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.


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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
    500 sheets per package
    $ 60.00 plus shipping by UPS


    1000 sheets per package
    $ 80.00 plus shipping by UPS


    1 carton (2,500 sheets per carton)
    $187.50 plus shipping by UPS


    2 cartons (2,500 sheets per carton)
    $175.00 per carton plus shipping by UPS


    • Item# RX503G
      Green Background Tamper Resistant
      Laser Rx Paper

    Item# RX503G
    500 sheets per package
    $ 60.00 plus shipping by UPS


    1000 sheets per package
    $ 80.00 plus shipping by UPS


    1 carton (2,500 sheets per carton)
    $187.50 plus shipping by UPS


    2 cartons (2,500 sheets per carton)
    $175.00 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
    500 sheets per package
    $ 70.00 plus shipping by UPS


    1000 sheets per package
    $ 90.00 plus shipping by UPS


    1 carton (2,500 sheets per carton)
    $212.50 plus shipping by UPS


    2 cartons (2,500 sheets per carton)
    $200.00 per carton plus shipping by UPS



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  • 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
    500 sheets per package
    $ 70.00 plus shipping by UPS


    1000 sheets per package
    $ 90.00 plus shipping by UPS


    1 carton (2,500 sheets per carton)
    $212.50 plus shipping by UPS


    2 cartons (2,500 sheets per carton)
    $200.00 per carton plus shipping by UPS



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    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