Colostomy Pouch ActiveLife® One-Piece System 12 Inch Length Flat, Trim To Fit 3/4 to 2-1/2 Inch Stoma Drainable Wound Care Accessories Requires minimal digestive functionality for

Requires minimal digestive functionality for assimilation while providing benefits associated with continued use of the GI tract

Reservoirs

Manufacturer # 10481 Brand SenSura® Mio Manufacturer Coloplast Country of Origin Unknown Application Ostomy Pouch Barrier Style Flat

AND LESS THAN 2% OF VITAMINS AND MINERALS‡

Colostomy Pouch ActiveLife® One-Piece System 12 Inch Length Flat, Trim To Fit 3/4 to 2-1/2 Inch Stoma Drainable Wound Care Accessories Requires minimal digestive functionality forManufacturer # 022771 Brand ActiveLife Manufacturer ConvaTec Country of Origin Dominican Republic Application Colostomy Pouch Barrier Style Flat, Trim to Fit Barrier Type Stomahesive Standard Wear Color Transparent Drain Type Drainable FSA Eligible Buy UOM Yes FSA Eligible Sell UOM Yes HCPCS A5061 (Disclaimer) Is_Active_Vendor Y Is_DSCSA N Is_Discontinued N Is_Medical_Device N Length 12 Inch Length Lot_Tracking_Flag N NDC Number 00003022771