Rx Security

Receive a 15% Member Discount When Ordering Tamper-Resistant Prescription Pads Through Rx Security

How to Order through Rx Security

The Centers for Medicare and Medicaid Services (CMS) require that all hand-written prescriptions be written on tamper-resistant prescription pads. In order to help you meet that requirement, the OMA has contracted with Rx Security, a company that prints compliant prescription pads that meet and exceed both the state and federal requirements. OMA has negotiated a 15 percent member discount on these compliant pads and they can be ordered through the OMA website at https://www.rxsecurity.com/oma-order. Non-members can also order pads through the OMA website, but they will not receive the exclusive discounted rate.

The OMA has chosen Rx Security for their experience and reputation, their proven ability to comply with the CMS requirement, and their competitive pricing which includes shipping, setup fees and other associated costs. View this YouTube video for more detailed information on the products they provide.

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CMS Guidance on the Tamper-Proof Prescription Pad Requirement

CMS has now released guidance to State Medicaid Directors regarding the requirement for all handwritten Medicaid prescriptions to be written on tamper-resistant prescription pads. All existing state laws and requirements for tamper-resistant prescriptions are deemed to meet or exceed the CMS standard, but the following key elements of the requirement are important:

Prescription pads must meet one of the following standards by April 1, and by October 1  they must meet all three:

  • Features to prevent unauthorized copying
  • Features to prevent erasure or modification of the prescription
  • Features to prevent use of counterfeit prescription forms

Exemptions to the Requirement:

  • Prescriptions paid for by a managed care entity are exempt
  • Electronic, faxed, and telephoned prescriptions are exempt
  • Prescriptions provided in nursing facilities and certain other settings are exempt
  • Refills of written prescriptions presented at a pharmacy before April 1


The requirement does not restrict emergency refills if the prescriber provides the pharmacy will a verbal, faxed, electronic, or tamper-resistant written prescription within 72 hours after the date the prescription was filled.

Additional Links:

CMS Guidance to State Medicaid Directors, click here
CMS Frequently Asked Questions, click here
Information for State Health Policymakers, click here
CMS Medicare Learning Network Guidance, click here

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  • VOID appears on any reproduction
  • Erasure resistant background
  • Micro Printed Border
  • Artificial watermark on back visible at 45 degree angle
  • Thermochromic “Rx” disappears when rubbed or heated
  • Security features box on back alerts patients and pharmacy to security features

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v2 2016