To ensure the quality and security of counterfeit-proof prescription pads provided by the vendor, the vendor must agree to produce a counterfeit-proof prescription pad or blank that meets the minimum specifications listed below:

1. The background color must be blue or green and resist reproduction;
2. The pad or blank must be printed on artificial watermarked paper;
3. The pad or blank must resist erasures and alterations and;
4. The word "void" or "illegal" must appear on any photocopy or other reproduction of the pad or blank. This language shall not obstruct or render illegible any portion of the drug name, quantity or directions for use.
5. The counterfeit-proof prescription pad or blank must contain the following information:

1. The preprinted name, address and category of professional licensure of the prescribing practitioner or the name and address of the healthcare facility;
2. A space for the prescribing practitioner’s name if not preprinted and federal Drug Enforcement Administration registration number for controlled substances;
3. A unique tracking identification number for each order on the front of the counterfeit-proof prescription pad or blank. The number must consist of three subsets:
   1. a unique alphabetic prefix that readily identifies the vendor
   2. the date of printing
   3. a batch number
4. The alpha prefix used to identify the vendor will be assigned by the department and must appear in upper case. The date of printing must immediately follow the vendors’s unique alpha identifier and must be presented in six character numerical field using the format YRMODY. The batch number assigned by the vendor must immediately follow the print date and consist of numerical characters and must not contain spaces or special characters (e.g., dashes, periods, commas, slashes, alpha characters). From left to right, the tracking identification number must appear as alpha prefix, print date, and then batch number, with no blank spaces between subsets.