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The ostomy supplies in the table 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. A list of non-benefits is below the table.
Actual reimbursement is subject to the rules of the client’s PharmaCare plan, including any deductible requirements.
Providers must enter the quantity of product units (not number of boxes) when submitting claims.
PharmaCare covers certain ostomy supplies for First Nations Health Authority clients under Plan W. The Non-Insured Health Benefits (NIHB) program may cover some supplies not eligible under Plan W.
|
PIN |
Product and examples |
|---|---|
|
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 (non-medicated)
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) |
**PINs 88123480, 88123492 and 88123510 are covered only for patients using an Ostomy pouch – urostomy (PIN 88123431).
The following items are not benefits.
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.