National RX Security Working Together For A Better Community

Approved in AZ, GA, FL, NJ, and all other states, excluding DE, IN, KY, NY

 

WE SHIP YOUR PRESCRIPTION PAD ORDER WITHIN 24-48 HOURS (2 business days)

Our scripts meet and exceed all Federal and all individual State requirements, for Medicaid* (*except DE, IN, KY, NY)

 

Links

National RX Security Blog

View Letter From DEA
Whorthwhile Causes
National RX Security Videos

SSL Certificate Authority
SSL Certificate Authority

Order Wyoming Tamper Resistant Prescription Pads Online

 To View Prices Please Scroll Down

For multiple doctors, multiple addresses, or custom layout design, please contact us toll free at 1-800-510-1050 or download the "Order by Fax" pdf.


DEA Number:

Print DEA Number on Script
License Number:

Print License Number on Script
Name and Degree or Clinic Name:
Name, Specialty, Clinic, Hospital, or NPI #:
Street Address:
City, State, Zip:
Telephone Number:
Fax Number:

Print Fax Number on Script
Quantity You Wish To Order:
Script Type:

   
 
 
 
 
   
The signature line will reflect your pertinent degree.


SINGLE SHEET SCRIPTS
Quantity 1000 2000 3000 4000 5000 10,000 20,000 50,000
Price $57.95 $64.95 $86.95 $97.95 $115.95 $195.95 $369.95 $849.95
S/H** $16.95 $17.95 $18.95 $20.95 $22.95 $29.95 $48.95 $95.00
Total $74.90 $82.90 $105.90 $118.90 $138.90 $225.90 $418.90 $944.95

2-PART SCRIPTS*
Quantity 1000 2000 3000 4000 5000 10,000 20,000 50,000
Price $99.95 $155.95 $181.95 $209.95 $255.95 $431.95 $885.00 $1,995.00
S/H** $17.95 $18.95 $19.95 $21.95 $23.95 $30.95 $49.95 $144.00
Total $117.90 $174.90 $201.90 $231.90 $279.90 $462.90 $934.95 $2,139.00
* 2-PART = 50 Original scripts and 50 blank copy sheets
** For AK, HI, and PR, there will be an extra $20 added to cover the additional Priority Mail shipping charges
National RX Security
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