Washington State Prescription Blanks - Patterson Office Supplies

The Washington state government has mandated that security features be incorporated in prescription forms used to prescribe all medications. The state requires the form to be:
  • “Tamper Resistant”
  • Have two signature lines – 1 for “Dispense as written” and 1 for “Substitution permitted”
  • The state seal printed in thermochromatic ink and a gray watermark must be on each form
License number must be supplied for verification purposes.
Optional features offered on 1-part and 2-part prescription blanks:
  • Consecutive numbering
  • Second copy printed. Additional charges apply. Call for details.
  • Images shown have optional copy selections. Call for details.
Custom formats available. Call for details.
License number must be supplied for verification purposes but does not have to be printed.
Only one item can be personalized at a time. Please update your selection to one item.
Patterson Item #
Mfg Item #
Washington State Prescription Forms, 1-Part, Personalized, 5-1/2" W x 4-1/4" H, 100 Sheets/Pad; 10 Pads/Pkg
Washington State Prescription Forms, 2 Part (second part blank), 5-1/2" W x 4-1/4" H, 100 Sets/Pad; 10 Pads/Pkg
Washington State Laser Prescription Blanks, Blank - 8-1/2" W x 11" H (overall), 1,000/Pkg
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On Formulary
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Hazmat-No Charge
Schedule 2 and 2N
Schedule 3, 3N, 4 and 5
List 1
Prices in Green indicate discounted price.