Protect your medical prescriptions from unauthorized duplication with
High Security Prescription Pads
(Available 1 part and 2 part)
All Prescription Pad Orders MUST BE ENTERED ON LINE
We cannot accept orders for prescription pads by Fax.
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Choose Your Format.
Format Rx610
is designed for use when prescribing MORE THAN ONE MEDICATION.
Format Rx620 (shown above)
includes the following text at the bottom of the script.
“PRESCRIPTION IS VOID IF MORE THAN ONE (1) PRESCRIPTION IS WRITTEN PER PAGE”
Prescriptions can be consecutively numbered
Numbering adds $1.85 per pad.
Choose pads WITH NUMBERING when you order below.
Back Printing is available at an additional $2.50 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 below.
Rx610 ~ SECURE PRESCRIPTION PAD PRICE LIST
To ORDER - CLICK ON "Add to your Shopping Card"
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Number of Pads Required
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Rx610
ONE PART
(single script) Pads
100 scripts/pad
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Rx610
TWO PART SCRIPTS
50 sets/pad
with wrap around cover
Note: Part 2 is a
BLANK YELLOW sheet
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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 MORE THAN ONE MEDICATION.
To Order ...
click on the
"Add to Your SHOPPING CART"
button.
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20 pads
ONE
PART
SCRIPTS
$6.25
per pad
plus shipping
by UPS
Rx610
Click to PURCHASE this item
20 Pads
one part
WITH
NUMBERING
$8.10 per pad
plus shipping
Rx610
Click to PURCHASE this item
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20 pads
TWO
PART
SCRIPTS
$8.50
per pad
plus shipping
by UPS
Rx610
Click to PURCHASE this item
20 Pads
two part
WITH
NUMBERING
$10.35 per pad
plus shipping
Rx610
Click to PURCHASE this item
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40 pads
ONE
PART
SCRIPTS
$4.50
per pad
plus shipping
by UPS
Rx610
Click to PURCHASE this item
40 Pads
one part
WITH
NUMBERING
$6.35/pad
Rx610
Click to PURCHASE this item
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40 pads
TWO
PART
SCRIPTS
$7.35
per pad
plus shipping
by UPS
Rx610
Click to PURCHASE this item
40 Pads
two part
WITH
NUMBERING
$9.20/pad
Rx610
Click to PURCHASE this item
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80 pads
ONE
PART
SCRIPTS
$3.25
per pad
plus shipping
by UPS
Rx610
Click to PURCHASE this item
80 Pads
one part
WITH
NUMBERING
$5.10/pad
Rx610
Click to PURCHASE this item
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80 pads
TWO
PART
SCRIPTS
$5.20
per pad
plus shipping
by UPS
Rx610
Click to PURCHASE this item
80 Pads
two part
WITH
NUMBERING
$7.05/pad
Rx610
Click to PURCHASE this item
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160 pads
ONE
PART
SCRIPTS
$2.85
per pad
plus shipping
by UPS
Rx610
Click to PURCHASE this item
160 Pads
one part
WITH
NUMBERING
$4.70/pad
Rx610
Click to PURCHASE this item
|
160 pads
TWO
PART
SCRIPTS
$4.20
per pad
plus shipping
by UPS
Rx610
Click to PURCHASE this item
160 Pads
two part
WITH
NUMBERING
$6.05/pad
Rx610
Click to PURCHASE this item
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Rx620 ~ SECURE PRESCRIPTION PAD PRICE LIST
To ORDER - CLICK ON "Add to your Shopping Card"
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|
Number of Pads Required
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Rx620
ONE PART
(single script) SCRIPTS
|
Rx620
TWO PART SCRIPTS
50 sets per pad
with wrap around cover
Note: Part 2 is a
BLANK YELLOW sheet
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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
ONE
PART
SCRIPTS
$6.25
per pad
plus shipping
by UPS
Rx620
Click to PURCHASE this item
20 Pads
one part
WITH
NUMBERING
$8.10/pad
Rx620
Click to PURCHASE this item
|
20 pads
TWO
PART
SCRIPTS
$8.50
per pad
plus shipping
by UPS
Rx620
Click to PURCHASE this item
20 Pads
two part
WITH
NUMBERING
$10.35/pad
Rx620
Click to PURCHASE this item
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40 pads
ONE
PART
SCRIPTS
$4.50
per pad
plus shipping
by UPS
Rx620
Click to PURCHASE this item
40 Pads
one part
WITH
NUMBERING
$6.35/pad
Rx620
Click to PURCHASE this item
|
40 pads
TWO
PART
SCRIPTS
$7.35
per pad
plus shipping
by UPS
Rx620
Click to PURCHASE this item
40 Pads
two part
WITH
NUMBERING
$9.20/pad
Rx620
Click to PURCHASE this item
|
80 pads
ONE
PART
SCRIPTS
$3.25
per pad
plus shipping
by UPS
Rx620
Click to PURCHASE this item
80 Pads
one part
WITH
NUMBERING
$5.10/pad
Rx620
Click to PURCHASE this item
|
80 pads
TWO
PART
SCRIPTS
$5.20
per pad
plus shipping
by UPS
Rx620
Click to PURCHASE this item
80 Pads
two part
WITH
NUMBERING
$7.05/pad
Rx620
Click to PURCHASE this item
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160 pads
ONE
PART
SCRIPTS
$2.85
per pad
plus shipping
by UPS
Rx620
Click to PURCHASE this item
160 Pads
one part
WITH
NUMBERING
$4.70/pad
Rx620
Click to PURCHASE this item
|
160 pads
TWO
PART
SCRIPTS
$4.20
per pad
plus shipping
by UPS
Rx620
Click to PURCHASE this item
160 Pads
two part
WITH
NUMBERING
$6.05/pad
Rx620
Click to PURCHASE this item
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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.
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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:
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.
It is important to note that copier technology is ever changing.
Thus messages hidden on all Document Security Paper, including Secure Prescription Paper,
will appear most of the time.
However "hidden VOID messages" cannot be guaranteed to appear 100% of the time
when used with all copiers or scanners.
Add an Additional Level of Security with Tamper Evident
Security Hologram Labels
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