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1 PART, SINGLE SHEET TAMPER-RESISTANT SECURE RX PADS (100/pad).
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Item Number: RXS-1
Personalization
* denotes required field
Qty. Discount*
You must select an option for 'Qty. Discount'.
PRESCRIBERS NAME AND DEGREE*
NO. OF PRESCRIBERS ON THE PAD*
You must select an option for 'NO. OF PRESCRIBERS ON THE PAD'.
TYPE OF PAD*
You must select an option for 'TYPE OF PAD'.
* Whole number only
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All Security Prescription Products Are Compliant With The 2007 AND 2008 New Requirement for Use of Tamper Resistant Prescription Pads Under the Medicaid Program. Section 1903b(i) of the Social Security Act (42 USC193b(i), paragraph (23).
FOR MORE THAN ONE PRESCRIBER, PLEASE FAX ADDITIONAL INFORMATION TO: 800-256-1433. A CUSTOM PROOF WILL BE EMAILED WITHIN 24 HOURS OF THE ORDER FOR YOUR FINAL APPROVAL. CALL CUSTOMER AT 877-993-6767 FOR ANY QUESTIONS.
Shipping Charges Apply
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Our Price: Call for Pricing
White Paper, Black Ink Standard Appointment Cards
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