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

California Laser Prescription Blanks – 1 User, Personalized, 8-1/2" W x 11" H (Overall), 5-1/2" x 4-1/4" (Detached), 1000/Pkg

Patterson Office Supplies
Patterson Item #: 011-0205
Mfg Item #: VJO-PTC2-PAT3
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Specifications

# of Parts:
1 part
Design Color:
Blue
Dimensions:
8-1/2" W x 11" H (overall)
Ink Color:
Black
Logo:
N
Manufacturer Name:
PATTERSON OFFICE SUPPLIES
Material:
24 lb Security Paper with prescription blank in upper left corner printed reflex blue, thermochromatic magenta and black ink on face and security ink on back
Package Quantity:
1,000/Pkg
Printed Sides:
2 sided
Product Color:
White
Security Features:
Security paper with the security features listed on the face of each blank and includes a void pantograph, thermochromatic ink, micro print signature line, a "California Security Prescription" watermark printed on the back, an Opaque Rx, sequential numbering and unique batch number. CA requires an adult signature at time of delivery for all prescription blank orders. An additional fee may apply.
Software Compatiblity:
Eaglesoft and most other softwares
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.