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Security Prescription Forms / Pads

Sterling Business Forms, Inc. produces high security prescription pads and forms to keep your customers safe from fraud. Don't risk having your customers' prescriptions rejected by the pharmacy! We can make sure your practitioners' documents meet these requirements.

Contact Us Today!

Our Prescription Pads and Forms offer
MAXIMUM SECURITY!

rx clipboard
  • Tamper-Resistant
  • Unique Lot # on every order
  • Microprinting
  • Chemical Void
  • Sequential Numbering
  • Thermochromic Ink
  • Opaque Watermark
  • "Void" Pantograph
  • Security Reverse Rx Logo
  • Listed Security Features
  • Serialization and Barcodes
    (California ONLY)

3 Sizes to choose from

ca rx icon
Sterling Business Forms, Inc. is APPROVED by the California Department of Justice for the production and sale of the newly formatted California Prescription Forms and Pads as per California Assembly Bill 149.

SBF offers 3 different size options (see above), along with several different standard bases to choose from (see below). Custom bases are accepted as long as they are compliant with AB 149 and SBF standards (some adjustments may need to be made).

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.

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.
‍Click here for a complete listing of approved Prescription Pad Distributors.

2020 carx requirements image

SBF offers 10 standard bases to choose from.

Our standard bases include all of the required components which comply with the AB 149 requirements.
Click on the base number below to view base sample.

Size = 5.5" x 4.25"
CARX base
Size = 5.5" x 4.25"
CARX2 base
Size = 5.5" x 4.25"
CARX2B base
Size = 5.5" x 4.25"
CARX3C base
Size = 5.5" x 4.25"
CARX4 base
Size = 4.25" x 6.625"
CARX4B base
Size = 5.5" x 4.25"
CARX4C base
Size = 8.5" x 11"
CARX7 base
Size = 8.5" x 11"
CARX8 base
Size = 8.5" x 11"
CARX9 base
wa rx icon
Sterling Business Forms, Inc. is APPROVED for the production and sale of Washington Secure Rx pads and forms, as well as Washington Medical Cannabis Secure Rx forms (RCW 69.51A.030).

SBF offers 3 different size options (see above), along with two different standard bases to choose from (see below). Custom bases are accepted as long as they are compliant with the Revised Code of Washington (RCW 18.64.500). Some adjustments may need to be made.

All WARX pads and forms include the Washington Seal of Approval as mandated by the State of Washington.
WARX seal
Washington Seal of Approval
RCW 18.64.500
RCW seal
Washington Seal of Approval
RCW 69.51A.030

SBF offers 2 standard bases to choose from.

Our standard bases include all of the required components which comply with the RCW 18.64.500 requirements.
Medical Cannabis Rx forms are only available in size 8.5" x 11"
Click on the base number below to view base sample.

Size = 5.5" x 4.25"
WARX base
Size = 5.5" x 4.25"
WARX2 base
mu rx icon
Sterling Business Forms, Inc. is APPROVED for the production and sale of Multi-State Secure Rx pads and forms.

SBF offers 3 different size options (see above), along with five different standard bases to choose from (see below). Custom bases are accepted as long as they are compliant with the Federal Regulations.

States Approved / CMS Compliant

AZ
AR
CA
CT
GA
IL
MI
MT
ND
NH
NV
OH
OK
OR
RI
SC
TN
UT
VA
WA
WY

SBF offers 5 standard bases to choose from.

Our standard bases include all of the required components which comply with Federal Regulations.
Click on the base number below to view base sample.

Size = 5.5" x 4.25"
MURX base
Size = 5.5" x 4.25"
MURX2 base
Size = 5.5" x 4.25"
MURX4 base
Size = 6.625" x 4.25"
MURX4B base
Size = 5.5" x 4.25"
MURX4C base