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" (100 Sheets Per Pad) (10 Pad Minimum)

1 Part KY Mandated Secure Rx Pads


Must be used for all Medicaid prescription in Kentucky. Imprinted with blue ink. Includes all security features as required by State of Kentucky plus 4 additional security features. To process Kentucky Mandated Prescription Pads, we must receive a copy of the DEA license and the Kentucky 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 Kentucky Approved Rx Pads

  1 Part KY Mandated Secure Rx Pads - 5 1/2" x 4 1/4" (100 Sheets Per Pad) (10 Pad Minimum)
  2 Part KY Mandated Secure Rx Pads - 5 1/2" x 4 1/4" (100 Sheets Per Pad) (10 Pad Minimum)

 
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