201-883-0200
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New Jersey Prescription Forms

In order to submit your information for an RX Pad, please Navigate below to the tab labeled "Templates", download the PDF, fill it out and save it to your computer or phone. You can then upload that completed file to us during Checkout.

Multiple Doctor Template -> CLICK HERE

IF YOU REQUIRE BACKPRINTING, PLEASE PUT THE ADDRESSES IN THE "SPECIAL INSTRUCTIONS" FOR THE JOB.

Please ensure that your information is accurate before submitting. You will receive a PDF proof by email or fax when we typeset your form.

All forms must be formatted in upper-case according to State Guidelines. This will be evident in the proofing phase. Template files will allow for upper and lower case, but proofs and finished products will always be upper-case.

Your order will not be complete until Prescriber's signature is received.


Target Printing is an approved vendor of New Jersey Prescription Blanks (NJPBs). We are one of the original NJPB providers and have been serving your prescription needs since 1997! All of our scripts contain all security features required by the New Jersey Division of Consumer Affairs, Drug Control Unit:

  1. Standard pads contain 100 pages each
  2. Hollow "VOID" Panograph
  3. Microprint
  4. Thermochromic Ink
  5. New green background on front and blue on the back
  6. Complete list of all new security features listed on the back of each prescription
  7. Unique 15-digit identification number on each prescription blank, contained with in the required barcode.
  8. Single part, 2 part, and Laser EMR forms available for all licensed prescribers!

In order to submit your information for an RX Pad, please Navigate below to the tab labeled "Templates", download the PDF, fill it out and save it to your computer or phone. You can then upload that completed file to us during Checkout.

Multiple Doctor Template -> CLICK HERE

IF YOU REQUIRE BACKPRINTING, PLEASE PUT THE ADDRESSES IN THE "SPECIAL INSTRUCTIONS" FOR THE JOB.

Please ensure that your information is accurate before submitting. You will receive a PDF proof by email or fax when we typeset your form.

All forms must be formatted in upper-case according to State Guidelines. This will be evident in the proofing phase. Template files will allow for upper and lower case, but proofs and finished products will always be upper-case.

Your order will not be complete until Prescriber's signature is received.


Target Printing is an approved vendor of New Jersey Prescription Blanks (NJPBs). We are one of the original NJPB providers and have been serving your prescription needs since 1997! All of our scripts contain all security features required by the New Jersey Division of Consumer Affairs, Drug Control Unit:

  1. Standard pads contain 100 pages each
  2. Hollow "VOID" Panograph
  3. Microprint
  4. Thermochromic Ink
  5. New green background on front and blue on the back
  6. Complete list of all new security features listed on the back of each prescription
  7. Unique 15-digit identification number on each prescription blank, contained with in the required barcode.
  8. Single part, 2 part, and Laser EMR forms available for all licensed prescribers!

Do you require multiple prescribers on one form? Please contact us directly or USE THIS TEMPLATE HERE.

Would you like us to send you an order form? Please email us at rx@targetprinting.com or call us today at 201-883-0200.


Please be aware your licensing address of record is where your NJPB order is legally required to ship. It will be verified with the State before shipping.

Should there be any discrepancy with the address you provided, you may incur additional shipping fees.

In-store pickup can ONLY be via the presciber themselves, with valid photo ID. No proxies or assistants are allowed to pick up on a prescriber's behalf.


Design Templates

Design your new jersey prescription forms right the first time by using a template. Our templates are setup accurately assuring your print job is produced properly. To download, click the download template button below:

Download Template

Ordering & Artwork Setup Guide

Step 1. Choose Product

  • If you can not find the product you are looking for submit a custom quote here

Step 2. Select Product Options

  • Size
  • Color
  • Turnaround Time
  • Coating
  • Etc.

Step 3. Add Product to Shopping Cart

  • You will see an instant price for all listed products
  • Click the Add To Cart Button

Step 4. Review Shopping Cart

  • Name Your Job
  • Select Shipping Method
  • Add Any Special Instructions
  • Once Satisfied Click The Checkout Button or Continue Shopping

Step 5. Payment Page

  • Select Billing Address
  • Select Payment Method
  • Review and Accept Terms/Conditions
  • Click Complete Button

Step 6. Upload Files

  • Upload Now
  • Upload Later
  • My Designer Will Upload
  • Files Are At A 3rd Party Download Source (i.e. ftp, dropbox, sendspace)

Build your own card in minutes!

  • Create custom new jersey prescription forms online

  • Choose from 20,000+ professional backgrounds

  • Design online & proof professional cards in 5 minutes

  • Easy-to-use interface. No design skills required


  • Use Online Designer

    By clicking the design button the product and the options selected will be added to your cart. The online design session will automatically begin.

* Click a price and the quantity in the calculator will update to match what you selected.