Auto-Refills

If you are a current customer, use the form below to sign up for auto-refills.

Our auto-refill program is designed to help our customers stay on track with their maintenance medicines. Lee Drug will automatically fill your prescriptions when they are due and send you a text alert once they’re ready to pick up.

Be sure to check the bottom of your prescription label to make sure you have refills & the prescription is not expired.

If at any time your medicine does not have refills, we send a request to your doctor if your doctor accepts refill requests, otherwise you may have to call and request refills.

If you have more than 4 refill numbers, add the rest in the last “notes” field.

Be sure to click “SUBMIT” after filling in the information.

Name *

First

Last

Birthday *//

Prescription Information

Below, list the RX numbers you would like to add to auto-refill. This number can be found on the label of a Lee Drug Store bottle in the top left corner. Each number is 7 digits long and starts with a 1.

RX Number 1 *

RX Number 2

RX Number 3

RX Number 4

Do you want to receive a text message when your prescriptions are filled? *

Yes
No

Do you need these prescriptions filled now? *

Yes, all of them
Yes, some of them
No

Any other notes for the pharmacy staff?

If needed, add additional RX numbers in this space.