Secure Guard Papers
www.PrescriptionPaper.com
www.RxPaper.com
www.ScriptPaper.com

Tamper Resistant
Secure Laser Prescription
( Rx ) Paper


for Doctors, Healthcare Professionals & Medical Clinics

All Micro Format Prescription Paper Products
meet and exceed ALL Medicaid Requirements.

View Features
See how they relate to Medicaid Requirements.
Add an
Additional Level of Security
to your prescriptions
with Tamper Evident
Security Hologram Labels

Gold Security Hologram Labels



Print prescriptions with your Laser or Ink Jet Printer.

Directory
Sheet Size: 8.5in. x 11in.


FULL SHEET Tamper Resistant Laser Prescription Paper

Tamper Resistant Rx Laser Paper

  • Sheet size: 8-1/2" x 11"
  • 24# Security Paper

  • Not approved for use in the States of Alaska , Delaware, Florida, Georgia, Indiana, Kentucky, Maine, New Jersey, New York, Washington
  • This format may be used in the State of California ONLY for prescribing Non-Controlled Substance medications
  • Meets ALL Medicaid Requirements.
    View Security Features and how they relate to the Medicaid Requirements.
    • Item# RX503
      8.5in. x 11in.
      Blue Background Tamper Resistant
      Laser Rx Paper

      Laser Prescription Rx503

    Item# RX503
    500 sheets per package
    $ 60.00 plus shipping by UPS


    1000 sheets per package
    $ 80.00 plus shipping by UPS


    1 carton (2,500 sheets per carton)
    $187.50 plus shipping by UPS


    2 cartons (2,500 sheets per carton)
    $175.00 per carton plus shipping by UPS


    4 cartons (2,500 sheets per carton)
    $150.00 per carton plus shipping by UPS


    • Item# RX503G
      8.5in. x 11in.
      Green Background Tamper Resistant
      Laser Rx Paper

    Item# RX503G
    500 sheets per package
    $ 60.00 plus shipping by UPS


    1000 sheets per package
    $ 80.00 plus shipping by UPS


    1 carton (2,500 sheets per carton)
    $187.50 plus shipping by UPS


    2 cartons (2,500 sheets per carton)
    $175.00 per carton plus shipping by UPS


    4 cartons (2,500 sheets per carton)
    $150.00 per carton plus shipping by UPS


    Add an Additional Level of Security with
    Tamper Evident Security Hologram Labels


    Return to Directory

  • Item# Blue Background Rx503-P4
    8.5in. x 11in.
    (perforated to yield 4 scripts when detached)
    Click to Enlarge Rx503-P4
    Click to Enlarge Rx503-P4 image


    VIEW FEATURES

    Secure Tamper Resistant Laser Prescription Paper ~ 4 scripts per sheet
    500 sheets per package
    $ 70.00 plus shipping by UPS


    1000 sheets per package
    $ 90.00 plus shipping by UPS


    1 carton (2,500 sheets per carton)
    $212.50 plus shipping by UPS


    2 cartons (2,500 sheets per carton)
    $200.00 per carton plus shipping by UPS


    4 cartons (2,500 sheets per carton)
    $175.00 per carton plus shipping by UPS


    Add an Additional Level of Security with Tamper Evident Security Hologram Labels


  • Return to Directory

  • Item# Blue Background Rx503-P3
    8.5in. x 11in.
    (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


    VIEW FEATURES

    Secure Tamper Resistant Laser Prescription Paper ~ 3 scripts per sheet
    500 sheets per package
    $ 70.00 plus shipping by UPS


    1000 sheets per package
    $ 90.00 plus shipping by UPS


    1 carton (2,500 sheets per carton)
    $212.50 plus shipping by UPS


    2 cartons (2,500 sheets per carton)
    $200.00 per carton plus shipping by UPS


    4 cartons (2,500 sheets per carton)
    $175.00 per carton plus shipping by UPS


    Add an Additional Level of Security with Tamper Evident Security Hologram Labels


  • Return to Directory

  • Item# Blue Background 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 Rx503-P2
    Click to Enlarge Rx503-P2 image


    VIEW FEATURES

    • Item# RX503-P2
      8.5in. x 11in.
      Blue Background
      Tamper Resistant
      Laser Rx Paper

      Rx503-P2small

    Item# RX503-P2
    500 sheets per package
    $ 70.00 plus shipping by UPS


    1000 sheets per package
    $ 90.00 plus shipping by UPS


    1 carton (2,500 sheets per carton)
    $212.50 per carton plus shipping by UPS


    2 cartons (2,500 sheets per carton)
    $200.00 per carton plus shipping by UPS


    4 cartons (2,500 sheets per carton)
    $175.00 per carton plus shipping by UPS


    • Item# RX503G-P2
      8.5in. x 11in.
      Green Background
      Tamper Resistant
      Laser Rx Paper

    Item# RX503G-P2
    500 sheets per package
    $ 70.00 plus shipping by UPS


    1000 sheets per package
    $ 90.00 plus shipping by UPS


    1 carton (2,500 sheets per carton)
    $212.50 per carton plus shipping by UPS


    2 cartons (2,500 sheets per carton)
    $200.00 per carton plus shipping by UPS


    4 cartons (2,500 sheets per carton)
    $175.00 per carton plus shipping by UPS


    Add an Additional Level of Security with Tamper Evident Security Hologram Labels


    Return to Directory

  • Item# Blue Background Rx503-C4
    8.5in. x 11in.
    (cut into quarters - script size 4-1/4" x 5-1/2")

    VIEW FEATURES

    Secure Tamper Resistant Laser Prescription Paper - Each Sheet Cut into 4 Scripts
    500 sheets per package (yield 2,000 scripts per package)
    $ 70.00 plus shipping by UPS


    1000 sheets per package (yield 4,000 scripts per package)
    $ 90.00 plus shipping by UPS


    1 carton (2,500 sheets per carton - yield 10,000 scripts per carton)
    $212.50 plus shipping by UPS


    2 cartons (2,500 per carton - yield 10,000 scripts per carton)
    $200.00 per carton plus shipping by UPS


    4 cartons (2,500 per carton - yield 10,000 scripts per carton)
    $175.00 per carton plus shipping by UPS


    Add an Additional Level of Security with Tamper Evident Security Hologram Labels


  • Return to Directory

  • Item# Blue Background Rx503-C2
    8.5in. x 11in.
    (cut in half - script size 5-1/2" x 8-1/2")

    VIEW FEATURES

    Secure Tamper Resistant Laser Prescription Paper - Each Sheet Cut into 2 Scripts
    500 sheets per package (yield 1,000 script per package)
    $ 70.00 plus shipping by UPS


    1000 sheets per package (yield 2,000 scripts per package)
    $ 90.00 plus shipping by UPS


    1 carton (2,500 sheets per carton - yield 5,000 scripts per carton)
    $212.50 plus shipping by UPS


    2 cartons (2,500 sheets per carton - yield 5,000 scripts per carton)
    $200.00 per carton plus shipping by UPS


    4 cartons (2,500 sheets per carton - yield 5,000 scripts per carton)
    $175.00 per carton plus shipping by UPS


    Add an Additional Level of Security with Tamper Evident Security Hologram Labels


  • Return to Directory

  • Item# Blue Background 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
    Click to Enlarge Rx503-P5 image


    Horizontal perforation 4-1/4" from top edge
    Vertical perforation 5-1/2" from left edge
    VIEW FEATURES

    Secure Tamper Resistant Laser Prescription Paper - Script in Top Left-Hand Corner
    500 sheets per package
    $ 70.00 plus shipping by UPS


    1000 sheets per package
    $ 90.00 plus shipping by UPS


    1 carton (2,500 sheets per package)
    $212.50 plus shipping by UPS


    2 cartons (2,500 sheets per package)
    $200.00 per carton plus shipping by UPS


    4 cartons (2,500 sheets per package)
    $175.00 per carton plus shipping by UPS

    Add an Additional Level of Security with Tamper Evident Security Hologram Labels


  • Return to Directory

  • Item# Blue Background 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 Rx503-P6
    Click to Enlarge Rx503-P6 image


    Horizontal perforation 4-1/4" from bottom edge
    Vertical perforation 5-1/2" from left edge
    VIEW FEATURES

    Secure Tamper Resistant Laser Prescription Paper - Script in Bottom Left-Hand Corner
    500 sheets per package
    $ 70.00 plus shipping by UPS


    1000 sheets per package
    $ 90.00 plus shipping by UPS


    1 carton (2,500 sheets per package)
    $212.50 plus shipping by UPS


    2 cartons (2,500 sheets per package)
    $200.00 per carton plus shipping by UPS


    4 cartons (2,500 sheets per package)
    $175.00 per carton plus shipping by UPS


  • Ultrasound Thermal Printer Paper

    SecureGuard™ Maxwell on demand Ultrasound Paper for use in hospitals, clinics, OB offices and others. Compatible ultrasound paper for use in Sony and Mitsubishi Ultrasound equipment .


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    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. 
    830-3 Seton Court ~ Wheeling, IL 60090 
    847/520-4699 FAX 847/520-0197
    800-333-0549

    rev 02/15