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2 PART, DUPLICATE COPY TAMPER-RESISTANT SECURE RX PADS (50/pad)


Our Price: $0.00 (+$90.00)
Item Number: RXS-2

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PRESCRIBERS NAME AND DEGREE*
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OFFICE STREET ADDRESS*
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STATE & ZIP CODE
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NO. OF PRESCRIBERS ON THE PAD*
TYPE OF PAD*
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: 800-526-0410 AND REFERENCE THE ORDER#. 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.

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