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It is my understanding that if you are writing prescriptions for Medicaid you MUST use tamper resistant security paper that must contain one or more industry-recognized features from each of THREE CATEGORIES of Security as specified by CMS. Many states, including Georgia, require the use of security paper for printing Schedule II prescriptions. Other scripts for non-narcotic drugs may be printed on plain white paper.
I’m very familiar with CMS guidelines. Your understanding is partially correct, hospitals and clinics must use tamper resistant security paper IF they are not printing Medicaid prescription on blank laser paper.

To make a long story short, guidance released by the Medicaid Director on July 17th of 2008 contains information which indicates it’s not necessary to use tamper resistant paper only if you use a printing system which contains one feature from each of the three categories specified.

So that means if you would like to print prescriptions on blank laser paper, you need to integrate the following into your printing system:

1. Copy resistance: Print a pantograph. The work “Void” appears when photocopied. Custom pantographs can be produced to comply with State specific requirements.
2. Erasure/Modification resistance: Elements of the variable data can be used to produce unique data across the back of the prescription, such as patient name, drug being prescribed, quantity, etc.
3. Counterfeit resistance: This is rather simple. A list of security features printed on the prescription so pharmacist can validate the integrity of the prescription.
Not certain I understand the point here - seems that you can comply either by using security paper or through software - I think most healthcare providers will choose the simpler route of putting paper in the paper tray versus installing new drivers!

Regardless, I know there are many providers out there using security paper and there may also be many using software to comply.

In the future under Obamacare the government will probably mandate paperless scripts anyway - just my opinion...
The point is pretty simple. Based on CMS guidance released July 17th 2008, prescription can be printed on blank laser paper. This means cost savings for many healthcare organizations by not having to purchase the expensive tamper resistant paper.

E-prescribting adaptation remains low. We are releasing a new solution which will allow the printing of prescription on blank laser paper which will be compatible with ANY laser and MFP printer. No software is required. Our solution will work with their existing print architecture. Changing print drivers may not be necessary, but if it is, its not really considered a challenge.

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