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Prescription Policies

MyreliefPain  Supplies Prescription Policy

In compliance with FDA regulations, Myreliefpain Supplies requires a prescription for all CPAP and Bi Level Machines and Oxygen Concentrator purchases.

If your order includes CPAP masks, machines or heated humidifiers, we must have your prescription on file before we can ship your order. Please note that CPAP supplies and parts such as filters, tubing, water chambers, mask parts, cushions and pillows do not require a prescription.

USA Prescription Form for Respiratory

USA Prescription Form for Sleep

 

We Provide Many Convenient Ways to Submit Your Prescription:

  • You may email your prescription to info@myreliefpain.com 
  • NOTE: On the Email prescription, please write your order number on your prescription

FAQ

WHO CAN WRITE MY PRESCRIPTION?

Healthcare professionals who can write a prescription for CPAP:

Any can write prescriptions of the following licensed professionals: MD (medical doctor), PCP (Primary Care Physician), Psychiatrist, Dentist, Doctor of Osteopathy, Physician's Assistant, Nurse Practitioner, or Naturopathic Physician. Prescriptions from Chiropractors, Optometrists, Podiatrists, and Psychologists are not acceptable unless the prescriber is also a licensed M.D. or D.O.

WHAT SHOULD BE ON MY PRESCRIPTION?
Prescriptions generally provided on a doctor's prescription pad, doctor's office letterhead, or printed prescription form. All orders must contain your doctor's signature, your doctor's contact information, the patient's full name, and a description of the therapy prescribed. If necessary, based on the treatment prescribed, we will set your CPAP/BiLevel machine to the recommended settings. 

DOES MY PRESCRIPTION HAVE TO BE FROM A U.S. DOCTOR? 
Generally, if your primary residence is outside the United States and you have a prescription from your doctor in that country, it should be valid for your purchase as long as it meets the requirements outlined above. If you are unsure if your prescription is correct, we would be happy to review it to ensure that it meets current FDA regulations for your purchase. 

DOES MY PRESCRIPTION HAVE TO BE IN ENGLISH?
No. In most cases, we can accept prescriptions written in any language. In certain circumstances, we may request a certified translation generally provided in English. We will inform you after reviewing your order if this is the case.

DO I HAVE TO SEND A NEW PRESCRIPTION EVERY TIME I ORDER?
Once we have your prescription on file, we will keep it for all future orders. You do not need to send a new prescription every time you order. If we have your prescription on file, please note it in the comments section upon placing an order online or inform the sales representative on phone orders. If your required therapy has changed since your original prescription, please update your account or provide the new medicine to our team.

DO I NEED A NEW PRESCRIPTION OR WILL YOU ACCEPT MY OLD ONE?
In general, prescriptions for CPAP and Oxygen Therapy are valid for life, so your prescription will qualify regardless of how old it is. If you are unsure if your order is correct, we would be happy to review it to ensure that it meets current FDA guidelines for purchase.

 If you’ve ordered with us before,

 Simply make a note of this on the order instruction form when placing your order Online, or Email or call 888-850-2375 and let us know the form is already on file.

These CPAP related items do NOT require a prescription:

  • Replacement cushions
  • Pillows for full-face and nasal masks
  • Headgear and Chinstraps
  • Tubing
  • Filters

 

Note: It may delay the process if we have to obtain the prescription on your behalf from your doctor or physician. Based on experience, the procedure generally expedited if the patient contacts the office and requests an order to be sent.

**A PRESCRIPTION OR SUPPORTING DOCUMENTATION MUST BE SUBMITTED AND ACCEPTED BY MYRELIEFPAIN SUPPLIES BEFORE ANY ORDER CONSIDERED COMPLETE AND THE Items PROVIDED TO THE CUSTOMER**

 

Submitting claims to your health insurance for out-of-pocket CPAP and Oxygen expenses

The information below is only a guide of general instructions for filing an insurance claim on your own behalf for CPAP, BiPAP or oxygen supplies. Please verify with your insurance company prior to filing a claim. Contact the Member Services department of your insurance company to confirm that they allow subscribers to submit claims for medical expenses purchased out-of-pocket and find out their procedure for submitting claims. Most likely, they will have a Medical Claim Form for you to complete.

Many insurance providers require a HCPC (pronounced, “Hicks Picks”) code. This is an acronym for Healthcare Common Procedure Coding System and refers to the system of coding for services and equipment used by physicians, medical equipment suppliers, and insurance company’s code to be included with medical devices, supplies or equipment claims.

For your convenience we have provided a list of HCPCS codes below. Not all CPAP equipment is eligible for insurance reimbursement. Items such as CPAP bed pillows, batteries, and DC adapters are not covered and considered luxury items.

 

Attention Medicare Patients: Medicare does not allow patients to submit claims on their own behalf. These claims must be billed from a medical equipment company with a Medicare provider number.

 

Reimbursement (HCPCS) Codes

This table below is for reference only. Contact your insurance provider to verify codes and ensure accuracy. Each insurance provider is different and they can tell you exactly the steps to take to submit your claim.

 

CPAP/BiPAP MACHINE INSURANCE (HCPCS) CODES

E0601

CPAP machine purchase

A7034

CPAP nasal mask

A7032

CPAP nasal mask cushion

A7030

CPAP Full Face mask

A7031

CPAP Full Face mask cushion

A7044

CPAP Full Oral Interface

A7046

CPAP Humidifier Chamber

A7037

CPAP tubing, long and short hoses

A7038

CPAP disposable filter

A7039

CPAP foam filter

A7035

CPAP headgear

A7033

CPAP nasal pillows

A7036

CPAP chinstrap

E0561

CPAP Passover Humidifier

E0562

CPAP Heated Humidifier

E0470

BiPAP purchase

E0471

BiPAP

A4604

Thermo Smart Tube

K0553

Oral/Nasal (Hybrid) Mask

K0554

Oral Cushion for Hybrid Mask

K0555

Nasal Cushion for Hybrid Mask

E1399

CPAP Miscellaneous (this code is to be used for any CPAP items covered by your insurance but not listed above.

For a complete list and to learn more about HCPCS codes visit the Centers for Medicare & Medicaid Services.