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 ME Mandated Secure Rx Pads


Must be used for all prescriptions in Maine. Printed in Reflex Blue ink (all copy) with security backprint as required by State of Maine. To process Maine Mandated Prescription Pads, we must receive a copy of the DEA license and the Maine 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 Maine Approved Rx Pads

  1 Part ME Mandated Secure Rx Pads - 5 1/2" x 4 1/4" (100 Sheets Per Pad) (10 Pad Minimum)
  2 Part ME Mandated Secure Rx Pads - 5 1/2" x 4 1/4" (50 Sheets Per Pad) (10 Pad Minimum)

 
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