STOMA APPLIANCES REIMBURSEMENT PRICES

Transcription

1 STOMA APPLIANCES REIMBURSEMENT PRICES Important tices 1 This list includes those items which may be ordered by authorised prescribers on the appropriate lists of Health Board, and indicate the specifications and reimbursement prices which shall apply to the stoma services contractors (community pharmacy contractors and dispensing appliance contractors) who are authorised to dispense these lines. 2 Only those stoma appliances in this document shall be supplied and reimbursed 3 This version is dated 1 st September Any application for addition, amendment or deletion of lines to this list must be made in writing to: Commodity Manager National Procurement Gyle Square EDINBURGH EH12 9EB 1. Original Belts (Apparatus) are supplied under the Hospital and Specialist Service. 2. Repairs and replacements may be supplied through the general medical services. 3. A contractor who will carry out the actual measurement, fitting and supply of the belt may only accept prescriptions ordering replacement of a complete Belt (Apparatus). 4. Orders for replacement of "a belt" are to be taken as being for the belt alone and the prescription referred back to the prescriber to specify order for a Complete Belt (Apparatus) where such appears to be required. 5. On discharge from hospital, the patient is issued with 2 copies of an Ostomy Appliance Record Form (a third copy is sent to the patient's general medical practitioner). The Form details the items that have been supplied (including code no, size of appliance and unit pack size). The patient is asked to retain one copy and to give the second copy to his pharmacist or appliance supplier for future reference. 1

2 STOMA APPLIANCES REIMBURSEMENT PRICES... 1 ADHESIVE DISCS/RINGS/PADS/PLASTERS 3 ADHESIVE (PASTES, SPRAYS, SOLUTIONS) 4 ADHESIVE REMOVERS (SPRAYS, LIQUIDS, WIPES) 5 BAG CLOSURES 7 BAG COVERS 8 BELTS 12 COLOSTOMY BAGS 30 COLOSTOMY SETS 69 DEODORANTS 70 DISCHARGE SOLIDIFYING AGENTS 72 FILTERS/BRIDGES 73 FLANGES 74 ILEOSTOMY BAGS 76 IRRIGATION/WASH-OUT APPLIANCES 126 PRESSURE PLATES/SHIELDS 128 SKIN FILLERS AND PROTECTIVES 129 SKIN PROTECTORS 132 STOMA CAPS/DRESSINGS 136 TUBING AND ACCESSORIES STOMA 138 TWO PIECE OSTOMY SYSTEMS 139 UROSTOMY BAGS 189 WOUND MANAGEMENT PRODUCTS 205 CROSS REFERENCE INDEX (STOMA APPLIANCES) 208 SUPPLIERS ADDRESSES & TELEPHONE NUMBERS 210 2

3 ADHESIVE DISCS/RINGS/PADS/PLASTERS Bullen CS Ltd. Double Sided Adhesive Plaster Zinc Oxide 89mm x 89mm UF mm x 102mm UF mm x 127mm UF Double Sided Adhesive Plaster Acrylic base 89mm x 89mm UF mm x 102mm UF mm x 127mm UF Flange Retention Strips 102mm x 25mm UF mm x 51mm UF Shelter Safe Seal Stoma Flange Extender UF Clinimed Essentials Accessories Hydroframe Flange Extenders WAF H33 20 (strips) 1255 Hydroframe Mini Flange Extenders WAF M33 30 (strips) 966 Coloplast Ltd Coloplast Brava Elastic Tape Jade-Euro-Med Ltd. Kidney Seals Adhesive Flange Retaining Strips Small WJ T Large WJ J Double Sided Adhesive Discs 76mm diam 19mm opening WJ R mm opening WJ L mm diam 32mm opening WJ V mm opening WJ J Chiron Double-Sided Plasters: 90mm square 19mm opening WJ N mm opening WJ L mm square 19mm opening WJ S mm opening WJ Q mm square 19mm opening WJ W mm opening WJ U mm square 19mm opening WJ B mm x 76mm 19mm opening WJ F mm square 25mm opening WJ J mm square 25mm opening WJ C

4 ADHESIVE DISCS/RINGS/PADS/PLASTERS (continued) Ostomart Ltd. Ostofix Flange Security Tape 2.5cm x 10cm DGW cm x 10cm DGW Ostofix Forty - security frames DFW Ostofix Eighty - security frames DFW Peak Medical Ltd Varimate Retention Strips VMT Prosys International Ltd AcuBond Strips SB Salts Healthcare Transacryl Double Sided Plaster 25mm mm mm SecuPlast Circular Plasters 32mm SP mm SP mm SP mm SP mm SP SecuPlast Hydro Aloe SPHA SecuPlast Hydro Security Strips SPH ADHESIVE (PASTES, SPRAYS, SOLUTIONS) Hollister Ltd. Medical Adhesive Aerosol g 1609 Salts Healthcare Latex Adhesive Solution ml 226 4

5 ADHESIVE REMOVERS (SPRAYS, LIQUIDS, WIPES) Bullen CS Trio Niltac Sting Free Medical Adhesive Remover TR101 50ml aerosol 825 TR wipes 1368 CD Medical Ltd Peel-Easy non sting spray ml 710 Peel-Easy Wipes wipes 1166 Clinimed Essentials Accessories Appeel Sting Medical Adhesive Remover wipes ml aerosol 879 Coloplast Ltd Brava Adhesive Remover Spray ml 842 Brava Adhesive Remover Wipes wipes 1396 ConvaTec Ltd ConvaCare Adhesive S wipes 1718 Remover Wipes Dansac Ltd Dansac Sting Protector Wipes (individual sachets) Dansac Sting Adhesive Remover Dansac Sting Adhesive Remover (individual sachets) wipes ml spray wipes 1442 Ecolab Adhesive Remover ml 408 Hollister Ltd. Adhesive Remover g 1372 Universal Remover Wipes Medicareplus Medi Lifteez n Sting ml 1250 International Ltd Medical Aerosol Medi Lifteez Medical Adhesive Remover Wipes Ecolab Adhesive Remover ml 408 Hollister Ltd. Adhesive Remover g 1372 Universal Remover Wipes Oakmed Ltd Easylease Sting Medical Adhesive Remover wipes

6 ADHESIVE REMOVERS (SPRAYS, LIQUIDS, WIPES) (continued) Opus Healthcare Ltd Lift Medical Adhesive Remover sachets ml bottle 624 Lift Plus Citrus Medical Adhesive Remover sachets ml spray 880 Lift Plus Medical Adhesive Remover sachets ml bottle 880 Ultra Cleanse Skin Cleanser sachets ml bottle 1685 Ostomart OstoClear MRW1 30 sachets 813 MRW2 100ml bottle 891 Pelican Healthcare Ltd. Citrus Fresh Adhesive Remover sachets ml 604 Pelican Release Silicone Based Adhesive Remover with added Vitamin E wipes ml spray 892 Prosys International Ltd Independence Adhesive Remover Independence Sting Adhesive Remover Wipes RS1 50ml aerosol 911 ARW1 30 sachets 1508 Salts Healthcare WipeAway Adhesive WA1 30 sachets 866 Remover WA2 50ml spray 705 6

7 BAG CLOSURES (Available separately from the bags) C S Bullen Plastic Bag Clamp Soft Wire Ties Clinimed Essential Accessories Closure Clamps (Drainable Bags) Soft-end Ties (White) ConvaTec Ltd. (Beige) (1-piece pouch) S Soft Wire Ties S Curved Clip for Drainable Pouches S Dansac Ltd. Opaque Soft Wire Ties Opaque Longer Soft Wire ties Hollister Ltd Drainable Pouch Clamp Beige Pelican Healthcare Ltd. Drainable Pouch Clips Salts Closure Clips Healthcare Drainable Pouch Clips CL

8 BAG COVERS These stoma bag covers can be washed and re-used many times. Cloth fabric * types are more durable than those made of non-woven fabric /. Refer to the manufacturer s instructions. AMI Medical Ltd White Small, Medium, Large, X Large, XX Large Black Small, Medium, Large, X Large, XX Large * Suportx Ostomy support bag device with built in universal stoma bag holder/cover and night drainage outlet Mens Shorts Black Small, Medium, Large, X Large, AM XX Large AM15 Bespoke Size AM Dark Grey Marl Small, Medium, Large, X Large, AM XX Large AM25 Bespoke Size AM AM AM05 Bespoke Size AM Mens Fitted Trunks AM AM65 Bespoke Size AM Dark Grey Marl Small, Medium, Large, X Large, AM XX Large AM75 Bespoke Size AM White Small, Medium, Large, X Large, AM XX Large AM55 Bespoke Size AM Bullen CS Ltd. * Night Bag Cover UF * Day Bag Cover UF Coloplast Ltd. * Mini decorated / Open MC2000 White * Uro White Uro

9 BAG COVERS (continued) Cover Care * Cover Care Pouch Covers Mini 32/38mm pouches L /57mm pouches L Standard Drainable pouches and urostomy pouches Small 38/45mm closed pouches small drainable pouches and Combihesive closed pouches L L Medium 57 and 70mm closed pouches L Large urostomy pouches L Cuiwear Ltd * Cuiwear Ostomy Support Underwear with built in pouch cover Ladies CF01-CF Mens CW01-CW CN01-CN with built in pouch cover with night drainage Ladies Black BS31-BS White BS01-BS * Cuiwear Ostomy Support Trunks Mens Denim LT16-LT Navy LT01-LT Hi-Line Ltd * Coversure Custom-made Covers White Res C Stone Res C White/Lace Front Res C Appliance to be stated CoverSURE PLUS Pouch Covers Leak Resistant and Breathable inner lining White Custom Made Res C Beige Custom Made Res C CoverSURE LIGHT Pouch Covers Peached Cotton with Antimicrobial/Antibacterial finish White Custom Made Res C Beige Custom Made Res C Black Custom Made Res C Jade-Euro- Med Ltd. * Bag Cover beige / white KM * Bag Cover Day Size WN C Night Size WN N

10 BAG COVERS (continued) Pelican * Eakin Cotton Bag Covers Healthcare Size of opening Ltd. Small 32mm mm Large 32mm mm mm Salts * Salts Cotton Bag Cover Healthcare Appliance to be stated / n-woven fabric V BLUSH Vanilla Blush Stoma and Abdominal Support internal pouch from left to right Full Briefs White UK6 VBVW UK8 VBVW UK10 VBVW UK12 VBVW UK14 VBVW UK16 VBVW UK18 VBVW UK20 VBVW Full Briefs Black UK6 VBVB UK8 VBVB UK10 VBVB UK12 VBVB UK14 VBVB UK16 VBVB UK18 VBVB UK20 VBVB Full Briefs Navy UK6 VBVN UK8 VBVN UK10 VBVN UK12 VBVN UK14 VBVN UK16 VBVN UK18 VBVN UK20 VBVN

11 BAG COVERS (continued) V BLUSH Full Briefs Mixed UK6 VBVM UK8 VBVM UK10 VBVM UK12 VBVM UK14 VBVM UK16 VBVM UK18 VBVM UK20 VBVM Full Boxers White UK Small VBSSW UK Medium VBSSW UK Large VBSSW UK XLarge VBSSW UK XXLarge VBSSW UK XXXLarge VBSSW Full Boxers Black UK Small VBSSB UK Medium VBSSB UK Large VBSSB UK XLarge VBSSB UK XXLarge VBSSB UK XXXLarge VBSSB Full Boxers Mixed UK Small VBSSM UK Medium VBSSM UK Large VBSSM UK XLarge VBSSM UK XXLarge VBSSM UK XXXLarge VBSSM Full Boxers Navy UK Small VBSSN UK Medium VBSSN UK Large VBSSN UK XLarge VBSSN UK XXLarge VBSSN UK XXXLarge VBSSN

12 BELTS AMI Medical Ltd Suportx Hernia Support Girdles Female High Waist Small, Medium, Large, X Large, XX Large SPX301-SPX Female Low Waist Small, Medium, Large, X Large, XX Large SPX341-SPX Male High Waist Small, Medium, Large, X Large, XX Large SPX101-SPX Male Low Waist Small, Medium, Large, X Large, XX Large SPX121-SPX Suportx Ostomy and Abdominal support device with built in universal stoma bag holder/cover and night drainage outlet Ladies Briefs Black Sizes AL11-AL Bespoke Size AL Skin Sizes AL21-AL Bespoke Size AL White Sizes AL01-AL Bespoke Size AL Ladies Shorts Black Sizes AL61-AL Bespoke Size AL Skin Sizes AL71-AL Bespoke Size AL White Sizes AL51-AL Bespoke Size AL

13 BELTS (continued) AMI Medical Ltd Suportx Ostomy/Hernia Easy Peel Support Belt 20cm Depth Small (75 to 90cms) SPX Medium (90 to 105cms) SPX Large (105 to 120cms) SPX X Large (120 to 135cms) SPX XX Large (135 to 148cms) SPX Bespoke Size SPX cm Depth with Hole Cutting Small (75 to 90cms) SPX Medium (90 to 105cms) SPX Large (105 to 120cms) SPX X Large (120 to 135cms) SPX XX Large (135 to 148cms) SPX Bespoke Size SPX cm Depth Small (75 to 90cms) SPX Medium (90 to 105cms) SPX Large (105 to 120cms) SPX X Large (120 to 135cms) SPX XX Large (135 to 148cms) SPX Bespoke Size SPX cm Depth with Hole Cutting Small (75 to 90cms) SPX Medium (90 to 105cms) SPX Large (105 to 120cms) SPX X Large (120 to 135cms) SPX XX Large (135 to 148cms) SPX Bespoke Size SPX Suportx Ostomy/Hernia Support Belt 15cm Depth Small (75 to 90cms) SPX Medium (90 to 105cms) SPX Large (105 to 120cms) SPX X Large (120 to 135cms) SPX XX Large (135 to 148cms) SPX Bespoke Size SPX cm Depth with Hole Cutting Small (75 to 90cms) SPX Medium (90 to 105cms) SPX Large (105 to 120cms) SPX X Large (120 to 135cms) SPX XX Large (135 to 148cms) SPX Bespoke Size SPX

14 BELTS (continued) AMI Medical Ltd Suportx Ostomy/Hernia Support Belt (cont) 20cm Depth Small (75 to 90cms) SPX Medium (90 to 105cms) SPX Large (105 to 120cms) SPX X Large (120 to 135cms) SPX XX Large (135 to 148cms) SPX Bespoke Size SPX cm Depth with Hole Cutting Small (75 to 90cms) SPX Medium (90 to 105cms) SPX Large (105 to 120cms) SPX X Large (120 to 135cms) SPX XX Large (135 to 148cms) SPX Bespoke Size SPX cm Depth Small (75 to 90cms) SPX Medium (90 to 105cms) SPX Large (105 to 120cms) SPX X Large (120 to 135cms) SPX XX Large (135 to 148cms) SPX Bespoke Size SPX cm Depth with Hole Cutting Small (75 to 90cms) SPX Medium (90 to 105cms) SPX Large (105 to 120cms) SPX X Large (120 to 135cms) SPX XX Large (135 to 148cms) SPX Bespoke Size SPX B. Braun Medical Almarys Twin Belt (support) E mm for Two Piece system B.Braun Stoma Care Belt 5028E Biotrol Waist Belt F00780E Bullen CS Ltd. 38mm Elastic Belt with wire ring retainer Small UF Medium UF Large UF mm Elastic Belt UF with plastic retainer ring shield Waterproof canvas retaining shield Small UF Medium UF Large UF

15 BELTS (continued) Bullen CS St Marks Belt UF Fitting windows in Stoma belt for use UF with Ileostomy bags or colostomy cups Camilla Panty Girdle BS Cloe Roll on Girdle BS Constance Panty Girdle BS CareFix StomaSafe Plus Belt S/M CF Plus S/M M/L CF Plus M/L L/XL CF Plus L/XL Coloplast Ltd. Ileo Belt Brava Belt (Standard Size) Brava Belt XL Comfizz Ltd Comfizz Stoma Protector SP Comfizz Stoma Support Wear (level 1 support) Boxer Junior XSmall Black BOX-JXS-B White BOX-JXS-W Grey BOX-JXS-G Junior Small Black BOX-JS-B White BOX-JS-W Grey BOX-JS-G Junior Medium Black BOX-JM-B White BOX-JM-W Grey BOX-JM-G Junior Large Black BOX-JL-B White BOX-JL-W Grey BOX-JL-G Small/Medium Black BOX-S/M-B White BOX-S/M-W Pink BOX-S/M-P Teal BOX-S/M-T Medium/Large Black BOX-M/L-B White BOX-M/L-W Pink BOX-M/L-P Teal BOX-M/L-T

16 BELTS (continued) Comfizz Ltd Comfizz Stoma Support Wear -(level 1 support) Large/XLarge Black BOX-L/XL-B White BOX-L/XL-W Pink BOX-L/XL-P Teal BOX-L/XL-T Xlarge/2Xlarge Black BOX-XL/2XL-B White BOX-XL/2XL-W Pink BOX-XL/2XL-P Teal BOX-XL/2XL-T Xlarge/3Xlarge Black BOX-2XL/3XL-B White BOX-2XL/3XL-W Pink BOX-2XL/3XL-P Teal BOX-2XL/3XL-T Seamless Unisex Boxer Small/Medium Neutral BOX-S/M-N Medium/Large Neutral BOX-M/L-N Large/Xlarge Neutral BOX-L/XL-N Xlarge/XXlarge Neutral BOX-XL/2XL-N XXlarge/XXXlarge Neutral BOX2XL/3XL-N Briefs Junior XSmall Black BRF-JXS-B White BRF-JXS-W Pink BRF-JXS-P Junior Small Black BRF-JS-B White BRF-JS-W Pink BRF-JS-P Junior Medium Black BRF-JM-B White BRF-JM-W Pink BRF-JM-P Junior Large Black BRF-JL-B White BRF-JL-W Pink BRF-JL-P Small/Medium Black BRF-S/M-B White BRF-S/M-W Neutral BRF-S/M-N Pink BRF-S/M-P Teal BRF-S/M-T Medium/Large Black BRF-M/L-B White BRF-M/L-W Neutral BRF-M/L-N Pink BRF-M/L-P Teal BRF-M/L-T

17 BELTS (continued) Large/Xlarge Black BRF-L/XL-B White BRF-L/XL-W Neutral BRF-L/XL-N Pink BRF-L/XL-P Teal BRF-L/XL-T Xlarge/2Xlarge Black BRF-XL/2XL-B White BRF-XL/2XL-W Neutral BRF-XL/2XL-N Pink BRF-XL/2XL-P Teal BRF-XL/2XL-T Xlarge/3Xlarge Black BRF-2XL/3XL-B White BRF-2XL/3XL-W Neutral BRF-2XL/3XL-N Pink BRF-2XL/3XL-P Teal BRF-2XL/3XL-T Comfizz Stoma Waistband (level 1 support) Junior XSmall Black WBJXS White WWJXS Neutral WNJXS Junior Small Black WBJS White WWJS Neutral WNJS Junior Medium Black WBJM White WWJM Neutral WNJM Junior Large Black WBJL White WWJL Neutral WNJL Small/Medium Black WBS/M White WWS/M Neutral WNS/M Medium/Large Black WBM/L White WWM/L Neutral WNM/L Large/Xlarge Black WBL/XL White WWL/XL Neutral WNL/XL Xlarge/2Xlarge Black WBXL/2XL White WWXL/2XL Neutral WNXL/2XL

18 BELTS (continued) Comfizz Ltd Comfizz Stoma Waistband (level 1 support) (cont.) 2Xlarge/3Xlarge Black WB2XL/3XL White WW2XL/3XL Neutral WN2XL/3XL Comfizz Stoma Shallow Waistband Seamless Unisex Small/Medium Neutral WNS/M-SH Medium/Large Neutral WNM/L-SH Large/Xlarge Neutral WNL/XL-SH Shallow Waistband With Silicone Grip 7 Deep Small/Medium Neutral WNS/M-SH-Si Medium/Large Neutral WNM/L-SH-Si Large/Xlarge Neutral WNL/XL-SH-Si Waistband With Silicone Grip 10 Deep Small/Medium Neutral WNS/M-Si Medium/Large Neutral WNM/L- Si Large/Xlarge Neutral WNL/XL- Si XLarge/XXlarge Neutral WNXL/2XL- Si XXLarge/XXXlarge Neutral WN2XL/3XL- Si Light Support Garment Vest Style Female Small/Medium Black VB-S/M(F) Medium/Large Black VB-M/L(F) Large/Xlarge Black VB-L/XL(F) Xlarge/XXlarge Black VB-XL/SXL(F) Small/Medium White VW-S/M(F) Medium/Large White VW-M/L(F) Large/Xlarge White VW-L/XL(F) Xlarge/XXlarge White VW-XL/SXL(F) Small/Medium Pink VP-S/M(F) Medium/Large Pink VP-M/L(F) Large/Xlarge Pink VP-L/XL(F) Xlarge/XXlarge Pink VP-XL/2XL(F) Small/Medium Teal VT-S/M(F) Medium/Large Teal VT-M/L(F) Large/Xlarge Teal VT-L/XL(F) Xlarge/XXlarge Teal VT-XL/2XL(F)

19 BELTS (continued) Comfizz Stoma Support Wear -(level 1 support) Light Support Garment Vest Style Male Small/Medium Black VB-S/M(M) Medium/Large Black VB-M/L(M) Large/Xlarge Black VB-L/XL(M) Xlarge/XXlarge Black VB-XL/SXL(M) Small/Medium White VW-S/M(M) Medium/Large White VW-M/L(M) Large/Xlarge White VW-L/XL(M) Xlarge/XXlarge White VW-XL/SXL(M) Junior Vest Boys XSmall Blue VB-JXS(M) Small Blue VB-JS(M) Medium Blue VB-JM(M) Large Blue VB-JL(M) XSmall White VW-JXS(M) Small White VW-JS(M) Medium White VW-JM(M) Large White VW-JL(M) Girls XSmall Pink VP-JXS(F) Small Pink VP-JS(F) Medium Pink VP-JM(F) Large Pink VP-JL(F) XSmall White VW-JXS(F) Small White VW-JS(F) Medium White VW-JM(F) Large White VW-JL(F)

20 BELTS (continued) Comfizz Stoma Support Wear -(level 2 support) Unisex Boxer Small/Medium White 2BOX-S/M-W Medium/Large White 2BOX-M/L-W Large/X Large White 2BOX-L/XL-W X Large/XX Large White 2BOX-XL/2XL-W XX Large/XXX Large White 2BOX-2XL/3XL-W Ladies Brief Small/Medium White 2BRF-S/M-W Medium/Large White 2BRF-M/L-W Large/X Large White 2BRF-L/XL-W X Large/XX Large White 2BRF-XL/2XL-W XX Large/XXX Large White 2BRF-2XL/3XL-W Comfizz Support Belt (level 3 Support) 60mm Medium Neutral WNM-L3-60/ Large Neutral WNL-L3-60/ X Large Neutral WNXL-L3-60/ XX Large Neutral WN2XL-L3-60/ XXX Large Neutral WN3XL-L3-60/ XXXX Large Neutral WN4XL-L3-60/ mm Medium Neutral WNM-L3-72/ Large Neutral WNL-L3-72/ X Large Neutral WNXL-L3-72/ XX Large Neutral WN2XL-L3-72/ XXX Large Neutral WN3XL-L3-72/ XXXX Large Neutral WN4XL-L3-72/ ConvaTec Ltd. System 2 Belt S Cover Care Male Support Belt Small 65-75cm L Medium cm L Large cm L Ex-Large cm L

21 BELTS (continued) Cuiwear Ltd Fulcionel Belt Female F301-F Make M101-M Fulcionel Ostomy/Hernia Support Belt 20cm depth Extra Small F Small F Medium F Large F Extra Large F cm depth with hole cutting and bespoke fitting Extra Small F Small F Medium F Large F Extra Large F Extra Small F cm depth Extra Small F Small F Medium F Large F Extra Large F cm depth with hole cutting and bespoke fitting Extra Small F Small F Medium F Large F Extra Large F Fulcio Support Ladies Briefs White Small/Medium FG Medium/Large FG Large/XLarge FG XLarge/XXLarge FG XXLarge/XXXLarge FG Skin Small/Medium FG Medium/Large FG Large/XLarge FG XLarge/XXLarge FG XXLarge/XXXLarge FG

22 BELTS (continued) Cuiwear Ltd Fulcio Support (cont) Black Small/Medium FG Medium/Large FG Large/XLarge FG XLarge/XXLarge FG XXLarge/XXXLarge FG Unisex Boxers White Small/Medium CG Medium/Large CG Large/XLarge CG XLarge/XXLarge CG XXLarge/XXXLarge CG Skin Small/Medium CG Medium/Large CG Large/XLarge CG XLarge/XXLarge CG XXLarge/XXXLarge CG Black Small/Medium CG Medium/Large CG Large/XLarge CG XLarge/XXLarge CG XXLarge/XXXLarge CG Dansac Ltd. Dansac Belt & Plates Pack 1 adjustable elasticated belt with 5 plates suitable for both one & two piece appliances 50-63mm Dansac Belt Pack: 5 adjustable elasticated belts Dansac Long Ostomy Belt White 150cm Beige 100cm Beige 150cm Ostomy Belt Pack Opaque 1 belt/ 5 plates Stoma 25-35mm

23 BELTS (continued) Hi-Line Ltd Breathable Stretch Unisex Ostomy Belt 21cm deep, sizes small, medium, large, x large, xx large and xxx large with hole over stoma if required Res Breathable stretch unisex Ostomy Belt 13.5cm deep. Res 6b Sizes Small, Medium, Large, X Large, XX Large and XXX Large Lightweight Support Belt 13cm wide Res Small, medium, X Large, XX Large, XXX Large, Hook & Eye or Velcro fastening with Hole over stoma Lightweight Support Belt (long) 21cm wide Res Small, medium, large, X Large, XX Large, XXX Large Hook & Eye or Velcro fastening with hole over stoma Ladies Ostomy Belt including hole over stoma with detachable suspenders Medium Control Ostomy Girdle/ Pantie Brief including hole over stoma with suspenders as required Ostomy Girdle/Pantie Brief including hole over stoma with suspenders as required Seamless Two Way Stretch Unisex Colostomy Belt 26cm deep. Small, Medium, Large, X Large, XX Large Seamless Two Way Stretch Unisex Colostomy Belt 27cm and above. Small, Medium, Large, X Large, XX Large Res Res Res Res Res Hollister Ltd. Adapt Belt cm cm Jade-Euro- Med Ltd. Belt/double cotton face piece for St Mark s flange KM Belt/double cotton face piece with elastic fixing for St Marks flange KM Belt/double cotton face piece with tapes fixing for St Marks flange KM St Mark s Pattern Col Belt Male KM Female KM Coutil KM Ostomy Web and Elastic Belt with Button and Buckle Fastening 25mm KM mm KM mm KM Ostomy Girdle and Panti Brief Hole over Stoma KM made with Suspenders or understrap (Range = KM2101 KM2126) 23

24 BELTS (continued) Jade-Euro- Med Ltd. Web and Elastic Belt 25mm wide Small WL S Medium WL U Large WL W Web and Elastic Belt Length 51mm wide 81cm WL D cm WL H cm WL M cm WL R cm WL C cm WL G cm WL L Short Web End and Buckle WL P Web and Elastic Belt 25mm wide 61cm WL U cm WL P cm WL T cm WL C Narrow Belt Flange diameter 38mm 91cm WL R cm WL V cm WL G Web and Elastic Belt Child 25mm wide 71cm WL J mm wide 66cm WL X cm WL C cm WL N cm WL B Elastic non-slip Belt 81cm WL L cm WL Q cm WL Y cm WL T n Slip Belt 81cm WL P cm WL T cm WL X cm WL C cm WL N Oakmed Ltd. Made to measure Ostomy Belt B Made to measure Pantie Girdle P Made to measure Ostomy Girdle G Omex Medical Ltd Schacht Belt 91.5cm

25 BELTS (continued) Ostomart Ltd Cool Comfort Unisex Light Control Support Garment Belt Black Small/Medium CCWBB S/M Large/XLarge CCWBB L/XL XXLarge/XXXLarge CCWBB XXL/XXXL Nude Small/Medium CCWBN S/M Large/XLarge CCWBN L/XL XXLarge/XXXLarge CCWBN XXL/XXXL White Small/Medium CCWBWS/M Large/XLarge CCWBW L/XL XXLarge/XXXLarge CCWBW XXL/XXXL Brief Black Small/Medium CCPBB S/M Large/XLarge CCPBB L/XL XXLarge/XXXLarge CCPBB XXL/XXXL Nude Small/Medium CCPBN S/M Large/XLarge CCWPN L/XL XXLarge/XXXLarge CCWPN XXL/XXXL White Small/Medium CCPBW S/M Large/XLarge CCPBW L/XL XXLarge/XXXLarge CCPBW XXL/XXXL Boxer Black Small/Medium CCBXB S/M Large/XLarge CCBXB L/XL XXLarge/XXXLarge CCBXB XXL/XXXL Nude Small/Medium CCBXN S/M Large/XLarge CCBXN L/XL XXLarge/XXXLarge CCBXN XXL/XXXL White Small/Medium CCBXW S/M Large/XLarge CCBXW L/XL XXLarge/XXXLarge CCBXW XXL/XXXL Ostoshield (without belt) Res Ostoshield Belt Small/Medium 45cm/85cm Res Ostoshield Belt Large/Extra Large 66cm/124cm Res

26 BELTS (continued) Ostomart Ltd Cool Comfort Unisex Light Control Support Garment Belt Black Small/Medium CCWBB 1S Large/XLarge CCWBB 1L XXLarge/XXXLarge CCWBB 12X Nude Small/Medium CCWBN 1S Large/XLarge CCWBN 1L XXLarge/XXXLarge CCWBN 12X White Small/Medium CCWBW 1S Large/XLarge CCWBW 1L XXLarge/XXXLarge CCWBW 12X Brief Black Small/Medium CCPBB 1S Large/XLarge CCPBB 1L XXLarge/XXXLarge CCPBB 12X Nude Small/Medium CCPBN 1S Large/XLarge CCWBN 1L XXLarge/XXXLarge CCWBN 12X White Small/Medium CCPBW 1S Large/XLarge CCPBW 1L XXLarge/XXXLarge CCPBW 12X Boxer Black Small/Medium CCBXB 1S Large/XLarge CCBXB 1L XXLarge/XXXLarge CCBXB 12X Nude Small/Medium CCBXN 1S Large/XLarge CCBXN 1L XXLarge/XXXLarge CCBXN 12X White Small/Medium CCBXW 1S Large/XLarge CCBXW 1L XXLarge/XXXLarge CCBXW 12X Ostomart Ltd Cool Comfort Unisex Light Control Support Garment Mix of colours (Black, Nude and White) Belt Small/Medium CCWBMIXS Large/XLarge CCWBMIXL XXLarge/XXXLarge CCWMIX2XL Brief Small/Medium CCPBMIXS Large/XLarge CCPBMIXL XXLarge/XXXLarge CCPBMIX2XL Boxer Small/Medium CCBXMIXS Large/XLarge CCBXMIXL XXLarge/XXXLarge CCBXMIX2XL Peak Medical Ltd. Combimate Adjustable Elastic Ostomy Belt 25mm wide SB mm wide SB mm wide with 2-point belt lug connection SB

27 BELTS (continued) Pelican Healthcare Ltd. Pelican Adjustable Ostomy Belt Eakin Stoma Support Belt with Isoflex 20cm depth Small 75-90cm Medium cm Large cm X Large cm cm depth Small 75-90cm Medium cm Large cm X Large cm Eakin Elasticated Belt Small Large Pelican Support Stoma Waistband seamless unisex with concealed pocket white S/M cm M/L cm L/XL cm beige S/M cm M/L cm L/XL cm Salts Healthcare Simplicity Stoma Support Wear 25mm Single Elastic Belt with 2 loops Standard 89cm long Ex-large 107cm long mm Single Elastic Belt with suspender ends mm Elastic Belt with waterproof panel mm Button Belt Button and Loop Belt with Velcro Fastening Standard 89cm long Ex-large 107cm long mm Elastic Belt with Waterproof Panel Colostomy Belt With 4 loops & retaining ring

28 BELTS (continued) Salts Healthcare Simplicity Stoma Support Wear Unisex Boxer Black Extra Small BOXBXS Black Small / Medium BOXBSM Black Medium / Large BOXBML Black Large / X Large BOXBLXL Black XX-Large BOXBXXL Nude Extra Small BOXNXS Nude Small / Medium BOXNSM Nude Medium / Large BOXNML Nude Large / X Large BOXNLXL Nude XX-Large BOXNXXL White Extra Small BOXWXS White Small / Medium BOXWSM White Medium / Large BOXWML White Large / X Large BOXWLXL White XX-Large BOXWXXL Ladies Brief Black Extra Small BRFBXS Black Small / Medium BRFBSM Black Medium / Large BRFBML Black Large / X Large BRFBLXL Black XX-Large BRFBXXL Nude Extra Small BRFNXS Nude Small / Medium BRFNSM Nude Medium / Large BRFNML Nude Large / X Large BRFNLXL Nude XX-Large BRFNXXL White Extra Small BRFWXS White Small / Medium BRFWSM White Medium / Large BRFWML White Large / X Large BRFWLXL White XX-Large BRFWXXL Standard adjustable Ostomy belt AB Beige 100cm The National Stoma Advisory Panel has recommended that a maximum of THREE Simplicity garments should be prescribed and supplied each year. These garments should be supplied to the patient with instructions on their care. 28

29 BELTS (continued) SASH Made to Measure 50mm Polyester Webbing attached to plastic flange with hole over Stoma Sash Ostomy Hernia Belt HB Security and Leakage Belt SR Made to measure (Patients are required to complete an Order Form detailing waist size and enclosing a sample of pouch used so that the hole within the belt flange can be customised to fit individual requirements. Obtainable from Stoma Care Nurses or: SASH Woodhouse Woodside Road HOCKLEY, Essex SS5 4RU Tel: Tytex A/S Carefix Corsinel Made to measure support garments Female Male Welland Medical Ltd. Welland Freestyle Vie Belt White Small BLTS White Large BLTL Welland universal belt system Large (5 belt rings with 1 adjustable elasticated belt.) 67mm belt rings BLT mm belt rings BLT mm belt rings BLT mm belt rings BLT mm belt rings BLT mm belt rings BLT Universal belt system Large (5 belt rings with 1 adjustable elasticated belt.) 67mm belt rings BLT mm belt rings BLT mm belt rings BLT mm belt rings BLT mm belt rings BLT mm belt rings BLT

30 COLOSTOMY BAGS B. Braun Biotrol Medical Colo S bag with skin protector adhesive White 25mm mm mm mm mm mm mm Elite bag with filter, skin protector adhesive and fabric backing Beige Starter hole mm mm mm mm mm mm mm mm Transparent Starter-hole mm mm mm mm mm mm mm mm White Starter hole mm mm mm mm mm mm mm mm Elite Petite bag with filter, skin protector, adhesive, fabric backing Beige Starter hole mm mm mm mm mm

31 COLOSTOMY BAGS (continued) Manufacturer Appliance Order Qty Price B. Braun Medical Biotrol Integrale bag with skin protector and adhesive filter White Starter hole mm mm mm mm mm mm mm mm Preference bag with filter, skin protector adhesive, fabric backing Beige 15mm mm mm mm mm mm mm mm White Starter hole mm mm mm mm mm mm mm Almarys bag with filter, Interface adhesive and all over soft non-woven cover Transparent Starter hole Beige Starter hole mm mm mm mm mm mm mm

32 COLOSTOMY BAGS (continued) Manufacturer Appliance Order Qty Price B.Braun Medical Almarys Optima Closed Bag with filter & all over soft non-woven cover Transparent Starter Hole 10mm F018610E Beige Starter Hole 10mm F008610E mm F008625E mm F008630E mm F008635E mm F008640E mm F008645E mm F008650E mm F008660E Almarys Quiet Closed Bag with filter & all over soft non-woven cover Transparent Starter Hole 10mm F018110E Beige Starter Hole 10mm F008110E mm F008125E mm F008130E mm F008135E mm F008140E mm F008145E mm F008150E mm F008160E Almarys Preference Closed Bag with filter, skin protector & microporous adhesive & all over soft non-woven cover Transparent Starter Hole 10mm F018310E Beige Starter Hole 10mm F008310E mm F008325E mm F008330E mm F008335E mm F008340E mm F008345E mm F008350E

33 COLOSTOMY BAGS (continued) Manufacturer Appliance Order Qty Price B.Braun Medical Softima closed pouch with filter, skin protector and protective cover Beige Cut-to-fit 16-50mm E Maxi 16-70mm E Pre-cut 24mm E mm E mm E mm E mm E mm E Transparent Cut-to-fit 16-50mm E Maxi 16-70mm E Mini Beige Cut-to-fit 16-50mm E Softima Convex Closed pouch with filter and soft cover Beige cut-to-fit 12-35mm 43017E mm 43018E Pre-cut 25mm 43026E mm 43031E mm 43037E mm 43041E Transparent cut-to-fit 12-35mm 43117E mm 43118E Softima Active closed pouch with filter and soft cover Mini Beige Cut-to-fit 15-45mm E Midi Beige Cut-to-fit 15-50mm E Pre-cut 25mm E mm E mm E mm E mm E Midi Transparent Cut-to-fit 15-50mm E Maxi Beige Cut-to-fit 15-65mm E Maxi Transparent Cut-to-fit 15-65mm E

34 COLOSTOMY BAGS (continued) Manufacturer Appliance Order Qty Price CS Bullen Shelter Closed Pouch Bio dressing resin Beige Cut-to-fit 13mm-80mm 2450/ Clear Cut-to-fit 13mm-64mm 2250/ Pre-cut 19mm 2250/ mm 2250/ mm 2250/ mm 2250/ mm 2250/ mm 2250/ mm 2250/ mm 2250/ Shelter Closed Pouch microporous adhesive Beige Cut-to-fit 13mm-64mm 2240/ Pre-cut 19mm 2240/ mm 2240/ mm 2240/ mm 2240/ mm 2240/ mm 2240/ mm 2240/ mm 2240/ Shelter Closed Pouch microporous adhesive, bio dressing resin Clear Cut-to-fit 13mm-64mm 2245/ Pre-cut 19mm 2245/ mm 2245/ mm 2245/ mm 2245/ mm 2245/ mm 2245/ mm 2245/ mm 2245/ mm 2245/

35 COLOSTOMY BAGS (continued) Manufacturer Appliance Order Qty Price Coloplast Ltd. Assura Closed bag with Integral Filter & Soft backing Mini Opaque Starter Hole 20mm Ready-Cut 25mm mm mm Midi Clear Starter Hole 20mm Ready-Cut 25mm mm mm mm Midi Opaque Starter Hole 20mm Ready-Cut 25mm mm mm mm mm Maxi Clear Starter hole 20mm Ready-Cut 25mm mm mm mm mm mm Maxi Opaque Starter hole 20mm Ready-Cut 25mm mm mm mm Assura Conseal 1 Piece Plug Important: This product should only be used after prior assessment of suitability by an appropriate medical professional. Length Size 35mm Stoma size 20-35mm Stoma size 35-45mm mm Stoma size 20-35mm Stoma size 35-45mm

36 COLOSTOMY BAGS (continued) Manufacturer Appliance Order Qty Price Coloplast Ltd. Assura Inspire closed bag with Integral Filter, Oval Adhesive & Soft Backing Midi Transparent Starter Hole 20-65mm Ready-Cut 25mm mm mm Maxi Transparent Starter Hole 20-75mm Pre-Cut 25mm mm mm Assura Inspire closed bag with Integral Filter, Oval Adhesive & Opaque soft Cover, front & back Midi soft Cover Starter Hole 20-65mm Pre-Cut 25mm mm mm mm mm mm Maxi Soft Cover Starter Hole 20-75mm Pre-Cut 25mm mm mm Assura Inspire closed bag with Integral Filter, Oval Adhesive & soft Cover, front & back Midi Design Starter Hole 20-65mm Ready-Cut 25mm mm mm mm mm Maxi Design Starter Hole 20-75mm Pre-Cut 35mm Assura Inspire Closed bag with integral filter, oval adhesive and soft cover, front & back Mini Soft Cover Starter Hole 20-65mm Mini Design Starter Hole 20-65mm

37 COLOSTOMY BAGS (continued) Manufacturer Appliance Order Qty Price Coloplast Ltd. Assura Inspire 1-piece closed bags with dual filter Midi design Starter Hole 20-65mm Soft cover Starter Hole 20-65mm Maxi design Starter Hole 20-75mm Soft cover Starter Hole 20-75mm Transparent Starter Hole 20-75mm Assura Inspire Seal 1 Piece Integral Convexity Closed Bag with Integral Filter and Soft Backing Important: This product with Integral Convexity should only be used after prior assessment of suitability by an appropriate medical professional. Midi Transparent Starter Hole 15-33mm mm Maxi Transparent Starter Hole 15-33mm mm

38 COLOSTOMY BAGS (continued) Manufacturer Appliance Order Qty Price Coloplast Ltd. Assura Inspire Seal 1 Piece Integral Convexity Closed Bag with Integral Filter and opaque Soft Cover front & back Important: This product with Integral Convexity should only be used after prior assessment of suitability by an appropriate medical professional. Midi Soft Cover Starter Hole 15-33mm mm Maxi Soft Cover Starter Hole 15-33mm mm Assura Inspire Soft Seal1 piece Closed Bags with Shallow Convexity Important: This product with Integral Convexity should only be used after prior assessment of suitability by an appropriate medical professional. Midi Soft Cover Starter Hole 15-33mm Starter Hole 15-43mm mm mm mm mm Maxi Soft Cover Starter Hole 15-33mm Starter Hole 15-43mm Midi Transparent Starter Hole 15-33mm Starter Hole 15-43mm Maxi Transparent Starter Hole 15-33mm Starter Hole 15-43mm Assura Seal Integral Convexity Closed Bags with Filter and Soft Backing Important: This product with Integral Convexity should only be used after prior assessment of suitability by an appropriate medical professional. Midi Clear 25mm mm Opaque Midi 15-43mm Maxi Clear 25mm mm Maxi Opaque 15-43mm

39 COLOSTOMY BAGS (continued) Coloplast Ltd. SenSura 1 piece closed Mini Soft Cover cut-to-fit 10-55/66mm Midi Transparent cut-to-fit 10-55/66mm Midi Soft Cover cut-to-fit 10-55/66mm Maxi Transparent cut-to-fit 10-65/76mm Maxi Soft Cover cut-to-fit 10-65/76mm Midi Soft Cover pre-cut 25mm mm mm mm mm mm Maxi Soft Cover pre-cut 25mm mm mm SenSura 1 piece closed split film bag bag with dual filter Midi Soft Cover cut-to-fit 10-66mm pre-cut 25mm Maxi Soft Cover cut-to-fit 10-76mm SenSura Mio 1 piece closed Clear Starter Hole Maxi Split Soft Cover Starter Hole Mini Midi Maxi mm Mini mm Midi Maxi mm Midi Maxi mm Maxi

40 COLOSTOMY BAGS (continued) Coloplast Ltd. Sensura Soft Seal 1-piece closed bag with light convexity Midi Soft Cover Cut-to-fit 15-33mm mm Pre-cut 25mm mm mm Maxi Transparent Cut-to-fit 15-33mm mm Maxi Soft Cover Cut-to-fit 15-33mm mm Sensura Soft Seal 1-piece closed split film bag with dual filter Important: This product with integral convexity should only be used after prior assessment of suitability by an appropriate medical professional Midi Soft Cover cut-to-fit 15-33mm mm pre-cut 25mm mm Maxi Soft Cover Cut-to-fit 15-43mm Convatec Ltd. Colodress Plus (Stomahesive Wafer) Closed Pouches Opaque Starter hole 19mm S Pre-Cut 25mm S mm S mm S mm S mm S mm S Clear Starter hole 19mm S Pre-Cut 25mm S mm S mm S mm S mm S Mini 19mm S mm S mm S mm S

41 COLOSTOMY BAGS (continued) Convatec Ltd Esteem Closed pouches with malodour counteractant insert & integral filter. Small opaque Starter Hole 20mm-60mm S Pre-Cut 25mm S mm S mm S mm S Medium clear Starter Hole 20mm-80mm S Pre-Cut 25mm S mm S mm S mm S Medium opaque Starter Hole 20mm-80mm S Pre-Cut 25mm S mm S mm S mm S mm S Large clear Starter Hole 20mm-80mm S Large opaque Starter Hole 20mm-80mm S Pre-Cut 25mm S mm S mm S mm S mm S mm S mm S Esteem+ Closed Pouches with Integral filter Small - opaque starter hole 20mm-70mm pre-cut 25mm mm mm mm Standard - opaque starter hole 20mm-70mm pre-cut 25mm mm mm mm mm Standard - clear starter hole 20mm-70mm pre-cut 25mm mm mm mm

42 COLOSTOMY BAGS (continued) Dansac Ltd. Dansac Light Convex Integral convexity closed bag with filter and soft cover front and back. Important: This product with integral convexity should only be used after prior assessment of suitability by an appropriate medical professional Opaque Starter Hole 15-37mm mm Pre-Cut 20mm mm mm mm mm Clear Starter Hole 15-37mm mm Pre-Cut 20mm mm mm mm mm mm Unique Opaque Starter hole mm mm mm mm mm mm mm Clear Starter hole mm mm mm mm mm mm Mini opaque (Reference capacity: 220ml) Cut to fit 20mm-50mm Pre-Cut 25mm mm mm mm Oval Flange Opaque Starter hole Clear Starter hole

43 COLOSTOMY BAGS (continued) Dansac Ltd. Dansac va Opaque Starter Hole 20-60mm Pre-Cut 25mm mm mm mm mm mm Clear Starter Hole 20-60mm Pre-Cut 25mm mm mm mm mm mm Dansac va Mini Opaque Starter Hole 20-50mm Pre-Cut 25mm mm mm mm Dansac va 1 Maxi closed pouch with a skin protecting barrier Cut-to-fit Clear 20-60mm Opaque 20-60mm Dansac va 1 x 3 Closed Clear Cut-to-fit 15-46mm Opaque Cut-to-fit 15-46mm Pre-Cut 20mm mm mm mm mm Unique Light Closed Pouch Opaque-soft lining on both sides, tapered barrier and fully activated filter Cut to fit 20mm-60mm Pre-Cut 25mm mm mm mm mm mm mm

44 COLOSTOMY BAGS (continued) Dansac Ltd Dansac va 1 Convex with integral 6mm convexity Important: This product with integral convexity should only be used after assessment by a medical professional. Opaque Cut-to-fit 15-24mm mm mm Pre-cut 20mm mm mm mm mm mm Clear Cut-to-fit 15-24mm mm mm Soft Convex with integral 5mm convexity Important: This product with integral convexity should only be used after assessment by a medical professional. Opaque Pre-cut 25mm mm mm Dansac valife Active Closed Opaque Cut-to-fit 20-45mm mm mm mm mm Clear Cut-to-fit 20-45mm Dansac valife 1 closed pouch 70mm cut to fit 10-55mm Opaque 25-55mm mm mm mm mm mm mm Clear cut to fit 10-55mm mm mm mm mm mm mm