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    • |~LASER Rx Paper~|~ Medical Statements and Envelopes~|~Patient Sign-In Logs~|
    Custom Imprinted
    Tamper Resistant

    WEST VIRGINIA 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 2008 Medicaid Requirements

    		New
    Secure GuardTM
    Self Expiring
    Visitor Badges
    Self Expiring Visitor Badges
    Protect your medical prescriptions from unauthorized duplication with
    High Security Prescription 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 Card"
    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
    $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

    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.

    Micro Format Tamper Resistant Rx Pads meet and exceed all 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 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.
    New
    Secure GuardTM Self Expiring Visitor Badges
    Self Expiring Visitor Badges
    If you dispense Sample Medications ...
    You need the SecureGuardTM
    Sample Medication Label Recording System

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

    Advertising Specialties for the Medical Community Advertising Specialities for the Medical Community Promotions4Rx

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