APPROVED FORMAT
MEDICAL SCRIPTS
Manufactured by Micro Format, Inc.

www.rxpaper.com/EPOWERdoc
Medical LASER FORMAT Prescription Scripts
for use in the State of Maine

Micro Format Rx Paper Products meet and exceed ALL Medicaid Requirements

Micro Format Secure Maine Laser Prescription Paper
contains all of the features required by the State of Maine.

Sheet Size: 8-1/2" x 11" ~ Perforated to yield up to 4 scripts when detached
Detached Prescription Size: 5-1/2" x 4-1/4"

Rx503ME-P4 (500 sheets)
500 sheets per package
$ 70.00 per package plus shipping by UPS		 Click to ADD to your Shopping Cart
Rx503ME-P4 (1000 sheets)
1000 sheets per package
$ 90.00 per package plus shipping by UPS
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Rx503ME-P4 (2500 sheets)
2,500 sheets per carton
$212.50 per carton plus shipping by UPS
 Click to ADD to your Shopping Cart
Rx503ME-P4 (5000 sheets)
2,500 sheets per carton
2 cartons - 5,000 sheets total
$400.00 ($200.00 per carton) plus shipping by UPS
 Click to ADD to your Shopping Cart

Copyright © 2009 Micro Format, Inc. ~ All Rights Reserved
Micro Format, Inc.
830-3 Seton Court ~ Wheeling, IL 60090
Phone: 847/520-4699 ~ 800-333-0549
Fax 847/520-0197