Create custom Triplicate 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.

Triplicate Imprinted Prescription blanks are printed on white, canary, and pink carbonless paper in black ink.  Prescription blanks are 5 ¼” x 4 ¼”.

Ordering is as simple as 1,2,3.

1. Choose your quantity
2. Choose your signature area format
3. 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.

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.