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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.
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Effective 1/1/19 the California Department of Justice requires that all California controlled substance prescriptions include a serial number that is unique to each individual prescription printed in order to heighten security. Sterling Business Forms strives to be current on all ongoing changes to state regulated prescription pad requirements to keep your customers in compliance. Prescription Pads produced before this time-frame are NO LONGER COMPLIANT. Thus, as of January 1, 2019: (1) Each controlled substance security prescription form used for prescribing on or after that date must include a unique serialized number in an approved format (Health & Safety Code, § 11162.1, subdivision (a)(15)); and (2) No person shall prescribe a controlled substance on or after that date, nor fill, compound, or dispense a prescription for a controlled substance written on or after that date, without this security feature (Health & Safety Code, § 11164, subdivision (a)). Serial numbers must include a 3 digit alpha code (SCF) provided by the Department of Justice, followed by the production date (YYMMDD), followed by sequential numbering based on the number of prescriptions running for that day, beginning with A00001 for each specific day.

Note: This new security feature will be added to existing prescription forms and will not replace any other security features or numbering currently used. Download the PDF HERE or visit https://www.pharmacy.ca.gov for more info.

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)
8 1/2 x 5 1/2 landscape (1 or 2 parts)
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
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Example Pad
calsecrx2
Example Pad
calsecrx4
Example Pad
calsecrx4b
 
Example Pad
calsecrx4c

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