With corporate offices located
in Chicago Illinois and with affiliated manufacturing facilities
located in cities across the United States,
Micro Format manufactures
medical prescription paper using the latest technologies to prevent accurate unauthorized document duplication with photocopiers,
scanners or through the use of digital photography.
Micro Format, Inc., is an approved manufacturer of Secure Prescription Paper nationwide.
All Micro Format Rx Paper Products meet and exceed
April 1 and October 1 2008 Medicaid Requirements
April 1, 2008 is the new date to comply
with the Medicaid law
PLACE YOUR ORDER for Tamper Resistant Rx Paper NOW
Medicaid Tamper Resistant Prescription
Federal Law AND UPDATE information from CMS
Tamper Resistant Paper - Article (pdf file)
CLAIRIFICATION PROVIDED BY CMS
(Centers for Medicare and Medicaid Services)
Several States have had questions about whether a provider can add a feature to a prescription to make it compliant with requirements.
States have proposed various features including particular kinds of ink to write the prescription (gel or indelible), writing out the drug quantities rather than just the number (i.e. "thirty" vs "30")
and embossed logos.
The statue states that all written prescriptions must be "executed on a tamper resistant pad" (paper). As a result,
features added to the prescription after they are printed (written) do not meet the requirement of the statute. Features that would make the prescription tamper-resistant include certain types of paper as well as certain items that can be pre-printed on the paper.
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Why is Medicaid requiring security features on all Medicaid prescriptions (scripts) ?
The reason Medicaid requirements have been put is place is simply to prevent Medicaid prescription fraud. Medicaid loses millions and millions of dollars annually due to forged or altered prescriptions.
By making it harder for patients to alter or forge prescriptions, which affects the sale of illegal drugs, it is anticipated that Medicaid can save a significant amount of money. Every Doctor should be concerned about forged and altered prescriptions since it is their signature that appears on the script.
Forged and altered prescriptions affect everyone with higher insurance costs as well as higher state and federal taxes.
What are the Medicaid Requirements -
When do the Medicaid "Tamper Resistant" Prescription Regulations take effect ?
On April 1, 2008 ---
For a prescription form to be considered "Tamper Resistant,"
prescriptions must contain at least 1 of the 3 features listed below.
As of October 1, 2008 ---
For a prescription to be considered "Tamper Resistant,"
prescriptions must contain all three features.
- Category One ~
One or More industry-recognized features designed to prevent unauthorized copying of a completed or blank prescription form.
- Category Two ~
One or More industry-recognized features designed to prevent the erasure or modification of information written on a prescription by the prescriber.
- Category Three ~
One or More industry-recognized features designed to prevent the use of counterfeit prescription forms.
How are "Industry-recognized" security features defined and
what are some of the features that meet the requirements as stated?
- Category One
- Void Pantograph background (Hidden Message Technology)
- Reverse Rx Symbol
- Micro Printing
- Artificial Watermark on back of script
- Coin Activated Ink
- Category Two
- Colored Shaded Pantograph background
- Toner Grip Security Coating
- "Check and Balance" printed features such as
"quantity" check boxes, and space to indicate
"number of medications" written on prescription form
- Category Three
- Security Feature Warning Box and Warning Bands
- Security Back Printing
- Coin Activated Validation
- Batch Number identification
- Secure Rub Color Change Ink
- Consecutive Numbering
The following States which adopted security requirements prior to the Medicaid legislation are not required to make changes to their current program
California, Florida, Indiana, Kentucky, Maine, New Jersey, New York, West Virginia, Wyoming.
All Micro Format and Secure Guard Prescription Paper Products
meet and exceed
all three categories for the 2008 Medicaid requirements.
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View Tamper Resistant Features
Rx Pads ~ Laser Scripts ~ Secure Thermal Paper Rx Rolls
Requirement for Use of Tamper Resistant
Prescription Pads Under the Medicaid Program.
Section 1903b(i) of the Social Security Act (42 USC193b(i), paragraph (23)
(1) Payment shall not be made for amounts expended for medical assistance for covered outpatient drugs
(as defined in section 1927(k)(2)) for which the prescription was executed in written (and non-electronic)
form unless the prescription was executed on tamper- resistant pad (paper)
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Micro Format SECURE GUARDTM Prescription Paper Products, with all of its security features, meets and exceeds the April 1, 2008 Requirements and
all three October 1, 2008 Medicaid Requirements for Tamper Resistant Rx Paper.
This site is designed for use by
DOCTORS, HEALTHCARE PROFESSIONALS and MEDICAL CLINICS
Proper documentation is required to order documents from this web site.
Under our licensing agreement, all orders for Document Security Paper are
reviewed and the information provided is confirmed by our Document Security
Compliance Team. The use of Script Paper is controlled by Federal and State
Agencies. Any attempt to purchase script documents 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 Document Security Paper is at the
discretion of the Micro Format Document Security Compliance Team.
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Rx Pads by State
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Laser Rx Paper by State - | - 
Rx Thermal Rolls by State |
Promotions4Rx -|-FAQ (Frequently Asked Questions)-|-Pharmacist's Script Validation Resource
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