7 PRESCRIPTION PADS Prescription Pad Program New Jersey XX1-RX07-HC26 XX1-RX77-HC26 XX1-RX13-HC26 XX1-RX78-HC26 XX1-RX46-HC26 XX1-RX15-HC26 XX1-RX79-HC26 Security Features: Chemical Protection Paper, Flat Screen Void Pantograph with Hollow Void, Green Background on Front, Blue Background on Back, Preprinted Prescriber Information, 15 Digit Identifier, Barcode, New Jersey State Seal, Rx Thermochromic Ink, Microprinting, Security Feature Listing. Medicaid & Controlled Substance Approved! XXL-RX28-HC26 XXL-RX29-HC26 XXL-RX27-HC26 Rx WL0000000000000 DOCTOR NAME SPECIALTY STREET CITY STATE ZIP PHONE NPI# XXL-RX22-HC26 XXL-RX23-HC26 XXL-RX24-HC26 XXL-RX17-HC26 XXL-RX26-HC26 New Jersey Laser Rx Paper New Jersey Laser Rx Paper Security Features: Chemical Protection Paper, Flat Screen Void Pantograph with Hollow Void, Green Security Background on front, Blue Background on back, Preprinted Prescriber Information, 15 Digit Identifier, Barcode, New Jersey State Seal, Rx Thermochromic Ink, Microprinting, Security Feature Listing. Medicaid & Controlled Substance Approved! Script in upper center of 8-1/2” x 11” sheet Script size 4” x 5-1/2” Perfs: 2-1/4” from left, 6-1/4” from right, 5-1/2” from top Item No. Size Parts Quantity XX1-RX07-HC26 4˝W x 51⁄ 2˝h 1 100 / Pad XX1-RX77-HC26 4˝W x 51⁄ 2˝h 1 XX1-RX13-HC26 4˝W x 51⁄ 2˝h 1 XX1-RX78-HC26 4˝W x 51⁄ 2˝h 1 XX1-RX46-HC26 4˝W x 51⁄ 2˝h 1 XX1-RX15-HC26 4˝W x 51⁄ 2˝h 1 XX1-RX79-HC26 4˝W x 51⁄ 2˝h 1 New Jersey Item No. Size Parts Quantity XX2-RX47-HC26 4˝W x 51⁄ 2˝H 2 50 Sets / Book XX2-RX48-HC26 4˝W x 51⁄ 2˝H 2 XX2-RX49-HC26 4˝W x 51⁄ 2˝H 2 XX2-RX50-HC26 4˝W x 51⁄ 2˝H 2 XX2-RX51-HC26 4˝W x 51⁄ 2˝H 2 XX2-RX52-HC26 4˝W x 51⁄ 2˝H 2 XX2-RX53-HC26 4˝W x 51⁄ 2˝H 2 New Jersey Item No. Color Quantity XXL-RX29-HC26 Green Front, Blue Back Horiz. Perf & Vert. Perf 250/Pkg XXL-RX30-HC26 XXL-RX31-HC26 XXL-RX32-HC26 XXL-RX33-HC26 XXL-RX34-HC26 XXL-RX35-HC26 Item No. Color Quantity XXL-RX26-HC26 Green Front, Blue Back Horiz. Perf & Vert. Perf 250/Pkg XXL-RX27-HC26 XXL-RX28-HC26 Item No. Color Quantity XXL-RX22-HC26 XXL-RX23-HC26 XXL-RX24-HC26 XXL-RX17-HC26 Green Front, Blue Back Horiz. Perf & Vert. Perf 250/Pkg
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