Vermont Laser Prescription Paper

www.PrescriptionPaper.com
www.RxPaper.com
www.ScriptPaper.com

TAMPER RESISTANT
Secure Laser Prescription ( Rx ) Paper
for Doctors, Healthcare Professionals & Medical Clinics
Micro Format Tamper Resistant Laser Prescription Paper
meet and exceed all 2008 Medicaid Requirements

New
Secure Guard^TM
Self Expiring
Visitor Badges

State of Vermont

As of January 1, 2010 tamper resistant prescriptions will be required for all prescriptions. The Office of Vermont Health Access (OVHA) has required tamper resistant prescriptions since 2008.

State of Vermont Tamper Resistant Prescription Drug Pad Information

Rx503 Tamper Resistant Laser Script Paper

Rx503
8-1/2" x 11" full sheet
Tamper Resistant script

Front

Back

Rx503
Tamper Resistant Laser Rx Paper
is available in many different formats

Rx503 Laser Prescription Paper

Rx503-P2 (perforated in half)

Rx503-P3 (perforated in thirds)

Rx503-P4 (perforated into quarters)

Rx503-P5 (Perforated-Landscape Script top left)
Rx503-P6 (Perforated-Landscape Script bottom left)

Rx503-C4 (cut into quarters)

Rx503-C2 (cut in half)

Additional Approved Laser Rx Paper Formats

Rx510
Laser Script 8-1/2" x 11"
with script in top left-hand corner

Rx510
Laser Rx Paper

Detached script size
4-1/4" x 5-1/2"

Rx510
Laser Script

Rx505
Laser Script 8-1/2" x 11"
with script in top half of sheet

Rx505
Laser Rx Paper
Detached script size
5-1/2" x 8-1/2"

Rx505
Laser Script

RxEC503
Laser Script

5-1/2" x 8-1/2" sheet
2 scripts per sheet over/under
Tamper Resistant Laser Rx Paper

RxEC503
Laser Rx Paper
Detached script size
5-1/2" x 4-1/4"

RxEC503
Laser Script

If you would rather print a Fax Order Form
to send in your order by fax
Click HERE for
Laser Prescription FAX ORDER FORM
Our Fax Number is (847)520-0197

For additional information relative to SECURE PRESCRIPTION FORMS,
contact Micro Format at
mailbox

Support@4securitypaper.com

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