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  • |~LASER Rx Paper~|~ Medical Statements and Envelopes~|~Patient Sign-In Logs~|

    Custom Imprinted
    Tamper Resistant

    INDIANA 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.
    Tamper Resistant Rx PADS for DOCTORS
    and MEDICAL CLINICS

    Micro Format Tamper Resistant Rx Pads meet the October 1, 2008 Medicaid Requirements.


    The following is an excerpt from the August 2007 letter sent to all State Medicaid Directors;

    "Several States have laws and regulations concerning mandatory, tamper-resistant prescription pad programs, which were in effect prior to the passage of section 7002(b). CMS deems that the tamper-resistant prescription pad characteristics required by these States' laws and regulations meet or exceed the baseline standard, as set forth above."


    Protect your medical prescriptions from unauthorized duplication with
    High Security Prescription Pads
    (Available 1 part and 2 part)



    Standard Format Rx Pads are approved for issuing "fraud proof" Medicaid Scripts.

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


    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 below.

    SECURE PRESCRIPTION PAD PRICE LIST
    To ORDER - CLICK ON "Add to your Shopping Card"
    Number of Pads Required
    One Part
    (single script) Pads
    100 scripts/pad
    Two Part
    Pads
    50 sets/pad
    Part 2 printed with no security
    20 pads
    1 part-100 sheets/pad

    2 part-50 sets/pad

    20 pads
    ONE
    PART
    SCRIPTS
    $6.25
    per pad
    plus shipping

    by UPS

    Click to PURCHASE this item


    20 Pads WITH
    NUMBERING
    $10.10/pad

    Click to PURCHASE this item

    20 pads
    TWO
    PART
    SCRIPTS
    $8.10
    per pad
    plus shipping

    by UPS

    Click to PURCHASE this item


    20 Pads WITH
    NUMBERING
    $12.35/pad

    Click to PURCHASE this item

    40 pads
    1 part-100 sheets/pad

    2 part-50 sets/pad

    40 pads
    ONE
    PART
    SCRIPTS
    $4.50
    per pad
    plus shipping

    by UPS

    Click to PURCHASE this item


    40 Pads WITH
    NUMBERING
    $8.35/pad

    Click to PURCHASE this item

    40 pads
    TWO
    PART
    SCRIPTS
    $7.35
    per pad
    plus shipping

    by UPS

    Click to PURCHASE this item


    40 Pads WITH
    NUMBERING
    $11.20/pad

    Click to PURCHASE this item

    80 pads
    1 part-100 sheets/pad

    2 part-50 sets/pad

    80 pads
    ONE
    PART
    SCRIPTS
    $3.25
    per pad
    plus shipping

    by UPS

    Click to PURCHASE this item


    80 Pads WITH
    NUMBERING
    $7.10/pad

    Click to PURCHASE this item

    80 pads
    TWO
    PART
    SCRIPTS
    $5.20
    per pad
    plus shipping

    by UPS

    Click to PURCHASE this item


    80 Pads WITH
    NUMBERING
    $9.05/pad

    Click to PURCHASE this item

    160 pads
    1 part-100 sheets/pad

    2 part-50 sets/pad

    160 pads
    ONE
    PART
    SCRIPTS
    $2.85
    per pad
    plus shipping

    by UPS

    Click to PURCHASE this item


    160 Pads WITH
    NUMBERING
    $6.70/pad

    Click to PURCHASE this item

    160 pads
    TWO
    PART
    SCRIPTS
    $4.20
    per pad
    plus shipping

    by UPS

    Click to PURCHASE this item


    160 Pads WITH
    NUMBERING
    $8.05/pad

    Click to PURCHASE this item


    Under our licensing agreement, all orders for Document Security Paper are reviewed and the information provided is confirmed by our Document Security Compliance Team.
    The use of Script Paper is controlled by Federal and State Agencies. Any attempt to purchase script documents by unauthorized persons or by persons providing falsified information will be reported to the proper authorities for prosecution to the full extent of the law.

    Acceptance of any and all orders for Document Security Paper is at the discretion of the Micro Format Document Security Compliance Team.



    Micro Format Tamper Resistant Rx Pads meet and exceed the October 1, 2008 Medicaid Requirements.

    This link will provide additional information on the
    Requirement for Use of Tamper Resistant Prescription Pads Under the Medicaid Program, under Section 1903b(i) of the Social Security Act (42 USC193b(i), paragraph (23)


    Micro Format Secure Rx Pads contain the following security features:

  • Hidden Message Technology ~
    "VOID" pantograph

  • Distinctive BLUE Colored Background

  • Blue background Erasure Protection

  • Security watermark on reverse side of prescription

    Thanks to multiple security features, it is virtually IMPOSSIBLE TO ACCURATELY DUPLICATE a script written on Micro Format Security Script paper.


    It is important to note that copier technology is ever changing. Thus messages hidden on all Document Security Paper, including Secure Prescription Paper, will appear most of the time. However "hidden VOID messages" cannot be guaranteed to appear 100% of the time when used with all copiers or scanners.

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


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


    Copyright © 2000-2007 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