Page 5 - Edgepark Full Line Catalog 2017

How Many Ostomy Supplies Can I Purchase?
The table below outlines how much Medicare allows patients to order in a given amount of time. Many private insurance plans also follow Medicare’s guidelines. Higher quantities may be available.
Medicare Ostomy Supply Limits
1-Piece Pouching Systems
30-Day Supply
90-Day Supply
Drainable Pouches (1-piece)
20 ea
60 ea
Drainable Pouches (1-piece) Extended Wear
40 ea
120 ea
Closed Pouches (1-piece)
60 ea
180 ea
Urostomy Pouches (1-piece)
20 ea
60 ea
2-Piece Pouching Systems (Pouch + Skin Barrier)
30-Day Supply
90-Day Supply
Pouch
Drainable Pouches (2-piece)
20 ea
60 ea
Closed Pouches (2-piece)
60 ea
180 ea
Urostomy Pouches (2-piece)
20 ea
60 ea
Skin Barrier (Wafer)
Flat or Convex Skin Barrier
20 ea
60 ea
Ostomy Accessory Items
30-Day Supply
90-Day Supply
Paste, per ounce
4 oz.
12 oz.
Convex Inserts
10 ea
30 ea
Skin Barrier Spray, per ounce
2 oz.
6 oz.
Protective Barrier Wipes
75 wipes per 90 days
Powder, per ounce
5 oz. per 90 days
Ostomy Belt
1 ea
3 ea
Tape, Waterproof and Non-Waterproof
40 units
120 units
Drain Bag for Urostomy
2 ea
6 ea
Stoma Cap
31 ea
93 ea
Stoma Plug for Continent Stoma
31 ea
93 ea
Catheter for Continent Stoma
1 ea
3 ea
Irrigation Sleeve
4 ea
12 ea
Appliance Cleaner, 16-oz. bottle
1 btl
3 btls
Adhesive Liquid, per ounce
4 oz.
12 oz.
Lubricant, per ounce
4 oz.
12 oz.
Edgepark Suggested Guidelines
Subject to medical necessity. This table is not all-inclusive and provides the applicable limits as of 03/24/2017. Limits are subject to change. Please refer to your Durable Medical Equipment Regional Carrier’s Web site for the most recent Medicare ostomy supply limits information.
Accessory Items
30-Day Supply
90-Day Supply
Ostomy Deodorant/Odor Eliminating Drops, per ounce
8 oz.
24 oz.
Skin Barrier Rings/Seals
20 ea
60 ea
Adhesive Remover Wipes
75 wipes per 90 days
Supportive Belt (e.g. Nu-Hope)
2 ea per 365 days