Products

102 Products

  • New Jersey Eyeware Pad Prescription form with yellow carbonless copy on a white background

    New Jersey Eyeware Pad

    • This prescription pad is 4 x 5-1/2 inches.
    • The format will fit five (5) lines of text, including the Practice Name, up to Three Providers and One Address, or Four Providers and no Practice Name.
    • This format is available as either a One-Part Script or a Two-Part Script: One-Part Pads have the secure prescription and contain 100 sheets per pad. Two-Part Pads have the secure prescription and a blank yellow carbonless copy. They contain 50 sets per pad and include a protective wrap-around cover.
    • Back Printing available for an additional charge if additional addresses are desired.
    • Each Providers License and NPI must be pre-printed on the prescription. Please include this information in the imprint section, when placing order.
    • All prescriptions in New Jersey must be consecutively number, please select YES in the CONSECUTIVE NUMBERING box when asked.
    • 10 Pads per Pack
  • New Jersey Facility Pad Prescription form with yellow carbonless copy on a white background

    New Jersey Facility Pad

    • This prescription pad is 4 x 5-1/2 inches.
    • This format is available as either a One-Part Script or a Two-Part Script: One-Part Pads have the secure prescription and contain 100 sheets per pad. Two-Part Pads have the secure prescription and a blank yellow carbonless copy. They contain 50 sets per pad and include a protective wrap-around cover.
    • To use this format your facility must provide your state Healthcare Facility Number to be printed on the pad.
    • All prescriptions in New Jersey must be consecutively number, please select YES in the CONSECUTIVE NUMBERING box when asked.
    • 10 Pads per Pack
  • New Jersey Medical Doctor Pad Prescription form with yellow carbonless copy on a white background

    New Jersey Medical Doctor Pad

    • This prescription pad is 4 x 5-1/2 inches.
    • The format will fit five (5) lines of text, including the Practice Name, up to Three Providers and One Address, or Four Providers and no Practice Name.
    • This format is available as either a One-Part Script or a Two-Part Script: One-Part Pads have the secure prescription and contain 100 sheets per pad. Two-Part Pads have the secure prescription and a blank yellow carbonless copy. They contain 50 sets per pad and include a protective wrap-around cover.
    • Back Printing available for an additional charge if additional addresses are desired.
    • Each Providers License and NPI must be pre-printed on the prescription. Please include this information in the imprint section, when placing order.
    • All prescriptions in New Jersey must be consecutively number, please select YES in the CONSECUTIVE NUMBERING box when asked.
    • 10 Pads per Pack
  • New Jersey Midwife Pad Prescription form with yellow carbonless copy on a white background

    New Jersey Midwife Pad

    • This prescription pad is 4 x 5-1/2 inches.
    • This format is available as either a One-Part Script or a Two-Part Script: One-Part Pads have the secure prescription and contain 100 sheets per pad. Two-Part Pads have the secure prescription and a blank yellow carbonless copy. They contain 50 sets per pad and include a protective wrap-around cover.
    • Back Printing available for an additional charge if additional addresses are desired.
    • Each Providers License and NPI must be pre-printed on the prescription. Please include this information in the imprint section, when placing order.
    • All prescriptions in New Jersey must be consecutively number, please select YES in the CONSECUTIVE NUMBERING box when asked.
    • 10 Pads per Pack
  • New Jersey OD Pad Prescription form with yellow carbonless copy on a white background

    New Jersey OD Pad

    • This prescription pad is 4 x 5-1/2 inches.
    • The format will fit five (5) lines of text, including the Practice Name, up to Three Providers and One Address, or Four Providers and no Practice Name.
    • This format is available as either a One-Part Script or a Two-Part Script: One-Part Pads have the secure prescription and contain 100 sheets per pad. Two-Part Pads have the secure prescription and a blank yellow carbonless copy. They contain 50 sets per pad and include a protective wrap-around cover.
    • Back Printing available for an additional charge if additional addresses are desired.
    • Each Providers License and NPI must be pre-printed on the prescription. Please include this information in the imprint section, when placing order.
    • All prescriptions in New Jersey must be consecutively number, please select YES in the CONSECUTIVE NUMBERING box when asked.
    • 10 Pads per Pack
  • New Jersey Physician Assistant Pad Prescription form with yellow carbonless copy on a white background

    New Jersey Physician Assistant Pad

    • This prescription pad is 4 x 5-1/2 inches.
    • New Jersey law requires only ONE Physician Assistant's name per script with ONE Supervising Physician's name. Both the Physician Assistant's name and information plus the Supervising Physician's name and information must be pre-printed on script.
    • This format is available as either a One-Part Script or a Two-Part Script: One-Part Pads have the secure prescription and contain 100 sheets per pad. Two-Part Pads have the secure prescription and a blank yellow carbonless copy. They contain 50 sets per pad and include a protective wrap-around cover.
    • Back Printing available for an additional charge if additional addresses are desired.
    • All prescriptions in New Jersey must be consecutively number, please select YES in the CONSECUTIVE NUMBERING box when asked.
    • 10 Pads per Pack
  • New Jersey Rx Paper APN Format

    New Jersey Rx Paper APN Format

    • Full sheet prescription paper, 4 x 5-1/2 script is located in the top left corner.
    • New Jersey law requires only ONE Advance Practice Nurse's name per script with ONE Collaborative Physician's name. Both the Advance Practice Nurse's name and information plus the Collaborative Physician's name and information must be pre-printed on script.
    • Back Printing available for an additional charge if additional addresses are desired.
    • Each Providers License and NPI must be pre-printed on the prescription. Please include this information in the imprint section, when placing order.
    • All prescriptions in New Jersey must be consecutively number, please select YES in the CONSECUTIVE NUMBERING box when asked.
    • 1000 sheets per pack
  • New Jersey Rx Paper Eyeware Format

    New Jersey Rx Paper Eyeware Format

    • Full sheet prescription paper, 4 x 5-1/2 script is located in the top left corner.
    • The format will fit five (5) lines of text, including the Practice Name, up to Three Providers and One Address, or Four Providers with no Practice Name.
    • Back Printing available for an additional charge if additional addresses are desired.
    • Each Providers License and NPI must be pre-printed on the prescription. Please include this information in the imprint section, when placing order.
    • All prescriptions in New Jersey must be consecutively number, please select YES in the CONSECUTIVE NUMBERING box when asked.
    • 1000 sheets per pack
  • New Jersey Rx Paper Facility Format

    New Jersey Rx Paper Facility Format

    • Full sheet prescription paper, 4 x 5-1/2 script is located in the top left corner.
    • This format must print Facility Name, Address, Telephone Number and State issued Healthcare Facility Number.
    • All prescriptions in New Jersey must be consecutively number, please select YES in the CONSECUTIVE NUMBERING box when asked.
    • 1000 sheets per pack
  • New Jersey Rx Paper MD Format

    New Jersey Rx Paper MD Format

    • Full sheet prescription paper, 4 x 5-1/2 script is located in the top left corner.
    • The format will fit five (5) lines of text, including the Practice Name, up to Three Providers and One Address, or Four Providers with no Practice Name.
    • Back Printing available for an additional charge if additional addresses are desired.
    • Each Providers License and NPI must be pre-printed on the prescription. Please include this information in the imprint section, when placing order.
    • All prescriptions in New Jersey must be consecutively number, please select YES in the CONSECUTIVE NUMBERING box when asked.
    • 1000 sheets per pack
  • New Jersey Rx Paper Mid-wife Format

    New Jersey Rx Paper Mid-wife Format

    • Full sheet prescription paper, 4 x 5-1/2 script is located in the top left corner.
    • The format will fit five (5) lines of text, including the Practice Name, up to Three Providers and One Address, or Four Providers with no Practice Name.
    • Back Printing available for an additional charge if additional addresses are desired.
    • Each Providers License and NPI must be pre-printed on the prescription. Please include this information in the imprint section, when placing order.
    • All prescriptions in New Jersey must be consecutively number, please select YES in the CONSECUTIVE NUMBERING box when asked.
    • 1000 sheets per pack
  • New Jersey Rx Paper OD Format

    New Jersey Rx Paper OD Format

    • Full sheet prescription paper, 4 x 5-1/2 script is located in the top left corner.
    • The format will fit five (5) lines of text, including the Practice Name, up to Three Providers and One Address, or Four Providers with no Practice Name.
    • Back Printing available for an additional charge if additional addresses are desired.
    • Each Providers License and NPI must be pre-printed on the prescription. Please include this information in the imprint section, when placing order.
    • All prescriptions in New Jersey must be consecutively number, please select YES in the CONSECUTIVE NUMBERING box when asked.
    • 1000 sheets per pack
  • New Jersey Rx Paper Physician Asst. Format

    New Jersey Rx Paper Physician Asst. Format

    • Full sheet prescription paper, 4 x 5-1/2 script is located in the top left corner.
    • New Jersey law requires only ONE Physician Assistant's name per script with ONE Supervising Physician's name. Both the Physician Assistant's name and information plus the Supervising Physician's name and information must be pre-printed on script.
    • Back Printing available for an additional charge if additional addresses are desired.
    • Each Providers License and NPI must be pre-printed on the prescription. Please include this information in the imprint section, when placing order.
    • All prescriptions in New Jersey must be consecutively number, please select YES in the CONSECUTIVE NUMBERING box when asked.
    • 1000 sheets per pack
  • OHIO RX PADS Prescription form with a blank carbonless copy section on a blue background

    OHIO RX PADS

    • This prescription is approved for use in Ohio and meets all state and federal regulations.
    • This format is available as either a One-Part Script or a Two-Part Script: One-Part Pads have the secure prescription and contain 100 sheets per pad. Two-Part Pads have the secure prescription and a blank yellow carbonless copy. They contain 50 sets per pad and include a protective wrap-around cover.
    • Consecutive Numbering: Select YES if you would like your prescriptions numbered. There is an additional charge for numbering.
    • Back Print: Select YES if you need additional providers or addresses printed on the backside of the prescription. There is an additional charge for back printing.
    • 20 Pads Per Pack
  • Pennsylvania Prescription Pads Prescription pad with two-part script design, showing a carbonless copy on a yellow background.

    Pennsylvania Prescription Pads

    • This prescription is approved for use in Pennsylvania and meets all state and federal regulations.
    • This format is available as either a One-Part Script or a Two-Part Script: One-Part Pads have the secure prescription and contain 100 sheets per pad. Two-Part Pads have the secure prescription and a blank yellow carbonless copy. They contain 50 sets per pad and include a protective wrap-around cover.
    • Consecutive Numbering: Select YES if you would like your prescriptions numbered. There is an additional charge for numbering.
    • Back Print: Select YES if you need additional providers or addresses printed on the backside of the prescription. There is an additional charge for back printing.
    • 20 Pads Per Pack
  • Rx Security Holograms Protect Prescriptions RX100 500 Labels per Roll

    Rx Security Holograms Protect Prescriptions RX100 500 Labels per Roll

    • 5/8" self-adhesive labels
    • Breaks apart upon removal to prevent fraud
    • 500 labels per roll
  • White paper with blue text on a white background

    RX503 ~ 500 Sheets per Pack

    • Blue Laser Prescription Paper
    • Full sheet prescription paper for one prescription per page with blue tamper resistant background
    • 500 sheets per pack
  • RX503-C2  ~  500 Sheets per Pack

    RX503-C2 ~ 500 Sheets per Pack

    • Blue Laser Prescription Paper
    • Half sheet prescription paper (8-1/2" x 5-1/2") for one prescription per half sheet with blue tamper resistant background
    • Please note: Paper comes cut – not perforated – into half sheets
    • 500 sheets per pack
  • RX503-C2 FL  ~  1,000 Sheets per Pack

    RX503-C2 FL ~ 1,000 Sheets per Pack

    • Tamper Resistant Laser Prescription Paper for use in Florida State
    • All Prescriptions are pre-numbered with the required Florida State batch numbers
    • Half sheet prescription paper (8-1/2" x 5-1/2") for one prescription per half sheet with blue tamper resistant background
    • Please note: Paper comes cut – not perforated – into half sheets
    • 1000 sheets per pack (yields 2,000 scripts)
    • RX503-C4  ~  500 Sheets per Pack

      RX503-C4 ~ 500 Sheets per Pack

      • Blue Laser Prescription Paper
      • Quarter sheet prescription paper (4-1/4" x 5-1/2") for one prescription per quarter sheet with blue tamper resistant background
      • Please note: Paper comes cut – not perforated – into quarter sheets
      • 500 sheets per pack
    • RX503-C4 FL  ~  1,000 Sheets per Pack

      RX503-C4 FL ~ 1,000 Sheets per Pack

      • Tamper Resistant Laser Prescription Paper for use in Florida State
      • All Prescriptions are pre-numbered with the required Florida State batch numbers
      • Quarter sheet prescription paper (4-1/4" x 5-1/2") for one prescription per quarter sheet with blue tamper resistant background.
      • Please note: Paper comes cut – not perforated – into quarter sheets
      • 1000 sheets per pack (yields 4,000 scripts)
    • RX503-P2  ~  500 Sheets per Pack

      RX503-P2 ~ 500 Sheets per Pack

      • Blue Laser Prescription Paper
      • Full sheet prescription paper perforated in half for two prescriptions per page with blue tamper resistant background
      • 500 sheets per pack