Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
Item #:
901-13377
Model #:
13377
Brand:
Quill Custom Print
(25 reviews)
Item #:
901-13377
Healthcare professionals only
Product can only be purchased by licensed healthcare professionals.
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Description
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.
- Verification Box - Hold marked area between thumb and forefinger, or breathe on heat-sensitive box, the color will disappear, then reappear
- Coin Reactant Ink - Rub the Rx mark on left with a coin. Ink will turn from white to gray
- MicroPrint - The right and left side rules of the large box on the front have the word "security" in microPrint. Can be viewed with magnifying glass
- Visible Fibers - Visible red and blue fibers are manufactured into the paper
- Invisible Fibers - Invisible fluorescent fibers are present. Can be viewed with black light
- Watermark - Paper has a true watermark embedded in the sheet. Can be viewed when held under light
- Chemical sensitivity - Any attempt to alter the document with solvents, acids, bleach or alkalies will damage the paper, causing a brown stain to appear
- Void Pantograph - The face of the document has a colored background. The word "void" will appear when photocopied
- Refill quantity - Preprinted; Yellow duplicate includes same security features except verification box, coin reactant Ink and chemical sensitivity
- 2-part carbonless pad includes a protective wrap-around cover; 50 duplicate sets per pad; Size: 4x5-1/2"
Specifications
# Up Per Sheet/Page
1
Binding Type
Padded
Brand
Quill Custom Print
Carbonless
Yes
Customizable
Yes
Form Size
4" x 5-1/2"
Form Type
Prescription Pads
Format
Prescription
Holes Punched
None
Media Quantity
1000
NCR Paper
Yes
Number of Parts
2
Numbered
Yes
Personalization
Yes
Security Features
Yes
Sheet Size
4" x 5-1/2"