For refills, please complete and submit the form below.  If you need refills on more than 6 prescriptions, please submit another request.  Online prescription requests will be checked twice daily (at 10 am and 3 pm) during business days. We will process your order and make every attempt to have your prescription(s) ready by the end of the business day if submitted before 3 pm PST.  Please provide a current telephone number where you can be reached during business hours in case we need to contact you about your refill request.

Refill with RX Number

  • 1. Patient Information

  • 2. Prescription RX Number

  • 3. Add More Prescriptions (Over the Counter Items Only)

  • 4. When Meds are Ready

 

Verification