GREEN Laser Rx Prescription Form 2-up 8-1/2 x 11

Starting at: $47.00

Medicaid Compliant 8-1/2 x 11 Laser Sheet Prescription form, perforated across the center to form two 8-1/2 x 5-1/2 forms. Our prescription forms help health care institutions and prescribers comply with the latest rules for tamper-resistent paper.  GREEN background, loaded with security features:

  • Scallop Void Pantograph
  • Rx Thermochromatic Ink
  • Microprinting in Border Line
  • Chemical Protection Paper
  • Line Watermark
  • Invisible Flourescent Fibers

  • Model: PRESLGN2

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This product was added to our catalog on Tuesday 15 June, 2010.

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