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    		•
    TAMPER RESISTANT
    Secure Laser Prescription ( Rx ) Paper
    for Doctors, Healthcare Professionals & Medical Clinics
    State of Georgia

    SecureGuard™ Secure Laser Rx Papers 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

    December 2011 - UPDATE

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

    Amended December 14, 2011

    ”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 March 31, 2012. This exception for emergencies only applies to prescriptions written before March 31, 2012.”

    The Office of the Secretary of State
    December 14, 2011


    Georgia Law requires all Schedule II controlled substances written by a practitioner must be written on Georgia State Security Paper. ALL OTHER MEDICATIONS can be written on STANDARD TAMPER RESISTANT Rx PAPER

    Directory
    Sheet Size: 8.5in. x 11in.

    Rx580
    Georgia Full Sheet Laser Rx Paper

    Georgia Laser Rx Paper

    • Sheet size: 8-1/2" x 11"
    • 24# Security Paper
    • For use in Laser AND Ink Jet Printers

    Item# RX580
    (Full Sheet)

    Gray Background Georgia State Tamper Resistant Laser Rx Paper
    All Georgia State SecureGuard Rx Paper Products meet and exceed Georgia State Requirements.

    • Secure Guard™ 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
    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
    Rx580 ~ Georgia Full Sheet Laser Rx Paper

    Item# RX580
    (Full Sheet)

    Gray Background
    Georgia State Tamper Resistant
    Laser Rx Paper

    Item# RX580
    1,000 sheets per carton - consecutively numbered
    $100.00 plus shipping by UPS

    Item# RX580
    2,500 sheets per carton - consecutively numbered
    $225.00 plus shipping by UPS

    Rx580-P2
    Georgia Full Sheet Laser Rx Paper
    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

    Item# RX580-P2
    1,000 sheets per carton - consecutively numbered
    $125.00 plus shipping by UPS

    Rx580-P4
    Georgia Full Sheet Laser Rx Paper
    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

    Item# RX580-P4
    1,000 sheets per carton - consecutively numbered
    $125.00 plus shipping by UPS

    Item# RX580-P4
    2,500 sheets per carton - consecutively numbered
    $250.00 plus shipping by UPS

    Rx580-P6 Georgia State Tamper Resistant Laser Prescription Paper


    Allscripts Touchworks compatible

    • Sheet size: 8-1/2" x 11"
    • 24# Security Paper
    • For use in Laser AND Ink Jet Printers

    Item# RX580-P6
    (Full Sheet)

    Gray Background Georgia State Tamper Resistant Laser Rx Paper
    Script in the LOWER Left-Hand Corner of the sheet.

    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 script

      • Consecutive Number as required by Georgia Law in the upper left-hand corner of the script.

      • 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 script
        Georgia Seal

      • Gray Rx SecureGuard border along edge of sheet

      • UV Security Watermark
        Invisible Images are visible when viewed under black light

    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
    Item# RX580-P6
    (Full Sheet with script in the lower left-hand corner of the sheet)

    Gray Background
    Georgia State Tamper Resistant
    Laser Rx Paper

    Item# RX580-P6
    1,000 sheets per carton - consecutively numbered
    $100.00 plus shipping by UPS

    USA flag - Micro Format, Inc. Micro Format, Inc. is a veteran owned company.
    Micro Format SecureGuard Paper™ Products are manufactured in the USA from American Made materials.
    Secure Guard Papers
    Prevent Unauthorized Document Duplication
    with SecureGuardtm,
    the world's leading document security paper products

    SecureGuard™ Security Paper is a Trademark owned by Micro Format, Inc.
    Copyright © 2000-2012 inclusive
    Micro Format, Inc     
    All Rights Reserved 
    Micro Format, Inc. 
    830-3 Seton Court ~ Wheeling, IL 60090 
    847/520-4699 FAX 847/520-0197
    800-333-0549