Introducing HologramRx™ Pads by ScriptShield

Order Rx Pads by FAX

At ScriptShield we like to follow the example of our sister company, National Rx Security, by providing the best quality prescription blanks in an unbeatable turnaround time. Your HologramRx scripts will be shipped within 2-3 business days after receipt of the order with payment. Rush delivery and large quantities are available upon request. 

To receive ScriptShield’s HologramRx scripts, click on your link below, print out the order form, fill it out and attach a voided copy of your current script*. Then you can either fax the order in with credit card information, or mail the entire order in with a check. 

ScriptShield’s HologramRx scripts follow legal state formats and meet a number of state specific regulations. 

For multiple doctors, multiple addresses, or custom layout design, please contact us toll free at 1-866-356-1050 or use the “Order by Fax” feature on this web site, whereby you can include an enlarged copy of your current script showing multiple physicians and/or multiple locations 

*We ask that you send a voided script to insure that we receive the complete information for your prescription order. 


For approved NJ and WA prescription pads, please visit our sister site,

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