Tamper Resistant Prescription Pads; 1 part Rx Pads

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Custom Imprinted
Tamper Resistant
PRESCRIPTION PADS

Tamper Resistant Rx PADS for DOCTORS and MEDICAL CLINICS
Micro Format Tamper Resistant Rx Pads meet all 2008 Medicaid Requirements.

Protect your medical prescriptions from unauthorized duplication with
High Security ONE PART Prescription Pads

Choose Your Format.
Format Rx610
for prescribing ONE or MORE MEDICATIONS per script.
Format Rx620 (shown above) for prescribing only ONE MEDICATION per script. Script includes the following text at the bottom of the script.
“PRESCRIPTION IS VOID IF MORE THAN ONE (1) PRESCRIPTION IS WRITTEN PER PAGE”

Back Printing is available at an additional $5.00 per pad
This amount will be added when your order is processed.
This additional charge for back printing will not be shown
at the time you place your order. However it will be added
to the total cost of your order.
All Pads are CONSECUTIVELY NUMBERED as required

Micro Format Tamper Resistant Rx Pads meet and exceed the October 1, 2008 Medicaid Requirements.

This link will provide additional information on the
Requirement for Use of Tamper Resistant Prescription Pads Under the Medicaid Program, under Section 1903b(i) of the Social Security Act (42 USC193b(i), paragraph (23)

Micro Format Secure Rx Pads contain the following security features:

All Pads are CONSECUTIVELY NUMBERED as required

Hidden Message Technology ~
"VOID" pantograph

Distinctive BLUE Colored Background

Blue background Erasure Protection

Security watermark on reverse side of prescription

Warning Band on face specifying security features

Thanks to multiple security features, it is virtually IMPOSSIBLE TO ACCURATELY DUPLICATE a script written on Micro Format Security Script paper.

Format Rx610 for prescribing ONE or MORE MEDICATIONS per script.
Rx610 ~ SECURE PRESCRIPTION PAD PRICE LIST To ORDER - CLICK ON "Add to your Shopping Cart"
	Rx610 ONE PART (single script) Pads 100 scripts/pad
ITEM# Rx610 Script Size: 5-1/2" x 4-1/4" Imprint up to 4 Names (3 Names plus Facility) Rx610 for use when prescribing ONE or MORE MEDICATIONS per script. To Order ... click on the "Add to Your SHOPPING CART" button.	20 Pads WITH NUMBERING $10.10 per pad plus shipping by UPS 40 Pads WITH NUMBERING $8.35/pad plus shipping by UPS 80 Pads WITH NUMBERING $7.10/pad plus shipping by UPS 160 Pads WITH NUMBERING $6.70/pad plus shipping by UPS

Format Rx620
includes the following text at the bottom of the script.
“PRESCRIPTION IS VOID IF MORE THAN ONE (1) PRESCRIPTION IS WRITTEN PER PAGE”

Rx620 ~ SECURE PRESCRIPTION PAD PRICE LIST
To ORDER - CLICK ON "Add to your Shopping Cart"

Rx620
ONE PART
(single script) Pads
100 scripts/pad

ITEM# Rx620
Script Size: 5-1/2" x 4-1/4"
Imprint up to 4 Names
(3 Names plus Facility)

Rx620
For prescribing
ONLY ONE
MEDICATION
To Order ...
click on the
"Add to Your SHOPPING CART"
button.

20 Pads WITH
NUMBERING
$10.10 per pad
plus shipping by UPS

40 Pads WITH
NUMBERING
$8.35/pad
plus shipping by UPS

80 Pads WITH
NUMBERING
$7.10/pad
plus shipping by UPS

160 Pads WITH
NUMBERING
$6.70/pad
plus shipping by UPS

Under our licensing agreement, all orders for Document Security Paper are reviewed and the information provided is confirmed by our Document Security Compliance Team.
The use of Script Paper is controlled by Federal and State Agencies. Any attempt to purchase script documents by unauthorized persons or by persons providing falsified information will be reported to the proper authorities for prosecution to the full extent of the law.

Acceptance of any and all orders for Document Security Paper is at the discretion of the Micro Format Document Security Compliance Team.

For additional information relative to SECURITY PRESCRIPTION FORMS,
contact Micro Format, Inc. support@RxPaper.com

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