2022/2023 Practice Marketing & Office Supplies Catalog - 152

PRE-BOND
CLINICAL FORMS
PRESCRIPTION BLANKS
PREVENT FRAUD!
A
We Have the Level of Security Features You Require
NO SECURITY
B
8 SECURITY FEATURES
Premium, Horizontal
(1, 2, 3, 4, 5, 6, 7, 8)
PRESCRIPTION PADS
Protective security features include:
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
SECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITYRXSECURITY
PATIENT _________________________________________________________ D.O.B. __________________
ADDRESS ________________________________________________________ DATE ___________________
Touch Rx symbol, color will disappear then reappear.
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
Security Prescription Blank
JOHN SMITH, M.D.
123 YOUR ADDRESS
YOURTOWN, USA 00000
(000) 000-0000
Fax (000) 000-0000
Security Features. Details on back.
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
Premium, Vertical
1. Chemically Reactive Paper-Changes color to indicate
exposure to chemical solvents, oxidants, acids, or alkalis
2. Heat-sensing Imprint-Disappears when touched
3. Invisible Fluorescent Fibers-Appear only under black light
4. Void Pantograph-The word " VOID " appears when
blanks are scanned or photocopied
5. Microprint Safety Line-Appears as a solid rule, but
reads " Security Prescription " when magnified
6. Reverse Rx-Disappears if background color is lightened
7. Security Features List-The back of the blank lists security features to
help deter fraudulent activity and to help officials determine authenticity
8. " Security Prescription " Background-The words " Security Prescription "
appear as a continuous pattern across the back of the blank
Item #
368-0054
368-0051
368-0053
368-0188
368-0189
368-0055
368-0190
368-0191
Format
Horizontal
Vertical
No. of Parts
1-Part
1-Part
Size
5½ " W x 4¼ " H
4¼ " W x 5½ " H
Paper Color
G
G
D
LIC# 00000
DEA # BA0000000
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
VOID
JOHN SMITH, M.D.
123 Your Address
YOURTOWN, USA 00000
(000) 000-0000
Fax (000) 000-0000
Name ______________________________________________________________________________________
Address ______________________________________________________________ Date__________________
Refill NR 1 2 3 4 5
Void After _________________________
Do Not Substitute-Dispense As Written
C
Prescription is void if more than one (1) controlled substance is written per blank.
_________________________
Signature
8 SECURITY FEATURES
(1, 2, 3, 4, 5, 6, 7, 8)
The word " VOID " appears in a continuous pattern when photocopied.
JOHN SMITH, M.D.
123 Your Address
YOURTOWN, USA 00000
(000) 000-0000
Fax (000) 000-0000
Name ____________________________________________________________________________
Address ________________________________________ Date ____________________________
JOHN SMITH, M.D.
123 Your Address
3 SECURITY FEATURES
(1, 3, 5)
Refill NR 1 2 3 4 5
Prescription is void if more than one (1) prescription is written per blank.
YOURTOWN, USA 00000
(000) 000-0000
Fax (000) 000-0000
Name __________________________________________________________________________
Address ________________________________________ Date __________________________
Woven background that exposes erasures and alterations.
# of
Pads
10
10
# of Prescriptions
per Pad
100
100
Total # of
Prescriptions
Refill NR 1 2 3 4 5
1000
1000
Price
2@ 4@
A. PREMIUM SECURITY PADS: The most secure available! Copy-proof, chemical-evident paper, with temperature-sensitive imprinting (Exceeds Medicaid Requirements).
368-0025
B. REGULAR Rx PADS: Available in 1-Part or 2-Part format with canary copy. Signature line can be added as per individual state law requirements.
368-0026
Horizontal
Vertical
Horizontal
Vertical
1-Part
1-Part
Horizontal
Vertical
Horizontal
Vertical
1-Part
1-Part
2-Part
2-Part
5½ " W x 4¼ " H
4¼ " W x 5½ " H
5½ " W x 4¼ " H
4¼ " W x 5½ " H
5½ " W x 4¼ " H
4¼ " W x 5½ " H
W, B, C, G, P 10
W, B, C, G, P 10
W
W
W
W
10
10
10
10
100
100
C. HIGH-SECURITY Rx PADS: Special paper stock shows an unmistakable pattern if photocopied (Exceeds Medicaid Requirements).
368-0028
100
100
50
50
D. SAFETY Rx PADS: Feature tamper-resistant blue-woven background to expose erasures or alterations.
368-0029
Horizontal
Vertical
1-Part
1-Part
2-Part
2-Part
Step 1 Select PAPER
(only applies to Regular Rx Pads 1-Part)
White
(W)
Blue
(B)
Canary
(C)
Green
(E)
Pink
(P)
5½ " W x 4¼ " H
4¼ " W x 5½ " H
5½ " W x 4¼ " H
4¼ " W x 5½ " H
Blue Safety
Blue Safety
Blue Safety
Blue Safety
10
10
10
10
Step 2 Select DESIGN
Single Doctor/Single Address
YOURTOWN CLINIC
John Smith, M.D.
123 Your Address
Yourtown, USA 00000
(000) 000-0000
Fax (000) 000-0000
Lic. #
DEA #
NPI #
Multi Doctor/Multi Address
Doctor 1
Doctor 2
Doctor 3
Doctor 4
123 Your Address
Yourtown, USA 00000
(000) 000-0000
Fax (000) 000-0000
For Imprinted Materials, contact: professional.promotions@henryschein.com
152
For pricing information and/or to place an order, visit: www.henryscheindental.com
Lic. # 1 DEA # 1
Lic. # 2 DEA # 2
Lic. # 3 DEA # 3
Lic. # 4 DEA # 4
100
100
50
50
1000
1000
1000
1000
500
500
1000
1000
500
500
101.99 79.99 64.99
111.99 79.99 64.99
Prescription is void if more than one (1) prescription is written per blank.
86.99 59.99 43.99
79.99 55.99 39.99
93.99 79.99 68.99
86.99 59.99 39.99
147.99 82.99 59.99
145.99 81.99 58.99
100.99 71.99 54.99
95.99 68.99 50.99
156.99 120.99 86.99
156.99 120.99 86.99
JOHN SMITH, M.D.
123 Your Address
YOURTOWN, USA 00000
(000) 000-0000
Fax (000) 000-0000
NAME ____________________________________________ DATE ____________
ADDRESS ________________________________________ AGE______________
JOHN SMITH, M.D.
123 Your Address
YOURTOWN, USA 00000
(000) 000-0000
Fax (000) 000-0000
NAME ____________________________________________ DATE ____________
ADDRESS ________________________________________ AGE______________
LABEL
REFILL __________TIMES
__________________________________M.D.
LABEL
REFILL __________TIMES
__________________________________M.D.
http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx?productid=3680025&CatalogName=DENTAL&utm_source=Dental&utm_medium=Nxtbook&utm_campaign=practicemarketing20222023&utm_term=3680025 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx?productid=3680054&CatalogName=DENTAL&utm_source=Dental&utm_medium=Nxtbook&utm_campaign=practicemarketing20222023&utm_term=3680054 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx?productid=3680026&CatalogName=DENTAL&utm_source=Dental&utm_medium=Nxtbook&utm_campaign=practicemarketing20222023&utm_term=3680026 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx?productid=3680051&CatalogName=DENTAL&utm_source=Dental&utm_medium=Nxtbook&utm_campaign=practicemarketing20222023&utm_term=3680051 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx?productid=3680028&CatalogName=DENTAL&utm_source=Dental&utm_medium=Nxtbook&utm_campaign=practicemarketing20222023&utm_term=3680028 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx?productid=3680053&CatalogName=DENTAL&utm_source=Dental&utm_medium=Nxtbook&utm_campaign=practicemarketing20222023&utm_term=3680053 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx?productid=3680188&CatalogName=DENTAL&utm_source=Dental&utm_medium=Nxtbook&utm_campaign=practicemarketing20222023&utm_term=3680188 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx?productid=3680189&CatalogName=DENTAL&utm_source=Dental&utm_medium=Nxtbook&utm_campaign=practicemarketing20222023&utm_term=3680189 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx?productid=3680029&CatalogName=DENTAL&utm_source=Dental&utm_medium=Nxtbook&utm_campaign=practicemarketing20222023&utm_term=3680029 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx?productid=3680055&CatalogName=DENTAL&utm_source=Dental&utm_medium=Nxtbook&utm_campaign=practicemarketing20222023&utm_term=3680055 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx?productid=3680190&CatalogName=DENTAL&utm_source=Dental&utm_medium=Nxtbook&utm_campaign=practicemarketing20222023&utm_term=3680190 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx?productid=3680191&CatalogName=DENTAL&utm_source=Dental&utm_medium=Nxtbook&utm_campaign=practicemarketing20222023&utm_term=3680191 http://www.henryscheindental.com

2022/2023 Practice Marketing & Office Supplies Catalog

Table of Contents for the Digital Edition of 2022/2023 Practice Marketing & Office Supplies Catalog

Contents
2022/2023 Practice Marketing & Office Supplies Catalog - Cover1
2022/2023 Practice Marketing & Office Supplies Catalog - Cover2
2022/2023 Practice Marketing & Office Supplies Catalog - Contents
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