Categories: Clinical Forms : Prescription Blanks
1965045F
1965045B

2-Up Security Laser Blanks

Patterson Office Supplies
Patterson Item #: 196-5045
Mfg Item #: VJO-965045-PAT3
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Specifications

# of Parts:
1 part
Design Color:
Blue
Dimensions:
8-1/2" W x 11" H (overall), 8-1/2" W x 5-1/2" H (detached)
Manufacturer Name:
PATTERSON OFFICE SUPPLIES
Material:
24 lb Laser Mocr
Package Quantity:
1000 Rx/Pkg; 500 Sheets/Pkg
Printed Sides:
2 sided
Product Color:
White
Security Features:
  • Meet CMS tamper-resistant requirements
  • Reversed out RX on front
  • Void pantograph – The word “Void” appears when document is photocopied
  • Erasure protection – White mark appears when erased
  • Chemical protection - Stains or spots appear with chemical alteration
  • Security features – Listed on back
  • Security back printing – Words “Secure Rx” appear on back of document when held at a 45° angle
  • Coin-activated security – On back of script, rub with coin to validate script

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
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