Forma Silicone Seal and Foam

Your Price: $53.95

Single replacement foam cushion with silicone seal for the Fisher & Paykel Forma full face CPAP mask.

Part Number: 400HC12X

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Eligible for free shipping within USA on orders over $19.

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Insurance Code: A7032

Forma Cushion Size *

Quantity

Single replacement foam cushion with silicone seal for the Fisher & Paykel Forma full face CPAP mask.

Choose from three sizes - small (400HC121), medium (400HC122), large (400HC123), and extra large (400HC124).