Please have the information indicated in red in the picture ready when you order your refills.
This form allows you to reorder up to 20 prescriptions at a time. Additional entry fields will appear as you fill out the form.
NOTE: We’re working on the email notification system. As a result, you may not get an email confirmation when placing a refill order. Please know that as soon as you see the confirmation here in your web browser, your order has been received and we will get to work on it.