Request Refills

*NEW* Download our app!

Request refills, see your prescriptions with prices, update insurance, view tax printouts & chat with us! iPhone & Android versions available. All you need is a prescription number to sign up.
If you need assistance with the app or need a family member added to your account, please stop by and we will help!

If you are a current customer, use the form below to request refills on your prescription(s).

**If you are a new patient and/or need prescriptions transferred to us, fill out the NEW PATIENT INFO and the TRANSFER MEDICINE forms.**

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

If your medicine does not have refills, we will 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.

Prescription Information

Your RX number is a SEVEN digit number on the top left corner of your prescription label. 
If needed, you may add additional RX numbers here.

**NEW** Download our App!

Request refills, see your prescriptions with prices, update insurance, view tax information & chat with us! iPhone & Android versions available. All you need is a prescription number to sign up.

If you need assistance with the app or need a family member added to your account, please stop by and we will help!