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Natura Two-Piece Drainable Pouch - Opaque

Brand: Convatec
Category: Pouches
System: 2-piece
Pouch type: Drainable
Barrier type: Not found in our sources
Opening: Not found in our sources
Filter: Yes
Box quantity: 10, 20
Flange sizes: 32mm (1¼") flange, 38mm (1½") flange, 45mm (1¾") flange, 57mm (2¼") flange, 70mm (2¾") flange
HCPCS code(s): A4425, A5063 (Convatec product page (ordering table))
Lowest cash price seen: From $57.52 / Box of 20 ($2.88 each)
Vitality Medical, Nov 4, 2026
Source: convatec.com · checked Nov 4, 2026

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Sizes, codes and prices

Prices are cash prices one retailer listed on the date shown, per the retailer's unit. Retailer links are marked as sponsored for search engines and may become affiliate links later. We do not take referral fees from suppliers that bill Medicare. The retailer page says the manufacturer labels this item Rx only.

Code	Description / size	Box	HCPCS	Price seen
`411489`	12" pouch with 2-sided comfort panel, Tail Clip and Filter — Opaque	20 per box	A4425	—
`411490`	12" pouch with 2-sided comfort panel, Tail Clip and Filter — Opaque	20 per box	A4425	—
`411491`	12" pouch with 2-sided comfort panel, Tail Clip and Filter — Opaque	20 per box	A4425	—
`411492`	12" pouch with 2-sided comfort panel, Tail Clip and Filter — Opaque	20 per box	A4425	—
`411493`	12" pouch with 2-sided comfort panel, Tail Clip and Filter — Opaque	20 per box	A4425	—
`411288`	10" pouch with 2-sided comfort panel, Tail Clip and Filter — Opaque	20 per box	A4425	—
`411289`	10" pouch with 2-sided comfort panel, Tail Clip and Filter — Opaque	20 per box	A4425	—
`411290`	10" pouch with 2-sided comfort panel, Tail Clip and Filter — Opaque	20 per box	A4425	—
`411291`	10" pouch with 2-sided comfort panel, Tail Clip and Filter — Opaque	20 per box	A4425	—
`411292`	10" pouch with 2-sided comfort panel, Tail Clip and Filter — Opaque	20 per box	A4425	—
`404018`	12" pouch with 1-sided comfort panel and Tail Clip — Opaque	20 per box	A5063	$57.52 / Box of 20 Vitality Medical · Nov 4, 2026
`401932`	12" pouch with 1-sided comfort panel and Tail Clip — Opaque	10 per box	A5063	$33.87 / Box of 10 Vitality Medical · Nov 4, 2026
`401933`	12" pouch with 1-sided comfort panel and Tail Clip — Opaque	10 per box	A5063	$34.54 / Box of 10 Vitality Medical · Nov 4, 2026
`401934`	12" pouch with 1-sided comfort panel and Tail Clip — Opaque	10 per box	A5063	$33.68 / Box of 10 Vitality Medical · Nov 4, 2026
`401935`	12" pouch with 1-sided comfort panel and Tail Clip — Opaque	10 per box	A5063	$3.85 / Each Vitality Medical · Nov 4, 2026$34.54 / Box of 10 Vitality Medical · Nov 4, 2026
`401936`	12" pouch with 1-sided comfort panel and Tail Clip — Opaque	10 per box	A5063	$3.87 / Each Vitality Medical · Nov 4, 2026$34.54 / Box of 10 Vitality Medical · Nov 4, 2026
`404030`	10" pouch with 2-sided comfort panel and Tail Clip — Opaque	20 per box	A5063	—

Medicare usual maximums for these codes

A4425: Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each. Usual maximum in LCD L33828: 20 per month.
A5063: Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each. Usual maximum in LCD L33828: 20 per month.

From our Medicare guide (LCD L33828). Informational only; coverage depends on your plan and documentation. Confirm with your supplier or plan.