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Prescription required to purchase mask?
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bilgerat57 Offline

Members

Posts: 5
Joined: Dec 2012

Machine: S9 Auto
Mask Type: Nasal pillows
Mask Make & Model: Breeze
Humidifier: integrated
CPAP Pressure: 21 - 17
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: East Texas

Post: #1
Question Prescription required to purchase mask?
I broke the pivot on my mask last night. Digging into my stockpile of repaired parts I have a useable mask now. However I had to order a new plenum piece (the part that holds the nasal pillows) but since it was only $10.00 more for the entire mask assembly I ordered it on line. My wife checked several DME stores in the Tyler area and the only one who claimed to carry the Breeze, told her that we needed a prescription to purchase a mask. Mind you, this was paying cash not using insurance....... Did I miss something in the last 15 years I've been using a CPAP? I've never heard of needing a prescription for a mask before. A CPAP, yes but not a mask. I'm just wanting to figure out if these guys are trying to scam me (much like the software and setting data or if it's a company requirement or is there a new law I'm unaware of? Any info gratefully accepted! Thanks!
12-27-2014 12:16 AM
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SuperSleeper Offline

Administrators

Posts: 9,973
Joined: Feb 2012

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

Other Comments: Have diabetes Type II

Sex: Male
Location: Illinois, USA

Post: #2
RE: Prescription required to purchase mask?
The regulations changed a few years ago here in the U.S. The DME is correct- a prescription for CPAP on file is now required for them to sell you a CPAP mask, as it's now considered an "integral part" of the CPAP system (a Class II Medical Device, and therefore "prescription-required" by FDA regs).

Stupid regulation, but it is the law here now. Wasn't that way when I started off with CPAP in 2004.

This is why it's important to ask for a copy of your CPAP prescription. Most DMEs don't care how old the prescription is, but they do need you to send them a copy before they can dispense a mask to you. I digitally scanned mine, so I can simply upload or email it to a DME when needed. I still use my original prescription from 2004 and DMEs readily accept that with no problem whatsoever.

SuperSleeper
Apnea Board Administrator
www.ApneaBoard.com


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.

12-27-2014 12:29 AM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #3
RE: Prescription required to purchase mask?
You can buy mask kits and parts online and wind up with an entire mask without a script. But the entire thing as a single unit?? Not supposed to be able too anyway.
12-27-2014 01:01 AM
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bilgerat57 Offline

Members

Posts: 5
Joined: Dec 2012

Machine: S9 Auto
Mask Type: Nasal pillows
Mask Make & Model: Breeze
Humidifier: integrated
CPAP Pressure: 21 - 17
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: East Texas

Post: #4
RE: Prescription required to purchase mask?
Wow! It certainly doesn't make sense to use a prescription for a mask. Given the variety of types and the different properties they each have, it's a bit like giving someone a prescription that just says "antibiotics". All that aside, I found a number of web sites offering entire masks and noting "no prescription needed!" I ordered my mask this morning from my regular supplier so it wasn't until this evening that I did a search and noticed this. I'm not sure how this works, but I'm going to get a copy of my prescription first thing Monday morning.
12-27-2014 01:51 AM
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Moriarty Offline

Advisory Members

Posts: 270
Joined: Jul 2012

Machine: Respironics REMStar 50 Series Auto
Mask Type: Nasal pillows
Mask Make & Model: Fisher & Pakel Pilairo Q
Humidifier: Respironics System One
CPAP Pressure: 8.5-20 (average 9.4)
CPAP Software: SleepyHead

Other Comments: Image above is my CPAP machine...

Sex: Male
Location: Toowoomba - Qld - Australia

Post: #5
RE: Prescription required to purchase mask?
I guess the total lack of official Australian government interest in OSA as real medicine leads to a slacker process here.
The script I have from my Specialist for my machine was written to be particularly vague purposely to allow me the widest choice in the selection of a machine and mask. The bit about the mask said 'mask as selected by patient at time of fitting.'

Disclaimer: The 'Advisory Member' title is a Forum thing that I cannot change. I am not a doctor and my comments are purely my opinion or quote my personal experience. Regardless of my experience other readers mileage may vary.
12-27-2014 06:13 AM
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archangle Offline
Wiki Editor
Advisory Members

Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #6
RE: Prescription required to purchase mask?
The medical mafia likes unnecessary prescriptions so they can extort you for yearly office vi$its and maybe even unnecessary $leep te$st$.

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
12-27-2014 07:08 AM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #7
RE: Prescription required to purchase mask?
(12-27-2014 06:13 AM)Moriarty Wrote:  I guess the total lack of official Australian government interest in OSA as real medicine leads to a slacker process here.
The script I have from my Specialist for my machine was written to be particularly vague purposely to allow me the widest choice in the selection of a machine and mask. The bit about the mask said 'mask as selected by patient at time of fitting.'

We don't actually need a script to purchase the machine, mask or supplies - it's only for insurance purposes. My sleep doc didn't write a script - he signed a letter to Medibank Private stating that the machine was necessary to treat sleep apnea and thereby help prevent more significant illnesses. That was enough to secure a (very modest) rebate.

DeepBreathing
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.
12-27-2014 07:37 AM
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justMongo Offline

Monitors

Posts: 3,853
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #8
RE: Prescription required to purchase mask?
My Rx reads: Mask of choice.

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.
12-27-2014 06:08 PM
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GeoffD Offline

Preferred Members-2

Posts: 194
Joined: Sep 2014

Machine: ResMed Airsense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: Integral + ClimateLine
CPAP Pressure: 14-17
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: New England

Post: #9
RE: Prescription required to purchase mask?
I bought a ResMed AirFit P10 nasal pillow mask from that huge internet retailer where I have a Prime membership. Somehow, I don't think the FDA is tracking mask sales the way they track Oxycodone. I also bought a new/open box ResMed S9 Auto from Supplier #2 a week ago where I don't think they ever found the Rx FAX from my sleep center that I'm not sure ever got transmitted. I need to go ask them for another hard-copy Rx after losing the last one.

I'm not in the business but it's entirely possible that DMEs get audited occasionally since they do so much Medicare/Medicaid business. That would certainly sensitize you to following the letter of the law at all times.
12-27-2014 08:28 PM
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