Lots of small clinics that don't write lots of prescriptions use paper. (I do some IT for one.) It's not regulation, it's cost. As long as it's cheaper to buy t

Lots of small clinics that don't write lots of prescriptions use paper. (I do some IT for one.) It's not regulation, it's cost. As long as it's cheaper to buy the paper and take the time to print on it than to pay monthly fees to the appropriate online clearinghouses, some doctors will do exactly that. Lots of prescriptions that don't see "abuse" can be communicated to the pharmacy with a phone call. Amphetamines are not such a drug.