To initiate the refill process, complete the form below.
The form is only for refills of existing prescriptions. If you are a new patient, please contact us for assistance at 800-660-4283.
Before your order is shipped a Patient Care Coordinator will contact you via phone to verify the information submitted and to obtain payment information. If you need your medications within 24 hours or delivered on a Saturday, please contact us directly at 800-660-4283 and select option 6. There are no Sunday deliveries.
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.