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Page Size 8-1/2 x 11
Page Size 11 x 17
Thermal Continuous Forms
WEST VIRGINIA RX PADS
This prescription is approved for use in West Virginia and meets all state and federal regulations.
This prescription pad is designed for use when prescribing only one medication and includes the following text at the bottom of the prescription: “PRESCRIPTION IS VOID IF MORE THAN ONE (1) PRESCRIPTION IS WRITTEN PER BLANK”.
This format is available as either a One-Part Script or a Two-Part Script: One-Part Pads have the secure prescription and contain 100 sheets per pad. Two-Part Pads have the secure prescription and a blank yellow carbonless copy. They contain 50 sets per pad and include a protective wrap-around cover.
Consecutive Numbering and Back Printing are available for an additional charge.
20 Pads per Pack
Bulk Pricing Discounts
$155.00 - $325.00