Kentucky Prescription Pads

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

• A latent, repetitive "void" pattern screened at five (5) percent in pantone green shall be printed across the entire front of the prescription blank. If a prescription is 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 so that it shall only be seen at a forty-five (45) degree angle. The watermark shall consist of the words "Kentucky Security Prescription", and appear horizontally in a step-and-repeated format in five (5) lines on the back of the prescription using twelve (12) point Helvetica bold type style;
• An opaque Rx symbol shall appear in the upper right-hand corner, one-eighth (1/8) of an inch from the top of the prescription blank and five-sixteenths (5/16) of an inch from the right side of the prescription blank. The symbol shall be three-fourths (3/4) of an inch in size and disappear if the prescription copy is lightened;
• Six (6) quantity check off boxes shall be printed on the form and the following quantities shall appear:1.☐ 1–24;2.☐ 25–49;3.☐ 50-74;4.☐ 75-100;5.☐ 101-150;6.☐ 151 and over;
• A logo may appear on the prescription blank. The upper left one (1) inch square of the prescription blank shall be reserved for a logo;
• The following statement shall be printed on the bottom of the prescription blank: "Prescription is void if more than one (1) prescription is written per blank";
• Refill options shall appear below any logo on the left side of the prescription blank in the following order: Refill NR 1 2 3 4 5; and
• A prescription blank shall be four and one-quarter (4 1/4) inches high and five and one-half (5 1/2) inches wide.

Read documentation here.

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