www.PrescriptionPaper.com
www.RxPaper.com
www.ScriptPaper.com
  • Contact Us
  • About Us
  • HighSecurityPaper.com

  • Custom Imprinted
    Tamper Resistant

    ARIZONA PRESCRIPTION PADS


    This site is designed for use by
    DOCTORS, HEALTHCARE PROFESSIONALS and MEDICAL CLINICS

    Proper documentation is required to order documents from this site.
    Micro Format Tamper Resistant Rx Pads meet and exceed all Medicaid Requirements

    Skip Past Medicaid Information - go "to order"

    Effective November 1, 2012
    All Arizona Medicaid Scripts MUST meet Medicaid Requirements


    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
    High Security Prescription Pads
    (Available 1 part and 2 part)

    Click to Enlarge click to enlarge

    All Prescription Pad Orders MUST BE ENTERED ON LINE
    We cannot accept orders for prescription pads by Fax. =


      TWO FORMATS AVAILABLE.

    1. Format Rx610
      is designed for use when prescribing MORE THAN ONE MEDICATION.

    2. Format Rx620
      includes the following text at the bottom of the script.
      "PRESCRIPTION IS VOID IF MORE THAN ONE (1) PRESCRIPTION IS WRITTEN PER PAGE"


    Prescriptions can be consecutively numbered for an additional charge

    Back Printing is available at an additional $5.00 per pad
    This amount will be added when your order is processed.
    This additional charge for back printing will not be shown
    at the time you place your order. However it will be added
    to the total cost of your order.
    ONE PART SCRIPT:
    Distinctive BLUE security background
    100 sheets per pad

    Click to Order 1 part scripts

    TWO PART SCRIPT:
    Part 1 has Distinctive BLUE security background
    Part 2 is a BLANK YELLOW sheet
    50 sets per pad with wrap-a-round cover

    Click to Order 2 part scripts


    Add an Additional Level of Security
    with Tamper Evident
    Security Hologram Labels

    Security Hologram Labels

    Ultrasound Thermal Printer Paper

    SecureGuardtm Maxwell Ultrasound Paper
    for use in hospitals, clinics, OB offices and others.
    Compatible ultrasound paper for use in Sony and Mitsubishi Ultrasound equipment

    If you dispense Sample Medications ...
    You need the SecureGuard™

    Sample Medication Label Recording System
    SAMPLE MEDICATION Recording System

    Meets Federal and State Regulations.
    SELF EXPIRING LABELS, VISITOR and NAME BADGES

    To activate Secure Name Badge

    Visitor Badge with journal

    Self Expiring Visitor Name Badge
    with Record Copy

    PATIENT SIGN-IN LOGS

    Spanish Patient Sign-In Form
    SecureGuard™Patient
    Sign-In Form

    Each "Sign-In Log" includes 20 sign-in label strips


    For additional information relative to SECURITY PRESCRIPTION FORMS,
    contact
    Micro Format, Inc. support@RxPaper.com


    Copyright © 2000- 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

    rev 2/15