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Custom Imprinted Tamper Resistant
WASHINGTON PRESCRIPTION PADS

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.
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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.
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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.
SECURE Washington State Rx PAD PRICE LIST
PC4-WA
To ORDER - CLICK ON "Add to your Shopping Cart"
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Order 1 part Pads Below
100 scripts per pad |
Order 2 part Pads Below
50 sets per pad with
Wrap-A-Round Cover
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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
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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
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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
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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
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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
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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
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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
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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
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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.
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
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