Categories: Clinical Forms : Prescription Blanks
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Multi-Part Prescription Blanks with Wraparound Cover - Patterson Office Supplies

Give one copy to the patient and keep the other for the patient’s file. Printed in black ink, in either a horizontal or vertical layout. Sequential numbering available. Call for pricing.
Not available for use in all states. Please make sure your state allows this type of prescription blanks before ordering. If in doubt, please check with your prescription blank governing entity. (ex. State Board of Pharmacy or Department of Health and Human Services)
Only one item can be personalized at a time. Please update your selection to one item.
Title/Description
Patterson Item #
Mfg Item #
Price
3-Part Standard Prescription Blanks with Wraparound Cover, Personalized, 5-1/2" x 4" (detached size), 50 Sets/Book; 20 Books/Pkg
2-Part Standard Prescription Blanks with Wraparound Cover, Personalized, 5-1/2" x 4" (detached size), 50 Sets/Book; 20 Books/Pkg
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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.