Laser Rx Paper Forms w/ Horizontal & Vertical Perforation & Black Imprint

Item # KOHVP-OTUQP

These prescription sheets exceed federal requirements and are 100% Medicaid compliant. These prescription sheets are 4-to-a-page and there are 500 sheets per package where you add your own printing of the prescription and organizational information. The sheets are tamper-resistant with numerous security features. Security features include: Invisible fluorescent fibers, Microprinting, Colored background on white paper, Thermochromic ink, Security feature listing, Artificial watermark, Watermark in coin reactive ink, Scallop VOID pantograph, Reverse Rx (when required by state), Blue laser prescription sheet, 4-1/4" x 5-1/2", 4-to-a-page, 500 sheets per package, Rx sheet works with any laser printer, Tamper-resistant with numerous security features, Medicaid compliant, and Blue background. Complies with Prop 65. 8 ½" W x 11" H

Qty Options


Quantity: 500 1,000 2,500 5,000 7,500
Your Price (each): $0.1873 $0.1143 $0.1035 $0.094 $0.0671
Additional charges may apply.


Blue, Green

Office, Banking

1 color, 1 location

Production Time: Approximately 7 working days

Packaging: Bulk; 2000 units/ctn

Shipping Point: 56003 (Minnesota, United States)