Prescription Pads Guidelines - California

///Prescription Pads – California
Prescription Pads – California 2017-01-05T18:51:04+00:00

The state of California currently follows federal requirements for prescription pads as set forth by the CMS. In addition to federal requirements, the state of California requires the following:

  1. If multiple eligible prescribers are listed on the form, there must be check boxes by each name and the issuing prescriber must check the box by his or her name.
  2. All forms must contain the phrase “Prescription is void if the number of drugs prescribed is not noted”
  3. A line must also be provided at the bottom of a prescription form for the prescriber to write the number of drugs prescribed as well as provide a signature
  4. California law mandates The prescription forms for controlled substances shall be printed with the following features:
    (1) A latent, repetitive “void” pattern shall be printed across the entire front of the prescription blank

(2) A watermark shall be printed on the backside of the prescription blank; the watermark shall consist of the words “California Security Prescription.”
(3) A chemical void protection that prevents alteration by chemical washing.
(4) A feature printed in thermochromic ink.
(5) An area of opaque writing so that the writing disappears if the prescription is lightened.
(6) A description of the security features included on each prescription form.

(7) Six quantity check off boxes shall be printed on the form so that the prescriber may indicate the quantity by checking the applicable box

(8) The controlled substance prescription forms must include an identifying number assigned by the Department of Justice to the approved security prescription vendor. (Health and Safety Code section 11162.1 [a][11])

State Requirements

All states are required to meet the baseline standards set forth by the CMS. Several states have Prescription Monitoring Programs that require prescription pads to have specific security features.

For in-depth information regarding specific state requirements choose from the list below.

Map- California

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