Page 3 of single copy rx blanks
(79 items found)
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Two-sided Numbered Multiple Medication Horizontal RX Pads, Single Copy, 50 Pads per Pack
Item #: 901-QRX16047BN
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; custom numbering included
Optical RX Books, 2-Part Carbonless, 20 Books per Set
Item #: 901-QRX16029
5-1/2" x 4" 2-Part Pads - White, Yellow
20 Books per Pack, 50 Sets per Book
Includes a protective wrap-around cover
Numbered Vertical RX Pads, Single Copy, Green Paper, 10 Pads per Pack
Item #: 901-QNRX1602GRN
4" x 5-1/2" Vertical Green Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad; custom numbering included
Vertical RX Pads, Single Copy, Green Paper, 50 Pads per Pack
Item #: 901-QNRX16020GR
4" x 5-1/2" Vertical Green Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad
Multiple Medication Vertical RX Pads, Single Copy, 50 Pads per Pack
Item #: 901-QRX16037
4" x 5-1/2" Vertical Single Copy Pads
50 Pads per Pack, 100 Sheets per Pad
Write up to three prescriptions for any patient
Numbered Contact Lens RX Pads, Single Copy, 10 Pads per Pack
Item #: 901-QNRX15584N
5-1/2" x 4" Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad
Standard RX Pads, 3-Part Carbonless, 20 Books per Pack
Item #: 901-QRX16023
5-1/2" x 4" 3-Part Pads - White, Yellow, Pink
20 Books per Pack, 50 Sets per Book
Standard refill instructions printed on the pad
Medical Arts Press® Washington Tamper Resistant Prescription Pads; Standard 1-Part
Item #: 901-26531
Washington mandates that prescriptions are written on forms that meet tamper-resistant requirements and include the seal of approval
State map is heat sensitive to friction or heat, turning from green to yellow
"Dispense as written" and "Substitution permitted" signature lines
Medical Arts Press® Washington Tamper Resistant Prescription Pads; Standard 2-Part
Item #: 901-26532
Washington mandates that prescriptions are written on forms that meet tamper-resistant requirements and include the seal of approval
State map is heat sensitive to friction or heat, turning from green to yellow
"Dispense as written" and "Substitution permitted" signature lines
Numbered Multiple Medication Vertical RX Pads, Single Copy, 50 Pads per Pack
Item #: 901-QRX16037N
4" x 5-1/2" Vertical Single Copy Pads
50 Pads per Pack, 100 Sheets per Pad
Write up to three prescriptions for any patient
Two-sided Numbered Multiple Medication Vertical RX Pads, Single Copy, 50 Pads per Pack
Item #: 901-QRX16037BN
4" x 5-1/2" Vertical Double Sided Single Copy Pads
50 Pads per Pack, 100 Sheets per Pad
Write up to three prescriptions for any patient; custom numbering included
Two-sided Multiple Medication Vertical RX Pads, Single Copy, 50 Pads per Pack
Item #: 901-QRX16037B
4" x 5-1/2" Vertical Double Sided Single Copy Pads
50 Pads per Pack, 100 Sheets per Pad
Write up to three prescriptions for any patient
Numbered Standard RX Pads, 3-Part Carbonless, 20 Books per Pack
Item #: 901-QRX16023N
5-1/2" x 4" 3-Part Pads - White, Yellow, Pink
20 Books per Pack, 50 Sets per Book
Standard refill instructions printed on the pad
Custom Carbonless Veterinarian Euthanasia Record, 5-1/2" x 8-1/2", 100 Sets per Pad
Item #: 901-QFW1748201
Self-duplicating; everything is printed on original and duplicate
5-1/2" W x 8-1/2" L
White self-duplicating carbonless stock; pre-printed in black ink
Numbered Eyeglasses Vertical RX Pads, Single Copy, 5 Pads per Pack
Item #: 901-QNRX605341N
5-1/2" x 8-1/2" Vertical Single Copy Pads
5 Pads per Pack, 50 Sets per Pad
Standard refill instructions printed on the pad
Custom 1-2 Color Appointment Cards, White 14 pt. Uncoated, Flat Print, 1 Standard Ink, 1-Sided, 250/Pk
Item #: 901-QCAC00288
250 appointment cards per pack
14 pt. white uncoated stock with a smooth finish. This stock is similar in weight to 110# cardstock
2" x 3.5" - Horizontal or Vertical Orientation
Custom 1-2 Color Appointment Cards, Gray Index 110#, Flat Print, 1 Standard Ink, 1-Sided, 250/Pk
Item #: 901-QCAC00329
250 appointment cards per pack
Gray 110# index cover stock
2" x 3.5" - Horizontal or Vertical Orientation
Numbered Optical RX Books, 2-Part Carbonless, 20 Books per Pack
Item #: 901-QRX16029N
5-1/2" x 4" 2-Part Pads - White, Yellow
20 Books per Pack, 50 Sets per Book
Includes a protective wrap-around cover
Custom Copy Statements, 5-1/2" x 6-3/4", 500 per Pack
Item #: 901-QFN1005X1R
Use to provide costs and charges to patients
5-1/2" W x 6-3/4" L - Flat
White 80# cover stock, printed in black ink
Eyeglasses Vertical RX Pads, 2-Part Carbonless, 5 Pads per Pack
Item #: 901-QNRX605471
5-1/2" x 8-1/2" Vertical 2-Part Carbonless Pads
5 Pads per Pack, 50 Sets per Pad
Just add your custom imprint information
Contact Lens RX Pads, 2-Part Carbonless, 10 Pads per Pack
Item #: 901-QRX15586
5-1/2" x 4" 2-Part Pads - White, Yellow
10 Pads per Pack, 100 Sheets per Pad
Conforms to all new requirements of federal Fairness to Contact Lens Consumers Act (FCLCA)
Custom Carbonless CMS Forms, 8-1/2" x 11", 100 Sheets per Pad
Item #: 901-QFW1471901
For use by all medical facilities for billing insurance companies, Medicaid and Medicare; aligned with the electronic HIPAA ASC X12N 837 Non-institutional Transaction Standard
8-1/2" W x 11" L
1-part, white, carbonless; carbon paper is required for duplicates
Numbered Contact Lens RX Pads, 2-Part Carbonless, 10 Pads per Pack
Item #: 901-QRX15586N
5-1/2" x 4" 2-Part Pads - White, Yellow
10 Pads per Pack, 100 Sheets per Pad
Conforms to all new requirements of federal Fairness to Contact Lens Consumers Act (FCLCA)
