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  • PrescriptionPaper.com
    • Medical LASER FORMAT Prescription Scripts
    for use in the State of Maine

    State of Maine requires a script size of 5-1/2" x 4-1/4"


    Directory
    Item# Rx503T-P4
    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: 4-1/4" x 5-1/2"

    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

    Rx503T-P5 (500 sheets)
    500 sheets per package
    $ 80.00 per package plus shipping by UPS    		 Click to ADD to your Shopping Cart
    Rx503T-P5 (1000 sheets)
    1000 sheets per package
    $ 110.00 per package plus shipping by UPS
    		 Click to ADD to your Shopping Cart
    Rx503T-P5 (2500 sheets)
    2,500 sheets per carton
    $260.00 per carton plus shipping by UPS
    		 Click to ADD to your Shopping Cart
    Rx503T-P5 (5000 sheets)
    2,500 sheets per carton
    2 cartons - 5,000 sheets total
    $500.00 ($250.00 per carton) plus shipping by UPS
    		 Click to ADD to your Shopping Cart

    RxEC503T
    Over-Under Prescription Paper
    Sheet Size .... 5-1/2" x 8-1/2"
    Detached Script Size .... 5-1/2" x 4-1/4"
    TWO SCRIPTS per sheet

    All Micro Format Tamper Resistant Rx Paper Products
    meet and exceed all 2008 Medicaid Requirements.
    Print prescriptions with your Laser or Ink Jet Printer.

    Tamper Resistant Laser Rx PaperLaser Script Paper

    • Item #RxEC503T
    • Sheet size: 5-1/2" x 8-1/2"
    • TWO (2) scripts per sheet
    • Detached script size 5-1/2" x 4-1/4"
    • 24# Paper
    • Perforation 4-1/4" from top edge (2 scripts per page)
    • Security Warning Box in four positions on back of sheet
    • Small Production Coded Batch Number in margins
    • Secure Rub Color Change Ink

    Secure Tamper Resistant Laser Prescription Paper
    SHEET SIZE: 5-1/2" x 8-1/2"
    Detached Script Size 5-1/2" x 4-1/4"

    • Security Features Include:

        SHEET SIZE .... 5-1/2" x 8-1/2"
        TWO (2) Scripts per sheet

      • Blue Security Background
        The word "VOID" appears when script is photocopied Laser Rx Hidden Message Security

      • Erasure Protection
        White Mark appears when erased with ink eraser
      • Security Artificial Watermark
        When duplicated - Artificial Watermark not visible on copy
      • Secure Rub Color Change Ink
        Red Rx Images disappear briefly when rubbed
      • Warning Box
        Security Features list in warning box on reverse side of script
        Laser Rx Security Features

    • 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        
    RxEC503T
    Sheet Size ... 5-1/2" x 8-1/2"
    500 sheets ~ $55.00 plus shipping by UPS

    RxEC503T
    Sheet Size ... 5-1/2" x 8-1/2"
    1,000 sheets ~ $75.00 plus shipping by UPS

    RxEC503T
    Sheet Size ... 5-1/2" x 8-1/2"
    1 carton (2,500 sheets per carton) ~ $175.00
    plus shipping by UPS

    RxEC503T
    Sheet Size ... 5-1/2" x 8-1/2"
    2 cartons (2,500 sheets per carton) ~ $150.00 per carton
    plus shipping by UPS

    RxEC503T
    Sheet Size ... 5-1/2" x 8-1/2"
    4 cartons (2,500 sheets per carton) ~ $110.00 per carton
    plus shipping by UPS


    To complete your order ~~
  • After adding to shopping cart above,
    Click "CHECK OUT NOW    "
  • When asked, click on
    "Check Out for Laser Prescription Paper, Roll Prescription Paper and Medical Statement Paper (No Imprint Information Required)    "
  • Next review your order and then
    fill in the requested information under your order.
  • Finally click on "Submit Secure Order"

    We appreciate your order. Your order will ship with 2 to 3 business days.
    Please allow extra time for transit by UPS.

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    Copyright © 2005-2012 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