If you are using Internet Explorer as your browser, you must use Explorer 10.0 or later to use our online store!
To order by phone call toll free: 1-877-840-1500

NARCOTIC CONTROL RECORDS

Drug Administration Records with Pharmacy Receipts
DNC10

DNC10
Drug Administration Records with Pharmacy Receipts
CLICK TO ENLARGE

Receipt (1st Shingle)
Ink: Black and 347 Green Panto Background
Stock: 20# White CB
Numbering: Red Ink Upper Right
Size: 8 ' x 2 "

Tickets: 10
Ink: Black
Stock: 20# White CB
Numbering: Red Ink Lower Left
Size: 8 ' x 2 "

Ledger
Ink: Black
Stock: 33# Buff CF
Numbering: Red Ink Upper Right
Size: 8 " x 11"
Packaging: 50 per inner box – 200 per carton

Description

Quantity/Case

Price/Case

Secure Order

Drug Administration Records with Pharmacy Receipts
DNC10

200

$385.00


Quantity:
 

Discounts available for large quantities.
Contract pricing available. Call for details!

 

Drug Administration Records with Pharmacy Receipts
DNC25

DNC25
Drug Administration Records with Pharmacy Receipts
CLICK TO ENLARGE

Receipt (1st Shingle)
Ink: Black and 347 Green Panto Background
Stock: 20# White CB
Numbering: Red Ink Upper Right
Size: 8 ' x 2 "

Tickets: 25
Ink: Black
Stock: 20# White CB
Numbering: Red Ink Lower Left
Size: 8 ' x 2 "

Ledger
Ink: Black
Stock: 33# Buff CF
Numbering: Red Ink Upper Right
Size: 8 " x 11"
Packaging: 25 per inner box – 100 per carton

Description

Quantity/Case

Price/Case

Secure Order

Drug Administration Records with Pharmacy Receipts
DNC25

100

$325.00


Quantity:
 

Discounts available for large quantities.
Contract pricing available. Call for details!

 

Controlled Drug Administration Records

D150-10
Controlled Drug Administration Record

Unnumbered pharmacy receipt, 10 unnumbered charge tickets, unnumbered journal, cover sheet format.

D150-10
Controlled Drug Administration Record
CLICK TO ENLARGE

Description

Quantity/Case

Price/Case

Secure Order

D150-10
Controlled Drug Administration Record

200

$400.79


Quantity:
 

Discounts available for large quantities.
Contract pricing available. Call for details!

 

D150-25
Controlled Drug Administration Record

Unnumbered pharmacy receipt, 10 unnumbered charge tickets, unnumbered journal, cover sheet format.

D150-25
Controlled Drug Administration Record
CLICK TO ENLARGE

Description

Quantity/Case

Price/Case

Secure Order

D150-25
Controlled Drug Administration Record

100

$375.00


Quantity:
 

Discounts available for large quantities.
Contract pricing available. Call for details!

 

D250-10
Controlled Drug Administration Record

Unnumbered pharmacy receipt, 10 unnumbered charge tickets, unnumbered journal.

D250-10
Controlled Drug Administration Record
CLICK TO ENLARGE

Description

Quantity/Case

Price/Case

Secure Order

D250-10
Controlled Drug Administration Record

200

$400.79


Quantity:
 

Discounts available for large quantities.
Contract pricing available. Call for details!

 

D250-25
Controlled Drug Administration Record

Unnumbered pharmacy receipt, 25 unnumbered charge tickets, unnumbered journal.

D250-25
Controlled Drug Administration Record
CLICK TO ENLARGE

Description

Quantity/Case

Price/Case

Secure Order

D250-25
Controlled Drug Administration Record

100

$335.00


Quantity:
 

Discounts available for large quantities.
Contract pricing available. Call for details!

ALL OUR FORMS ARE OF THE HIGHEST QUALITY, ARE PRINTED IN STRICT COMPLIANCE WITH GOVERNMENT SPECIFICATIONS AND ARE APPROVED BY CENTERS FOR MEDICARE AND MEDICAID SERVICES AND THE INSURANCE INDUSTRY.
OUR FORMS HAVE BEEN APPROVED BY THE GOVERNMENT.
The American HCFA Forms division of DFL Enterprises, Inc. is an independent supplier of US Government
approved claim forms and NOT an affiliate of CMS (
www.cms.gov)

WE ACCEPT VISA, MASTERCARD and AMERICAN EXPRESS

This Site is Secured by:

IF YOU HAVE ANY QUESTIONS OR TO ORDER BY PHONE
CONTACT US TOLL FREE AT:
 1-877-840-1500
FAX: 1-985-809-5788
Our Office Hours are:
 Monday - Thursday: 8am - 5pm CST
Friday: 8am - 12 noon CST

EMAIL US

AMERICAN HCFA FORMS is a Division of
124 Pine Oak Dr., Covington, LA 70433
PHONE: 985-875-0800
FAX: 1-985-809-5788

Home HCFA-1500 Forms  CMS-1500 Forms  UB04 Forms  UB-92/CMS-1450/HCFA-1450 Forms 
CMS 485,486,487 Forms  Claim Form Envelopes  HIPAA Compliance Forms
Printing Services  Contact Us

Associated sites:
DFL-Enterprises.com | hcfa1500forms.com | claimformsdepot.com
HIPAASignIn.com | ub92.net | discountclaimforms.com

Copyright © 1998 - 2010 DFL Enterprises, Inc.
Find us on the
New Orleans Web Site Directory