PharmaTags: Sterile Medication Label Kits
Online Custom Order Form
Complete all areas below and submit to RMAC Surgical Inc.
Toll Free

1 888 299 2661

Medication and Strength
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2
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Stop here if this is a 10 label set
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Need more than 20 labels? Please call us at 1-888-299-2661
PharmaTags: Sterile Medication Label Kits:

100% Waterproof

Residue Free

Smudge Proof

Tear Proof

Free to customize your label kits

Available Color Coded or Black on White

Guaranteed Fastest Turn-around Time. Our weekly sterilization run means you get your Pharmatags fast!!

See our Weekly Production Stats Page Here

# of Boxes Ordered for this label Set
Quantity: 100 packs/Box or 300 packs/Box ( quantity discount)
Style: Color Coded or Black on White
**JCAHO:
Space for "Amt" and "Exp" on label or No "Amt" and "Exp" on label
Marking Pen:

Fine Tip Waterproof Permanent Marker or

Dual Tip ( Surgical Skin Marker on one side/ Fine Tip Waterproof Permanent on the other side (Free Flexible Ruler included when ordering the Dual Tip)

Mini Waterproof Permanent Marker regular tip

None

Other permanent waterproof markers are avaiable upon request.

PharmaTabs:Removable Basin Labels x 4 x 2 None
Time Out Products Time Out Surgical Pause Card the S.T.O.P Tent None
Specimen Labels Waterproof Specimen Labels x 4 Waterproof Specimen Labels x 2 None
Ruler Yes No I've ordered the Dual Tip so it is already Included None

If "Amt" and "Exp" is included on the label, you will require a Waterproof Permanent Marker.

Note: Skin markers are designed for skin and do not write well on any other surfaces.

**JCAHO Requirement: Amount and Expiration should appear on the medication label if the amount of the drug is not visible by the

container (solution bowl) or if the drug will expire in less than 24 hours or used the next day.


PO#
Facility Name
Contact Person
Phone Number
Email Address
Ship to Address
City
State or Province
Zip or Postal

I have reviewed this custom label set and it is ready for production. I will allow a sales rep to contact me to confirm this

order and provide pricing.

Hit your back button after submitting the form to add additional label sets and avoid filling in the contact info again.

RMAC Surgical Inc. 1 888 299 2661 medsafety@pharmatags.com

Mini Regular Tip
Fine Tip