This topic is about finding alternative suppliers for ostomy barriers that can be custom-cut to fit a unique stoma size. If you have a stoma size that doesn't match the standard precut options, here are some helpful suggestions:

1. Check if your stoma size might still fit within the "basic" precut options offered by many manufacturers. You might find a standard precut barrier that works for you.

2. For a truly non-standard opening, consider using the Nu-Hope Hole Cutting Tool from Nu-Hope Laboratories. This tool allows you to cut any manufacturer's barrier to your specific size at home.

3. Look into the Coloplast "Charter" series barriers, which are available in a "cut-to-size" version. These barriers are often labeled "XX" and can be ordered uncut, allowing you to trim them to your exact measurement.

4. If Byram Healthcare is currently meeting your needs, you can continue using their services. However, the options above provide alternatives if you need a specific custom-cut service that isn't readily available.