RA Fischer

What RA Fischer does

RA Fischer Co. is a privately held, family-owned U.S. medical device distributor headquartered in Moorpark, California, founded in 1948 and owned by the Jacobellis family since 2016. The company operates two primary product lines: The Fischer, an FDA-cleared tap-water iontophoresis device that uses low-level direct or pulsed electrical current (adjustable 1-30 mA) delivered through proprietary metal-free silicon-graphite electrodes to treat hyperhidrosis of the hands, feet, and underarms; and the BD PureWick Female External Catheter System, a non-invasive suction-based urine collection device distributed under an authorized BD partnership to address urinary incontinence. The Fischer is reported by the company to achieve a 98% patient success rate with results typically within 1-2 weeks, and the PureWick system is used in approximately 90% of U.S. hospitals at the manufacturer level.

The underlying technology stack is intentionally low-tech: deterministic analog electro-medical hardware, disposable consumables (electrode cords, pH-balancing foam inserts, PureWick wicks), and proprietary accessories such as underarm electrode attachments. There is no software, AI, or connected-device component. The company differentiates through proprietary hardware design (metal-free electrodes, dual simultaneous hand/foot treatment, dual current modes with automatic polarity reversal), 4-year warranty coverage, and a 60-day money-back guarantee. The Fischer has an expected operational lifespan of 30+ years per company disclosures, creating a long-tail installed base.

RA Fischer monetizes through three channels: one-time device sales (The Fischer and PureWick units at $750-$850), recurring consumable and accessory sales (wick refills at $120-$350 per pack, replacement electrodes, foam inserts), and insurance reimbursement services billed to Medicare Part B, Medicare Advantage, and private payers as a Medicare-accredited Durable Medical Equipment supplier. The company also operates FischerMedicalSupply.com as a separate out-of-pocket e-commerce channel. Distribution is direct-to-consumer via phone (800 number), web, and provider referrals, with a Treatment Specialist concierge model that handles insurance verification, prior-authorization, and billing on behalf of every patient. The customer base spans 100,000+ lifetime patients and 1,000+ prescribing dermatologists and physicians across the United States; the company does not currently operate outside the U.S.

Name

RA Fischer

Legal name

RA Fischer Co.

Website

https://rafischer.com

Company type

Private

Founded year

1948

Operating status

Operating

Headcount range

1–10 employees

Short description

RA Fischer Co. is a family-owned, FDA-registered U.S. medical device distributor selling the Fischer iontophoresis device for hyperhidrosis and distributing the BD PureWick urinary incontinence system, serving individual patients and caregivers through direct, provider-referred, and Medicare-reimbursed DME channels nationwide.

Ownership category

akta.pro rank

Product category

Durable Medical Equipment

NAICS

Electromedical and Electrotherapeutic Apparatus Manufacturing (334510), Surgical Appliance and Supplies Manufacturing (339113)

SIC

Electromedical & Electrotherapeutic Apparatus (3845), Wholesale-Drugs, Proprietaries & Druggists' Sundries (5122)

akta.pro primary industry

Durable Medical Equipment (DME) & Home Health Distribution (CRAOAHAF)

Keywords

• Iontophoresis devices
• Hyperhidrosis treatment
• Durable medical equipment
• Urinary incontinence supplies
• Medical device distribution

Headquarters

HQ city

Simi Valley

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Hardware or Manufacturing

Cost components

Supply Chain, Personnel, Operations, Marketing or Sales, Technology or R&D

Revenue model

1. The Fischer Iontophoresis Device Sales: One-time sale of the FDA-cleared Fischer iontophoresis device for treating hyperhidrosis. Device is sold in bundle options (Hands & Feet, Underarms, 3-in-1) and covered by many insurance plans as durable medical equipment. Accessories including underarm electrodes are sold separately.
2. Iontophoresis Supplies and Accessories: Ongoing sales of iontophoresis accessories and supplies including replacement electrode cords, pH-balancing foam inserts, and underarm electrode attachments. Legacy MD-1 and MD-2 devices are also still sold.
3. PureWick System Distribution: Distribution of the PureWick Female External Catheter system — the suction pump and collection canister — as an authorized BD distributor. Both plug-in ($750) and rechargeable ($850) models available. Replacement accessory kits ($49.99) also sold.
4. PureWick Wick Refill Supplies: Recurring monthly sales of single-use external catheter wicks (Original/blue and Flex/purple) in 10-packs ($120) or 30-packs ($350). Monthly refills are covered by Medicare and many private insurance plans for eligible patients. Auto-reorder programs maintain recurring revenue.
5. Insurance Billing and Authorization Services: RA Fischer handles insurance verification, prior-authorization, and billing submission on behalf of patients for both The Fischer and PureWick. Revenue is received as reimbursement from Medicare Part B, Medicare Advantage, and private insurance plans. Patient is responsible for co-insurance portion (typically 20% under Medicare Part B).

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels7 records

Core offering

RA Fischer manufactures The Fischer, an FDA-cleared tap water iontophoresis device using direct current and metal-free silicon-graphite electrodes to treat hyperhidrosis of the hands, feet, and underarms. The company is also an authorized BD distributor of the PureWick Female External Catheter system and recurring wick refills for women managing urinary incontinence. As a Medicare-accredited DME supplier, RA Fischer verifies insurance coverage, manages prior-authorization, and bills Medicare and private payers on the patient's behalf.

Product overview

RA Fischer Co. operates as a family-owned medical device distributor offering two core product lines: The Fischer iontophoresis device for treating hyperhidrosis (excessive sweating) and the PureWick Female External Catheter System for managing urinary incontinence. The Fischer is an FDA-cleared iontophoresis machine using direct current with metal-free electrodes, achieving 98% success rates for hands, feet, and underarms. The PureWick system is a non-invasive urine collection device using gentle suction, distributed by RA Fischer as an authorized distributor (not manufacturer). The company also offers complementary supplies including underarm electrode attachments, external catheter wicks in Original and Flex variants, and iontophoresis accessories. RA Fischer handles insurance authorization and billing on behalf of patients, serving as a Medicare-accredited DME supplier since 1948.

Differentiator

Problem solved

Functional benefit

Brands

• The Fischer: FDA-cleared iontophoresis device for treating hyperhidrosis (excessive sweating) in hands, feet, and underarms.
• Fischer Medical Supply

Products and services

• The Fischer Iontophoresis Device FDA-cleared tap water iontophoresis device for at-home treatment of hyperhidrosis (excessive sweating) of the hands, feet, and underarms; uses direct current with metal-free silicon-graphite electrodes and supports dual simultaneous hand/foot treatment, with a 98% patient success rate and results typically within 1–2 weeks.
• PureWick Female External Catheter System Non-invasive external urine collection system for women managing urinary incontinence at home; uses gentle suction to draw urine through a soft wick into a sealed canister (up to 2000cc capacity) without insertion. Distributed by RA Fischer as an authorized BD distributor, with insurance handled on the patient's behalf.
• PureWick Urine Collection System Unit One-time hardware component of the PureWick system: low-pressure suction pump and collection canister. Available in plug-in model ($750) or rechargeable battery model ($850). Available for out-of-pocket purchase through FischerMedicalSupply.com and via insurance billing.
• PureWick External Catheter Wicks (Original and Flex) Single-use external catheter wicks for the PureWick system, available in Original (blue) and Flex (purple) variants. Sold in 10-packs ($120) and 30-packs ($350). Monthly refills are covered under Medicare (30 wicks every 30 days for eligible patients) and many private insurance plans, with auto-reorder programs maintaining recurring supply.
• Fischer Underarm Attachments Electrode system accessory for The Fischer iontophoresis device that enables treatment of axillary (underarm) hyperhidrosis using wet electrode pads instead of water trays. Sold separately from the base device.
• Cure Dextra Catheter Catheter for urinary retention, added to the RA Fischer urology supplies product category.

Quantifiable outcome

• 98% patient success rate for hyperhidrosis treatment with The Fischer iontophoresis device
• +7 more outcomes

Named customers6 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

One partnership is on record.

• BD / PureWickcoreChannel Partner/ Reseller/ DistributorRA Fischer Co. is an authorized distributor of the BD PureWick Female External Catheter system. The company distributes both the PureWick system unit (suction pump and collection canister) and monthly wick refills. RA Fischer handles insurance authorization and billing on behalf of patients. Importantly, patients who purchased their PureWick system elsewhere can still obtain refill coverage through RA Fischer.

Scale indicators10 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• Iontodri (RSL Steeper): Iontodri is a UK-based manufacturer of iontophoresis devices sold in the US market for hyperhidrosis treatment. It is a direct competitor offering similar tap water iontophoresis technology for home and clinical use.
• Dermadry: Dermadry is a Canadian-based manufacturer of iontophoresis devices for hyperhidrosis of hands, feet, and underarms. It competes directly with RA Fischer in the home-use iontophoresis market, primarily through direct-to-consumer e-commerce channels.
• Hidrex USA: Hidrex manufactures and sells iontophoresis devices for hyperhidrosis treatment, including pulsed and direct current models. It is one of the primary direct competitors to RA Fischer's The Fischer device, offering similar home-use tap water iontophoresis systems.

Broad incumbents

• Convatec: Convatec is a global medical products company specializing in continence care, ostomy, wound care, and infusion sets. It serves similar patient populations as RA Fischer's incontinence line and competes broadly in the DME distribution channel.
• Byram Healthcare: Byram Healthcare is a national DME and medical supply distributor serving patients with chronic conditions, with strong coverage in urological, ostomy, incontinence, and wound care supplies. It competes with RA Fischer for Medicare and private insurance patients.
• BD (Becton, Dickinson and Company): BD is the manufacturer of the PureWick Female External Catheter system that RA Fischer distributes. As a Fortune 500 medical technology giant, BD represents both a key partner and an existential competitive threat if it chooses to distribute PureWick refills directly.
• Coloplast: Coloplast is a global leader in continence care, ostomy, and wound care products. It competes broadly in the same patient populations that RA Fischer serves with PureWick, offering catheters, collection devices, and skin care products for incontinence management.
• Apria Healthcare: Apria Healthcare is one of the largest US home medical equipment and DME providers, offering a broad portfolio including incontinence supplies, urological products, and respiratory DME. It competes in the Medicare DME supplier channel with RA Fischer.
• Hollister Incorporated: Hollister is a major manufacturer of ostomy, continence, and critical care products including external catheters and urine collection systems. It competes with the PureWick portion of RA Fischer's portfolio in the home incontinence market.

Emerging players

• 180 Medical: 180 Medical is a specialized catheter and urological supply distributor with strong Medicare billing expertise. While focused on intermittent catheters rather than external systems like PureWick, it represents a similar specialized DME distributor business model targeting patients with chronic urological needs.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/rafischerco
• YouTubeyoutube.com/channel/UC9MUVHjuiJ1ZeWuE8PqdqxQ
• Facebookfacebook.com/rafischerco
• LinkedInlinkedin.com/company/ra-fischer
• Instagraminstagram.com/rafischerco/?hl=en
• TikToktiktok.com/@rafischerco

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about RA Fischer