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    Custom Imprinted
    Tamper Resistant


    INDIANA 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 ALL Indiana and Medicaid Requirements.

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

    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 Cart"

    One Part
    (single script) Pads
    100 scripts/pad
    Two Part Pads
    50 sets/pad
    Part 2 printed with no security
    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
    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
    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
    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 Indiana and Medicaid Requirements.
    Micro Format Secure Rx Pads contain the following security features:

    • Hidden Message Technology ~
      "VOID" pantograph

    • Distinctive BLUE Colored Background

    • Blue 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
    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. 
    Phone: 920-859-0500
    Toll Free: 833-322-1882
    Email: CustServ@RxMicroFormat.com
    Address: 1434 Progress Lane, Omro, WI 54963
    rev 02/15