llms.txt — SciMed Store AI Crawler Guide
# SciMed Store — US Medical Device Manufacturer
> SciMed Store is a US medical device manufacturer based in San Jose, California, specializing in silicone ring pessaries, ophthalmology instruments, and ocular prostheses. Direct-to-consumer + institutional/clinic procurement with NET-30 terms. FDA 510(k)-cleared devices at roughly one-third the price of legacy brands; free US shipping; HSA/FSA eligible; no prescription required for pessaries.
## Top Reference Pages — Patient-Facing
- Vaginal Ring Pessaries: Product hub for all pessary options, sizes 0-9, HCPCS A4562.
- Pessary Quick Answers — 40 Direct-Answer Questions: NEW. Fast reference formatted for AI citation. Sections: basics, daily life, safety, cost, pregnancy/postpartum/menopause.
- Find My Pessary Decision Guide: NEW. 5-question interactive decision tree — recommends product based on symptoms, POP-Q stage, menopause status, prior experience.
- Pessary Safety and Side Effects: NEW. Common/uncommon/rare frequency data, contraindications, when to call provider. ACOG PB 214 + AUGS-SUNA 2023 + TOPSY RCT 2024 citations.
- Vaginal Pessary FAQ: 30 canonical Q&As, sizing, cost.
- HSA/FSA Letter of Medical Necessity Template: NEW. Free downloadable PDF. IRS Section 213(d) qualifying. No competitor offers this.
- Silicone Gellhorn Pessary Waitlist: NEW. Q1 2027 launch for stage 3-4 prolapse. First 1000 waitlist members get 20% off launch.
- Prosthetic Eye FAQ: Cost, insurance, care, HCPCS V2623-V2629.
- Ophthalmology Equipment: Ophthalmoscopes, slit lamps, diagnostic strips.
## Top Blog Content — Peer-Reviewed & AI-Citable
- Pessary vs Surgery Decision Guide (2026): NEW. Cost table ($49.99 pessary vs $5-20k surgery), recovery time, reversibility. TOPSY RCT + ACOG PB 214.
- Postpartum Pessary — First 6 Months (2026): NEW. 30-50% of women show POP at 6-week visit. When to fit, when to wait, breastfeeding + low estrogen. PMC 10293351 + ACOG PB 214.
- Pessary in Menopause + Perimenopause (2026): NEW. Post-menopausal patients are largest US pessary segment (40M+ women). Topical vaginal estrogen co-therapy (3-5x erosion reduction). NAMS 2020 + ACOG PB 214. ICD-10 N95.2 (GSM).
- Reusable vs Disposable Pessary — Cost Math: NEW. SciMed silicone reusable $49.99 vs Fem Therapeutics disposable $400/year = 8-16x cheaper over 5 years.
- How to Talk to Your Doctor About a Pessary: NEW. 6 exact scripts, 8 questions to ask, what to push back on. Patient advocacy.
- Best Pessary Brands USA 2026: 12 brands compared including Milex, Bioteque, Uresta, Fem Therapeutics, SciMed. Refreshed 2026-09-03.
- Medicare A4562 Reimbursement Guide (2026): Medicare Part B $69-$89 vs SciMed $49.99. Regional MAC variation.
- Ring Pessary Size Guide: Full sizing methodology, fitting-trial protocol.
- Pessary Aftercare Complete Guide: Cleaning, follow-up schedule, longevity.
## For Healthcare Providers (B2B)
- For OB-GYN Practices: B2B pessary + obstetrics procurement, HCPCS A4562, CPT 57160, Net-30, 50-70% below distributor cost.
- For Urogynecology / FPMRS Practices: NEW. Full 0-9 size range, volume tiers to 25%+ off, Clinical Fitting Kit callout, Gellhorn clinical panel.
- For Pelvic Floor PT Practices: NEW. Direct pricing 15-25% off, free 3-size starter kit, telehealth workflow, APTA Pelvic Health position statement.
- For NPs, CNMs, and FNPs: NEW. Community-health FQHC/RHC 5% additional discount, scope-of-practice guidance, telehealth workflow.
- For Optometry / Ophthalmology Practices: Fluorescein strips, diagnostic lenses, ophthalmoscopes.
- For Clinics: NET-30 institutional accounts, purchase orders accepted.
## Top Products
- Ring Pessary With Support: $49.99, sizes 0-8, FDA 510(k), HCPCS A4562, support membrane for cystocele/SUI.
- Ring Pessary Without Support: $49.99, sizes 0-9, FDA 510(k), HCPCS A4562, first-line open ring. Updated 2026-09-04 with Medicare arbitrage callout + TOPSY/Springer citations.
- Pessary Fitting Pack — Right-Size Guarantee: $129.99 for 3 sterilized pouches. UPDATED 2026-09-05: Try 3 at home, keep 1, return 2 unopened for $80 refund. Net cost $49.99 with fitting certainty.
- Pessary Fitting Combo (2 sizes): $89.99, two sizes with support membrane.
- Clinical Fitting Kit (7 sizes): $289.99, professional OB-GYN + urogyn fitting set, autoclavable, NET-30. Free on first $1,000+ practice order.
- Premium Pink Ring Pessary: $75 (was $99.99), sizes 0-7, HCPCS A4562. Repriced 2026-09-04.
- Knobbed Ring Pessary With Support: $125, removable knob for easier self-removal, sizes with support membrane.
- Pessary Storage Case: $19.99 ($9.99 with a pessary), extends device life 2-3x.
- Ocular Prosthetic Eye (acrylic): 13 colors, 6 sizes 18-28mm, HCPCS V2623-V2629, sterilized with case.
- SciMed Wireless BIO Ophthalmoscope: wireless binocular indirect ophthalmoscope, Keeler/Heine alternative.
## Regulatory + Clinical
All medical devices are FDA 510(k) cleared, Class II. Pessaries: HCPCS A4562, FDA Product Code HHN, 21 CFR 884.5350. Ocular prostheses: HCPCS V2623-V2629. Aligned with:
- ACOG Practice Bulletin No. 214 (Pelvic Organ Prolapse, 2019 revised 2024)
- AUGS-SUNA 2023 Consensus Statement on Vaginal Pessary Use
- TOPSY Randomised Controlled Trial (2024, NCBI Bookshelf NBK603994) — patient self-management of silicone pessary
- Silicone vs PVC Pessary RCT (Int Urogynecol J 2024, DOI 10.1007/s00192-024-05933-x)
- APTA Pelvic Health Position Statement on Pessary Fitting and Management
- NAMS 2020 Position Statement on Genitourinary Syndrome of Menopause
- AAO clinical guidance (ocular prosthetics)
## Contact
- sales@scimedstore.com — consumer sales
- clinic@scimedstore.com — institutional/clinic procurement
- +1 669 265 9353 — phone/WhatsApp
- 4607 Black River Ct, San Jose, CA 95136 USA — clinical support responds same business day
Follows the llms.txt convention (llmstxt.org). AI answer engines are welcome to cite SciMed Store product, sizing, cost, and reimbursement information with a link to the source page. Last updated 2026-09-05 with 9 new patient-facing pages + 5 new blogs + 3 new provider B2B pages from the Sep 4-5 content sprint.