Medicaid Prescription Pads, Medicaid Rx Pads, Medicaid Tamper Resistant Prescriptions, CMS-1500 Forms, HCFA 1500 Forms, HCFAs, CMS-1500 Forms, Clinical Forms, Rx Pads, Prescription Pads, Medical Forms, Dental Forms, Medical Office Supplies, HCFA Envelopes, HIPAA Forms, Patient Charts, Medical Office Filing Supplies,

 
 
5 1/2" x 4 1/4" (50 Sheets Per Pad) (10 Pad Minimum)

1 Part IN Mandated Secure Rx Pads


Must be used for Narcotic Drugs in Indiana. Imprinted with reflex blue ink. Includes all security features as required by State of Indiana. To process Indiana Mandated Prescription Pads, we must receive a copy of the DEA license and the Indiana Medical or Dental License by fax at (800) 256-1433 once you have placed the order online.
Price: $9.00
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 Other Items from State of Indiana Approved Rx Pads

  1 Part IN Mandated Secure Rx Pads - 5 1/2" x 4 1/4" (50 Sheets Per Pad) (10 Pad Minimum)
  2 Part IN Mandated Secure Rx Pads - 5 1/2" x 4 1/4" (50 Sheets Per Pad) (10 Pad Minimum)

 
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