Home › Pouches

Esteem+ One-Piece Convex Drainable Pouch

Convatec Pouches 1-piece Drainable Convex

Brand: Convatec
Category: Pouches
System: 1-piece
Pouch type: Drainable
Barrier type: Convex (from product name)
Opening: Pre-cut
Filter: Yes
Box quantity: 10
Flange sizes: Not found in our sources
HCPCS code(s): A5057 (Convatec product page (ordering table))
Lowest cash price seen: From $121.73 / Box of 10 ($12.17 each)
Vitality Medical, Nov 4, 2026
Source: convatec.com · checked Nov 4, 2026

Add to Supply Planner Compare with similar

Sizes, codes and prices

Prices are cash prices one retailer listed on the date shown, per the retailer's unit. Retailer links are marked as sponsored for search engines and may become affiliate links later. We do not take referral fees from suppliers that bill Medicare. The retailer page says the manufacturer labels this item Rx only.

Code	Description / size	Box	HCPCS	Price seen
`416738`	Pre-Cut, Convex Durahesive Skin Barrier; 12" pouch with 1-sided comfort panel, InvisiClose Tail Closure and filter — Transparent	10 per box	A5057	—
`416739`	Pre-Cut, Convex Durahesive Skin Barrier; 12" pouch with 2-sided comfort panel, InvisiClose Tail Closure and filter — Opaque	10 per box	A5057	$121.73 / Box of 10 Vitality Medical · Nov 4, 2026
`416740`	Pre-Cut, Convex Durahesive Skin Barrier; 12" pouch with 1-sided comfort panel, InvisiClose Tail Closure and filter — Transparent	10 per box	A5057	—
`416741`	Pre-Cut, Convex Durahesive Skin Barrier; 12" pouch with 2-sided comfort panel, InvisiClose Tail Closure and filter — Opaque	10 per box	A5057	$125.17 / Box of 10 Vitality Medical · Nov 4, 2026
`416742`	Pre-Cut, Convex Durahesive Skin Barrier; 12" pouch with 1-sided comfort panel, InvisiClose Tail Closure and filter — Transparent	10 per box	A5057	—
`416743`	Pre-Cut, Convex Durahesive Skin Barrier; 12" pouch with 2-sided comfort panel, InvisiClose Tail Closure and filter — Opaque	10 per box	A5057	$121.73 / Box of 10 Vitality Medical · Nov 4, 2026
`416744`	Pre-Cut, Convex Durahesive Skin Barrier; 12" pouch with 1-sided comfort panel, InvisiClose Tail Closure and filter — Transparent	10 per box	A5057	—
`416745`	Pre-Cut, Convex Durahesive Skin Barrier; 12" pouch with 2-sided comfort panel, InvisiClose Tail Closure and filter — Opaque	10 per box	A5057	$121.73 / Box of 10 Vitality Medical · Nov 4, 2026
`416746`	Pre-Cut, Convex Durahesive Skin Barrier; 12" pouch with 1-sided comfort panel, InvisiClose Tail Closure and filter — Transparent	10 per box	A5057	—
`416747`	Pre-Cut, Convex Durahesive Skin Barrier; 12" pouch with 2-sided comfort panel, InvisiClose Tail Closure and filter — Opaque	10 per box	A5057	$122.42 / Box of 10 Vitality Medical · Nov 4, 2026
`416748`	Pre-Cut, Convex Durahesive Skin Barrier; 12" pouch with 1-sided comfort panel, InvisiClose Tail Closure and filter — Transparent	10 per box	A5057	—
`416749`	Pre-Cut, Convex Durahesive Skin Barrier; 12" pouch with 2-sided comfort panel, InvisiClose Tail Closure and filter — Opaque	10 per box	A5057	$125.91 / Box of 10 Vitality Medical · Nov 4, 2026
`416750`	Pre-Cut, Convex Durahesive Skin Barrier; 12" pouch with 1-sided comfort panel, InvisiClose Tail Closure and filter — Transparent	10 per box	A5057	—
`416751`	Pre-Cut, Convex Durahesive Skin Barrier; 12" pouch with 2-sided comfort panel, InvisiClose Tail Closure and filter — Opaque	10 per box	A5057	$122.42 / Box of 10 Vitality Medical · Nov 4, 2026

Medicare usual maximums for these codes

A5057: Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each. Usual maximum in LCD L33828: 40 per month.

From our Medicare guide (LCD L33828). Informational only; coverage depends on your plan and documentation. Confirm with your supplier or plan.