California Prescription Pads

In addition to the federal requirements, California state law requires:

• A latent, repetitive “void” pattern shall be printed across the entire front of the prescription blank; if a prescription is scanned or photocopied, the word “void” shall appear in a pattern across the entire front of the prescription.
• A watermark shall be printed on the backside of the prescription blank; the watermark shall consist of the words “California Security Prescription.”
• A chemical void protection that prevents alteration by chemical washing.
• A feature printed in thermochromic ink.
• An area of opaque writing so that the writing disappears if the prescription is lightened.
• A description of the security features included on each prescription form.
• Six quantity check off boxes shall be printed on the form so that the prescriber may indicate the quantity by checking the applicable box where the following quantities shall appear:
  • 1–24
  • 25–49
  • 50–74
  • 75–100
  • 101–150
  • 151 and over.
• In conjunction with the quantity boxes, a space shall be provided to designate the units referenced in the quantity boxes when the drug is not in tablet or capsule form.
• Prescription blanks shall contain a statement printed on the bottom of the prescription blank that the “Prescription is void if the number of drugs prescribed is not noted.”
• The preprinted name, category of licensure, license number, federal controlled substance registration number, and address of the prescribing practitioner.
• Check boxes shall be printed on the form so that the prescriber may indicate the number of refills ordered.
• The date of origin of the prescription.
• A check box indicating the prescriber’s order not to substitute.
• An identifying number assigned to the approved security printer by the Department of Justice.
• A check box by the name of each prescriber when a prescription form lists multiple prescribers.
• A uniquely serialized number, in a manner prescribed by the Department of Justice in accordance with Section 11162.2.

Read documentation here.

For the federal requirements, you can refer to the official documentation here and here.