SciMed for Pelvic Floor Physical Therapy Practices — Direct Silicone Ring Pessaries, Volume Pricing, Net-30
SciMed for Pelvic Floor Physical Therapy Practices
FDA-cleared silicone ring pessaries at $49.99 direct — no prescription required, HCPCS A4562, same-day US dispatch, Net-30 terms for pelvic PT practices. Volume pricing from 15-25% off. Free 3-size fitting kit on your first practice order.
You're a pelvic floor PT. You have patients with symptomatic Stage I-II prolapse or stress urinary incontinence who could dramatically benefit from a pessary — but the referral loop through OB-GYN takes weeks, insurance pre-auth is slow, and Milex/Bioteque only sell through the traditional prescription channel. Meanwhile, your patient is dropping out of a running program or skipping their toddler's soccer practice because of the bulge.
SciMed sells FDA-cleared silicone ring pessaries direct — no prescription required — at $49.99 per device (60-70% below the traditional distributor list price). For pelvic PT practices in states where pessary fitting is within scope, we offer volume pricing, Net-30 terms, and a free 3-size fitting kit on your first practice order so you can trial-fit a patient the same day they walk in.
Why pelvic PT practices choose SciMed
FDA Class II device (HCPCS A4562). Buy direct — no Rx bottleneck, no pre-auth wait.
Direct-from-manufacturer pricing. 60-70% below Milex/Bioteque list price through traditional channels.
Ships from San Jose, CA before 2 PM PT. In-hand for East Coast in 2 days, West Coast next day.
Medical-grade silicone, latex-free, BPA-free. Widest US ring pessary size range (0-9).
First practice order includes a $129.99 3-size Right-Size Pack — trial-fit patients same day.
Available after first paid order. W-9 + Certificate of Insurance on request.
Every invoice lists HCPCS A4562. Patient uses receipt for pre-tax reimbursement.
Named contact for your practice — no call-center hold times, no distributor markup.
Volume pricing for pelvic PT practices
| Per practice order | Price per pessary | Discount | Best for |
|---|---|---|---|
| 1-4 pessaries | $49.99 | Standard direct pricing | Trial patients, one-off fits |
| 5-9 pessaries | $42.49 | Save 15% | Small pelvic PT practice, monthly restock |
| 10-24 pessaries | $39.99 | Save 20% | Established practice, monthly consumption |
| 25+ pessaries | Custom | Save 25%+ | Multi-clinic groups, hospital PT departments |
🎁 First-order Practice Starter Kit — Free with any $500+ order
New pelvic PT practice accounts get a free 3-Size Right-Size Pack ($129.99 retail value) in the following patient-fitted sizes:
- Size 3 (54 mm) — most-fitted for petite / postmenopausal patients
- Size 4 (60 mm) — most-fitted overall / average
- Size 5 (66 mm) — most-fitted for postpartum / higher parity patients
Use these to trial-fit a walk-in patient the same day, before you decide which permanent size to stock. Available on your first paid practice order of $500 or more. Auto-applied at checkout when your practice code is on file.
The most-fitted sizes (US clinical data)
If you're building a first stock kit, the following sizes cover ~85% of first-fitted patients:
- Ring Pessary Without Support: keep sizes 3, 4, 5 in stock. Size 4 is fitted first for ~40% of new patients.
- Ring Pessary With Support: keep sizes 3, 4, 5 in stock. With-support ring is fitted when cystocele or stress incontinence is present alongside prolapse.
- Larger sizes: keep 1-2 units each of sizes 6, 7 for higher-parity or post-hysterectomy patients.
- Very small (0-2) and very large (8-9): stock on-demand only. Ship in 2-3 days from SciMed.
Backed by peer-reviewed research (2024)
- TOPSY RCT (May 2024, NCBI Bookshelf NBK603994): patient self-management of silicone pessaries is clinically and cost-effective vs clinic-based management. Ideal for PT-fitted patients who can safely maintain the device at home.
- Silicone vs PVC RCT (Int Urogynecol J, 2024; DOI 10.1007/s00192-024-05933-x): silicone pessary users are significantly more likely to self-manage successfully than PVC users. SciMed pessaries are 100% medical-grade silicone.
- AUGS-SUNA Consensus (2023): silicone ring pessary is first-line for early-stage prolapse.
- APTA Pelvic Health Position Statement: supports pessary fitting by pelvic PTs in permitted states.
Regulatory + reimbursement
- FDA: Class II, 510(k) Cleared, Product Code HHN, regulated under 21 CFR 884.5350
- HCPCS: A4562 (Pessary, non-rubber, any type) — HSA/FSA eligible, Medicare Part B DME reimbursable at $69-$89 (2026 CMS fee schedule)
- State PT scope of practice: confirm with your state PT board — pessary fitting is within scope in a growing number of states
- Patient billing: your patient can be billed direct for the pessary (SciMed can invoice patient directly), or through your practice as a supply pass-through
Request a Practice Quote
Tell us your practice name, state, and expected monthly pessary volume. We'll send back a custom price quote (with Net-30 terms if desired) within 1 business day. No obligation, no sales call unless you ask.
Email sales@scimedstore.com →What to include in your quote request
- Practice name + address: for the Net-30 credit check and shipping
- State: so we can confirm pessary-fitting scope and adjust the invoice format for your state PT board
- Expected monthly pessary volume: single-digit (5-9), teens (10-24), or 25+
- Preferred billing terms: Net-30, prepay card, or ACH
- Any specific size preferences: if you have a size distribution from your existing supplier, share it and we'll optimize the first shipment
Frequently asked questions
Do I need a prescription to order pessaries for my practice?
No. Silicone ring pessaries are FDA Class II devices (HCPCS A4562) and do not require a prescription for purchase. Your patient's clinical need is documented in your PT chart, which is sufficient for HSA/FSA and Medicare Part B reimbursement.
What if my state doesn't allow pelvic PTs to fit pessaries?
Some states restrict pessary fitting to MDs, DOs, NPs, PAs, or CNMs. Confirm scope with your state PT board. If your state restricts scope, you can still stock SciMed pessaries for referring providers to fit — many pelvic PT practices operate as the supply source for a network of OB-GYNs and urogynecologists in the same building.
How do I bill my patient for the pessary?
Two common paths: (1) invoice your patient directly for the SciMed device pass-through (cost + practice markup), OR (2) have SciMed invoice the patient directly using your practice as the fit referral. Most PT practices choose option 1 for margin. Patient uses the SciMed receipt (which lists HCPCS A4562) for HSA/FSA reimbursement.
Can Medicare patients use their Part B benefit?
Yes. Medicare Part B reimburses HCPCS A4562 at $69-$89 depending on the regional MAC. SciMed's direct price is $49.99 — so a Medicare-covered patient may be reimbursed for more than they paid. The fitting visit is separately billable by your practice under the appropriate PT E&M code.
What's your return / exchange policy for practices?
Unopened, unfitted pessaries: 60-day return for full refund (extended from the standard 30-day patient policy). Opened / trial-fitted pessaries are non-returnable for infection-control reasons — but you can use them as your permanent trial set.
Do you offer sample kits for larger practice groups?
Yes. For 5+ clinic groups or hospital PT departments, we ship a free full-range 8-piece silicone sample set (sizes 2-8, With Support + Without Support = 14 pieces total) for practice-level evaluation. Email sales@scimedstore.com with your group affiliation.
How fast do you ship?
Orders placed before 2 PM Pacific ship same-day from San Jose, CA. Standard USPS Priority Mail is 1-3 business days (East Coast delivery in 2-3 days, West Coast in 1-2 days). Overnight FedEx available on request.
Do you have a peer-reviewed clinical reference for pessary self-management?
Yes. Two key 2024 studies: TOPSY RCT (NCBI NBK603994) demonstrates clinical + cost effectiveness of patient self-management; the Silicone vs PVC RCT (Int Urogynecol J 2024, DOI 10.1007/s00192-024-05933-x) shows silicone users more successfully self-manage. Both support PT-led fitting followed by patient self-management, which is the emerging model.
Can you provide continuing education content for our team?
SciMed can share our internal pessary fitting protocol (adapted from AUGS-SUNA 2023 consensus) as a PDF for practice-level education. Contact sales@scimedstore.com for the current document.
What if a pessary is defective or damaged in shipping?
1-to-1 exchange, no shipping charge. Send a photo of the defect + the invoice number to sales@scimedstore.com and we'll ship a replacement same day.
Direct sales contact for pelvic PT practices
Named rep, no phone-tree, replies within 1 business day.
sales@scimedstore.com
+1-669-265-9353 (Mon-Fri, 9 AM-5 PM Pacific)
SciMed Scientific Equipment LLC · 4607 Black River Ct, San Jose, CA 95136