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Laser Rx Paper Forms w/ Horizontal & Vertical Perforation

As low as $0.08 each

Price each by quantity
Colour · Blue
Quantity
1 × $0.20$0.20
Estimated total$0.20
Before tax and shipping. Your final quote comes with your proof.
Questions? 1-877-501-1279
Try it first

Order a sample

Get one piece decorated with your logo to check the quality, colours and placement before you commit to the full run.

  • 1 piece with your logo
  • The colour you picked above
  • Sample price confirmed on your quote
About this product

These prescription sheets exceed federal requirements and are 100% Medicaid compliant. These prescription sheets are 4-to-a-page and there are 500 sheets per package where you add your own printing of the prescription and organizational information. The sheets are tamper-resistant with numerous security features. Security features include: Invisible fluorescent fibers, Microprinting, Colored background on white paper, Thermochromic ink, Security feature listing, Artificial watermark, Watermark in coin reactive ink, Scallop VOID pantograph, Reverse Rx (when required by state), Secure Green laser prescription sheet, 4-1/4" x 5-1/2", 4-to-a-page, 500 sheets per package, Rx sheet works with any laser printer, Tamper-resistant with numerous security features, Medicaid compliant, and Green background. Complies with Prop 65. 4 ¼" W x 5 ½" H

Decoration & specs
Price includes
1 color;1 side
Production time
10 to 12 working days
Size
4 ¼" W x 5 ½" H
Made in
USA
Themes
Banking, Office
Compliance
Prop 65
Product code
XLJHW-JXPWT
How ordering works

Add it to your order and send the request with your logo. We review every request, then send a digital proof and a final quote. Nothing is produced until you approve. Not sure yet? Order a single decorated sample first to check the quality and design.