BLUE Laser Rx Prescription Form 4-up 8-1/2 x 11

Starting at: $67.00

Medicaid Compliant 8-1/2 x 11 Laser Sheet Prescription form, perforated across the center and top to bottom to form four 4-1/4 x 5-1/2 forms.  Our prescription forms help health care institutions and prescribers  comply with the latest rules for tamper-resistent paper. These RX prescription forms in one sheet start at $47.00, with a blue background are loaded with state of the art security features. 

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

  • Model: PRESLBL4

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

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