The Pharmacist's Information Resource www.RxSecurityFeatures.com
Dedicated to the Prevention of Unauthorized Script Duplication and Modification

The Pharmacist's Information Resource
for validating Prescription Paper Security Features

"When there is a question about any aspect of the prescription order, the pharmacist should contact the prescriber for verification or clarification."

Tamper Resistant
Rx Security Feature Directory

Medicaid and State Specific Information

Rx Security Information

  • Security Warning Bands and Boxes
  • Hidden Message Technology
  • Artificial Watermark
  • Toner Bond Security
  • Anti-Copy Coin Rub
  • Erasure Protection
  • Batch Number Identification
  • UV Security - black light
  • Secure Rub Color Change Ink
  • Micro Line Security

  • Multi-Part Scripts
    (not a security feature)

    Rx Security Features with images



  • High Security Paper
    Information


    Definition of CONTROLLED SUBSTANCES

    CONTROLLED SUBSTANCES ACT

    The move from Schedule III to Schedule II of highly addictive hydrocodone combination painkillers, such as Vicodin, took effect October 6, 2014.
    The Controlled Substances Act places drugs into five categories. Drugs in Schedule I, such as LSD and heroin, are determined by the Food and Drug Administration to have no medical use and are illegal. Drugs in Schedule II have an accepted medical use, but also have high potential for abuse.

    SecureGuard™ Rx Prescription Paper Products meets and exceed the NEW FDA Recommendations for prescribing controlled substance prescriptions.


    MEDICAID REQUIREMENTS


    In 2008, in an effort to eliminate Prescription Fraud, The Centers for Medicare and Medicaid Services (CMS) implemented a comprehensive tamper resistant Rx Script Program.
    The reason Medicaid requirements were put in 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.
    Full compliance with the rules and regulations set forth in the The Centers for Medicare and Medicaid Services (CMS) program is now mandatory.

    All MEDICAID Prescriptions MUST be written on Tamper Resistant Paper.
    To comply, all Medicaid Scripts must contain One or More industry-recognized features from each of THREE CATEGORIES of Security as specified by CMS.

    Micro Format and Secure Guard Prescription Paper Products
    meet and exceed Medicaid Tamper Resistant Requirements for all three categories.

    In addition, Micro Format, Inc., is an approved manufacturer of Secure Prescription Paper
    in every State in which approval is required.

    What are the Medicaid "Tamper Resistant" Prescription Requirements?

    For a prescription to be considered "Tamper Resistant,"
    prescriptions must contain at least one feature in each of three categories.

    • 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?
    1. Category One
      • Void Pantograph background (Hidden Message Technology)
      • Reverse Rx Symbol
      • Micro Printing
      • Artificial Watermark on back of script
      • Coin Activated Ink
    2. 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
    3. 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

    DELAWARE


    New laws relative to Medical Prescription Paper took effect in the State of Delaware March 1, 2012

    All Rx Paper printers must State of Delaware approved manufacturers for Rx Paper products, may only sell prescription paper products to those authorized by the State of Delaware can purchase Rx Paper products. The Prescriber's Security Code must be presented to the Rx Paper Provider at the time an order for script paper is placed.


    Rx Paper Information
    As posted on the
    State of Delaware website

    Delaware Tamper-Resistant Prescription Pad
    Update on Prescription Pad Law


    Quick Reference Guide ~ General Information

    Effective March 1, 2012, ALL written prescriptions must be on tamper-resistant security prescription forms printed by a vendor registered with the Division of Professional Regulation. The forms must contain specific security features (16 Del. C. §4797 (c)). Because there is no single format, pharmacists and prescribers need to be aware of the required security features.
    Description of Security Features and Form Requirements
    These features are a requirement, not optional (including those shown with **).

    Prescription forms ARE REQUIRED BY LAW for each practitioner, group practice or institution. The printing on each form must include name, street, city, state, zip code, telephone number, and the prescriber´s Delaware professional license/registration number. Computer software can print the actual prescriber´s/institution´s name and other required information.

    • Repetitive Void Pattern - The word "VOID" to appear in a pattern across the entire face of the prescription form when it is scanned, photocopied or faxed.
    • Watermark - A printed watermark consisting of the words "Delaware Security Prescription," which is visible to the human eye at a 45-degree angle, must be printed on the back of the prescription blank.
    • Coin Reactive Ink - The words "Delaware Security Prescription" must appear on the back of the prescription when rubbed with a coin.
    • **Chemical Void - To prevent alteration by chemical washing, this feature causes a "VOID" pattern to appear when any area of the form is exposed to ink solvent (i.e., acetone).
    • Thermochromic Ink Feature - The back of the prescription must contain a friction-activated ink feature (e.g., RX) in several locations that will disappear or change color when rubbed. It should return to its original color when cooled.
    • Solid-Colored Background
    • Security Back Print - The back of the prescription must include a chart listing all of the security features.
    • Signature Lines -Two signature lines must be printed at the bottom of the face of the form. Under the first line, the words "Substitution Permissible" must be printed. Under the second line, the phrase "In order for a brand name product to be dispensed, the prescriber must hand write Brand Necessary or Brand Medically Necessary in the space provided" (24 Del.C §549).
    • Refill Indicator
    • Controlled Substance - Only one controlled substance may be listed on each prescription form. The quantity must be written in both number and text format (e.g., #35 (thirty-five)).Serial Numbers - A unique serial number must be printed on each form. No two forms may have the same serial number. Forms for Authorized Institutional Providers
    • **Laser Computer Printed Script Paper requires Toner Lock to prevent lifting toner from paper surface
    Institutions such as hospitals may register with the Division of Professional Regulation (DPR) to purchase prescription forms on behalf of their licensed practitioners with prescriptive authority. (See Application for Authorization to Purchase Tamper-Resistant Prescription Forms as an Institutional Provider.) If the prescriber´s name is not preprinted on a form purchased by the institution, the form must provide a blank area for the actual prescriber to write, stamp, print his or her name, license number and federal controlled substance registration number (when applicable). Physician´s Assistants ~ Prescriptions must include printed or legible handwritten names of both the licensed Physician´s Assistant and his/her supervising physician as explained in 24 Del. C §1770A and §1771.

    GEORGIA


    Georgia Board of Pharmacy - July 2013 UPDATE

    Under current State of Georgia Regulations,
    the only Georgia Prescription Requirement is that Rx Scripts used in the State of Georgia must meet Medicaid requirements.

    However Georgia Scripts printed on security script paper that meets previous Georgia regulations insures that the prescriptions issued are unique, meet all security and Medicaid requirements, and are issued on paper that is ONLY AVAILABLE for purchase by those in the State of Georgia medical community.

    • SecureGuard™ Tamper Resistant Laser Script Security Features Include:

      • Gray Security Background
        The word "VOID" appears when script is photocopied
      • Identifier Production Batch Number in the margin on the front of the sheet
      • Consecutive Number as required by Georgia Law in the upper left-hand corner of the sheet.
      • Erasure Protection
        White Mark appears when erased with ink eraser
      • Security Watermark on back of sheet
        Hold on 45 degree angle to light to view
        When duplicated - Artificial Watermark is not visible on copy
      • Coin activated Security on back of script
        Rub with coin to validate script
        coin activated security
      • Security Feature Warning Box on back of sheet
        Security Features listed in warning box on reverse side of script
      • Reverse Rx
        Rx Symbol drops out when photocopied
        Reverse Rx
      • Black Georgia Seal of Approval in the lower right-hand corner of scripts
        Georgia Seal
      • Gray Rx SecureGuard border along edge of sheet
      • UV Security Watermark
        Invisible Images are visible when viewed under black light

    FLORIDA


    Effective July 1, 2011, all prescriptions for controlled substances written in the State of Florida must be on tamper resistant prescription paper
    and purchased from a Florida Department of Health approved printer.

    Secure Guard™ Tamper Resistant Rx Paper Products meet and exceed all Florida State and Medicaid Requirements.

    SecureGuard™ Rx Paper Products are manufactured by a Florida Department of Health approved manufacturer for tamper resistant Rx Paper products.


    Secure Guard™ Florida Rx Paper ~ Tamper Resistant Security Features Include:
    • Tamper Resistant SECURITY FEATURES INCLUDE:

      • 60# Security Offset Paper

      • Unique Production Batch Number MUST APPEAR on the FRONT of every Script.
        This number must contain the THREE LETTERS (State Assigned printer identification),
        followed by 6 numbers which represent Year Month Day followed by the printers job identification number.
        There are to be no spaces, dashes or symbols nor any additional letters.
        i.e. ABC1111110000
        In this example the batch number shows Florida Authorized Printer #ABC
        Date printed is November 11, 2011
        The printers job number is 0000

      • Blue Security Background
        The word "VOID" appears when script is photocopied
      • Erasure Protection
        White Mark appears when erased with ink eraser
      • Acid Free Bond
        Prevents paper color deterioration
      • Security Watermark on back of sheet
        Hold on 45 degree angle to light to view
        When duplicated - Artificial Watermark is not visible on copy
      • Coin activated Security on back of Laser Scripts
        Rub with coin to validate script
      • Security Feature Warning Box on back of sheet
        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.

      If a "Hidden Message" fails to appear, it does not mean a document is counterfeit.
      It means the recipient should check for additional features.

      FAQ ~ Frequently Asked Questions


    WASHINGTON


    Effective July 1, 2010, all prescriptions written in Washington State must be on tamper resistant prescription paper (TRPP).

    Secure Guard™ Tamper Resistant Rx Paper Products meet and exceed all Washington State and Medicaid Requirements.

    SecureGuard™ Rx Paper Products are manufactured by a Washington State approved manufacturer for tamper resistant Rx Paper products.

    Secure Guard™ Washington Rx Paper
    Security Features (pdf file)

    Washington RCW 18.64.500 applies only to written medication prescriptions written in Washington State. Prescriptions written in another state are not required to be on Washington State Board of Pharmacy approved tamper resistant prescription paper or pads with the seal.
    Secure Guard™ Washington Rx Paper ~ Tamper Resistant Security Features Include:
    • Gray Security Background
      The word "COPY" appears when script is photocopied
    • Erasure Protection
      White Mark appears when erased with ink eraser
    • Small Production Coded Batch Number in margins on back of sheet
    • Security Watermark on back of sheet
      Hold on 45 degree angle to light to view
      When duplicated - Artificial Watermark is not visible on copy
    • Coin activated Security on back of script
      Rub with coin to validate script
    • Security Feature Warning Box on back of sheet
      Security Features listed in warning box on reverse side of script
    • Reverse Rx
      Rx Symbol drops out when photocopied
      Reverse Rx
    • Secure Rub Color Change Ink
      Green Washington State Seal AND Green Rx letters along edge of sheet change to Yellow briefly when rubbed.

    • UV Security Watermark
      Invisible Images are visible when viewed under black light

    The Pharmacist's Security Feature Information Resource


    Tamper Resistant
    Rx Pads


    Verify Security Features

    Tamper Resistant
    Laser Rx Paper

    Laser Prescription Rx503

    Verify Security Features

    Tamper Resistant
    Thermal Rx Paper Rolls

    Verify Security Features


    "Layer on Layer"™ Tamper Resistant Prescription Paper Features
    The reason for "layers" of security is to insure that if one or more features do not appear to work properly,
    there are additional features to help validate the script.
    Multi Level Tamper Resistant Rx Paper prevents
    Script Duplication, Script Alteration, Script Forgery and Counterfeiting

    The Pharmacist is the last line of defense against phoney prescriptions.
    If in doubt ... CALL THE PRESCRIBING DOCTOR !



    Tamper Resistant Rx Security Features:
    PHARMACIST:
    If a "Hidden Message" fails to appear, it does not mean a document is counterfeit.
    It means the recipient should check for additional features.

    Question ~ I made a copy on my photocopier and the hidden message did not appear. Is this the indication of a counterfeit script?
    Most likely NO.

    Please Read EXPANDED ANSWER


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    • SECURITY WARNING BANDS and BOXES


    PHARMACIST:
    Read the Security Feature Warning Box to identify the security features
    included on the script in question. Various manufacturers may use a
    different mix of security features.
    There are many different ways to
    protect a document.
      The Security Information Box acts as a deterrent to those considering making unauthorized copies.
      • SECURITY BAND™
        A Warning Band on the front of the script describes Rx security features.
      • SECURITY BOX™
        A Warning Box on the back of the script contains a list of Rx security features.


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    • ANTI-COPY ARTIFICIAL WATERMARK™


    PHARMACIST:
    To verify a prescription is an original, turn over the script and tip it toward a light source.
    If the watermark is difficult to view, adjust the angle at which you are holding the script to the light.


    Yellow Highlight Marker Trick

    When rubbing the back of a script with a yellow marker, you may OR may not cause an artificial watermark to appear. It all depends upon the ink used to print the artificial watermark.

    In 2005, all paper was replaced by 92 or higher brightness paper. This brighter paper has made it more difficult to view the artificial watermark.

    For this reason, many security paper manufacturers have added a slight amount of color to the artificial watermark. This produces an artificial watermark that meets all security requirements since it is impossible to duplicate. It is easy to identify and can also be seen at a 45° angle.

    While using a yellow highlight marker may work, it is not a valid test nor recommended for use to validate an artificial watermark.


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    • ANTI-COPY COIN RUB™


      Coin Activated Security Back Print
      Words "VALID" are hidden in circle on the back of the script.

    PHARMACIST:
    Rub a coin over the circle on the back of the script to activate this feature.

    Coin Reactive security coin activated security


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    • TONER BOND™ SECURITY


      Paper Toner Fusion

      When present on Laser Prescription Paper, the feature prevents laser printed information from being removed from the surface of the paper using adhesive tape.

    PHARMACIST:
    When accepting a laser printed prescription, inspect the paper surface for damage under critical information. The act of lifting toner from a laser printed script will remove fibers and damage the paper surface.


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    • PREMIUM ERASURE PROTECTION


      If information is erased using an ink eraser, both the information and the shaded background is removed.

    PHARMACIST:
    Inspect the paper under critical information. The act of trying to remove ink using an ink eraser will cause the background color to be removed along with the ink.


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    • BATCH NUMBER IDENTIFICATION™


      UNIQUE PRODUCTION BATCH NUMBERS
      A Unique Product Identification Number provides positive document identification information.
    PHARMACIST:
    A unique BATCH NUMBER may appear on each production run.
    Batch Numbers may be printed in the margin, on the back
    or in various other locations on a script.


    Unique batch number codes may make it is possible to determine the date and location at which a specific production run was manufactured.

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    • UV SECURE™
      Ultra Violet Light Security


      Words Printed in Secure "UV Ink" on back of sheet are only visible when viewed under "black Light".

    PHARMACIST:
    To verify an original script using this feature, hold the reverse side of the script under a black light.
    The hidden security words will appear.
    The color of the image when viewed under black light may vary depending upon the frequency of the Black light used for viewing.
    Depending upon the black light frequence, the image may appear gray or it may glow green or orange. .

    ===
    Under Normal Light ====Under Black Light
    Words "SECURE SECURE SECURE" appear when viewed under black light.

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    • SECURE RUB™ Color Change Ink Feature


      Red "Rx" disappears briefly when rubbed.
      Color Change Security
      Secure Rub Color Change Security
      This feature may be manufactured using either
      Red OR Blue Color Change Ink.

    PHARMACIST:
    Rub on RED Rx or RED SECURITY BAR.
    Color will change briefly when rubbed.
    Please note, during hot weather, the heat may have caused the color to change.
    In hot weather, to verify this feature, place script in the refrigerator for 30 seconds.
    This will cause the color to return to it's original state.


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    • Micro Line Printing in signature line


      A SECURITY SIGNATURE LINE or BORDER is created using a very small font that requires magnification to become legible.

    PHARMACIST:
    View the Micro Security Line under a magnifying glass.
    Under magnification you can read the words SECURE PRESCRIPTION all run together
    "SECUREPRESCRIPTION"

    Micro Security Line

    Magnified Micro Security Line

    Note: Because of improved high resolution copier technology, it is possible for a "Micro Line" to be accurately duplicated without the words "filling in."

    As with all security features, the fact that a feature fails to work as indicated does not mean a document is counterfeit.
    It means the recipient should check for additional features.

    Magnified Micro Security Line Border

    Micro Line printing may be found as part of the border around the security feature warning box
    on the back of the script. Words are visible under magnifying glass.


  • Does the fact that a script has carbonless copies
    meet any of the Medicaid Security Feature Requirements?

    When considering the Medicaid guide lines
    just because a script has carbon or carbonless copies DOES NOT MEAN THAT THE SCRIPT MEETS MEDICAID REQUIREMENTS.

    A Multi-Part Script in itself, does not meet any of the Medicaid Requirements.
    The value of a multi part script lies in the fact that the signature can be verified. Should there be a question, the original signature can be compared to the signature on the carbonless copy.

    BUT the statue states that all written prescriptions must be "executed on a tamper resistant pad" (paper). Thus, features added to the prescription after they are printed (written) do not meet the requirement of the statute. "

    In this case, the "signature" and the "act of comparing the copy to the original" is the feature that provides the security. Since the "signature" is being added to the script at the time the prescription is being executed, a multi-part pad in itself does not meet the Medicaid Requirements.



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    This web site was prepared by the Document Security Compliance Department at Micro Format, Inc.
    Copyright © Micro Format, Inc., All Rights Reserved
    Micro Format, Inc. ~ 830-3 Seton Court ~ Wheeling, IL 60090
    847/520-4699 ~ In the USA call Toll Free 800-333-0549 ~ FAX 847/520-0197
    E-Mail: Support@RxSecurityFeatures.com