Washington State Approved Rx Paper

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Ask for SECURE GUARD^TM Document Security Papers from your local QUICK PRINTER, DIGITAL PRINTER or COPY CENTER

Manufactured by Micro Format, Inc. - Wheeling IL 60090

The State of Washington

Rx PAPER for use in the State of Washington

Tamper-Resistant Prescriptions (TRPP)
A new state law passed in 2009 to combat unauthorized, improperly altered and counterfeit prescriptions. (RCW 18.64.500)
Starting July 1, 2010, all prescriptions written in Washington State must be on board-approved tamper-resistant prescription paper or pads (TRPP).
For a comprehensive list of Frequently Asked Questions
relative to the new legislation, Visit the Washington State Board of Pharmacy Web Site at
Board of Pharmacy Q & A

Micro Format is a Washington State Approved Manufcturer and Provider for Rx Paper Products.
All Washington State SecureGuard Rx Paper Products meet and exceed Wasthington State Requirements.

Secure Guard^TM Tamper Resistant Security Features Include:
- Colored Security Background
  The word "COPY" appears when script is photocopied
- Tamper Resistant Erasure Protection
- Reverse Rx (white) on front of script
- Coin activated Security on back of script
  Rub with coin to validate script
- Security Watermark
  When duplicated - Artificial Watermark is not visible on copy
- Warning Box
  Security Features listed in warning box on reverse side of script
- Washington State Seal of Approval appears as required on front of sheet
- Secure Rub^TM Color Change Ink
  Green State Seal and Green Security Rx Symbols
  turn to yellow when Rubbed.

For additional
INFORMATION and AVAILIBILITY
Contact Micro Format Secure Guard^TM Paper at
866/561-5511

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

WASHINGTON RX PAD BASE STOCK

RX506-WB
8-1/2" x 11"
LANDSCAPE
Full Sheet
(Script 4 Ľ” x 5 ˝” in Four Positions)

Laser Prescription Rx506
Front

Back

Rx506WB
2500 Sheets per Carton
Ream Wrapped in 500s
1 carton

RX506WB-2Part
8-1/2" x 11"
LANDSCAPE
Pre-collated Two-Part
CB Full Sheet
Part 1 (Script 4 Ľ” x 5 ˝” in Four Positions)
Part 2 Blank Canary CF
2 part Washington Rx Pad Base Stock

Rx506WB-2PT
2500 Sheets
(1,250 Sets) per Carton
Ream Wrapped in 500s

Rx506WB-11x17
11" x 17" Sheet
(Script 4 Ľ” x 5 ˝” in Eight Positions)

Laser Prescription Rx506

Rx506WB-11x17
1250 Sheets per Carton
Wrapped in 250s

Rx507-WB
8-1/2" x 11"
PORTRAIT
Full Sheet
(Script 4 Ľ” x 5 ˝” in Four Positions)

Washington Prescription Base Stock Rx507
Back
Washington Prescription Rx507 BACK
Back

Rx507WB
2500 Sheets per Carton
Ream Wrapped in 500s

WASHINGTON RX LASER STOCK

Item# RX506
(Full Sheet)
Gray Background
Washington State Tamper Resistant
Laser Rx Paper

Item# RX506
1 carton
(2,500 sheets per carton)

Item# RX506-P2
(Perforated in Half)
Gray Background
Washington State Tamper Resistant
Laser Rx Paper

Item# RX506-P2
1 cartons
(2,500 sheets per carton)

Item# RX506-P4
PORTRAIT
(Perforated in Quarters)
Gray Background
Washington State Tamper Resistant Laser Rx Paper

Item# RX506-P4
1 cartons
(2,500 sheets per carton)

Item# RX506-P5
perforated
(Script Top Left Corner)
Gray Background
Washington State Tamper Resistant
Laser Rx Paper

Item# RX506-P5
1 carton
(2,500 sheets per carton)

RX506-WB 8-1/2" x 11" LANDSCAPE Full Sheet (Script 4 Ľ” x 5 ˝” in Four Positions) Front Back Rx506WB 2500 Sheets per Carton Ream Wrapped in 500s 1 carton	RX506WB-2Part 8-1/2" x 11" LANDSCAPE Pre-collated Two-Part CB Full Sheet Part 1 (Script 4 Ľ” x 5 ˝” in Four Positions) Part 2 Blank Canary CF Rx506WB-2PT 2500 Sheets (1,250 Sets) per Carton Ream Wrapped in 500s
Rx506WB-11x17 11" x 17" Sheet (Script 4 Ľ” x 5 ˝” in Eight Positions) Rx506WB-11x17 1250 Sheets per Carton Wrapped in 250s	Rx507-WB 8-1/2" x 11" PORTRAIT Full Sheet (Script 4 Ľ” x 5 ˝” in Four Positions) Back Back Rx507WB 2500 Sheets per Carton Ream Wrapped in 500s

Item# RX506 (Full Sheet) Gray Background Washington State Tamper Resistant Laser Rx Paper Item# RX506 1 carton (2,500 sheets per carton)	Item# RX506-P2 (Perforated in Half) Gray Background Washington State Tamper Resistant Laser Rx Paper Item# RX506-P2 1 cartons (2,500 sheets per carton)
Item# RX506-P4 PORTRAIT (Perforated in Quarters) Gray Background Washington State Tamper Resistant Laser Rx Paper Item# RX506-P4 1 cartons (2,500 sheets per carton)	Item# RX506-P5 perforated (Script Top Left Corner) Gray Background Washington State Tamper Resistant Laser Rx Paper Item# RX506-P5 1 carton (2,500 sheets per carton)