SecureGuard^TM
Tamper-Resistant Prescription Paper!

In addition to high quality printer paper tray locks we are proud to offer
SecureGuard^TM Tamper-Resistant Laser Prescription Paper!

SecureGuard^TM Rx Security Paper products meet and
exceed ALL Medicaid Requirements

SecureGuard^TMRx503 prescription papers offer 9 levels of security for your prescriptions! Click on the button to see all of the features designed into SecureGuard^TM paper:

Click on the button below to see a list of available styles
of Rx503 Tamper-Resistant Rx Paper:

The following states require special paper - please contact us for information:
Alaska, California, Florida, Georgia, Indiana, Kentucky, Maine,
New Jersey, New York, Washington

Rx503 Full Sheet Paper priced as follows:

$39.00 / 500 sheets
$58.40 / 1000 sheets
$119.00 / 2500 sheets (1 case)

All other styles of Rx Paper (RX503 P2~P6 & Secure Rub) priced as follows:

$41.20 / 500 sheets
$62.40 / 1000 sheets
$128.00 / 2500 sheets (1 case)

Note: Prices shown do not include shipping and handling

We offer custom printed prescription pads for most states - priced as shown below:

Pads, 1-Part, 100 scripts/pad, landscape mode		Pads, 2-Part, 50 scripts/pad, landscape mode
Qty Pads	Price	Qty Pads	Price
8	$55.60	8	$96.00
12	$81.00	12	$142.44
16	$104.80	16	$182.40
20	$130.00	20	$227.00
24	$152.40	24	$230.40
28	$176.40	28	$236.60
32	$200.00	32	$268.80
36	$221.50	36	$297.00
40	$240.00	40	$328.00
44	$259.60	44	$358.60
48	$276.00	48	$388.80
52	$296.40	52	$418.60
56	$316.40	56	$448.00
60	$336.00	60	$477.00
64	$355.20	64	$508.80
68	$374.00	68	$537.20
72	$392.40	72	$568.80
76	$410.40	76	$600.40
80	$428.00	80	$632.00
84	$445.20	84	$663.60
88	$466.40	88	$695.20
92	$483.00	92	$726.80
96	$499.20	96	$748.80
100	$520.00	100	$780.00

$25.00 one-time setup fee added to initial order

Pad prices do not include shipping

You may also complete this form and we will promptly contact you to confirm information needed to prepare a proof of your pad design:

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Florida

NOTE: Effective July 1, 2011, the State of Florida requires paper printed with a batch number if prescription paper will be used for controlled substances.

Non-controlled substance prescriptions may be printed on standard prescription papers.

Prices for paper printed with batch numbers are:

RX503 Florida Full Sheet - $120 / 1,000 sheets + S&H
RX503 Florida Full Sheet - $262.50 / 2,500 sheets + S&H

RX503-P2~P6 - $130 / 1,000 sheets + S&H
RX503-P2~P6 - $287.50 / 2,500 sheets + S&H

Download Florida paper brochure

Florida papers are only available in 1,000 sheet or 2,500 sheet quantities and are preprinted with batch numbers on every sheet

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Georgia

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Washington State

Since July 1, 2010, all prescriptions written in the state of Washington
must be on board-approved tamper-resistant prescription paper.

The new SecureGuard^TMRx506 series of Tamper-Resistant Laser
Prescription Forms are approved by the Washington State board
and meet or exceed all Washington State and Medicaid requirements
for Tamper-Resistant prescriptions.

Click on the button to see a list of Rx506 Tamper-Resistant Laser Prescription Forms:

Rx506 Full Sheet Paper priced as follows:

$39.00 / 500 sheets
$58.40 / 1000 sheets
$119.00 / 2500 sheets (1 case)

All other styles of Rx Paper (RX506 P2~P5 & C2) priced as follows:

$41.20 / 500 sheets
$62.40 / 1000 sheets
$128.00 / 2500 sheets (1 case)

We also offer special RX Secure paper for Indiana, Kentucky,
Maine and Alaska - call 866-232-4233 to order.
Not for use in California, New York, or New Jersey

Fast shipping and competitive prices - we accept Visa, MasterCard,
Discover, and American Express Cards. Prices do not include S&H.

Copy of DEA Certificate or medical business license
required to place orders.
Sales of tamper-resistant forms are strictly
controlled by state and federal regulations.

Call toll-free 866-232-4233 to place your order or place a secure order online:

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