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Mint, Unused 1930's (1931 as dated on back) Antique Pharmacy Drug Store Original PROHIBITION PRESCRIPTION FORM for Medicinal Liquor, Alcohol, Original & Duplicate form...

Here's an authentic National Prohibition Act Prescription form. This was printed by Treasury Department U.S. Internal Revenue, and issued under the authority of the National Prohibition Act... This is a Prescription Blank with Duplicate Pink copy, the stub, and Bureau of Industrial alcohol instructions on the back of form.

These blanks came from your local Doctors office during Prohibition days. They were given persmission to prescribe intoxicating liquor for medicinal purposes only in quantities not to exceed one pint every ten days to the same person in accordance to Regulations 60, etc (As per instructions on back)....

When you hold this up to the light (pic #4) you can see "INDUSTRIAL ALCOHOL" printed watermarked in the paper, and notice the beautiful graphics in the corners. The form measures 4 1/2" x 9". This was a way of getting WHISKEY, LIQUOR, WINE, GIN, ALCOHOL, during Prohibition days by having your Doctor prescribe it for for medicinal purposes...

This will make a nice addition to your apothecary, pharmacopeia, Roaring 20's, Al Capone collection, Deco barware, Americana collection, Pharmacy, bootleg, Home Bar, etc..etc., etc..... Also a great Graduation gift to a Pharmacist, Nurse, Doctor, bartender, liquor control board, stamp collection, etc....... Check out our other Prohibition Whiskey prescribed prescriptions for sale also..

Any questions about this item, please ask before you purchase. All Sales are Final!!
We can ship Priority Mail or 1st class Mail...

Vintage Pharmacy Prohibition Whiskey Prescription Original & Duplicate Form for Medical Liquor Unused


  • Vintage item from the 1930s
  • Material: Paper
  • Only ships within United States.
  • Feedback: 534 reviews
  • Favorited by: 8 people