Medical Arts Press® Copy-Proof Rx Blanks; Carbonless Duplicate Books
Medical Arts Press® Copy-Proof Rx Blanks; Carbonless Duplicate Books
Item #:
901-16019
Model #:
16019
Brand:
Medical Arts Press
Not yet rated. Be the first to
Write a review!
Healthcare professionals only
Product can only be purchased by licensed healthcare professionals.
If you are a licensed healthcare professional, please sign in to purchase by clicking the "Welcome" link at the top of the page.
Please Call To Place Order
To follow medical ordering process, you must call 800-634-0321800-634-0321 to place your order.
Description
- 6 security features comply with CMS 10/1/08 Tamper Resistant Requirements for Medicaid
- Copy-proof Rx blanks feature a blue pattern background; "void" pantograph appears when copied
- Micro-print signature line helps prevent counterfeiting and states security when viewed through a magnifying glass; security band lists security features
- Reverse Rx disappears when photocopied; erasures mar the paper and are immediately detectable
- Quantity range check boxes
- Specify state license or DEA numbers, if desired; numbering is available. Please specify starting number
- Generic information required by state law will be printed on all Rx blanks unless otherwise requested; Refill instructions are standard as shown
- Book size: 4x6"; 50 duplicate sets per book
- Rx Orders for – DELAWARE – NEW JERSEY - WASHINGTON: Download an Order Form Now.
- Rx Controlled Substance Orders for – CALIFORNIA – FLORIDA – KENTUCKY – MAINE - WYOMING: Download an Order Form Now.
- Rx Controlled Substance Orders for - INDIANA: Click here to Order Online.
Specifications
# Up Per Sheet/Page
1
Binding Type
Pad
Brand
Medical Arts Press
Carbonless
Yes
Color
Blue
Customizable
Yes
Form Size
4" x 6"
Form Type
Prescription Pads
Format
Prescription
Holes Punched
None
Lines
No Lines
Media Quantity
250
NCR Paper
Yes
Number of Parts
2
Numbered
No
Package Quantity
250
Personalization
Yes
Security Features
Yes
Sheet Size
4" x 6"