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    • 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:
  • Rx510-KY ~ Script in top left-hand corner

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

  • RxEC-KY ~ 2 scripts per sheet ~ over/under

    8-1/2" x 11" Format:

  • Rx503KY-P4 ~ Four Scripts per sheet

    • 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
    • GREEN Security Background
    • Contains all features required by Kentucky State legislation.
      RX510-KY
      500 sheets per package
      $ 70.00 plus shipping by UPS

      1000 sheets per package
      $ 90.00 plus shipping by UPS

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

      2 cartons (2,500 sheets per carton)
      $200.00 per carton plus shipping by UPS

      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

      1,000 sheets
      $75.00
      plus shipping by UPS

      2,500 sheets ( 1 carton)
      $175.50
      plus shipping by UPS

      5,000 sheets (2 cartons - 2,500 sheets per carton)
      $345.00
      plus shipping by UPS

    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
    Fax 847/520-0197