Ordering refills for patients just got even easier!

To order refills online, complete the order form below. You will need your original Freedom Fertility Pharmacy™ prescription number, which can be found in one of three places:

  • Your original order packing slip
  • Your original receipt
  • Your prescription label

The form is only for refills of existing prescriptions. If you are a new patient, please contact us for assistance at {{Page.supportNumber()}}.

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Patient Information

Shipping Information

Refill Request

Medication Quantity
+ To add another row, please complete medication and quantity. To remove a row, please click the minus (−) button.

Delivery Date Request

Before your order is shipped a Patient Care Coordinator will contact you to verify the information submitted and to obtain payment information. Orders received before 4PM EST may ship for the next business day delivery. If you need your medications within 24 hours or delivered on a Saturday, please contact us directly at {{Page.supportNumber()}} option 6. There are no Sunday deliveries. Compounded prescriptions may take an additional 24 hours to process.

Dear Patient, you have the right to know about proper use of your medications and its effects. If you need more information please ask a Pharmacist.