Partly-printed form headed "Prescription Blank - National Prohibition Act," one page, 6.5 x 4.25, May 21, 1923. Issued under the authority of the National Prohibition Act, a medicinal liquor prescription listing the "Rx" as "1 Pint Whiskey," filled by a pharmacist in Chicopee, Massachusetts. Text printed in the lower left notes: "This prescription must not be refilled." In fine condition, with toning to edges.