APPROVED FORMAT
MEDICAL SCRIPTS

Manufactured by Micro Format, Inc.
www.RxPaper.com/EyeMDEMR
Secure Laser Prescription ( Rx ) Paper
for Doctors, Healthcare Professionals & Medical Clinics


Stock Format Laser Prescription Paper for use in the
State of Washington


Washington Tamper-Resistant Prescriptions
(TRPP) Legislation

A new state law passed in 2009 to combat unauthorized, improperly altered and counterfeit prescriptions.
(RCW 18.64.500)
Starting July 1, 2010, all prescriptions written in Washington State must be on board-approved tamper-resistant prescription paper or pads (TRPP).

All Micro Format Rx Paper Products meet and exceed
all Washington State and Medicaid Requirements.
Micro Format is an approved Washington State provider of Tamper Resistant Rx Paper Products.


Micro Format Secure Washington Laser Prescription Paper contains all of
the features required by the State of Washington.

Sheet Size: 8-1/2" x 11" ~ Perforated
Detached Prescription Size: 5-1/2" x 4-1/4"

For use in Laser AND Ink Jet Printers
  • Security Features Include:

    • GRAY Security Background
      The word "COPY" appears when script is photocopied

    • Tamper Resistant Erasure Protection

    • Coin activated Security on back of script

    • Artificial Watermark on back of sheet
      This watermark is visible when script is held on a 45 degree angle to the light.

    • Warning Box
      Security Features listed in warning box on reverse side of script

    • Secure RubTM
      Green to Yellow Color Change Ink


Item# RX506-P5
perforated
(Landscape Script Top Left Corner)

Gray Background
Washington State
Tamper Resistant
Laser Rx Paper

Laser Prescription Rx506-P5

Item# RX506-P5
500 sheets per package
$ 70.00 plus shipping by UPS


1000 sheets per package
$ 90.00 plus shipping by UPS


1 carton (2,500 sheets per carton)
$212.50 plus shipping by UPS


2 cartons (2,500 sheets per carton)
$200.00 per carton plus shipping by UPS




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