APPROVED FORMAT
MEDICAL SCRIPTS
Manufactured by Micro Format, Inc.
www.RxPaper.com/EyeMDEMR
State of Wyoming

Effective January 2007, Secure Prescription Forms
must be purchase from a Wyoming State approved printer.

Micro Format, Inc. is a Wyoming State Pharmacy Board
"approved printer" for Secure Prescription Paper Products.

NOTE -----
Micro Format Laser Rx Paper Products meet all of the Wyoming State Requirements
ONLY after a valid script is COMPUTER PRINTED on the front of the script.

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

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.
Thermal Paper Prescription rolls for use in the State of Wyoming

Rx560 ~ Standard Format THERMAL PAPER Prescription Rolls
Thermal Rx Paper Rolls WITH BLACK "TIMING" MARK on back of sheet.

    Security Features Include:
  • Unique Security Background
    Distinctive Blue Colored Background provides "ERASURE" Protection
  • Hidden Message Technology
    The word "VOID" is activated when document is photocopied.
    hidden message tehnology
  • Reverse Rx
    Rx Symbol drops out when photocopied
    White Rx
  • Artificial Watermark on reverse side of form
    Visible when script is held on a 45 degree angle toward the light
    artificial watermark
  • Security Warning Band
    List of Document Security Features printed on front of scripts
    Security Warning Band
  • Production Control Batch Number printed on back of scripts
    Production Run Batch Number
  • Top of form timing mark on back of sheet
    Sensing Marks
  • UV Security
    Security Images are visible when viewed under black light
    Item# RX560
    Standard Format Thermal Paper for use in Thermal Printers
    with "timing" MARK on back side of form
    20# Thermal Paper ~ Roll Width = 4-3/8" ~ Roll Diameter = 3-5/8"
    250' roll (approximately 500 scripts/roll)

    16 rolls per carton
    $230.00 per carton

    Click to ADD to your Shopping Cart

Important Information
It is important to note that copier technology is ever changing.
Thus hidden "VOID" messages 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.
For this reason, there are additional security features incorporated into security paper preventing accurate script duplication.
It is impossible to accurately duplicate Micro Format Rx Paper.
You can always identify the original from a copy.
Under our licensing agreement, all orders for Document Security Paper are reviewed and the information provided is confirmed by our Document Security Compliance Team.
The use of Script Paper is controlled by Federal and State Agencies. Any attempt to purchase script documents by unauthorized persons or by persons providing falsified information will be reported to the proper authorities for prosecution to the full extent of the law.

Acceptance of any and all orders for Document Security Paper is at the discretion of the Micro Format Document Security Compliance Team.

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