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

2 Part NJ Mandated Secure Rx Pads


Must be used for all prescriptions filled in New Jersey. Imprinted with black ink. 8 different formats. Second part not printed. Includes all security features as required by State of New Jersey. To process New Jersey Mandated Prescription Pads, we must receive a copy of the DEA license and the New Jersey Medical or Dental License by fax at (800) 256-1433 once you have placed the order online.

Price: $10.80
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  2 Part NJ Mandated Secure Rx Pads - 5 1/2" x 4" (100 Sheets Per Pad) (10 Pad Minimum)
  2 Part NJ Mandated Secure Rx Pads - 5 1/2" x 4" (100 Sheets Per Pad) (10 Pad Minimum)
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  2 Part NJ Mandated Secure Rx Pads - 5 1/2" x 4" (100 Sheets Per Pad) (10 Pad Minimum)
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