Tricare Breast Pump Reorder form | Baby Pavilion

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Hello, Pumping Mama!

Ready for resupplies?
TRICARE will cover a replacement Kit
(once per birth)

2 Flanges - 2 Valves - 2 Tubing - 2 Bottles/Caps
90 Milk Storage Bags

Already received a Kit?
You can still get (every 30 days)

2 Valves -  90 Milk Storage Bags

Note, if less than 30 days, we'll delay
shipment until 30 days is reached.

If you're ineligible for a Kit,
we'll still ship replacement valves.
Simply complete the form below.

⚠️ Be careful entering information.

If you are a new patient, please fill out our New Patient Form

Thank You and Happy Pumping!

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