8-1/2'' x 11" Premier Blue Medical Security Paper, 10 Security Features, 24# Blue Stock (Carton of 2500). Document fraud is growing at an alarming rate and every business is vulnerable. Today's technology has made document alteration and duplication easy for criminals. A document with multiple security features is much more difficult to duplicate using a copier, scanner, or camera. DocuGard medical security paper, with 10 features per sheet, ensures maximum protection against fraud. All DocuGard medical security papers exceed the guidelines set by the Centers for Medicare and Medicaid Services (CMS). These medical security papers feature hidden void pantograph, erasure resistant color background, microtext printing, DocuGard watermark, coin reactive ink, security features listing, heat sensitive thermochromatic ink, invisible fibers in sheet, chemical reactive paper, and toner grip. This security paper comes with 5 reams per carton, for a total of 2500 sheets per carton.