FAQ ~ Frequently Asked Questions
|Dedicated to the Prevention of Unauthorized Document Duplication
Why is that some photo copiers show the void and others do not?
The reason "Hidden Message Technology" works on some copies and not other is that the way the various patented processes for printing this technology work.
The words are hidden in the background.
Look at the background under a magnifying glass and you will see how the words are hidden.
When light in the copier hits the background, the change in the background around the hidden words, causes the words to appear. As copier technology has improved, in some copiers they look past the changes in the background.
For example, you can take a digital photo of the sheet and you will now have a copy without any of the hidden words showing. This is similar to the way digital copiers work.
It is the nature of the technology. This is the reason you need to have layer on layer security to truly protect a document ... just as they do with United States Currency, the Euro and other currencies around the world.
All Medicaid Scripts must be on Tamper Resistant Paper.
How do you define Tamper Resistant as it relates to this law ?
To be considered tamper resistant,
a prescription pad must contain at least one security features in each of three catagories as specified by CMS.
CLAIRIFICATION PROVIDED BY CMS
(Centers for Medicare and Medicaid Services)
Several States have had questions about whether a provider can add a feature to a prescription to make it compliant with requirements.
States have proposed various features including particular kinds of ink to write the prescription (gel or indelible), writing out the drug quantities rather than just the number (i.e. "thirty" vs "30")
and embossed logos.
The statute states that all written prescriptions must be "executed on a tamper resistant pad" (paper). As a result,
features added to the prescription after they are printed (written) do not meet the requirement of the statute. Features that would make the prescription tamper-resistant include certain types of paper as well as certain items that can be pre-printed on the paper.
Is Micro Format Prescription Paper "tamper resistant" and
does it meet the Medicaid Prescription Paper Requirements?
Yes .... All Micro Format Prescription Paper Products contain features that meet and exceed all Medicaid Requirements for Secure Tamper Resistant Prescriptions.
I made a copy on my photocopier and the hidden message did not appear.
Most Document Security Papers incorporate "Hidden Message Technology."
There are a number of patented methods used to accomplish this task. However due to changing copier technology, you may find
that your document can be duplicated on some photo copiers without the words "VOID" "COPY" or other hidden messages showing up on the copy.
For this reason we advise purchasing document security paper that incorporates more than one
Remember, the reason document security paper is used is to "prevent accurate document duplication."
A document printed on Security Paper that contains numerous security features, features such as "color change ink" for example,
is virtually impossible to accurately duplicate using a standard or color copier, scanner or even a digital camera.
Security Paper is used to help prevent the unauthorized duplication of any document.
To secure a document, it is very important to use multiple security features.
A document that contains only one feature, a VOID background for example, may be duplicated on some photo copiers without the word VOID showing up on the copy.
The reason the United States Government does not include hidden message technology in US currency is because it does not work 100% of the time.
Explain how the Erasure Protection Feature works.
I tried to erase the background with my eraser and did not remove any of the background color.
When a doctor writes a prescription, it is written using an ink or ball point pen, not a pencil.
When trying to remove information written on a prescription using an ink eraser, a small amount of the
background color is removed with the ink. Thus it becomes obvious that a change was made to the script.
Secure Rub "Color Change Ink" is listed on the Security Feature List.
However I do not see this feature on either the front or back of the script.
"Color Change Ink" may be difficult to see ...especially during hot weather.
During hot weather or if the script has been in a hot location, the heat may have caused the color to change.
To verify this feature, place script in the refrigerator for 30 seconds.
This will cause the color to return to it's original state.
You say that there are numerous security features available to prevent
accurate document duplication.
Can you describe some of these features ?
There are two types of Security Features -- "Overt" and "Covert"
You fill find detailed information on both type features on
My office is located in New Hampshire. I have patients who live in Delaware.
Will my New Hampshire scripts be accepted in the State of Delaware?
According to the State of Delaware, scripts written by doctors who practice outside of the State of Delaware will be accepted and filled by Delaware pharmacists.
Is there a list of states that require "special" Security Paper for printing prescriptions?
Micro Format is an approved supplier of Prescription Paper Products in every state in which specific requirements have been legislated.
While Micro Format "Standard Format" Rx Prescription Paper can be used in most states, the following states require Prescription Paper with special features:
Georgia (must meet Medicaid Regulations)
West Virginia (optional)
Note, while other states do not require special security paper features, they may require that a "Special Format" is printed on Medical Prescription.
These states include:
Louisiana, Massachusetts, Mississippi, Missouri, Ohio, Pennsylvania, Texas
How do I order prescription paper for use in the State of New York?
Effective April 19, 2006,
all prescriptions (both for controlled substances AND non-controlled substances)
written in New York State must be issued on an official New York State Prescription form.
All practitioners must obtain prescription forms from the New York Department of Health.
There are NO approved prescription paper printers in the State of New York.
Under the new law, New York pharmacies are required to submit data to the New York State Department of Health.
They are required to submit specific information from prescriptions dispensed for all controlled substances.
The New York Department of Health will monitor this data.
I practice in the State of New Jersey. I have just moved to a new office and need to order new prescription pads.
You need to submit your address change to the State of New Jersey.
The State of New Jersey requires that the address to which your prescription pads are shipped MUST be the address on file with the State.
Before you order new Rx pads, be sure you have made the address change with the State of New Jersey.
The States of California, Indiana, Kentucky, Maine, New Jersey, and Washington have prescription paper regulations.
Will a second set of prescriptions be required to meet the 2008 Medicaid Law?
The following is an excerpt from the August 2007 letter sent to all State Medicaid Directors;
"States are free to exceed the above baseline standard as to what constitutes a tamper-resistant prescription pad.
States should make their own determination whether to allow pharmacists to accept an
out-of-State prescription that meets the tamper-resistant requirements of another State.
Several States have laws and regulations concerning mandatory, tamper-resistant prescription pad programs,
which were in effect prior to the passage of section 7002(b). CMS deems that the tamper-resistant prescription pad
characteristics required by these States' laws and regulations meet or exceed the baseline standard, as set forth above."
Can the Federal Government pass a law requiring that
all medical prescriptions must be on secure paper?
Medicaid is a Government Program.
Thus the Government has the right to determine the rules for this program.
Requiring that Medicaid Prescriptions must be on Tamper Resistant Paper falls under the regulations for participation in the Medicaid Program.
However when it comes to the method used to prescribe medications,
State licensure systems that grant physicians the exclusive right to prescribe
and pharmacists the exclusive right to dispense prescription medication are
protected under Article Ten of the United States Constitution.
Historically, under Article X of the U.S. Constitution, states have the authority
to regulate activities that affect the health, safety and welfare of their citizens.
In 1889, state licensure systems that granted physicians the exclusive right to
prescribe and pharmacists the exclusive right to dispence prescription medication
were tested and found valid. In Dent v West Virginia, 129 U.S. 114 (1889),
the Supreme Court denied a due process challenge to a West Virginia medical
practice act that required state licensure of physicians.
Thus any regulations as they relate to how physicians prescribe and how
pharmacists dispense prescription medication are the responsibility of the States.
Micro Format is an approved Rx Paper Printer in every state that requires approval.
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