New Jersey Rx Paper Eyeware Format

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  • 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
Bulk Pricing Discounts
2 - 4$350.00
5 - 9$200.00
10 +$160.00
TOTAL $500.00 - $545.00