This order form is for CPAP supplies.

The Medicine Shoppe will ship the quantities allowed by your insurance. If you need specific quantities, please note that in the Additional Information section. If you have questions regarding price or coverage prior to placing the order or before your supplies ship, please contact your insurance company. Your order may be subject to a shipping fee.

If you are transferring from another supply company and this is your first order, please email to set up your account and place your initial order. Please include the name of your former company in your email.