NUNOVA

APPROVED FORMAT
MEDICAL SCRIPTS
Manufactured by Micro Format, Inc.

www.RxPaper.com/Nunova

Micro Format, Inc. ~ 830-3 Seton Court ~ Wheeling IL 60090 ~ (800)333-0549

State of Pennsylvania

Secure Laser Rx Papers acceptable use in the State of Pennsylvania.
Micro Format Tamper Resistant Laser Prescription Paper
meets and exceeds ALL 2008 Medicaid Requirements

8-1/2" x 11" Format (1 script per sheet):

Rx510 ~ Script in top left-hand corner
8-1/2" x 11" Format (4 scripts per sheet):

Rx503-P4 ~ Four scripts per sheet