Wilmer Compatible Filing Product Catalog

PRESCRIPTION PADS

Prescription Pad Program

New Jersey

Security Features: Chemical Protection Paper, Flat Screen Void Pantograph with Hollow Void, Green Background on Front, Blue Background on Back, Preprinted Prescriber Information, 15 Digit Identifier, Barcode, New Jersey State Seal, Rx Thermochromic Ink, Microprinting, Security Feature Listing. Medicaid & Controlled Substance Approved!

PRESnj1apnV

PRESnj1eyeV

PRESnj1hcfV

PRESnj1mdV

PRESnj1optV

PRESnj1paV

PRESnj1mwV

New Jersey

New Jersey

Item No.

Item No.

Size

Parts

Quantity

Size

Parts

Quantity

4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2

˝h ˝h ˝h ˝h ˝h ˝h ˝h

1 1 1 1 1 1 1

4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2 4˝W x 5 1 ⁄ 2

˝H ˝H ˝H ˝H ˝H ˝H ˝H

2 2 2 2 2 2 2

PRESNJ1APNV PRESNJ1EYEV PRESNJ1HCFV PRESNJ1MDV PRESNJ1MWV PRESNJ1OPTV PRESNJ1PAV

PRESNJ2APNV PRESNJ2EYEV PRESNJ2HCFV PRESNJ2MDV PRESNJ2MWV PRESNJ2OPTV PRESNJ2PAV

50 Sets / Book

100 / Pad

New Jersey Laser Rx Paper Security Features: Chemical Protection Paper, Flat Screen Void Pantograph with Hollow Void, Green Security Background on front, Blue Background on back, Preprinted Prescriber Information, 15 Digit Identifier, Barcode, New Jersey State Seal, Rx Thermochromic Ink, Microprinting, Security Feature Listing. Medicaid & Controlled Substance Approved!

PRESNJEYELGNI

PRESNJHCFLGNI

PRESNJOPTLGNI

PRESNJMWLGNI

PRESNJMDLGNI

PRESNJAPNLGNI

PRESNJPALGNI

Item No. Color

Item No. Color

Quantity

Quantity

PRESNJMWLGNI PRESNJOPTLGNI Green Front, Blue Back PRESNJPALGNI Horiz. Perf & Vert. Perf

PRESNJAPNLGNI PRESNJEYELGNI Green Front, Blue Back

250/Pkg

250/Pkg

Horiz. Perf & Vert. Perf

PRESNJHCFLGNI PRESNJMDLGNI

Washington

Security Features: Chemical Protection Paper, Scallop Void Pantograph, Blue Background, Preprinted Prescriber Information, Microprinting in Border Line, Printed Security Feature listing. Washington Item No. Size Parts Quantity PRESWA1BLH 5 1 ⁄ 2 ˝w x 4 1 ⁄ 4 ˝h 1 100 Per Pad PRESWA1BLV 4 1 ⁄ 4 ˝w x 5 1 ⁄ 4 ˝h PRESWA2BLH 5 1 ⁄ 2 ˝w x 4 1 ⁄ 4 ˝h 2 50 Sets Per Book PRESWA2BLV 4 1 ⁄ 4 ˝w x 5 1 ⁄ 4 ˝h

PRESWA2BLH

PRESWA1BLV

* CA, IN, KY, FL, ME, WV & WY ‑ For controlled substance prescriptions. DE, NJ, WA - For all prescriptions. * Upcharges may apply: Consecutive Numbering, Proofs, Rush delivery.

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