Pharmacare Hawaii Breast Pump Order Form Rev.04.01.24 Logo
  • Pharmacare Breast Pumps Available

    Breast pumps are included FREE with most insurance benefits. Select your breast pump and insurance below to see more details.
  • *Required

  • Pictured - Spectra S1 breast pump with two milk bottles and four breast flanges.

    Spectra S1

    Spectra® S1 Plus Premier Rechargeable double electric breast pump brings comfort and convenience to breastfeeding. The hospital-strength breast pump is efficient, portable, and discreet, yet powerful. It comes with all the benefits of the S2 Plus but with a quick-charging built-in battery.  The adjustable suction strength goes up to 270mmHg, and the device may serve as a single or double pump.

    Like all Spectra® pumps, the S1 Plus is a closed system. That means breast milk is kept free from harmful bacteria, mold, and viruses. Using one-touch button and digital controls, the pumping program may be set to the user's own body speed and rhythm. There is also a timer and night light feature for pumping at any time of day. 

    Features:

    • Single or Double Pump capability
    • Adjustable Suction Levels – vacuum suction up to L12, which is a maximum of 270mmHg hospital strength suction
    • Customizable – adjustable pump settings to sync with each mother’s body’s response and to follow her flow in finding her own best settings every time
    • Closed System – prevents backflow into tubing and pump and protects breast milk and baby from bacteria, mold, and viruses while pumping
    • Massage mode – stimulates natural suckling of baby
    • Expression mode – mode settings optimize extraction
    • Ultra-Quiet – for discreet pumping sessions at 45 decibels
    • Lightweight – weighs only 3 pounds
    • Portable – includes a quick charging built-in battery
    • LCD Display with Auto-Timer – offers easy-to-read settings
    • Night Light – allows you to easily pump at any hour
    • 90-day Limited Manufacturer’s Parts Warranty
    • 2-year Limited Manufacturer’s Pump Warranty
       

    Includes:

    • 24mm Breast Flanges (2)
    • 28mm Breast Flanges (2)
    • Wide Neck Milk Bottles, Discs, Locking Rings and Caps (2)
    • Nipples (2)
    • Duckbill Valves (2)
    • Backflow Protectors (2)
    • Tubing (2)
    • Power Cord & 12V AC Power Adapter/Charger (1)
    • Rechargeable Internal Battery (1)
  • Pictured - Elvie Stride Breast Pump

    Pictured - Elvie Stride Breast Pump

    Elvie Stride

    The Elvie Stride breast pump is a hands-free, hospital-grade electric breast pump.  The portable device allows the wearer mobility, free of sockets and wires.  Connect with the Elvie app and have ultimate control with the pump without having to even adjust to your top.

    Features:

    • Hands-free pumping
    • 10 intensity settings – with stimulation and expression modes for natural suction
    • Comfortable – designed for every body, available in a variety of sizes
    • Lightweight cups – less than 5 ounces per cup
    • Discrete design – contours to the natural shape of the breast
    • Hospital-grade performance – featuring a -300 mmHg in a single cup set up
    • App-connected and controlled 
    • Safe and hygienic – BPA free
    • Portable – comes with a rechargeable battery that lasts for almost three hours of pumping with no sockets and wires
    • Easy to assemble and clean – either by hand or in the dishwasher

    Includes:

    • Hub (1)
    • Cup fronts (2)
    • Cup seals (2)
    • 24mm breast shields (2)
    • Caps (2)
    • Tube splitter (1)
    • Short tubes for the cups (2)
    • Long tube for the hub (1)
    • Clip (1)
    • Cover (1)
    • Valves (2)
    • Diaphragms (2)
    • Charging cable (1)
    • Instructions for use
  • Pictured - Elvie Pump: Double Electric Breast Pump

    Pictured - 2 Elvie breast shields and device 

    Elvie Pump: Double Electric Breast Pump

    The Elvie Pump is the smallest, quietest, and smartest, slimline wearable electric breast pump. Using powerful, coin-sized Piezo pumps, these double electric breast pumps’ slim, all-in-one design fits effortlessly into the bra. Optimize milk output and comfort with the unique SmartRhythm™ technology that syncs with your smart body.

    Features:

    • Hands-free pumping
    • Smart pumping rhythms – optimize milk output and comfort 
    • Closed system - hygienic to protect your baby
    • Comfortable – with free sizing inserts
    • Discrete design – the smallest and quietest pump for those on-the-go 
    • App-connected – for discreet in-bra control and pumping insights
    • Safe – BPA and food safe, FDA approved
    • Portable – comes with a rechargeable battery that lasts for five to six pumping sessions and charges in two hours 
    • Easy to clean – either by hand or in the dishwasher
    • Reusable bottles – a bottle holds 5 ounces of milk

    Includes:

    • Hub (2)
    • 5oz/150ml BPA free bottles (4)
    • 24mm breast shields (2)
    • 28mm breast shields (2)
    • Valves (4)
    • Spouts (4)
    • Seals (4) 
    • Storage lids (4)
    • Bra adjusters (4)
    • USB charging cable (2)
    • Carry bag (2)
    • Instructions for use
  • Pictured - Spectra S2 breast pump with two milk bottles and four breast flanges.

    Spectra S2

    Mothers and lactation consultants favor the Spectra® S2 Plus double electric breast pump. It is lightweight (3 pounds) and ultra-quiet. Enjoy productive single or double pumping sessions via hospital strength suction (270 mmHg). 

    The closed system also protects milk from outside contaminants. A touch button and digital controls allow for adjustable speed and rhythm. Added extras include a nightlight and timer. Breastfeed with confidence and comfort!

     
    Features:

    • Single or double pump capacity
    • Adjustable suction levels – vacuum suction up to L12, which is a maximum of 270mmHg hospital strength suction
    • Closed system – prevents backflow into tubing and pump and protects breast milk and baby from bacteria, mold, and viruses while pumping
    • Massage mode – stimulates the natural suckling of baby
    • Expression mode – advanced mode settings optimize extraction
    • Ultra-quiet – for discreet pumping sessions 
    • Lightweight – weighs only 3 pounds
    • Customizable – adjustable pump settings to sync with each mother’s body’s response and to follow her flow in finding her own best settings every time
    • LCD display with auto-timer – offers easy-to-read settings
    • Night light – allows you to easily pump at any hour
    • 90-day Limited Manufacturer’s Parts Warranty
    • 2-year Limited Manufacturer’s Pump Warranty

     

    Includes:

    • 24mm Breast Flanges (2)
    • 28mm Breast Flanges (2)
    • Wide-Neck Bottles with Discs, Caps, & Covers (2)
    • Duckbill Valves (2)
    • Backflow Protectors (2)
    • Tubing (2) 
    • 12V AC Power Adapter (1)
  • Pictured - Spectra 9 Plus breast pump with two milk bottles, two breast flanges, tubing, nipples, and power adapter.

    Spectra 9 Plus

    The Spectra® 9 Plus Portable Rechargeable double electric breast pump is here!  The compact and discreet hospital-strength pump weighs only a 1/2 pound.  The built-in rechargeable battery makes it perfect for travel. The closed system protects breast milk from outside contaminants.  Several massage modes aid in a more natural nursing process.

    Features:

    • Single or double pump capacity
    • Suction levels – vacuum suction up L10, which is a maximum of 260mmHg hospital strength suction
    • Massage mode – advanced mode settings stimulate the natural suckling of baby
    • Expression mode – advanced mode settings optimize extraction
    • Closed system – backflow protection prevents contamination
    • Quiet – for discreet pumping sessions
    • Lightweight – weighs only 0.5 pounds
    • Portable – built-in rechargeable battery for pumping on the go
    • LCD display – for easy viewing
    • Night light – soothing 3 level illumination allows you to easily pump at any hour
    • 90-day Limited Manufacturer’s Parts Warranty
    • 2-year Limited Manufacturer’s Pump Warranty

    Includes:

    • 24mm Breast Flanges (2)
    • Milk bottles (2)
    • Nipples (2)
    • Duckbill valves (2)
    • Backflow Protectors (2)
    • Tubing (2)
    • 9V AC Power Adapter/Charger (1)
  • Pictured - Spectra Synergy Gold Double Adjustable Electric Breast Pump.

    Spectra Synergy Gold Double Adjustable Electric Breast Pump

    The Synergy Gold electric breast pump offers the latest technology in the industry.  It is the first pump of its kind that allows users to adjust each side independently.  The true closed-system creates a hygienic barrier between outside contaminants and mother’s milk.  Pumping sessions are more productive, saving time with comfort and ease.  

    The LED lamp shines a mild indirect light for breastfeeding in dark rooms and as a sleep lamp.

    Features:

    • Dual controls allow for independent settings on each breast
    • Suction levels - powerful suction of up to 270 mmHg on each side
    • Massage mode - 5 stages of soft massage mode settings
    • Closed system - backflow protection prevents contamination
    • Ultra quiet - for discreet pumping sessions
    • LCD display - touch screen with timer control and mute mode
    • Night light - soothing 3 level illumination allows you to easily pump at any hour
    • 90-day Limited Manufacturer’s Parts Warranty
    • 2-year Limited Manufacturer’s Pump Warranty

    Includes:

    • 24mm Breast Flanges (2)
    • 28mm Breast Flanges (2)
    • Wide Neck Storage Bottles. Includes nipple, cap, disc and cover for each bottle (2)
    • Backflow Protectors - includes silicone membrane, uppercase, and lowercase caps for each Backflow Protector (2)
    • Duckbill Valves (2)
    • Tubing with Adapter Ends for each Tubing (2)
    • 12V AC Power Adapter/Charger (1)
  • Pictured - Spectra Synergy Gold Portable Adjustable Electric Breast Pump with two milk bottles.

    Spectra Synergy Gold Portable Adjustable Electric Breast Pump

    The SG Portable Double Adjustable Electric Breast Pump is quiet and discreet. The 3 lb. pump features adjustable suction levels for more natural operation.  The closed system protects the breast milk from contaminants.  Advanced technology promotes productive pumping sessions with comfort and ease.  An LED lamp with indirect light allows for use in the dark.

    Features:

    • Dual controls – independent vacuum preset cycle settings for each breast
    • Adjustable suction levels – vacuum suction up to 270mmHg on each side
    • Comfort – Natural Nursing Technology stimulates the natural way a baby nurses, promoting a more comfortable pumping experience
    • Massage mode – stimulates the natural suckling of baby
    • Expression mode – optimizes extraction
    • Closed system – backflow protection prevents contamination
    • Ultra-quiet – for discreet pumping sessions
    • Lightweight – weighs only 1.5 pounds
    • Portable – built-in battery uses one separate battery-operated motor for each breast
    • Customizable – adjustable pump settings to sync with each mother’s body’s response and to follow her flow in finding her own best settings every time
    • Preset cycle levels – eliminates the need for manual cycle adjustments
    • Touchscreen LCD Display – with timer control
    • Night light – soothing 3 level illumination allows you to easily pump at any hour
    • 90-day Limited Manufacturer’s Parts Warranty
    • 2-year Limited Manufacturer’s Pump Warranty 

    Includes:

    • 24mm Breast Flanges (2)
    • 28mm Breast Flanges (2)
    • Wide Neck Storage Bottles - includes nipple, cap, disc and cover for each bottle (2)
    • Backflow Protectors – includes silicone membrane, uppercase, and lowercase caps for each Backflow Protector (2)
    • Duckbill Valves (2)
    • Tubing with Adapter Ends for each Tubing (2)
    • 5V AC Power Adapter/Charger (1)
  • Pictured - Medela Pump In Style Handsfree with collection cups, breast shields, tubing, battery pack, and power adapter.

    Medela Pump In Style® Handsfree

    The Medela Pump In Style® Hands-free Breast Pump is Medela’s most powerful hands-free breast pump.  You get hospital grade performance in a compact pump. The device is effective, trustworthy, and easy-to-use.  Anatomically-designed hands-free cups, with only three parts to clean, may be worn discreetly and comfortably under a nursing bra.  The closed system pumps more milk in less time. Compatible with PersonalFit Flex™ Connectors only. 

    Features: 

    • MaxFlow technology – advanced motor technology generates vacuum with MaxFlow™ micro-vibrations. Makes for effective breast milk expression (more milk in less time)
    • 10 adjustable levels
    • No compromise in vacuum performance - whether using Hands-free Collection Cups or classic PersonalFit Flex™ pumping kits
    • 105 degree angled breast shields are anatomically shaped and clinically proven to increase milk volume by 11.8%
    • Comfortable – designed for mothers to find their maximum comfort vacuum without worry
    • Hospital Performance – inspired by Medela’s hospital-grade (multi-user) Symphony® breast pump combined with 2-Phase Expression® technology to mimic baby’s natural sucking rhythm for more efficient pumping
    • Closed System – one pump but two ways of pumping allows for freedom of choice in how to collect milk.  Prevents backflow into tubing and pump when using classic PersonalFit Flex™ parts and protects breast milk and the baby from bacteria, mold, and viruses while pumping
    • Natural sucking rhythm – mimics the baby’s rhythm.  Medela’s clinically-proven 2-Phase Expression® Technology shows that additional suction phases are not needed
    • Easy cleaning and assembly – collection cups have 3 parts to clean and is dishwasher safe
    • Wearable, ultra-lightweight collection cups - weighs only 2.7 ounces each
    • Portable – includes a battery pack for convenient pumping away from power
    • Safe – all parts that come in contact with breast milk are made without BPA
    • Collection cups stand vertically to avoid spills, and comes with an easy pour spout
    • Transparent design to easily check milk flow and milk volume
    • Four (4) simple buttons for intuitive use

    Included:

    • Pump In Style® Breast Pump (1)
    • Hands-free Collection Cup with 24mm breast shield and O-ring (2)
    • 21mm breast shield and O-ring (2)
    • Complete tubing (1)
    • Battery pack (8 AAs not included) (1)
    • Power adaptor (1)
    • Instructions for use and Quick start

     

  • Pictured - Medela Pump In Style with Maxflow breast pump with two milk bottles and breast shields.

    Medela Pump In Style® with MaxFlow™ (E0603)

    The Medela Pump In Style with MaxFlow is a double electric breast pump.  You get hospital grade technology in a compact pump. The device is effective, trustworthy, and easy-to-use.  The closed system pumps more milk in less time. Compatible with PersonalFit Flex™ Connectors only. 

    Features: 

    • New MaxFlow technology – advanced motor technology generates vacuum with MaxFlow™ micro-vibrations. Makes for effective breast milk expression (more milk in less time)
    • PersonalFit PLUS breast shields – soft rim and oval shape for better fit.  Clinically proven to increase milk volume by 11.8%
    • Comfortable – designed for mothers to find their maximum comfort vacuum without worry
    • Hospital Performance – inspired by Medela’s hospital-grade (multi-user) Symphony® breast pump
    • Pre-programmed research-based settings – takes the guesswork out for more effective pumping
    • Closed System – prevents backflow into tubing and pump when using PersonalFit Flex™ connectors. Protects breast milk and the baby from bacteria, mold, and viruses while pumping
    • Natural sucking rhythm – mimics the baby’s rhythm.  Medela’s clinically-proven 2-Phase Expression® Technology shows that additional suction phases are not needed
    • Easy cleaning – few dishwasher safe parts and simple assembly
    • Lightweight – weighs only 1.18 pounds
    • Portable – extra battery pack for convenient pumping away from power
    • Safe – all parts that come in contact with breast milk are made without BPA
    • Four (4) simple buttons for intuitive use

    Included:

    • Pump In Style Breast Pump (1)
    • 5 oz/150 mL bottles with lids (2)
    • 24 mm PersonalFit™ PLUS breast shields (2)
    • PersonalFit Flex™ Connectors with membranes (2)
    • Complete tubing (1)
    • Battery pack (8 AAs not included) (1)
    • Power adaptor (1)
  •  

    Pictured - Medela Freestyle Handsfree Double Electric breast pump with collection cups, breast shields, and power adapters.

    Medela Freestyle Handsfree Double Electric Breast Pump

    Medela’s smallest and first wearable hands-free double electric pump is designed so mothers may perform other tasks while expressing.  The portable, pocket-sized unit pairs with the ultralight collection cups for discreet pumping.  It fits inside the bra without weighing down the breast.

    Features:

    • Wearable and lightweight – the lightest collection cups weighing at 2.7 ounces fit comfortably in the bra
    • Separate pump – stays in the pocket and does not weigh down the breast
    • Transparent design – easy nipple alignment and to see if milk is flowing
    • Comfort – anatomically shaped collection cups optimize milk expression while reducing breast compression
    • Expression – 2-Phase Expression™ technology mimics baby’s natural sucking rhythm:  faster at first to stimulate milk flow, then slower to express milk
    • Easy cleaning – collection cups contain only three parts and are few dishwasher-safe
    • Portable – built-in battery is USB-rechargeable for convenient pumping, allowing mothers to multi-task
    • Smart – connectivity to the Medela Family™ app to create a personalized profile tailored to your needs
       

    Includes:

    • Tubing (1)
    • Cups (2)
    • Membranes (2)
    • 24mm hands-free cup breast shields (2)
    • 21mm hands-free cup breast shields (2)
    • Power adapter and USB-C charging cable (1)
    • Instructions for use (1)
  • Check out these additional accessories compatible with any Spectra model breast pump!

    *Accessories and breast pump copay that are not covered by insurance are subject to Hawaii State tax
  • Check out these additional accessories!

    *Accessories and breast pump copay that are not covered by insurance are subject to Hawaii State tax
  • Pictured - one flange, tubing, and one CaraCup

    Spectra CaraCups Wearable Collection Inserts 24mm*

    CaraCups make hands-free pumping safe, convenient, and easy. CaraCups are a true closed system and compatible with all Spectra® breast pumps. Simply place them in the bra, and mothers will be able to express breastmilk hands-free. Transferring breastmilk after pumping is easy and sanitary. 

    Included:

    CaraCups (2), Milk Collection Cups (2), Flange (2), Valve Connector (2), Silicone Valve (2), Membrane (2), Backflow Prevention Cap (2), Tube Adapter End (2), Tubing (2), Bottle Connector (2)

  • Elvie Trainer

    Pictured - One Elvie trainer and a mobile phone with the Elvie App screen

    Elvie Trainer

    The Elvie Trainer allows you to take charge of your pelvic floor in the comfort of your own home with expert-designed care.  The pelvic floor trainer and app uses biofeedback, the gold standard of Kegel training.  It helps you visualize your pelvic floor while guiding you through each exercise.  Insert Elvie Trainer and connect to the app.  As you squeeze your pelvic floor muscles, your contracts move the gem through a targeted workout.

    Features: 

    • Strengthens the pelvic floor
    • Improves bladder control
    • Aids in postpartum recovery
    • Detects incorrect contractions
    • App-connected

    Included:

    • Elvie Trainer (1)
    • Carry case, which doubles up as a charger (1)
    • Optional cover (1)
    • Micro USB charging cable (1)
    • Quick start guide 
  • Motif Storage Bag

    Pictured - One Motif Breastmilk Storage Bag

    Motif Storage Bag (90/Pack)

    Motif’s high-quality breast milk storage bags feature an innovative easy-pour spout for mess-free breast milk transfers without spilling or hassle.  Secure with the leak-proof double zipper, label, and store safely in the refrigerator or freezer.  These breast milk bags are available in a 90-count box.  This product is not specific to Motif pumps and is the ideal bag for the storage of all breast milk.

    Features: 

    • Easy-pour spout design
    • BPA free
    • Leak-proof with double zipper lock
    • Stores up to 6 ounces of milk
    • Write-on label
    • Freezer safe
    • Lay flat for compact freezer storage
    • Self stand for refrigerator storage
      Note:  Do not microwave
  • Motif Pregnancy Back Brace

    Pictured - One Pregnancy Back Brace

    Motif Pregnancy Back Brace

    The Motif Pregnancy Back Brace is designed by medical professionals to keep expecting mothers active, comfortable, and supported during the three to nine months of pregnancy.  This FDA-listed device relieves pressure on the abdomen, hips, and lower back by redistributing the baby’s weight, providing comfort throughout the daily activities while reinforcing the core muscles.

    Features: 

    • FDA-listed medical device
    • Reduces pregnancy related discomfort
    • Supports core muscles during daily activities and exercise
    • Helps baby settle into optimal birth position
    • Made from soft, breathable fabric:  65% nylon, 35% polyester construction.
  • Motif Postpartum Recovery Garment

    Pictured - One Postpartum Recovery Garment

    Motif Postpartum Recovery Garment

    Motif’s Postpartum Recovery Garment is an FDA-listed medical device designed by healthcare professionals to support new mothers after both C-section and vaginal births.  The 76% nylon, 24% spandex garment aids in recovery by stabilizing joint, reducing pain, increasing mobility, and helping with swelling and postpartum bleeding.  It is comfortable to wear all day, and fits discreetly under clothing.

    Features: 

    • FDA-listed medical device
    • Catalyzes postpartum recovery
    • Comes with a side zipper designed for convenient and easy wear, ideal for C-Section
    • Delivers gentle compression to reduce swelling (edema)
    • Stabilizes the abdomen via structure support panels
    • Relieves various conditions such as pelvic girdle pain
    • Supports lower back and hips, improving posture
    • Tightens and tones belly, hips, waist, pelvis, and lower back
    • Split crotch design makes for convenience in restrooms
    • Silicone leg grippers prevent garment from riding up
  • Spectra Simple Storage Milk Bags Collection Kit 200mL*

    The Simple Store Milk Collection Kit lets mothers pump, store, and feed babies breastmilk all in one product. This convenient system prevents the exposure of germs and outside contaminants that are often present when transferring milk from one storage solution to the next. The kit includes a Bottle Connector and 10 Milk Collection Bags. The Bottle Connector easily connects to a Spectra® flange when pumping and seamlessly converts to a nipple connector when choosing to feed directly from the bag. All Spectra® Milk Collection Bags are double-lined, providing a strong seal ensuring leak-free insulation. Assembly is intuitive, clean, fast, and easy.

  • Spectra Simple Storage Milk Bags Collection Bag Replacements 200mL*

    These Simple Store Milk Bags Collection Bag Replacements are for use with the Simple Store Milk Collection Kit. The double-lined bags provide a strong seal, ensuring leak-free insulation.

  • Complete the details below to order your breast pump today!

  • Breast Pump Order Form

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  • We are currently unable to accept Kaiser insurances. Please contact your doctor to be referred to another provider.

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  • Aiea Medical Pharmacy's Address: 

    99-128 Aiea Heights Drive, Suite 103

    Aiea, HI 96701

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  • Please allow up to 10 business days for pick up or delivery of your pump.

     

    Should you have any issues, questions, or require an accommodation to be able to submit this form, please contact us at (808) 840-5681 or email rmann@pharmacarehawaii.com for assistance.

     

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