These are very good folders however they are very expensive for just getting 25 inside of a box. The only way I can afford to buy these folders is when there is a coupon or a special sale of some sort. They are high quality and hold up very well. It is very unfortunate that they do not come in different colors in the 1 inch expandable with fasteners. Unless you can find these cheaper online somewhere I highly recommend getting them at Staples but wait until they are on sale or use a coupon.
I have used this folder for years for a long lasting patient folder. The top tab fasteners never sag or break and they are solid folders. I love the thickness of them as it makes quick charting of notes easy without a clipboard. I only wishntheybhad more colors available but the blue and green have become our standard office charts. The tabs are large and accommodate name labels well and the tabs hold up to repeated flipping through. We hang them in vertical pockets and despite their thickness we can put up to 4 or 5 in each. We also have found them to expand to their states thickness and easily hold an inch of note papers.