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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

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CONTACT US TOLL FREE AT:
 1-877-840-1500
FAX: 1-905-206-5040
Our Office Hours are:
 Monday - Thursday: 8am - 5pm CST
Friday: 8am - 12 noon CST

EMAIL US

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177 Kensington Dr, Madisonville, LA 70447
PHONE: 985-875-0800
FAX: 1-905-206-5040

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