Medical Arts Press® Single Copy Rx Blanks; Vertical, 5-1/2x4"
Medical Arts Press® Single Copy Rx Blanks; Vertical, 5-1/2x4"
Item #:
901-16020
Model #:
16020
Brand:
Quill Custom Print
(7 reviews)
Item #:
901-16020
Healthcare professionals only
Product can only be purchased by licensed healthcare professionals.
If you are a licensed healthcare professional, please sign in to purchase by clicking the "Welcome" link at the top of the page.
Description
- Blanks can be imprinted with doctor's name and feature standard refill instructions
- Please specify State License and/or DEA numbers if desired
- Numbering available
- Choose White, Green, Blue, Pink or Yellow
- Pads of 100
- Size: 5-1/2"H x 4"W
- 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.
- Sequentially numbered on far right side below address line
Specifications
Brand
Quill Custom Print
Customizable
Yes
Form Size
5 1/2" x 4"