Categories: Clinical Forms : Prescription Blanks
0768986_DDS

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

Patterson Office Supplies
Patterson Item #: 076-8986
Mfg Item #: VJO-768986-PAT3
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Specifications

# of Parts:
1 part
Design Color:
Reflex Blue
Dimensions:
5-1/2" W x 4-1/4" H
Ink Color:
Black
Logo:
Y
Manufacturer Name:
PATTERSON OFFICE SUPPLIES
Material:
24 lb Offset
Package Quantity:
100 Sheets/Pad; 10 Pads/Pkg
Product Color:
White
Security Features:
  • Security features printed on face of each blank
  • “Void” pantograph
  • reversed RX in the top right corner
  • Quantity check-off boxes. The
  • “Indiana Security Prescription” watermark is printed on the back.
  • Consecutive numbering available at an additional charge on item 076-8986, call for details
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.