Checks & Forms 117 Secure Prescription 1-Part Pad Pricing 100 Sheets Per Pad (no numbering upcharge) 8 16 24 32 40 64 80 $204.53 $254.87 $312.00 $416.00 $411.15 $591.27 $685.02 Item Number Parts Size QTY Popular Pick! XX1-RX01-NS26 1-Part non #’d 51/2"W x 41/4"H 100/Pad A. XX1-RX82-NS26 1-Part non #’d 41/4"W x 51/2"H XX2-RX64-NS26 2-Part non #’d 51/2"W x 41/4"H 50 Sets/ Book XX2-RX85-NS26 2-Part non #’d 41/4"W x 51/2"H Standard Secure Blue Prescription (includes numbering upcharge) 8 16 24* 32* 40* 64* 80* 240* $217.87 $281.53 $346.67 $453.33 $451.33 $639.27 $738.35 $1,627.71 1-Part batch numbering; order in multiples of four. 1-Part consecutive numbering; order in multiples of eight. No upcharge for batch numbering. No charge for consecutive numbering when state mandated. (See non-numbered price.) * 24+ pads add $16.00 flat charge to above pricing Secure Prescription 2-Part Book Pricing 50 Sheets Per Book (no numbering upcharge) 9 18 27 36 81 117 162 252 $214.82 $350.07 $417.92 $456.15 $682.35 $926.80 $1,238.33 $1,843.30 Item Number Parts Size QTY B. XX1-RX83-NS26 1-Part non #’d 51/2"W x 41/4"H 100/Pad XX1-RX84-NS26 1-Part non #’d 41/4"W x 51/2"H XX2-RX88-NS26 2-Part non #’d 51/2"W x 41/4"H 50 Sets/Book XX2-RX89-NS26 2-Part non #’d 41/4"W x 51/2"H Standard Secure Green Prescription (includes numbering upcharge) 9 18 27 36 81 117 162 252 $375.97 $573.45 $651.45 $846.77 $1,273.43 $1,740.02 $2,153.73 $2,861.03 2-Part; order in multiples of nine. No upcharge for batch numbering. Security Features Chemical Protection Paper, Scallop Void Pantograph, Blue or Green Background, Security Watermark on Back, Preprinted Prescriber Information, Rx Thermochromic Ink, Microprinting in Border Line, Security Feature Listing, Watermark in Coin Reactive Ink. Medicaid Compliant. (R) Production time: 5 working days. (R) Production time: 5 working days. Standard RX Pads cannot be used in all states, please check your state guidelines before purchasing. Scan here to see how our security features keep your prescription paper safe from fraud B. A. Popular Industries • Veterinary • Optometry • Ophthalmology Prescription Pads
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