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Counterfeit-Proof Pad Vendors
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Apply to Become an Approved Vendor
 Application. (pdf - 38kb) Opens in a new window.    Specifications    Production & Distribution    Prescription Pad Sample

Section 456.42(2), Florida Statutes, requires licensed health-care practitioners purchase counterfeit-proof prescription pads or blanks from vendors approved by the Department of Health. A prospective vendor must submit a complete and legible Counterfeit-Proof Prescription Pad Vendor application and received approval from the Department before being added to the approved vendor list.  Vendors must agree to produce a counterfeit-proof prescription pad or blank that meets the minimum specifications and take responsibility for the secure production and distribution of the prescription blanks to licensed healthcare practitioners.

If you are currently approved by the Agency for Health Care Administration to manufacture and distribute counterfeit-proof prescription blanks to Medicaid providers, please contact the Division of Medical Quality Assurance, Bureau of Operations, at (850) 245-4063 for information about becoming an approved vendor for the Department of Health.

MISSION: To protect and promote the health of all residents and visitors in the state through organized state
  and community efforts, including cooperative agreements with counties.
VISION: A healthier future for the people of Florida.
PURPOSE: To protect the public through health care licensure, enforcement and information.
FOCUS: To be the nation's leader in quality health care regulation.
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