DME Nebulizer - 1 EA, 1 refill

DME Suction Portable - 1 EA, 11 refills

Rx: 8fe NP suction catheter - 150 EA, 11 refills

DME Suction Connection Tubing - 2 EA, 11 refills

Rx: Suction Filter - 2 EA, 11 refills

Rx: Suction Canister - 2 EA, 11 refills

DME Suction Catheter - 4 EA, 11 refills (Yankauer catheter)

Bipap:

• DME Bipap and DME Bipap mask and free text setting:
• -- settings/FIO2/back up rate and interface (nasal mask vs full face vs prongs)
• -- also helpful to have sleep study report and or VBG values on the LOMN
• Put a blurb about the patient in order comments tab of the rx and a letter of medical

Necessity (LOMN) page will print as well

• CM can help with the supporting documents if you do the rx

Example order comment:

_ year old M with respiratory failure i/s/o _. Most recent sleep study from _ confirmed ongoing need for BIPAP due to _obstructive sleep apnea.

Please provide _

Nocturnal settings: PIP = 18, PEEP = 10, RR = 12