PouchesA4416

Closed Ostomy Pouch with Filter

Name: Closed Ostomy Pouch with Filter
Brand: United Healthcare Speciality RX
SKU: A4416

A one-piece closed ostomy pouch with the skin barrier attached and a built-in filter that lets gas escape while helping control odor. Used once, then replaced.

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Prescribed medical equipment — use only as directed by your healthcare provider. Not for emergency use; in an emergency call 911.

Features & options

closed endone piece systemattached barriergas filtersingle use

♻ Auto-resupply available about every 30 days.

What to expect

The filter lets gas out quietly and helps cut down on odor and ballooning.
All-in-one design goes on as a single piece — you remove and replace it when it fills.
We help match the barrier opening to your stoma and review a comfortable change routine.

For providers

HCPCS A4416: ostomy pouch, closed, with barrier attached, with filter (1 piece), each.
Furnished on a standard written order (SWO); confirm one-piece closed configuration and barrier sizing.
Single-use item resupplied by quantity; use is documented and eligibility verified before each shipment or claim.

Documents typically needed

Standard Written Order (SWO) — Signed by the prescriber with the item, quantity, and date.

We request these from your physician's office on your behalf — you don't need to gather them yourself.

Coverage is determined by your specific insurance plan and medical necessity as documented by your physician. This information is for reference and does not guarantee coverage.

Related ostomy

PouchesA4375

Drainable Ostomy Pouch, Plastic

A drainable plastic ostomy pouch with the faceplate attached, so you can empty it without removing the whole pouch.

What to expect

Empties from the bottom when it fills, so you change it less often through the day.
The attached plate means it goes on as one piece — we show you how to drain and clean it.
Durable plastic build for everyday wear.

For providers (HCPCS A4375)

HCPCS A4375: ostomy pouch, drainable, with faceplate attached, plastic, each (one-piece).
Dispensed on a standard written order (SWO); confirm stoma size and one-piece drainable configuration.
Documented as a scheduled resupply item; ongoing need is reviewed and eligibility verified before each order ships or bills.
Coverage varies by payer — DWO and supporting documentation required.

Request a quote Start a request

BarriersA4361

Ostomy Faceplate

A reusable faceplate that sits against the skin around your stoma and gives a two-piece pouch a secure base to attach to.

What to expect

The flat plate stays put on your skin so you can snap a fresh pouch on and off without disturbing the seal.
We help you find the size that matches your stoma and show you how to place it.
Reusable over multiple pouch changes, so you're not swapping the whole system every time.

For providers (HCPCS A4361)

HCPCS A4361: ostomy faceplate, each — base component of a two-piece pouching system.
Dispensed against a standard written order (SWO); confirm stoma dimensions and system compatibility of the ordered model.
Ostomy supplies are resupplied on a schedule — we document ongoing need and re-verify eligibility before each refill ships or bills.
Coverage varies by payer — DWO and supporting documentation required.

Request a quote Start a request

BarriersA4362

Solid Skin Barrier Wafer

A solid skin barrier (wafer) that protects the skin around your stoma and helps the pouch seal hold.

What to expect

Shields the skin around your stoma from moisture and output so it stays comfortable.
Sized or cut to fit snugly around your stoma — we walk you through measuring and applying it.
Helps a pouch stay sealed longer between changes.

For providers (HCPCS A4362)

HCPCS A4362: skin barrier, solid, 4 x 4 or equivalent, each.
Furnished on a standard written order (SWO); confirm barrier type and stoma sizing for the supplied product.
Resupply quantities are documented against actual use; coverage and eligibility are verified before each shipment or claim.
Coverage varies by payer — DWO and supporting documentation required.

Request a quote Start a request

Product catalog

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Closed Ostomy Pouch with Filter

A one-piece closed ostomy pouch with the skin barrier attached and a built-in filter that lets gas escape while helping control odor. Used once, then replaced.

Prescribed medical equipment — use only as directed by your healthcare provider. Not for emergency use; in an emergency call 911.

Related ostomy

PouchesA4375

Drainable Ostomy Pouch, Plastic

A drainable plastic ostomy pouch with the faceplate attached, so you can empty it without removing the whole pouch.

What to expect

Empties from the bottom when it fills, so you change it less often through the day.
The attached plate means it goes on as one piece — we show you how to drain and clean it.
Durable plastic build for everyday wear.

For providers (HCPCS A4375)

HCPCS A4375: ostomy pouch, drainable, with faceplate attached, plastic, each (one-piece).
Dispensed on a standard written order (SWO); confirm stoma size and one-piece drainable configuration.
Documented as a scheduled resupply item; ongoing need is reviewed and eligibility verified before each order ships or bills.
Coverage varies by payer — DWO and supporting documentation required.

Request a quote Start a request

BarriersA4361

Ostomy Faceplate

A reusable faceplate that sits against the skin around your stoma and gives a two-piece pouch a secure base to attach to.

What to expect

The flat plate stays put on your skin so you can snap a fresh pouch on and off without disturbing the seal.
We help you find the size that matches your stoma and show you how to place it.
Reusable over multiple pouch changes, so you're not swapping the whole system every time.

For providers (HCPCS A4361)

HCPCS A4361: ostomy faceplate, each — base component of a two-piece pouching system.
Dispensed against a standard written order (SWO); confirm stoma dimensions and system compatibility of the ordered model.
Ostomy supplies are resupplied on a schedule — we document ongoing need and re-verify eligibility before each refill ships or bills.
Coverage varies by payer — DWO and supporting documentation required.

Request a quote Start a request

BarriersA4362

Solid Skin Barrier Wafer

A solid skin barrier (wafer) that protects the skin around your stoma and helps the pouch seal hold.

What to expect

Shields the skin around your stoma from moisture and output so it stays comfortable.
Sized or cut to fit snugly around your stoma — we walk you through measuring and applying it.
Helps a pouch stay sealed longer between changes.

For providers (HCPCS A4362)

HCPCS A4362: skin barrier, solid, 4 x 4 or equivalent, each.
Furnished on a standard written order (SWO); confirm barrier type and stoma sizing for the supplied product.
Resupply quantities are documented against actual use; coverage and eligibility are verified before each shipment or claim.
Coverage varies by payer — DWO and supporting documentation required.

Request a quote Start a request

Closed Ostomy Pouch with Filter

Features & options

What to expect

For providers

Related ostomy

Drainable Ostomy Pouch, Plastic

Ostomy Faceplate

Solid Skin Barrier Wafer

Ready when you are.

Closed Ostomy Pouch with Filter

Features & options

What to expect

For providers

Related ostomy

Drainable Ostomy Pouch, Plastic

Ostomy Faceplate

Solid Skin Barrier Wafer