Single Tamper Proof Prescription Blanks Layout Format DR
Description:
Create custom Tamper Proof Single Imprinted Prescription blanks.
Layout format DR prescription blanks are imprinted with the doctor’s name, address, phone number, DEA Number, and other information as space permits.
Tamper Proof Prescription blanks are printed on copy-protected, watermarked paper in black ink. Erasures will be obvious and if a prescription is copied the word “VOID” will appear across the copy. Prescription blanks are 5¼” x 4¼”.
Ordering is as simple as 1,2,3.
- Choose your quantity
- Choose your signature area format
- Enter the imprint information for the top of the prescription
Other available options:
Prescription blanks may be printed taller-than-wide for no additional charge.
Other ink colors are available for $15.00 per thousand extra.
**Pharmacists and Doctors in the states of KY, IN, WV, and FL – Please contact us for information on special prescription forms for your state**
Don’t see a signature format you can use? Phone us at 800-366-7135 and we will work with you to get a format that will work for you. Note: For unusually complicated formats there will be an increase in the minimum order – we will contact you if this is true.
| Quantity Pricing | 1000 (10 Pads) for $149.75, 2000 (20 Pads) for $193.50, 4000 (40 Pads) for $299.00, 6000 (60 Pads) for 408.50, 8000 (80 Pads) for $516.00, 10,000 (100 Pads) for $625.50, 12,000 (120 Pads) for $731.00, 16,000 (160 Pads) for $946.00, 20,000 (200 Pads) for $1161.00, 24,000 (240 Pads) for $1376.00 |
|---|---|
| CHOOSE PRESCRIPTION BLANK STYLE | A2, AZ2, B2, E2, F2, G2, GNY2, GNYO2, I2, K2, L2, M2, ND2, NJ2-2, P2, PA2-2, R2, RI2, S2, T2, TXM2, U2, V2, VA4-2, W2, WV2, X2, Y2, Z2 |
Starts at $149.75
You save
| 24,000 (240 Pads) for $1376.00 |
$1,376.00 You save |
|
| 20,000 (200 Pads) for $1161.00 |
$1,161.00 You save |
|
| 16,000 (160 Pads) for $946.00 |
$946.00 You save |
|
| 12,000 (120 Pads) for $731.00 |
$731.00 You save |
|
| 10,000 (100 Pads) for $625.50 |
$625.50 You save |
|
| 8000 (80 Pads) for $516.00 |
$516.00 You save |
|
| 6000 (60 Pads) for 408.50 |
$408.50 You save |
|
| 4000 (40 Pads) for $299.00 |
$299.00 You save |
|
| 2000 (20 Pads) for $193.50 |
$193.50 You save |
|
| 1000 (10 Pads) for $149.75 |
$149.75 You save |
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