Amazing Charts
APPROVED FORMAT
MEDICAL SCRIPTS
Manufactured by Micro Format, Inc.
www.RxPaper.com/amazingcharts
TAMPER RESISTANT
Stock Format Laser Prescription Paper for use in the
State of Kentucky


The following is an excerpt from the August 2007 letter sent to all State Medicaid Directors;

"Several States have laws and regulations concerning mandatory, tamper-resistant prescription pad programs, which were in effect prior to the passage of section 7002(b). CMS deems that the tamper-resistant prescription pad characteristics required by these States' laws and regulations meet or exceed the baseline standard, as set forth above."

8-1/2" x 11" Format:
  • Script in top left-hand corner

    5-1/2" x 8-1/2" Format:

  • 2 scripts per sheet ~ over/under

    • Laser Prescription Paper ~ Rx510-KY

    • Sheet size: 8-1/2" x 11"
    • Full Horizontal Perforation 4-1/4" from top edge
    • Full Vertical Perforation 5-1/2" from left edge
    • ONE PRESCRIPTION per sheet
    • Blue Security Background
    • Contains all features required by Kentucky State legislation.
    RX510-KY-500
    500 sheets per package
    $ 70.00 plus shipping by UPS    		 Click to ADD to your Shopping Cart
    Rx510-KY-1000
    1000 sheets per package
    $ 90.00 plus shipping by UPS
    		 Click to ADD to your Shopping Cart
    Rx510-KY-2500
    1 carton (2,500 sheets per carton)
    $187.50 plus shipping by UPS
    		 Click to ADD to your Shopping Cart
    Rx510-KY-5000
    2 cartons (2,500 sheets per carton)
    $175.00 per carton plus shipping by UPS
    		 Click to ADD to your Shopping Cart

    Sheet Size 5-1/2" x 8-1/2" ~~ 2 scripts per sheet
    Perforated 4-1/4" from top edge


    Item#RxEC503KY
    Kentucky Format
    Prescription Paper
    5-1/2" x 8-1/2"    		 500 sheets
    $55.00
    plus shipping by UPS

    To Order

    		1,000 sheets
    $75.00
    plus shipping by UPS

    To Order

    		2,500 sheets
    $175.50
    plus shipping by UPS

    To Order

    		5,000 sheets
    $345.00
    plus shipping by UPS

    To Order

    E-Mail: Questions send us an e-mail ~ Support@RxPaper.com
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    Micro Format, Inc.
    830-3 Seton Court ~ Wheeling, IL 60090
    Phone: 847/520-4699 ~ 800-333-0549
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