APPROVED FORMAT
MEDICAL SCRIPTS
Manufactured by Micro Format, Inc.

www.rxpaper.com/EPOWERdoc/EPOWERdoc
EPOWERdoc Tamper Resistant Secure Prescription ( Rx ) Paper
All Micro Format Prescription Paper Products meet and exceed ALL Medicaid Requirements.
Rx forms used for prescribing Medicad reimbursed medications
must be purchase from a Florida State Medicade Board approved printer.

Micro Format, Inc. is a Florida State
"approved printer" of Tamper Resistant Prescription Paper Products.

State of Florida Legislation requires that a unique production batch number appear on the front of each script

At the time your order is placed, a unique batch number for your order will be printed on the front of your laser script paper before your order is shipped.

Micro Format, Inc. is a Florida Department of Health
AND Florida Agency for Health Care Administration
"approved printer" of Secure Prescription Paper Products.

Directory

FULL SHEET Tamper Resistant Laser Prescription Paper

Tamper Resistant Rx Laser Paper

  • Not approved for use in the States of New Jersey, Indiana, Kentucky.
  • This format is approved for use in the State of Florida
  • This format may be used in the State of California ONLY for prescribing Non-Controlled Substance medications
    • Item# RX503
      Blue Background Tamper Resistant
      Laser Rx Paper

      Laser Prescription Rx503

    Item# RX503
    1000 sheets per package
    $ 120.00 plus shipping by UPS

    1 carton (2,500 sheets per carton)
    $262.50 plus shipping by UPS

    2 cartons (2,500 sheets per carton)
    $250.00 per carton plus shipping by UPS
    • Item# RX503G
      Green Background Tamper Resistant
      Laser Rx Paper

    Item# RX503G
    1000 sheets per package
    $120.00 plus shipping by UPS

    1 carton (2,500 sheets per carton)
    $262.50 plus shipping by UPS

    2 cartons (2,500 sheets per carton)
    $250.00 per carton plus shipping by UPS
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  • Item# Blue Background Rx503-P4
    (perforated to yield 4 scripts when detached)
     Click to Enlarge Rx503-P4
    Click to Enlarge Rx503-P4 image


    VIEW FEATURES

    Secure Tamper Resistant Laser Prescription Paper ~ 4 scripts per sheet
    1000 sheets per package
    $130.00 plus shipping by UPS

    1 carton (2,500 sheets per carton)
    $287.50 plus shipping by UPS

    2 cartons (2,500 sheets per carton)
    $275.00 per carton plus shipping by UPS

    • Return to Directory
  • Item# Blue Background Rx503-P3
    (perforated to yield 3 scripts (8-1/2" x 3-2/3") when detached)
     Click to Enlarge Rx503-P3
    Click to Enlarge Rx503-P3 image


    VIEW FEATURES

    Secure Tamper Resistant Laser Prescription Paper ~ 3 scripts per sheet
    1000 sheets per package
    $130.00 plus shipping by UPS

    1 carton (2,500 sheets per carton)
    $287.50 plus shipping by UPS

    2 cartons (2,500 sheets per carton)
    $275.00 per carton plus shipping by UPS

    • Return to Directory

    Copyright © 2009-2011 inclusive
    Micro Format, Inc     
    All Rights Reserved 
    Micro Format, Inc. 

    Phone: 920-859-0500
    Toll Free: 833-322-1882
    Email: CustServ@RxMicroFormat.com
    Address: 1434 Progress Lane, Omro, WI 54963