Tamper-resistant Prescription Pads

Prescription pads from the AOA Order Department

The American Optometric Association Order Department now carries tamper-resistant prescription forms that comply with all three Federal regulations for Medicaid. The new tamper resistant prescription forms are available for purchase from AOA by calling (800) 262-2210.

For prescriptions for MEDICAID beneficiaries, CMS has informed State Medicaid Directors that, to be considered tamper-resistant, a prescription pad must contain at least one of the following three characteristics below. AOA tamper resistant forms meet all three Federal requirements.

1. One or more industry-recognized features designed to prevent unauthorized copying of a completed or blank prescription form;
2. One or more industry-recognized features designed to prevent the erasure or modification of information written on the prescription by the prescriber;
3. One or more industry-recognized features designed to prevent the use of counterfeit prescription forms.

These forms are available in single sheet or two-part NCR.

Please specify “new tamper resistant” prescription forms when ordering at (800) 262-2210.

NOTE: Some states may have additional requirements for tamper-proof compliance. Please check with your state optometric association to ensure your state does not require addition prescription security measures.

More on Tamper-resistant paper

Tamper Resistant Security Paper is used to help prevent tampering as well as unauthorized document duplication.

Tamper Resistant Paper CAN:

• prevent unauthorized copying of a completed or blank prescription form;
• help the viewer or recipient identify an original document;
• act as a deterrent against unauthorized duplication;
• prevent the erasure or modification of information written on the prescription by the prescriber;
• cause information modification to be visible to the recipient;
• prevent accurate duplication and prevent the use of counterfeit prescription forms.

Tamper Resistant Paper CANNOT:

• cause the copy to print black, rendering it useless;
• distort the image thus rendering the copy useless;
• cause damage to or in any way change the original document when copied or scanned.