Partly-printed form headed "Prescription Blank - National Prohibition Act," one page, 6.5 x 4.5, April 9, 1924. Issued under the authority of the National Prohibition Act, a medicinal liquor prescription listing the "Rx" as "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 minor creasing and losses to corners, and a cancelation punch at center.