APPROVED FORMAT MEDICAL SCRIPTS Manufactured by Micro Format, Inc.
www.RxPaper.com/noteworthy

Micro Format, Inc. ~ 830-3 Seton Court ~ Wheeling IL 60090 ~ (800)333-0549

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Rx503
BLUE Security Background

• Tamper Resistant Security Features Include:
  • Colored Security Background
    The word "VOID" appears when script is photocopied
    

  • Tamper Resistant Erasure Protection

  • Reverse Rx (white) two directions in background on front of script

  • Coin activated Security on back of script
    Rub with coin to validate script
    
  • Security Watermark
    When duplicated - Artificial Watermark is not visible on copy

  • Warning Box
    Security Features listed in warning box on reverse side of script
    
    Click to Enlarge Back Printing
    • Not approved for use in the States of New Jersey, New York, Indiana, Kentucky.
      
    • This format is approved for use in the State of Florida
    • This format may be used in the State of California ONLY for prescribing Non-Controlled Substance medications

Meets 2008 Medicaid Requirements.
View Security Features and how they relate to the 2008 Medicaid Requirements.

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.

Copyright © 2007-2009 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