California Prescription Pads

Supplier of Authorized California Prescription Pads
manufactured to meet the strict California Prescription Pad requirements
As of January 1, 2005 all California prescriptions for C-2 thru C-5 medications must be written on New Approved Prescription Pad Paper. California
prescription pads must be purchased from a California State Pharmacy
approved prescription pad supplier. DRS's California plant is a California approved provider.
Save 10% off your first order for California Prescription Pads
Coupon No. CA1X
Put number into Coupon Box on Checkout Screen - Discount will show at checkout

California Prescription Form No. Rx2
Choose from 2 Styles of California Prescription Pads
California Precription Pad RX2
 California Prescription Pad Form No. Rx2
Multiple Prescriptions per script
Note number box on lower left of prescription script
 

New!
1 - Part: 50 Sheets to a pad.
Lower cost per pad.

2 - Part:25 sets to a pad
Blank second sheet

Choose from RX2 or RX3
   
California Prescription Form No. Rx3
California Prescription Pads - RX3
 California Prescription Pad Form No. Rx3
 

New! 1 Part: 50 Sheets to a Pad
 New! 2 Part: 50 Sheets to a pad
           25 sets with Blank Duplicate Form
          
          1 Part: 100 Sheets to a Pad  
           2 Part: 100 Sheets to a pad
           50 sets with Blank Duplicate Form
 
All California Prescription Pads are
5-1/2" x 4-1/4
Up to 3 prescriptions per script
We can print up to 3 provider names on
the California script with license and DEA number
with group practice name.
We can print up to 4 provider names on
the California script with license and DEA number.
 
Add coupon number in the Coupon box on the
checkout screen. (Not the promotion Box)
CA1X
10% discount on your first order for
California Prescription Pads
will be
deducted form the prices below
  
 
Local Shipping from our
California Plant
    

Price per California Prescription - Pad 50 scripts to a pad. New!
Form No. CAL50-1
16
24
40
60
80
120
240
1 Part Pads
$5.95
$4.20
$3.55
$2.95
$2.70
$2.60
$2.45
To order by Fax or Mail click on the
order form Button below
Price per California Prescription - Pad 25 Duplicate Sets to a pad. New!
Form No. CAL50-2
16
24
40
60
80
120
240

2 Part Pads -
Blank 2nd Sheet
$8.65
$6.25
$5.30
$4.55
$4.20
$4.00
$3.85
To order by Fax or Mail click on the
order form Button below
Price per California Prescription - Pad 100 scripts to a pad
Form No. CAL100-1
16
24
40
60
80
120
240
1 Part Pads
$7.15
$6.10
$4.90
$4.40
$4.15
$3.90
$3.65
To order by Fax or Mail click on the
order form Button below
Price per Duplicate California Prescription Pad - 50 Duplicate Sets to a pad. Second sheet is not printed.
Form No. CAL100-2
16
24
40
60
80
120
240
2 Part Pads
$11.40
$9.60
$8.10
$7.40
$7.00
$6.65
$6.30
To order by Fax or Mail click on the
order form Button below
E-mail us Click here

For Fax or Mail
www.drsforms-systems.com
Division of DRS Business Systems. Inc.
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California Prescription Pads