Forms
Standard 2-Part Secure Blue Prescription Pad (5½"x4¼")
As low as $7.84 each
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
2-Part Blue Rx Pad includes 50 set per book and many security features: Chemical protection paper, scallop void pantograph, blue background, security watermark on back, preprinted prescriber information, Rx Thermochromic ink, microptinting in border line, security feature listing, and watermark in coin reactive ink. Medicaid compliant - Rx PADS CONNONT BE USED IN ALL STATES. Please check state guidelines. Complies with Prop 65. 5 ½" W x 4 ¼" H
Decoration & specs
- Price includes
- 1 color;1 location
- Production time
- 5 to 7 working days
- Size
- 5 ½" W x 4 ¼" H
- Themes
- Banking, Office
- Compliance
- Prop 65
- Product code
- WSQMC-IZMLY
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.
More forms
All custom forms- Custom Premium Giant Check 30 X 60"From $199.54
- 46X23" Giant CheckFrom $27.59
- Giant Erasable Demo CheckFrom $7.58
- Dry-Erase Jumbo ChecksFrom $134.08
- Child ID Kit English - DigitalFrom $1.89
- 74" w x 37" h Jumbo 4mm White Corrugated Plastic Dry-Erase Promotional ChecksFrom $297.79
- 2 Part NCR Forms (8.5"x11")From $0.55
- 5.5" x 8.5" - NCR Books - 1/0 Black 4 Part 25 sets per bookWith NumberingFrom $60.04