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PATIENT Rx REQUESTS

Description:

SKU N/A Category

Accurate Communication Among Your Pharmacy Staff Is Vital!

Patient Rx Request forms are perfect for your pharmacy tech to fill out when accepting prescriptions, refills, or questions from your patients.  Don’t waste time asking the same questions twice!

  • Forms are 5 ¼” high, 4 ⅛” wide
  • They are printed in black ink on high quality 20 lb. green paper
  • In pads of 100
  • Minimum quantity is 1,000 forms (10 pads)

*Also available in Pink, Canary, or Blue.  MINIMUM quantity of 5,000 required for paper colors other than Green.

QUANTITY

1,000 (10 Pads) for $31.15, 2,000 (20 Pads) for $59.15, 3,000 (30 Pads) for $88.85, 5,000 (50 Pads) for $144.50, 10,000 (100 Pads) for $281.25

Paper Color

Green – no minimum, Pink – 5,000 minimum, Canary – 5,000 minimum, Blue – 5,000 minimum

Starts at $31.15
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1,000 (10 Pads) for $31.15 $31.15
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2,000 (20 Pads) for $59.15 $59.95
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3,000 (30 Pads) for $88.85 $88.85
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5,000 (50 Pads) for $144.50 $144.50
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10,000 (100 Pads) for $281.25 $281.25
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