APPROVED FORMAT
MEDICAL SCRIPTS

Manufactured by Micro Format, Inc.
www.RxPaper.com/eClinicalWorks

Florida



FLORIDA TAMPER RESISTANT LASER PRESCRIPTION (Rx) PAPER

Micro Format, Inc. is a Florida Department of Health
AND Florida Agency for Health Care Administration
"approved printer" of Secure Prescription Paper Products.


  • Rx forms used for prescribing Medicaid reimbursed medications must be purchase from a Florida State Medicaid Board approved printer.

  • All controlled substances must be written on scripts obtained from Florida Department of Health approved printers.

  • Micro Format Secure Prescription Paper contains all of the features required by the Florida State Legislation.


Effective July 1, 2011, counterfeit-proof prescription blanks must be used by licensed health care practitioners who prescribe controlled substances listed in Chapter 893, Florida Statutes. Section 456.42(2), Florida Statutes, was amended requiring licensed healthcare practitioners purchase counterfeit-proof prescription blanks from vendors approved by the Department of Health.

Vendors approved by the Department of Health are required to provide monthly reports to the Department, documenting who purchased the prescription pad or blanks and how many were purchased.

As required by Florida State law (64B-3.005-3c)
at the time your order is placed, a unique batch number for your order will be printed on the front of your laser script paper before your order is shipped.

3(c) A unique tracking identification number for each order on the front of the counterfeit-proof prescription pad or blank. The number must consist of three subsets:
(1) a unique alphabetic prefix that readily identifies the vendor (MFI),
(2) the date of printing, and
(3) a batch number. The alpha prefix used to identify the vendor will be assigned by the department and must appear in upper case.
The date of printing must immediately follow the vendors' (Micro Format, Inc) unique alpha identifier (MFI) and must be presented in six character numerical field using the format YRMODY.
The batch number assigned by the vendor (Micro Format, Inc.) must immediately follow the print date and consist of numerical characters and must not contain spaces or special characters (e.g., dashes, periods, commas, slashes, alpha characters).
From left to right, the tracking identification number must appear as alpha prefix, print date, and then batch number, with no blank spaces between subsets.
Micro Format, Inc. is a Florida Department of Health AND Florida Agency for Health Care Administration "approved printer" of Secure Prescription Paper Products.

State of Florida Legislation requires that a unique production batch number appear on the front of each script

(See Information Stated Above)

Important Information

It is important to note that copier technology is ever changing.
Thus hidden messages (VOID/COPY) on Tamper Resistant Rx Paper Products will appear most of the time.
However messages cannot be guaranteed to appear 100% of the time when used with all copiers or scanners.

ATTENTION: DOCTORS and PHARMACISTS
If a "Hidden Message" fails to appear, it does not mean a document is counterfeit.
It means the recipient should check for additional features.

New Regulations in the State of Florida require that we print a unique batch number on the front of each script.
Please allow at least 7 days from the time we receive your order for printing and shipping.
We appreciate your orders.

    Tamper Resistant SECURITY FEATURES INCLUDE:

    • Sheet Size: 8-1/2" x 11"

    • For use with Laser or Ink Jet Printers.

    • 60# Security Offset Paper

    • Unique Production Batch Number for your order
      printed on the front of each script

    • Blue Security Background
      The word "VOID" appears when script is photocopied
      Rx Paper - Hidden Message Security

    • Erasure Protection
      White Mark appears when erased with ink eraser

    • Small Production Coded Batch Number in margins on back of sheet

    • Acid Free Bond
      Prevents paper color deterioration

    • Security Watermark on back of sheet
      Hold on 45 degree angle to light to view
      When duplicated - Artificial Watermark is not visible on copy

    • Coin activated Security on back of script
      Rub with coin to validate script
      Hidden Message Technology

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

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.
FAQ ~ Frequently Asked Questions

  • Item# FL-RX503
    8.5in. x 11in.
    Blue Background Tamper Resistant
    Laser Rx Paper

    Laser Prescription Rx503

Item# FL-RX503
1000 sheets per package
$ 120.00 plus shipping by UPS


1 carton (2,500 sheets per carton)
$262.50 plus shipping by UPS


2 cartons (2,500 sheets per carton)
$250.00 per carton plus shipping by UPS


  • Item# FL-RX503G
    8.5in. x 11in.
    Green Background Tamper Resistant
    Laser Rx Paper

Item# FL-RX503G
1000 sheets per package
$ 120.00 plus shipping by UPS


1 carton (2,500 sheets per carton)
$262.50 plus shipping by UPS


2 cartons (2,500 sheets per carton)
$250.00 per carton plus shipping by UPS



Copyright © 2012-2013 Micro Format, Inc 
All Rights Reserved 
Micro Format, Inc. 
830-3 Seton Court ~ Wheeling, IL 60090 
847/520-4699 FAX 847/520-0197
800-333-0549