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Home > MEDICAL / CHIROPRACTIC > Medical Forms >

Tamper Resistant Prescription Pads

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First Time Buyers use this Code FTB-1995 to receive a 10% Discount on This Product, just type the code into the coupon box at check out and hit apply. 3 - Part Pads (33 Sheets per Pad)

5 Pads $21.95 per pad
10 Pads $18.95 per pad
24 Pads $15.95 per pad
32 Pads $13.95 per pad
48 Pads $11.95 per pad
60 Pads $10.95 per pad
120 Pads $9.95 per pad

RX Pad Order Form

Overall Dimensions: 5.5" x 8.5"

Product Code: TP85-3-ACS

Rx Pads

8.5" 3 Part Pads Choose Quantity:

Paper

Paper Stock*:

Qty:

Description

Freight, Returns & Sales Tax Policies

Tamper Resistant Prescription pads 3 parts 5.5" x 8.5" available in Vertical only. We provide a proof before printing. Up to 3 free proofs.

Format: State specific, produced to comply with all state regulations.
Blue or Green
No. Parts: three
Overall Size: 5.5" x 8.5"
Finished Size: 5.5" x 8.5"
Paper: Blue or Green Depending on State Requirements 24lb. MOCR Bond, white; 2nd and 3rd 22# self-contained white copy stock.
Ink: Laser-safe colored PMS pantograph inks w/ digitally offset black MICR ink. Heat sensitive Thermochromatic ink box on
front shows "SECURE" when rubbed or heated.
Backer: Printed opaque white Security Watermark & Warning Box with features listed. Coin reactive ink appears when rubbed.
Binding: Padded in 33's for 3-part.
Security: Minimum six standard security features.
MICR: Penetrating magnetic ink is used to print information on the script preventing chemical "lifting."
Arabic: One position standard, black ink.
Logos: B&W logos at no additional charge. File formats accepted: .eps, .tiff & .bmp only. Call for color logo estimates.
Compatibility: Guaranteed compatible with all state specifications.
Stocks: White Parts 2 and 3 is White Self-Contained

Medicaid Compliant Tamper-Resistant Prescription Pad
ACS Tamper Resistant Prescription Pads have the tamper resistant characteristics required by the law and are compliant with most States. By April 1, 2008 all Prescriptions for Medicaid must be on Tamper Resistant Prescription Pads!

Download Prescription Pad Order Form
Fax back to 512-868-0600 or email to [email protected]

You also can call or email to have an order form faxed to you, 1-800-378-1191 or email: [email protected]

The use of Script Paper is controlled by Federal and State Agencies.
Any attempt to purchase Rx Paper Products by unauthorized persons or by persons providing falsified information will be reported to the proper authorities for prosecution to the full extent of the law.

Standard Ground Shipping Fees

# Pads	Shipping Cost
5-10	$10.93
20-24	$15.24
40-32-48	$20.70
60-80	$30.00
120	FREE SHIPPING

Colors & Features

- Tamper resistant background ink shows attempts to alter script by patient.
- Hidden security “VOID” appears when photocopied with most copiers.
- Copy resistant security pantograph discourages duplication by high end
- Thermochromatic ink box shows "SECURE" when rubbed or heated.
- All secure scripts have a high security watermark on reverse side which cannot be copied and can only be seen when held at an angle to a light source.
- MicroPrint Security Borders: minute printing of a security message along the edges of a pad that fill in to form a slid line when digitally scanned or xerographically copied; also used in printing US currency.
- Reverse printed RX (lighter colored) in upper corners of pad drop out when photocopied to appear white.
- Each order has an individual numeric identifier so lost or stolen prescription pads can be invalidated.
- Each sheet is sequentially numbered for internal and state-mandated record keeping.
- Security features warning bands on front of script detail security features.
- Penetrating magnetic ink is used to print your information on the script preventing chemical “lifting” of information during forgery.