Page 2 of single copy rx blanks
(79 items found)
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Horizontal RX Pads, Single Copy, Green Paper, 10 Pads per Pack
Item #: 901-QRX16010G
5-1/2" x 4" Single Copy Green Pads
10 Pads per Pack, 100 Sheets per Pad
Preprinted refill quantities on the pads
Numbered Dental Lab RX Pads, Single Copy, 25 Pads per Pack
Item #: 901-QRX16046N
10" x 8-1/2", perforated down the middle for a form size of 5" x 8-1/2"
25 Pads per Pack, 100 Sheets per Pad
Self-duplicating carbonless form – simply fold and write
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless- Custom
Item #: 901-13553
Verification Box - Hold marked area between thumb and forefinger, or breathe on heat-sensitive box, the color will disappear, then reappear
Coin Reactant Ink - Rub the Rx mark on left with a coin. Ink will turn from white to gray
MicroPrint - The right and left side rules of the large box on the front have the word "security" in microPrint. Can be viewed with magnifying glass
Numbered Horizontal RX Pads, Single Copy, Blue Paper, 10 Pads per Pack
Item #: 901-QRX16010BLN
5-1/2" x 4" Single Copy Blue Pads
10 Pads per Pack, 100 Sheets per Pad
Preprinted refill quantities on the pads
Multiple Medication Horizontal RX Pads, Single Copy, 50 Pads per Pack
Item #: 901-QRX16047
5-1/2" x 4" Single Copy Pads
50 Pads per Pack, 100 Sheets per Pad
Write up to three prescriptions for any patient
Medical Arts Press® Washington Laser Prescription Forms; Non Personalized
Item #: 901-26536
Security Features Include:
VOID pantograph, thermochromic ink, state seal in lower right-hand corner, microprint signature line and a watermark in opaque ink.
Medical Arts Press® California Controlled Substance Multi-Prescription Style; 1 Part, Horizontal
Item #: 901-26366
Features "VOID" pantograph, thermochromatic ink (color changing), security backprint list of security features and reverse Rx symbol
Bleach and solvent reactive paper
Invisible florescent fibers
Numbered Optical RX Pads, Single Copy, White Paper, 10 Pads per Pack
Item #: 901-QNRX1603WHN
5-1/2" x 4" White Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad; custom numbering included
Contact Lens RX Pads, Single Copy, 10 Pads per Pack
Item #: 901-QNRX15584
5-1/2" x 4" Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad
Numbered Vertical RX Pads, Single Copy, Blue Paper, 10 Pads per Pack
Item #: 901-QNRX1602BLN
4" x 5-1/2" Vertical Blue Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad; custom numbering included
Optical RX Pads, Single Copy, Green Paper, 10 Pads per Pack
Item #: 901-QNRX16030GR
5-1/2" x 4" Green Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad
Vertical RX Pads, Single Copy, Blue Paper, 50 Pads per Pack
Item #: 901-QNRX16020BL
4" x 5-1/2" Vertical Blue Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad
Optical RX Pads, Single Copy, Blue Paper, 10 Pads per Pack
Item #: 901-QNRX16030BL
5-1/2" x 4" Blue Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad
Medical Arts Press® Contact Lens Rx Blanks; 2-Part
Item #: 901-15586
Conforms to all new requirements of federal Fairness to Contact Lens Consumers Act (FCLCA)
Option to include customer warning regarding need for periodic eye exams (required in some states)
Black print on white stock
Medical Arts Press® California Controlled Substance Single Standard Rx Pad; 2 Part
Item #: 901-26361
Security backprint states California Security Prescription in a repetitive pattern
Available in 1- or 2-part options with multiple layouts
Microprint signature line
Numbered Self Duplicating Vertical RX Pads, 50 Pads per Pack
Item #: 901-QRX16040N
6-3/4" Pads with 5" x 3-3/8" Self-duplicating forms
50 Pads per Pack, 100 Sheets per Pad
Just fold and write - smudge-free carbonless duplicates are clean and automatic
Numbered Horizontal RX Pads, Single Copy, Green Paper, 10 Pads per Pack
Item #: 901-QRX16010GN
5-1/2" x 4" Single Copy Green Pads
10 Pads per Pack, 100 Sheets per Pad
Preprinted refill quantities on the pads
Medical Arts Press® California Controlled Substance Multi-Prescription Style; 2 Part, Horizontal
Item #: 901-26369
Features "VOID" pantograph, thermochromatic Ink (color changing), security backprint list of security features and reverse Rx symbol
Bleach and solvent reactive paper
Invisible florescent fibers
Numbered Optical RX Pads, Single Copy, Blue Paper, 10 Pads per Pack
Item #: 901-QNRX1603BLN
5-1/2" x 4" Blue Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad; custom numbering included
Two-sided Multiple Medication Horizontal RX Pads, Single Copy, 50 Pads per Pack
Item #: 901-QRX16047B
5-1/2" x 4" Double Sided Single Copy Pads
50 Pads per Pack, 100 Sheets per Pad
Write up to three prescriptions for any patient
Numbered Custom Contact Lens RX Pads, Single Copy, 10 Pads per Pack
Item #: 901-QNRX15585N
5-1/2" x 4" Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Conforms to all new requirements of federal Fairness to Contact Lens Consumers Act (FCLCA)
Numbered Multiple Medication Horizontal RX Pads, Single Copy, 50 Pads per Pack
Item #: 901-QRX16047N
5-1/2" x 4" Single Copy Pads
50 Pads per Pack, 100 Sheets per Pad
Write up to three prescriptions for any patient
Eyeglasses Vertical RX Pads, Single Copy, 5 Pads per Pack
Item #: 901-QNRX605341
5-1/2" x 8-1/2" Vertical Single Copy Pads
5 Pads per Pack, 50 Single Copies Per Pad
Standard refill instructions printed on the pad
Numbered Optical RX Pads, Single Copy, Green Paper, 10 Pads per Pack
Item #: 901-QNRX1603GRN
5-1/2" x 4" Green Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad; custom numbering included
