Stock Format Laser Prescription Paper for use in the
State of Indiana
Manufactured by Micro Format, Inc. ~ Wheeling IL
Micro Format, Inc. is an approved Indiana Pharmacy Board Security Prescription Paper Printer
Item# Rx503IN-P6
Landscape Script in Bottom Left-Hand Corner of Sheet
Special Perforated FULL SHEET Prescription Paper
script size: 5-1/2" x 4-1/4"
Horizontal perforation 4-1/4" from bottom edge
Vertical perforation 5-1/2" from left edge
- Sheet size: 8-1/2" x 11"
- 24# Paper
- Meets ALL Medicaid Regulations
- Script Size: 5-1/2" x 4-1/4"
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