Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
Item #:
901-13377
Model #:
13377
Brand:
Quill Custom Print
4.6
(25 reviews)
Item #:
901-13377
Product details
View all details
- Verification Box - Hold marked area between thumb and forefinger, or breathe on heat-sensitive box, the color will disappear, then reappear
- Coin Reactant Ink - Rub the Rx mark on left with a coin. Ink will turn from white to gray
- MicroPrint - The right and left side rules of the large box on the front have the word "security" in microPrint. Can be viewed with magnifying glass
Healthcare professionals only
Product can only be purchased by licensed healthcare professionals.
If you are a licensed healthcare professional, please sign in to purchase by clicking the "Welcome" link at the top of the page.
Description
Rx Orders for – DELAWARE – NEW JERSEY - WASHINGTON: Download an Order Form Now.. Rx Controlled Substance Orders for – CALIFORNIA – FLORIDA – KENTUCKY – MAINE - WYOMING: Download an Order Form Now.
Rx Controlled Substance Orders for - INDIANA: Click here to Order Online.
- Verification Box - Hold marked area between thumb and forefinger, or breathe on heat-sensitive box, the color will disappear, then reappear
- Coin Reactant Ink - Rub the Rx mark on left with a coin. Ink will turn from white to gray
- MicroPrint - The right and left side rules of the large box on the front have the word "security" in microPrint. Can be viewed with magnifying glass
- Visible Fibers - Visible red and blue fibers are manufactured into the paper
- Invisible Fibers - Invisible fluorescent fibers are present. Can be viewed with black light
- Watermark - Paper has a true watermark embedded in the sheet. Can be viewed when held under light
- Chemical sensitivity - Any attempt to alter the document with solvents, acids, bleach or alkalies will damage the paper, causing a brown stain to appear
- Void Pantograph - The face of the document has a colored background. The word "void" will appear when photocopied
- Refill quantity - Preprinted; Yellow duplicate includes same security features except verification box, coin reactant Ink and chemical sensitivity
- 2-part carbonless pad includes a protective wrap-around cover; 50 duplicate sets per pad; Size: 4x5-1/2"
Specifications
# Up Per Sheet/Page
1
Binding Type
Padded
Brand
Quill Custom Print
Carbonless
Yes
Customizable
Yes
Form Size
4" x 5-1/2"
Form Type
Prescription Pads
Format
Prescription
Holes Punched
None
Media Quantity
1000
NCR Paper
Yes
Number of Parts
2
Numbered
Yes
Personalization
Yes
Security Features
Yes
Sheet Size
4" x 5-1/2"