APPROVED FORMAT
MEDICAL SCRIPTS
Manufactured by Micro Format, Inc.
www.RxPaper.com/eClinicalWorks
Secure Laser Prescription ( Rx ) Paper
for Doctors, Healthcare Professionals & Medical Clinics
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"


  • Item# Rx503T-P5
    (perforated to yield 1 scripts when detached)
    Script size 5-1/2" x 4-1/4"
    Maine Laser Rx Paper
  • 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

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

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All Rights Reserved 
Micro Format, Inc. 

Phone: 920-859-0500
Toll Free: 833-322-1882
Email: CustServ@RxMicroFormat.com
Address: 1434 Progress Lane, Omro, WI 54963