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  • Custom Imprinted
    Tamper Resistant


    KENTUCKY PRESCRIPTION PADS



    This site is designed for use by
    DOCTORS, HEALTHCARE PROFESSIONALS and MEDICAL CLINICS

    Proper documentation is required to order documents from this site.

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


    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."


    Kentucky Prescription Rx Pads
    (Available 1 part and 2 part)



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

    All Prescription Pad Orders MUST BE ENTERED ON LINE
    We cannot accept orders for prescription pads by Fax.


    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.

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

    Number of Pads Required
    One Part
    (single script) Pads
    Two Part
    Pads
    20 pads
    1 part-100 sheets/pad

    2 part-50 sets/pad

    20 pads
    ONE
    PART
    SCRIPTS
    $7.75
    per pad
    plus shipping

    by UPS

    Click to PURCHASE this item


    20 Pads WITH
    NUMBERING
    $10.25/pad

    Click to PURCHASE this item

    20 pads
    TWO
    PART
    SCRIPTS
    $10.25
    per pad
    plus shipping

    by UPS

    Click to PURCHASE this item


    20 Pads WITH
    NUMBERING
    $12.50/pad

    Click to PURCHASE this item

    40 pads
    1 part-100 sheets/pad

    2 part-50 sets/pad

    40 pads
    ONE
    PART
    SCRIPTS
    $6.00
    per pad
    plus shipping

    by UPS

    Click to PURCHASE this item


    40 Pads WITH
    NUMBERING
    $8.50/pad

    Click to PURCHASE this item

    40 pads
    TWO
    PART
    SCRIPTS
    $8.00
    per pad
    plus shipping

    by UPS

    Click to PURCHASE this item


    40 Pads WITH
    NUMBERING
    $11.50/pad

    Click to PURCHASE this item

    80 pads
    1 part-100 sheets/pad

    2 part-50 sets/pad

    80 pads
    ONE
    PART
    SCRIPTS
    $5.00
    per pad
    plus shipping

    by UPS

    Click to PURCHASE this item


    80 Pads WITH
    NUMBERING
    $7.50/pad

    Click to PURCHASE this item

    80 pads
    TWO
    PART
    SCRIPTS
    $6.00
    per pad
    plus shipping

    by UPS

    Click to PURCHASE this item


    80 Pads WITH
    NUMBERING
    $9.50/pad

    Click to PURCHASE this item

    160 pads
    1 part-100 sheets/pad

    2 part-50 sets/pad

    160 pads
    ONE
    PART
    SCRIPTS
    $4.75
    per pad
    plus shipping

    by UPS

    Click to PURCHASE this item


    160 Pads WITH
    NUMBERING
    $7.00/pad

    Click to PURCHASE this item

    160 pads
    TWO
    PART
    SCRIPTS
    $5.50
    per pad
    plus shipping

    by UPS

    Click to PURCHASE this item


    160 Pads WITH
    NUMBERING
    $8.50/pad

    Click to PURCHASE this item


    Micro Format Tamper Resistant Rx Pads meet ALL Kentucky and Medicaid Requirements.
    Micro Format Secure Rx Pads contain the following security features:

  • Hidden Message Technology ~
    "VOID" pantograph

  • Distinctive GREEN Colored Background

  • Green background Erasure Protection

  • Security watermark on reverse side of prescription

    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.



  • Ultrasound Thermal Printer Paper

    SecureGuardtm Maxwell Ultrasound Paper
    for use in hospitals, clinics, OB offices and others.
    Compatible ultrasound paper for use in Sony and Mitsubishi Ultrasound equipment

    If you dispense Sample Medications ...
    You need the SecureGuard™

    Sample Medication Label Recording System
    SAMPLE MEDICATION Recording System

    Meets Federal and State Regulations.
    SELF EXPIRING LABELS, VISITOR and NAME BADGES

    To activate Secure Name Badge

    Visitor Badge with journal

    Self Expiring Visitor Name Badge
    with Record Copy

    Add an Additional Level of Security
    with Tamper Evident
    Security Hologram Labels

    Security Hologram Labels

    PATIENT SIGN-IN LOGS

    Spanish Patient Sign-In Form
    SecureGuard™Patient Sign-In Form

    Each "Sign-In Log" includes 20 sign-in label strips


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


    Copyright © 2000- Micro Format, Inc., All Rights Reserved

    Micro Format, Inc. 
    830-3 Seton Court ~ Wheeling, IL 60090 
    847/520-4699 FAX 847/520-0197
    800-333-0549

    rev 2/15