Medical Arts Press® Rx Blanks; Single Copy, Horizontal, 5-1/2x4"
Medical Arts Press® Rx Blanks; Single Copy, Horizontal, 5-1/2x4"
Item #:
901-16010MAP
Model #:
16010
Brand:
Quill Custom Print
(10 reviews)
Item #:
901-16010MAP
Loading...
Sale
Healthcare professionals only
Product can only be purchased by licensed healthcare professionals.
If you are a licensed healthcare professional, please sign in to purchase by clicking the "Welcome" link at the top of the page.
Product details
Reviews
Brand
# Up Per Sheet/Page
Binding Type
Carbonless
Color
Form Size
Form Type
Format
Holes Punched
Lines
Media Quantity
NCR Paper
Number of Parts
Numbered
Package Quantity
Personalization
Post-Consumer Waste%
Security Features
Sheet Size
Customizable
$5.52 pad
When you buy 40+
Quill Custom Print
N/A
N/A
N/A
N/A
5 1/2" x 4"
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Yes
$47.59
pack
When you buy 5+
Quill Custom Print
1
Padded
Yes
Green
Other
Prescription Pads
Prescription
No
Varies
50
Yes
1
No
50
Custom
3
No
Other
N/A
$47.59
pack
When you buy 5+
Quill Custom Print
1
Padded
Yes
Green
Other
Prescription Pads
Prescription
No
Varies
50
Yes
1
Yes
50
Custom
36
No
Other
N/A
$47.59
pack
When you buy 5+
Quill Custom Print
1
Padded
Yes
Blue
Other
Prescription Pads
Prescription
No
Varies
50
Yes
1
No
50
Custom
4
No
Other
N/A
$47.59
pack
When you buy 5+
Quill Custom Print
1
Padded
Yes
Blue
Other
Prescription Pads
Prescription
No
Varies
50
Yes
1
Yes
50
Custom
37
No
Other
N/A
Customers also viewed
Medical Arts Press® Single Copy Rx Blanks; Vertical, 5-1/2x4"
Item #: 901-16020
Medical Arts Press® Single Copy Rx Blanks, Horizontal, Alter-Proof
Item #: 901-16035
Medical Arts Press® Single Copy Rx Blanks; Vertical, Alter-Proof
Item #: 901-16034
Medical Arts Press® Tamper-Resistant Secure Rx Blanks; Single Sheet
Item #: 901-15970
Medical Arts Press® Duplicate Rx Books; Alter-Proof, Horizontal
Item #: 901-16024
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
Item #: 901-13377
Horizontal RX Pads, Single Copy, Green Paper, 10 Pads per Pack
Item #: 901-QRX16010G
Horizontal RX Pads, Single Copy, Blue Paper, 50 Pads per Pack
Item #: 901-QRX16010BL
Multiple Medication Horizontal RX Pads, Single Copy, 50 Pads per Pack
Item #: 901-QRX16047
Numbered Horizontal RX Pads, Single Copy, Green Paper, 10 Pads per Pack
Item #: 901-QRX16010GN
Numbered Horizontal RX Pads, Single Copy, Blue Paper, 10 Pads per Pack
Item #: 901-QRX16010BLN
Numbered Multiple Medication Horizontal RX Pads, Single Copy, 50 Pads per Pack
Item #: 901-QRX16047N
Two-sided Multiple Medication Horizontal RX Pads, Single Copy, 50 Pads per Pack
Item #: 901-QRX16047B
Two-sided Numbered Multiple Medication Horizontal RX Pads, Single Copy, 50 Pads per Pack
Item #: 901-QRX16047BN
Description
- Blanks can be imprinted with doctor's name and feature standard refill instructions
- Please specify State License and/or DEA numbers if desired
- Numbering available
- Choose White, Green, Blue, Pink or Yellow
- Pads of 100
- Size: 5-1/2Wx4"H
- In accordance with state laws, orders for California, Florida, New Jersey, Maine, Wyoming and Kentucky Rx blanks need to be submitted by mail or fax - (no phone or web orders permitted)
- Rx Orders for – DELAWARE – NEW JERSEY - WASHINGTON: Download an Order Form Now.
- Rx Controlled Substance Orders for – CALIFORNIA – FLORIDA – KENTUCKY – MAINE - WYOMING: Download an Order Form Now.
- Rx Controlled Substance Orders for - INDIANA: Click here to Order Online.
Specifications
Brand
Quill Custom Print
Customizable
Yes
Form Size
5 1/2" x 4"