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Tamper-Resistant Rx Blanks

Tamper-Resistant Rx

To be considered tamper-resistant for Medicaid, a prescription form must contain all 3 characteristics.

One or more industry recognized features designed to prevent:

  1. Copying – unauthorized copying of a completed or blank prescription form
  2. Erasure – the erasure or modification of information written
  3. Counterfeit – the use of counterfeit
    prescription forms

Tamper-Resistant Rx Blanks exceed the minimum Medicaid requirements.

Secure

Secure Rx with 8 security features: heat sensitive verification box, coin reactant ink, the word "security" in microprint, visible fibers in paper, invisible fluorescent fibers in paper, watermark, chemical sensitivity and void pantograph

Copy-proof

Copy-proof Rx with 6 security features: blue pattern background, microprint signature line, void pantograph, security border lists features, reverse Rx and quantity range check boxes

Alter-proof

Alter-proof Rx with 5 security features: thermochromic ink strip, blue pattern background, microprint signature line, void pantograph and security border

State Regulated Rx Blanks

State Regulated Rx Blanks
  • Complies with CMS guidelines and state
    regulated requirements
  • Qualifies for controlled substance prescriptions

DOWNLOAD order form template for your state!

Fill out the order form and mail or fax it:

  • Mail To:
    Medical Arts Press
    P.O. Box 43200
    Minneapolis, MN 55443-0200
  • Fax To:
    800-328-0023

Order online:

We offer custom Rx blanks to fit your exact needs! Please call 800-328-2179 for assistance and any additional questions!

©2013 Medical Arts Press® All rights reserved. Questions? E-mail or call us toll-free, 1-800-328-2179.

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