Delaware Administrative Code
Title 24 - Regulated Professions and Occupations
Department of State
Division of Professional Regulation
2501 - Regulations Governing Statewide Authorized Tamper Resistant Prescription Forms
Section 2501-7.0 - Mandatory Prescription Form Markers

7.1 Void Pantograph: Outlined open or solid letters spelling the word "VOID" when form is photocopied. A safety VOID pantograph background is required on each design.

7.2 Security Back Print: Text or images on back of forms stating that this is a security script;

7.3 Two signature lines printed at the bottom of the face of the form: Under the first line the words "Substitution Permissible" shall be printed: under the second line the phrase "In order for a brand name product to be dispensed, prescriber must hand write "Brand Necessary" or "Brand Medically Necessary" in the space provided as defined in 24 Del.C. § 2549;

7.4 Watermarking: The back of the form shall contain an artificial watermark reading "Delaware Security Prescription" horizontally in a step-and-repeated pattern in 5 lines, using a 12 point Helvetica bold type style in a coin reactive ink: the words "Delaware Security Prescription" must appear when rubbed with a coin;

7.5 Solid colored background;

7.6 Refill Indicator;

7.7 Chemical Reactive Paper: The paper must react when alteration is attempted using the following list of chemicals: Acetone, Methyl Ethyl Ketone, Nail Polish Remover, Paint Remover, Benzyl Alcohol, Methyl Alcohol, Rubbing Alcohol, Hair Spray, 1-Methoxy-2-Propanol, Carbon Tetrachloride, Bleach;

7.8 List all Security Features on Back;

7.9 Serial Numbered: The numbering scheme shall be in a format that can be easily data entered by the dispensing pharmacy.