Call Us: 1.631.364.9990 | Send us a Fax: 1.631.364.9989

New Jersey Prescription Pads 1 Part

1 Part New Jersey Prescription Pads

New Jersey Prescription Pads 1 Part


Minimum Quantity Order: 10 Pads @ $10.61 Per Pad

  • Order 10 Pads@$10.61 Per Pad
  • Order 20 Pads @ $6.97 Per Pad
  • Order 40 Pads @ $5.51 Per Pad
  • Order 80 Pads @ $5.20 Per Pad


DRS does not collect sales tax in New Jersey.

DRS reserves the right to ask for proper documentation and authorization to order scripts. A NJ required signature form will be provided. We cannot proceed with your order without an authorized signature.


New or Repeat: *

Choose Prescription Format: *

How are you submitting your information: *

Type Your Imprint Information Here:

Misc. Information:

Product Description

New Jersey Prescription Pads 1 Part 

4-1/4″ x 5-1/2″, 1 part padded in 100’s. state law requires that all scripts be printed with practice information, license number and national provider identification number and a 15 digit bar-code.

We carry the following formats as indicated in the drop-down selection on our order page:

  • Nurse Practitioner
  • Physician Assistant
  • Healthcare Facility
  • Eye Wear
  • Topical Pharmaceutical Agents only (TPA Certified)

Minimum Quantity is 10 Pads


Additional Information

Weight 1 lbs
Dimensions 1.3 x 7 x 7 in