Fisher & Paykel Forma™ Full Face CPAP Mask Seal and Foam Cushion Kit
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$53.00
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Replacement foam cushion and silcone seal for the Fisher & Paykel Forma™ Full Face CPAP Mask.
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SKU
p_forma_cushion_kit

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Fisher & Paykel Forma™ Full Face CPAP Mask Seal and Foam Cushion Kit Overview
This is a replacement foam cushion and silcone seal for the Fisher & Paykel Forma™ Full Face Mask. The FlexiFoam cushion utilizes advanced comfort features to ensure patients receive effective therapy. Similar to other full face cushions, the cushion supports the area around the nose and mouth. This cushion, however, also supports the under the chin area for improved seal protection and increased sleep performance.
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1 - Forma™ Seal & Foam Cushion (of selected size)
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Small - 400HC121
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Medium - 400HC122
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Large - 400HC123
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Extra Large - 400HC124
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CPAP Mask Cushions/Pillows Replacement Frequency: Resupply Every 2 Weeks
Brand | Fisher & Paykel |
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SKU | p_forma_cushion_kit |
Model | p_forma_cushion_kit |
HCPCS | A7031 |
UPC | 09420012422019, 09420012422026, 09420012422033, 09420012422040 |
Prescription Required | No |
Weight | 0.10 lbs |
Manufacturer's Warranty | 30-day limited manufacturer's warranty |
Color | Clear & Gray |
FSA/HSA Eligible | Yes |
Included | 400HC124, 400HC123, 400HC122, 400HC121 |
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Fisher & Paykel Forma™ Full Face CPAP Mask Seal and Foam Cushion Kit
$53.00
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05/10/25
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