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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.
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Add an Additional Level of Security
to your prescriptions
with Tamper Evident
Security Hologram Labels
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- 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
- Acid Free Bond
Prevents paper color deterioration
- Coin activated Security on back of script

- 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
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
4 cartons (2,500 sheets per carton)
$175.00 per carton plus shipping by UPS
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For additional information relative to SECURE PRESCRIPTION FORMS,
contact Micro Format, Inc.
Support@4securitypaper.com
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
800-333-0549
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