Page 2 of state specific rx blanks
(61 items found)
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Numbered Standard RX Books, 2-Part Carbonless, 100 Books per Pack
Item #: 901-QRX16022N
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
Horizontal RX Pads, Single Copy, Blue Paper, 10 Pads per Pack, 100 Sheets per Pad
Item #: 901-QRX16010BL
5-1/2" x 4" Single Copy Blue Pads
10 Pads per Pack, 100 Sheets per Pad
Preprinted refill quantities on the pads
Optical RX Pads, Single Copy, White Paper, 10 Pads per Pack
Item #: 901-QNRX16030WH
5-1/2" x 4" White Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad
Numbered Vertical RX Pads, Single Copy, White Paper, 10 Pads per Pack
Item #: 901-QNRX1602WHN
4" x 5-1/2" Vertical White Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad; custom numbering included
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
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
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, White Paper, 50 Pads per Pack
Item #: 901-QNRX16020WH
4" x 5-1/2" Vertical White Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad
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 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
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
Self Duplicating Vertical RX Pads, 50 Pads per Pack
Item #: 901-QRX16040
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
Dental Lab RX Pads, Single Copy, 25 Pads per Pack
Item #: 901-QRX16046
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
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 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
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
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
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
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
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
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
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 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
