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Item #PP-2600 Secure Prescription Form Pad 4 1/4" x 5 1/2" - One part secure prescription pad.
Minimum order of at least $500. Quoted upon request.
* You will be able to enter notes and/or submit your artwork on the next page.
- Size
- 4 1/4 " x 5 1/2 "
Price Includes:
company's name, address and phone number in one of four standard colors.
Product Options:
Secure Prescription Form Pad 4 1/4" x 5 1/2"
Our prescription products are compliant with the latest new requirements for use of tamper resistant prescription pads under the Medicaid program, Section 1903b of the Social Security Act (42USC193b, paragragh (23). Compliant in all states except California, Connecticut, Kentucky, New Jersey, New York and Wyoming.
Our prescription products are compliant with the latest new requ...
Call for more Details
Call for more Options
Rush Production Time: Call for Options
Rush Production Details: Other
Imprint Method:
Printed
Unimprinted
Imprint Options:
IMPRINT OPTION
Select from four ink colors for your heading imprint at no extra charge. Black ink is standard.
Four ink colors
IMPRINT COLOR
Black,Blue,Green,Red
Single Option 1
Additional lines of type (up to 6 lines) in the body of the form. $17.69 /Up to 6 lines
We will print one stock logo at no additional charge. Logos can be positioned to the left, right, above or below your imprint if possible. Hundreds available.
Above imprint
Below imprint
Left of imprint
Right of imprint
Packaging:
Packaging Options
Packing with drilled holes
PRODUCT OPTION
Most forms can be shrink-wrapped in sets of 50 with a drilled hole at the top. Just order the item number followed by PK.
PKG's in 50's $16.56
Packing without drilled holes
PRODUCT OPTION
Most forms can be shrink-wrapped in sets of 50 and 100 without a drilled hole (includes firm chipboard for sturdy packaging).
PKG in 100's $0.03 ,PKG's in 50's $0.05
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