Please follow the steps below to request a refill on your prescription.
Select the pharmacy that has your prescription refill on file.
Enter the prescription number(s) and the last name on the
prescription. If you have more than one prescription with different last names,
select fill prescriptions for multiple people below. Be sure to enter
name exactly as it appears on prescription label.
Patient's Last Name
Enter a phone number,including area code, so our pharmacist can contact you if there is a problem with this order. Example:xxx-xxx-xxxx
Pickup your prescriptionHave your prescription delivered to you
Would you like the pharmacy to contact your doctor if your prescription has no refills left and needs authorization?