MEDICAID REQUIREMENTS

In an effort to eliminate Prescription Fraud, The Centers for Medicare and Medicaid Services (CMS) implemented a comprehensive tamper resistant Rx Script Program.

The reason Medicaid requirements were put in place is simply to prevent Medicaid prescription fraud. Medicaid loses millions and millions of dollars annually due to forged or altered prescriptions. By making it harder for patients to alter or forge prescriptions, which affects the sale of illegal drugs, it is anticipated that Medicaid can save a significant amount of money. Every Doctor should be concerned about forged and altered prescriptions since it is their signature that appears on the script. Forged and altered prescriptions affect everyone with higher insurance costs as well as higher state and federal taxes.

Full compliance with the rules and regulations set forth in the The Centers for Medicare and Medicaid Services (CMS) program is now mandatory.

All MEDICAID Prescriptions MUST be written on Tamper Resistant Paper.
To comply, all Medicaid Scripts must contain One or More industry-recognized features from each of THREE CATAGORIES of Security as specified by CMS.
Micro Format and Secure Guard Prescription Paper Products
meet and exceed Medicaid Tamper Resistant Requirements for all three categories.

In addition, Micro Format, Inc., is an approved manufacturer of Secure Prescription Paper
in every State in which approval is required.

What are the Medicaid "Tamper Resistant" Prescription Requirements?

For a prescription to be considered "Tamper Resistant,"
prescriptions must contain at least one feature in each of three catagories.

• Category One ~
  One or More industry-recognized features designed to prevent unauthorized copying of a completed or blank prescription form.
• Category Two ~
  One or More industry-recognized features designed to prevent the erasure or modification of information written on a prescription by the prescriber.
• Category Three ~
  One or More industry-recognized features designed to prevent the use of counterfeit prescription forms.

How are "Industry-recognized" security features defined and
what are some of the features that meet the requirements as stated?

1. Category One
   • Void Pantograph background (Hidden Message Technology)
     
   • Reverse Rx Symbol
   • Micro Printing
   • Artificial Watermark on back of script
   • Coin Activated Ink
2. Category Two
   • Colored Shaded Pantograph background
   • Toner Grip Security Coating
   • "Check and Balance" printed features such as
     "quantity" check boxes, and space to indicate
     "number of medications" written on prescription form
3. Category Three
   • Security Feature Warning Box and Warning Bands
   • Security Back Printing
   • Coin Activated Validation
   • Batch Number identification
   • Secure Rub Color Change Ink
   • Consecutive Numbering