New Image Two-Piece Drainable Ostomy Pouch – Lock 'n Roll Microseal Closure
HollisterPouches2-pieceDrainable
- Brand
- Hollister
- Category
- Pouches
- System
- 2-piece
- Pouch type
- Drainable
- Barrier type
- Not found in our sources
- Opening
- Not found in our sources
- Filter
- Not found in our sources
- Box quantity
- 10
- Flange sizes
- 1 3/4 Inch Flange, 2 1/4 Inch Flange, 2 3/4 Inch Flange, Flange 1 3/4 Inch, Flange 2 1/4 Inch, Flange 2 3/4 Inch, Flange 4 Inch
- HCPCS code(s)
- A5063 (Hollister product page)
- Lowest cash price seen
- From $30.58 / Box of 10 ($3.06 each)
Vitality Medical, Nov 4, 2026 - Source
- hollister.com · checked Nov 4, 2026
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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 |
|---|---|---|---|---|
18002 | Box of 10 | A5063 | — | |
18003 | Beige Pouch/Ultra-Clear Body Side Panel w/ Red, Flange 2 1/4 Inch Opening Description from Vitality Medical listing | Box of 10 | A5063 | $30.58 / Box of 10 Vitality Medical · Nov 4, 2026 |
18004 | Beige Pouch/Ultra-Clear Body Side Panel w/ Blue, Flange 2 3/4 Inch Opening Description from Vitality Medical listing | Box of 10 | A5063 | $30.80 / Box of 10 Vitality Medical · Nov 4, 2026 |
18006 | Beige Pouch/Ultra-Clear Body Side Panel w/ Yellow, Flange 4 Inch Opening Description from Vitality Medical listing | Box of 10 | A5063 | $37.37 / Box of 10 Vitality Medical · Nov 4, 2026 |
18112 | Green, 1 3/4 Inch Flange, 12 Inch Length Description from Vitality Medical listing | Box of 10 | A5063 | $30.82 / Box of 10 Vitality Medical · Nov 4, 2026$30.82 / Box of 10 Vitality Medical · Nov 4, 2026 |
18113 | Red, 2 1/4 Inch Flange, 12 Inch Length Description from Vitality Medical listing | Box of 10 | A5063 | $30.58 / Box of 10 Vitality Medical · Nov 4, 2026$30.58 / Box of 10 Vitality Medical · Nov 4, 2026 |
18114 | Blue, 2 3/4 Inch Flange, 12 Inch Length Description from Vitality Medical listing | Box of 10 | A5063 | $32.37 / Box of 10 Vitality Medical · Nov 4, 2026$32.37 / Box of 10 Vitality Medical · Nov 4, 2026 |
18132 | Green, Flange 1 3/4 Inch, Beige w/ Transparent on Body Side Description from Vitality Medical listing | Box of 10 | A5063 | $32.37 / Box of 10 Vitality Medical · Nov 4, 2026 |
18133 | Blue, Flange 2 1/4 Inch, Beige w/ Transparent on Body Side Description from Vitality Medical listing | Box of 10 | A5063 | $30.82 / Box of 10 Vitality Medical · Nov 4, 2026 |
18134 | Red, Flange 2 3/4 Inch, Beige w/ Transparent on Body Side Description from Vitality Medical listing | Box of 10 | A5063 | $30.58 / Box of 10 Vitality Medical · Nov 4, 2026 |
Medicare usual maximums for these codes
- A5063: Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each. Usual maximum in LCD L33828: 20 per month.
From our Medicare guide (LCD L33828). Informational only; coverage depends on your plan and documentation. Confirm with your supplier or plan.
Manufacturer-listed features
- Intended for ileostomies or colostomies; not designed for urine output
- Chlorine-free odor barrier film
- Integrated closure design with no tuck away needed
- Includes belt tabs to attach a support belt
As described on the source page.
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