I admit I had reservations about using a remanufactured toner cartridge. I read all the reviews and decided to try it. I couldn't be more pleased. I have been using it for a while and have printed a lot, I would say at least 1500 pages and it is still going strong. I have already order more cartridges.

if you're serious about medical coding get the spiral book. But, this book was in great condition. Very true to the description and for an amazing price.