Shop state specific rx blanks
(61 items found)
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Medical Arts Press® California Controlled Substance Single Standard Rx Pad; 1 Part
Item #: 901-26360
Security backprint states California Security Prescription in a repetitive pattern
Available in 1- or 2-part options with multiple layouts
Microprint signature line
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 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
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
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
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® 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
Medical Arts Press® Rx Blanks; Single Copy, Horizontal, 5-1/2x4"
Item #: 901-16010MAP
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
Medical Arts Press® Single Copy Rx Blanks; Vertical, 5-1/2x4"
Item #: 901-16020
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
Medical Arts Press® Single Copy Rx Blanks, Horizontal, Alter-Proof
Item #: 901-16035
Tamper-resistant Rx pad features 5 security features
Alter-proof blue pattern background to ensure there are no erasures or modifications of information - look and regulations may vary state to state
Void Pantograph — the word "void" will appear when photocopied
Medical Arts Press® Single Copy Rx Blanks; Vertical, Alter-Proof
Item #: 901-16034
Tamper-resistant Rx pad features 5 security features; meets October 1st 2008 Medicaid Requirements
Alter-proof blue pattern background to ensure there are no erasures or modifications of information
Void Pantograph — the word "void" will appear when photocopied
Medical Arts Press® 2-Part Optical Rx Blanks; Carbonless, 4x5-1/2"
Item #: 901-16029
2-part carbonless Rx blanks for eye-care field with copies that can be torn out or stored in book
Standard refill instructions
Specify state license and/or DEA numbers, if desired
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
Item #: 901-13377
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
Standard RX Books, 2-Part Carbonless, 100 Books per Pack
Item #: 901-QRX16022
5-1/2" x 4" 2-Part Pads - White, Yellow
100 Books per Pack, 50 Sets per Book
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
