5.5 x 4.25 2-Part Prescription Pad for Wyoming, Landscape

sku# RXPAD-C-WY-2P-L

Availability: In stock

5.5 x 4.25 2-Part Prescription Pad for Wyoming, Landscape

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5.5 x 4.25 2-Part Prescription Pad for Wyoming, Landscape

sku# RXPAD-C-WY-2P-L
  • 5.5” Wide x 4.25” L
  • 2-part forms
  • Meets all state requirements for Wyoming
  • 100 sheets per prescription pad
  • 10 Prescription pads per pack
  • 1,000 Rx Blanks/sheets per pack
  • Green void pantograph
  • Security features list
  • Securit backprinting
  • Imprinting in black ink
  • Multiple tamper evident security features available
  • Can be completely customized for your needs and to include your brand
Per Thousand
  • Buy 2 for $100.00 Per Thousand
  • Buy 4 for $84.00 Per Thousand
  • Buy 6 for $81.00 Per Thousand
  • Buy 8 for $77.00 Per Thousand
  • Buy 12 for $76.00 Per Thousand
More Info


State specific prescription forms available for Wyoming. Wyoming prescription forms exceed the tamper resistant security requirements for the state. Custom tamper evident prescription blanks from Pharmacy Automation Supplies (PAS) are designed to be used for controlled substances and by pharmacies and medical providers in states that require security features on prescription pads.   Oriented in portrait style these are perfect for accommodating multiple medications on a single sheet.  

Most jobs ship in 5 days or less following proof approval. With many different types of security features designed to accommodate the requirements of every state there no limitations of what/where we can print on these prescription pads. Our team of pharmacy support specialists are familiar with the regulatory requirements nationwide and are available to assist you in designing a format that addresses the needs of your workflow and business.

Don’t hesitate to contact us today if you have any questions or would like to see samples of how we’ve helped everyone from single location providers to some of the largest healthcare systems in the country with their prescription pad needs. Please note that regulations do vary by state and it’s important to verify the content requirements and mandatory security features before finalizing your purchase.

  • Proofs take 3 business days
  • New and Change orders ship in 7 business days
  • Repeat orders ship in 5 business days
  • 5.5” Wide x 4.25” L
  • Tamper Resistant
  • 2-Part Forms
  • 1,000 prescription blanks per pack
  • Freight additional