APPROVED FORMAT MEDICAL SCRIPTS Manufactured by Micro Format, Inc.

www.RxPaper.com/EyeMDEMR

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Thermal Rx Paper Rolls for use in the State of Maine

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Thermal Rx Paper Rolls (for use in Thermal roll printer) Prevent unauthorized duplication of your scripts with Micro Format Fraud Proof Thermal Rx Security Paper.

Micro Format Maine Tamper Resistant Thermal Rx Paper Rolls, meet and exceed ALL State of Maine and Medicaid Requirements for Tamper Resistant Rx Paper.

There are NO controversial chemicals, bisphenol-A (BPA) in Micro Format Thermal Rx Paper Rolls or in any Micro Format Secure GuardTM Thermal Paper Products. Micro Format Tamper Resistant Thermal Rx Paper Rolls and Cut Sheet Thermal Paper products are manufactured exclusively with Appleton Thermal Paper. Appleton Papers Inc. of Appleton, Wisc., the nation’s largest thermal paper maker, removed the controversial chemical, bisphenol-A (BPA), from its products in 2006.

Note: Name and Address Imprinting is NOT AVAILABLE on Roll Paper Products.

Rx563 ~ Maine Format THERMAL PAPER Prescription Rolls

Thermal Rx Paper Rolls with timing marks on back of sheet.

Features Include:
• 4.25 in. wide (111.13 mm)
  1 in. core (25.4 mm)

• 21# Highest Quality Thermal Paper

• Tamper Resistant Thermal Paper Rx Rolls
  meet and exceed all Medicaid Requirements

• Unique Security Background
  Distinctive Blue Colored Background provides "ERASURE" Protection

• 5-1/2" Image Repeat

• Hidden Message Technology
  The word "VOID" appears on photocopy when script is photocopied.
  

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  IT IS IMPORTANT TO NOTE that copier technology is ever changing.
  Thus messages hidden on Document Security Paper will appear most of the time.
  However messages cannot be guaranteed to appear 100% of the time when used with all copiers or scanners.

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• Reverse Rx
  Rx Symbol drops out when photocopied
  

• Security Warning Band
  List of Document Security Features printed on back of script
  

• Control Batch Number printed on back of form

• Artificial Watermark on reverse side of form
  To View, hold paper on angle toward light.
  

• Secure Rub™ Color Change Ink on back of script
  Words Red SECURE Rx disappears briefly when rubbed
  

• Top of form sensing mark on back of sheet
  5-1/2" Repeat
  

• Coin Activated Security on back of script
  

• UV Security
  Invisible Images are visible when viewed under black light
  Words "SECURE ~ RX PAPER appear on back of form
  when viewed under black light.
  

Information on Thermal Paper

Shelf Life and Storage Recommendations

Micro Format Secure Thermal Rx Paper Rolls are Recommended
for use with Thermal Roll Paper Printers such as
Star Micronics TSP800 and TSP800Rx Thermal Printers
Star Micronics Printer Information

Micro Format, Inc. is a veteran owned company. Micro Format SecureGuard Paper Products are manufactured in the USA from American Made materials.

Prevent Unauthorized Document Duplication with SecureGuardtm, the world's leading document security paper products

Copyright © 2004-2013 inclusive
Micro Format, Inc 
All Rights Reserved 
Micro Format, Inc. 
830-3 Seton Court ~ Wheeling, IL 60090 
847/520-4699 FAX 847/520-0197
Toll Free: 800-333-0549