Mail-Order Pharmacy Refill Request

Refill Request

Enter your refill request here. If you have previously entered a request, you can check its status by entering the prescription number in the "Refill Status" section below. Then click the "Check Status" button. 
Note: Please allow up to 14 days for mail order medications to reach you.



Refill Status

To check the status of a refill, please enter your prescription number below. (You no longer need a confirmation number.)

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