Order Refills
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Email *
Patient first and last name *
Feel free to enter multiple patients on this one form.
Which prescriptions would you like filled *
You may choose more than one answer
Required
How would you like to receive your order *
Note: Orders placed after we are closed will behave as if they were placed the NEXT business day. All delivery methods are free of additional charge.
Comments
Prescriptions may be designated by the prescription number, OR by the drug name and strength. Here you can also list any OTC products etc. you would also like included in your order, etc.
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