Tricare Breast Pump Order Form Contract
Patient Information: All Fields required (you can use the full Benefits Number instead of SSN if desired) .
Available Pumps:
The Ardo Calypso is the quietest pump on the market and has a battery option Includes: Multiple size flanges, hand pump, and a 400-hour warranty.
The Unimom Minuet features 7 levels of massage modes and 9 levels of expressing.
The Spectra S2 breast pump has a nightlight and a timer. Includes: Multiple size flanges and a two-year warranty.
The Medela Pump-In-Style offers 2-phase expression technology and a 1-year warranty. This pump includes multiple size flanges, power adaptor and a battery pack.