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R/X Forms
Standard Secure Prescription Pads 9 Pads
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Standard Secure Prescription Pads 9 Pads
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Your Price:
$170.88
Retail Price
Retail Price:
$299.99
You Save:
$129.11
(43%)
Questions about this item? Be the first to ask here.
Part Number:
PRES2
Availability:
In Stock.
Free Shipping.
Feature:
Size: 4 1/2 x 5 1/2
Feature:
Vertical or Horizontal
Feature:
Color Choice Blue or Green
Feature:
50 Forms Per Pad
Feature 5
Ordered in Multiples of 9 Pads per Unit
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Color Choice
*
Blue
Green
Layout
*
Vertical
Horizontal
Practice Information
*
Practice Name:
Physician Name:
Address:
Phone:
DEA Number:
License Number:
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Quantity Pricing
Quantity
Price
2 - 4
$126.45
5 - 9
$111.07
10+
$102.53
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Description
Specifications
Convenient, tamper-resistant pocket sized pads and books are excellent tools for your practice. With multiple security features, these pads meet and exceed Medicaid Standards. Product usually produces in five business days or less.
Not for use in CA, DE, FL, IN, KY, ME, NJ, WA, WV, or WY. For ordering in those states, we offer state specific pads.
Security Features - Invisible Fluorescent Fibers, Preprinted Prescriber Information, Microprinting, Chemical Protection Paper, Scallop Void Pantograph, Thermochromic Ink, Watermark printed in coin reactive ink, Backside Artificial Watermark on Back, Right Bottom Corner R/X heat fade image, Colored background on white stock
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