New formats for New Jersey Prescriptions are now available. Effective November 3rd (final extension), current versions of the New Jersey Prescription forms will no longer be valid, only the new formats will be acceptable.
For all prescriptions written in New Jersey, a special Rx blank with security features must be used. Seven specialty formats are available. As of November, 2008, the healthcare provider's NPI number is still required on the Rx blank, but it no longer needs to be pre-printed. The NPI number can now be manually entered, if preferred, on the pre-printed "NPI #______________" line when an Rx is issued. Sequential numbering on the Rx is still required. Custom formats available. Contact us for information.
Click Here for New Jersey State Mandated Security Rx Blanks* for ordering specifications, pricing and our easy to use order form. Simply print the ordering information, complete the order form, and fax or mail.
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If you don't see what you are looking for or need some assistance, call our Customer Service department and ask for more details about New Jersey Rx blanks.