Wise offers both stock and custom prescription pads. Our stock
prescription pads have ten security features and exceed the
requirements mandated by the Centers for Medicare and Medicaid
Services (CMS). To be considered tamper-resistant, a prescription
pad must have at least one security feature of each characteristic
below:
• One or more industry-recognized features designed to prevent
unauthorized copying of a completed or blank prescription form.
• One or more industry-recognized feature designed to prevent
the erasure or modification of information written on the
prescription by the prescriber.
• One or more industry-recognized feature designed to prevent
the use of counterfeit prescription forms.
All states are required to meet the baseline standards set forth
by the CMS. Several states have Prescription Monitoring Programs
that require prescription pads to have specific security features.
For in-depth information regarding specific state requirements go
to wbf.com.
Providers Affected• All physicians, practitioners, and other
providers who prescribe Medicaid
outpatient drugs, including over-the-counter drugs, in states
that reimburse for prescriptions.
• Pharmacists and pharmacy staff especially should be aware of
this requirement as it may affect reimbursement for
prescriptions.
• Applicable regardless of whether Medicaid is the primary or
secondary payer of prescriptions being filled.
• Many states require all prescriptions for controlled
substances to be written on tamper-resistant paper whether for a
Medicaid patient or not.
• 3 Business Days After Proof Approval
• Sizes: 4.25 x 5.5 (Vertical)
5.5 x 4.25 (Horizontal)
• Rush Delivery Available
• Order from 4 to 80 One-Part Pads
• Blue or Green Background
• Black Ink Imprint
• Available in Georgia Only
See back for standard security features
STOCK RX PADS
• 5-7 Day Delivery
• 1-7 Color Printing
• Padding
• Booking
• Multi-part
• Custom Sizes
CUSTOM RX PADS
Prescription Pads
print technology services
wbf.com • [email protected]
WISE - GA(888) 815-9473
WISE - IN(888) 817-9473
WISE - ME(800) 866-6560
WISE - PA(888) 813-9473
DATATEL (800) 245-2688
BRANDMARK (864) 225-2350
print technology services
Polar Class Solvent Reactivity
Bleach and Oxidizer Reactivity
Non-polar Class Solvent Reactivity
Acd Reactivity
Base Reactivity
Prescription Pads
PRIMARYINDICATOR STAINSThis measure protects against alteration
by changing color when exposed to polar class solvent reactivity
(approx 30 solvents). Providing easy recognizable signs of
attempted alteration.
PRINTLOC® TONER ADHESIONSaturation treatment on both sides of
paper prevents toner removal by scraping, tape or creasing.
INVISIBLE FLUORESCENT FIBERSVisible only under UV light; help
confirm a document’s authenticity because they can’t be photocopied
or scanned.
HEAT SENSITIVE RX SYMBOLThe Rx symbol changes color when rubbed
or heated.
SECURITY FEATURES LISTING ON BACKAdvises the recipient of the
security features on the document. Allows the recipient to verify
and reject it if the features do not match the listing.
SECURITY FEATURESAs experts in the field of document security,
we are your source for secure prescription pads.
ARTIFICIAL WATERMARKThis technique creates a subtle reflective
pattern visible when viewed at different angles. The image can’t be
scanned or copied, or reproduced with digital printers.
VOID PANTOGRAPHWhen an attempt to photocopy or scan is made, the
“VOID” will show up on the copied or scanned check. This process is
effective against most black and white and color copiers.
ERASABLE INK
Provides a clear visual indication if someone attempts to alter.
If an attempt is made to alter the information by erasing it, the
colored background disappears.
MICRO-PRINTING
Extremely small type (.010) is typically used in the signature
line. It appears as a straight line to the naked eye but can be
verified under magnification. When copied or scanned, the type
becomes a solid line.
REVERSE RX
Rx Symbol drops out when photocopied to appear white.
wbf.com • [email protected]
WISE - GA(888) 815-9473
WISE - IN(888) 817-9473
WISE - ME(800) 866-6560
WISE - PA(888) 813-9473
DATATEL (800) 245-2688
BRANDMARK (864) 225-2350
print technology services
