Rx Pads Guide By State

Category 1 – One of more industry-recognized features designed to prevent unauthorized copying of a completed or blank prescription form. - “Void” or “Illegal” pantograph - Reverse “Rx” or white area on prescription - Coin-reactive ink - Security back print - Watermarking (forderiner) - Diagonal lines (patented “VOID”) - Micro printing STANDARD RX PADS (cont.) Category 2 – One or more industry-recognized features designed to prevent the erasure or modification of information written on the prescription by the prescriber. - Uniform non-white background color - Quantity check off boxes - Refill Indicator (circle or check number of refills or “NR”) - Pre-print “Rx is void if more than ____ Rx’s on paper” on prescription paper - Quantity border and fill (for computer generated prescriptions on paper only) - Refill border and fill (for computer generated prescription on paper only) - Chemically reactive paper - Paper toner fuser - Safety or security paper with colored pattern

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