Wisconsin

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SecureGuard prescription pads use layer-upon-layer security technology to protect you, your practice and your reputation from prescription fraud. Our tamper-resistant prescription pads for Wisconsin meet and exceed state, federal, and Medicaid compliance regulations, and are available in two formats:

Rx610 for Multiple Medications - This prescription pad format is designed for use when prescribing one or more medications.

Rx620 for Single Medications - This prescription pad format is designed for use when prescribing only one medication, and includes the following text at the bottom of the prescription "PRESCRIPTION IS VOID IF MORE THAN ONE (1) PRESCRIPTION IS WRITTEN PER PAGE".

 

RX610 Prescription Pads

rx610_1120x880

  • This prescription pad is designed for use when prescribing one or more medications per form.
  • This format is available as either a One-Part Script or a Two-Part Script: One-Part Pads have the secure prescription and contain 100 sheets per pad. Two-Part Pads have the secure prescription and a blank yellow carbonless copy. They contain 50 sets per pad and include a protective wrap-around cover.
  • Consecutive Numbering: Select YES if you would like your prescriptions numbered. There is an additional charge for numbering.
  • Back Print: Select YES if you need additional providers or addresses printed on the backside of the prescription. There is an additional charge for back printing.
  • 20 Pads Per Pack

    • VIEW DETAILS

RX620 Prescription Pads

Rx620_1120x880

  • This prescription pad is designed for use when prescribing one medication per form.
  • This format is available as either a One-Part Script or a Two-Part Script: One-Part Pads have the secure prescription and contain 100 sheets per pad. Two-Part Pads have the secure prescription and a blank yellow carbonless copy. They contain 50 sets per pad and include a protective wrap-around cover.
  • Consecutive Numbering: Select YES if you would like your prescriptions numbered. There is an additional charge for numbering.
  • Back Print: Select YES if you need additional providers or addresses printed on the backside of the prescription. There is an additional charge for back printing.
  • 20 Pads Per Pack

    • VIEW DETAILS
 

Security Notes

Laws relative to medical prescription paper took effect on July 1, 2013. Per those regulations, 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 The Centers for Medicare and Medicaid Services (CMS). Micro Format Inc., the manufacturer of SecureGuard prescription papers, produces prescription pads to meet these requirements. This site is designed for use by doctors, healthcare professionals and medical clinics. Proper documentation is required to purchase from this site and all orders are reviewed for compliance. Any attempt to purchase prescription papers by unauthorized persons or by persons providing falsified information will be reported to the proper authorities for prosecution to the full extent of the law.