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Ad-Specialty
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Promotional Products
Apothecary
Products®
Medication Compliance
and More
Pharmacy Bags
Canes, Crutches and
Accessories
Dispensing Supplies
Floor Mats
Pharmacy Forms
Labels for the Pharmacy
Long-Term Care
Medication Carts
and Treatment Carts
Medication Punch
Cards
and Blisters
Prescription
Packaging
and Containers
Retail Products
Store Supplies
Online
Catalog
Home Page
T.P.S.
Contacts
We Value Your
Suggestions
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Custom
Prescription Blanks
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We can
produce prescription blanks to meet your specifications.
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P
Plain padded forms
P
Screens
P
Book form
P
Numbered |
P
Horizontal or vertical layouts
P
Two-part NCR
P
Tinted bond paper
P
Security Features |
|
Standard
Prescription Blank Pricing |
| Single Forms -
Padded |
3M |
6M |
12M |
24M |
48M |
Sizes up to
5-1/2" x 4-1/2" |
$18.30 /M |
$15.50 /M |
$13.95 /M |
$11.95 /M |
$9.95 /M |
Sizes up to 4-1/4"
x 11"
or 5-1/2" x 8-1/2" |
$21.18 /M |
$17.70 /M |
$15.54 /M |
$14.64 /M |
$12.13 /M |
| Sizes up to 8-1/2"
x 11" |
$24.65 /M |
$20.81 /M |
$18.91 /M |
$17.94 /M |
$17.44 /M |
| Prices
include one-color imprint in black or blue ink. $20.00 setup charge
for new and changed orders. Add $20.00 for standard ink color other
than black or blue. Add $35.00 per color for PMS match. Add $3.00
per M for each additional color. Add $5.00 for each screen. Add 10%
for tinted bond paper. Perforations and numbering require special
quote. Camera-ready art required to avoid plate charges. Freight is
FOB manufacturer. Prices subject to change without notice. |
Some examples of common forms:
  
 
(Click to enlarge a form)

Good News!
We have expanded our Web site to include online ordering and detailed product information
and pricing!

Click here for our complete
online catalog!
Use the form below to request additional
information.
We will not share your information with any third party.
Phone # is requested for customer identification purposes only.
For Customer Service call
800-878-2822
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