Medical Arts Press® 2-Part Rx Blanks; Carbonless, 4x5-1/2"
Medical Arts Press® 2-Part Rx Blanks; Carbonless, 4x5-1/2"
Item #:
901-16022MAP
Model #:
16022
Brand:
Quill Custom Print
(6 reviews)
Item #:
901-16022MAP
Healthcare professionals only
Product can only be purchased by licensed healthcare professionals.
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Description
- 2-part carbonless; yellow duplicate
- Standard refill instructions
- Specify state license and/or DEA numbers, if desired
- Includes a protective wrap-around cover
- 50 sets per book
- Book size: 4x6"; Pad size: 4x5-1/2"
- Rx Orders for – DELAWARE – NEW JERSEY - WASHINGTON: Download an Order Form Now.
- Rx Controlled Substance Orders for – CALIFORNIA – FLORIDA – KENTUCKY – MAINE - WYOMING: Download an Order Form Now.
- Rx Controlled Substance Orders for - INDIANA: Click here to Order Online.
Specifications
# Up Per Sheet/Page
1
Binding Type
Perforated
Brand
Quill Custom Print
Carbonless
Yes
Customizable
Yes
Form Size
4" x 5-1/2"
Form Type
Prescription Pads
Format
Prescription
Holes Punched
None
Media Quantity
1000
NCR Paper
Yes
Number of Parts
2
Numbered
Yes
Personalization
Yes
Security Features
No
Sheet Size
4" x 5-1/2"