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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 Medicaid Requirements
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West Virginia 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.
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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.
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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.
WEST VIRGINIA SECURE PRESCRIPTION PAD PRICE LIST
To ORDER - CLICK ON "Add to your Shopping Cart"
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Order 1 part Pads Below
(single script)
100 per pad
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Order 2 part Pads Below
50 sets per pad
with wrap-around cover
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20 pads
ONE PART SCRIPTS $7.75
per pad plus shipping by UPS
WV Click to PURCHASE this item
20 Pads one part WITH NUMBERING $10.25 per pad plus shipping
WV
Click to PURCHASE this item
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20 pads
TWO PART SCRIPTS $10.25
per pad plus shipping by UPS
WV Click to PURCHASE this item
20 Pads two part WITH NUMBERING $11.50 per pad plus shipping
WV
Click to PURCHASE this item
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40 pads
ONE PART SCRIPTS $6.00
per pad plus shipping by UPS
WV Click to PURCHASE this item
40 Pads one part WITH NUMBERING $8.25/pad
WV Click to PURCHASE this item
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40 pads
TWO PART SCRIPTS $8.00
per pad plus shipping by UPS
WV Click to PURCHASE this item
40 Pads two part WITH NUMBERING $10.00/pad
WV Click to PURCHASE this item
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80 pads
ONE PART SCRIPTS $5.00
per pad plus shipping by UPS
WV Click to PURCHASE this item
80 Pads one part WITH NUMBERING $6.75/pad
WV Click to PURCHASE this item
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80 pads
TWO PART SCRIPTS $6.00
per pad plus shipping by UPS
WV Click to PURCHASE this item
80 Pads two part WITH NUMBERING $7.50/pad
WV Click to PURCHASE this item
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160 pads
ONE PART SCRIPTS $4.75
per pad plus shipping by UPS
WV Click to PURCHASE this item
160 Pads one part WITH NUMBERING $6.25/pad
WV Click to PURCHASE this item
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160 pads
TWO PART SCRIPTS $5.50
per pad plus shipping by UPS
WV Click to PURCHASE this item
160 Pads two part WITH NUMBERING $6.25/pad
WV Click to PURCHASE this item
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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.
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 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)
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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