Partly-printed form headed "Prescription Blank - National Prohibition Act," one page, 6.5 x 6, December 15, 1925. Issued under the authority of the National Prohibition Act, a medicinal liquor prescription listing the "Rx" as " "Spts. Frumenti [Spiritus frumenti, aka whiskey]," filled by a pharmacist in Hawley, Pennsylvania. Text printed in the lower left notes: "This prescription must not be refilled." In fine condition, with a cancelation punch to the body of the document and a couple of minor edge losses.