covap.wfcstaging.com

COUNSELING INFORMATION FORM

Description:

Available in English or Spanish.

This form was developed in an effort to make it
convenient for the pharmacist to comply with
both the letter and the spirit of OBRA-90.
We believe that this 5 1/8″ x 8 1/16″
form contains all the information you will
need to counsel your patients,
as well as supply you with much of the
additional information you need for billing,
and filing insurance forms.

QUANTITY

1,000 Sheets (10 Pads), 2,000 Sheets (20 Pads), 3,000 Sheets (30 Pads), 5,000 Sheets (50 Pads), 10,000 Sheets (100 Pads), 20,000 Sheets (200 Pads)

Language

English, Spanish

Starts at $89.95
You save

1,000 Sheets (10 Pads) $89.95
You save
2,000 Sheets (20 Pads) $143.50
You save
3,000 Sheets (30 Pads) $189.95
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5,000 Sheets (50 Pads) $289.50
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10,000 Sheets (100 Pads) $515.25
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20,000 Sheets (200 Pads) $895.45
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