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Page Size 8-1/2 x 11
Page Size 11 x 17
Thermal Continuous Forms
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New Jersey Rx Paper Eyeware Format
Full sheet prescription paper, 4 x 5-1/2 script is located in the top left corner.
The format will fit five (5) lines of text, including the Practice Name, up to Three Providers and One Address, or Four Providers with no Practice Name.
Back Printing available for an additional charge if additional addresses are desired.
Each Providers License and NPI must be pre-printed on the prescription. Please include this information in the imprint section, when placing order.
All prescriptions in New Jersey must be consecutively number, please select YES in the CONSECUTIVE NUMBERING box when asked.
1000 sheets per pack
Bulk Pricing Discounts
2 - 4
5 - 9
$500.00 - $545.00