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Ostomy Supplies PINs

Last updated on March 26, 2025

The ostomy supplies listed below are covered for eligible patients who have undergone bowel and/or bladder surgery that results in a colostomy, ileostomy, or urostomy, requiring an external pouch. Actual reimbursement is subject to the rules of the patient’s PharmaCare plan, including any deductible requirements.

Note: PharmaCare covers certain ostomy supplies for First Nations Health Authority clients under Plan W (see list below). The Non-Insured Health Benefits (NIHB) program may still cover some supplies not eligible under Plan W which may require NIHB prior authorization. 

Ostomy PINs

PIN

PRODUCT

PRODUCT EXAMPLES/NOTES*

88123418

Ostomy pouch – drainable

Pouch attached to flange (1-piece pouching system or is required as one part of a 2-piece pouching system).

  • Adult & pediatric
  • Regular or high (2L) output
  • Transparent or opaque
  • Open end for drainage
  • Filter or no filter
  • Clip or hook-and-loop fastener type closure

e.g., Coloplast Sensura® pouch #10471

88123420

Ostomy pouch – closed

Pouch attached to flange (1-piece pouching system or required as one part of a 2-piece pouching system).

  • Transparent or opaque
  • Filter or no filter
  • Not drainable

e.g., Hollister New Image™ #18373

88123431

Ostomy pouch – urostomy

Pouch attached to flange

(1-piece pouching system or is required as one part of a 2-piece pouching system).

  • Transparent or opaque
  • Spigot/spout

e.g., Coloplast Assura® #5570

88123443

Stoma caps
  • 1-piece caps
  • 2-piece caps

e.g., Hollister #1796

88123455

Ostomy flanges

Flange is one part of a 2-piece pouching system.

  • Adult & pediatric
  • Adhesive or mechanic coupling
  • Cut-to-fit, pre-cut, shape-to-fit
  • Flat
  • Convex (light, deep, or soft)

e.g., Hollister CeraPlus™ #15103

88123644

Ostomy flange convex inserts
  • Single use ring

e.g., Convatec Nutura™ #404008

88123467

Colostomy irrigation sets
  • Kit (irrigation bag w tubing & cone)

e.g., Convatec VisiFlow™ Irrigation Kit #401918

88123643

High-output fecal drainage system
  • 2L fecal collection bag

e.g., Hollister High Output Collection Bag #5551

88123479

Colostomy irrigation accessories
  • Flange/face plate
  • Irrigation sleeve (single use & reusable)
  • Tubing
  • Cone

e.g., Convatec VisiFlow® Cone #401989; Hollister Irrigation Sleeve #7728

88123480**

Urostomy night drainage sets
  • Kit (bottle w tubing)

e.g., Convatec Night Drainage System #27060

88123492**

Urostomy night bottle drainage accessories
  • Extension tubing
  • Adaptor
  • Seals/washers
  • Lid/tubing

e.g., Convatec Accuseal® Adaptor #21915; Convatec Bottle Extension Tube #27062

88123510**

Urostomy leg bag and straps
  • 2L drainage bag (overnight)
  • Leg Bag (various mL capacities)
  • Leg Bag Strap

e.g., Medline 2L Drainage Bag #DYND15207H; Hollister Leg Bag Combination Pkg #9825

88123522

Tape (for flange securement)
  • 2.5cm x 9m
  • 5.0cm x 9m

e.g., 3M™ paper tape #1530-1; 3M™ Transpore White (Paper/Plastic Blend) #1534-1; 3M™ Micropore S (Silicone) #2770-1

88123534

Ostomy skin barriers
  • Rings (flat, convex, thick, or thin)
  • Paste Strip
  • Barrier Sheet

e.g., Convatec Eakin Cohesive® Seal #839005; HolliHesive™ Skin Barrier #7700

88123642

Ostomy flange extenders
  • Increases the area of the flange
  • Multiple shapes and sizes
  • Made from multiple different types of material

e.g., Coloplast Brava® elastic barrier strip #12070; SALTS flange extender #SAL SPH1

 88123546

Basic skin protectants
  • Wipe
  • Swab
  • Spray

e.g., Hollister Adapt™ Skin Gel Wipes #7917; Convatec AllKare® Wipes #37439

88123645

Adhesive removers

  • Wipe
  • Spray

e.g., Hollister Adapt™ Wipe #7760; Hollister Adapt™ Spray #7737 

88123558

Ostomy powder
(non-medicated)
  • Basic (sodium carboxymethyl cellulose based)
  • Advanced (Karaya based)

e.g., Convatec Stomahesive® Powder #25510; Hollister Karaya™ 5 #7905

88123646

Ostomy paste

  • Paste (tube)

e.g., Hollister Adapt™ paste #9301

88123647

Cement/glue
  • Bottle/tube

e.g., Torbot Liquid Bonding Cement #TT410

88123560

Ostomy flange accessories
  • Pouching system belt
  • Belt rings
  • Pouch closures
  • Pouch filters
  • Guide strips

e.g., Hollister Replacement Filters #7766; Convatec Appliance Belt #175507

Note: Excludes ostomy hernia support belts

88123571

Flange adhesives
  • Wipe
  • Spray
  • Liquid

e.g., Torbot Skin-Tac Adhesive Wipes #74407W; Ten Aces Adhesive Spray #STK50; Nu-Hope Adhesive #2400

88123595

Ostomy pouch – reusable
  • Only works with reusable faceplate

e.g., Marlen Neoprene #GN-60-1; Perma-Type # PT600FLT; Torbot Feather Lite™ #2511-00

88123625

Ostomy flange - reusable
  • Only works with reusable pouch

e.g., Perma-Type #81QUCL; Marlen UltraLite #77030

88123637

Internal deodorants (oral)

e.g., Bismuth Subgallate (Devrom®) by prescription

*Products in the right-hand column are examples only. Their inclusion is not an endorsement of these products. Coverage is not limited to these products or manufacturers.

**PINs 88123480, 88123492 and 88123510 are covered only for patients using an Ostomy pouch – urostomy (PIN 88123431).

Non-benefit items

The following items are not benefits.

  • Catheters—for any use, including
    • management of any medical or post-surgical condition
    • management of continent urostomies
    • management of urinary incontinence
  • All products for management of continent urostomies—catheters, absorbent pads (excluding PINs 88123480, 88123492 and 88123510 for patients using an Ostomy pouch - urostomy)
  • All products for the management of nephrostomy tubes, feeding tubes, other drainage tubes, wound  drainage—e.g., Hollister drain tube attachment device, or urinary drainage collection equipment  (including PINs 88123480, 88123492 and 88123510, except as noted above)
  • All products for management of urinary incontinence e.g., catheters, condoms, drainage containment equipment, diapering systems, incontinence pads, tubing and adapters (including PINs 88123480, 88123492 and 88123510, except as noted above)
  • Cotton covers for pouches or night drainage bottles
  • Pouch liners—(e.g., Colo-Majic)
  • Stoma hole cutters
  • Ostomy support belts—(e.g., Nu-Hope)
  • Advanced skin protectants—(e.g., Marathon Liquid Skin Protectant)
  • Creams—(e.g., Sween Cream, BAZA cream)
  • Cleansers—(e.g., Uni-Wash, ConvaTec AloeVesta products)
  • Lubricants—(e.g., KY Jelly, Hollister stoma lubricant)
  • Room deodorants—(e.g., M9)
  • In-pouch deodorants—(e.g., Uri-Kleen, M9, Banish)
  • Hydrocolloid dressings—(e.g., DuoDerm, Restore, Tegasorb)
  • Instruments—(e.g., scissors, dressings set)
  • Alcohol swabs, sterile and unsterile gauze
  • Any items purchased through online suppliers – (eligible benefits must be purchased from authorized PharmaCare providers)

Note: Exclusion of a product from the Non-benefit items list does not imply it is a benefit product

PharmaCare does not cover any items, listed in this document, not used for the purposes stated. Non-benefit uses include management of a catheter, diabetes, an insulin pump, wounds, ineligible types of ostomies (e.g., a cecostomy or nephrostomy), or feeding tubes.