Item# PC4-IN-2 IN Tamper Resistant Prescription Pads
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Item# PC4-IN-2
IN Tamper Resistant Prescription Pads
Standard Indiana Tamper Resistant Prescription pad, 2-part, 50 per pad, Size: 5 1/2" x 4 1/4". Imprinted reflex blue ink, duplicate copy printed on part 2. Includes all security features required by Indiana for non-electronically transmitted Medicaid prescriptions as well as narcotic prescriptions. PRICE IS PER PAD, MINIMUM ORDER IS 10 PADS.
Imprinted with reflex blue ink. Second part printed face with "Duplicate Copy." Imprinted title after signature line . List up to 4 doctors, 6 line maximum. Please type imprint information. Be sure to include; physician name, practice name, address and Licence number.