Prescription

A prescription is required for the purchase of all continuous positive airway pressure (CPAP), Auto CPAP, BiLevel devices, humidifiers, and all masks. Below are the requirements for a complete prescription. Having all the required information will speed up your order fulfillment. When a prescription is required for purchase, the graphic to the right will be displayed, along with the toll free fax number to which the prescription should be sent.

CHECKLIST FOR SUBMITTING YOUR PRESCRIPTION

Fax, Email, or Submit Below

You can fax your prescription to 866-936-3730, email it to sales@cpapninja.com, or submit below.

We’ll Match

We will automatically match up your prescription with your order.

Prescribed by US Doctor

Prescriptions must be issued by a doctor licensed to practice medicine in the United States.

Pressure Setting Visible

If purchasing a CPAP, make sure that the prescribed pressure setting is clearly visible on the prescription.

Pressure Range Specified

If purchasing an Auto-CPAP, make sure that the prescribed pressure range is specified (e.g. 5-20 cm/h20)

Purchasing a BiLevel?

If purchasing a BiLevel, make sure the IPAP (high pressure) and the EPAP (low pressure) are indicated along with the contact information for your physician.

Submit Your Rx to Us

Download our Prescription Form and email, fax or upload it with your doctor's signature. Format(PDF)