Specification Amount : 28.08 Binding : Office Product Brand : Tops CurrencyCode : USD Label : TOPS BUSINESS FORMS Manufacturer : TOPS BUSINESS FORMS PartNumber : 1 ProductGroup : Office Product ProductTypeName : OFFICE_PRODUCTS Publisher : TOPS BUSINESS FORMS SmallImage_Height : 75 SmallImage_URL : https://m.media-amazon.com/images/I/51t1bPfFvcL._SL75_.jpg SmallImage_Width : 75 Studio : TOPS BUSINESS FORMS Title : ~:~ TOPS BUSINESS FORMS ~:~ CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 250/Pack, Loose Forms