Manufacturer: Fisher & Paykel
Part Number: 400HC121 (Small), 400HC122 (Medium), 400HC123 (Large), 400HC124 (ExtraLarge)
HCPCS Insurance Code: A7032
This pack includes the gray FlexiFoam Cushion and clear (white) Silicone Seal used on all Forma Full Face CPAP and BiPAP Masks. The Forma uses a single frame for all sizes, therefore, if you would like to change the size of your mask, you just need to purchase a different cushion and seal size. Any cushion and seal size will work on any Forma Full Face mask. For proper fit always use the same sized cushion and seal.
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