|
Members Order Page
 California
Approved Secure prescription forms.
Single
part
California Approved prescription sheets.
Each pad contains 100 sheets
| # of Pads |
Pad Price |
# of Scripts |
Net Price |
CMA Discount |
Shipping |
Total |
| 10 |
$5.20 |
1000 |
$52.00 |
$7.80 |
$7.75 |
$51.95 |
| 20 |
$3.40 |
2000 |
$68.00 |
$10.20 |
$9.95 |
$67.75 |
| 40 |
$3.00 |
4000 |
$120.00 |
$24.00 |
$12.95 |
$114.95 |
2
part California
Approved prescription sheets.
Each pad contains 50 sets of 2 parts each
Second copy is unprinted yellow
sheet with no security features
| # of Pads |
Pad Price |
# of Scripts |
Net Price |
CMA Discount |
Shipping |
Total |
| 20 |
$5.20 |
1000 x 2 |
$104.00 |
$15.60 |
$9.95 |
$98.35 |
| 40 |
$4.90 |
2000 x 2 |
$196.00 |
$29.40 |
$12.95 |
$179.55 |
Hospital
and Clinic Prices
Print
order form to fax order
Order
On-line
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