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  • Custom Imprinted
    Tamper Resistant


    Pennsylvania 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.

    Micro Format Tamper Resistant Laser Prescription Paper meet and exceed ALL Medicaid Requirements

    Pennsylvania High Security Prescription Pads
    (Available 1 part and 2 part)



    Rx670

    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.


    Note for Nurse Practitioners and Physician's Assistants:
    The State of Pennsylvania requires that the name of a supervising physician appear on scripts.


    Pennsylvania SECURE PRESCRIPTION PAD PRICE LIST
    Rx670

    To ORDER - CLICK ON "Add to your Shopping Cart"

    ONE PART
    (single script) Pads
    100 scripts per pad
    TWO PART
    Pads
    50 sets per pad
    with wrap-around cover
    20 pads
    ONE
    PART
    SCRIPTS
    $7.75
    per pad
    plus shipping

    by UPS

    Rx670
    Click to PURCHASE this item


    20 Pads
    ONE PART
    WITH
    NUMBERING
    $10.25 per pad
    plus shipping
    Rx670
    Click to PURCHASE this item
    20 pads
    TWO
    PART
    SCRIPTS
    $10.25
    per pad
    plus shipping

    by UPS

    Rx670
    Click to PURCHASE this item


    20 Pads
    TWO PART
    WITH
    NUMBERING
    $11.50 per pad
    plus shipping
    Rx670
    Click to PURCHASE this item
    40 pads
    ONE
    PART
    SCRIPTS
    $6.00
    per pad
    plus shipping

    by UPS

    Rx670
    Click to PURCHASE this item


    40 Pads
    ONE PART
    WITH
    NUMBERING
    $8.25/pad

    Rx670
    Click to PURCHASE this item

    40 pads
    TWO
    PART
    SCRIPTS
    $8.00
    per pad
    plus shipping

    by UPS

    Rx670
    Click to PURCHASE this item


    40 Pads
    TWO PART
    WITH
    NUMBERING
    $10.00/pad

    Rx670
    Click to PURCHASE this item

    80 pads
    ONE
    PART
    SCRIPTS
    $5.00
    per pad
    plus shipping

    by UPS

    Rx670
    Click to PURCHASE this item


    80 Pads
    ONE PART
    WITH
    NUMBERING
    $6.75/pad

    Rx670
    Click to PURCHASE this item

    80 pads
    TWO
    PART
    SCRIPTS
    $6.00
    per pad
    plus shipping

    by UPS

    Rx670
    Click to PURCHASE this item


    80 Pads
    TWO PART
    WITH
    NUMBERING
    $7.50/pad

    Rx670
    Click to PURCHASE this item

    160 pads
    ONE
    PART
    SCRIPTS
    $4.75
    per pad
    plus shipping

    by UPS

    Rx670
    Click to PURCHASE this item


    160 Pads
    ONE PART
    WITH
    NUMBERING
    $6.25/pad

    Rx670
    Click to PURCHASE this item

    160 pads
    TWO
    PART
    SCRIPTS
    $5.50
    per pad
    plus shipping

    by UPS

    Rx670
    Click to PURCHASE this item


    160 Pads
    TWO PART
    WITH
    NUMBERING
    $6.75/pad

    Rx670
    Click to PURCHASE this item

    Micro Format Tamper Resistant Rx Pads meet and exceed ALL Medicaid Requirements.

    Micro Format Secure Rx Pads contain the following security features:

    • Hidden Message Technology ~
      "VOID" pantograph
      VOID

    • Distinctive BLUE Colored Background

    • Blue background Erasure Protection

    • Security watermark on reverse side of prescription

    • Rub coin on back to validate script

    • Security Warning Band on face and Security Features listed on back

    • Thermochromatic ink (color changing) Rx symbols on back

    • Unique Production Batch Number

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



    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