Ostomy supplies PINs
Last updated on February 5, 2026The 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. Providers must enter the quantity of product units (not number of boxes) when submitting claims to PharmaNet.
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.
|
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).
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).
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).
e.g., Coloplast Assura® #5570 |
|
88123443 |
Stoma caps |
e.g., Hollister #1796 |
|
88123455 |
Ostomy flanges |
Flange is one part of a 2-piece pouching system.
e.g., Hollister CeraPlus™ #15103 |
|
88123644 |
Ostomy flange convex inserts |
e.g., Convatec Nutura™ #404008 |
|
88123467 |
Colostomy irrigation sets |
e.g., Convatec VisiFlow™ Irrigation Kit #401918 |
|
88123643 |
High-output fecal drainage system |
e.g., Hollister High Output Collection Bag #5551 |
|
88123479 |
Colostomy irrigation accessories |
e.g., Convatec VisiFlow® Cone #401989; Hollister Irrigation Sleeve #7728 |
|
88123480** |
Urostomy night drainage sets |
e.g., Convatec Night Drainage System #27060 |
|
88123492** |
Urostomy night bottle drainage accessories |
e.g., Convatec Accuseal® Adaptor #21915; Convatec Bottle Extension Tube #27062 |
|
88123510** |
Urostomy leg bag and straps |
e.g., Medline 2L Drainage Bag #DYND15207H; Hollister Leg Bag Combination Pkg #9825 |
|
88123522 |
Tape (for flange securement) |
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 |
e.g., Convatec Eakin Cohesive® Seal #839005; HolliHesive™ Skin Barrier #7700 |
|
88123642 |
Ostomy flange extenders |
e.g., Coloplast Brava® elastic barrier strip #12070; SALTS flange extender #SAL SPH1 |
|
88123546 |
Basic skin protectants |
e.g., Hollister Adapt™ Skin Gel Wipes #7917; 3M™ Cavilon™ No Sting Barrier Film Swab #3343E, and Coloplast Brava® Skin Barrier Spray #12020 |
|
88123645 |
Adhesive removers |
e.g., Hollister Adapt™ Wipe #7760; Hollister Adapt™ Spray #7737 |
|
88123558 |
Ostomy powder |
e.g., Convatec Stomahesive® Powder #25510; Hollister Karaya™ 5 #7905 |
|
88123646 |
Ostomy paste |
e.g., Hollister Adapt™ paste #9301 |
|
88123647 |
Cement/glue |
e.g., Torbot Liquid Bonding Cement #TT410 |
|
88123560 |
Ostomy flange accessories |
e.g., Hollister Replacement Filters #7766; Convatec Appliance Belt #175507 Note: Excludes ostomy hernia support belts |
|
88123571 |
Flange adhesives |
e.g., Torbot Skin-Tac Adhesive Wipes #74407W; Ten Aces Adhesive Spray #STK50; Nu-Hope Adhesive #2400 |
|
88123595 |
Ostomy pouch – reusable |
e.g., Marlen Neoprene #GN-60-1; Perma-Type # PT600FLT; Torbot Feather Lite™ #2511-00 |
|
88123625 |
Ostomy flange - reusable |
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., Cavilon Advanced, 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.