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$29.00
FSA/HSA
Fisher & Paykel
Forma Full Face Mask Headgear with Crown Strap
SKU: 400HC315
Forma Full Face Mask Headgear with Crown Strap
A genuine Fisher & Paykel replacement headgear for the Forma full face CPAP mask, restoring a proper fit and seal.
FSA/HSA Eligible
This item can typically be purchased with an FSA or HSA card at checkout. Eligibility can vary by plan, so check with your plan administrator if you are unsure.
Regular price
$29.00
Regular price
Sale price
$29.00
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Quantity
Free shipping over $50
Ships in 1 - 2 business days
FSA / HSA accepted
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Product Details
Specifications
BrandFisher & Paykel
Mask SystemForma
ComponentCPAP mask headgear
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | — | A7035 | A7035 | A7035 |
| Type | — | CPAP mask headgear | CPAP mask headgear | CPAP mask headgear |