How can I submit my prescription to Positive Sleep Solutions?
Fax your prescription to our fax number 1-419-535-9485.
Email your prescription to rdrager@sleepnetwork.com
What does a CPAP prescription need to say?
Below, we’ve outlined the various required elements of prescriptions for various types of CPAP equipment. All medical prescriptions must include the patient’s name, the prescribing physician’s full name, the physician’s contact information and the physician’s signature.
CPAP Machine Prescription One of the following phrases: "CPAP" or "Continuous Positive Airway Pressure".
Specific pressure, for example, “9 CM/H2O”, or simply “9”.
APAP Machine Prescription
One of the following phrases: "APAP", "AutoPAP", "AutoSet", "Auto CPAP", "Auto Adjusting CPAP", "Self Adjusting CPAP", "CPAP" or "Continuous Positive Airway Pressure" or similar term.
Optional show your pressure range.
Example: “5-20 CM/H20”, or simply “5-20”.
BiPAP Machine Prescription
One of the following phrases: "BiPAP", "BiLevel", "VPAP".
Your inspiration pressure (Also called IPAP Pressure or Breathing In pressure), for example, “IPAP 11 CM/H20”, or just “IPAP 11”.
Your expiration pressure (Also called EPAP Pressure or Breathing Out pressure), for example, “EPAP 13 CM/H20”, or simply “EPAP 13”.
BiPAP Auto Machine Prescription
One of the following phrases: "BiPAP", "BiLevel", "VPAP", "BiPAP Auto" .
Inspiration pressure (IPAP) and expiration pressure (EPAP) are NOT required for the BiPAP Auto.
BiPAP ST Machine Prescription
Contains one of the following words or phrases: "BiPAP ST", "Synchrony ST", "VPAP ST" .
Contains a backup rate or BPM setting.
Contains your inspiration pressure (Also called IPAP Pressure or Breathing In pressure), for example, “IPAP 12 CM/H20”, or simply “IPAP 12”.
Contains your expiration pressure (Also called EPAP Pressure or Breathing Out pressure), for example, “EPAP 18 CM/H2O”, or just “EPAP 18”.
BiPAP Auto SV Machine Prescription
Contains one of the following words or phrases: "BiPAP SV" or "BiPAP Servo Ventilation".
May or may not contain a backup rate or Breath Per Minute (BPM) setting .
Contains your IPAP Min and Max or Minimum and Maximum
Inspiration Pressure (breathing in pressure) or the settings can be provided to us. Examples: “IPAP Min 6 cm/H20 - IPAP Max 15 cm/H20”, “IPAP Min 6 cmwp - Max 15 cmwp”, “IPAP Min 6 - IPAP Max 15”.
Contains your EPAP or Expiration (breathing out Pressure) or the setting can be provided to us. This may be called the EEP (End Expiratory Pressure). Examples: “EPAP 5 cm/H2O”, “EPAP 5 cmwp”, “EPAP 5”.
Sample of wording for a complete prescription for a BiPAP Auto SV to include Back Up Rate: “BiPAP SV”, “IPAP Min 6 cmH2O”, “IPAP Max 15 cm H2O”, “EPAP 6 cmH2O”, “13 BMP”.
BiPAP AVAP Machine Prescription
Contains one of the following words or phrases: “BiPAP ST”, “AVAP”, “BiPAP AVAP”, “BiLevel AVAP”, or “Average Volume Assured Pressure Support”.
Contains the Tidal Volume Estimated.
CPAP Mask Prescription
Contains one of the following words or phrases: “CPAP Mask”, “CPAP Supplies”, “CPAP Humidifier”, “CPAP”, “Continuous Positive Airway Pressure”, “APAP”, “AutoPAP”, “AutoSet”, “Auto CPAP”, “Auto Adjusting CPAP”, “Self Adjusting CPAP”, “BiPAP”, “BiLevel”, “VPAP”, “BiPAP Auto”, “BiPAP ST”, “Synchrony ST”, “VPAP ST”.
CPAP Humidifier Prescription
Contains one of the following words or phrases: “CPAP Humidifier”, “Humidifier”, “HH”, “CPAP Supplies”, “CPAP Mask”, “CPAP”, “Continuous Positive Airway Pressure”, “APAP”, “AutoPAP”, “AutoSet”, “Auto CPAP”, “Auto Adjusting CPAP”, “Self Adjusting CPAP”, “BiPAP”, “BiLevel”, “VPAP”, “BiPAP Auto”, “BiPAP ST”, “Synchrony ST”, “VPAP ST”.