Included:
Foam Cushion & Silicone Seal Kit for Forma Cpap Mask (Medium) - 1 ea.

Product Features:
This is the Foam Cushion & Silicone Seal for the Fisher Paykel Forma Cpap Full Face Mask.

Fits:
• Fisher Paykel Forma™ Full Face Cpap Mask Medium & Large

Other Sizes:
• Foam Cushion & Silicone Seal Kit for Forma Cpap Mask (X-Large)
• Foam Cushion & Silicone Seal Kit for Forma Cpap Mask (Large)
• Foam Cushion & Silicone Seal Kit for Forma Cpap Mask (Small)

Policies:
Fisher Paykel Internet Sales Policy

HCPCS Insurance Code: A7031