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Please complete the online form to begin your order process

We're here to help process your new insurance covered breast pump And/Or maternity item! The information we collect on this form is necessary to confirm your coverage and process your order.

Don't forget that we are here to help you! You can call or text us for full assistance with your order process (808)435-2087 .
Mom's Information
Baby's Information
Doctor's Information
Insurance Information
Upload File
Upload supported file (Max 15MB)
Select Breast Pump Or Maternity Item Below
              

- UPGRADE FEES MAY APPLY-

  SPECTRA BREAST PUMPS 
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Hospital grade & dual motor
Exclusive pumpers, NICU or medical needs
Plug-in only (Non Portable)
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Hospital strength (Powerful Suction)
Home & on the go 
Rechargeable battery  (Portable)
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Hospital strength (Powerful Suction)
Stay at home use
Plug-in only (Non Portable)
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MOTIF BREAST PUMPS
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Moderate strength
Home & on the go
(Bra makes it hands free, but not wearable
Rechargeable battery  (Portable)
MOMCOZY BREAST PUMP
MomCozy S12 Pro
Moderate to strong strength
Home & on the go (Wearable-Hands Free)
Rechargeable battery  (Portable)
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Luna Double Electric Breast Pump
Hospital strength (Powerful Suction)
Home & on the go
Rechargeable battery  (Portable)
Click To View Details
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Moderate to strong strength
Home & on the go (Wearable-Hands Free)
Rechargeable battery  (Portable)
CIMILRE BREAST PUMP
Cimlire S6+
Strong + Adjustable
Home & on the go 
Rechargeable battery  (Portable)
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ZOMEE BREAST PUMPS
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Moderate to strong strength
Home & on the go (Wearable-Hands Free)
Rechargeable battery  (Portable)
Click To View Details
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Hospital strength (Powerful Suction)
Home & on the go 
Rechargeable battery  (Portable)
SUPPORT BAND 
Compression Socks
Helps improve posture & reduce pain
Reduces pressure on the bladder and pelvic region
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Promotes good blood flow
Can help prevent swelling

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