Welland Medical America
PRODUCT ORDER CODES
FREE STYLE FLUSHABLE
Product	Stock code	Pouch Size	Clear/ Opaque	Hole Size	Pack Size	USD	Suggested  Retail	Main  Dealer Price	Main Dealer Price 40%	$ profit for MOC	% profit for MOC	MEDICARE ALLOWABLE	HCPCS
FreeStyle Flushable	XFFL519	Maxi	Opaque	19mm = 3/4" cut to fit	30	37.13	129.96	64.98	77.97	27.85	42.86	82.50	A4416
Closed pouch	XFFL525	Maxi	Opaque	25mm  =  1"	30	37.13	129.96	64.98	77.97	27.85	42.86	82.50	A4416
with toilet disposable	XFFL529	Maxi	Opaque	29mm = 1-1/8"	30	37.13	129.96	64.98	77.97	27.85	42.86	82.50	A4416
inner liner	XFFL532	Maxi	Opaque	32mm = 1-1/4"	30	37.13	129.96	64.98	77.97	27.85	42.86	82.50	A4416
and Dual-Carb filter	XFFL535	Maxi	Opaque	35mm = 1-3/8"	30	37.13	129.96	64.98	77.97	27.85	42.86	82.50	A4416
	XFFL538	Maxi	Opaque	38mm = 1-1/2"	30	37.13	129.96	64.98	77.97	27.85	42.86	82.50	A4416
	XFFL544	Maxi	Opaque	44mm = 1-3/4"	30	37.13	129.96	64.98	77.97	27.85	42.86	82.50	A4416
	XFFM519	Midi	Opaque	19mm = 3/4" cut to fit	30	37.13	129.96	64.98	77.97	27.85	42.86	82.50	A4416
	XFFM525	Midi	Opaque	25mm  =  1"	30	37.13	129.96	64.98	77.97	27.85	42.86	82.50	A4416
	XFFM529	Midi	Opaque	29mm = 1-1/8"	30	37.13	129.96	64.98	77.97	27.85	42.86	82.50	A4416
	XFFM532	Midi	Opaque	32mm = 1-1/4"	30	37.13	129.96	64.98	77.97	27.85	42.86	82.50	A4416
	XFFM535	Midi	Opaque	35mm = 1-3/8"	30	37.13	129.96	64.98	77.97	27.85	42.86	82.50	A4416
	XFFM538	Midi	Opaque	38mm = 1-1/2"	30	37.13	129.96	64.98	77.97	27.85	42.86	82.50	A4416
	XFFM544	Midi	Opaque	44mm = 1-3/4"	30	37.13	129.96	64.98	77.97	27.85	42.86	82.50	A4416
FreeStyle Flushable (10 pack)	XFFL519	Maxi	Opaque	19mm = 3/4" cut to fit	10	12.38	43.33	21.67	26.00	9.29	42.86	27.50	A4416
CURVEX CLOSED
Product	Stock code	Pouch Size	Clear/ Opaque	Hole Size	Pack Size	USD	Suggested  Retail	MAin  Dealer Price				MEDICARE ALLOWABLE	HCPCS
Curvex closed pouch	XCCL513	Maxi	Opaque	13mm = 1/2" cut to fit	10	16.74	58.59	29.30	35.15	12.56	42.86	37.20	A4417
with 43mm = 1 3/4" plateau	XCCL532	Maxi	Opaque	32mm = 1-1/4"	10	16.74	58.59	29.30	35.15	12.56	42.86	37.20	A4417
	XCCL538	Maxi	Opaque	38mm = 1-1/2"	10	16.74	58.59	29.30	35.15	12.56	42.86	37.20	A4417
	XCCL713	Maxi	Clear	13mm = 1/2" cut to fit	10	16.74	58.59	29.30	35.15	12.56	42.86	37.20	A4417
Curvex closed pouch	XCCM513	Maxi	Opaque	13mm = 1/2" cut to fit	10	16.74	58.59	29.30	35.15	12.56	42.86	37.20	A4417
with 32mm = 1 1/4"  plateau	XCCM525	Maxi	Opaque	25mm  =  1"	10	16.74	58.59	29.30	35.15	12.56	42.86	37.20	A4417
	XCCM532	Maxi	Opaque	32mm = 1-1/4"	10	16.74	58.59	29.30	35.15	12.56	42.86	37.20	A4417
	XCCM713	Maxi	Clear	13mm = 1/2" cut to fit	10	16.74	58.59	29.30	35.15	12.56	42.86	37.20	A4417
Curvex closed pouch	XCCS513	Maxi	Opaque	13mm = 1/2" cut to fit	10	16.74	58.59	29.30	35.15	12.56	42.86	37.20	A4417
with 25mm = 1 "plateau	XCCS713	Maxi	Clear	13mm = 1/2" cut to fit	10	16.74	58.59	29.30	35.15	12.56	42.86	37.20	A4417
CURVEX DRAINABLE
Product	Stock code	Pouch Size	Clear/ Opaque	Hole Size	Pack Size	16.74	Suggested  Retail	Main  Dealer Price				MEDICARE ALLOWABLE	HCPCS
Curvex drainable pouch	XCFL513	Maxi	Opaque	13mm = 1/2" cut to fit	10	27.99	97.97	48.98	58.78	20.99	42.86	62.20	A4389
with 43mm = 1 3/4" plateau	XCFL713	Maxi	Clear	13mm = 1/2" cut to fit	10	27.99	97.97	48.98	58.78	20.99	42.86	62.20	A4389
Curvex drainable pouch	XCFM513	Maxi	Opaque	13mm = 1/2" cut to fit	10	27.99	97.97	48.98	58.78	20.99	42.86	62.20	A4389
with 32mm = 1 1/4"  plateau	XCFM713	Maxi	Clear	13mm = 1/2" cut to fit	10	27.99	97.97	48.98	58.78	20.99	42.86	62.20	A4389
Curvex drainable pouch	XCFS513	Maxi	Opaque	13mm = 1/2" cut to fit	10	27.99	97.97	48.98	58.78	20.99	42.86	62.20	A4389
with 25mm = 1 "plateau	XCFS713	Maxi	Clear	13mm = 1/2" cut to fit	10	27.99	97.97	48.98	58.78	20.99	42.86	62.20	A4389
Curvex drainable pouch	XCDL513	Maxi	Opaque	13mm = 1/2" cut to fit	10	27.99	97.97	48.98	58.78	20.99	42.86	62.20	A4389
with integral closure	XCDL713	Maxi	Clear	13mm = 1/2" cut to fit	10	27.99	97.97	48.98	58.78	20.99	42.86	62.20	A4389
with 43mm = 1 3/4" plateau
Curvex drainable pouch	XCDM513	Maxi	Opaque	13mm = 1/2" cut to fit	10	27.99	97.97	48.98	58.78	20.99	42.86	62.20	A4389
with integral closure	XCDM713	Maxi	Clear	13mm = 1/2" cut to fit	10	27.99	97.97	48.98	58.78	20.99	42.86	62.20	A4389
with 32mm = 1 1/4"  plateau
Curvex drainable pouch	XCDS513	Maxi	Opaque	13mm = 1/2" cut to fit	10	27.99	97.97	48.98	58.78	20.99	42.86	62.20	A4389
with integral closure	XCDS713	Maxi	Clear	13mm = 1/2" cut to fit	10	27.99	97.97	48.98	58.78	20.99	42.86	62.20	A4389
with 25mm = 1 "plateau
CURVEX UROSTOMY
Product	Stock code	Pouch Size	Clear/ Opaque	Hole Size	Pack Size	27.99	Suggested  Retail	Main  Dealer Price				MEDICARE ALLOWABLE	HCPCS
Curvex uro pouch	CUL913	Maxi	Opaque	13mm = 1/2" cut to fit	10	36.81	128.84	64.42	77.30	27.61	42.86	81.80	A4392
with 43mm = 1 3/4" plateau	CUL713	Maxi	Clear	13mm = 1/2" cut to fit	10	36.81	128.84	64.42	77.30	27.61	42.86	81.80	A4392
Curvex uro pouch	CUM913	Maxi	Opaque	13mm = 1/2" cut to fit	10	36.81	128.84	64.42	77.30	27.61	42.86	81.80	A4392
with 32mm = 1 1/4"  plateau	CUM713	Maxi	Clear	13mm = 1/2" cut to fit	10	36.81	128.84	64.42	77.30	27.61	42.86	81.80	A4392
Curvex uro pouch	CUS913	Maxi	Opaque	13mm = 1/2" cut to fit	10	36.81	128.84	64.42	77.30	27.61	42.86	81.80	A4392
with 25mm = 1 "plateau	CUS713	Maxi	Clear	13mm = 1/2" cut to fit	10	36.81	128.84	64.42	77.30	27.61	42.86	81.80	A4392
Welland Accessories
Product	Stock code	Pouch Size	Clear/ Opaque	Hole Size	Pack size	USD	Suggested  Retail	Main  Dealer Price				MEDICARE ALLOWABLE	HCPCS
HydroFrame	XWAFH33	N/A	N/A	N/A	20	9.00	31.50	15.75	18.90	6.75	42.86	22.40	A5126
hydrocolloid flange
extensions