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[Equipment] Prescriptions For CPAP Supplies
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Airstream Offline

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Posts: 147
Joined: Feb 2013

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: Resmed H51
CPAP Pressure: 10-20
CPAP Software: SleepyHead

Other Comments: White Noise Aficionado

Sex: Male
Location: Smoky Mountains, East Tennessee

Post: #1
Prescriptions For CPAP Supplies
I haven't seen the pulmonologist who had my sleep study done and prescribed CPAP in 2010. There was a change in ownership at the hospital and he is not longer there. I have no reason to see another.
That does leave a problem though. My health insurance (U.S.) requires a prescription for supplies or they will not pay for them (cushions, filters, hoses, etc). You must have a script to get a mask (U.S. again) however.
Tomorrow, I see one of my other doctors who I asked to write me one last time (they are good for one year), and I am going to ask him to write me another. The script simple says "CPAP Supplies" on it.
Just wondering, how do you get your prescriptions written?

To err is human, but to really mess things up, you need a computer.
08-17-2014 06:48 PM
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zonk Offline

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Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #2
RE: Prescriptions For CPAP Supplies
(08-17-2014 06:48 PM)Airstream Wrote:  Tomorrow, I see one of my other doctors who I asked to write me one last time (they are good for one year), and I am going to ask him to write me another. The script simple says "CPAP Supplies" on it.
Just wondering, how do you get your prescriptions written?
I think the script is good for at least 5 years or maybe more
CPAP and related supplies

Supplier #1 list a script sample "Prescription / Letter of Medical Necessity", gives you an idea
08-17-2014 07:30 PM
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Airstream Offline

Advisory Members

Posts: 147
Joined: Feb 2013

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: Resmed H51
CPAP Pressure: 10-20
CPAP Software: SleepyHead

Other Comments: White Noise Aficionado

Sex: Male
Location: Smoky Mountains, East Tennessee

Post: #3
RE: Prescriptions For CPAP Supplies
(08-17-2014 07:30 PM)zonk Wrote:  I think the script is good for at least 5 years or maybe more
CPAP and related supplies

Supplier #1 list a script sample "Prescription / Letter of Medical Necessity", gives you an idea
Although it may be ok for authorizing the purchase for five years, my insurance company (a major U.S. company) requires one every year or they will not cover the expense.

To err is human, but to really mess things up, you need a computer.
08-17-2014 07:48 PM
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PaulaO2 Offline
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Posts: 8,067
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #4
RE: Prescriptions For CPAP Supplies
Any doctor can write it. My GP wrote my last one. It was also for the machine and supplies. I think the supplies part said "CPAP mask and CPAP supplies".

Make a copy of this one so you know how to get it written each year. I didn't and all I have is the medical necessity fax form. But Supplier #2 accepted it at least.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
08-17-2014 08:18 PM
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justMongo Offline

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Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
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CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

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Location: Калифорния

Post: #5
RE: Prescriptions For CPAP Supplies
(08-17-2014 07:30 PM)zonk Wrote:  I think the script is good for at least 5 years or maybe more
CPAP and related supplies

Supplier #1 list a script sample "Prescription / Letter of Medical Necessity", gives you an idea

I think the longest an Rx is valid in the US is 1 year.
Less for certain DEA scheduled controlled substances.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
08-17-2014 09:36 PM
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SuperSleeper Offline

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Machine: PR System One REMstar Auto (DS560)
Mask Type: Nasal pillows
Mask Make & Model: ResMed Mirage Swift II
Humidifier: none
CPAP Pressure: 12.5 - 18.5 cmH20 (auto range)
CPAP Software: SleepyHead

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Sex: Male
Location: Illinois, USA

Post: #6
RE: Prescriptions For CPAP Supplies
Insurance companies have their own requirements, which sometimes can be more strict than FDA requirements.

I purchased my S9 AutoSet from Supplier #1 on the Supplier List about 2-3 years ago (without insurance) and they had my initial prescription from 2004 on file and used that - it was probably close to 7 years old at the time. May not be the case with other DMEs but I think most online DMEs will accept any prescription for CPAP, no matter how old it is. Getting insurance companies to accept old CPAP prescriptions might be a bit more of a challenge, however, as they are shelling out insurance monies to pay for the machine and want to make sure that CPAP is still a medical necessity for the patient.

CPAP prescriptions aren't like prescription for controlled substances, where drug abuse can occur with an open-ended prescription. So far, I've not heard of people checking into a rehab clinic for CPAP abuse. Bigwink

SuperSleeper
Apnea Board Administrator
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.

08-17-2014 10:05 PM
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bwexler Offline

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Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver Élan
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #7
RE: Prescriptions For CPAP Supplies
My insurance has a chain of command. My PCP must write the prescription and submit it to the medical group he belongs to. the Group must approve it and forward it to the only DME covered (Apria). Then Aprea screws it up, I complain they correct it incorectly, I complain, I eventually complain enough to get what I originaly asked for. Doesn't mater if I see a sleep doctor, pulmanololgist, cardiaologist, or ornithologist, my PCP still writes the prescription.
08-18-2014 01:10 PM
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justMongo Offline

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Posts: 3,853
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
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CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #8
RE: Prescriptions For CPAP Supplies
(08-18-2014 01:10 PM)bwexler Wrote:  My insurance has a chain of command. My PCP must write the prescription and submit it to the medical group he belongs to. the Group must approve it and forward it to the only DME covered (Apria). Then Aprea screws it up, I complain they correct it incorectly, I complain, I eventually complain enough to get what I originaly asked for. Doesn't mater if I see a sleep doctor, pulmanololgist, cardiaologist, or ornithologist, my PCP still writes the prescription.

There's an acronym for that: FUBAR

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
08-18-2014 01:23 PM
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bwexler Offline

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Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver Élan
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #9
RE: Prescriptions For CPAP Supplies
Yes. I am aware that a catch 22 can generate FUBAR and an occaisonal SNAFU.
08-18-2014 01:52 PM
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retired_guy Offline

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CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

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Post: #10
RE: Prescriptions For CPAP Supplies
(08-18-2014 01:52 PM)bwexler Wrote:  Yes. I am aware that a catch 22 can generate FUBAR and an occaisonal SNAFU.

??? I don't speak French.
08-18-2014 02:02 PM
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