
West Virginia Prescription Blanks – 1 Part, Personalized, 5-1/2" W x 4-1/4" H, 100 Sheets/Pad, 10 Pads/Pkg - West Virginia Prescription Blanks – 1 Part, Personalized, 5-1/2" W x 4-1/4" H, 100 Sheets/Pad, 10 Pads/Pkg
Product Description
# of Parts: 1 part, Design Color: Green, Dimensions: 5-1/2" W x 4-1/4" H, Ink Color: Black, Logo: Y, Manufacturer Name: PATTERSON OFFICE SUPPLIES, Material: 60 lb Offset, Package Quantity: 100 Sheets/Pad; 10 Pads/Pkg, Product Color: White, Security Features: <ul><li>The face of each blank lists security features</li> <li>Void pantograph printed in pantone green ink –“Void” appears when photocopied.</li> <li>Opaque “Rx” in upper right corner</li> <li>“West Virginia Security Prescripiton” watermark prints on back of each blank</li> <li>Quantity check-off boxes printed on each blank</li> <li>This prescription may be filled with a generically equivalent drug product unless the words “Brand Medically Necessary” are written, in the practitioner's own handwriting, on this prescription form" printed on each blank.</li> <li>Consecutive numbering available at an additional charge on item 051-1238, call for details. </li></ul>
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