4” x 3-1⁄2” MTL300 A6212 10/bx4-1⁄4” x 4-1⁄4” MTL301 A6212 10/bx

TIELLE®

2-3⁄4” x 3-1⁄2” MTL100 A6212 10/bx4-1⁄4” x 4-1⁄4” MTL101 A6212 10/bx5-7⁄8” x 7-3⁄4” MTL102 A6213 5/bx7” x 7” MTL103 A6213 5/bx7” x 7”, sacrum MTL104 A6213 5/bxTIELLE® PLUS

4-1⁄4 ̋x 4-1⁄4” MTP501 A6212 10/bx5-7⁄8 ̋x 5-7⁄8” MTP505 A6213 10/bx5-7⁄8 ̋x 7-3⁄4” MTP502 A6213 5/bx5-7⁄8 ̋x 5-7⁄8”, sacrum MTP506 A6254 10/bx

TIELLE® MAX

4-1⁄4” x 4-1⁄4” MTP701 A6210 10/bx5-7⁄8” x 7-3⁄4” MTP702 A6210 5/bx

TIELLE® HEEL

8” x 10” MTP508 A6213 5/bx

SUPER ABSORBANT DRESSINGS

DeRoyal

Sofsorb Absorbent Wound Dressing A highly absorbent, multi-layered one-piece dressingFive layer construction:1 – Non-adherent wound contact layer2 – Stay-Dry Liner that permits passage of wound drainage to keep periwound skin dry

and prevent maceration at wound site3 – Center layer that absorbs wound drainage4 – Cellulose layer that wicks drainage horizontally along pad to increase dressing absorption capacity5 – Air-permeable backing for strength and durabilityMay be soaked with saline or topical agents prior to useRounded edges and tapered limb configurations conform to curved and hard-to-dress areas without unnecessary bulkIdeal for protecting wound sites from further traumaSoft pliability allows for range of motion exercises during recoveryPrimary or secondary dressing ITEM # SIZE HCPC

46-101 4”x 6” A6252 46-102 6”x 9” A6252

Derma Sciences

XTRASORB™ Superabsorbent DressingsMade of advanced superabsorbent polymers that when fluid is absorbed, the core converts to a gel locking fluid within the dressing. Keeps harmful components within wound fluid away from wound, helping to prevent maceration. Can be used under compression and has pain-free removal with a non-adherent wound cover. For use on wounds with moderate to heavy amounts of exudate.


4” x 5” 89545 A6252 10/bx3” x 3” 89533 A6252 10/bx6” x 9” 89569 A6253 10/bx

Smith and Nephew

EXU-DRY* Dressings with Anti-Shear LayerOptimal for any kind of wounds, burns or skin ulcers. Nonadherent, highly absorbent, lint-free, nonocclusive, soft and pliable.

ITEM # HCPCS SOLD BYMEDIUM ABSORBENCY

3”, discs 5999003 A6251 50/bx3”, slit discs 5999003S A6251 50/bx4” x 6” 5999M04 A6252 100/cs6” x 9” 5999M06 A6253 50/cs9” x 15” 5999M09 A6253 30/cs

FULL ABSORBENCY

2” x 3”, slit tubes 5999PTM A6251 50/cs3” x 4” 5999034 A6251 50/bx3” x 4”, slit tubes 5999034S A6251 50/cs4” x 6” 99004120 A6252 10/bx4” x 6”, slit tubes 5999101 A6252 25/bx6” x 9” 5999006 A6253 12/bx9” x 15” 5999009 A6253 30/cs15” x 18” 5999018 A6253 30/cs15” x 24” 5999024 A6253 30/cs20” x 28” 5999028 A6253 20/cs*Trademark of Smith & Nephew

Medline

Abdominal PadsMedlines super absorbent abdominal pads feature a soft non-woven outer layer that quickly wicks fluid to a cellulose center. This thick layer of cellulose quickly absorbs and disperses fluids laterally to prevent pooling. Hydrophobic back impedes strike through and all edges are sealed to prevent linting. Sterile.

ITEM # SIZE HCPC

NON21450 5”x9” A6252 NON21454H 8”x10” A6252

LATEX FREE

HYDROGEL DRESSINGS AND HYDROGELS

Derma Sciences

MEDIHONEY® PasteOptimal wound-healing environment and is effective on wounds that have not progressed with conventional treatment. Active leptospermum honey for Dynamic Moisture Balance™. Useful with tunneled, undermined wounds, or into sinus tracts and other hard-to-dress areas. 100% Active Leptosperum Honey. ITEM # HCPCS SOLD BY

0.5-oz. tube 31505 A6250 ea1.5-oz. tube 31515 A6250 ea3.5-oz. tube 31535 A6250 ea

Dermagran® Hydrogel Zinc Saline Wound DressingSupports epidermal growth by its mildly acidic environment and provides moisture and protection. Tissue repair and other benefits come from the included nutrients, such as zinc and vitamin B6. 3-oz. tube. ITEM # HCPCS SOLD BY

3-oz. tube DH03 A6248 ea

Dermagran® B Hydrophilic Wound FillerDerma Sciences’ zinc-nutrient formulation and pH-balanced technology is found within the impregnated filler tube. Provides a moist, mildly acidic environment for beneficial healing. Contains nutrients such as zinc, and vitamins A and B6, which play an important role in tissue repair. Useful in treatment for: pressure sores, tissue trauma, surgical incisions, partial-thick-ness thermal burns, and diabetic and venous stasis ulcers. ITEM # HCPCS SOLD BY

3-oz. tube SPD03 A6261 ea

ConvaTec

SĀF-Gel® Hydrating Dermal Wound Dressing Gel with AlginateThe optimal, moist wound-healing environment and aids in autolytic debridement. Absorbs exudate. Indicated for use on chronic and acute wounds. ITEM # HCPCS SOLD BY

3-oz. tube 145730 A6248 ea

DuoDERM® Hydroactive® GelMoisture will be released into dry cavity wounds via ster-ile, clear hydrocolloid gel. Provides a moist wound healing environment and aids in the removal of nonsterile tissue. ITEM # HCPCS SOLD BY

15-g tubes 187990 A6248 10/bx30-g tubes 187987 A6248 3/bx



Elasto-Gel™ Plus Wound DressingsHydrogel sheet dressings including Sta-Fix Tape in the dressing pouch. Bacteriostatic. Tape for added convenience when a water-resistant tape is required to attach the dressing to the wound site. The Sta-Fix Tape permits adherence to complex contours. ITEM # HCPCS SOLD BY

2” x 3” DR8250 A4649 5/bx4” x 4” DR8050 A4649 5/bx

Horseshoe Shaped DressingsHigh-glycerine-content hydrogel dressings with a unique, horseshoe-shaped design to cover the but-tocks area, including the coccyx and ischium, which are the most common areas for pressure ulcers. Used as a wound management dressing, as well as a preventive padding, to help prevent the formation of pressure ulcers. Bacteriostatic. ITEM # HCPCS SOLD BY

8” x 8” DR9051 A6247 5/bx

ELASTO-GEL™ STERILE WOUND DRESSINGS

Elasto-Gel™ Hydrogel DressingsDesigned to provide an optimum wound healing environment. Control and prevent conditions that interfere with or obstruct the healing process. Decrease the amount of products needed to manage a wound, assist in reducing the time to heal the wound and decrease dressing change frequency. Bacteriostatic. ITEM # HCPCS SOLD BY

2” x 3” DR8200 A6242 5/bx4” x 4” DR8000 A6242 5/bx5” x 5” DR8500 A6243 5/bx6” x 8” DR8600 A6243 5/bx8” x 16” DR8800 A6244 5/bx12” x 12” DR8700 A6244 5/bx

Toe-Aid™A unique “T”- shaped border adhesive of Sta-Fx Tape surrounds bacteriostatic, absorbent hydro-gel dressing. High-glycerine pad will not dissolve into, dry or stick to the wound. Excess exudate will be absorbed to preserve and maintain a clean, moist, infection-free wound bed. After toenail removal, Toe-Aid™ helps reduce the num-ber of dressing changes, nearly diminishes pain and helps guarantee a positive clinical outcome. ITEM # HCPCS SOLD BY

1-1⁄4” x 1-1⁄4” DR8450 A6245 3/bx


Restore® Hydrogel DressingsHelp maintain a moist healing environment in partial- to full-thickness wounds for up to 72 hours of wear time. Clear, viscous gel.


3-oz. tube (nonsterile) 529974 A6248 ea2” x 31⁄2 yds. impregnated gauze strip (sterile) 529973 A6266 ea4” x 4” impregnated gauze sponges (sterile) 529972 A6231 15/bx

CONTAINS HONEY

LATEX FREE

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Covidien HYDROGELS

Kendall™ Hydrogel Wound DressingsOptimal environment for natural wound heal-ing provided by clear wound dressings. Devised for the management of Stages I – IV pressure ulcers, stasis ulcers, first- and second-degree burns, cuts, abrasions and minor skin irritations.


0.5-oz. tube 9250 A6248 ea1-oz. tube 9251 A6248 ea3-oz. tube 9252 A6261 ea

SUPER ABSORBANT DRESSINGS

Medline

OptilockSuper-absorbent polymer core. Locks in drainage under compressionAdjusts absorption to the amount of drainage. Protects skin from maceration. Non-adherent wound contact layer. Indications: pressure ulcers,

partial and full-thickness wounds, leg ulcers, lacerations and abrasions and wounds under compression. Contraindications: third-degree burns, known sensitivity to the product itself or its components; do not use on non-exudating or minimally exudating wounds. May be left in place for up to 7 days; Dressing change frequency will depend on amount of drainage. ITEM# SIZE HCPC

MSC6455EPH 5”x5.5” A6252 MSC64610EPH 6.5”x10” A6252

Dukal

Combine ABD PadThe DUKAL Combine ABD Pad is a highly absorbent dressing with a soft outer facing that wicks moisture away into the cellulose core. The dressing provides padding and protection for large wounds. The quick wicking pad with moisture resistant barrier offers

superior performance with its sealed edges. PRODUCT# SIZE HCPC

DKL5590 5”x9” A6252 DKL5810 8”x10” A6252


HARTMANN USA


AquaClear® Gel Sheet DressingsClear gel sheet dressings are an alternative, Latex- Free way to provide a moist environ-ment for chronic wound treatment. Hydro-cellular gel dressings made of absorbent, polyurethane polymers are covered with a

semi-permeable, polyurethane film preventing water and microorganism contamination. Individually sealed, they are sterile and transparency with the measuring grid allow wound monitoring without change. When changed, will not hurt the tissue or stick to the wound. AquaClear® Adhesive film border to ensures it stays secure and prevents bacterial penetration.

ITEM # HCPCS SOLD BYAQUACLEAR®

2” x 3” 9007953 A6242 5/bx4” x 4” 9007963 A6242 5/bx

AQUACLEAR® ADHESIVE

3” x 4” 900797 A6245 5/bx5” x 5” 900798 A6245 5/bx

Smith & Nephew

INTRASITE* Gel Amorphous Hydrogel DressingsAmorphous hydrogel rehydrates necrotic tissue and facilitates autolytic debridement in the primary man-agement of chronic wounds. Exudate is absorbed from the wound surface by the gel, which creates a moist wound environment and lessens the frequency of dressing changes. Sterile. Easy-to-use APPLIPAK* delivery system. Can be used throughout the wound management process, preservative free. ITEM # HCPCS SOLD B

8 g 66027308 A6248 10/bx15 g 66027311 A6248 10/bx25 g 66027313 A6248 10/bx

SOLOSITE* Wound GelFluid hydrogel constructs a moist wound environ-ment. Noncytotoxic. The polymer used is water “swellable,” allowing exudate absorption, yet remaining gel-like until saturated. ITEM # HCPCS SOLD BY

3-oz. tube 449600 A6248 ea*Trademark of Smith & Nephew


Normlgel® AgNormlgel® Ag Antimicrobial Gel is a hydrogel that ef-fectively in assisting the debridement and deslough-ing process in dry necrotic wounds. The antimicrobial hydrogel also maintaining the optimal moist wound environment for the wound to heal. ITEM # HCPCS SOLD BY

1-1/2 oz. tube 350450 A6248 ea

Hypergel®For the black, necrotic phase of wound healing, a 20% hypertonic saline gel. Water-based, hypertonic saline gel draws drainage and debris from the wound while softening eschar. Debrides both dry and moist necrotic tissue (eschar), which is essential for wound healing to progress. ITEM # HCPCS SOLD BY

0.17-oz. (5 g) tubes 360500 A6248 10/bx0.5-oz. (15 g) tubes 361500 A6248 10/bx

Normlgel®0.9% isotonic saline gel. Moisture-donating gel maintains an optimum healing environment. ITEM # HCPCS SOLD BY

0.17-oz. (5 g) tubes 370500 A6248 10/bx0.5-oz. (15 g) tubes 371500 A6248 10/bx

MPM Medical, Inc.

Regenecare® Wound Care Gel with 2% LidocaineAmorphous hydrogel dressing. Proven to reduce pain inten-sity and itching without side effects. Manages dermato-logical and wound problems. Effective in the management of dermatological problems (radiation reactions; abrasions and skin tears; burns and cuts; psoriasis; shingles; and dry and moist desquamation) and wound problems (diabetic and vascular ulcers; partial- and full-thickness wounds;

and pain associated with debridement). 2% lidocaine HCl breaks the “itch and scratch” cycle by reducing pain and inflammation. Marine collagen acts as humectant, natural barrier while polysaccharides in aloe vera moisturize and reduce inflammation. This also stimulates microcirculation and immune factors to speed wound healing. Contains calcium alginate to absorb drainage.


3-oz. tube MP00100 A9270 ea

Excel-Gel™ Hydrogel DressingMoisture added to wound by Aloe vera and glycerin. Pro-vides view of the wound and a moist wound environment. Stage II – IV pressure ulcers, first- and second-degree burns, and leg ulcers.


1 oz. tube MP00026 A6248 ea

Oculus

Microcyn® Skin & Wound HydroGel™Envisioned for the management of exuding wounds. Leg ulcers, pressure ulcers, diabetic ulcers, first- and sec-ond-degree burns, and mechanically or surgically debrided wounds.


3-oz. gel 84804 A6248 ea

Dynarex

HydroGel Wound DressingManagement and dressing of stasis ulcers, pressure ulcers (Stages I – IV), first- and sec-ond-degree burns, cuts, abrasions, skin irritations, post-operative incisions and skin conditions related with peristomal care. ITEM # HCPCS SOLD BY

3-oz. tube 1280 A6250 ea

Medline

TenderWet®A 24 hour continuous “rinsing effect” is produced by the gel dressing pad and maintains a moist wound environment. Activated with Ringer’s Solution. TenderWet® is ideal for treating chronic wounds that need an improved, efficient cleansing mechanism. The gel structure absorbs the dry necrosis and hardened tissue that will be detached and softened. ITEM # HCPCS SOLD BY

1.6”, round MSC8301 A6242 7/bx2.2”, round MSC8302 A6242 7/bx4” x 5”, square MSC8305 A6243 7/bx4” x 5”, cavity square MSC8405 A6243 42/cs

SilvaSorb® GelFor wounds with slight drainage. SilvaSorb® Gel is used to help manage bacteria in wounds with an antimicrobial formula and advanced fluid man-agement. Gentle formula for up to 3 day wear and gel is anti-stain. Helps wounds such as pressure ulcers, surgical wounds, burns, cuts and abrasions, skin tears, and more. ITEM # HCPCS SOLD BY

1-1/2-oz. tube MSC930/EP A6248 ea

Spenco®

All Spenco® wound care products are latex-free unless otherwise noted.

Spenco® 2nd Skin® AquaHeal™Highly absorbent made of sterile hydrogel and polyurethane film adhesive with visibility of the wound’s healing process. Natural healing, with cooling and soothing relief is the answer for minor cuts, scrapes, bites blisters and burns. Protects by sealing out bacteria, yet skin can breathe. Three small (1” x 2-1⁄5” ) and three large (1-3⁄4” x 3” ) bandages. ITEM # HCPCS SOLD BY

4823900 A6245 6/bx

LATEX FREE

LATEX FREE

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Anacapa Technologies, Inc. HYDROGELS

Anasept® Antimicrobial Skin & Wound GelThe noncytotoxic, clear, viscous, isotonic hydrogel with long-lasting, broad spectrum bactericidal (including the anti-biotic-resistant strains MRSA and VRE), fungicidal and virucidal properties. No known resistance to the active antimicrobial agent. 3 year shelf-life. ITEM # HCPCS SOLD BY

3-oz. tube 5003G A6248 ea

Silver-Sept® Antimicrobial Skin & Wound GelThe clear, amorphous hydrogel will not stain or discolor tissue. Gel is also nonirritating, nonsensitizing and noncy-totoxic. 200 μg/gm of silver demonstrates antimicrobial barrier properties even among the presence of organic substances that have been inhibitors of antimicrobial agents in wound fluid. Has been shown to maintain a high level of antimicrobial effectiveness for up to three days. Effective against bacteria, including the antibiotic-resistant strains MRSA (methicillin-resistant Staphylococcus aureus) and VRE (vancomycin-resistant Enterococci), as well as fungi, such as Candida albicans and Aspergillus niger. ITEM # HCPCS SOLD BY

1.5-oz. tube 3015S A6248 ea3-oz. tube 3003S A6248 ea

LATEX FREE

Cellerate

RX GelApprox. 65% Type 1 Collagen. Donate moisture, forms occlusive barrierSterile. Maintains moist environment and pro-motes autolytic debridement. Biodegrable and synthetic free. Does not require removal from wound site. Effective in all wound phases/states:

inflammation, proliferation, maturation/necrotic, infected, granulating, remodeling ITEM# HCPC SOLD BY CRXG-28GMEA A6010 1 oz

Medline

Stimulen GelCan apply collagen gel in situations where powder would be difficult. Provides a highly concentrated dispersion of modified collagen. Protective gel on the wound bed protects from dehydration. Moist environment promotes rapid healing. Can be used to fill a cavity wound. Non-toxic and non-irritating and easy to use. ITEM# HCPC SOLD BY

SWTST9503 A6010 1 oz


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Oakin

Amerigel® Wound DressingAmerigel® Wound Dressing’s unique formula addresses multiple wound concerns concurrently, promotes moist wound healing. ITEM # HCPCS SOLD BY

1 oz. tube A2001 A6248 ea

Elta

SilverGel®Antimicrobial hydrogel with sustained silver release for 3 days, SilverGel® can be utilized to maintain moist and clean wound environments. Recommended for high-risk or infected ulcers, chronic wounds with light to moderate exudate. SilverGel® will not stain or discolor as gel is clear. ITEM # HCPCS SOLD BY


ReliaMed®


ReliaMed® Hydrogel Sheet DressingsRehydrates wound beds, composed of more than 90% water content. Promotes autolytic debridement and a cooling effect for burns, first and second-degree alike. Usable on shallow and pack deep wounds and requires secondary dressing or tape to secure dressing. Made in the USA. Sterile. ITEM # HCPCS SOLD BY

4” x 4” ZDHG44 A6242 10/bx

ReliaMed® Amorphous HydrogelWound is moisturized by aloe-vera and glycerin. Promotes autolytic debridement. Gel clarity allows wound visu-alization, nontoxic to healthy tissue. Single patient use. Fragrance free. Made in the USA. ITEM # HCPCS SOLD BY

3-oz. tube ZRHG03 A6248 ea

ReliaMed® Silver Hydrogel

Benefits of hydrogel and combined with silver’s antimicro-bial properties to be effective against a broad spectrum of bacteria and fungi. Rapidly kills microorganisms, including MRSA (methicillin-resistant staphylococcus aureus), within minutes. Denoted for the management of partial- and full-thickness wounds with light to moderate exudate; pressure, diabetic foot and leg ulcers; skin abrasions,

lacerations and tears; first- and second-degree chemical or thermal burns; and surgical, grafted and donor sites. Hydrogel remains gentle towards the healthy and underlying tissue. Made in the USA. Caution: Federal Law restricts this product to sale by or on the order of a physician or licensed practitioner.


1.5-oz. tube ZRSHG15 A6248 ea

Coloplast


Woun’Dres® Collagen HydrogelUnique gel formula maintains a moist environment for wound healing by protecting new granulation tissue, absorbing exudate, rehdrating, debriding and removing slough Presenting a clean wound bed conducive to tissue regeneration helps eliminate accumulated slough or dead tissue from the wound. Natural debridement process and promoting a natu-ral autolysis eliminates discomfort of debriding and rehydrates and softens necrotic tissue and eschar.


1-oz. tube 1166 A6248 ea3-oz. tube 7690 A6248 ea

CONTAINS SILVER

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

Purilon® GelMaintain an optimal moist environment with the State-of-the-art hydrogel designed with high vis-cosity and essential for autolytic debriding. Superior hydration with essential absorptive action are aided by natural and sterile ingredients ITEM # HCPCS SOLD BY

8 g (0.28 oz.) 3906 A6248 ea15 g (0.5 oz.) 3900 A6248 ea25 g (0.88 oz.) 3903 A6248 ea

Derma Sciences

MEDIHONEY® GelPatented formulation with 80% active leptosper-mum honey and 20% natural gelling agents. Offers stronger stability at wound site, even among wound fluid and body heat. A thicker, more viscous product. ITEM # HCPCS SOLD BY

0.5-oz. tube 31805 A6240 ea1.5-oz. tube 31815 A6240 ea

IMPREGNATED GAUZE

Covidien

Kerlix® AMD RollsContain PHMB (polyhexamethylene biguanide). Bacterial colonization is reduced within, and bacte-rial penetration through the dressing is resisted. The broad-spectrum effectiveness provides protection against gram-negative, gram-positive and fungi/

yeast microorganisms, including MRSA (methicillin-resistant staphylococcus aureus) and VRE (vancomycin-resistant enterococci). Cross-contamination from patient to patient, patient to clinician and patient to the environment is limited. Sterile.


Plastic tray, 4.5” x 4.1 yds 3331 A6266 60/csSoft pouch, 4.5” x 4.1 yds 3332 A6266 ea

Curity™ Sodium Chloride DressingsDesigned for infected wounds, hypertonic saline dressings designed to promote biological cleaning and support the autolytic debridement process. Kerlix® super sponge saturated in a 20% hypertonic saline solution. ITEM # HCPCS SOLD BY

1⁄2” x 5 yds., packing strip 3335 A6407 ea6” x 6-3⁄4” 3339 A6229 24/bx

CONTAINS HONEY

IMPREGNATED GAUZE

Kendall™ Hydrogel Impregnated GauzeDesigned for management of Stages I – IV pressure ulcers, stasis ulcers, first- and second-degree burns, cuts, abrasions and minor irritations of the skin. Nat-ural wound healing is aided by the clear, amorphous hydrogel. One per peel-pack. ITEM # HCPCS SOLD BY

2” x 2” 9255 A6231 25/bx4” x 4” 9256 A6231 25/bx4” x 8” 9257 A6232 25/bx


Mesalt®Facilitates the natural wound healing process with absorption of exudate, bacteria and necrotic material from wound into the dressing. Sodium chloride-im-pregnated gauze helps stimulate the cleansing of moist necrosis (slough) in draining and infected wounds. Manages moderate to heavily discharging and infected wounds in the inflammatory phase and deep cavity wounds, such as pressure ulcers and surgical wounds. ITEM # HCPCS SOLD BY

3⁄4” x 39” ribbons 285299 A6266 10/bx2” x 2” 285580 A6222 30/bx4” x 4” 285580 A6222 30/bx6” x 6” 285780 A6223 30/bx8” x 8” 286099 A6224 30/bx

Systagenix

ADAPTIC® Non-Adhering DressingsKnitted cellulose acetate impregnated with a spe-cially formulated petrolatum emulsion designed to protect the wound. Ideal for moderately to heavily exuding wounds. ITEM # HCPCS SOLD BY

3” x 3” 2012 A6222 ea3” x 8” 2013 A6223 3/pk3” x 8” 2015 A6223 24/bx3” x 16” 2014 A6223 ea3” x 60” 2018 A6266 ea5” x 9” 2019 A6223 12/bx

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Covidien IMPREGNATED

Telfa® AMD DressingsImpregnated with PHMB (polyhexamethylene biguanide). PHMB is a safe, powerful antiseptic with effectiveness against a wide range of gram-positive and gram-negative microorganisms, including MRSA and other multi-drug resistant strains. A prophylactic method of treatment without changing nursing pro-tocol. A primary dressing for lightly draining wounds with perforated mylar film and an absorbent core. ITEM # HCPCS SOLD BY

NON-ADHERENT

3” x 4” 7662 A6222 50/trayISLAND

4” x 10” 7667 A6204 25/bx4” x 14” 7668 A6204 25/bx

Smith & Nephew

CUTICERIN* GauzeImpregnated gauze. A nonadherent, smooth acetate fabric has a defined mesh size and water-repellent ointment coating. Pain during dressing change is minimal and risk of granulation tissue growing through dressing is reduced. Air and exudate may still pass freely through dressing. Treatment of extensive, exuding wounds, burns, abrasion and split-thickness skin graft donor sites. ITEM # HCPCS SOLD BY

3” x 3” 66045560 A6222 ea3” x 3” 66045562 A6222 10/bx3” x 8” 66045563 A6223 10/bx3” x 8” 66045561 A6223 50/bx3” x 8” (3/pkg) 66045503 A6223 25/bx4” x 4” 66045564 A6222 10/bx8” x 16” 66045502 A6224 25/bx

SOLOSITE* Gel Conformable Wound DressingsDressing is manufactured using nonwoven gauze thoroughly saturated with SOLOSITE* Wound Gel. This gel maintains intimate contact with the wound surface to create a moist wound healing environment. ITEM # HCPCS SOLD BY


BSN Medical Inc.

Cutimed® Sorbact® GelHydrogel-impregnated dressing. Microbial manage-ment plus autolytic debridement for dry, necrotic, sloughy or cavity wounds. Sterile, latex-free. ITEM # HCPCS SOLD BY

3” x 3” 7261100 A6231 10/bx3” x 6” 7261101 A6232 10/bx

ReliaMed®


ReliaMed® Petrolatum Impregnated Gauze Non-Adhering Dressings

Fine, soft, conformable gauze impregnated with white petroleum. Properties of white petroleum min-imize trauma to wounds during removal. Dressing is designed as non-adhering packing for full-thickness wounds and to offer a moist environment for optimal wound healing. Sterile. Ideal for Stages II – IV chronic wounds, tunneling wounds and noninfected wounds. ITEM # HCPCS SOLD BY

3” x 9” ZGIP39 A6223 12/bx3” x 18” ZGIP318 A6266 12/bx3” x 36” ZGIP336 A6266 12/bx6” x 36” ZGIP636 A6266 12/bx

ReliaMed® Medicated Petrolatum DressingsComparable to petrolatum-impregnated gauze, with 3% bismuth tribromophenate. Ideal for when mild medica-tion or deodorizing is needed. Sterile. 5” x 9”. ITEM # HCPCS SOLD BY

5” x 9” ZGIX59 A6223 ea

ReliaMed® Oil Emulsion DressingsNon- Adherent packaging for wounds comprised of knitted cellulose acetate fabric coated with a formulated petroleum emulsion. Can manage skin grafts, surgical sites, abrasions, lacerations and decubitus ulcers. ITEM # HCPCS SOLD BY

3” x 3” ZGOE33 A6222 50/bx3” x 8” ZGOE38 A6223 24/bx5” x 9” ZGOE59 A6223 12/bx

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

Derma Sciences

BIOGUARD® Barrier DressingsPatented line of infection control dressings with strong, broad-spectrum activity against wound pathogens. Cationic biocide impregnated dress-ings (PolyDadmac). Design helps reduce wound infections and cross-contamination during dressing change, and show a successful 99.99% kill rate.


Large gauze roll, 4.5” x 4.1 yds., 6-ply 97322 A6266 eaGauze sponges, 2” x 2”, 8-ply, (2s) 97208 A6222 50/pkGauze sponges, 4” x 4”, 12-ply, (2s) 97412 A6222 25/pkConforming bandage, 4” x 4.1 yds. 97441 A6266 ea

PACKING STRIPS

1⁄4” x 5 yds. 97831 A6266 ea1⁄2” x 5 yds. 97832 A6266 ea1” x 5 yds. 97833 A6266 eaNON-ADHERENT DRESSINGS

3” x 4” 97334 A6222 50/bx3” x 8” 97338 A6223 50/bx

Petrolatum Gauze Non-Adhering DressingsSoft, conformable, fine gauze impregnated with white petroleum. The dressing is designed to provide non-ad-herent packing for full-thickness wounds, and offer easier removal causing minimal trauma to wound. Manages full-thickness chronic wounds, such as pressure ulcers (Stages II – IV), tunneling wounds and noninfected wounds. ITEM # HCPCS SOLD BY

0.5” x 72” 20049 A6266 12/bx1” x 36” 20053 A6266 12/bx

Shur-Conform® Oil Emulsion Non-Adhering DressingsSterile, oil emulsion-impregnated dressing. Made of a knitted cellulose acetate fabric that allows fluid to move through dressing into a secondary absorbent dressing. Coated with a formulated petroleum emulsion. Offers non-adherent packing for wounds, and minimal-trauma removal. Used for management of skin grafts, surgical sites, abrasions, lacerations, dermal ulcers and cosmetic surgery sites. ITEM # HCPCS SOLD BY

3” x 8” (3s) 77044 A6223 36/bx3” x 16” 77043 A6223 36/bx

IMPREGNATED GAUZEDerma Sciences

Dermagran® Hydrophilic Gauze DressingsEncourage autolytic debridement and support epidermal growth with a mildly acidic environment. Contains zinc and vitamins A and B6, which play an important role in tissue repair. Provide moisture and protection. ITEM # HCPCS SOLD BY

2” x 2” SPD20 A6231 25/bx4” x 4” SPD21 A6231 15/bx8” x 4” SPD24 A6232 15/bx

Covidien

Curity™ Non-Adherent StripsOil emulsion blend impregnated into open mesh, knitted fabric design. Nonadhering to wound site. Exudate drains away from wound. Ideal for donor sites, delicate suture lines, graft sites and draining wounds. ITEM # HCPCS SOLD BY

3” x 3” 6112 A6222 50/bx3” x 8” 6113 A6223 24/bx

HYDROCOLLOIDS

ConvaTec

DuoDERM® CGF® Border DressingsFor hard-to-dress areas. A wide outer foam border so additional taping is not required. Recommended for use on dermal ulcers, including full thickness wounds, leg ulcers, donor sites and partial-thickness burns. ITEM # HCPCS SOLD BYSQUARES

2.5” x 2.5”, 0.75” border 187970 A6237 5/bx4” x 4”, 0.75” border 187971 A6237 5/bx6” x 6”, 1” border 187972 A6238 5/bx

TRIANGLES

4” x 5”, 1” border 187973 A6237 5/bx6” x 7”, 1” border 187974 A6238 5/bx

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DuoDERM® CGF® Sterile DressingsHydrocolloid, moisture-retentive wound dressings. To be used for partial- and full-thickness wounds with exudate: such as dermal ulcers, Stages II – IV pressure ulcers, leg ulcers, superficial wounds and donor sites.


4” x 4” 187660 A6234 5/bx4” x 4” 187658 A6234 20/bx6” x 6” 187661 A6235 5/bx6” x 6” 187659 A6235 20/bx6” x 8” 187643 A6235 5/bx8” x 8” 187662 A6236 5/bx8” x 12” 187644 A6236 5/bx

DuoDERM® Extra Thin DressingsProtective wound dressing for anywhere on the body. Thin, flexible, conformable and moisture-resistant to protect susceptible areas. Translucent backing will prevent unnecessary dressing changes that can disturb the healing process and cause added discomfort. Recommended for use on skin tears, dry to lightly exuding dermal ulcers, superficial wounds and postoperative wounds. Maintains moist healing environment for wound.


1.75” x 1.5”, spots 187932 A6234 20/bx2” x 4” 187900 A6234 20/bx2” x 8” 187961 A6234 10/bx3” x 3” 187901 A6234 20/bx4” x 4” 187955 A6234 10/bx4” x 6”, oval 187902 A6235 10/bx6” x 6” 187957 A6235 10/bx6” x 7”, triangular 187903 A6235 10/bx

DuoDERM® Signal® DressingsTapered edges will reduce rolling and bunching up while a visual indicator to signal the proper time to change the dressing. These convenient features reduce premature dressing removal, which means less pain and disruption to the wound bed. Provide a viral and bacterial barrier while intact and without leakage. Exudate absorption and optimal moist wound environment supports the healing process. Primary or secondary dressing. ITEM # HCPCS SOLD BY

4” x 4” 403326 A6237 5/bx5.5” x 5.5” 403327 A6238 5/bx4.5” x 7.5”, oval 410510 A6235 5/bx6” x 7”, triangle 403332 A6238 5/bx8” x 8” 403328 A6238 5/bx8” x 9”, triangle 403333 A6238 5/bx7.5” x 7.8”, heel 410500 A6235 5/bx8” x 9”, sacral 410501 A6236 5/bx

DuoDERM® Sterile Hydroactive® DressingsThe original DuoDERM® dressings, designed for the management of partial- and full-thickness pressure sores and leg ulcers. ITEM # HCPCS SOLD BY

4” x 4” 187611 A6234 20/bx

CombiDERM® Non-Adhesive DressingsContain an absorbent pad that utilizes absorbent technology along with the benefits of hydrocolloids. Contact layer is nonadhesive minimal discomfort in dressing changes. Keep excess moisture from delicate skin while still maintaining a moist healing environ-ment. Primary or secondary dressing is indicated for use with heavily exuding wounds. Used alone or in combination with absorbent filler dressings. ITEM # HCPCS SOLD BY

3” x 3” 187774 A6234 10/bx5.25” x 5.25” 187773 A6235 10/bx6” x 10” 187775 A6236 5/bx

CombiDERM® ACD® DressingsThin-profile dressing. A highly absorbent pad locks in exudate and maintains a moist healing environment. Absorbent hydrocolloids and adhesive cover all-in-one. Can be used as a primary or secondary dressing on heavily exuding wounds. May be used alone or in combination with absorbent wound filler dressings.


4” x 4” 651031 A6237 10/bx5.25” x 5.25” 187725 A6237 10/bx6” x 7”, triangular 651027 A6238 5/bx6” x 10” 651029 A6238 5/bx8” x 8” 401848 A6238 5/bx8” x 9”, triangular 401849 A6238 5/bx

3M Health Care


3M™ Tegaderm™ Hydrocolloid DressingsAchieve a moist wound environment, which has been shown to enhance healing. At 48 hours, dressing shows significantly higher absorbency than leading hydrocolloid. Outer film layer is breathable and sus-tains a high rate of moisture and vapor transmission. Film border is water-resistant and secure. Wound protected from contaminants, body fluids, bacteria and viruses provided by the outer film barrier.


2-3⁄4” x 3-1⁄2”, oval (4” x 5” overall) 90001 A6237 5/bx4” x 4”, square 90002 A6234 5/bx4” x 4-3⁄4”, oval (5” x 6” overall) 90003 A6237 5/bx5-1⁄2” x 6-3⁄4”, oval (6-3⁄4” x 8” overall) 90004 A6238 3/bx6” x 6”, square 90005 A6235 3/bx6-3⁄5” x 6-7⁄10”, sacral 90007 A6238 6/bx

3M™ Tegaderm™ Hydrocolloid Thin DressingsComfortable, thin, and absorbent. Oval shape sealed with film border to prevent edge lift and any prema-ture dressing failure. Protects against contaminants, body fluids, bacteria and viruses.


2-3⁄4” x 3-1⁄2”, oval (4” x 4” overall) 90021 A6237 10/bx4” x 4”, square 90022 A6234 5/bx4” x 4-3⁄4”, oval (5” x 6” overall) 90023 A6237 10/bx5-1⁄2” x 6-3⁄4”, oval (6-3⁄4” x 8” overall) 90024 A6238 6/bx

LATEX FREE

HYDROCOLLOIDS

Derma Sciences

MEDIHONEY® Honeycolloid™ Dressings

Patented formulation with 80% leptospermum honey. Adhesive version is occlusive like a traditional hydrocolloid: a thin film backing and adhesive border. A secondary dressing will be required to hold the non-adhesive version in place. Promotes an optimal wound-healing environ-ment. For light to moderately exuding wounds.

ITEM # HCPCS SOLD BYNONADHESIVE BORDER

2” x 2” 31222 A6234 10/bx4” x 5” 31245 A6235 10/bx

ADHESIVE BORDER

2” x 2” (3.5” x 3.5” with adhesive border) 31422 A6237 10/bx4.5” x 5.5” (6” x 6” with adhesive border) 31445 A6238 10/bx

XTRASORB™ HCS DressingsHybrid hydrogel/hydrocolloid dressing. Hydrate dry to lightly exuding wounds, and experience standard hydrogel cooling and soothing application, with half water and glycerin. Impressive absorption by half-sodium CMC and superabsorbent polymer

blend. This “smart dressing” reduces the number of dressings needed as it can be used on dry to moderately exuding wounds. Wound fluid is locked into the dressing. Minimizes lateral wicking, reducing maceration. ITEM # HCPCS SOLD BY

2.3” x 2.3” 86322 A6234 10/bx4.5” x 4.5” 86344 A6235 10/bx8” x 8” 86388 A6236 5/bx3” x 3” (with adhesive border) 86433 A6237 10/bx6” x 6” (with adhesive border) 86466 A6238 10/bx

MEDIHONEY® HCSPatented formulation with 63% active leptospermum honey combined with a hydrogel colloid gelling agent. Dressing forms a gel as wound exudate is absorbed, which allows for non-traumatic removal. The dressing delivers a cooling and soothing, hydrogel-like feel. Dry to moderately exuding wounds.

ITEM # HCPCS SOLD BYNONADHESIVE

2.4” x 2.4” 31622 A6234 10/bx4.33” x 4.33” 31644 A6235 10/bxADHESIVE

2.8” x 2.8” (with adhesive border) 31722 A6237 10/bx4.5” x 4.5” (with adhesive border) 31744 A6238 10/bx

CONTAINS HONEY

CONTAINS HONEY

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Coloplast


Comfeel® Plus Ulcer DressingsSterile, hydrocolloid with alginate for superior exudate management. “No touch” system allows for easy appli-cation while wearing gloves. The skin-friendly adhesive keeps the dressing in secure, yet removal is easy. Polyure-thane top film allows pores to open and close based on levels of exudate. The adaptable film contributes to better exudate management, allowing evaporation and the maintenance of a moist environment. ITEM # HCPCS SOLD BY

1-1⁄2” x 2-1⁄2” (4 cm x 6 cm) 3146 A6234 30/bx4” x 4” (10 cm x 10 cm) 3110 A6234 10/bx6” x 6” (15 cm x 15 cm) 3115 A6235 5/bx8” x 8” (20 cm x 20 cm) 3120 A6236 5/bx

Comfeel® Plus Sacral DressingsTriangular shape and sterile flexibility with anatomical design is expressly for the difficult-to-dress sacral area. ITEM # HCPCS SOLD BY

7” x 8” (18 cm x 20 cm) 3285 A6235 5/bx

Comfeel® Plus Contour DressingsEliminate additional taping with hydrocolloid edging and a versatile butterfly shape that fits in areas such as the sacrum, heel and elbow. Thin, transparent hydrocolloid edging promotes a healing environment for damaged skin surrounding the ulcer. Adaptable top film detects when to open and close its pores to allow excess moisture to evaporate, while maintaining the proper moist environ-ment. Premature dressing due to soiling is avoided by a washable cover. “No-touch” system allows easy application while wearing gloves.


24” square inches (6 cm x 8 cm) 3280 A6235 5/bx42” square inches (9 cm x 11 cm) 3283 A6235 5/bx

Comfeel® Plus Pressure Relief DressingsEnhance local circulation by redistributing the pressure with an independently scored, high-density foam backing. Outer border is adhesive to keep dressing in place with a residue-free removal to prevent irritation. Unique polyurethane top film identifies when to open and close pores and adapts to allow excess moisture to evaporate, yet maintain a moist environment. “No-touch” system allows easy application while wearing gloves. ITEM # HCPCS SOLD BY

3” (7 cm) butterfly 3350 A6237 5/bx4” (10 cm) round 3353 A6237 5/bx6” (15 cm) round 3356 A6238 5/bx

Comfeel® Plus Transparent DressingsThe benefits of a sterile, clear hydrocolloid dressing are conjoined with superior exudate management. A breakthrough in hydrocolloid technology- unsurpassed absorptive capacity manages low-exudate wounds.


2” x 2-3⁄4” (5 cm x 7 cm) 3530 A6234 10/bx3-1⁄2” x 5-1⁄2” (9 cm x 14 cm) 3536 A6235 10/bx4” x 4” (10 cm x 10 cm) 3533 A6234 10/bx6” x 6” (15 cm x 15 cm) 3539 A6235 5/bx

Comfeel® Ulcer Care DressingsOriginal Comfeel® hydrocolloid promotes moist wound healing, absorbs exudate and allows natural debridement. Soft and flexible; conform easily to body contours. The useful “No-touch” system allows one-handed application, even with gloves. Reduce the need for taping and possibility of edgeroll with Microthin edges. Easy to remove, without any lingering residue and prevents irritation. Partial-thickness wounds.


1-1⁄2” x 2-1⁄2” (4 cm x 6 cm) 3233 A6234 30/bx4” x 4” (10 cm x 10 cm) 3213 A6234 10/bx6” x 6” (15 cm x 15 cm) 3218 A6235 5/bx


Restore® Extra Thin Hydrocolloid DressingsThinner dressings maintain a moist wound environment and manage minimal exudate in shallow wounds. Semi- occlusive with flexible backing. Protects skin from further injury. Includes is a disposable wound measuring guide. Sterile. ITEM # HCPCS SOLD BY

4” x 4” 519921 A6234 5/bx6” x 8” 519923 A6235 3/bx8” x 8” 519925 A6236 3/bx

Restore® Hydrocolloid DressingsSterile, conformable, semi-occlusive dressings with a flexi-ble outer layer. Help maintain a moist wound environment and manage minimal to moderate exudate in partial- and full-thickness wounds. Dressings are available with or without tapered edges and in specialty shapes. Include disposable wound measuring guide. ITEM # HCPCS SOLD BYWITHOUT TAPERED EDGES

4” x 4” 519953 A6234 5/bx6” x 8” 519954 A6235 3/bx8” x 8” 519955 A6236 3/bxWITH TAPERED EDGES

4” x 4” 519956 A6234 5/bx6” x 6” 519963 A6235 5/bx6” x 8” 519957 A6235 3/bx8” x 8” 519958 A6236 3/bxWITH TAPERED EDGES, TRIANGLE SHAPE

17” 519959 A6235 5/bx26-1⁄2” 519965 A6235 5/bx

Restore® Hydrocolloid Dressings with Foam Backing, SterileOcclusive dressings with white foam backing for low friction areas with moderate exudate. ITEM # HCPCS SOLD BY

4” x 4” 519930 A6234 5/bx6” x 8” 519932 A6235 3/bx8” x 8” 519935 A6236 3/bx

LATEX FREE

HYDROCOLLOIDS

Systagenix

NU-DERM® Hydrocolloid Wound DressingsPromote a moist wound environment under optimal conditions that encourages natural debridement and enabling granulation. The contact of dressing material with wound exudate forms a soft gel. Controlled matrix formulation of hydrocolloid allows it to be removed with the dressing, with little or no damage

to newly formed tissue. Dressing changes will lessen with an increased absorbency, which will minimize wound disturbance and allow for more efficient healing time. Patented, tapered edges work against roll up and prevent detachment. Maximize storage and capacity with innovative packaging. ITEM # HCPCS SOLD BY

2” x 2” border, film backing HCB102 A6237 20/pk4” x 4” border, foam backing HCF204 A6234 5/pk4” x 4” border, thin HCT101 A6234 10/bx6” x 6” border, thin HCB106 A6238 5/bx

Smith & Nephew

REPLICARE* Hydrocolloid DressingsEase of film dressing with added absorbency. Balance of adhesion and elasticity promotes excellent adherence over joints. Dressing moves freely with user. ITEM # HCPCS SOLD BY

1-1⁄2” x 2-1⁄2” 483000 A6234 30/bx4” x 4” 483100 A6234 5/bx6” x 6” 483200 A6235 5/bx8” x 8” 483300 A6236 5/bx

REPLICARE* Thin Hydrocolloid DressingsFor lightly exuding wounds, such as skin tears and abrasions, as well as partial-thickness wounds. Maintain a moist wound environment for healing. Comfortable, conformable and cost-effective. ITEM # HCPCS SOLD BY

2-1⁄2 ̋x 2-3⁄4” 594840 A6234 10/bx3-1⁄2 ̋x 5-1⁄2” 594841 A6235 10/bx6” x 8” 594842 A6235 5/bx*Trademark of Smith & Nephew

Covidien

Kendall™ Alginate Hydrocolloid DressingsWound dressing is designed for use on dry to lightly exuding wounds. Sterile and highly flexible, a unique formulation absorbs exudate, preventing the mac-eration of periwound skin. The optimal environment for wound healing is a moist environment which is created and maintained. One per peel-pack. ITEM # HCPCS SOLD BY

2-1⁄2” x 2-1⁄2”, border 9807 A6237 5/bx4” x 4” 9801 A6234 5/bx4” x 4”, border 9808 A6237 5/bx4” x 5”, sacral 9805 A6238 5/bx6” x 6” 9802 A6235 5/bx6” x 7”, sacral 9806 A6238 5/bx8” x 8” 9804 A6236 5/bx

ReliaMed®


ReliaMed® Hydrocolloid DressingsState-of-the-art hydrocolloid formulation absorbs wound exudate. Film-backed dressings have low-friction backing to lessen shear forces that could lead to skin tearing. Foam-backed dressings offer an additional layer of cush-ioning, comfort. Dressing results in cleaner, less painful and easier-to-care-for wounds. Secure bonding to skin with adhesive properties. Sterile. Made in the USA.

ITEM # HCPCS SOLD BYFILM BACKING

2” x 2”, beveled edge ZDHC22B A6234 20/bx4” x 4”, thin ZDHC44T A6234 10/bx4” x 4”, beveled edge ZDHC44B A6234 10/bx6” x 6”, beveled edge ZDHC66B A6235 5/bx6” x 7”, beveled edge, sacral ZDHC67SB A6235 5/bx8” x 8”, beveled edge ZDHC88B A6236 5/bxFOAM BACKING

4” x 4” ZDHC44F A6234 5/bx6” x 6” ZDHC66F A6235 5/bx8” x 8” ZDHC88F A6236 5/bx

CONTACT LAYER

Argentum Medical

Silverlon® Antimicrobial Wound Contact Dressings

Easy-to-use, durable silver antimicrobial dressings. Safe and available for up to seven day usage. Pure metallic sil-ver is bonded to the nylon substrate, preventing shedding of silver or silver fibers into the wound bed. New silver ions are generated in the wound site with the presence of moisture, which differs from impregnated dressings, where the silver ions are trapped within dressing. Com-fortable for the user. ITEM # HCPCS SOLD BY

1” x 3”, adhesive strips AS6001 A6413 150/bx1” x 12”, packing strips WPS112 A4649 5/bx2” x 2” WCD22 A6206 10/bx

Silverlon® Burn Contact DressingsAll advanced antimicrobial features of the wound contact dressing with a two-way stretch nylon substrate addition to add mild compression, when needed. Indicated for first- and second-degree burns, also graft, donor sites. ITEM # HCPCS SOLD BY

4” x 4” BCD44 A6206 10/bx16” x 16” BCD1616 A6208 eaAcute burn glove, large ABG01L A4649 ea

Silverlon® Antimicrobial Negative Pressure Dressings (NPD)

Intended for use with NPWT (negative pressure wound therapy) systems. Dual flow ports allow passage of fluid and particles through the dressing. Antimicrobial protec-tion permits longer time between changes. Contact layer is user friendly and served as ideal primary dressing over highly exuding wounds. ITEM # HCPCS SOLD BY

5” x 12” NPD512 A6208 5/bx


Restore® Contact Layer FLEX Dressing with TRIACT® TechnologyA newer version of the original Restore® Contact Layer . This technology is more flexible and conformable while non-adherent for virtually pain-free dressing removal. Intended for low to moderately exuding, partial- to full-thickness wounds. Indicated for use in conjunction with negative pressure wound therapy. Sterile. ITEM # HCPCS SOLD BY

2” x 2” 506487 A6206 10/bx4” x 5” 506488 A6207 10/bx

Restore® Contact Layer Dressings with TRIACT® TechnologyNon-adherent, non-adhesive, non-occlusive wound contact dressings. Dressings suggested for lightly to moderately exuding, partial- and full-thickness wounds. Lack of adhesion makes dressing ideal for use on wounds with fragile surrounding skin. Direct application to wound, covering with a secondary dressing. Sterile. ITEM # HCPCS SOLD BY

8” x 12” 509379 A6208 10/bx

Smith & Nephew

CONFORMANT 2® Wound VeilsMinimize adherence and save nursing time. Usable over most wound sites under an absorbent outer dressing. Permeable, flexible and made exclusively from high-density polyethylene. Customizable with easy and uniform tearing in the direction of the grain. Versatile. ITEM # HCPCS SOLD BYSHEETS

4” x 4” 5955044 A6206 48/cs4” x 12” 5955412 A6207 48/cs12” x 12” 59551212 A6208 48/cs12” x 24” 59551224 A6208 48/cs

ROLLS

6” x 2 yds. 5955602 A6206 20/cs

LATEX FREE

LATEX FREE

CONTAINS SILVER

CONTAINS SILVER

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CONTACT LAYER

Smith & Nephew

PROFORE* Wound Contact Layers (WCL)Exudate may pass freely to an absorbent dressing or bandage layer to avoid exudate pooling. The contact layer shields the wound from absorbent pad materials, as the natural viscose rayon monofilament does not produce any residues that could complicate wound cleansing. Non-Adherent dressing prevents trauma or delay that can be caused by disturbing the wound bed and surrounding skin. ITEM # HCPCS SOLD BY

5-1⁄2” x 8” 66000701 A6207 50/bx*Trademark of Smith & Nephew


Mepitel®Safetac® soft silicone technology (double sided) is featured in this contact layer. Contact does not cling moist areas such as a wound bed, but will adhere gently to intact skin. Model for skin tears, fixation of grafts, traumatic wounds, partial-thickness burns, blisters and wounds in granulation phase. ITEM # HCPCS SOLD BY


Mepitel® OneHighly advanced wound contact layer dressing. Features Safetac® soft silicone technology on the wound contact side, only, for easy handling and application. This layer minimizes wound trauma and pain during dressing changes, and seals the wound edges, permitting exudate to travel into a secondary absorbent layer. A polyurethane net backing offers an open mesh structure that al-

lows for transfer of exudate and application of topical treatments. Efficient and economical as it may be left in place for up to 14 days, depending on the condition of the wound. Versatile in the range of wounds that it can be used to treat and the ability to conform well to varying body contours.


2” x 3” 289100 A6206 10/bx3” x 4” 289300 A6206 10/bx4” x 7.2” 289500 A6207 10/bx6.8” x 10” 289700 A6208 5/bx

Systagenix

ADAPTIC TOUCH® Non-AdheringSilicone Dressings

Flexible, open-mesh, primary wound contact layer. Open-mesh structuring allows free passage and movement of exudate into an absorbent secondary dressing. Layer is cellulose acetate coated with a soft tack silicone, which aids in application and prevents contact of the secondary dressing to the wound. Greatly minimizes patient pain and trauma in removal and dressing change. ITEM # HCPCS SOLD BY

3” x 2” 500501 A6206 10/bx3” x 4-1⁄4” 500502 A6206 10/bx5” x 6” 500503 A6207 10/bx8” x 12-3⁄4” 500504 A6208 5/bx

ACTISORB® Silver 220 Antimicrobial Binding Dressings

Dressings help reduce infection in partial and full thickness wounds. Broad-spectrum, antimicrobial action with bacterial toxin management and odor control. Silver particles are embedded and kill bac-teria and fungi, meanwhile highly porous, activated charcoal layer binds toxins and odor-causing mole-cules. Exudate flows freely to a secondary absorbent dressing; the outer nylon sleeve facilitates removal with minimal adherence to the wound. ITEM # HCPCS SOLD BY

2-1⁄2” x 3-3⁄4” 650220 A6206 10/bx4-1⁄8” x 4-1⁄8” 105220 A6207 10/bx4-1⁄8” x 7-1⁄2” 190220 A6207 10/bx

BSN medical Inc.

Cutimed® Sorbact® WCLNonmedicated wound contact layer that binds and inac-tivates pathogenic bacteria and fungi. Effective against all common wound bacteria. Quick and irreversible binding against common wound pathogens. Reduces wound odor and pain. Not linked to risk of development of resistant strains. Does not promote bacterial endo-toxin release. Indicated for all types of contaminated, colonized or infected, exuding wounds. ITEM # HCPCS SOLD BY

2” x 3” 7266200 A6606 10/bx4” x 4” 7266201 A6206 10/bx4” x 5” 7266202 A6207 10/bx4” x 8” 7266203 A6207 10/bx6” x 6” 7266204 A6207 10/bx8” x 8” 7266205 A6208 10/bx

Cutisorb® Ultra Super-Absorbent DressingFor moderate to highly exuding wounds. The soft wound contact layer will not stick to the wound. Superabsorbent core binds and retains exudate that is reached via the distribution layer, which channels fluid to ensure the core’s utilization. The dressing functions securely by the binding layer which retains the superabsorbent particles within the dressing. Protective backing provides a safe barrier to contamination and prevents strikethrough. ITEM # HCPCS SOLD BY

4” x 4”, sterile, latex free 7263900 A6251 20/bx8” x 4” 7263903 A6253 20/bx

BURN DRESSINGS

Smith & Nephew

ACTICOAT* with SILCRYST™ Nanocrystalline Silver

Nanocrystalline silver-impregnated, antimicrobial dressing. High-density polyethylene properties with the wound allow optimal exposure to bactericidal nano-crystals of silver. Within 30 minutes a broad spectrum of pathogens are killed by exposure to the dressing. This has been demonstrated by in vitro testing, including MRSA (methicillin-resistant staphylococcus aureus) and VRE (vancomycin-resistant enterococci). Three day wear.


2” x 2” 20601 A9270 5/bx4” x 4” 20101 A9270 12/bx4” x 8” 20201 A9270 12/bx4” x 48” rolls 20501 A9270 6/bx5” x 5” 20151 A9270 5/bx8” x 16” 20301 A9270 6/bx16” x 16” 20401 A9270 6/bx

Spenco®

Moist Burn PadsMoist wound care technology trusted by hospitals. Speed natural healing for blisters, burns and road rash while also protecting. Composed of pure, sterile water to ensure soothing and cool contact. Will not stick to wound. Combine pads for large area wounds. Pads can also be custom cut to fit.


1-1⁄2” x 2” 47122 A6242 25/bx2” x 3” 47121 A6242 25/bx3” x 4” 47120 A6242 25/bx

Smith & Nephew

ACTICOAT* 7 with SILCRYST™ Nanocrystalline SilverNanocrystalline silver-impregnated, antimicrobial dressing. High-density polyethylene properties con-form over the wound surface, creating a contact that allows optimal exposure to bactericidal nanocrystals of silver. Within 30 minutes a broad spectrum of pathogens are killed by exposure to the dressing. This has been demonstrated by in vitro testing, including MRSA (methicillin-resistant staphylococcus aureus) and VRE (vancomycin-resistant enterococci). Can remain in place for up to seven days. ITEM # HCPCS SOLD BY

2” x 2” 20341 A9270 5/bx4” x 5” 20141 A9270 5/bx6” x 6” 20241 A9270 5/bx

CONTAINS SILICONE

CONTAINS SILICONE

CONTAINS SILICONE

CONTAINS SILICONE

LATEX FREE

CONTAINS SILVER

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BURN DRESSINGS

ACTICOAT* Absorbent Dressings with SILCRYST™ Nanocrystalline Silver

Reduce infection in moderately to heavily exuding partial- and full- thickness wounds with this primary dressing that also acts as barrier to bacterial pene-tration. The antimicrobial qualities of nanocrystalline silver are comibined with alginate technology’s enhanced exudate management properties. The dressings provide both tensile strength and protec-tion the healing environment. Easy removal. ITEM # HCPCS SOLD BY

3⁄4” x 12” ropes 20181 A6199 5/bx4” x 5” dressings 20381 A6197 5/bx

COMPOSITE DRESSINGS

Derma Sciences

Dudress® Film Top Island DressingsNon-Adherent gauze pad with a transparent film top combine to be useful for superficial, lightly exuding wounds. Waterproof for showering, bathing or swimming. Sterile. ITEM # HCPCS SOLD BY

4” x 4” 89144 A6203 25/bx6” x 6” 89166 A6203 25/bx6” x 8” 89168 A6204 25/bx

MPM Medical, Inc.

Repel™ Waterproof Composite Wound DressingsDressing is Non-Adherent to tissue, reducing trauma during dressing changes, but also the central layer absorbs exudate so the number of dressing changes will be reduced. Indicated for leg ulcers, moderately to heavily draining wounds, skin tears, cuts, burns, abrasions and pressure Stage I – IV ulcers. Shields wound from urine and feces. Can stay on while showering and simply wiped off when soiled. ITEM # HCPCS SOLD BY

4” x 4” (2” x 2” pad) MP00082 A6203 30/bag6” x 6” (4” x 4” pad) MP00084 A6203 30/bag6” x 8” (4” x 6” pad) MP00086 A6204 30/bag

Smith & Nephew

COVRSITE* Plus Composite DressingsWaterproof version of COVRSITE*, which is indicated as a primary or secondary dressing in the management of acute or chronic wounds. Wound will be protected from urine or feces contamination by waterproof film layer covering the dressing. ITEM # HCPCS SOLD BY


3M Health Care

3M™ Tegaderm™ +Pad Film Dressings with Non-Adherent PadWaterproof, absorbable dressings with unique, non-ad-herent pad. Bacterial barrier helps prevent external bacteria from entering site. All-in-one sterile dressing reduces application time. ITEM # HCPCS SOLD BY

2” x 2-3⁄4” 3582 A6203 50/bx2-3⁄8” x 4” 3584 A6203 50/bx3-1⁄2” x 4” 3586 A6203 25/bx3-1⁄2” x 4-1⁄8”, oval 3587 A6203 25/bx6” x 6” 3588 A6203 25/bx

3M™ Tegaderm™ Absorbent Clear Acrylic DressingsTransparency allows for easy monitoring of the wound and reduces chance of an unnecessary change which protects the wound and patient. Ab-sorbent and hydrocolloid-related odor is eliminated along with dressing break down in the wound. Dressing’s barrier protects against pollutants such as bacteria, body fluids and viruses for optimal safety and healing. ITEM # HCPCS SOLD BY

3” x 3-3⁄4”, oval 90800 A6203 5/bx4-3⁄8” x 5”, oval 90801 A6203 5/bx5-5⁄8” x 6-1⁄4”, oval 90803 A6203 5/bx5-7⁄8” x 6”, square 90802 A6203 5/bx7-7⁄8” x 8”, square 90805 A6204 5/bx


Mepore®All-in-one, absorbent, sterile surgical dressings. Low-ad-herent pad protects healing wounds. Elastic, nonwoven polyester provides for a soft, smooth, porous dressing that minimizes fluid strike-through. As well, wound can breathe with dressing’s high air permeability. Able to conform to the body and inconvenient areas.


2-1⁄2” x 3” 670800 A6219 60/bx3-3⁄5” x 4” 670900 A6219 50/bx3-3⁄5” x 6” 671000 A6219 50/bx3-3⁄5” x 8” 671100 A6219 50/bx3-3⁄5” x 12” 671300 A6220 30/bx3-3⁄5” x 14” 671400 A6220 30/bx

Mepore® ProSelf-adherent, absorbent and breathable dressings. May be used for surgical wounds, and minor cuts and abra-sions. The outer film layer protects against contamination and water. Ideal for many situations with skin-friendly, water-based, solvent-free, polyacrylate adhesive which provides gentle and secure fixation. ITEM # HCPCS SOLD BY

2-1⁄2” x 3” 670890 A6203 60/bx3-3⁄5” x 4” 670990 A6203 40/bx3-3⁄5” x 6” 671090 A6203 40/bx3-3⁄5” x 8” 671190 A6203 30/bx3-3⁄5” x 10” 671290 A6203 30/bx3-3⁄5” x 12” 671390 A6203 30/bx

Alldress®Multilayered, sterile, moisture-proof, all-in-one compos-ite dressing that can be used as a primary or secondary dressing for wounds and utilized when a barrier is needed. Comprised of a low-adherent contact layer, a wicking and absorptive layer, and a self-adhesive, porous fabric tape. ITEM # HCPCS SOLD BY

4” x 4” overall (pad size 2” x 2”) 265329 A6203 10/bx6” x 6” overall (pad size 4” x 4”) 265349 A6203 10/bx6” x 8” overall (pad size 4” x 6”) 265369 A6204 10/bx

ReliaMed®


ReliaMed® Composite Barrier Dressings100% cotton, Non-Adherent island pad absorbs exudate for a cleaner wound bed. Nonwoven, adhesive cover has rounded edges to prevent detachment and the waterproof top film layer inhibits fluid from passing through the dressing. The film is breathable to allow for moisture vapor transmission. Wide, adhesive border for security. Item # ZGFB44 is a transparent film dressing with a nonadherent island pad. Sterile, individually sealed. ITEM # HCPCS SOLD BY

4” x 4”, 2” x 2” pads ZGFB44 A6203 25/bx4” x 4”, 2” x 2” pads ZGC44 A6203 25/bx6” x 6”, 4” x 4” pads ZGC66 A6203 25/bx

THIN FILM DRESSINGS

Smith & Nephew

IV3000* Transparent Adhesive Film DressingsIV3000* was the first transparent dressing designed specifically for IV site care. Compare to standard film dressings, patented REACTIC* film is three to eight times more water vapor permeable. This unique film keeps the IV site dry, may reduce risk of catheter-related infections, number of dressing changes will be minimized as comfort is maximized. Available in one-hand frame, tape handle delivery. ITEM # HCPCS SOLD BYONE-HAND

2-3⁄8” x 2-3⁄4”, peripheral 4007 A6257 100/bx4” x 4-3⁄4”, central 4008 A6258 50/bx

FRAME

2-3⁄8” x 2-3⁄4”, peripheral 59410082 A6257 100/bx4” x 4-3⁄4”, central 59410882 A6258 50/bx

TAPE HANDLE

4” x 5-1⁄2”, central 4925 A6258 10/bx4” x 5-1⁄2”, central 4973 A6258 50/bx4” x 8”, epidural 4649 A6258 50/bx

CONTAINS SILVER

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LATEX FREE

LATEX FREE

THIN FILM DRESSINGS

OPSITE* FLEXIFIX* Transparent Film RollWaterproof, transparent film dressing with trustworthy ability stay fixated. Available in roll form and prevents bacterial contamination. FLEXIFIX* allows the skin to breathe. Both of these qualities reduce the risk of mac-eration and reducing the risk of secondary infection. Adherence even during bathing or showering. ITEM # HCPCS SOLD BY

2” x 11 yds. 66000040 A6259 ea4” x 11 yds. 66000041 A6259 ea

OPSITE* FLEXIGRID* Transparent Adhesive Film DressingsTransparent film dressing with a simple and effective application system. Dressings management grib can be written on with pen to best track changes in the size of the wound. ITEM # HCPCS SOLD BY

2-3⁄8” x 2-3⁄4” 66024628 A6257 100/bx4” x 4-3⁄4” 66024629 A6258 10/bx4” x 4-3⁄4” 66024630 A6258 50/bx4-3⁄4” x 10” 66024632 A6258 20/bx6” x 8” 66024631 A6258 10/bx

OPSITE* Transparent Adhesive DressingsSupport and maintain a moist wound environment. Transparent polyurethane membrane. OPSITE* reduces the risk of infection from urine, feces and airborne bacteria as well as preventing bacterial contamination with a waterproof dressing. ITEM # HCPCS SOLD BY

5-1⁄2” x 4” 4963 A6258 10/bx5-1⁄2” x 4” 4975 A6258 50/bx5-1⁄2” x 10” 4967 A6259 20/bx11” x 4” 4542 A6258 10/bx11” x 6” 4986 A6259 10/bx11” x 11-3⁄4” 4987 A6259 10/bx11” x 17-3⁄4” 4988 A6259 10/bx17-3⁄4” x 21-5⁄8” 4989 A6259 10/bx*Trademark of Smith & Nephew

Covidien

Kendall™ Window Transparent Film DressingsIdeal dressings for IV sites, donor sites, burns, sutures and ulcers. Window frame style delivery method. Barrier to bacteria and fluid contaminants yet permeable to oxygen and moisture vapor for improved wound health. ITEM # HCPCS SOLD BY

2.375” x 2.75” 6640WF A6257 100/bx4” x 4.75” 6641WF A6258 50/bx6” x 8” 6642WF A6258 10/bx4” x 10” 6647WF A6258 20/bx8” x 12” 6648WF A6259 10/bx1.75” x 1.75” 6651WF A6257 100/bg

Systagenix

BIOCLUSIVE® Select Transparent Sterile DressingsMade of thin, transparent polyurethane film. Transparent window allows observation of the wound in the moist, healing environment. Semiocclusive dressings provide a safe barrier while permitting the oxygen vapor. For access devices such as IVs, CVPs and catheters. Also, for wounds, such as incisions, pressure ulcers, skin biopsies, donor sites and second-degree burns. “Easy stretch” re-moval dressings have a patented frame delivery system that allows for easy, one-handed application and reduce skin irritation. . ITEM # HCPCS SOLD BY

1-3⁄4” x 2-3⁄4” 2474 A6257 100/bx2” x 3” 2461 A6257 ea2-3⁄4” x 2-3⁄8” 2455 A6257 50/bx3” x 4” 2475 A6257 50/bx4” x 5” 2457 A6258 50/bx5” x 7” 2465 A6258 ea8” x 10” 2469 A6259 ea


Mepore® FilmIdeal for secondary fixation dressing and as a primary dressing for a broad spectrum of clean wounds. Trans-parent, self-adhesive film dressing. Mepore® Film’s application system is designed for ease, it provides a flexible, transparent covering to protect the wound, while conforming to body contours and any surface irregulari-ties. Maintains a moist environment in the wound while barricading fluid strike-through and viral and bacterial contamination. A high vapor permeability allows excess moisture to pass away from the wound and skin. ITEM # HCPCS SOLD BY

2-2⁄5” x 2-3⁄5” 270600 A6257 100/bx4” x 5” 271500 A6258 70/bx4” x 10” 272500 A6258 20/bx6” x 8-1⁄2” 273000 A6259 10/bx

HARTMANN USA

All HARTMANN USA products are latex-free.

Hydrofilm® Transparent Film DressingsPrevent moisture buildup and protect wounds from bacteria and water. Reliable, transparent, adhesive film dressings. Dressings secure comfortably on skin for longer wear time. Transparency provides wounds to be assessed without removal. Hypoallergenic adhesive. Breathable film. Transparent and water-proof so does not have to be removed for shower or bathing. Hydrofilm® Plus includes an absorbent, non-stick pad. ITEM # HCPCS SOLD BYHYDROFILM®

2.4” x 2.75” 685755 A6257 10/bx4” x 5” 685757 A6258 10/bx4” x 6” 685759 A6258 10/bx6” x 8” 685761 A6258 10/bx

HYDROFILM® PLUS

2” x 2.8” 685770 A6203 5/bx3.5” x 4” 685772 A6203 5/bx3.5” x 6” 685774 A6203 5/bx

ReliaMed®


ReliaMed® Transparent Thin Film DressingsOcclusive barrier to moisture and bacteria. Easy, one-handed application. Larger 6” x 8” design as a sec-ondary wound dressing. Smaller 2-3⁄8” x 2-3⁄4” and 4” x 4-3⁄4” sizes for IV catheter fixation. High MVTR (moisture vapor transmission rate). Sterile. ITEM # HCPCS SOLD BY

2-3⁄8” x 2-3⁄4” ZDTF238234D A6257 10/envelope2-3⁄8” x 2-3⁄4” ZDTF238234 A6257 100/bx4” x 4-3⁄4” ZDTF4434EA A6258 each4” x 4-3⁄4” ZDTF4434 A6258 50/bx4” x 4-3⁄4”, oval ZDTFOV4434 A6258 50/bx4” x 10” ZDTF410 A6258 30/bx6” x 8” ZDTF68 A6258 10/bx8” x 12” ZDTF812 A6259 10/bx

3M Health Care


3M™ Tegaderm™ HP Transparent Film Dressings, Frame StyleTegaderm™ HP (holding power) Film has a hydrophilic nature, which makes it more adherent and useful in moist conditions and difficult-to-dress areas. Provides a barrier to external contaminants and allows the patient to shower. Sterile, breathable and waterproof. ITEM # HCPCS SOLD BY

2-1⁄8” x 2-1⁄2”, oval 9545HP A6257 50/bx2-3⁄8” x 2-3⁄4” 9534HP A6257 100/bx4-1⁄2” x 4-3⁄4”, sacral 9543HP A6258 12/bx4” x 4-3⁄4” 9536HP A6258 50/bx4” x 4-1⁄2”, oval 9546HP A6257 50/bx

LATEX FREE

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LATEX FREE

LATEX FREE

LATEX FREE

THIN FILM DRESSINGS

3M™ Tegaderm™ Transparent Film Dressings, Frame StyleA breathable dressing, impermeable to liquids, bacteria and viruses. Caregivers prefer the “Picture-frame” delivery. Gentle on the skin with a still trusting, secure adhesion. Unique shapes and designs for wounds and IV. ITEM # HCPCS SOLD BY

1-3⁄4” x 1-3⁄4” 1622W A6257 100/bx2-3⁄8” x 2-3⁄4” 9505W A6257 20/bx4” x 4-1⁄2”, oval 1630 A6258 ea4” x 4-3⁄4” 1626W A6258 ea4” x 4-3⁄4” 9506W A6258 10/bx4” x 10” 1627 A6258 ea6” x 8” 1628 A6258 ea8” x 12” 1629 A6259 10/bx

3M™ Tegaderm™ IV Advanced Securement Dressings with Comfort Adhesive Technology

Designed to secure the catheter in difficult IV applications. Transparent film, gentle, latex-free, dual adhesives hold strongly, channel moisture and build strength over 24 hours. The transparency allows for easy monitoring of IV sites without removal. ITEM # HCPCS SOLD BY

2-1⁄2” x 2-3⁄4” 1683 A6257 100/bx3-1⁄2” x 4-1⁄2” 1685 A6257 50/bx4” x 4-3⁄4” 1688 A6258 50/bx

NON-IMPREGNATED GAUZE

ReliaMed®


ReliaMed® Gauze SpongesHighly absorbent material ideal for wound cleansing. Can be used also as secondary dressings for added absorbency. Fast wicking properties minimize skin maceration. Suitable for debriding, covering and packing wounds, or general use.

ITEM # HCPCS SOLD BYNONSTERILE, WOVEN, 100% COTTON

8-ply, 2” x 2” ZG2208NS A6216 200/pk8-ply, 4” x 4” ZG4408NS A6216 200/pk12-ply, 4” x 4” ZG4412NS A6216 200/pk

NONSTERILE, NONWOVEN

4-ply, 4” x 4” ZG4404NS A6216 200/pk

STERILE, WOVEN (2S), 100% COTTON

8-ply, 2” x 2” (2s) ZG2208S A6402 50/tray12-ply, 3” x 3” (2s) ZG3312S A6402 25/tray8-ply, 4” x 4” (2s) ZG4408S A6402 25/tray12-ply, 4” x 4” (2s) ZG4412S A6402 25/tray

STERILE, NONWOVEN (2S)

4-ply, 2” x 2” (2s) IRA2240 A6402 50/tray4-ply, 4” x 4” (2s) ZG4404S A6402 25/tray

ReliaMed® Nonsterile Gauze Bandage RollFirst-rate absorbency for bandaging difficult-to-dress wounds, for example burns. Ideal as primary or secondary dressing. 6-ply. ITEM # HCPCS SOLD BYNONSTERILE, WOVEN, 100% COTTON

3” x 4.1 yds. ZG341RNS A6443 ea4.5” x 4.1 yds. ZG4541NS A6443 ea

ReliaMed® Sterile Fluff SpongesVersatile sponge used for: wound dressing, general clean-ing, prepping, packing and debriding. 2s. ITEM # HCPCS SOLD BY

6” x 6-3⁄4” ZG44S A6403 20/bx

ReliaMed® Sterile Gauze Bandage RollSterile. First-rate absorbency for bandaging diffi-cult-to-dress wounds, for example burns. Ideal as primary or secondary dressing. 6-ply. ITEM # HCPCS SOLD BYSTERILE

3” x 4.1 yds. ZG341RS A6446 ea4.5” x 4.1 yds. ZG4541S A6446 ea

ReliaMed® Packing StripsUse dry to absorb drainage in exuding wounds or soaked with a medication of choice. A secondary dressing is required to hold strips in place and protect wounds from outside contaminants. Every bottle has a special patent-pending strip delivery system that ensures all packing material is kept clean and tangle-free. The end will always be located with ease at the top of the bottle. Iodoform packing strips contain iodine.

ITEM # HCPCS SOLD BYPLAIN

1⁄4” x 5 yds. ZG25P A6407 ea1⁄2” x 5 yds. ZG50P A6407 ea1” x 5 yds. ZG100P A6407 ea2” x 5 yds. ZG200P A6407 eaIODOFORM

1⁄4” x 5 yds. ZG25I A6266 ea1⁄2” x 5 yds. ZG50I A6266 ea1” x 5 yds. ZG100I A6266 ea2” x 5 yds. ZG200I A6266 ea

Covidien

Kerlix® Bandage RollsUsable for primary and secondary dressing. Prewashed, fluff-dried, 100% woven gauze with unique, crinkle-weave pattern for loft and bulk that cushions and protects wound areas. Primary dressing, fast wicking action

provided by open-weave design, aeration and excellent absorbency. As a secondary dressing, bandage provides bulk, cushioning and great conformability. 6-ply construction. Finished edge reduces loose ends and lint/contamination. Ideal for bandaging heads, limbs and difficult-to-dress wounds (i.e. burns, plastic or orthopedic wounds).

ITEM # HCPCS SOLD BYNONSTERILE, BULK AND PACKED, 6-PLY

4.5” x 4.1 yds. 1892 A644 ea

STERILE IN SOFT POUCH, 6-PLY

2.25” x 3 yds. 6720 A6445 ea3.4” x 3.6 yds. 6725 A6446 ea4.5” x 4.1 yds. 6715 A6446 ea

STERILE IN SOFT POUCH, 8-PLY

4.5” x 3.1 yds. 6716 A6446 ea

Kerlix® Super SpongesMedium, sterile, prewashed, fluff-dried woven gauze with crinkle-weave pattern and diamond-fold construc-tion offers superior loft, bulk and high absorbency. Supe-rior primary dressings designed to transfer exudate away from wound and into secondary dressing. Absorbency, strength and virtual lint-free performance is ideal for

preoperative prepping and cleansing, debriding and packing. Soft pouch packages of sterile 2s or 5s. Made from high-grade, 100% U.S.-grown cotton. Exceed USP Type VII gauze requirements.


2s, 6” x 6-3⁄4” 2585 A6403 40/pk5s, 6” x 6-3⁄4” 3085 A6403 50/pk

Dermacea™ Drain SpongeSterile, low-cost alternative to premium Excilon® drain and IV sponges. Precut notch conforms well around drains, catheters, chest tubes, IVs and tracheostomies. Eliminates the need for sterile scissors and conserves time. Virtually lint-free. 6-ply (2s). ITEM # HCPCS SOLD BY

4” x 4” 6242P A6402 50/bx

Dermacea™ Nonwoven All-Purpose SpongesSterile, highly absorbent, fast-wicking fabric promotes drier wound site. Superior absorbency helps reduce infec-tions and decreases the frequency of dressing changes. Rayon/polyester blend minimizes lint residue. 6 ply. 2s. ITEM # HCPCS SOLD BY

3” x 4” 7083 A6402 50/bx4” x 4” 7084 A6402 50/bx

Dermacea™ Low Ply Gauze RollsMade of prewashed, fluff-dried, 100% woven gauze for soft, absorbent performance and comfort. The unique, three-ply construction offers finished edges that virtually eliminate lint particles and are ideal for securing dressings, IVs or splints, or providing mild compression and support.

ITEM # HCPCS SOLD BYSTERILE SOFT POUCH

2” x 4 yds. 441108 A6445 ea6” x 4 yds. 441109 A6447 ea

NONSTERILE BULK

2” x 4 yds. 441124 A6442 12/bag3” x 4 yds. 441123 A6443 12/bag4” x 4 yds. 441122 A6443 12/bag6” x 4 yds. 441121 A6444 6/bag

LATEX FREE

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CovidienCurity™ Nonwoven All-Purpose Sponges

Ideal for applying ointments, prepping, wiping needles, cleaning slides and more. Rayon/polyester blend construction. Cost-effective, highly absorbent and virtually lint-free.

ITEM # HCPCS SOLD BYNONSTERILE, BULK

2” x 2”, 4-ply 9022 A6216 200/pk3” x 3”, 4-ply 9023 A6216 200/pk4” x 4”, 3-ply 9134 A6216 200/pk4” x 4”, 4-ply 9024 A6216 200/pkSTERILE 2S IN PEEL-BACK PACKAGE

2” x 2”, 4-ply 8042 A6402 50/pk3” x 3”, 4-ply 8043 A6402 50/pk4” x 4”, 4-ply 8044 A6402 50/pk

Curity™ Cover SpongesFilled with a layer of cellulose wadding covered with nonwoven fabric. Economical, all-purpose sponges with good absorbent capacity. Nonsterile sponges conveniently indexed in 10s for faster, easier handling. ITEM # HCPCS SOLD BYNONSTERILE 10S

3” x 3” 1700 A6216 100/pk3” x 4” 1713 A6216 100/pk4” x 4” 1792 A6216 100/pk

STERILE 2S

3” x 4” 3157 A6402 50/pk4” x 4” 2913 A6402 50/pk

Curity™ Gauze SpongesMade from high-grade, 100% U.S.-grown cotton. Exceed USP Type VII gauze requirements. Economical dressing in broad range of sizes and plys. Well-suited for a variety of applications, such as wound dressing, general cleaning, minor prepping, wound packing and debriding. Nonsterile sponges conveniently indexed in 10s for faster, easier handling.

ITEM # HCPCS SOLD BYNONSTERILE

2” x 2”, 12-ply 2252 A6216 200/pk3” x 3”, 12-ply 2346 A6216 200/pk4” x 4”, 8-ply 2556 A6216 200/pk4” x 4”, 12-ply 2634 A6216 200/pk

STERILE 2S

2” x 2”, 8-ply 1806 A6402 50/pk4” x 4”, 8-ply 2187 A6402 50/pk4” x 4”, 12-ply 3033 A6402 50/pk4” x 8”, 2-ply 2259 A6403 50/pk

Telfa® Island Dressings

Convenient, all-in-one dressings. Soft, nonwoven backing conforms around wound and seals on all four sides. Provide protection from external environment. Won’t disrupt healing tissue. Ideal dressings for lightly draining wounds. Secure dressings for central and peripheral IV sites. ITEM # HCPCS SOLD BY

2” x 3-3⁄4” 7539LF A6219 50/bx4” x 5” 7540 A6219 25/bx4” x 8” 7541 A6219 25/bx4” x 10” 7542 A6219 25/bx4” x 14” 7544 A6220 25/bx

Telfa® “Ouchless” Adhesive DressingsMade of highly absorbent cotton fabric bonded on both sides with perforated, Non-Adherent film. Won’t disrupt healing tissue by sticking to wound. Adhesive strips keep dressing intact. Perforated carton for easy dispensing. Sterile 1s in peel-back package. ITEM # HCPCS SOLD BY

2” x 3” 6017 A6402 100/bx3” x 4” 7643 A6402 100/bx

Telfa® “Ouchless” Non-Adherent DressingsAbsorbent cotton pad won’t disrupt healing tissue by sticking to wound. Each sterile dressing is individ-ually wrapped in peel-open envelope. Ideal as pri-mary dressing for lightly draining wounds. Bonded on both sides with perforated, Non-Adherent film; can be cut to any shape without separating. Easy to use as an ideal take-home dressing. Sterile 1s in peel-back package. ITEM # HCPCS SOLD BY


Curity™ AMD™ Packing StripsImpregnated with PHMB (polyhexamethylene biguanide), a powerful yet safe antiseptic that has a broad range effectiveness against gram-positive and gram-negative microorganisms, including some multi-drug resistant strains such as MRSA.


1⁄4” x 1 yd. 7831AMD A6266 ea1/2” x 1 yd. 7832AMD A6266 ea1” x 1 yd. 7832AMD A6266 ea2” x 4 yds. 7833AMD A6266 ea

Curity™ Packing StripsAll-natural, 100% cotton, fine-mesh gauze ideal for wet-to-dry packing. Available in plain or iodoform. Guaranteed sterility. ITEM # HCPCS SOLD BYPLAIN STRIPS

1⁄4” x 5 yds. 7631 A6407 ea1⁄2” x 5 yds. 7632 A6407 ea1” x 5 yds. 7633 A6407 ea

IODOFORM STRIPS

1⁄4” x 5 yds. 7831 A6266 ea1⁄2” x 5 yds. 7832 A6266 ea1” x 5 yds. 7833 A6266 ea

Excilon® Drain and IV SpongesSuperior absorbency and fast-wicking action help reduce infections and decrease the frequency of dressing changes. Unique, precut “T-slit” conforms snugly around drains, cath-eters, chest tubes, IVs and tracheostomies. No loose threads to fall into the wound. Eliminate the need for sterile scissors and conserve nursing time. 6 ply. 2s. ITEM # HCPCS SOLD BYIV SPONGES

2” x 2” 7087 A6402 70/bx4” x 4” 7086 A6402 50/bxAMD DRAIN SPONGE

4” x 4” 7088 A6222 50/bx

AMD IV SPONGE

2” x 2” 7089 A6222 70/bx

Covidien

Conform® Stretch BandagesOne-ply cotton/polyester blend, crocheted bandag-es. Provide softness, conformability, low lint and high absorbency. Ideal for securing dressings, IVs and splints, or for providing mild compression or support. Hold securely to any body contour; allow for movement and some soft tissue swelling. Stay in place with minimal taping. ITEM # HCPCS SOLD BYSTERILE

1” x 75” 2230 A6448 12/pk2” x 75” 2231 A6448 12/pk3” x 75” 2232 A6449 12/pk4” x 75” 2236 A6449 12/pk

Smith & Nephew

PRIMAPORE* Adhesive Nonwoven Wound DressingsOne-step island dressing helps prevent site contamination and avoids the multiple steps of “building” a gauze and tape dressing. Water-resistant, nonwoven polyester dress-ing helps reduce the potential moisture contamination and “strike-through” effect.


2” x 3”, peripheral 7133 A6254 100/bx4” x 3-1⁄8” 66000317 A6254 20/bx6” x 3-1⁄8” 66000318 A6254 20/bx8” x 4” 66000319 A6254 20/bx11-3⁄4” x 4” 66000321 A6255 20/bx13-3⁄4” x 4” 66007140 A6255 20/bx

COVRSITE* Cover DressingsIndicated for the management of acute or chronic wounds. Designed as a secondary cover dressing for gels, gel sheets, alginates, wound fillers and nonadhesive foams. Also can be used as an alterna-tive to tape and gauze over central line dressings. Gentle adhesive is designed so that the dressing can be changed daily. Water resistant, extensible and conformable. ITEM # HCPCS SOLD BY

4” x 4” 59714000 A6219 10/bx4” x 4” 59714100 A6219 30/bx6” x 6” 59714300 A6219 10/bx6” x 6” 59714400 A6219 30/bx*Trademark of Smith & Nephew

LATEX FREE

LATEX FREE

LATEX FREE

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Derma Sciences

DuCare® Gauze SpongesWoven sponges made from 100% USP cotton are ideal for general use, or for debriding, covering and packing wounds.

ITEM # HCPCS SOLD BY8-PLY, NONSTERILE

3” x 3” 90308 A6216 200/pk4” x 3” 90438 A6216 200/pk

12-PLY, NONSTERILE

2” x 2” 90212 A6216 200/pk3” x 3” 90312 A6216 200/pk8” x 4”, “H”-fold 90812 A6217 200/pk

12-PLY, 2S, STERILE

2” x 2” 82212 A6402 50/pk3” x 3” 82312 A6402 25/pk4” x 8” 82812 A6403 25/pk

DuForm® Synthetic Conforming BandagesGentle elasticity provides a secure fit, minimiz-es bunching and allows for movement of soft tissue swelling. Controlled flexibility ensures an easy fit to any body shape. Rayon/polyester blend provides a lint-free bandage.

ITEM # HCPCS SOLD BYNONSTERILE, RELAXED LENGTH

2” x 72” 75102 A6442 12/pk6” x 82” 75106 A6444 6/pk

STERILE, STRETCHED

2” x 4.1 yds. 75202 A6445 12/pk

3M Health Care


3M™ Medipore™+Pad Soft Cloth Adhesive Wound DressingsGentle, conformable, absorbable, soft cloth dressings with a unique, non-adherent pad. All-in-one, sterile dressings reduce application time. Porous and breathable. ITEM # HCPCS SOLD BY

2” x 2-3⁄4” 3562 A6219 50/bx2-3⁄8” x 4” 3564 A6219 50/bx3-1⁄2” x 4” 3566 A6219 25/bx

MPM Medical, Inc.

WoundGard® Bordered Gauze DressingsEffective for treatment of pressure ulcers (Stages I – IV), leg ulcers, skin tears, cuts, burns and abrasions. Maintain moist environment; protect wound from contamination, blood or drainage strike-through; and absorb drainage, preventing maceration. Absorbent pad is nonadherent, protecting new granulation tissue. Can be used on infect-ed wounds. Allow wound to breathe. Eliminate need for gauze, tape and scissors.

ITEM # HCPCS SOLD BYSTERILE

5” x 5” overall (3” x 3” pad) MP00094 A6219 120/cs

NONSTERILE

4” x 4” overall (2.5” x 2.5” pad) MP00097 A6219 30/bag6” x 6” overall (4.5” x 4.5” pad) MP00098 A6220 30/bag

ReliaMed®


ReliaMed® Conforming BandagesHolds securely to any body shape or contour; allows for movement and some tissue swell-ing. Stays in place with minimal taping. 1 ply.

ITEM # HCPCS SOLD BYNONSTERILE*

2” x 4.1 yds. ZG241NS A6442 12/bx3” x 4.1 yds. ZG341NS A6443 12/bx4” x 4.1 yds. ZG441NS A6443 12/bx6” x 4.5 yds. ZG645NS A6444 6/bxSTERILE*

2” x 4.1 yds. ZG241S A6445 12/bx3” x 4.1 yds. ZG341S A6446 12/bx4” x 4.1 yds. ZG441S A6446 12/bx6” x 4.5 yds. ZG645S A6447 6/bx*All sizes when stretched.

ReliaMed® Non-Adherent Sterile Wound DressingsAbsorbent, yet will not damage tissue by sticking. Ideal for use as a primary dressing for lightly draining wounds. ITEM # HCPCS SOLD BY

2” x 3” ZG23S A6402 100/bx3” x 4” ZG34S A6402 50/bx3” x 8” ZG38S A6403 50/bx

COMPRESSION AND UNNA BOOT

ReliaMed®


ReliaMed® 4-Layer Compression Bandage SystemSafe and effective compression therapy for managing venous leg ulcers and related conditions. An appropriate primary dressing should be applied before using the bandaging system with open wounds. Four bandages work together to provide effective, sustained

compression for up to seven days when applied as directed. Produces sub-bandage pressure at the ankle when the system is wrapped as indi-cated. Includes: Layer one (padding bandage, 4” x 3.8 yds. unstretched), a comfortable, nonwoven layer that absorbs wound exudate and protects bony prominences. Layer two (crepe bandage, 4” x 4.9 yds. stretched) anchors and smooths padding layer while absorbing exudate. Layer three (compression bandage, 4” x 9.5 yds. stretched) provides about half of the system’s compression and contours to the body. Layer four (cohesive bandage, 4” x 6.5 yds. stretched) adheres to itself and secures all layers in the bandaging system without tape. In addition to the four-layer bandag-es, three tape strips are included to secure each of the first three layers. Caution: Do not use if the ABP (ankle brachial pressure) is less than 0.8 or if arterial disease is suspected. ITEM # HCPCS SOLD BY

ZG4LCS A4649 kit

ReliaMed® Easy-Tear Cohesive BandagesEasily tears by hand. Self-adhesive; won’t stick to hair or skin. Comfortable, lightweight material allows skin to breathe. Water resistant; protects and secures pads and dressings. Holds IV sets in place; promotes circulation and healing for sprains and strains. Provides compression for hemostasis, varicosity and edema control. Tan.


1” x 5 yds., stretched ZGAE01LF A6453 ea2” x 5 yds., stretched ZGAE02LF A6453 ea3” x 5 yds., stretched ZGAE03LF A6454 ea4” x 5 yds., stretched ZGAE04LF A6454 ea6” x 5 yds., stretched ZGAE06LF A6455 ea

ReliaMed® Easy Wrap Elastic BandageAll-cotton elastic bandage with Velcro® closure. Bandage wraps easily and securely. Ideal for firm support and compres-sion. Retains elasticity after repeated use and washings. ITEM # HCPCS SOLD BY

2” x 4 yds.* ZGEB02LF A6448 ea3” x 4 yds.* ZGEB03LF A6449 ea4” x 4 yds.* ZGEB04LF A6449 ea6” x 4 yds.* ZGEB06LF A6450 ea*All sizes when stretched.

ReliaMed® Unna Boot DressingsNonhardening zinc oxide paste formulation keeps the bandages flexible, which enhances comfort and longer wear time. Finished selvage edges. Helps deliver firm, even compression therapy. Available with calamine for additional soothing relief. Indicated for the manage-ment of venous stasis ulcers, venous edema and minor

lower extremity trauma injuries. For use in soothing inflammations, rash-es, ulcers and related conditions. Nonsterile. Packaged in a vacuum-sealed pouch for longer shelf life.

ITEM # HCPCS SOLD BYWITHOUT CALAMINE

3” x 10 yds. ZGUB3 A6456 ea4” x 10 yds. ZGUB4 A6456 eaWITH CALAMINE

3” x 10 yds. ZGUBC3 A6456 ea4” x 10 yds. ZGUBC4 A6456 ea

3M Health Care


3M™ Coban™ Latex-Free Self-Adherent WrapsSelf-adherent, elastic wrap that functions like a tape but sticks only to itself. Suggested applications in-clude light support, securing compression dressings and partial immobilization. Tan. ITEM # HCPCS SOLD BY

1” x 5-yd. roll* 2081 A6453 ea2” x 5 yd. roll* 2082 A6453 ea3” x 5 yd. roll* 2083 A6454 ea4” x 5 yd. roll* 2084 A6454 ea*Fully stretched length.

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

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LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE


3M Health Care

3M™ Coban™ Self-Adherent WrapsSelf-adherent, elastic wrap that functions like a tape, but sticks only to itself. Suggested applications include light support, securing compression dressings and partial immobiliza-tion. Contains natural rubber latex, which may cause allergic reactions.

ITEM # HCPCS SOLD BYTAN*

1” x 5-yd. roll 1581 A6453 ea2” x 5-yd. roll 1582 A6453 ea3” x 5-yd. roll 1583 A6454 ea3” x 5-yd. roll, sterile 1583S A6454 ea4” x 5-yd. roll 1584 A6454 ea4” x 5-yd. roll, sterile 1584S A6454 ea6” x 5-yd. roll 1586 A6455 ea6” x 5-yd. roll, sterile 1586S A6455 ea

COLORS*

1” x 5-yd. roll, blue 1581B A6453 ea2” x 5-yd. roll, blue 1582B A6453 ea3” x 5-yd. roll, blue 1583B A6454 ea3” x 5-yd. roll, red 1583R A6454 ea3” x 5-yd. roll, white 1583W A6454 ea*Fully stretched length.

Smith & Nephew VISCOPASTE* PB7 Zinc Paste Bandage

For use in the application of Unna boots for the management of venous leg ulcers. Also indicated for the management of skin tears and stasis eczema. Soothes dry skin and does not contain

calamine. Made from a light open-weave fabric. Easy to apply and remove. ITEM # HCPCS SOLD BY

3” x 10 yds. 4956 A6456 ea

PROFORE* Four-Layer Bandaging SystemComposed of a wound contact layer and four bandages; specifically designed for the management of venous leg ulcers. Designed to maintain effective levels of compression after application. The system may be left in place for up to one week. ITEM # HCPCS SOLD BY

66020016 A4649 ea

PROFORE* LF Multi-Layer Compression Bandaging SystemProvides the same compression and results as the standard PROFORE* Multi-Layer Compres-sion Bandage System, only with latex-free for-mulation for use on allergy-sensitive users. Best used on ankle circumferences greater than 18 cm or 7-1⁄4” (padded). Designed for managing venous leg ulcers and associated conditions. ITEM # HCPCS SOLD BY

66020626 A4649 ea

PROFORE* LiteMultilayer compression bandaging system comprising a wound contact layer and three bandages, offering reduced compression from the original PROFORE* Multi-Layer

High Compression Bandaging System. Developed for the management of “mixed” etiology leg ulcers where assessment has identified that the user has some degree of arterial impairment that prevents the use of full compression. Designed to maintain effective levels of compression after application. System may be left in place for up to one week. Should not be used on those with an ankle brachial pressure index of less than 0.6 or on those who have diabetes with advanced small vessel disease.


66000771 A4649 ea*Trademark of Smith & Nephew

ConvaTec

SurePress® High Compression BandageReusable bandage has a yellow center line and two rectangular extension indicators for easy application and appropriate amount of compression for a variety of leg sizes. Indicated for the management of venous leg ulcers and associated conditions. Can be used alone or in combination with the SurePress® absorbent padding. ITEM # HCPCS SOLD BY

4” x 3.2 yds. 650947 A6452 ea

UNNA-FLEX® Convenience PackContains a 4” x 10-yd. UNNA-FLEX® Elastic Unna Boot and a 4” x 5-yd. self-adherent bandage. ITEM # HCPCS SOLD BY

650944 A4649 ea

UNNA-FLEX® Elastic Unna BootStretchable, zinc oxide-impregnated bandages provide an ideal form of compression for venous leg ulcer management. Flexible, conforms closely to the leg and is comfortable to wear.


3” x 10 yds. 650940 A6456 ea4” x 10 yds. 650941 A6456 ea

Derma Sciences

SorBan® Padding BandagesLightweight, cotton bandage offers protection for bony prominences and absorption of wound exudate. Primari-ly used under other forms of compression bandaging. ITEM # HCPCS SOLD BY

4” x 5 yds. 79504 A6441 ea

DuBan® Cohesive Elastic BandageHigh-quality elastic wraps offer protection and support. Adheres to itself, but never to the skin or hair. Conforms to body contours, while offering controlled compression. Lightweight and water-resistant. ITEM # HCPCS SOLD BY

2” x 5 yds. 73202 A6453 ea4” x 5 yds. 73204 A6454 ea

Derma Sciences

DuFore® Four-Layer Compression Bandaging SystemDesigned to sustain effective levels of graduated compression for up to seven days. Sustained compression has been recognized as the most important factor in managing venous leg ulcers. With four layers: the first layer, a padding absorption layer, provides padding

for bony prominences, distributes compression evenly over the leg and absorbs exudate; the second layer provides short-stretch compression by resisting expansion of the calf muscle during limb movement and works with the third and fourth layer elastic compression bandages to effectively minimize edema and increase venous return. Wound contact dressing is included with the system to help maintain a moist wound healing envi-ronment and to protect the wound from lint or outside contaminants. ITEM # HCPCS SOLD BY

72414 A4649 ea

BSN medical Inc.

Comprilan® Short Stretch Compression BandageSpecifically designed for the management of venous leg ulcers, lymphedema and edema. Provides both compression and high resistance to stretch to increase venous and lymphatic return. Anatomically conforming, allowing freedom of movement. Easy to care for, durable, washable and reusable; made of 100% cotton.


2.4” x 5.5 yds. 01026000 A6448 ea3.1” x 5.5 yds. 01027000 A6448 ea3.9” x 5.5 yds. 01028000 A6449 ea4.7” x 5.5 yds. 01029000 A6449 ea

HARTMANN USA


Econo-Paste® Conforming Zinc-Oxide Paste BandagesIdeal choices for paste bandage applications. Lightweight, cotton gauze bandages stretch and conform easily to the body. Both bandages feature a non-hardening, zinc-oxide paste that soothes inflammations, rashes, ulcers and other related conditions. Innovative, plastic core makes applica-tion easy, and vacuum-sealed, foil pouch ensures longer shelf life. Nonsterile.

ITEM # HCPCS SOLD BYECONO-PASTE®

4” x 10 yds. 47400000 A6456 12/cs

ECONO-PASTE® PLUS CALAMINE

3” x 10 yds. 47310000 A6456 12/cs4” x 10 yds. 47410000 A6456 12/cs

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LATEX FREE


HARTMANN USAThreePress® Compression Bandaging System

Multi-layer compression bandaging system for su-perior quality and accuracy. Three bandages work together to provide effective, sustained compres-sion for up to seven days when applied as directed. Kit contains three bandages and three tape strips. Padding bandage is 4” x 4.3 yds. unstretched. Compression bandage is 4” x 9.6 yds. stretched. Cohesive bandage is 4” x 6.5 yds. stretched. ITEM # HCPCS SOLD BY

43420000 N/A kit

FourPress® Compression Bandaging SystemNonsterile, four-bandage system used to effectively manage venous leg ulcers and related conditions. Provides effective, sustained compression for up to seven days when applied as directed. First layer is a padding bandage (4” x 3.8 yds. unstretched) made of a blend of synthetic materials that absorbs wound exudate. Comfortable, nonwoven layer primarily provides

protection to bony prominences. Second layer is a crepe bandage (4” x 4.9 yds. stretched) that anchors and smooths padding layer while absorbing exudate. Third layer is a compression bandage (4” x 9.5 yds. stretched) that conforms to any contour while providing about one-half of compression. Fourth layer is a cohesive bandage (4” x 6.5 yds. stretched) that adheres to itself and secures system without tape. Kit contains four bandages and three tape strips. Caution: Before applying FourPress®, measure ankle circumference. If circumference is less than 7-1⁄8” (18 cm), be sure to pad ankle and Achilles tendon before applying compression layers.


43400000 N/A kit

Lohmann & Rauscher

Cellona® Synthetic PaddingSoft padding for use in multi-layer compression ban-daging. Provides comfort and excellent conformabil-ity around body contours and helps form a smooth surface. The material’s self-adhesion facilitates application and helps prevent slippage. The fibers do not retain moisture. Acts as an air-permeable cushion and retains its fullness with long-term wear, providing continuous, even pressure distribution.


1.6” x 3.3 yds. 10682 A9270 9/bx2.4” x 3.3 yds. 10683 A9270 6/bx4” x 3.3 yds. 10684 A9270 4/bx6” x 3.3 yds. 10685 A9270 3/bx

Rosidal® K Short Stretch Compression Bandage100% cotton, breathable, short stretch bandages provide strong compression support of the extremities for the treatment of acute and chronic lymphedema, venous edema and post-traumatic swellings. Provides a natural resistance to the pressure exerted during the movement of the muscles. Machine washable and reusable. Approximately 90% extensible. Bandages are latex-free. Clips contain latex. ITEM # HCPCS SOLD BY

1.6” x 5.5 yds. 22199 A4649 ea2.4” x 5.5 yds. 22200 A4649 ea3.2” x 5.5 yds 22201 A6452 ea4” x 5.5 yds. 22202 A6452 ea4” x 11 yds. 90689 A6452 ea4.7” x 5.5 yds. 90688 A6452 ea4.7” x 11 yds. 22205 A6452 ea

Lohmann & Rauscher

tg® Tubular BandageSeamlessly knitted tube is used for securing dressings or over zinc paste bandages. Ideal as the first layer next to the skin under decongestive compression bandages. Close-meshed, skin-friendly material can be stretched to approximately four times its original width. Absorbs excess perspiration. ITEM # HCPCS SOLD BY

Size 5 (2.2” x 22 yds.) 24003 A6457 eaSize 6 (2.6” x 22 yds.) 24004 A6457 eaSize 7 (2.8” x 22 yds.) 24005 A6457 eaSize 9 (3.3” x 22 yds.) 24006 A6457 eaSize 12 (4.7” x 22 yds.) 24007 A6457 ea

Unna’s BootMaximum treatment value due to longer length (11 yds. vs. traditional 10 yds.). Inner core provides greater control and reduced application times. Semi-rigid, permanent zinc paste bandage used to treat edema, chronic venous insufficiency, leg ulcers and throm-bophlebitis. Can be used for the follow up treatment of fractures. Available in conformable and regular. Individually wrapped in foil pouch to keep bandages fresh until ready to use. 4” x 11 yds. ITEM # HCPCS SOLD BY

Varicex® S Conformable 20632 A6456 eaVaricex® F Regular 20602 A6456 ea


Setopress®High compression bandage that provides graduated high compression in the management of venous leg ulcers. Features a color-coded visual guide that is printed on both sides of the bandage to facilitate easy application.


4” x 138” 3505 A6452 ea

Tubigrip® Multi-Purpose Tubular Bandages, 10M RollsProvide tissue support in the treatment of strains, sprains, soft tissue injuries, general edema, post-burn scarring and ribcage injuries. Easy-to-apply, no pins or tapes needed. Natural and beige colors. 10-m length helps reduce waste, as only the exact amount required is cut from the roll. Cut-to-fit. Contain latex.


NATURAL

Size A, 1-1⁄2” — infant feet and arms 1435 A6457 rollSize B, 2-1⁄2” — small hands and arms 1436 A6457 rollSize C, 2-3⁄4” — medium arms, small ankles 1443 A6457 rollSize D, 3” — large arms, medium ankles, small knees 1437 A6457 rollSize E, 3-1⁄2” — large ankles, medium knees, 1434 A6457 rollsmall thighsSize F, 4” — large knees, medium thighs 1438 A6457 rollSize G, 4-1⁄2” — large thighs 1439 A6457 rollSize J, 6-3⁄4” — small trunks 1440 A6457 rollSize K, 8-1⁄4” — medium trunks 1441 A6457 rollSize L, 13” — large trunks 1442 A6457 roll

BEIGE

Size B, 2-1⁄2” — small hands and arms 1449 A6457 rollSize C, 2-3⁄4” — medium arms, small ankles 1450 A6457 rollSize D, 3” — large arms, medium ankles, small knees 1451 A6457 rollSize E, 3-1⁄2” — large ankles, medium knees, 1448 A6457 rollsmall thighsSize F, 4” — large knees, medium thighs 1452 A6457 rollSize G, 4-1⁄2” — large thighs 1453 A6457 roll

TAPES AND DRESSING FIXATION

ReliaMed®


ReliaMed® Elastic Tubular Support BandagesNonbulky, elastic, tubular bandage for managing strains, sprains, soft tissue injuries, general edema and rib cage injuries. Provides consistent support for all variations of application. Easy to apply and can be reused. Allows for freedom of movement and comfort. Washable; will not lose elasticity. Sold by the 11-yd. roll. Cotton. Contains latex.


Size B, 2-1⁄2” (small hands and arms) ZG25TB A6457 eaSize C, 2-3⁄4” (medium hands and ankles) ZG275TB A6457 eaSize D, 3” ZG30TB A6457 ea(large arms, medium ankles and small knees)Size E, 3-1⁄2” ZG35TB A6457 ea(large ankles, medium knees and small thighs)Size F, 4” (large knees and medium thighs) ZG40TB A6457 eaSize G, 4-1⁄2” (large thighs) ZG45TB A6457 ea

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LATEX FREE


ReliaMed®

ReliaMed® Tubular Elastic Stretch Net DressingsConstructed from high-quality nylon and rubber mix, knitted in a seamless band. Secures bandages in place without adhesive while applying gentle pressure. Features strong elasticity. Can be cut for a customized size without unraveling. Smooth surface increases comfort. Allows maximum airflow. Contains latex.

ITEM # HCPCS SOLD BYFINGERS, TOES AND WRIST, 25 YDS.

Size 1, x-small (5-3⁄8”) ZG701NB A6457 ea

HAND, ARM, LEG AND FOOT, 25 YDS.

Size 2, small (4” – 5”) ZG702NB A6457 eaSize 3, medium (5” – 6”) ZG703NB A6457 eaSize 4, large (8” – 10”) ZG704NB A6457 eaHEAD, SHOULDER AND THIGH, 25 YDS.

Size 5, small (10” – 13”) ZG705NB A6457 eaSize 5-1⁄2, medium (18”) ZG706NB A6457 eaSize 6, large (16” – 23”) ZG707NB A6457 eaCHEST, BACK, PERINEUM AND AXILLA, 25 YDS.

Size 7, small (up to 29”) ZG708NB A6457 eaSize 8, medium (24” – 33”) ZG709NB A6457 eaSize 9, large (30” – 36”) ZG710NB A6457 eaSize 10, x-large (35” – 42”) ZG711NB A6457 eaPRECUT DRESSINGS, 10 YDS.

Size A (0.8”) ZG720NB A6457 eaSize B (1.2”) ZG722NB A6457 eaSize C (2.0”) G724NB A6457 eaSize D (3.1”) ZG726NB A6457 ea

ReliaMed® Elastic Adhesive TapeSoft, cloth tape designed to provide support and apply pressure. Features the strength and elasticity needed for dynamic strapping techniques. Constructed of high-twist elastic cotton with a rubber-based adhesive. Porous construction lets skin breathe and allows for moisture transmission. Low unwind tension makes it easy to remove from

roll, even the last yard. Red line down the center provides a guide for even application and pressure. Easily conforms to difficult areas and provides strong adhesion; stretches to fit uneven surfaces. Adhesive leaves behind minimal residue and is applied within 1⁄8 ̋of the edge, leaving the edges dry and feathered. 5 yds. stretched. Contains latex.


1” x 2-1⁄2 yds. ZTE125 A4450 ea2” x 2-1⁄2 yds. ZTE225 A4450 ea3” x 2-1⁄2 yds. ZTE325 A4450 ea4” x 2-1⁄2 yds. ZTE425 A4450 ea

ReliaMed® Clear Surgical TapeHypoallergenic, porous, transparent and water resistant. Ideal for securing catheters and tubing, or anchoring bulky dressings. Easy to handle; adheres well to both tubing and skin. ITEM # HCPCS SOLD BY

1⁄2” x 10-yd. roll ZTPL05A A4452 ea1” x 10-yd. roll ZTPL01A A4452 ea2” x 10-yd. roll ZTPL02A A4452 ea3” x 10-yd. roll ZTPL03A A4452 ea

ReliaMed® Cloth Surgical TapeWhite, hypoallergenic tape is perfect for securing dressings, catheters and tubing, and for repeated applications in which preservation of sensitive or at-risk skin is essential. Gentle to skin with moderate stretch to accommodate swelling and movement. Strong, durable and water resistant. ITEM # HCPCS SOLD BY

1⁄2” x 10-yd. roll ZTCL05A A4452 ea1” x 10-yd. roll ZTCL01A A4452 ea2” x 10-yd. roll ZTCL02A A4452 ea3” x 10-yd. roll ZTCL03A A4452 ea

ReliaMed® Paper Surgical TapeWhite, hypoallergenic paper tape for general use. Easy to tear, with a natural porosity that allows skin to breathe. Ideal for ostomy patients and situations involving frequent retaping. ITEM # HCPCS SOLD BY

1⁄2” x 10-yd. roll ZTPA05A A4450 ea1” x 10-yd. roll ZTPA01A A4450 ea2” x 10-yd. roll ZTPA02A A4450 ea3” x 10-yd. roll ZTPA03A A4450 ea

BSN medical Inc.

Artiflex Nonwoven Padding BandageMultipurpose; ensures even distribution of pressure as in phlebological or lymphedema applications. Also useful as under-padding, plaster or synthetic casts. Nonwoven padding is 40% polyester, 40% polypropylene and 20% polyethylene. Easy to apply; will not mat or stick together. Air permeable, eliminates skin maceration and is well-tolerated by skin. Autoclavable at 120°C when sterile application is required. ITEM # HCPCS SOLD BY

5.9” x 3.3 yds. 09047 A6441 ea

Isoband® Finished Edge BandageWoven, pure cotton and lightweight compression bandage useful for fixing foam padding applications to swollen limb areas. Does not contain elastic thread-ing and is safe for long-term lymphedema treatment programs and other comprehensive edema management applications. 5.9” width is an excellent substitute for less

durable gauze-fixing solutions involving leg and trunk padding strategies. 7.9” width is the foremost bandage choice for truncal and abdominal bandaging, as well as for affixing foam to severely enlarged limbs. Can be washed and reused; and is a cost-effective component of any lymphedema bandage.


5.9” x 5.5 yds. 01958 A4649 ea7.9” x 5.5 yds. 01959 A4649 ea

ReliaMed®

ReliaMed® Soft Cloth Surgical TapeSoft, nonwoven polyester offers excellent adhesion for securing wound dressings, tubing and catheters. Con-formable tape is easy to apply and remove. Gentle to the skin to reduce risk of irritation. Perforated for easy tearing. Acts as a secondary dressing for gauze, foams or gels. Hypoallergenic, highly breathable and water resistant. ITEM # HCPCS SOLD BY

1” x 10-yd. roll ZTSC01 A4452 ea2” x 10-yd. roll ZTSC02 A4452 ea3” x 10-yd. roll ZTSC03 A4452 ea4” x 10-yd. roll ZTSC04 A4452 ea6” x 10-yd. roll ZTSC06 A4452 ea8” x 10-yd. roll ZTSC08 A4452 ea

ReliaMed® Self-Adhesive Dressing Retention SheetComfortable, highly conformable, nonwoven, water-resis-tant dressing retention tape stretches for easy application and patient comfort. Secures dressings, tubes, cannulas, drainage devices and instruments. Air and moisture vapor permeable. Nonirritating adhesive acts as a secondary dressing for gauze, foams or gels. Does not restrict joint movement. ITEM # HCPCS SOLD BY

2” x 11-yd. roll ZTDR02 A4452 ea4” x 11-yd. roll ZTDR04 A4452 ea6” x 11-yd. roll ZTDR06 A4452 ea

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Derma Sciences

Surgilast® Tubular Elastic Dressing RetainersTubular elastic stretch net designed to serve as a secondary dressing. Gentle pressure keeps bandages securely in place. Can accommodate a wide variety of medical needs involving virtually every part of the body. ITEM # HCPCS SOLD BYPRECUT, 10 YDS.

Size A 720 A6457 eaFINGERS/TOES/WRIST, 25 YDS.

X-Small, size 1 (5-3⁄8”) 701 A6457 ea ITEM # HCPCS SOLD BY

HAND/ARM/LEG/FOOT, 25 YDS.

Small, size 2 (4” – 5”) 702 A6457 eaMedium, size 3 (5” – 6”) 703 A6457 eaLarge, size 4 (8” – 10”) 704 A6457 eaHEAD/SHOULDER/THIGH, 25 YDS.

Small, size 5 (10” – 13”) 705 A6457 eaMedium, size 5-1⁄2 (18”) 706 A6457 eaLarge, size 6 (16” – 23”) 707 A6457 eaCHEST/BACK/PERINEUM/AXILLA, 25 YDS.

Small, size 7 (up to 29”) 708 A6457 eaMedium, size 8 (24” – 33”) 709 A6457 eaLarge, size 9 (30” – 36”) 710 A6457 eaX-Large, size 10 (38” – 42”) 711 A6457 eaSPECIAL SIZING, 25 YDS.

Size 11 712 A6457 eaSize 12 713 A6457 eaSize 13 714 A6457 eaSize 14 715 A6457 ea

Smith & Nephew

HYPAFIX* Dressing Retention RollsSecure dressings, tubes, catheters and instruments quickly and easily, even in hard-to-tape areas. Com-fortable, nonwoven dressing retention tape stretches for easy application and comfort. Water resistant, with a nonirritating adhesive that acts as an excellent secondary dressing for gauze, foams or gels. ITEM # HCPCS SOLD BY

2” x 2 yds. 4215 A4452 ea2” x 10 yds. 4209 A4452 ea4” x 2 yds. 4216 A4452 ea6” x 10 yds. 544211 A4452 ea*Trademark of Smith & Nephew


Tubifast® Retention BandageLightweight, tubular bandage ideal for dressing reten-tion and skin covering for any part of the body. Holds dressings securely, without constriction or compression. Light elasticity allows complete freedom of movement. Does not require pins or tape. Wide range of sizes to fit everything from small limbs to large adult trunks. ITEM # HCPCS SOLD BY

1-1⁄2” x 33’, Red 2434 A4649 ea2” x 33’, Green 2436 A4649 ea3” x 33’, Blue 2438 A4649 ea4-1⁄2” x 33’, Yellow 2440 A4649 ea8” x 33’, Purple 2444 A4649 ea

Mefix®Dressing fixation fabric secures gauze, tubes, cannulae, dressings and drainage devices, even to awkward areas of the body. Porous and nonabsorbing fabric minimizes fluid strike-through. Air and moisture vapor permeable. Mild, nonirritating adhesive layer allows the skin to breathe. ITEM # HCPCS SOLD BY

1” x 11 yds. 310299 A4450 ea2” x 11 yds. 310599 A4450 ea4” x 11 yds. 311099 A4450 ea6” x 11 yds. 311599 A4450 ea8” x 11 yds. 312000 A4450 ea

3M Health Care

All 3M Health Care products are latex-free unless otherwise noted.

3M™ Kind Removal Silicone TapeProvides reliable and constant fixation. Removes cleanly, without disrupting fragile skin layers or undue pain. Can be repositioned and neatly torn by hand. Economical; offered in single-patient roll sizes. Ideal for patients with sensitive, compromised or at-risk skin, when repeated taping is necessary. ITEM # HCPCS SOLD BY

1” x 1.5 yds. 2770S1 A4452 ea1” x 5.5 yds. 27701 A4452 ea2” x 1.5 yds. 2770S2 A4452 ea2” x 5.5 yds. 27702 A4452 ea

3M™ Blenderm™ Surgical TapeWaterproof barrier, occlusive, transparent plastic tape that protects sites from external fluids and contami-nants. Hypoallergenic. ITEM # HCPCS SOLD BY

1⁄2” x 5-yd. roll 15250 A4452 ea1” x 5-yd. roll 15251 A4452 ea2” x 5-yd. roll 15252 A4452 ea

3M™ Microfoam™ Surgical TapeConformable, water-resistant, elastic foam tape with multi-directional stretch. For compression applications or securing dressings in challenging areas. ITEM # HCPCS SOLD BY

1” x 5-1⁄2-yd. roll, stretched 15281 A4452 ea2” x 5-1⁄2-yd. roll, stretched 15282 A4452 ea3” x 5-1⁄2-yd. roll, stretched 15283 A4452 ea

3M™ Transpore™ Surgical TapeTransparent, water-resistant, perforated plastic tape with easy, bidirectional tear. Hypoallergenic. ITEM # HCPCS SOLD BY

1⁄2” x 10-yd. roll 15270 A4452 ea1” x 1-1⁄2-yd. roll 1527S1 A4452 ea1” x 10-yd. roll 15271 A4452 ea2” x 10-yd. roll 15272 A4452 ea3” x 10-yd. roll 15273 A4452 ea

3M™ Medipore™ Soft Cloth Surgical TapeBreathable soft cloth tape for a range of applications. Now gentler with higher adhesion. Hypoallergenic. ITEM # HCPCS SOLD BY

1” x 10-yd. rolls 2961 A4452 2/pk2” x 10-yd. roll 2962 A4452 ea3” x 10-yd. roll 2963 A4452 ea4” x 10-yd. roll 2964 A4452 ea6” x 10-yd. roll 2966 A4452 ea8” x 10-yd. roll 2968 A4452 ea

3M™ Micropore™ Surgical TapeBreathable soft with tape for a range of applications. Now gentler with higher adhesion. Hypoallergenic.


WHITE WITHOUT DISPENSER

1⁄2” x 10-yd. roll 15300 A4450 ea1” x 10-yd. roll 15301 A4450 ea2” x 10-yd. roll 15302 A4450 ea3” x 10-yd. roll 15303 A4450 ea

TAN WITHOUT DISPENSER

1⁄2” x 10-yd. roll 15330 A4450 ea1” x 10-yd. roll 15331 A4450 ea

WHITE WITH DISPENSER

1⁄2” x 10-yd. roll 15350 A4450 ea1” x 10-yd. roll 15351 A4450 ea2” x 10-yd. roll 15352 A4450 ea3” x 10-yd. roll 15353 A4450 ea

3M Health Care

3M™ Medipore™ H Soft Cloth Surgical TapeHigh adhesion, breathable soft cloth tape for a range of applications. Easy-tear perforated rolls. Excellent cross and diagonal stretch. Water resistant. Hypoallergenic. ITEM # HCPCS SOLD BY

2” x 10-yd. roll 2862 A4452 ea3” x 10-yd. roll 2863 A4452 ea4” x 10-yd. roll 2864 A4452 ea6” x 10-yd. roll 2866 A4452 ea

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BSN medical Inc. TAPES

Cover-Roll® Adhesive Gauze BandageVery effective in securing a dressing and are espe-cially gentle on fragile skin. Single-sheet tape comes in a roll that you can cut and use as needed. Add a slight amount of compression for covering a dress-ing in one application. Air and exudate permeable, hypoallergenic and radiolucent. ITEM # HCPCS SOLD BY

2” x 10 yds. 02034 A4649 ea4” x 10 yds. 02035 A4649 ea6” x 10 yds. 02041 A4649 ea8” x 10 yds. 02042 A4649 ea


Covidien

Kendall™ Standard Porous TapeAn economical tape with high tensile strength and linear porosity for maximum breathability. Contains latex. ITEM # HCPCS SOLD BY

1⁄2” x 10 yds. 2304C A4450 ea1” x 10 yds. 2531C A4450 ea2” x 10 yds. 6613C A4450 ea3” x 10 yds. 7046C A4450 ea

Kendall™ Waterproof TapeFeatures a high tensile strength, cloth backing that keeps moisture from penetrating to the skin or dressing. Contains latex. ITEM # HCPCS SOLD BY

1⁄2” x 10 yds. 3063C A4452 ea1” x 10 yds. 3142C A4452 ea2” x 10 yds. 3267C A4452 ea3” x 10 yds. 3355C A4452 ea

Hy•Tape® International

Hy•Tape® Latex-Free Adhesive Pink TapeZinc oxide-based tape is soothing to delicate skin. Pro-tective nature is perfect for extended wear. Waterproof and washable; applies to wet skin without slipping or detaching. Conforms easily to all body contours. ITEM # HCPCS SOLD BY

1⁄2” x 5 yds. 105B A4452 roll1” x 5 yds. 110B A4452 roll1-1⁄2” x 5 yds. 115B A4452 roll2” x 5 yds. 120BLF A4452 roll3” x 5 yds. 130LF A4452 roll

Kosma-Kare, Inc.

ZinO Zinc Oxide TapeThe original latex-free, zinc oxide-based, ostomy fixation tape. First replacement of latex-based adhesive tapes that was performance-comparable. Conforms to body contours and is flexible, washable and waterproof making the tape durable

and practical. Easy on the skin; adheres safely and securely, yet removes painlessly without harm to the skin. Eliminates former need for skin prep wipes or spray. Ideal for delicate skin (infants and children). Ideal for securing catheters, lines and tubing. ITEM # HCPCS SOLD BY

1⁄4” x 5 yds. 02185 A4452 ea1⁄2” x 5 yds. 05185 A4452 ea1⁄2” x 5 yds., clear 5TZC05185 A4452 ea3⁄4” x 5 yds. 07125 A4452 ea1” x 5 yds. 10125 A4452 ea1” x 5 yds., clear 5TZC10125 A4452 ea1-1⁄2” x 5 yds. 15065 A4452 ea1-1⁄2” x 5 yds., clear 5TZC15065 A4452 ea2” x 5 yds. 2006 A4452 ea2” x 5 yds., clear 5BZC20065 A4452 ea3” x 5 yds. 30015 A4452 ea3” x 5 yds., clear 5BZC30015 A4452 ea4” x 5 yds. 40015 A4452 ea

WOUND CLEANERS AND DEBRIDERS, FILLERS

Coloplast

All Coloplast products are latex-free unless otherwise noted.

Sea-Clens® Wound CleanserNo-rinse, isotonic, pH balanced formula. Adjustable with stream or spray delivery system. Assists in softening slough and eschar to facilitate debridement. Nonirritating to intact or damaged skin, or mucosa. 7.6 psi irrigation pressure. ITEM # HCPCS SOLD BY

6-oz. spray bottle 1063 A6260 ea12-oz. spray bottle 1061 A6260 ea

Triad™ Hydrophilic DressingsZinc oxide-based hydrophilic paste gently adheres to moist wound beds and protects periwound skin. Autolytic action loosens dried eschar to aid in its removal process. Soothe compromised periwound skin and provide an occlusive wound dressing. Maintain a moist healing environment. ITEM # HCPCS SOLD BY

2.5-oz. tube 1964 A6240 ea6-oz. tube 1967 A6240 ea

Smith & Nephew

Dermal Wound CleanserOver-the-counter, pH-balanced, nontoxic, nonirritating, no-rinse skin/wound cleanser. Contains surfactants and moistur-izers that gently help remove debris and dressing residue from the wound bed without harsh scrubbing. ITEM # HCPCS SOLD BY

8 fl. oz. 59449200 A6260 ea16 fl. oz. 449000 A6260 ea

Covidien

Kendall™ Sterile Saline Wound SolutionProvides a convenient, all-in-one saline spray designed for moistening wound dressings and cleansing abra-sions, burns, skin tears and ulcers. Latex-free. ITEM # HCPCS SOLD BY

210 mL 210SAL A6260 12/cs90 mL 90SAL A6260 12/cs

Church & Dwight Co., Inc.

Wound Wash with Saline0.9% sterile saline solution indicated for the cleansing of wounds, scrapes and minor burns with a pressure specifically designed for safe and effective wound irrigation. No prescrip-tion necessary. Cost-effective, because the solution remains sterile throughout the life of the can and there is no waste. ITEM # HCPCS SOLD BY

3 oz. (90 cc) B8553 A4216 ea7 oz. (210 cc) B8552 A4216 ea

Simply Saline® 3 in 1 Wound WashCleans with pressurized saline spray. Helps prevent bacterial contamination or skin infection in minor cuts, scrapes and burns. Allows body to heal naturally. Contains soothing aloe vera. ITEM # HCPCS SOLD BY

7.1-oz. bottle 08557 A6260 ea

Oculus

Microcyn® Skin & Wound Care with PreservativesIntended for the management via debridement of wounds, such as stage I – IV pressure ulcers, partial- and full-thickness wounds, diabetic foot ulcers, post-surgical wounds, first- and second-degree burns, grafted and donor sites. ITEM # HCPCS SOLD BY

500-mL irrigation 84798 A6260 ea900-mL irrigation 84781 A6260 ea

Anacapa Technologies, Inc.

Anasept® Antimicrobial Skin and Wound CleanserNoncytotoxic antimicrobial skin and wound cleanser with exceptionally rapid broad-spec-trum bactericidal (including the antibiotic resistant strains MRSA and VRE), fungicidal and virucidal properties. Completely colorless tissue compatible solution with a two-year shelf life. There is no known resistance to the active antimicrobial ingredient.


4-oz. dispensing cap 4004C A6260 ea8-oz. dispensing cap 4008C A6260 ea8-oz. pump bottle 4008SC A6260 ea8-oz. trigger spray 4008TC A6260 ea12-oz. trigger spray 4012SC A6260 ea15-oz. dispensing cap 4016C A6260 ea



Gold Dust™ Hydrophilic Polymer PowderReduces dressing changes. Does not stick to wound site. Once powder interacts with wound exudate, it turns into a gel. Absorbs 100 times its own water weight. Used for heavily exuding wounds. 3-g packets. ITEM # HCPCS SOLD BY

DR9300 A6248 10/bx

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WOUND CLEANSERS AND DEBRIDERS, FILLERS

Medline

Arglaes Powder (Antimicrobial Barrier Powder Dressing)

Delivers a constant level of antimicrobial silver ions into the wound over a period of five days. Continuous delivery, at a con-stant rate, means that only a small quantity of silver is required to maintain a continuous antimicrobial barrier. ITEM # HCPCS SOLD BY

10-g bottles MSC921OZ A6262 5/bx15-oz. dispensing cap 4016C A6260 ea

Carrington®

CarraScent™Scented formula combines with odor molecules to eliminate the odor, not just cover it up. ITEM # HCPCS SOLD BY

1-oz. bottle 107010 A4649 ea8-oz. bottle 107080 A4649 ea

ReliaMed®


ReliaMed® Wound and Skin CleanserNontoxic, pH-balanced, nonirritating wound cleanser gently removes debris and dressing residue from the wound bed. Does not require scrubbing or rinsing. Ideal for all types of wounds, including Stage I – IV pressure ulcers, stasis ulcers, diabetic ulcers, postsurgical wounds, first- and second-degree burns, abrasions and minor skin irritations. Spray bottle pressure is 8psi in accordance with AHCPR guidelines. Made in the USA. ITEM # HCPCS SOLD BY

8-oz. spray bottle ZRWC8 A6260 ea12-oz. spray bottle ZRWC12 A6260 ea16-oz. spray bottle ZRWC16 A6260 ea

ConvaTec

SĀF-Clens® AF Dermal Wound CleanserIntended for cleansing dermal lesions, such as Stages I – IV pressure, stasis and diabetic ulcers, Advanced, surfactant-containing cleanser excellent for postsurgical wounds; first- and second-degree burns; abrasions; and minor skin irritations. 12-oz. bottle. ITEM # HCPCS SOLD BY

159712 A6260 ea

Shur-Clens® Sterile Wound CleanserExcellent for cleansing acute, nonsurgical wounds containing debris, foreign particles or devitalized tissue. Nonirritating cleanser. ITEM # HCPCS SOLD BY

20-mL bottle 121222 A6260 ea

Derma Sciences

Dermagran® Wound Cleanser with ZincWith nutrients such as zinc and vitamin B6 that promote tissue repair, this remarkably low cytotoxicity cleanser fea-tures a precise delivery system with an irrigation pressure for wound management. ITEM # HCPCS SOLD BY

4-oz. bottle WC04 A6260 ea


Restore® Cleanser & MoisturizerThis effective skin protectant for urinary and/or fecal incontinence comes in a convenient all-in-one spray that cleans, moisturizes and protects skin with a breathable barrier. Dimethicone-based and does not require rinsing. ITEM # HCPCS SOLD BY

7.5-oz. spray bottle 529977 A6250 ea11.5-oz. spray bottle 529978 A6250 ea

Restore® Skin CleanserGentle and nonirritating, for use on intact skin, to clean peristo-mal and perianal skin of urinary and fecal discharge. Needs to be rinsed off. ITEM # HCPCS SOLD BY

8-oz. pump spray 517210 A9270 ea

Restore® Wound CleanserA no-rinse alternative to saline and harsh antiseptic cleaners that helps remove debris and particulate matter from wound beds. ITEM # HCPCS SOLD BY

8-oz. spray bottle 529975 A6260 ea12-oz. spray bottle 529976 A6260 ea

BANDAGES/MISCELLANEOUS SUPPLIES

Ferris

PolyMem® Finger/Toe DressingsWhen applied to open wounds, the dressings continuously cleanse, fill, absorb and moisten wounds and relieve both persistent and procedure-related pain associated with the injury throughout the healing process. Help reduce edema, bruising, pain and inflammation when applied to open or closed injuries. Can be cut to length of finger or toe. ITEM # HCPCS SOLD BY

Ring Size 4 – 8 4401 A6209 6/bxRing Size 8 – 12 4402 A6209 6/bxRing Size 12 – 16 4403 A6209 6/bx

Covidien

Curity™ Flexible Fabric BandagesFlexible fabric conforms and stretches with movement, making it excellent for fingers, toes, elbows and other bending areas. ITEM # HCPCS SOLD BY

3⁄4” x 3” 44100 A6413 50/bx1” x 3” 44101 A6413 50/bx2” x 3.75” 44102 A6413 50/bx

Irrigation Piston Syringe60-cc, sterile syringe with protector cap. ITEM # HCPCS SOLD BY

68000 A4322 ea

BSN medical, Inc.

JOBST® Comprifore®Offers effective levels of sustained graduated compression, with built-in safety and ease of ap-plication. Helps ensure compliance and maximum

healing for cost-effective care. Includes Cutimed® Sorbact® Wound Con-tact Layer to reduce bioburden that may impede healing, with four-layer compression bandaging system.


7266100 A4649 1 set/bx

JOBST® Comprifore® LFLatex-free, four-layer compression bandaging system. ITEM # HCPCS SOLD BY

7266101 A4649 1 set/bx

JOBST® Comprifore® liteThree-layer compression bandaging system for reduced compression. ITEM # HCPCS SOLD BY

7266102 A4649 1 set/bx

JOBST® Comprifore® lite LFLatex-free, three-layer compression bandaging system for reduced compression. ITEM # HCPCS SOLD BY

7266103 A4649 1 set/bx

Cutimed® ACUTEAbsorbs rapidly, penetrates deeply and helps rebalance skin moisture levels, offering effective relief from dry skin. Re-es-tablishes epidermal barrier function. Foam mousse is gentle to apply and leaves skin smooth and supple, with no greasy residue. 4.23 oz. (125 mL). ITEM # HCPCS SOLD BY

3% Urea 7264121 A6250 ea5% Urea 7264122 A6251 ea10% Urea 7264123 A6250 ea

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CONTAINS SILVER

LATEX FREE



Mepiform®Designed for discreet treatment of both old and new hypertrophic and keloid scars, this thin, flexible, self-adherent, soft silicone gel sheeting helps scar management. Good for closed wounds to help prevent the formation of hypertrophic and keloid scarring. ITEM # HCPCS SOLD BY

1.6” x 12” 293199 A4649 5/bx2” x 3” 293299 A4649 5/bx4” x 7” 293499 A4649 5/bx

Dale® Medical

Dale® Nasal Dressing HolderReplaces adhesive tape to hold nasal dressings in place following rhinoplasty, septoplasty, sinus surgery, facial trauma and nose bleeds. One size fits all. ITEM # HCPCS SOLD BY

600 A4649 ea


Elasto-Gel™ Cast/Splint PaddingDressing features a high-glycerin formula that absorbs excess moisture and perspiration from the skin, and transmits them directly to the air; good for preventing pressure sores and skin irritation that can develop under casts, splints, braces and orthotic or prosthetic devices. Helps prevent blisters and pressure ulcers. Bacteriostatic. ITEM # HCPCS SOLD BY

4” x 4” CS5500 A4649 5/bx6” x 8” CS5600 A4649 5/bx8” x 16” CS5800 A4649 5/bx12” x 12” CS5700 A4649 5/bx

Medline

Hydrogen PeroxideFirst aid antiseptic and cleaning agent featuring 3% U.S.P. hydrogen peroxide; good for minor cuts, abrasions and burns. ITEM # HCPCS SOLD BY

16-oz bottle 098001 A4244 ea

Povidone/Iodine SolutionAntiseptic microbicide for hospital or professional use for skin and mucous membrane preparation prior to surgical procedures. Water-soluble prep solution in 8-oz. squeeze bottle with flip-top. ITEM # HCPCS SOLD BY

8-oz bottle 093943 A4246 ea

Spenco®

Scar GelMedical-grade silicone gel helps fade and flatten hypertrophic and keloid scars. ITEM # HCPCS SOLD BY

15-g pump dispenser 47548 A4649 ea

ReliaMed®


ReliaMed® Tongue DepressorsApproximately 3⁄4” wide. Made of birch wood. Smooth and splinter-free. Unflavored. 6”. ITEM # HCPCS SOLD BY

Sterile, 1/pouch ZRTDS A9270 100/bxNonsterile ZRTDNS A9270 500/bx

ReliaMed® Adhesive BandagesSheer, soft, flexible plastic bends and flexs and blends evenly with many skin tones. Sterile, ready-to-use protec-tive strips for minor cuts and abrasions. With a nonstick pad for comfort and absorption, in a variety of shapes and sizes. ITEM # HCPCS SOLD BYFABRI-FLEX

3⁄4” x 3” ZRAB343F A6413 100/bx1” x 3” ZRAB13F A6413 100/bxSHEER PLASTIC

3⁄4” x 3” ZRAB343S A6413 100/bx7⁄8” spot ZRAB78S A6413 100/bx1” x 3” ZRAB13S A6413 100/bx2” x 4-1⁄2”, x-large ZRAB245S A6413 50/bx

ReliaMed® Shower-Guard™ — Moisture BarrierProtects PICC (peripherally inserted central catheter) lines, surgical sites, wound dressings, dialysis and Hickman catheters, and chemo ports from moisture while taking a shower. NOT designed for immersion in the bathtub or during swimming. Single use; easy to apply and remove. Nonsterile. DEHP-free. ITEM # HCPCS SOLD BY

7” x 7” ZGSG77 A4649 5/pkg7” x 7” ZGSG77BX A4649 50/bx

Puritan® Medical Products

Sterile Cotton Tip ApplicatorsExcellent for diagnostic specimen collection, wound treatment and to apply medication; sterile, individually wrapped applicators. Single tip and wooden shaft. Item # 258062WC is sold by 100 packs of two. ITEM # HCPCS SOLD BY3” LENGTH

258032WC A9270 2,000/cs

6” LENGTH

258061WC A9270 ea 258062WCHOSPI A9270 2/pk 258062WC A9270 200/bx

Non-Sterile Cotton Tipped Applicators6” cotton bud on wooden stick. For topical dressings, cleaning instruments and other wound care needs. ITEM # HCPCS SOLD BY

Regular tip 806WC A9270 1,000/bxLarge tip 806WCL A9270 5,000/cs

Cotton Tipped Applicator with Polystyrene Handle3”, standard cotton tip. ITEM # HCPCS SOLD BY

803PC A9270 100/bg

Cotton Tipped Applicator with Wood Handle6”, tapered cotton mini tip. ITEM # HCPCS SOLD BY

826WC A9270 100/bg

Povidone Iodine PopuleSelf-saturating, 10% povidone iodine swab. Antiseptic and swab in one. ITEM # HCPCS SOLD BY

4600P A4247 100/bx

Hydrogen Peroxide PopuleSelf-saturating, 3% hydrogen peroxide swab. 2 mL. ITEM # HCPCS SOLD BY

4100 A4649 50/bx

Plain Wood ApplicatorFor applying or stirring medicines. 5-3⁄4”. ITEM # HCPCS SOLD BY

807 A9270 1,000/bx

Wound Measurement DeviceFeatures a polystyrene shaft and foam tip. Dedicated and accurate wound measurement device for pressure ulcers, stomach and surgical wounds. 6”. Sterile.


2515061P A4649 50/bx

Tongue DepressorsNonsterile. Wooden.


Standard, 6” 704 A9270 500/bxJunior, 5-1⁄2” 711 A9270 500/bxJunior, Grape Flavored 710C A9270 20/bx

Cuticle/Orange Stick7”, double bevel on both ends.


2910 A4649 100/bx

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

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BSN medical Inc.

Coverlet® Flexible Fabric Adhesive DressingsCentral absorbent island wound pad absorbs many times its weight in exu-date and seals off wound from dirt and contamination. Eliminates the risk of sensitization and allergic reactions for health care workers and patients with latex allergies. Variety of shapes and sizes excellent for knees, elbows, joints, noses, chins and knuckles. Ideal for securing IV lines and cannulae. ITEM # HCPCS SOLD BYDIGITS

Small fingertip 01306 A6413 100/bxLarge fingertip 01307 A6413 50/bx

EYE OCCLUSORS

Junior size 46429 A6412 20/bxRegular size 46430 A6412 20/bx

FOUR-WING

3” x 3” 00385 A6413 50/bx

KNUCKLES

1-1⁄2” x 3” 01390 A6413 100/bxPATCHES

2” x 3” 00340000 A6413 50/bx4” x 2-3⁄4” 7801000 A6413 50/bx

SPOTS

7⁄8” round 00301 A6413 100/bx1-1⁄4” round 00303 A6413 100/bx

STRIPS

3⁄4” x 3” 00230 A6413 100/bx1” x 3” 00231 A6413 100/bx1” x 3” 76448000 A6413 300/bx

TOE SHIELD

2-1⁄2” x 1-3⁄4” 00801 A6413 100/bx

ConvaTecSurePress® Absorbent Padding

Protects the skin, providing additional absorption and even distribution of pressure under compression bandages with nonwoven, soft, absorbent padding composed of a blend of viscous/bicomponent and superabsorbent fibers. ITEM # HCPCS SOLD BY

4” x 3.2 yds 650948 A6441 6/bx

3M Health Care

All 3M Health Care products are latex-free unless otherwise noted.

3M™ Nexcare™ Stomaseal™ Colostomy DressingsIdeal tape-supported pad for use by those with a regulated colostomy. ITEM # HCPCS SOLD BY

4” x 4” 1507 A6219 30/bx

ReliaMed®


ReliaMed® Cotton Tip ApplicatorsUseful for wound treatment or to apply medication, with smooth, wooden handle and single-tipped applicator. 100% cotton, soft, absorbent tips. 6”.


Sterile, 1/pouch ZRCTA1S A9270 100/bxSterile, 2/pouch ZRCTA2S A9270 2/pkNonsterile, 100/pouch ZRCTA100NS A9270 100/pk

PREPS, WIPES, SKIN CARE

Bard®

Natural Care™ GelEffective on radiation dermatitis, or peristomal and nasal cannula irritations, enriched with aloe vera and panthenol. Clear, greaseless gel does not interfere with adhesive tapes or ostomy appliances. ITEM # HCPCS SOLD BY

4-oz. tube 5000G A6250 ea

ReliaMed®


ReliaMed® I.V. Antiseptic WipesOne-step antiseptic wipe for prepping skin prior to injection or venipuncture and/or helps with adhesive removal for dressing changes; reduces bacterial contamination. Thick, soft pad. ITEM # HCPCS SOLD BY

1-1⁄4” x 3” ZA50050 A5120 50/bx

ReliaMed® Adhesive Remover WipesHelps dissolve and remove adhesive residue from skin, with thicker, more durable pad. Now available in a larger, 4” x 4” size. Fresh scent. External use only. ITEM # HCPCS SOLD BY

1-1⁄4” x 3” ZA30050 A4456 50/bx4” x 4” ZA30050XL A4456 50/bx

ReliaMed® Protective Barrier WipesThicker, more durable pad to protect skin from dressing tape and damage caused by adhesives. Nonirritating to intact skin. 1-1⁄4” x 3”. ITEM # HCPCS SOLD BY

1-1⁄4” x 3” ZA40050 A5120 50/bx

ReliaMed® Stingless Protective Barrier WipesForms a protective barrier between skin and moisture for 72 hours, without stinging. Aids in the prevention of skin maceration. Alcohol-free. ITEM # HCPCS SOLD BY

1” x 1-3⁄8” Wipes ZA00237A A5120 50/bx


Restore® DimethiCreme Skin ProtectantA breathable, Dimethicone-based, protective skin or mucous membrane barrier. Effectively moisturizes and protects skin. Not for use under adhesive products. Dries clear to easily assess skin condition. ITEM # HCPCS SOLD BY

4-oz. tube 529979 A6250 ea

Covidien

Webcol™ Skin Barrier WipesProtect skin from feces, urine, chemical irritants and gastrointestinal fluids, and help reduce the chance of excoriation. Nonsterile wipes form a protective barrier between skin and adhesive products. Large, 2-ply. ITEM # HCPCS SOLD BY

Large 6560 A5120 50/bx

Derma Sciences

Dermagran® Ointment and Moisturizing SprayFeatures a slightly acidic environment to promote epidermal growth. Contains nutrients, such as zinc and vitamin B, that play an important role in tissue repair.

ITEM # HCPCS SOLD BYOINTMENT

4-oz. tube DT4 A6250 ea4-oz. jar DG4 A6250 ea

MOISTURIZING SPRAY

4-oz. bottle DM4 A4649 ea

MPM Medical, Inc.

Antifungal CreamEffective treatment of athlete’s foot, ringworm and jock itch with active ingredient of 1% clotrimazole; less irritating than miconazole nitrate. Contains vitamins A, D and E. ITEM # HCPCS SOLD BY

4-oz. tube MP00023 A6250 ea

NormlShield™ Skin ProtectantOffers soothing relief for incontinence and drainage, with excellent moisturizer and nongreasy formula that does not soil clothing or sheets. Effective treatment of minor irritation, rash and chaffing, with aloe vera to help prevent callus build up and skin cracking. Allows taping after drying. Dimethicone seals in moisture and protects the skin from outside contaminants. ITEM # HCPCS SOLD BY

4-oz. tube. MP00022 A6250 ea

Aplicare, Inc.

Compound Benzoin Tincture SwabsticksCreates a tacky surface, allowing bandages to remain in place with less chance of curling or rolling. Can be removed with acetone alcohol or alcohol, and used under adhesive tapes and bandages to improve adhesion and during dressing changes. Packaged in easy-open, single-use, foil-laminated pouches. Each packet contains a fully saturated, 4” swabstick. All packets have been terminally sterilized, thus ensuring the safest possi-ble product. Sterile, topical skin adhesive that prepares the skin for maximum adhesion of dressings or bandages. ITEM # HCPCS SOLD BY

4” swabstick S1106 A4649 500/cs

LATEX FREE

LATEX FREE

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LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

LATEX FREE

WOUND PROTECTORS

ReliaMed®

ReliaMed® Heel and Elbow ProtectorsPrevent decubitus ulcers by reducing pressure, shearing and friction on elbow or heel. Allows skin to breathe and does not restrict blood flow. Com-fortable and remains firmly in place. Color-coded sizes make it easy to fit individual. Contain latex.


Small, up to 16” (green) ZGHEPSM E0191 prMedium, up to 17” (white) ZGHEPMED E0191 prLarge, up to 19” (beige) ZGHEPLRG E0191 prX-Large, up to 23” (yellow) ZGHEPXLG E0191 pr2X-Large, up to 25” (blue) ZGHEP2X E0191 pr

Derma Sciences

Glen-Sleeve® II Arm and Leg ProtectorsProtects fragile skin, rips, tears, lacerations and abra-sions, and can cover the arm from the base of the

fingers to above the elbow, leaving thumb free. Padded to help minimize damage from bumps and scrapes. Knitted tubular sleeves made of cotton and Lycra® for softness and stretch. Comfortable and soft, permits snug fit with full freedom of movement. Wicking action removes excess moisture from the skin.

ITEM # HCPCS SOLD BYHAND/WRIST/ARM, 3” WIDE

White (18” long) 1000 A4649 prWhite, padded (13.5” long) 1000WP A4649 eaBeige (18” long) 1000B A4649 prHAND/WRIST/THUMB/ARM, 3” WIDE

White (18” long) 2000 A4649 prBELOW KNEE, 3.5” WIDE

White (15” long) 3000 A4649 prBeige (15” long) 3000B A4649 pr

Spiracur Inc.

SNaP® Wound Care CartridgeProprietary spring mechanism generates consistent, even levels of pressure and has been clinically proven to provide negative pressure. Small, silent, lightweight design disap-pears under clothes. No noisy motors, electronics or bat-teries to interfere with daily living. Visual indicator displays when cartridge is full or discharged. BioLock™ technology to gel exudate for improved exudate containment. ITEM # HCPCS SOLD BY

75 mmHg SNPA75 A9272 ea100 mmHg SNPA100 A9272 ea125 mmHg SNPA125 A9272 ea

SNaP® Wound Dressing KitProprietary hydrocolloid dressing and antimicrobial gauze offer periwound protection and easy removal. Disposable components with off-the-shelf convenience; fully inte-grated micro-port enables flexibility and a tight bending radius for wounds located in difficult areas. Cut-to-length tubing with one-way flow valve for improved safety. ITEM # HCPCS SOLD BYGAUZE INTERFACE

10 cm x 10 cm SKTA10X10 A4649 ea15 cm x 15 cm SKTA15X15 A4649 ea

BLUE FOAM INTERFACE

10 cm x 10 cm SKTF10X10 A4649 ea15 cm x 15 cm SKTF15X15 A4649 ea20 cm x 20 cm SKTF20X20 A4649 ea

SNaP® Bridge DressingSoft, flexible, absorbent hydrocolloid dressing protects friable skin, specif-ically designed for use on the foot’s plantar surface. Helps maintain seal in the presence of exudate or sweat, and reduce periwound maceration. Integrated bridge and port for one-step application. Soft pad cushioning under bridge for improved comfort. Integrated check valve and cut-to-length tubing for improved safety. Delivers continuous negative pressure therapy. Includes SNaP® BLUE Foam interface. 14 cm x 11 cm. ITEM # HCPCS SOLD BY

BKTF14X1110 A4649 ea

SNaP® StrapEnables device to be conveniently and discreetly worn under clothes.


Small STPAS A1399 eaMedium STPAM A1399 eaLarge STPAL A1399 ea

SKIN CLOSURES

3M Health Care


3M™ Steri-Strip™ Adhesive Skin Closures (Reinforced)Standard for wound closure and wound support. Microporous material is breathable and nonwoven, rayon-based material reinforced with filaments for strength. Wound support that increases tensile strength of the wound while also offering a cosmetically safer outcome than staples, or alternatives. Reduce the risk of infection. Hypoallergenic adhesive.


1⁄8” x 3”, 5 strips/envelope R1540 A4649 50/bx1⁄4” x 4”, 10 strips/envelope R1546 A4649 50/bx1⁄2” x 4”, 6 strips/envelope R1547 A4649 50/bx1” x 5”, 25 strips/envelope R1548 A4649 25/bx

3M™ Steri-Strip™ Antimicrobial Skin ClosuresMade of a porous, nonwoven backing coated with a pressure-sensitive adhesive that contains iodophor and is reinforced with polyester filaments for added strength. General wound support that assists with increased tensile strength and finer wound edge approximation. 5 strips/envelope. ITEM # HCPCS SOLD BY

1⁄8” x 3” A1840 A4649 50/bx1⁄2” x 4” A1847 A4649 50/bx

Covidien

Curity™ Suture Removal KitDisposable Littauer scissors and plastic, fine-point forceps in quality packaging. All-inclusive package saves time, space. Sterile delivery. ITEM # HCPCS SOLD BY

66100 A4649 ea

WOUND DRAINAGE COLLECTORS

ConvaTec

Eakin® Fistula and Wound Care Pouches with Fold and Tuck ClosureSpecially designed to protect skin and contain drainage from wounds, fistulas and difficult stoma sizes.

ITEM # HCPCS SOLD BYSUITABLE CUTTING AREA OF:

1.8” x 1.2” 839250 A6154 10/bx

4.3” x 3” 839251 A6154 10/bx

Eakin® Fistula and Wound Pouches with New Tap Closure and Access Window AttachedEasy access to the wound, fistula via access window. ITEM # HCPCS SOLD BYSUITABLE FOR CUTTING AREA OF:

9.7” x 6.3” 839264 A6154 5/bx

SUITABLE FOR VERTICAL CUTTING AREA OF:

9.7” x 6.3” 839268 A6154 5/bx

Eakin® Fistula and Wound Pouch Access WindowOpen and close Access Window for use with Item # 839252, 839253, 839262, 839263, 839265 and 839266. ITEM # HCPCS SOLD BY

839280 A6154 5/bx

LATEX FREE

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LATEX FREE

WOUND DRAINAGE COLLECTORS

ConvaTec

Eakin® Fistula and Wound Care Pouches with Remote Drainage Attachment and New Tap ClosureDesigned to dress and drain fistulas, wounds and difficult stoma sizes. Available with tubing attachment. ITEM #HCPCS SOLD BYSUITABLE FOR CUTTING AREA OF:

1.8” x 1.2” 839260 A6154 10/bx

2.4” x 3.14” 839267 A6154 10/bx

11.4” x 5.1” 839266 A6154 5/bx

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LENGTH WIDTH DEPTH

1 2 3 4

LENGTH

LEFT

RIGHT

Patient/ Caregiver Signature:

Date:

Silvasorb Gel

Carolon Multi-Layer Compression System

Circaid- Juxta Lite

Jobst Ulcer Care

Jobst Ulcer Care w/ Zipper

Sigvaris 860 Comfort Series

Other:Daily

Daily

Daily

Daily

Daily

Daily

Any

AnyTape

ASSIGNMENT OF BENEFITSI request that all payments from any insurance carrier, including Medicare, Medicaid or private insurance company be made on my behalf to Tidewater Medical Inc (TWM) for any equipment,

supplies or services provided to me by TWM Inc. I authorize the release of my medical information to HCFA and/or my insurance carrier and its agencies for the purpose of review of healthcare

benefits for the determination of payment. I understand that I am responsible for any remaining balance on my account after my

insurance has processed each claim. This authorization will remain in effect until written notification by myself or my legal

representative has been received.

NPI#:

Date:

Physician Name:

Signature:

Kerlix AMD/ Bioguard Any

Any

OTHER PRODUCTSStarter Kit Sent Home With Patient? □ Yes □ No

Tubular Dressing

Gauze

COMPRESSION STOCKINGS:

LEG MEASUREMENTS:

30-40 mmHg 40-50 mmHg

3 x WeekMod/Heavy

Any

3 x Week

3 x Week

Foam

Bordered Foam

CALF

Mod/Heavy

Mod/Heavy

Mod/Heavy

Mod/Heavy

ABD

Adaptic

Fax:

IS WOUND DEBRIDED? YES

DRESSING INFORMATION

IS PATIENT CURRENTLY BEING SEEN BY HOME HEALTH? YES / NO

DURATION OF NEED? 90 DAYS

ANKLE

3 oz.None/Min

Conforming Roll Gauze

Collagen

Drainage Type Frequency

Any

Any

Mod/Heavy

Silver Collagen

Calcium Alginate

Silver Alginate

Calcium Alginate Rope

Daily

Daily

Any

Patient must have an open venous ulcer to qualify:

Open Venous Statis Ulcer? YES NO

COMPRESSION STOCKINGS

DRAINAGE CIRCLE

Circle Appropriate

Right Leg Left Leg


Daily

Daily

Daily

WOUND ASSESSMENT WOUND LOCATION

ICD-9 or ICD-10

Phone: (888) 858-9988 Fax: (866) 991-6282

NONE MIN MOD HEAVY

NONE MIN MOD HEAVY

NONE MIN MOD HEAVY

NONE MIN MOD HEAVY3 Partial Full

4 Partial Full

1 Partial Full

2 Partial Full

Wound Dressing Order Form

WOUND TYPE THICKNESS CIRCLE

Patient Name: Phone:

Facility:



Wound Drainage CollectorsDesigned to manage draining wounds, draining tube sites or fistulae. An odor- barrier film and drain allow for comfortable use and reclosable cap allows for access to the wound site without having to move or disrupt the pouch.

ITEM # HCPCS SOLD BYWITH BARRIER, NONSTERILE

Small, wounds up to 3” 9773 A6154 eaMedium, wounds up to 3-3⁄4” 9776 A6154 eaLarge, wounds up to 4” x 8” 9778 A6154 eaWITH BARRIER, STERILE

Small, wounds up to 3” 9701 A6154 eaMedium, wounds up to 3-3⁄4” 9702 A6154 eaLarge, wounds up to 4” x 8” 9703 A6154 eaWITHOUT BARRIER, STERILE

Small, wounds up to 3” 9772 A6154 eaMedium, wounds up to 3-3⁄4” 9775 A6154 eaLarge, wounds up to 4” x 8” 9777 A6154 ea

COMPRESSION


COMPRESSIONCONTENTSCO

MPR

ESSI

ON


JOBST®Ultrasheer Medical ........................................................................................................................... 158Legwear Knee-Highs ..................................................................................................................................... 158 Thigh-Highs ..................................................................................................................................... 159 Pantyhose ....................................................................................................................................... 159 Maternity......................................................................................................................................... 159Opaque Medical Legwear ................................................................................................................ 160For Men ............................................................................................................................................. 160Activewear for Men and Women ..................................................................................................... 160Venous Leg Ulcer Management System.......................................................................................... 161Accessories for Medical Leg Wear .................................................................................................... 162

JUZOSoft Opaque and Dynamic Cotton ................................................................................................... 162Soft, Knee-High, Open-Toe .............................................................................................................. 162Juzo Soft, Knee-High, Full-Foot ....................................................................................................... 162Juzo Dynamic Cotton for Men, ......................................................................................................... 162 Knee-High, Full-FootSilver Sole™ Socks for Sensitive Feet ................................................................................................ 162

COVIDIENT.E.D. Anti-Embolism Stockings ....................................................................................................... 163

SIGVARIS362 Cushioned Cotton Compression Socks ...................................................................................... 164840 Soft Opaque Medical Compression Tights ................................................................................ 164780 EverSheer Medical Compression Hosiery ................................................................................. 165Casual Cotton Socks for Men & Women .......................................................................................... 165 (186/146 Series)Business Casual Socks for Men (189 Series) .................................................................................... 165Select Comfort (860 Series) ............................................................................................................. 165Doff N’ Donner .................................................................................................................................. 166Doff N’ Donner Cone ......................................................................................................................... 166Diabetic Compression Socks ............................................................................................................. 166Renew Smoothing Cream ................................................................................................................ 166

MADDAK, INC.Heel Guide™ Compression Stocking Aid .......................................................................................... 166Deluxe Flexible Sock and Stocking Aid ............................................................................................ 166

MEDI USAmediven® Butler ............................................................................................................................... 166Knee-High mediven® Sheer & Soft Compression Stockings........................................................... 167Knee-High mediven® Comfort Compression Stockings ................................................................. 167KNEE-HIGH mediven® Dual Layer Stocking System ........................................................................ 167KNEE-HIGH mediven® Dual Layer Ulcer Kit ..................................................................................... 167Knee-High mediven® for Men Graduated Compression Stockings ................................................ 167

CAROLONGraduated Compression Multi-Layer Stocking System .................................................................. 168

CIRCAID MEDICAL PRODUCTSJuxta-LiteTM Lower Leg Inelastic Compression Garment............................................................... 168Juxta-LiteTM Ankle Foot Wrap Inelastic Compression Garment .................................................... 168

FARROWMEDFarrowWrap® BASICTM Legpiece .................................................................................................... 168

Compression Supply Order Form .................................................................................... 169

. Direct Billing

. Immediate Processing

. Tracking Confirmations available

Call us at 888.858.9988

Speedy Delivery



tws.net


JOBST®

ULTRASHEER MEDICAL

The following chart may be helpful in determining how JOBST® can best benefit you.

Benefits 8-15 mmHg 15-20* mmHg 20-30* mmHg 30-40* mmHg

*Please refer to the product label and package insert for full instruction

LEGWEAR

JOBST® offers revolutionary breakthrough in medical compression hosiery, providing effective leg/venous therapy that feels great, helps manage a wide variety of conditions, and is stylish. Find relief from tired, aching legs, swelling and discomfort associated with varicose veins. JOBST® legwear is knitted with a unique blend of Spandex® and covered yarns for sheer, lightweight, therapeutic effectiveness. Offering guaranteed compression that is durable and long-lasting, with a reinforced heel and toe for added durability. Choose the compression level (in mmHg) based on individual needs: 15 – 20, 20 – 30 and 30 – 40. Styles available: Knee-High, Thigh-High, Pantyhose and Maternity.

COM

PRES

SION

COMPRESSION

Relief from pain related to spider veins

Relief from ankle or leg swelling

Enhanced feeling of security

Relief for tired, aching legs

Ability to stay active with reduced discomfort

Support for moderate to severe varicose veins

Improved venous circulation

KNEE-HIGHS

UltraSheer 15 – 20 mmHg Graduated Compression Knee High Size Ankle Circumference Calf Circumference

S 7” – 8-1/4” (18 cm – 21 cm) 11” – 15” (28 cm – 38 cm)

M 8-3/8” – 9-7/8” (21 cm – 25 cm) 11-7/8” – 16-1/2” (30 cm – 42 cm)

L 10” – 11-3/8” (25 cm – 29 cm) 12-1/2” – 18-1/8” (32 cm – 46 cm)

XL 11-1/2” – 13” (29 cm – 33 cm) 13-3/8” – 19-5/8” (34 cm – 50 cm)

UltraSheer 15 – 20 mmHg Graduated Compression Knee High HCPCS SOLD BY

A6530 prCOLOR SMALL MEDIUM LARGE X-LARGEClassic Black 119421 119422 119423 119424Natural 119401 119402 119403 119404Suntan 119405 119406 119407 119408





THIGH-HIGHS

Beautiful lace band designed to stay up without a garter. Nylon/Spandex®.

UltraSheer Thigh-Highs 15 – 20 mmHg, 20 – 30 mmHg, 30 – 40 mmHg Size Ankle Circumference Calf Circumference Thigh Circumference

S 7” – 8-1/4” (18 cm – 21 cm) 11” – 15” (28 cm – 38 cm) 15-3/4” – 24-3/8” (40 cm – 62 cm)

M 8-3/8” – 9-7/8” (21 cm – 25 cm) 11-7/8” – 16-1/2” (30 cm – 42 cm) 18-1/8” – 27-1/2” (46 cm – 70 cm)

L 10” – 11-3/8” (25 cm – 29 cm) 12-1/2” – 18-1/8” (32 cm – 46 cm) 21-1/4” – 30-3/4” (54 cm – 78 cm)

XL 11-1/2” – 13” (29 cm – 33 cm) 13-3/8” – 19-5/8” (34 cm – 50 cm) 23-5/8” – 32” (60 cm – 81 cm)

UltraSheer 15 – 20 mmHg Graduated Compression Thigh High with Silicone Lace Band

HCPCS SOLD BY


UltraSheer 20 – 30 mmHg Graduated Compression Thigh High with Silicone Lace Band

HCPCS SOLD BY


UltraSheer 30 – 40 mmHg Graduated Compression Thigh High with Silicone Lace Band HCPCS SOLD BY


PANTYHOSE

UltraSheer Pantyhose 15 – 20 mmHg, 20 – 30 mmHg, 30 – 40 mmHg Size Ankle Circumference Thigh Circumference Hip Circumference

S 7” – 8-1/4” (18 cm – 21 cm) 15-3/4” – 24-3/8” (40 cm – 62 cm) 28” – 46” (71 cm – 117 cm)

M 8-3/8” – 9-7/8” (21 cm – 25 cm) 18-1/8” – 27-1/2” (46 cm – 70 cm) 30” – 50” (76 cm – 127 cm)

L 10” – 11-3/8” (25 cm – 29 cm) 21-1/4” – 30-3/4” (54 cm – 78 cm) 32” – 54” (81 cm – 137 cm)

XL 11-1/2” – 13” (29 cm – 33 cm) 23-5/8” – 32” (60 cm – 81 cm) 40” – 65” (102 cm – 166 cm)

UltraSheer 15 – 20 mmHg Graduated Compression Pantyhose HCPCS SOLD BY

A6539 eaCOLOR SMALL MEDIUM LARGE X-LARGEClassic Black 119373 119374 119375 119376Natural 119353 119354 119355 119356Suntan 119357 119358 119359 119360





MATERNITY

UltraSheer for Maternity 15 – 20 mmHg, 20 – 30 mmHg

Size Ankle Circumference Thigh Circumference Hip Circumference

S 7” – 8-1⁄4” (18 cm – 21 cm) 15-3⁄4” – 24-3⁄8” (40 cm – 62 cm) 32” – 52” (81 cm – 132 cm)

M 8-3⁄8” – 9-7⁄8” (21 cm – 25 cm) 18-1⁄8” – 27-1⁄2” (46 cm – 70 cm) 34” – 56” (86 cm –142 cm)

L 10” – 11-3⁄8” (25 cm – 29 cm) 21-1⁄4” – 30-3⁄4” (54 cm – 78 cm) 36” – 60” (91 cm – 152 cm)

XL 11-1⁄2” – 13” (29 cm – 33 cm) 23-5⁄8” – 32” (60 cm – 81 cm) 44” – 71” (112 cm – 180 cm)

UltraSheer 15 – 20 mmHg Graduated Compression Maternity Pantyhose

HCPCS SOLD BY

A6539 eaCOLOR SMALL MEDIUM LARGE X-LARGENatural 119425 119426 119427 119428

UltraSheer 20 – 30 mmHg Graduated Compression Maternity Pantyhose

HCPCS SOLD BY

A6539 eaCOLOR SMALL MEDIUM LARGE X-LARGEClassic Black 121538 121539 121540 121617Natural 121535 121536 121537 121616


JOBST®

OPAQUE MEDICAL LEGWEAR

This luxuriously smooth, nonribbed alternative to UltraSheer is both fashionable and exceptionally easy to put on due to the combination of silicone-blend finish, multi-fiber yarns and 3-D knit structure. They pro-vide relief from tired, aching legs, swelling and the discomfort associated with varicose veins. Knit-in heel allows for greater durability and lasting comfort. Cool, breathable and comfortable to wear any time of the year.

Opaque 15 – 20 mmHg Graduated Compression, Knee-High HCPCS SOLD BY

A6530 prCOLOR SMALL MEDIUM LARGE X-LARGEClassic Black 115200 115201 115202 115203Natural 115212 115213 115214 115215

Opaque 15 – 20 mmHg Graduated Compression, Pantyhose HCPCS SOLD BY

A6539 eaCOLOR SMALL MEDIUM LARGE X-LARGEClassic Black 115220 115221 115222 115223Natural 115232 115233 115234 115235

JOBST® forMENThese socks (and thigh-highs) look just like fashionable men’s dress socks, but provide relief from tired, aching legs, swelling and the discomfort associated with varicose veins. Improve blood flow and revitalize legs, durable and effective. Easy to put on with nonconstricting knee band to keep up socks. Knit-in heel for optimal fit.

JOBST® forMEN 8 – 15 mmHg Knee-High Support Socks, Ribbed HCPCS SOLD BY

A6530 prCOLOR SMALL MEDIUM LARGE X-LARGEBlack 110301 110302 110303 110304Navy 110336 110337 110338 110339White 110331 110332 110333 110334

92% nylon, 8% rubber. Order by shoe size: small (7 – 8), medium (8-1⁄2 – 10), large (10-1⁄2 – 12-1⁄2) and x-large (12-1⁄2 – 14).

JOBST® forMEN 15 – 20 mmHg Ribbed Style, Knee-High, Nylon and Spandex® Socks

HCPCS SOLD BY

A6530 prCOLOR SMALL MEDIUM LARGE X-LARGEBlack 115000 115001 115002 115003Navy 115004 115005 115006 115007White 115008 115009 115010 115011Brown 115084 115085 115086 115087Khaki 115012 115013 115014 115015

JOBST®forMEN 20 – 30 mmHg Ribbed Style, Knee-High, Nylon and Spandex® Socks

HCPCS SOLD BY

A6530 prCOLOR SMALL MEDIUM LARGE X-LARGEBlack 115088 115089 115090 115091Navy 115092 115093 115094 115095Brown 115096 115097 115098 115099Khaki 115100 115101 115102 115103

JOBST®forMEN 20 – 30 mmHg Ribbed Style, Thigh-High HCPCS SOLD BY

A6533 prCOLOR SMALL MEDIUM LARGE X-LARGEBlack 115408 115409 115410 115411Khaki 115400 115401 115402 115403

JOBST® ACTIVEWEAR FOR MEN AND WOMEN

Small Medium Large X-Large

Ankle 7” – 8-1⁄4” 8-3⁄8” – 9-7⁄8” 10” – 11-3⁄8” 11-1⁄2” – 13”

(18 cm – 21 cm) (22.9 cm – 26.7 cm) (25 cm – 28.9 cm) (29 cm – 33 cm)

Calf 11” – 15” 11-7⁄8” – 16-1⁄2” 12-1⁄2” – 18-1⁄8” 13-3⁄8” – 19-5⁄8”

(28 cm – 38 cm) (30 cm – 42 cm) (32 cm – 46 cm) (34 cm – 50 cm)

These medical compression socks support active lifestyles with the look and feel of performance athletic socks. Combines therapeutic efficacy and Dri-release® yarn for superior moisture management. Two classes of precise gradient compression gives effective management and relief of vascular disorders. Feet stay cool, dry and comfortable, and this unique design of state-of-the-art polyester, nylon, cotton and Spandex® ensures comfort and durability. Extra-cushioned foot with a reinforced heel and toe offers greater durability. All-day comfort knee band keeps up socks without binding or pinching. Features reinforced heel that resists abrasion for greater durability. Unisex style.

JOBST® ActiveWear 15 – 20 mmHg Knee High Socks HCPCS SOLD BY

A6530 prSIZE COOL WHITE COOL BLACKSmall 110479 110483Medium 110480 110484Large 110481 110485X-Large 110482 110486

JOBST® ActiveWear 20 – 30 mmHg Knee High Socks HCPCS SOLD BY

A6530 prSIZE COOL WHITE COOL BLACKSmall 110489 110493Medium 110490 110494Large 110491 110495X-Large 110492 110496

VENOUS LEG ULCER MANAGEMENT SYSTEM

UlcerCare™ Stockings SMALL MEDIUM LARGE X-LARGE

Ankle 7” – 9” 9” – 10.5” 10.5” – 12” 12” – 14”

(17.8 cm – 22.9 cm) (22.9 cm – 26.7 cm) (26.7 cm – 30.5 cm) (30.5 cm – 35.6 cm)

Calf 11” – 15” 14” – 17.25” 15” – 18.5” 18.5” – 22”

(27.9 cm – 38.1 cm) (35.6 cm – 43.8 cm) (38.1 cm – 47 cm) (47 cm – 55.9 cm)

This simple, two-part system provides superior clinical effectiveness in the management of venous leg ulcers. The combination of the compression liner and therapeutic leg wear provides gradient compression to increase venous return and manage swelling. Excellent for managing leg ulcers and helping to prevent recurrences.

UlcerCare™ ZipperedThis two-stocking system has a light compression liner stocking to hold dressing in place and help the zippered, open-toe outer compression stocking slide on easier. Unique design helps heal and manage venous leg ulcers and provides freedom from weekly bandaging visits. Can be worn day and night, with soft yarn for enhanced com-fort; easy to put on and can be worn with regular clothing and footwear. Reciprocated heel for better fit and wear. Allows for daily bathing. Only available in 40 mmHg.


LEFT SIDE, Zippered, BEIGE

Small 114485 A6531 eaMedium 114486 A6531 eaLarge 114487 A6531 eaX-Large 114488 A6531 eaRIGHT SIDE, Zippered, BEIGE

Small 114520 A6531 eaMedium 114521 A6531 eaLarge 114522 A6531 eaX-Large 114523 A6531 ea

UlcerCare™Help heal and manage venous leg ulcers with this two-stocking system that provides freedom from weekly bandaging visits. The light compression liner stocking holds dressing in place, and they are easy to put on. Can be worn day and night, and soft yarn offers premium comfort. Reciprocated heel for better fit and wear. Worn with reg-ular clothing and footwear. Allows for daily bathing. Only available in 40 mmHg. Beige. ITEM # HCPCS SOLD BY

Small 114479 A6531 eaMedium 114480 A6531 eaLarge 114481 A6531 eaX-Large 114482 A6531 ea2X-Large 114483 A6531 ea3X-Large 114484 A6531 ea4X-Large 114485 A6531 ea

UlcerCare™ 3-pack Compression Stockings Liners, White ITEM # HCPCS SOLD BY

Small 114500 A4649 3/pkMedium 114501 A4649 3/pkLarge 114502 A4649 3/pkX-Large 114503 A4649 3/pk2X-Large 114504 A4649 3/pk

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JOBST®

ACCESSORIES FOR MEDICAL LEG WEAR

JOBST® Stocking DonnerAssists in the application of vascular stockings. ITEM # HCPCS SOLD BY

110913 A9270 ea

Stocking SlipFor ease of application of open-toe vascular stockings. ITEM # HCPCS SOLD BY

112018 A4649 6/pk

Jolastic®Formulated to remove soil, body acids and skin salts quickly and easily without damage to fabric, this special washing application helps extend the life of all elastic garments. ITEM # HCPCS SOLD BY

4-oz. bottle 130999 A4649 12/cs12-oz. bottle 112001 A4649 ea1-quart bottle 112003 A4649 ea

Juzo

JUZO SOFT OPAQUE AND DYNAMIC COTTON

Size Calf Ankle Circumference Circumference

1 11-1⁄2” – 15” 7” – 8-1⁄4”

(29 cm – 38 cm) (18 cm – 21 cm)

2 13-1⁄4” – 17” 8-1⁄4” – 9-1⁄2”

(34 cm – 43 cm) (21 cm – 24 cm)

3 14-1⁄2” – 19-1⁄4” 9-1⁄2” – 10-3⁄4”

(37 cm – 49 cm) (24 cm – 27 cm)

4 16-1⁄4” – 21” 10-3⁄4 ̋– 12-1⁄4”

(41 cm – 53 cm) (27 cm – 31 cm)

5 18” – 23” 12-1⁄4” – 13-3⁄4”

(46 cm – 58 cm) (31 cm – 35 cm)

Juzo Soft, Knee-High, Open-Toe20 – 30 mmHg HCPCS SOLD BY

A6530 pr REGULAR SHORTBlack 2001ADR_10 2001ADSH_10Beige 2001ADR_14 2001ADSH_14

30 – 40 mmHg HCPCS SOLD BY

A6531 pr REGULAR SHORTBlack 2002ADR_10 2002ADSH_10Beige 2002ADR_14 2002ADSH_14

Juzo Soft, Knee-High, Full-Foot20 – 30 mmHg HCPCS SOLD BY

A6530 prCOLOR REGULAR SHORTBlack 2001ADRFF_10 2001ADFFSH_10Beige 2001ADRFF_14 2001ADFFSH_14

30 – 40 mmHg HCPCS SOLD BY

A6531 prCOLOR REGULAR SHORTBlack 2002ADRFF_10 2002ADFFSH_10Beige 2002ADRFF_14 2002ADFFSH_14

COTTON MENS SOCK

Juzo Dynamic Cotton for Men, Knee-High, Full-Foot20 – 30 mmHg HCPCS SOLD BY

A6530 prCOLOR REGULAR SHORTBlack 3521ADFF_10 3521ADFFSH_10Khaki 3521ADFF_03 3521ADFFSH_03

SILVER SOLE SOCKS

Juzo Silver Sole™ Socks for Sensitive Feet 12 – 16 mmHg

Silver Sole™ Sizing Men’s Shoe Size Women’s Shoe Size

S N/A 5 – 8-1⁄2

M 6 – 8-1⁄2 9 – 11

L 9 – 11-1⁄2 11-1⁄2 – 13

Silver sole socks are made with natural silver fibers, which are naturally antimicrobial to help eliminate odors caused by bacteria. Added padding in the sole provides additional comfort and protection against skin blistering and breakdown. Recommended for people with sensitive feet or diabetes. Note: Replace the _ with the size when ordering. For example, the item number for small, quarter-length, white stockings would be 5760ABS06.

HCPCS SOLD BY

A6549 prCOLOR QUARTER LENGTH CREW LENGTHBlack N/A 5760AC_10White 5760AB_06 5760AC_06

Covidien

T.E.D.™ ANTI-EMBOLISM STOCKINGS SIZING CHARTKNEE LENGTH All Stockings are Latex Free 1 Calf Circumference 2 Length Item Description Item Code

<12” <16” Small Regular 7071

>16” Small Long 7339

12” – 15” <17” Medium Regular 71150

>17” Medium Long 7480

15” – 17.5” <18” Large Regular 7203

>18” Large Long 7594

17.5” – 20” <18” X-Large Regular 7604

>18” X-Large Long 7802

20” – 23” <18” XX-Large Regular 7470LF

>18” XX-Large Long 7471LF

23” – 26” <18” XXX-Large Regular 7472LF

>18” XXX-Large Long 7473LF

THIGH LENGTH All Stockings are Latex Free1 Thigh Circumference 2 Calf Circumference 3 Length Item Description Item Code <29” Small Short 3071LF <12” 29” – 33” Small Regular 3130LF >33” Small Long 3222LF <29” Medium Short 3310LF <25” 12” – 15” 29” – 33” Medium Regular 3416LF >33” Medium Long 3549LF <29” Large Short 3634LF 15” – 17.5” 29” – 33” Large Regular 3728LF >33” Large Long 3856LF <29” X-Large Short 3180LF 25” – 32 ”17.5” – 21.5” 29” – 33” X-Large Regular 3181LF >33” X-Large Long 3182LF <29” XX-Short 3183LF 32” – 36” 21.5” – 26” 29” – 33” XX-Regular 3184LF >33” XX-Long 3185LF

THIGH LENGTH WITH BELT All Stockings are Latex Free 1 Thigh Circumference 2 Calf Circumference 3 Length Item Description Item Code

<10” <28” X-Small Regular 3306

>28” X-Small Long 3320

10” – 12” <28.5” Small Regular 3039

>28.5” Small Long 3364

<25”

12” – 15” <28.5” Medium Regular 3221

>28.5” Medium Long 3449

15” – 17.5” <29” Large Regular 3221

>29” Large Long 3523

25” – 32”

15” – 17.5” <28.5” X-Large Regular 3922

>28.5” X-Large Long 3995

1 References available upon request1. Ishak, M.A. and Morley, K.D. Deep venous thrombosis after total hip arthroplasty: a prospective controlled study to determine the prophylactic effect of graded pressure stockings. Br. J. Surg 1981: 68; 429-432. Addition-al support references available upon request.2. Sigel, et al. Type of Compression for Reducing Venous Stasis. ARCHIVES OF SURGERY. February 1975 Vol. 110; 171-175

T.E.D.™ Anti-Embolism Stockings, Knee LengthThese clinically proven, graduated compression pattern help ensure optimum blood flow velocity and reduce ve-nous stasis below the knee when thigh-length styles are medically contraindicated. Contoured, seamless construc-tion eliminates harsh ridges that can cause constriction and inlay circumference knit helps ensure proper pressure pattern and prevent slippage. Specifically designed knee band minimizes slippage without constricting circulation. Inspection toe opening. 18 mmHg. White.

HCPCS SOLD BY

A6549 prSIZE SMALL MEDIUM LARGE X-LARGE 2X-LARGE 3X-LARGERegular 7071 7115 7203 7604 7470LF 7472LFLong 7339 7480 7594 7802 7471LF 7473LF

T.E.D.™ Anti-Embolism Stockings for Continuing Care, Knee Length

Graduated compression is clinically proven to reduce thromboembolic disease. Knee-length compression stockings are designed for continued care of the recuper-ating user. Closed toe for comfort. 18 mmHg.

HCPCS SOLD BY

A6549 prCOLOR/SIZE SMALL MEDIUM LARGE X-LARGEWHITE

Regular 4278 4279 4280 4281Long 4282 4283 4284 4285

BEIGE

Regular 4265 4271 4289 4296Long 4317 4323 4335 4344

BLACK

Regular 4434 4435 4436 4437Long 4572 4573 4574 4575

Graduated compression stockings offer smooth, soft comfort and feel good against the skin. With latex-free elastomers and a special FiberSoft™ process, these stockings are easy to put on and breathable. Excellent for relief of tired, aching legs, swelling and vari-cose veins. Note: Replace the _ with the desired size when ordering. For example, the item number for size 1, regular length, black knee-high stockings would be 2001ADR110.

LATEX FREE

CONTAINS SILVER

LATEX FREE

LATEX FREE

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T.E.D.™ Anti-Embolism Stockings, Thigh LengthThis clinically-proven, graduated compression pattern from ankle to upper thigh helps ensure optimum blood flow velocity and reduces venous stasis in entire leg. No harsh seams, and contoured, seamless construction promotes comfortable fit without constriction. Minimize stocking slippage with our interrupted band and function-al gusset, without constricting circulation. Pressure break at popliteal protects critical area and promotes free leg movement, and defined heel pocket facilitates application and ensures correct stocking placement. Inspection toe opening. 18 mmHg. White.

HCPCS SOLD BY

A6549 prSIZE SMALL MEDIUM LARGE X-LARGE 2X-LARGEShort 3071LF 3310LF 3634LF 3180LF 3183LFRegular 3130LF 3416LF 3728LF 3181LF 3184LFLong 3222LF 3459LF 3856LF 3182LF 3185LF

T.E.D.™ Anti-Embolism Stockings, Thigh-Length with Belt

Designed for people for whom stocking slippage is prevalent – especially for very thin and obese people. This clinically-proven, graduated compression pattern from ankle to upper thigh helps ensure optimum blood flow velocity, while contoured, seamless construction promotes comfortable fit without constriction. Inlay circumference knit helps ensure proper pressure pattern and curtail slippage; pressure break at popliteal protects critical area and promotes free leg movement. One-piece, snap-on belt adjusts easily. Waistband and side panels minimize slippage. Inspection toe opening. 18 mmHg. White.

HCPCS SOLD BY

A6549 prSIZE X-SMALL SMALL MEDIUM LARGE X-LARGERegular 3306 3039 3144 3221 3922Long 3320 3364 3449 3523 3995

T.E.D.™ Anti-Embolism Stockings for Continuing Care, Thigh-LengthGraduated compression is clinically proven to reduce thromboembolic disease, and thigh-length compression stockings are designed for continued care of the recuperat-ing user. Closed toe for comfort. 18 mmHg. White. HCPCS SOLD BY

A6549 prSIZE SMALL MEDIUM LARGEShort 4297 4298 4299Regular 4300 4301 4302Large 4303 4304 4305

SIGVARIS

SIGVARIS MEDICAL sizing chart Small Medium Large X-Large

Ankle Circumference 7” – 8.5” 8.5” – 10” 10” – 11.5” 11.5” – 14”

(18–21.5cm) (21–25.5cm) (25.5–29cm) (29–36cm)

Calf Circumference 11” – 15.5” 12.5” – 17.5” 14” – 20” 16” – 24”

(28–39cm) (31.5–45cm) (36.5–51cm) (41–61cm)

Petite* Short Long Petite* Short Long Short Long Short Long

Calf Length ≤14” ≤16” >16” ≤14” ≤16” >16” ≤16” >16” ≤16” >16”

(35.5cm) (41cm) (41cm) (35.5cm) (41cm) (41cm) (41cm) (41cm) (41cm) (41cm)

Small Medium Large

Thigh 18” – 26” 19 – 28.5” 20.5” – 33”

Circumference (45.5–66cm) (49–73cm) (52–84cm)

Petite* Short Long Petite* Short Long Short Long

Leg Length: Women ≤25.5” ≤28.5” >28.5” ≤25.5” ≤28.5” >28.5” ≤28.5” >28.5”

and Open Toe (65cm) (72cm) (72cm) (65cm) (72cm) (72cm) (72cm) (72cm)

Short Long Short Long Short Long

Leg Length: Men ≤30” >30” ≤30” >30” ≤30” >30”

(76cm) (76cm) (76cm) (76cm) (76cm) (76cm)

Size SP* SS SL MP* MS ML LA LL XS XL

*Petite sizing: Only available for Women’s 880 Select Comfort in Calf, Thigh, and Pantyhose.

**Plus Sizes**: Small: <56” (142cm), Medium: <62” (157.5cm), Large: <70” (178cm). Plus sizing available only for Women’s 860 Select Comfort.

Guidelines for Hip Circumferences for Pantyhose**: Small: 32.5”–44.5” (83–112.5cm), Medium: 34.5”–50” (87–127cm), Large: 38.5”–59.5” (98–150.5cm)

Women’s Shoe Sizes: Petite Leg: 4–8, Short Leg: 5.5–9.5, Long Leg: 8–12.

Men’s Shoe Sizes: Short Leg: 7–11, Long Leg: 9.5–14.

362 Cushioned Cotton Compression SocksProviding excellent comfort with an extra padded sole, these socks absorb impact when standing or walking for long periods of time, and offer relief for tired, aching legs. Ideal for those with sensitive skin or allergies, as Supima cotton touches the skin. Pairs perfectly with work shoes, boots, sports shoes and athletic footwear. To order: Use the SIGVARIS MEDICAL Sizing Chart. Com-pression Level: 362 = 20-30 mmHg Style: Calf-Length = C Gender: W = Women; M = Men Colors: Black = 99, White = 00 Example: 362CMLM00 ITEM # HCPCS SOLD BY

362C A6530 pr

840 Soft Opaque Medical Compression TightsGet the look and feel of designer fashion tights with the health and circulation benefits of graduated compression hosiery. To order, use the SIGVARIS MEDICAL Sizing Chart. Compression Level: 841 = 15 – 20 mmHg, 842 = 20 – 30 mmHg and 843 = 30 – 40 mmHg. Style: Knee-High = C, Thigh-High = N, Pantyhose = P, Closed Toe = W, Open Toe = O. Colors: Black = 99, Espresso = 89, Graphite = 91, Midnight Blue = 09, Nude = 35. Example: 841CMLW 89


15 – 20 MMHGClosed Toe Calf 841C A6530 prClosed Toe Thigh 841N A6533 prPantyhose 841P A6539 pr20 – 30 MMHGClosed Toe Calf 842C A6530 prClosed Toe Thigh 842N A6533 prPantyhose 842P A6539 pr30 – 40 MMHGClosed Toe Calf 843C A6530 prClosed Toe Thigh 843N A6533 prPantyhose 843P A6539 pr

780 EverSheer Medical Compression HosieryPrevent venous disorders and help maintain results post vein procedure with Sigvaris’ most popular sheer graduated compression hosiery collection for women. EverSheer im-proves circulation, energizes legs and is ideal for everyday wear. To order, use the SIGVARIS MEDICAL Sizing Chart. Compression Level: 781 = 15 – 20 mmHg, 782 = 20 – 30 mmHg and 783 = 30 – 40 mmHg. Style: Knee-High = C, Thigh-High = N, Pantyhose = P, Closed Toe = W, Open Toe = O. Colors: Black = 99, Dark Navy = 08, Mocha = 85, Natural = 33, Nightshade = 94, Suntan = 36. Example: 781CMLW 99 ITEM # HCPCS SOLD BY

15 – 20 MMHGClosed Toe Calf 781C A6530 prClosed Toe Thigh 781N A6533 prPantyhose 781P A6539 pr



THE SIGVARIS WELL BEING sizing charts

MEN’S SIZING CHART Shoe Size 6-1/2 – 8-1/2 9 – 11 11-1/2 – 14

For accurate compression 7-1/2” – 10” 8” – 10-1/2” 8-1/2” – 11-1/2” measure your ankle, (19–25cm) (20–27cm) (21–29cm) circumference SIZE A B C

LATEX FREE

LATEX FREE

WOMEN’S SIZING CHART Shoe Size 5 – 7 7-1/2 – 9-1/2 10 – 12 For accurate compression, 7” – 9” 7-1/2” – 10” 8” – 10-1/2” measure your ankle (18–23cm) (19–25cm) (20–27cm) circumference SIZE A B C

Casual Cotton Socks for Men & Women (186/146 Series)Graduated compression socks for men and women revi-talize legs, boost energy levels and provide comfortable relief from tired, aching legs. These cotton socks are soft, comfortable and make it easy to incorporate graduated compression into every day. To order, use the SIGVARIS WELL BEING Sizing Charts. Women = 146C, Men = 186C. Compression Level: 15 – 20 mmHg. Colors: White = 00, Navy = 10, Brown = 11, Khaki = 30, Black = 99. Example: 146CB99 ITEM # HCPCS SOLD BY

Women 146C A6530 prMen 186C A6530 pr

Business Casual Socks for Men (189 Series)This collection of socks for men revitalizes legs, boosts en-ergy levels and provides comfortable relief from tired, ach-ing legs. They are perfect for fashion-conscious men who want a professional look, but want to wear socks with all the health benefits of graduated compression. Features timeless striped pattern. To order, use the SIGVARIS WELL BEING Sizing Charts. Men = 189C. Compression Level: 15 – 20 mmHg. Colors: Navy = 10, Brown = 11, Charcoal = 12, Black = 99. Example: 189CA12 ITEM # HCPCS SOLD BY

189C A6530 pr

SIGVARIS Select Comfort (860 Series)Sigvaris 860 Select Comfort Compression Stockings combine durability with an opaque, smooth cosmetic appeal that also offers excellent medical effectiveness. Knee-high. To order, use the SIGVARIS WELL BEING Sizing Charts. Compression Levels: 20 – 30 mmHg and 30 – 40 mmHg. Colors: Black = 99, Crispa = 66. ITEM # HCPCS SOLD BY

20 – 30 MMHGOpen Toe 862C A6530 prClosed Toe 863C A6531 pr

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SIGVARIS Doff N’ DonnerSimplify the donning and removal of all compression socks and stockings with this revolutionary, soft, easy-to-use device. Allows user to quickly guide a compression sock or stocking up and down the leg or arm. Ideal for both self-don-ning and caregiver use. ITEM # HCPCS SOLD BY

583D100 A9270 ea

SIGVARIS Doff N’ Donner ConeRoll stockings onto the Sigvaris Doff N’ Donner easier with this cone, with suction built into the base so it will firmly attach to most clean, soft surfaces. ITEM # HCPCS SOLD BY

583D200 A9270 ea

Diabetic Compression Socks, 18-25 mmHgDesigned to reduce swelling for a more active lifestyle, with graduated compression to improve circulation for less discom-fort. Feet stay dry and odor-free; ideal for sensitive skin and feet. Please use the SIGVARIS MEDICAL sizing chart on page 162 for sizing. ITEM # HCPCS SOLD BYMEN’S CALF-LENGTH, WHITE

Small, long 602CSLM00 A6530 prSmall, short 602CSSM00 A6530 prMedium, long 602CMLM00 A6530 prMedium, short 602CMSM00 A6530 prLarge, long 602CLLM00 A6530 prLarge, short 602CLSM00 A6530 prX-Large, long 602CXLM00 A6530 prX-Large, short 602CXSM00 A6530 pr

WOMEN’S CALF-LENGTH, WHITE

Small, long 602CSLW00 A6530 prSmall, short 602CSSW00 A6530 prMedium, long 602CMLW00 A6530 prMedium, short 602CMSW00 A6530 prLarge, long 602CLLW00 A6530 prLarge, short 602CLSW00 A6530 pr

Renew Smoothing CreamThis emollient cream requires only 1⁄3 to 1⁄5 the amount of product that liquid creams require per application and costs more per ounce but less per use. Hypoallergenic; unscented; does not harm fabrics; and contains no alcohol, lanolin, urea or paraffin. Ideal for those with diabetes. 3 oz. jar. ITEM # HCPCS SOLD BY

576D450 NA ea

Maddak Inc.

Heel Guide™ Compression Stocking AidRigid, extra-wide design and extra-long handles help with putting on compression stockings. The in-dented channel on the inside of the center cone acts as a heel guide and keeps the foot in perfect position. Tested on compression hose up to 30 – 40 mmHg. Sturdy handles, 17” (43.2 cm) high, reduce the need for bending or stretching, and extra-wide cone is ide-al for people with edema or larger feet. Handles also feature three grip levels to accommodate different heights and hand sizes. Easy to assemble and take apart for traveling. ITEM # HCPCS SOLD BY

738550000 A9270 ea

Deluxe Flexible Sock and Stocking AidUnique, three-finger design holds stockings easily and two long loop handles are ideal for people with limited hand function and/or back problems. Can be used with lighter support compression stockings. Flexible plastic core is lined with blue nylon to reduce friction, and exterior is terrycloth to prevent sock from slip-ping. Hand washable; plastic core has one-year guarantee. ITEM # HCPCS SOLD BY

73852000 A9270 ea

medi USA

mediven® ButlerA donning aid that stretches compression socks, making it is easier to step into.


90002 A9270 ea

Size chart for: mediven® sheer & soft • mediven® comfort • mediven® for men

Circumference I II III IV V VI VII

CALF 10-1/4” – 13-1/4” 11” – 14-1/2” 11-3/4” – 15-3/4” 12-1/2” – 17” 13-1/4” – 18-1/4” 14” – 19-1/2” 14-3/4” – 20-3/4” 26–33.5 cm 28–37 cm 30–40 cm 32–43 cm 33.5–46.5 cm 35.5–49.5 cm 37.5–52.5 cm

ANKLE 7” – 7-3/4” 8” – 8-3/4” 9” – 9-3/4” 10” – 10-3/4” 11 – 11-3/4” 12” – 13” 13-1/4” – 14-1/4” 18–19.5 cm 20.5–22 cm 23–25 cm 25.5–27.5 cm 28–30 cm 30.5–33 cm 33.5–36 cm

LEG LENGTH CALF ► STANDARD: 15” (38 cm) and over PETITE: Less than 15” (38 cm)

KNEE-HIGH mediven® sheer & soft compression stockingsSuitable for day and evening wear. Only the user will know it is a graduated medical compression stocking. Note: Replace the _ with one of the following colors: Natural = 0, Smoke = 2, Ebony = 5, Toffee = 6 and Wheat = 8. HCPCS SOLD BY

A6530 pr15 – 20 MMHG STANDARD LENGTH PETITE LENGTH

SIZE I 424_1 425_1SIZE II 424_2 425_2SIZE III 424_3 425_3SIZE IV 424_4 425_4SIZE V 424_5 425_5SIZE VI 424_6 425_6

20 – 30 MMHG STANDARD LENGTH PETITE LENGTH


KNEE-HIGH mediven® comfort compression stockingsDesigned for casual wear, these extremely soft, antimi-crobial stockings feature easier donning and doffing. Note: Replace the _ with one of the following colors: Natural = 0, Sandstone = 1, Navy = 3, Ebony = 5, Mocha = 6 and Wheat = 8. HCPCS SOLD BY


SIZE I 447_1 448_1SIZE II 447_2 448_2SIZE III 447_3 448_3SIZE IV 447_4 448_4SIZE V 447_5 448_5SIZE VI 447_6 448_620 – 30 MMHG STANDARD LENGTH PETITE LENGTH


KNEE-HIGH mediven® for men graduated compression stockingsSoft, stylish and discreet for business or casual attire. Enhanced with 100% natural lanolin. Note: Replace the _ with one of the following colors: Khaki = 1, Navy = 3, Black = 5 and Brown = 9. HCPCS SOLD BY


SIZE II 091_2 092_2SIZE III 091_3 092_3SIZE IV 091_4 092_4SIZE V 091_5 092_5SIZE VI 091_6 092_620 – 30 MMHG STANDARD LENGTH PETITE LENGTH

SIZE II 093_2 094_2SIZE III 093_3 094_3SIZE IV 093_4 094_4SIZE V 093_5 094_5SIZE VI 093_6 094_6

KNEE-HIGH mediven® Dual Layer Stocking System Used for treating venous stasis ulcer or severe venous insufficiency. The system includes 2 closed-toe white liners, 2 open-toe beige outer stockings, and 1 easy-on foot slippie. 30-40 mmHg. Unisex.SIZE ITEM # HCPCS SOLD BY

Small D240012 A6531 prMedium D240013 A6531 prLarge D240014 A6531 prXLarge D240015 A6531 prXXLarge D240016 A6531 pr

KNEE-HIGH mediven® Dual Layer Ulcer Kit

The Dual Layer Ulcer Kit is used for active venous ulcers, healed ulcers and for the prevention of reulceration. This easy-to-apply 2-layer system provides accurate com-pression. The closed-toe kit includes 2 liners and 2 outer stockings and is designed to work with a primary dressing. 30-40 mmHg. Beige. Unisex.SIZE ITEM # HCPCS SOLD BY

I 27501 A6531 prII 27502 A6531 prIII 27503 A6531 prIV 27504 A6531 prV 27505 A6531 prVI 27506 A6531 prVII 27507 A6531 pr

COM

PRES

SION

COMPRESSION


LENGTH WIDTH DEPTH

1 2 3 4

LENGTH

LEFT

RIGHT

Patient/ Caregiver Signature:

Date:

Silvasorb Gel

Carolon Multi-Layer Compression System

Circaid- Juxta Lite

Jobst Ulcer Care

Jobst Ulcer Care w/ Zipper

Sigvaris 860 Comfort Series

Other:Daily

Daily

Daily

Daily

Daily

Daily

Any

AnyTape

ASSIGNMENT OF BENEFITSI request that all payments from any insurance carrier, including Medicare, Medicaid or private insurance company be made on my behalf to Tidewater Medical Inc (TWM) for any equipment,

supplies or services provided to me by TWM Inc. I authorize the release of my medical information to HCFA and/or my insurance carrier and its agencies for the purpose of review of healthcare

benefits for the determination of payment. I understand that I am responsible for any remaining balance on my account after my

insurance has processed each claim. This authorization will remain in effect until written notification by myself or my legal

representative has been received.

NPI#:

Date:

Physician Name:

Signature:

Kerlix AMD/ Bioguard Any

Any

OTHER PRODUCTSStarter Kit Sent Home With Patient? □ Yes □ No

Tubular Dressing

Gauze

COMPRESSION STOCKINGS:

LEG MEASUREMENTS:

30-40 mmHg 40-50 mmHg

3 x WeekMod/Heavy

Any

3 x Week

3 x Week

Foam

Bordered Foam

CALF

Mod/Heavy

Mod/Heavy

Mod/Heavy

Mod/Heavy

ABD

Adaptic

Fax:

IS WOUND DEBRIDED? YES

DRESSING INFORMATION

IS PATIENT CURRENTLY BEING SEEN BY HOME HEALTH? YES / NO

DURATION OF NEED? 90 DAYS

ANKLE

3 oz.None/Min

Conforming Roll Gauze

Collagen

Drainage Type Frequency

Any

Any

Mod/Heavy

Silver Collagen

Calcium Alginate

Silver Alginate

Calcium Alginate Rope

Daily

Daily

Any

Patient must have an open venous ulcer to qualify:

Open Venous Statis Ulcer? YES NO

COMPRESSION STOCKINGS

DRAINAGE CIRCLE

Circle Appropriate

Right Leg Left Leg


Daily

Daily

Daily

WOUND ASSESSMENT WOUND LOCATION

ICD-9 or ICD-10

Phone: (888) 858-9988 Fax: (866) 991-6282

NONE MIN MOD HEAVY

NONE MIN MOD HEAVY

NONE MIN MOD HEAVY

NONE MIN MOD HEAVY3 Partial Full

4 Partial Full

1 Partial Full

2 Partial Full

Wound Dressing Order Form

WOUND TYPE THICKNESS CIRCLE

Patient Name: Phone:

Facility:

Carolon Beige Black Smallest Ankle Largest Calf (Sheer Fabric) (Sock Fabric) Circumference Circumference Bottom of heel to bend in knee Length Size

To 38 cm To 40.5 cm Short 18 cm – 20 cm 25.5 cm – 33 cm Over 38 cm Over 40.5 cm Regular A To 40.5 cm To 43 cm Short 20 cm – 22.5 cm 30.5 cm – 38 cm Over 40.5 cm Over 43 cm Regular B To 43 cm To 45.5 cm Short 22.5 cm – 25.5 cm 35.5 cm – 43 cm Over 43 cm Over 45.5 cm Regular C To 45.5 cm Short 25.5 cm – 28 cm 40.5 cm – 48.5 cm Over 45.5 cm Regular D To 45.5 cm Short 28 cm – 30.5 cm 45.5 cm – 53 cm Over 45.5 cm Regular E To 45.5 cm Short 30.5 cm – 33 cm 50 cm – 58.5 cm Over 45.5 cm Regular F To 45.5 cm Short 33 cm – 35.5 cm 55.5 cm – 66 cm Over 45.5 cm Regular G

Carolon Graduated Compression Multi-Layer Stocking System

Multi-layered overstocking and understocking work together to provide clinically appropriate compression. Available in 30-40mmHg. Understocking can be worn alone during sleep to provide 15-20mmHg while patient is recumbent. Knee high.


BEIGE REGULAR SHORTSize A 81011122 81001122 A6531 prSize B 81012122 81002122 A6531 prSize C 81013122 81003122 A6531 prSize D 81014122 81004122 A6531 prSize E 81015122 81005122 A6531 prSize F 81016122 81006122 A6531 prSize G 81017122 81007122 A6531 pr

BLACK REGULAR SHORTSize A 82611042 82601042 A6531 prSize B 82612042 82602042 A6531 prSize C 82613042 82603042 A6531 prSize D 82614042 82604042 A6531 prSize E 82615042 82605042 A6531 pr

CircAid Medical ProductsCircAid Juxta-LiteTM Lower Leg Inelastic Compression Garment

LEGGING CIRCUMFERENCE MEASUREMENTSSIZE B CSmall 19 – 22 cm 25 – 36 cmMedium 22 – 27 cm 33 – 44 cmMedium Full Calf 22 – 27 cm 44 – 54 cmLarge 25 – 32 cm 41 – 51 cmLarge Full Calf 25 – 32 cm 51 – 61 cmXL 30 – 37 cm 37 – 48 cmXL Full Calf 30 – 37 cm 48 – 61 cmXXL 35 – 42 cm 53 – 64 cm

LENGTH MEASUREMENT Short LongD Under 44 cm over 44 cm

For those who lack the strength or dexterity to use traditional compression stockings and bandages, the Juxta-Lite™ offers an alternative, with standard lower legging available in two standard lengths, 28cm and 33cm, and in sizes ranging from Small to XXL with full calf options. The Breathe-O-Prene® material is cool, light-weight, and allows the skin to breathe. The SILVERtec™ treatment in

the fabric helps deter bacterial growth and odor. Available in Beige. ITEM # ITEM # HCPCS SOLD BY

LONG SHORTSmall 23023017B A6545 eaMedium 23034017B 23024017B A6545 eaMedium Full Calf 23034117B 23024117B A6545 eaLarge 23035017B 23025017B A6545 eaLarge Full Calf 23035117B 23025117B A6545 eaXL 23036017B 23026017B A6545 eaXL Full Calf 23036117B 23026117B A6545 eaXXL 23037017B 23027017B A6545 ea

CircAid Juxta-LiteTM Ankle Foot Wrap Inelastic Compression Garment

The Juxta-Lite™ Ankle-Foot Wrap gives ankle and foot coverage, in two standard sizes able to fit almost any foot shape. The Breathe-O-Prene® material is cool, light-weight, and allows the skin to breathe. The SILVERtec™ fabric treat-ment helps eliminate bacterial growth and associated odor. Machine washable. Beige only. Measure arch circumference.


Small (19 – 26 cm) 38231017 A6545 eaMedium (24 – 31 cm) 38232017 A6545 ea

FarrowMed Off-The-Shelf Legpiece Size Chart

Circumference

X-small Small Medium Large X-Large

Widest – Calf 36 – 43 cm 42 – 50 cm 48 – 58 cm 53 – 63 cm 58 – 68 cm

Ankle 21 – 25 cm 25 – 30 cm 30 – 36 cm 36 – 42 cm 42 – 50 cm

Length

Regular 33 – 36 cm 35 – 38 cm 37 – 40 cm 39 – 42 cm 39 – 42 cm

Tall 38 – 41 cm 40 – 43 cm 42 – 45 cm 44 – 47 cm 44 – 47 cm

FarrowWrap® BASICTM LegpieceThe FarrowWrap® BASICTM Legpiece with removable Velcro® features easy donning and offers moderate to strong com-pression. Machine washable. Sizes XS, S, M, L, XL. Tan color.

SKU # SOLD BY

Regular FBA-O-LRT (1 – 5) eaTall FBA-O-LTT (1 – 5) ea

COM

PRES

SION

LATEX FREE

LATEX FREE


COMPRESSION


INDEX INDEX102% Silicone Foley Catheters .............................................73186/148 Series Casual Cotton Socks for Men & Women 165191 Series Business Casual Socks for Men ...................... 165362 Cushioned Cotton Compression Socks ..................... 164780 EverSheer Medical Compression Hosiery ................ 165840 Soft Opaque Medical Compression Tights............... 164860 Series Select Comfort Socks ..........................................163M Health Care .. 45, 91, 99-100, 115, 122-123,

126, 131-132, 139-140, 145, 1483M™ Blenderm™ Surgical Tape ....................................... 1413M™ Cavilon™ Bathing & Cleansing Wipes.......................453M™ Cavilon™ Creams and Cleansers ................................453M™ Cavilon™ Wipes ............................................................453M™ Coban™ Latex-Free Self-Adherent Wraps ............ 1333M™ Coban™ Self-Adherent Wraps ............................... 1333M™ Health Care Barriers/Cleansers/Moisturizers ...........453M™ Kind Removal Silicone Tape........................................453M™ Kind Removal Silicone Tape .................................... 1413M™ Medipore™ +Pad Soft Cloth Adhesive Wound

Dressings ......................................................................... 1323M™ Medipore™ H Soft Cloth Surgical Tape .................. 1413M™ Medipore™ Soft Cloth Surgical Tape ..................... 1413M™ Microfoam™ Surgical Tape ..................................... 1413M™ Micropore™ Surgical Tape ....................................... 1413M™ Nexcare™ Stomaseal™ Colostomy Dressings ...... 1483M™ Steri-Strip™ Adhesive Skin Closures (Reinforced) 1513M™ Steri-Strip™ Antimicrobial Skin Closures .............. 1513M™ Tegaderm™ +Pad Film Dressings with Non-Adherent

Pad .................................................................................... 1243M™ Tegaderm™ Absorbent Clear Acrylic Dressings ... 1243M™ Tegaderm™ Foam Adhesive Dressing Mini Wrap ..993M™ Tegaderm™ Foam Dressings (Nonadhesive) .........993M™ Tegaderm™ High Gelling Alginate Dressings .........913M™ Tegaderm™ High Integrity Alginate Dressings .......913M™ Tegaderm™ High Performance Foam Adhesive

Dressings ............................................................................993M™ Tegaderm™ High Performance Foam Adhesive

Dressings – Heel/Elbow Design ................................. 1003M™ Tegaderm™ HP Transparent Film Dressings,

Frame Style ..................................................................... 1273M™ Tegaderm™ Hydrocolloid Dressings ...................... 1173M™ Tegaderm™ Hydrocolloid Thin Dressings ............. 1173M™ Tegaderm™ IV Advanced Securement Dressings with

Comfort Adhesive Technology ...................................... 1283M™ Tegaderm™ Transparent Film Dressings, Frame Style ...................................................................... 1283M™ Transpore™ Surgical Tape ........................................ 141Abdominal Pads .................................................................. 107ACTICOAT® 7 with SILCRYST™ Nanocrystalline Silver .. 123ACTICOAT® Absorbent Dressings with SILCRYST™

Nanocrystalline Silver .................................................... 124ACTICOAT® with SILCRYST™ Nanocrystalline Silver ...... 123ACTISORB® Silver 220 Antimicrobial Binding Dressings 122Active Cath® Male External Catheter ...................................70ActiveLife® One-Piece Closed-End Pouches ......................12ActiveLife® One-Piece Drainable Pouches ..................11-12ActiveLife® One-Piece Stoma Cap with Filter ....................12ActiveLife® One-Piece Urostomy Pouches ..................12-13Adapt® Barrier Strips ..............................................................28Adapt® Convex and Oval Convex Barrier Rings .................28Adapt® Flat Barrier Rings ......................................................28Adapt® Lubricating Deodorant ............................................29Adapt® Ostomy Accessories ..........................................27-29

Adapt® Paste ...........................................................................28Adapt® Stoma Lubricant .......................................................27ADAPTIC TOUCH® Non-Adhering Silicone Dressings ... 122ADAPTIC® Non-Adhering Dressings ............................... 114Additional Latex-Free Foam Straps with Hook-and-Loop

Closure .................................................................................71Adhesive Remover Products .....................15, 44, 46, 49-50Advance Plus Touch Free Intermittent Catheters ...............66ALGICELL™ Ag Silver Alginate Dressings ...........................91ALGICELL™ Calcium Alginate Dressings ............................91Alginates (Wound Care).................................................90-94ALGISITE® M Calcium Alginate Dressings ..........................93Alldress® .............................................................................. 125ALLEVYN® Adhesive Dressings ...........................................98ALLEVYN® Ag Adhesive Dressings .....................................98ALLEVYN® Gentle Border Lite Wound Dressings .............97ALLEVYN® Gentle Border Silicone Gel Adhesive Hydrocel-

lular Dressings – Heel ......................................................97ALLEVYN® Gentle Border Silicone Gel Adhesive

Hydrocellular Dressings – Multisite ...............................97ALLEVYN® Gentle Border Silicone Gel Adhesive Hydrocel-

lular Dressings – Sacrum ...............97ALLEVYN® Gentle Hydrocellular Foam Dressings .........................................98

ALLEVYN® Heel .....................................................................98ALLEVYN® Life ........................................................................97ALLEVYN® Non-Adhesive Hydrocellular

Foam Dressings .................................................................98ALLEVYN® Non-Adhesive Tracheostomy Hydrocellular

Foam Dressings .................................................................98ALLEVYN® Sacrum Dressings .............................................98ALLEVYN® Thin ......................................................................98AllKare® Adhesive Remover Wipes .....................................15AllKare® Ostomy Accessories ...............................................15AllKare® Protective Barrier Wipes.........................................15Alpine Fresh™ Appliance Cleaner, Non-Toxic .....................79Amerigel® Wound Dressing .............................................. 112Anacapa Technologies, Inc. ............ 52, 95, 141Anasept® Antimicrobial Skin & Wound Gel ................... 143Anasept® Antimicrobial Skin and Wound Cleanser ...... 141Antibacterial Hydro Personal Catheter® ..............................61Antibacterial Hydro Personal Catheter®

Closed System Kit...............................................................68Antibacterial Personal Catheter® .........................................60Antifungal Cream ............................................................... 149Aplicare, Inc. ........................................80, 147Apogee® Intermittent Catheters ..........................................59Apogee® Intermittent Coudé Catheters ..............................64Apogee® Plus Closed System Intermittent Catheters and

Kits ........................................................................................66Apogee® Red Rubber Catheters ..........................................58AQUACEL® Ag EXTRA™ Hydrofiber Wound Dressing with

Ionic .....................................................................................90AQUACEL® Ag Foam Dressings ...........................................97AQUACEL® EXTRA™ Hydrofiber Wound Dressing ...........90AQUACEL® Foam Dressings .................................................96AquaClear® Gel Sheet Dressings ....................................... 108Argentum Medical ..............................93, 119Arglaes Powder (Antimicrobial Barrier Powder

Dressing) ......................................................................... 144Artiflex Nonwoven Padding Bandage 139Assura® AC Skin

Barriers .................................................................................34Assura® AC Two-Piece Closed-End Pouches......................35Assura® AC Two-Piece Drainable Pouches .........................35Assura® AC Two-Piece Urostomy Pouches .........................35

Assura® EasiClose One-Piece Drainable Pouches ......36-37Assura® Irrigation Products...................................................39Assura® Mini-Pouches ..........................................................36Assura® One-Piece Closed-End Pouches ....................37-38Assura® One-Piece Drainable Pouches ..............................35Assura® One-Piece Ostomy Stoma Caps with Filter,

Opaque ................................................................................38Assura® One-Piece Urostomy Pouches .................35, 38-39Assura® Postoperative Systems ...........................................36Assura® Skin Barriers .............................................................34Assura® Two-Piece Closed-End Pouches ...........................35Assura® Two-Piece Drainable Pouches ...............................35Assura® Two-Piece Ostomy Stoma Caps with Filter,

Opaque ................................................................................35Assura® Two-Piece Urostomy Pouches...............................35Bandages/Miscellaneous Supplies (Wound Care) 142-145Bard® ..52, 58-59, 63, 65, 71, 72-73, 75, 78, 81,

146Bard® Bedside Drainage Bags ..............................................52Bard® Clean-Cath® Vinyl Intermittent Catheters ...............58Bard® Silicone Elastomer-Coated Latex Foley Catheters ..72Bard® Urostomy Accessories ................................................52Bardex® All-Silicone Foley Catheters ...................................73Bardex® Infection Control Latex Foley Catheter .................72Bardex® Lubricath® Closed System Insertion Trays ...........81Bardex® Lubricath® Coudé Foley Catheters ........................71Bardex® Lubricath® Latex Foley Catheters ..........................71Bardex® Lubricath® Latex Pediatric Foley Catheter ...........71Bardex® Tri-Way® Lubricath® Catheters .............................73Bardia® Catheter Insertion Trays with Drainage Bags .......81Bardia® Catheter Tray .............................................................78Bardia® Closed System Drain Bags ......................................52Bardia® Closed System Drain Bags ......................................75Bardia® Closed System Foley Tray ........................................73Bardia® Coated Latex Foley Catheters .................................72Bardia® Foley Insertion Trays without Catheter .................73Bardia® Piston Irrigation Syringe..........................................78Bardia® Red Rubber Catheter Tray .......................................78Bardia® Urethral Catheter Tray ..............................................81Barrier/Tape Strips .......................................39-40, 42, 48, 51Baza® Antifungal Cream, Antifungal Barrier......................79Baza® Clear Moisture Barrier Ointment ..............................79Bedside Collection System ....................................................77Bedside Drainage Bags .........................................................75Bedside Urinary Drainage Bags ...........................................76Bedside-Care® Perineal Wash ..............................................79Benzalkonium Chloride Swabstick ......................................80Bi-Level Urethral Catheterization Procedure Trays .............78Biatain® Ag Foam Dressings ............................................. 103Biatain® Alginate Ag Dressing with Silver .........................93Biatain® Alginate Dressings .................................................92Biatain® Foam Dressings ................................................... 103Biatain® Heel Foam Dressing ........................................... 104Biatain® Sacral Foam Dressings ....................................... 104Biatain® Silicone ................................................................. 103Biatain® Silicone Ag Foam Dressing ................................ 104Biatain® Silicone Lite .......................................................... 104Biatain® Soft-Hold Foam Dressing .................................. 104BIOCLUSIVE® Select Transparent Sterile Dressings ........ 126BIOGUARD® Barrier Dressings .......................................... 115BIOSTEP® Ag Collagen Matrix Dressings ............................95BIOSTEP® Collagen Matrix Dressings .................................96Brava® Ostomy Belt ...............................................................40Brava™ Elastic Barrier Strips ..................................................40

Brava™ Lubricating Deodorant ............................................40Brava™ Ostomy Accessories ..........................................39-40Brava™ Paste ...........................................................................40Brava™ Strip Paste ..................................................................39BSN medical, Inc. .112, 121, 130, 134, 143, 145Burn Dressings (Wound Care) .................................. 121-122C&S........................................................ 51-52C&S Ostomy Daily Wear Pouch Cover .................................52C&S Ostomy Pouch Covers ............................................51-52C&S Ostomy Quick Dry Pouch Cover ...................................51CarboFLEX® Odor Control Dressings ...................................90Carolon Compression Products ................. 166CarraScent™ ........................................................................ 144Carrington ................................................ 141CATH-SECURE Dual Tab® ......................................................80CATH-SECURE® Plus Tube Holder ........................................80CATH-SECURE® Tube Holder ................................................80Catheter Strap and Tube Holder ...........................................73Cellona® Synthetic Padding .............................................. 136CenterPointLock™ 4.5” Stoma Caps with

Integrated Filter ..................................................................27CenterPointLock™ Mini-Pouches.........................................26CenterPointLock™ Skin Barriers .....................................25-26CenterPointLock™ Two-Piece Closed-End Pouches ..........26CenterPointLock™ Two-Piece Drainable Pouches .............26CenterPointLock™ Two-Piece Urostomy Pouches .............27Church & Dwight Co., Inc. .......................... 141CircAid Medical Products Compression

Products ................................................ 168Clean-Cath® Ultra Vinyl Catheters ........................................59Clean-Cath® Vinyl Catheters .................................................58Clean-Cath® Vinyl Coudé Tip Catheter, 16” .........................63Clear Advantage® with Aloe Male External Catheter .......69Clear Tube and Connector Kit ................................................79ColActive® Plus ......................................................................94ColActive® Plus Ag ................................................................94Collagen Dressings (Wound Care) ................................21-96CollaSorb® Collagen Dressings ............................................95Colokids™ Assura® Pediatric Ostomy Products .................39Coloplast ... 30-40, 58, 61, 63-66, 68-70, 74-75,

77, 79, 92-93, 103-104, 110, 116, 140Coloplast Ostomy Accessories .......................................39-40Coloplast Ostomy Accessories .......................................39-40Coloplast Ostomy Belt ...........................................................40Coloplast Paste ........................................................................40Coloplast Pouch Clamp .........................................................40CombiDERM® ACD® Dressings ........................................ 117CombiDERM® Non-Adhesive Dressings ......................... 117Combine ABD Pad ............................................................... 108Comfeel® Plus Contour Dressings .................................... 118Comfeel® Plus Pressure Relief Dressings ......................... 119Comfeel® Plus Sacral Dressings ........................................ 118Comfeel® Plus Transparent Dressings .............................. 119Comfeel® Plus Ulcer Dressings ......................................... 118Comfeel® Ulcer Care Dressings ......................................... 119Composite Dressings (Wound Care) ....................... 122-124Compound Benzoin Tincture Swabsticks ....................... 149Compression and Unna Boot (Wound Care) ......... 131-136Comprilan® Short Stretch Compression Bandage ........ 135Condom Catheter Straps .......................................................71Conform® Stretch Bandages ............................................ 131CONFORMANT 2® Wound Veils ....................................... 121Conforming Adhesive Seals ..................................................50


INDEXINDE

X


Kenguard™ Silicone-Coated Foley Catheter.......................72Kenguard™ Universal Catheter Insertion Trays ..................81Kenguard™ Urethral Catheterization Trays (Open) ............81Kenguard™ Urinary Drainage Bags .....................................76Kerlix® AMD Rolls ............................................................... 113Kerlix® Bandage Rolls ........................................................ 129Kerlix® Super Sponges ....................................................... 129Knee-High mediven® Comfort Compression Stockings 167KNEE-HIGH mediven® Dual Layer Stocking System ...................................................167KNEE-HIGH mediven® Dual Layer Ulcer Kit ........167Knee-High mediven® for Men Graduated

Compression Stockings .................................................. 167Knee-High mediven® Sheer & Soft

Compression Stockings .................................................. 167Kontiba Stoma Cap Squares .................................................50Kontiba Stoma Caps ...............................................................50Kosma-Kare, Inc. ...................................... 150Leg Bag Combination Packs .................................................77Liquid Adhesive ......................................................................49Little Ones® Pediatric Ostomy Products .......................13-14Lohmann & Rauscher ...................94, 135-136LYOFOAM A Adhesive Polyurethane

Foam Sterile Dressings .................................................. 101LYOFOAM Max Polyurethane Foam Dressing ................ 101LYOFOAM T Polyurethane Foam Sterile Dressings ......... 101M.C. Johnson .............................................. 80M9® Cleaner/Decrystallizer ..................................................29m9® Cleaner/Decrystallizer ..................................................79Maddak, Inc. Compression Products ......... 166Magic3® All-Silicone Intermittent Catheters .....................60Magic3® All-Silicone Preconnected Urethral Tray .............68Magic3® All-Silicone Preconnected Urethral Tray .............78Magic3® Antibacterial Hydrophilic Intermittent Catheter

Closed System ....................................................................67Magic3® Antibacterial Hydrophilic

Intermittent Catheters .......................................................62Magic3® Antibacterial Hydrophilic Intermittent Catheters

with Sure-Grip....................................................................62Magic3® Antibacterial Intermittent Catheters ...................60Magic3® Antibacterial Preconnected Urethral Tray...........67Magic3® Antibacterial Preconnected Urethral Tray...........77Magic3® Hydrophilic Intermittent Catheter

Closed System ....................................................................67Magic3® Hydrophilic Intermittent Catheters .....................62Magic3® Hydrophilic Intermittent Catheters

with Sure-Grip™ ................................................................62Magic3® Hydrophilic Intermittent Cathether ....................64ManHood® Absorbent Pouches ..........................................79Medi USA Compression Products........ 164-165MEDIHONEY® Gel .............................................................. 113MEDIHONEY® HCS ............................................................. 118MEDIHONEY® Honeycolloid™ Dressings ........................ 118MEDIHONEY® Paste ........................................................... 108MEDIHONEY™ Calcium Alginate Dressings ......................91mediven® Butler.................................................................. 164Medline ..................................... 109, 141, 143 Mefix® .................................................................................. 140Melgisorb® Ag Antimicrobial Alginate Dressings ............91Melgisorb® Calcium Alginate Dressings ............................91Mepiform® .......................................................................... 146Mepilex® .............................................................................. 101Mepilex® ............................................................................... 100Mepilex® Ag ........................................................................ 101

Mepilex® Border ................................................................. 100Mepilex® Border Ag ........................................................... 100Mepilex® Border Lite .......................................................... 100Mepilex® Border Sacrum Self-Adherent

Foam Dressings .............................................................. 100Mepilex® Lite ...................................................................... 100Mepilex® Transfer ............................................................... 100Mepilex® Transfer Ag .......................................................... 101Mepitel® .............................................................................. 122Mepitel® One ...................................................................... 122Mepore® .............................................................................. 127Mepore® Film ..................................................................... 125Mepore® Pro ....................................................................... 125Mesalt® ................................................................................ 114Micro-Guard® Antifungal Powder ......................................79Microcyn® Skin & Wound Care with Preservatives ....... 143Microcyn® Skin & Wound HydroGel™ ............................ 109MMG H20™ ............................................................................67Moist Burn Pads .................................................................. 123Mölnlycke Health Care ..91, 100-101, 103, 108,

111, 120, 123, 125, 136, 138-139, 143Montreal Adhesive Remover ................................................49Montreal Ostomy .................................. 48-49Montreal Ostomy Absorbents ..............................................49Montreal Ostomy Appliance Cleaners ................................49Montreal Ostomy Barrier/Tape Strips ..................................48Montreal Ostomy One-Piece Drainable Pouches..............48Montreal Ostomy One-Piece Pediatric

Urostomy Pouches .............................................................48Montreal Ostomy One-Piece Urostomy Pouches .............48Montreal Ostomy Skin Barrier Wipes ..................................49Montreal Ostomy Skin Barriers and Seals ..........................48Montreal Ostomy Wipes .......................................................49Montreal Urostomy Accessories...........................................48MPM Medical, Inc. . 96, 109, 122, 131, 146-147Na’Scent Odor Eliminator ......................................................51Natural Care™ Gel ............................................................... 148NB Products ............................................... 51New Image® Mini-Pouches .................................................24New Image® Skin Barriers .............................................21-23New Image® Two-Piece Closed-End Pouches ..................24New Image® Two-Piece Drainable Pouches ...............23-24New Image® Two-Piece Urostomy Pouches ..............24-25No Sting Wipes ............................................43, 45-46, 49-50Non-Impregnated Gauze (Wound Care) ............... 126-131Non-Sterile Cotton Tipped Applicators ............................ 147Normlgel® ........................................................................... 103Normlgel® Ag ...................................................................... 103NormlShield™ Skin Protectant ......................................... 149NU-DERM® Alginate Wound Dressings ............................92NU-DERM® Hydrocolloid Wound Dressings .................. 120Nullo Internal Deodorant Tablets .........................................51Nullo.com ................................................... 51Oakin ....................................................... 110Oculus ...............................................109, 141One-Piece Urostomy Pouches ....12-13, 18, 20, 30-31, 35,

38-39, 42, 48OPSITE® FLEXIFIX® Transparent Film Roll ....................... 126OPSITE® FLEXIGRID® Transparent Adhesive

Film Dressings ................................................................. 126OPSITE® Transparent Adhesive Dressings ....................... 126Optilock ................................................................................. 108Osto-Barriers ...........................................................................48

Osto-Bond Skin Bond Adhesive ..........................................49Osto-Gel Super-Absorbent ...................................................49OSTO-PASTE ............................................................................49OSTO-SEAL Barrier Rings ......................................................48OSTO-SEAL® Products ...........................................................48OSTO-STRIPS ...........................................................................48OSTO-STRIPS® THINS® ..........................................................48Ostofresh™ Liquid Deodorant ..............................................52Ostomy Absorbents ..................................................46, 49, 50Ostomy Appliance Cleaners.....................................29, 46, 49Ostomy Belts .......................................................15, 29, 40, 46Ostomy Irrigation Products ......................................14, 27, 39Ostomy Lubricants .................................................................27Ostomy Mini-Pouches.................5, 9-10, 17, 20, 24, 26, 36Ostomy One-Piece Closed-End Pouches ........6, 12, 18-19,

30-31, 37-38, 42Ostomy One-Piece Drainable Pouches . 5-6, 11-12, 16-19,

30-31, 35-37, 42, 47-48Ostomy Paste and Strips..........15, 28, 39-40, 43-44, 49, 51Ostomy Postoperative Systems .....................................33, 36Ostomy Pouch Clamps ..................15, 29, 40, 46, 49, 51, 52Ostomy Pouch Covers .....................................................51-52Ostomy Pouch Disposal Bags ...............................................47Ostomy Powder ...........................................15, 28-29, 45, 49Ostomy Two-Piece Closed-End Pouches .4-5, 9-10, 24, 26,

32-33, 35, 42-43Ostomy Two-Piece Drainable Pouches ....4-5, 8-10, 23-24,

26, 32-33, 35, 41, 44Pediatric Ostomy Products ............13-14, 20-21, 39, 42, 48Peri-STOMA & Adhesive Remover Wipes™ .......................50PermaFoam® Foam Dressings ......................................... 105Personal Catheter® .................................................................60Petrolatum Gauze Non-Adhering Dressings .................. 115Phoenix Ostomy Support System .......................................43Piston Irrigation Syringe Tray.................................................79Plain Wood Applicator ....................................................... 147PolyMem Max® Wound Care Dressings ......................... 102PolyMem Silver Dressings ................................................. 101PolyMem Wic Silver® Dressings ....................................... 101PolyMem Wic® Wound Cavity Fillers ............................... 102PolyMem® Adhesive Cloth-Backed Dressings .............. 101PolyMem® Adhesive Film Dressings ............................... 102PolyMem® Finger/Toe Dressings ..................................... 145PolyMem® Non-Adhesive Dressings .............................. 102Pop-On® Male External Catheter .........................................70Pouch Clamps .................................15, 29, 40, 46, 49, 51, 52Pouchkins™ Pediatric Ostomy Products ......................20-21Povidone Iodine Popule .................................................... 147Povidone/Iodine Solution ................................................. 146Premier™ Mini-Pouches .......................................................17Premier™ One-Piece Closed-End Pouches ........................18Premier™ One-Piece Drainable Pouches .....................16-18Premier™ One-Piece Urostomy Pouches ...........................18Premium Skin Barriers, Nonsterile .......................................28Preps, Wipes, Skin Care (Wound Care) .................... 146-147PRIMAPORE® Adhesive Nonwoven Wound Dressings 131PROFORE® Four-Layer Bandaging System .................... 134PROFORE® LF Multi-Layer Compression

Bandaging System ........................................................ 134PROFORE® Lite .................................................................... 134PROFORE® Wound Contact Layers (WCL) ...................... 122PROMOGRAN PRISMA® Matrix ORC/

COLLAGEN/SILVER ............................................................95PROMOGRAN® Matrix ORC/Collagen ................................94

Purilon® Gel ......................................................................... 113Puritan® Medical Products................. 144-145Red Rubber Catheter, Sterile, 16” .........................................58Red Rubber Robinson/Nelaton Catheter ............................58Regenecare® Wound Care Gel with 2% Lidocaine ....... 109ReliaMed® ............................................ 45-47,

79-80, 90, 106, 110, 112, 118, 124, 126-127, 131-132, 137-138, 141, 144-147

ReliaMed® 4-Layer Compression Bandage System ..... 133ReliaMed® Absorbents ....................................................... 147ReliaMed® Adhesive Bandages ....................................... 146ReliaMed® Adhesive Remover Wipes .............................. 149ReliaMed® Adhesive Remover Wipes .................................79ReliaMed® Adhesive Remover Wipes ............................. 146ReliaMed® Alginate/CMC Dressings ..................................90ReliaMed® Amorphous Hydrogel ................................... 113ReliaMed® Clear Surgical Tape ......................................... 138ReliaMed® Closure Clamp for Drainable Pouches .............46ReliaMed® Cloth Surgical Tape ......................................... 138ReliaMed® Composite Barrier Dressings ........................ 125ReliaMed® Conforming Bandages .................................. 132ReliaMed® Cotton Tip Applicators .................................... 145ReliaMed® Deodorizing Products ........................................46ReliaMed® Easy Wrap Elastic Bandage ........................... 133ReliaMed® Easy-Tear Cohesive Bandages ...................... 133ReliaMed® Elastic Adhesive Tape ..................................... 138ReliaMed® Elastic Tubular Support Bandages ............... 137ReliaMed® Foam Dressings .............................................. 106ReliaMed® Gauze Sponges ............................................... 128ReliaMed® Heel and Elbow Protectors ........................... 150ReliaMed® Hydrocolloid Dressings .................................. 120ReliaMed® Hydrogel Sheet Dressings ............................. 112ReliaMed® I.V. Antiseptic Wipes ....................................... 148ReliaMed® Medicated Petrolatum Dressings ................ 115ReliaMed® Non-Adherent Sterile Wound Dressings .... 132ReliaMed® Nonsterile Gauze Bandage Roll ................... 128ReliaMed® Oil Emulsion Dressings .................................. 115ReliaMed® Ostomy Accessories ....................................45-47ReliaMed® Ostomy and Urostomy Appliance Cleaner ....46ReliaMed® Ostomy and Urostomy Appliance Cleaner ....80ReliaMed® Ostomy Appliance Belt .....................................46ReliaMed® Ostomy Barrier Seals .........................................45ReliaMed® Ostomy Pouch Absorbent Tablets

with Deodorant ..................................................................46ReliaMed® Packing Strips ................................................. 128ReliaMed® Paper Surgical Tape ........................................ 139ReliaMed® Petrolatum Impregnated Gauze

Non-Adhering Dressings .............................................. 115ReliaMed® Protective Barrier Wipes ................................. 149ReliaMed® Protective Barrier Wipes ................................ 147ReliaMed® Self-Adhesive Dressing Retention Sheet .... 139ReliaMed® Shower-Guard®—Moisture Barrier........... 146ReliaMed® Silver Alginate/CMC Dressings .......................90ReliaMed® Silver Hydrogel ............................................... 113ReliaMed® Soft Cloth Surgical Tape ................................. 139ReliaMed® Sterile Fluff Sponges ...................................... 128ReliaMed® Sterile Gauze Bandage Roll .......................... 128ReliaMed® Stingless Protective Barrier Wipes ...................46ReliaMed® Stingless Protective Barrier Wipes ............... 149ReliaMed® Tongue Depressors ......................................... 146ReliaMed® Transparent Thin Film Dressings ................... 127ReliaMed® Tubular Elastic Stretch Net Dressings ........... 138ReliaMed® Unna Boot Dressings ..................................... 133ReliaMed® Urostomy Accessories .......................................46

INDEXContact Layer (Wound Care) .................................... 119-121ConvaTec Adhesive Remover ................................................15ConvaTec Ostomy Accessories .......................................14-15ConvaTec Ostomy Appliance Belt .........................................15ConvaTec® .. 4-15, 90, 96-97, 106-107, 113-115,

133, 142, 145, 149ConvaTec® Tail Closures ..........................................................15Conveen® Active Leg Bag .....................................................74Conveen® Optima Male External Catheters .......................68Conveen® Security+ Contoured Leg Bags .........................74Conveen® Security+ Self-Sealing Male

External Catheter ................................................................68Cotton Tipped Applicator with Polystyrene Handle ...... 147Cotton Tipped Applicator with Wood Handle ................ 147Coudé Bardex® Lubricath® Latex Foley Catheters (Carson

Model) .................................................................................72Coudé FloCath™ Intermittent Catheters, Sterile .................64Covalon Technologies Ltd............................ 94Cover-Roll® Adhesive Gauze Bandage ........................... 140Coverlet® Flexible Fabric Adhesive Dressings ................. 148Covidien .................................... 60, 64, 71-74,

76, 78, 79-81, 93, 96, 104-105, 111, 113, 118, 123, 125, 127-128-130, 140, 142, 146, 148

Covidien Compression Products ................ 163COVRSITE® Cover Dressings .............................................. 131COVRSITE® Plus Composite Dressings ............................ 124Cunningham Penile Clamp ..................................................71Cure Coudé Catheter® ............................................................64Cure Medical............................................... 64Curity™ AMD™ Packing Strips .......................................... 131Curity™ Bedside Drainage Bags ...........................................76Curity™ Cover Sponges ...................................................... 130Curity™ Flexible Fabric Bandages ..................................... 145Curity™ Gauze Sponges ..................................................... 130Curity™ Mono-Flo™ Bedside Drainage Bag ......................76Curity™ Non-Adherent Strips ........................................... 116Curity™ Nonwoven All-Purpose Sponges ...................... 130Curity™ Packing Strips ....................................................... 131Curity™ Sodium Chloride Dressings ................................ 113Curity™ Suture Removal Kit .............................................. 151Curity™ ULTRAMER™ Urethral Red Rubber

Coudé Catheter ...................................................................64Curity™ Universal Catheter Trays ..........................................81Curity™ Urinary Leg Bags ......................................................76CUTICERIN® Gauze ............................................................. 114Cuticle/Orange Stick ........................................................... 147Cutimed® ACUTE ................................................................ 145Cutimed® Sorbact® Gel ..................................................... 115Cutimed® Sorbact® WCL ................................................... 123Cutisorb® Ultra Super-Absorbent Dressing .................... 123Cymed ........................................................ 47Cymed One-Piece Drainable Pouches ................................47Dale® Hold-n-Place® Foley Catheter Holders ....................80Dale® Medical ......................................80, 143Dale® Nasal Dressing Holder ............................................ 146Deluxe Flexible Sock and Stocking Aid ............................ 164Deodorants ................................29, 40-41, 43-44, 46, 49-52Derma Sciences ......91, 99, 106, 111, 113, 115,

122, 130, 133-134, 142, 146-147Dermacea™ Drain Sponge ................................................ 129Dermacea™ Low Ply Gauze Rolls ..................................... 129Dermacea™ Nonwoven All-Purpose Sponges ............. 129Dermagran® B Hydrophilic Wound Filler ........................ 108Dermagran® Hydrogel Zinc Saline Wound Dressing .... 108

Dermagran® Hydrophilic Gauze Dressings .................... 116Dermagran® Ointment and Moisturizing Spray ........... 149Dermagran® Wound Cleanser with Zinc ........................ 144Dermal Wound Cleanser ................................................... 143Diabetic Compression Socks .............................................. 166Dispoz-a-Bag® Leg Bags ......................................................75Doff N’ Donner Products ..................................................... 166Dover™ 102% All-Silicone Foley Catheter .........................73Dover™ Rob-Nel™ Latex-Free Catheter ..............................60Dover™ Urine Leg Bags with Sterile Fluid Path..................76Drainage Bag Hanger ............................................................77DuBan® Cohesive Elastic Bandage .................................. 135DuCare® Gauze Sponges ................................................... 132Dudress® Film Top Island Dressings ................................. 124DuFore® Four-Layer Compression Bandaging System 135DuForm® Synthetic Conforming Bandages ................... 132DuoDERM® CGF® Border Dressings ................................ 115DuoDERM® CGF® Sterile Dressings ................................. 116DuoDERM® Extra Thin Dressings ..................................... 116DuoDERM® Hydroactive® Gel .......................................... 109DuoDERM® Signal® Dressings ......................................... 117DuoDERM® Sterile Hydroactive® Dressings ................... 117DuoLock® Curved Tail Closure ...............................................15Dynarex ................................................... 109Eakin Cohesive® Skin Barriers/Seals .............................14-15Eakin® Fistula and Wound Care Pouches with Fold and

Tuck Closure .................................................................... 151Eakin® Fistula and Wound Care Pouches with Remote

Drainage Attachment .................................................... 151Eakin® Fistula and Wound Pouch Access Window ....... 151Eakin® Fistula and Wound Pouches

with New Tap Closure .................................................... 151Easy Tap® Leg Bags ................................................................76EasyCath™ Coudé Tip Intermittent Catheter .......................63EasyCath™ Kits ........................................................................65EasyCath™ Soft Eye™ Straight-Tipped Intermittent

Catheters .............................................................................59Econo-Paste® Conforming Zinc-Oxide Paste Bandages 135Economy Drain Bag ...............................................................75Economy Lubricath® Foley Catheters ..................................72Elasto-Gel™ Cast/Splint Padding ..................................... 146Elasto-Gel™ Hydrogel Dressings ...................................... 109Elasto-Gel™ Plus Wound Dressings ................................. 109Elta .......................................................... 110Endoform Dermal Template ................................................96Enema Bags ............................................................................80Esteem synergy® + Two-Piece Closed-End Pouches ....4-5Esteem synergy® + Two-Piece Drainable Pouches ............4Esteem synergy® Mini-Pouches ............................................5Esteem synergy® Skin Barriers ...............................................4Esteem synergy® Two-Piece Closed-End Pouches .............5Esteem synergy® Two-Piece Drainable Pouches .................5Esteem synergy® Two-Piece Urostomy Pouches ................5Esteem® + One-Piece Closed-End Pouches .......................6Esteem® + One-Piece Drainable Pouches ......................5-6Excel-Gel™ Hydrogel Dressing ......................................... 109Excilon® Drain and IV Sponges ........................................ 131Extended Wear Male External Catheter ..............................70Extension Tubing ....................................................................77EXU-DRY® Dressings with Anti-Shear Layer ................. 107Fabric Leg Bag Holders ..........................................................77Fabric Leg Bag Straps .............................................................77FarrowMed Compression Products ........... 168FarrowWrap® BASICTM Legpiece .................................... 168

Female Catheter Kit ................................................................65FemSoft® Urethral Insert .......................................................63Ferris .................................................102, 142FIBRACOL® PLUS Collagen/Alginate Dressings ................94Filtrodor® Pouch Filters ..........................................................40Flextend™ Skin Barrier, Sterile ..............................................28FloCath Quick™ Intermittent Catheters ...............................62FloCath Quick™ Kit .................................................................67FloCath™ Intermittent Catheters, Sterile .............................61Foams (Wound Care) ...................................................97-106Foley Catheter Accessories ....................................................74Foley Catheter Irrigation Trays ...............................................78Foley Catheterization Procedure Trays .................................74Foley Insertion Tray .................................................................73FourPress® Compression Bandaging System ................ 136Freedom Cath® Male External Catheter ..............................70Freedom Clear® LS Male External Catheter ........................69Freedom Clear® SS Male External Catheter........................68Freedom Clear® with Kink-Resistant Nozzle .....................68Freedom® Fas-Tap® Drainage Port Leg Bag .......................75Freedom® Fas-Tap® Drainage Port Leg Bag Kits ...............75Freedom® Flocked Back Fas-Tap® Drainage

Port Leg Bag Kits ................................................................75Freedom® Flocked Back Fas-Tap® Drainage

Port Leg Bags ......................................................................75Freedom® T-Tap Leg Bag Kits ...............................................75Freedom® T-Tap Leg Bags .....................................................74Gel-Plus Deodorizer ...............................................................49Gel-X Absorbent .....................................................................50Genairex................................................ 41-43Gizmo™ Straps........................................................................70Glen-Sleeve® II Arm and Leg Protectors ......................... 150Gold Dust™ Hydrophilic Polymer Powder ...................... 143Golden-Drain One-Piece External Catheter .......................70Graduated Compression Multi-Layer Stocking System 166HARTMANN USA ......93, 95, 105, 108, 125, 135Heel Guide™ Compression Stocking Aid ......................... 164Hex-On Odor Antagonist ......................................................79HolliHesive™ Skin Barriers, Nonsterile .................................28Hollister Incorporated 4” Stoma Cap with Filter .................18Hollister Incorporated Appliance Cleaners .........................29Hollister Incorporated Drainable Pouch Clamp .................29Hollister Incorporated Irrigation Products ...........................27Hollister Incorporated Ostomy Belt .....................................29Hollister Incorporated Protective Dressing Wipes ..............29Hollister Incorporated Skin Barriers and Seals ...................28Hollister Incorporated Stoma Caps .........................28, 20, 27Hollister Incorporated, Inc. .........16-29, 58-59,

64, 66, 70, 77, 79, 92, 96, 103, 107, 117, 119, 142, 146, 149

Horseshoe Shaped Dressings ........................................... 109Hy•Tape® International .......................51, 140Hy•Tape® Latex-Free Adhesive Pink Tape ...........................51Hy•Tape® Latex-Free Adhesive Pink Tape ....................... 142Hydrocolloids (Wound Care) .................................... 113-118Hydrofera Blue Foam Dressing ......................................... 102Hydrofera Blue Tunneling Dressing ..............102Hydrofilm®

Transparent Film Dressings ........................................... 125Hydrofilm Transparent Film Dressings ............................. 127HydroFrame® ..........................................................................48HydroFrame® ..........................................................................48Hydrogel Dressings and Hydrogels (Wound Care) 106-111HydroGel Wound Dressing ................................................ 109Hydrogen Peroxide ............................................................. 146

Hydrogen Peroxide Popule ................................................ 147Hydrophilic Personal Catheter® ............................................62Hydrophilic Personal Catheter® Intermittent

Closed System ....................................................................67HydroTac® ............................................................................ 105HYPAFIX® Dressing Retention Rolls ................................. 140Hypergel® ............................................................................ 108Impregnated Gauze (Wound Care) ......................... 111-113Infection Control Urine Drainage Bags with Anti-Reflux

Chamber .............................................................................75INTEGRITY Skin Barrier Rings ...............................................51INTEGRITY Skin Barrier Rings ...............................................51Intermittent Catheter Extension Tube ..................................66INTRASITE® Gel Amorphous Hydrogel Dressings ......... 108Irrigation Piston Syringe .................................................... 145Irrigation Trays and Syringes .................................................78Isoband® Finished Edge Bandage ................................... 139IV3000® Transparent Adhesive Film Dressings .............. 125JOBST® Accessories for Medical Leg Wear ...................... 159JOBST® Activewear for Men

and Women........................................... 160JOBST® Compression Products ......................................... 158JOBST® Comprifore® .......................................................... 145JOBST® Comprifore® LF ..................................................... 145JOBST® Comprifore® lite .................................................... 145JOBST® Comprifore® lite LF ............................................... 145JOBST® For Men .................................................................. 160JOBST® Knee-Highs............................................................ 158JOBST® Maternity ............................................................... 159JOBST® Opaque Medical Legwear ................................... 160JOBST® Pantyhose .............................................................. 159JOBST® Thigh-Highs ........................................................... 158JOBST® Ultrasheer Medical ............................................... 158JOBST® Venous Leg Ulcer Management System ........... 161Juxta-LiteTM Ankle Foot Wrap Inelastic

Compression Garment ................................................... 168Juxta-LiteTM Lower Leg Inelastic

Compression Garment ................................................... 168Juzo Compression Products ...................... 162Juzo Dynamic Cotton for Men, Knee-High,

Full-Foot Socks ................................................................ 162Juzo Silver Sole™ Socks for Sensitive Feet ....................... 162Juzo Soft Opaque and Dynamic Cotton Socks................ 160Juzo Soft, Knee-High, Full-Foot Socks ............................. 162Juzo Soft, Knee-High, Open-Toe Socks ........................... 162Karaya 5™ Mini-Pouches ......................................................20Karaya 5™ One-Piece Closed-End Pouches .......................19Karaya 5™ One-Piece Drainable Pouches ..........................19Karaya 5™ One-Piece Urostomy Pouches ..........................20Karaya 5™ Paste ......................................................................28Karaya 5™ Stoma Caps with Filter, White ...........................20Kendall™ Alginate Hydrocolloid Dressings ..................... 120Kendall™ AMD Antimicrobial Foam Dressings ............. 104Kendall™ Calcium Alginate Dressings ................................93Kendall™ Gentle Adhesion Border Foam Dressings ..... 105Kendall™ Hydrogel Impregnated Gauze ........................ 114Kendall™ Hydrogel Wound Dressings ................................95Kendall™ Standard Porous Tape ....................................... 142Kendall™ Sterile Saline Wound Solution ........................ 143Kendall™ Ultra-Soft Foam Dressings .............................. 105Kendall™ Ultra-Soft Foam Dressings with Topsheet .... 104Kendall™ Waterproof Tape ................................................ 142Kendall™ Window Transparent Film Dressings .............. 126Kenguard™ Foley Catheterization Trays ..............................74

INDEXReliaMed® Wound and Skin Cleanser ............................. 144REMOVE® Adhesive Removers ............................................44Renew Smoothing Cream ................................................. 166Repel™ Waterproof Composite Wound Dressings ................

124REPLICARE® Hydrocolloid Dressings .................... 120REPLICARE® Thin Hydrocolloid Dressings ....................... 120Restore® Calcium Alginate Dressings .................................92Restore® Calcium Alginate Dressings with Silver .............92Restore® Cleanser & Moisturizer ...................................... 144Restore® Contact Layer Dressings with TRIACT®

Technology ...................................................................... 121Restore® Contact Layer FLEX Dressing with TRIACT®

Technology ...................................................................... 121Restore® DimethiCreme Skin Protectant ........................ 149Restore® Extra Thin Hydrocolloid Dressings ................... 119Restore® Foam Border Dressings with TRIACT ADVANCED®

Technology ...................................................................... 103Restore® Foam Dressings without Border with TRIACT

ADVANCED® Technology .............................................. 103Restore® Hydrocolloid Dressings ...................................... 119Restore® Hydrocolloid Dressings with Foam

Backing, Sterile ............................................................... 119Restore® Hydrogel Dressings ............................................ 109Restore® LITE Foam Dressings without Border with TRIACT

ADVANCED® Technology .............................................. 103Restore® Odor-Absorbent Dressings ............................... 103Restore® Skin Cleanser ...................................................... 144Restore® Wound Cleanser ................................................. 145Robinson Urethral Catheter ..................................................60Robinson/Nelaton Catheter ..................................................59Rochester Medical ............ 60-64, 67-71, 76-78Rosidal® K Short Stretch Compression Bandage ........... 136Rüsch GOLD™ Two-Way Silicone-Coated Latex

Foley Catheters ...................................................................72Rüsch MMG™ Closed System Intermittent

Urinary Catheter .................................................................65Rüsch MMG™ Closed System Intermittent Urinary

Catheter Kits ........................................................................65SAF-Clens® AF Dermal Wound Cleanser ........................ 144SAF-Gel® Hydrating Dermal Wound Dressing Gel

with Alginate .................................................................. 108Safe n’ Simple™ ................................................................50-51Safe n’ Simple™ Adhesive Remover ....................................50Safe n’ Simple™ Barrier/Tape Strips .....................................51Safe n’ Simple™ No Sting Wipes...........................................50Safe n’ Simple™ Ostomy Appliance Deodorant .................50Safe n’ Simple™ Seals, Rings and Arcs ..... 50-51Safe n’ Simple™ Skin Barrier Paste .......................................51Safe n’ Simple™ Skin Barrier Spray.......................................50Sani-Zone™ Ostomy Appliance Deodorant .......................52Scar Gel ................................................................................ 147Sea-Breeze Appliance Cleaner/Deodorizer ........................49Sea-Breeze Appliance Cleaner/Deodorizer ........................49Sea-Clens® Wound Cleanser ............................................ 143SECURA® Total Body Foam Cleanser ...................................44Secure Health Products .............................. 50Secure Health Products Absorbents ....................................50Secure Health Products Stoma Caps ...................................50Securi-T ® Two-Piece Drainable Pouches ...........................41Securi-T® Conformable Seals ...............................................42Securi-T® Hydrocolloid Skin Barrier Strips ..........................42Securi-T® No Sting Wipe Barrier Protective Dressing ........43Securi-T® One-Piece Closed-End Pouches ........................42Securi-T® One-Piece Drainable Pouches ............................42

Securi-T® One-Piece Urostomy Pouches ...........................42Securi-T® Pediatric Drainable Pouches ...............................42Securi-T® Skin Barriers ...........................................................42Securi-T® Skin Barriers/Seals .........................................42-43Securi-T® Solid Skin Barriers .................................................42Securi-T® Stoma Paste...........................................................43Securi-T® Two-Piece Closed-End Pouches .........................42Securi-T® Two-Piece Urostomy Pouches ............................42Securi-T™ Lubricating Gel Deodorant .................................43Security+ Extra-Large Leg Bag/Bedside Drainage Bag ..74Security+ Urine Leg Bags ....................................................74Self-Cath® Catheters ..............................................................58Self-Cath® Closed System Straight-Tip Kits........................65Self-Cath® Olive Tip Coudé with Guide Stripe®, 16”,

Funnel End ..........................................................................63Self-Cath® Plus 10” Pediatric Hydrophilic-Coated

Catheter ...............................................................................61Self-Cath® Plus Hydrophilic-Coated Catheters ..................61Self-Cath® Soft Catheters, 16”, Funnel End.........................58Self-Cath® Straight-Tip Catheters, 16”, Funnel End ...........58SenSura® Click Postoperative Systems ...............................33SenSura® Click Skin Barriers ..........................................32-33SenSura® Click Two-Piece Closed-End Pouches................33SenSura® Click Two-Piece Drainable Pouches ...................33SenSura® Click Two-Piece Urostomy Pouches ...................33SenSura® Flex Skin Barriers............................................31-32SenSura® Flex Two-Piece Closed-End Pouches .................32SenSura® Flex Two-Piece Drainable Pouches ....................32SenSura® Mio One-Piece Closed-End Pouches ................30SenSura® One-Piece Closed-End Pouches ........................31SenSura® One-Piece Drainable Pouches ............................30SenSura® One-Piece Urostomy Pouches ...........................31SenSura® Xpro Click Skin Barriers ........................................32SenSura® Xpro Flex Skin Barriers .........................................31SenSura® Xpro One-Piece Drainable Pouches ...........30-31SenSura® Xpro One-Piece Urostomy Pouches ..................30Setopress® ........................................................................... 137Shapes® by PolyMem® ..................................................... 102Shapes® by PolyMem® Tube-Site Dressings ................. 102Shur-Clens® Sterile Wound Cleanser .............................. 144Shur-Conform® Oil Emulsion Non-Adhering

Dressings ......................................................................... 115 Sigvaris Compression Products .......... 164-166Silastic® Foley Catheters ........................................................72SilvaGel® ............................................................................... 110SilvaSorb® Gel ...................................................................... 109Silver-Sept® Antimicrobial Skin & Wound Gel .............. 112SILVERCEL® Antimicrobial Alginate Dressings ..................92SILVERCEL® Non-Adherent Antimicrobial Alginate

Dressings ............................................................................92Silverlon® Antimicrobial Calcium Alginate Dressings ......93Silverlon® Antimicrobial Negative Pressure Dressings

(NPD) ............................................................................... 121Silverlon® Antimicrobial Wound Contact Dressings ..... 121Silverlon® Burn Contact Dressings ................................... 121Simply Saline® 3 in 1 Wound Wash ................................ 143Skin Barrier Arcs ......................................................................51Skin Barrier Arcs ......................................................................51Skin Barriers/Baseplates/Faceplates..4, 6-8, 21-23, 25-26,

31-34, 41, 43Skin Barriers/Seals 28, 14-15, 39-40, 42, 44-45, 48, 50-51Skin Cleansers/Moisturizers.....................................28, 44-45Skin Closures (Wound Care) .............................................. 148Skin Gel Protective Dressing Wipes ......................................29

Skin Protective Wipes/Spray .........15, 29, 43-44, 46, 49-50SKIN-PREP® Protective Dressings ........................................44Smith & Nephew ...................................................................44Smith & Nephew ... 44-45, 93, 96-99, 108, 112,

118-119, 121-122, 124, 130, 133, 138, 140Smith & Nephew Adhesive Remover .................................44Smith & Nephew Barriers/Cleansers/Moisturizers....44-45SNaP® Bridge Dressing ...................................................... 150SNaP® Strap ........................................................................ 151SNaP® Wound Care Cartridge ........................................... 150SNaP® Wound Dressing Kit ............................................... 150Sofsorb Absorbent Wound Dressing ................................ 107SOLOSITE® Gel Conformable Wound Dressings ............ 114SOLOSITE® Wound Gel ...................................................... 108Sorbalgon® Ag Silver Containing Calcium Dressings ......93Sorbalgon® Calcium Alginate Dressings ...........................93SorBan® Padding Bandages ............................................. 135Southwest Technologies, Inc. .........95, 107,

140-141, 143SpeediCath® Compact Catheters .........................................61SpeediCath® Compact Set ....................................................66SpeediCath® Intermittent Catheters ....................................61SpeediCath® Intermittent Catheters, Coudé .......................64Spenco®..................................... 109, 121, 144Spenco® 2nd Skin AquaHeal™ ........................................ 109Spiracur, Inc. ...................................... 147-148Spirit™ Male External Catheters ...........................................69Sterile Cotton Tip Applicators ............................................ 147Stimulen™ Collagen Powder ...............................................95Stimulen™ Enhanced Collagen Gel ....................................95Stoma Caps .............................. 10, 12, 18, 20, 27, 35, 38, 50Stomahesive® Ostomy Accessories .....................................15Stomahesive® Paste ...............................................................15Stomahesive® Strips ..............................................................15STOMOCUR® ........................................... 43-44STOMOCUR® Baseplates and Seals ..............................43-44STOMOCUR® Skin Protection Paste .....................................44STOMOCUR® Skin Protection Rings ....................................44STOMOCUR® Two-Piece Closed-End Pouches ..................43STOMOCUR® Two-Piece Drainable Pouches ......................44Stop-Odor Plus .......................................................................49Support Belts ..........................................................................43Suprasorb® A Calcium Alginate Dressings ........................94SUR-FIT Natura® + Mini-Pouches ........................................9SUR-FIT Natura® + Two-Piece Closed-End Pouches .........9SUR-FIT Natura® + Two-Piece Drainable Pouches ........8-9SUR-FIT Natura® Flange Caps with Filter, Opaque ............10SUR-FIT Natura® Mini-Pouches...........................................10SUR-FIT Natura® Skin Barriers ............................................6-8SUR-FIT Natura® Two-Piece Closed-End Pouches ............10SUR-FIT Natura® Two-Piece Drainable Pouches .......... 9-10SUR-FIT Natura® Two-Piece Urostomy Pouches ...............11SureCath Set® Intermittent Catheter Sets

with Accessories .................................................................66SurePress® Absorbent Padding ........................................ 148SurePress® High Compression Bandage ........................ 134Surgilast® Tubular Elastic Dressing Retainers ................. 140Systagenix . 92, 94-95, 111, 117, 118, 120, 125T.E.D. Anti-Embolism Stockings ........................................ 163Tapes..................................................................................45, 51Tapes and Dressing Fixation (Wound Care) ........... 136-140Teleflex® Rüsch® Brand Urologicals ....... 58-59,

61-65, 67, 70-76

Telfa® “Ouchless” Adhesive Dressings .............................. 130Telfa® “Ouchless” Non-Adherent Dressings .................... 130Telfa® AMD Dressings ......................................................... 114Telfa® Island Dressings ....................................................... 130TenderWet® ......................................................................... 109Texas Catheter™ External Male Catheter ............................71tg® Tubular Bandage .......................................................... 136The Belly Bag® ........................................................................75Thin Film Dressings (Wound Care) .......................... 124-126ThreePress® Compression Bandaging System .............. 136TIELLE® Hydropolymer Adhesive Dressings ................... 117TO HEREToe-Aid™ ............................................................................. 109Tongue Depressors ............................................................. 147Touchless® Plus Unisex Intermittent Catheter Kits ............65Triad Medical, LLC ....................................... 52Triad™ Hydrophilic Dressings ............................................ 143Triple Helix Collagen ...............................................................96Tubifast® Retention Bandage ........................................... 140Tubigrip® Multi-Purpose Tubular Bandages, 10M Rolls ........137Two-Piece Urostomy Pouches .5, 11, 24-25, 27, 33, 35, 42UltraFlex® Male External Catheter .......................................70UNI-SOLVE® Adhesive Removers ........................................44UNICARE® Moisturizing Lotion ............................................44UNIDERM® Moisturizinng Cream ........................................44Universal Catheter Insertion Trays ........................................81Unna Boot and Compression (Wound Care) ......... 131-136UNNA-FLEX® Convenience Pack ..................................... 134UNNA-FLEX® Elastic Unna Boot ....................................... 135Unna’s Boot ......................................................................... 137Uri-Drain™ Reusable/Deluxe Leg Bags ..............................76Uri-Drain™ Standard Male External Catheter ....................71URIKLEEN® Deodorizing Detergent.....................................44Urinary Leg Bag Kits ...............................................................77Urinary Leg Bags with Secure Glide™ Drainage Valve......76Urostomy Accessories ........................................46, 48, 51-52Util-Cath™ Vinyl Catheters with Whistle Tip, Sterile, 14 fr 58Vented Urinary Leg Bag Systems, Combo Pack ................77Versiva® XC® Gelling Foam Dressings ................................97VISCOPASTE® PB7 Zinc Paste Bandage .......................... 134Visi-Flow® Irrigation Products ..............................................14Visi-Flow® Irrigation Supplies ..............................................14Webcol™ Skin Barrier Wipes ............................................. 149Welland Adhesive Remover Wipes .....................................49Welland Ostomy Accessories ........................................48-49Welland Pouch Clamp ...........................................................49WideBand® Male External Catheter ....................................69Woun’Dres® Collagen Hydrogel ....................................... 113Wound Cleaners and Debriders, Fillers (Wound Care) ..........

140-142Wound Drainage Collectors .............................................. 150Wound Drainage Collectors (Wound Care) .................... 151Wound Measurement Device .......................................... 147Wound Protectors (Wound Care) ............................ 147-148Wound Wash with Saline ................................................. 143WoundGard® Bordered Gauze Dressings ....................... 132XTRASORB™ Foam Dressings .............................................99XTRASORB™ HCS Dressings ............................................. 118XTRASORB™ Superabsorbent Dressings ........................ 107

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Visit us at 888.858.9988

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We are happy to verify your coverage with your insurance agency, and make sure you pay the lowest out-of-pocket costs possible.

We Have An Extensive Insurance Network

547 Long Point Road #100Mount Pleasant, SC 29464

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TOTAL WOUND CARE SOLUTIONStws.net/tws-catalog-8-5.pdfDiscover the TWS Difference, call 888-858-9988...

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