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www.PrescriptionPaper.com
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TAMPER RESISTANT
Secure Laser Prescription ( Rx ) Paper
for Doctors, Healthcare Professionals & Medical Clinics

Micro Format Tamper Resistant Laser Prescription Paper
meet and exceed ALL State and ALL Medicaid Requirements


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

Laser Script Rx503 front
Front

Laser Script Rx503 back
Back

Item# RX503G
8.5in. x 11in.
Green Background Tamper Resistant
Laser Rx Paper
Rx503-P2
to yield 2 scripts (8-1/2" x 5-1/2") when detached)

Blue Background
Rx503-P2 (perforated in half)

Rx503-P2small

Item# RX503G-P2
8.5in. x 11in.
Green Background
Tamper Resistant
Laser Rx Paper
Item# Rx503-P3
8.5in. x 11in.
Blue Background
(perforated to yield 3 scripts (8-1/2" x 3-2/3") when detached)

Click to Enlarge Rx503-P3
Click to Enlarge Rx503-P3 image
Item# Rx503-P4
8.5in. x 11in.
Blue Background
(perforated to yield 4 scripts when detached)

Click to Enlarge Rx503-P4
Click to Enlarge Rx503-P4 image
Item# Rx503-C4
8.5in. x 11in.
Blue Background
(cut into quarters - script size 4-1/4" x 5-1/2")
Item# Rx503-C2
8.5in. x 11in.
Blue Background
(cut in half - script size 5-1/2" x 8-1/2")
Item# Rx503-P5
8.5in. x 11in.
Blue Background
Landscape Script in Top Left-Hand Corner of Sheet
Special Perforated FULL SHEET Prescription Paper
to yield script one script 5-1/2" x 4-1/4"

Rx503-P5

Horizontal perforation 4-1/4" from top edge
Vertical perforation 5-1/2" from left edge
Item# Rx503-P6
Blue Background
8.5in. x 11in.
Landscape Script in Bottom Left-Hand Corner of Sheet
Special Perforated FULL SHEET Prescription Paper
to yield script one script 5-1/2" x 4-1/4"

Click to Enlarge Rx503-P6
Horizontal perforation 4-1/4" from bottom edge
Vertical perforation 5-1/2" from left edge

Additional Approved Laser Rx Paper Formats
Rx510 Laser Script

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


Rx510
SHEET SIZE 8-1/2" x 11"
Laser Rx Paper

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

Rx505 Laser Script

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


Rx505
SHEET SIZE 8-1/2" x 11"
Laser Rx Paper

Detached script size
5-1/2" x 8-1/2"
RxEC503 Laser Script

5-1/2" x 8-1/2" sheet
2 scripts per sheet over/under

Tamper Resistant Laser Rx Paper Laser Script Paper
RxEC503
NOTE --- This sheet size is 5-1/2" x 8-1/2"
NOT 8-1/2" x 11"

For additional information relative to SECURE PRESCRIPTION FORMS,
contact Micro Format at Support@4securitypaper.com
USA flag - Micro Format, Inc. Micro Format, Inc. is a veteran owned company.
Micro Format SecureGuard Paper Products are manufactured in the USA from American Made materials.
Copyright © 2000- Micro Format, Inc., All Rights Reserved

Micro Format, Inc. 
Phone: 920-859-0500
Toll Free: 833-322-1882
Email: CustServ@RxMicroFormat.com
Address: 1434 Progress Lane, Omro, WI 54963