- Alabama
In Alaska, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Alaska must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Alaska state documentation, you can refer to it here.
For the federal requirements, you can refer to the official documentation here and here.
In Arizona, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Arizona must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Arizona state documentation, you can refer to it here.
For the federal requirements, you can refer to the official documentation here and here.
In Arkansas, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Arkansas must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Arkansas state documentation, you can refer to it here, clicking on "Arkansas Code" and navigating to Title 5, Chapter 64, Subchapter 308: Prescriptions.
For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, California state law requires:
Read documentation here.
For the federal requirements, you can refer to the official documentation here and here.
In Colorado, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Colorado must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Colorado state documentation, you can refer to it here, navigating to section 8.837.
For the federal requirements, you can refer to the official documentation here and here.
In Connecticut, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Connecticut must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Connecticut state documentation, you can refer to it here.
For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, Delaware state law requires every prescription written in this State by a practitioner shall be written on a statewide authorized tamper-resistant prescription form. This section shall not apply to prescriptions generated within a licensed medical facility that results in the internal dispensing of prescription drugs to any patient receiving treatment in that facility, nor to tamper-resistant prescription forms electronically generated within a licensed medical facility that meet the criteria established by the rules and regulations promulgated under that section. “Statewide tamper-resistant prescription pads” shall be defined as a prescription pad, which has been authorized by the State for use, and meets the following criteria:
The Delaware Division of Professional Regulation supplies Security Codes to all authorized purchasers in Delaware. When placing orders, purchasers must provide their Security Code to the vendor.
Read documentation here, here, and here.
For the federal requirements, you can refer to the official documentation here and here.
In the District of Columbia, law aligns with federal regulations for prescription pads. This means that prescription forms used in the District of Columbia must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the District of Columbia documentation, you can refer to it here and here.
For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, Florida state law requires:
Read documentation here and here.
For the federal requirements, you can refer to the official documentation here and here.
In Georgia, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Georgia must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Georgia state documentation, you can refer to it here and here.
For the federal requirements, you can refer to the official documentation here and here.
In Hawaii, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Hawaii must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Hawaii state documentation, you can refer to it here.
For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, Idaho state law requires paper prescription drug order blanks to utilize non-copyable paper that contains security provisions against copying that results in some indication on the copy that it is a copy and therefore rendering it null and void.
Read documentation here.
For the federal requirements, you can refer to the official documentation here and here.
In Illinois, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Illinois must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Illinois state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, Indiana state law requires:
Read documentation here.
For the federal requirements, you can refer to the official documentation here and here.
In Iowa, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Iowa must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Iowa state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In Kansas, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Kansas must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Kansas state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, Kentucky state law requires:
Read documentation here.
For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, Louisiana state law requires a written prescription to
conform to the following format:
Read documentation here, section 2511 and 2745.
For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, Maine state law requires:
Read documentation here.
For the federal requirements, you can refer to the official documentation here and here.
In Maryland, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Maryland must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Maryland state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, Massachusetts state law requires:
Read documentation here.
For the federal requirements, you can refer to the official documentation here and here.
In Michigan, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Michigan must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Michigan state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In Minnesota, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Minnesota must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Minnesota state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, Mississippi state law requires that each prescription written in this state shall contain two signature lines, either of which, when signed by the prescriber, shall validate the prescription and, depending upon which line the prescriber's signature appears, will indicate the prescriber's approval or denial of drug product selection by the pharmacist. The two line provision of the prescription and the prescriber's approval or denial of drug product selection shall be as follows:
Review documentation here.
For the federal requirements, you can refer to the official documentation here and here.
In Missouri, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Missouri must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Missouri state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, Montana state law requires that if a prescription is written, it must be tamper-resistant and contain all of the following characteristics:
Read documentation here.
For the federal requirements, you can refer to the official documentation here and here.
In Nebraska, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Nebraska must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Nebraska state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In Nevada, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Nevada must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Nevada state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In New Hampshire, state law aligns with federal regulations for prescription pads. This means that prescription forms used in New Hampshire must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the New Hampshire state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, New Jersey state law requires New Jersey Prescription Blanks (NJPBs) to be purchased from authorized vendors. Each NJPB shall be:
Read documentation here, in subchapter 27, section 13:45A-27.8.
For the federal requirements, you can refer to the official documentation here and here.
In New Mexico, state law aligns with federal regulations for prescription pads. This means that prescription forms used in New Mexico must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the New Mexico state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, North Carolina state law requires a prescription form to be preprinted or stamped with two signature lines at the bottom of the form which read: "Product Selection Permitted” and “Dispense as Written". On this form, the prescriber shall communicate instructions to the pharmacist by signing the appropriate line.
Read documentation here, by navigating to section 90-85.28.
For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, North Dakota state law requires a reminder legend in at least six-point uppercase print stating, "In order to require that a brand name product be dispensed, the practitioner must hand write the words 'brand medically necessary'”.
Read documentation here.
For the federal requirements, you can refer to the official documentation here and here.
In Ohio, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Ohio must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Ohio state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In Oregon, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Oregon must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Oregon state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In addition to federal requirements, Pennsylvania requires that:
Read documentation here.
For the federal requirements, you can refer to the official documentation here and here.
In Rhode Island, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Rhode Island must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Rhode Island state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, South Carolina state law requires that a written prescription for any Schedule II, III, IV, and V controlled substance must be written on tamper-resistant prescription pads which contain one or more industry-recognized features designed to prevent all of the following:
Also, a written prescription must have two signature lines at opposite ends on the bottom of the form. Under the line at the left side must be clearly printed the words "DISPENSE AS WRITTEN". Under the line at the right side shall be clearly printed the words "SUBSTITUTION PERMITTED", unless the prescription is to be paid for with Medicaid funds. The practitioner shall communicate the instructions to the pharmacist by signing on the appropriate line. A written prescription is not valid without the signature of the practitioner on one of these lines.
Read documentation here and here, the latter under section 39-24-40.
For the federal requirements, you can refer to the official documentation here and here.
In South Dakota, state law aligns with federal regulations for prescription pads. This means that prescription forms used in South Dakota must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the South Dakota state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, Tennessee state law requires all prescriptions written or printed by practitioners authorized to write prescriptions in the state to be written on either tamper-resistant prescription paper or printed utilizing a technology that results in a tamper-resistant prescription that meets the current centers for medicare and medicaid services guidance to state medicaid directors regarding § 7002(b) of the United States Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act of 2007, P.L. 110-28, and meets or exceeds specific TennCare requirements for tamper-resistant prescriptions.
Read documentation here, under Title 53, Chapter 10, Section 401.
For the federal requirements, you can refer to the official documentation here and here.
Texas requires Schedule II prescriptions be submitted on official prescription forms obtainable only through the State Board of Pharmacy. Prescriptions for Schedule III-V substances can utilize third-party forms, for which no further requirements than those provided by federal law are present.
Read documentation here.
For the federal requirements, you can refer to the official documentation here and here.
In Utah, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Utah must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Utah state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, Vermont state law requires prescriptions shall be written so as to:
Read documentation here, under section 10.5.
For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, Washington state law requires that every prescription written in this state by a licensed practitioner must be written on a tamper-resistant prescription pad or paper approved by the commission. For the purposes of this section, "tamper-resistant prescription pads or paper" means a prescription pad or paper that has been approved by the commission for use and contains the following characteristics:
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 state. 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.
Read documentation here and here.
For the federal requirements, you can refer to the official documentation here and here.
In addition to federal requirements, West Virginia state law, practitioners must use West Virginia Official Prescription Paper, which shall contain the following security features:
In addition, no more than one controlled substance may be written per prescription blank.
Read documentation here and here, under section 23.2 and 8.6.
For the federal requirements, you can refer to the official documentation here and here.
In Wisconsin, state law aligns with federal regulations for prescription pads. This means that prescription forms used in Wisconsin must adhere to the federal guidelines for tamper-resistant prescriptions to be eligible for Medicaid reimbursement. These federal guidelines require features designed to prevent unauthorized copying, erasure or modification, and the use of counterfeit forms.
For specific details on the Wisconsin state documentation, you can refer to it here. For the federal requirements, you can refer to the official documentation here and here.
In addition to the federal requirements, Wyoming state law requires that the controlled substance prescription shall be issued on security paper. Any controlled substance prescription issued by a Wyoming practitioner that is on non-security paper shall not be dispensed by a pharmacist.
Read documentation here, under “Pharmacy, Board of” (059), “Commissioner of Drugs & Substances Control” (0002), Chapter 10: Issuing and Dispensing Prescriptions for Controlled Substances.
For the federal requirements, you can refer to the official documentation here and here.
The information provided on this page is for reference purposes only and should not be considered legal advice. While we strive to maintain accurate and current information, prescription pad regulations can change frequently and without notice, and vary significantly by state and local jurisdiction.
We strongly encourage all medical professionals to independently verify compliance requirements with their state medical board, pharmacy board, and local DEA office, and to consult legal counsel when compliance questions arise.
RxForms works diligently to ensure our products meet or exceed known compliance standards, but ultimate responsibility for regulatory compliance rests with the prescribing healthcare professional.