California Prescription Forms

We are a state-approved manufacturer of California Rx forms. The regulations detailed in this section must be used for all Level II through Level V prescriptions.

January 3, 2019 – Update

We are now compliant with the new changes made by the State of California. To learn more about the guidance to pharmacies regarding the California Assembly bill click here. CA pharmacy_2019


  • Security paper
  • Thermochromatic ink
  • Microprint signature line
  • Reverse Rx
  • VOID pantograph
  • Required quantity and refill checkboxes
  • Uniquely serialized numbers


  • 1 or 2 part
  • Padded vs. Laser
  • Multi-prescription vs. Single

For a full list of print and security feature options, see our product catalog.