2 Part Rx CA Mandated Pads

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,

50 Sets per pad and back printed copy (Minimum 5 Pads)

2 Part Rx CA Mandated Pads

Call (877)993-6767 for questions. Please Note: Additional Shipping and Applicable taxes will be added to your order. Please download the order form below and fax it in to 800-256-1433

Price: $16.00
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Other Items from Standard Format

1 Part CA Mandated Rx Pads (100/Pad) - Controlled Substance Prescription Forms State of California 4.25 x 5.5
2 Part Rx CA Mandated Pads - 50 Sets per pad and back printed copy (Minimum 5 Pads)

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