Prescription Pads

26 Products

  • Virginia Prescription Pads

    Virginia Prescription Pads

    • This prescription is approved for use in Virginia 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
  • Washington Prescription pads Two-part script with a blank carbonless copy section on a light green background.

    Washington Prescription pads

    • This prescription is approved for use in Washinton State and meets all state and federal regulations.
    • This prescription features the required Washington State seal.
    • 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
  • West Virginia prescription Pads Two-part prescription form with carbonless copy on a yellow background

    West Virginia Prescription Pads

    • This prescription is approved for use in West Virginia and meets all state and federal regulations.
    • This prescription pad is designed for use when prescribing only one medication and includes the following text at the bottom of the prescription: “PRESCRIPTION IS VOID IF MORE THAN ONE (1) PRESCRIPTION IS WRITTEN PER BLANK”.
    • 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