The Pharmacist's Information Resource
The Pharmacist's Information Resource
for validating Prescription Paper Security Features
Dedicated to the Prevention of Unauthorized Script Duplication and Modification

Compiled from the Center for Medicare and Medicaid Services Guidelines.

  1. Prescription Blank should include a description of security features on the front or back of the script

  2. Prescriptions must be printed on tamper resistant security paper.
    • To identify security paper, hold the prescription to a light source to look for a security watermark on the back of the script.
    • When you photocopy the script, the words "VOID" or "UNAUTHORIZED COPY" may apear in the background on the photocopy. Since hidden words may not always appear on the photo copy, tamper resistant scripts must contain a number of different security features to avoid dulpication.
    • Prescriptions generated by EMR or E-Prescribing must be printed on tamper resistant Rx Paper that contains the required number of security features to prevent unauthorized duplication including erasure and modification prevention.

  3. It is recommended that hand written Rx Scripts have a double check for the quantity ordered.
    This could mean the quantity is specified as a numeric number and is indicated by a check in a numeric range of check boxes.

  4. Each Script should have only one medication to prevent the addition of medications after the prescription is written.

  5. As area of thermochromatic ink (sensitive to heat and changes color) will demonstrate an authentic prescription. The specific area, words or letters will change color when held between two fingers or rubbed briskly. These areas normally are colored and change to white.
    Washington State requires the printed state seal change color from green to yellow.

  6. Prescription may have a consecutive serial number. Pharmacy personnel should review the number and check that they are not repetitive.
    This is not to be confused with a production batch number which is exactly the same on every script in a specific production run.

  7. Prescription Blanks may be duplicate (2 parts). The copy will be retained by the doctor in the patient record file. To verify if the original script has been altered, the pharmacy can call the practice.

  8. Check the front background on the precription blank for a pattern break that will indicate that the script has been cut and taped.


This web site was prepared by the Document Security Compliance Department at Micro Format, Inc.
Copyright © 2007- Micro Format, Inc., All Rights Reserved
Micro Format, Inc. ~ 830-3 Seton Court Wheeling, IL 60090
Phone: 847/520-4699 ~ In USA Toll Free 800-333-0549
Fax 847/520-0197