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

  1. All vendors must have their tamper-resistant prescription pads or paper approved by the commission prior to the marketing or sale of pads or paper in Washington.
  2. The commission shall create a seal of approval that confirms that a pad or paper contains all three industry-recognized characteristics required by this section. The seal must be affixed to all prescription pads or paper used in this state.
  1. Six quantity check-off boxes must be included on Washington prescription forms. The quantity check boxes must include the following amounts:
    1. 1-24
    2. 25-49
    3. 50-74
    4. 75-100
    5. 101-150
    6. 151 and over
  • As of July 1, 2010, all prescribers must use commission–approved tamper–resistant prescription paper or pads (TRPP).

The prescription form also must include two signature lines on the bottom of the form reading, “Substitution Permitted,” and “Dispense as Written.”

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.


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