• × Ampatch Style N-4 with 7/8" Round Center Hole 1 × $87.95
• × Esteem + Convex One-Piece Drainable Pre-Cut Pouch w/"visiClose, Durahesive, 12" panel Transparent, 1 1/2" 1 × $127.59
• × Esteem + One-Piece Cut-to-Fit Closed-End Pouch, Modified Stomahesive, Filter, 12" panel Transparent, 2 2/5" by 2 3/4" 1 × $113.80
• × Sur-Fit Natura 2-Piece Urostomy Pouch 1-3/4", Standard 1 × $47.39
• × Premier 1-Piece Urostomy Pouch Precut 1-3/4" with Flat Barrier 1 × $93.64
• × Premier CeraPlus 1-Piece Convex Drainable Pouch Pre-Sized 3/4" With Filter, Lock-N-Roll, B 1 × $57.72
• × Ampatch Style F-4 with 7/8" Round Center Hole 1 × $115.35
• × Premier CeraPlus 1-Piece Drainable Pouch Pre-Sized 1-9/16", Beige With Viewing Option 1 × $57.91
• × Sur-Fit Natura 2-Piece Urostomy Pouch 1-1/2" 1 × $41.87
• × Premier Cera Plus 1-Piece Soft Convex Drainable Pouch With Viewing Option Cut-to-Fit 2-1/8 1 × $69.30
• × Ampatch Style G with 7/8" Round End Hole 1 × $62.57
• × Esteem + Convex One-Piece Drainable Pre-Cut Pouch w/"visiClose, Durahesive, 12" panel Opaque, 1 1/8" 1 × $127.59
• × Esteem + One-Piece Drainable Cut-to-Fit Pouch w/"visiClose, Filter, Modified Stomahesive, 12" panel Opaque, 2-2/5" by 2- 3/4" 1 × $76.18
• × Sur-Fit Natura Durahesive Cut-to-Fit Skin Barrier 4" x 4" without Tape, 2-1/4" Flange 1 × $82.52
• × Sur-Fit Natura 2-Piece Urostomy Pouch 1-1/2" 1 × $41.87

Subtotal: $1,203.25

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