Categories: Clinical Forms : Prescription Blanks
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Prescription blanks, approved by the Agency for Health Care Administration in accordance with the Florida Medicaid Counterfeit-Proof Prescription Blank Program, meet Florida standards with a variety of security features. Security Features:
  • Void pantograph pattern appears when the blank is photocopied
  • A reverse Rx on top right corner disappears when photocopied
  • Security back printing
  • Batch number printed on each blank
  • Microprint signature lines
  • License Number is verified before printing of scripts
  • Consecutive numbering available for an additional charge. Call for pricing.
Personalize your prescription blanks with six lines of type in typestyle shown. Personalization available in reflex blue ink only. Laser prescription blanks available with batch number only printed.
Only one item can be personalized at a time. Please update your selection to one item.
Title/Description
Patterson Item #
Mfg Item #
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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.