This site is designed for use by
DOCTORS, HEALTHCARE PROFESSIONALS and MEDICAL CLINICS
Proper documentation is required to order documents from this site.

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

Protect your medical prescriptions from unauthorized duplication with
High Security Prescription Pads
(Available 1 part and 2 part)

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Indiana Rx Pads are approved for issuing "fraud proof" Medicaid Scripts.

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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 below.

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SECURE PRESCRIPTION PAD PRICE LIST To ORDER - CLICK ON "Add to your Shopping Card"
Number of Pads Required	One Part (single script) Pads 100 scripts/pad	Two Part Pads 50 sets/pad Part 2 printed with no security
20 pads 1 part-100 sheets/pad 2 part-50 sets/pad	20 pads ONE PART SCRIPTS $6.25 per pad plus shipping by UPS Click to PURCHASE this item 20 Pads WITH NUMBERING $10.10/pad Click to PURCHASE this item	20 pads TWO PART SCRIPTS $8.50 per pad plus shipping by UPS Click to PURCHASE this item 20 Pads WITH NUMBERING $12.35/pad Click to PURCHASE this item
40 pads 1 part-100 sheets/pad 2 part-50 sets/pad	40 pads ONE PART SCRIPTS $4.50 per pad plus shipping by UPS Click to PURCHASE this item 40 Pads WITH NUMBERING $8.35/pad Click to PURCHASE this item	40 pads TWO PART SCRIPTS $7.35 per pad plus shipping by UPS Click to PURCHASE this item 40 Pads WITH NUMBERING $11.20/pad Click to PURCHASE this item
80 pads 1 part-100 sheets/pad 2 part-50 sets/pad	80 pads ONE PART SCRIPTS $3.25 per pad plus shipping by UPS Click to PURCHASE this item 80 Pads WITH NUMBERING $7.10/pad Click to PURCHASE this item	80 pads TWO PART SCRIPTS $5.20 per pad plus shipping by UPS Click to PURCHASE this item 80 Pads WITH NUMBERING $9.05/pad Click to PURCHASE this item
160 pads 1 part-100 sheets/pad 2 part-50 sets/pad	160 pads ONE PART SCRIPTS $2.85 per pad plus shipping by UPS Click to PURCHASE this item 160 Pads WITH NUMBERING $6.70/pad Click to PURCHASE this item	160 pads TWO PART SCRIPTS $4.20 per pad plus shipping by UPS Click to PURCHASE this item 160 Pads WITH NUMBERING $8.05/pad Click to PURCHASE this item

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)