Xeroform Petrolatum Impregnated Dressing Xeroform™ Non-occlusive 4 Inch X 3 Yard Fine Mesh Gauze Bismuth Tribromophenate (Xeroform) / Petrolatum Sterile os Extended Wear Color Beige FSA

Extended Wear Color Beige FSA Eligible - Buy UOM Yes FSA Eligible - Primary UOM Yes FSA Eligible - Sell UOM Yes Flange Size 40 mm Flange HCPCS A4409 Opening Size 3/8 to 1-3/8 Inch Opening System Match Green Code System UNSPSC Code 42312105

Dressing change frequency - daily (or possibly up to 7 days depending on wound type)

(2) Tool Modules with (1) Penlight

Manufacturer # 19106 Brand New Image™ Manufacturer Hollister Country of Origin Unknown Application Ileostomy / Colostomy Pouch Barrier Style Flat

Xeroform Petrolatum Impregnated Dressing Xeroform™ Non-occlusive 4 Inch X 3 Yard Fine Mesh Gauze Bismuth Tribromophenate (Xeroform) / Petrolatum Sterile os Extended Wear Color Beige FSA3% Bismuth Tribromophenate in a special petrolatum blend on fine mesh gauze For minimal to moderate exudate Hydrophilic ointment Non occlusive WARNING: Cancer and Reproductive Harm www. P65Warnings. ca. gov 6 per box, 6 boxes per case