Fisher & Paykel
CPAP Mask Component CPAP Fisher and Paykel
PRODUCT HIGHLIGHTS
- 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
Fast Delivery
Auto Delivery , Free Shipping For $100 Above Products
Item | Description | Quantity | Price |
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400471A
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MASK, CPAP NASAL MASK FULL FACE EC In stock, ships from your local warehouse |
1 of Each |
List Price:$251.99 Price:$243.99 You save $8.00 |
400HC123
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CUSHION, CPAP F/FORMA W/SEAL LG In stock, ships from your local warehouse |
1 of Each |
List Price:$95.99 Price:$92.99 You save $3.00 |
400HC122
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CUSHION, CPAP F/FORMA W/SEAL MED In stock, ships from your local warehouse |
1 of Each |
List Price:$95.99 Price:$92.99 You save $3.00 |
400HC124
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CUSHION, CPAP F/FORMA W/SEAL XLG In stock, ships from your local warehouse |
1 of Each |
List Price:$95.99 Price:$92.99 You save $3.00 |
400HC121
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CUSHION, CPAP F/FORMA W/SEAL SM In stock, ships from your local warehouse |
1 of Each |
List Price:$95.99 Price:$92.99 You save $3.00 |





Description
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
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FSA/HSA Eligible and compliant with HCPCS A7031 / A7035 billing codes
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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.