APPROVED FORMAT
MEDICAL SCRIPTS
Manufactured by Micro Format, Inc.
www.RxPaper.com/EyeMDEMR
Secure Laser Prescription ( Rx ) Paper
for Doctors, Healthcare Professionals & Medical Clinics
Medical LASER FORMAT Prescription Scripts
for use in the State of Maine


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
Detached Prescription Size: 5-1/2" x 4-1/4"

  • Item# Rx503T-P5
    (perforated to yield 1 scripts when detached)
    Script size 5-1/2" x 4-1/4"
  • Security Features Include:

    • Blue Security Background
      The word "VOID" appears when script is photocopied

    • Tamper Resistant Erasure Protection

    • Coin activated Security on back of script

    • Artificial Watermark on back of sheet
      This watermark is visible when script is held on a 45 degree angle to the light.

    • Warning Box
      Security Features listed in warning box on reverse side of script

    • Secure RubTM
      Color Change Ink

  • Item# Rx503T-P4
Rx503T-P4 (500 sheets)
500 sheets per package
$ 70.00 per package plus shipping by UPS		 Click to ADD to your Shopping Cart
Rx503T-P4 (1000 sheets)
1000 sheets per package
$ 90.00 per package plus shipping by UPS
 Click to ADD to your Shopping Cart
Rx503T-P4 (2500 sheets)
2,500 sheets per carton
$212.50 per carton plus shipping by UPS
 Click to ADD to your Shopping Cart
Rx503T-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 © 2010-2011 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