Prescription Form Order Service

Welcome to the Prescription Form Order Service. You can use this service to order CII prescription pads from the Texas State Board of Pharmacy.

What you’ll need:

• A valid Drug Enforcement Administration (DEA) number
• ZIP Code of your DEA record
• Social Security Number
• Business address information, including your office phone number
• A valid Credit card (Visa, MasterCard, Discover, AMEX)

If you need more information on prescription pad orders in Texas, read our frequently asked questions (FAQs).