FSA and HSA cards work on eligible items
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Philips Respironics
A valid prescription is required before we can ship this item, though you can order now. After checkout, we'll provide instructions for sending us your prescription.
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.
Email me when it’s back
We’ll email you when is back in stock.
How prescriptions work
This item requires a valid prescription before we can ship it — but it doesn’t hold up your checkout.
- 1Complete checkout
No prescription needed today. We place a hold on your card but don’t charge you yet.
- 2Send us your prescription within 5 days
Upload it from your confirmation email, or give us your doctor’s info and we’ll request it from their office.
- 3Miss the 5-day window? No charge
Your order is automatically cancelled and the hold on your card is released. You’re never charged, so there’s nothing to refund.
Questions? Chat with us or call (800) 403-1010.
What happens next
- 1Confirm we’re in your insurer’s network
- 2We verify your coverage & eligibility
- 3Your prescription goes on file
- 4We gather records & qualifying docs
- 5We confirm your final cost, then ship
Questions? Chat with us or call (800) 403-1010.
With insurance, often $0 out of pocket
Often $0 out of pocket
We’ll check whether we’re in your insurer’s network, then verify your plan and show your estimated cost before anything is billed. Your prescription is collected as part of the process — no need to upload it here.
Check coverageAbout a minute · no payment needed today
Free shipping over $50
Ships in 1 - 2 business days
FSA / HSA accepted
Pay with your benefit card at checkout
Easy returns
View return policy
Talk to a specialist
Contact Us
Product Details
Specifications
How it compares
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Required | Not required | Not required | Required |
| HCPCS code | — | A7034 | A7034 | — |
| Size | Small/Medium, Large, or X-Large | — | — | Petite |
| Brand | Philips Respironics | — | — | Philips Respironics |
| Product Line | Pico | — | — | TrueBlue |
| Component | CPAP mask | — | — | CPAP mask fit pack |
| Type | — | CPAP mask interface system | CPAP mask interface kit | — |