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State and Federally Mandated Security Prescription Pads
NOW AVAILABLE!

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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.
    ks9586

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!

    check  VOID PANTOGRAPH

       check  THERMOCHROMIC INK

    check  CHEMICAL VOID

       check  MICROPRINTING

    check  OPAQUE WATERMARK

       check  SECURITY REVERSE RX LOGO

    check  LOT NUMBER

       check  SEQUENTIAL NUMBER

    check  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.

    Example Pad
    calsecrx
    Example Pad
    calsecrx2
    Example Pad
    calsecrx4
    Example Pad
    calsecrx4b
     
    Example Pad
    calsecrx4c

    Why Choose Sterling?
    • Low Prices!
    • Fast Turn Time!
    • Excellent Customer Service!