Please Note:  All Red Bolded information is required in order to process your request.
If you are also requesting delivery service, all above fields must be completed.

Important information related to your prescription refill request:

1. Please reorder all medications 48 hours prior using the last dose.
2. Please be aware additional time may be required if we must contact your physician for refill authorization because your prescription has expired or is out of refills.  Your refill request will remain as pending until authorization is received from your physician.  Some physicians take 48 to 72 hours to respond to a pharmacy refill request.
3. Compounded prescriptions may also require additional time.    

Please enter your prescription numbers in the spaces below.  If the prescription number is preceded by a letter, do not enter the letter.  Enter the prescription number only.  You may enter any OTC items you need in the comment section.