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