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  • Secure Prescription ( Rx ) Paper
    for Doctors, Healthcare Professionals & Medical Clinics


    Rx503 FULL SHEET
    Tamper Resistant Prescription Paper

    Print prescriptions with your Laser or Ink Jet Printer.


    All Micro Format Tamper Resistant Rx Paper Products
    meet and exceed the October 1, 2008 Medicaid Requirements.

    View Features as they relate to the new Medicaid Requirements


    Rx503
    BLUE Security Background
    Click to Order

    Tamper Resistant Laser Rx Paper

    Rx503-G
    GREEN Security Background
    Click to Order


  • Not approved for use in the States of New Jersey, New York, Indiana, Kentucky.
  • This format is approved for use in the State of Florida
  • This format may be used in the State of California ONLY for prescribing Non-Controlled Substance medications
    Meets 2008 Medicaid Requirements.
    View Security Features and how they relate to the 2008 Medicaid Requirements.
    • Item# Blue Background RX503
      Laser Prescription Rx503

    Blue Background Secure Tamper Resistant
    Laser Prescription Paper

    Blue Background Rx503

    500 sheets per package
    $ 60.00 plus shipping by UPS


    1000 sheets per package
    $ 80.00 plus shipping by UPS


    1 carton (2,500 sheets per carton)
    $187.50 plus shipping by UPS


    2 cartons (2,500 sheets per carton)
    $175.00 per carton plus shipping by UPS


    • Item# Green Background RX503G
    Green Background Secure Tamper Resistant
    Laser Prescription Paper

    Green Background Rx503G

    500 sheets per package
    $ 60.00 plus shipping by UPS


    1000 sheets per package
    $ 80.00 plus shipping by UPS


    1 carton (2,500 sheets per carton)
    $187.50 plus shipping by UPS


    2 cartons (2,500 sheets per carton)
    $175.00 per carton plus shipping by UPS



    For additional information relative to SECURITY PRESCRIPTION FORMS,
    contact Micro Format, Inc.
    Support@RxPaper.com

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    All Rights Reserved 
    Micro Format, Inc. 
    830-3 Seton Court ~ Wheeling, IL 60090 
    847/520-4699 FAX 847/520-0197
    800-333-0549