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

Secure Prescription ( Rx ) Paper
for Doctors, Healthcare Professionals & Medical Clinics

Rx505 Full Sheet (perforated)
Tamper Resistant Prescription Paper

Print prescriptions with your Laser or Ink Jet Printer.

All Micro Format Tamper Resistant Rx Paper Products
meet and exceed ALL Medicaid Requirements.

View Security Features
See how they relate to the 2008 Medicaid Requirements.

Sheet size: 8-1/2" x 11"

24# Paper

Full Horizontal Perforation 5-1/2" from top edge

Lower half of the sheet is for the copy
ONE PRESCRIPTION per sheet

Security Features Include:

Blue Security Background
The word "VOID" appears when script is photocopied

Tamper Resistant Erasure Protection

Coin activated Security on back of script

Security Ghostmark
When duplicated - Ghostmark not visible on copy

Warning Box
Security Features listed in warning box on reverse side of script

It is important to note that copier technology is ever changing.
Thus messages hidden on Document Security Paper will appear most of the time.
However messages cannot be guaranteed to appear 100% of the time
when used with all copiers or scanners.
FAQ ~ Frequently Asked Questions

Not approved for use in the States of New Jersey, Indiana, Kentucky.

This format is approved for use in the State of Florida

This format may be used in the State of California ONLY for prescribing Non-Controlled Substance medications
Rx505 Secure Tamper Resistant Laser Prescription Paper

RX505
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

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

For additional information relative to SECURE PRESCRIPTION FORMS,
contact Micro Format, Inc.
Support@4securitypaper.com

Rx505 Full Sheet (perforated) Tamper Resistant Prescription Paper

Rx505 Full Sheet (perforated)
Tamper Resistant Prescription Paper