The Centers for Medicare and Medicaid Services (CMS) previously
said prescriptions printed from electronic medical records (EMRs)
or e-prescribing applications would need special copy-resistant
paper to comply with the tamper-resistant prescription pad
regulation that takes effect Oct. 1.
CMS now says such prescriptions may be printed on plain paper.
For prescriptions to be considered tamper-resistant by CMS, the
federal law specifies that the pad must meet
of the following characteristics by Oct. 1:
Prevent unauthorized copying of completed or blank
Prevent erasure or modification of information written on
the prescription form, and
Prevent the use of counterfeit prescription forms.
CMS has identified at least two features that can be
incorporated into computer-generated prescriptions printed on plain
paper to prevent passing a copied prescription as an original
prescription. One feature would be the use of a very
small font that is readable when viewed at 5x magnification or
greater and illegible when copied. Another feature would be a
"void" pantograph accompanied by a reverse "Rx," which causes a
word such as "Void" to appear when the prescription is
The National Council for Prescription Drug Programs has
developed guidance and examples of best practices and examples of
tamper-resistant prescriptions (handwritten and EMR generated).
The Texas Tamper-Resistant Prescription Pad was
] after CMS issued its clarification.
, Sept. 15, 2008