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Rx Prescription Paper Base Stock Sales Sheet (pdf file)
Micro Format, Inc., is an approved manufacturer of Secure Prescription Paper nationwide.
We understand the law as it applies to printing prescription pads for EVERY state.
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Print and pad SECURE GUARD TM Prescription Pad Paper the same as you would if you were printing on plain paper
Click for Security Features on Rx503T
as they relate to Medicaid requirements.
Tamper Resistant Security Features MEET and EXCEED ALL Medicaid Tamper Resistant Paper Requirements.
- Hidden Message TechnologyTM
"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.
- Secure RubTM Color Change Ink
Strip of RED Rx symbols in margin disappears briefly when rubbed.
- Anti-Copy WatermarkTM
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 RUBTM
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.

- Distinctive "BLUE SECURITY background"
Distinctive BLUE Background provides "ERASURE" Protection
- Batch Number ProtectionTM
A Production "Batch Number" is printed on 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.
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Closer View of Warning Box
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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.
Question
I made a copy on my photocopier and the hidden message did not appear.
Please READ answer
- Sold full carton quantities
- Ready to imprint and pad
- 8-1/2" x 11" sheets (2,500 sheets per carton)
- 11" x 17" sheets (1,250 sheets per carton)
- Pre-Collated Sets ~ 8-1/2" x 11" sheets (1,250 sets per carton)
PRE COLLATED SETS With STUBS Rx504T-2pt
SECURE GUARDTM
Carbonless Prescription Pad Base Stock - for printing 2 part sets with a binding stub
- Pt 1 Secure Rx Base Stock ~ 20#(CB) with Stub Perforations
- Pt 2 Blank Canary - 20#(CF) full sheet with NO Perforations
- 9-1/2"" x 11" sheets with stubs
- 1,250 sets per carton
- Ready to imprint, pad and book
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FRONT OF SHEET
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BACK OF SHEET
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Rx503T-11x17
SECURE GUARDTM
Prescription Pad Base Stock
- 11" x 17" sheets
- 24# bond (60# offset)
- 1,250 sheets per carton
- Ready to imprint and pad
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PRE COLLATED SETS Rx503T 11x17-2pt
In Stock ---READY TO SHIP
SECURE GUARDTM Carbonless Prescription Pad Base Stock
Pt 1 Secure Rx Base Stock ~ 20#(CB)
Pt 2 Blank Canary - 20#(CF)
11" x 17" sheets
Ready to imprint and pad
625 sets per carton
Pre-Collated Sets
For Use with PADDING Glue and WITH "FAN-A-PART" compound.
Item #RX503T2P17
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Indiana Base Stock
MEETS all Medicaid Regulations

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Rx503-IN-base
SECURE GUARDTM
8-1/2" x 11" sheets
Indiana State Prescription Pad base stock
Blue pre-printed Indiana Format on security background
Indiana watermark on back of sheet
For use only in the State of Indiana
2,500 sheets per carton
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Rx503IN-2pt
SECURE GUARDTM
Carbonless Indiana State Prescription Pad base stock
8-1/2" x 11" sheets
Part 1 (CB) Blue pre-printed Indiana Format on security background
Indiana watermark on back of part 1
Part 2 (CF) White pre-printed Indiana Format
For use only in the State of Indiana
1,250 sets per carton
Pre-Collated Sets
For Use with Padding Glue.
and with "Fan-A-Part" compound.
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Kentucky Base Stock
MEETS all Medicaid Regulations

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Rx503-KY-base
SECURE GUARDTM Kentucky State Approved Prescription Pad base stock
8-1/2" x 11" sheets
Green pre-printed Kentucky Format on security background
Kentucky watermark on back of sheet
For use only in the State of Kentucky
2,500 sheets per carton
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Rx503KY-2pt
SECURE GUARDTM
Carbonless Kentucky State Prescription Pad base stock
8-1/2" x 11" sheets
Part 1 (CB) Green pre-printed Kentucky Format on security background
Kentucky watermark on back of part 1
Part 2 (CF) Blank Canary
For use only in the State of Kentucky
1,250 sets per carton
Pre-Collated Sets
For Use with Padding Glue.
and with "Fan-A-Part" compound.
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CALIFORNIA SECURETM Prescription Pad Base Stock
meets California Department of Justice requirements
for use by Approved Rx Pad Printers.
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- 8-1/2" x 11"
- 60# offset
- latent repetitive void pantograph
- Chemical Reactivity
CALIFORNIA SECURETM meets the security base stock requirements
for use by APPROVED Rx Pad Printers in the State of California.
California Department of Justice approval
California Secure is manufactured using one of the best and newest latent repetitive void pantograph patents.
Chemical protection - Chemical Reactivity in the paper to prevent Chemical Washing.
Chemical Sensitivity to High Polarity Solvents ~ Low Polarity Solvents ~ Oxidants ~ Acids ~ Alkalis
California Security Printer Policies and Procedures state that approved Security Printers may not purchase stock paper with pre-printed features and/or prescription format.
Security Printers can ONLY purchase blank stock that incorporates the latent repetitive void pantograph and chemical reactivity protection.
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As a California approved Security Printer, you must have the facilities and equipment necessary to apply all of the security features required in Health and Safety Code section 11162.1 to produce controlled substance security prescription forms.
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Item #RC100
60# offset
2,000 sheets per carton
IN STOCK and READY TO SHIP
When it is necessary to print a 2 part prescription,
California Secure Rx Paper works well with any SELF-CONTAINED Carbonless paper.
Self Contained Carbonless Paper is available from you local Paper Merchant.
Attention California Approved Rx Pad Printers ....
For your User ID and to purchase CALIFORNIA SECURE Rx Pad Base Stock
send e-mail to
userID@SecureGuardPaper.com
or Call (866)561-5511
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