Rx Pads Guide By State

What you need to know: - Wilmer approved to print through the state. - CA Health and Safety Code 11162.1 for controlled substances. - Know if they want 1 part or 2 part scripts. (our offering is limited to the blue horizontal) - Gather the physician’s name, category of licensure, license #, DEA # and address to be imprinted. - We must verify the physicians name, LIC# and DEA# on each and every order. - Can only ship to the address listed on their LIC# or DEA#. - Each order must have a batch, consecutive, serial# and barcode on the script, we will create this. (at no charge) - Laser Rx sheets: we must imprint all of the doctors information on the script, regardless if their software can do it or not per state regulations. - Facilities can use a designated prescriber to ship orders to. They are responsible for recording which physician has the scripts (by number) and their info must be pre-printed on the script. - All order information needs to be retained for 3 years in case of audit. BLUE BACKGROUND. REFLECTIVE WATERMARK ON BACK. SP 98 FAMILY PRACTICE CENTER Physician Name, M.D. 123 Address Way City, ST 12345 123-456-1234 DEA# XX1234567 Lic: X12345 Physician Name, M.D. 123 Address Way City, ST 12345 123-456-1234 DEA# XX1234567 Lic: X12345 000001 19301102214 BLUE BACKGROUND. REFLECTIVEWATERMARK ON BACK. 000001 19301102214 Serial # WCZ289A00001 FAMILY PRACTICE CENTER Physician Name, M.D. 123 Address Way City, ST 12345 123-456-1234 DEA# XX1234567 Lic: X12345 Physician Name, M.D. 123 Address Way City, ST 12345 123-456-1234 DEA# XX1234567 Lic: X12345 BLUE BACKGROUND. REFLECTIVEWATERMARK ON BACK. SP 98 State License # X00000 Institution Name 123 Institution Way Any Town, U.S.A. 12345 Dr. Prescriber Name, DEA # XX0000000, State License # X00000 Prescriber Name & Category of Licensure DEA Number State License Number Telephone Number Designated Prescriber: 000001 19301102214 CALIFORNIA Rx pads

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