Custom Imprinted Tamper Resistant ![]() DELAWARE PRESCRIPTION PADS ![]()
Micro Format is a Delaware State approved |
Rx Paper Information |
All Prescription Pad Orders MUST BE ENTERED ON LINE We cannot accept orders for prescription pads by Fax. |
Micro Format Delaware Rx Pads meet and exceed all Delaware State and Medicaid Requirements. Micro Format Secure Rx Pads contain the following security features:
(Available 1 part and 2 part)
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Note: Delaware Law requires that ”Only one Controlled Substance listed on each prescription form.”
NOTE: Part 2 is BLANK on two part scripts.
For security .... Part 2 must never be mistaken as an original.
- 24# Defensa Design Safety Paper
- Print Lock Toner Grip
- Hidden Message Technology ~ "VOID" pantograph
- Distinctive BLUE Colored Background
- Blue background Erasure Protection
- Security watermark on reverse side of prescription
- Unique Production Batch Number
- Consecutive Number as required by law
- Delaware Security Artificial Watermark
- Security Warning Information specifying security features
- No deliveries will be made to a private residence.
- All Suspicious orders WILL BE REPORTED to the Delaware Division of Professional Regulation.
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.
SecureGuard Delaware Rx Pads meet and exceed all Delaware and Medicaid Requirements
Micro Format is a Delaware Approved printer for State Approved Rx Paper.
SECURE Rx PAD PRICE LIST
Rx625
To ORDER - CLICK ON
"Add to your Shopping Cart"
Order 1 part Pads Below
100 scripts per padOrder 2 part Pads Below
50 sets per pad20 Pads
one part
WITH
NUMBERING
$11.00 per pad
plus shipping
Rx625
Click to PURCHASE this item20 Pads
two part
WITH
NUMBERING
$13.50 per pad
plus shipping
Rx625
Click to PURCHASE this item40 Pads
one part
WITH
NUMBERING
$8.90/padRx625
Click to PURCHASE this item40 Pads
two part
WITH
NUMBERING
$11.80/padRx625
Click to PURCHASE this item80 Pads
one part
WITH
NUMBERING
$7.50/padRx625
Click to PURCHASE this item80 Pads
two part
WITH
NUMBERING
$8.75/padRx625
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 VOID messages" cannot be guaranteed to appear 100% of the time when used with all copiers or scanners.
Add an Additional Level of Security
with Tamper Evident
Security Hologram Labels
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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
Meets Federal and State Regulations.SELF EXPIRING LABELS, VISITOR and NAME BADGES
Self Expiring Visitor Name Badge
with Record Copy
PATIENT SIGN-IN LOGS
SecureGuard™Patient
Sign-In Form
Each "Sign-In Log" includes 20 sign-in label strips
Under our licensing agreement, all orders for Document Security Paper are reviewed and the information provided is confirmed by our Document Security Compliance Team.
The use of Script Paper is controlled by Federal and State Agencies. Any attempt to purchase script documents 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 Document Security Paper is at the discretion of the Micro Format Document Security Compliance Team.
For additional information relative to SECURITY PRESCRIPTION FORMS,
contact Micro Format, Inc. support@RxPaper.com
State of Delaware approved Rx Pad Base Stock
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Delaware State Approved Rx Pad Commercial Printers
Click Here
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