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Florida
Tamper Resistant Secure Laser Prescription ( Rx ) Paper for Doctors, Healthcare Professionals & Medical Clinics

FLORIDA TAMPER RESISTANT LASER PRESCRIPTION (Rx) PAPER
Micro Format, Inc. is a Florida Department of Health AND Florida Agency for Health Care Administration "approved printer" of Secure Prescription Paper Products.
- Rx forms used for prescribing Medicaid reimbursed medications
must be purchase from a Florida State Medicaid Board approved printer.
- All controlled substances must be written on scripts obtained from Florida Department of Health approved printers.
- Micro Format Secure Prescription Paper contains all of the features required by the Florida State Legislation.
- Frequently Asked Questions from the Florida Department of Health
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.
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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
At the time your order is placed, a unique batch number for your order will be printed on the front of your laser script paper before your order is shipped.
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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.
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New Regulations in the State of Florida require that we print a unique batch number on the front of each script.
Please allow at least 7 days from the time we receive your order for printing and shipping. We appreciate your orders.
Florida Statutes
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Directory
Sheet Size: 8.5in. x 11in.
- Tamper Resistant SECURITY FEATURES INCLUDE:
- Sheet Size: 8-1/2" x 11"
- For use with Laser or Ink Jet Printers.
- 60# Security Offset Paper
- Unique Production Batch Number for your order
printed on the front of each script
- Blue Security Background
The word "VOID" appears when script is photocopied

- Erasure Protection
White Mark appears when erased with ink eraser
- Small Production Coded Batch Number in margins on back of sheet
- Acid Free Bond
Prevents paper color deterioration
- Security Watermark on back of sheet
Hold on 45 degree angle to light to view
When duplicated - Artificial Watermark is not visible on copy
- Coin activated Security on back of script
Rub with coin to validate script

- Security Feature Warning Box on back of sheet
Security Features listed in warning box on reverse side of script
It is important to note that copier technology is ever changing.
Thus messages hidden on Document Security Paper will appear most of the time.
However messages cannot be guaranteed to appear 100% of the time
when used with all copiers or scanners.
FAQ ~ Frequently Asked Questions
- Item# FL-RX503
8.5in. x 11in.
Blue Background Tamper Resistant Laser Rx Paper

Item# FL-RX503
1000 sheets per package
$ 120.00 plus shipping by UPS
1 carton (2,500 sheets per carton)
$262.50 plus shipping by UPS
2 cartons (2,500 sheets per carton)
$250.00 per carton plus shipping by UPS
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- Item# FL-RX503G
8.5in. x 11in.
Green Background Tamper Resistant Laser Rx Paper
Item# FL-RX503G
1000 sheets per package
$ 120.00 plus shipping by UPS
1 carton (2,500 sheets per carton)
$262.50 plus shipping by UPS
2 cartons (2,500 sheets per carton)
$250.00 per carton plus shipping by UPS
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Add an Additional Level of Security with Tamper Evident Security Hologram Labels
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Item# Blue Background FL-Rx503-P4
8.5in. x 11in.
(perforated to yield 4 scripts when detached)

Click to Enlarge FL-Rx503-P4 image
Secure Tamper Resistant Laser Prescription Paper ~ 4 scripts per sheet
1000 sheets per package
$ 130.00 plus shipping by UPS
1 carton (2,500 sheets per carton)
$287.50 plus shipping by UPS
2 cartons (2,500 sheets per carton)
$275.00 per carton plus shipping by UPS
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Add an Additional Level of Security with Tamper Evident Security Hologram Labels
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Item# Blue Background Rx503-P3
8.5in. x 11in.
(perforated to yield 3 scripts (8-1/2" x 3-2/3") when detached)

Click to Enlarge FL-Rx503-P3 image
Secure Tamper Resistant Laser Prescription Paper ~ 3 scripts per sheet
1000 sheets per package
$ 130.00 plus shipping by UPS
1 carton (2,500 sheets per carton)
$287.50 plus shipping by UPS
2 cartons (2,500 sheets per carton)
$275.00 per carton plus shipping by UPS
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Add an Additional Level of Security with Tamper Evident Security Hologram Labels
Return to Directory
Item# Blue Background FL-Rx503-P2
8.5in. x 11in.
(perforated to yield 2 scripts when detached)
Item# Green Background Rx503G-P2
(perforated to yield 2 scripts when detached)

Click to Enlarge FL-Rx503-P2 image

- Item# FL-RX503-P2
8.5in. x 11in.
Blue Background Tamper Resistant Laser Rx Paper
Item# FL-RX503-P2
1000 sheets per package
$ 130.00 plus shipping by UPS
1 carton (2,500 sheets per carton)
$287.50 per carton plus shipping by UPS
2 cartons (2,500 sheets per carton)
$275.00 per carton plus shipping by UPS
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- Item# FL-RX503G-P2
8.5in. x 11in.
Green Background Tamper Resistant Laser Rx Paper
Item# FL-RX503G-P2
1000 sheets per package
$ 130.00 plus shipping by UPS
1 carton (2,500 sheets per carton)
$287.50 per carton plus shipping by UPS
2 cartons (2,500 sheets per carton)
$275.00 per carton plus shipping by UPS
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Add an Additional Level of Security with Tamper Evident Security Hologram Labels
Return to Directory
Item# Blue Background FL-Rx503-C4
8.5in. x 11in.
(cut into quarters - script size 4-1/4" x 5-1/2")
Secure Tamper Resistant Laser Prescription Paper - Each Sheet Cut into 4 Scripts
1000 sheets per package (yield 4,000 scripts per package)
$ 140.00 plus shipping by UPS
1 carton (2,500 sheets per carton - yield 10,000 scripts per carton)
$312.50 plus shipping by UPS
2 cartons (2,500 per carton - yield 10,000 scripts per carton)
$300.00 per carton plus shipping by UPS
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Add an Additional Level of Security with Tamper Evident Security Hologram Labels
Return to Directory
Item# Blue Background FL-Rx503-C2
8.5in. x 11in.
(cut in half - script size 5-1/2" x 8-1/2")

Secure Tamper Resistant Laser Prescription Paper - Each Sheet Cut into 2 Scripts
1000 sheets per package (yield 2,000 scripts per package)
$ 140.00 plus shipping by UPS
1 carton (2,500 sheets per carton - yield 5,000 scripts per carton)
$312.50 plus shipping by UPS
2 cartons (2,500 sheets per carton - yield 5,000 scripts per carton)
$300.00 per carton plus shipping by UPS
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Add an Additional Level of Security with Tamper Evident Security Hologram Labels
Return to Directory
Item# Blue Background FL-Rx503-P5
8.5in. x 11in.
Landscape Script in Top Left-Hand Corner of Sheet
Special Perforated FULL SHEET Prescription Paper
to yield script one script 5-1/2" x 4-1/4"

Click to Enlarge Rx503-P5 image

Horizontal perforation 4-1/4" from top edge
Vertical perforation 5-1/2" from left edge
Secure Tamper Resistant Laser Prescription Paper - Script in Top Left-Hand Corner
1000 sheets per package
$ 130.00 plus shipping by UPS
1 carton (2,500 sheets per package)
$287.50 plus shipping by UPS
2 cartons (2,500 sheets per package)
$275.00 per carton plus shipping by UPS
|
Add an Additional Level of Security with Tamper Evident Security Hologram Labels
Return to Directory
Item# Blue Background FL-Rx503-P6
8.5in. x 11in.
Landscape Script in Bottom Left-Hand Corner of Sheet
Special Perforated FULL SHEET Prescription Paper
to yield script one script 5-1/2" x 4-1/4"

Click to Enlarge FL-Rx503-P6 image

Horizontal perforation 4-1/4" from bottom edge
Vertical perforation 5-1/2" from left edge
Secure Tamper Resistant Laser Prescription Paper - Script in Bottom Left-Hand Corner
1000 sheets per package
$ 130.00 plus shipping by UPS
1 carton (2,500 sheets per package)
$287.50 plus shipping by UPS
2 cartons (2,500 sheets per package)
$275.00 per carton plus shipping by UPS
|
Add an Additional Level of Security with Tamper Evident Security Hologram Labels
Return to Directory
For additional information relative to SECURITY PRESCRIPTION FORMS,
contact Micro Format, Inc.
Support@4securitypaper.com
Copyright © 2001- 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
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