Secure Guard Papers
www.WashingtonRxPaper.com

Tamper Resistant
Washington State
Secure Laser Prescription
( Rx ) Paper


for Doctors, Healthcare Professionals & Medical Clinics

Micro Format is a Washington State Aproved Provider for Prescription Paper Products

Effective July 1, 2010, all prescriptions written in Washington State
must be on board-approved tamper-resistant prescription paper or pads (TRPP).
(RCW 18.64.500)

Micro Format Secure Guard Washington Rx Paper Products
meet and exceed all Washington State and Medicaid Requirements.



Directory


If you are currently using Micro Format SecureGuard Laser Rx Paper ....
you can change to Micro Format SecureGuard approved Washington Laser Rx Paper
without re-programming !!
COMPATIBLITY CHART

FULL SHEET Washington State Tamper Resistant Laser Prescription Paper

Washington State Tamper Resistant Rx Laser Paper


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.
FAQ ~ Frequently Asked Questions

This site is for use by DOCTORS,
HEALTHCARE PROFESSIONALS and MEDICAL CLINICS.
Varifiable Documentation Is Required to order from this web site.

The use of Script Paper is controlled by Federal and State Agencies.
Any attempt to purchase Rx Paper Products 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.

Acceptance of any and all orders for Rx Paper Products is at the discretion of the Micro Format Document Security Compliance Team.



Item# RX506
(Full Sheet)

Gray Background
Washington State Tamper Resistant
Laser Rx Paper

Laser Prescription Rx506

Item# RX506
500 sheets per package
$ 70.00 plus shipping by UPS


Item# RX506
1000 sheets per package
$ 90.00 plus shipping by UPS


Item# RX506
1 carton
(2,500 sheets per carton)
$212.50 plus shipping by UPS


Item# RX506
2 cartons
(2,500 sheets per carton)
$200.00 per carton plus shipping by UPS


Item# RX506-P2
(Perforated in Half)

Gray Background
Washington State Tamper Resistant
Laser Rx Paper

Rx506-P2

Item# RX506-P2
500 sheets per package
$ 70.00 plus shipping by UPS


Item# RX506-P2
1000 sheets per package
$ 90.00 plus shipping by UPS


Item# RX506-P2
1 carton
(2,500 sheets per carton)
$212.50 plus shipping by UPS


Item# RX506-P2
2 cartons
(2,500 sheets per carton)
$200.00 per carton plus shipping by UPS


Item# RX506-C2
(Cut in Half)

Gray Background
Washington State Tamper Resistant
Laser Rx Paper

Laser Prescription Rx506-C2

Item# RX506-C2
500 sheets per package
Yield 1,000 scripts
$ 70.00 plus shipping by UPS


Item# RX506-C2
1000 sheets per package
Yield 2,000 scripts
$ 90.00 plus shipping by UPS


Item# RX506-C2
1 carton
(2,500 sheets per carton)
Yield 5,000 scripts
$212.50 plus shipping by UPS


Item# RX506-C2
2 cartons
(2,500 sheets per carton)
Yield 10,000 scripts
$200.00 per carton plus shipping by UPS


Item# RX506-P4
PORTRAIT
(Perforated in Quarters)

Portrait Script size
4-1/4 x 5-1/2
in Four Positions
Gray Background
Washington State Tamper Resistant
Laser Rx Paper

Laser Prescription Rx506

Item# RX506-P4
500 sheets per package
$ 70.00 plus shipping by UPS


Item# RX506-P4
1000 sheets per package
$ 90.00 plus shipping by UPS


Item# RX506-P4
1 carton
(2,500 sheets per carton)
$212.50 plus shipping by UPS


Item# RX506-P4
2 cartons
(2,500 sheets per carton)
$200.00 per carton plus shipping by UPS


Item# RX506-P5
perforated
(Script Top Left Corner)

Gray Background
Washington State Tamper Resistant
Laser Rx Paper

Laser Prescription Rx506-P5

Item# RX506-P5
500 sheets per package
$ 70.00 plus shipping by UPS


Item# RX506-P5
1000 sheets per package
$ 90.00 plus shipping by UPS


Item# RX506-P5
1 carton
(2,500 sheets per carton)
$212.50 plus shipping by UPS


Item# RX506-P5
2 cartons
(2,500 sheets per carton)
$200.00 per carton plus shipping by UPS


RX506WB-P4
LANDSCAPE
(Perforated in Quarters)

Landscape Script size
5-1/2 x 4-1/4
in Four Positions
Gray Background
Washington State Tamper Resistant
Laser Rx Paper

Laser Prescription Rx506

Item# RX506WB-P4
500 sheets per package
$ 70.00 plus shipping by UPS


Item# RX506WB-P4
1000 sheets per package
$ 90.00 plus shipping by UPS


Item# RX506WB-P4
1 carton
(2,500 sheets per carton)
$212.50 plus shipping by UPS


Item# RX506WB-P4
2 cartons
(2,500 sheets per carton)
$200.00 per carton plus shipping by UPS


For additional information relative to SECURITY PRESCRIPTION FORMS,
contact Micro Format, Inc.

Support@RxPaper.com


www.Paper4Printers.com www.Paper4Printers.com
Your Document Security Paper Merchant

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All Rights Reserved 
Micro Format, Inc. 
830-3 Seton Court ~ Wheeling, IL 60090 
847/520-4699 FAX 847/520-0197
800-333-0549