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Prescription Pads

Prescription Pads

100 Security forms per pad. Size of pad: 4" x 5" Exceeds California Department of Justice Security Printer Program & SB151 security requirements. Up to five prescribers and/or locations may be included in the imprint area at top of form. Refer to the price list for current pricing and ordering increments.

  • Size: 4" x 5"
  • Paper: Rx Security Script
  • Ink: Blue & Black

Single-Part Standard-Size Pads - Only 1 Medication

You may order pads in any quantity, for pricing refer to pricing matrix

To begin your order, complete this form.

All items marked with an asterisk * are required.



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