What Does a PAP Prescription Entail?

 In Masks, Machines, & Cleaners

CPAP therapy requires a PAP prescription because CPAP devices are considered Class II Medical Devices. Any device classified under this category require prescriptions by law. Similarly, insurance companies will refuse to pay for medical devices that a patient may not need. A medical prescription validates the patient’s need for the device, and allows insurance companies to pay for it.

Also, the prescription will detail the necessary PAP pressure that is required by the patient, if a CPAP is recommended by the physician. This is only essential if using a continuous positive airway pressure (CPAP) machine, and not an automatic positive airway pressure (APAP) machine. Although generally more expensive, the APAP systems offer automatic adjustment to the pressure required by the patient while they sleep. This pressure self-regulates throughout the night providing both comfort and treatment.

What is Necessary to Get a Prescription?

A standard PAP prescription needs to have the following attributes to be legitimate:

  • Patient’s Full Legal Name
  • Physician Contact Information
  • Physician Signature
  • Diagnosis (Obstructive Sleep Apnea, Central Sleep Apnea, Mixed Sleep Apnea)
  • Type of Machine (CPAP, APAP, BiPAP, ASV, etc.)
  • Duration (Usually Lifetime)
  • Pressure Setting
  • Whether Humidifier is Included or Not
  • Mask Type Recommendation
  • Recommended Schedule for Replacement Masks, Parts, and Accessories

If you want to see an example, check out Health Sqyre’s CPAP Prescription Template.

Who Can Write a Prescription for PAP Therapy?

  • Medical Doctors
  • Doctors of Osteopathic (DO)
  • Dentists
  • Nurse Practitioners
  • Psychiatrists (MD Only)
  • Physician’s Assistants

How to Get a PAP Prescription

To get a PAP prescription, you need to take part in a sleep study at a sleep clinic or a home sleep test (HST). After a sleep study, you have a couple of options to get the actual prescription:

  • Go to a doctor’s office and consult a physician

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