Ohio Laser Prescription Paper

www.PrescriptionPaper.com
www.RxPaper.com
www.ScriptPaper.com

TAMPER RESISTANT
Secure Laser Prescription ( Rx ) Paper
for Doctors, Healthcare Professionals & Medical Clinics
Micro Format Tamper Resistant Laser Prescription Paper
meet and exceed ALL Medicaid Requirements
SecureGuard™ Rx Prescription Paper Products meets and exceed the NEW FDA Recommendations

Add an
Additional Level of Security
to your prescriptions
with Tamper Evident
Security Hologram Labels


State of Ohio
Acceptable Secure Laser Rx Papers for use in the State of Ohio When printing OHIO Scripts using a Laser printer, the script template will need to include and print the following statement .... This prescription will be filled generically unless prescriber writes "D.A.W." or "Dispense as Written" on the prescription.

Rx503 Tamper Resistant Laser Script Paper
Rx503 8-1/2" x 11" full sheet Tamper Resistant script Front Back	Item# RX503G 8.5in. x 11in. Green Background Tamper Resistant Laser Rx Paper	Rx503-P2 to yield 2 scripts (8-1/2" x 5-1/2") when detached) Blue Background Rx503-P2 (perforated in half)	Item# RX503G-P2 8.5in. x 11in. Green Background Tamper Resistant Laser Rx Paper	Item# Rx503-P3 8.5in. x 11in. Blue Background (perforated to yield 3 scripts (8-1/2" x 3-2/3") when detached) Click to Enlarge Rx503-P3 image
Item# Rx503-P4 8.5in. x 11in. Blue Background (perforated to yield 4 scripts when detached) Click to Enlarge Rx503-P4 image	Item# Rx503-C4 8.5in. x 11in. Blue Background (cut into quarters - script size 4-1/4" x 5-1/2")	Item# Rx503-C2 8.5in. x 11in. Blue Background (cut in half - script size 5-1/2" x 8-1/2")	Item# Rx503-P5 8.5in. x 11in. Blue Background 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" Horizontal perforation 4-1/4" from top edge Vertical perforation 5-1/2" from left edge	Item# Rx503-P6 Blue Background 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" Horizontal perforation 4-1/4" from bottom edge Vertical perforation 5-1/2" from left edge

Additional Approved Laser Rx Paper Formats
Rx510 Laser Script 8-1/2" x 11" with script in top left-hand corner Rx510 SHEET SIZE 8-1/2" x 11" Laser Rx Paper Detached script size 4-1/4" x 5-1/2"	Rx505 Laser Script 8-1/2" x 11" with script in top half of sheet Rx505 SHEET SIZE 8-1/2" x 11" Laser Rx Paper Detached script size 5-1/2" x 8-1/2"	RxEC503 Laser Script 5-1/2" x 8-1/2" sheet 2 scripts per sheet over/under RxEC503 NOTE --- This sheet size is 5-1/2" x 8-1/2" NOT 8-1/2" x 11"

For additional information relative to SECURE PRESCRIPTION FORMS,
contact Micro Format at Support@prescriptionpaper.com

Micro Format, Inc. is a veteran owned company.
Micro Format SecureGuard Paper Products are manufactured in the USA from American Made materials.

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