Indiana Prescription Pads
DRS is a Supplier of Authorized Indiana Medicare/Medicaid Tamper Proof Prescription Pads
manufactured to meet the strict Indiana Prescription Pad requirements

Save 10% off your first order for Indiana Prescription Pads
Promotional Coupon No.
IN1X
Put number into Coupon Box on Checkout Screen - Discount will show at checkout

Indiana Prescription Pads

More Services - More Security Features
on DRS Indiana prescription pads

Indiana Prescription Pad Security Features

1 - Rx Thermocromatic Ink. Rx logo disappears or
     changes color temporarily with hot breath or
     when rubbed briskly with finger.              On Indiana Prescription Pads
2 - The face of the document has a blue background
     on white paper.                                    On Indiana Prescription Pads
3 - Preprinted prescriber information.                        
4 - Reverse RX fades or disappears with repeated
     attempts to lighten prescription on copier.  On Indiana Prescription Pads
5 - Original Document watermark on back.    On Indiana Prescription Pads
6 - Repetitive VOID pattern appears across face
     when copied.                                         On Indiana Prescription Pads
7 - Stain appears when attempts are made to
     chemically alter.                                     On Indiana Prescription Pads
 
Size: 4-1/4" x 5-1/2"
1 Part: 100 Sheets to a Indiana Pad
We can print up to 4 provider names on
the script with license and DEA numbers
and practice name on a Indiana prescription pad
.
 
Price per Indiana 1 Part Prescription Pad
IN1BL
12
16
20
40
60
80
1 Part Pads
$8.95
$7.25
$6.15
$4.65
$4.20
$3.90
To order by Fax or Mail click on the
order form Button below

2 Part: 50 Duplicate Sets with wrap around cover to a Indiana Pad
We can print up to 4 provider names on
the script with license and DEA numbers
and practice name on a Indiana prescription pad.
 
Price per Indiana Duplicate Prescription Pad
IN2BL
8
16
24
32
40
80
120
160
2 Part Pads
$11.20
$8.75
$7.15
$5.75
$5.15
$4.75
$4.45
$4.20
To order by Fax or Mail click on the
order form Button below
E-mail us Click here

For Fax or Mail
www.drsforms-systems.com
Division of DRS Business Systems, Inc.
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Indiana Prescription Pads