New Arrivals/Restock

CPAP Mask Component CPAP Fisher and Paykel

flash sale iconLimited Time Sale
Until the end
16
31
50

$121.99 cheaper than the new price!!

Free shipping for purchases over $99 ( Details )
Free cash-on-delivery fees for purchases over $99
Please note that the sales price and tax displayed may differ between online and in-store. Also, the product may be out of stock in-store.
New  $243.99
quantity

Product details

Management number 203242114 Release Date 2025/09/24 List Price $122.00 Model Number 203242114
Category

Fisher & Paykel Forma CPAP Full Face Mask Components and Cushions

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.


Key Features:

  • 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 Variants & Specifications:

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

Compatible Use:

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.


Correction of product information

If you notice any omissions or errors in the product information on this page, please use the correction request form below.

Correction Request Form

Product Review

You must be logged in to post a review