1 Part - Yes - 9.50" x 11" Sheet Size - White Sheet(s) - Red, Blue Print Color - 3000 / Carton - View Complete Details
Product Number: TOP50122RV
In Stock - Hurry, only 10 left.
Note: Must buy in quantities of 1 starting at 3.
Estimated Delivery 10 business day(s) - Mon 5/8 - The products will be shipped directly from the Manufacturer and will require additional time for delivery. 10 business days - Mon 5/8 - The products will be shipped directly from the Manufacturer and will require additional time for delivery.
This product was manufactured in the United States.
TOPS HCFA Claim Form - CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Comes in a continuous format.
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