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1. Standard Rx Pads - Medicaid Compliant - 2 part
2. Standard Rx Pads - Medicaid Compliant - 1 part
3. Washington State Authorized Rx Pads 1 Part
4. Medicaid Compliant blank stock Rx Paper
5. California Rx pads - 1 part


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  Beachley Business & Medical Forms, Inc. :: Prescription Rx Forms - Medicaid Compliant

1) one or more industry-recognized features designed to prevent unauthorized copying of a completed or blank prescription form;

2) one or more industry-recognized features designed to prevent the erasure or modification of information written on the prescription by the prescriber;

3) one or more industry-recognized features designed to prevent the use of counterfeit prescription forms.

By October 1, 2007 (extended to April 1, 2008), each state must define at least one of the above as a requirement to meet the minimum standard to be considered tamper-resistant. By October 1, 2008, states must require all three characteristics. The requirement does not apply in the following situations:

    Prescription Rx Forms - Medicaid Compliant
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California Rx pads - 1 part
CLICK HERE for QTY Pricing and details
California Rx pads - 1 part
SKU: Califrx

Approved Vendor for California Prescription Pads - Medicaid compliant
100 per pad .

Market price: $12.00
Our price: $7.75save 35%



California Rx pads - 2 part
CLICK HERE for QTY Pricing and details
California Rx pads - 2 part
SKU: Califrx2

Approved Vendor for California Prescription Pads - Medicaid compliant
50 sets per pad .

Market price: $18.00
Our price: $14.00save 22%



Florida Rx Pads - 1 part (100 per pad)
CLICK HERE for QTY Pricing and details
Florida Rx Pads - 1 part (100 per pad)
SKU: floridarx

These rx pads are specific to the state of Florida. We are an approved vendor for Florida through Wilmer Service Line. 100 per pad. Medicaid Compliant with many security features.

Market price: $10.00
Our price: $7.75save 23%



Florida Rx Pads - 2 part (50 per pad)
CLICK HERE for QTY Pricing and details
Florida Rx Pads - 2 part (50 per pad)
SKU: Floridarx2

These rx pads are specific to the state of Florida. We are an approved vendor for Florida through Wilmer Service Line. 50 per pad. Medicaid Compliant with many security features.

Market price: $18.00
Our price: $14.00save 22%



Indiana Rx pads - 1 part
CLICK HERE for QTY Pricing and details
Indiana Rx pads - 1 part
SKU: Indianarx

Approved Vendor for Indiana Prescription Pads - Medicaid compliant
100 per pad .

Market price: $12.00
Our price: $7.75save 35%



Medicaid Compliant blank stock Rx Paper
CLICK HERE for QTY Pricing and details
Medicaid Compliant blank stock Rx Paper
SKU: PAP444BB

Medicaid compliant with seven security features. This blank stock is unimprinted and intended for use with medical software that prints the information from the laser/inkjet printer in a medical office setting. 500 sheets per pkg, 2500 per carton size is 8.5" x 11" . we will reduce freight costs...

Market price: $40.00
Our price: $30.00save 25%



Standard Rx Pads - Medicaid Compliant - 1 part
CLICK HERE for QTY Pricing and details
Standard Rx Pads - Medicaid Compliant - 1 part
SKU: RxStandard

These Rx pads incorporate all 3 features required by Medicaid to be compliant. One part (100 per pad). Once order is placed we will call you for imprint information.

Market price: $6.00
Our price: $4.95save 18%



Standard Rx Pads - Medicaid Compliant - 2 part
CLICK HERE for QTY Pricing and details
Standard Rx Pads - Medicaid Compliant - 2 part
SKU: Rxpad2partstandard

These Rx pads incorporate all 3 features required by Medicaid to be compliant. Two part (50 per pad). Once order is placed we will call you for imprint information.

Market price: $18.00
Our price: $14.00save 22%



Washington State Authorized Rx Pads 1 Part
CLICK HERE for QTY Pricing and details
Washington State Authorized Rx Pads 1 Part
SKU: WA1

Authorized Distributor for Wilmer, a Washington Approved Security Printer. Yes ours have the Green Seal of Approval.
QTY PRICE BREAKS CLICK ON "SEE DETAILS AND PURCHASE"

Market price: $10.75
Our price: $7.75save 28%



Washington State Authorized Rx Pads 2 Part
CLICK HERE for QTY Pricing and details
Washington State Authorized Rx Pads 2 Part
SKU: WA2

Authorized Distributor for Wilmer, a Washington Approved Security Printer. Yes ours have the Green Seal of Approval.
This pad is a 2 part format 50 sets per pad.

Market price: $16.00
Our price: $14.00save 13%



 
 

 
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Beachley Business & Medical Forms, Inc.

23 Fontana Lane

Suite 102

Rosedale, MD  21237

1-800-947-3595

 

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