New Jersey Prescription Pads

Order New Jersey Prescription Pads

While our customizable online ordering for New Jersey is still in development, we’d still love to help you get the prescription pads you need.

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Please fill out the order form to the right and include as much detail as possible. If you have a copy of your current prescription pad, please attach a voided form – this helps us ensure your new pads match your specifications perfectly. Once we receive your information, our compliance team will get back to you with any questions so we can provide you with a digital proof as quickly as possible.

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    New Jersey Compliance Details

    New Jersey Compliance Details

    08/07/2025

    In addition to the federal requirements, New Jersey state law requires New Jersey Prescription Blanks (NJPBs) to be purchased from authorized vendors. Each NJPB shall be:

    • Four inches by five and one-half inches in size; and 
    • Printed on either 50-pound white offset smooth finish paper with a brightness of at least 85 or 20-pound paper with a brightness of at least 85. The Division will permit printer vendors whose customers request it to use 24- to 28-pound MOCR paper with a brightness of at least 75; the printer vendors shall notify the Division when they use this alternative paper. 
    • The front side of each NJPB shall be printed with the body copy (line work) in PMS 336 green overprinted on a background of five percent of the green (with an allowable variance no darker than PMS 337 green).
    • The background of the front side of each NJPB shall be a pantograph of the New Jersey State Seal reversed out of the green screen and shall bleed on all four sides. A one and one-half inch State Seal shall be positioned centrally within the pantograph of State seals. 
    • The upper portion of the front side of each NJPB shall include the following information, printed in black ink: 
      • A unique 15-digit identifier as provided in N.J.A.C. 13:45A‐27.9(g), and a linear barcode (Code 128) that matches the unique 15-digit identifier for each blank;
      • The prescriber or healthcare facility name; 
      • The prescriber or healthcare facility National Provider Identifier (NPI) number, if the prescriber or healthcare facility has obtained an NPI number;
      • The prescriber or healthcare facility address, which may be an address other than the address of record, but which shall not be a post office box; and 
      • The license, certification or authorization number of the licensed prescriber, or the provider number of the healthcare facility.
    • The prescribing area of the front side of each NJPB shall contain an “Rx” graphic circumscribed within a rectangle, printed in green ink on the left hand side.
    • The reverse side of each NJPB shall contain a pantograph of the New Jersey State Seal printed in PMS 299 blue screened down to five percent (with an allowable variance up to PMS 300 blue) which shall bleed on all four sides. A one and one-half inch State Seal shall be positioned centrally as on the front, except that it shall not be in reverse.
    • A safety hollow “VOID” hidden word feature background that is designed to prevent replication by a black and white or color copier or by a scanner is required on each NJPB. A repeating pattern of a hollow “VOID” shall appear on the face of the NJPB. Areas intended for data entry shall be in lighter tones to permit easy reading of information without compromising copy protection.
    • Microprint shall be included on each NJPB.  The print shall be in 0.5 point or smaller and shall be readable when viewed at five times magnification or greater, but shall be illegible when photocopied or scanned. 
    • Each NJPB shall be printed with friction activated (thermochromic) ink, that shall appear in an Rx logo on the blank.  The ink on the face shall change color or disappear when warmed (reacts to body heat).  The ink should return to its original color when cooled. 
    • Each NJPB shall be printed with a complete list of all security features incorporated into the prescription pad in order to minimize tampering. The security features shall be listed visibly in a box, band, or border on the prescription. 
    • Except as provided below, the front side of an NJPB may be imprinted with the name and license number of more than one licensed prescriber in the same licensing category provided that the name and license number of each licensed prescriber is printed in a seven point font or greater; and the NJPB utilizes a printed method, such as a check-off box, to indicate which prescriber issued the prescription.
    • NJPBs for physician assistants, certified nurse midwives and advanced practice nurses shall be imprinted only with the name and license number of the prescriber and his or her collaborating/supervising physician. 
    • Vendors shall not produce NJPBs that contain logos, symbols, icons or graphics, or that contain ink that is of a different color than the colors specified in this section, or that contain pre-printed physician initials in the “Do Not Substitute” or “Substitution Permissible” portion of any NJPB. 
    • NJPBs shall be produced in prescription pads of 50 or 100 NJPBs per pad with chipboard backers.

    Read documentation here, in subchapter 27, section 13:45A-27.8. 

    For the federal requirements, you can refer to the official documentation here and here.