Compliant Prescription Pads


$150.00$760.00 Plus Tax


First Address

NOTE - If the shipping address for these pads is different than the address on record associated with the DEA #, then one of our representatives will reach out to you to finalize your order.

Second Address

Third Address

First Prescriber

Second Prescriber

Third Prescriber

Fourth Prescriber

Fifth Prescriber

Sixth Prescriber

Seventh Prescriber

Eight Prescriber

Ninth Prescriber

Tenth Prescriber

Eleven Prescriber

Twelve Prescriber

DISCLAIMER - By checking this box, this is not a validation that enables the writing of these prescriptions.

This will have a delay on your order.

SKU: 0-2-1-1-1-1-1-1-1-1-2-2 Category:

Live Preview

The image on the screen may not accurately represent your state’s pad, however, your pads are 100% guaranteed to be compliant with your state’s guidelines.




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Additional information

Custom Artwork Need - IE incorporating your company’s logo or branding elements - $95 additional

Add Custom Artwork – $95, No Additional Custom Artwork

Number of Compliant Pads

60 Compliant Pads $595, 40 Compliant Pads $430, 24 Compliant Pads $295, 12 Compliant Pads $180, 8 Compliant Pads $150

Production Time (From Proof Approval to Boxed and Ready to Ship)

Next Day Turnaround – $75 Additional, Standard 5-7 Days

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Orignal Data