The Prescription Pad form is a crucial document used by healthcare providers to prescribe medications to patients. This form ensures that prescriptions are clear, accurate, and legally compliant, facilitating safe medication use. Understanding its components and proper usage is essential for both healthcare professionals and patients alike.
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Counterfeit-Proof Prescription Pad Sample
SPECIFICATIONS FOR FRONT OF RX PAD
NAME OF PRACTITIONER oR HOSPITIAL oR FACILITY
ADDRESS I CITY, STATE ZIP I TELEPHONE
DEA# _____□
NONACUTE PAIN
ACUTE PAIN EXCEPTION D
NAME: ___________________
ADDRESS: _____________ DATE: ___
____________ CATEGORY OF LICENSURE
SIGNATURE
XXXYRMODYBATCH
PRESCRIBER
INFORMATION
LOCATION
DEA NUMBER/ NONACUTE PAIN/
ACUTE PAIN EXCEPTION
PATIENT
BACKGROUND
INK
SECURITY
FEAllJRES
CATEGORY
OF LICENSURE
SECURITY FEAllJRES MAY BE PRINTED ON FRONT OR BACK OF RX PAD
IJRJTYINFot-ER.E< _URITYlNFOHER.ESECI.JflJTYINFOHER.ES :URJTrlNFOHER.ESECURITYlNF0HER.E9c<'.JRITYINFOOER.ES :URfTYINFOHER.ESBIRITYINFOHER.ESECURrrlNFOH
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SECURITY FEAllJRES HERE:
!i,
- Resist erasures and reproductions
- The blank must be printed on artificial waterrnarl<ed paper
- Contain blue or green background ink that resists reproduction
- Ink changes color when rubbed with a coin
- Display the word "VOID" or"IU.EGAL" ifthe prescription pad is copied
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1)
The name of the healthc.are practitioner or hospital or facility
DETAILS OF EACH SPECIFICATION BELOW
7) The print vendor's unique tracking number must include three subsets:
2)
Physic.al address of the healthc.are practitioner or hospital or facility
3)
A space for the DEA number (this information c.an also be printed on the script)
1. a unique alpabetic prefix that readily identifies the vendor
and a place to indicate if the prescription is for the treatment of
2. the date of printing (YRMODY)
pain other than acute pain or for indicating acute pain exceptions.
3 • a batch number assigned by the vendor
4)
A space for patient information and the date the prescription was written
Tracking number must be anywhere on the front and readily visible
5)
Blue or Green background ink that resists reproduction
8) List of security features, which may be printed on front or back of prescription pad
6)
Category of Licensure for prescribing practitioner (may be abbreviated or spelled out
(features listed on sample above are the minimum requirements)
e.g. MD or Medic.al Doctor)
The Prescription Pad form is commonly used in healthcare settings to provide patients with medication instructions. Several other forms and documents often accompany this form to ensure proper documentation, communication, and compliance with regulations. Below is a list of these documents, each with a brief description.
These forms and documents play a crucial role in ensuring effective patient care and maintaining accurate medical records. Proper use of these documents can facilitate communication between healthcare providers and patients.