- Size: 4.25x5.5
- Paper: #24 Washington State Prescription Paper
- Ink: Black

| Description: | Washington State approved paper and layout. Prices are per pad and there are 50 prescriptions per pad. |
| Size: | 4.25x5.5 |
| Paper: | #24 Washington State Prescription Paper |
| Ink: | Black |
| Form ID: | 103-1 |
| File(s): | Washington State Rx Guidelines |
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