Categories: Clinical Forms : Prescription Blanks
70110189_170110262 Ca Rx Standard 0120 update_Dental

California Prescription Blanks – 1 User, 1 Part, Personalized, 5-1/2" W x 4-1/4" H, 100 Sheets/Pad, 10 Pads/Pkg

Patterson Office Supplies
Patterson Item #: 011-0189
Mfg Item #: VJO-PTC7-PAT3
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Images may not accurately represent the product. Please order product based on its description.
CA requires an adult signature at time of delivery for all prescription blank orders. An additional fee may apply.

Specifications

# of Parts:
1 part
Design Color:
Blue
Dimensions:
5-1/2" W x 4-1/4" H
Ink Color:
Black
Logo:
N
Manufacturer Name:
PATTERSON OFFICE SUPPLIES
Material:
24 lb Security Paper with reflex blue, thermochromatic magenta and black ink on face and security ink on back
Package Quantity:
100 Sheets/Pad; 10 Pads/Pkg
Product Color:
White
Security Features:
Security paper with the security features listed on the back of each blank
  • Chemical void feature: “Void” appears when blank or completed form is photocopied
  • Thermo-chromatic ink reaction
  • Micro print signature line
  • Quantity check-off boxes
  • Opaque Rx in top right corner (on single prescription blanks)
  • Sequential numbering and unique batch number
  • The “California Security Prescription” watermark is printed on the back of each blank.
  • CA requires an adult signature at time of delivery for all prescription blank orders. An additional fee may apply.
State Requirements:
Meets

Legend

Promotion
Auto Free Good
My Catalog
My Catalog (Rep)
On Formulary
On Contract
Prescription
Hazmat-Chargeable
Hazmat-No Charge
MSDS / SDS
Schedule 2 and 2N
Schedule 3, 3N, 4 and 5
List 1
No Freeze
Prices in Green indicate discounted price.