APPROVED FORMAT
MEDICAL SCRIPTS

Manufactured by Micro Format, Inc.
www.RxPaper.com/chartconnect
Micro Format, Inc. ~ 830-3 Seton Court ~ Wheeling IL 60090 ~ (800)333-0549

Tamper Resistant Laser Prescription Paper
Rx503

Sheet size: 8-1/2" x 11"

The Standard Format Secure Rx Laser Paper is acceptable for use in all states that do not have specific security paper requirements.

This paper meets the requirements in states that have lrgislated security paper requirements.
Micro Format Tamper Resistant Laser Rx Paper meets and exceeds all 2008 Medicaid Requirements.

This format is not valid for use in the States of Indiana, Kentucky, Maine, New Jersey or New York. This format may be used in the State of California ONLY for prescribing Non-Controlled Substance medications

Item# RX503

Words "VOID" appear when photocopied.
Additional security features listed below insure that scripts cannot be accurately duplicated.
You can always identify the original from a copy.


Warning Box appears in four positions on the reverse side of each sheet.

Rx503-1000
1000 sheets per package
$ 80.00 per package
Click to ADD to your Shopping Cart
Rx503-2500
2,500 sheets per package
$187.50 per carton
Click to ADD to your Shopping Cart
Rx503-5000
5,000 sheets per package
$350.00 per carton
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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 © 2007-2012 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