Categories: Clinical Forms : Prescription Blanks
0112110_DDS_Laser_Maine_cap

Maine Laser Prescription Blanks – Nonpersonalized, 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 #: 011-2110
Mfg Item #: VJO-12110-PAT3
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Specifications

# of Parts:
1 part
Design Color:
Blue
Dimensions:
8-1/2" W x 11" H (overall)
Ink Color:
Black
Logo:
N
Manufacturer Name:
PATTERSON OFFICE SUPPLIES
Material:
20 lb White Impede Security Stock
Package Quantity:
100/Pkg
Product Color:
White
Security Features:
5-1/2" W x 4-1/4" H Nonlaser Paper – Security Features
  • A latent, repetitive “void” pattern appears when the blank or completed form is photocopied.
  • Light blue background resists reproduction.
  • Extended indicator stains display evidence of attempted alteration by washing or eradication, including high- and low-polarity organic solvents, bleaches, oxidant, acids or alkali.
  • Erasure protection on the front's blue background resists erasure and alterations.
  • Heat-sensitive, thermo-chromatic ink bars turn white with the touch of a finger.
  • Security features printed on back of each prescription blank.
  • Repetitive watermark printed on the back of the prescription blank reads “SECURITY PRESCRIPTION BLANK” and can be read at a 45-degree angle
  • True Fourdrinier watermark provides simple visual authentication while effectively preventing paper duplication.
  • Visible fibers enable verification of paper authenticity under normal light.
  • Invisible fibers can be seen with a black light in the pharmacy.
Software Compatiblity:
Eaglesoft and most other softwares

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.