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New Jersey Rx Paper Physician Asst. Format

  • Full sheet prescription paper, 4 x 5-1/2 script is located in the top left corner.
  • New Jersey law requires only ONE Physician Assistant's name per script with ONE Supervising Physician's name. Both the Physician Assistant's name and information plus the Supervising Physician's name and information must be pre-printed on script.
  • 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
Imprint
Bulk Pricing Discounts
QuantityPrice
2 - 4$350.00
5 - 9$200.00
10 +$160.00
TOTAL $500.00 - $545.00
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