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  • Order Rx Pads Now (scroll down) |~Washington LASER Rx Paper~|~ Washington Thermal Rx Paper Rolls ~|


    Custom Imprinted
    Tamper Resistant

    WASHINGTON PRESCRIPTION PADS

    secureguardpaper banner

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

    Varifiable documentation is required to order from this web site.

    The use of Script Paper is controlled by Federal and State Agencies.
    Any attempt to purchase Rx Paper Products 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 Rx Paper Products is at the discretion of the Micro Format Document Security Compliance Team.


    Washington Tamper-Resistant Prescriptions (TRPP) Legislation A new state law passed in 2009 to combat unauthorized, improperly altered and counterfeit prescriptions.
    (RCW 18.64.500)
    Starting July 1, 2010, all prescriptions written in Washington State must be on board-approved tamper-resistant prescription paper or pads (TRPP).

    State of Washington RCW 69.41.120 requires that
    the words DISPENSE AS WRITTEN must appear
    under the signature line on the RIGHT SIDE of the script.

    the words SUBSTITUTION PERMITTED must appear
    under the signature line on the LEFT SIDE of the script.


    Micro Format is a Washington State approved provider for Rx Paper Products.



    For information and to order
    RCW 6951A - Washington Medical Marijuana Authorization Form

    Micro Format Tamper Resistant Rx Pads meet and exceed ALL Washington State and Medicaid Requirements.

    For a comprehensive list of Frequently Asked Questions
    relative to the new legislation, Visit the Washington State Board of Pharmacy Web Site at
    Washington State Board of Pharmacy Q & A


    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.

    Washington State Script

      Security Features Include:
    • Security Bond Paper
    • Distinctive Gray Security background
    • Hidden Message Security - COPY/FAX appears on copy
    • Artificial Watermark on back of script
    • Micro Format Signature Line
    • Security Feature Warning Band
    • Secure Rub Color Change Ink

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

    SECURE Washington State Rx PAD PRICE LIST
    PC4-WA
    To ORDER - CLICK ON
    "Add to your Shopping Cart"

    Order 1 part Pads Below
    100 scripts per pad
    Order 2 part Pads Below
    50 sets per pad with
    Wrap-A-Round Cover
    20 pads
    ONE PART SCRIPTS
    $8.25 per pad
    plus shipping

    by UPS

    PC4-WA
    Click to PURCHASE this item


    20 Pads
    ONE PART WITH
    NUMBERING
    $10.75 per pad
    plus shipping

    by UPS

    PC4-WA
    Click to PURCHASE this item


    20 pads
    TWO PART SCRIPTS
    $11.00 per pad
    plus shipping

    by UPS

    PC4-WA
    Click to PURCHASE this item


    20 Pads
    TWO PART WITH
    NUMBERING
    $13.50 per pad
    plus shipping

    by UPS

    PC4-WA
    Click to PURCHASE this item


    40 pads
    ONE PART SCRIPTS
    $6.50 per pad
    plus shipping

    by UPS

    PC4-WA
    Click to PURCHASE this item


    40 Pads
    ONE PART WITH
    NUMBERING
    $9.25 per pad
    plus shipping

    by UPS

    PC4-WA
    Click to PURCHASE this item


    40 pads
    TWO PART SCRIPTS
    $9.25 per pad
    plus shipping

    by UPS

    PC4-WA
    Click to PURCHASE this item


    40 Pads
    TWO PART WITH
    NUMBERING
    $10.75 per pad
    plus shipping

    by UPS

    PC4-WA
    Click to PURCHASE this item


    80 pads
    ONE PART SCRIPTS
    $5.75 per pad
    plus shipping

    by UPS

    PC4-WA
    Click to PURCHASE this item


    80 Pads
    ONE PART WITH
    NUMBERING
    $7.00 per pad
    plus shipping

    by UPS

    PC4-WA
    Click to PURCHASE this item


    80 pads
    TWO PART SCRIPTS
    $6.75 per pad
    plus shipping

    by UPS

    PC4-WA
    Click to PURCHASE this item


    80 Pads
    TWO PART WITH
    NUMBERING
    $8.50 per pad
    plus shipping

    by UPS

    PC4-WA
    Click to PURCHASE this item


    160 pads
    ONE PART SCRIPTS
    $5.50 per pad
    plus shipping

    by UPS

    PC4-WA
    Click to PURCHASE this item


    160 Pads
    ONE PART WITH
    NUMBERING
    $7.75 per pad
    plus shipping

    by UPS

    PC4-WA
    Click to PURCHASE this item


    160 pads
    TWO PART SCRIPTS
    $6.50 per pad
    plus shipping

    by UPS

    PC4-WA
    Click to PURCHASE this item


    160 Pads
    TWO PART WITH
    NUMBERING
    8.75 per pad
    plus shipping

    by UPS

    PC4-WA
    Click to PURCHASE this item



    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 COPY messages" cannot be guaranteed to appear 100% of the time when used with all copiers or scanners.


    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

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

    Security Hologram Labels

    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. 
    Phone: 920-859-0500
    Toll Free: 833-322-1882
    Email: CustServ@RxMicroFormat.com
    Address: 1434 Progress Lane, Omro, WI 54963

    rev 2/15