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Custom Imprinted Tamper Resistant

MONTANA 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 State and Medicaid Requirements
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High Security Prescription Pads
(Available 1 part and 2 part)

All Prescription Pad Orders MUST BE ENTERED ON LINE
We cannot accept orders for prescription pads by Fax. =
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TWO FORMATS AVAILABLE.
- Format Rx610
is designed for use when prescribing MORE THAN ONE MEDICATION.
- Format Rx620
includes the following text at the bottom of the script.
"PRESCRIPTION IS VOID IF MORE THAN ONE (1) PRESCRIPTION IS WRITTEN PER PAGE"
Prescriptions can be consecutively numbered for an additional charge
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. However it will be added to the total cost of your order.
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 2/15
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