Below, we have outlined the various required elements of prescriptions for various types of PAP equipment.
All medical prescriptions must include the following:
- Patient’s full name
- Date of birth
- Diagnosis
- Device type & settings
- Mask & accessories
- Length of need (99 months or lifetime)
- Physician's name & signature
- Physician's contact information
- Physician’s NPI number
We are only able to accept prescriptions from physicians who are licensed within the United States.
CPAP Machine Prescription
- One of the following phrases: "CPAP" or "Continuous Positive Airway Pressure."
- Specific pressure. For example: “9 CM/H2O,” or simply “9.”
APAP Machine Prescription
- One of the following phrases: "APAP," "AutoPAP," "AutoSet," "Auto CPAP," "Auto Adjusting CPAP," "Self Adjusting CPAP," "CPAP," "Continuous Positive Airway Pressure," or similar term.
- Optional: pressure range. Example: “5-20 CM/H20,” or simply “5-20.”
BPAP Machine Prescription
- One of the following phrases: "BPAP," "BiLevel," "BiPAP," or "VPAP."
- Your inspiration pressure (also called IPAP Pressure or Breathing In pressure). Example: “IPAP 11 CM/H20,” or just “IPAP 11.”
- Your expiration pressure (Also called EPAP Pressure or Breathing Out pressure). Example: “EPAP 13 CM/H20,” or simply “EPAP 13.”
BPAP Auto Machine Prescription
- One of the following phrases: "BPAP," "BiLevel," "VPAP," "BPAP Auto."
- Inspiration pressure (IPAP) and expiration pressure (EPAP) are NOT required for the BPAP Auto.
BPAP ST Machine Prescription
- Contains one of the following words or phrases: "BPAP ST," "Synchrony ST," "VPAP ST."
- Contains a backup rate or BPM setting.
- Contains your inspiration pressure (also called IPAP Pressure or Breathing In pressure). For example: “IPAP 12 CM/H20,” or simply “IPAP 12.”
- Contains your expiration pressure (also called EPAP Pressure or Breathing Out pressure). For example: “EPAP 18 CM/H2O,” or just “EPAP 18.”
BPAP Auto SV Machine Prescription
- Contains one of the following words or phrases: "BPAP SV" or "BPAP Servo Ventilation."
- May or may not contain a backup rate or Breath Per Minute (BPM) setting.
- Contains your IPAP Min and Max, or Minimum and Maximum Inspiration Pressure (breathing in pressure), or the settings can be provided to us. Examples: “IPAP Min 6 cm/H20 - IPAP Max 15 cm/H20,” “IPAP Min 6 cmwp - Max 15 cmwp,” “IPAP Min 6 - IPAP Max 15.”
- Contains your EPAP or Expiration (breathing out Pressure) or the setting can be provided to us. This may be called the EEP (End Expiratory Pressure). Examples: “EPAP 5 cm/H2O,” “EPAP 5 cmwp,” “EPAP 5.”
- Sample of wording for a complete prescription for a BPAP Auto SV to include Back Up Rate: “BPAP SV,” “IPAP Min 6 cmH2O,” “IPAP Max 15 cm H2O,” “EPAP 6 cmH2O,” “13 BMP.”
BPAP AVAP Machine Prescription
- Contains one of the following words or phrases: “BPAP ST,” “AVAP,” “BPAP AVAP,” “BLevel AVAP,” or “Average Volume Assured Pressure Support.”
- Contains the Tidal Volume Estimated.
CPAP Mask Prescription
- Contains one of the following words or phrases: “CPAP Mask,” “CPAP Supplies,” “CPAP Humidifier,” “CPAP,” “Continuous Positive Airway Pressure,” “APAP,” “AutoPAP,” “AutoSet,” “Auto CPAP,” “Auto Adjusting CPAP,” “Self Adjusting CPAP,” “BPAP,” “BiLevel,” “VPAP,” “BPAP Auto,” “BPAP ST,” “Synchrony ST,” “VPAP ST.”
CPAP Humidifier Prescription
- Contains one of the following words or phrases: “CPAP Humidifier,” “Humidifier,” “HH,” “CPAP Supplies,” “CPAP Mask,” “CPAP,” “Continuous Positive Airway Pressure,” “APAP,” “AutoPAP,” “AutoSet,” “Auto CPAP,” “Auto Adjusting CPAP,” “Self Adjusting CPAP,” “BPAP,” “BiLevel,” “VPAP,” “BPAP Auto,” “BPAP ST,” “Synchrony ST,” “VPAP ST.”
The prescription policy may be amended from time to time as needed to comply with company policies, as well as state and federal regulations.