DELIVERY SET-UP

Rx Delivery
PRESCRIPTION DELIVERY

Use this form ONLY for prescriptions that are already on file with our pharmacy. If you need to fill a NEW PRESCRIPTION, you must either have your doctor phone it in or bring the hard copy of the prescription to us.

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Rx Number Note: To protect your privacy, please do not type names of medications or other health information aside from your prescription refill number into this field.
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