MEDICAL SCRIPTS for DISCHARGE 1 2 3 |
- Rx forms used for prescribing Medicaid reimbursed medications must be purchase from a Florida State Medicaid Board approved printer.
- All controlled substances must be written on scripts obtained from Florida Department of Health approved printers.
- Micro Format Secure Prescription Paper contains all of the features required by the Florida State Legislation.
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State of Florida Legislation requires that a unique production batch number appear on the front of each script |
FULL SHEET Prescription PaperPrint prescriptions with your Laser or Ink Jet Printer.
- Sheet size: 8-1/2" x 11"
- 24# Paper
- No Perforations
- Security Warning Box in four positions on back of sheet
- Small Production Coded Batch Number in margins
Item# FL-RX503
- Item# FL-RX503
8.5in. x 11in.
Blue Background Tamper Resistant
Laser Rx Paper
1000 sheets per package
$ 120.00 plus shipping by UPS
1 carton (2,500 sheets per carton)
$287.50 plus shipping by UPS
2 cartons (2,500 sheets per carton)
$275.00 per carton plus shipping by UPS
Item# FL-RX503G
- Item# FL-RX503G
8.5in. x 11in.
Green Background Tamper Resistant
Laser Rx Paper
1000 sheets per package
$ 120.00 plus shipping by UPS
1 carton (2,500 sheets per carton)
$287.50 plus shipping by UPS
2 cartons (2,500 sheets per carton)
$275.00 per carton plus shipping by UPS
Item# Blue Background FL-Rx503-P4
8.5in. x 11in.
(perforated to yield 4 scripts when detached)
Click to Enlarge FL-Rx503-P4 image
Secure Tamper Resistant Laser Prescription Paper ~ 4 scripts per sheet
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1000 sheets per package $ 130.00 plus shipping by UPS
1 carton (2,500 sheets per carton) $312.50 plus shipping by UPS
2 cartons (2,500 sheets per carton) $300.00 per carton plus shipping by UPS
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Copyright © 2003-2013 inclusive
Micro Format, Inc
All Rights Reserved
Micro Format, Inc.
830-3 Seton Court ~ Wheeling, IL 60090
847/520-4699 FAX 847/520-0197
Toll Free: 800-333-0549
