Item# PC4-HS-1 High Security Prescription Pads High Security Prescription Pads, 1-part, 100 per pad, Size: 5 1/2" x 4 1/4". Price is per pad. Available in quantities as shown. Quantity: Up to 10 $7.80 Quantity: 11-20 $5.40 Quantity: 21-40 $3.65 Quantity: 80 or more $2.85

Item# PC4-HS-2 High Security Prescription Pads High Security Prescription Pads, 2-part, 50 per pad, Size: 5 1/2" x 4 1/4". Price is per pad. Available in quantities as shown. Quantity: Up to 20 $6.20 Quantity: 21-40 $4.45 Quantity: 80 or more $3.85

Item# PC4-CA-1 CA Tamper Resistant Prescription Pads Standard California Tamper Resistant Prescription pad, 1-part, 100 per pad, Size: 5 1/2" x 4 1/4". Price per pad. Includes all security features required by California for non-electronically transmitted Medicaid prescriptions as well as Level 11 thru Level V prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $10.35 Quantity: 20-39 $6.90 Quantity: 40-59 $5.40 Quantity: 60 or more $4.90

Item# PC-CA-1-CUST CA Semi-Custom Tamper Resistant Prescription Pads Semi-Custom California Tamper Resistant Prescription pad, 1-part, 100 per pad, Maximum Size: 8 1/2" x 5 1/2". Price per pad, exclusive of artwork. Includes all security features required by California for non-electronically transmitted Medicaid prescriptions as well as Level 11 thru Level V prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $18.70 Quantity: 20-39 $13.10 Quantity: 40-59 $10.45 Quantity: 60 or more $9.55

Item# PC4-CA-2 CA Tamper Resistant Prescription Pads Standard California Tamper Resistant Prescription pad, 2-part, 100 per pad, Size: 5 1/2" x 4 1/4". Price per pad. Includes all security features required by California for non-electronically transmitted Medicaid prescriptions as well as Level 11 thru Level V prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $16.05 Quantity: 20-39 $11.00 Quantity: 40-59 $8.75 Quantity: 60 or more $8.30

Item# PC-CA-2-CUST CA Semi-Custom Tamper Resistant Prescription Pads Semi-Custom California Tamper Resistant Prescription pad, 2-part, 100 per pad, Maximum Size: 8 1/2" x 5 1/2". Price per pad, exclusive of artwork. Includes all security features required by California for non-electronically transmitted Medicaid prescriptions as well as Level 11 thru Level V prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $28.30 Quantity: 20-39 $20.10 Quantity: 40-59 $16.45 Quantity: 60 or more $15.55

Item# PC4-CA-3 CA Tamper Resistant Prescription Pads Standard California Tamper Resistant Prescription pad, 3-part, 50 per pad, Size: 5 1/2" x 4 1/4". Price per pad. Includes all security features required by California for non-electronically transmitted Medicaid prescriptions as well as Level 11 thru Level V prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $20.30 Quantity: 20-39 $13.60 Quantity: 40-59 $11.70 Quantity: 60 or more $10.80

Item# PC-CA-3-CUST CA Semi-Custom Tamper Resistant Prescription Pads Semi-Custom California Tamper Resistant Prescription pad, 3-part, 50 per pad, Maximum Size: 8 1/2" x 5 1/2". Price per pad, exclusive of artwork. Includes all security features required by California for non-electronically transmitted Medicaid prescriptions as well as Level 11 thru Level V prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $34.00 Quantity: 20-39 $27.70 Quantity: 40-59 $20.60 Quantity: 60 or more $19.50

Item# PC-FL-1-CUST FL Semi-Custom Tamper Resistant Prescription Pads Semi-Custom Florida Tamper Resistant Prescription pad, 1-part, 100 per pad, Choice of Sizes. Price per pad, exclusive of artwork. Includes all security features required by Florida for non-electronically transmitted Medicaid prescriptions, including security batch number. License Number Verification Required. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $9.95 Quantity: 20-29 $6.50 Quantity: 30-39 $5.90 Quantity: 40-59 $5.10 Quantity: 60 or more $4.55

Item# PC-FL-2-CUST FL Semi-Custom Tamper Resistant Prescription Pads Semi-Custom Florida Tamper Resistant Prescription pad, 2-part, 100 per pad, Choice of Sizes. Price per pad, exclusive of artwork. Available in quantities shown. Includes all security features required by Florida for non-electronically transmitted Medicaid prescriptions, including security batch number. License Number Verification Required. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $16.25 Quantity: 20-29 $12.30 Quantity: 30-39 $9.55 Quantity: 40-59 $8.50 Quantity: 60 or more $7.70

Item# PC4-FL-2 FL Tamper Resistant Prescription Pads Standard Florida Tamper Resistant Prescription pad, 2-part, 100 per pad, Size: 5 1/2" x 4 1/4". Price per pad. Includes all security features required by Florida for non-electronically transmitted Medicaid prescriptions. License Number Verification Required. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $12.70 Quantity: 20-29 $9.25 Quantity: 30-39 $7.40 Quantity: 40-59 $6.70 Quantity: 60 or more $6.50

Item# PC4-FL-1 FL Tamper Resistant Prescription Pads Standard Florida Tamper Resistant Prescription pad, 1-part, 100 per pad, Size: 5 1/2" x 4 1/4". Price per pad. Includes all security features required by Florida for non-electronically transmitted Medicaid prescriptions. License Number Verification Required. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $8.65 Quantity: 20-29 $5.90 Quantity: 30-39 $4.40 Quantity: 40-59 $4.05 Quantity: 60 or more $3.45

Item# PC4-IN-1 IN Tamper Resistant Prescription Pads Standard Indiana Tamper Resistant Prescription pad, 1-part, 50 per pad, Size: 5 1/2" x 4 1/4". Price per pad. Includes all security features required by Indiana for non-electronically transmitted Medicaid prescriptions as well as narcotic prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $6.20 Quantity: 20-39 $4.40 Quantity: 40-59 $3.35 Quantity: 60 or more $3.15

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". Price per pad. Includes all security features required by Indiana for non-electronically transmitted Medicaid prescriptions as well as narcotic prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $9.55 Quantity: 20-39 $6.60 Quantity: 40-59 $5.00 Quantity: 60 or more $4.35

Item# PC4-KY-1 KY Tamper Resistant Prescription Pads Standard Kentucky Tamper Resistant Prescription pad, 1-part, 100 per pad, Size: 5 1/2" x 4 1/4". Price per pad. Includes all security features required by Kentucky for non-electronically transmitted Medicaid prescriptions as well as narcotic prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $8.05 Quantity: 20-39 $5.30 Quantity: 40-59 $4.60 Quantity: 60 or more $3.65

Item# PC4-KY-2 KY Tamper Resistant Prescription Pads Standard Kentucky Tamper Resistant Prescription pad, 2-part, 100 per pad, Size: 5 1/2" x 4 1/4". Price per pad. Includes all security features required by Kentucky for non-electronically transmitted Medicaid prescriptions as well as narcotic prescriptions. MINIMUM ORDER 10 PADS. Quantity: Up to 19 $11.80 Quantity: 20-39 $8.45 Quantity: 40-59 $6.80 Quantity: 60 or more $6.20

Item# PC4-ME-1 ME Tamper Resistant Prescription Pads Standard Maine Tamper Resistant Prescription pad, 1-part, 100 per pad, Size: 5 1/2" x 4 1/4". Price per pad. Includes all security features required by Maine for non-electronically transmitted Medicaid prescriptions as well as narcotic prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $10.00 Quantity: 20-39 $6.70 Quantity: 40-59 $5.10 Quantity: 60 or more $4.40

Item# PC4-ME-2 ME Tamper Resistant Prescription Pads Standard Maine Tamper Resistant Prescription pad, 2-part, 100 per pad, Size: 5 1/2" x 4 1/4". Price per pad. Includes all security features required by Maine for non-electronically transmitted Medicaid prescriptions as well as narcotic prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $14.90 Quantity: 20-39 $10.15 Quantity: 40-59 $8.20 Quantity: 60 or more $7.80

Item# PC41-NJ-1 NJ Tamper Resistant Prescription Pads Used by: MDs, DOs, DDSs, DMDs, DPMs & DVMs. Standard New Jersey Tamper Resistant Prescription pad , 1-part, 100 per pad, Size: 4" x 5 1/2". Price per pad. Due to file size, the NJ pads are partially detailed. Includes all security features required by New Jersey for non-electronically transmitted prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $8.65 Quantity: 20-29 $6.00 Quantity: 30-39 $4.40 Quantity: 40-59 $4.05 Quantity: 60 or more $3.45

Item# PC41-NJ-2 NJ Tamper Resistant Prescription Pads Used by: MDs, DOs, DDSs, DMDs, DPMs & DVMs. Standard New Jersey Tamper Resistant Prescription pad , 2-part, 100 per pad, Size: 4" x 5 1/2". Second part blank. Price per pad. Due to file size, the NJ pads are partially detailed. Includes all security features required by New Jersey for non-electronically transmitted prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $12.70 Quantity: 20-29 $9.25 Quantity: 30-39 $7.40 Quantity: 40-59 $6.50 Quantity: 60 or more $6.10

Item# PC42-NJ-1 NJ Tamper Resistant Prescription Pads Used by: Health Care Facilities. Standard New Jersey Tamper Resistant Prescription pad , 1-part, 100 per pad, Size: 4" x 5 1/2". Price per pad. Due to file size, the NJ pads are partially detailed. Includes all security features required by New Jersey for non-electronically transmitted prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $8.65 Quantity: 20-29 $6.00 Quantity: 30-39 $4.40 Quantity: 40-59 $4.05 Quantity: 60 or more $3.45

Item# PC42-NJ-2 NJ Tamper Resistant Prescription Pads Used by: Health Care Facilities. Standard New Jersey Tamper Resistant Prescription pad , 2-part, 100 per pad, Size: 4" x 5 1/2". Second part blank. Price per pad. Due to file size, the NJ pads are partially detailed. Includes all security features required by New Jersey for non-electronically transmitted prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $12.70 Quantity: 20-29 $9.25 Quantity: 30-39 $7.40 Quantity: 40-59 $6.50 Quantity: 60 or more $6.10

Item# PC43-NJ-1 NJ Tamper Resistant Prescription Pads Used by: TPA Certified Optometrists. Standard New Jersey Tamper Resistant Prescription pad , 1-part, 100 per pad, Size: 4" x 5 1/2". Price per pad. Due to file size, the NJ pads are partially detailed. Includes all security features required by New Jersey for non-electronically transmitted prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $8.65 Quantity: 20-29 $6.00 Quantity: 30-39 $4.40 Quantity: 40-59 $4.05 Quantity: 60 or more $3.45

Item# PC43-NJ-2 NJ Tamper Resistant Prescription Pads Used by: TPA Certified Optometrists. Standard New Jersey Tamper Resistant Prescription pad , 2-part, 100 per pad, Size: 4" x 5 1/2". Second part blank. Price per pad. Due to file size, the NJ pads are partially detailed. Includes all security features required by New Jersey for non-electronically transmitted prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $12.70 Quantity: 20-29 $9.25 Quantity: 30-39 $7.40 Quantity: 40-59 $6.50 Quantity: 60 or more $6.10

Item# PC44-NJ-1 NJ Tamper Resistant Prescription Pads Used by: Nurse Practitioners & Clinical Nurse Specialists. Standard New Jersey Tamper Resistant Prescription pad , 1-part, 100 per pad, Size: 4" x 5 1/2". Price per pad. Due to file size, the NJ pads are partially detailed. Includes all security features required by New Jersey for non-electronically transmitted prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $8.65 Quantity: 20-29 $6.00 Quantity: 30-39 $4.40 Quantity: 40-59 $4.05 Quantity: 60 or more $3.45

Item# PC44-NJ-2 NJ Tamper Resistant Prescription Pads Used by: Nurse Practitioners & Clinical Nurse Specialists. Standard New Jersey Tamper Resistant Prescription pad , 2-part, 100 per pad, Size: 4" x 5 1/2". Second part blank. Price per pad. Due to file size, the NJ pads are partially detailed. Includes all security features required by New Jersey for non-electronically transmitted prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $12.70 Quantity: 20-29 $9.25 Quantity: 30-39 $7.40 Quantity: 40-59 $6.50 Quantity: 60 or more $6.10

Item# PC45-NJ-1 NJ Tamper Resistant Prescription Pads Used by: Ceritfied Nurse Midwives. Standard New Jersey Tamper Resistant Prescription pad , 1-part, 100 per pad, Size: 4" x 5 1/2". Price per pad. Due to file size, the NJ pads are partially detailed. Includes all security features required by New Jersey for non-electronically transmitted prescriptions. MINIMUM ORDER IS 10 PADS. Quantity: Up to 19 $8.65 Quantity: 20-29 $6.00 Quantity: 30-39 $4.40 Quantity: 40-59 $4.05 Quantity: 60 or more $3.45

Item# PC45-NJ-2 NJ Tamper Resistant Prescription Pads Used by: Ceritfied Nurse Midwives. Standard New Jersey Tamper Resistant Prescription pad , 2-part, 100 per pad, Size: 4" x 5 1/2". Second part blank. Price per pad. Due to file size, the NJ pads are partially detailed. Includes all security features required by New Jersey for non-electronically transmitted prescriptions. MINIMUM ORDER IS 10 PADS.