APPROVED FORMAT
MEDICAL SCRIPTS

Manufactured by Micro Format, Inc.

www.rxpaper.com/EPOWERdoc
TAMPER RESISTANT
Secure Laser Prescription ( Rx ) Paper
for Doctors, Healthcare Professionals & Medical Clinics


State of Alaska

Acceptable Secure Laser Rx Papers for use in the State of Alaska
Micro Format Tamper Resistant Laser Rx Paper meets and exceeds all 2008 Medicaid Requirements
and the March 15, 2008 changes to the
Alaska Department of Health and Social Services Drug Reimbursement Prograqm

Click to Read Alaska RequirementsAlaska Department of Health and Social Services Drug Reimbursement Prograqm

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Laser Tamper Resistant Prescription Paper
Security Features include:
  • Hidden Message TechnologyTM
    "VOID" Background Technology
    When a prescriptions printed on Secure Guard Prescription Pad Paper has been copied, the word "VOID" appears on the photocopy in background.

  • Secure RubTM Color Change Ink
    Strip of RED Rx symbols in margin disappears briefly when rubbed.

  • Anti-Copy WatermarkTM
    An artificial watermark is printed on the back of each sheet.
    This watermark will not appear on a copy when the document is duplicated.
    Hold to light on a 45 degree angle to view watermark.

  • ANTI-COPY COIN RUBTM
    An "Anti Copy Security Mark� is hidden on the back of the sheet
    as part of the artificial watermark. Rub a coin over the back of the sheet to activate this feature.
  • Distinctive "BLUE SECURITY background"
    Distinctive BLUE Background provides "ERASURE" Protection

  • Batch Number ProtectionTM
    A Production "Batch Number" is printed on every sheet of Secure Guard Prescription Pad Paper.

  • Reverse Side Warning Box
    A Document Security Feature Warning Box appears on the back of the sheet.

Rx503T
Laser Prescription Paper

Item# Rx503T ~ Tamper Resistant Laser Rx Paper
Alaska Format
500 sheets per package
$ 65.00 per package plus shipping by UPS


Alaska Format
1000 sheets per package
$ 85.00 per package plus shipping by UPS


Alaska Format
2,500 sheets per carton
$200.00 per carton plus shipping by UPS



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Item# Rx503T-P4
Sheet Size: 8-1/2" x 11"
Perforated to yield
4 scripts
when detached.

Detached Script Size:
5-1/2" x 4-1/4"

Alaska Format Laser Script

Item# Rx503T-P4 ~ Tamper Resistant Laser Rx Paper
Alaska Format
500 sheets per package
$ 70.00 per package plus shipping by UPS


Alaska Format
1000 sheets per package
$90.00 per package plus shipping by UPS


Alaska Format
2,500 sheets per carton
$212.50 per carton plus shipping by UPS



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Copyright © 2009 Micro Format, Inc. ~ All Rights Reserved
Micro Format, Inc.
830-3 Seton Court ~ Wheeling, IL 60090
Phone: 847/520-4699 ~ 800-333-0549
Fax 847/520-0197