New Jersey Rx Paper Mid-wife Format

NJ_laser_MidWife_1120X880
Enlarge
NJ_laser_MidWife_1120X880
  • There are no alternate images available for this product.
 
  •  
  • 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
Imprint
Bulk Pricing Discounts
QuantityPrice
2 - 4$350.00
5 - 9$200.00
10 +$160.00
TOTAL $500.00 - $545.00
Close