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  • Custom Imprinted
    Tamper Resistant

    FLORIDA PRESCRIPTION PADS

    Micro Format, Inc. is a Florida Department of Health
    AND Florida Agency for Health Care Administration
    "approved printer" of Secure Prescription Paper Products.

    Effective July 1, 2011, counterfeit-proof prescription blanks must be used by licensed health care practitioners who prescribe controlled substances listed in Chapter 893, Florida Statutes. Section 456.42(2), Florida Statutes, was amended requiring licensed healthcare practitioners purchase counterfeit-proof prescription blanks from vendors approved by the Department of Health.

    Vendors approved by the Department of Health are required to provide monthly reports to the Department, documenting who purchased the prescription pad or blanks and how many were purchased.

    Frequently Asked Questions from the Florida Department of Health

    Micro Format, Inc. is a Florida Department of Health AND Florida Agency for Health Care Administration "approved printer" of Secure Prescription Paper Products.

    State of Florida Legislation requires that a unique production batch number appear on the front of each script

    All Florida Rx Pads are printed with a unique batch number on the front of your scripts.

    Important Information

    It is important to note that copier technology is ever changing.
    Thus hidden messages (VOID/COPY) on Tamper Resistant Rx Paper Products will appear most of the time.
    However messages cannot be guaranteed to appear 100% of the time when used with all copiers or scanners.

    ATTENTION: DOCTORS and PHARMACISTS
    If a "Hidden Message" fails to appear, it does not mean a document is counterfeit.
    It means the recipient should check for additional features.

    Florida Statutes

    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 Laser Prescription Paper meet and exceed all State and Medicaid Requirements

    High Security Prescription Pads meet all Florida State requirements.
    (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.

    All Micro Format SecureGuard Rx Pads contain the following Florida State required security features:
    • Resist erasures and reproductions. The blank is printed on white 60# artificial watermarked paper.
    • Tamper Resistant scripts contain blue background ink that resists reproduction. The color must be consistent on every blank and listed on the blank as a security feature.
    • Display the word VOID if the prescription pad is copied. The language used does not obstruct or render illegible any portion of the drug name, quantity or direction for use.
    • Contain the following information (NOTE: Counterfeit-proof blanks may be sold to licensed healthcare practitioners or facilities who print prescriptions using an Electronic Medical Record System):
      • The preprinted name, address, and category of professional licensure of the prescribing practitioner; and
      • A space for the prescribing practitioner‘s federal Drug Enforcement Administration registration number for controlled substances.
    • List security features and descriptions on the prescription blanks, on he front or reverse side, to assist dispensing pharmacists in detecting forgeries.
    • List a unique batch tracking identification number for each order which is printed on the front of the blank and readily visible. This unique tracking identification number consists of three subsets: (1) a unique alphabetic prefix that readily identifies the vendor, (2) the date of printing, and (3) a batch number. The assigned alpha characters used identifies Micro Format as the vendor and appears first in the tracking identification number in upper case. The date the blank was printed immediately follows Micro Format's unique alpha identifier and is presented in a six character numerical field using the format YRMODY
    • Scripts contain no advertisement on the actual prescription blank.
      Standard size Micro Format script pads measure 5-1/2" wide by 4-1/4" high. However under state regulations, prescriptions may vary in size and style.

    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