Categories: Clinical Forms : Prescription Blanks
0603993_All

Maine Prescription Blanks – 1 Part, Personalized, 5-1/2" W x 4-1/4" H, 100 Sheets/Pad, 5 Pads/Pkg

Patterson Office Supplies
Patterson Item #: 060-3993
Mfg Item #: VJO-603993-PAT3
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Phone orders are not allowed by state law. Call for prescription blank order form.

Specifications

# of Parts:
1 part
Design Color:
Blue
Dimensions:
5-1/2" W x 4-1/4" H
Ink Color:
Black
Logo:
N
Manufacturer Name:
PATTERSON OFFICE SUPPLIES
Material:
25 lb Appleton DocuCheck Watermark® Bond
Package Quantity:
100 Sheets/Pad; 5 Pads/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.
  • Microscopic signature lines appear as solid lines to the naked eye until magnified.
  • 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.
  • Duplicate prescription blanks provide a copy to file for future referral.
  • Visible fibers enable verification of paper authenticity under normal light.
  • Invisible fibers can be seen with a black light in the pharmacy.
  • 2-Part has security features only on first part and personalization prints on both parts.

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.