California Prescription Blanks - Patterson Office Supplies

As of January 1, 2005, written prescriptions for all schedules of controlled substances (II through V) in the state of California must be on new tamper-proof prescription blanks. Security Features:
  • Chemical void feature: “Void” appears when blank or completed form is photocopied
  • Erasure protection the front resists erasure and alterations
  • Sequential numbering starting at 0001 (each order).
  • Thermo-chromatic ink reaction (ink disappears with heat)
  • Watermark on the back with the text “California Security Prescription.”
  • Security features is printed on each form.
  • Preprinted with the name, category of licensure, license number and federal controlled substance registration number of the prescribing practitioner.
Phone orders are not allowed by state law. Call 800.637.1140 for prescription blank order form.
Standard CA Prescription Blanks personalized w
CA requires an adult signature at time of delivery for all prescription blank orders. An additional fee applies. Phone orders are not allowed by state law. Call for prescription blank order form.
Only one item can be personalized at a time. Please update your selection to one item.
Title/Description
Patterson Item #
Mfg Item #
Price
California Prescription Blanks, 1 Part, Personalized, 5-1/2" W x 4-1/4" H; 100 Sheets/Pad, 10 Pads/Pkg.
California Prescription Blanks, 2 Part, Personalized, 5-1/2" W x 4-1/4" H; 100 Sets/Pad, 10 Pads/Pkg.
California Triple Prescription Blanks, 1 Part, Personalized, 8-1/2" W x 3-2/3" H, 100 Sheets/Pad; 10 Pads/Pkg
California Triple Prescription Blanks, 2 Part, Personalized, 8-1/2" W x 3-2/3" H, 100 Sheets/Pad; 10 Pads/Pkg
California Prescription Blanks, Laser, Personalized, 8-1/2" W x 11" H (overall), 5-1/2" x 4-1/4" detached size, 1,000/Pkg.
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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
Prices in Green indicate discounted price.