Frequently Asked Questions
What are the requirements for Tamper Resistant Prescription Pads?
In May 2007 Congress passed a bill that required that effective October 1, 2007 written prescriptions for drugs under the Medicaid program must be on tamper-resistant pads. The effective date of this bill has now been changed to April 1, 2008.
Effective April 1, 2008, all new written Medicaid prescriptions (except those for residents of nursing facilities, intermediate care facilities for the mentally retarded (ICF’s/MR’s), or other specified institutional and clinical settings) must be written on tamper-resistant prescription pads. The following requirements are mandated:
If a pharmacy fills a prescription that does not comply with the requirements above, funds paid by Medicaid will be recovered. Prescribers will have to ensure that pads used to write Medicaid prescriptions meet the following requirements in order to be considered “tamper-resistant”. If not, the patient will likely be sent back to get another prescription written on a compliant prescription form.
Effective April 1, 2008, the prescription form must contain at least one of the following three characteristics:
Effective October 1, 2008, to be considered tamper-resistant, a prescription pad must contain all three of the above characteristics.
Please Note: When obtaining tamper-resistant prescription pads, any printer that is able to produce compliant pads may be used. Medicaid is not currently endorsing any printers.
Successful implementation of the above requirements will require support of both prescribers and pharmacies. We recognize that the time frame is difficult to meet, but the requirement is a federal law, and we do not have the authority to change it. Please contact the Medicaid Pharmacy team at (801) 538-6293 or (801) 538-6495 if you have any questions.