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

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

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

Gold Security Hologram Labels

Tamper Resistant Laser Prescription Paper
  • 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
Tamper Resistant Laser Rx Paper Laser Rx Paper

  • Security Features Include:

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

    • Tamper Resistant Erasure Protection

    • Acid Free Bond
      Prevents paper color deterioration

    • Coin activated Security on back of script
      Coin Activated security feature

    • Security artificial watermark
      When duplicated - watermark is 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, Washington.
  • 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

    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

    For additional information relative to SECURE PRESCRIPTION FORMS,
    contact Micro Format, Inc.

    Copyright © 2001-2013 inclusive
    Micro Format, Inc
    All Rights Reserved 
    Micro Format, Inc. 
    830-3 Seton Court ~ Wheeling, IL 60090 
    847/520-4699 FAX 847/520-0197