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Standard One Part Prescription Pads
Path: Medical Forms Books & Envelopes -> Prescription Pads -> Standard Prescription Pads -> Standard One Part Prescription Pads

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Standard One Part Prescription Pads

ACS also offers white standard prescriptions pads in single and duplicate formats. These pads still include several important security features. 
Custom Printed with your Facility's Name, Physicians Name and Degree, ALternate Line, Address, City, State, Zip Code, Telephone #, Fax #, License #, and DEA #.

  • Each order has an individual numeric identifier so lost or stolen prescription pads can be invalidated.
  • Each sheet is sequentially numbered for internal and state-mandated record keeping.
  • Penetrating magnetic ink is used to print your information on the script preventing chemical “lifting” of information during forgery.

Please call 1-800-378-1191 or email  Marcela to have an order form faxed to you.  We do not place Prescription Pad orders on line.





Item #: RXP-1Part
Standard One Part Prescription Pad
4.25" x 5.5"

ACS Low Prices
Price is per Pad (100 scripts)

If other quantities are desired, please call for pricing.
10 : $6.95
20 : $4.95
40 : $4.25
80 : $3.95
120 : $3.50



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