Categories: Clinical Forms : Prescription Blanks
0817841_ALL_Laser_ Indiana_cap

Indiana Laser Prescription Blanks – 8-1/2" W x 11" H (Overall), 5-1/2" W x 4-1/4" H (Detached), 100/Pkg

Patterson Office Supplies
Patterson Item #: 081-7841
Mfg Item #: VJO-817841-PAT3
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Specifications

# of Parts:
1 part
Design Color:
Reflex Blue
Dimensions:
8-1/2" W x 11" H (overall)
Manufacturer Name:
PATTERSON OFFICE SUPPLIES
Material:
24 lb Offset
Package Quantity:
100/Pkg
Product Color:
White
Security Features:
  • "Void" pantograph
  • A reversed RX on the top right corner.
  • Security features are listed on the front.
  • The "Indiana Security Prescription" watermark is printed on the back.
Software Compatiblity:
Eaglesoft and most other softwares
State Requirements:
Meets

Legend

Promotion
Auto Free Good
My Catalog
My Catalog (Rep)
On Formulary
On Contract
Prescription
Hazmat-Chargeable
Hazmat-No Charge
MSDS / SDS
Schedule 2 and 2N
Schedule 3, 3N, 4 and 5
List 1
No Freeze
Prices in Green indicate discounted price.