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
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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"