Answer: Yes, wafer is required for this product. ""ConvaTec ActiveLife One-Piece Pre-Cut Opaque 10 Inches Drainable Pouch With Stomahesive Skin Barrier""includes Skin Barrier, Tape Collar Collar And Tail Closure;
Opaque. Pre-cut Stoma Openings Eliminate The Need For Cutting, Trimming or Shaping the Skin Barrier/wafer.
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