Categories: Clinical Forms : Prescription Blanks
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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.
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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.