Wyoming state-mandated security Rx blanks and pads for Level II–V controlled substances
Effective Jan 1, 2007: thermochromatic ink and other security features; effective July 6, 2011: features listed on both sides, with preprinted quantity boxes and refill instructions
If not preprinted, prescriber must hand-write quantity and refill instructions in alpha/numeric form (e.g., “Thirty (30) tablets; Two (2) refills”)
Designed for clear records and regulatory compliance
For samples or additional information, call Customer Service at 1-800-809-5131