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New Security Prescription Pads

FEATURES:

  • VOID BLUE BACK GROUND WHEN COPIED
  • BLACK MICROPRINT BORDER
  • TRANSPARENT WATERMARK PRINTED ON BACK
  • ERASURE PROTECTION
  • SEQUENTIALLY NUMBERED

Call Now! 800-808-8716

 
CUSTOM IMPRINTED PADS WITH FACILITY NAME:
 
One-part Pads
5
Pads of 100
$12.60/ea
10
Pads of 100
$9.00/ea
20
Pads of 100
$5.90/ea
40
Pads of 100
$5.70/ea
80
Pads of 100
$4.80/ea
120
Pads of 100
$3.90/ea
Two-part Pads
5
Pads of 50
$13.80/ea
10
Pads of 50
$9.90/ea
24
Pads of 50
$8.00/ea
32
Pads of 50
$7.30/ea
48
Pads of 50
$6.90/ea
60
Pads of 50
$6.70/ea
120
Pads of 50
$6.50/ea
Add $17.50 per order for two hole drilling if required
 
FREE Shipping on orders over $100.Add $10 handFormgraphics, Inc. Security Prescription Products Are Compliant With The 2007 AND 2008 New Requirement for Use of Tamper Resistant Prescription Pads Under the
Medicaid Program. Section 1903b(i) of the Social Security Act (42 USC193b(i), paragraph (23).
  1. One or more industry-recognized features designed to prevent unauthorized copying of a completed or blank prescription form;
  2. One or more industry-recognized features designed to prevent the erasure or modification of information written on the prescription by the prescriber;
  3. One or more industry-recognized features designed to prevent the use of counterfeit prescription forms.

Call NOW for a FREE quote!
800-808-8716