Limited Time Sale$121.99 cheaper than the new price!!
| Management number | 203242114 | Release Date | 2025/09/24 | List Price | $122.00 | Model Number | 203242114 | ||
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Product Description:
The Forma Full Face CPAP Mask System from Fisher & Paykel offers an advanced, flexible seal and enhanced comfort for patients who breathe through both the mouth and nose during sleep therapy. This system includes complete mask kits with headgear as well as replacement cushions in a variety of sizes to meet individual patient needs.
Each cushion includes both the foam insert and silicone seal, designed for compatibility with the Forma™ mask interface. Ideal for single-patient use, these components are HCPCS-coded and FSA eligible, making them a practical and reimbursable solution for long-term CPAP therapy.
Full Face Style: Ideal for patients who require mouth and nasal coverage
FlexiFit™ Technology: Automatically adjusts to facial contours for a superior seal
Includes Headgear (Kit Only): Secure, adjustable fit with soft straps
Replacement Cushions Include Foam + Silicone Seal: For optimal comfort and airflow
Available in Multiple Sizes: Small, Medium, Medium-Large, Large, and X-Large
FSA/HSA Eligible and compliant with HCPCS A7031 / A7035 billing codes
Single Patient Use
| Product Type | Manufacturer # | Cushion Size | Includes Headgear | HCPCS Code | Component Type |
|---|---|---|---|---|---|
| Full Face Mask Kit | 400471A | Medium-Large | Yes | A7035 | Mask Kit w/ Headgear |
| Replacement Cushion | 400HC121 | Small | No | A7031 | Cushion Only |
| Replacement Cushion | 400HC122 | Medium | No | A7031 | Cushion Only |
| Replacement Cushion | 400HC123 | Large | No | A7031 | Cushion Only |
| Replacement Cushion | 400HC124 | X-Large | No | A7031 | Cushion Only |
All cushions are compatible with the Fisher & Paykel Forma™ CPAP Full Face Mask. The complete kit (400471A) is ideal for new users or full mask replacement, while individual cushions allow for cost-effective maintenance and continued performance of your CPAP system.
If you notice any omissions or errors in the product information on this page, please use the correction request form below.
Correction Request Form