APPROVED FORMAT
MEDICAL SCRIPTS

Manufactured by Micro Format, Inc.
www.RxPaper.com/eClinicalWorks

Secure Laser Prescription ( Rx ) Paper
for Doctors, Healthcare Professionals & Medical Clinics


Stock Format Laser Prescription Paper for use in the
State of Indiana



Micro Format, Inc. is an approved
Indiana Pharmacy Board Security Prescription Paper Printer


Laser Prescription Paper ~ Rx510-IN

  • 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 Indiana State legislation.

    Rx510-IN

    500 sheets per package
    $ 70.00 plus shipping by UPS


    Rx510-IN

    1000 sheets per package
    $ 90.00 plus shipping by UPS


    Rx510-IN

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


    Rx510-IN

    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. 
830-3 Seton Court ~ Wheeling, IL 60090 
847/520-4699 FAX 847/520-0197
800-333-0549