Categories: Clinical Forms : Prescription Blanks
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Triple Standard Prescription Blanks, Personalized, 100 Sheets/Pad; 5 Pads/Pkg. - Patterson Office Supplies

Available in 2 styles with room for separate refill instructions:
  • With Generic Drug Law: 5-1/2" W x 4-1/4" H, with space for generic drug law, if required by your state.
  • Without Generic Drug Law: 5-1/2" W x 4" H, without space for generic drug law.
The back of each style includes space for pharmacist to record prescription and refill data. 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
076-2997
VJO-62997-PAT3
See My Price
076-2914
VJO-62914-PAT3
See My Price
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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
No Freeze
Prices in Green indicate discounted price.