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    • Home
    • Shop
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    • Contact Us
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    • Pink Lift Sizing Chart
    • Downloadable Forms
    • RETURNS
    • Announcements
    • Referring Hospitals
Pinklift.biz
  • Home
  • Shop
  • DME Supplier
  • About Us
  • Contact Us
  • Reviews
  • Pink Lift Sizing Chart
  • Downloadable Forms
  • RETURNS
  • Announcements
  • Referring Hospitals
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Post Mastectomy Bras & Breast Form Prosthethics

We are a DME supplier (with L-8000 codes for mastectomy bras & breast prosthetics, DCN number is 19288002000000).  We are not a medical provider. We are the designer and manufacturer.  


Durable Medical Equipment Prescription

dme order fillable form template_2_ (pdf)Download

DME Prescription for Doctor's order

Know your RIGHTS!

Under the Women's health & Cancer Rights ACT (WHCRA), health plans that cover mastectomies and other breast cancer surgeries & treatment plans must also provide coverage of certain services or products related to the surgery.  This includes a post-mastectomy form (for one or both breasts), breast prosthetic garment and/or mastectomy bras.  Insurance code required L8000. A prescription from your doctor is typically needed for a breast form and post mastectomy bras & camisoles.  Please find attached our DME prescription that we provide to multiple referring doctors.  Please download and have your medical provider sign and submit to your insurance with your detailed invoice of purchase for reimbursement.


Pink Lift Questionaire

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