Logo for Rx prescription tamper resistant pad
Year logo for Tamper Resistian Secure Rx prescription forms
Martin Berliner for Medicare required secure prescription pads
 Tamper Resistant Prescription Pads
Medicare Required Rx Scripts

If you need additional information, email me at drsforms1@aol.com.
I'd be glad to hear from you.
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Martin Berliner, Vice President Sales.
Get Expert Help
on Tamper Resistant Medicare Prescription
Rx Scripts at
drsforms1@aol.com
or call 1-866-696-0800

Tamper Resistant Prescription Pad
Tamper Resistant Rx Prescription Form Printing
DRS supplies secure medicaid tamper resistant prescription pads and scripts that meets or exceeds
the NEW federal mandated Rx prescription pad regulations
More Services - More Security Features
on Medicaid tamper resistant Rx prescription pads
Tamper resistant Rx prescription pad

Tamper Resistant Medicaid Rx Prescription Pad
Security Features
1 - The face of the document has a green or blue background
horizontal or vertical 
                                                                       On our tamper resistant security pads
2 - Preprinted prescriber information.
3 - Original Document watermark on back.
                                                                       On our tamper resistant security pads
4 - Repetitive VOID pattern appears across face when copied.
;                                                                      On our tamper resistant security pads
5 - Stain appears when attempts are made to chemically alter
     On  our tamper resistant security pads
Choose Green or Blue background
Choose Horizontal or Vertical 
Printed with all your states individual requirements
The following states have their own special prescription pads,
*Maine, New York, *California, *Indiana, *Kentucky, *New Jersey,
*We supply prescription pads for these states.    
1 Part: 100 Scripts to a Secure Tamper Resistant Rx Prescription Pad
We can print up to 3 provider names on the script with license and DEA numbers
and practice name on a tamper resistant prescription script.
Horizontal Format
5-1/2 " x 4-1/4"
Vertical Format
4-1/4" x 5-1/2 "
Price per Secure Tamper Resistant Prescription Pad Horizontal or Vertical are priced the same
1 Part Pads
16
20
40
60
80
Price Per Pad
$7.25
$6.15
$4.65
$4.20
$3.90
To order by Fax or Mail click on the
order form Button below
Order on-line tamper resistant pads
2 Part: 50 Duplicate Sets with wrap around cover to a Secure Tamper Resistant Rx Prescription Pad. Printed duplicate sheets.
Price per Secure Tampa Resistant Prescription Pad Horizontal or Vertical are priced the same
2 Part Pads
18
27
36
81
117
162
Price Per Pad
$9.80
$8.25
$6.95
$5.95
$5.45
$5.20
To order by Fax or Mail click on the
order form Button below
Order on-line Rx prescription forms
Fax or Mail prescription pads order form.
For Fax or Mail
www.drsforms-systems.com
Division of DRS Business Systems, Inc.
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Tamper Resistant Rx Prescription Pad