Kentucky Approved Laser Script Paper

www.PrescriptionPaper.com
www.RxPaper.com
www.ScriptPaper.com

TAMPER RESISTANT
Stock Format Laser Prescription Paper for use in the
State of Kentucky

Directory:
8-1/2" x 11" Format:

Rx510-KY ~ Script in top left-hand corner
5-1/2" x 8-1/2" Format:

RxEC-KY ~ 2 scripts per sheet ~ over/under
8-1/2" x 11" Format:

Rx503KY-P4 ~ Four Scripts per sheet

If you dispense Sample Medications ...
You need the SecureGuard™
Sample Medication Label Recording System

Meets Federal and State Regulations.

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."

Laser Prescription Paper ~ Rx510-KY

Sheet size: 8-1/2" x 11"

Full Horizontal Perforation 4-1/4" from top edge

Full Vertical Perforation 5-1/2" from left edge

ONE PRESCRIPTION per sheet
GREEN Security Background
Contains all features required by Kentucky State legislation.

RX510-KY

RX510-KY
500 sheets per package
$ 70.00 plus shipping by UPS

RX510-KY
1,000 sheets per package
$ 90.00 plus shipping by UPS

RX510-KY
1 carton (2,500 sheets per carton)
$212.50 plus shipping by UPS

RX510-KY
2 cartons (2,500 sheets per carton)
$200.00 per carton plus shipping by UPS

5-1/2" x 8-1/2"

Sheet Size 5-1/2" x 8-1/2" ~~ 2 scripts per sheet
Perforated 4-1/4" from top edge

5-1/2" x 8-1/2"

Item#RxEC503KY
Kentucky Format
Prescription Paper
5-1/2" x 8-1/2"
RxEC503KY
Sheet Size...5-1/2" x 8-1/2"
500 sheets
$55.00
plus shipping by UPS

RxEC503KY
Sheet Size...5-1/2" x 8-1/2"
1,000 sheets
$75.00
plus shipping by UPS

RxEC503KY
Sheet Size...5-1/2" x 8-1/2"
2,500 sheets ( 1 carton)
$175.50
plus shipping by UPS

RxEC503KY
Sheet Size...5-1/2" x 8-1/2"
5,000 sheets (2 cartons - 2,500 sheets per carton)
$345.00
plus shipping by UPS

Sheet Size 8-1/2" x 11" ~~ 4 scripts per sheet
Perforated 5-1/2" from left edge; 4-1/4" from top edge

Item#Rx503KY-P4

Item#Rx503KY-P4
Kentucky Format
Prescription Paper
8-1/2" x 11"
Item#Rx503KY-P4
500 sheets
$70.00
plus shipping by UPS

Item#Rx503KY-P4
1,000 sheets
$90.00
plus shipping by UPS

Item#Rx503KY-P4
2,500 sheets ( 1 carton)
$212.50
plus shipping by UPS

Item#Rx503KY-P4
5,000 sheets (2 cartons - 2,500 sheets per carton)
$400.00
plus shipping by UPS

E-Mail: Questions send us an e-mail ~ Support@RxPaper.com

Micro Format, Inc. is a veteran owned company.
Micro Format SecureGuard Paper Products are manufactured in the USA from American Made materials.

Prevent Unauthorized Document Duplication
with SecureGuard^tm,
the world's leading document security paper products

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Micro Format, Inc.
Phone: 920-859-0500
Toll Free: 833-322-1882
Email: CustServ@RxMicroFormat.com
Address: 1434 Progress Lane, Omro, WI 54963