Convenience · Affordability · Choice TM

Ostomy Catalog 2020

Call us toll free! 1-800-308-9445 Byram Healthcare’s Caring Touch at Home™ Ostomy Program offers you:

Convenience Ostomy Center of Excellence (COE): Our Ostomy COE consists of a team of dedicated people that are 100% focused on ostomy care. Their goal is to ensure people with ostomies resume a normal lifestyle. Our ostomy specialists are well trained on the latest ostomy products, management techniques, insurance reimbursement and coverage issues.

Custom Cutting for Ostomy Skin Barriers: At Byram Healthcare Centers, we provide the unique service of customizing ostomy skin barriers to the proper stomal opening for Byram customers. Byram can provide custom cutting on most types of two-piece ostomy skin barriers.

Multi-Lingual Support: Our goal is to make it easy for our customers to work with us, eliminating language barriers that can often get in the way of accessing quality care and outstanding service. Byram Customer Service representatives can access our language line at any time and translate up to 250 languages.

Ostomy Clinical Support: The Byram Healthcare Ostomy Clinical CareLine is designed to support the needs of our current ostomy patients. Closely monitored by our contracted WOCN (Wound, Ostomy, and Continence Nurse), this CareLine is a great resource for anyone experiencing clinical trouble in regard to an ostomy. Our specialized Ostomy CareLine is a resource that can be used for clinical questions or concerns that pop up post discharge or between regular visits to your physician or hospital WOCN. For Ostomy support, please contact: Clinical Support CareLine: 1-877-902-9726 ext. 43312 Clinical Support CareMail: [email protected]

Affordability Reduce Patient Costs: Byram can service the majority of Americans with health insurance, including Medicare, most Medicaid and private insurances. Byram Healthcare is a Medicare participating provider. Our reimbursement experts will exhaust all available insurances to lower or eliminate your out of pocket costs. Should you not have insurance that covers ostomy supplies, we understand the financial burden this places on you. Byram is pleased to offer a discount off the cash purchase. Choice Extensive Inventory: Byram has one of the largest inventories of ostomy products in the country. We only carry brand name ostomy products from trusted manufacturers. Brand Loyal: We fill the order as prescribed and require patient approval for any product changes. Ostomy 1-800-308-9445

Medicare Allowable Supplies...... 3 Ostomy Manufacturer Programs...... 4 Ordering Guide...... 5 Pouching System Quiz...... 6 Getting to Know your Ostomy...... 8 Custom Cutting Program...... 11 Problem Solving...... 13 Foods and Stoma Function...... 16 Travel Tips...... 18 UOAA Patient Bill of RIghts...... 20 Ostomy Information Sheet...... 21

Ostomy Products

COLOPLAST...... 22

CONVATEC...... 79

HOLLISTER...... 115

NU-HOPE...... 147

Accessories

Ostomy Care Accessories...... 163

Disclaimer: The reimbursement information provided by Byram Healthcare is intended to provide general information relevant to coding and reimbursement of Byram Healthcare’s products only. Coverage and payment policies for the same insurer can vary from one region to another and may change from time to time because of ongoing changes in government and insurance industry rules and regulations. Therefore, please confirm HCPCS Codes with your local DME-MAC, private insurer, or Medicaid agency before processing claims. Byram Healthcare does not guarantee coverage or payment of its products listed herein.

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 1 Ostomy

Call us toll free! 1-800-308-9445

Medicare Assignment Customer Service *No up-front out-of-pocket expense. If Our ostomy specialists are committed you have Medicare, Byram is a Medicare to your satisfaction. Our representatives participating provider. have extensive product and reimburse- Byram will also bill your secondary ment knowledge to make ordering insurance for the remaining 20%. You can easy and convenient. If you do not see relax, knowing our reimbursement experts the product you are looking for in the will handle all of the paperwork and catalog, or have any questions, contact obtain prescriptions from your physician. our customer service department for assistance toll-free at 1-800-308-9445. *On assigned items when billing co-payment to secondary insurance for full payment. Shipping Private Insurance and There is no charge for shipping on Managed Care insurance covered orders. Most orders will ship the same day by FedEx Ground Byram will work directly with your or through local regional couriers. This insurance company to ensure that you provides you with prompt, reliable receive your full benefits. Since medical nationwide delivery. Express shipping supply coverage and reimbursement options are available. varies by health plan, we will be happy to investigate your supply coverage with Privacy Policy your insurance company. Byram adheres to state and federal laws complying with the confidentiality of Medicaid business and customer privacy, including the federal HIPAA (Health Insurance Byram participates in many state Portability and Accountability Act) Medicaid programs. Our customer service regulations. If you would like a copy of our representatives will be happy to discuss Privacy Policy, please visit our website or your particular state’s coverage of contact us and we will gladly mail you medical supplies. your policy.

CAN’T WHAT YOU’RE LOOKING FOR? Byram carries thousands of quality brand-name products. If you can’t 2 find it in our catalog, contact one of our friendly Customer Service representatives by calling toll-free 1-800-308-9445. Ostomy 1-800-308-9445

How many supplies will my insurance company pay for? The table below outlines the quantity of supplies that Medicare will reimburse for in a given amount of time. Many health plans also follow Medicare’s guidelines. Higher quantities may be available, depending on specific medical reasons documented by your physician. Please contact your Byram Healthcare ostomy specialist at 1-800-308-9445 for questions specific to your insurance.

Allowable Amount Item Unit 30 Days 90 Days Wafer with Flange Ea 20 60 Pouches-Drainable Ea 20 60 Pouches-Closed End Ea 60 180 Stoma Cap Ea 31 93 Paste Oz 4 oz 12 oz Barrier Wipes Ea 25 75 Skin Barrier Sheets Ea 20 60 Skin Barrier Rings Ea AMN Skin Barrier Spray Oz 2 oz 6 oz Skin Barrier Strips Ea 20 60 Liquid Adhesive Oz 4 12 Adhesive Remover Wipes Box/50 AMN Tape 1" X 10 yards Ea 2 6 Tape 2" X 10 yards Ea 1 3 Deodorant, Liquid Oz AMN Deodorant, Tablet Ea AMN Ostomy Belt Ea 1 3 Convex Inserts Ea 10 30 Irrigation Sleeves Ea 4 12 Irrigation Bags Ea - 1 Irrigation Cone Ea - 1 Irrigation Catheter Ea - 1 Lubricant Oz AMN AMN=As Medically Necessary. Byram Healthcare has interpreted Medicare policy in order to create the above reference information and assumes no responsibility for inconsistencies in the policy. All medical and claims determinations will be made by Medicare or your insurance plan.

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 3 Ostomy

Ostomy Manufacturer Programs Before you left the hospital, your ostomy nurse may have enrolled you in a program to receive product samples and ongoing clinical support from one of the following manufacturers: ■ Coloplast Care Program ■ ConvaTec me+ Program ■ Hollister Secure Start Program

Byram Healthcare participates in all of these programs. Even if you are enrolled in one of these programs, you still have the right to choose your own supplier like Byram Healthcare to provide and bill your ostomy supplies to your insurance. To do so, just tell your ostomy product manufacturer when they call that you would like Byram Healthcare as your provider and they will transfer you directly to one of our ostomy specialists to place your order!

How Manufacturer Support Programs Work 1. Your stoma care nurse enrolls you in a manufacturer support program. 2. The manufacturer ships a sample kit to you within a few days and contacts you about their program. 3. You can specify Byram Healthcare as your medical supplier and they will transfer you directly to an ostomy specialist to place your order. 4. Byram Healthcare will ship supplies directly to your door and bill your insurance.

4 Reorder your supplies online at www.mybyramhealthcare.com Caring Touch at Home™ Ostomy FOUR EASY WAYS TO ORDER:

1. CALL Byram Healthcare: 1-800-308-9445 Monday - Friday, 8:30 am to 7:00 pm Local Time Saturday, 9:00 am to 1:00 pm Local Time

2. ONLINE – Reorder your supplies at: www.mybyramhealthcare.com 24 hours a day, 7 days a week

3. FAX us your order: 1-866-811-4500 4. MAIL your order form: Byram Healthcare Centers, Inc. Attention: Customer Service 3010 Woodcreek Drive - Suite A Downers Grove, IL 60515

Please be sure to indicate your method of payment, if applicable, and your daytime phone number. Ostomy

Pouching System Quiz

This quiz will help reinforce what you have learned about your pouching system. Please answer true or false for each statement.

Closed

T/F: Convenient because they can be thrown away when it’s about half filled

T/F: Good option for of the lower intestinal region, where output is thicker

T/F: Can be used along with drainable pouches

Drainable

T/F: Opened at one end, can be emptied, rinsed, securely closed and reused

T/F: Best used for and colostomies of the higher intestinal regions, which produce a more frequent, liquid or paste-like output

T/F: Available in different lengths

T/F: May have a built-in or separate tail closure

Urostomy

T/F: Designed for urinary stomas

T/F: Have a valve opening for faster, more convenient draining of urine and mucus

T/F: Can be attached to a drainage container at night

Disclaimer: The recommendations and information above should not be considered a substitute for personal medical advice or diagnosis. Before making any changes, consult your health care professional.

6 Reorder your supplies online at www.mybyramhealthcare.com Ostomy 1-800-308-9445

One-Piece System T/F: Skin barrier and pouch are attached to skin together T/F: No assembly and fewer steps to apply; generally more flexible T/F: One connection point means fewer places for possible leakage Two-Piece Systems T/F: The barrier is attached to the skin, and the pouch connects to the barrier T/F: Easier to switch to a different type of pouch T/F: Easier to clean pouch T/F: Less skin irritation from changing barriers T/F: Allows stoma to be visible, making it easier to center the skin barrier

Opaque/Transparent Pouches T/F: An opaque pouch is more discreet T/F: Transparent material in a one-piece system can help you center the wafer onto the stoma Cut-to-Fit/Precut Barriers T/F: Cut-to-fit barriers allow you to customize the skin barrier opening to fit your stoma T/F: Pre-cut barriers provide a consistent fit around the stoma T/F: Pre-cut barriers perform best when used after your stoma has stabilized in shape Filtered T/F: Releases gas, but not odor T/F: Prevents the pouch from ballooning and the need to “burp” the pouch T/F: Good choice for colostomies with thicker output

or when eating gas-causing foods If you answered True to all of these statements, you are correct! are you statements, these of all to True answered you If

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 7 Ostomy

Getting to Know Your Ostomy STOMA : Your has been re-routed so that your body wastes now exit through a stoma on your abdominal wall. Urostomy: A small segment of your small intestine has been used to re-route urine through a stoma on your abdominal wall. : Your large intestine has been removed and your small intestine re-routed so that your body wastes now exit through a stoma on your abdominal wall. All stomas are basically the same, with the exception of size and shape. Your stoma should be red or pink. It is full of blood vessels, which are right on the surface. Your stoma should always be moist, similar to the inside lining of your mouth. It is a mucus membrane that has its own natural lubrication. Your stoma may bleed as it contains many blood vessels. At times when changing the appliance, you may see some blood; do not worry. Your stoma will mend itself, very much the same as when you bite the inside lining of your cheek or mouth. Your stoma has no feeling because it doesn’t have nerve endings. The slight movement of the stoma is called peristaltic action. Your stoma will be swollen following surgery and may take from six to eight weeks to shrink. Measure your stoma at each appliance change during this initial period. The appliance must fit properly to protect the skin and to ensure a leak-proof seal. LIFESTYLE TIPS Generally, the best time to change your appliance is in the morning before breakfast. Examine the peristomal skin (skin surrounding the stoma). It should be the same color and texture as the rest of the abdominal skin. Avoiding skin irritation is much better than treating it. You may take a bath or shower with your appliance on or off. Exposure to air, warm water and gentle soap is good for your skin. If you shower with your appliance on, the tape portion of the appliance will get wet. As the tape dries (you can blow dry with cool air or pat with a towel), it will remain secure on the skin.

Disclaimer: The recommendations and information above should not be considered a substitute for personal medical advice or diagnosis. Before making any changes, consult your health care professional.

8 Reorder your supplies online at www.mybyramhealthcare.com Ostomy 1-800-308-9445

Colostomy: Discharge from your colostomy can vary from a formed stool, pasty-like consistency or just liquid depending on where the stoma was fashioned in the large colon; ascending, transverse, or descending. Some stomas can be controlled through irrigation; some can be managed with a closed-end pouch while others require the use of a drainable-style appliance. There are no definite diet restrictions for colostomies, however some foods will cause excessive gas such as broccoli, cabbage, eggs, fish, beans. Other foods may be constipating and still others may produce odor while emptying. Experiment with one food at a time so problem foods can be identified easily. Urostomy: Using a night drainage system will assure a good night sleep! While some prefer to get up periodically throughout the night to empty, it is more convenient to hook up to bedside drainage. The pouch remains empty and you can rest without worry. There are no specific dietary restrictions for urostomates, but certain food such as asparagus will cause the urine to have more odor. Certain juices such as grapefruit and orange go into your system acidic but exit the body in an alkaline state. Too much alkalinity can cause crystals to build up around the stoma. Cranberry juice is very beneficial in keeping alkaline levels in check. Ileostomy: Chew all food thoroughly. Popcorn, peanuts, coconut and food with seeds or kernels should be eaten with discretion. Onions, cabbage, spicy foods, fish, garlic and beans may cause an odor when emptying the appliance. Green beans, broccoli, spinach, raw fruits and beer may cause diarrhea. Add one new food at a time so you can identify problems. Know what medications you are taking; avoid enteric coated pills and time release capsules. These medications are usually not absorbed due to their outer coating. They may exit into the pouch in their original state. Remind your physician that you have an Ileostomy, which may necessitate a different choice of drug. You may discuss this with your pharmacist as well.

Disclaimer: The recommendations and information above should not be considered a substitute for personal medical advice or diagnosis. Before making any changes, consult your health care professional.

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 9 Caring Touch at Home™ Ostomy

My Ostomy Information Be prepared. Use this form to ensure you have all your ostomy information in one place.

Surgery information: I have a: ____temporary ____permanent ____colostomy ____ileostomy ____urostomy ____other Surgery was performed at:______Date of surgery: _____ /_____ /______Surgeon’s name:______Phone # ( ) ______-______WOC /Ostomy nurse’s name:______Phone # ( ) ______-______

Home Health Agency information: I was discharged to: ______Home Health Agency phone # ( ) _____-______Home Health Agency nurse: ______Date of Home Health discharge: ______/______/ ______

Insurance information: Primary insurance:______ID # ______Secondary insurance:______ID # ______Primary Doctor is:______Phone # ( ) ______-______

Ostomy product information: I use a: _____ 1-piece appliance _____ 2-piece appliance

Disclaimer: The recommendations and information above should not be considered a substitute for personal medical advice or diagnosis. Before making any changes, consult your health care professional.

10 Reorder your supplies online at www.mybyramhealthcare.com Ostomy 1-800-308-9445

Custom Cutting Program

What is custom cutting? Custom cutting is die-cutting the center opening of a wafer to fit the exact shape and size of your stoma. When is custom cutting recommended? Custom cutting is most beneficial six to eight weeks after surgery, once your stoma has shrunk and stabilized in size. Benefits of Byram’s custom cutting service: ■ Provides accurate sizing and proper fit so less time is spent changing the appliance. ■ A better fit translates into longer wear time. ■ Decrease leakage issues and skin irritation. ■ Less skin breakdown translates to fewer physician visits. ■ Assists persons with arthritis, vision impairment, or finger/hand dexterity problems.

Caring Touch at Home™ Ostomy Call our Ostomy Clinical Support CareLine: 1-877-902-9726 ext. 43312

Disclaimer: The recommendations and information above should not be considered a substitute for personal medical advice or diagnosis. Before making any changes, consult your health care professional. Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 11 Caring Touch at Home™ Ostomy

Custom Cutting Program

How to measure a stoma: 1. For oval stomas, the nurse/ostomate must provide the horizontal measurement. 2. The nurse/ostomate must also provide the vertical measurement. 3. The size now becomes, for example: ⅞” v x 1¼”h

Measure down Measure across (vertical) (horizontal)

1 ¼”

⅞” To have your skin barriers custom cut, please contact Byram customer service: 1-800-308-9445

CUSTOM CUTTING ORDER GUIDE*

ITEMS TO BE CUT: ______

CUTTING SIZE Shape to be cut:  ROUND Size to be cut: ______

(check one)  OVAL Size to be cut: ______X ______vertical horizontal

*Custom cut supplies are not returnable. Please allow an extra day for delivery. One-piece ostomy appliances, pre-cut skin barriers and some two-piece systems cannot be custom cut.

Disclaimer: The recommendations and information above should not be considered a substitute for personal medical advice or diagnosis. Before making any changes, consult your health care professional.

12 www.byramhealthcare.com Ostomy 1-800-308-9445

Problem Solving: Colostomy and Ileostomy Many problems can be solved with simple home remedies or accessory products. Are you experiencing problems with excess gas? ■ Be careful with foods that are gaseous in nature: beans, cabbage, beer, etc. ■ If possible, select a pouch with a filter (most closed-end and some drainable models incorporate a filter) or add a filter to your current appliance. ■ Never puncture the material on the pouch, this destroys the odor-proof film and allows odor to seep out at will. You can also add a gas vent tab to the top of your bag to release air. Are you experiencing problems with odor? ■ Everyone using the bathroom creates an odor. However, stool or fecal material that is contained in an appliance for several hours builds up bacteria and may be more offensive when emptying. ■ There are many good appliance deodorants on the market that can help neutralize odors within the pouch. ■ Certain foods may cause more odor. You may want to avoid these if you’ll be using a bathroom away from home. ■ Please refer to the section in this book labeled “Food Which May Influence Stoma Function.” ■ To order or inquire about appliance deodorant, please call a Byram Representative at 1-800-308-9445 . Do you have difficulty in emptying or disposing of your pouch? ■ Always place some bathroom tissue in toilet prior to emptying pouch contents. This will eliminate back splash. ■ Place clip on the pouch so the end of the tail spout is facing upward (rather than under), this will allow easier emptying and directing into the toilet. ■ Clean tail spout inside and out with tissue prior to applying the clip or securing the “Velcro-like” closure.

Disclaimer: The recommendations and information above should not be considered a substitute for personal medical advice or diagnosis. Before making any changes, consult your health care professional.

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 13 Caring Touch at Home™ Ostomy

Problem Solving: Colostomy and Ileostomy

Do you have difficulty with stool or fecal material not dropping down in pouch? ■ Leave a small amount of air in pouch when emptying; do not flatten pouch. ■ Before applying the clip or securing “Velcro-like” closure, pull walls of pouch apart to trap a small bubble of air. This will prevent clothing from pressing down on the appliance. ■ A lubricating deodorant can ease pouch emptying and help prevent pouch static and sticking. For more information regarding lubricating deodorant, please call Byram at 1-800-308-9445. ■ You may also want to talk to your doctor about using a stool softener to help thin out your stool. This may help stool fall into the bag more easily. Are you experiencing problems with liquid drainage? ■ Use a jelling agent to solidify drainage - contents will slide out easily. A Byram Representative can assist you in choosing a jelling agent to help thicken liquid stool. This will decrease noise and allow the contents to slide out more easily. ■ Single use packets make gelling agents easy to use with each pouch change. You may want to wear an ostomy belt to help hold the wafer on more securely. ■ Remember to place toilet paper into the toilet first to decrease splashing.

Disclaimer: The recommendations and information above should not be considered a substitute for personal medical advice or diagnosis. Before making any changes, consult your health care professional.

14 Reorder your supplies online at www.mybyramhealthcare.com Ostomy 1-800-308-9445

Problem Solving: Urostomy

Do you have problems with mucous clogging the valves? ■ Mucous cannot be avoided since the urostomy is fashioned from the small intestine. Call Byram customer service for assistance at __1-800-308-9445 . Are you experiencing problems with your night drainage tube? ■ Always keep a small amount of urine in your pouch prior to connecting to night drainage. This will give an immediate flow of urine down the tube and break any air pockets. ■ Be sure that the tubing is straight down the bed, or with a curl if placed on the side of the bed. Using a leg strap will prevent twisting and kinking of tube. How can you wash pouches and night bag? ■ There are a variety of appliance cleaners available for urinary systems. For ordering information, call Byram at 1-800-308-9445 . ■ In a pinch, white vinegar and water can also be used to rinse out urinary pouches, and a baking soda and water solution is effective in night bags. Does your tubing become discolored? ■ Most night drainage bottles or bags are disposable in nature because they are very difficult to clean with long usage. ■ To discuss available urinary appliance cleaners and decrystalizers call Byram custom service today for assistance at 1-800-308-9445.

Byram has the ostomy accessories you may need to manage your ostomy easily and effectively.

To reach our Ostomy Center of Excellence, please call: 1-800-308-9445

Disclaimer: The recommendations and information above should not be considered a substitute for personal medical advice or diagnosis. Before making any changes, consult your health care professional.

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 15 Ostomy

Food Which May Influence Stoma Function Foods Which May Thicken Stool May decrease stomal output and help in managing diarrhea.

Applesauce Potatoes Bananas Rice Milk, Boiled Tapioca Cheese Whole wheat bread Chocolate Peanut Butter

Foods Which May Increase Stomal Output May cause an increase in peristalsis and may also be used as a means to relieve constipation. Alcohol Fried Foods Rhubarb Beans Fruit, Raw Spicy Foods Beer Fruit Juice Vegetables, Leafy Broccoli Iced Beverages Cabbage Milk, Fresh Coffee Onions Cucumbers Prunes Figs Plums

Foods Which May Discolor Fecal Output If you notice a discoloration of the stool, think back to what you have eaten to note if food may be the cause. Call your doctor when stool discoloration is not food related. Beets Licorice Tomato Juice Food Dye Red Jello Vitamins w/Iron Iron Pill Spinach Watermelon Kool-Aid Strawberries

Disclaimer: The recommendations and information above should not be considered a substitute for personal medical advice or diagnosis. Before making any changes, consult your health care professional.

16 Reorder your supplies online at www.mybyramhealthcare.com Ostomy 1-800-308-9445

Food Which May Influence Stoma Function

Foods Which May Produce Gas Apple Juice Cheese, Strong Peas Asparagus Chewing Gum Radishes Beans Cucumbers Spices Beer Eggs Spinach Broccoli Fish Sprouts Brussel Sprouts Fruit Juice Sweet Potato Cabbage Family Melon Vegetable Carbonated Mushroom Juice Beverages Nuts Yeast Cauliflower Onions Foods Which May Inhibit Gas Apple Juice Cranberry Juice Buttermilk Yogurt

Foods Which May Produce Odor Ileostomy Urostomy Colostomy Alcohol Fish Asparagus Asparagus Beverages Garlic Fish Baked Beans Asparagus Mushrooms Onions Broccoli Baked Beans Nuts Fish Broccoli Onions Onions Cabbage Pears Pears Cheese Vitamins Eggs

Foods Which May Inhibit Odor Buttermilk Parsley Tomato Juice Cranberry Juice Spinach Yogurt Lettuce

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 17 Ostomy Caring Touch at Home™ Ostomy

Travel Tips Travel plans do not need any special attention other than careful preparation. However you travel, be sure to anticipate your needs.

Here are some travel tips to keep your journey relaxing. 3 Create a detailed list of all the supplies you use; catalog numbers, sizes, description, cut size (a copy of your last Byram invoice will do the trick). Pack extra supplies but do not overload. 3 While traveling, should an emergency arise, simply call us at 1-800-308-9445 for assistance. You can also look in the yellow pages under “Surgical Supplies.” Do not panic if you cannot find the model of appliance you are currently using; many brands are similar and can get you through this time. 3 Always pack your supplies in a separate suitcase or carry-on and never allow this bag to leave your side. When traveling by car, avoid leaving supplies in your trunk, as excessive heat may cause wafers or other items to melt. 3 Appliance wear-time may shorten in hot climates, so be prepared to change more frequently if needed. 3 When traveling on planes, remember the restrictions on liquids for carry- on luggage. Put liquid deodorants or adhesives in your checked baggage or put some into less than 3 oz. travel containers. 3 If you are going to be swimming, you may need to change your wafer more frequently. You may secure your wafer by “window framing” it with waterproof tape. 3 The Transportation Security Administration offers a helpline to assist travelers with disabilities and medical conditions. TSA Cares can be reached toll free at 1-855-787-2227 prior to traveling with questions about screening policies, procedures and what to expect at the security checkpoint. The most common complaint of all travelers is a change in bowel habits due to different foods, unfamiliar water, schedule and time changes. Ask your physician for a prescription for diarrhea before leaving home. Drink only bottled water if possible and try new foods one day at a time.

Disclaimer: The recommendations and information above should not be considered a substitute for personal medical advice or diagnosis. Before making any changes, consult your health care professional.

18 Reorder your supplies online at www.mybyramhealthcare.com Ostomy 1-800-308-9445

Travel Communication Card Compliments of the United Ostomy Associations of America, Inc.

This is provided to travelers in order to simplify communication with federal Transportation Security personnel and airline flight attendants, at those times when you wish or need to communicate in a non-verbal way, as is your legal right. This is notTRAVEL a “certificate” COMMUNICATION and it is not a “pass” to helpCARD you avoid screening. Please trimCOMPLIMENTS to wallet-size OF THEand UNITED laminate OSTOMY if desired. ASSOCIATIONS The blue OF AMERICA,color is important, INC. Thisas is it provided is a “flash-card” to travelers in order developed to simplify communication by the TSAwith federalso their Transportation own officers Security personnel will andrecognize airline flight it andattendants, be guided at those to times treat when the you travelerwish or need with to communicate discretion in a non-verbal and sensitivity. way, as is your legal right. This is not a certificate and it is not a pass to help you avoid screening. Please print out on any weight of paper you wish, trim to wallet-sizeIf laminated and laminate in if desired.a double-side The blue color manner, is important, it as can it is a be“flash-card” used developed‘blue side by the out’ TSA soduring their own officers will recognizesecurity it and be screening, guided to treat andthe traveler the withwhite discretion side and out sensitivity. when If laminatedcommunicating in a double-side non-verballymanner, it can be used ‘blue withside airline out’ during personnel. security screening, and the white side out when communicating non-verbally with airline personnel. NEWS: JUST PRINT IN COLOR, CUT OUT, FOLD, AND PUT WITH TRAVEL DOCUMENTS ■ You may always have a travel companion with you during a private screening TSA NOTIFICATIONTRAVEL CARD: INDIVIDUALS COMMUNICATION Information • Assistance CARD Requests • Compliments • Complaints WITH DISABILITIES AND MEDICAL CONDITIONS TSA Cares 1-855-787-2227 (Federal Relay 711) ■ I TSA have theofficers followingCOMPLIMENTS healthshould condition, OF NOTTHE disability UNITEDask you orOSTOMY to show ASSOCIATIONS your pouch—youWeekdays: OF AMERICA, 8 a.m. to may11 p.m. INC. ETbe asked to medical device that may affect my screening: [email protected] This isrub provided over to travelersyour pouch in order tooutside simplify communication your clothing with federal so they Transportation can test Security your personnel hand and to airline rule flight Weekends/Holidays: 9 a.m. to 8 p.m. ET Hablamos Español outattendants, explosive at those residue. times when you wish or need to communicateAutomated in a non-verbal information way, offeredas is your in 12 legal languages right. This■ isTo Inot understand file a certificate a thatcomplaint, alternateand it is not procedures a sendpass to providing helpan youemail an avoid to screening. [email protected] Please 72 hours print prior out toon traveling any weight to request of paper the assistance you wish, of trim a to wallet-sizeequivalent and laminate level of ifsecurity desired. screening The blue are color available is important, and as it is a Passenger“flash-card” Support developed Specialist by (PSS) the TSA at the so checkpoint. their own If aofficers PSS will can(with be done a copyin private. to I also [email protected], understand that presenting please)is not available, you may ask for a Supervisory TSA Officer recognize it andthis becard guided does not to treatexempt the me traveler from screening. with discretion and sensitivity. If laminated in ata thedouble-side checkpoint. manner, it can be used ‘blue side out’ during security screening, and the white side out when communicating non-verbally with airline personnel.

Cut, fold andJUST place PRINT with IN COLOR, your CUT travel OUT,FOLD FOLD,documents LINE AND PUT WITH TRAVEL DOCUMENTS

SHOW THIS SIDE - for use during screening before boarding. Intended for the passenger toTSA inform NOTIFICATION the TSO at the beginning CARD: of personal INDIVIDUALS screening - before Information • Assistance Requests • Compliments • Complaints being patted-downWITH DISABILITIES or entering a full-body AND scanner. MEDICAL CONDITIONS TSA Cares 1-855-787-2227 (Federal Relay 711) I have the following health condition, disability or Weekdays: 8 a.m. to 11 p.m. ET NOTES: Youmedical may always device have a travelthat companion may affect with myyou duringscreening: a private screening. [email protected] • TSA officers should NOT ask you to show your pouch—you may be asked to rub over yourWeekends/Holidays: pouch outside your clothing 9 a.m. so to they 8 p.m. can testET yourHablamos hand to Españolrule out explosive residue. Automated information offered in 12 languages • To file a complaint, send email to [email protected] (with copy to [email protected], please). I understand that alternate procedures providing an Call 72 hours prior to traveling to request the assistance of a equivalent level of security screening are available and Passenger Support Specialist (PSS) at the checkpoint. If a PSS can be done in private. I also understand that presenting is not available, you may ask for a Supervisory TSA Officer this card doesRESTROOM not exempt me from screening. COMMUNICATIONat the checkpoint.CARD

FOLD LINE **RESTROOM ACCESS NEEDED NOW** RESTROOM SHOW THIS SIDE - for use during screening before boarding. Intended for COMMUNICATION the passenger to inform the TSO at the beginning of personal screening - before being patted-downThe or cardholder entering a full-body contains scanner. body waste in an CARD OSTOMY POUCH (stool/urine) and/or carries Provided by UOAA which promotes quality of life for people NOTES:pouches You may always and have related a travel supplies companion and/orwith you during a catheter a private screening.to • TSA officers should manageNOT ask you personal to show your hygiene. pouch—you may be asked to rub over yourwith pouch ostomies outside and your continent clothing so diversionsthey can test throughyour hand information,to rule out explosiveS/he residue. needs access to the restroom now in order to support, advocacy and collaboration. • To file a complaint, send email to [email protected] (with copy to [email protected], please). empty the pouch — this is critical for the cardholder’s United Ostomy Associations of America well-being and for public sanitation. www.ostomy.org 1-800-826-0826 RESTROOM COMMUNICATION CARD FOLD LINE Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not 19 SHOWcovered THIS bySIDE Medicare, - this is designedwhich Byram to show will in bill the to event your it Medicareis needed whileSupplemental in flight and Insurance. the pilot hasPlease chosen see to page limit 2 forRESTROOM additional information. restroom**RESTROOM access—or when passengers ACCESS are supposed NEEDED to be belted NOW** in during turbulence. It is the flight crews discretion whether bathroom access is granted as passenger safety is their main consideration. You might wish to show it to a flight attendantCOMMUNICATION during boardingThe and/or cardholder getting settled, contains so he orbody she willwaste be mindful in an of your situation. CARD OSTOMY POUCH (stool/urine) and/or carries pouches and related supplies and/or a catheter to Provided by UOAA which promotes quality of life for people manage personal hygiene. with ostomies and continent diversions through information, S/he needs access to the restroom now in order to support, advocacy and collaboration. empty the pouch — this is critical for the cardholder’s United Ostomy Associations of America well-being and for public sanitation. www.ostomy.org 1-800-826-0826

FOLD LINE

SHOW THIS SIDE - this is designed to show in the event it is needed while in flight and the pilot has chosen to limit restroom access—or when passengers are supposed to be belted in during turbulence. It is the flight crews discretion whether bathroom access is granted as passenger safety is their main consideration. You might wish to show it to a flight attendant during boarding and/or getting settled, so he or she will be mindful of your situation. YOU MATTER! Know what to Expect and Know your Rights Ostomy and Continent Diversion Patient Bill of Rights:

SIDE ONE SIDE TWO

Those needing ostomy/continent diversion surgery shall be involved in all THE OSTOMY AND CONTINENT DIVERSION phases of the surgical experience except in emergent situations and shall: PATIENT BILL OF RIGHTS Receive preoperative counseling to care of skin, troubleshooting, include: dietary and fluid guidelines) This Patient Bill of Rights is a tool produced by United Ostomy • Stoma site marking • Resources for obtaining supplies Associations of America for patients to advocate for their own • Discussion of care and impact and connecting to community on activities of daily living and industry support care. To achieve a desirable quality of life, a person needing ostomy • Emotional support Receive for lifetime care ongoing or continent diversion surgery must have access to high-quality Receive during the operative phase support including: care in all healthcare settings and should receive appropriate • A stoma that can be fit with a • Access to a medical professional quality functioning pouching trained in ostomy and continent education and support to promote optimal adjustment to surgery. system diversion care in the outpatient Counseling and Care in the patient bill of rights should be Receive post-operative specialized setting nursing care to include: • Re-evaluation as needed from provided by a trained medical professional such as a Certified • Education on self-care of changes caused by aging WOC/OstomyNurse/OMS/OCA. specific ostomy/continent type and change of medical status (i.e., emptying/changing pouch, Details: www.ostomy.org

FOLD LINE For more details about these rights visit www.ostomy.org

If you believe your rights are not being met, speak up. BE A FORCE FOR CHANGE! Ostomy Caring Touch at Home™ Ostomy

My Ostomy Supplies

Product Qty. Brand / Item # / Description Type Needed Drain Pouches Wafers/ Flanges Closed Pouches Barriers/ Rings Paste Skin Barrier Strips Skin Barrier Wipes Adh. Remover Wipes Deodorant, Liquid Ostomy Belt Ostomy Powder Other Other

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 21 COLOPLAST Ostomy

SENSURA® MIO FLEX TWO-PIECE SYSTEM This flexible adhesive coupling fits to individual body contours and maintains a secure seal over uneven abdomens caused by scarring, skin folds, hernias, and other pouching challenges. The system features an elastic barrier to fit real body shapes and a full-circle filter to reduce ballooning. This product has a neutral gray textile for discretion. After selecting the appropriate barrier, select the matching pouch by color i.e., “red” barrier matches a “red” pouch. SENSURA® MIO FLEX SKIN BARRIERS SenSura® Mio Flex Standard Wear Barrier Flat. Item Order # Cut-to-Fit Color Code 5/Box CT10551 3/8”–1 5/16” HCPCS: A4414 CT10561 3/8”-1 7/8” • HCPCS: A4415 CT10571 3/8”-2 11/16” • Item Order # Pre-Cut Color• Code 5/Box HCPCS: A4414 CT10562 1” HCPCS: A4414 CT10566 1 1/8” • HCPCS: A4414 CT10563 1 3/16” • HCPCS: A4414 CT10567 1 ¼” • HCPCS: A4414 CT10564 1 3/8” • HCPCS: A4414 CT10568 1 ½” • HCPCS: A4414 CT10565 1 9/16” • HCPCS: A4415 CT10572 1 ¾” • HCPCS: A4415 CT10573 2” • SenSura® Mio Flex Convex Light Barrier Standard wear. Convex with belt tabs.

Item Order # Cut-to-Fit Color Code 5/Box CT16471 3/8”– ¾” HCPCS: A4373 CT16481 5/8”- 1 3/16” • CT16483 5/8” – 1 9/16” • CT16491 5/8”-2 1/16” • Item Order # Pre-Cut Color• Code 5/Box CT16472 11/16” HCPCS: A4373 CT16484 13/16” • CT16485 1” • CT16486 1 1/8” • CT16487 1 1/4” • CT16488 1 3/8” • CT16493 1 1/2” • CT16494 1 5/8” •

22 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

SENSURA® MIO FLEX DRAINABLE POUCHES

SenSura® Mio Flex EasiClose™ WIDE Outlet Drainable Pouch Full-circle filter. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Item Order # Style Color Code MAXI 11” CT12262 Opaque 10/Box CT12272 Opaque • HCPCS: A4425 CT12282 Opaque • CT12273 Transparent • CT12283 Transparent • Without filter. Neutral gray, water-resistant textile. • Item Order # Style Color Code MAXI 11” CT12274 Transparent 10/Box CT12284 Transparent • HCPCS: A5063 • Full-circle filter. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Item Order # Style Color Code MIDI 10 ¼” CT12281 Opaque 10/Box HCPCS: A4425 • SenSura® Mio Flex High Output Pouch with Tap Outlet Full circle filter. Neutral gray, water-resistant textile. Scale on transparent bags for visual indication of output volume. Peek-a-boo inspection window for easy application Item Order # Style Color Code 1080 mL CT18655 Transparent 10/box CT18656 Transparent • HCPCS: A4413 CT18650 Opaque • CT18651 Opaque • SenSura® Mio Flex High Output Pouch with Soft Outlet Full circle filter. Neutral gray, water-resistant textile. Scale on transparent bags for visual indication of output volume. Peek-a-boo inspection window for easy application. Soft outlet connects easily to a drain bag. Item Order # Style Color Code 1080 mL CT18657 Transparent 10/box CT18658 Transparent • HCPCS: A4413 CT18652 Opaque • CT18653 Opaque •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 23 COLOPLAST Ostomy

SENSURA® MIO FLEX CLOSED POUCHES SenSura® Mio Flex MAXI Closed Pouch Full-circle filter. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Item Order # Style Color Code MAXI 8 ¼ ” CT12202 Opaque 30/Box CT12213 Opaque • HCPCS: A4419 CT12222 Opaque • CT12203 Transparent • CT12216 Transparent • CT12223 Transparent • SENSURA® MIO FLEX MAXI UROSTOMY POUCHES SenSura® Mio Flex Maxi Urostomy Pouch Multi-chambers minimize sloshing. Wider anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag. Neutral gray water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application.

Item Order # Style Color Code MAXI 10 ½” CT12291 Opaque 10/Box CT12292 Transparent • HCPCS: A5073 CT12297 Opaque • CT12298 Transparent •

CAN’T WHAT YOU’RE LOOKING FOR? Byram carries thousands of quality brand-name products. If you can’t 24 find it in our catalog, contact one of our friendly Customer Service representatives by calling toll-free 1-800-308-9445. SENSURA® FLEX TWO-PIECE SYSTEM SenSura® Flex is a unique combination of security and flexibility. A reinforced adhesive ring maintains a secure seal across the entire coupling surface. Integrated security channel offers extra protection against leakage. Complete conformability allows freedom of movement. Minimal application pressure provides for an excellent post-op solution. After selecting the appropriate barrier, select the matching pouch by color i.e., “red” barrier matches a “red” pouch.

SENSURA® FLEX SKIN BARRIERS SenSura® Flex Flat Skin Barrier Standard wear barrier. Match barrier and pouch color codes for proper fit.

Item Order # Cut-to-Fit Color Code 10/Box HCPCS: A4414 CT10101 3/8” - 1 5/16" HCPCS: A4414 CT10102 3/8” - 1 7/8" • HCPCS: A4415 CT10103 3/8” - 2 3/4" • HCPCS: A4415 CT10108 3/8” - 3 1” • SenSura® Flex Xpro Flat Skin Barrier Extended wear barrier. Match barrier and pouch color codes for proper fit. Item Order # Cut-to-Fit Color Code 10/Box HCPCS: A4409 CT10104 3/8” – 1 5/16” HCPCS: A4409 CT10105 3/8” – 1 7/8” HCPCS: A4410 CT10106 3/8” – 2 3/4” • SENSURA® FLEX SKIN BARRIERS • SenSura® Flex Convex Light Barrier with Belt Tabs Standard wear barrier. Match barrier and pouch color codes for proper fit. Item Order # Cut-to-Fit Color Code 5/Box CT11301 5/8” – 15/16” HCPCS: A4373 CT11302 5/8” – 1 5/16” • CT11303 5/8” – 1 11/16” • CT11307 5/8” – 2 1/16” • Item Order # Pre-Cut Color Code 5/Box CT11312 7/8” HCPCS: A4373 CT11313 1” CT11314 1 1/8” • CT11315 1 ¼” • SenSura® Flex Xpro Convex Light Barrier with Belt• Tabs Extended wear barrier. Match barrier and pouch color codes for proper fit. Item Order # Cut-to-Fit Color Code 5/Box HCPCS: A4407 CT11304 5/8” – 15/16” HCPCS: A4407 CT11305 5/8” – 1 5/16” • HCPCS: A4407 CT11306 5/8” – 1 11/16” • HCPCS: A4408 CT11308 5/8” – 2 1/16” • • 25 COLOPLAST Ostomy

SENSURA® FLEX DRAINABLE POUCHES SenSura® Flex EasiClose™ WIDE Outlet Drainable Pouch Drainable pouch with and without filter. Soft cloth on back (and front of opaque). Match barrier and pouch color codes for proper fit.

With filter. Maxi, 111” Length. Item Order # Style Color Code 20/Box CT11512 Transparent HCPCS: A4425 CT11517 Transparent • CT11590 Transparent • With filter. Maxi, 111” Length. • Item Order # Style Color Code 20/Box CT11514 Opaque HCPCS: A4425 CT11515 Opaque • CT11518 Opaque • CT11591 Opaque • Without filter. Maxi, 111” Length. • Item Order # Style Color Code 20/Box CT11612 Transparent HCPCS: A5063 CT11690 Transparent • SENSURA® FLEX CLOSED POUCHES SenSura® Flex Closed Pouch Soft, moisture-absorbent backing, filter for odor control. Match barrier and pouch color codes for proper fit.

Item Order # Style Color Code Maxi CT10911 Transparent 8 ½” Length CT10912 Transparent • 30/Box CT10917 Transparent • HCPCS: A4419 • Item Order # Style Color Code Maxi CT10914 Opaque 8 ½” Length CT10915 Opaque • 30/Box CT10918 Opaque • HCPCS: A4419 •

CAN’T WHAT YOU’RE LOOKING FOR? Byram carries thousands of quality brand-name products. If you can’t 26 find it in our catalog, contact one of our friendly Customer Service representatives by calling toll-free 1-800-308-9445. Ostomy COLOPLAST 1-800-308-9445

SENSURA® MIO CLICK TWO-PIECE SYSTEM SenSura® Mio is based on our human-centered approach to innovation; it’s designed with individual bodies in mind. The system features an elastic barrier to fit real body shapes, flexible coupling for security and a full-circle filter to reduce ballooning. This product has a neutral gray textile for discretion. After selecting the appropriate barrier, select the matching pouch by color i.e., “blue” barrier matches a “blue” pouch.

SENSURA® MIO SKIN BARRIERS SenSura® Mio Click Standard Wear Barrier Flat with belt tabs. Item Order # Cut-to-Fit Color Code 5/Box HCPCS: A4414 CT10502 3/8” – 1 3/8” HCPCS: A4414 CT10512 3/8” – 1 3/4” • HCPCS: A4414 CT10522 3/8” – 2 1/8” • HCPCS: A4415 CT10531 3/8” – 2 9/16” • Item Order # Pre-Cut Color• Code 5/Box CT10503 3/4” HCPCS: A4414 CT10506 7/8” • CT10504 1” • CT10505 1 1/8” • CT10513 1 3/16” • CT10514 1 ¼” • CT10515 1 3/8” • CT10516 1 ½” • CT10523 1 9/16” • CT10524 1 3/4” • CT10525 2” • SenSura® Mio Click Convex Light Barrier Standard wear. Convex with belt tabs. Item Order # Cut-to-Fit Color Code 5/Box CT16901 3/8” – 3/4” HCPCS: A4373 CT16911 5/8” – 1 3/16” • CT16921 5/8” – 1 9/16” • CT16931 5/8” – 2 1/16” •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 27 COLOPLAST Ostomy

SENSURA® MIO SKIN BARRIERS SenSura® Mio Click Convex Light Barrier (cont) Standard wear. Convex with belt tabs. Item Order # Pre-Cut Color Code 5/Box CT16903 11/16” HCPCS: A4373 CT16913 13/16” • CT16914 1” • CT16915 1 1/8” • CT16923 1 ¼” • CT16924 1 3/8” • CT16933 1 ½” • CT16934 1 5/8” • SenSura® Mio Click Deep Convex Barrier • Standard wear. Convex with belt tabs. Item Order # Cut-to-Fit Color Code 5/Box CT16941 3/8” – 3/4” HCPCS: A4373 CT16951 5/8” – 1 3/16” • CT16961 5/8” – 1 9/16” • CT16971 5/8” – 2 1/16” • Item Order # Pre-Cut Color• Code 5/Box CT16942 11/16” HCPCS: A4373 CT16953 13/16” • CT16954 1” • CT16955 1 1/8” • CT16963 1 ¼” • CT16964 1 3/8” • CT16973 1 ½” • CT16974 1 5/8” • SenSura® Mio Click Convex Flip 2-Piece Barrier • Designed for curves, bulges and hernias. Curved, star-shaped barrier conforms to outward areas with less creasing and folding. "Flip to fit" design allows for easy application. Belt tabs for use with CT4237 and CT4247.

Item Order # Cut-to-Fit Barrier Size Color Code 5/Box CT18500 3/8-1 3/8" (10-35 mm) Small HCPCS: A4373 CT18510 3/8-1 3/4" (10-45 mm) Medium • CT18520 3/8- 2 1/8" (10-55 mm) Large • CT18530 3/8- 2 9/16" (10-66 mm) XL •

28 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

Item Order # Pre-Cut Max Cut Barrier Size Color Code 5/box CT18510 3/4" (20 mm) 1 3/8" (35 mm) Small HCPCS: A4373 CT18511 1" (25 mm) 1 3/4” (45 mm) Medium CT18512 1 3/16" (30 mm) 1 3/4” (45 mm) Medium • CT18513 1 3/8” (35 mm) 1 3/4” (45 mm) Medium • CT18521 1 3/16” (30 mm) 2 1/8” (55 mm) Large • CT18522 1 3/8” (35 mm) 2 1/8” (55 mm) Large • CT18523 1 9/16” (40 mm) 2 1/8” (55 mm) Large • CT18524 1 3/4” (45 mm) 2 1/8” (55 mm) Large • CT18531 1 3/4” (45 mm) 2 9/16” (66 mm) Xtra Large • CT18532 2” (50 mm) 2 9/16” (66 mm) Xtra Large • • SENSURA® MIO DRAINABLE POUCHES SenSura® Mio Click EasiClose™ WIDE Outlet Drainable Pouch Neutral gray water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter Item Order # Style Color Code MAXI 11” CT11462 Opaque 10/Box CT11472 Opaque HCPCS: A4427 CT11482 Opaque • CT11486 Opaque • CT11463 Transparent • CT11473 Transparent • CT11483 Transparent • CT11487 Transparent • • Without filter • Item Order # Style Color Code MAXI 11” CT11474 Transparent 10/Box CT11484 Transparent • HCPCS: A4426 CT11488 Transparent • Full-circle filter • Item Order # Style Color Code MIDI 10 ¼” CT11461 Opaque 10/Box CT11471 Opaque • HCPCS: A4427 • SenSura® Mio Click Drainable Pouch with Tap Outlet Full circle filter. Neutral gray, water-resistant textile. Peek-a-boo inspection window for easy application. Tap outlet accommodates liquid output in a standard pouch length. Item Order # Style Color Code 650 mL CT18620 Transparent 10/box CT18621 Transparent • HCPCS: A4427 CT18622 Transparent • • 29 COLOPLAST Ostomy

SenSura® Mio Click High Output Pouch with Tap Outlet Full circle filter. Neutral gray, water-resistant textile. Scale on transparent bags for visual indication of output volume. Peek-a-boo inspection window for easy application.

Item Order # Style Color Code 1080 mL CT18610 Transparent 10/box CT18611 Transparent • HCPCS: A4413 CT18612 Transparent • CT18613 Transparent • CT18600 Opaque • CT18601 Opaque • CT18602 Opaque • CT18603 Opaque • SENSURA® MIO DRAINABLE POUCHES SenSura® Mio Click High Output Pouch with Soft Outlet Full circle filter. Neutral gray, water-resistant textile. Scale on transparent bags for visual indication of output volume. Peek-a-boo inspection window for easy application. Item Order # Style Color Code 1080 mL CT18640 Transparent 10/box CT18641 Transparent • HCPCS: A4413 CT18642 Transparent • CT18630 Opaque • CT18631 Opaque • CT18632 Opaque •

SENSURA® MIO CLOSED POUCHES SenSura® Mio Click Closed Pouch Full-circle filter. Neutral gray water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Item Order # Style Color Code MAXI 8 ¼” CT11402 Opaque 30/Box CT11413 Opaque • HCPCS: A4423 CT11422 Opaque • CT11425 Opaque • CT11426 Transparent • Item Order # Style Color• Code MIDI 7 ¼” CT11401 Opaque 30/Box CT11412 Opaque • HCPCS: A4423 CT11421 Opaque •

CAN’T WHAT YOU’RE LOOKING FOR? Byram carries thousands of quality brand-name products. If you can’t 30 find it in our catalog, contact one of our friendly Customer Service representatives by calling toll-free 1-800-308-9445. Ostomy COLOPLAST 1-800-308-9445

SENSURA® MIO UROSTOMY POUCHES SenSura® Mio Click MAXI Urostomy Pouch Multi-chambers minimize sloshing. Wider anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag. Neutral gray water-resistant textile. Item Order # Style Color Code MAXI 10 ½” CT11491 Opaque 10/Box CT11492 Transparent • HCPCS: A4433 CT11497 Opaque • CT11498 Transparent •

SENSURA® CLICK TWO-PIECE SYSTEM The SenSura® Click combines the revolutionary double-layer adhesive with our secure click-lock technology. Patented click-lock coupling is leak-proof and secure. Audible click reassures that the system is locked in place. Easy-to-use coupling ring can be turned while unlocked. While unlocked, the pouch can be repositioned as well as the locking system. Application requires minimal pressure and can be removed with an “up and over” motion. After selecting the appropriate barrier, select the matching pouch by color i.e., “blue” barrier matches a “blue” pouch.

SENSURA® SKIN BARRIERS SenSura® Click Flat Skin Barrier with Belt Tabs Standard wear barrier. Item Order # Cut-to-Fit Color Code 5/Box HCPC A4414 CT10011 3/8” - 1 3/8” HCPC A4414 CT10021 3/8” - 1 3/4” • HCPC A4414 CT10031 3/8” - 2 ¼” • HCPC A4415 CT10041 3/8” - 2 ½” • Item Order # Pre-Cut Color• Code 5/Box CT10012 13/16" HCPC: A4414 CT10013 1" CT10022 1 13/16" • CT10023 1 3/8” • CT10032 1 9/16" • •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 31 COLOPLAST Ostomy

SENSURA® SKIN BARRIERS SenSura® Click Convex Light Skin Barrier with Belt Tabs Standard wear barrier. Item Order # Cut-to-Fit Color Code 5/Box CT11011 5/8” – 7/8” HCPCS: A4373 CT11021 5/8” – 1 5/16" • CT11031 5/8” – 111/16" • CT11041 5/8” – 21/16” • Item Order # Pre-Cut Color• Code 5/Box HCPCS: A4372 CT11012 7/8” HCPCS: A4373 CT11022 1" • HCPCS: A4373 CT11023 1 1/8” • HCPCS: A4373 CT11024 1 ¼” • HCPCS: A4373 CT11032 1 3/8” • SenSura® Click Xpro Flat Barrier with Belt Tabs Extended wear barrier. Item Order # Cut-to-Fit Color Code 5/Box HCPCS: A4409 CT10015 3/8” – 1 3/8” HCPCS: A4409 CT10025 3/8” – 1 3/4” • HCPCS: A4409 CT10035 3/8” – 2 ¼” • HCPCS: A4410 CT10045 3/8” – 2 ½” • Item Order # Pre-Cut Color• Code 5/Box CT10016 13/16” HCPCS: A4409 CT10017 1” • CT10026 1 3/16” • CT10027 1 3/8” • CT10036 1 9/16” •

32 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

SENSURA® SKIN BARRIERS SenSura® Click Xpro Convex-Light Convex Light Barrier with Belt Tabs Extended wear barrier. Item Order # Cut-to-Fit Color Code 5/Box HCPCS: A4407 CT11015 5/8 “ – 7/8” HCPCS: A4407 CT11025 5/8 “ – 1 5/16” HCPCS: A4407 CT11035 5/8 “ – 1 11/16” • HCPCS: A4408 CT11045 5/8 “ – 2 1/16” • • Item Order # Pre-Cut Color• Code 5/Box CT11016 7/8” HCPCS: A4407 CT11026 1” CT11027 1 1/8” • CT11028 1 ¼” • CT11036 1 3/8” • • SENSURA® CLICK TWO-PIECE DRAINABLE POUCHES SenSura® Click Drainable EasiClose™ WIDE Outlet Midi Pouch with Filter Two-sided comfort panels. Opaque. Item Order # Color Color Code Midi CT11114 Opaque 10 ½” Length CT11115 Opaque 20/Box • HCPCS: A4427 •

SenSura® Click EasiClose™ Drainable WIDE Outlet Maxi Pouch with Filter Two-sided comfort panels. Choose opaque or transparent. Item Order # Color Color Code Maxi CT11124 Opaque 11 ½” Length CT11125 Opaque • 20/Box CT11126 Opaque • HCPCS: A4427 CT11127 Opaque • One-sided comfort panel. • Item Order # Color Color Code Maxi CT11194 Transparent 11 ½” Length CT11195 Transparent • 20/Box CT11196 Transparent • HCPCS: A4427 CT11197 Transparent •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 33 COLOPLAST Ostomy

SENSURA® CLICK TWO-PIECE DRAINABLE POUCHES SenSura® Click EasiClose™ WIDE Outlet Drainable Maxi Pouch. No filter Two-sided comfort panels. Choose opaque or transparent.

Item Order # Color Color Code Maxi CT11135 Opaque 11½” Length CT11136 Opaque 20/Box • HCPCS: A4426 • One-sided comfort panel. Item Order # Color Color Code Maxi CT11185 Transparent 11½” Length CT11186 Transparent 20/Box • HCPCS: A4426 • SenSura® Click Magnum High Output Drainable Pouch with Filter Soft cloth on back (and front of opaque). Item Order # Color Color Code 12 ½” Length CT19040 Opaque 10/Box CT19041 Opaque • HCPCS: A4413 CT19042 Opaque • CT19050 Transparent • CT19051 Transparent • CT19052 Transparent • SenSura® Click Closed End Pouches with Filter • Two-sided comfort panels. Opaque.

Item Order # Color Color Code Midi CT10154 Opaque 7" Length CT10155 Opaque 30/Box CT10156 Opaque • HCPCS: A4423 • • Two-sided. Item Order # Color Color Code Maxi, 81" Length, 30/Box HCPCS: A4423 CT10164 Opaque CT10165 Opaque CT10166 Opaque • CT10167 Opaque • • One sided comfort panel. • Item Order # Color Color Code Maxi, 81” Length, 30/Box HCPCS: A4423 CT10187 Transparent •

CAN’T WHAT YOU’RE LOOKING FOR? Byram carries thousands of quality brand-name products. If you can’t 34 find it in our catalog, contact one of our friendly Customer Service representatives by calling toll-free 1-800-308-9445. Ostomy COLOPLAST 1-800-308-9445

SENSURA® CLICK TWO-PIECE DRAINABLE POUCHES SenSura® Multi-Chamber Click Urostomy Pouch Multi-chambers minimize sloshing. Wider anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag.

Soft cloth on back , opaque front. Item Order # Color Color Code MIDI 9 ½” Length CT11851 Transparent 10/Box CT11841 Opaque • HCPCS: A4433 • Soft cloth on back. Item Order # Color Color Code MAXI 10 3/8” Length 10/Box CT11854 Transparent HCPCS: A4433 CT11855 Transparent • CT11856 Transparent • Soft cloth on front and back. • Item Order # Color Color Code MAXI 10 3/8” Length 10/Box CT11844 Opaque HCPCS: A4433 CT11845 Opaque • CT11846 Opaque • •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 35 COLOPLAST Ostomy

SENSURA® MIO ONE-PIECE POUCH The SenSura® Mio one-piece pouch is an innovative product from Coloplast, designed to fit the body’s shape, providing a comfortable and secure experience. This product offers three brand new features: • Elastic Barrier: SenSura® Mio was created using BodyFit Technology®, and features an elastic barrier that fits to the shape of the body, providing a secure fit. The SenSura® Mio one-piece product allows for movement, because the barrier is able to stretch and move with the body without lifting from the skin or digging in to the skin. • Neutral Gray Textile: The pouch material is made of a real woven textile, providing a comfortable feel against the body. This textile was designed in a neutral gray color, which is very discreet under clothing – even under a white shirt. • Full-Circle Filter: The specially designed filter includes a full-circle shape with a large “pre-filter”. This pre-filter reduces clogging of the filter, and allows consistent air-flow to prevent “ballooning” of the pouch.

SENSURA® MIO DRAINABLE POUCHES SenSura® Mio EasiClose™ WIDE Outlet Standard Wear Drainable Pouch Flat. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application.

Transparent, Full-circle filter. Item Order # Cut Stoma Size MAXI 11” CT10481 Cut-to-fit 3/8” – 2 1/8” 10/Box CT10482 Pre-cut 1” HCPCS: A4424 CT10488 Pre-cut 1 1/8” CT10483 Pre-cut 1 3/16” CT10490 Pre-cut 1 ¼” CT10484 Pre-cut 1 3/8” CT10491 Pre-cut 1 ½” CT10487 Pre-cut 1 9/16” CT10485 Pre-cut 1 3/4” CT10486 Pre-cut 2” Opaque, Full circle filter. Item Order # Cut Stoma Size MAXI 11” CT10471 Cut-to-fit 3/8” – 2 1/8” 10/Box CT10472 Pre-cut 1” HCPCS: A4424 CT10473 Pre-cut 1 1/8” CT10474 Pre-cut 1 3/16” CT10475 Pre-cut 1 ¼” CT10476 Pre-cut 1 3/8” CT10480 Pre-cut 1 ½” CT10479 Pre-cut 1 9/16” CT10477 Pre-cut 1 3/4” CT10478 Pre-cut 2”

CAN’T WHAT YOU’RE LOOKING FOR? Byram carries thousands of quality brand-name products. If you can’t 36 find it in our catalog, contact one of our friendly Customer Service representatives by calling toll-free 1-800-308-9445. Ostomy COLOPLAST 1-800-308-9445

SENSURA® MIO DRAINABLE POUCHES

SenSura® Mio EasiClose™ WIDE Outlet Standard Wear Drainable Pouch (Cont.) Flat. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application.

Opaque, Full-circle filter. Item Order # Cut Stoma Size MIDI 10 ¼” CT10461 Cut-to-fit 3/8” – 1 3/4” 10/Box HCPCS: A4424 Transparent, without filter. Item Order # Cut Stoma Size MAXI 11” CT10489 Cut-to-fit 3/8” – 2 1/8” 10/Box CT10492 Pre-cut 1” HCPCS: A5061 CT10493 Pre-cut 1 1/8” CT10494 Pre-cut 1 ¼” CT10495 Pre-cut 1 3/8” CT10496 Pre-cut 1 ½”

SenSura® Mio EasiClose™ Soft Convex MAXI Standard Wear Drainable Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter.

Opaque, Full-circle filter. Item Order # Style Cut Stoma Size MAXI 11” CT16715 Transparent Cut-to-fit 5/8” – 1 5/16” 10/Box CT16716 Transparent Cut-to-fit 3/8” – 2” HCPCS: A4389 CT16705 Opaque Cut-to-fit 5/8” – 1 5/16” CT16706 Opaque Cut-to-fit 3/8” – 2”

SenSura® Mio EasiClose™ Convex Light MAXI Standard Wear Drainable Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter.

Opaque, Full-circle filter. Item Order # Style Cut Stoma Size MAXI 11” CT16737 Transparent Cut-to-fit 3/8” – 7/8” 10/Box CT16738 Transparent Cut-to-fit 5/8” – 1 5/16” HCPCS: A4389 CT16739 Transparent Cut-to-fit 3/8” – 1 11/16” CT16740 Transparent Pre-cut 13/16” CT16741 Transparent Pre-cut 1” CT16742 Transparent Pre-cut 1 1/8” CT16725 Opaque Cut-to-fit 3/8” – 7/8”

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 37 COLOPLAST Ostomy

SENSURA® MIO DRAINABLE POUCHES

SenSura® Mio EasiClose™ Convex Light MAXI Standard Wear Drainable Pouch (Cont.) Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter.

Opaque, Full-circle filter. Item Order # Style Cut Stoma Size MAXI 11” CT16726 Opaque Cut-to-fit 5/8” – 1 5/16” 10/Box CT16730 Opaque Pre-cut 13/16” HCPCS: A4389 CT16731 Opaque Pre-cut 1” CT16732 Opaque Pre-cut 1 1/8” CT16727 Opaque Pre-cut 1 ¼” CT16734 Opaque Pre-cut 1 3/8” CT16735 Opaque Pre-cut 1 ½”

SenSura® Mio EasiClose™ Convex Light MAXI Standard Wear Drainable Pouch Belt tabs. Neutral gray, water-resistant textile. Without filter. Opaque, Full-circle filter. Item Order # Style Cut Stoma Size MAXI 11” CT16748 Transparent Cut-to-fit 3/8” – 1 11/16” 10/Box HCPCS: A4389

SenSura® Mio EasiClose™ Deep Convex MAXI Standard Wear Drainable Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter. Opaque, Full-circle filter. Item Order # Style Cut Stoma Size MAXI 11” CT16765 Transparent Cut-to-fit 3/8” – 7/8” 10/Box CT16766 Transparent Cut-to-fit 5/8” – 1 5/16” HCPCS: A4389 CT16767 Transparent Cut-to-fit 3/8” – 1 11/16” CT16770 Transparent Pre-cut 13/16” CT16771 Transparent Pre-cut 1” CT16772 Transparent Pre-cut 1 1/8” CT16773 Transparent Pre-cut 1 ¼” CT16755 Opaque Cut-to-fit 3/8” – 7/8” CT16756 Opaque Cut-to-fit 5/8” – 1 5/16” CT16760 Opaque Pre-cut 13/16” CT16761 Opaque Pre-cut 1” CT16762 Opaque Pre-cut 1 1/8” CT16757 Opaque Pre-cut 1 ¼” CT16763 Opaque Pre-cut 1 3/8” CT16764 Opaque Pre-cut 1 ½”

CAN’T WHAT YOU’RE LOOKING FOR? Byram carries thousands of quality brand-name products. If you can’t 38 find it in our catalog, contact one of our friendly Customer Service representatives by calling toll-free 1-800-308-9445. Ostomy COLOPLAST 1-800-308-9445

SENSURA® MIO DRAINABLE POUCHES SenSura® Mio EasiClose™ Deep Convex MAXI Standard Wear Drainable Pouch Belt tabs. Neutral gray, water-resistant textile. Without filter. Opaque, Full-circle filter. Item Order # Style Cut Stoma Size MAXI 11” CT16778 Transparent Cut-to-fit 3/8” – 1 11/16” 10/Box HCPCS: A4389

SenSura® Mio Maxi Drainable Pouch with Soft Outlet Full circle filter. Neutral gray, water-resistant textile. Scale on transparent pouches for visual indication of output volume. Peek-a-boo inspection window for easy application.

Item Order # Style Cut Stoma Size 630 mL CT18665 Transparent Cut-to-fit 3/8” - 2 3/4” 10/box CT18666 Transparent Cut-to-fit 3/8” – 4” HCPCS: A4424 CT18660 Opaque Cut-to-fit 3/8” – 2 3/4” CT18661 Opaque Cut-to-fit 3/8” – 4”

SenSura® Mio Soft Convex Maxi Drainable Pouch with Soft Outlet Full circle filter. Neutral gray, water-resistant textile. Scale on transparent pouches for visual indication of output volume. Peek-a-boo inspection window for easy application.

Item Order # Style Cut Stoma Size 630 mL CT18671 Transparent Cut-to-fit 3/8” – 2” 10/box CT18670 Opaque Cut-to-fit 3/8” – 2” HCPCS: A4389

SenSura® Mio Light Convex Maxi Drainable Pouch with Soft Outlet Full circle filter. Neutral gray, water-resistant textile. Scale on transparent pouches for visual indication of output volume. Peek-a-boo inspection window for easy application.

Item Order # Style Cut Stoma Size 630 mL CT18676 Transparent Cut-to-fit 3/8” – 1 11/16” 10/box CT18675 Opaque Cut-to-fit 3/8” – 1 11/16” HCPCS: A4389

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 39 COLOPLAST Ostomy

SenSura® Mio Convex Flip MAXI Drainable Pouch Designed for curves, bulges and hernias. Curved, star-shaped barrier conforms to outward areas with less creasing and folding. "Flip to fit" design allows for easy application. Opaque pouches feature a peek-a-boo inspection window for easy application. Full-circle filter.

Transparent Item Order# Cut Stoma Size Max Cut Barrier Size MAXI 11” CT18305 Cut-to-fit 3/8” – 1 9/16” (10-40 mm) 1 9/16” (40 mm) Small 10/Box CT18321 Cut-to-fit 3/8” – 2” (10-50 mm) 2” (50 mm) Medium HCPCS: A4389 CT18322 Pre-Cut 1” (25 mm) 2” (50 mm) Medium CT18323 Pre-Cut 1 3/16” (30 mm) 2” (50 mm) Medium CT18324 Pre-Cut 1 3/8” (35 mm) 2” (50 mm) Medium CT18341 Cut-to-fit 3/8” – 2 3/8” (10-60 mm) 2 3/8” (60 mm) Large CT18342 Pre-Cut 1 9/16” (40 mm) 2 3/8” (60 mm) Large CT18343 Pre-Cut 1 3/4” (45 mm) 2 3/8” (60 mm) Large CT18344 Pre-Cut 2” (50 mm) 2 3/8” (60 mm) Large

Opaque Item Order# Cut Stoma Size Max Cut Barrier Size MAXI 11” CT18301 Pre-Cut 1” (25 mm) 1 9/16” (40 mm) Small 10/Box CT18302 Pre-Cut 1 3/16” (30 mm) 1 9/16” (40 mm) Small HCPCS: A4389 CT18312 Cut-to-fit 3/8” – 2” (10-50 mm) 2” (50 mm) Medium CT18313 Pre-Cut 1” (25 mm) 2” (50 mm) Medium CT18314 Pre-Cut 1 3/16” (30 mm) 2” (50 mm) Medium CT18315 Pre-Cut 1 3/8” (35 mm) 2” (50 mm) Medium CT18330 Cut-to-fit 3/8” – 2 3/8” (10-60 mm) 2 3/8” (60 mm) Large CT18331 Pre-Cut 1 9/16” (40 mm) 2 3/8” (60 mm) Large CT18332 Pre-Cut 1 3/4” (45 mm) 2 3/8” (60 mm) Large CT18333 Pre-Cut 2” (50 mm) 2 3/8” (60 mm) Large

SenSura® Mio Convex Flip MAXI Drainable Pouch Without filter. Designed for curves, bulges and hernias. Curved, star-shaped barrier conforms to outward areas with less creasing and folding. "Flip to fit" design allows for easy application.

Transparent Item Order# Cut Stoma Size Max Cut Barrier Size MAXI 11” CT18320 Cut-to-fit 3/8” – 2” (10-50 mm) 2 “ (50 mm) Medium 10/Box CT18340 Cut-to-fit 3/8” – 2 3/8” (10-60 mm) 2 3/8” (60 mm) Large HCPCS: A4389

CAN’T WHAT YOU’RE LOOKING FOR? Byram carries thousands of quality brand-name products. If you can’t 40 find it in our catalog, contact one of our friendly Customer Service representatives by calling toll-free 1-800-308-9445. Ostomy COLOPLAST 1-800-308-9445

SENSURA MIO ONE-PIECE CLOSED POUCHES SenSura® Mio Standard Wear Closed Pouch Flat. Full-circle filter. Neutral gray, water-resistant textile. Peek-a-boo inspection window for easy application. Opaque. Item Order # Cut Stoma Size MAXI 8 ¼” CT10881 Cut-to-fit 5/8” – 1 3/4” 30/Box CT10885* Cut-to-fit 1 9/16” – 2 1/8” HCPCS: A4416 CT10883 Pre-cut 1 3/16” CT10884 Pre-cut 1 3/8” CT10885* Pre-cut 1 9/16” Item Order # Cut Stoma Size MIDI 7 ¼” CT10871 Cut-to-fit 5/8” – 1 3/4” 30/Box CT10872 Pre-cut 1” HCPCS: A4416 CT10873 Pre-cut 1 3/16” CT10874 Pre-cut 1 3/8” Comfortable and discreet stoma cap alternative. Item Order # Cut Stoma Size MINI 5 ¼” CT10870 Cut-to-fit 5/8” – 1 3/4” 30/Box HCPCS: A4416

*Because of its larger starter hole, 10885 functions as both a pre-cut and cut-to-fit solution.

SENSURA MIO ONE-PIECE CLOSED POUCHES

SenSura® Mio Soft Convex MAXI Standard Wear Closed Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter. Item Order # Style Cut Stoma Size MAXI 8 ¼” CT16315 Transparent Cut-to-fit 3/8” – 2” 10/Box CT16305 Opaque Cut-to-fit 5/8” – 1 5/16” HCPCS: A4417 CT16306 Opaque Cut-to-fit 3/8” – 2” CT16310 Opaque Pre-cut 1” CT16311 Opaque Pre-cut 1 1/8” CT16312 Opaque Pre-cut 1 1” CT16313 Opaque Pre-cut 1 3/8”

SenSura® Mio Soft Convex MIDI Standard Wear Closed Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter. Item Order # Style Cut Stoma Size MIDI 7 ¼” CT16301 Opaque Cut-to-fit 5/8” – 1 5/16” 10/Box HCPCS: A4417

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 41 COLOPLAST Ostomy

SenSura® Mio Convex Light MAXI Standard Wear Closed Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter. Item Order # Style Cut Stoma Size MAXI 8 ¼” CT16335 Transparent Pre-cut 3/8” – 1 11/16” 10/Box CT16325 Opaque Cut-to-fit 3/8” – 7/8” HCPCS: A4417 CT16326 Opaque Cut-to-fit 5/8” – 1 5/16” CT16330 Opaque Pre-cut 1” CT16331 Opaque Pre-cut 1 1/8” CT16327 Opaque Pre-cut 1 1” CT16333 Opaque Pre-cut 1 3/8” CT16334 Opaque Pre-cut 1 ½”

SenSura® Mio Convex Light MIDI Standard Wear Closed Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter. Item Order # Style Cut Stoma Size MIDI 7 ¼” CT16321 Opaque Cut-to-fit 3/8” – 7/8” 10/Box CT16322 Opaque Cut-to-fit 5/8” – 1 5/16” HCPCS: A4417 CT16323 Opaque Cut-to-fit 1 ¼” – 1 11/16”

SENSURA MIO ONE-PIECE CLOSED POUCHES

SenSura® Mio Deep Convex MAXI Standard Wear Closed Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter. Item Order # Style Cut Stoma Size MAXI 8 ¼” CT16355 Transparent Cut-to-fit 3/8” – 1 11/16” 10/Box CT16345 Opaque Cut-to-fit 3/8” – 7/8” HCPCS: A4417 CT16346 Opaque Cut-to-fit 5/8” – 1 5/16” CT16350 Opaque Pre-cut 1” CT16351 Opaque Pre-cut 1 1/8” CT16347 Opaque Pre-cut 1 1” CT16353 Opaque Pre-cut 1 3/8” CT16354 Opaque Pre-cut 1 ½” SenSura® Mio Deep Convex MIDI Standard Wear Closed Pouch Belt tabs. Neutral gray, water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application. Full-circle filter. Item Order # Style Cut Stoma Size MIDI 7 ¼” CT16341 Opaque Cut-to-fit 3/8” – 7/8” 10/Box CT16342 Opaque Cut-to-fit 5/8” – 1 5/16” HCPCS: A4417 CT16343* Opaque Cut-to-fit 1 ¼” – 1 11/16”

*Because of its larger starter hole, CT16343 functions as both a pre-cut and cut-to-fit solution.

42 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

SenSura® Mio Convex Flip MAXI Closed Pouch Designed for curves, bulges and hernias. Curved, star-shaped barrier conforms to outward areas with less creasing and folding. "Flip to fit" design allows for easy application. Peek-a-boo-inspection window for easy application.

Item Order # Cut Stoma Size Max Cut Barrier Size 8 1” Length CT18152 Cut-to-fit 3/8” – 1 9/16” (10-40 mm) 1 9/16” (40 mm) Small 10/Box CT18170 Cut-to-fit 3/8” – 2” (10-50 mm) 2” (50 mm) Medium HCPCS: A4417 CT18171 Pre-cut 1” (25 mm) 2 “ (50 mm) Medium CT18172 Pre-cut 1 3/16” (30 mm) 2” (50 mm) Medium CT18173 Pre-cut 1 3/8” (35 mm) 2” (50 mm) Medium CT18180 Cut-to-fit 3/8” – 2 3/8” (10-60 mm) 2 3/8” (60 mm) Large CT18181 Pre-cut 1 9/16” (40 mm) 2 3/8” (60 mm) Large CT18182 Pre-cut 1 3/4” (45 mm) 2 3/8” (60 mm) Large

SENSURA MIO ORIGINAL ONE-PIECE CLOSED POUCHES

SenSura® Mio Original Closed Pouch with Filter “Peek-a-boo” inspection window for easy placement. Soft cloth on front and back.

Item Order # Style Cut Stoma Size MAXI 8 ½” CT10831 Opaque Cut-to-fit 5/8” – 1 3/4” 30/Box CT10835* Opaque Cut-to-fit 1 9/16” – 2 ¼” HCPCS: A4416 CT10833 Opaque Pre-cut 1 3/16” CT10834 Opaque Pre-cut 1 3/8” CT10835* Opaque Pre-cut 1 9/16”

Item Order # Style Cut Stoma Size MIDI 7” CT10821 Opaque Cut-to-fit 5/8” – 1 3/4” 30/Box CT10822 Opaque Pre-cut 1” HCPCS: A4416 CT10823 Opaque Pre-cut 1 3/16” CT10824 Opaque Pre-cut 1 3/8”

Item Order # Style Cut Stoma Size MINI 5 1/2” CT10811 Opaque Cut-to-fit 5/8” – 1 3/4” 30/Box HCPCS: A4416

*Because of its larger starter hole, 10835 functions as both a pre-cut and cut-to-fit solution.

SenSura® Mio Standard Wear MAXI Urostomy Pouch Neutral gray, water-resistant textile on back. Flat. Multi-chambers minimize sloshing. Anti-reflux valves prevent urine from washing over the stoma. Soft outlet can be connected to urostomy night bag. Transparent. Item Order # Cut Stoma Size 10 ½” CT10586 Cut-to-fit 3/8” – 1 3/4” 10/Box HCPCS: A5071

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 43 COLOPLAST Ostomy

SENSURA MIO ORIGINAL ONE-PIECE CLOSED POUCHES SenSura® Mio Soft Convex MAXI Urostomy Pouch Standard wear. Multi-chambers minimize sloshing. Wider anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag. Neutral gray water-resistant textile. Opaque pouches feature peek-a-boo inspection window for easy application.

Item Order # Style Cut Stoma Size MAXI 10 ½" CT16810 Transparent Cut-to-fit 3/8” – 2” 10/Box CT16805 Opaque Cut-to-fit 3/8” – 1 5/16” HCPCS: A4392

SenSura® Mio Soft Convex MIDI Urostomy Pouch Standard wear. Belt tabs. Multi-chambers minimize sloshing. Wider anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag. Neutral gray water-resistant textile. Item Order # Style Cut Stoma Size MAXI 9 ½" CT16801 Opaque Cut-to-fit 3/8” – 1 5/16” 10/Box HCPCS: A4392

SenSura® Mio Convex Light MAXI Urostomy Pouch Standard wear. Belt tabs. Multi-chambers minimize sloshing. Wider anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag. Neutral gray water-resistant textile. Item Order # Style Cut Stoma Size MAXI 10 ½" CT16835 Transparent Cut-to-fit 3/8” –7/8” 10/Box CT16837 Transparent Cut-to-fit 3/8” – 1 11/16” HCPCS: A4392 CT16836 Transparent Cut-to-fit 5/8” – 1 5/16” CT16840 Transparent Pre-cut 13/16” CT16841 Transparent Pre-cut 1” CT16842 Transparent Pre-cut 1 1/8” CT16825 Opaque Cut-to-fit 3/8” – 7/8” CT16826 Opaque Cut-to-fit 5/8” – 1 5/16” CT16830 Opaque Pre-cut 11/16” CT16831 Opaque Pre-cut 13/16” CT16832 Opaque Pre-cut 1” CT16833 Opaque Pre-cut 1 1/8” CT16827 Opaque Pre-cut 1 ¼”

44 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

SENSURA MIO ORIGINAL ONE-PIECE CLOSED POUCHES SenSura® Mio Convex Light MIDI Urostomy Pouch Standard wear. Belt tabs. Multi-chambers minimize sloshing. Wider anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag. Neutral gray water-resistant textile.

Item Order # Style Cut Stoma Size MAXI 9 ½" CT16821 Opaque Cut-to-fit 3/8” –7/8” 10/Box CT16822 Opaque Cut-to-fit 5/8” – 1 5/16” HCPCS: A4392 CT16823 Opaque Pre-cut 1 ¼”

SenSura® Mio Deep Convex MAXI Urostomy Pouch Standard wear. Belt tabs. Multi-chambers minimize sloshing. Wider anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag. Neutral gray water-resistant textile. Item Order # Style Cut Stoma Size MAXI 10 ½" CT16865 Transparent Cut-to-fit 3/8” –7/8” 10/Box CT16866 Transparent Cut-to-fit 5/8” – 1 5/16” HCPCS: A4392 CT16867 Transparent Cut-to-fit 3/8” – 1 11/16” CT16870 Transparent Pre-cut 13/16” CT16871 Transparent Pre-cut 1” CT16872 Transparent Pre-cut 1 1/8” CT16855 Opaque Cut-to-fit 3/8” – 7/8” CT16856 Opaque Cut-to-fit 5/8” – 1 5/16” CT16860 Opaque Pre-cut 11/16” CT16861 Opaque Pre-cut 13/16” CT16862 Opaque Pre-cut 1” CT16863 Opaque Pre-cut 1 1/8” CT16857 Opaque Pre-cut 1 ¼”

SenSura® Mio Convex MAXI Urostomy Pouch Designed for curves, bulges and hernias. Curved, star-shaped barrier conforms to outward areas with less creasing and folding. "Flip to fit" design allows for easy application. Soft outlet can be connected to urostomy night bag #CT21365 or any standard night bag. .

Item Order # Cut Stoma Size Max Cut Barrier Size 8 1” Length CT18401 Cut-to-fit 3/8” – 1 9/16” (10-40 mm) 1 9/16” (40 mm) Small 10/Box CT18402 Pre-cut 3/4” (20 mm) 1 9/16” (40 mm) Small HCPCS: A4392 CT18403 Pre-cut 1” (25 mm) 1 9/16” (40 mm) Small CT18404 Pre-cut 1 3/16” (25 mm) 1 9/16” (40 mm) Small

8 1” Length CT18405 Cut-to-fit 3/8” – 1 9/16” (10-40 mm) 1 9/16” (40 mm) Small 10/Box HCPCS: A4392

45 Have you seen our new and improved reorder website, myByramhealthcare.com?

Reorder your medical supplies online! It’s easy with myByram.

■ Place reorders online ■ View your order history ■ Update your account information and change health insurance information. ■ Securely make a payment ■ Chat live with a customer service representative ■ Add ostomy accessories to your order ■ Select expedited shipping and track packages online

Enroll online today! www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

SenSura® One-Piece Systems offer a unique double-layer adhesive. The lower layer provides absorption and moisture balance. The upper layer provides erosion resistance. SenSura® also provides optimal adhesion, flexibility and ease of removal. All SenSura® products are latex free.

SENSURA® ONE-PIECE CLOSED END POUCHES SenSura® Closed End Maxi Pouch with Integrated Filter, Flat Skin Barrier Closed-end maxi pouch with integrated filter. Two-sided comfort panels. Standard wear, flat skin barrier. Cut-to-Fit or Pre-Cut. Item Order # Cut-to-Fit Style 81" Length CT15480 ⅜"-3" Opaque 30/Box HCPCS: A4416 Item Order # Pre-Cut Style 81" Length CT15484 1⅜" Opaque 30/Box HCPCS: A4416

SENSURA® ONE-PIECE DRAINABLE POUCHES SenSura® EasiClose™ WIDE Outlet Maxi Pouch with Integrated Filter, Flat Skin Barrier EasiClose™ WIDE outlet drainable pouch with integrated filter. One-sided comfort panel. Standard wear, flat skin barrier. Cut-to-Fit or Pre-Cut. Item Order # Cut-to-Fit Style 11½" Length CT15521 ⅜"-3" Transparent 20/Box HCPCS: A4424 Item Order # Pre-Cut Style 11½" Length CT15522 1" Transparent 20/Box CT15523 13/16" Transparent HCPCS: A4424 CT15524 1⅜" Transparent

SenSura® EasiClose™ WIDE Outlet Maxi Pouch without Filter, Flat Skin Barrier EasiClose™ WIDE outlet drainable pouch. No Filter. One-sided comfort panel. Standard wear, flat skin barrier. Cut-to-Fit or Pre-Cut. Item Order # Cut-to-Fit Style 11½” Length CT15821 ⅜”-3” Transparent 20/Box HCPCS: A5061

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 47 COLOPLAST Ostomy

SENSURA® ONE-PIECE DRAINABLE POUCHES

SenSura® EasiClose™ WIDE Outlet Maxi Pouch with Integrated Filter, Flat Skin Barrier EasiClose™ WIDE outlet drainable pouch with integrated filter. Soft cloth on front and back. Standard wear, flat skin barrier. Cut-to-Fit or Pre-Cut.

Item Order # Cut-to-Fit Style 11 ½” Length CT15531 3/8” - 3" Opaque 20/Box HCPCS: A4424 Item Order # Pre-Cut Style 11 ½” Length CT15532 1" Opaque 20/Box CT15533 1 3/16" Opaque HCPCS: A4424 CT15534 1 3/8” Opaque

SenSura® Xpro EasiClose™ WIDE Outlet Maxi Pouch with Integrated Filter, Flat Skin Barrier Filter EasiClose™ WIDE outlet drainable pouch with integrated filter. Soft cloth front and back. Extended wear, flat skin barrier.

Soft cloth on back. Item Order # Cut-to-Fit Style 11 ½” Length CT15981 3/8” – 3” Transparent 10/Box HCPCS: A5056

Soft cloth on front and back. Item Order # Pre-Cut Style 11 ½” Length CT15991 1” Opaque 10/Box CT15992 1 3/16” Opaque HCPCS: A5056 CT15993 1 ¼” Opaque CT15994 1 ½” Opaque

Our Multi-Lingual Support Program is designed to provide our customers with a comfortable communication environment and access to customized support for ostomy management Call: 1-844-208-1499

48 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

SENSURA® ONE-PIECE DRAINABLE POUCHES SenSura® EasiClose™ WIDE Outlet Maxi Pouch with Intergrated Filter, Convex Light Skin Barrier with Belt Tabs EasiClose™ WIDE outlet drainable pouch with integrated filter. Belt tabs and comfort panel. Standard wear convex light skin barrier. Cut-to-Fit or Pre-Cut.

Soft cloth on back. Item Order # Cut-to-Fit Style 11 ½” Length CT15606 5/8” - 1 11/16" Transparent 10/Box HCPCS: A4389 Item Order # Pre-Cut Style 11 ½” Length CT15623 1" Transparent 10/Box CT15624 1 1/8” Transparent HCPCS: A4389 Soft cloth front and back. Item Order # Cut-to-Fit Style 11 ½” Length CT15608 5/8” - 1 11/16" Opaque 10/Box HCPCS: A4389 Item Order # Pre-Cut Style 11 ½” Length CT15633 1" Opaque 10/Box CT15634 1 1/8” Opaque HCPCS: A4389

SenSura® Xpro EasiClose™ WIDE Outlet Maxi Pouch with Intergrated Filter, Convex Light Skin Barrier with Belt Tabs

Soft cloth on back. Item Order # Cut-to-Fit Style 11 ½” Length CT15695 5/8” – 1 5/16” Transparent 10/Box CT15696 5/8” – 1 11/16” Transparent HCPCS: A5057 Soft cloth on front and back. Item Order # Pre-Cut Style 11 ½” Length CT15697 7/8” Opaque 10/Box CT15698 1” Opaque HCPCS:A5057

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 49 COLOPLAST Ostomy

SENSURA® ONE-PIECE DRAINABLE POUCHES

SenSura® Standard Wear MAXI Drainable Pouch Flat. Soft outlet for liquid stool can connect to a drain bag. Filter. Soft cloth on front and back. Peek-a-boo inspection window allows easy application. Opaque.

Item Order # Cut Stoma Size 12 ½” Length CT19004 Cut-to-fit 3/8” – 3” 30/Box HCPCS: A4424

SenSura® Multi-Chamber Urostomy Pouch Multi-chambers minimize sloshing. Anti-reflux valve prevents urine from washing over stoma. Soft outlet can be connected to urostomy night bag.

Standard wear. Soft cloth on back. Item Order # Cut-to-Fit Style MIDI 9 ½” Length CT11803 3/8” – 2 ½” Transparent 10/Box HCPCS: A5071 Standard wear. Soft cloth on back. Item Order # Cut-to-Fit Style MAXI 10 3/8” Length CT11804 3/8” – 3” Transparent 10/Box HCPCS: A5071 Xpro Extended Wear, Soft cloth on back Item Order # Cut-to-Fit Style MAXI 10 3/8” Length CT11809 3/8” – 3” Transparent 10/Box HCPCS: A4391 Xpro Extended Wear, Soft cloth on front and back. Item Order # Pre-Cut Style MAXI 10 3/8” Length CT11805 7/8” Opaque 10/Box CT11806 1” Opaque HCPCS: A4391 CT11807 1 3/16” Opaque CT11808 1 ¼” Opaque

Our ostomy specialists are commited to your satisfaction. Please call us with any questions. 1-800-308-9445

50 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

SENSURA® ONE-PIECE POST-OP DRAINABLE POUCHES SenSura® Convex Light Multi-Chamber Urostomy Pouch with Belt Tabs Multi-chambers minimizes sloshing. Anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag.

Standard wear, soft cloth on back. Item Order # Cut-to-Fit Style MAXI 10 3/8” Length CT11814 5/8” – 1 5/16” Transparent 10/Box HCPCS: A4392

SenSura® Xpro Convex Light Multi-Chamber Urostomy Pouch with Belt Tabs Multi-chambers minimizes sloshing. Anti-reflux valves prevent urine from washing over stoma. Soft outlet can be connected to urostomy night bag.

Xpro extended wear, soft cloth on back. Item Order # Cut-to-Fit Style MAXI 10 3/8” Length CT11819 5/8” – 1 5/16” Transparent 10/Box HCPCS: A4393 Xpro extended wear, soft cloth on front and back. Item Order # Pre-Cut Style MAXI 10 3/8” Length CT11816 7/8” Opaque 10/Box CT11817 1” Opaque HCPCS: A4393 CT11818 1 ¼” Opaque

SenSura® Drainable Post-Op Pouch with Window Soft outlet can be connected to bed drain bag. Soft cloth on back.

Easy-to-open and -close access window attached to pouch. Item Order # Cut-to-Fit Style 13” Length CT19020 3/8” – 3” Transparent 5/Box CT19021 3/8” – 4 ½” Transparent HCPCS: A6154 STERILE. Easy-to-open and -close access window attached to pouch. Item Order # Cut-to-Fit Style 13” Length CT19010 3/8” – 3” Transparent 5/Box CT19011 3/8” – 4 ½” Transparent HCPCS: A6154 Effective for small fistulas. No access window. Item Order # Cut-to-Fit Style 12 ¼” Length CT19030 3/8” – 3” Transparent 5/Box HCPCS: A6154

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 51 COLOPLASTCOLOPLAST Ostomy

ASSURA® TWO-PIECE The Assura® Two-Piece Ostomy System can be applied with minimal pressure to the barrier, and easily removed with just an "up and over" motion. When the system is locked, the pouch is safely and securely fastened to the barrier. Assura® skin barrier flanges come in three types: Flat, Convex Light and Convex. They are available in either cut-to-fit or pre-cut. Match the color code of the barrier you select to the color code of the pouch you will use.

ASSURA® SKIN BARRIERS Assura® Flat, Standard Wear Skin Barrier with Belt Tabs Flat, flexible, spiral skin barrier, standard wear adhesive contains moisture- absorbing hydrocolloid. Lock-ring flange with attached belt tabs. Match barrier and pouch color codes for proper fit. Item Order # Cut-to-Fit Color Code 5/Box CT2881 3/8" – 13/8" HCPCS: A4414 CT2882 3/8" – 1 3/4” • CT2883 3/8" – 2 ¼” • Item Order # Pre-Cut Size Color• Code 5/Box CT12841 13/16" HCPCS: A4414 CT12842 1" • CT12844 13/16" • CT12845 13/8" • CT12847 19/16" • CT12848 13/4" •

52 Ostomy COLOPLAST 1-800-308-9445

ASSURA® SKIN BARRIERS Assura® Flat, Extra-Extended Wear Skin Barrier Flange Flat, flexible barrier. Extra extended wear adhesive with moisture absorbent hydrocolloid. Locking-ring flange with attached belt tabs. Match barrier and pouch color codes for proper fit. Item Order # Cut-to-Fit Color Code 5/Box CT2831 3/8" – 13/8" HCPCS: A4409 CT2832 3/8" – 1 3/4” CT2833 3/8" – 2 ¼” • • Item Order# Pre-Cut Size Color• Code 5/Box CT14250 5/8" HCPCS: A4409 CT14251 13/16" • CT14252 1" • CT14254 1 3/16" • CT14255 1 3/8" • CT14257 1 9/16" • CT14258 1 3/4" • Assura® Convex Light, Standard Wear Skin Barrier with Belt Tabs Shallow convexity skin barrier for flush or slightly retracted stomas. Standard wear adhesive with moisture absorbing hydrocolloid. Locking-ring flange with attached belt tabs. Match barrier and pouch color codes for proper fit.

Item Order # Cut-to-Fit Color Code 5/Box CT14261 5/8” to 15/16” HCPCS: A4373 CT14262 5/8” to 1 5/16” CT14263 5/8” to 1 11/16” • Item Order # Pre-Cut Size Color• Code 5/Box CT14271 3/4" HCPCS: A4373 CT14272 7/8" CT14273 1" • CT14274 1 1/8" • CT14275 1 1" • CT14276 1 3/8" • CT14277 1 1" • CT14278 1 5/8" • • Reordering supplies online is simple! Visit www.mybyramhealthcare.com and sign up today!

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 53 COLOPLAST Ostomy

ASSURA® SKIN BARRIERS Assura® Convex Light, Extra-Extended Wear, Skin Barrier with Belt Tabs Shallow convexity skin barrier for flush or slightly retracted stomas. Extra-extended wear adhesive with moisture absorbing hydrocolloid. Locking-ring flange with attached belt tabs. Match barrier and pouch color codes for proper fit.

Item Order# Cut- to-Fit Color Code 5/Box CT14281 5/8” – 15/16” HCPCS: A4407 CT14282 5/8” – 15/16” • CT14283 5/8” – 111/16” • Item Order# Pre-Cut Size Color• Code 5/Box CT14291 3/4” HCPCS: A4407 CT14292 7/8” • CT14293 1" • CT14294 1 1/8” • CT14295 1 ¼” • CT14296 1 3/8” • CT14297 1 ½” • CT14298 1 5/8” • Assura® Convex, Standard Wear Skin Barrier Flange Convex, flexible, spiral skin barrier. Adhesive contains moisture-absorbing hydrocolloid. Lock-ring flange with attached belt tabs. Match barrier and pouch color codes for proper fit. Cut-to-Fit or Pre-Cut.

Item Order # Cut-to-Fit Color Code 5/Box CT12716 5/8” – 1 5/16” HCPCS: A4373 CT12719 5/8” – 1 11/16” • Item Order # Pre-Cut Size Color• Code 5/Box HCPCS: A4373 CT12701 5/8” CT12702 3/4” • CT12703 7/8” • CT12704 1" • CT12705 1 1/8” • CT12706 1 ¼” • CT12707 1 3/8” • CT12708 1 ½” • CT12709 1 5/8” •

54 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

ASSURA® SKIN BARRIERS Assura® Convex, Extra-Extended Wear Skin Barrier Flange Convex, flexible spiral skin barrier. Extra-extended wear adhesive with moisture- absorbent hydrocolloid. Locking-ring flange with attached belt loops. Match barrier and pouch color codes for proper fit. Cut-to-Fit or Pre-Cut. Item Order # Cut-to-Fit Color Code 5/Box CT14243 5/8” – 15/16" HCPCS: A4407 CT14246 5/8” – 15/16” CT14249 5/8” – 111/16” • Item Order # Pre-Cut Size Color• Code 5/Box HCPCS: A4407 CT14232 3/4” CT14233 7/8” • CT14234 1" • CT14235 1 1/8” • CT14236 1 ¼” • CT14237 1 3/8” • CT14238 1 ½” • CT14239 1 5/8” •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 55 COLOPLAST Ostomy

ASSURA® CLOSED POUCHES Assura® Drainable Pouch with EasiClose™ WIDE Outlet and Filter The EasiClose WIDE outlet pouch is extremely hygienic and secure for those with colostomies and ileostomies. The WIDE outlet makes emptying easier for those with thicker output. Filter option enhances discretion while controlling odor. New slick interior pouch film also makes emptying easier and faster. Velcro® dots on outlet creates a hygienic pouching system.

Two-sided comfort panels, filter. Item Order # Style Color Code 10 ½” Length CT15954 Opaque Midi CT15955 Opaque • 10/Box CT15956 Opaque • HCPCS: A4427 • One-sided comfort panel, filter. Item Order # Style Color Code 11 ½” Length CT15974 Transparent Maxi CT15975 Transparent • 10/Box CT15976 Transparent • HCPCS: A4427 • Two-sided comfort panels, filter. Item Order # Style Color Code 11 ½” Length CT15984 Opaque Maxi CT15985 Opaque • 10/Box CT15986 Opaque • HCPCS: A4427 • Two-sided comfort panels, no filter. Item Order # Style Color Code 11 ½” Length CT15982 Opaque Maxi CT15983 Opaque 10/Box • HCPCS: A4426 •

Coloplast Assura® Fit Tip To assure your system components will all fit together correctly, just match the colors on boxes of barriers, pouches, stoma caps and irrigation sleeves.

56 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

ASSURA® DRAINABLE POUCHES Assura® Drainable Pouch with EasiClose™ Outlet Extremely hygienic and secure pouch for those with colostomies or ileostomies. Unique integrated Velcro® closure system and integrated charcoal filter. Low profile for maximum discretion. Odor barrier film. Secure locking mechanism. No clips or clamps required. Match pouch and barrier code colors for proper fit.

Mini Classic. Item Order # Style Color Code 9 ¼” Length CT13924 Opaque 10/Box CT13925 Opaque • HCPCS: A4427 • Midi Graphic Design. Item Order # Style Color Code 10 ½” Length CT13964 Opaque 10/Box CT13965 Opaque • HCPCS: A4427 CT13966 Opaque • Maxi Classic. • Item Order # Style Color Code 11 ½” Length CT13984 Opaque 10/Box CT13985 Opaque • HCPCS: A4427 CT13986 Opaque • Maxi Transparent. • Item Order # Style Color Code 11 ½” Length CT13974 Transparent 10/Box CT13975 Transparent • HCPCS: A4427 CT13976 Transparent • • Assura® Drainable Pouch Pouch with soft, moisture-absorbent backing and twist-tie or clip closure. Lock-ring attachment system produces an audible "click" when connection has been secured. 5 pouch clamps and 5 twist ties included. Match color code of skin barrier and pouch for proper fit. Item Order # Style Color Code Midi CT12527 Opaque 9 3/4” Length CT12528 Opaque 10/Box CT12529 Opaque • HCPCS: A4426 • Item Order # Style Color• Code Maxi CT12577 Opaque 11 ¼” Length CT12578 Opaque • 10/Box CT12579 Opaque • HCPCS: A4426 •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 57 COLOPLAST Ostomy

ASSURA® DRAINABLE POUCHES Assura® High Output Drainable Pouch with Filter Soft outlet attaches to drain bag. Soft cloth on back (and front of opaque). Item Order # Style Color code 12 ½” Length CT8114 Transparent 10/Box CT8115 Transparent • HCPCS:A4413 CT8116 Transparent • CT2846 Opaque • CT2847 Opaque • Assura® Closed Pouch with Filter Closed pouch has a soft cloth on front and back for comfort, odor-proof film, and secure lock-ring system that produces an audible "click" sound when pouch is securely attached to flange. Match pouch and barrier color codes for proper fit. Includes filter for odor control. Latex-free. Item Order # Style Color Code Mini CT12344 Transparent 7" Length CT12345 Transparent 30/Box CT12346 Transparent • HCPCS: A4423 • Item Order # Style Color Code Mini CT12354 Opaque 7" Length CT12355 Opaque • 30/Box CT12356 Opaque • HCPCS: A4423 • Item Order # Style Color Code Maxi, CT12374 Transparent 8 ½” Length CT12375 Transparent 30/Box CT12376 Transparent • HCPCS: A4423 • Item Order # Style • Color Code Maxi 8 ½” Length 30/Box HCPCS: A4423 CT12384 Opaque • CT12385 Opaque • CT12386 Opaque •

58 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

ASSURA® STOMA CAPS Assura® Stoma Cap with Filter Stoma Cap has a soft, moisture-absorbent wicking material with odor-proof film and integrated filter. Match to system color codes for proper fit. Item Order # Style Color Code 30/Box CT2801 Opaque HCPCS: A5055 CT2802 Opaque • CT2803 Opaque • ASSURA® UROSTOMY POUCHES Assura® Multi-Chamber Urostomy Pouch Soft, absorbent backing with anti-reflux valve. Pouch is divided into chambers for a more discreet and quiet pouch. Simple locking connector for night drainage attachment. Includes 3 adaptors.

Item Order # Style Color Code 10 ½” length CT14224 Opaque 10/Box CT14225 Opaque • HCPCS: A4433 CT14226 Opaque • Item Order # Style Color• Code 10 ½” length CT14227 Transparent 10/Box CT14228 Transparent • HCPCS: A4433 CT14229 Transparent •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 59 COLOPLAST Ostomy

ASSURA® UROSTOMY POUCHES Assura® Urostomy Pouch Urostomy pouch with soft, moisture-absorbent backing, odor-proof film and lock- ring attachment system which produces audible "click" when pouch is correctly attached. Match pouch and barrier color code for proper fit. Includes anti-reflux valve and 5 adaptors for night drainage bag attachment. Latex-free.

Item Order # Style Color Code 9 ½” Length CT1751 Transparent 10/Box CT1752 Transparent HCPCS: A4433 • • Item Order # Style Color Code 10 3/4” Length CT1757 Transparent 10/Box CT1758 Transparent • HCPCS: A4433 CT1759 Transparent • Item Order # Style Color• Code 10 3/4” Length CT1754 Opaque 10/Box CT1755 Opaque • HCPCS: A4433 CT1756 Opaque • Assura® Urostomy Micro-Pouch Soft, absorbent backing with anti-reflux valve. Pouch is small enough so it doesn’t twist like a standard urostomy pouch. Can be easily connected to the Assura® Urostomy Night Bag. No adaptors needed. Item Order # Style Color Code 6" Length CT14204 Transparent 10/Box CT14205 Transparent • HCPCS: A4433 CT14206 Transparent • Assura® Urostomy Minicap Stoma Cap has ultra-absorbent wicking material inside and can hold 100 mL. Match to system color codes for proper fit.

Item Order # Style Color Code 30/Box CT2807 Opaque HCPCS: A5055 CT2808 Opaque •

Clinical CareMail Have a question? E-mail one of our clinicians at [email protected]

60 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

ASSURA® AC TWO-PIECE SYSTEM ASSURA® AC 2-PIECE SYSTEM Assura® AC features a flexible, adhesive two-piece coupling system that conforms to the body and is easy to apply. This product offers the flexibility of a one-piece system and the convenience of a two-piece. To ensure the correct combination of two-piece barrier and pouches, match the baseplate color code to the color code of the pouch that will be used. NOTE: Items marked * have custom peel rings. Important: Patients with a clinical need for convexity, those with fistulas or skin folds that must be accommodated, and those who use an ostomy belt for support may not find this system to be appropriate for them. ASSURA® AC BASEPLATES Assura® AC Flat Barrier Adhesive coupling offers the convenience of a 2-piece with greater flexibility. Cut-to- Fit ensures exact fit around stoma.

Standard Wear Adhesive. Item Order # Cut-to-Fit Size Color Code 10/Box HCPCS: A4414 CT14301 3/8” - 1 5/16" Small HCPCS: A4414 CT14302 3/8” - 1 7/8” Medium • HCPCS: A4415 CT14303 3/8” - 2 3/4” Large • Standard Wear Adhesive. • Item Order # Cut-to-Fit Size Color Code 5/Box CT14309 3/8” - 3 ½” Extra Large HCPCS: A4415 • Extra-Extended Wear Adhesive. Item Order # Cut-to-Fit Size Color Code 10/Box HCPCS: A4409 CT14304 3/8” -15/16" Small HCPCS: A4409 CT14305 3/8” -1 7/8” Medium • HCPCS: A4410 CT14306 3/8” -2 3/4” Large •

Our Multi-Lingual Support Program is designed to provide our customers with a comfortable communication environment and access to customized support for ostomy management Call: 1-844-208-1499

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 61 COLOPLAST Ostomy

ASSURA® AC BASEPLATES Assura® AC Convex Light Barrier with Belt Tabs Assura® AC baseplates are now available in the flexible convex light style. Adhesive baseplate, instead of a flange, eliminates locking problems. Choose Pre-cut or Cut-to-Fit. Attached belt tabs. Standard Wear Adhesive. Cut-to-Fit Item Order # Cut-to-Fit Size Color Code 5/Box CT14401 5/8” - 15/16” Small HCPCS: A4373 CT14403 5/8” - 111/16" Medium • CT14406 5/8” - 23/8" Large • Standard Wear Adhesive. Pre-Cut • Item Order # Pre-Cut Size Color Code 5/Box CT14642 7/8” Small HCPCS: A4373 CT14643 1" Medium • CT14644 1 1/8” Medium • CT14645 1 ¼” Medium • CT14646 1 3/8” Medium • Extra-Extended Wear Adhesive. Cut-to-Fit • Item Order # Cut-to-Fit Size Color Code 5/Box CT14601 5/8” - 15/16” Small HCPCS: A4407 CT14602 5/8” - 1 5/16” Medium • CT14603 5/8” - 1 11/16” Medium • HCPCS: A4408 CT14408 5/8” - 2 3/8” Large • ASSURA® AC DRAINABLE POUCHES • Assura® AC Easiclose™ Drainable Pouches with Filter Assura® AC drainable pouches attach to Assura AC barriers with an adhesive coupling system instead of the locking mechanism of a standard flange. Match color code of pouch to color code of selected barrier.

Opaque, two-sided comfort panels, filter. Item Order# Color Code Midi CT14346 10 ¼” Length CT14347 20/Box CT14349 • HCPCS: A4425 • • Transparent, one-sided comfort panel, filter. Item Order# Color Code Midi CT14342* 10 ¼”Length CT14344 20/Box • HCPCS:A4425 • *Includes perforated rings providing the option of an exact fit around the stoma.

62 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

ASSURA® AC DRAINABLE POUCHES Assura® AC Easiclose™ Drainable Pouches with Filter (Cont.) Assura® AC drainable pouches attach to Assura AC barriers with an adhesive coupling system instead of the locking mechanism of a standard flange. Match color code of pouch to color code of selected barrier.

Opaque, two-sided cloth panels, filter. Item Order# Color Code Maxi CT14361 11 ¼” Length CT14362 • 20/Box CT14364 • HCPCS: A4425 • Transparent, one-sided comfort panel, filter. Item Order# Color Code Maxi CT14356 11 ¼” Length CT14357 • 20/Box CT14359 • HCPCS: A4425 • Opaque, two-sided cloth panels, no filter. Item Order# Color Code Maxi CT14525 11 ¼” Length 20/Box • HCPCS: A5063 Transparent, one-sided cloth panels, no filter. Item Order# Color Code Maxi CT14521 11 ¼” Length 20/Box • *Includes HCPCS: A5063 perforated rings Opaque, two-sided cloth panels, filter. providing the Item Order# Color Code option of an exact XXL CT14379 fit around the stoma. 12 ½” Length, 20/Box HCPCS: A4425 • Transparent, one-sided comfort panel, no filter. Item Order# Color Code XL CT14527 12 ½” Length, 20/Box HCPCS: A5063 •

To reach our Ostomy Center of Excellence, please call: 1-800-308-9445

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 63 COLOPLAST Ostomy

ASSURA® AC CLOSED END POUCHES Assura® AC Closed End Pouches with Filter Assura® AC Closed End Pouches adhere to the Assura® AC Barrier without the locking mechanism of a standard flange for easy application.

Item Order # Style Color Code Midi CT14316 Opaque 7" Length CT14317 Opaque • 30/box CT14319 Opaque • HCPCS: A4419 • Item Order # Style Color Code Maxi CT14331 Opaque 8 ½” Length CT14332 Opaque 30/Box CT14333* Opaque • HCPCS: A4419 CT14334 Opaque • Item Order # Style Color• Code Extra Large CT14355 Opaque 10 ½” Length 30/Box • HCPCS: A4419

Item Order # Style Color Code Maxi CT14326 Transparent 8 ½” Length CT14327 Transparent • 30/Box CT14328* Transparent • HCPCS: A4419 CT14329 Transparent • *Includes perforated rings providing the option for an exact fit around• the stoma.

64 Ostomy COLOPLAST 1-800-308-9445

ASSURA® DRAINABLE POUCHES Assura® Flat Drainable Pouch with EasiClose™ WIDE Outlet Wide outlet pouch with EasiClose™ feature. Recommended for people with thicker output. Maxi pouch with slimline filter or without filter. Slick interior pouch film makes emptying easier and faster. Velcro closure on back. Choose Standard wear adhesive or Extra-Extended wear adhesive. Bag length: 11 ½”. Standard wear adhesive, one-sided comfort panel, filter. Item Order # Cut-to-Fit Style 10/Box CT15860 3/8” - 3" Transparent HCPCS: A4424 Standard wear adhesive, two-sided comfort panels, filter. Item Order # Cut-to-Fit Style 10/Box CT15870 3/8” - 3" Opaque HCPCS: A4424 Standard wear adhesive, two-sided comfort panels, filter. Item Order # Pre-Cut Size Style 10/Box CT15874 1" Opaque HCPCS: A4424 CT15875 1 3/16" Opaque CT15876 1 3/8" Opaque Standard wear adhesive, two-sided comfort panels, no filter. Item Order # Cut-to-Fit Style 10/Box CT15871 3/8” - 3" Opaque HCPCS: A5061 Extra-Extended wear adhesive, one-sided comfort panel, no filter. Item Order # Cut-to-Fit Style 10/Box CT15869 3/8” - 3" Transparent HCPCS: A4388 Extra-Extended wear adhesive, two-sided comfort panels, no filter. Item Order # Cut-to-Fit Style 10/Box CT15879 3/8” - 3" Opaque HCPCS: A4388

Experience the Byram Difference Byram offers reliable, accurate service nationwide to home care agencies, managed care organizations, healthcare professionals and the patient at home.

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 65 COLOPLAST Ostomy

ASSURA® DRAINABLE POUCHES Assura® Flat Drainable Pouch with EasiClose™ Outlet EasiClose™ Outlet. No clips or clamps required. Standard wear adhesive. Pouch with odor barrier film and charcoal filter. Cut-to-Fit or Pre-Cut. Two-sided comfort panels, filter. Item Order# Cut-to-Fit Style Midi CT13840 3/8"-2 1" Opaque 10 ¼” Length 10/Box HCPCS: A4424 Two-sided comfort panel, filter. Item Order# Pre-Cut Size Style Midi, 10 ¼” Length, 10/Box HCPCS: A4424 CT13844 1" Opaque HCPCS: A4424 CT13845 1 3/16" Opaque HCPCS: A4424 CT13846 1 3/8" Opaque One-sided comfort panel, filter. Item Order # Cut-to-Fit Style Maxi CT13860 3/8"-3" Transparent 11 ¼” Length 10/Box HCPCS: A4424 Two-sided comfort panel, filter. Item Order # Cut-to-Fit Style Maxi CT13870 3/8"-3" Opaque 11 ¼” Length, 10/Box HCPCS: A4424 Two-sided comfort panel, filter. Item Order # Pre-Cut Size Style Maxi CT13874 1" Opaque 11 ¼” Length CT13875 1 3/16" Opaque 10/Box CT13876 1 3/8" Opaque HCPCS: A4424

When you call to place an order, please have the following information ready: • Your insurance information • Your doctor’s information (name and phone number) • Items you wish to order

66 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

ASSURA® DRAINABLE POUCHES Assura® Convex Light Drainable Pouch with EasiClose™ Outlet EasiClose™ feature. No clips or clamps required. Standard wear adhesive. Pouch with odor barrier film and charcoal filter. Cut-to-Fit or Pre-Cut. Two-sided comfort panels, filter. Item Order # Cut-to-Fit Style Midi CT14404 5/8"-15/16" Opaque 10 ¼” Length CT14405 5/8"-111/16" Opaque 10/Box HCPCS: A4389

One-sided comfort panel, belt loops, filter. Item Order# Cut-to-Fit Style Maxi CT14411 5/8"-15/16" Transparent 11 ¼” Length CT14412 5/8"-111/16" Transparent 10/Box HCPCS: A4389

Two-sided comfort panels, belt loops, filter. Item Order # Cut-to-Fit Style Maxi CT14414 5/8"-15/16" Opaque 11 ¼” Length CT14415 5/8"-111/16" Opaque 10/Box HCPCS: A4389

Two-sided comfort panels, belt loops, filter. Item Order # Pre-Cut Style Maxi CT14421 7/8” Opaque 11 ¼” Length CT14422 1" Opaque 10/Box CT14423 1 1/8” Opaque HCPCS: A4389 CT14424 1 ¼” Opaque

Assura® Convex Light Drainable Pouch with EasiClose™ WIDE Outlet Extra-Extended wear with WIDE outlet. No clips or clamps required. Pouch with belt tabs, odor barrier film, no filter.

Extra-Extended wear, one-sided comfort panel, no filter. Item Order# Cut-to-Fit Style Maxi CT14413 5/8"-15/16" Transparent 11 ¼” Length CT14416 5/8"-111/16" Transparent 10/Box HCPCS: A4390 Extra-Extended wear two-sided cloth comfort panels, no filter. Item Order# Cut-to-Fit Style Maxi CT14419 5/8"-111/16" Opaque 11 ¼” Length 10/Box HCPCS: A4390

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 67 COLOPLAST Ostomy

ASSURA® DRAINABLE POUCHES Assura Convex Drainable Pouch with EasiClose™ Outlet and Belt Tabs EasiClose™ feature. No clips or clamps required. Standard wear adhesive. Pouch with odor barrier film and charcoal filter. Cut-to-Fit or Pre-Cut.

One-sided comfort panel, filter. Item Order# Cut-to-Fit Style Maxi CT14103 5/8” - 1 11/16” Transparent 11 1” Length 10/Box HCPCS: A4389 One-sided comfort panel, filter. Item Order# Pre-Cut Style Maxi CT14163 7/8” Transparent 11 1” Length CT14164 1” Transparent 10/Box CT14165 1 1/8” Transparent HCPCS: A4389 CT14166 1 1” Transparent Two-sided comfort panels, filter. Item Order# Cut-to-Fit Style Maxi CT14106 5/8” - 1 11/16” Opaque 11 1” Length 10/Box HCPCS: A4389 Two-sided comfort panels, filter. Item Order# Pre-Cut Style Maxi CT14173 7/8” Opaque 11 1” Length CT14174 1” Opaque 10/Box CT14175 1 1/8” Opaque HCPCS: A4389 CT14176 1 1” Opaque Two-sided comfort panels, filter. Item Order# Cut-to-Fit Style Midi CT14196 5/8” - 1 11/16” Opaque 10 1” Length 10/Box HCPCS: A4389

To reach our Ostomy Center of Excellence, please call: 1-800-308-9445

68 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

ASSURA® CLOSED POUCHES Assura® Flat Closed End Pouch Spiral, standard wear adhesive with charcoal filter and odor-proof film. Two-sided comfort panels. Cut-to-Fit or Pre-Cut. Item Order # Cut-to-Fit Style Maxi CT12170 13/16"-3" Opaque 8 1" Length, 30/Box HCPCS: A4416 Item Order # Pre-Cut Style Maxi CT12174 1" Opaque 8 1” Length CT12175 1 3/16" Opaque 30/Box CT12176 1 3/8" Opaque HCPCS: A4416 CT12177 1 9/16" Opaque Item Order # Cut-to-Fit Style Midi CT12140 13/16"-2 1" Opaque 7" Length, 30/Box HCPCS: A4416 Item Order # Pre-Cut Style Midi, 7" Length, 30/Box HCPCS: A4416 CT12144 1" Opaque HCPCS: A4416 CT12145 1 3/16" Opaque HCPCS: A4416 CT12146 1 3/8" Opaque HCPCS: A4416 CT12147 1 9/16" Opaque HCPCS: A4416 CT12149 2" Opaque Item Order # Cut-to-Fit Style Midi CT12130 13/16"-2 1" Transparent 7" Length, 30/Box HCPCS: A4416 Item Order # Pre-Cut Style Midi CT12134 1" Transparent 7" Length CT12135 1 3/16" Transparent 30/Box CT12136 1 3/8" Transparent HCPCS: A4416 Item Order # Cut-to-Fit Style Mini CT12110 13/16”-2 1” Opaque 5” Length, 30/Box HCPCS: A4416

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 69 Got curves? This belt is for you!

A comfortable and reliable support for curves, bulges AND hernia prevention

The Brava® Ostomy Support Belt from Coloplast brings you support and comfort by relieving the heavy sensation of hernias, and may help prevent hernias post-operatively, in combination with exercise. The Ostomy Support Belt is a great addition to + SenSura® Mio Convex Flip, the first pouching system for curves, bulges and hernias.

Can’t think of anything It just fits better! It hugs needing to be improved! the curve of my hernia. – User of Brava Ostomy Support Belt – Steve, SenSura Mio Convex Flip user

Coloplast Corp. Minneapolis, MN 55411 / 1-800-533-0464 www.coloplast.us The Coloplast logo is a registered trademark of Coloplast A/S. © 2019 Coloplast Corp. All rights reserved. PM-09544 10.19 Ostomy COLOPLAST 1-800-308-9445

ASSURA® CLOSED POUCHES Assura® Convex Light Closed End Pouch Spiral, standard wear adhesive. Shallow convexity for flush or slightly retracted stomas. Charcoal filter and odor-proof film. Two-sided comfort panels. Cut-to-Fit or Pre-Cut. Belt tabs. Item Order # Cut-to-Fit Style Mini CT14434 5/8” -15/16” Opaque 7” Length CT14435 5/8”- 111/16” Opaque 10/Box HCPCS: A4417 Item Order # Cut-to-Fit Style Mini CT14431 5/8”- 15/16” Transparent 7” Length CT14432 5/8”-111/16” Transparent 10/Box HCPCS: A4417

Item Order # Pre-Cut Style Mini CT14451 7/8” Opaque 7” Length CT14452 1” Opaque 10/Box CT14453 1 1/8” Opaque HCPCS: A4417 CT14454 1 ¼” Opaque Item Order # Cut-to-Fit Style Maxi CT14444 5/8"-15/16" Opaque 8 ½” Length CT14445 5/8"- 111/16" Opaque 10/Box HCPCS: A4417 Item Order # Cut-to-Fit Style Maxi CT14441 5/8"-15/16" Transparent 8 ½” Length CT14442 5/8"-111/16" Transparent 10/Box HCPCS: A4417

Why Select a Closed-End Pouch? Closed-end pouches can enhance the quality of your life. Discard after use for easier self-care and improved cleanliness. There is no need for tail closures. They are covered by Medicare and most private insurance plans.

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 71 COLOPLAST Ostomy

ASSURA® ONE-PIECE UROSTOMY SYSTEM Assura® Multi-Chamber Urostomy Pouch Pouch divided into chambers for a more discreet, quiet pouch. Standard wear adhesive features an erosion-resistant barrier and provides increased absorption. Includes 3 adaptors. Flat Item Order # Cut-to-Fit Style 10 3/4” Length CT14222 3/8” - 2 ¼” Transparent 10/Box HCPCS: A5071 Convex Light, with Belt Tabs Item Order # Cut-to-Fit Style 10 3/4” Length CT14717 5/8” - 1 11/16” Transparent 10/Box HCPCS: A4392

Assura Flat Urostomy Pouch Adhesive features an erosion-resistant barrier and provides increased absorption. Includes 3 adaptors. Maxi, Standard wear. Item Order# Cut-to-Fit Style 10 3/4” Length CT5585 3/8” - 2 1” Transparent 10/Box CT5580 3/8” - 2 1” Opaque HCPCS: A5071

Midi, Standard wear. Item Order # Cut-to-Fit Style 7” Length CT5575 3/8” - 2 1” Transparent 10/Box CT5570 3/8” - 2 1” Opaque HCPCS: A5071

Maxi. Extended wear. Item Order # Cut-to-Fit Style 9 1” Length CT12474 3/8” - 2 1” Transparent 10/Box HCPCS: A4391

Midi, Extended wear. Item Order # Cut-to-Fit Style 9 1” Length CT12472 3/8” - 2 1” Transparent 10/Box CT12471 3/8” - 2 1” Opaque HCPCS: A4391

72 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

ASSURA® ONE-PIECE UROSTOMY SYSTEM Assura Convex Urostomy Pouch Adhesive features an erosion-resistant barrier and provides increased absorption. Includes 3 adaptors. Standard wear, Cut-to-Fit Item Order# Cut-to-Fit Style 10 3/4” Length CT12595 5/8” - 1 5/16” Transparent 10/Box CT12596 5/8” - 1 11/16” Transparent HCPCS: A4392

Standard wear, Pre-Cut Item Order # Pre-Cut Size Style 10 3/4” Length CT12991 5/8” Transparent 10/Box CT12992 3/4” Transparent HCPCS: A4392 CT12993 7/8” Transparent CT12994 1” Transparent CT12995 1 1/8” Transparent CT12996 1 1” Transparent CT12997 1 3/8” Transparent Extra-Extended wear, Cut-to-Fit Item Order # Cut-to-Fit Style 10 3/4” Length CT12432 5/8” - 1 5/16” Transparent 10/Box CT12433 5/8” - 1 11/16” Transparent HCPCS: A4393

ASSURA® POST-OP DRAINABLE POUCHES Assura® Drainable Post-Op Pouch without Window Large, drainable pouch for post-op and draining wounds. Soft, moisture-absorbent backing. Odor-proof film. Includes plastic clamp and 5 twist-tie closures. Cut-to-fit. Choose sterile or non-sterile.

Non-sterile. Item Order # Cut-to-Fit Style 5/Box CT12805 ½” - 2 3/4” Transparent 121" Length HCPCS: A6154

Sterile. Item Order # Cut-to-Fit Style 5/Box CT12818 ½” - 2 3/4” Transparent 121” Length HCPCS: A6154

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 73 COLOPLAST Ostomy

ASSURA® POST-OP DRAINABLE POUCHES Assura® Drainable Post-Op Pouch with Window Large, drainable pouch for post-op and draining wounds. Soft, moisture-absorbent backing. Odor-proof film. Detachable window. Includes plastic clamp and 5 twist-tie closures. Cut-to-Fit. Transparent. Choose sterile or non-sterile. Non-sterile. Item Order # Cut-to-Fit Style 5/Box CT12800 ½” - 2 3/4” Transparent 13" Length CT12802 ½” - 4" Transparent HCPCS: A6154 Sterile. Item Order # Cut-to-Fit Style 5/Box CT12808 ½” - 2 3/4” Transparent 13" Length CT12810 ½” - 4” Transparent HCPCS: A6154

COLOKIDS™ ASSURA® TWO-PIECE PEDIATRIC SYSTEMS Assura® Pediatric Skin Barrier Pediatric, Flat, Cut-to-Fit. Flexible flange allows pouch to be secured with minimal pressure. Can be used with pediatric drainable pouch or any green color-coded adult pouch. Item Order # Cut-to-Fit Color Code 5/Box CT2182 3/8” - 1 3/8" HCPCS: A4414 • Assura® Pediatric Drainable Pouch Soft backing for comfort, odor-proof film. Locking system reduces pressure to abdomen.

Item Order # Style Color Code 8 ½” Length CT2156 Transparent 20/Box HCPCS: A4426 •

Assura® Pediatric Closed Pouch Soft backing for comfort, odor-proof film. Locking system reduces pressure to abdomen. Filter for odor control. Item Order # Style Color Code 5 3/4” Length CT2161 Opaque 30/Box HCPCS: A4423 •

74 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

COLOKIDS™ ASSURA® TWO-PIECE PEDIATRIC SYSTEMS Assura® Pediatric Urostomy Pouch Soft backing for comfort, odor-proof film. Locking system reduces pressure to abdomen.

Item Order # Style Color Code 8 1” Length CT1789 Transparent 10/Box HCPCS: A4433 •

ASSURA® AC TWO-PIECE PEDIATRIC SYSTEMS Assura® Flat AC Pediatric Skin Barrier Adhesive coupling system for kids! The adhesive coupling pouching system is based on adhesives that makes it easy to apply the pouch to the barrier - and easy to remove. This system is hygienic and easy to clean. Standard wear barrier. No starter hole.

Item Order # Size Color Code 10/Box CT14307 0 -5/8” HCPCS: A4414 CT14308 0 - 1" • • Assura® AC EasiClose™ Pediatric Pouches with Filter The Assura AC with Filter system is available with an integrated closure, providing maximum comfort for children with ostomies. The EasiClose outlet makes emptying easier for parents (no clips or clamps to worry about.)

Transparent. Item Order # Style Color Code 5 ½” Length CT14681 Transparent 6 ½” Length CT14682 Transparent 10/Box • HCPCS: A4425 •

Opaque (teddy bear design). Item Order # Style Color Code 5 ½” Length CT14691 Opaque 6 ½” Length CT14692 Opaque 10/Box • HCPCS: A4425 •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 75 COLOPLAST Ostomy

COLOKIDS® OSTOMY SYSTEM

COLOKIDS™ ASSURA® ONE-PIECE PEDIATRIC SYSTEMS Assura® ColoKids™ Pediatric Drainable Pouch Flat, spiral adhesive is secure and gentle on skin. Soft backing for comfort, odor-proof film. Clamp closure. Item Order # Cut-to-Fit Style 8 1” Length CT2115 3/8”-13/8” Transparent 10/Box HCPCS: A5061

Assura® ColoKids™ Flat Pediatric Drainable Pouch Standard wear, soft backing for comfort, odor-proof film. Filter. Item Order # Cut-to-Fit Style 5 3/4” Length CT2125 3/8"-13/8" Transparent 30/Box HCPCS: A4416

Assura® ColoKids™ Pediatric Urostomy Pouch Flat, spiral adhesive is secure and gentle on skin. Soft backing for comfort, odor-proof film. Item Order # Cut-to-Fit Style 8 1” Length CT8009 3/8”-13/8” Transparent 10/Box HCPCS: A5071

COLOPLAST® IRRIGATION PRODUCTS COLOPLAST® IRRIGATION PRODUCTS

Economy Irrigation Set Economy Irrigation Set includes water bag/regulator thermometer and cone (CT1110). Use with either Assura® or Sensura® One- and Two-Piece Systems.

Item Order # Set CT1500

76 Reorder your supplies online at www.mybyramhealthcare.com Ostomy COLOPLAST 1-800-308-9445

COLOPLAST® IRRIGATION PRODUCTS SenSura® Irrigation Faceplate Use with blue Irrigation Sleeve (CT12836) and ostomy belt. Item Order # 1/Box CT12820 HCPCS: A4361

Coloplast® Stoma Cone Soft and flexible stoma cone with tubing. Item Order # 1/Box CT1110 HCPCS: A4399

Coloplast® Irrigation Sleeves Irrigation sleeves for use with SenSura Click® or Assura® barriers or faceplate - simply match the sleeve color code to your barrier’s color code. Item Order # Color Code 5/Box CT12834 HCPCS: A4397 CT12835 CT12836 • •

SenSura® 1-Piece Irrigation Sleeve Adhesive-backed and transparent. Disposable. Item Order # 10/Box CT1003 HCPCS: A4397

Byram Healthcare has one of the largest inventories of ostomy products in the country. We only carry brand name ostomy products from trusted manufacturers.

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 77 COLOPLAST Have you seen our new and improved reorder website, myByramhealthcare.com?

Reorder your medical supplies online! It’s easy with myByram.

■ Place reorders online ■ View your order history ■ Update your account information and change health insurance information. ■ Securely make a payment ■ Chat live with a customer service representative ■ Add ostomy accessories to your order ■ Select expedited shipping and track packages online

Enroll online today! www.mybyramhealthcare.com Ostomy 1-800-308-9445

At ConvaTec we drive for excellence in all we do—anticipating and addressing our customers’ needs with advanced technologies and best-in-class products and services.

SUR-FIT Natura® TWO-PIECE OSTOMY SYSTEM SUR-FIT Natura® Ostomy System features a low-profile locking closure system with security that patients can both feel and hear and many options that help patients to feel comfortable and confident. Options include: drainable or closed-end pouches with or without filters, Cut-to-Fit, Mold to fit or pre-cut skin barriers. Stomahesive® for effective adhesion on wet or dry skin, Durahesive® for extended wear and for those with liquid or semi-liquid output. For correct application, the barrier’s color code must match the pouch color code.

SUR-FIT Natura® CLOSED END POUCHES SUR-FIT Natura® Closed-End Pouch Closed Pouch with flange is made of quiet, odor-proof film with soft, two-sided comfort panels. Flange features pouch tab and belt loops.

Item Order # Flange Color Code 8" Length SQ413169 1 ½” Opaque SQ413170 1 3/4” • 60/Box SQ413171 2 ¼” • HCPCS: A5054 SQ413172 2 3/4” • Item Order # Flange Color• Code 8” Length SQ401521 1 ½” Opaque SQ401522 1 3/4” • 30/Box SQ401523 2 ¼” • HCPCS: A5054 SQ401524 2 3/4” • Includes Filter • Item Order # Flange Color Code 8" Length SQ413173 1 ½” Opaque SQ413174 1 3/4” • 60/Box SQ413175 2 ¼” • HCPCS: A4419 SQ413176 2 3/4” • Includes Filter • Item Order # Flange Color Code 8” Length SQ401525 1 ½” Opaque SQ401526 1 3/4” • 30/Box SQ401527 2 ¼” • HCPCS: A4419 SQ401528 2 3/4” • Our ostomy specialists are committed to your satisfaction. Please call us with any questions. 1-800-308-9445

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 79 CONVATEC Ostomy

SUR-FIT Natura® CLOSED END POUCHES

SUR-FIT Natura® Closed-End Mini Pouch Opaque, one-sided comfort panel

Item Order # Flange Color Code 5" Length SQ401529 1 ¼” Opaque SQ401530 1 ½” • 20/Box SQ401531 1 3/4” • HCPCS: A5054 SQ401532 2 ¼” • SUR-FIT Natura® Disposable Flange Cap Opaque, one-sided comfort panel and filter. Item Order # Flange Color Code 25/Box SQ401909 1 3/4” HCPCS: A5055 •

SUR-FIT Natura® DRAINABLE POUCHES SUR-FIT Natura® Drainable Pouch Drainable pouch with flange is made of quiet, odor-proof film with soft, flocked comfort panels. Flange features pouch tab and belt loops. Includes 2 tail closures per box.

Opaque with two-sided comfort panel. Item Order # Flange Color Code 10" Length SQ404030 1 ¼” 20/Box SQ404031 1 ½” • HCPCS: A5063 SQ404032 1 3/4” • SQ404033 2 ¼” • SQ404034 2 3/4” • Item Order # Flange Color• Code 10” Length SQ401505 1 ¼” 10/Box SQ401506 1 ½” • HCPCS: A5063 SQ401507 1 3/4” • SQ401508 2 ¼” • SQ401509 2 3/4” • Reordering supplies online is simple! Visit www.mybyramhealthcare.com and sign up today!

80 Reorder your supplies online at www.mybyramhealthcare.com Ostomy CONVATEC 1-800-308-9445

SUR-FIT Natura® DRAINABLE POUCHES SUR-FIT Natura® Drainable Pouch Drainable pouch with flange is made of quiet, odor-proof film with soft, flocked comfort panels. Flange features pouch tab and belt loops. Includes 2 tail closures per box.

Opaque with two-sided comfort panel. Item Order # Flange Color Code 12" Length SQ404025 1 ¼” 20/Box SQ404026 1 ½” • HCPCS: A5063 SQ404027 1 3/4” • SQ404028 2 ¼” • SQ404029 2 3/4” • Item Order # Flange Color• Code 12” Length SQ401500 1 ¼” 10/Box SQ401501 1 ½” • HCPCS: A5063 SQ401502 1 3/4” • SQ401503 2 ¼” • SQ401504 2 3/4” • Opaque with one-sided comfort panel. • Item Order # Flange Color Code 12" Length SQ404014 1 ¼” 20/Box SQ404015 1 ½” • HCPCS: A5063 SQ404016 1 3/4” • SQ404017 2 ¼” • SQ404018 2 3/4” • Item Order # Flange Color• Code 12” Length SQ401932 1 ¼” 10/Box SQ401933 1 ½” • HCPCS: A5063 SQ401934 1 3/4” • SQ401935 2 ¼” • SQ401936 2 3/4” • Transparent with one-sided comfort panel. • Item Order # Flange Color Code 12" Length SQ401510 1 ¼” 10/Box SQ401511 1 ½” • HCPCS: A5063 SQ401512 1 3/4” • SQ401513 2 ¼” • SQ401514 2 3/4” • Transparent with one-sided comfort panel. • Item Order # Flange Color Code 14"Length SQ401515 4" 10/Box HCPCS: A5063 •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 81 CONVATEC Ostomy

SUR-FIT Natura® TWO-PIECE OSTOMY SYSTEM SUR-FIT Natura® DRAINABLE POUCHES SUR-FIT Natura® Drainable Pouch Drainable pouch with odor barrier and activated charcoal filter. Flange includes pouch tab and belt loops. 2 tail closures per box. Filter, opaque with two-sided comfort panel. Item Order # Flange Color Code 10" Length SQ411288 1 ¼” 20/Box SQ411289 1 ½” • HCPCS: A4425 SQ411290 1 3/4” • SQ411291 2 ¼” • SQ411292 2 3/4” • Filter, opaque with two-sided comfort panel. • Item Order # Flange Color Code 12" Length SQ411489 1 ¼” 20/Box SQ411490 1 ½” HCPCS: A4425 SQ411491 1 3/4” • SQ411492 2 ¼” • SQ411493 2 3/4” • Filter, transparent with one-sided comfort panel. • Item Order # Flange Color Code 12" Length SQ411264 1 ½” 10/Box SQ411265 1 3/4” HCPCS: A4425 SQ411266 2 ¼” • SQ411267 2 3/4” • • SUR-FIT Natura® Drainable Pouch with InvisiClose™ Tail Closure System Drainable pouch with clipless tail closure. Easy to open outlet with strips and tail design helps control flow and reduces splashing. Enhanced locking mechanism includes additional security flap.

Filter, Transparent with 1-sided comfort panel. Item Order # Flange Color Code 12” Length SQ411360 1 3/4” 10/Box SQ411361 2 ¼” • HCPCS: A4425 SQ411362 2 3/4” • Filter, Opaque with 2-sided comfort panel. • Item Order # Flange Color Code 12” Length SQ411309 1 ½” 20/Box SQ411310 1 3/4” • HCPCS: A4425 SQ411311 2 ¼” • SQ411312 2 3/4” •

82 Reorder your supplies online at www.mybyramhealthcare.com Ostomy CONVATEC 1-800-308-9445

SUR-FIT Natura® DRAINABLE POUCHES SUR-FIT Natura® Drainable Pouch with InvisiClose™ Tail Closure System Drainable pouch with clipless tail closure. Easy to open outlet with strips and tail design helps control flow and reduces splashing. Enhanced locking mechanism includes additional security flap.

Opaque with one-sided comfort panel. Item Order # Flange Color Code 12” Length SQ413334 1 3/4” 20/Box SQ413335 2 ¼” • HCPCS: A5063 SQ413336 2 3/4” • Transparent with one-sided comfort panel. • Item Order # Flange Color Code 12" Length SQ413312 1 3/4” 10/Box SQ413313 2 ¼” • HCPCS: A5063 SQ413314 2 3/4” • SUR-FIT Natura® Drainable Pouch for High Output Drainable Pouch for High Output holds an extra 100 cc. of fluid. Flange features pouch tab and belt loops. Includes 1 DuoLock® tail closure, a night drainage interconnector, and 5 replaceable charcoal filters per box.

Opaque one-sided comfort panel with filter. Item Order # Flange Color Code 14" Length SQ401557 1 3/4” 5/Box SQ401558 2 ¼” • HCPCS: A4413 SQ401559 2 3/4” • Transparent one-sided comfort panel with filter. • Item Order # Flange Color Code 14” Length SQ420695 1 3/4” 5/Box SQ420696 2 ¼” • HCPCS: A4413 SQ420697 2 3/4” •

To reach our Ostomy Center of Excellence, please call: 1-800-308-9445

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 83 CONVATEC Ostomy

SUR-FIT Natura® UROSTOMY POUCHES SUR-FIT Natura® Urostomy Pouch with Bendable Tap

Transparent. One-sided comfort panel. Bendable tap. Item Order # Flange Color Code 9" Length SQ401538 1 ¼” 10/Box SQ401539 1 ½” HCPCS: A5073 SQ401540 1 3/4” • SQ401541 2 ¼” • 10" Length SQ401533 1 ¼” • 10/Box SQ401534 1 ½” • HCPCS: A5073 SQ401535 1 3/4” • SQ401536 2 ¼” • SQ401537 2 3/4” • SUR-FIT Natura® Urostomy Pouch with Accuseal® Tap with Valve Each box contains 2 Accuseal® night drainage adapters. Transparent. One-sided comfort panel. Accuseal® tap with valve. Item Order # Flange Color Code 10" Length SQ401542 1 ¼” 10/Box SQ401543 1 ½” • HCPCS: A4432 SQ401544 1 3/4” • SQ401545 2 ¼” • SQ401546 2 3/4” • SUR-FIT Natura® Urostomy Pouch with Accuseal® Tap with Valve Each box contains 2 Accuseal® night drainage adapters. Opaque. One-sided comfort panel. Accuseal® tap with valve. Item Order # Flange Color Code 9" Length SQ401547 1 ¼” 10/Box SQ401548 1 ½” HCPCS: A4432 SQ401549 1 3/4” • SQ401550 2 ¼” • 10" Length SQ401551 1 ¼” • 10/Box SQ401552 1 ½” • HCPCS: A4432 SQ401553 1 3/4” • SQ401554 2 ¼” • SQ401555 2 3/4” •

84 Reorder your supplies online at www.mybyramhealthcare.com Ostomy CONVATEC 1-800-308-9445

NATURA® + POUCHES These pouches were developed to be noticeably more comfortable and discreet. Compatible with SUR- FIT Natura® Skin Barriers. Natura® + Drainable Pouch with InvisiClose® Tail Closure System Transparent with 1-sided comfort panel. Item Order # Flange Color Code 12” Length SQ416418 1 3/4” 10/Box SQ416421 2 ¼” • HCPCS: A5063 SQ416424 2 3/4” • 14” Length SQ416472 4” • Opaque with 1-sided comfort panel. • Item Order# Flange Color Code 12” Length SQ421738 1 3/4” 10/Box SQ421739 2 ¼” • HCPCS: A5063 SQ421740 2 3/4” • Filter, Transparent with 1-sided comfort panel. • Item Order # Flange Color Code 12” Length SQ416414 1 ½” 10/Box SQ416416 1 3/4” • HCPCS: A4425 SQ416419 2 ¼” • SQ416422 2 3/4” • Filter, Opaque with 1-sided comfort panel and Easy-View Window.• Item Order# Flange Color Code 12” Length SQ421746 1 ½” 10/Box SQ421747 1 3/4” • HCPCS: A4425 SQ421748 2 ¼” • SQ421749 2 3/4” • Filter, Opaque with 2-sided comfort panel. Item Order # Flange Color Code 12” Length SQ416415 1 ½” 10/Box SQ416417 1 3/4” • HCPCS: A4425 SQ416420 2 ¼” • SQ416423 2 3/4” •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 85 CONVATEC Ostomy

NATURA® + POUCHES

Natura® + Closed End Pouch Opaque with 2-sided comfort panel. Item Order # Flange Color Code 8” Length SQ416401 1 ¼” 30/Box SQ416404 1 ½” • HCPCS: A5054 SQ416407 1 3/4” • SQ416410 2 ¼” • SQ416413 2 3/4” • Opaque with 2-sided comfort panel and Easy-View Window. • Item Order# Flange Color Co 8” Length SQ421677 1 ¼” 30/Box SQ421679 1 ½” • HCPCS: A5054 SQ421681 1 3/4” • SQ421683 2 ¼” • SQ421893 2 3/4” • Opaque with 2-sided comfort panel. • Item Order # Flange Color Code 6” Mini Length SQ416402 1 ¼” 30/Box SQ416405 1 ½” • HCPCS: A5054 SQ416408 1 3/4” • SQ416411 2 ¼” • Filter, Opaque with 2-sided comfort panel and Easy-View Window. Item Order# Flange Color Code 6” Mini Length SQ421796 1 3/4” 30/Box SQ421797 2 ¼” • HCPCS: A4419 •

Filter, Opaque with 2-sided comfort panel and Easy-View Window Item Order# Flange Color Code 8” Length SQ421676 1 ¼” 30/Box SQ421678 1 ½” • HCPCS: A4419 SQ421680 1 3/4” • SQ421682 2 ¼” • SQ421798 2 3/4” •

86 Reorder your supplies online at www.mybyramhealthcare.com Ostomy CONVATEC 1-800-308-9445

NATURA® + POUCHES

Natura® + Closed End Pouch (Cont.) Filter, Opaque with 2-sided comfort panel. Item Order # Flange Color Code 8” Length SQ416400 1 ¼” 30/Box SQ416403 1 ½” • HCPCS: A4419 SQ416406 1 3/4” • SQ416409 2 ¼” • SQ416412 2 3/4” • Natura® + Urostomy Pouch with Soft-Tap Transparent with 1-sided comfort panel. Item Order # Flange Color Code 10” Length SQ413435 1 ¼” 10/Box SQ413436 1 ½” • HCPCS: A5073 SQ413437 1 3/4” • SQ413438 2 ¼” • SQ413439 2 3/4” • Transparent with 1-sided comfort panel. • Item Order # Flange Color Code 9” Length SQ421074 1 ¼” 10/Box SQ421075 1 ½” • HCPCS: A5073 SQ421076 1 3/4” • SUR-FIT Natura® SKIN BARRIERS SUR-FIT Natura® Disposable Convex Insert Convex Insert for retracted stomas for use with SUR-FIT Natura® skin barriers only. Not for use with ConvaTec Moldable Technology™ skin barriers. Select an insert that is at least 1/4” larger than the maximum diameter of the stoma. Item Order # Stoma Color Code Fits 1 ½” Natura® SQ404006 3/4” Flange 5/Box SQ404007 7/8” • HCPCS: A5093 SQ404008 1" • Fits 1 3/4” Natura® SQ404009 1 1/8” • Flange 5/Box SQ404010 1 ¼” • HCPCS: A5093 SQ404011 1 3/8” • Fits 2 ¼” Natura® SQ404012 1 ½” • Flange 5/Box SQ404013 1 5/8” • HCPCS: A5093 •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 87 CONVATEC

SUR-FIT Natura® SKIN BARRIERS

The Natura® + and SUR-FIT® Natura® Two-Piece Ostomy System is ConvaTec’s most extensive two-piece product line. The SUR-FIT® Natura® Flange System signals a secure, accurate closure with a series of audible “clicks.” A simple snap-off, snap-on design allows users to change the pouch quickly to match activities without removing the skin barrier from the skin. The Natura® ostomy system offers special ConvaTec Moldable Technology™ skin barriers for a personalized, custom fit around the stoma to help protect skin. Another Natura® skin barrier option available is the Natura® Accordion Flange™ which lifts easily to provide generous finger room so coupling is easy and comfortable. SUR-FIT Natura Low Pressure Adaptor

Item Order # Flange Color Code 10/Box SQ401993 1 3/4” HCPCS: A4421 SQ401994 2 ¼” • SQ401995 2 3/4” • SQ401996 4” • SUR-FIT Natura® Durahesive® Moldable Convex Skin• Barrier with Flange SUR-FIT Natura® Durahesive® Moldable Convex Barrier with a white flexible tape collar molds to fit the shape and size of the stoma. Provides deep convexity. Eliminates the need to trim the opening. Compatible with SUR-FIT Natura® pouches. Mold to fit.

Item Order # Flange Stoma Color Code 4.5" x 4.5" SQ404592 1 3/4” 1/2” - 7/8” 10/Box SQ404593 1 3/4” 7/8” - 1 1” • HCPCS: A4407 SQ404594 2 ¼” 1 ¼”- 13/4” • SUR-FIT Natura® SKIN BARRIERS SUR-FIT Natura® Durahesive® Skin Barrier with Convex-IT® Durahesive® skin barrier with audible-click flange, white tape collar and pre-cut opening. Convexity provides extra skin protection for flush or retracted stomas, or stomas located in skin folds.

Item Order # Pre-cut Color Code 4.5" x 4.5" SQ413177 1/” 1 3/4” Flange SQ413178 5/8” • 10/Box SQ413179 3/4” • HCPCS: A4407 SQ413180 7/8”” • SQ413181 1" • SQ413182 1 1/8” • SQ413183 1 1” • SQ413184 1 3/8” • 5" x 5" SQ413185 1 ½” • 2 ¼” Flange SQ413186 1 5/8” • 10/Box SQ413187 1 3/4” • 88 www.byramhealthcare.comHCPCS: A4407 SQ413188 2" • Ostomy CONVATEC 1-800-308-9445

SUR-FIT Natura® TWO-PIECE OSTOMY SYSTEM SUR-FIT Natura® SKIN BARRIERS SUR-FIT Natura® Durahesive® Skin Barrier with Flange Durahesive® skin barrier with low-profile, audible-click flange without tape collar. Cut-to-fit.

Item Order # Flange Stoma Color Code 4" x 4" Tan SQ413153 1 ¼” 1/” - 3/4” 10/Box SQ413154 1 ½” 7/8”-1” HCPCS: A4409 SQ413155 1 3/4” 11/8”-11” • SQ413156 2 ¼” 13/8”-13/4” • • 5" x 5" Tan SQ413157 2 3/4” 17/8”-21” • 10/Box • HCPCS: A4410 6" x 6" Tan SQ401905 4" 23/8”-31” 5/Box HCPCS: A4410 •

SUR-FIT Natura® Durahesive® Skin Barrier with Flange Durahesive® skin barrier with low-profile, audible-click flange and acrylic tape collar. Cut-to-fit.

Item Order # Flange Stoma Color Code 4" x 4" White SQ413159 1 ¼” 1/”-3/4” 10/Box SQ413160 1 ½” 7/8”-1” HCPCS: A4409 SQ413161 1 3/4” 11/8”-11” • • 5" x 5" White SQ413162 2 ¼” 13/8”-13/4” • 10/Box SQ413163 2 3/4” 17/8”-21” HCPCS: A4409 • • 4" x 4" Tan SQ413164 1 ¼” 1/”-3/4” 10/Box SQ413165 1 ½” 7/8”-1” HCPCS: A4409 SQ413166 1 3/4” 11/8”-11” • • 5" x 5" Tan SQ413167 2 ¼” 13/8”-13/4” • 10/Box SQ413168 2 3/4” 17/8”-21” • HCPCS: A4409 •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 89 CONVATEC Ostomy

There are three types of Accordion Flange™ skin barriers available: flat cut-to-fit, convex cut-to-fit, and flat ConvaTec Moldable Technology™. The Accordion Flange™ helps minimize pressure on the abdomen and comes in an intuitive and easy-to-use design.

SUR-FIT Natura® SKIN BARRIERS Natura® Durahesive® Cut-to-Fit Accordion Flange Skin Barrier with Acrylic Collar and white acrylic tape collar, white

Item Order # Flange Stoma Color Code 10/Box SQ421454 1 3/4” ½” – 13/16” HCPCS: A4409 SQ421458 2 ¼” ½” – 15/16”” • SQ421462 2 3/4” ½” – 1 3/4” • Natura® Durahesive® Convex Cut-to-Fit Accordion Flange Skin Barrier with Acrylic Tape Collar, tan Item Order # Flange Stoma Color Code Tan SQ421638 1 3/4” ½” - 7/8” 10/Box SQ421640 2 ¼” ½” - 1 • HCPCS: A4407 SQ421642 2 3/4” ½” - 1 7/8” • Natura® Durahesive® Convex Cut-to-Fit Accordion Flange Skin Barrier with Hydrocolloid Tape Collar, tan Item Order # Flange Stoma Color Code Tan SQ421639 1 3/4” ½” - 7/8” 10/Box SQ421641 2 ¼” ½” - 1 3/8” • HCPCS: A4407 SQ421643 2 3/4” ½” - 1 7/8” • Natura® Moldable Durahesive® Skin Barrier with Accordion Flange and Hydrocolloid flexible collar, tan Item Order # Flange Stoma Color Code 10/Box SQ421039 2 ¼” ½” – 7/8” HCPCS: A4409 SQ421040 2 ¼” 7/8” – 1 ¼” • SQ421041 2 3/4” 1 ¼” – 1 3/4” • Clinical CareMail Have a question? E-mail one of our clinicians at [email protected]

90 Reorder your supplies online at www.mybyramhealthcare.com Ostomy CONVATEC 1-800-308-9445

SUR-FIT Natura® SKIN BARRIERS SUR-FIT Natura® Moldable Durahesive® Skin Barrier with Hydrocolloid Flexible Collar, white Extended wear barrier. Soft, pliable adhesive rolls to fit stoma size and shape. Mold-to-fit. No cutting necessary. Flexibility of the adhesive permits the skin barrier to adapt to changing stoma size. Will maintain a contoured fit during wear. Recommended for those with more liquid type output. Item Order # Flange Stoma Color Code 10/Box SQ411800 1 3/4” ½” – 7/8” HCPCS: A4409 SQ411802 1 3/4” 7/8” – 1 ¼” • SQ411804 2 ¼” 1 ¼” – 1 3/4” • SQ411806 2 3/4”" 1 ¼” – 1 3/4” by • 1 3/4” – 2 1/8” • SUR-FIT Natura® Moldable Durahesive® Skin Barrier with acrylic tape collar, white

Item Order # Flange Stoma Color Code 10/Box SQ413417 1 3/4” ½” – 7/8” HCPCS: A4409 SQ413418 1 3/4” 7/8” – 1 ¼” • SQ413419 2 ¼” 1 ¼” – 1 3/4” • SQ413420 2 3/4” 1 ¼” – 1 3/4” • By 1 3/4” – 2 1/8” • SUR-FIT Natura® Moldable Stomahesive® Skin Barrier with Hydrocolloid Flexible Collar, white Stomahesive® skin barrier rolls to open and fit stoma size and shape. Mold-to-fit. No cutting necessary. ConvaTec Moldable Technology™ eliminates gaps that can compromise skin protection.

Item Order # Flange Stoma Color Code 10/Box SQ411801 1 3/4” ½” – 7/8” HCPCS: A4414 SQ411803 1 3/4” 7/8” – 1 ¼” SQ411805 2 ¼” 1 ¼” – 1 3/4” • SQ411807 2 3/4” 1 ¼” – 1 3/4” by • 1 3/4” – 2 1/8” •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 91 CONVATEC Ostomy

SUR-FIT Natura® SKIN BARRIERS

SUR-FIT Natura® Moldable Stomahesive Skin Barrier with white acrylic tape collar, white

Item Order # Flange Stoma Color Code 10/Box SQ413421 1 3/4” ½” – 7/8” HCPCS: A4414 SQ413422 1 3/4” 7/8” – 1 ¼” • SQ413423 2 ¼” 1 ¼” – 1 3/4” • SQ413424 2 3/4” 1 ¼” – 1 3/4” • By 1 3/4” – 2 1/8” • Natura® Stomahesive® Cut-to-Fit Accordion Flange Skin Barrier with white acrylic tape collar, white

Item Order # Flange Stoma Color Code 10/Box SQ421456 1 3/4” Sm ½” – 13/16” HCPCS: A4414 SQ421460 2 ¼” Md ½” –15/16” • SQ421464 2 3/4” Lg ½” – 1 3/4” • Natura® Moldable Stomahesive® Skin Barrier with Accordion Flange and Hydrocolloid tape collar, tan

Item Order # Flange Stoma Color Code 10/Box SQ421033 2 ¼” ½” – 7/8” HCPCS: A4414 SQ421034 2 ¼” 7/8” – 1 ¼” SQ421035 2 3/4” 1 ¼” – 1 3/4” • •

92 Reorder your supplies online at www.mybyramhealthcare.com Ostomy CONVATEC 1-800-308-9445

SUR-FIT Natura® SKIN BARRIERS SUR-FIT Natura® Stomahesive® Flexible Skin Barrier, Cut-to-Fit Stomahesive® skin barrier with low-profile, audible-click flange and acrylic tape collar. Cut-to-fit.

Item Order # Flange Stoma Color Code 4" x 4" White SQ125257 1 ¼” 1/”-3/4” 10/Box SQ125258 1 ½” 7/8”-1” HCPCS: A4414 SQ125259 1 3/4” 11/8”-11” • • 5” x 5” White SQ125260 2 ¼” 13/8”-13/4” • 10/Box SQ125261 2 3/4” 17/8”-21” • HCPCS: A4414 • 4" x 4" Tan SQ125262 1 ¼” 1/”-3/4” 10/Box SQ125263 1 ½” 7/8”-1” HCPCS: A4414 SQ125264 1 3/4 11/8”-11” • • 5" x 5" Tan SQ125265 2 ¼” 13/8”-13/4” • 10/Box SQ125266 1 3/4” 17/8”-21” • HCPCS: A4414 •

SUR-FIT Natura® Stomahesive® Flexible Skin Barrier, Pre-Cut Stomahesive® skin barrier with low-profile, audible-click flange, acrylic tape collar and pre-cut opening. Item Order # Pre-Cut Color Code 4" x 4" Tan SQ125267 ½” 1 3/4” Flange SQ125268 5/8” • 10/Box SQ125269 3/4” • HCPCS: A4414 SQ125270 7/8” • SQ125271 1" • SQ125272 1 1/8” • SQ125273 1 ¼” • SQ125274 1 3/8” • 5" x 5" Tan SQ125275 1 ½” • 2 ¼” Flange SQ125276 1 5/8” • 10/Box SQ125277 1 3/4” • HCPCS: A4414 •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 93 CONVATEC Ostomy

SUR-FIT Natura® OSTOMY SYSTEMS SUR-FIT Natura® SKIN BARRIERS SUR-FIT Natura® Stomahesive®Skin Barrier with Flange Stomahesive® skin barrier with low-profile, audible-click flange without tape collar. Cut-to-fit.

Item Order # Flange Stoma Color Code 4" x 4” SQ401573 1¼" ½”-3/4” 10/Box SQ401574 1½" 7/8”-1” HCPCS: A4414 SQ401575 13/4" 1 1/8”-1 1” • SQ401576 2¼" 13/8”-13/4 • • 5" x 5" 10/Box SQ401577 23/4" 17/8”-21 • HCPCS: A4415 • 6" x 6" 5/Box SQ401906 4" 23/8”-3 ½” HCPCS: A4415 •

To reach our Ostomy Center of Excellence, please call: 1-800-308-9445

94 Reorder your supplies online at www.mybyramhealthcare.com Ostomy CONVATEC 1-800-308-9445

ESTEEM synergy® TWO-PIECE OSTOMY SYSTEM Esteem synergy® OSTOMY SYSTEM The Esteem synergy® system utilizes innovative Adhesive Coupling Technology™ to connect the pouch with the skin barrier. It eliminates use of a plastic ring that must be snapped or locked together. This revolutionary two-piece product not only provides the versatility of a two-piece system, skin friendliness and low profile comfort but it also provides the flexibility of a conventional one-piece system. The flat, flexible adhesive foam ring on the pouch, securely connects with a clear, flat, flexible plastic "Landing Zone" flange. For correct application, the barrier color code must match the pouch color code. ESTEEM synergy® TWO-PIECE UROSTOMY POUCHES

Esteem synergy® Urostomy Pouch with Accuseal® Tap with Valve Designed for easy manipulation and rapid emptying. The built-in anti-reflux valve resists the back flow of urine. Each box contains 2 Accuseal® night drainage adaptors.

Opaque with 1-sided comfort panel. Item Order # Stoma Color Code 10” Length SQ405448 Small 10/Box SQ405449 Medium HCPCS: A4432 SQ405450 Large Transparent with 1-sided comfort panel. Item Order # Stoma Color Code 10” Length SQ405451 Small 10/Box SQ405452 Medium HCPCS: A4432 SQ405453 Large • Transparent with 1-sided comfort panel. • Item Order # Stoma Color Code 9” Length SQ405446 Small 10/Box SQ405447 Medium HCPCS: A4432 • • •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 95 CONVATEC Ostomy

ESTEEM synergy® + TWO-PIECE CLOSED END POUCHES ESTEEM synergy® + TWO-PIECE CLOSED END POUCHES ConvaTec’s Esteem synergy® pouches with Adhesive Coupling Technology™ provide security, comfort and discretion.

Filter, Transparent with 1-sided comfort panel. Item Order # Stoma Color Code 8” Length SQ416774 Small 30/Box SQ416778 Medium • HCPCS: A4419 SQ416782 Large • Filter, Opaque with 2-sided comfort panel. • Item Order # Stoma Color Code 8” Length SQ416775 Small 30/Box SQ416779 Medium • HCPCS: A4419 SQ416783 Large • Filter, “Mini” Transparent with 1-sided comfort panel. • Item Order # Stoma Color Code 6” Length SQ416776 Small 30/Box SQ416780 Medium • HCPCS: A4419 • Filter, “Mini” Opaque with 2-sided comfort panel. Item Order # Stoma Color Code 6” Length SQ416777 Small 30/Box SQ416781 Medium HCPCS: A4419 • •

96 Reorder your supplies online at www.mybyramhealthcare.com Ostomy CONVATEC 1-800-308-9445

ESTEEM synergy® + TWO-PIECE DRAINABLE POUCHES ConvaTec’s Esteem synergy® pouches with Adhesive Coupling Technology™ provide security, comfort and discretion. Soft and quiet materials and streamlined rounded shape. Tail of opening securely hides away. Esteem synergy® + Drainable Pouch with InvisiClose® Tail Closure System

Transparent with 1-sided comfort panel. Item Order # Stoma Color Code 12” Length SQ416797 Small 10/Box SQ416900 Medium • HCPCS: A5063 SQ416903 Large • Filter, Transparent with 1-sided comfort panel. • Item Order # Stoma Color Code 12” Length SQ416795 Small 10/Box SQ416798 Medium • HCPCS: A4425 SQ416901 Large • Filter, Opaque with 2-sided comfort panel. • Item Order # Stoma Color Code 12” Length SQ416796 Small 10/Box SQ416799 Medium • HCPCS: A4425 SQ416902 Large • Esteem synergy® TWO-PIECE SYSTEM Esteem synergy® Drainable Pouch, Straight Transparent straight pouch. One-sided comfort panel. 2 tail closures.

Item Order # Stoma Color Code 14" Length SQ405406 Extra Large 10/Box HCPCS: A5063 •

ESTEEM synergy® TWO-PIECE SYSTEM Esteem synergy® Moldable Durahesive® Convex Skin Barrier ConvaTec Moldable Technology™. Acrylic tape collar, white. Match color code of barrier with that of Esteem synergy® pouch.

ConvaTec Moldable Technology™. Acrylic tape collar, white. Item Order # Size Stoma Color Code 10/Box SQ409268 Small ½” to 7/8” HCPCS: A4407 SQ409269 Medium 7/8” to 1 ¼” • SQ409270 Large 1 ¼” to 1 3/4” •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 97 CONVATEC Ostomy

Esteem synergy® TWO-PIECE SYSTEM

Esteem synergy® Moldable Stomahesive® Skin Barrier ConvaTec Moldable Technology™ Hydrocolloid tape collar, white

Item Order # Size Stoma Color Code 10/Box HCPCS: A4414 SQ411657 Small ½” to 7/8” HCPCS: A4415 SQ411658 Medium 7/8” to 1 ¼” • HCPCS: A4415 SQ411659 Large 1 ¼” to 1 3/4” • Esteem synergy® Stomahesive® Skin Barrier Landing Zone flange. Choose acrylic tape or no-tape collar. Match color code of barrier with that of Esteem synergy® pouch.

Cut-to-Fit. Acrylic tape collar, white. Item Order # Size Stoma Color Code 10/Box HCPCS: A4414 SQ405456 Small up to 1 3/8” HCPCS: A4415 SQ405457 Medium up to 1 7/8” HCPCS: A4415 SQ405458 Large up to 2 3/8” • • Cut-to-Fit. No tape collar. • Item Order # Size Stoma Color Code 10/Box HCPCS: A4414 SQ405467 Small up to 1 3/8” HCPCS: A4415 SQ405468 Medium up to 1 7/8” • SQ403948 Large up to 2 3/8” • SQ405483 Extra-Large up to 3 ½” • Pre-Cut. Acrylic tape collar, white. • Item Order # Size Stoma Color Code 10/Box SQ405473 Small 5/8” HCPCS: A4414 SQ405474 Small 3/4” • SQ405475 Small 7/8” • SQ405476 Small 1" • SQ405477 Small 1 1/8” • SQ405478 Small 1 ¼” • SQ405479 Small 1 3/8” • HCPCS: A4415 SQ405480 Medium 1 ½” • SQ405481 Medium 1 5/8” • SQ405482 Medium 1 3/4” •

98 Reorder your supplies online at www.mybyramhealthcare.com Ostomy CONVATEC 1-800-308-9445

ESTEEM® + ONE-PIECE DRAINABLE POUCHES The one-piece system that’s gentle on the skin, while remaining secure and easy to use! Flexible and discreet, the Esteem® + one-piece system is the all-in-one solution that combines the skin barrier and pouch in a single unit, allowing for a simple, secure, and comfortable experience. The Esteem® + one piece pouching system offers: • A state-of-the art filter with an anti-clogging film layer, keeping the pouch flat while virtually eliminating odor • InvisiClose® clipless tail closure with a strong hook and hook fastener • The Lock-It Pocket™ which securely hides away the tail to provide the comfort of a closed end pouch • Comfort panel pouch material that is soft and smooth against the skin, nearly rustle-free and resists water and dries quickly.

Esteem® + Drainable Pouch with InvisiClose® Tail Closure

Moldable Stomahesive® Skin Barrier. Filter, Transparent, 1-sided comfort panel. Item Order # Stoma size opening 12” Length SQ413515 13/16” – 1 3/16” 10/Box SQ413516 1 3/16” – 1 9/16” HCPCS: A4424 SQ413517 1 9/16” – 1 15/16” Moldable Stomahesive® Skin Barrier. Filter, Opaque, 2-sided comfort panel. Item Order # Stoma size opening 12” Length SQ413521 13/16” – 1 3/16” 10/Box SQ413522 1 3/16” – 1 9/16” HCPCS: A4424 SQ413523 1 9/16” – 1 15/16”

Moldable Stomahesive® Skin Barrier. Transparent, 1-sided comfort panel. Item Order # Stoma size opening 12” Length SQ413518 13/16” – 1 3/16” 10/Box SQ413519 1 3/16” – 1 9/16” HCPCS: A5061 SQ413520 1 9/16” – 1 15/16”

Experience the Byram Difference Byram offers reliable, accurate service nationwide to home care agencies, managed care organizations, healthcare professionals and the patient at home.

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information. 99 CONVATEC Ostomy

ESTEEM® + ONE-PIECE DRAINABLE POUCHES

Esteem® + Drainable Pouch with InvisiClose® Tail Closure

Durahesive Plus® Skin Barrier, Acrylic Tape Collar. Filter, Opaque, 2-sided comfort panel. Item Order # Cut-to-Fit 12” Length SQ416975 3/4” - 2 ½ “ 10/Box, HCPCS: A5056

Durahesive Plus® Skin Barrier, Acrylic Tape Collar. Filter, Transparent, 1-sided comfort panel. Item Order # Cut-to-Fit 12” Length SQ416976 3/4” - 2 ½” 10/Box, HCPCS: A5056

Esteem® + Drainable Pouch with InvisiClose® Tail Closure The one-piece system that’s gentle on the skin, while remaining secure and easy to use. Flexible and discreet. Filter, Modified Stomahesive® Skin Barrier. Item Order # Cut-to-Fit Style 12” Length SQ416718 3/4” – 2 3/4” Transparent, 1-sided 10/Box comfort panel HCPCS: A4424 SQ416719 3/4” – 2 3/4” Opaque, 2-sided comfort panel Filter, Easy-View Window. Item Order # Cut-to-Fit Style 12” Length SQ421858 3/4" - 2 3/4" Opaque

Stomahesive® Skin Barrier. Acrylic Tape Collar. Item Order # Cut-to-Fit Style 14” Length SQ416908 4" Transparent, 10/Box 1-sided comfort panel HCPCS: A5061

Esteem® + Drainable Pouch with Clipped Closure Filter, Modified Stomahesive® Skin Barrier. Item Order # Cut-to-Fit Style 12” Length SQ421848 4” Transparent, 10/Box 1-sided comfort panel HCPCS: A4424

100 Reorder your supplies online at www.mybyramhealthcare.com Ostomy CONVATEC 1-800-308-9445

ESTEEM® + ONE-PIECE DRAINABLE POUCHES

Filter, Modified Stomahesive® Skin Barrier. Item Order # Pre-Cut Style 12” Length SQ416724 1” Transparent, 1-sided comfort panel 10/Box SQ416728 1 3/16” Transparent, 1-sided comfort panel HCPCS: A4424 SQ416732 1 3/8” Transparent, 1-sided comfort panel SQ416736 1 9/16” Transparent, 1-sided comfort panel SQ416725 1” Opaque, 1-sided comfort panel SQ416729 1 3/16” Opaque, 1-sided comfort panel SQ416733 1 3/8” Opaque, 1-sided comfort panel SQ416737 1 9/16” Opaque, 1-sided comfort panel

Filter, Modified Stomahesive® Skin Barrier. Easy-View Window Item Order # Pre-Cut Style 12” Length SQ421859 1” Transparent, 1-sided comfort panel 10/Box SQ421860 1 3/16” Transparent, 1-sided comfort panel HCPCS: A4424 SQ421861 1 3/8” Transparent, 1-sided comfort panel SQ421862 1 9/16” Transparent, 1-sided comfort panel

Modified Stomahesive® Skin Barrier. Easy-View Window Item Order # Pre-Cut Style 12” Length SQ421854 1” Transparent 10/Box SQ421855 1 3/16” Transparent HCPCS: A5061 SQ421856 1 3/8” Transparent SQ421857 1 9/16” Transparent

Modified Stomahesive® Skin Barrier. Transparent, 1-sided comfort panel. Item Order # Cut-to-Fit 12” Length SQ421853 13/16” – 2 3/4” 10/Box HCPCS: A5061

Modified Stomahesive® Skin Barrier. Opaque with Easy-View Window. 1-sided comfort panel. Item Order # Cut-to-Fit 12” Length SQ416721 3/4” – 2 3/4” 10/Box HCPCS: A5061

Esteem® + Drainable Pouch with Durahesive® Convex Skin Barrier, InvisiClose® Tail Closure

Filter, Transparent, 1-sided comfort panel. Acrylic Tape Collar. Item Order # Pre-Cut 12” Length SQ416738 3/4” 10/Box SQ416740 7/8” HCPCS: A5057 SQ416742 1” SQ416744 1 1/8” SQ416746 1 ¼” SQ416748 1 3/8” SQ416750 1 ½” Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.101 CONVATEC

ESTEEM® + ONE-PIECE DRAINABLE POUCHES Esteem® + Drainable Pouch with Durahesive® Convex Skin Barrier, InvisiClose® Tail Closure (cont) Filter, Opaque, 1-sided comfort panel. Acrylic Tape Collar. Item Order # Pre-Cut 12” Length SQ416739 3/4” 10/Box SQ416741 7/8” HCPCS: A5057 SQ416743 1” SQ416745 1 1/8” SQ416747 1 ¼” SQ416749 1 3/8” SQ416751 1 ½”

ESTEEM + ONE-PIECE CLOSED-END POUCHES Esteem® + One-Piece Closed-End Pouch with Modified Stomahesive® Skin Barrier and Filter Item Order # Cut-to-Fit Style 8” Length SQ416700 3/4” – 2 3/4” Transparent, 1-sided comfort panel 30/Box SQ416701 3/4” – 2 3/4” Opaque, 2-sided, comfort panel HCPCS: A4416 Easy-View Window Item Order # Cut-to-Fit Style 8” Length SQ421821 13/16” – 2 3/4” Opaque, 2-sided comfort panel 30/Box HCPCS: A4416 Item Order # Moldable Style 8” Length SQ413509 13/16” – 1 13/16” Opaque, 2-sided comfort panel 30/Box SQ413510 1 3/16” – 1 9/16” Opaque, 2-sided comfort panel HCPCS: A4416 SQ413511 1 9/16” – 1 15/16” Opaque, 2-sided comfort panel

Item Order # Cut-to-Fit Style 6” Length SQ416702 3/4” – 2 3/4” Opaque, 2-sided comfort panel 30/Box HCPCS: A4416 Easy-View Window Item Order # Cut-to-Fit Style 6” Length SQ421816 13/16” – 2 3/4” Opaque, 2-sided comfort panel 30/Box HCPCS: A4416 Item Order # Pre-Cut Style 8” Length SQ416704 1” Opaque, 2-sided comfort panel 30/Box HCPCS: A4416 SQ416707 1 3/16” Opaque, 2-sided comfort panel SQ416710 1 3/8” Opaque, 2-sided comfort panel SQ416713 1 9/16” Opaque, 2-sided comfort panel SQ416715 2” Opaque, 2-sided comfort panel 102 www.byramhealthcare.com Ostomy CONVATEC 1-800-308-9445

Item Order # Cut-to-Fit Style SQ416703 1” Transparent, 1-sided comfort panel SQ416706 1 3/16” Transparent, 1-sided comfort panel SQ416709 1 3/8” Transparent, 1-sided comfort panel SQ416712 1 9/16” Transparent, 1-sided comfort panel

Easy-View Window Item Order # Cut-to-Fit Style 8” Length SQ421687 1” Opaque, 2-sided comfort panel 30/Box SQ421688 1 3/16” Opaque, 2-sided comfort panel HCPCS: A4416 SQ421689 1 3/8” Opaque, 2-sided comfort panel SQ421822 1 9/16” Opaque, 2-sided comfort panel SQ421823 2”

Esteem + One-Piece Urostomy Pouch Esteem® + One-Piece Urostomy Pouch with Durahesive® Skin Barrier and Accuseal® Tap with Valve Transparent with 1-sided comfort panel.

Acrylic Tape Collar. Item Order # Pre-Cut 10” Length SQ421631 ½” - 1 3/4”” 10/Box HCPCS: A4428

ESTEEM®+ FLEX CONVEX ONE-PIECE SYSTEM Combines the comfort and freedom of flexibility with the firmness of convexity. It fits the contours of the body, moving with the wearer to provide confidence. Four Plateau Sizes: The Esteem® + Flex Convex system is available in 4 plateau sizes to accommodate a range of stomas.

Plateau Convexity Convexity Size Depth Width V0 7mm (2/7”) 60mm (2 1/3”) V1 7mm (2/7”) 50mm (2") V2 7mm (2/7”) 40mm (1 4/7”) V3 7mm (2/7”) 30mm (1 1/16”)

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.103 CONVATEC

ESTEEM®+ FLEX CONVEX ONE-PIECE SYSTEM

Esteem® + Flex Convex Closed-End Pouches

Cut-to-fit, Filter, Opaque, 2-sided comfort panel; Pouch Size 5 11/16” x 8 1/16” Item Order # Plateau Size Cutting Range 30/Box SQ421612 V1 20-43mm (4/5” - 1 2/3”) HCPCS: A4417 SQ421613 V2 20-35mm (4/5” - 1 3/8”) SQ421614 V3 20-25mm (4/5” - 1”)

ESTEEM®+ FLEX CONVEX ONE-PIECE SYSTEM

Esteem® + Flex Convex Drainable Pouches

Cut-to-fit, Filter, Opaque, 2-sided comfort panel; Pouch Size 5 7/8 x 8 2/3” Item Order # Plateau Size Cutting Range 10/Box SQ422159 V0 20-57m (4/5 - 2 1/4”) HCPCS: A4389 SQ421615 V1 20-43mm (4/5 - 1 2/3”) SQ421619 V2 20-35mm (4/5 - 1 3/8”) SQ421622 V3 20-25mm (4/5 - 1”) Pre-cut, Filter, Opaque, 2-sided comfort panel; Pouch Size 5 7/8 x 8 2/3” Item Order # Plateau Size Stoma Size Opening 10/Box SQ421616 V1 25mm (1”) HCPCS: A4389 SQ421617 V1 30mm (1 1/6”) SQ421618 V1 35mm (1 3/8”) SQ421620 V2 25mm (1”) SQ421621 V2 30mm (1 1/6”)

Esteem® + Flex Convex Urostomy Pouches

Cut-to-Fit, Opaque, 2-sided comfort panel; Pouch Size 5 1/8 x 7 2/3” Item Order # Plateau Size Cutting Range 10/Box SQ421623 V1 10-43mm (3/8 - 1 2/3”) HCPCS: A4392 SQ421626 V2 10-35mm (3/8 - 1 3/8”) SQ421628 V3 10-25mm (3/8 - 1”) Pre-Cut, Opaque, 2-sided comfort panel; Pouch Size 5 1/8 x 7 2/3” Item Order # Plateau Size Stoma Size Opening 10/Box SQ421624 V1 15mm (9/16”) HCPCS: A4392 SQ421625 V1 20mm (4/5”) SQ421627 V2 15mm (9/16”) SQ421629 V3 15mm (9/16”)

104 www.byramhealthcare.com Ostomy 1-800-308-9445

ESTEEM +™ SOFT CONVEX ONE-PIECE SYSTEM The latest addition to the range of ConvaTec one-piece ostomy solutions. The Esteem+™ Soft Convex system combines flexibility with shallow convexity and is designed to conform well to the body and be comfortable to wear. The Esteem® + Soft Convex system is available in 3 plateau sizes to accommodate a range of stomas with a convexity depth of 4mm.

Esteem® + Soft Convex Drainable Pouch

Item Order # Plateau Size Cutting Range 10/Box SQ422363 V1 20-47mm (3/4” – 1 7/8”) HCPCS: SQ422364 V2 15-40mm (3/5” – 1 3/5”) SQ422365 V3 10-28mm (3/8” – 1 1/8")

Byram is committed to helping people with ostomies We have been helping improve the quality of life for people with ostomies since 1968. Our goal in providing Ostomy care is to ensure people with ostomies resume a healthy, normal lifestyle.

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.105 YOU HAVE OPTIONS for your ostomy

From a day at the beach to a day at the o ce, we have products that  t your lifestyle.

ConvaTec Moldable Technology™ can help simplify your ostomy routine by eliminating the need for scissors and cutting. Our Rebounding Memory Technology™ makes life with an ostomy easier by creating a custom  t just for you, helping to protect against leaks.

Not sure if a moldable product is right for you? Speak to an ostomy nurse or product specialist for a free assessment and sample today.

convatec.com/ostomy 1-800-422-8811

©2019 ConvaTec Inc. ™/® indicates a trademark of ConvaTec Inc. AP-‹Œ‹Ž‘’-US Ostomy CONVATEC 1-800-308-9445

ACTIVELIFE® ONE-PIECE OSTOMY SYSTEM ActiveLife ® DRAINABLE POUCHES ActiveLife® Drainable Pouch with Stomahesive® Skin Barrier Quiet, odor-proof film with a durable, cloth-like backing with 1-sided comfort panel. Includes 1 tail closure per box. Stomahesive® barrier with pre-cut opening and acrylic tape collar provides optimal skin protection and minimizes irritation. Item Order # Pre-Cut 10" Length SQ125331 3/4” Opaque SQ125333 1 ¼” 20/Box SQ125334 1 ½” HCPCS: A5061 SQ125335 1 3/8" SQ125336 2" SQ125337 2 ½”

12" Length SQ125338 3/4” Opaque SQ125339 1" 20/Box SQ125340 1 ¼" HCPCS: A5061 SQ125341 1 ½” SQ125342 1 3/4” SQ125343 2" SQ125344 2 ½” 12" Length SQ22764 3/4” Transparent SQ22765 1" 10/Box SQ22766 1 ¼” HCPCS: A5061 SQ22767 1 ½” SQ22768 1 3/4” SQ22769 2" SQ22770 2 ½” Item Order # Cut-to-Fit 12" Length SQ22771 3/4” to 2 ½” Transparent 10/Box HCPCS: A5061

Reordering supplies online is simple! Visit www.mybyramhealthcare.com and sign up today!

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.107 CONVATEC Ostomy

ActiveLife ® DRAINABLE POUCHES ActiveLife® Drainable Pouch with Convex Durahesive® Skin Barrier Drainable Pre-cut Pouch with convex Durahesive® barrier for retracted stomas. Quiet, odor-proof film with one-sided comfort panel. The microporous adhesive collar and adhesive around the skin barrier eliminate the need for taping. Includes convenient belt loops and 1 tail closure. Item Order # Pre-Cut 12" Length SQ125352 3/4” Transparent SQ125353 7/8” 10/Box SQ125354 1" HCPCS: A4390 SQ125355 1 1/8” SQ125356 1 ¼” SQ125357 1 3/8” SQ125358 1 ½” SQ125359 1 3/4”

ActiveLife® Drainable Pouch with Durahesive® Plus™ Skin Barrier Quiet, odor-proof film with a durable, cloth-like backing. Includes 1 tail closure. Cut- to-fit opening with acrylic tape collar.

Item Order # Cut-to-Fit 12" Length SQ400598 3/4” to 2 ½” Transparent Stoma Opening 10/Box HCPCS: A4388

12" Length SQ400599 3/4” to 2 ½” Opaque Stoma Opening 10/Box HCPCS: A4388

When you call to place an order, please have the following information ready: • Your insurance information • Your doctor’s information (name and phone number) • Items you wish to order

108 Reorder your supplies online at www.mybyramhealthcare.com Ostomy CONVATEC 1-800-308-9445

ActiveLife ® CLOSED-END POUCHES ActiveLife® Closed-End Pouch with Filter Quiet, odor-proof film with a durable, cloth-like backing. Includes 60 filter covers. Closed Pouch with special Stomahesive® skin barrier allows frequent removal (up to 5 times daily) with optimal skin protection. Cut-to-Fit or Pre-cut with 1-sided comfort panel.

Item Order # Cut-to-Fit 8" Length SQ413141 3/4” to 2 ½” Opaque 60/Box Order # Pre-Cut HCPCS: A4416 SQ413142 1" SQ413143 1 ¼” SQ413144 1 ½” SQ413145 1 3/4” SQ413146 2" Item Order # Cut-to-Fit 8" Length SQ413147 3/4"- 2 ½” Transparent 60/Box Order # Pre-Cut HCPCS: A4416 SQ413148 1" SQ413149 1 ¼” SQ413150 1 ½” SQ413151 1 3/4” SQ413152 2"

ActiveLife® Closed-End Pouch with Filter Quiet, odor-proof film with a durable, cloth-like backing with 1-sided comfort panel. Closed Cut-to-Fit Pouch with Stomahesive® skin barrier that allows frequent removal (up to 5 times daily) with optimal skin protection. 30 filter covers.

Item Order # Cut-to-Fit Transparent SQ650422 3/4” to 2" 30/Box HCPCS: A4416

Opaque SQ650408 3/4” to 2" 30/Box HCPCS: A4416

ActiveLife® Stoma Cap with Skin Barrier with Filter Quiet, odor-proof film with a durable, cloth-like backing. Item Order # Cut-to-Fit Color 30/Box SQ175611 3/4” - 2 " Opaque HCPCS: A5055

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.109 CONVATEC Ostomy

ActiveLife ® UROSTOMY POUCHES ActiveLife® Convex Urostomy Pouch with Durahesive® Skin Barrier Light-weight, flexible one-piece system. Pre-cut openingwith acrylic tape collar. Transparent pouch has one-sided comfort panel and bendable tap.

Item Order # Stoma Color 10" Length SQ125361 ½” Transparent 10/Box SQ125362 5/8” HCPCS: A4393 SQ125363 3/4” SQ125364 7/8” SQ125365 1" SQ125366 1 1/8” SQ125367 1 ¼” SQ125368 1 3/8” SQ125369 1 ½”

ActiveLife® Urostomy Pouch with Durahesive® Skin Barrier and Accuseal® Tap with Valve Light-weight, flexible one-piece system. Pre-cut opening. Microporous adhesive. Transparent pouch has one-sided comfort panel. Accuseal® Tap with valve. Item Order # Stoma Color 10" Length SQ650828 3/4” Transparent 10/Box SQ650829 7/8” HCPCS: A4428 SQ650830 1" SQ650831 1 1/8” SQ650832 1 ¼” SQ650833 1 ½”

Want a better night sleep? Urostomy care can be so much easier when you use a night drainage bag. These larger capacity bags lessen the chance of accidental leakage and ensure a better night sleep.

110 Reorder your supplies online at www.mybyramhealthcare.com Ostomy CONVATEC 1-800-308-9445

IRRIGATION PRODUCTS VISI-FLOW® IRRIGATION PRODUCTS Visi-Flow® Irrigator with Stoma Cone

Item Order # 1/Box SQ401989 HCPCS: A4398/A4399

Visi-Flow® Irrigation Starter Set Includes Visi-Flow® Irrigator with stoma cone, 2 SUR-FIT Natura® Stomahesive® skin barriers with Flange, 2 Visi-Flow® Irrigation Sleeves, 2 SUR-FIT® Natura® Closed Pouches, stoma lubricant, ostomy belt, tail closure, brush and convenient carrying case.

Item Order # Flange 1/Box SQ401916 1 3/4” SQ401917 2 3/4”

Visi-Flow® Irrigation Sleeves Includes 1 tail closure. Item Order # Flange Color Color Code 5/Box SQ401911 1 ½” Transparent HCPCS: A4397 SQ401912 1 3/4” • SQ401913 2 ¼” • SQ401914 2 3/4” • Visi-Flow® Irrigation Adapter Faceplate Allows use of Irrigation Sleeve with one-piece pouch.

Item Order # Flange Each SQ401918 1 3/4” HCPCS: A4361 SQ401919 2 3/4”

Visi-Flow® Irrigation Sleeve Tail Closure Item Order # 10/Box SQ175650 HCPCS: A4363

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.111 CONVATEC Ostomy

PEDIATRIC OSTOMY SYSTEMS Little Ones® ONE-PIECE PEDIATRIC POUCHES Little Ones® Urostomy Pouch with Skin Barrier Custom Urostomy Pouch with Stomahesive® Cut-to-Fit barrier and 2 universal night drain adapters. Transparent with comfort panel. Quiet odor barrier film.

Item Order # Cut-to-Fit 5" Length SQ20917 5/16” to 1" 15/Box HCPCS: A5071

Little Ones® Drainable One-Piece Pouch with Skin Barrier Custom Drainable Pouch with Stomahesive® Cut-to-Fit skin barrier provides optimal skin protection and minimizes irritation. Transparent with comfort panel with 15 individual pediatric tail closures per box. Quiet odor barrier film.

Item Order # Cut-to-Fit 6" Length SQ20922 5/16”" to 2" 15/Box HCPCS: A5061

Little Ones® SKIN BARRIERS Little Ones® Flexible Skin Barrier Stomahesive® Cut-to-Fit wafer with low-profile, audible click flange and acrylic tape collar, white. Item Order # Flange Stoma Color Code 3" x 3" SQ401925 1 ¼” 1/” - 3/4” White 5/Box HCPCS: A4414 • 4" x 4" SQ401926 1 3/4” 1 1/8”-1 1” White 5/Box HCPCS: A4414 •

Keep in touch with Byram Healthcare! Like us on Facebook www.facebook.com/byramhealthcare

112 Reorder your supplies online at www.mybyramhealthcare.com Ostomy CONVATEC 1-800-308-9445

Little Ones® TWO-PIECE PEDIATRIC POUCHES Little Ones® Drainable Pouch Drainable Pouch with flange is made of quiet, odor-proof film. Flange features pouch tab and belt loops. Transparent with one-sided comfort panel. Includes 10 pediatric tail closures per box.

Item Order # Flange Color Code 6" Length SQ401927 1 ¼” 10/Box SQ401928 1 3/4” • HCPCS: A5063 • Little Ones® Closed-End Pouch Closed Pouch with flange is made of quiet, odor-proof film with two-sided comfort panels. Flange features pouch tab and belt loops.

Item Order # Flange Color Code 5” Length SQ401930 1 ¼” Opaque SQ401931 1 3/4” 20/Box • HCPCS: A5054 •

Little Ones® Urostomy Pouch Urostomy Pouch features nonreturn valve and secure tap. Made of quiet, odor-proof film with soft, one-sided comfort panel. Flange features pouch tab and belt loops. Includes 2 drainage adapters per box.

Item Order # Flange Color Code 6” Length SQ401929 1 ¼” Transparent 10/Box • HCPCS: A5073

Trap a Little Air! When emptying a pouch, before you replace the clip, pull the pouch walls apart to trap a small amount of air. It will help drainage to drop down into the pouch.

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.113 Hollister® Ostomy

NEW IMAGE™ TWO-PIECE OSTOMY SYSTEM The New Image™ Two- Piece Ostomy System features a “floating flange” which permits the flange and skin barrier to move independently of each other. This mechanism enables an exceptionally secure attachment between the skin barrier and the pouch without causing pressure on the abdomen. An audible click confirms that the connection has been completed. Choose the skin barrier according to the wearing time appropriate for you: FlexWear™ for standard wearing time, FlexTend™ for extended wearing time or CeraPlus™ also for extended wearing times. The CeraPlus skin barrier is designed to maintain adhesive properties, and features a proprietary formulation designed to help protect the skin’s own moisture barrier. Be sure to match the color code of the New Image™ skin barrier with the color code of the New Image™ pouch.

New Image™ CeraPlus™ (extended wear) Convex Skin Barrier with Floating Flange Cut-to-fit. Convex. Tape. Item Order # Flange Pre-Cut Color Code 5/Box HO11503 1 3/4” 7/8” HCPCS: A4407 HO11504 1 3/4” 1” • HO11505 2 ¼” 1 1/8” • HO11506 2 ¼” 1 ¼” • New Image™ CeraPlus™ (extended wear) Convex Skin• Barrier with Floating Flange Cut-to-fit. Convex. Tape. Item Order # Flange Pre-Cut Color Code 5/Box HO11402 1 3/4” up to 1” HCPCS: A4407 HO11403 2 ¼” up to 1 ½” • HO11404 2 3/4” up to 2” • Cut-to-fit without tape. • Item Order # Flange Pre-Cut Color Code 5/Box HCPCS: A4407 HO15302 1 3/4” up to 1” HCPCS: A4407 HO15303 2 ¼” up to 1 ½” • HCPCS: A4408 HO15304 2 3/4” up to 2” •

CAN’T WHAT YOU’RE LOOKING FOR? Byram carries thousands of quality brand-name products. If you can’t 114 find it in our catalog, contact one of our friendly Customer Service representatives by calling toll-free 1-800-308-9445. Ostomy Hollister® 1-800-308-9445

New Image™ CeraPlus™ (extended wear) Soft Convex Skin Barrier with Floating Flange A soft and flexible convex design to help minimize leakage with the added benefit of CeraPlus to help keep your skin healthy. Audible click confirms connection. Choose Cut-to-Fit or Pre-Cut. Convex. Tape. Beige.

Pre-Cut. Convex. Tape. Beige. Item Order # Flange Pre-Cut Color Code 5/Box HO11903 1 3/4” 7/8” HCPCS: A4407 HO11904 2 3/4” 1” • HO11905 2 ¼” 1 1/8” • HO11906 2 ¼” 1 ¼” • Cut-to-Fit. Convex. Tape. Beige. • Item Order # Flange Pre-Cut Color Code 5/Box HO11702 1 3/4” 7/8” HCPCS: A4407 HO11703 2 ¼” 1” HO11704 2 3/4” 1 1/8” • •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.115 Hollister® Ostomy

NEW IMAGE™ SKIN BARRIERS New Image™ Flextend™ Skin Barrier with Floating Flange Extended wear flat skin barrier. Tapered with cloth backing. Audible click confirms connection. Choose tape or tapeless. Beige. Cut-to-Fit. Flat. Tape. Item Order # Flange Cut-to-Fit Color Code 5/Box HCPCS: A4409 HO14602 1 3/4” up to 1 ¼” HCPCS: A4409 HO14603 2 ¼” up to 1 3/4” • HCPCS: A4409 HO14604 2 3/4” up to 2 ¼” • HCPCS: A4410 HO14606 4" up to 3 ½” • Cut-to-Fit. Flat.Tapeless. • Item Order # Flange Cut-to-Fit Color Code 5/Box HCPCS: A4409 HO15602 1 3/4” up to 1 ¼” HCPCS: A4409 HO15603 2 ¼” up to 1 3/4” • HCPCS: A4410 HO15604 2 3/4” up to 2 ¼” • Pre-Cut. Flat. Tape. • Item Order # Flange Pre-Cut Color Code 5/Box HO14701 1 3/4” 5/8” HCPCS: A4409 HO14702 1 3/4” 3/4” • HO14703 1 3/4” 7/8” • HO14704 1 3/4” 1" • HO14705 1 3/4” 1 1/8” • HO14706 1 3/4” 1 ¼” • HO14707 2 ¼” 1 3/8” • HO14708 2 ¼” 1 ½” • HO14709 2 ¼” 1 3/4” • Pre-Cut. Flat. Tapeless. Item Order # Flange Pre-Cut Color Code 5/Box HO16101 1 3/4” 5/8” HCPCS: A4409 HO16102 1 3/4” 3/4” • HO16103 1 3/4” 7/8” • HO16104 1 3/4” 1" • HO16105 1 3/4” 1 1/8” • HO16106 1 3/4” 1 ¼” • HO16107 2 ¼” 1 3/8” • HO16108 2 ¼” 1 ½” •

116 Reorder your supplies online at www.mybyramhealthcare.com Ostomy Hollister® 1-800-308-9445

NEW IMAGE™ SKIN BARRIERS

New Image™ FlexWear™ Skin Barrier with Floating Flange Standard wear flat skin barrier. Tapered with cloth backing. Choose Cut-to-Fit or Pre-Cut. Choose tape or tapeless attachment. Beige.

Cut-to-Fit. Flat. Tape. Item Order # Flange Cut-to-Fit Color Code 5/Box HCPCS: A4414 HO14202 1 3/4” up to 1 ¼” HCPCS: A4414 HO14203 2 ¼” up to 1 3/4” • HCPCS: A4414 HO14204 2 3/4” up to 2 ¼” • HCPCS: A4415 HO14206 4" up to 3 ½" • Cut-to-Fit. Flat. Tapeless. • Item Order # Flange Cut-to-Fit Color Code 5/Box HCPCS: A4414 HO15202 1 3/4” up to 1 ¼” HCPCS: A4414 HO15203 2 ¼” up to 1 3/4” • HCPCS: A4415 HO15204 2 3/4” up to 2 ¼” • Pre-Cut. Flat. Tape. • Item Order # Flange Pre-Cut Color Code 5/Box HO14301 1 3/4”" 5/8” HCPCS: A4414 HO14302 1 3/4” 3/4” • HO14303 1 3/4” 7/8” • HO14304 1 3/4” 1" • HO14305 1 3/4” 1 1/8” • HO14306 1 3/4” 1 ¼” • HO14307 2 ¼” 1 3/8” • HO14308 2 ¼” 1 ½” • HO14309 2 ¼” 1 3/4” • Pre-Cut. Flat. Tapeless. Item Order # Flange Pre-Cut Color Code 5/Box HO16402 1 3/4” 3/4” HCPCS: A4414 HO16403 1 3/4” 7/8” • HO16404 1 3/4” 1" • HO16405 1 3/4” 1 1/8” • HO16406 1 3/4” 1 ¼” • HO16407 2 ¼” 1 3/8” • HO16408 2 ¼” 1 ½” •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.117 Hollister® Ostomy

NEW IMAGE™ SKIN BARRIERS New Image™ Flextend™ Convex Skin Barrier with Floating Flange Convex extended wear skin barrier. Tapered with cloth backing. Audible click confirms connection. Choose Cut-to-Fit or Pre-Cut. Choose tape or tapeless. Beige.

Cut-to-Fit. Convex. With tape. Item Order # Flange Cut-to-Fit Color Code 5/Box HO14802 1 3/4” up to 1" HCPCS: A4407 HO14803 2 ¼” up to 1 ½” • HO14804 2 3/4” up to 2" • Cut-to-Fit. Convex. Tapeless. • Item Order # Flange Cut-to-Fit Color Code 5/Box HO15802 1 3/4” up to 1" HCPCS: A4407 HO15803 2 ¼” up to 1 ½” HO15804 2 3/4” up to 2" • • Pre-Cut. Convex. Tapeless. • Item Order # Flange Pre-Cut Color Code 5/Box HO15903 1 3/4” 7/8” HCPCS: A4407 HO15904 1 3/4” 1" • HO15905 2 ¼” 1 1/8” • HO15906 2 ¼” 1 ¼” • Pre-Cut. Convex with tape. • Item Order # Flange Pre-Cut Color Code 5/Box HO14901 1 3/4” 5/8” HCPCS: A4407 HO14902 1 3/4” 3/4” • HO14903 1 3/4” 7/8” • HO14904 1 3/4” 1” • HO14905 2 ¼” 1 1/8” • HO14906 2 ¼” 1 ¼” • HO14907 2 ¼” 1 3/8” • HO14908 2 ¼”” 1 ½” • HO14909 2 3/4” 1 5/8” • HO14910 2 3/4” 1 3/4” • HO14911 2 3/4” 2” •

118 Reorder your supplies online at www.mybyramhealthcare.com Feel the sunshine, not the itch

87% of people experience itchy skin around the stoma†, which is commonly caused by dryness. When your skin is itching, it may be hard to think of anything else.

The CeraPlus skin barrier with Remois Technology* may help. It is infused with The ceramide-infused ceramide, the skin’s naturally occurring CeraPlus skin barrier and Adapt CeraRing barrier protection against dryness, to help maintain rings come in a range of healthy skin. fit options. Try the CeraPlus skin barrier today!

Prior to use, be sure to read the Instructions for Use for information regarding Intended Use, Contraindications, Warnings, Precautions, and Instructions. † Consumer Survey of Pruritus, Hollister Incorporated, 2016. Data on file. The Hollister logo, Adapt CeraRing, CeraPlus, and “Healthy skin. Positive outcomes.” are trademarks of Hollister Incorporated. All other trademarks and *Remois is a technology copyrights are the property of their respective owners © 2019 Hollister Incorporated. of Alcare Co., Ltd. Hollister® Ostomy

NEW IMAGE™ SKIN BARRIERS New Image™ CeraPlus™ (extended wear) Skin Barrier with Floating Flange

Cut-to-fit. Tape. Item Order # Flange Cut-to-Fit Color Code 5/Box HO11202 1 3/4” up to 1 ¼” HCPCS: A4409 HO11203 2 ¼” up to 1 3/4” • HO11204 2 3/4” up to 2 ¼” • Item Order # Flange Cut-to-Fit Color• Code 5/Box HCPCS: A4409 HO15102 1 3/4” up to 1 ¼” HCPCS: A4409 HO15103 2 ¼” up to 1 3/4” HCPCS: A4410 HO15104 2 3/4” up to 2 ¼” • •

NEW IMAGE™ SKIN BARRIERS New Image™ Flextend™ Convex Skin Barrier with Floating Flange (Cont.) Convex extended wear skin barrier. Tapered with cloth backing. Audible click confirms connection. Choose Cut-to-Fit or Pre-Cut. Tape. Beige.

Pre-cut. Convex. Tape. Item Order # Flange Pre-Cut Color Code 5/Box HO13901 1 3/4” 5/8” HCPCS: A4407 HO13902 1 3/4” 3/4” • HO13903 1 3/4” 7/8” • HO13904 1 3/4” 1” • HO13905 2 ¼” 1 1/8” • HO13906 2 ¼” 1 ¼” • HO13907 2 ¼” 1 3/8” • HO13908 2 ¼” 1 ½” • HO13909 2 3/4” 1 5/8” • HO13910 2 3/4” 1 3/4” • HO13911 2 3/4” 2” •

CAN’T WHAT YOU’RE LOOKING FOR? Byram carries thousands of quality brand-name products. If you can’t 120 find it in our catalog, contact one of our friendly Customer Service representatives by calling toll-free 1-800-308-9445. Ostomy Hollister® 1-800-308-9445

New Image™ FlexWear™ Convex Skin Barrier with Floating Flange Convex standard wear skin barrier. Tapered cloth backing. Audible click confirms connection. Choose Cut-to-Fit or Pre-Cut. Choose tape or tapeless. Beige.

Cut-to-Fit. Convex. Tape. Item Order # Flange Cut-to-Fit Color Code 5/Box HO14402 1 3/4” up to 1" HCPCS: A4373 HO14403 2 ¼” up to 1 ½” HO14404 2 3/4” up to 2" • • Cut-to-fit. Convex. Tapeless. • Item Order # Flange Cut-to-Fit Color Code 5/Box HO13402 1 3/4” up to 1” HCPCS: A4373 HO13403 2 ¼” up to 1 ½” • HO13404 2 3/4” up to 2” • Cut-to-Fit. Convex. Tapeless. • Item Order # Flange Cut-to-Fit Color Code 5/Box HO15402 1 3/4” up to 1" HCPCS: A4373 HO15403 2 ¼” up to 1 ½” • HO15404 2 3/4” up to 2" • NEW IMAGE™ SKIN BARRIERS New Image™ FlexWear™ Convex Skin Barrier with Floating Flange (cont.) Pre-Cut. Convex. Tape. Item Order # Flange Pre-Cut Color Code 5/Box HO14503 1 3/4” 7/8” HCPCS: A4373 HO14504 1 3/4” 1” • HO14505 2 ¼” 1 1/8” • HO14506 2 ¼” 1 ¼” • Pre-cut. Convex. Tape. • Item Order # Flange Pre-Cut Color Code 5/Box HO13503 1 3/4” 7/8” HCPCS: A4373 HO13504 1 3/4” 1” • HO13505 2 ¼” 1 1/8” • HO13506 2 ¼” 1 ¼” • Pre-Cut. Convex. Tapeless. • Item Order # Flange Pre-Cut Color Code 5/Box HO15503 1 3/4” 7/8” HCPCS: HO15504 1 3/4” 1" • A4373 HO15505 2 ¼” 1 1/8” • HO15506 2 ¼” 1 ¼” •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.121 Hollister®

NEW IMAGE™ DRAINABLE POUCHES New Image™ Drainable Pouch Drainable pouch with odor barrier. Choose one or two-sided comfort panel. Match pouch with color code of selected New Image™ skin barrier. Belt tabs.

One-sided comfort panel. Transparent. Item Order # Flange Color Code 12" Length HO18102 1 3/4” 10/Box HO18103 2 ¼” • HCPCS: A5063 HO18104 2 3/4” • Two-sided comfort panel. Beige. • Item Order # Flange Color Code 12" Length HO18122 1 3/4” 10/Box HO18123 2 ¼” HCPCS: A5063 HO18124 2 3/4” • • Two-sided comfort panel. Beige. • Item Order # Flange Color Code 9"Length HO18202 1 3/4” 10/Box HO18203 2 ¼” • HCPCS: A5063 HO18204 2 3/4” • New Image™ Drainable Pouch with Clamp Closure • Drainable pouch without integrated filter. Odor-barrier film. Pouch clamp closure. ComfortWear™ panel. For correct fit match color code of barrier with color code of pouch. Belt tabs. Ultra-Clear, one sided ComfortWear™ panel. 12" Length. Item Order # Flange Color Code 10/Box HO18172 1 3/4”" HCPCS: A5063 HO18173 2 ¼” • HO18174 2 3/4” • HO18176 4" •

122 www.byramhealthcare.com Ostomy Hollister® 1-800-308-9445

New Image™ Drainable Pouch with Integrated Filter Pouch has upgraded AF300 filter and odor barrier. Match color code of pouch to color code of New Image™ Skin Barrier. Choose one or two-sided comfort panels. Beige or Transparent. Belt tabs.

Beige. Two-sided comfort panels. Item Order # Flange Color Code 12" Pouch HO18142 1 3/4” 10/Box HO18143 2 ¼” • HCPCS: A4425 HO18144 2 3/4” • NEW IMAGE™ DRAINABLE POUCHES New Image™ Drainable Pouch with Integrated Filter (Cont.) Pouch has upgraded AF300 filter and odor barrier. Match color code of pouch to color code of New Image™ Skin Barrier. Choose one or two-sided comfort panels. Beige or Transparent. Belt tabs.

Transparent. One-sided comfort panel. Item Order # Flange Color Code 12" Pouch HO18162 1 3/4” 10/Box HO18163 2 ¼” • HCPCS: A4425 HO18164 2 3/4” • NEW IMAGE™ LOCK ’N ROLL™ DRAINABLE POUCHES • New Image™ Lock ‘n Roll™ Drainable Pouch • with Integrated Filter • Drainable pouch with odor barrier and upgraded filter. Extra security of "Lock ‘n Roll"™ closure system. Choose one or two-sided comfort panel. Match pouch with color code of selected New Image™ skin barrier. Belt tabs. • Two-sided comfort panel. Beige. • Item Order # Flange Color• Code 12" Length HO18182 1 3/4” 10/Box HO18183 2 ¼” HCPCS: A4425 HO18184 2 3/4”

One-sided comfort panel. Transparent. Item Order # Flange Color Code 12" Length HO18192 1 3/4” 10/Box HO18193 2 ¼” HCPCS: A4425 HO18194 2 3/4”

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.123 Hollister® Ostomy

NEW IMAGE™ LOCK ’N ROLL™ DRAINABLE POUCHES New Image™ Lock ‘n Roll™ Drainable Pouch without Filter Drainable pouch with odor barrier. No Filter. Extra security of "Lock ‘n Roll" closure system. Choose one or two-sided comfort panel. Match pouch with color code of selected New Image™ skin barrier. Belt tabs.

One-sided comfort panel. Ultra-Clear. Item Order # Flange Color Code 12" Length HO18002 1 3/4” 10/Box HO18003 2 ¼” • HCPCS: A5063 HO18004 2 3/4” • HO18006 4" • One-sided comfort panel. Transparent. • Item Order # Flange Color Code 12" Length HO18132 1 3/4” 10/Box HO18133 2 ¼” • HCPCS: A5063 HO18134 2 3/4” • Two-sided comfort panel. Beige. • Item Order # Flange Color Code 12" Length HO18112 1 3/4” 10/Box HO18113 2 ¼”" • HCPCS: A5063 HO18114 2 3/4” • New Image™ Lock ‘n Roll™ Drainable Mini-Pouch with Integrated Filter Drainable Mini pouch with odor barrier and integrated filter. Extra security of "Lock ‘n Roll"™ closure system. Choose one or two-sided comfort panel. Match pouch with color code of selected New Image™ skin barrier. Belt tabs.

Two-sided comfort panel. Beige. Item Order # Flange Color Code 7" Length HO18282 1 3/4” 20/Box HO18283 2 ¼” HCPCS: A4425 HO18284 2 3/4” • • One-sided comfort panel. Transparent. • Item Order # Flange Color Code 7" Length HO18292 1 3/4” 20/Box HO18293 2 ¼” • HCPCS: A4425 HO18294 2 3/4” •

124 Reorder your supplies online at www.mybyramhealthcare.com Ostomy Hollister® 1-800-308-9445

NEW IMAGE™ TWO-PIECE OSTOMY SYSTEM NEW IMAGE™ CLOSED POUCHES New Image™ Closed Pouch with Integrated AF300 Filter QuietWear pouch material, odor-barrier rustle-free film, with belt tabs. With ComfortWear panels. Match color code of pouch with color code of New Image™ skin barrier. Two-sided comfort panel. Beige. Item Order # Flange Color Code 9" Length HO18322 1 3/4” 60/Box HO18323 2 ¼” • HCPCS: A4419 HO18324 2 3/4” • New Image™ Closed Pouch with AF300 Filter Closed pouch with odor barrier and upgraded filter. Choose one or two-sided comfort panels. Match color code of pouch with color code of New Image™ skin barrier. Belt tabs. One-sided comfort panel. Transparent. Item Order # Flange Color Code 7" Length HO18382 1 3/4” 60/Box HO18383 2 ¼” • HCPCS: A4419 HO18384 2 3/4” • Two-sided comfort panels. Beige. • Item Order # Flange Color Code 7" Length HO18392 1 3/4” 60/Box HO18393 2 ¼” HCPCS: A4419 HO18394 2 3/4” • One-sided comfort panel. Transparent. • Item Order # Flange Color Code 9" Length HO18362 1 3/4” 30/Box HO18363 2 ¼” • HCPCS: A4419 HO18364 2 3/4” • Two-sided comfort panel. Beige. • Item Order # Flange Color Code 9" Length HO18372 1 3/4” 30/Box HO18373 2 ¼” • HCPCS: A4419 HO18374 2 3/4” •

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.125 Hollister® Ostomy

NEW IMAGE™ CLOSED POUCHES New Image™ Closed Pouch without Filter Closed pouch with odor barrier, no filter. Choose one or two-sided comfort panels. Match color code of pouch to color code of selected New Image™ skin barrier. Belt tabs. Two-sided comfort panel. Beige. Item Order # Flange Color Code 7" Length HO18352 1 3/4” 30/Box HO18353 2 ¼” • HCPCS: A5054 HO18354 2 3/4” • Two-sided comfort panel. Beige. • Item Order # Flange Color Code 7" Length HO18752 1 3/4” 60/Box HO18753 2 ¼” • HCPCS: A5054 HO18754 2 3/4” • Two-sided comfort panel. Beige. • Item Order # Flange Color Code 9" Length HO18332 1 3/4” 30/Box HO18333 2 ¼” • HCPCS: A5054 HO18334 2 3/4” • Two-sided comfort panel. Beige. • Item Order # Flange Color Code 9" Length HO18732 1 3/4” 60/Box HO18733 2 ¼” • HCPCS: A5054 HO18734 2 3/4” • NEW IMAGE™ UROSTOMY POUCHES New Image™ Urostomy Pouch Urostomy pouch with odor barrier and drain tube adapter. One or two sided comfort panel. Match color code with selected New Image™ skin barrier. Belt tabs. Includes 2 adapters. Transparent. One-sided comfort panel. Item Order # Flange Color Code 9” Length HO18902 1 3/4” 10/Box HO18903 2 ¼” • HCPCS: A4432 HO18904 2 3/4” • Beige. Two-sided comfort panel. • Item Order # Flange Color Code 9” Length HO18912 1 3/4” 10/Box HO18913 2 ¼” • HCPCS: A4432 HO18914 2 3/4” •

126 Reorder your supplies online at www.mybyramhealthcare.com Ostomy Hollister® 1-800-308-9445

NEW IMAGE™ UROSTOMY POUCHES New Image™ Urostomy Pouch (Cont.) Urostomy pouch with odor barrier and drain tube adapter. One or two sided comfort panel. Match color code with selected New Image™ skin barrier. Belt tabs. Includes 2 adapters. Ultra-clear. One-sided comfort panel. Item Order # Flange Color Code 9” Length HO18922 1 3/4” 10/Box HO18923 2 ¼” • HCPCS: A4432 HO18924 2 3/4” • Transparent. One-sided comfort panel. • Item Order # Flange Color Code 9" Length HO18402 1 3/4” 9" Length HO18403 2 ¼” 10/Box HO18404 2 3/4” • HCPCS: A4432 • Beige. Two-sided comfort panel. Item Order # Flange Color Code 9" Length HO18412 1 3/4” 10/Box HO18413 2 ¼” • HCPCS: A4432 HO18414 2 3/4” •

Helpful Tips • Always have extra pouches handy. • Keep extra pouches and wafers assembled. • Keep all supplies together or in one central location. • Don't leave pouches and wafers in the car during hot or freezing weather.

Our ostomy specialists are commited to your satisfaction. Please call us with any questions. 1-800-308-9445

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.127 Hollister® Ostomy

OSTOMY IRRIGATION PRODUCTS Hollister® Irrigation Products Cone Irrigator Kit Includes 1 Irrigator Bag, 1 Stoma Cone with Connector, and 1 Cleaning Brush.

Item Order # Each HO7721 HCPCS: A4398 + A4399

Replacement Stoma Cone with Connector

Item Order # 10/Box HO7723 HCPCS:A4399

Stoma Irrigator Drain With attached closure and belt tabs. Clear. Item Order # Size 20/Box HO7728 2" HCPCS: A4397 HO7724 3"

PEDIATRIC OSTOMY SYSTEMS ONE-PIECE PEDIATRIC SYSTEMS Pouchkins™ Premie One-Piece System with SoftFlex™ Barrier, No Filter Pouch has soft wire closure. Can be used as closed end or drainable. No filter. Odor barrier film. Standard wear flat barrier without tape border. No starter hole. No comfort panels. Item Order # Cut-to-Fit Color 4.5" Length HO3777 up to 5/8” UC 15/Box HCPCS: A5052 + A4362

128 Reorder your supplies online at www.mybyramhealthcare.com Ostomy Hollister® 1-800-308-9445

ONE-PIECE PEDIATRIC SYSTEMS Pouchkins™ Newborn One-Piece System with SoftFlex™ Barrier. No Filter. Pouch has soft wire closure. Can be used with or without the drain valve. No filter. Odor barrier film. Standard wear flat barrier without tape border. No starter hole. No comfort panels.

Item Order # Cut-to-Fit Color 6.5" Length HO3778 up to 1 3/8”x 7/8” UC 15/Box HCPCS: A5052 + A4362

Pouchkins™ Urostomy Pouch with SoftFlex™ Skin Barrier Urostomy pouch with odor barrier film. Standard wear flat skin barrier without starter hole. No tape border. One sided comfort panel.

Item Order # Cut-to-Fit Color 8 3/4” Length HO3797 up to 1 ½” T 10/Box HCPCS:A5071

Pouchkins™ Drainable Pouch with SoftFlex™ Barrier. No Filter Drainable pouch with odor barrier film. Standard wear, flat skin barrier without starter hole. Lock ‘n Roll® closure. One-sided comfort panel. Item Order # Cut-to-Fit Color 6.5" Length HO3796 up to 1 ½” T 10/Box HCPCS:A5061

Pouchkins™ Drainable Pouch with SoftFlex™ Skin Barrier with Integrated Filter Drainable pouch with integrated filter and odor barrier film. Standard wear, flat skin barrier without starter hole. Lock ‘n Roll® closure. One-sided comfort panel. Item Order # Cut-to-Fit Color 7" Length HO3795 up to 2" T 10/Box HCPCS:A4425

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.129 HOLLISTER Ostomy

TWO-PIECE PEDIATRIC SYSTEM Pouchkins™ SoftFlex™ Skin Barrier Standard wear, flat barrier. No starter hole. No tape. Item Order # Flange Color /Match 5/Box HO3761 1 3/4” HCPCS: A4414 • Pouchkins™ Drainable Pouch, No Filter, Lock ‘n Roll® Closure Pouch with odor barrier but no filter. Belt tabs. One-sided comfort panel.

Item Order # Flange Color /Match 6.5" Length HO3799 1 3/4” 10/Box HCPCS:A5063 • Pouchkins™ Drainable Pouch with Integrated Filter and Lock’n Roll® Closure Pouch with integrated filter and odor barrier. Belt Tabs. One-sided comfort panel: Transparent Two-sided comfort panel: Beige Item Order # Flange Color /Match 7" Length HO18292 1 3/4” T 20/Box HO18282 1 3/4” B • HCPCS:A4425 • Pouchkins™ Closed Mini Pouch with Integrated Filter Closed pouch with filter and odor barier. Belt tabs. One-sided comfort panel: Transparent. Two-sided comfort panel: Beige. Item Order # Flange Color /Match 7" Length HO18382 1 3/4” T 60/Box HO18392 1 3/4” B • HCPCS:A4419 • Pouchkins™ Urostomy Pouch Urostomy pouch with odor barrier and flexible tap. Belt tabs. One-sided comfort panel: Transparent Two-sided comfort panel: Beige Item Order # Flange Color /Match 6 ½” Length HO18402 1 3/4” T 10/Box HO18412 1 3/4” B • HCPCS:A4432 •

130 Reorder your supplies online at www.mybyramhealthcare.com Ostomy HOLLISTER 1-800-308-9445

PREMIER™ ONE-PIECE OSTOMY SYSTEM PREMIER™ CLOSED POUCHES Premier™ Closed Mini Pouch with SoftFlex™ Skin Barrier Closed mini pouch with integrated filter and odor barrier. Beige has two-sided comfort panels. Transparent has one-sided comfort panel. Tapeless, standard wear skin barrier.

Item Order # Cut-to-Fit Color 7" Length HO82100 up to 2 1/8” Beige 30/Box HO82500 up to 2 1/8” Transparent HCPCS:A4416 Item Order # Pre-Cut Color 7" Length HO82125 1" Beige 30/Box HO82130 1 3/16" Beige HCPCS:A4416 HO82135 1 3/8” Beige Item Order # Cut-to-Fit Color 9" Length HO82300 up to 2 1/8” Beige 30/Box HO82400 up to 2 1/8” Transparent HCPCS:A4416 Oval. Item Order # Cut-to-Fit Color 9” HO82402 Up to 3 x 2.5” Transparent 30/Box HO82302 Up to 3 x 2.5” Beige HCPCS: A4416 Item Order # Pre-Cut Color 9” Length HO82325 1” Beige 30/Box HO82330 13/16” Beige HCPCS:A4416 HO82335 1 3/8” Beige

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.131 Hollister® Ostomy

PREMIER™ DRAINABLE POUCHES Premier™ Drainable Pouch with CeraPlus™ Flat Skin Barrier Tape border, Lock ‘n Roll Microseal closure, Odor-Barrier Rustle Free Film.

One-sided ComfortWear Panel Item Order # Cut-to-Fit Color 12” HO8931 Up to 2 ½” Ultra-Clear 10/Box HCPCS: A4388 Two-sided ComfortWear Panels and Integrated AF300 Filter. Item Order # Type Stoma Fit Color 12” HO8901 Cut-to-Fit Up to 2 ½” Beige w/Viewing Option 10/Box HO8925 Pre-cut 1” Beige w/Viewing Option HCPCS: A5056 HO8930 Pre-cut 1 3/16” Beige w/Viewing Option HO8935 Pre-cut 1 3/8” Beige w/Viewing Option HO8940 Pre-cut 1 9/16” Beige w/Viewing Option

Premier™ Drainable Pouch with CeraPlus™ Soft Convex Skin Barrier Tape border, Integrated AF300 Filter, Lock ‘n Roll Microseal closure, Odor-Barrier Rustle Free Film, Belt Tabs and Two-sided ComfortWear Panels.

Item Order # Type Stoma Fit Color 12” HO8954 Cut-to-Fit Up to 1” Beige w/Viewing Option 5/Box HO8958 Cut-to-Fit Up to 1 ½” Beige w/Viewing Option HCPCS: A5057 HO89511 Cut-to-Fit Up to 2 1/8” Beige w/Viewing Option HO8960 Pre-cut 3/4” Beige w/Viewing Option HO8961 Pre-cut 7/8” Beige w/Viewing Option HO8962 Pre-cut 1” Beige w/Viewing Option HO8963 Pre-cut 1 1/8” Beige w/Viewing Option

132 Reorder your supplies online at www.mybyramhealthcare.com Ostomy Hollister® 1-800-308-9445

PREMIER™ DRAINABLE POUCHES Premier™ Drainable Pouch with CeraPlus™ Convex Skin Barrier Tape border, Lock ‘n Roll Microseal closure, Odor-Barrier Rustle Free Film and Belt Tabs.

One-sided ComfortWear Panel Item Order # Cut-to-Fit Color 12” HO8984 Up to 1” Ultra-Clear 5/Box HO8988 Up to 1 ½” Ultra-Clear HCPCS: A4390 HO89811 Up to 2” Utra-Clear Two-sided ComfortWear Panels and Integrated AF300 Filter. Item Order # Type Stoma Fit Color 12” HO8914 Cut-to-Fit Up to 1” Beige w/Viewing Option 5/Box HO8918 Cut-to-Fit Up to 1 ½” Beige w/Viewing Option HCPCS: A5057 HO89111 Cut-to-Fit Up to 2” Beige w/Viewing Option HO8990 Pre-cut 3/4” Beige w/Viewing Option HO8991 Pre-cut 7/8” Beige w/Viewing Option HO8992 Pre-cut 1” Beige w/Viewing Option HO8993 Pre-cut 1 1/8” Beige w/Viewing Option

Premier™ Drainable Pouch with Flextend™ Flat Skin Barrier Tape border, Lock ‘n Roll Microseal closure, Without Integrated Filter, with ComfortWear Panels.

12” Item Order # Stoma Fit Color 10/Box HO8531 2 ½” Ultra-Clear –Body Side Only HCPCS: A4388 HO8551 2 1” Beige HO8552 1” Beige HO8538 1 ¼” Transparent-Body Side Only HO8558 1 ¼” Beige

Our Multi-Lingual Support is designed to provide our customers with a comfortable communication environment and access to customized support for ostomy management. Call: 1-844-208-1499

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.133 Hollister® Ostomy

PREMIER™ DRAINABLE POUCHES Premier™ Drainable Mini-Pouch with SoftFlex™ Flat Skin Barrier Flat, standard wear, tapeless skin barrier. Choose Cut-to-Fit or Pre-Cut. Drainable pouch with odor barrier. Choose one or two-sided comfort panels.

Cut-to-Fit. One-sided comfort panel. Item Order # Stoma Fit Color 7" Length HO88800 up to 2 1/8” Transparent 20/Box HCPCS:A4424 Cut-to-Fit. Two-sided comfort panel. Item Order # Stoma Fit Color 7" Length HO88700 up to 2 1/8” Beige 20/Box HCPCS:A4424 Oval. Cut-to-fit. One-sided comfort panel. Item Order # Stoma Fit Color 12” HO88402 Up to 3 x 2.5” Transparent 10/Box HCPCS: A4424

134 Reorder your supplies online at www.mybyramhealthcare.com Ostomy Hollister® 1-800-308-9445

PREMIER™ DRAINABLE POUCHES Premier™ Drainable Mini-Pouch with SoftFlex™ Flat Skin Barrier (Cont.) Flat, standard wear, tapeless skin barrier. Choose Cut-to-Fit or Pre-Cut. Drainable pouch with odor barrier. Choose one or two-sided comfort panels.

Oval. Cut-to-fit. Two-sided comfort panel. Item Order # Stoma Fit Color 12” HO88302 Up to 3 x 2.5” Beige 10/Box HCPCS: A4424 Pre-Cut. Two-sided comfort panel. Item Order # Pre-Cut Size Color 7" Length HO88725 1" Beige 20/Box HO88730 13/16" Beige HCPCS:A4424 HO88735 1 3/8” Beige HO88740 19/16" Beige

Premier™ Drainable Pouch with Flextend™ Convex Skin Barrier Tape. Filter. Belt Tabs. Cut-to-fit. One-sided comfort panel. Item Order # Stoma Fit Color 12” HO8584 Up to 1” Transparent 5/Box HO8588 Up to 1 ½” Transparent HCPCS: A5057 HO85811 Up to 2” Transparent HO8274 Up to 1” Transparent HO8278 Up to 1 ½” Transparent HO82711 Up to 2” Transparent

Premier™ Drainable Pouch with Clamp Closure, SoftFlex™ Flat Skin Barrier Flat, standard wear, tapeless skin barrier. Cut-to-Fit. Drainable pouch with clamp closure. No filter. One-sided comfort panel.

Cut-to-Fit. One-sided comfort panel. Item Order # Cut-to-Fit Color 12" Length HO88501 up to 2 ½" Ultra-Clear 10/Box HCPCS:A5061

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.135 HOLLISTER Ostomy

PREMIER™ DRAINABLE POUCHES

Premier™ Soft Convex Drainable Pouch with Flextend™ Tape. Belt tabs. Beige with viewing option, and ultra clear.

Item Order # Type Stoma Fit Color MAXI 12” HO8674 Cut-to-fit 5/8” to 1“ Beige 5/Box HO8678 Cut-to-fit 5/8” to 1 ½” Beige HCPCS: A5057 HO86711 Cut-to-fit 5/8” to 2 1/8” Beige HO8661 Pre-cut 7/8” Beige HO8662 Pre-cut 1” Beige HO8663 Pre-cut 1 1/8” Beige HO8664 Pre-cut 1 ¼” Beige HO8665 Pre-cut 1 ½” Beige HO8666 Pre-cut 1 3/4” Beige HO8574 Cut-to-fit 5/8” to 1” Ultra clear HO8578 Cut-to-fit 5/8” to 1 ½” Ultra clear H085711 Cut-to-fit 5/8” to 2 1/8” Ultra clear

Premier™ Drainable Pouch with Flextend™ Convex Skin Barrier Convex, extended wear skin barrier with cloth tape. Choose Cut-to-Fit or Pre-Cut. Drainable pouch with odor barrier. One-sided comfort panel. Belt tabs. Cut-to-Fit. Item Order # Cut-to-Fit Color 12" Length. HO8624 up to 1" Transparent 5/Box HO8628 up to 1 ½” Transparent HCPCS:A4390 HO86211 up to 2" Transparent Cut-to-fit. Item Order # Cut-to-Fit Color 12” HO82624 Up to 1” Transparent 5/Box HO82628 Up to 1 ½” Transparent HCPCS: A4390 HO826211 Up to 2” Transparent Pre-Cut. Item Order # Pre-Cut Size Color 12” Length HO8610 3/4” Transparent 5/Box HO8611 7/8” Transparent HCPCS:A4390 HO8612 1” Transparent HO8613 1 1/8” Transparent HO8614 1 ¼” Transparent HO8615 1 3/8” Transparent HO8616 1 ½” Transparent HO8617 1 5/8” Transparent HO8618 1 3/4” Transparent HO8619 2” Transparent

136 Reorder your supplies online at www.mybyramhealthcare.com Ostomy HOLLISTER 1-800-308-9445

PREMIER™ DRAINABLE POUCHES Premier™ Drainable Pouch with Flextend™ Convex Skin Barrier (Cont.) Convex, extended wear skin barrier with cloth tape. Choose Cut-to-Fit or Pre-Cut. Drainable pouch with odor barrier. One-sided comfort panel. Belt tabs. Pre-cut. Belt tabs. Item Order # Pre-Cut Size Color 12” HO82610 3/4” Transparent 5/Box HO82611 7/8” Transparent HCPCS: A4390 HO82612 1” Transparent HO82613 1 1/8” Transparent HO82614 1 ¼” Transparent HO82615 1 3/8” Transparent HO82616 1 ½” Transparent HO82617 1 5/8” Transparent HO82619 2” Transparent

Premier™ Drainable Pouch with Flextend™ Flat Skin Barrier Flat, extended wear skin barrier with cloth tape. Choose Cut-to-Fit or Pre-Cut. Drainable pouch with odor barrier. Choose one or two-sided comfort panels. Includes 1 clamp. Cut-to-Fit. One-sided comfort panel. Item Order # Cut-to-Fit Color 9" Length HO8641 up to 2 ½” Beige 10/Box HCPCS:A4388 Cut-to-Fit. One-sided comfort panel. Item Order # Cut-to-Fit Color 12" Length HO8651 up to 2" Ultra-clear 10/Box HO8631 up to 2 ½” Transparent HCPCS:A4388 Pre-Cut. One-sided comfort panel. Item Order # Pre-Cut Size Color 12" Length HO8637 3/4” Transparent 10/Box HO8632 1" Transparent HCPCS:A4388 HO8638 1 ¼” Transparent HO8633 1 ½” Transparent HO8639 1 3/4” Transparent HO8634 2" Transparent HO8635 2 ½” Transparent

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.137 Hollister® Ostomy

PREMIER™ DRAINABLE POUCHES Premier™ Drainable Pouch with Flextend™ Flat Skin Barrier (Cont.) Flat, extended wear skin barrier with cloth tape. Choose Cut-to-Fit or Pre-Cut. Drainable pouch with odor barrier. Choose one or two-sided comfort panels. Includes 1 clamp. Pre-Cut. Two-sided comfort panel. Item Order # Pre-Cut Size Color 9” Length HO8647 3/4” Beige 10/Box HO8642 1” Beige HCPCS:A4388 HO8648 1 ¼” Beige HO8643 1 ½” Beige HO8649 1 3/4” Beige

Premier™ Drainable Pouch with FlexWear™ Skin Barrier Flat, with tape border, with Integrated AF300 Filter, Lock ‘n Roll™ closure, Odor- Barrier Rustle Free Film with ComfortWear™ panels. Cut-to-Fit. One-sided comfort panel. FlexWear™ (standard wear). 12” Length Item Order # Cut-to-Fit Color HCPCS:A4424 HO8081 Up to 2 ½” Transparent 10/Box Cut-to-Fit. Two-sided comfort panel. FlexWear™ (standard wear). 12” Length Item Order # Cut-to-Fit Color 10/Box HO8181 Up to 2 ½” Beige HO8381 Up to 2-1/2” Beige w/Viewing Option

138 Reorder your supplies online at www.mybyramhealthcare.com Ostomy Hollister® 1-800-308-9445

PREMIER™ DRAINABLE POUCHES Premier™ Drainable Pouch with FlexWear™ Skin Barrier (Cont.) Flat, with tape border, with Integrated AF300 Filter, Lock ‘n Roll™ closure, Odor- Barrier Rustle Free Film with ComfortWear™ panels. Cut-to-Fit. One-sided comfort panel. FlexWear™ (standard wear).

Cut-to-Fit. One-sided comfort panel. FlexWear™ (standard wear). 12” Length Item Order # Cut-to-Fit Color 10/Box HO8031 Up to 2 ½” Ultra Clear HCPCS: A5061 HO8131 Up to 2 ½” Ultra Clear

Premier™ Lock ‘n Roll™ Drainable Pouch with Flextend™ Convex Skin Barrier (Cut-to-Fit) Convex, extended wear skin barrier with cloth tape. Cut-to-Fit barrier. Drainable pouch with odor barrier. Choose one or two-sided comfort panels. Belt tabs.

Cut-to-Fit. One-sided comfort panel. Item Order # Cut-to-Fit Color 12" Length HO8524 up to 1" Transparent 5/Box HO8528 up to 1 ½” Transparent HCPCS:A4390 HO85211 up to 2" Transparent

Reordering supplies online is simple! Visit www.mybyramhealthcare.com and sign up today!

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.139 Hollister® Ostomy

PREMIER™ DRAINABLE POUCHES Premier™ Lock ‘n Roll™ Drainable Pouch with Flextend™ Convex Skin Barrier (Cut-to-Fit) Convex, extended wear skin barrier with cloth tape. Cut-to-Fit barrier. Drainable pouch with odor barrier. Choose one or two-sided comfort panels. Belt tabs.

Cut-to-Fit. Two-sided comfort panel. Item Order # Cut-to-Fit Color 12" Length HO8504 up to 1" Beige 5/Box HO8508 up to 1 ½” Beige HCPCS:A4390 HO85011 up to 2" Beige Cut-to-fit. One-sided comfort panel. Item Order # Stoma Fit Color 12” HO8244 Up to 1” Transparent 5/Box HO8248 Up to 1 ½” Transparent HCPCS: A4390 HO82411 Up to 2” Transparent

140 Reorder your supplies online at www.mybyramhealthcare.com Ostomy Hollister® 1-800-308-9445

PREMIER™ DRAINABLE POUCHES Premier™ Lock ‘n Roll™ Drainable Pouch with Flextend™ Convex Skin Barrier (Pre-Cut) Convex, extended wear skin barrier with cloth tape. Pre-cut barrier. Drainable with odor barrier. Choose one or two-sided comfort panels. Belt tabs. Pre-Cut. One-sided comfort panel. Item Order # Pre-Cut Size Color 12" Length HO8510 3/4” Transparent 5/Box HO8511 7/8” Transparent HCPCS:A4390 HO8512 1" Transparent HO8513 1 1/8” Transparent HO8514 1 ¼” Transparent HO8515 1 3/8” Transparent HO85116 1 ½” Transparent HO85118 1 3/4” Transparent HO85119 2" Transparent Pre-Cut. Two-sided comfort panel. Item Order # Pre-Cut Size Color 12" Length HO8590 3/4” Beige 5/Box HO8591 7/8” Beige HCPCS:A4390 HO8592 1” Beige HO8593 1 1/8” Beige HO8594 1 ¼” Beige HO8595 1 3/8” Beige HO8596 1 ½” Beige HO8597 1 5/8” Beige

Experience the Byram Difference Byram offers reliable, accurate service nationwide to home care agencies, managed care organizations, healthcare professionals and the patient at home.

To reach our Ostomy Center of Excellence, please call: 1-800-308-9445

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.141 Hollister® Ostomy

PREMIER™ DRAINABLE POUCHES Premier™ Lock ‘n Roll™ Drainable Pouch with Flextend™ Convex Skin Barrier (Pre-Cut) (Cont.) Convex, extended wear skin barrier with cloth tape. Pre-cut barrier. Drainable with odor barrier. Choose one or two-sided comfort panels. Belt tabs.

Pre-cut. One-sided comfort panel. Belt tabs. Item Order # Pre-Cut Size Color 12” HO8280 3/4” Transparent 5/Box HO8281 7/8” Transparent HCPCS: A4390 HO8282 1” Transparent HO8283 1 1/8” Transparent HO8284 1 ¼” Transparent HO8285 1 3/8” Transparent HO8286 1 ½” Transparent HO8288 1 3/4” Transparent Pre-cut. Two-sided comfort panel. Belt tabs. Item Order # Pre-Cut Size Color 12” HO8290 3/4” Beige 5/Box HO8291 7/8” Beige HCPCS: A4390 HO8292 1” Beige HO8294 1 ¼” Beige HO8295 1 3/8” Beige

142 Reorder your supplies online at www.mybyramhealthcare.com Ostomy Hollister® 1-800-308-9445

PREMIER™ DRAINABLE POUCHES Premier™ Lock ‘n Roll™ Drainable Pouch with SoftFlex™ Skin Barrier Flat, standard wear tapeless skin barrier. Choose Cut-to-Fit or Pre-Cut. Drainable pouch with odor barrier and upgraded filter. Beige has two-sided comfort panels. Transparent has one-sided comfort panel. Transparent and ultra-clear have one-sided comfort panels. Cut-to-Fit. Item Order # Cut-to-Fit Color 12" Length HO88300 up to 2 1/8” Beige 10/Box HCPCS:A4424 Cut-to-Fit. Item Order # Cut-to-Fit Color 12" Length, 10/Box HCPCS:A4424 HO88400 up to 2" Transparent HCPCS:A5061 HO88401 up to 2 ½” Ultra-Clear Pre-Cut. Item Order # Pre-Cut Size Color 12" Length HO88325 1" Beige 10/Box HO88330 1 3/16" Beige HCPCS:A4424 HO88335 1 3/8” Beige HO88340 1 9/16" Beige Pre-Cut. Item Order # Pre-Cut Size Color 12" Length HO88425 1" Transparent 10/Box HO88430 13/16" Transparent HCPCS:A4424 HO88435 13/8” Transparent HO88440 19/16" Transparent

Premier™ Urostomy Pouch with Soft Convex CeraPlus™ Skin Barrier 9” Item Order # Cut-to-Fit Color 5/Box HO84134 Up to 1” Ultra-Clear-Body Side Only HCPCS: A4430 HO84138 Up to 2 ½” Ultra-Clear-Body Side Only HO841311 Up to 2 1/8” Ultra-Clear-Body Side Only 9” Item Order # Pre-Cut Color 5/Box HO8412 3/4” Beige with Viewing Option HCPCS: A4430 HO8413 7/8” Beige with Viewing Option HO8414 1” Beige with Viewing Option HO8415 1 1/8” Beige with Viewing Option

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.143 Hollister® Ostomy

PREMIER™ DRAINABLE POUCHES Premier™ Urostomy Pouch with Flat Flextend ™ Skin Barrier Recommended replacement for HO8440/8450/8460. Upgraded Design w/Multi- Chamber, Softer, Streamlined Tap. Anti-Reflux Valve, Tape Border, ComfortWear Panels. Includes 2 Adapters.

9” Item Order # Cut-to-Fit Color 10/Box HO84590 Up to 2 ½” Ultra-Clear-Body Side Only HCPCS: A4428 HO84690 Up to 2 ½” Transparent-Body Side Only Item Order # Pre-Cut Color 10/Box HO84497 3/4” Beige HCPCS: A4428 HO84692 1” Transparent-Body Side Only HO84498 1 ¼” Beige HO84693 1 ½” Transparent-Body Side Only HO84499 1 3/4” Beige HO84694 2” Transparent-Body Side Only HO84494 2” Beige

Premier™ Urostomy Pouch with Convex Flextend ™ Skin Barrier Recommended replacement for HO847x/843x series. Upgraded Design w/Multi- Chamber, Softer, Streamlined Tap. Anti-Reflux Valve, Tape Border, Belt Tabs, ComfortWear Panels. Includes 1 Adapter.

9” Item Order # Cut-to-Fit Color 5/Box HO84794 Up to 1” Ultra-Clear-Body Side Only HCPCS: A4430 HO84798 Up to 1 ½” Ultra-Clear-Body Side Only HO847911 Up to 2” Ultra-Clear-Body Side Only HO8439111 Up to 2” Beige Item Order # Pre-Cut Color 5/Box HO84890 ½” Ultra-Clear-Body Side Only HCPCS: A4430 HO84991 5/8” Beige HO84892 3/4” Ultra-Clear-Body Side Only HO84992 3/4” Beige HO84893 7/8” Ultra-Clear-Body Side Only HO84993 7/8” Beige HO84894 1” Ultra-Clear-Body Side Only HO84994 1” Beige HO84895 1 1/8” Ultra-Clear-Body Side Only HO84896 1 ¼” Ultra-Clear-Body Side Only HO84897 1 3/8” Ultra-Clear-Body Side Only HO84997 1 3/8” Beige HO84998 1 ½” Beige HO84999 1 3/4” Beige

144 Reorder your supplies online at www.mybyramhealthcare.com Ostomy Hollister® 1-800-308-9445

PREMIER™ UROSTOMY POUCHES Premier™ Urostomy Pouch with Convex Flextend™ Skin Barrier Urostomy pouch with odor barrier. Beige has two-sided comfort panels. Transparent has one-sided comfort panel. Convex extended wear skin barrier with cloth tape. Choose Cut-to-Fit or Pre-Cut. Belt tabs. Includes 2 adapters.

Item Order # Cut-to-Fit Color 9" Length HO8474 up to 1" Transparent 5/Box HO8478 up to 1 ½” Transparent HCPCS:A4430 HO84711 up to 2" Transparent Item Order # Pre-Cut Color 9" Length HO8491 5/8” Beige 5/Box HO8492 3/4” Beige HCPCS:A4430 HO8493 7/8” Beige HO8494 1" Beige HO8495 1 1/8” Beige HO8496 1 ¼” Beige HO8497 1 3/8” Beige HO8498 1 ½” Beige

Item Order # Pre-Cut Color 9" Length HO8480 ½” Transparent 5/Box HO8481 5/8” Transparent HCPCS:A4430 HO8482 3/4” Transparent HO8483 7/8” Transparent HO8484 1" Transparent HO8485 1 1/8” Transparent HO8486 1 ¼” Transparent HO8487 1 3/8” Transparent HO8488 1 ½” Transparent HO8489 1 3/4” Transparent

We value your opinion and would like to hear from you. Please email your comments or suggestions to: [email protected]

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.145 Hollister® Ostomy

PREMIER™ UROSTOMY POUCHES Premier™ Urostomy Pouch with Flat Flextend™ Skin Barrier Urostomy pouch with odor barrier. Beige has two-sided comfort panels. Transparent has one-sided comfort panel. Extended wear, flat skin barrier with cloth tape. Choose Cut-to-Fit or Pre-Cut. Includes 2 adapters.

Item Order # Cut-to-Fit Color 9" Length HO8440 up to 2 ½” Beige 10/Box HO8450 up to 2 ½” Ultra-Clear HCPCS:A4428 HO8460 up to 2 ½” Transparent Item Order # Pre-Cut Color 9" Length HO8447 3/4” Beige 10/Box HO8442 1" Beige HCPCS:A4428 HO8448 1 ¼” Beige HO8443 1 ½” Beige HO8449 1 3/4” Beige Item Order # Pre-Cut Color 9" Length HO8467 3/4” Transparent 10/Box HO8462 1" Transparent HCPCS:A4428 HO8468 1 ¼” Transparent HO8463 1 ½” Transparent HO8469 1 3/4” Transparent HO8464 2" Transparent

MISCELLANEOUS CLOSED POUCHES

Hollister® Stoma Cap with Filter Stoma cap with odor-barrier film. Microporous, cloth tape and integrated, deodorizing filter. Item Order # Opening Color 4 ¼” HO3184 2" White 30/Box HO3186 3" White HCPCS:A5055

146 Reorder your supplies online at www.mybyramhealthcare.com Ostomy NU-HOPE 1-800-308-9445

DRAINABLE POUCHES Nu-Flex™ OVAL DRAINABLE POUCHES Nu-Flex™ Trim-to-Fit Oval Drainable Pouches, 24 oz., Nu-Flex Shield • Oval, pre-coated waterproof adhesive foam pad • Nu-Flex shield is a flexible and lighter weight shield • Odor-proof drainable pouch with belt tabs, clear or opaque • Available in Flat, Convex (-C) or Deep Convex (-DC) • Box of 10 includes clamp closure. To order Roll-Up closure add R to the end of the catalog number (e.g., NH7235R) • Box of 10 w/Closure Clamp Use alone or with Barrier* recommended for Ileostomates

Adult - Trim-to-Fit, 24 oz., 11” Pouch Item Clear Opaque Size HCPCS: NH7534 NH7034 3/8” x 1 ½” A4388 Flat NH7544 NH7044 1 1/8” x 2" A4390 Convex NH7554 NH7054 13/16" x 2 ¼” NH7564 NH7064 1 ½” x 2 3/4” NH7574 NH7074 1 3/4”" x 3 ¼” Adult - Trim-to-Fit, 40 oz., 11” Pouch NH7584 NH7084 2 ¼” – 3 3/4” Adult - Pre-Cut, 24 oz., 11” Pouch Item Clear Opaque Size HCPCS: NH7535 NH7035 3/4” x 1 ½” A4388 Flat NH7545 NH7045 1 1/8”" x 2" A4390 Convex NH7555 NH7055 13/16" x 2 ¼” NH7565 NH7065 1 ½” x 2 3/4” NH7575 NH7075 1 3/4” x 3 ¼” Adult - Pre-Cut, 40 oz., 11” Pouch NH7585 NH7085 2 ¼” – 3 3/4”

Drainable Pouch Options To add Hydrocolloid Disc add: “40” prior to catalog # (ie 407208). For regular convexity add “C” after catalog # (ie 7208C). For deep convexity add “DC” after catalog # (ie 7208DC). Roll-up Closure add “R” after catalog # (ie 7204R or 7204R-C)

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.147 NU-HOPE Ostomy

Nu-Flex™ ROUND DRAINABLE POUCHES Nu-Flex™ Round Drainable Pouch • Odor-proof drainable pouch with belt tabs*, and comfort panel (one side) • 3 1/2" pre-coated water-proof adhesive foam pad* • Trim-to-Fit or Pre-Cut stoma opening • Available in Flat, Convex, & Deep Convex • Box of 10 w/Closure Clamp or Pouch Roll-up add the letter “R” to the end of the catalog number • Nu-Flex shield is flexible and bendable Use alone or with Barrier* recommended for Ileostomates

Adult - Trim-to-Fit, 24 oz., 11” Pouch Item Clear Opaque Size HCPCS: NH7801 NH7501 ½” to 7/8” A4388 Flat NH7802 NH7502 1" to 1 3/8” A4390 Convex NH7803 NH7503 1 ½” to 1 3/4” Adult - Pre-Cut, 24 oz., 11” Pouch Item Clear Opaque Size HCPCS: NH7804 NH7504 ½” A4388 Flat NH7805 NH7505 5/8” A4390 Convex NH7806 NH7506 3/4” NH7807 NH7507 7/8” NH7808 NH7508 1" NH7809 NH7509 1 1/8” NH7810 NH7510 1 ¼” NH7811 NH7511 1 3/8” NH7812 NH7512 1 ½” NH7813 NH7513 1 5/8” NH7814 NH7514 1 3/4” NH7816 NH7516 2"

148 Reorder your supplies online at www.mybyramhealthcare.com Ostomy NU-HOPE 1-800-308-9445

POST-OP ROUND DRAINABLE POUCHES Adult & Brief Post-Op Clear Drainable Pouch • Trim-to-Fit Round Drainable Pouches, 24 oz., Standard Shield • 3-1/2” pre-coated water proof adhesive foam pad • Odor-proof drainable pouch with belt tabs, clear or opaque • Available in Flat, Convex and Deep Convex • Standard shield is firm and stands up under pressure and skinfolds • Box of 10 includes clamp closure. To order Roll-Up closure, add R to the end of the catalog number (e.g., NH7204R) Adult - Trim-to-Fit, 24 oz. Item Clear Opaque Size HCPCS: NH7201 NH7401 ½” to 7/8” A4388 Flat NH7202 NH7402 1” to 1 3/8” A4390 Convex NH7203 NH7403 1 ½” to 1 3/4”

Adult & Brief Post-Op Clear Drainable Pouch (Cont.) • Odor-Proof Drainable pouch with belt tabs, and comfort panel (one side) • 3 1" pre-coated water-proof adhesive foam pad* • Trim to Fit or Pre-Cut stoma opening • Available in Flat, Convex, & Deep Convex • Box of 10 w/Closure Clamp or Pouch Roll-up add the letter “R” to the end of the catalog number Use alone or with Barrier* recommended for Ileostomates Adult - Pre-Cut, 24 oz., 11” Pouch Item Clear Opaque Size HCPCS: NH7204 NH7404 ½” A4388 Flat NH7205 NH7405 5/8” A4390 Convex NH7206 NH7406 3/4” NH7207 NH7407 7/8” NH7208 NH7408 1" NH7209 NH7409 1 1/8” NH7210 NH7410 1 ¼” NH7211 NH7411 1 3/8” NH7212 NH7412 1 ½” NH7213* NH7413 1 5/8” NH7214* NH7414 1 3/4” NH7216* NH7416 2"

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.149 NU-HOPE Ostomy

DRAINABLE & URINARY POUCHES POST-OP OVAL DRAINABLE POUCHES Oval Drainable Pouches, 24 oz., Standard Shield · Oval, pre-coated waterproof adhesive foam pad · Odor-proof drainable pouch with belt tabs, clear or opaque · Available in Flat, Convex (-C) or Deep Convex (-DC) · Box of 10 includes clamp closure. To order Roll-Up closure add R to the end of the catalog number (e.g., NH7235R)

Adult - Trim-to-Fit , 11” Pouch Item Order# Opaque Size 24 oz. NH7234 NH7434 3/4” x 1 ½” HCPCS NH7244 NH7444 1 1/8” x 2" A4388 Flat NH7254 NH7454 1 3/16" x 2 ¼” A4390 Convex NH7264 NH7464 1 ½” x 2 3/4” NH7274 NH7474 1 3/4” x 3 ¼” NH7284 NH7484 2 ¼” x 3 3/4”

Adult - Pre-Cut, 11” Pouch Item Clear Opaque Size 24 oz. NH7235 NH7435 3/4” x 1 ½” HCPCS NH7245 NH7445 1 1/8” x 2” A4388 Flat NH7255 NH7455 13/16" x 2 ¼” A4390 Convex NH7265 NH7465 1 ½” x 2 3/4” NH7275 NH7475 1 3/4” x 3 ¼” NH7285 NH7485 2 ¼” x 3 3/4”

Urinary Pouch Options Flutter Valve (Anti-Reflux) add: “FV” after catalog # (ie 8257FV). For regular convexity add: “C” after catalog # (ie 8257C). For deep convexity add: “DC” after catalog # (ie 8257DC).

150 Reorder your supplies online at www.mybyramhealthcare.com Ostomy NU-HOPE 1-800-308-9445

POST-OP ROUND URINARY POUCHES Round Adult Post-Op Urinary Pouch, 24 oz, Standard Shield · 3-1/2” pre-coated water proof adhesive foam pad · Odor-resistant pouch with belt tabs, clear · Available in Flat, Convex (-C) and Deep Convex (-DC) · Standard shield is firm and stands up to creases and folds · Durable vinyl material is strong and quiet · Add a Flutter Valve/anti-reflux valve to keep urine from flowing back to stoma (-FV) · Box of 10 includes 10 caps and 1 night adapter

Adult - Trim-to-Fit, 11” Pouch Item Order# Size 24 oz. NH8291 ½” to 7/8” HCPCS NH8292 1" to 1 3/8” A4391 Flat NH8293 1 ½” to 1 3/4” A4393 Convex

Adult - Pre-Cut, 11” Pouch Item Order# Size 24 oz. NH8254 ½” HCPCS NH8255 5/8” A4391 Flat NH8256 3/4” A4393 Convex NH8257 7/8” NH8258 1" NH8259 1 1/8” NH8260 1 ¼” NH8261 1 3/8” NH8262 1 ½” NH8263* 1 5/8” NH8264* 1 3/4” NH8266* 2"

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.151 NU-HOPE Ostomy

POST-OP OVAL URINARY POUCHES Oval Urinary Pouches, 24 oz., Standard Shield · 3-1/2” pre-coated water proof adhesive foam pad · Multi-use: apply Nu-Hope adhesive to re-use this pouch · Odor-resistant pouch with belt tabs, clear · Available in Flat, Convex (-C) and Deep Convex (-DC) · Standard shield is firm and stands up to creases and folds · Durable vinyl material is strong and quiet · Add a Flutter Valve/anti-reflux valve to keep urine from flowing back to stoma (-FV) · Box of 10 includes 10 caps and 1 night adapter Adult - Trim-to-Fit Item Order# Size NH8634 A 3/4” x 1 ½” HCPCS NH8644 B 1 1/8” x 2” A4391 Flat NH8654 C 1 3/16” x 2 ¼” A4393 Convex NH8664 D 1 ½” x 2 3/4” NH8674 E 1 3/4” x 3 ¼” Adult - Pre-Cut Item Order# Size NH8635 A 3/4” x 1 ½” HCPCS NH8645 B 1 1/8” x 2” A4391 Flat NH8655 C 1 3/16” x 2 ¼” A4393 Convex NH8665 D 1 ½” x 2 3/4” NH8675 E 1 3/4” x 3 ¼”

Urinary Pouch Options Flutter Valve (Anti-Reflux) add: “FV” after catalog # (ie 8257FV). For regular convexity add “C” after catalog # (ie 8257C). For deep convexity add “DC” after catalog # (ie 8257DC).

152 Reorder your supplies online at www.mybyramhealthcare.com Ostomy NU-HOPE 1-800-308-9445

Nu-Flex™ OVAL URINARY POUCHES Nu-Flex Oval Urinary Pouches, 24 oz., Nu-Flex Shield · 3-1/2” pre-coated water proof adhesive foam pad · Multi-use: apply Nu-Hope adhesive to re-use this pouch · Odor-resistant pouch with belt tabs, clear · Available in Flat, Convex (-C) and Deep Convex (-DC) · Nu-Flex shield is a flexible and lighter weight shield · Durable vinyl material is strong and quiet · Add a Flutter Valve/anti-reflux valve to keep urine from flowing back to stoma (-FV) · Box of 10 includes 10 caps and 1 night adapter

Adult - Trim-to-Fit Item Order# Size HCPCS NH8834 A 3/4” x 1 ½” A4391 Flat NH8844 B 1 1/8” x 2” A4390 Convex NH8854 C 1 3/16” x 2 ¼” NH8864 D 1 ½” x 2 3/4” NH8874 E 1 3/4” x 3 ¼” Adult - Pre-Cut Item Order# Size HCPCS NH8835 A 3/4” x 1 ½” A4391 Flat NH8845 B 1 1/8” x 2” A4390 Convex NH8855 C 1 3/16” x 2 ¼” NH8865 D 1 ½” x 2 3/4” NH8875 E 1 3/4” x 3 ¼” Large Oval - Trim-to-Fit - FLAT only Item Order# Size HCPCS NH7974 1 ½” x 2 3/4” A4391 Flat NH7975 1 3/4” x 3 ¼” Nu-Flex™ ROUND URINARY POUCHES Nu-Flex Trim-to-Fit Round Urinary Pouches, 24 oz, Nu-Flex Shield · 3-1/2” pre-coated water proof adhesive foam pad · Odor-resistant pouch with belt tabs, clear · Available in Flat, Convex (-C) and Deep Convex (-DC) · Nu-Flex shield is a flexible and lighter weight shield · Durable vinyl material is strong and quiet · Add a Flutter Valve/anti-reflux valve to keep urine from flowing back to stoma (-FV) · Box of 10 includes 10 caps and 1 night adapter

Item Order# Size HCPCS NH7991 ½” to 7/8” A4391 Flat NH7992 1" to 1 3/8” A4393 Convex NH7993 1 ½” x 1 3/4”

153 NU-HOPE Ostomy

Nu-Flex™ OVAL URINARY POUCHES Nu-Flex Pre-Cut Round Urinary Pouches, 24, 20 and 12 oz, Nu-Flex Shield · 3-1/2” pre-coated water proof adhesive foam pad · Odor-resistant pouch with belt tabs, clear · Available in Flat, Convex (-C) and Deep Convex (-DC) · Nu-Flex shield is a flexible and lighter weight shield · Durable vinyl material is strong and quiet · Add a Flutter Valve/anti-reflux valve to keep urine from flowing back to stoma (-FV) · Box of 10 includes 10 caps and 1 night adapter

Item 24 oz. 20 oz. 12 oz. Size HCPCS NH7954 NH7654 NH7754 ½” A4391 Flat NH7955 NH7655 NH7755 5/8” A4393 Convex NH7956 NH7656 NH7756 3/4” NH7957 NH7657 NH7757 7/8” NH7958 NH7658 NH7758 1" NH7959 NH7659 NH7759 1 1/8” NH7960 NH7660 NH7760 1 ¼” NH7961 NH7661 NH7761 1 3/8” NH7962 NH7662 NH7762 1 ½” NH7963 NH7663 1 5/8” NH7964 NH7664 1 3/4” NH7966 NH7666 2" NH7668 2 ¼” with 4" adhesive foam pad

154 Reorder your supplies online at www.mybyramhealthcare.com Never miss the moment You can live at the speed of life with the help of Nu-Hope’s Ostomy and Hernia Support Belts. Never miss the moment.

•S-XXL lengths available •Support Rings to fit most ostomy appliances on the market •Available in beige or white, Regular or Cool Comfort elastic

®

LABORATORIES, INC. NU-HOPE Ostomy

Nu-Hope™ SUPPORT BELTS HOW TO MEASURE FOR THE NU-HOPE OSTOMY SUPPORT BELTS

For large hernias and/or bulges that Belt Opening Sizes / Add letter to # no longer reduce flat we recommend Belt opening size is dependent on the Nu-Form belt. the pouching system worn. For hernia prevention, pouch support 2” E 3 ¼” C and smaller reducible hernias, we 2 1/8” L 3 ½” T recommend the Flat Panel belt. 2 ¼” F 3 3/4” M In a lying position, measure the 2 3/8” 4 ½” R circumference of the body inline 2 ½” G 33/8” V with the stoma. Select the belt that 2 5/8” I 4” O matches the length determined by 25/8” x 31/8” W MED Oval H your measurement. Belt width is 2 3/4” A XLG Oval K determined based on area that needs 2 7/8” DC LRG Oval J support. 2 7/8” x 3 3/8” Q NO HOLE NH Belt openings are sized to the style or 3” B SPECIAL SP** flange size of the pouch being worn. 3 1/8”” U Add the corresponding letter to the **Can be customized, please include end of the #. description.

Example: 6594-A would be a Small, 3" belt with a 23/4" opening.

156 Reorder your supplies online at www.mybyramhealthcare.com Ostomy NU-HOPE 1-800-308-9445

Nu-Hope™ Nu-Form Support Belts for Hernias The Nu-Form belt is an all elastic belt designed to allow the elastic to support bulges and other body shapes naturally and comfortably. · The belt comes in two types of elastic material: regular elastic and breathable Cool Comfort. · Openings are available to fit most ostomy pouches on the market. The standard opening size is 2-3/8". To create an order number, simply add the letter of the opening to the end of the catalog number. · Openings are centered vertically on belts 3" thru 6" wide so the belt can be worn for either a left or right sided stoma. Openings are placed 1-1/2" from the bottom for belt widths 7", 8", and 9". · All belts can be modified; hole size, hole placement, belt length, etc. · To add a Prolapse Overbelt add "P" to the item#, ie 2667-P. Prolapse overbelts are designed to supportprolapsing stomas. Regular elastic is plush on the inside against the skin and smooth on the outside against clothing. It’s soft and recommended for sensitive skin. Cool Comfort elastic is a lightweight breathable mesh elastic. 2-3/8" center opening Item Regular Cool Comfort HCPCS:A4396 Order # Order# Size Fits NH6300 NH6400 Sm 28" - 32" NH6301 NH6401 Med 32" - 36" 3" NH6302 NH6402 Lg 36" - 41" NH6303 NH6403 X-Lg 41" - 47" NH6304 NH6404 XX-Lg 47" - 52"

2-3/8" center opening Item Regular Cool Comfort HCPCS:A4396 Order# Order# Size Fits NH6310 NH6410 Sm 28" - 32" NH6311 NH6411 Med 32" - 36" NH6312 NH6412 Lg 36" - 41" 4" NH6313 NH6413 X-Lg 41" - 47" NH6314 NH6414 XX-Lg 47" - 52"

2-3/8" center opening Item Regular Cool Comfort HCPCS:A4396 Order # Order# Size Fits NH6320 NH6420 Sm 28" - 32" NH6321 NH6421 Med 32" - 36" NH6322 NH6422 Lg 36" - 41" 5" NH6323 NH6423 X-Lg 41" - 47" NH6324 NH6424 XX-Lg 47" - 52"

2-3/8" center opening Item Regular Cool Comfort HCPCS:A4396 Order# Order# Size Fits NH6330 NH6430 Sm 28" - 32" NH6331 NH6431 Med 32" - 36" NH6332 NH6432 Lg 36" - 41" NH6333 NH6433 X-Lg 41" - 47" 6" NH6334 NH6434 XX-Lg 47" - 52" 157 NU-HOPE Ostomy

Nu-Form™ SUPPORT BELTS

LEFT/2-3/8" center opening & 1-1/2" from bottom RIGHT/2-3/8" center opening & 1-1/2" from bottom Item Regular Cool Comfort HCPCS:A4396 Item Regular Cool Comfort HCPCS:A4396 Order# Order# Size Fits Order# Order# Size Fits NH6340 NH6440 Sm 28" - 32" NH6345 NH6445 Sm 28" - 32" NH6341 NH6441 Med 32" - 36" NH6346 NH6446 Med 32" - 36" NH6342 NH6442 Lg 36" - 41" NH6347 NH6447 Lg 36" - 41” 7" NH6343 NH6443 X-Lg 41" - 47" 7" NH6348 NH6448 X-Lg 41" - 47" NH6344 NH6444 XX-Lg 47" - 52" NH6349 NH6449 XX-Lg 47" - 52"

LEFT/2-3/8” center opening & 1-1/2” from bottom RIGHT/2-3/8" center opening & 1-1/2" from bottom Item Regular Cool Comfort HCPCS:A4396 Item Regular Cool Comfort HCPCS:A4396 Order# Order# Size Fits Order# Order# Size Fits NH6350 NH6450 Sm 28” - 32” NH6355 NH6455 Sm 28" - 32" NH6351 NH6451 Med 32” - 36” NH6356 NH6456 Med 32" - 36" NH6352 NH6452 Lg 36” - 41” NH6357 NH6457 Lg 36" - 41" 8" NH6353 NH6453 X-Lg 41” - 47” 8" NH6358 NH6458 X-Lg 41" - 47" NH6354 NH6454 XX-Lg 47” - 52” NH6359 NH6459 XX-Lg 47" - 52"

LEFT/2-3/8” center opening & 1-1/2” from bottom RIGHT/2-3/8” center opening & 1-1/2” from bottom Item Regular Cool Comfort Item Regular Cool Comfort HCPCS:A4396 HCPCS:A4396 Order# Order# Size Fits Order# Order# Size Fits NH6365 NH6465 Sm 28” - 32” NH6360 NH6460 Sm 28” - 32” NH6366 NH6466 Med 32” - 36” NH6361 NH6461 Med 32” - 36” NH6367 NH6467 Lg 36” - 41” NH6362 NH6462 Lg 36” - 41” NH6368 NH6468 X-Lg 41” - 47” 9" NH6363 NH6463 X-Lg 41” - 47” 9" NH6369 NH6469 XX-Lg 47” - 52” NH6364 NH6464 XX-Lg 47” - 52”

158 Reorder your supplies online at www.mybyramhealthcare.com Ostomy NU-HOPE 1-800-308-9445

Nu-Hope™ Flat Panel Support Belts Nu-Hope™ Flat Panel Support Belts for Pouch Support and Reducible Hernias Supportive and flexible panel around opening of belt provides support and aids in hernia prevention. · The belt comes in two types of elastic material: regular elastic and breathable Cool Comfort. · Openings are available to fit most ostomy pouches on the market. The standard opening size is 2-3/8". To create an order number, simply add the letter of the opening to the end of the catalog number. · Belt widths of 3" or 4" come with centered openings. Belt widths of 6" and wider come with opening located 1" from the bottom of the belt. · All belts can be modified; hole size, hole placement, belt length, etc. · To add a Prolapse Overbelt add "P" to the item#, ie 2667-P. Prolapse overbelts are designed to support prolapsing stomas.

Regular elastic is plush on the inside against the skin and smooth on the outside against clothing. It’s soft and recommended for sensitive skin. Cool Comfort elastic is a lightweight breathable mesh elastic.

3" wide, 2 3/8” center opening. Item Regular Cool Comfort Size HCPCS:A4396 NH6591 NH6691 16” to 19” Petite/Youth S NH6592 NH6692 20” to 23” Petite/Youth M NH6593 NH6693 24” to 27” Petite/Youth L NH6594 NH6694 28" to 32" Small NH6595 NH6695 32" to 36" Medium NH6596 NH6696 36" to 41" Large NH6597 NH6697 41" to 47" XLarge NH6598 NH6698 47" to 52" XXLarge 4" wide, 2 3/8” center opening. Item Regular Cool Comfort Size HCPCS:A4396 NH2660 NH2665 28" to 32" Small NH2661 NH2666 32" to 36" Medium NH2662 NH2667 36" to 41" Large NH2663 NH2668 41" to 47" XLarge NH2664 NH2669 47" to 52" XXLarge 6" wide, 2 3/8” opening located 1" from bottom. Right-side stoma. Item Regular Cool Comfort Size HCPCS:A4396 NH6610 NH6710 28" to 32" Small NH6611 NH6711 32" to 36" Medium NH6612 NH6712 36" to 41" Large NH6613 NH6713 41" to 47" XLarge NH6614 NH6714 47" to 52" XXLarge

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.159 NU-HOPE Ostomy

Nu-Hope™ SUPPORT BELTS 6" wide, 2 3/8” opening located 1" from bottom. Left-side stoma. Item Regular Cool Comfort Size HCPCS:A4396 NH6600 NH6700 28" to 32" Small NH6601 NH6701 32" to 36" Medium NH6602 NH6702 36" to 41" Large NH6603 NH6703 41" to 47" XLarge NH6604 NH6704 47" to 52" XXLarge

9” wide, 2 3/8” opening located 1” from bottom. Right-side stoma. Item Regular Cool Comfort Size HCPCS: A4396 NH6640 NH6740 28” to 32” Small NH6641 NH6741 32” to 36” Medium NH6642 NH6742 36” to 41” Large NH6643 NH6743 41” to 47” XLarge NH6644 NH6744 47” to 52” XXLarge

9” wide, 2 3/8” opening located 1” from bottom. Left-side stoma. Item Regular Cool Comfort Size HCPCS: A4396 NH6630 NH6730 28” to 32” Small NH6631 NH6731 32” to 36” Medium NH6632 NH6732 36” to 41” Large NH6633 NH6733 41” to 47” XLarge NH6634 NH6734 47” to 52” XXLarge

160 Reorder your supplies online at www.mybyramhealthcare.com Ostomy NU-HOPE 1-800-308-9445

Nu-Comfort SUPPORT BELTS Nu-Comfort Belt Twice the width of standard ostomy belts. Easy Velcro adjustment on left & right. 360° of support to entire wafer. Extra support to the peristomal area. In addition, supports small peristomal hernias Latex Free.

Belt Elastic. Item Order # Size HCPS:A4396 NHBG2620 28”- 32” SMALL NHBG2622 32”- 36” MEDIUM NHBG2624 36”- 41” LARGE NHBG2626 41”- 47” X-LARGE NHBG2628 47”- 52” XX-LARGE

Ring Size. F = 2 ¼” A = 2 3/4” C = 3 ¼” G = 2 ½” DC = 2 7/8” V = 3 3/8” S = 2 3/8” B = 3” H = Med Oval** I = 2 5/8” U = 3 1/8” J = Large Oval** W = 2 5/8”x 3 1/8” Q = 2 7/8”x 3 3/8” ** Fits Nu-Hope Oval Pouches Only

How to Find the Right Size & Generate a Catalog Number Fold the sides of the pouch inward as shown, take measurement across the center and + 1/8” or ¼” depending on pouch. Find the Ring Plate that matches your measurement and add its letter after the chosen belt elastic. Example: NHBG2622B (2”Wide, Med, w/ 3” Ring Plate )

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.161 Ostomy

Safe ACCESSORIESCOLOPLASTCONVATEC Travels!

Do you have concerns about traveling with a disability or medical condition?

The Transportation Security Administration (TSA) announced the launch of TSA Cares. TSA Cares is a helpline to assist travelers with disabilities and medical conditions.

Travelers may call TSA Cares toll free at 1-855-787-2227 prior to traveling with questions about screening policies, procedures and what to expect at the security checkpoint.

Helpline operates: Monday - Friday, 8 am – 11 pm est Weekends and Holidays, 9 am – 8 pm est

162 Reorder your supplies online at www.mybyramhealthcare.com Ostomy ACCESSORIES 1-800-308-9445

ACCESSORIES

SKIN ADHESIVE REMOVER WIPES & LIQUIDS

Coloplast Brava® Adhesive Remover Wipes Sting-free, silicone-based adhesive remover wipes quickly dissolve and wipe away adhesive residue from the skin. Item Order # Size 30/Box CT120115 Wipes HCPCS: A4456

ConvaTec AllKare® Adhesive Remover Wipe For the gentle removal of all adhesives, including skin barriers, tapes, and hydrocolloid dressings. Item Order # Size Wipes SQ37436 50/Box HCPCS: A4456 SQ37443 100/Box

ConvaTec® Sensi-Care™ Sting-Free Adhesive Remover Wipe Non-alcohol, silicone based formula that offers fast, painless removal of adhesive residue. Item Order # Size Wipes SQ413500 30/Box HCPCS: A4456

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SKIN ADHESIVE REMOVER WIPES & LIQUIDS Hollister® Adhesive Remover Universal adhesive remover is gentle on skin. Item Order # 50 Wipes/Box HO7760 HCPCS:A4456

Safe n Simple™ Adhesive Remover Effectively removes adhesive residue from tapes, wafers and appliances from the skin that can reduce wear time. Leaves no greasy residue on the skin surface. Item Order # Size Wipes SNS00650 50/Box HCPCS: A4456

Safe n Simple™ Peri-Stoma Cleanser & Adhesive Remover Use these large soft wipes to emulsify and remove adhesives, dirt and oils from peri-stoma skin. Does not leave an oily residue. No-sting, alcohol-free skin cleanser and adhesive remover in a rinse free product. Gentle, convenient and scent-free. Convenient re-sealable pouch.

Item Order # 50 Large individual wipes/pk SNS00525A 50 Box SNS00550 HCPCS:A4456

Smith & Nephew® Remove® Adhesive Remover Universal adhesive remover for tapes, adhesives and hydrocolloid skin barriers. Environmentally-friendly formula contains aloe to soothe skin and has a pleasant fragrance.

Item Order # Size 50 Wipes/Box UN403100 50 Wipes/Box UN402300 HCPCS:A4456

164 Reorder your supplies online at www.mybyramhealthcare.com Ostomy ACCESSORIES 1-800-308-9445

SKIN ADHESIVE REMOVER WIPES & LIQUIDS Smith & Nephew® Uni-Solve® Adhesive Remover Environmentally-friendly formula with soothing aloe and a pleasant fragrance for tape or dressing removal. Item Order # Size Bottle UN59402500 8 oz. Bottle UN403300 8 oz. HCPCS:A4455

APPLIANCE CLEANSERS Hollister® m9™ Cleanser/Decrystalizer Cleans and aids in deodorizing urinary collection systems. Non-caustic formula is pH balanced and non-acidic. Includes free wash bottle. Item Order # Size Bottle HO7736 16 oz. HCPCS:A5131

SKIN BARRIER SHEETS Coloplast Brava® Protective Sheet Hydrocolloid skin barrier that protects the skin from stoma output. Offers effective protection for peristomal skin. Provides a ready surface for good adhesion. Adheres to moist skin.

Item Order # Size 10/Box CT32105 4x4” HCPCS: A4362 5/Box CT32155 6x6” HCPCS: A5121 5/Box CT32205 8x8” HCPCS: A5122

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SKIN BARRIER SHEETS ConvaTec® Stomahesive® Skin Barrier Sheets Non-sterile. Item Order # Size 5/Box SQ21712 4" x 4" HCPCS:A4362 3/Box SQ21715 8" x 8" HCPCS:A5122

Eakin Cohesive® Skin Barrier Moldable and moisture-absorbing. It is designed to help protect the skin from contact with body fluids. It is used whenever the skin is damaged, excoriated or vulnerable.

Item Order # Size 5/Box SQ839004 4” x 4” 5/Box SQ839003 4” x 8” HCPCS: A4385

HolliHesive™ Skin Barrier Sheets Synthetic skin barrier provides good adhesion for wear times of more than one day. Peelable tape on both sides. No starter hole. Non-sterile. Item Order # Size 5/Box HO7700 4" x 4" HCPCS:A4362

Hollister® Flextend™ Skin Barrier Sheets Extended wear skin barrier with ElastaFlex Skin Barrier backing. Superior resistance to erosion. Cut-to-Fit. No starter hole. Recommended for both post-op and home use. Item Order # Size 5/Box HCPCS: A4385 HO8800 4" x 4" 3/Box HCPCS: A5122 HO8801 8" x 8"

166 Reorder your supplies online at www.mybyramhealthcare.com Ostomy ACCESSORIES 1-800-308-9445

SKIN BARRIER SHEETS Hollister® Premium Skin Barrier Sheets Synthetic skin barrier provides aggressive adhesion for longer wear times. No starter hole. Non-sterile. Item Order # Size 5/Box HO7800 4"x 4" HCPCS:A4362

Safe n Simple™ Skin Barrier Sheet A thin hydrocolloid sheet that protects the skin from stoma output. Highly absorbent. Cut to fit - no starter hole. Non-sterile. Item Order # Size 5/box SNS21605 4”x4” HCPCS: A4362

BELTS & RETAINER RINGS Byram Adjustable Ostomy Belt with Hooks Light, airy mesh belt with stainless steel hooks. Will fit belt loops of most manufacturers. Easy to attach, adjustable. 1" wide. Item Order # Size Ea BS2510 24" - 40" Ea BS2510XL up to 50" HCPCS:A4367 Coloplast Brava® Belt for SenSura® Mio Neutral gray color was designed to blend in under clothing; adjustable plastic tab is encased in fabric to prevent it from digging into your skin. Designed specifically for use with SenSura® Mio barriers with belt tabs (e.g. Click or convex products). Item Order # Size 15/box CT4237 40“ length HCPCS: A4367 CT4247 61” length

Coloplast Brava® Ostomy Belt Comfortable, adjustable belt offers extra security for people with a flush or retracted stoma by supporting a convex barrier and allowing the stoma to protrude. Neutral color won’t show under clothing.

Item Order # Size 15/box CT04215 43 1/3“ length HCPCS: A4367 CT04220 49” length

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Brava® Ostomy Support Belt This belt relieves the heavy sensation of hernias and may help prevent hernias post- operatively. Comfortable and breathable fabric, stretchable to fit body contours, intuitive pocket closure, and includes a silicone grip to prevent sliding and rolling. All sizes are an 8" width.

Item Order # Size 1/box CT12003 S (29" – 32") HCPCS:A4396 CT12004 M (31" – 35") CT12005 L (34" – 39") CT12006 XL (37" – 42") CT12007 2XL (40" – 46") CT12008 3XL (44" – 51")

BELTS & RETAINER RINGS ConvaTec® Ostomy Appliance Belt Adjustable up to 42”. Belt fits all ConvaTec® pouches with belt loops. Item Order # Size Ea SQ175507 1"W x 42"L HCPCS:A4367

Hollister® Adult Ostomy Belt Adjustable. Item Order # Size Medium HO7300 26" to 43" Large HO7299 29" to 49" Ea HCPCS:A4367

Hollister® Pouchkins™ Pediatric Belt

Item Order # Size Adjustable HO3774 Up to 17" Ea HCPCS:A4367

168 Reorder your supplies online at www.mybyramhealthcare.com Ostomy ACCESSORIES 1-800-308-9445

POWDERS ConvaTec® Stomahesive® Protective Powder Convenient, highly effective formula helps form a protective barrier against discharge on open or weeping areas of peristomal skin. Natural, non-sensitizing powder soothes skin and helps prevent skin irritation. Item Order # Size Squeeze Bottle SQ25510 1 oz. HCPCS:A4371

Coloplast Brava® Ostomy Powder Non-sterile protective powder for moisture absorption.

Item Order # Size Bottle CT19075 1 oz. HCPCS: A4371

Hollister® Adapt™ Stoma Powder Premium synthetic powder offers soothing skin protection and helps prevent skin irritation by drying the skin surface and making it adherent.

Item Order # Size Puff Bottle HO7906 1 oz. HCPCS:A4371

Hollister® Karaya 5 Powder Offers soothing skin protection and helps prevent skin irritation. Combines with moisture from eroded or weeping skin to form a paste. To use on normal skin, moisten the skin with water and apply powder to form a paste. Item Order # Size Puff Bottle HO7905 2.5 oz. HCPCS:A4371

Experience the Byram Difference Byram offers reliable, accurate service nationwide to home care agencies, managed care organizations, healthcare professionals and the patient at home.

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.169 ACCESSORIES Ostomy

DEODORANTS Coloplast Brava® Lubricating Deodorant A pouch lubricant and deodorizer in one. Powder-fresh liquid neutralizes odor and allows output to slide to the bottom of the pouch for easier emptying. Available in single-use sachets for convenient use on the go, or an 8 oz bottle. Item Order # Size Sachets CT12060 20/.25 fl. oz. Bottle CT12061 8 oz. HCPCS: A4394

Devrom® Chewable Tablets DEVROM® is an FDA approved internal deodorant taken orally (chewed or swallowed) to eliminate odor from and stool. 200 mg. No prescription needed. Item Order # Size Bottle PN100M 100 Tablets HCPCS:A9270

Fortis Entrust Lubricating Odor Eliminator Specially formulated to be gentle to the stoma and tissue. Eliminates odor, does not cover it up. No smell, no added scents. Lubricates pouch for easy draining. Item Order # Size/Type Bottle FT6400 8 oz. HCPCS: A4394 FT6401 1 oz.

Hollister® Adapt™ Lubricating Deodorizer Odor neutralizer, not a perfume or masking agent. Eases pouch emptying. Helps prevent pouch static and sticking. Item Order # Size Bottle HO78500 8 oz. HCPCS:A4394 Packets HO78501 50/.27oz. HCPCS:A4394

Hollister® m9™ Odor Eliminator Drops Just 4-12 drops safely destroys odors in pouches, bed pans, commodes etc. Item Order # Size 6/Box HO7717 8 oz. Drop Bottle 12/Box HO7715 1 oz. Drop Bottle HCPCS:A4394

170 Reorder your supplies online at www.mybyramhealthcare.com Ostomy ACCESSORIES 1-800-308-9445

DEODORANTS Hollister® m9™ Odor Eliminator Spray Convenient pump spray safely destroys odors in bathrooms, bed pans, commodes, etc. Unscented. Item Order # Size 12/Box HO7732 2 oz. Spray Bottle 6/Box HO7733 8 oz. Spray Bottle HCPCS:A9270

Na’Scent Ostomy Odor Eliminator Eliminates odor by creating an oxygen-rich environment in your pouch that removes odor-causing microbes. A water-based, fragrance-free clear odor eliminator for use in colostomy, ileostomy and urostomy pouches. 100% made in the USA.

Item Order # Size Bottle BT01 12 oz. HCPCS:A4394

Safe n Simple™ Ostomy Appliance Deodorant Efficient odor control with no perfumes or artificial scents added for discreet protection. Convenient tilt tip dispenser bottle and slick consistency helps to empty pouch content. Item Order # Size Bottle SNS40208 8 oz. HCPCS:A4394

Safe n Simple™ Assure C Odor Eliminator & Lubricant Is a clear formulation that eliminates the fear or concern of staining associated with the blue color deodorant formulations. Delivers outstanding odor control with no perfumes or artificial scents added and contains a lubricant to help empty pouch contents. Convenient tilt tip dispenser bottle.

Item Order # Size Bottle SNS41408 8 oz. Bottle SNS41404 4 oz. Packet SNS41425 ¼ oz. ea HCPCS: A4394

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.171 ACCESSORIES Ostomy

SKIN BARRIER FILM WIPES & SPRAYS 3M™ Cavilon™ No-Sting Barrier Film An alcohol-free, quick-drying, non-cytotoxic liquid film that forms a breathable, transparent protective coating on the skin. Protects intact or damaged skin from urine, feces, and other bodily fluids and adheres for up to 72 hours.

Item Order # 50 Wipes/Box 3M3342 HCPCS:A5120

Coloplast® Prep™ Protective Barrier Film Clear film forms a breathable barrier, protecting against skin irritants such as adhesives, urine and feces. No need to remove between applications.

Item Order # Size 12/Box CT0925 2 oz. Dabber 12 pks/Case SW2041 54 Wipes/Box HCPCS:A5120

ConvaTec® AllKare® Protective Barrier Wipes Provides a barrier film layer on skin used under tapes, skin barriers, adhesive, and hydrocolloid dressings to help protect against irritation, excoriation and adhesive build-up.

Item Order # 50/Box SQ37439 100/Box SQ37444 HCPCS:A5120

Coloplast Brava® Skin Barrier Wipes Large, silicone-based wipes leave a thin protective layer on the skin without affecting adhesion of the ostomy barrier to the skin. Alcohol-free and sting-free.

Item Order # Size 30/Box CT120215 Wipes HCPCS: A5120

To reach our Ostomy Center of Excellence, please call: 1-800-308-9445

172 Reorder your supplies online at www.mybyramhealthcare.com Ostomy ACCESSORIES 1-800-308-9445

SKIN BARRIER FILM WIPES & SPRAYS ConvaTec® Sensi-Care™ Sting-Free Skin Barrier Wipe Non-alcohol, silicone based formula for skin protection. Provides a barrier film layer on the skin that protects it from the damaging effects of adhesives, body waste and enzyme attack.

Item Order # Size Wipes SQ413501 30/box HCPCS: A5120 Hollister® No Sting Skin Protective Wipes Aqueous-based formulation provides effective skin protection, without the potential for irritation and pain associated with astringent wipes that contain alcohol. Item Order # 50 Wipes/Box HO7917 HCPCS:A5120 Safe n Simple™ Skin Barrier Alcohol Free Spray Film Apply this no-sting spray to create a transparent film barrier on peri-stomal skin. Protects against friction and body fluids. Increases adhesion of tapes and wafers. Gentle, convenient and scent-free. Perfect item to assist with crusting technique.

Item Order # Size Bottle SNS80792 2 oz. HCPCS:A4369

Safe n Simple™ No-Sting Skin Barrier Film An Alcohol free – Sting Free wipe. The wipe has no offensive odor. The 1 gram of liquid in each safe n simple wipe is used to place a synthetic & transparent film on the skin. This film is intended to provide a protective barrier between skin and adhesives and/or liquids. This film is intended to reduce skin damage in the areas the film is applied when removing adhesives from the skin. These wet wipes are cost effective and ideal for crusting around a stoma.

Item Order # 25 large individual wipe/pk SNS00807 HCPCS:A5120 100 wipes/box SNS80744 HCPCS:A5120 Safe n Simple™ Skin Barrier Film with Alcohol Fast drying skin barrier help protect skin by forming a breathable transparent coating over the skin. Apply to intact skin before applying tape, ostomy pouch or products with adhesives.

Item Order # 50 individual wipes per box SNS81850 HCPCS:A5120

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.173 ACCESSORIES Ostomy

SKIN BARRIER FILM WIPES & SPRAYS Smith & Nephew® Skin Prep™ Protective Barrier Film Water-resistant, protective coating protects skin from irritants such as adhesives, urine and feces. Helps to increase the adhesive of tapes and wafers and reduces skin trauma that can occur with their subsequent removal. Item Order # Size Pump Bottle UN420200 4.5 oz. 50 Wipes/Box UN420400 HCPCS:A6250

POUCH ACCESSORIES Hollister® Stoma Lubricant Provides lubrication to the stoma during an irrigation procedure.

Item Order # Size 10/Box HO7740 4 oz. Bottle HCPCS:A4402

Nu-Hope™ Skin Barrier Hole Cutter Circular steel blade mounted in a comfortable plastic handle for cutting holes in skin barriers and tapes. Item Order # Diameter Ea NH2524 ½” cut Ea NH2525 5/8” cut Ea NH2526 3/4” cut Ea NH2527 7/8” cut Ea NH2528 1" cut Ea NH2529 1 1/8” cut Ea NH2530 1 ¼” cut Ea NH2531 1 3/8” cut HCPCS:A9270

174 Reorder your supplies online at www.mybyramhealthcare.com Ostomy ACCESSORIES 1-800-308-9445

POUCH ACCESSORIES Osto-EZ-Vent® An air release device that attaches to any manufacturer’s pouch. Easy to install, bonds permanently, waterproof and lasts as long as the user wears the pouch. Pinch down on the OEV™ Glides to quickly release air buildup. Can also be used on preemie, infant and fistula pouches, and wound drainage bags.

Item Order # 10/Pk KEM01 HCPCS:A4366

When you call to place an order, please have the following information ready: • Your insurance information • Your doctor’s information (name and phone number) • Items you wish to order

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.175 Ostomy

SKIN BARRIER PASTES Coloplast Brava® Sting-Free Paste Durable, moldable alcohol-free ostomy paste protects peristomal skin from stoma output without stinging the skin. Minimizes risk of maceration. Used to fill in uneven skin surfaces. Pectin-based. Item Order # Size Tube CT12050 2 oz. HCPCS: A4406

Coloplast Ostomy Paste Used to fill in uneven skin surfaces to create a flat pouching surface. Provides tight sealing around the stoma. Protects against stoma output. Minimizes risk of maceration. Non-pectin. Item Order # Size Tube CT2650 2 oz. HCPCS:A4405

176 Reorder your supplies online at www.mybyramhealthcare.com Ostomy ACCESSORIES 1-800-308-9445

SKIN BARRIER PASTES Coloplast Brava® Strip Paste Pectin-based product, molded like putty, that protects peristomal skin from stoma output. Used to fill uneven skin surfaces to create a flat pouching surface. Alcohol-free and sting free. Item Order # Size 10 strips/box CT26555 2 oz. total (.2 oz per strip) HCPCS: A4406

ConvaTec® Stomahesive® Paste Convenient, highly effective filler, sealant and protective skin barrier for colostomy, ileostomy or urinary stomas. Protects exposed skin around fistula sites and can be used as a filler for skin folds, uneven skin surfaces and scars. Natural, non- sensitizing ingredients help prevent skin irritation.

Item Order # Size Tube SQ183910 2 oz. HCPCS:A4406 Eakin® Cohesive® Paste Alcohol-free adhesive stoma paste used to fill all crevices, skin folds and scars in order to create an even pouching surface. Helps form a waterproof barrier around the stoma. Can be used in conjunction with all Eakin Cohesive® Seals.

Item Order # Size Tube SQ839010 2.1 oz HCPCS: A4405

Fortis Entrust Skin Pastes with Pectin and Fortaguard The Fortis Entrust Skin Pastes with Pectin and Fortaguard are formulated to handle high, liquid output as well as thick, heavy output. It is thick, yet pliable for ease in “caulking” around the stoma or filling in gaps, scars, folds and uneven skin surfaces. Can be used to hug the stoma and create a seal that expands to fill the empty space between the appliance and the stoma that can create leaks. Because stoma size changes even throughout the day, the paste helps maintain the seal for added security and user confidence. Specially created to be less sticky but tackier to create a good seal without unnecessary mess and residue on fingers and gloves.

Item Order # Size/Type Tube FT6300F 2 oz with Fortaguard HCPCS: A4406 FT6300 2 oz FT6301 2 oz No Sting

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.177 ACCESSORIES Ostomy

SKIN BARRIER PASTES Hollister® Adapt™ Paste A paste tube you can empty down to the last drop! Soft, easy to squeeze tube. Easy to see red cap. Caulk and fill skin crevices to improve the fit of your barrier. Low alcohol paste minimizes stinging. M Item Order # Size Tube HO79300 2 oz. HCPCS: A4406

Hollister® Karaya 5 Paste Protects skin from irritating fluids. M Item Order # Size 12/Box HO7910 4.5 oz. Tube HCPCS:A4405

We value your opinion and would like to hear from you. Please email your comments or suggestions to: [email protected]

178 Reorder your supplies online at www.mybyramhealthcare.com Ostomy ACCESSORIES 1-800-308-9445

SKIN BARRIER PASTES Safe n Simple™ Skin Barrier Paste Skin Barrier Paste in an easy to squeeze tube. This pectin based skin barrier paste is used as a caulk or filler for the skin surface. Item Order # Size Tube SNS90502 2 oz. HCPCS:A4406

Trio Silken® Silicone Stoma Gel Innovative use of silicone technology to produce a soft silicone stoma gel that fills surgical scars, skin folds, creases and uneven surfaces, removing in one piece when fully cured. Allows the skin to breathe and remains soft and flexible to ensure comfort. Item Order # Size Tube TO1070 60g HCPCS: A4406

SKIN BARRIER RINGS, SEALS & STRIPS Coloplast Brava Protective Seal Moldable barrier ring designed to adhere securely and protect the skin around the stoma. Absorbs moisture without breaking down; removes cleanly. Available in multiple starter hole sizes for ease of handling - pick the one closest to your stoma size. Not made with natural rubber latex.

Item Order # Size 10/bx CT12035 3/4” (18mm) Thin 2.5mm HCPCS: A4385 CT12036 3/4” Thin 2.5mm CT12037 1 1/8” (27mm) Thin 2.5mm CT12038 7/8” Thin 2.5mm CT12039 1 3/8” (34mm) Thin 2.5mm CT12045 3/4” (18mm) Thick 4.2mm CT12046 3/4” Thick 4.2mm CT12047 1 1/8” (27mm) Thick 4.2mm CT12048 7/8” Thick 4.2mm CT12049 1 3/8” (34mm) Thick 4.2mm

Coloplast Brava® Moldable Ring Used to fill in uneven skin surfaces and protect the skin. Absorbs moisture without breaking down. Easy to handle, mold and apply. Alcohol-free and sting-free.

Item Order # Size 10/box CT120307 2 mm HCPCS: A4385 CT120427 4.2 mm

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.179 ACCESSORIES Ostomy

SKIN BARRIER RINGS, SEALS & STRIPS Coloplast® Skin Barrier Rings Soft, flexible, ring-shaped barrier provides skin protection for stomas, fistulas and draining wounds. Can be used for patients with sensitive skin. Non-pectin based. Item Order # Size Flat CT2310 3/8” 30/Box CT2315 5/8” HCPCS:A4404 CT2320 3/4” CT2325 1" CT2330 1 1/8” CT2340 1 3/5” CT2350 2"

Coloplast Brava® Elastic Barrier Strips – Curved Skin-friendly strips are used to “picture frame” around an ostomy barrier, providing extra security and peace of mind that the edges won’t roll up. For round or oval barriers. Item Order # Size 20 strips/box CT120700 5 ½ “ long HCPCS: A4362 Coloplast Brava® Elastic Barrier Strips-XL A larger version of the original curved Elastic Barrier Strips, providing an increased feeling of security - even while being active. Item Order # Size 30 strips/box CT12076 6 3/4” long HCPCS: A5121

Coloplast Brava® Elastic Barrier Strips – Y-Shape Skin-friendly strips are used to “picture frame” around an ostomy barrier, providing extra security and peace of mind that the edges won’t roll up. Extra-wide strips designed for users with varying body shapes, e.g. hernias or skin folds. Item Order # Size 30 strips/box CT120721 5 3/4” long HCPCS: A5121 Coloplast Brava® Elastic Barrier Strips – Straight Skin-friendly strips are used to “picture frame” around an ostomy barrier, providing extra security and peace of mind that the edges won’t roll up. For square or rectangular barrier shapes. Item Order # Size 20 strips/box CT120740 5 ¼ ” long HCPCS: A4362

180 Reorder your supplies online at www.mybyramhealthcare.com Ostomy ACCESSORIES 1-800-308-9445

SKIN BARRIER RINGS, SEALS & STRIPS

ConvaTec® Stomahesive® Strips Moldable, Standard Wear, two-sided adhesive strips. Item Order # 15/Box SQ25542 3 cards of 5 strips each HCPCS:A4362 Eakin Cohesive® Seals Moldable hydrocolloid rings protect stomas and fistulas of all sizes. Forms a gel that helps prevent skin damage by sealing the area between the skin and ostomy appliance. Requires no cutting. Compatible with most ostomy devices.

Item Order # Size 10/Box SQ839001 4" 20/Box SQ839002 2" HCPCS:A4385 Eakin Cohesive® Slims™ Seals Moldable to fit all shape and size stomas. This hydrocolloid barrier forms a gel that helps prevent skin damage by sealing the area between the skin and ostomy appliance. Low profile for added comfort and discretion. Easy to remove for multiple pouch changes.

Item Order # Size 10/Box SQ839005 2" HCPCS:A4385

Eakin Cohesive® StomaWrap™ Unique wrap shape makes it quick and easy to fit on the stoma. Ideal for large or oval shaped stomas. Item Order # Size 10/box SQ839006 3 1/3” HCPCS: A4385

ease™ Strips ease™ Strips help keep your skin barrier in place. Item Order # Size 80 strips/box SQ422163 1 1/5” x 3 1” HCPCS: A4362

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.181 REQUEST FREE SAMPLE

Designed for both swimming and bathing

Introducing

Strips Curved for use with any ostomy system Are you always checking your ostomy system? ease™ strips help keep your skin barrier in place.

FEATURES € of ease™ Strips

Secure Skin friendly Water Flexible Easy resistant and thin application

Not sure which products are right for you? Speak to an ostomy nurse or product specialist for a free assessment and sample today. 1-800-422-8811 or visit convatec.com/ostomy

©2018 ConvaTec Inc. All trademarks are property of their respective owners. AP- -US

AP-019354-US_2564_easeStripsConsumer_ByramCatalogAd_MECH.indd 1 11/1/18 11:27 AM Ostomy ACCESSORIES 1-800-308-9445

Fortis Entrust Conforming Adhesive Seal Skin Barrier Rings Fortaguard is a patented process that utilizes sequestered hydrogen peroxide, a well-known antibacterial agent. Formulated to handle high, liquid output as well as thick, heavy output. It gently hugs the stoma and creates a seal that expands when exposed to moisture to fill the empty space between the appliance and the stoma that can create leaks. Because stoma size changes even throughout the day, the rings help maintain the seal for added security and user confidence. Specially created to be less sticky but tackier to create a good seal without unnecessary mess and residue on fingers or gloves. Three sizes to meet changing needs of ostomate. Item Order # Size Type 20/Box 2” FT6101F 2” Standard with Fortaguard 10/Box 4” FT6101 2” Standard HCPCS: A4385 FT6100F 2” Thin with Fortaguard FT6100 2” Thin FT6000F 4” with Fortaguard FT6000 4”

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.183 ACCESSORIES Ostomy

SKIN BARRIER RINGS, SEALS & STRIPS Fortis Entrust Crescent Barrier Extension Strips Fortaguard is a patented process that utilizes sequestered hydrogen peroxide, a well-known antibacterial agent. Specially designed to have a strong adhesive but still be gentle to the skin. Three strips placed around the barrier in place of tape to “picture frame” the appliance will give the users additional security and possibly less leaks. Those with hernias may find it helps keep the appliance in place better for longer wear time. Heat from the skin activates the hydrocolloid for an even, secure fit. Item Order # Type 30/Box FT6200F with Fortaguard HCPCS: A4362 FT6200

Hollister® Adapt™ Convex Skin Barrier Rings Easy to use Extended Wear Convex Rings! Cut, bend, stretch and stack together to improve the fit of your barrier. Use on oval, flush, or irregular shaped stoma openings. Item Order # Opening 10/Box HO79520 13/16" HCPCS:A4411 HO79530 13/16" HO79540 19/16"

Hollister® Adapt™ CeraRing™ with Flextend Skin Barrier Ring Infused with ceramide – a natural component of the skin – Adapt CeraRing is designed to support healthy peristomal skin. Easy to use extended wear rings. Cut, bend, stretch and stack together to improve the fit of your barrier.

Item Order# Outside Diameter Thickness 10/Box HO8805 2” 4.5mm HCPCS: A4385 HO8815 2” 2.3mm

Hollister® Adapt™ Skin Barrier Rings Flexible, Extended Wear skin barrier provides gentle adhesive attachment to the skin. Cut, bend, stretch and stack together to improve the fit of your barrier.

Item Order # Outside Diameter 10/Box HO7805N 2" HCPCS:A4385 HO7806N 4"

184 Reorder your supplies online at www.mybyramhealthcare.com Ostomy ACCESSORIES 1-800-308-9445

SKIN BARRIER RINGS, SEALS & STRIPS Hollister® Adapt™ CeraRing™ Oval Convex with Flextend Skin Barrier Ring Infused with ceramide – a natural component of the skin – Adapt CeraRing is designed to support healthy peristomal skin. Easy to use extended wear Oval Convex Rings. Cut, bend, stretch and stack together to improve the fit of your barrier. Use on oval, flush, or irregular shaped stoma openings. Item Order # Outside Diameter 10/Box HO89601 7/8” x 1 ½” HCPCS: A4411 HO89602 1 3/16” x 1 7/8” HO89603 1 ½” x 2 3/16”

Hollister® Adapt™ CeraRing™ Convex with Flextend Skin Barrier Ring Infused with ceramide – a natural component of the skin – Adapt CeraRing is designed to support healthy peristomal skin. Easy to use extended wear convex rings. Cut, bend, stretch and stack together to improve the fit of your barrier. Use on oval, flush, or irregular shaped stoma openings. Item Order # Outside Diameter 10/Box HO89520 13/16” HCPCS: A4411 HO89530 1 3/16” HO89540 1 9/16”

Hollister® Adapt™ Oval Convex Skin Barrier Rings Easy to use extended wear Oval Convex Rings. Cut, bend, stretch and stack together to improve the fit of your barrier. Use on oval, flush, or irregular shaped stoma openings.

Item Order # Size 10/Box HO79601 7/8” x 1 ½ “ HCPCS: A4411 HO79602 1 3/16” x 1 7/8” HO79603 1 ½” x 2 3/16”

Hollister® Adapt™ Barrier Extenders Easily frames the skin barrier, and the thin, flexible hydrocolloid formulation helps conform to uneven body folds and contours. This may help increase wear time, by reducing barrier edge lifting and increasing the adhesive coverage area. These may be beneficial for users who require an additional layer of security.

Item Order # 30/Box HO79402 HCPCS: A4362

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.185 ACCESSORIES Ostomy

SKIN BARRIER RINGS, SEALS & STRIPS Hollister® Adapt™ Barrier Strips Easy to use Extended Wear barrier strips! Cut, bend, stretch and stack together to improve the fit of your barrier. Item Order # 10/Box HO79400 HCPCS:A4385

Safe n Simple™ Conforming Skin Barrier Rings Creates a secure and comfortable “turtleneck” seal around the stoma to protect the skin from leakage and irritation. This highly absorbent ring is easy to mold and stays stable during hydration. Item Order # Size 10 /Box SNS684U2 2” HCPCS: A4385 SNS684U4 4”

Safe n Simple™ Skin Barrier Arc Use as a skin-friendly alternative to tape. Picture frame around the border of the barrier, providing additional security and increasing pouch wear time. Item Order # Size 30/Tray SNS20630 1” HCPCS: A4362 SNS21130 2” Trio Siltac® - Silicone ostomy seal Innovative use of soft silicone technology to produce an ostomy seal that allows the skin to breathe, stretches to shape and lightly hugs the stoma. Maintains integrity & shape to provide a good seal and could extend wear time of ostomy appliances.

Item Order# Stoma Size Inner Diameter Outer Diameter 10/Box TO102010 20-28mm 18.0mm 50mm HCPCS: A4385 TO102810 28-35mm 25.2mm 58mm TO103510 35-44mm 31.5mm 65mm

Experience the Byram Difference Byram offers reliable, accurate service nationwide to home care agencies, managed care organizations, healthcare professionals and the patient at home.

186 Reorder your supplies online at www.mybyramhealthcare.com Ostomy ACCESSORIES 1-800-308-9445

SKIN BARRIER RINGS, SEALS & STRIPS Trio Silvex® - Silicone Convex seal Innovative use of soft silicone technology to produce a convex seal that allows the skin to breathe, stretches to shape and lightly hugs the stoma. Giving mild convexity, perfect to fill skin folds, Silvex® maintains integrity & shape to provide a good seal and extend wear time of ostomy appliances.

Item Order# Stoma Size Inner Diameter Outer Diameter 10/Box TO1020CX 20-28mm 18mm 50mm HCPCS: A4411 TO1030CX 30-40mm 27mm 65mm

Trio Silex® - Silicone Flange Extender Advanced, soft silicone gel flange extender that provides instant, high-tack adhesion to skin. Can improve security & increase wear time, allowing greater freedom of body movement. Allows skin to breathe, reducing risk of maceration and removes in one piece leaving no residue.

Item Order # 20/Box TO1060 HCPCS: A4362

TAIL CLOSURES & CLAMPS Coloplast® Drainable Pouch Clamp Simple-closure clamp for extra security with drainable pouches is especially helpful for those with limited dexterity. Item Order # 20 units CT9500 HCPCS:A4363

ConvaTec® Tail Closures

Item Order # Type 10/Box SQ175635 Straight 10/Box SQ175652 DuoLock™, Curved HCPCS:A4363

Hollister® Drainable Pouch Clamp For use with all Hollister® pouches. Beige. Item Order # Beige HO8770 20/Box HCPCS:A4363

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.187 Ostomy

URINARY DRAINAGE CONTAINERS & ACCESSORIES Coloplast Urostomy Night Drainage Bag Includes a fixed connector that fits directly to a SenSura® or Assura® Urostomy Pouch. The bag holds up to 2 liters and has a 120cm long flexible tube which can be cut with scissors. Anti-reflux valve. Transparent.

Item Order # Size 10/Box CT21365 2 liters HCPCS:A4357

Coloplast Bed Drainage Bag Bag tubing specifically designed for fecaloutput. Holds up to 2000 mL. Long tubing can be cut easily, allowing nurses to find the right length for bed drainage.

Item Order # Size 10/Box CT14010 2 liters HCPCS:A5102

ConvaTec® Night Drainage Container Set Set contains: 1 Night Drainage Container with tubing, 1 Night Drainage Container Cover and 1 Universal Adapter. Item Order # Each SQ27060 HCPCS:A5102

ConvaTec® Night Drainage Container Tubing Extra night drainage container tubing. Item Order # Size Each SQ27062 5 Ft. HCPCS:A4331

Hollister® Urostomy Drain Tube Adapter Use with HO84xx, HO14xx, HO390x and HO890x urostomy pouches.

Item Order # 10/Box HO7331 HCPCS:A4421

188 Reorder your supplies online at www.mybyramhealthcare.com Ostomy Supply1-800-308-9445 Order Form

Phone: 1-800-308-9445 Fax: 1-866-811-4500 For CA orders: Phone: 1-800-213-0890 Fax: 1-800-238-9252

Patient Information Physician Information

Customer Name: Dr. Name:

Ship-To Address: Dr. Address:

City, State, Zip: City, State, Zip:

Tel # Daytime: ( ) Dr. Tel #: ( )

Tel # Evening: ( ) Dr. Fax #: ( )

DOB: q M q F If you are a prescriber, please complete the following: Is patient being seen by a home health nurse? q Yes q No Prescriber Name:

Patient Insurance Information Secure Fax #: q Medicare q Medicaid q Private Insurance NPI: Insurance Policy #: q Checking this box attests the prescriber signature below Group #: corresponds to the prescriber name and NPI detailed above.

Insurance Tel #: ( ) Prescriber Signature:

Patient Secondary Insurance Information (if applicable) Payment Method (if ordering non-covered items) Insurance Policy #: q Check or money order, payable to Byram Healthcare

Group #: q MasterCard q VISA q AMEX q Discover Card #: Insurance Tel #: ( ) Exp Date (mm/dd/yr):

Signature: I need to order (check all that apply): q Diabetes Supplies q Ostomy Supplies q Wound Care Supplies q Urology Supplies q Incontinence Supplies q Enteral Supplies Product Number Product Description Quantity

*Medicare allows a 90 day order for many supplies.

Byram is a Medicare participating provider.You are only responsible for any annual deductible, co-payment, or items not covered by Medicare, which Byram will bill to your Medicare Supplemental Insurance. Please see page 2 for additional information.189 Ostomy Byram HealthcareKeep in touch with Clinical SupportByram Services Healthcare! We provide ongoing clinical and product support for all of our customers.

We're here for you!

Wound, Ostomy and Continence Clinical CareLine & Clinical CareMail 1-800-902-9726 ext. 43312 [email protected] The Clinical CareLine is designed to support the needs of our ostomy, wound and continence patients, new referrals and healthcare professionals. Our CareLine WOCN is a great resource for anyone with clinical questions or concerns that come up post discharge or between regular visits to the physician or hospital WOCN. Byram patients are able to call or email questions. Simply leave a message by phone or email, and we will respond to your question within 24 hours.

Multi-Lingual Support Program 1-844-208-1499 Our goal is to make it easy for our customers to work with us, eliminating language barriers that can often get in the way of accessing quality care and outstanding service. Byram Customer Service representatives can access our language line at any time and translate up to 250 languages. We offer a direct connection to our bilingual customer service team.

CAN’T WHAT YOU’RE LOOKING FOR? Byram carries thousands of quality brand-name products. If you can’t 190 find it in our catalog, contact one of our friendly Customer Service representatives by calling toll-free 1-800-308-9445. Ostomy 1-800-308-9445

Notes: ______

191 Ostomy

Continuing Education Programs Byram Healthcare provides clinical education programs to support ongoing needs for healthcare professionals. Our educational courses consist of 1-hour of continuing education credit. Programs are geared towards nurses, WOCNs, CDEs, case managers, social workers*, and dietitians.

Hi-R-Ed Online, an accredited provider of continuing education, developed these courses for Byram Healthcare.

Ask your local sales representative about our monthly webinar.

*in most states

CAN’T WHAT YOU’RE LOOKING FOR? Byram carries thousands of quality brand-name products. If you can’t 192 find it in our catalog, contact one of our friendly Customer Service representatives by calling toll-free 1-800-308-9445. Caring Touch at Home™ Ostomy FOUR EASY WAYS TO ORDER: 1. CALL Byram Healthcare: 1-800-308-9445 Monday - Friday, 8:30 am to 7:00 pm Local Time Saturday, 9:00 am to 1:00 pm Local Time

2. ONLINE – Reorder your supplies at: www.mybyramhealthcare.com 24 hours a day, 7 days a week 3. FAX us your order: 1-866-811-4500 4. MAIL your order form: Byram Healthcare Centers, Inc. Attention: Customer Service 3010 Woodcreek Drive - Suite A Downers Grove, IL 60515

Please be sure to indicate your method of payment, if applicable, and your daytime phone number. Our Mission Be the partner of choice to help improve health outcomes and affordability of care for people living with chronic diseases.

Order by phone: 1-800-308-9445 Order by fax: 1-866-992-6331

Referral number:

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Wound Care | Diabetes | Urology | Ostomy | Incontinence | Enteral Nutrition | Breast Pumps