Prescription Pads

• VOID Pantograph
• Security backprint
• Reverse Rx
• Microprint signature lines
• Safety paper

Tamper Resistant Prescription Pad – Semi-Custom Layout with Eight Security Features

• Ancom’s Tamper Resistant Rx forms meet and exceed most state requirements.

• We offer standard, semi-custom and fully custom Tamper Resistant pads to provide the right solution for your specific needs.

• Ancom is an approved vendor in all states except New York.

• Pads are available in 1 or 2 part forms. 100 parts per pad.

• Laser printer forms also available.

• Order Online: State mandated layouts for IN, NJ, KY, FL, WV, ME, CA, and WY, plus more every day!