*You can have your prescriber send your prescription(s) directly to the pharmacy for faster service.
Please provide:
Your Name & Phone Number
Your Date of Birth
Prescriber's Name & Phone Number
First 3 letters of each medication requested
Please provide:
Your Name & Phone Number
Your Date of Birth
Prescriber's Name & Phone# (If we don't already have the Rx on file for you)
First 3 letters of each medication requested
Please provide:
Your Name & Phone Number
Your Date of Birth
Prescriber's Name & Phone Number
Transfer Out Pharmacy Name & Phone Number
First 3 letters of each medication requested
Use the form below to make prescription requests.
Toll-Free: 1-800-954-5770 (Fax: 866-823-8787)
Mon | 09:00 am – 05:00 pm | |
Tue | 09:00 am – 05:00 pm | |
Wed | 09:00 am – 05:00 pm | |
Thu | 09:00 am – 05:00 pm | |
Fri | 09:00 am – 05:00 pm | |
Sat | Closed | |
Sun | Closed |
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