1-Part Pads (100 Scripts per Pad)
Plain Paper - Portrait Orientation: 4.25" x 5.5" |
$45.00 |
$60.00 |
$72.00 |
$88.00 |
$102.00 |
$111.00 |
$156.00 |
Tamper Resistant - (Approved for all Medicaid scripts) Portrait Orientation: 4.25" x 5.5" |
$56.00 |
$76.00 |
$91.00 |
$111.00 |
$133.00 |
$155.00 |
$195.00 |
Sched. II CS-Compliant (CA Only) Landscape Orientation: 5.5"x 4.25" |
$109.00 |
$147.00 |
$195.00 |
$240.00 |
$275.00 |
$320.00 |
$474.00 |
Sched. II CS-Compliant (WA / ME / IN / KY / WY) Landscape Orientation: 5.5"x 4.25" |
$61.00 |
$84.00 |
$101.00 |
$122.00 |
$147.00 |
$171.00 |
$217.00 |
CA Multi-Drug Portrait Orientation: 4.25"x 7" |
$176.00 |
$252.00 |
$349.00 |
$439.00 |
$510.00 |
$600.00 |
|
Add: Ground Shipping |
$15.50 |
$16.75 |
$17.00 |
$17.50 |
$18.00 |
$19.00 |
$23.50 |
Optional Add: Sequential Numbers starts at 000001 |
$10.20 |
$13.60 |
$20.40 |
$30.60 |
$34.00 |
$40.80 |
$61.20 |
2-Part Pads (50 Scripts per Pad with Carbonless Duplicate)
Plain Paper - Portrait Orientation: 4.25" x 5.5" |
$57.00 |
$83.00 |
$106.00 |
$133.00 |
$158.00 |
$181.00 |
$248.00
|
Tamper Resistant - (Approved for all Medicaid scripts) Portrait Orientation: 4.25" x 5.5" |
$67.00 |
$97.00 |
$132.00 |
$166.00 |
$196.00 |
$221.00 |
$287.00
|
Sched. II CS-Compliant (CA Only) Landscape Orientation: 5.5"x 4.25" |
$156.00 |
$189.00 |
$270.00 |
$351.00 |
$435.00 |
$506.00 |
$713.00
|
Sched. II CS-Compliant (WA / ME / IN / KY / WY) Landscape Orientation: 5.5"x 4.25" |
$74.00 |
$107.00 |
$144.00 |
$183.00 |
$216.00 |
$244.00 |
$316.00
|
CA Multi-Drug Portrait Orientation: 4.25"x 7" |
$271.00 |
$337.00 |
$498.00 |
$662.00 |
$830.00 |
$972.00 |
|
Add: Ground Shipping |
$15.50 |
$16.75 |
$17.00 |
$17.50 |
$18.00 |
$19.00 |
$23.50
|
Optional Add: Sequential Numbers starts at 000001 |
$10.20 |
$13.60 |
$20.40 |
$30.60 |
$34.00 |
$40.80 |
$61.20
|
1-Part Pads (100 Scripts per Pad)
Advanced Practice Nurse |
$97.00 |
$132.00 |
$175.00 |
$216.00 |
$248.00 |
$288.00 |
$426.00 |
Certified Nurse Midwife |
$97.00 |
$132.00 |
$175.00 |
$216.00 |
$248.00 |
$288.00 |
$426.00 |
Physician Assistant |
$97.00 |
$132.00 |
$175.00 |
$216.00 |
$248.00 |
$288.00 |
$426.00 |
UPS Ground Shippping Secure Signature Required |
$15.50 |
$16.75 |
$17.00 |
$17.50 |
$18.00 |
$19.00 |
$23.50 |
2-Part Pads (50 Scripts per Pad with Carbonless Duplicate)
Advanced Practice Nurse |
$138.00 |
$170.00 |
$242.00 |
$317.00 |
$391.00 |
$456.00 |
$642.00
|
Certified Nurse Midwife |
$138.00 |
$170.00 |
$242.00 |
$317.00 |
$391.00 |
$456.00 |
$642.00
|
Physician Assistant |
$138.00 |
$170.00 |
$242.00 |
$317.00 |
$391.00 |
$456.00 |
$642.00
|
UPS Ground Shippping Secure Signature Required |
$15.50 |
$16.75 |
$17.00 |
$17.50 |
$18.00 |
$19.00 |
$23.50
|
1-Part Pads (100 Scripts per Pad)
NJBP - Facilities |
$97.00 |
$132.00 |
$175.00 |
$216.00 |
$248.00 |
$288.00 |
$426.00 |
UPS Ground Shippping Secure Signature Required |
$15.50 |
$16.75 |
$17.00 |
$17.50 |
$18.00 |
$19.00 |
$23.50 |
2-Part Pads (50 Scripts per Pad with Carbonless Duplicate)
NJBP - Facilities |
$138.00 |
$170.00 |
$242.00 |
$317.00 |
$391.00 |
$456.00 |
$642.00 |
UPS Ground Shippping Secure Signature Required |
$15.50 |
$16.75 |
$17.00 |
$17.50 |
$18.00 |
$19.00 |
$23.50 |
1-Part Pads (100 Scripts per Pad)
NJPB - MD, DO, DDS/DMD, DPM, DVM/VMD/BVSc, OPT |
$97.00 |
$132.00 |
$175.00 |
$216.00 |
$248.00 |
$288.00 |
$426.00 |
Optometry - Eyewear* |
$97.00 |
$132.00 |
$175.00 |
$216.00 |
$248.00 |
$288.00 |
$426.00 |
Optometry - Blank* |
$97.00 |
$132.00 |
$175.00 |
$216.00 |
$248.00 |
$288.00 |
$426.00 |
UPS Ground Shippping Secure Signature Required |
$15.50 |
$16.75 |
$17.00 |
$17.50 |
$18.00 |
$19.00 |
$23.50 |
2-Part Pads (50 Scripts per Pad with Carbonless Duplicate)
NJPB - MD, DO, DDS/DMD, DPM, DVM/VMD/BVSc, OPT |
$138.00 |
$170.00 |
$242.00 |
$317.00 |
$391.00 |
$456.00 |
$642.00 |
Optometry - Eyewear* |
$138.00 |
$170.00 |
$242.00 |
$317.00 |
$391.00 |
$456.00 |
$642.00 |
Optometry - Blank* |
$138.00 |
$170.00 |
$242.00 |
$317.00 |
$391.00 |
$456.00 |
$642.00 |
UPS Ground Shippping Secure Signature Required |
$15.50 |
$16.75 |
$17.00 |
$17.50 |
$18.00 |
$19.00 |
$23.50 |
1-Part Pads (100 Scripts per Pad)
Premium Security - (Meets or exceeds security requirements in all states) Landscape Orientation: 5.5" x 4.25" |
$66.00 |
$91.00 |
$109.00 |
$133.00 |
$159.00 |
$186.00 |
$234.00 |
Add: Ground Shipping |
$15.50 |
$16.75 |
$17.00 |
$17.50 |
$18.00 |
$19.00 |
$23.50 |
Optional Add: Sequential Numbers starts at 000001 |
$10.20 |
$13.60 |
$20.40 |
$30.60 |
$34.00 |
$40.80 |
$61.20 |
2-Part Pads (50 Scripts per Pad with Carbonless Duplicate)
Premium Security - (Meets or exceeds security requirements in all states) Landscape Orientation: 5.5" x 4.25" |
$80.00 |
$117.00 |
$158.00 |
$199.00 |
$235.00 |
$265.00 |
$344.00 |
Add: Ground Shipping |
$15.50 |
$16.75 |
$17.00 |
$17.50 |
$18.00 |
$19.00 |
$23.50 |
Optional Add: Sequential Numbers starts at 000001 |
$10.20 |
$13.60 |
$20.40 |
$30.60 |
$34.00 |
$40.80 |
$61.20 |