Non Secure Pads

DISCLAIMER – Please note, non-secure prescription pads are not valid for controlled substance prescriptions. If you need secure pads, please go back and select Minimum Security or Maximum Security pads.

Price

$55.00$415.00 Plus Tax

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First Address

NOTE - If the shipping address for these pads is different than the address on record associated with the DEA #, then one of our representatives will reach out to you to finalize your order.

Second Address

Third Address

First Prescriber

DISCLAIMER - By checking this box, this is not a validation that enables the writing of these prescriptions.

Second Prescriber

DISCLAIMER - By checking this box, this is not a validation that enables the writing of these prescriptions.

Third Prescriber

DISCLAIMER - By checking this box, this is not a validation that enables the writing of these prescriptions.

Fourth Prescriber

DISCLAIMER - By checking this box, this is not a validation that enables the writing of these prescriptions.

Fifth Prescriber

DISCLAIMER - By checking this box, this is not a validation that enables the writing of these prescriptions.

Sixth Prescriber

DISCLAIMER - By checking this box, this is not a validation that enables the writing of these prescriptions.

DISCLAIMER - By checking this box, this is not a validation that enables the writing of these prescriptions.

You must Preview before you accept the proof. I accept the proof.

This will have a delay on your order.

SKU: 0-2-1-1-1-1-1-1-1-1-2-2-1-1-1 Category:

Live Preview

The image on the screen may not accurately represent your state’s pad, however, your pads are 100% guaranteed to be compliant with your state’s guidelines.

prescriber selection problem v3 (non secure)

Canvas main programing v3 ( Non Secure )

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Additional information

Production Time

Standard 5 Business Days, Next Day Turnaround ($95 Extra )

Number of Compliant Pads

16 Compliant Pads $85, 24 Compliant Pads $125, 40 Compliant Pads $195, 8 Compliant Pads $55, 80 Compliant Pads $295

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Orignal Data