Practice Marketing & Office Supply Catalog 2014 - 178

CLINICAL FORMS

Laser Prescription Blanks

CLINICAL FORMS

A

B

C

le with
Compatib

le with
Compatib

E

D

le with
Compatib

LASER PRESCRIPTION BLANKS
* Conveniently print prescriptions from your practice software or computer programs
* All papers meet "tamper-resistant" Medicaid requirements effective October 2008
* Configurations available in full sheets (A), half-perforated sheets (C), and quarter-perforated sheets (D)
* "Color Change Ink" security feature paper (E) available for added security (not required by Medicaid)
* Paper size: 8-1⁄2"W x 11"H
Item#
A. (367-9217)
B. (367-5299)
C. (367-5297)
D. (367-5298)
E. (367-6658)

Description
Full Sheet
Full Sheet with
Detachable Top Left Script
1/2 Perforated Sheet
1/4 Perforated Sheet
Full Sheet with Color-Changing Ink

Qty.
500/PK
500/PK

Price
$69.99
$69.99

2@
$65.99
$65.99

500/PK
500/PK
500/PK

$69.99
$69.99
$69.99

$65.99
$65.99
$65.99

All products featured on this page are NOT for use in states which require state-approved prescription blanks.

178

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Practice Marketing & Office Supply Catalog 2014

Table of Contents for the Digital Edition of Practice Marketing & Office Supply Catalog 2014

Contents
Practice Marketing & Office Supply Catalog 2014 - Cover1
Practice Marketing & Office Supply Catalog 2014 - Cover2
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