Categories: Clinical Forms : Prescription Blanks
0263707

Laser Vertical Tamper-Resistant Prescription Blanks, Nonpersonalized, 8-1/2" W x 11" H (overall), 4-1/4" W x 5-1/2" H (detached), 500/Pkg

Patterson Office Supplies
Patterson Item #: 026-3707
Mfg Item #: VJO-263707-PAT3
See My Price
Add to Cart
Images may not accurately represent the product. Please order product based on its description.
Tamper-resistant prescription blanks meet CMS requirements.

Specifications

# of Parts:
1 part
Design Color:
Blue
Dimensions:
8-1/2" W x 11" H (overall)
Manufacturer Name:
PATTERSON OFFICE SUPPLIES
Material:
24 lb Laser Mocr
Package Quantity:
500/Pkg
Product Color:
White
Security Features:
  • Reversed out RX on face
  • Security features listed on back
  • “Level 1 Security Paper” watermark printed on back
  • Void pantograph – The word “Void” appears when document is photocopied
  • Erasure protection – White mark appears when erased
Software Compatiblity:
Eaglesoft and most other softwares

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.