MISSISSIPPI PRESCRIPTION PADS
High Security Prescription Pads
Effective October 1, 2004
all Medicaid Scripts written in the State of Mississippi must be written on "High Security" fraud proof paper.
All Micro Format Prescription Pads are manufactured using "High Security" fraud proof paper.
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
(Available 1 part and 2 part)
All Prescription Pad Orders MUST BE ENTERED ON LINE
We cannot accept orders for prescription pads by Fax. =
TWO FORMATS AVAILABLE.
- Format Rx610
is designed for use when prescribing MORE THAN ONE MEDICATION.
- 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.
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