In addition to federal requirements, West Virginia state law, practitioners must use West Virginia Official Prescription Paper, which shall contain the following security features:
- Shall contain 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;
- shall contain space for the prescriber to indicate number of refills, if any, or to indicate no refills;
- shall provide space for the patient's name and address, the prescribing practitioner's signature;
- shall provide space for the preprinted, stamped, typed, or manually printed name, address and telephone number of the prescribing practitioner, and the practitioner's DEA registration number and NPI number; Provided that, if a practitioner does not have authority to prescribe controlled substances, then no DEA number shall be required, and, instead, the following statement shall be printed: "No Controlled Substances Authority"; and, Provided further that, if a practitioner is a veterinarian, no NPI number shall be required;
- shall contain the following statement printed on the bottom of the prescription blank: "This prescription may be filled with a generically equivalent drug product unless the words 'Brand Medically Necessary' are written in the practitioner's own handwriting, on this prescription form.”.
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.