Prescription Pad Order Form

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A valid drug enforcement administration (dea) number; You can use this service to order cii prescription pads from the texas state board of pharmacy. Our rx pad products are guaranteed compatible with your state board of pharmacy’s current regulations for prescription format and security features. You can use this form to request pbs/rpbs prescription pads if you are an eligible prescriber including:

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Complete order form and submit to: Web we specialize in providing health care providers with standard and high security prescription pads at the guaranteed lowest price in the nation! Web download and complete the order for pbs/rpbs prescription pads for all eligible prescribers form. Mediscripts prescription pads can be reordered to ensure a continuous supply.