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Members Order Page
California
Approved (Triplicate replacement) Prescriptions
Single
part California
Approved prescription sheets
Each pad contains 100 sheets
| # of Pads |
Pad Price |
# of Scripts |
Net Price |
CMA Discount |
Total |
Net per Pad |
| 200 |
$2.50 |
20,000 |
$500.00 |
$75.00 |
$425.00 |
$2.12 |
| 500 |
$2.30 |
50,000 |
$1,150.00 |
$172.50 |
$977.50 |
$1.96 |
| 1000 |
$2.20 |
100,000 |
$2,200.00 |
$330.00 |
$1,870.00 |
$1.87 |
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 |
Total |
Net per Pad |
| 200 |
$4.50 |
10,000 x 2 |
$900.00 |
$135.00 |
$765.00 |
$3.82 |
| 500 |
$4.25 |
25,000 x 2 |
$2,125.00 |
$318.75 |
$1,806.25 |
$3.62 |
| 1000 |
$4.00 |
50,000 x 2 |
$4,000.00 |
$600.00 |
$3,400.00 |
$3.40 |
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form to fax order
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On-line
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