RX Pads Collage
  • The state of Virginia currently follows federal requirements for prescription pads as set forth by the CMS. Additionally, “Schedule II prescriptions shall be written and may not be refilled.”


  • There is no longer a specific format required for written prescriptions.  A pharmacist may substitute an Orange-Book rated “therapeutically equivalent drug product” for a brand name drug unless the prescriber prohibits substitution by indicating “brand medically necessary.”


  • A prescription blank may only contain one prescription.  There are a few limited exceptions to this law such as multiple blanks for the Department of Corrections and chart orders for hospital, nursing home, home infusion, and hospice patients.

State Requirements

All states are required to meet the baseline standards set forth by the CMS. Several states have Prescription Monitoring Programs that require prescription pads to have specific security features.

For in-depth information regarding specific state requirements choose from the list below.


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