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Ask for SECURE GUARDTM Document Security Papers
from your local QUICK PRINTER, DIGITAL PRINTER or COPY CENTER
Manufactured by Micro Format, Inc. - Wheeling IL 60090
The State of Georgia

Rx PAPER for use in the State of Georgia

Effective October 1, 2011, every hard copy prescription drug order for any Schedule II controlled substance written in this state by a practitioner must be written on security paper.

Full details ....
State of GEORGIA
O.C.G.A. 26-4-80.1

Micro Format is a Georgia State Approved Provider for Tamper Resistant Rx Paper Products

"In the event a prescription pad or paper containing the Board seal, sequential numbering, and a lot number is not available for the prescription and a medical health emergency exists, a prescription may be issued on paper meeting the requirements for approval for an amount of medication to cover not more than 30 days. The prescription must contain a statement that an emergency exists. All providers must have the board-approved security paper by December 31, 2011. This exception for emergencies only applies to prescriptions written before December 31, 2011."

The Office of the Secretary of State
September 22, 2011

Micro Format is a Georgia State Approved
Manufacturer and Provider for Rx Paper Products.
All Georgia State SecureGuard Rx Paper Products
meet and exceed Georgia State Requirements.
Directory
Sheet Size: 8.5in. x 11in.
For additional
INFORMATION and AVAILIBILITY
Contact Micro Format Secure GuardTM Paper at
866/561-5511


Georgia Rx Pad Base Stock - Security Features (pdf file)


To become an AUTHORIZED SecureGuard
Georgia Rx Pad Printer
contact Micro Format SecureGuard at
866-561-5511
or submit your
AUTHORIZED SecureGuard Rx Pad PRINTER Request on line.

Micro Format is a Georgia State approved provider of Rx Paper Products. When modified by an authorized Secureguard Distributor, SecureGuard Rx Pad Paper meets and exceeds all Georgia State and Medicaid Requirements.
Georgia SecureGuard Rx Pad base stock is in stock and ready to ship to approved SecureGuard Distributors.

GEORGIA RX PAD BASE STOCK

Rx585 ~ SecureGuard™
Tamper Resistant
Rx Pad Base Stock

Tamper Resistant Security Features
MEET and EXCEED Georgia Requirements.


  • Hidden Message Technology™
    "VOID" Background Technology
    When a prescriptions printed on Secure Guard Prescription Pad Paper has been copied, the word "VOID" appears on the photocopy in background.

  • Georgia SEAL OF APPROVAL printed in the corner of each script as required by Georgia State law.

  • Secure Rub™ Color Change Ink
    Strip of RED Rx symbols in margin disappears briefly when rubbed.

  • Anti-Copy Watermark™
    An artificial watermark is printed on the back of each sheet.
    This watermark will not appear on a copy when the document is duplicated.
    Hold to light on a 45 degree angle to view watermark.

  • ANTI-COPY COIN RUB™
    An "Anti Copy Security Mark” is hidden on the back of the sheet
    as part of the artificial watermark. Rub a coin over the back of the sheet to activate this feature.
    Tamper Resistant Coin Activated Security

  • Distinctive "GRAY SECURITY background"
    Distinctive BLUE Background provides "ERASURE" Protection

  • Batch Number Protection™
    A "Production Number" is printed on the back of every sheet of Secure Guard Prescription Pad Paper.

  • Reverse Side Warning Box
    A Document Security Feature Warning Box appears in four (4) positions on the back of each sheet.

Warning Box appears in four positions on back of sheet.
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.

Minimum Wholesale Order ~ 1 carton
A State Resale Certificate Number will be required to place an order.

This product listed on this web page is
available for necessary modification by SecureGuard™ Approved Georgia Printers.
To meet Georgia State Rx Pad Requirements
approved printers are required to add:

  • Identification Number
  • Consecutive Number (start with 001)
Secure Guard™ Tamper Resistant Rx Paper Products
meet and exceed ALL Georgia State Requirements

Georgia Law REQUIRES that base stock used to print Prescription Pads must contain the Georgia State Seal of Approval.
By law, this seal must be applied at the time the Rx Pad Base Stock is manufactured.
The Georgia Seal of Approval may not be printed at the time the pads are printed with the doctor's information.

Rx585
SECURE GUARD™
Prescription Pad Base Stock

  • 8-1/2" x 11" sheets
  • 24# bond (60# offset)
  • Ready to imprint and pad
  • Sold full carton quantities
  • 2,500 sheets per carton

PRE COLLATED SETS
Rx585-2part
SECURE GUARD™
Carbonless Prescription Pad Base Stock

  • Pt 1 Secure Rx Base Stock ~ 20#(CB)
  • Pt 2 Blank Canary - 20#(CF)

  • 8-1/2" x 11" sheets
  • Ready to imprint and pad

  • 1,250 sets per carton
    		•

    All SecureGuard™ Pre Collated Set Carbonless Paper
    for use with both Padding Glue
    and with "Fan-A-Part" compound.
    Tamper Resistant Rx Pads meet all 2009 Medicaid Requirements Rx Paper Base Stock available for printing One and Two Part Scripts
    (Georgia Paper not shown above)

    GEORGIA RX LASER STOCK

    Item# RX580
    8-1/2" x 11" sheet
    (Full Sheet)

    Gray Background Georgia State Tamper Resistant Laser Rx Paper

    Laser Prescription Rx580
    All Georgia State SecureGuard Rx Paper Products meet and exceed Georgia State Requirements.

    • Secure GuardTM 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
        (Not shown on the image above>

      • Consecutive Number as required by Georgia Law in the upper left-hand corner of the sheet.
        (Not shown on the image above>

      • 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

    Item# RX580
    1 carton
    (2,500 sheets per carton)
    Consecutively Numbered

    Rx580-P2
    Georgia Full Sheet Laser Rx Paper
    8-1/2" x 11" sheet
    Perforated in Half

    Rx580-P2
    Rx580-P2

    • SecureGuard™ Tamper Resistant Laser Script Security Features Include:

      • All of the Security Features as on Rx580 Full Sheet

      • Identifier Production Batch Number in the margin in two positions on the front of the sheet

      • Consecutive Number as required by Georgia Law in the upper left-hand corner of each sheet.
        (two positions)

    Item# RX580-P2
    (Perforated in Half)

    Gray Background
    Georgia State Tamper Resistant
    Laser Rx Paper

    Rx580-P4
    Georgia Full Sheet Laser Rx Paper
    8-1/2" x 11" sheet
    Perforated in Quarters

    • SecureGuard™ Tamper Resistant Laser Script Security Features Include:

      • All of the Security Features as on Rx580 Full Sheet

      • Identifier Production Batch Number in the margin in four positions on the front of the sheet

      • Consecutive Number as required by Georgia Law in the upper left-hand corner of each sheet.
        (four positions)

    Item# RX580-P4
    (Perforated in Quarters)

    Gray Background
    Georgia State Tamper Resistant
    Laser Rx Paper

    Copyright © 2011-2012 Micro Format, Inc.
    All Rights Reserved
    Micro Format, Inc.
    830-3 Seton Court ~ Wheeling IL 60090
    Phone: 866/561-5511