Sterling Business Forms

State and Federally Mandated Security Prescription Pads
NOW AVAILABLE!

The California Senate Bill 151 and the Medicare / Medicaid Section 7002(b) of the US Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act of 2007, requires that Level II-Level V prescriptions be written on forms that are compliant.

Don't risk having your customers' prescriptions rejected by the pharmacy! We can make sure your practitioners' documents meet these requirements.

California Regulations: Level II - V Controlled Substances Mandated Effective: January 1, 2005 Your prescriptions must be written on Secure Forms and produced by a Secure Vendor.


NEW REQUIREMENTS FOR CALIFORNIA PRESCRIPTION FORMS - (AB 149) A new California law has been enacted that impacts the production and use of controlled substance prescription forms. Assembly Bill 149 (AB 149), which became effective on March 11, 2019, introduces new form features and a corresponding transition period. New Form Features Beginning January 1, 2020, controlled substance prescription forms will require both a serial number and a barcode. Further, as of that date, any serial number will need to be: Compliant with all state and federal requirements; Compliant with current National Council for Prescription Drug Program (NCPDP) Standards; and, Utilizable as a barcode that may be scanned by pharmacists. Transition Period: A transition period was included within AB 149 to support an orderly shift by prescribers to the new forms. Until January 1, 2021, all of the following controlled substance prescription forms will be valid and accepted: Forms valid prior to January 1, 2019, but which do not contain a uniquely serialized number in compliance with Health and Safety Code section 11162.1(a)(15). Forms approved by the Department of Justice as of January 1, 2019. This will include the fifteen (15) digit serialized number format approved by the Department of Justice. Forms produced with the new features introduced by AB 149, including a compliant serial number and a barcode. BEGINNING JANUARY 1, 2021, THE ONLY VALID AND ACCEPTED CONTROLLED SUBSTANCE PRESCRIPTION FORMS WILL BE THOSE POSSESSING A SERIAL NUMBER AND A BARCODE COMPLIANT WITH THE REQUIREMENTS INTRODUCED IN AB 149. For more information contact the SBF Customer Service Team @ 800-759-3676 or email quotes@sbfnet.com
Call NOW to become an approved Sterling Business Forms Prescription Pad Distributor! (800) 759-3676 Click here for a complete listing of approved Prescription Pad Distributors.

	Our Prescription blanks offer:
	SECURITY!

VOID PANTOGRAPH		THERMOCHROMIC INK
CHEMICAL VOID		MICROPRINTING
OPAQUE WATERMARK		SECURITY REVERSE RX LOGO
LOT NUMBER		SEQUENTIAL NUMBER
UNIQUE SERIALIZATION (for California only)

You Choose!
Sizes available: 8 1/2 x 11 portrait (1 part only)
6 5/8 x 4 1/4 landscape (1 or 2 parts) 5 1/2 x 4 1/4 landscape (1 or 2 parts) Click image to download PDF version. Example Only. Finished product may differ in appearance.