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    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

    Gold Security Hologram Labels

    secureguardpaper banner
    When printing Scripts using a Laser printer, the script template will need to include TWO signature lines.
    The South Carolina Pharmacy Practice Act states that ...
    a prescription pad shall have two (signature) lines, with the line on the left stating "dispense as written"
    and the line on the right stating "substitution permitted."
    State of South Carolina

    Acceptable Secure Laser Rx Papers for use in the State of South Carolina
    Rx503 Tamper Resistant Laser Script Paper
    Rx503
    8-1/2" x 11" full sheet
    Tamper Resistant script

    Laser Script Rx503 front
    Front

    Laser Script Rx503 back
    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)

    Rx503-P2small

    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
    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
    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"

    Rx503-P5

    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"

    Click to Enlarge Rx503-P6
    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

    Tamper Resistant Laser Rx Paper Laser Script Paper
    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
    USA flag - Micro Format, Inc. Micro Format, Inc. is a veteran owned company.
    Micro Format SecureGuard Paper Products are manufactured in the USA from American Made materials.
    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