Use this form to request a refill for a prescription. We will notify you of your
refill via e-mail. You should receive a confirmation e-mail within 24-36 hours.
If not, give us a call.
- Federal Law prohibits the dispensing of certain medications without examination
or prescription.
- Due to the new Arizona Pharmaceutical Statue, the owners date of birth is required
if a controlled substance is to be dispensed. Please call with any questions or
concerns with this matter.
- Some prescriptions may require annual/bi-annual bloodwork prior to dispensing.
- Some prescriptions may be available at your local pharmacy. Please call for details.