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Non Secure Prescription Pads
Tamper Proof Prescription Pads

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2 Parts Pads (50 Sheets per Pad)
10 Pads $7.95 per pad
20 Pads $5.95 per pad
40 Pads $4.95 per pad
80 Pads $4.50 per pad
120 Pads $3.75 per pad

RX Pad Order Form

Overall Dimensions: 4.25" x 5.5"

Product Code: NSPP2-ACS

Rx Pads

NS 2 Part Pads Choose Quantity:


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Description Freight, Returns & Sales Tax Policies
Non Secure Prescription Pads 2 parts 4.25 x 5.5 available in Horizontal or Vertical. We provide a proof before printing. Up to 3 free proofs.
  • Not Medicaid Compliant
  • White
  • No. Parts: one
  • Part 2 is White Self-Contained
  • Overall Size: 4.25" x 5.5"
  • Finished Size: 4.25" x 5.5"
  • Binding: Padded in 50's for 1-part
  • Arabic: One position standard, black ink.
  • Logos: B&W logos at no additional charge. File formats accepted: .eps, .tiff & .bmp only. Call for color logo estimates.
Download Prescription Pad Order Form
Fax back to 512-868-0600 or email to

You also can call or email to have an order form faxed to you, 1-800-378-1191 or email: rxpad@americancorporateservices.com

The use of Script Paper an Rx Pads are controlled by Federal and State Agencies.
Any attempt to purchase Rx Paper Products by unauthorized persons or by persons providing falsified information will be reported to the proper authorities for prosecution to the full extent of the law.

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