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SERVICE FOR VOLUME & SHIPPING
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Ten
Regional Warehouses for
Nationwide Delivery
(No Alaska or Hawaii)
Coldwater, Ohio
Tulare, California
Lithia Springs, Georgia
Miami, Florida
Philadelphia, Pennsylvania
Roselle, IL
Reno, NV
Charlotte, NC
Benton, AR
Minneapolis, MN
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Nations Leading Supplier of
Medical Forms and Filing Supplies
Nationwide Delivery
(Not in Alaska, Hawaii, or Puerto Rico)
Approximately 2-3 business Days
NEW LOWER PRICING OF CMS1500 FORMS
$9.90 per M(2500 Case)
$24.75 Case
Laser Single Sheets |
Call Customer Service for Volume Shipping Discounts!
15+ Boxes
50% Off Shipping
on CMS Forms
Free Shipping On Filing Supplies
$20.00 Minimum Order |
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Order
Toll-Free: |
(800) 869-6590 |
Toll-Free Fax: |
(800) 307-8606 |
Ten Regional Warehouses for
Nationwide Delivery
(No Alaska or Hawaii)
Coldwater, Ohio
Tulare, California
Lithia Springs, Georgia
Miami, Florida
Philadelphia, Pennsylvania
Roselle, IL
Reno, NV
Charlotte, NC
Benton, AR
Minneapolis, MN
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Call (800) 869-6590 for availability and pricing TAMPER-RESISTANT PRESCRIPTION PADS FOR MEDICAID |
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Health Forms Tamper-Resistant Prescription Pads and Laser Rx Stock
Introducing Health Forms tamper-Resitant Prescription Pads with seven security features, including the highly secure thermochromic ink. Health Forms goes far beyond the requirements of the Center of Medicare and Medicaid mandated security features required for Medicaid RX’s for October 2008.
In addition to the federal regulations, Health Forms exceeds the requirements of the following states as well:
CA, FL, IN, KY, ME, WV, and WY.
- Free Shipping!
- Competitive Delivery —
5-7 business days after order approval plus shipping time
- Competitive Pricing
- Competitive Order Quantities —
MIN 12 PAD ORDERS ACCEPTED!
- 1 part and 2 part prescription pads
- Laser RX Stock also available
- Convenient pocket-sized pads
4-1/4”w x 5-1/2”h (Vertical),
5-1/2”w x 4-1/4”h (Horizontal)
- Competitive Product —
Includes multiple security features:
- *Rx red thermochromic ink easily
identi¬fies original; fades with heat
- *Preprinted Prescriber information
- *Blue or green background
- *Watermark on back
- *Void Pantograph on front
- *Chemical protection paper
- *Microprint in border
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